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LAND USE • G Initial Application Date: / /O Application # / v 1 Z f ,c/ Ctl# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E. Front Street, Lillington, NC 27548 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.hamett.orglpennits LANDO ER: C/, a tie C 17D try I 2ar b A r c� Melling Address: P© O,}! r 2/ City k5&ies &per? K State:4C Zip,aSd Contact # 9/0 190 0?o2 0 Email: APPLICANT': e-5/2 in t? Mailing Address: 'SO m m. City: c - 5 - 0 en P _ State: Zip: Contact # ( m e, Email: 'Phase All out applicant information if different Than l //�� / / ■ CONTACT NAME APPLYING IN OFFICE :: / s l/a rry d - & rhara y /"n rPhone it 9/o 890 D 22n PROPERTY LOCATION: Subdivision: ItAid A � N I T ( Lot #: .� Lot Size: ! / 2, 1/ State Road # 17 TI ,7 y4 State Road Name: any 4;/2 / Map Book&Page: 2 4 Parcel: II 42 6 712 pi e 7 PIN: ftb q � — / `7 7 / 2 , �6✓ Zoning: ?OFlood Zone: Watershed: 1.1,/---Deed Book &Page: 2 / / / 5 1 1 Power Company': 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILUNGTON: 1 n riO r ) Of / /1/111 1/7 n I fur Ai R!ytit On Old risrati Roa.4. tad ) -urns I 1 o JJiP rri - (f rain son /Pea/ Tarn e,9{ t on Acire,,iL / Rnad�• Acs (teyor R.,'re-/e -Vet r, :s drive. . 31:5 or) K f., l 5/7 PROPOSED USE: Monolithic O SFD: (Size x ) # Bedrooms: # Bathe: Basement(w/wo bath): Garage: Deck: Crawl Space: Slab: Slab: / (Is the bonus room finished? LJ yes Lino w/ a closet? (J yes Lino (If yea add In with # bedrooms) i Mod: (Size 16x x o2 7) # Bedrooms 3 # Baths Z Basement (w/wo bath) /f19 Garage:/J// Site Built Deck:jd a On Frame_ Off Frame_ (Is the second floor finished? (J yes (Z)no Any other site built additions? (__) yes (_ O Manufactured Home: SW _ DW _ TW (Size x ) # Bedrooms: _ Garage: (site built? ) Deck: (site built? ) O Duplex: (Size _ x ) No. Buildings: No. Bedrooms Per Unit: O Home Occupation: # Rooms: Use: Hours of Operation: #Employees: O Addltlon/Accesssory/Other. (Size x ) Use: Closets in addition? (J yes Lino Water Supply: V f _ Existing Well _#m Wall (# ut dwellings uNny iraN ) 'MUST AM operable water before final Sewage Supply: New Septic Tank (Complete Checklist _ Existing Septic Tank (Complete Checklist) /v 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 (ono Structures (existing or proposed): Single family dwellings: `, ' Manufactured Homes: Other (specify): Required Residential Property Line Setbacks: Comments: Front Minimum 3 S Actual Z ' D 4 " Rear 2 C 6 00-�- Closest Side /✓ 6 9 Sldestreet/corner lot Nearest Building 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 statement. are accurate and correct • • -•• =st of my knowledge. Permit subject to revocation if false information is provided. i C) iii.. /6. a I _ _ I �, S gnature of • • r Owner's Agen to "This applicatio e xpires 8 months from the Initial date D 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 �+ p 51 r - - -- L 1 83 °09 s a s ' ; 1 NC DOT R/W i N•`i.S;r�• Pr oject 6. D. B- 1401, 4. 44 "Gre9QrY. Gl rcle 1.s L7 ca Is Lio I_ w i N. such United States ;► m lumen were found ` hereon Z rt the p ro p erty shown q � � �. h M N r' O nte, corn o1 'cd�oi y N - is w its natural':monuments w P PP ., ; 1 a deeds wets used to G 9 . p 2 �y pO X . \ A a ti / \� \ o ;1 We > e \ NZ CS 6/\ 0 v a 1 a+ � � 6.. h /ads " S� 0 6 w m ti X 0 1( PP / . 4 • , S 0 �� 0 i°o \°- ° . t 1 ') s d' \ '.v9 \ ° cr'..� r • N1 PP X43 okk'a L < /t. ■ `.% Z oO�j — i ll '.93' total ry o a0 gq/ 484.83' ELS 5 G ti - 2 P �' Q � ', ti 1 � �' su to the fa Pro eft P 0 0 f0 NC DOT R/W - D.B. 1401, Pg. 0 t 6 D.B. 1450. Pg. 121; 0.0 CP &L Cr Q Timber -• D•B Y041, Pg. 113; . EIH any d AND other easements or rest~ g of may aPPe of record. :�! 9 Ex.Axle p X0 N " AP PRpV F•;- A . , /1 th 1 a the owner or auth PP S PI-n µp ��l U 1 here co In Deed Boak _511.,_, Pa( 34 I CT USE —�� the t Q t d �epY o��owledge that 1 hove ~evil N 6y I • ., Ex DIS O 3 an d adopt It with my free cannonf i ales H. Enn k # BEDROOMS D Za 0 5 Ex.x /�� Ju 18 741, Pg. 458 , v . �Adn iai2 valor Date , .c,•.-44 , J O8T0 -88-98 p p , T 0 7 " PP 4 Date • a� rail" ' ± )0r • .... �1 ` 1 ■ 7. ea ./` �� ' " ►�1_Cr.'�.tt e o � ar 'AOent l iss , `aM 2���1'4 11 / �, bl 4/ ki iliPAUP ,' , y N / r 0 P IN 06 1 - 9t ` 7034y 0 1 , 44 as o 5 888 � g - 2 49 1;04V r 1 v' \ FOR REGISTRATION REGISTER ° PIN OB71 90 .+ D -0 HARIffiTT COUNTY NC P! 0870 8 t ' , ice O 'f JIM 20 03:21:58 PH Rao 7 '' bx r r , HM A %y ' ° � , o , /.