DOCUMENTS Initial Application Dale: I f I / Application p I flSOcI'}'L • V
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Steel lillington,NC 27546 Phone'.(910)893-7525 ext2 Far(910)893-2793 www.hameaorglpermtle
^A RECORDED BURVEY SAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN AREREWIRED IENBUBMITTWG A IAM USE APPUCATHWI^
LANDOWNER:McKee Homes,LLC Melling Address:109 Hay Street,Suite 301
City-.
Fayetteville BMs:NC �.p,28301 Contact No:(910)478-7in ext 722 Email: �ronNmdeMwneenc.mm
APPLICANT:McKee Homes,LLC Maillrp Address:109 Hey Street,Supe 301
City! Fayetteville State NC zip;28301 Contact No: 1910)4757100 ext 722 Ems: 1partongenckeehomeenc.com
*Please fill M applicant Fbmetlan Hold not than anbwenM
CONTACT NAME APPLYING N OFFICE:'boh Parton
Phone x(910)675]100 ext 722
PROPERTY LOCATION:Subdivision: Oakv'fv4hy`l. Lata: 178 Lott Size. � I.11 ...it
state Road x 1W State Road Name: 1-Srta vr$O
ra Nr. Map Book Page: eFPrl lei 1.17
Parcel: 7
1�3i 51101 IDs\ IO v, ds PIN: 050 -33-$S87.00D
ZonIrM:p�.� od FloZone: X Waterehed:ASk Deed Bo &Page:311% / 064 is Paw compost Central Electric
'New structures with Progress Energy as saMce provider need to supply premise number from Progress Energy.
PROPOSED USE:
I1;/� ..�vl� Monolith*.
111 SFD:(Ske3� «Badrooma:3 XBMha:Wi Bevemen'N/wlwo beth):_Garage:_'/Deck:_Crawl Space:_Slab:_She kr
(Is the bonus room finished?U yes (yo no hi a dant?Li yes fro Of yes add N MM ft bedrooms)
❑ Mod:(Size x )X Bedrooms II Bath_Basement(wAvo bath) Garage'._Eine Built De*_ On Frame_OR France_
(Is the second floor finished?U yes (_)no Any other site bum eddnons?(J yes (_)no
❑ Manufactured Horne:_SW DW TW(Size x )X Bedrooms:_Garage: (site bum? )Deck: (site built? )
❑ Duplex:(Size x )No.Building.: No.Bedrooms Per Unt:
❑ Home Occupation:X Rooms: Use: Hous of Operation: IEmployees:
❑ AUUmorVAcassory/Other.(Size )Use: Oosets in addition?Li yes (_)no
Water Supply: County _Existing Wel _NewWel Or of dwellings using well )*MUN have operable water before final
Sewage Supply: New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checdat County Sewer
Does owner of the tract of and,own and that cocaina a manufactured home within eve hundred feet(500)of bad listed above?(J yea L)no
Does the property contain any easements whether underground or overhead L)Yes (-wino
SWctures(eaating eybgle family dwellings: \ manufactured Homes: Char(specify):
Required Itesideotial Property Line Setbad a: Comments:
Front Minimum2.c Actual 361
Rear a64,.38'
Closest Side 3].51' _
sdaoeeuamer la
Nearest Building n1 NDN
on same M
sea dui I licl Laid U,e APl tato' 'age'.o:2 C3r.1
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM ULUNCTON:
Docs Pw• co Ezccvt4( Dr. to 44€4.64r-wood Dr.
If permits are granted I agree to conform to ell entrances and laws of the State of North Carolina regulating such work end the speak :Mons of plans submided.
I hereby slate that foregoing statements are accurate and
correct to the best of my knowledge. Penne subject to revocation If false Information is provided.
Ownr or Owners Agent /Da
"M is the o wnerlappllunls responsibility to provide the county with my applicable Information about the subject crawly.Including but not limited
to:boundary information,house location,underground or overhead easements,etc.The county or Hs employees era not responsible for any
inconect or missing Information that Is contained within vine appNc done."'
