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COUNTY OF HARNETT RESIDENTIAL LANG USE APPLICATION
Central Permitting 10B E.Front Street,Lllllrgdn.NC 27548 Phone'(810)883-7525 e62 Fax:(910)893-2183 www.Mmett.omryarmM
^A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)/NTE PIAN ARE REWIRED WHEN SUBMTTRO A LAND USE APPUCATNW
LANDOWNER',McKee Homes,LLC Mailing Address: Hay Street,Suite 901
City:
Fayetteville Slate:NC Z1p:28301 Contact No:(910)0757100 cod 722 EmaN. pnan®me
derahomea .am
APPucANT':McKee Homes,LLC Mailing MORON,100 Hay Street,Suite 301
City State:Siete:NC Zip:28301 Conrad No'. 1810)475-7100 est722 Emelt: parbn@neMahoceancmm
'Pleas Si oro VOWS Intonation If Afferent then landowner
CONTACT NAME APPLYING IN OFFICE:Josh Patton PMne A(910)475-7100 ext 722
PROPERTY LOCATION:Subdivision: QO K YTaJY\{ Lotx: 19 t Lot She: 0.4 6 RE.re
Slate Road# 94 Stele Road Nara: Rtatkerwood br. Map Books Page: ^IIJ$/ 4�
�f2• 03N �4S-8901 x(01 t abs PIN 050.7 -'13-152-1.000
Zoning:r%RYM:4Fbod Zona: 4 Watershed:A/n[100d Book&Page:31-191, 1 04.46 Power Company: Central Electric
'New structures wgu Progress Enemy as serdca pravMe need to supply premise number from Progress Energy.
PROPOSED USE:gq��y
SFD'.(antes SI r6)A Bedrooms:3 R Baths Basement(w bath):_Garage:✓ Crock_Crawl Space:_Slab:_SIab:11Y
Its the bonus room'Maned?(J We �
no wl a closet?Li Yee (�✓ of Rye.add In with S bedrooms)
U Mod:(She_____X IS Bedrooms Baths Basemeni(wMo bath)_Garage:_Site BUN Deck: On Frame_Off Frame_
(Is the second floor finished]L yes Li no Any other site built oddment?L_)yes Li no
D Manufactured Home:_SW_OW 1W(Size x_)e Bedrooms:_Garage: (awl bait? 1 DOSS: lake bulli?_)
O Duplex:(Slur x )No.Buildings: No.Bedrooms Per Unit:
U Home Occupation:A Rooms: Use: Hours of Operation: AEmployeas:_
LI AddUIon/AccessorpOtMr(She x 1 Use: Closets In addition?Li yes Li no
Water Supply'. _County Eeeang Well _New Weil or of swellings using sell_)'Must have operable water bion final
Sewage Supply':_New Septic Tank(Comalete Checklls() BRION Septic Tank(Complete Check's') _County Sewer
Does owner or this tract or land,am land that contains a manfadured here within Ave hundred Mai(5001 of tract listed above?(_)yes I no
Does the properly contain any easements whether underground or overhead L-1 LJ no
Sbusturas(existing or o�r p.�. D%Single family dwellings: } ured Homes: Other(specify).
Required Residential Property Use Setbacks: Command:
Front Minimum_ Actual
31'
Ren 11150'
Closest Side )1.83'
Sides eeUrnmer rot_
Nearest Building NI/1
an same lot
Res dernlal Lene dee Arm nalion 'age 1 of 2 9sr1
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINOTON:
Docs Rd. to CWvtk-e for. to i-te.therwood Dr.
R permits are granted I agrn in conform to all ordinances are Irvs of the Stale of Nath Caroline regulating such worn and the specifications of plane submitted.
I hereby slab that foregoing statements am accurate and correct to the heat of my hnovAedoe. Penne subject to revocation It Mn Information Is provided.
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^N la th.avnMapplIuma responsibility to provide the county with any applicable Information about the subject properly,Including but net limited
to:boundary Infemutlen,house location,underground or o**rhead eesemenb,etc TM county or Its employ**..n not responsible for any
Incorrect or missing Informseon that Is contained within then applications."'
'Tib application expires S months from the Initlal date N pemdb have not Man issuer"
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HEATHERWOOD DRIVE (50' R/W)
PRIVATE & UTILITY ACCESS (30' BC—BC)
PLOT PLAN .,o2tH.f AR•o< '.
SUBDIVISION: OAKMONT SUBDIVISION ' E4� ' .
