DOCUMENTS mldal Application Date: H Y YlG C � 7 Application# I n . 7l Cill-1 1 a9
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext2 Fax:(910)893-2793 www.hamett org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMITTINGT� A LAND USE APPLICATION^
LANDOWNER: J N1/ `� C L(J c11 CI O( AMailing Address: ¶c/ Sca • \CAA) La-vA�
City: SVC YJ1ck Cl State: INC Zip: .2P39&ontact No:7/0 / I / ))Email: 1 1IY"\C I Ci IC fc�� eirsx`, c &w
APPLICANT': 'SGt N'k Mailing Address: \
City: State: Zip: Contact No: Email:
'Please All out applicant Information If different than landowner
CONTACT NAME APPLYING IN OFFICE: Phone#
PROPERTY LOCATION:Subdivision: 11 IC6CD�((1E1' CCC (f 1Cae cam}V Cree Lot#: 7 Lot Size:6 ,
State Road# 1 /Z.'
State Road Na
me8: Map Book 8 Page: .200c/
C/ y&,Lj
Parcel: c5 o-5-0 \ 7— PIN: Cj r[ I q' \ Bo73,3 o
Zoning: Rn od Zone: ,C WatersheDeed Book 8Page: 1 0/ CLt23PowerCompany':
6fat C_
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
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PROPOSED USE:
Monolithic
❑ SFD:(Size x )#Bedrooms'._#Baths:_Basement(wlwo bath): Garage: Deck: Crawl Space:_Slab:_Slab:_
(Is the bonus room finished?( )yes (_)no w/a closet?( )yes (J no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths Basement(wlwo bath) Garage:_Site Built Deck:_ On Frame O#Frame_
(Is the second floor finished?( )yes (_)no Any other site built additions?( )yes ( )no
❑ Manufactured Home:_SW_DW TW(Size )#Bedrooms: Garage: (site built?_)Deck: (site built?_)
❑ Duplex:(Size_x_)No.Buildings: No.Bedrooms Per Unit:
U Home Occupation:#Rooms: q Use: Hours of Operation: #Employees:
X Addition/Accessory/Other:(Size 2 x 13)Use: C fit{' HHMV', O hAC F- OO`O C Closets in addition?( 1 yes (Vino
ss
Water Supply: /County A/ Existing Well New Well(#of dwellings using well )'Must have op ble water before final
Sewage Supply:figNew Septic Tank(Complete Checklist) 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?LJ yes (�j na
Goes the properly contain any easements whether underground or overhead(✓)yes (_)no
Structures(existing or proposed):Single family dwellings: C/ Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks:��'"� Comments:
Front Minimum ActuaY,T'S±
Rear ' 4
Closest Side
SidestreeUcomer lo
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
If permits are granted I • : onform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that fore oing stat:ments are accay(7nd;putt to the best of my knowledge. Permit subject to revocation if false information is provided.
AAA :u_ 27 /ear l7
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"
Residential Land Use Application Page 2 of 2 03111
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NOTE: SHONN IS LOT 7 Of
HIOHOROVE AT ANDERSON CREEK 810 30 0 .Rn Rn .an
Highgrove at Anderson Creek HOA
SOCIAL COMMITTEE AGENDA
Monday,June 20,2016
7:00 PM
Location: 54 Sedgefield Lane,Spring Lake,NC
L Social Committee Budget-$2,000
a. YOM -$400
b. Halloween&Christmas decorating contest-$200
c. Fall Festival-$800
d. Thanksgiving raffle
e. Winter Festival-$300
II. Yard of the Month Contest
a. Each month from June until September is a "Yard of the Month"competition. An
outside judge,who does not reside in the neighborhood, will be judging for the best
looking yard. Winner receives $100.00 gift card to Lowe's, as well a sign in their
yard for 30 days. The judging will occur during the last week of each the month.
Ill. Halloween&Christmas decorating contests
a) Halloween—judging 2015 was the evening of Halloween as well as awarding the GC and
signs.
b) Christmas-judging 2015 was Dec 12-17(6-9 p.m.)with announcement of winners the
evening of the Winter Festival on Dec IS. Signs were delivered later if winners were not
present.
IV. Thanksgiving—Annual Meeting
a. 10 x$30 GC to Food Lion
V. You've Been Elfed—Started Dec 1"(email sent out about a week before.)
VI. Fall and Winter Festivals
a. Fall Festival was cancelled last year for lack of participation
b. Winter Festival—Raffled honey baked hams,cake walk,Ugly Sweater contest prize,cocoa,
cider,bottled water,paper products,utencils, printing flyers, etc.
c. Flyers were hand-delivered by the committee to save postage.
d. Committee members brought food items and supplied tents, lights,tables,etc.
VII. Additional ideas or topics
a. Lake Pines Swim Club 1231 Lake Pine Dr—Open 7-7 off Murchison Road-$11?all day
pass,(20-25 min drive)Can bring your own coolers, food,etc. Swimming area with diving
boards, water slides, white sand beach,shady picnic area(tables/chairs umbrellas),BBQ
grills, volley ball,huge covered picnic area for large groups.
b. Smith Lake
c. Linden Oaks
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REQUIRED: List all directly adjoined neighbors and those visually impacted by any exterior modification and obtain
their signatures.If you are not able to obtain a signature or require Board assistance to do so, please indicate as such.
I acknowledge that the requesting homeowner has shown me the details of the proposed improvement described
on this from and that my signature represents my awareness of the request. If I have any concerns or questions
about the proposed project I can direct them to the Highgrove at Anderson Creek HOA Board.
