LAND USE R ifler Application Dab: ! i-ti-10 Application it / 2 / t 4 9
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27548 Phone: (910) 893 -7525 Fax: (910) hm 10) 893 -2793 www.h ett.orgipemmits
LANDOWNER: ✓CV\ C5G( Mailing Address: 2S gv ` t� \ Kole_
City: fv� - - 1Ja(i+tti J sta jVC zip:2 contact # SS2.3 Email:
APPLICANT': C ,\'. Is &AOlc vrtav Mailing Address: 122 \ Searc Pr u I-
City: I ,J; o .i - ip(.#L3J State:/�C Zip:27SH1 Conted# 919- u22.3067 Email: Chris OI 1 J' l4Ck kid" ®l/ 4 J Hw.re"
*Please All out applicant Information 11 different Than la/ �j (
CONTACT NAME APPLYING IN OFFICE: l./'Y' A c M.—. Phone # 911 • 4 21• 301 )7
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PROPERTY LOCATION: Subdivision: it 4 tn Lot #: ,r Lot Size: 7/
State Road # State Road Name: Map Book&Page: 7a z / /Jb 2
Parcel: Of 0125 0297 ' PIN: '94 - _ -./ — 20 — 77 OIoe
Zoning: KA- 3 OFlood Zone: Watershed: Deed Book&Page: 2a`/ / 5 01 Power Company*:
New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILL1 Ro NGTON: Leavi ewe Ivl4-4/Seril-A7. -, o f 2-10 a- k0 1
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PROPOSED USE:
Monolithic
❑ SFD: (Size _x ) # Bedrooms: # Bathe: Basement(w/wo bath): Garage: Deck: Crawl Space: Slab: Slab:
(Is the bonus room finished? Li yes LJno w/ a closet? (J yes Lino (11 yes add In with # bedrooms)
❑ Mod: (Size x ) # Bedrooms 8 Baths Basement (w/wo bath) Garage: Site Bulk Deck: On Frame Oft Frame
(le the second floor finished? (J yes (__)no My other site built additions? U yes (Jno
❑ Manufactured Home: _ SW DW TW (Size _ x ) # Bedrooms: _ Garage: (site built!_) Dedc: bulk?__)
❑ Duplex: (Size x ) No. Buildings: No. Bedrooms Per Unit:
❑ Home Occupation: # Rooms: Use: t Hours Operation: #Employees:
❑ AddltiowAccessory/Other. (Size29 x24 ) Use: Teitar-Loc .5\10 .- / Closets in addition? (J yes Lino
Water Supply: V Existti g Wet _ New Well (130-dwellings using well ) 'MUST have operable water before final
Sewage Supply: _ New Septic Tank (Complete Checidlal) _ , /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 had listed above? (J yes (
Structures (existing or proposed): Single family dwellings: 1 Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 3 Actual 1 8S
Rear (O 29
Closest Side 6 i `-1
Sldestreetrcomer lot
Nearest Building 4, - 7 S ,
on same lot
11 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.
1 hereby state that foregoing statgphsnts a a rate and correct to the best of my knowledge. Permit subject to revocation if false information Is provided.
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Signature of Owner or Owner's Agent Date
"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
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f� �� UsE7 U / C / Toning Administrator
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0 NAME: 04767344.4 APPLICATION #: 2 OP Z�1
*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, CHANCED, 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)
910 -893 -7525 option 1 CONFIRMATION #
❑ Environmental Health New Septic SvstemCode 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. k 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 put lid 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 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 I_) Any
( Alternative I ) 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 ( n N9 Does the site contain any Jurisdictional Wetlands?
I_IYES ( NO Do you plan to have an irrigation systcnl now or in the future?
{_)YES (.I tv0 Does or will the building contain any drains? Please explain.
I_I I!O Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
(_)YES 1 erN0 Is any wastewater going to be generated on the site other than domestic sewage?
{_(YES 1 1.1310 Is the site subject to approval by any other Public Agency?
{_}YES j._44U Are there any Easements or Right of Ways on this property?
(_)YES ( If<0 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.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Si cessi l o'fhat Comp Site Evaluation Can Be Performed.
