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Initial Application Dale / Application# 15. I/IL179c) �� :3:01-)CUP COUNTY OF HT RESIDENTIAL LAND USE APPLICATION Permitting 108 E.Front Street,Lillington, NCC 27548 2]548 Phone:(910)893-7525 ext-2 Fax (910)893-2793 www.hamettorg/permits "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 Stats:NC Zip_28311 Contact No: 910-401-5504 Email: Jeri.Elkins@mossycreekmgmttom APPLICANT*:Dakota Land Partners, LLC Mailing Address: City: State Zip: Contact No: Email: Pfill out applicant information if different than landowner v(ed L 5 ht L.C.C. CONTACT NAME APPLYING IN OFFICE:Jeri Elkins 910-40t5504 Phone P PROPERTY LOCATION:Subdivision'. Mamie Bell Ridge Lot P'. (10/ Lot�TSize. / • LP 4C-_.State Road p 1291 State Road Name: Old US 421 Map Book 8 PagepCPl 3 / 3 r..I Parcel: 1 30101[Y)IL.(bl 2C \ ^ PIN: t4)30 LAI 7'12/ Zoning:RA-30 Flood Zone. Watershed':N 1'l Deed Book 8 Page.'`7Y7II/ 7 7(cpower Company': 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: nnc 0 SFD'. (Size O x 5U)P Bedrooms: y *Baths: Z Basement(wso bath):_Garage:_Deck'._Crawl Space: Al _Slab: / Slabaltthi:_ (Is the bonus room finished?(_J yes (_)no w/a closet?( )yes ( )no(if yes add in with P bedrooms) ❑ Mod.(Size_x )P Bedrooms_#Baths_Basement(whvo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_ (Is the second floor finished?(i yes (_J no Any other site built additions?( )yes (J no ❑ Manufactured Home _SW DW_TW(Sizer )P Bedrooms:_Garage: (site built? )Deck: (site built? 1 ❑ Duplex:(Size x )No.Buildings: No. Bedrooms Per Unit: ❑ Home Occupation:P Rooms: Use: Hours of Operation: *Employees. ❑ Addition/Accessory/Other.(Sae x )Use: Closets in addition?(_)yes ( )no Water Supply: ✓ County Existing Welt _New Well(P of dwellings using well )`Must have 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 Does the property contain any easements whether underground or overhead( )yes (f)no Structures(existingr proposed Single family dwellings: I Manufactured Homes Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum Lc Actual .3-411 Rear -BIS�l— 1. --1,1/4 - Closest Side I C I "5?-, 1 Sidestreedcorner lot Nearest Building on same lot r, APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: g 21 NI Jeff 1 CA {j-n LA); nuc_ m C(lerio-, Qe ri Orvin DO U C Uzi Ie f4 ri,(\ £\Omit -Pt .60, Dr D _le-r{ Or-N-In IYvO (rcie le i (';t(4e It permits are granted I agree to conform to all ordinances and laws of the Stale of North Carolina regulating such work and the specifications of plans submitted. I hereby state that foregoing statements are accurate and correc to the of my knowledge. Permit subject to revocation if false information is provided. i- 7I7/F? Signature of Owner or Ow r Agent ate "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" 4 l I and US1 r1'c.i I!,ri k ak, ..l . NAME:On Y(ill Laild l%Ufner3, LL-C 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 THE INFORMATION IN THIS APPLICATION IS FALSIFIED.CHANGED.OR THE SITE IS ALTERED,THEN THE IMPROVEMENT PERMIT OR AUTHORIZATION TO CONSTRUCT SFIALL BECOME INVALID The permit is - fd for either 60 months or without expir. ion depending upon documentation submitted. (Complete site plan=60 months;Complete plat=without expiration) 910-R93-7525 option I CONFIRMATION# iY 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 feel 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 atter 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. i Environmental Health Existina 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 (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 18 select notification permit if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number raven 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 or authorization to construct please indicate desired system type(s): can he ranked in order of preference, must choose one. 1_1 Accepted (_I Innovative (✓Conventional (_1 Any 1-1 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 props iv in question. If the answer is"yes",applicant MUST ATTACH SUPPORTING DOCUMENTATION: 1I VIlS i NO Does the.site contain any.Jurisdictional Wetlands? IIYES IXI NO Do you plan to have an imgotionsysterp now or in the future? 