ORIGINAL LAND USEscAW40
-'�-.ollmoo Date:'-{ Application
Y - COUNTY OF HARNETT RESIDENTIALE AND USE APPLICATION CU#
Central Permitting 106 E. Front Street, Liliington. NC 27546 Phone: (910) 893-7525 ext2 Fax: (910) 883-2793 www.hamen org/pemris
-A REDOOR,DDEEO SURVEY MAP, RECORDED DEED fOR OFFERTO PURCHASE) b SITE PLAN ARE REQUIRED WHEN SUBMITTING
.FA -,LAND USE APPLICATION"
LANDOOW,NIEW 71li,JnLy /'7�(,� Q�j I g.fe,,i/ Mailing Address:
City A11616•i2-- Stater ZiV g_L;'Q9j Contact No: Email
APPLIICJCA,�NNtF11�T_� e5ii pT� (/ �it.) w[iV✓� y�A.I,Iirg Address: 4(A6 % r A L6ji
cry ,tL^�cs_ Slate Zipb t �l Contact No: Email:
'Phase M our appAsant 1Mormatio r A ddterent then larWowner - t
CONTACT NAME APPLYING IN OFFICE: AI AIL /J (�. Phone# /G�-L'La�„�_4
PROPERTY LOCATION: Subdivision: Tkr-&®6 ?,0�l1-�-T .�-, J —Lot C 142 -Lot Size •'1T1
State Road a 114-1 State Road Nate; A LA2D {Ol1/ P7 �(7
G/1�L �l c p Map Book 8 Page( /�
Parcel: ✓_I (- Q /��7_2_Z _ PIN: 'Z - S "` 33 9I f oc /'
2oning:iood tone: Watershed:✓' peed Book 8 Pege: L Power Company:�.Pw.h'RAL GfGG'(".
'New structures With Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
A�,�,. 2 hlanaMhm
J SFD: (Size _x �V I1 i Bedrooms: f tl Baths Basemenf(wfwo Darn}: ✓ Garage: ✓peck: ✓CMWI Spacer Slab _ Slab:_
(Is the bonus room flnished4 (__) yes U!�'no wl a closet' (__j yes (-J no (if yes add in with 0 bedrooms)
U Mod: (Size _x_) 0 Bedrooms -10 Baths_ Basement (wAvo bath), Garage:_ Site Built Deck:_ On Frame_ OH Frame__
(Is the second floor finished? lJ yes (_) rto Any other site built additions? (_j yes (._) no
Manufactured Home. _SW _DW _TW (Size_x_J A Bedrooms: _ Garage:_(sila built? Deck _(site bully_}
U Duplex: (Size _x_No Buildings: No. Bedrooms Per Unit
U Home Occupation. 0 Rooms: Use Hours of Operation: #Employees._
U AddiliorVAccessory/Other: (Size _x_) Use: Closets in addition? l—) yes 1_ 1 no
Water Supply: -!f!�`Counly _ Existing Well —New Well (# of rhve#ktgs using welt )'Must have operable water before final
Sewage Supply: lf!!L New Septic Tank (Complete Checklist) _ Existing Sepik Tank (Complete Checklist) _ County Sewer
Does owner of this tract of land, own land that contains a manufactured home within Ove hundred feet (500) of tract listed above? L_j yes t_ no
Does the property contain any easements whether underground or overhead (-j yes Loono
Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (speraty):
Required Residential Property Linc SetbacILN:
Front Minimum % Actual 4o
Rear ZS A& 6
Closes(Side fo AW
Sidesireellcomer lot
Nearest Building
on same lot
Ros,denhal I and UAt 4pfJn,ahor.
