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LAND USE Initial Application Date:! ° Application* 1 !/ (PD 2 4 ` 9/ CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E. Front Street, �� Lillingtoon, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.hamett.org /permits LANDOWNER&YAW M it9 Arci e0P5I�o✓ QSSfg4S Mailing Address: 022-7 /PO'? b9 C/ T City: State:/ /e Zips Contact 9 77 -7sb z ��11 ' // 6 - Mailing ddress 55/ 24nis ✓r S H rl .tea APPLICANT': 1. � 4 . • '`/e �1��ii 9 y City: f;" t° )140 A £- State: M(' Zip: -2 3/f Contact # 9i 6 977 -25-6 Z Email: 'Please fill out applicant information if different than landowner y�� CONTACT NAME APPLYING IN OFFICE: 6)17 J> ? A,tI Phone St 9/ I77` 2-5- 2 - PROPERTY LOCATION: Subdivision: (724-)2. .01 / / 7_ ©G -�S Lot*: 52 Lot Size: • 43 State Road # State Road Name: 1/6 /✓ q ' / Map Book&Pagr 7 4 ' 9 7 / 1 605" parcel: (�77 os9 00 i 5 -2 - PIN: O S U 2 % - 7 - h J / V, ° ° ZoningeA Q.ci R- Flood Zone: X Watershed Deed Book &Page: r d (P/ •1 Power Company': r i £e . New structures with Progress Energy as service provider need to supply premise number �1 . /y from Progress Energy. SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 7 4k`1 Al 1'c p /O 5 / it r n L£rt /ilia S[c pe! 1 On -ck CL Da PROPOSED USE: mot, Monolithic CI SFD: (Size T� 9 xs' ) # Bedrooms:3 # BathstgBasement(w/wo bath):_ Garage: Deck `Crawl Space: 4 - --- "Siab: Slab:_ (Is the bonus room finished? ( ) yes (__)no w/ a closet? ( ) yes ( )no (if yes add in with* bedrooms) ❑ Mod: (Size _ x )1t Bedrooms # Baths Basement (w/wo bath) Garage: Site Built Deck: On Frame Off Frame (Is the second floor finished? (,J yes Lino Any other site built additions? ( ) yes ( )no ❑ Manufactured Home: _ SW _ DW _ TW (Size x ) *Bedrooms: _ Garage: (site built? ) Deck: (site built? ) ❑ Duplex: (Size _ x ) No. Buildings: No. Bedrooms Per Unit: ❑ Home Occupation:* Rooms: Use: Hours of Operation: *Employees: ❑ Addition /Accessory /Other: (Size x ) Use: Closets in addition? U yes (__)no Water Supply: _ I/ / County Existing Well New Well (# of dwellings using well ) `MUST have operable water before final Sewage Supply: vNew Septic Tank (Complete Checklist) Existing Septic Tank (Complete Checklist) County Sewer Does owner of this tract of land, own land that contains a manufactured home within five hundred feet (500') of tract listed above? ( ) yes ( )no Structures (existing or proposed): Single family dwellings: t- Manufactured Homes: Other (specify): Required Residential Property Line Setbacks: Comments: Front Minimum 3 Actual Rear 2 C / 2 G Closest Side // / Sidestreet/corner lot Nearest Building on same lot Ii permits are granted I agr to conform a /finances and laws of the State of North Carolina regulating such work and the specifications of plans submitted. I hereby state that foregoi statements k ;e `ate and correct to the best of my knowledge. Permit subject to revocation if false information is provided. j t ylgnature of Owner or Owner's Agent Date ��� "This application expires 6 months from the initial date If permits have not been Issued** A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPUCATION Residential Land Use Application Page 1 of 1 07 /10 �,,app PRELIMINARY PLAT NOT FOR RECORDATION, SALES OR CONVEYANCES. "Tt. EA - DOSING RON STAKE ISSS- as STAKE SFr r - GRm T or WAY PS - RAT ,\O BOOK 4 5 1 7 PS - PAGE k 1T J c , rams UNE 2v * Sin A ACK — — — — / EASEMENT \ 'EIS � t0 IN"vtto > `4 ' 0: J , /a `�1\ rnw.w 5 ��. � 1. This maw Is Fat LOCATI wBeDSrs`oNLT r, EIS 7 BUILDER SHOULD VERIFY FOUNDATION INFORMATION •1H PLANS BEFORE CONSTRUCTION BEGINS V 2. PROPERTY SUBJECT TO EASEMENT AND COVENANTS OF RECORD NO TITLE SEARCH PERM RICO. 3. ALL DISTANCES ARE MEASURED IN PEEL ._ CU 0.43 AC. N N n I BY COORDINATE Ili o COMPUTATION 04 mD N N� 1 ` �� 5 W ' N 1 / ` I I v f� in L 13.5' 1 in 26.5' I ON Gl t, PROP. o Z • iII HOUSE ,,t b 2 ' 17.0' Ln d 11-) p i . X23.0'. J , 10' UTILITY _ e' / EASEMENT 8C,00' - / EIS NOO° C8' li'E EIS HONOR LANE 50' RAY GRAPHIC SCALE -so D 25 50 IOU -SITE PLAN FOR_ EN - CHRIS MANNING • ' . IN - GWEN OAKS SUBDIVISION ( IN FEET ) SN �qRp'• MAP #2007 -1006 1 inch = 50 ft. ; b� "--`414/1.4„.:„ sr /'' Cumea and Canty 2: 9 I. Gamy L Autry Candy that this plat was drawn under my ANDERSON CREEK TWP E. SEAL ' aardak Morn n an actual rummy mad. under my aupantao' HARNETT COUNTY L - 379 8 ' Map 7 - at tha cotta o f • °1 a. a t 10tl" ha d H ba ey 1a not a, d sp s rr oe r wooed. NORTH CAROLINA 08/04 /1 1 /IgD00, that m. MauMarlw not aaa/wd a. +'°'" m broken m'° SCALE = 1' = 50' : a1t.d Dam a eo nn MB Trawl land h OS boob 47 -30 as rsfn,oad. Bwt thin cop was ,eq 410 NE G0r p po. m ae ar AUG, 4, 2010 l ,, 'L. P an witness my hd and omde see this 4Th day or Aug. AD.. 2010. CATHY L. AUTRY, PLS 3796 „ " ' ' 3946 'A SUNNYSIDE SCHOOL ROAD X. efla FAYETTEVILLE, NC 28312 carry L try, LS L- PHONE - (910) 483 -5536 NAME: APPLICATION #: *This application to be filled out when applying for a septic system inspection.