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PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE
10/10
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DIAGRAM OF A TYPICAL SEPTIC TANK
I - / OUTLET LID
POSSIBLE POSSIBLE
HOUSE HOUSE
CONNECTION I _ I CONNECTION
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POSSIBLE
HOUSE
CONNECTION
POSSIBLE LID SHAPES
1 _ I SQUARE (SHOWN ON DIAGRAM)
•
RECTANGLE (OLDER TANKS) _ ROUND
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FOR R f,"[ � yTI A101;a5 CCM
2004 DEC 23 H: 6 : O gl A
81(:2024 PG:501-583 FEF:1I7.011
NC REV ST
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Prepared by: William M. Pope, Attorney at Law
Return to: Pope & Pope, Attorneys at Law, P.A., P.O. Box 790, Angier, NC 27501
Excise tax stamps: 5433.00
NORTH CAROLINA
HARNETT COUNTY
Brief Description: Lot No. 5, Ballard Woods S/D, Map No. 2002 -1367
Tax Parcel Identification: 0652 - 20- 5930.000
Tax Lot No: 08-0654- 0292 -05
This GENERAL WARRANTY DEED, made and entered into on December 22, 2004, by and
between:
GRANTORS:
Wilson Built Homes, Inc., a NC Corporation
whose address is: 2110 Bernard Street, Raleigh, NC 27628
(herein referred to collectively as the Grantors) and
GRANTEES:
Danny J. Barger and wife, Christina B. Barger
whose address is: 25 Ruth Circle, Fuquay- Varina, NC 27526
(herein referred to collectively as the Grantees)
WITNESSETH:
For and in consideration of valuable consideration, from the Grantees to the Grantors, the receipt
and sufficiency of which is hereby acknowledged, the Grantors hereby give, grant, bargain, sell
and convey unto the Grantees , in fee simple subject to the Exceptions and Reservations
hereinafter provided, if any,
The following described property, located in the City of , Hectors Creek Township, County of
Harnett, State of North Carolina, more particularly described as follows:
BEING all of Lot No. 5, Ballard Woods Subdivision, Phase 1, as recorded in Map Book
2003, Page 861, of the Harnett County Registry, reference to which is hereby made for
greater certainty of description.
This being one of two lots described In warranty deed dated 06/29/04 from Ballard Woods,
LLC to Wilson Built Homes, Inc. and recorded In Deed Book 1951, Page 427, Harnett
County Registry. For further reference see: Book 1691, Page 945; Map No. 2001 -149;
Book 1584, Page 754; Estate of Evelyn I. Marshbarn 96 E 92; Estate of Turner G.
Marshburu 70 E 85; Deed Book 432, Page 62; Deed Book 563, Harnett County.
Said property having been previously conveyed to the Grantors by deed(s) recorded in Book
1951, Page 427, and being reflected on plat(s) recorded in Plat Book Map Book, 2003, Page,
861 .
2
TO HAVE AND TO HOLD unto the Grantees, and their heirs, successors and assigns, together
with all privileges and appurtenances thereunto belonging, fee simple, subject to the Exceptions
and Reservations hereinafter and hereinabove provided, if any. And the Grantors, for
themselves, and their heirs, successors and assigns, hereby warrant that they are seized of the
premises in fee and have the right to convey same as herein provided, that the title is marketable
and is free and clear of encumbrances other than as provided herein, and that the Grantors will
forever warrant and defend the tide against the claims of all persons or entities whomsoever.
This conveyance is made subject to the following Exception. and Reservations:
Easements, restrictions and rights -of -way of record, if any, and ad valorem taxes for the
year 2004.
All references to Grantors and Grantees as used herein shall include the singular, plural,
masculine, feminine or neuter as required by context.
IN WITNESS WHEREOF, the Grantors have executed this Deed, as of December 22, 2004.
Wilson Built Homes, Inc.
tY In i
By: (� tt
A. Wilson, President
State of North Carolina
Harnett County
I, Sheila S. Pope, a notary public of the above county and state, do hereby certify that Grey A.
Wilson personally came before me this day and acknowledged that he/she is President of Wilson
Built Homes, Inc., a corporation, and that he/she as President, being authorized to do so,
executed the foregoing on behalf of the corporation.
Witness m hand and official seal on December 22, 2004.
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