LAND USE • Initial Application Date: L { -- 1 - /0 // cx,�. // [ �+ J
Application # /✓ J ✓ 7 �7 72.
MO
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 qc � ty Fax: (910) 893 -27 www.harnett.org /permits
LANDOWNER: I 1AQ 1"�lC v1 \ (�� iC I Mailing Address: 0.4 us- 4G1 Sly*4A
City:, hv��t State: i\4_ Zip ? I JIC, Contact # Email:
APPLICANT': S 0.1M'�. Q.S �w Mailing Address:
City: State: Zip: Contact # Email'.
'Please fill out applicant informafion If different than landowner �,i
CONTACT NAME APPLYING IN OFFICE /'' T N IA C\ V v1 ..TOyi) C1 Phone # 9/0 999 `J T/ e G
PROPERTY LOCATION: Subdivision: « Lot #: /Lo q
Lot Size: Z Z. J
State Road # S WO State Road Name: /1 1- Gi / O 1 Map Book&Page: (0‘ age: � /
J
Parcel: /0 r/V A 9/ a/ ' / PIN: ° SC p — 1- 4 -- 9/ z , 0G p
Zoning:jig 2 'ood Zone: 4 /
Watershed: /WA Book &Page: / /Q.7�f ^ 1 / 7IV »7Power Company':
New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 1/4'' 500-1 /7o •C. /4 4.— /9 01pnptC-
,7 ,-)2/4., 00- e- 46 f /16 p.,-- 7 'y 4 7‘ .{7p 7/7e . NNi✓r &0b
f ). cj.r G ✓
PROPOSED USE: Monolithic
❑ SFD: (Size _x) # Bedrooms:_ # Baths:_ Basement(w /wo bath):_ Garage:_ Dec*: Crawl Space:! Slab: - Slab:_
(Is the bonus room finished? (_) yes ( )no w/ a closet? (_) yes (_)no (if yes add in with It bedrooms)
❑ Mod: (Size _x_) # Bedrooms_ # Baths Basement (w /wo bath) Garage:_ Site Built Deck:_ On Frame_ Off Frame_
(Is the second Boor finished? (_) yes (_)no Any other site built additions? () yes ( )no
❑ Manufactured Home: SW _DW TW (Size _x) # Bedrooms: _ Garage: (site built ?_) Deck: (site built ?_)
❑ Duplex: (Size x_) No. Buildings: No. Bedrooms Per Unit:
❑ '�( Home Occupation: # Rooms: Use: Hours of Operation: #Employees:
N Addition /Accessory/Other: (Size / 'fl'`22 ) Use: 1Ca -m. /r A, ••• Closets in addition? () yes (X_)no
Water Supply: X County _ Existing Well _ New Well (# of dwellings using well )•MUST have operable water before final
Sewage Supply: _ New Septic Tank (Complete Checklist) )C 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 (500') of tract listed above? (_) yes (L)no
Structures (existing or proposed): Single family dwellings: 1 c-f-r Manufactured Homes: Other (specify): 16 to aalctort
Required Residential Property Line Setbacks: Comments: “T 34 z
Front Minimum -5 5 Actual 8 e
Rear 25 700
Closest Side (0 •5/
Sidestreet/corner lot 2.0
Nearest Building 5
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 forego'. ' state ents -re a - - • and correct best of my knowledge. Permit subject (o revocation if false information is provided.
oi
Sign. re of Owner or Owner': • ge ate
"This application expires 6 months from the initial date If 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
Residential Land Use Application Page 1 of 1 10/10
SITE PLAN APPRO 1 7 2 Z Ida 1 USE
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�9 Zoning Administrator
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2004088839
'en IneERLY 5 NA ROROV GI£TRRTJ
ON REGJSTER OF 36E" - ••+
-1 =: MRRNETT CoQwTY: NC £
;ul• -r " r I 28@4 NAY 13 02:36:3f PM
tiittli. ...al I BK:1930 P1:714 -717 FEE:$20j8
NC REV STNIP:51801)0
r. 1811►' '.!rS7
H • OLINA GENERAL WARRANTY DEED
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e e D
Excise Tax: $ 180.00
Parcel Identifier No, 100558 01 • err Q County on the day of , 20
By al!.