PHASE
PHASE ONE SEAL
SECTION THREE i 021411 :
MB 2013. PG 346 't.•1.06/06/17 ;;rW,
OWNER: MCKEE HOMES, LLC ';!>gt.t. p: .fjc.':
SCALE: 1" = 40' •• • •
The design (or the proposed Avenue Engineering Co.,PA.
sewage disposal system HIamrsna 7970
[nx FraueaxN _ Address:
approved. I121 Late Rago Rutl -771..e.4.19 6/,1/� /i'
LLW SeIE
(is Raeford.Nc 2887e Michael D. Averette PE-021411
Sanitarian Superos ( Phone:(9101488.545o Professional Engineer
Harnett Couty HPhone:ealth Dept / Far OH0)488.0181
Lien.Cal a6 JUNE 6, 2017
Date e. Wtl:www.avormm-en9 Can oat. (PPLANIDIC
NAME: AA .Keg i LLC APPLICATION k:
*This application to be filled out when applying fur a septic system loapecdoa.•
County Health Department Application for Improvement Permit and/or Authorization to Construct
IF THE INFORMATION IN THIS APPLICATION IS FAISIHED,CHANGED.OR TTS SITE IS ALTERED,THEN THE IMPROVEMENT
PERMIT OR AUTEORUATION TO CONSTRUCT SHALL DEODME INVALID. The permit is valid for either 60 months or without expiration
depending upon documentation submined. (Complete site plan=60 months;Complete plat•without expiration)
910-893-7525 option 1 CONFIRMATION 4i
0 Environments,health NewSeoli°SvstemCade 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 al/for Central Permitting.
• Place orange Environmental Health card in location that Is easily viewed from road to assist in locating property.
• If property is!Mealy wooded, Environmental Health requires that you clean out the pnderarowth to allow the soli
evaluation to be performed. Inspectors should be able to walk freely around site.Do not grads properly.
• All lots to S address"within 10 business days sitar confirmation,,$25.00 return blotto maw be Incurred
for enure to uncover outlet le.mark haus corners end or000r&lines.shy.ons lot continued reedy.
• 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 oroof of recuest.
• Use Click2Gov or IVR to verify results. Once approved,proceed to Central Permitting for permits.
0 gnwronmrlal Health E&laNna Tank Inspections Code 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soli over outlet end of tank as diagram indicates, and lift lid straight up (If
possible)and then pm Ild 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 BOO for Environmental Health Inspection. Please note confirmation number
given at end of recodlno for oroof of reouest.
• 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.
i piAcceptedIDI Innovative far Conventional IDI Any
Illgr Aitenmtive IDI Other
The applicant shall notify the local health depanment 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:
IDIYES liDoes the site contain any Jurisdictional Wetlands?
IDIYES (Lyl Nnt NO O Do you plan to have an irricatinn water„now or in the future?
iDIYES j�NO Does or will the building contain any"®jag?Please explain.
ILDims I Neto Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
IDIYES If31 nIs any wastewater going to be generated on the site other than domestic sewage?
{DYES I Is the site subject to approval by any other Public Agency?
IDI Yes I NYYlllf//JN Are there any Easements or Right of Ways on this property?
(DIVES I NO Does the site contain any existing watts,cable,phone or underground electric lines?
If yes please call No Cuts ret 800.632-4949 to locate the litres. This is a free service.
I Hare Read This Application And Certify That The Ietormatioo Provided Herein Is True,Complete And Comet. Authorised County And
Slate Officials Are Granted Right Of Entry To Conduct Necessary Impeellom To Determine Compliance With Apphabk lawn And Rada.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lina And Cornea And Maidog
The Slte Accessible So That A Co et<She Irelandon Can Be Performed.
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PROPERTY OI\HERS OR IWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
INTO
SOUTHEASTERN SOIL& ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION: OAKMONT LOT 19 3
INITIAL SYSTEM:APPROVED 25%RECUCTION REPAIR A f/PhrEn ZrA $4...LTtnrl
DISTRIBUTION: SEILUL DISTRIBUTION IE6ui.