1 }YES ( INO Dxs or will the building contain any drains?Please explain. 1 }YES { /1 Ni) Are there any existing wells,springs, waterlines or Wastewater Systems on this property! I—}YES 14} NO Is any wastewater going to he generated on the site other than domestic sewage? (_I YES {X I NO Is the site subject to approval by any other Public Agency? (_)YES {‘)/ NO Arc there any Easements or Right of Wass on this property? ( ]VIS IX I NO Does the site contain any existing water,cable,phone or underground electric lines? If yes please call No Cuts at R00-632-4949 m 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 State Officials Are Granted Right Of Entry To Conduct Necessary Inspections Ti,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 Site Accessible So That A Complete Site Evaluation Can Be Performed. / ��/ PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE.ICNgTORE(REQUIRED) `J/17//7 DATE II/10 Southeastern Soil & Environmental Associates, Inc. P:J.N3.:Y]2•. Fayetteville. :C 2F311 F2031 t Phone/Ea‘:910)622-44E03S&O N6050130En., 111 n:Aa Onm161aaNernmi ln gOh'A • ..,....,r„,you..- . o + �r r..nw x ll x.. .,, /57 +pip _ 77 n0 ®' t Mamie Bell - Partial wetland map l = L.2,-_AL‘--J) US Stale Plane 1983 Scale 1'2400 (A- NoEh Carolina 3200 - BELL WET SBP NAD 1983(Conus) N 0 34400 8/92013 tiP\Ynthtin e('onicc i Feat "Trimble. pgll/SITE EVALUATION •SOIL PH1 S'L.:L Aid„[1P::•L '3UFUIViSIOI-1 PVJlnlrc•VJL ILAN09 /;ROUNGWATER ARA:NAGE/MOUNDING•5116*/.CFB'.1:1;LLGvCEV.'AS7ETREAI'AIENT SYS I HAS t-VA DATION A 01-501.1 i ku ' • 3 ! ss �p1(g{5 oliiit; 1ihr1 1 !: 9(L_ A 1,1 C I�� I IId�9Eep' o "` ____Elt ellet ; %tj it tI d R ' 21@5 s =11 g Le �i � 1 ch 0404',°, me i ,.illit1/4400 . •� i des +- D , 44'4" ®. m Pi ,r,;.1 �f • d, cc 4/1i a Im ' �� +m1/ I1 p m z � 9 i 1 1 �r I ' 11.1) /9 .4-/ iii 3. �..� � i d �ie.... ! 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DRIVEWAY & WALKS 630 S.F. PB 2013 PG 321 TOTAL (PROPOSED)= 1,949 S.F. 7 -- LOT AREA = 70,485 S.F. `Al E PLAN APPROVAL �, —��, % IMPERVIOUS AREA =2.8% X2-1)_ IISE.�L, " , .USSI EIC 4 :'N'DDHOORyri -- -- N v � 3 J. PG 206 '••':" ✓Area 10' SETBACK N 01'29'03" W 344.55' TOTAL — — z 25' SETBACK — _ — — — — En r (n Ca I n coo 134.4' to® w • A v to 2045-B-LHO- A70,485 S.F. REV. 7/25/2015 1.62 AC m N/F NAF CONC. IJ DAKOTA LAND DAKOTA LAND m 154.0' - PAD 753.7 m PARTNERS LLC PARTNERS LLC !a 58.0 0 PB 2013 PG 24 PB 2013 PG 24 — LHVAC R o 0) o O a- 35' SETBACK SETBACK 16.0' 36.0' / S 02'39'371" W 291.43' TILDEN HOWINGTON DRIVE 50' PUBLIC R/W CURVE RADIUS ARC LENGTH CH LENGTH CH BEARING Cl 50.00' 41.09' 39.95' N 2718'08" E C2 25.00' 21.02' 20.41' S 26'4518" W APPROVAL FOR STAKING: THIS PLOT PLAN AS BY RESIIS CORRECT AND IS HEREBYED APPR APPROVED FORRAL STAKING SERVICES. THEE5. DATE SHOWN BELOW. THIS DRAWING DOES NOT WADE JURNEY HOMES REPRESENTARVE DATE REFLECT AS—BUILT INFORMATION THIS PROPERTY MAY BE SUBJECT TO ANY AND ALL APPLICABLE DEED PjRgI,A9NARY PAT RESTRICTIONS, EASEMENTS, RIGHT-OF-WAY. UTLITIES AND RESTRICTIVE COVENANTS WHICH MAY BE OF RECORD OR IMPLIED NOT POR R6WRM'IWN, OONVEYANC69,CR SAIa. BD 0 BO HOUSE LOCATION PLOT PIAN iiiiii IN= FOR SCALE: I^ = 80' #340 TILDEN HOWINGTON DRIVE RESIDENTIAL LOT BOA, MAMIE BELL RIDGE, PHASE FIVE Upper Little River Township, Harnett County, North Carolina RNEY HOMES 1.