LAND USE R~ 2, 69S
Application # /3-7 0,3V-
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number 910-893-4759
Application for Environmental Health Improvement Permit in Areas Zoned by Municipalities
Land Owner Information:
Name:
Address: tau A--
Phone:
Applicant Information:
Name: 1 r-a re" L. _fir--v_- I Qn
Address:-,,,),, SaK 0a--c g °E-ecz 14 9
M a (wx Ra. - s .
Phone:(gt9)SC011_ 0s S
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Property Location:
E911 Address: -_(5 'La"N+ 1-t-Or,, izd
PIN or Parcel Number: VSOU- co5- -1035, Subdivision: fN Eck-State Road Number: 1-i►, w
Specific Directions to Job from Lillin
Lot Number: t , ~ a
Lot Size:.°.ez.c¢S Carr e
r- r- C3 aof )
Multi Family Dwelling # of Units:
# of Bedrooms/Units:
Manufactured Home (Size: x ) # of Bedrooms:-
Garage: Deck:
Number of Persons per Household
Business Square Footage Retail Space:
Industry Square Footage:
Home Occupation # of Rooms:
( ) Addition to Existing Building Size:
Type:
Type:
Use:
Use:
C~ ho-, )t_:~
Other:
Water Supply: C unty (ell ( ) Other
Sewer: ( New Septic Tank ( ) Existing Septic Tank ( ) Revision ( ) Sewer
Applicant Signature: S € ~c~ ca wJ ; a kxlc~ Date: 1-_~1 0
08/04
Proposed Use:
i, )c c~ ( ~ W
S agW Fami1y Dmte liag (Size: x CoD) # of Bedrooms: 3
Basement: Basement w/ Plumbing: Deck:
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ZONE: R_p
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RICHARD PROPERTY OF.
~o'WA D~E 2g3
DUKE TWP., JACKS t
SURVEY HARNETT CO.,
BY JOYNER PIEDMONT N. C.
S1)pvrYitir_
Application Number: 05, Si -763
Harnett County Planning Department
PO Box 65, Lillington, NC 27546
910-893-7527
Environmental Health New Se tic S m est
Environmental Health Code 800
• Place "property flags" in each lot. All property lines must be clearly flagged.
• Place "house corner flags" at each corner of where the house/manufactured home will sit
outline driveways, garages, decks, out buildings, swimming pools, etc.
• Place flags at locations as developed on site plan by Customer Service Technician and you.
• Place Environmental Health "orange" card in location that is easily viewed from road.
• No grading of property should be done. Undergrowth should be cleane o allow soil
Inspectors should be able to walk freely.
• After preparing pro osed site call the voice permitting system 10-893-752 and give
Health confirmatio Tlease note r-onfi[mation number given at-end for roof of
Use additional flagging to
evaluation to be performed.
code 800, for Environmental
• To hear results, ca! IVR in approx.7-10 working days. Once approved, proceed to Central Permitting for permits.
Environmental Health Existing Tank Inspections
Environmental Health Code 800
• Place Environmental Health "orange" card in location that is easily viewed from road.
• 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 910-893-7527 and give code 800 for Environmental Health
confirmation. Please note confirmation number given at end of recording for proof of request.
• To hear results, call IVR in approx. 7-10 working days. Once approved, proceed to Central Permitting for permits.
Health and Sanitation Inspections
Health and Sanitation Plan Review 826
• After submitting plans for food and lodging, call the voice permitting system at 910-893-7527 and give code 826 for
Health and Sanitation confirmation. Please note confirmation number given at end of recording for proof of request.
• To hear results, call IVR in approx. 7-10 working days. Once approved, proceed to Central Permitting for permits.
Fire Marshal Inspections
Fire Marshall Plan Review Code 804
• Call the voice permitting system at 910-893-7527 and give code 804 for plan review. Please note confirmation number
given at end of recording for proof of request.
• To hear results, call IVR in approx 7-10 working days. Once approved, proceed to Central Permitting for permits.
• Pick up Fire Marshal's letter and place on job site until work is completed.
Public Utilities
• Place stake with "orange" tape/name thirty feet (30) from the center of the road at the location you wish to have water
tap installed.
• Allow four to six weeks after application for water/sewer taps. Call Utilities at 893-7575 for technical assistance.
71 Building Inspections
• Call the voice permitting system at 910-893-7527 to schedule inspections. Please note confirmation number given at
end of recording for proof of request.
• For new housing/set up permits must meet E 911 / Addressing guidelines rior to calling for final inspection.
• To hear results of inspections, call IVR after scheduled inspection is done.
E911 Addressing
Addressing Confirmation Code 814
• Address numbers shall be mounted on the house, 3 inches high (5" for commercial).
• Numbers must be a contrasting color from house, must be clearly visible night and day at entrance of driveway if home
is 100 ft or more from road, or if mailbox is on opposite side of road.
• Once you purchase permits and footing inspection has been approved call the voice permitting system at 910-893-7527
and give code 814 for address confirmation. This must be called in even if you have contacted E911 for verbal
confirmation.
Customers can view all inspection results online at www.harnett.org.
Applicant Signature:' Date:
03/05
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Tax t at No. Paroe Identtiler No. (J050& Od 10
Certified by tlto _ day of . 2004
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Brief Description for the Qoex 4 J 0.t51 "9 Willie Jackson Estate
GENERAL WARRANTY DEED
THIS DEED made
GRANTOR V , f I GRANTEE
RICHARD WADE JACKSON and wtte,
MELODY N. JACKSON
and
THOMAS E. JACKSON, JR., urvowded
8011 Lucas Road
Dunn, North Carolina 28334
Enter In appropriate block for each party: name, address,
corporation or partnership.
JACKSON
The designation Grantor and Grantee as used herein shall include Uido
assigns, and shall Include singular, pkmal, rrrasculine, feminine or nadarvil
WITNESSETH, that the Grantor, for a valuable consideration paid by
hereby acknowledged, has and bythese presents does grant, bapa1n,
simple. all that certain lot or parcel of land situated in or near the City of
County, North Carolina and more particularly described as follows:
See Exhibit A attached hereto and made a part
N.C. Br A"M F9,m N9.7.1977
ft. 61 t91N,r0 wN, f KC. for Ape.
was
28334
a , character of entity, e.g.,
s, t r hairs, successors. and
&=nxpt t.
be of which is
rantee in fee
shkL Hemett
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