BENCHMARK: 100.0 LOCATION (L c it 3It,y
NO. BEDROOMS: 3 LTAR to.y Grp JP z_
LINE FLAG COLOR ELEVATION LENGTH
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BY ILI EA P4 F DATE 0.3441—
TYPICAL PROFILE THERE SHALL BE NO GRADING,
o .-,o eS C✓% Li. I CUTTING, LOGGING OR OTHER SOIL
(o -28 /et_ (Fr, f ,Jki') DISTURBANCE IN SEPTIC AREA
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o910911 t Application#r�
Horned County Central Permitting � l D p! l
Each notion tiabwb Pohlad all PO Box eE Lillmebn NC 27646
by whomever Parlonn rip work a10 KO 7aPe Fax ala 893 7793 www hermit oryptmne
Mat bo owns or balmiod
oonpator Addmis company AggJioation for Residential Buddina and Trades Permit
nom a phone mut mart
Owners Name McKee Homes, LLC Date 7/20/17
Site Address Phone 910-475-7100
Directions to lob site from Ulltngton 127 to Docs Road, development on the left
Subdivision Oakmont Valley View Lot 193
Desorption of Proposed Work Single Family Home #of Bedrooms 3
Heated SF 1792 Unheated SF 670 Finished Bonus Room, No Crawl Space _Slab x
Geseral Cantraoear IMametidi
GML Development, Inc 910-475-7100,727
Building Contractors Company Name Telephone
109 Hay Street, Ste 301, Fayetteville, NC 28301 krivera@mckeehomesnc.com
Address Email Address
63970
License#
Ehatrrcal Contractor Information �j
Description of Work Single Family Home Service Size zoo Amps T-Pole _JVes_No
J.M. Pope Electric 919-776-5144
Electrical Contractors Company Name Telephone
409 Chatham St., Sanford, NC 27330 jmpopeelectric@gmailcom
Address Email Address
21326-L
License#
j achanicaliHVAC Contractor Information
Description of Work Single Family Homes
Certified Heating 8 Air 910-858-0000
Mechanical Contractors Company Name Telephone
P.O. Box 1071, Hope Mills, NC 28348 certifiedheatair@embargmail.com
Address Email Address
20012-H3-1
License#
plumbrna Contractor Information
Description of Work Single Family Home #Baths 3
Dell Haire Pluming 910-8184863
Plumbing Contractors Company Name Telephone
7612 Documentary Drive, Fayetteville, NC 28306 dellhaireplumbing@hotmail.com
Address Email Address
32886 P1
License#
Insulation Contractor Infomnattor
Cumberland Insulation 910-484-7118
Insulation Contractors Company Name&Address Telephone
'NOTE General Contractor must fill out end 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 anstructlon 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 to me and that yv waning below I have obtained all subcontractor%
maggligaggigjggifludamga and if espy changes occur including listed contractors site plan
number of bedrooms building and trade plans Environmental Health permit changes or proposed use
lunges I certify it is my responsibility to notify the Harnett County Central Permitting Department of
any and all changes
EXPIRED PERMIT FEES-8 Months to 2 years permit reissue fee is$180 00 After 2 years re-issue fee
is as per current fee schedule
Kelsey Rivera irt20^07206M12 7/20/17
Signature of Owner/Contractor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N C G 8 87-14
The undersigned applicant being the
XGeneral Contractor _Owner _Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the persons) firm(s)or corporations)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
X Has one(1)or more subcontrectors(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 Pennittmg
Department issuing the permit may require certificates of coverage of workers compensation insurance pnor
to issuance of the permit and at any time dung the permitted work from any person firm or corporation
carrying out the work
Compeer or Name McKee Homes, LLC
sign wine Kelsey Rivera°D o'114"720IS24 p - Date 7/20/17
LIEN AGENT INFORMATION
Effective April 1,2013
In accordance with North Carolina General Assembly Session Law 2012-158,
Inspection Departments are not allowed to issue any permit where the project cost
is $30,000 or more unless the application is for improvements to an existing
dwelling that the applicant uses as a residence OR the property owner has
designated a lien agent and provided the inspections office with the information
below:
Name of Lien Agent First American Title Insurance Company
Mailing address of Agent 19 VV. Hargett St. , Suite 507
Raleigh, NC 27601
Physical address of Agent same as above
Telephone 888-690-7384 Fax 913-489-5231
Email support@liensnc.com
The information will be attached to the permit record and a copy provided to the
applicant. The applicant is required to post a copy on the construction site.
Excerpt from North Carolina G.S. 160A-417:
"(Effective April 1,2013)No permit shall be issued pursuant to subdivision(1) of subsection(a)of
this section where the cost of the work is thirty thousand dollars($30,000)or more, other than for
improvements to an existing single-family residential dwelling unit as defined in G.S. 87-15.5(7)that
the applicant uses as a residence, unless the name,physical and mailing address, telephone number,
facsimile number,and electronic mail address of the lien agent designated by the owner pursuant to
G.S.44A-11.1(a) is conspicuously set forth in the permit or in an attachment thereto. The building
permit may contain the lien agent's electronic mail address.The lien agent information for each
permit issued pursuant to this subsection shall be maintained by the inspection department in the
same manner and in the same location in which it maintains its record of building permits issued."
www.liensnc.com