LAND USE R ! >'NNEO
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Initial Application Dal . Application #
/Z - i — CD COMMERCIAL DRB CU
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting N . r 108 E. Front Street, Lillington, NC 27546 /',,n- Phone: (910) 893 -7525 Fax: (910) 893-2793 www.harnett.org /permits
LANDOWNER C MR 4 C IC iC p e,it p Calto Mailing Address: 2 :Z 7AJcak yrtI
City: y ;A+/,- tftf/2 /I✓/f State: WC' Zip:yr7�i�b Home #: Contact #: 9/9
APPLICANT': II 44/ Mailing Address:
City: Slate: Zip: Office #: Contact #:
'Please till out applicant information it different than landowner tL p�C a /� /�
CONTACT NAME APPLYING IN OFFICE: 2E ( K �br.JS /� Phone #: /rl 'r!l
PROPERTY LOCATION: Subdivision: // /fir / Lee ,/ Ja 5-S) #: Z Lot Size: o� - r w
Stale Road #: 7/4• Slate Road Name: 'iac' G . 1t JE Map Book &Page:,2es7 /_ . 1 , 1
ar o4SS - - ft -77.1 C'O w a s - 0 6 - 0 si.. - e4,
Zoning: 12k'3 Flood Zone: X Watershed: Deed Book &Page: .2%9"Z l8/ - /�
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: � /4K rl
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PROPOSED USE:
❑ Multi - Family Dwelling No. Units No. Bedrooms /Unit
❑ Business Sq. Ft. Retail Space Type # Employees: Hours of Operation:
❑ Daycare # Preschoolers # Aherschoolers # Employees Hours of Operation
❑ Industry Sq. Ft. � } Type # Employees: Hours of Operation:
CA Church Seating Capacity L� 7 # Bathrooms ,. Kitchen 4�4
/ C Accc . ter (Size(tWxn) Use Ma rApo CE <9 / Gthia - C I+
Water Supply: (County (_) Well (No. dwellings ) MUST have operable wafer before final
Sewage Supply: (jNew Septic Tank (Complete New Tank Checklist) ( _ ) Existing Septic Tank ( ) County Sewer
Comments: 1-1 xi 1 .. 0 A r•Ir, i,_ Cz ' H-fc Gt- FUIZGTi k CA-.956 /2-000-.5
/13 "-
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 h: eby state that foreg.' : statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
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
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NAME: /vC, /u I It traj /._ tie— APPLICATION It: ,'r t 'f 39
*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 System Code 800
• Place "pink property flags" on each corner iron of lot. All property lines must be clearly flagged approximately
every 50 feet between corners.
l • 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.
• Call No Cuts to locate utility lines Arior to scheduling inspection. 800 - 632 -4949 (This is a free service!
• 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 reauest.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
li Environmental Health Existing Tank Inspections Code 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over door as diagram indicates. Loosen trap door cover. (Unless
inspection is for a septic tank in a mobile home park)
• After preparing trapdoor 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 d sired system type(s): can be ranked in order of preference. must choose one.
1 -1 Accepted (_) Innovative indicate
I —) Any
I — I 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.
( i2.) NO Does the site contain any Jurisdictional Wetlands?
(_ I YES NJ NO Do you plan to have an rti ov�n system now or in the future?
(_) YES 1,251 NO Does or will the building contain any drains? Please explain.
I —IVES g No Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
1 —)YES IX( NO Is any wastewater going to be generated on the site other than domestic sewage?
( (YES (XI NO Is the site subject to approval by any other Public Agency?
1 -1 YES I.1 NO Are there any easements or Right of Ways on this property?
(_)YES IL) 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.
1 Have Rend 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 Th .A Complete Site Ev on Can Be Performed.
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PROPERTY OWNERS )R OWN EGAL R EPRESE NTA TIVE SIGNATURE (REQUIRED) DATE
5/08
NAM , f s'O r1 Z a i ; S ? APPLICATION #: 0 9 — s 00- n-a3ci
*Thfe application to be tiled 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 1S 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 monde; Complete plat = without expiration)
910- 893 -7525 option 1 CONFIRMATION #
Environmental Health New Septic SvstenICode 800
• All property Irons must be made visible. Place 'pink property flags" on each comer iron of lot. All property
lines must be clearly flagged approximately every 50 feet between comers.
