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LAND USE
� itldl Application Date: I 2 — ig Application # / ,rQ Z, / 7 Z7 COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E. Front Street Liniington, NC 27548 Phone: (910) 893-7525 Fax: (910)) 893-2793 www.hamett.orglpennits - 13 LANDOWNER 4 C. k A 2 I I • \ CI a re- Mailing Address: ? aX 7 /1 City: Z state: nldzlp:a7505contad# SID 455' EmelI: APPLICANT': t ) .PL+ Nh,e_ Mailing Address: City: State: Zip: Contact # Email: 'Please as out applicant intrmeeon different Than landowner CONTACT NAME APPLYING IN OFFICE: 3 (V•S Phone 3 77 I PROPERTY LOCATION: Subdivision: Mm m J / c Lot tr. 3 Lot Size; 7. 7� State Road # / Z 17_ State Roadd Name: e";..0�°/ 1/ Map Book&Pege: �` �� 77 Parcel: !� , � )) 1 l L / 2 � `� � ✓ / 2 pm: 196-92 (/y — 7 747 OO Zoning: /' A L ✓Mood Zone: Watershed: 4 4 Deed Book&Page: 2 0 J! / 2 ` 9 Power Company: New structures with Progress Energy as service provider need to supply premise number Ho/ from Progress Energy. SPECIFIC DIRECTIONS TO THE PROPERTY FROM ULLINGTON: /1 .&S - f ON 6p , ,i/ 'towaij S. NAi;✓- Lei o,u `/ , - TvRw/ f:<. oA/ e / Led . M1) - Turp .5'1 i91 A e-A: OIF&h 15)ia_ RD. - r) rA.J Le 4'1-6.U+n Meal J �3lrJ Li Ton) Sharp )ac-t. ora4n °CucAZL OD. - To r.t LOC+ o,-fn ?nz.'hi✓e- /.riAlrt p RgPOSED USE: Monolithic SFD: (Size 36 x Uy ) # Bedrooms: # Bathes7 eaeement(w/wo bath): Garage: Deck r _ Crawl Space Siab: Slab: (Is the bonus room finished? (J yes (SJno w/ a closet? (J yes (__)no (if yes add In with # bedrooms) ❑ Mod: (Size x ) 3 Bedrooms *Baths Basement (wMo bath) Garage: Site Built Deck: On Frame Off Frame_ (Is the second floor finished? (J yes (__)no Any other site bulk additions? (.J yes (__)no ❑ Manufactured Hone: _ SW _ DW 1W (Size x 1 # Bedrooms: _ Garage:_(ake built? 1 Dedc: 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? U yes (ono Water Supply: n it County = Existing Weli New Well y/ of dwellings using wed ) 'MUST have operable water before final X Sewage Supply: New Septic Tank (Complete Checklist) _ Existing Septic Tank (Complete Checldle() _ County Sewer Does owner of this tract of land, own land that contains a manufactured home within five hundred feet (500'). of tract IS above? Li yes (4)no Structures (existing or proposed): Single family dwellings: X Manufactured Homes: Other (specify): Required Residential Property Line Setbacks: Comments: Front Minimum ,7' Actual /J � - S Rear Z i 1��r2 { ,�✓ Closest Side / 6 1L Sidestreet/comer rot Nearest Building on same lot . I he state granted at foregoing statements are ordinances correct laws of the State of to the best of my kn owledg e e . Permit I sub j ed such to revocation n the k false inform i provided. fired. , r,_,C /r /7wTw 4/ T //O Signature of Owner or bYneescent Date "This application expires 8 months from the Initial date If permits have not been Issued" A RECORDED SURVEY MAP, RECORDED DEED IOR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION �`'" ", a;4 '' �I'w s s i re r „7 - . 1 ,;:, " ' r� Ire Kr yri� .RUNA `t Ii Q ` Zs.' 'a,'r ° + A a lit d`q ,. ,y?. 