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LAND USE //29 /) SCANNED 0 ()Initial Application Date: Application* 10 'S 0 O 'z,SS C COUNTY OF HARNETT LAND USE APPLICATION Central Remitting 108 E. Front Street, Li ington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893-2793 D www.hamett.org/pemtits LANDOWNER: -k I, TT AF. 1 Mailing Address: 1 BR i A k IGv R ?A City: - 7 - 011n n ! Mate: N zip 2333 Contact # 910.786- 4452 Email: �l� on I , k 5 ) 1 . c(irrl APPLICANT': SlIYr AS \it Mailing Address: --t -Arnc as abov City: State: Zip: Contact # Email: 'Please fill out applicant Information if different than lan ' � sr {� 1�IJ n p._I(, (/� J f CONTACT NAME APPLYING IN OFFI 144-01-11/44-1- 144-01-11/44-1- : tine V J �� . I , I c+.1.. l Phone* �,1(J 0 p (/) �l Q I ' PROPERTY LOCATION: Subdivision: 1 44 - 01 - 11/44 - 1- !I ' 3'404 50.E Lot #: Pr Lot Size: 1 lt State Road # State Road Name: Map Book &Page: ?°ll / CZ/ 4 Parcel 0 21518 QO?W I (o PIN: 1 I'S -54`$39Fo 0 , Coo Zoning:;Q Flood Zone: '( Watershed: 0 1/4- Deed Book &Page: 21 10`1 / 1 "1 2 -5 Power Company': 'New structures with Progress Energy as service provider need to supply premise number r from Progress Ene s y. SPECIFIC DIRE TION TO THE PROPERTY FROM LILLINGTO L I 21 N10. a A-o C : ■ , Ok o d 1) n i .6„ :�••itannliiwc l a, e. c) • L 14 's 4 UC a 2,1111N Ono 24;i;• • a. , :' ©A b ;10 ', i MP, <c. cizs -} Rig nn h 102 8R411\klcy // PROPOSED USE: Monolithic ❑ SFD: (Size _ x ) # Bedrooms: # Bathe: Basement(w/wo bath): Garage: Deck: Crawl Space: Slab: Slab: (Is the bonus room finished? (J yes (__)no w/ a closet? U yes (_,no (if yes add In with # bedrooms) ❑ Mod: (Size _ x ) # Bedrooms # Baths Basement (w/wo bath) Garage: Site Built Deck: On Frame Off Frame (Is the second floor finished? (._,J yes Lino Any other site built additions? U yes Lino ❑ Manufactured Horne: _ SW _ DW 1W (Size x ) # Bedrooms: _ Garage: (site built? ) Deck: (site built? ) ❑ Duplex: (Size _ x ) No. Buildings: No. Bedrooms Per Unit: 1 O ,Wome Occupation: # Rooms: y Hours Use: Hours of Operation: *Employees: AddltioNAccessory/Other. (Size / g x, / e, Use: U :. s •111 Closets in addition? (__) yes I v ino Water Supply: Y _ Existing Well _ New Well (# of dwellings using well )'MUST have operable water before final Sewage Supply: New Septic Tank (Complete Checklist) f 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 (5001 of tract hated above? (__) yes phero Structures (existing or proposed): Single family dwellings: It ler Manufactured Homes: Other (specify): i ea- Required Residential Proper rr Line Setbacks: Comments: Front Minimum 7 Actual 2o 5 Rear 1 r Closest Side 7 ' Sidestreet/comer lot �/ Nearest Building on same lot If permits are granted I 11 'L confo • o a • inan =a and laws of the State of North Carolina regulating such work and the specifications of plans submitted. I hereby state that fore:!' �., 1 me = are , —iii to nd correct to the best of my knowledge. Permit subje to rev lion it false information is provided. (gnat a of Owner or Owner's Agent / Dat e hi: application expires 6 months from the Initial date if permits have not been Issued" A RECORDED S - ' . P, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION 1 I c ° (ei'dC #u'frfr V+n1d M edS ..' /• • < ' 2 r C1 A •13 4• N. ' N eat _aa O. ' it V a E69 siov OZO • to (Z-M .o ' n d 4 n \ r n 1111111.d I . 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' 0 \ O E a ni I � Z •�. in u n i � a • N v I N W f u U l r. ; x . . • - N j 0 N G, - IO " i 1 NAME: Tl i-DrtF1 3. }-}ker APPLICATION #: 10 - 5CC - -SSt`I *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 THIS APPLICATION IS FALSIFIED, CHANGED, OR THE SITE 1S 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 CONFIRMATION # I I Z c a 1 ❑ 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. Race 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 underarowth to allow the soil evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property. • AN 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. X 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 put Ild back 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 reauest. • 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 I_ ) Any (_} Alternative l_) 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: ( (_) NO Does the site contain any Jurisdictional Wetlands? I —IYES 1_I NO Do you plan to have an iplaatinn systew now or in the future? - {_}YES {_) NO Does or will the building contain any l ? Please explain. % I I I NO Are there any existing wells, springs, waterlines or Wastewatdr Systems on this property? (_)YES 1_} N n wastewater going to be generated on the.site"other than domestic sewage? (_}YES 1_} NO Is the site s ' Lto approval by any.other Public Agency? (_ }YES (_) NO Are there any EasementR ight of Ways on this property? 