* County Health Department Application for Improvement Permit and/or Authorization to Construct IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED, CHANGED, OR THE SITE IS ALTERED, THEN THE IMPROVEMENT PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration depending upon documentation submitted. (complete site plan = 60 months; complete plat = without expiration) 910- 893 -7525 option I CONFIRMATION # sr Environmental Health New Septic Svstem Code 800 • Place "pink property flags" on each corner iron of lot. All property lines must be clearly flagged approximately every 50 feet between corners. • Place "orange house corner flags" at each corner of the proposed structure. Also flag driveways, garages, decks, out buildings, swimming pools, etc. Place flags per site plan developed at/for Central Permitting. • Place orange Environmental Health card in location that is easily viewed from road to assist in locating property. • If property is thickly wooded, Environmental Health requires that you clean out the undergrowth to allow the soil evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property. • Call No Cuts to locate utility lines prior to scheduling inspection. 800 - 632 -4949 (This is a free service) • After preparing proposed site call the voice permitting system at 910- 893 -7525 option 1 to schedule and use code 800 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note confirmation number given at end of recording for proof of request. • Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. ❑ Environmental Health Existing Tank Inspections Code 800 • Follow above instructions for placing flags and card on property. • Prepare for inspection by removing soil over door as diagram indicates. Loosen trap door cover. (Unless inspection is for a septic tank in a mobile home park) • After preparing trapdoor call the voice permitting system at 910- 893 -7525 option 1 & select notification permit if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number given at end of recording for proof of request. • Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits. SEPTIC If applying for authorization to construct please indicate desir> system type(s): can be ranked in order of preference, must choose one. 1_} Accepted ( Innovative {_) Conventional {_} Any () Alternative ( Other The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer is "yes ", applicant must attach supporting documentation. (_ }YES { NO Does the site contain any Jurisdictional Wetlands? { }YES (( NO Do you plan to have an irrinat;on cyctem now or in the future? { f i (y NO Does or will the building contain any grins? Please explain. iIYES NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property? (_ }YES (ANO Is any wastewater going to be generated on the site other than domestic sewage? (_) YES (X} NO Is the site subject to approval by any other Public Agency? (_)YES {X} NO Are there any easements or Right of Ways on this property? (_ }YES NO NO Does the site contain any existing water, cable, phone or underground electric lines? If yes please call No Cuts at 800 - 632 -4949 to locate the lines. This is a free service. I Have Read This Application And Certify That The Information Provided Herein Is True, Complete And Correct. Authorized County And State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules. I Understand That I Am : ly Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making The ite Accessi 7 le So`� /A Complete Site Evaluation Can Be Performed. /jam- « Ji PROY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) 5/08 W VI= WlV VV •••SJ 1 R11•1 11V JLVRJll 11- 1 Vacant Lot Purchase Contract Bays', CDC W'/J E n ' Cunt - Amp or scola 'e .n to purchase from Seller, Let3 i ga I incc the following parcel of land: SubdivSon, cask) Er-) DA ins , city, Anderroit Gm.' County, #rncli Lot number 5 Deed Book 7. p iotShoob Purchase Price S 23,700 Earnest Money Deposit s 0 Balance Dee at t:losias S 21/ Property aunt be zoned with so natridions nor Sit 'CA 0411 _ rts Sear MS par for deed preparation, tide reecanb and revenues damps. Buyer will pay ail other closing waft. Closing wel occur on or before SST I S 20 i O The deed will be made to fAvh E A S Qv y6. Special Coadatons: No I`'C Sever will provide public water mina and private or public sewer to the vacant lot. All earnest manic, became aaa refbndabie if closing does not occur on or before the contract closing date. Bayer sad�i , v asi4 7n. ad terms and conditions is the contract. Buyer: �-�/ � Date: 3/.51/ Tide: Tts An 4 prone: t/0366arya gla650 Bayer's Mailing Address: rota r -- t_' G � / . a." 62 // Seller: PEW S P-Er -- 410. Dates 7 -2 -1 0 Tice• VEvh r er phone: 910 sz1 vei pat C ND Vol ern Seller's Mailing Address: 22 d9 FIR ()VILA- Pr gi1?ta'r!, tic - 0