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V / 4 ' i ` IS , a r St I i 9S e • L 41 �4 & » 0. 0dJ t. xa Q '� 0 ECM E — pEM , p' 7 o • N ' k � ' A L tiz ` 6,4-40-4`.„: XS 1 « r .2 ' y , VIA U‘ •E19„ —e 2 - en U fie•. ' NIS r ell '` d ' CD I !Oa T - 1 J i -., t s s . t ti 1 N 04•Yt'39'•E , fil 4'. �`' , "r " u*y ir xr 184.89' tl t z r ,4941:, A n 1 � ,�, mu ° s Nis' EIP MI ',, t :o-'� `` �, 5 «' ., y , a -- ' , -- 7 * '" ; y t " g � 0gt? . % M 6 P is * y t to p �.I• APP > t E pLANn « K } 3S AC• S 17 �`(/ USE , , 3 zsa•sp Y" NBZ� w i � p u p d m inlstrat . , 1 . _ zdz Sp r 4 < NIS 3 �8.pp, k 3_ . A - •. ^A +.'$ r a r 4' l A r, >' Et? � "f �'' «1- / fr- 0114 219 3�'j� �l 318r� s��0 f' `� f .i DEED, BK 280',P p E D A REFE R E NCE 7 � Y 4 q tr ... � . ;. i <" R " . M Pa: B K 2 0 , PA GE D T I MIg1AEL MAP' ', } t' z «1tit j, T F SLIDE 195 �r✓ 09 Iola CAB. PC F,Su P,LA FOR REGISTRATION REGISTER OF DEEDS • ° i ' pE :5 s r KIMBERLY COU N RRGR��E rn� ' a �-. 2002 DEC 1 7 1 2:15 . 06 PM .K44.!•-•••"4.5I• 54,---,-, i DISTR .151 -1 BK. 2002 PG 518 FEE.S21.00 - . PR OPERTY N0 IN A W AS TERSH ED INSTRUMENT q 2082022512 NOT "-- 1 qp ICY ' , { 5 h a ti `"" t "� S`°'. .i t+ � MICK R BENNETT '�i 4,- (V o . , GAR }} �'_ �' a . , '1-'243- 1,7/ 1 1 /� AX:' n I ?;#4,: , i;a:' y .r •c,l C i ."t t J in ills 2' I." S� Q k l? 4 1: YN'NE'1 R gENNET; i1M p' �,. ou oh o�u„ JAMES W , 7AYlOR '~ SPINE 5" CL 1 ' NO ' I r 1 " 5 {; „a ,l ao ' + h a nM i ij dt a t°N or alh.r FI 95 - E-103 *4 / . , Ap R CU I y wrnYo dMMon n d �" E STATE . i /, / ` � �r s '• 0 a0on ro m. e.+lhNw I ('�'/ 5 01 iel ; c - EIS 11 r ¢ y ti3C . : r � s 66°06• . 614.07• 384•16' IS ' , .1 t' 4` V �; ; NIS NIS © / s ,.- �� - ' . EIP 280.0 S ,'y t. Id"b3N 'c 0 4 1'38'2 • EIP N 6 9' 111. * * ° 7� �'J 4 , 1 .1 A C. /� •"1'`+ 1 31 ° t cp EIP 5 ea sno -E _ 310.63 S / �" I55.29 3, / G' r. .4 ryr3 , 4 AC. � 4' 41:t ' 3' J ? . 2. 24 A 3 NI 'V/ Ir } �. .? L� t; t p 1 �B•• /• / _/ Sdff N4 p h O • \PI O •G' / p 1, � ,', 1 d' 0 3 . 38 AC. Nis' : " f ,. I 0 m 1 $ .- .0 i 1 g h � 5 • ♦`h BYRNE ° 1 SUE NICHOLS / N15 �' HIS is AZ. as 769. 408 E15 SI /� NIS • X , • s v% ECM L - N' . ` & 5.95 AC. o 'gy 00 1 . ; —6 EX.GE° s t . ; ' NIS `� on . �µG* o sy g "'N 51 EIS ° T 2 1 N 1A N 0 {'21'59 "E \ T ^ 12 {•s9' _ 1 - m 0 0E° • ECM o L$ NIS EIP Z O W 1t 1 i N `N 3.38 AC t. * •0 a z c NIS N 7. o 23 7.50. NIS 5 18.00. EIP r . DEED REFERE DEED B K 280, 219 BK 2‘" PADE 90 ;„-� ' MICHAEL " ' ` REFERENCE. MAP T 1 3�, U° MAP CAB.F,SLIDE 195 —D 101, on PLAT FOR RE GISTR ATI ON RE OF DEE05 PC F ,SU t..4, [Will':. i� '.' K II{pN�E T COU G F N� E .44::21` t 200 DE 1 12 PM 8K P 1 5 18 FEE :$21X00 I NST R U M ENT # 20 • - ' PROPERTY NOT IN A WASTERSHED DISTRIC r� ; NAME: APPLICATION #: / 0 5 pi) 2C7Z4 *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, CHANGED, OR THE SITE IS ALTERED, THEN THE IMPROVEMENT PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for tither 60 months or without expiration depending upon documentation submitted. (Complete site plan = 60 months; Complete plat = without expiration) / if q r5 l� 910 - 893 -7525 option 1 CONFIRMATION # ` J !