MalUBox to: REGINALU II. KtL • , H. 11 L Y, 900 ti. MAIN S i MTh r, LILLINGTON, NC 27546
This iaanwnens was prepare A . KE Y ' ' : AIN STREET, LILLINGTON, NC 27546
P�� br _
Brief description for the Index:
7
THIS DEED made this 1 2th d of May , 20 04 . an d • . ,
GRANTOR GRANTEE
HAROLD G. MANNING AND WIFE. HELLS BROWN DICKENS
NFU_ WOMBLL MANNING ' OODS LANE
2355 US 401 SOUTH LIL er N. NC 27546
LILLINGTON, NC 27546 �f
The designation Grantor and Grantee u used herein shall include said their its • . and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, fax a valuable considerationpaid by the Grantee, • ', hereby acknowledged, has
and by these presentsdoes��tant, bargain, sellandc sir the Grantee in fees •• •t :t or parcel oflandsituated
in she city of LILLIMiTON LIT .LIN TON Township, » ;'' ' , r. ,North Carolinaand
mtm particularly described as follows: Irr
See Attached
The property htminabove described was acquired by Grantor by instrument recorded in Book 11 ' .: - .
A map showing the above described property is . recorded in Plat Book 2 Page 10
NC Bar Association Form No. L-3 ®1976, Revised t9 1977, 2002
Printed by Agreement with the NC Bar Association 1981 SoftPro Corporation 333 E. Six Forks ltd., gb
fir
O D TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Crrantee
Ca•
overants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in
.., • tle is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against
U pereens whomsoever other thin the (mowing eexcxceeypttt w FOR FURTHER REFERENCE SEE
F. r. . NO. t: E 02 3 FOR THE ESTATE OF MAX DANIEL MANNINO.
Syrl'!` ss EREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
(� .1 .11 (sly)
t• , , ty N AAlf6Lt�TJ[TiF
By: �T f y ... % %.:._1 (SEAL)
Title: NF .. WOMALE M ANNIN
By: (SEAL)
Title: �u lT (SEAL)
Title: lila
State of North Carolina - County of
the undersigned Notary ' . ; :• . • '•• : • , State aforesaid, certify that HAROLD G. MANNING AND WIPE.
HELL l� 1 OMBLE MANNING AL personally appeared before me this day and
acknowledged the due execution of the 3 7. , • purposes therein expressed Witness my band and Notarial
stamp or seal this 12th ' day of ,! '•
T
My Commission Expires: • ' ; L' , IAMB 11 T., M, in V 4,4
Ati) NOT— PUBUC Notary Public
HARNEIT COUNTY •
State of North Carolina - CddytgotYtmisalo • tree - •
I, the undersigned Notary Public of the County . • Sta •, 4, •., . that
personally came before me this day and acknowledged iha he is the of
, a North Carolina or
corporation/limited liability corapany/genetal p ship (strike through the inapplicable), and
that by authority duly given and as the act of such entity, hesi2.-• the ng .• • yenta in its name on its behalf ae lei act and
deed. Wimess my hand and Notarial stamp or seal, this day • f , 20_
My Commission ( '
State of North Carolina - County of
1, the undersigned Notary Public of the County and State aforesaid, c- ' Ja.
e ir
Witness my hand and Notarial stamp or seal, this day of ,
My Commission Expires:
Notary — —
The foregoing COMBRcate(s) of
ialare certified to be correct. This instrument and this certificate are duly registered at me date and time , Bogk-agd ' • ge shown
on the first page hereof. �J
Register of Deeds for County
By: Deputy/Assistant - Register of Deeds
NC Bar Association FormNo. L-3 0 1976, Revised 19 1977, 2002
Printed by Agreement with the NC Bar Association –1981 SoftPro Corporation, 333 E. Six Forks Rd., Ra . - , N 760 •
0 ATTACHMENT
AL HA • R • IN TRACT OR PARCEL OF LAND CONTAINING 2.341 ACRES, MORE OR LESS, ON U. S.
.1 H • • • i1 0 GATED 0.30 MILE SOUTH OF ITS INTERSECTION WITH S. R. 2035 IN LILLINGTON
T• • P, • - NETT COUNTY, NORTH CAROLINA AND BOUNDED NOW OR FORMERLY AS FOLLOWS:
NOR B • 1 i OF WILLIAM A. CAMERON; EAST BY U.S. HIGHWAY 401; SOUTH BY THE LANDS OF
WAL • r • JO • S 0 AND MORE FULLY DESCRIBED BY METES AND BOUNDS AS FOLLOWS:
BEGINNi G iir 4. • I i N STAKE, SAID STAKE A CORNER OF WILLIAM A. CAMERON AND WALTER
LEE JOH - • , AN• NNI T•• ENCE NORTH 05 DEGREES 42 MINUTES 10 SECONDS EAST 105.00 FEET
TO A NEW = • • E; TH, • NEW LINE WITH WILLIAM A. CAMERON SOUTH 84 DEGREES 45 MINUTES
00 SECONDS h TO , TURNING POINT IN THE CENTERLINE OF U.S. HIGHWAY 401 (PASSING
A NEW IRON S • ■ 1' W ' • MARGIN OF SAID HIGHWAY AT 912.91 FEET); THENCE WITH THE
CENTERLINE O' :AID - ell A A h yj , 20 DEGREES 11 MINUTES 39 SECONDS EAST 116.08 FEET TO A
TURNING POINT; T . ' C , • ' GREES 45 MINUTES 00 SECONDS WEST 943.31 FEET TO THE
BEGINNING, CONT i N • 2 • 5, MORE OR LESS.