Page I of 2
APPLICATION CONTINUES ON BACK
HUWEE Cr CURVE RADIUS LENGTH
TRUE BLUE DR srtE C-1 335.00' 91.22'
AM CALIBER C\
/ NOTES
DR GUNNER Ci
NOT AN ACTUAL SURVEY
mcRo iowER ao PIN #9597-51-3311.000
ZONED R-30
THIS LOT IS NOT LOCATED IN A
E
VICINITY MAP NTS FLOOD HAZARD AREA PER
f.E.M.A. MAP fJ3710958600J
IMPERVIOUS CALCULATIONS EFF. DATE: 10/3/2006 ZONE X
HOUSE — 1,720 SF
DRIVE — 798 SF
TOTAL PROPOSED — 2,518 SF
12.87% PROPOSED IMPERVIOUS
10' UTILITY I
EASEMENT `7
U /
�QJ /
0
PROPOSED
qDRIVE
NN
1a3
MAP #2008-151
CAR
2ot Eesiovq 94��
QN `
LAW
S, B��NO SuaJIQ`.
�"""PON W O,```�R
X111111111111
DELTA CHORD
CH.BEARING
15'36'05" 90.94'
N 23'59'30"E
SETBACKS
FRONT
— 35'
SIDE —
10'
REAR
— 25'
141
1
I MAP {2008-151
/_ _ _1 �1` 54'
32.5' \`
s.Q18 4',
v
^.8HOUSE 1 8 il,.[i
vJso, SCREEN
2fi 9' ,D� \ PORCH I
\ DECK
0.449 AC.I
1, tuna+ W. OE%NR comm TNT 1Ttl5 RW wo auw+ V161ER
as
MAP #2008-151 /
/ I
ll�
N
THOMAS IRWIN
D.B. 1237 PG. 179
PROPOSED PLOT PLAN FOR:
STANCIL BUMDERS, INC.
42 HUMVEE COURT
BROADWAY, NC 27505
LOT 142 PATTON'S POINT — PH. 2
MAP #2008-151
DEED BOOK 2271 PAGE 860
PIN #9597-51-3311.000
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
If permits are granted I gr to confomn to all or, i antes and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
hereby state that for of atemenls are accu cor ct to the Intl! p my knowledge. Permit subject to revocation if false Information is provided
w�,. A .1. 4 - ►�
Signature of Owner or Owner's Agent Date
... It Is the owner/applicants responsibility to provide the county with any applicable Information about the subject property, Including but not limited
to: boundary Information, house location, underground or overhead easements, etc. The county or its employees are not responsible for any
Incorrect or missing Information that Is contained within these applications.***
"This application expires 6 months from the Initial date If permits have not been Issued"
ReSidentlei I and Usc Hppscation Page 2 of 2 03/1 I
NAME: S(ntJUL F�kIe- - 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 TIS APPLICATION IS FALSIFIED, CHANGED, OR THE SITE IS ALTERED, THEN THE IMPROVEMEN'1"
PERMIT OR AUTHORIZATION I0 CONSTRUCT S) TALL BFCOMB:INVAIAD. Me permit is valid ror either 60 months or without expiraiiun
depending upon documentation submitted. (Complete site Plan = 60 months; Complete plat = without expiration)
910-893.7525 option I CONFIRMATION to
Environmental Health Now Septic System Code 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.
• 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 ekist) 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.
0 Environmental Health Exlstlna 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 (it
possible) and then put lid pack In place. (Unless inspection is for a septic tank in a mobile home park)
• DO NOT LEAVE LIDS OFF OF SEPTIC TANK
• 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 desired system type(s): can be ranked in order of preference, must choose one.
(__-) Accepted (_) Innovative (_) Conventional {_) Any
(I 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
( rNO
Does the site contain any Jurisdictional Wetlands?
(__.)YES
( t✓(NO
Do you plan to have an jg)gatiggSy�stsg] now or in the future?
(,_.)YES
(.v(NO
Does or will the building contain any drga? Please explain.
(-__-(YES
11/f NO
Arc there any existing wells, springs, waterlines or Wastewater Systems on this property?
(__-)YrS
(_vf NO
Is any wastewater going to be generated on the site other than domestic sewage?
(--- )YES
(✓j NO
Is the site subject to approval by any other Public Agency?
(_)YES
(✓fNO
Are there any Easements or Right of Ways on this property?
(—)YES
{ v6O
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
Slate
The
i Are Granted Right Or Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
That 1 Am Sols Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
Whir So That ANVMplete Site Evaluation Cin lie Performed.
.s.
�a tX .
SIGNATURE (REQUIRED) DATE
10 10