/ / ❑ 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 underarowth 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 Bd. 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. ❑ Environmental Health Existino 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 Ild back In piece. (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 {X -I Conventional (_) Any (_) Alternative (_} 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 {)L) NO Does the site contain any Jurisdictional Wetlands? {_}YES {X} NO Do you plan to have an irrig rtion system now or in the future? {_)YES LX NO Does or will the building contain any drains? Please explain. {_)YES (XI NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property? I_)YES IA NO Is any wastewater going to be generated on the site other than domestic sewage? (_)YES (jJ NO Is the site subject to approval by any other Public Agency? (_)YES {X) NO Are there any Easements or Right of Ways on this property? (_ }YES MI NO 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. 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 To Determine Compliance With Applicable Laws And Rules. 1 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. 6 z "f/ "'0 a/7/0 Mos PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE 10/10 I�t11111 HARNETT COUNTY TAX ID# .�s ov ono � 1 ,4:54 q4 O 5 _ g -b/k - 81(:1809 PG:255.7I4 FEE325.00 OE 1101801E � •a3 In BYE_ Parcel Identifier No. 03 9598 0025 02 Mail after recording to L. Holt Felmet, Attorney at Law, P 0 Box 1689, Lillington, NC 27546 This instrument was prepared by L. Holt Pelmet NO TITLE CERTIFICATION Brief Description for the Lot 83 Nary J. Clark Heirs index Hap 82002 -1517 Barbecue Township, Harnett County, North Carolina NORTH CAROLINA DEED • THIS DEED made this November 18, 2010, by and between WILMA MOORE MITCHELL and husband, GREGORY MITCHELL and KIMETHA MOORE WATSON, single Post Office Box 266 Flint, Michigan 48501 mung MICHAEL A. MOORE Post Office Box 266 Flint, Michigan 48501 The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. W I T N E S S E T H: lands TownedHbyEMarytClarkl at described of her death ;portion of the and WHEREAS, the lands owned jointly by the heirs of Mary Clark were divided, after her death, in Harnett County Partition Proceeding 98 -SP -053; and WHEREAS, one of the devisees named in Mary Clark's Last Will and Testament to receive a 15% undivided interest in her lands was Juanita Moore; and WHEREAS, Juanita Moore was a petitioner in Harnett County Special Proceeding 98 -SP -053 who requested that the lands owned by the heirs of Mary Clark be partitioned in kind; and WHEREAS, the Commissioners appointed to partition said lands in kind filed their Report of Commissioners with the Court on December 2, 2002, and filed a Revised Report of Commissioners on January 10, 2003, which allotted the below described lands to Juanita Moore; and How to Properly Mark Property for Soil Evaluation (MUST MATCH SITE PLAN) .1, t: iron TOO pink flag 4— ink flag ar, Legend H hot fly fia Pink iron Iron ROAD