LAND USE Initial Application Date: ?-517.--
/ ' / ` AppIlaoon # /P5 5/ 97 2
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION CU#
Central Permitting { 108 E. Front Street, Lllltngton,, NC 27548 Phone: (910) 893.7525- Fax: (910) 893-2793 www.hamett.org /permits
LANDOWNER: A135 Zn fie Ater e Kit 5( L.L C. Mailing Address: a'O3I M, Roq
City: FAyc lMV,1 It. State: Alt - Zip: a83 /2Contact# Clio) 4RS -,579 o Email:
APPLICANT': RAC fIon,n =nf. Mailing Address: 55(1 R as, ,Sey 54/ec } S„ t oo
city: Fo.yelitu; lit State: Alt Zip: 183 II Contact # (glo) v13 -- 3 5S $ Email: Shy-I/ar
Please fill out applicant information if different than landowner f1 1
CONTACT NAME APPLYING IN OFFICE: 5'f2 Vt. gc, 1 r4/ 04 Phone #6110)4? -35,53
I I
PROPERTY LOCATION: Subdivision: Ke... I en Foam 5 Lot #: Lot Size: • 3 8
State Road # do 31 State Road Name: W i (..� R d r Map Book&Page: f 0O9 /.584
Parcel: 'x- O S SS- 0 a f --0.5 PIN: CSSS- 9 3- 7 0 9 6
Zoning: 4 7O7 Flood Zone: Watershed: AIM Deed BookSPage: 4 379 / 61 Per Company: Pra5rtiSS en
New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: IA .5 Flu/ y 1101 .54..1-L. l . /1 ii Pt t p.. Al r. Nei Il
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PROPOSED USE:
r - Monolithic
u( SFD: (Size 3 9 *_35..)* Bedrooms: , # Baths:fl8 a t(wfwo bath) Garage: Decio 4 ✓
Crawl Space: Slab:_ Slab:
(Is the bonus room finished? no w/ a closet? (__.) :
}C (� et7 es no (if yes f� Y (� ( ye add In with* bedrooms)
❑ Mod: (Size _ ) # Bedrooms_ # Baths_ Basement (w/wo bath) Garage:_ Site Suitt Deck: On Frame Off Frame
(Is the second floor finished? (i yes Lino Any other site built additions? L.) yes Une
❑ 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:__
❑ Addltion/Accessory /Other (Size _x ) Use: Closets In addition? (,J yes (ono
Water Supply: / County _ Existing Well New Well (# of dwellings using well )'MUST have operable water before final
Sewage Supply: • New 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? (_J yes ()end
Structures (existing or proposed): Single family dwellings: Pro pOJCS Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 3 5 Actual 6
Rear ). $ I Of
Closest Side 40 7.7
Sidestreet/comer lot a 0 7
Nearest Building 1 0
on same lot
If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing statements a = and correct to the best of my knowledge. Permit subject to re lion If false information is provided.
4� of 'Rh l
Slgnatu of Owner or Owner's Agent Date
**This lication A RECORDED SURVEY MAP, REC DEED ( OFFER TO PURCHASE) AND date # A PLAT ARE REQUIRED WHEN bee
APPLYING FOR LAND USE APPLICATION
Residential Land Use Application Page 1 of 1 07 /10
LEGEND CURVE TABLE
R/W -RIGHT OF WAY CURVE RADIUS LENGTH CH. BEARING CHORD
08 -PLAT 900K C1 2025.00' 90.68' N35'01'51 "E 90.67'
DB -DEED BOON
PG -PAGE
rENyA Ru (Pao' WR(au R° P - PROPOSED
S - SQUARE FEET Q , 1; 48)
A e AC- ACRE(5) 8 9 +'��'<<I. °o CONC- CONCRETE
4 ����� \� �1. 0 0 •
1 �j .� MAINT- MAINTNANCE \@� �'I.
