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Initial Application Date: u. J Application# i r7 100'--(' 'q 04 / COUNTY OF HARNETT RESIDENTIAL LANG USE APPLICATION CU# Central Permitting 08 E.Front Street,Lillington, NC 27546 Phone.(910)893-7525 ext 2 Fax:(910)893-2793 www.hamett.orglpermits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER Dakota Land Partners, LLC Mailing Address:5511 Ramsey Street, Suite 100 City Fayetteville State:NC Zip:28311 Contact No: 910-401-5504 Email: Jeri.Elkins@mossycreekmgmt.cgR APPLICANT':Dakota Land Partners, LLC Mailing Address: City: State Zip: Contact No: Email: *Please fill oU applicant information it different than landowner Sw tr: LAD CONTAC ONTAC NAME APPLYING IN OFFICE: Phone#910-401.5504 PROPERTY LOCATION:Subdivision: Mamie Bell Ridge Lot#: I Lot Size: I .0 QC. State Road#1291 State Road Name: Old US 421 Map Book 8 Page. 2463 I /139 332ZoParcel: I3Q(o3D Wig 02. PIN: 0630 15 0332- Zoning: ning:RA-30 Flood Zone. )C. Watershed: YL-.PI Deed Book 8 Page:An4 7)(Power Company*: P Y 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: 3 11 Monolithic la SFD(Size px )#Bedroomsy,#Baths Basement(wlwo bath). Garage: Deck_Crawl Space Slab: ✓ Slab:_ (Is the bonus room finished?( 1 yes ( )no wl a closet?U yes ( )no(if yes add in with It bedrooms) ❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wlwo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_ (Is the second Noor finished?( )yes (J 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. ❑ Addition/Accessory/Other(Size x )Use: Closets in addition?( )yes ( )no Water Supply: ✓ County Existing Well _New Well(#of dwellings using well )'Must haven operable water before final Sewage Supply ✓ New 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?( )yes (J no D ees the property contain any easements whether underground or overhead(_)yes (✓)no Structures(existing o ngle family dwellings. ' Manufactured Homes: Other(specify). Required Residential Properly line Setbacks:'// Comments: Front Minimum ''SS Actual 36 Rear .-LS 2I11. 1 Closest Side —1_.0 La(a Sidestreeticomer lot Nearest Building on same lot APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: l 2I N le [T Cob Willie Cameron r"" II c�-# Urhk) US I-Li 921 . Cn Ir101hle fersn son Or len I Luc_le. 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 foregoing statements are accurate and correct to the beyaf my knowledge. Permit subject to revocation If false information is provided. TaI / l7 Signature of Owner or Ow 's gent Date "It is the owner/applicants responsibility to provide the county with any applicable information about he 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" r VICINITY MAP \ IMPERVIOUS SURFACE AREA Ndl'E la Not To Scale DESCRIPTION AREA ALL DIMENSIONS, LOCATIONS AND FEATURES SHOWN ON K -- - THIS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN 2 HOUSE w/ PORCH 1,396 $.F. ARTISTS RENDITION, E%ACL LOCATION Of ALL FEATURES QARE SUBJECT TO CHANGE AND MAT NOT BE INSTALLED p y DECK/PATIO/HVAC 18 S.F. EXACTLY PLACESHOWN ON PLANS MENT HOME, RIVEWAY,,SIDEWALKS ANR IN DDLs. Q- CS DRIVEWAY & WALKS 722 S.F. EXTERIORFEATURES ARE SUBJECT TO MODIFICATION AS DEEMED NECESSARY BY FIELD PERSONNEL. i J s TOTAL (PROPOSED)= 2.136 S.F. i LOT AREA = 43.917 S.F. CUSTOMER DATE OLD US HW' 421 : % IMPERVIOUS AREA =4.9% v. SR. 1191 CUSTOMER DATE F ?pop' A(% WADE JURNEY REPRESENTATIVE DATE 4' �'IJ ' F1 30.0 SFTRACKS 2304-AOR B CRAWL SPACE FRONT - 35' N/F FOUNDATION SIDE - 10' THURMAN M. BROWN M 2-CAR ^ REAR - 25' I PLAT CAB. D, SLIDE 186-B PER PLAN CORNER SIDE - 20' 27.0 NcIi- 525'51'24"W 160.01' Z25' SETBACKla \ 7 C `D^ I o pG V/ m PB 2130 \ /V z It I O N I CO '^ m 43,917 S.F. 214.1 m 1.01 AC a 01 o GI 0 O I m 1 I 10 0 I a b I z ..