LAND USE Initial Application Date: 8116110 Application # r �.9,9 51 /9�
an
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting / 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.harnett.org /permits
/ 4 -x _ fi r{ rent L L C ! 44..30 C /
LANDOWNER: r 'J '1I-N (.1 Lea C'-'' � qq " Mailing Address: L1 / 3 v r ✓� y' L .t $ 4 01/C, city: Q a Li r j { Slate:_ Zip:; �0 Contact # .5 2 - 32F tr r.rEmall: T< //(D on..- C . '(4, e., ,"
APPLICANT': .Sl9 Melling Address: _______-__—
City: . — Stale:___: Contact if Email: ----
'Please fill out applicant Information it different then landowner
CONTACT NAME APPLYING IN OFFICE: J A •^ < Phone # 5-1"" h
PROPERTY LOCATION: Subdivision: .L.-T - y p 5' 7 «3 f Lot*: L/ Y Lot Size: 8 oX 0 C7
State Road # State . Road Name: �. 41 42 fr •.-A. ,O a , / Map [ BO 0 00k &Page: J oo 57 95
Parcel: V 06 C 14. O� ° , 2Z_ PIN: 94/6' — 3 —/ /- Z J I coo
zo l / ti- Z P Flood Zone: /Waterahed: / U / + Deed Book &Page: Z 2 0 / 77,5 Power Company *: �ont AI wit a'CC
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 2 / U So 4.- /4 — /` ... n-- 0 —ea. I c..-? f
D w Y .
a 5 ro .Q L 2m T J A 2— a n. 7' r. 4 6 Lf S1`2.4.Q
1_ yr — I-f 9 o n.' a__
PRO ED USE:
PS / t� rr1� Monolithic
SFD: (Size r( x 4 ) #Bedrooms # BethsiBasement(wAvo bath):_ Garage: a. Deck: " Space:Q Slab:�3Slab: Sleb:_
(Is the bonus room finished? (--) yes (Jno w/ a doset? U yes ( -__)no (11 yes add in with* bedrooms)
❑ Mod: (Size x ) # Bedrooms_ 1 Baths_ Basement (w/wo bath)_ Garage:_ Site Built Deck:_ On Frame_ Off Frame
(Is the second floor finished? (__1 yes Lino Any other site built additions? (_j yes (__)no
❑ Manufactured Home: _SW _DW TW (Size x ) it Bedrooms: _ Garage: (site built? 1 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 (
Water Supply: _ County ILL Existing Well ^'O New Well (*of dwellings using well / ) `MUST have operable water before final
Sewage Supply: 'UV flew Septic Tank (Complete Checklist) 4
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? U yes U�
Strudures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: Comments: 01 a ^ /5 L c' - 0 !, i ,,,,, h — a -. v
From Minimum 3 S Actual 8 3 0 /4 rAC / w
Rear 3 $ /3 /
Closest Side / 0 l/. a'7
SidestreeVcomer lot X x
Nearest Building ) >e-
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 slate that foregoing statements / are accurate and correct to the best of my knowledge. Permit subject to revocation if false information Is provided.
/en., 9 b g — �.�1
Signature of Owner r Owner's Agent to
"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 APPLICATION
SFD, Addition, Modular Application 3 of 8 08/10
. 9108939371 EH HARNETT COUNTY 03:58:54 p.m. 06 -28 -2010 [ r2
NOTE CONTRACT f0 VERIFY ALL BUILDING
SETBACKS PRIOR TO CONSTRUCTION. g
. � Sl
U/ �,4� , � % w N
• IV N t7 I °lT� s
. 1
It..
I g 1
S45'.33.48"14, 80,79' ,{ MAP
co sac)
.l
S[
"- 1 E T AND 5 l
N N I
N I II
M \N I 4 •
w 0.50 ACRES I . W
47
n-. 2166 S0. FT,
O n I m
I 49 1i
MORE CROSS 51WE CM
SECTION 2 w SECnON
MAP / 2005 -053 E ; NAP E. 200 53
In PROPOS 0 in '.w
CL -1402 N
to
i .. Lfl I N
. .....+. 2 V
I
I I
Li
N39'24'53 "E 80,00'
1 � I
1
COBBLESTONE DRIVE 1
50' PUBLIC RIONT Of WAY
•
9
1 I
s PLOT PLAN
i PROPERTY OF: Toni C4$W A TOWNSHIP OF: ANDER.°N �' CREEK
ADDRESS: COBBLESTONE DRIVE 5�7�91jdN49 REV S JU
2 '[ F!0
CITY OF: SPRING LAKE -54� .. r '•, 1. SCALE: 1" = 40' e.
COUNTY OF: HARNETT 1°• a ` REFERENCE: LOT 48, : 'j 1 CTION 2
R 'fr y 9sy g f i,' • - 2 •
993 `'' MAP MAP # k 24.:e5 -953
04 '"' c suAS W. LARRY KI 0, PLS - L -13311 '
5 MO 10`n 1 I %� 6[ fY
S o ra PO a Lorry King s AOlocIcle7, R.LS., P.A. S ia s M rs o
n • Aao RIM
A. 14144 ILIA/C. LIMY NAT >»s u.. 42 P.O. Box 53787 cs AT -ao j'
5 i in PURPOSE CO rrRMmnc ow'. it is anon Rood, Suite 201 DIE u iwoAU.nw sw■u o.