"This application expires B months from the Initial data If prompts have not bean Issued"
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32.51' R=1205.82'
PROP�WA 32.52'
L=100.03'
$11'24'23"W
100.00'
HEATHERWOOD DRIVE(50'RW)
PRIVATE di UPUTY ACCESS(30'BC-BC)
PLOT PLAN ,''e:\ •f•"• <';,
SUBDIVISION: OAKMONT SUBDIVISION
PHASE TWO, SECTION ONE - I SEAL
MB 2016, PG 47 - D217ti
:.,06/27/17 ;,ti
OWNER: MCKEE HOMES, LLC y'`hel�" ' f(`/
SCALE: 1" = 50' gelaP4cO
The design for the proposed Avenue Engineering Co.,PA.
sewage disposal system [IW Evspe[9me Established 1970 Wim:
approved. Lam Swerves ,ri 712 E.IIBRidge Rwtl -7,1...e:.4..." 0-V.re+�i�
hawais „1 Y Raeford,NC 29376 Michael D. Averelle PE-021111
Sonitaron Supenieor IMiiii MOW( IO)I88-5656 Professional Engineer
Harnett County Health Dept Ru:(c9=2"181 JUNE 27, 2017
6m:C0116
Dale Meb:wereavemRaene.com Dale (PPLANI3JIJ
SOUTHEASTERN SOIL&ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION: OAKMONT LOT / 78
INITIAL SYSTEM:APPROVED 25%RECUCTION REPAIR /9//pe4,#p z-r teen a.-.+
DISTRIBUTION: D-(6sx DISTRIBUTION O- Box
BENCHMARK: 100.0 LOCATION /r .r+ 0,-+6 1"17/78
NO. BEDROOMS: .i LTAR 0, r GPO I f r L
LINE FLAG COLOR ELEVATION LENGTH
P - 8. 08 Bo '
I- (0 97. 34 So '
!.i 3 f 96. 00 So '
14*— Y W /rfo0 8.' '
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r e 4y. 31 So '
4 W 93, 91- S> '
7 P 43, Pyr 90 '
a W 9t. a 8, '
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BY mt 6AKfn DATE 0R/1-.5..r
TYPICAL PROFILE THERE SHALL BE NO GRADING,
o - /S 41 /vier 7.I CUTTING, LOGGING OR OTHER SOIL
/B- 341 du If- /.14"1 DISTURBANCE IN SEPTIC AREA
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NAME: MGKe,e 4y'I1Se S�LLL. APPLICATION.: _
"Thu 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 APPLICATTON IS FALSIFIED,CHANGED,OR THE srtE 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 documentationsubmitted. (Complete site plan=60 months;Complete plat=without expiration)
910-893-7525 option I CONFIRMATION.
0 Environmental Health New Swdc SvsfernCode 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 auto,Central Permitting.
• Place orange Environmental Health card In location that is easily viewed from road to assist in boating properly.
• II property is thickly 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 grade property.
• All lots to be addressed within 10 business days after confirmation.$25.00 return trip fee may be Incurred
for tenure to uncover outlet lid,mark house corners and property lines,etc.once lot confined ready.
• Alter 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 rawest.
• Use Click2Gov or IVR to verify results. Once approved,proceed to Central Permitting for permits.
0 Environmental Health Eaisdnq Tank Inspections Code 800
• Follow above instructions for placing flags and card on properly.
• Prepare for Inspection by removing sof over outlet end of tank as diagram indicates, and lift lid straight up (i
possible)and then put lid back In place. (Unless Inspection is for a septic tank In a mobile home park)
• DO NOT LEAVE UD8 OFF OF SEPTIC TANK
• Aller 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
given at end of recording for prod 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 indican desired system type(s): can be ranked in order of preference,must choose one.
{QI Accepted Ill Innovative {phi Conventional f7) Any
IV-Alternative ISI 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:
(DYES 1531—NO Does the site contain any Jurisdictional Wetlands?
IQi YES flar.NO Do you plan to have an jpjgatfoa system now or in the future?
ICIYES ILUz71/NO Does or will the building contain any drains?Please explain.