� N pn;2006 rV -496 FEE;321.08 a r4� �' ° � °° 9 sue 1 � � Z ' ' 101 • State o� s '� h 7 >w � ' -:•,,, ,} � r Ai '. C> \� � `� s 111�IM1Y1 Co x n { R V A S f 4 !1 �, ,00'. , o op .r�► o Q 4 m 6 am P� _ � e4 , t , ...0 e - r ka1 � 5:4,-„. !' 4 (/ b soo NAME: APPLICATION #: / Z S / *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 W 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) vv9 910- 893 -7525 option 1 CONFIRMATION # 7 0 7 Environmental Health New Septic SystemCode 800 • All property irons must be made visible. 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. • All lots to be addressed within 10 business days after confirmation. $25.00 return 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 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 outlet end of tank 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 & 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 d it system type(s): can be ranked in order of preference, must choose one. I I Accepted I Innovative } Conventional (_} Any 1 -1 Altemative I_1 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: ( — IYES (f NO Does the site contain any Jurisdictional Wetlands? {_f YES {f NO Do you plan to have an irrieation system now or in the future? (_IYES 1Z-NO Does or will the building contain any drains? Please explain. (_I YES I I NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property? {_f YES ('NO Is any wastewater going to be generated on the site other than domestic sewage? 1_1Y ES (_NO Is the site subject to approval by any other Public Agency? 1X6YES 1_1 NO Are there any easements or Right of Ways on this property? 1 YES 1=1 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 Lan 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 Accessible So That A Complete Site Evaluation Can Be Performed. • 1 I" 400e- 6 PROPER 4 OWNERS 4 1 ` OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DAT I1 /09 DIAGRAM OF A TYPICAL SEPTIC TANK OUTLET LID POSSIBLE POSSIBLE HOUSE HOUSE CONNECTION _ CONNECTION POSSIBLE HOUSE CONNECTION POSSIBLE LID SHAPES SQUARE (SHOWN ON DIAGRAM) 0 ROUND RECTANGLE (OLDER TANKS) e l° 1111111111111 . • RNCTI COUNTY TAX ID# FOR r r:qa o or OMB t i►I t 7r]i Lf• fl�L• �o t ea :4:1 F. S 2141 K:5444 FEE:617,06 a II�I ow .BY rte 1161111311 '.':'IWfL Pr • urea by , elan Powell law Office PO &u 1089 Bales Creek, NC 27506 The tarn , pre, . - • , Wm ant has made no record search or tide examination of the properly described herein. • d e • esses n api. � tide or tax consequences. unless contained in a separate written certificate PIN NO. 110670 0361 04 EXCISE TAX: $ 0.00 THIS GENE' et •..1' DEED, made this O day of October, 2005, by and between Herbert H. Ennis • If • /� Mary Pearl Mitch ti • is (, PO Box 92 Butes Creek, North • • , • . • • .... hereinafter called Grantors; end Charles H. Ennis and wife, O Barbara 0. Ennis PO Box 271 Rules Creek, North Carolina 2 71 . hereinafter called Grantees; WITNESS I: The designation Grantor and Grantee us • ere1, : I in. lude parties, their heirs, successors, and assigns, and shall include singular, plural, ma • •line - • e or ter as required by context. The Grantor, for a valuable eonaide • on • by e Grantee, the receipt of which is hereby acknowledged, has and by these presents does •• • b• • • . and convey unto the Grantee in fee simple, all that certain lot or parcel of land situate c Creek • ownsbip, Harnett County, NC and more particularly described as tbllows: /� BEING all of Tract 5, consisting of 12.58 a • as s • on a • • t entitled "Map for Herbert H. and Mary Pearl Mitchell Ennis" da ed ' ebr • 2005, prepared by Streamline Land Surveying, Inc., Coats, North C• !op d tat being recorded on Sone 20, 2005 in Map Book 2005, Page 495, Her i ett try. Subject to all easements, rights -of-way and other re •• • • • • n on the public record or its would be disclosed by an accurate survey an • • • • be land. THE GRANTORS TRANSFER THIS PROPER e 0 THE FOLLOWING CONDITION: SHOULD THE GRANTEE, HIS HEIRS AND 1 ' • • . VER DESIRE TO SELL, GRANT OR CONVEY THE ' ' I ' :: THE GRANTEE MUST FIRST OFFER THE PROPER a. ' 'E TO: 1. LILLIAN E. SILVERTHORNE, HER • l'e : 1 vR ASSIGNS; 2. HERBERT ALEX ENNIS, HIS HEIR • • 1 OR ASSIGNS; 3. ROBERT A. ENNIS AND WIFE, PAULA t a THEIR HEIRS AND OR ASSIGNS; 4. TIMOTIIY H. ENNIS AND WIFE KELLY H. ' . 1 THEIR HEIRS AND OR ASSIGNS.