ESMT- EASEMENT WIRE ROAD 80' PUBLIC R/W y
'a PL- PROPERTY LINE
Ci Pry\ \\ \\\\
S37 °48'36 "W 105.25'
Vicinity Map
(Nat to Scale) — 15 STREETSCAPE BUFFER
D
co
O
10 N 0
co
co
N O
16,927 SF
w 0.389 AC 3
` 444 °
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KENLAN FARMS I in KENLAN FARMS
SECT 1, PH i SECT I, PH 1
MAP #2009 -584 28.00' '4 MAP #2009 -584
N M
0 T W
V O
11.00' PROPOSED $ Z
HOUSE
— 'THE MAGNOLIA'
Lo
ib
IA 2.50'
27,39' __ 20.33' \ 18.67 n 27.34'
DRIVE 04
& 0 '
WALK
Cl
Ay Vi
EMMA COURT 50' PUBLIC R/W
•
PLOT PLAN
PROPERTY OF: RBC HOMES INC. TOWNSHIP: STEWART'S CREEK
ADDRESS: 65 EMMA COURT DATE: AUGUST 16, 2010
CITY: NEAR FONVILLE, NC SCALE: 1" = 30'
COUNTY: HARNETTE REFERENCE: LOT 5— KENLAN FARMS
TAX PIN: 0555 -43- 7096.000 PHASE ONE— SECTION ONE
MAP #2009 -584
NOTES: �/
1) THIS NM IC NOT A CI SLIMY SY 41p NO RCLIINCE `/ /.
ANY EE PLACED IN IBS YY ACCURACY 440 \\1U 1 ?. \\ I ! 1 j// //
44X55 NAP
Z) 6 „cc 44(4450543 PURPOSES ONLY,
3) THIS NIP CAN NOT RE USED 4408 RECORDATION / \� �N • CAR �/
O4 ATTAEHE4 TO A rcED TO BE RECORDED. MICR • L J. AI' MS • 5 L -4491 � � Q` f
4I INS MAP Is NOT DRAWN IN ACCORDANCE WITH OS 47 -I0. CFS NC-075 ` O' O *..S S /O / -
A. • 9
MINIMUM SETBACKS: 0 � : 4 ' SEAL -Y 9 r _
35' -[ROUT C -2589 = • r L -4491 cc' m' -sIEE M.A.P.S. SURVEYING, INC. =
25 -REAR 1306 FORT GRAGG ROAD .-^ _�
_
GRAPHIC SCALE PHN: (910)484-64329305 1 ;' �j / �.���\
FAX: (910)778-9440 1 `�iitigfL J P
1� II= -
0 15 30 60
I V
NAME: S C– F7 , –
nm e5 1n - • 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 1 CONFIRMATION #
Environmental Health New Seotic System 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. es, decks,
• Place "orange house corner flags" at each corner of the proposed structure. Also flag driveways, garages,
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
undergrowth a sit iloa locating pe soil
• Tres that you clean out
It property is thickly wooded, Environmental Health requires Y ro erf .
P P site. Do not p Y
Inspectors should be able to walk freely around site grade p 9
evaluation to to performed. p
• Call No Cuts to locate utility lines Prior to scheduling inspection, 800-632-4949 ( ?his is a free servicel
• After preparing proposed site call the voice permitting system at 910- 893 -7525 option 1 to schedule and use code
B00 (after selecting notification permit if multiple permits exist) for Environmental. Health inspection. Please note
confirmation number alven at end of recording for proof of reauest.
• 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
elven 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 au thorization to construct please indicate desired system type(s): can be ranked in order of preference, must choose one.
( — I Accepted (_) Innovative IJ_I 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 (Y) NO Do you plan to have an jrrigationsystgiu now or in the future?
{_)YES (±/} NO Does or will the building contain any ilagp8? Please explain.
1_} YES (_L1 NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
{_) YES ( ✓} NO Is any wastewater going to be generated on the site other than domestic sewage?
{_)YES (21} NO Is the site subject to approval by any other Public Agency?
(✓i YES I — NO Are there any easements or Right of Ways on this property?
{) YES (j} 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.
1 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 Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Site Accesstb a So That A Complete Site Evaluation Can Ile Performed.
$r/ 8/10
PROPERTY WNER R WNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE
5/08