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2400 US 40% SOUTH. ULLINGTON, NC 27546
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S. HARGROVE
E (J A8ERLY
T �F DEEDS, HARNETT
10 • •' ELIUS HARNETT BLVD
> UITE 200
IL -1ik ON C 27546
'ff * .. •YI fIf• i1. .MYM..IMI•M••••
Flied For Registration: 06/1 ' 1 . 6: ' M
Book: RE 1' :0 • . ge: 714 -717
Document No.: 2004008859
DEED 4PGS $20
NC REAL ESTATE EXCISE TAX: $180.00
Recorder: ELMIRA MCLEAN
..f.M.M...MNf1M1M OM* M.fff M. Mi■1112 M•M•MI•MMfYMYh1•M.MOS/• .MO .. ..M.MfMMfMf! •II
State of North Carolina, County of Harnett
The foregoing certificate of APRIL M. MCLAMB Notary is certified • • This 13TH of May 2004
KIMBERLY 3. HARGROVE , REGISTER OF DEEDS
By: (-4'YI- 4.4 AC -4e'a 1
0
Deputy /AsefslafltR'efister of Deeds
•..M• M.MIYA.1•.. f..
DO NOT DISCARD
1111111 1111111111 1111111111 11111 11111 11111 11111 11111 1111 1111
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2004008859
, NAME: 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 THIS APPLICATION IS FALSIFIED, CHANGED. OR THE SIl E 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)
910- 893 -7525 option 1 CONFIRMATION #
❑ Environmental Health New Septic System Code 8 00
• All property irons must be made v isible. Place "pink p roperty flags' o n each corner i ron 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- 693 -7525 option 1 to schedule and use code
800 (after selecting notification permit if multiple permits exist) for En vironmental 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 Cod e 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over over outlet end 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 u se code 800 for Environmental Health ins pection. 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.
SE 'TIC
If app y - for authorization to construct please indicate desired system type(s): can he ranked 1 • • er of preference, must choose one.
{ Accepte• { Innovative {_} Conventional { • ny
{_} Alternative } Other
The applicant shall notify the local , h department upon subm' of this application if any of the following apply to the property in
question. If the answer is - yes", applicant . attach sup! • ng documentation.
(_ )YES {_} NO Does the site contain Jun • tional Wetlands?
(_ }YES {_} NO Do you plan avean's' '•• .w or in the future?
{_ }YES {_} NO Does • will the building contain any drains? Plea = - xplain.
{ ) NO • re there any existing wells, springs, waterlines or Wastew: = S stems on this property?
{_ }YES {_} . i Is any wastewater going to be generated on the site other than domestt -wage?
{_ }YES _} NO Is the site subject to approval by any other Public Agency?
{_ }Y (_} NO Are there any Easements or Right of Ways on this property?
{_ }YES ( _) 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.
1 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 Laws And Rules.
1 Understand That 1 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.
PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE
E- Health Checklist 1 of 3 10/10
• � y i
HARNETT COUNTY ENVIROMEN • HEALTH
SEPTIC TANK DIAGRAM
C Harnett OUNTY HOW TO PRI'ERLY IDENTIFY YOU' TANK'S LID .
NORTH CAROLINA /I
strong roots •new growth
DIAGRAM 1'' !� SEP I ' : NK
t
OUTLET ID
*Lift and eplace this lid per
instruc ons on checklist.
POSSIBLE POSSIBLE
HOUSE HOUSE
CONNECTION CONNECTION
POSSIBLE
HOUSE
CONNECTION
— I SQUARE (Shown on diagram)
— RECTANGLE (Older tanks)
O ROUND
E- Health Checklist
3 of 3 10/10
HARNETT COUNTY ENVIROMENTAL HEALTH
tani
tesves SITE PREPARATION
H O arnett
UNT Y HOW TO PROPERLY MARK PROPERTY FOR SOIL EVALUATION
C
NORTH CAROLINA
strong roots • new growth
Pink Flag('_Iron Iron tl Pink Flag
lk.,rt,J
Pink Flag Pink Flag
Orange u kio Orange
Flag Flag
LEGEND
O Corner Iron
HOUSE
l l Flags
Pink Flag ' }` ` Pink Flag
Orange Orange
Flag Flag
Pink Flag 1 ' Iron JOrange Card Iron0 *`• Pink Flag
ROAD
E- Health Checklist 2 of 3 10/10