ADDRESS/LOT# NAME SIGNATURE
N/A
I understand that this application will be reviewed by the Hoard of Directors (or its Architectural Committee). I further
understand that the Board of Directors (or its Architectural Committee) has the authority to approve, approve with conditions or
deny this request and that there is no appeal other than resubmission of a modified request. I further understand that the
placement and design of my improvement must meet the architectural guidelines,regardless of my submission or errant approval
of such submission. A variance from standards must be noted by the committee in the comments section below. Please note the
Ho. : '.mmittee is allowed u. to 30 days to render a decision from the date the complete application is received.
a- 4110
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Aar 25 Mar I
ignarure Date
Submission without a Plat Map/Survey: I hereby certify that my mortgage company did not require a survey.
in lieu of a recorded plat map, I certify that the attached rendering is true,complete,and correctly drawn to scale
to the best of my knowledge. As lot Owner, I accept liability for any inaccuracies that may be proven in the
future and release the Association, Management and its Agents from any responsibility.
Initial here
Disclaimer: The Association reviews applications primarily based upon aesthetic qualities and to a lesser degree,
basic construction practices. Owners (and their contractors) are responsible for determining and ensuring that all
applicable municipalities, county and stare requirements are met and all necessary permits, variances, etc. are
obtained. Should the requirements set forth by the municipality, county and state be more stringent/restrictive
than those established by the Association,the more stringent/restrictive requirements prevail.
Initial here
You may submit your application via E-mail ( ), upload your request directly to the
website at •. . ._!.L,L.. _.. (see instructions below), US Mail to: Highgrove at Anderson Creek HOA P.O. Box 85, Spring
Lake,NC,28390.
Directions for uploading your request online:
1.Visit the website link above;click the'I lomeowner Log In'link and sign in.
2. Once you have logged on to your homeowner home page,please go to `Association Business'
3. Select `Architectural Control'
• Create a request
• Submit your scanned form
4. Complete the email address field and give a description of your project in the comments field.
5. Please upload your form,plat map,and any other supplemental documents or details.
6. Select`Submit Architectural Control Request'and you will receive an email confirmation.
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Application# a I U J
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.hamea.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s)of Structure: _ 11>n 4- C-1•4 nC .3
((1_ 1- 1 L 1 Z 'C.. Phone: Ci( et j) -61
Owner(s)Mailing Address: Sy IFCi(T'E'� (C IC � cc•�F"
1). 1•Th-rn l Lc a--G I V
Land Owner Name(s): 5ry YY\ V Phone:
Construction or Site Address: _ .X'oft
PIN# Parcel#
Job Cost: 4x,//L,(/ODescriplion of Work to be done c^ k�c.L \ cL I e_c„ C3 Q 4 \Cl ri�
CfA +t& E bc<< k 'yoe t
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork_ Gas Piping_Other
Electrical': 200 Amp_<200 Amp_Service Change Service Reconnect Other
•For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillinalop: -7
Subdivision:
/e v , ^v "" c..- .�t - i ;n. -- of#: /
V ' ft f C . will provide the -0-1_ 1 labor on this structure.
(Contractors Name) (Trade)
I am the building owner Nee rse-mmlberte (k/A ,which entitles me to
perform such work on the above structure legally. All work shall comply with the State Building Code and all
other applicable State and local laws,ordinances and regulations. •
Contractor's Company Name Telephone
Address Email Address
License#
7 �)1a. 7
Structure Owner/Contractor Signature: �� �7)'1 \ � : Lf//t.7L; Date: 2 I /
By signing this application you affirm that y u have obtained permission from the above listed license holder to
purchase permits on their behalf. If doing a work as owner you understand that you cannot rent, lease or sell
the listed property for 12 months after completion of the listed work.
'Company name, address, 8 phone must match information on license
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50041039 Date 4/03/17
Property Address 54 SEDGEFIELD LN
PARCEL NUMBER 01-0504- - -0177- -07-
Application type description CP ADD & ALTER RESIDENTIAL
Subdivision Name HIGHGROVE®ANDERSON CRK PH1
Property Zoning RES/AGRI DIST - RA-20M
Owner Contractor
CICIORA JAMES R & CINDY D OWNER
54 SEDGEFIELD LANE
SPRING LAKE NC 28390
Applicant
CICIORA JIM & CINDY
54 SEDGEFIELD LN
SPRING LAKE NC 28390
(910) 391-4803
--- Structure Information 000 000 28X13 OVERHANG OFF BACK DOOR
Flood Zone FLOOD ZONE X
Other struct info SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1185271
Issue Date . . . 4/03/17 Valuation . . . . 0
Expiration Date . 4/03/18
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1185537
Issue Date . . . 4/03/17 Valuation . . 0
Expiration Date . 9/30/17
Special Notes and Comments
T/S : 03/27/2017 09 : 54 AM JBROCK - - --
HIGHGROVE @ ANDERSON CREEK - 54
SEDGEFIELD LANE
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50041039 Date 4/03/17
Property Address 54 SEDGEFIELD LN
PARCEL NUMBER 01-0504- - -0177- -07-
Application description . . CP ADD & ALTER RESIDENTIAL
Subdivision Name HIGHGROVEGANDERSON CRK PH1
Property Zoning RES/AGRI DIST - RA-20M
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . RESIDENTIAL BUILDING PERMIT
999 103 3103 R*BLDG FOUND & TEMP SVC POLE / /_
999 111 Bill R*BLDG SLAB INSP/TEMP SVC POLE / /_
999 101 B101 R*BLDG FOOTING / TEMP SVC POLE _/ /_
999 131 R131 ONE TRADE FINAL / /_
999 125 R125 ONE TRADE ROUGH IN / /_
999 229 R229 TWO TRADE FINAL _/ /_
999 225 R225 TWO TRADE ROUGH IN _/ /_