In YES ID�OI/NO Arc them any existing wells,springs,waterlines or Wastewater Systems on this property?
{DIVES IL�gi/NO Is any wastewater going to be generated on the site other than domestic sewage?
fa YES IL—wIJ/NO Is the site subject to approval by any other Public Agency?
{DI YES Iiyl Np Are there any Easements or Right of Ways on this property?
i❑)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 Gee service.
I Have Read This Application And Cntlfy 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.
I Undentand That I Am Solely Responsible For The Proper Identification And Labeling Of All Properly Lines And Corners And Making
The Site Accessible So TI t A Com tete Site Evaluation Can Be Performed.
"'f 7/3/17
PROPER OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
09109/11 Application#
Harnett County Central Permitting
sec
Exch don below to be fled outPO Box 85 Edlington NC 27848
910 893 7525 Fax 910 893 2793 www ninon orglpennros
by whomever performing wort
Must be ow m or boensed
contractor Address company Animation for Residential Budding and Trades Permit
name 6 phone must match
Owners Name McKee Homes, LLC Date 8/7/17
Site Address 135 Heatherwood Drive Phone 910-475-7100
Directions to job site from Lillington 127 to Docs Road, development on the left
Subdivision Oakmont Valley View Lot 178
Descnption of Proposed Work Single Family Home #of Bedrooms 3
Heated SF 2225 Unheated SF 706 Finished Bonus Room" No Crawl Space Slab X
General Contractor Information
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#
)Electrical Contractor Information
Description of Work Single Family Home Service Size 200 Amps T-Pole ZYes_No
J.M. Pope Electric 919-776-5144
Electrical Contractors Company Name Telephone
409 Chatham St., Sanford, NC 27330 jmpopeelectric@gmail.com
Address Email Address
21326-L
License#
Mechanical/HVAC Contractor Information
Description of Work Single Family Homes
Certified Heating &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#
plumbing Contractor Information
Description of Work Single Family Home #Baths 3
Dell Haire Pluming 910-818-4863
Plumbing Contractors Company Name Telephone
7612 Documentary Drive, Fayetteville, NC 28306 dellhaireplumbing@hotmail.com
Address Email Address
32886 P1
License#
insulation Contractor Information
Cumberland Insulation 910-484-7118
Insulation Contractor a 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 jry sranma below I have obtained all subcontractors
permission to obtain these permit'and if minx 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 as per current fee schedule
Digitally signed by Kelsey Rivera
Kelsey Rivera Dete 2017.08.07 145 12-04'00' 8/7/1 7
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
X General Contractor Owner Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s) firm(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
X Has one(1)or more subcontractors(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 Permitting
Department issuing the permit may require certificates of coverage of workers compensation insurance pnor
to issuance of the permit and at any time during the permitted work from any person firm or corporation
carrying out the work
Company or Name McKee Homes, LLC
Kelsey Rivera D.te 2070 071457e20-'0400 8/7/17
Sign winds Y Date
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
Appointment of Lien Agent: Details- LiensNC Lien Service https://apps.liensnc.com/scr/appointment/details.html?entryNumb...
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 08/08/2017
Entry #: 700657
Initially flied by: jbuckwalter
Designated Lien Agent Project Property Print & Post
First American Title Insurance Company Oakmont Lot 178 Harnett County 0.vt. - •❑ti
NC
Online:www.liensnc.comony;„„,,.r.,,..,,„
Address:19 W.Hargett Si.,Suite 507/Raleigh,NC 0•joi J
27601 Property Type Contractors:
Phone:888-690-7384
Please post this notice on the Job Site.
Fax:913-489-5231
Suppliers and Subcontractors:
Email:suppori5)tiensnc.com1-2 Family Dwelling Scan this image with your smart phone to
view this filing.You can then file a Notice
to Lien Agent for this project.
Owner Information Date of First Furnishing
McKee Homes,LLC 08/22/2017
109 Hay Street
Suite 301
Fayetteville, NC 28301
United States
Email:krivera(r mckeehomesnc.com
Phone:910-475-7100
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Technical Support Hotline:(888)690-7384
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