� mm a Cr N T 0 s m So -, MA o (A I _,._ E- YI 4e.B---- rJ 1 z ao gN m ]]IN-A OR 6 1 f CRAM. CE Tl WMDn N �I PER>UN r: - 711010 L's c.m1e 35' SETBACK 0 I mR pe3 0 81 3 ' to0 8 ' r7:5\r_woW'1-2 Ecv ni ai y 119.65' 2p2p▪pk B r MAMIE FERGUSON DRIVE ' �i,a = 50' PUBLIC R/W CURVE RADIUS ARC LENGTH CH LENGTH CH BEARING Cl 25.00' 37.91' 34.38' N6977'34"E THIS DRAWING DOES NOT THIS PROPERTY MAY BE SUBJECT TO ANY AND ALL APPLICABLE DEED REFLECT AS-BUILT INFORMATION RESTRICTIONS, EASEMENTS, RIGHT-OF-WAY. UTILITIES AND RESTRICTIVE COVENANTS WHICH MAY BE OF RECORD OR IMPLIED PRELIMINARY PIAT NOT FOR RECORDATION. CONVEYANCES. OR&4I 500 50 HOUSE LOCATION PLOT PLAN mil iiim FOR SCALE: 1" - 50! RESIDENTIAL #11 MAMIE FERGUSON DRIVE I .IESIDE 1 IAi " LOT 1, MAMIE BELL RIDGE, PHASE THREE LAND SERVICES, Upper Little River Township, Harnett County, North Carolina I SER ICES, 11Jf PROPERTY OF: WADE JURNEY HOMES 1500 Piney Plains Rood, Suite 102 MAP BOOK 2003 PAGE 1139 DEED REFERENCE Cory, North Carolina 27518 Phone (919) 977-1554 Firm License M P-0073 DRAWN BY: E.G. I DATE: APRIL 19, 2017 Dakota Land Partners,LLC 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 IP WE INFORMATION IN'fll is APPLICATION IS FALSIFIED,CHANGED,OR THE SITE IS ALTERED,IIICN TILE 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# O $nvironmental Health New Septic SvstemCode 800 • All orooeriv 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. • Ii properly is thickly wooded, Environmental Health requires that you clean out the underarowih 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 trio fee may be incurred for failure to uncover outlet lid, mark house corners and properly 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 riven at end of recording for oroof of request. • Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. U Environmental Health Existino Tank Inspections Code 800 • Follow above instructions for placing flags and card on properly. • 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 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 it multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number aiven at end of recordina for oroof 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 types): can be ranked in order of preference,must choose one. II Accepted LI Innovative I r l Conventional II Any I—I Alternative 1 1 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: I )YES I x I NO Does the site contain any Jurisdictional Wetlands? 1—I YES I .I NO Do you plan to have aneatkm systansysmm now or in the future? }YES I xi NO Does or will the building contain any&LSI Please explain. L-I YES I_ 1 Ni) Are there any existing wells,springs, waterlines or Wastewater Systems on this property? {—}YES I-1 NO Is any wastewater going to be generated on the site other than domestic sewage? I YES I x I NO Is the site subject to approval by any other Public Agency? (_IYFS I v I NO Are there ally Easements or Right of Ways on this property? II YES I`I NO Does the site contain any existing water,cable,phone or underground electric lines? If yes please call No Cuts at N00-632-4949 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 Stale 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 Fur The Proper Identification And Labeling Of All Property Lines And Corners And Making The Site Accessible So That A Complete Site Evaluation Can BePerformed,_ -- _ - nen PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIV S NATURE(REQUIRED) DATE 10/10 0 il Agr+ 5 Nedi81ngtveelyl yP:y.Py.x e!en. - 1 a ,, m . t°'= iigEEiiiiiiC{i6Bi4kRk6iCCC6SS6SCCEi 515 " 1 `c c€ „ ,,,, 42. 7 n a,i{Eiiaiii ilii i§ilii iieiiia=. 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I \ �� 11VIt � ILi'IPII l' ■ vlipilsln!Jr.eI,AsI • t| iii■■ o `r 4$ o . r 4 9 |1 § jb | | \ 44 } PA cs \ di1r | ` 1.141114; "V !\ N))*� 1111111 c 1 « )g II 4. !|r| f � 09/09/11 Appp `liccatilto'n# ' I Harnett County Central Permitting 1 I 'a`1 Each Becton below to be filled out PO Box 55 L IWigton NC 27540 910 893 7525 Fax 910 893 2793 www hamett org/permits by whomever performing work Must be owner or licensed contractor Address company Application for Residential Building and Trades Permit name 8 phone must match Owners Name r.J flat Ju rttsi I4nnit (/_L Date 4lI&n Site Address II Mp tnt.'L Cg-(10600 Vt.