1 —I YES {_ } NO Does the site contain any existing water, cable, phone or underground electric lines? s please call No Cuts at 800- 632- 494n'to Ip ate the lines. This is a free service. I Have Read Thls Application And Certify That The Information Provided Herein I True, Complete And Correct. Authorized County And Ste Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determinetampliance With Applicable Laws And Rules. U C e . ; n i That I A , of y R ..ponsible For The Proper Identiacation And Labeling Of All Property Lines And Corners - nd M king The ' 3' ible 1 Tha A 1' , mra, Site Evaluation Can Be Performed. I p PR r 'ERTY I ' S OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) AT / 10/10 FOR a[atarRRna nc la OF DEEM . ■ ETT •LINTY TAX ID# Ntead�v YE 4 • t • of / 2SI IL 1 2:6f:08 PM ' 9K:2764 P6:429431 FEE:$22.66 NC REVS AMP $324.M C raisi N WRUENW 1111 .4i W �?' � 'ROLINA GENERAL WARRANTY DEED Excise Tax: S 324.4 t Parcel Ideediter No. all erified by County on the _ day of , 20 By: mall/Box to: LAW OFFICE s T • ' NY . ST, 2606 SOUTH MIAMI BLVD., DURHAM, NC 27703 This instrument was prepared by: LA '' � ' ANY L. ASHHURST, 2606 SOUTH MIAMI BLVD., DURHAM. Brief description for Ihe Index: • • THIS DEED made ibis 15th day of Jul , 20 1 0 by and between GRANTOR GRANTEE NEW HORIZON BUILDERS AND DEVELOP S C , s' HY J. HART AND WIFE ALICIA M. HART 5721 HUNTFORD LANE 102 B' KLEY ROAD RALEIGH, NC 27606 28334 Enter in appropriate block for each Gramm and Grantee: name. mail* •"•T=h • : • , if appropriate, character of entity, e.g. • The designation Grantor and Grantee as used herein shall include sal • ; �N?!Tw'" • s, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Gran - a _ . • , 'c is Eby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee In fee si • . • .1 • or parcel of land situated in the City of D1JNN Township, County, North Carolina and more panicalarly described as fellows: BEING ALL OF LOT A., CONTAINING 1.00 ACRE, AS SHOWN 014 A PLAT • = ' '+ FOR "HERBERT J. N" JOHNSO BY JOYNER PIEDMONT SURVEYING, WHICH PLAT IS RECORD as p • : 1 • 009, PAGE 629, HARNETTCOUNTY REGISTRY. The property hereinabove described was acquired by Grantor by instrument recorded in Book _ rVFia, • All or a.portioa of the property herein conveyed — includes or IL does not include the primary real . . V. A map showing the above described property is recorded in Plat Book 2009 page 629 _ NC Bar Annelidan Pam No. 3 0 1976, Revised 0 1/1/7010 Printed by Agreement with the NC Hu Aawcinhao er O • AND TO HOLD the aforesaid lot or parcel of hand and all privikges and appurtenances thereto belonging to the Grantee in sire. d Ih . covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey dm same in fee si 1 . i. • 1 ti is marketable and free and clear of all encumbrances. and that Grantor will warrant and defend the file against the clai .. of all persons whomsoever. other than the following exceptions: 0 IN Wr r' • • . :. - e P, 1 '4. it or has duly executed the foregoing as of the day and year fast above written. NE t O; : IN : IL' r.' • DEVELOPERS, (SEAL) ����`1 / � Print/ Type Name: By _ , e' li2�'v�rCtl (SEAL) Print/Type Name & T1 : ' ' - ' Print/Type Name: B ` (SEAL) Print/Type Name & Title: 1 11 ' \� Print/Type Name: By: (SPAL) Nam Print/Type e & Title: e lik Print/Type Name: Slate of - t a 1. the undersigned Notary Public l and State aforesaid, certify that personally appeared befaemethisdayand acknowledged the due execution of the forcgoi : • nt for the therein expressed. Witness my hand and Notarial stamp or seal this _ day of , 20_ My Commisslon Expires: _. Not Public (Affix Seal) Notary's Printed or Typed Nam Stale of North Carolina - County or City of .::.I g; a I, die undaaigued NoWy Public of the County aa «r ity or City of l� a and State aforesaid, rify that AOEµTAYLO ppee . f... . this day and acknowledged that he Is the President ^ of NEW HORIZON BUILD ' • , : •orthC • ina or corporatioallkmited liability companylgenerak partnership/ united partnersh . (a - ' - t • : h the inapplicable), and that by authority duly given and an the act of such entity, _he signed the foregoing ins 1 , • nt I its a: . -n ' behalf as its act and deed. Witness my hand and Notarial stamp or seal, this I5th day of July 20 I — Tiffany L. Asnnurst Durham County, NC � .� ` My Commission Expires :7h/�z Notary Public tee ... L :.. :, .. Public (Affix Seal) My Commission EXpijes: No . ". Name N7L j),. State of - Comfy or (Sty of J, the undersigned Notary Public of the County or City of tfiat Winless my hand and Notarial stamp or seal, this day of , 20 . My Commission Expires: Public (Affix Seal) Notary's Printed or T =F NC Bat Association Form No. 3 O 1976, Reaped 0 U1f3011) hinted by Aeemnm with the NC Bar Association ler