yp PLANa! A SWMY M9 MO RILIMCI 1333 Morganton c E B N05 YAP 5 AMC• LOT ' 4011 MAT DONY(Nt DI-
5 ao on In •cwAu. MC sn Fo ellev,IIo. NC 26305 sowem IN Ta 'I [ALICE' MIL DOS
941001 ON 14:1 PLOT Ms I P4A AccOM- 1 ' sumo, MS 01 1 Al*/ s19JLe u Wln4um
NEFICOAL
Ma TO ME wsIRILMME 40 £C E11ME Phone: (910)A83 -•1300 As m1 uosT Cu r NL /US PRp1A0Y
OVUM *Al nKASaS AAC SCOW WAND ea[MS ewwtt raven OR Co1414[M¢-
It 001100 PM cawuA14c[ 01114 1010014 Fox: 1910)483-4052 44(141 or COMM • 240 14M YMCA wit
i AO CoAEAAATS. M/WY1,LIlandA.COm voccon EO an n PAOrsllrr er 94 K
15 SURroll
P NC Flim License C-0887
a
•
NAME: /o.ri G 7-1 APPLICATION #: /0 J `0 O 26
*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 M 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 CO NFIRMATION #
0 Environmental Health New Septic System Code 8 00
• All property Irons must be made v lsible, Place 'pink p roperty flags' o n each corner i ron of lot. All property
lines must be clearly flagged approximately every 50 feet between corners.
• Place "orange house comer 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.
• NUM to be addressed within 10 business days after confirmation. $25.00 retum trip fee may be incurred
for failure to uncover outlet lid, mark house corners and property lines, etc. once lot confirmed ready.
• 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 En vironmental 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 Cod e 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over over outlet end as diagram indicates, and lift lid straight up (if
possible) and then close back down. (Unless inspection is for a septic tank in a mobile home park)
• After uncovering outlet end call the voice permitting system at 910 -893 -7525 option 1 8 select notification permit if
multiple permits, then u se code 800 for Environmental Health ins pection. 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 ease indicate desired system type(s): can be ranked in order of preference, must choose one.
{_} Accepted {_ nnovative { } 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.
{ /ICES {_} NO D the site contain any Jurisdictional Wetlands?
{_ }YES { �} N Do you plan to have an irrieation system now or in the future?
{ }YES {_ NO Does or will the building contain any drain'? Please explain.
{ { NO/ Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
{_ }YES { i} NO s any wastewater going to be generated on the site other than domestic sewage?
{ }YES {_ N Is the site subject to approval by any other Public Agency?
{ }YES {_ NO Are there any Easements or Right of Ways on this property?
{ ES {_} 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.
1 Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Comers And Making
The Site Accessible So That A Complete Site Evaluation Can Be Performed.
PROPERTY OWNERS OR OWNERS LEGA REPRESENTATIVE SIGNATURE (REQUIRED) D E
SFD, Addition, Modular Application . 4 of 8 08 /10
G " p'\ HARNETT COUNTY ENVIROMENTAL HEALTH
SI Fi, PREPARATION
C H arnett O UNTY HOW TO PROPERLY MARK PROPERTY FOR SOIL EVALUATION
t,natfi LAO ,.INA
strong roots • new growth
Pink Flag {:, Iron Iron , 'ink Flag
Pink Flag ii'; {' t i. Pink Flag
Orange, • range
Flag Flag
LEGEND
O Corner Iron
HOUSE
Flags
Pink Flag r ; ' 1' t ; Pink Flag
Orange Orange
Flag Flag
Pink Fla
Pink Flag � /\ ron k'"^ •_ Orange Card Iron���� Flag
v
ROAD
SFD, Addition, Modular Application 5 of 8 08/10
1111 RIPME11111
08 2
FOR REGISTRATION RESISTER OF DEEDS
HARNETT COUNTY TAX ID# KIMBERLY II GR tqc
20 }0 JUL 06 } PM
v JS 35 - f 4 - 1)10D-ID- BK:2760 PG 703 705 ; FEE:622. 00
NC REV STOIP $52,00
WWII # 211 '111
7b- BY VITCr
GENERAL WARRANTY DEED
Excise Tax: 552.00
Tax Parcel ID No._ Q515304251.000 Verified by Cou nty
on the _ day of ; 20 By:.
Mail/Box to: Lewis, Deese & Nance. LLP. 330 Dick Street; Fayetteville, NC 28301
LDN'File No: 10RE-22547C
This instrument was prepared by: Richard M. Lewis. Jr.
Brief description for the Index: Lot•48:Stone Cross, Section II, Phase
THIS DEED, made this the 2nd day of July, 2010 ,.by and between
GRANTOR: CAVINESS LAND DEVELOPMENT; INC, a North Carolina corporation
whose address is 639, Executive Place, Fayetteville, NC 28305
(herein referred to collectively as Grantor) and
GRANTEE: CHAMETZKY CUSTOM. HOMES,
whose address is: 101.1 Lake Royale, Louisburg, NC 27549
(herein referred to collectively as Grantee)
WITNESSETH:
For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby acknowledged,
Grantor hereby gives, grants, bargains, sells and conveys unto Grantee in fee simple, subject to the Exceptions and
Reservations hereinafter provided; if any, the following described property, located in the County of Harnett, State of
North Carolina, more particularly: described as follows:
BEING all of Lot 48 in a subdivision known as STONE CROSS, SECTION Il, PHASE 1, as shown on a plat of the
same duly recorded In Plat Cabinet 2005, Slide 953, Harnett County Reglstry , North Carolina
The property described herein does not include Grantor's primary residence.
Said property having been previously conveyed to Grantor by instrument(s) recorded in Book 2169, Page 360, and
being reflected on plat(s) recorded in Plat Cabinet 2005, Slide 953 .
TO HAVE AND TO HOLD unto Grantee, together with all privileges and appurtenances thereunto belonging, In fee
Revised October 1, 2006