�\L SERVICES, P02 MAPPERTY BOOK OF 2013 PAGE WADE1JUDEED REFERENCE 1500 Piney Plains Rood, Suite mz Cory, North Carolina 27518 Phone (919) 977-1873 Firm License M P-0873 DRAWN BY: E.G. DATE: APRIL 19, 2017 09/09/11 Application#C Harnett County Central Permitting J L Each section belched to be filled outPO Box 65 Ltllmgton NC 27546 by whomever performing work 910 893 7525 Fax 910 893 2793 www!lamed org/permits Must be owner or licensed contractor AddfeBs Company Application for Residential Buildino and Trades Permit name 6 phone must match Owners Name L4J&at:Ju rh.rai 145wtS Lit Date tsltslh Site Address 34011'0 irl 410seJftg4nv1 IDe. Phone QI<tG____ -QL/ Directions to lob site from Lillington �tQ. uC F1-lay Z105,1141, L.e4 an-la 6.0%01,4 Li*. -r-1„.,n 4-urri_P On-10 Subdivision _ 1M1i1QLIL•lt.t; et.l1Lot 4 s0A Description of Proposed Work 5�., #of Bedrooms y Heated SF 2045 Unheated SF IQ Finished Bonus Room/ Crawl Space _Slab General Contractor Information 1ujle_ 53GZWZ- 3uacv Building Co tractor s Company Name Telephone Address3 �i el eoui4 A Ut,S4v7.3n �1rr/vnft-ro Tr&In;lz.t(y.4a4tcJc yr,.fholrGS. Z-i 10 Email Address cosy License# • Elaetrical Contractor Informat on / Description of Work Elia rtack -E0644./I Service Size 7rn LL Amps T-Pole Yes_No Cru'nevi Li/LI-nip l 3RCr6*-1•40Qn Electrical Contractors Company Name Telephone I I-ip jL T70.M1-700 Mn iaA-7/..i 5 Address ,J Email Address 1651.Q License# Mechapical/HVAC Contractor Information Description of Work IALtltns L Air trnxCar+Air 33Lts1G1-1 4130 Mechanical Contractors Company Name Telephone 9.D. EOx 571 Cltn nans,2.1o1Z. Address Email Address y7LFS License# plumbing Contractor Information Description of Work PIOM10 i n 2Ne,1/4j1 1 #Baths SO;4-L1 Plurhb 33L, • 1476•x42) Plumbing Contractor s Company-Name Telephone Li 5 3w L cw.t. [.4att 00 . Address Email Address ZO�scG License # Insulation Contractor Information 1`C9 a 3 SnS l den Insulation Contractors 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 Hamett County Zoning Ordinance I state the information on the above contractors is correct as known to me and that by siamnq below I have obtained all subcontractors permission to obtain these permits and if au changes occur including listed contractors site plan number of bedrooms building and trade plans Environmental Health permit changes or 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 asserper currente feescchhel�d�yteU./�— Signature fo`cul0 r/Contractor�cer(s)of Corporation Date I13�I� 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 pe0ury that the person(s) finn(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/ % Has one(1)or more subcontractors(s)who has their own policy of workers compensation insurance covenng themselves Has no more than two(2)employees and no subcontractors While working on the project for which this permit is sought rt is understood that the Central Permitting Department issuing the permit may require certificates of coverage of workers compensation insurance pnor to issuance of the perms and at any time dunng the permitted work from any person firm or corporation carrying out the work Company or Name� (4,1-{-%/If_ Sign Tide ALA..P.h,hr• f� j7t,rnYi.E-(',�aor� vla, lG,nt� Date ((I 1.201 l'] DO NOT REMOVE! Details: Appointment of Lien Agent rued on: 06/12/2017 Entry %: 666431 Initially tiled by: wjh2013 Designated Lien Agent Project Property Print & Post Imxwmrs Tide Insurance Company .MBRNoA 340 Tilden Howington Dr. Cl. D Online:www:hewrc som Lillingmn,NC 27546 WH; : Address:I4 W.Huger sr.Same 507 Raleigh, Barnett County Z.1 Phone:PPPePo0384 Property Type Contractors: Fax:tit-Po-52T Please post this notice on the Job Site, Emma! ucwn611iCilb e 'pnt 1-2 Family D's citing Suppliers and Subcontractors: Scan this Image with your smart phone to w this tiling.You can then the a Nonce Owner Information to Lien Agent for Nie project, WIN,LLC 3300 battleground Ave Suite 230 rircensboro, NC 27410 wlilw States Email:wabimu.wadejumeyhomea.cum Phone:919,995-5654 View Comments(01 Technical Support Hotline:(KH }641-73X4