• Place "orange house corner fags' 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 (hat is easily viewed from road to assist In locating property.
• If property Is thickly wooded, Environmental Health requires that you clean out the yughimeadb to allow the sole
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 attar continuation. .125.00 return trio fee may be incurred(
. ♦ t' _ I. • 1. '.. ! : : 11 ' I. lih •hf1i'_F _l t SP.f...I$ 1 '. '.t •I1 •L' 'Y.t 1 Iltk :. & :
• 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 nogg
confirmation number ulven at end of recording for woof of request,
• Use ClIck2Gov or NR to verify results. Once approved, proceed to C: • -:, - : Ring for permits.
• 7,.:.1. 1 1 ',, . : . a l . : i : 1 _ _I : ! 1 1 : : 1 . I :I! t , Code • 1 •
• Follow a• • - - Iona for placing flags and ca • • • • • party;
• Prepare for Inspection rt z : •.• 3o4 •, : • ?let end of tank as diagram indicates, and IIft lid straight up (H
possible) and then dose back d •. • • • n ::: :.: , Is fora septic tank in a mobile home park)
• After uncovering oui: : - • call the voice permitting system z : • : -7525 option 1 & select notification permit if
multiple perm'. en use code 800 for Environmental Health Inspection. a - r • : r.• n .It •,t 11.11 ,.: • ; ,
.1 =:t •_ _ ordina for proof of request.
• se CIIck2Gov or IVR to hew 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 (_j Innovative La {_} 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:
l_) YES (_✓` NO Does the site contain any Jurisdictional Wetlands?
(_) YES (`') NO Do you plan to have an jajggungmjsm now or in the Aware?
mm?
(_I YES (✓ NO Does or will the building contain any gaga? Please explain.
i YES I ✓ NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
{_) YES (✓ NO Is any wastewater going to be generated on the site other them domestic sewage?
{_ } YES (vj'NO Is the site subject to approval by any other Public Agency?
(_I YES (✓1'NO Are there any easements or Right of Ways on this property?
1_1 YES (✓( 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.
1 Have Read This Applkatin And Certify That The Information Provided Herein Is Tree, Compkte 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 !indentsnd That I Am Solely Responsible For The Proper Identification And Labeling Of Ali Property Lines And Carom And Malang
The Site Accessible So That A Complete Site Evaluation Can Be Performed.
aS2S lb �_�y_ 20/b
PRO RTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE {REQUIRED) DATE
5.08
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Ma_L after record. o: O
Grantee
NO '1.4X `.. :AMFS
C.);
NORTII CAROLINA
HARNETT COUNTY
QUITCL= t' D
Parcel Identifier um..• : t .55 1052 -06
, This deed, made and entered into this l_ _ d of ag • . , 2008, by and between
1 Vanna Estates I, LLC ( "Grantor "); and T.C. Miracle - Ott er ( "Grantee "), of 224 Sneed
Lane, Fuquay- Varina, North Carolina, 27526: .4
WITNESSETH:
The property described herein was acquired by Vanna , L . . • ' instrument
recorded in Hook 2100 at Page 225, Harnett County Records; and t .t - .. • r, ..r and in
consideration of good and valuable consideration, to it in hand ... tr rec sufficiency
of which is hereby acknowledged, has remised, release and forever . it • a , •to 4 : tee and
its heirs and assigns all right, title, claim and interest of the said Granto " a. , .: ain tract
or parcel of land lying and being in the County of Harnett and State of h ,, • . of • • _, in
Hector's Creek Township, and more particularly described as Pillows:
Tract 2 (2.00 acres) as shown on Map 42007 -491, llama( County Rec 4.:, • mkt,
part of v
a 18.87 tract described as follows:
Olt