DOCUMENTS Weal Appliadion Ostec t l - I ;' 1 S Apps= I SSbD----/
COUNTY OF HARICTT RESIDENTIAL LAND USE APPUCATION
Central Pemribing 108 E.Front Streak Uilirrgion,NC 27848 Phone:(910)AOS-7525 A,2 Far(910)*93-2793 wmatametiodpinits
'•A RECORDED SURVEY MAR I O110ED DEED(OR OFFER TO PURCIMIEIR SITE PLAN ARE REQUMEDVIIIEN itSIMAIN6 A LAID USE APPLICATION"
LANDOWNER: C{C.s Gek Lyw4 vier l Address:
City: State: Zip: Contact No: Email:
APPUCANT: /te 4"'- Caws• 6*r°v(NIaNgAddress: P.O. 2 s 7 G
city: /ti• '*L"s state 4 na 241°G Contact No: QSo•7 Ls-32:2
'Please 1M out applicant Manadlon If rrt than andmmor
CONTACT NAME APPLYING N OFFICS Phone*
PROPERTY LOCATION:Session: Gig-•1�.,. tot#: /?3 Lot size: •Y8
State Road* 'Lp 3 State Road Name: .te rn rr.Q./ Cre.,QJ_ ( f . Map Book&Page: 2a/3 , 251
Para: (>3 5 c 2 -h PIN: ��� —ft- G3 43
ZoningMood zone: ''}/t�uo.� Deed Book a Paape?Zit Z. j �i'13 P Company*:
'New structures with Progress as aery Aprwiaer nMtEPirenNar (.p4 from Progress Energy.
PROPOSED USE
SFD:(Size W(7 x 19 )#Barrooms:S M Batln:_i bath): VOaragre_Dedc.e_Crawl Space:.__Slab:✓SIeI _
(Is the bonus room finished?ti5 yes (_.)no vd a closet?(► !►es U no(if yes add in*Rh 8 bedrooms)
D Mod:(Size x #Bedrooms *Baths Basement Mrhwo bah).__Garage:__Site Built Deck On Frame Off Frame_
(Is the second floor finished?(.._j yes Li no Any other site built additions?U yes U no
CI Manufactured Home: SW DW TW(Size c!)I Bedrooms:_Garage:(slte built?(Dedc(aM built? )
O Duplex:(Size x )No.Sliding': No.Bedrooms Per Unit
0 Home Occupation:*Rooms: Use: Hours of Operation: 0Employees:_
U Addition/Accessory/Other:(Size ,t3 Use: Closets In addition?U yes U no
Water Supply: County Existing Well Near Weil(Sofi*slilrgs using wail ) Must have operable water before final
Sewage Supply: New Septic Tank(Comptds Cheddar) Existing Septic Tank(Complete ) jCo my Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500)of tract listed above?L..)yes U no
Does the property contain any easements whether underground or overhead(__)yes U no
Structures(existing or proposed):Single family d : Manufactured Homes: Other
Required Re al Property Line Setbala
cfs: Comments:
Front Minimum _ Actual 3(._
Rear r I 0
Closest tide (O LI
Sidestreetkomor lot
N
on same lot
APPLICATION CONTINUES ON BACK
BPEQ�COIREC11010110'T e.IMOPERTY M0111►1A1.916TOK.
If permits are granted I agree to conform to all • and lawn at the Stale of North Clanks regul*Wng SUM work end the speclecations of piens submitted.
I hereby state that foregoing are f the d owb
to e be of kndpe. Permit subject to if false Information*provided.
ift
f5
*"if, 8 orOeme s Agent
""It
to the ownerrepplioarde respoa lbilil t to provide the county with any applicable bdarmatlon about the subject properly,incbnahg but not billed
to:boundary Information,house toe .underground or overhead easements,etc.The county or lb employees are not responsible for any
Incorrect or missing bdornaaon that is conteirad witldn these applications.***
"This won expires a months from the Initial data if persons have not been anted"
amc WE
/.45.02. N/F
1 CAROLINA LAKES
1 t. PROPERTY OWNERS'
`� : SITE D�o PG 320 -
® N72 44'3YE� E 89.51, b ~
C 11I 12.97' N M
I
VICINITY MAP .—+/
NOT TO SCALE ,^_-R I R.
it
�IL -�
LOCATION OF I
100 YEAR
FLOODPLAIN
PER FIRM PANEL
3710958400J
DATE: OCTOBER 3, 2006
20,768 SF ;4-
(0.48 AC) N
00
tii j 1 N
01 1 W
W n
(132 ) ., Ne Y v ( 134_)
nQ 12.5• PORN I 0 N
N/F t us P P 11_11%_20.....L...... 0 to N/F
CRESCENT LAND N 6I - a "t TIMOTHY W. MALLETT & WIFE
HOLDINGS LLC z ,,, 1,, JENNY W. MALLETT
PLAN CAROLINA LAKES _', ,TMRE7 T, ,°0 DB 3302, PG 643
PHASE X CAROLINA LAKES
BLOCK "1" PART 'C' °$ g - PHASE X
PB 2013, PG 358 BLOCK 'T' PART "C"
PB 2013, PG 358
2 CM
u
I
830'
13.2' 35' FRONT %-s 27.3'
SETBACK
L4
01
S69 02'11'W 100.00'
SUMMER CREEK LANE
60' R/W PRIVATE
J FGEND; I II I NE
EIP-EXISTING IRON PIPE PIN 9585-86-6363.000 1. ALL DISTANCES ARE
EIS-EXISTING IRON STAKE DB 3302, PG 643 HORIZONTAL GROUND.
