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LAND USE
Initial Application Date: / L -1-J6 6 Application # r[ ✓ ,/ g CU COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893-7525 Fax: (910) 893-2793 www.harnett.org /permits LANDOWNER: � C'/ 7 c f " "" e "' $_f Mailing Address: 06' Cre City: ¢oi-- State4- Zip:j 75444' Home #: �f �" 6 S Contact #: 7 t V G . 7 4 APPLICANTS /(, i+rr 67C-4 C C ,a,n Mailing Address: lfl 6 - eZ't z .Z c City: / /77 /ir{,4' Stater' Zip17s VE Home #: f967 Contact #: 2 67 -0 5 'Please till out applicant information if different than landowner CONTACT NAME APPLYING IN OFFICE: / I f /1 -k 47 ( ( « iH <* ( " 1 5 C .,1 Phone #: I $ 4 ' ( 7 6 5 PROPERTY LOCATION: Subdivision: ✓ ,f /ft rI Lot #: (J� Lot Size: 6�. . State Road ft: p State Road Name: 1 V17t F/5 o il/ Map Book &Page: 2 4 ,9 13 51� Parcel: ( 1 ) 'Jc7 X 94 ° 'f0� X 3 1 PIN: /r 74 7-09 00.g / Zoning: /4 20 Flood Zone: /L Watershed: `Y Deed Book &Page: l 4 1 /O1 1 l 2 2 Power Company: SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: N it)/ J' 7 f.! co 7 7;, /y L �. y 2 +' K. /77 atiiJ e!7 '7 L ,-f / i ' e . rc f l se- yr //1 v7 G'G -Fr 6--- c r ,2r RO SED USE: (Include Bonus room as a bedroom if it has a closet) Circle: SFD (Size Vi x....ry 1 # Bedrooms ,3 # Bathsf . Basement (w /wo bath) GarageAY,UY Deck /u- x °/ Crawl Spac ❑ Mod (Sizex) # Bedrooms_ # Baths Basement (w/wo bath) Garage Site Built Deck ON Frame / OFF ❑ Manufactured Home: SW OW _TW (Size x) # Bedrooms Garage (site built? 1 Deck (site built? ) ❑ Duplex (Size x) No, Buildings No. Bedrooms/Unit ❑ Horne Occupation # Rooms Use Hours of Operation: #Employees ❑ Addition/Accessory/Other (Size x ) Use Closets in addition(_)yes (_)no Water Supply: ( Cou (_) Well (No. dwellings 1 MUST have operable water before final Sewage Supply: New Septic Tank (Complete New Tank Checklist) ( xisting Septic Tank ( ) County Sewer Property owner of this tract of land own land that contains a manufactured home w /in Live hundred feet (5001 of tract listed above? (DYES (_)NO Structures (existing or proposed): Single family dwellings Manufactured Homes Other (specify) Comments: Required Residential Properly Line Setbacks: Front Minimum 7 Actual ,76 Rear 2 � 44 1f) Closest Side le 2� Sidestreet/corner lot y Nearest Building 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. I hereby state that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided. / _.,.�•f_. r � /� — 7 —/ C Signature of Owner or Owner's Agent Date "This application expires 6 months from the Initial date If no permits have been Issued•* A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION Please use Blue or Black Ink ONLY 2/08 | | ; ! ; ri 1g , §; t ,,I lt c ' . ■ v ! ■ ;; N $ §| { + § :, ■ ; 0 . G |£ , \ r� y y §2| U ■ ;! Z k \ � -I § o V. / \_ �./ 0 - -- | \ ° , © 2` — 2 . - | --- 1 $ 0 S§ § \ ( � 2 t. re ` mw _ k i � kk | | | L ® % \ I b \ | § � ■ W i \ lk ' \ / § it ;I | — , | _ \ $ 2 °§ . / — — - / / / g ill - -i � - ._. j 0 2 _ � / 0 o § �� 1 6, . g §§: � / ®� 1 §| | . | i NAME: /L { a h c /< (6t e e -r , e-" ''5 5 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 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 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 SystemCode 800 • All property Irons must be made visible. Pla riihk property flags" on eai;h 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. • 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 close back down.(Unless inspection is for a septic tank in a mobile home park) •• 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 {_} 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 ( =41 Does the site contain any Jurisdictional Wetlands? (_)YES ( ,- N) Do you plan to have an irrieation system now or in the future? {_)YES {_) NO Does or will the building contain any drag? Please explain. (_}YES I N Are there any existing wells, springs, waterlines or Wastewater Systems on this property? (_)YES (_ - NU Is any wastewater going to be generated on the site other than domestic sewage? (_)YES (.!�I n Is the site subject to approval by any other Public Agency? {_)YES (_.„-KO Are there any easements or Right of Ways on this property? (_)YES {!I 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. alOr A.2 7-/0 PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE 11/09 • e ll°111 1 ',1 ,iimollill FOR le t tt r * R WOUb of 0EE05 • • RNETT COUNTY TAX 10# 2 1 NOV frit ph 4. - 1 • ..r BK :2800 PG: W425 c a a. O FEE: 25.00 0 P� a . 115SR 1 211@816 �3E1'�. X2,1.. y •ins = 1. v l ir I ' '-' AROLINA GENERAL WARRANTY DEED Excise Tax: $250.1' r Parcel Identifier No Verified by County on the _ day of , 20 By: IV MatllAox to: Thorp, Clarke, ' K ', Q. McPherson Church Road, Ste B, Fayetteville, NC 8303 This instrument was prepared by: �' le Bt Kirby, PA, 150 N. McPherson Church Road, Ste B, Fayetteville, Brief description for the Index: 1A air, T' 3 i:. I- .12 0-11) THIS DEED made this 16th day • 1ov - ' •, • , 20 10 by and between GRANTOR GRANTEE Regency Homes Inc. 6506 Dental Lane Cummings, LLC Fayetteville, NC 28314 630 'ffm Road :.' 11 , NC 27546 , Enter in appropriate block for each Grantor and Grantee: name, 1 ndgss, . i d, if appropriate, character of entity, e.g. corporation or partnership. e f The designation Grantor and Grantee as used herein shall include • ._. successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as repined by context. WITNFSSEFH, that the Grantor, fora valuable consideration paid by the ' is hereby acpwwledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee • , ,n lot or parcel of land situated in the City of Township, County, North Carolina and more particularly described as follows: See Attached r The property hereinebove described was acquired by Grantor by instrument recorded in Book 3 , •i 0 . All or a portion of the properly herein conveyed _ includes or -L does not include the primary real • • u A map showing the above described property is recorded In Plat Book 2008 page 504 • NC Bar As onIdw Form No. 3 0 1976. Revhed 0 1/1!!010 Printed by Agreement ads de NC Bu Association IP