• PhoneQIG•Qr5•S.Gq Directions to job site from Llllmgton /a.1l.Q. uC 140-1 Z 105 T LtC4. cola 6.ftaa.i 14 6*. <n on 4-urn 0 nn4o g. r4ehn+S Subdivision _ itAiUiIL 13th( V0. Lot 1 Descnpbon of Proposed Work SGp v` c tJ #of Bedrooms 9 Heated SF ZJL1Ll Unheated SF 349 Finished Bonus Room? Crawl Space _Slab V[ General Contractor Information t4to 1C- 33(.Z z- 3&acp Building Co tractors Company Name Telephone _be :Id ... : a, .,i 3 _ / .G. '. A . O1:461011.LeAticierbaraschane6. Address Z.-14-040 Email Address Copy 42.42. License# • Electrical Contractor information Description of Work ZLILI-EICAA -1-10164(1) I Service Size ZOD Amps T-Pole I/ Yes_No CatrniJn LWel-nral ?iRil+-56t-1•QOQO Electrical Contractor s Company Name Telephone 111-rnjLni9,&EL"DOejrijnrjtew ,,-/Z15 Address iJ Email Address Ie�tl� License# blechapical/HVAC Contractor Information Description of Work 14L0Inrj L Air pyKCar+A;sr 5314.141-I 4730 Mechanical Contractors Company Name Telephone D• Sox 571 Cli.n nanS,2.1o17 Address Email Address 2lfS License# Plumbing Contractor Information Description of Work PlUM10iYVA 1144F04 I #Baths 3aily 1P1ury‘lplvtc 1 C 331r £ 415v%Z.) Plumbing Contractor s CompanyName Telephone 1-153u 10C14)4 Late- ED . Address Email Address LDsscG License # Insulation Contractor Information C-0.-rs Tr\wu.�4�ltm Insulation Contractor s Company Name &Address Telephone *NOTE General Contractor must fill out and sign the second page of this application I hereby certify that I have the authority to make necessary application that the application is correct and that-the construction will conform to the regulations in the Building Electrical Plumbing and Mechanical codes and the Harnett County Zoning Ordinance I state the information on the above contractors is correct as known tome and that pv mamma below I have obtained all subcontractors perminumbere eion to obtain these mits and rf of bedroomsbud g and trade plansDEEnvironmental Health permit changesror proposed use changes I certify it is my responsibility to notify the Harnett County Central Permitting Department of any and all changes EXPIRED PERMIT FEES-6 Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee is as per current feeeschedple �/2 Signatureer/Co to cer(s)of Corporation Date(t(ISI11 Affidavit for Worker's Compensation N C G S 87-14 The undersigned applicant being the / General Contractor _Owner V Officer/Agent of the Contractor or Owner Do hereby confirm under penalties of perjury that the person(s) hm(s)or corporation(s)performing the work set forth in the permit Has three(3) or more employees and has obtained workers compensation insurance to cover them Has one(1)or more subcontractors(s)and has obtained workers compensation insurance to cover them V Has one(1)or more subcontractors(s)who has their own policy of workers compensation insurance covering themselves _Has no more than two(2)employees and no subcontractors While working on the project for which this permit is sought it is understood that the Central Permitting Department issuing the permit may require certificates of coverage of workers compensation insurance pnor to issuance of the permit and at any time during the permitted work from any person firm or corporation carrying out the work Company or Name W l U-ta.L Sign w/Tcle/r-LA-,Q Urmi4-ratire-A1 n j{,tnr Date (,t[13111 DO NOT REMOVE! Details: Appointment of Lien Agent Entry it: 666450 Filed on: 06/12/2017 Initially riled by: wjh2013 Doigneted Lien Agent Protect Property Print & Post Investors The Insurance Company MBR I Online;WW1,harm Corn Mamie Ferguson Dr. Lillington,NC 27546 Address:le w.llamaSr.S me 5m Raleigh Hamen County NC 27n01 Phone:aSS-StS1/-7384 Fac 413-180.5231e PI Properly Typ• son: Please post this notice on the lob Sae. mouth. Inu,waliwwr.om 1-2 Family Du ening Suppliers and Subcontractors: Scan this image with your smart phone to w this filing-You can then tile a Notice Owner Information to Lien Agent for this protect. WIH,I.IC 33181 Bameground Ave Suite 23u rrnvsboro, NC 27410 United Slates Email nabitzlawastunlvhomes.Lom Phone.919-995-5654 View Comments(01 Technical Support Hotline:(/RR1690-73X3