SIR-SET IRON ROD PB 2013, PG 358 2. ZONING: RA-20R
N/F-NOW OR FORMERLY
R/W-RIGHT OF WAY PLOT PLAN FOR
CUENT: MEDALLION CONSTRUCTION BARBECUE TOWNSHIP
SUBDIVISION: CAROUNA LAKES PHASE IX - BLOCK "1" PART "C NEAR SANFORD
163 SUMMER CREEK LANE HARNETT COUNTY
SCALE: 1" _ 40' NORTH CAROLINA
LOT 133 GRAPHIC SCALE DATE: NOVEMBER 2, 2015
40 20 40 ao
DRAWN BY: TERRY n
PROJECT: 698
`' l IN rat
SS' ��14Ds1Le
cv - ITEMS IS NOT A CERTIFIED
4- AND HAS NOT BEEN �.J solutions
Lo;
; ` _, 4 REVERED BY A LOCAL
�i��°,F9'"".a I'"-,...1� GOVE IIM�EIIT AGENCY FOR a n engineering I:Lana sur g+ing
"74e R S 1tii` MTN ANY 409 Chicago Drive,Suite 112.Fayetteville,NC 28306
�f»M4444U�ti' I}t.j�`�-1 ANT APPLICABLE EGLILA7IGNS. office 1 gio 4x6-em fax l 910-426-5777 license number I C-2354
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Deadens topbstein=~in
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of Wok .7 t'�Iins nx�r .*greenrooms
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Heeled SF unhealed SF, F selred Bonus ffoo&_aael Space - Slab
CIROs 11.7.-52:T5
Oonbnolors Comore Telephone L+enr'I
Addlceese
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useeaplrongfWadc, Wife lialiblimpeoce Sae a-on= lyr�
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EserCadman r Company Name Telephone
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VOW Gourd Coatutor MOM Out aid sign the mew pep appleciatson
I hereby cetify that I I .tlts autltonly b mole QOONIMY applmabon t8 Correct
and that-Ns aoeeolmobon wi cotton to ens eepdeaons n aw elddnip eechi Plumbna and
Mechamod codas and the Hemet Connell 7 °Moms i able the nionnehon on the above
ooriaolore m anent as brawn to ma united ooas haled oo(iaetors ate plan
aummanALIddllifinagamila and f p� HUM panNI d or 1 use
number el badman 6ttidRtO and WO� Central prirantlt9
cheeses I cetufy t es my espon'-"MIt notify Depeoment
any and al Mama
EXPIRED P L t W l f FEES-8 b 2 yearn pent tia*es$150 00 /bier 2 years re-aatte fee
saepone h / ■
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r .•-� ""�, • ._ .. d Oorponman Oats
Affichevet for Wodese s CoerepewsaAeon N C G S 87-14
The undeag ned appMcantbang the
VTGanerei Cartitaabr Omer OlfioerlApentetthe Contactor or Owner
Do hereby content under pennon ofpupythetthepew) )orcarpo )pa'ro'n'rpthework
eetlarth Who mot
Hee three(3)a mom employees and has obtained woken componedron umumnoe to cover them
Has watt)or mans subooriectors(a)and las chimed retests conrparaahonr sauanoe to cover
them
_Z lfasons(1)or more subcontradme(y who heather own policy ofwodr ns compensation insurance
ammo limme•ms
__ties no meet=two Ft)employees and no aubeontectots
Whin=done online moot far nischlies parts saurtd a<understood Vet the Caviled Pernoltetp
Depodnont norm duo went mayrsgras cabbages el come.of=stirs nla p�
to asuenoe of the pent and at swum dung the parrtled
censer°out the work
Company or Haul 42,01-0-• , ar- w s. \J YD%J
agewnwe _, WP M. &*!z oeb L!/4!// r
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DO NOT REMOVE!
Details: Appointment of Lien Agent
Filed on: 11/04/2015
Entry #: 376337
Initially filed by: duckman
Designated Lien Agent Project Property
Print & Post
Fidelity National Title Company,LLC Lot 133 summer creek dr
sanford,NC 27332 tr
oaUne:www.liensnc.com NC County -3 4
Address:19 W.Hargett St.,Suite 507/Raleigh, rr•:ti
f �
NC 27601 ❑ ,C •
Phone:888-690-7384 Property Type
Contractors:
Fax:913-489-5231 Please post this notice on the Job Site.
1-2 Family Dwelling
Email:gunnort(a)Jiensnc.com Suppliers and Subcontractors:
Scan this image with your smart phone to
Date of First Furnishing view this filing.You can then file a Notice
Owner Information to Lien Agent for this project
11/18/2015
James Duckworth
po box 2476
matthews, NC 28106
United States
Email:jim @medallioncg.com
Phone:980-722-3273
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Technical Support Hotline:(888)690-7384