DOCUMENTS Impel APpllcellon Date: 5I ' J I / Application(I V1SC K 4.\CjL
CUR
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Liligton,NC 27546 Phone:(910)$937525 exl:2 Fac(910)693-2793 www.Mmettorglpemlits
^A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)S SITE PLAN ARE REQUIRED WHEN SUBMITTING A)AND USE APPUCA11N0
LANDOWNER:McKee Hanes,LLCMail'm0 Address:109 HayStreet,Suite 301
City. Fayetteville Stele:NC Zip:28301 Contact No(210)475-7100 ext 722 Email: Ipafloo®mckeehonesnc con
APPLICANT':McKee Homes,LLC Mailing Address:109 Hay Street,Suite 301
City: FayeState:NC Zip:28301 Contact No: (9101475-7100 ext 722 Email: Ipedonamckeehomea1 c0m
*Please fill out appkent information aderent than)endorser
CONTACT NAME APPLYING IN OFFICE:Josh Patton Phone p(910)475-7100 Bx 722
PROPERTY LOCATION:Subdivision. 044nDin`(
d Loth: Lol Size: ' Sp
Slate Road* 11 State Road Name: COuVrt T�St tic hr. e Map Book&Sags: DRi 346
Parcel:
0(�0�305070 I 0046 a \� ,,�/� PIN: os0 17–31–acla .000
Zonlnp ood Zone: Watershed:/NA Deed Book&Page: 3 I 5/ 0615-
Power company: Central Elearic
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
r ry Slab:
sl•D:lsae44rx�Blx&eeronme�*eaha�eeaemem(w Mn):_carace:✓Da/egcawlspape:✓slab:_steb:_
(Is the bonus room finished?L)yes no win closet?(J yes (✓�no(II yes add In with R bedrooms)
D Mod:(Sue x_)10 Bedrooms R Baths Basement(wlwo bath)_Garage: See Built Deck: On Frame_Off Frame_
(Is the seoond floor finished?( lyes Ll no My other site built additions?( l yes ()__I no
LI Manufactured Home:_SW_DW TW(Size_x )N Bedrooms:_Garage: (site built? 1 Beek: (site built? 1
O Duplex:(Size )No.Buildings: No.Bedrooms Per UnK:
O Home Occupation:R Rooms: Lisa: )bun of Operation: *Employees:_
O AddUoMAcueaoryrOthen(Site x )Use: Closets In addition?(L yes (L no
Water Supply: —County _Existing Well _New Well(a oz awe/nos using well )'Must hew operable water before final
Sewage Supply: New Septic Tank(Complete Checklist) _Existing Septic Tank(Complete Checklist) —County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundred feel(500')of tract listed above?Ll yes L)no
Does the property contain any easements whether underground or overhead Ll Yes Li no
Sbuduras(exisfirgpropoead: Ingle family dwellrgs: Manufactured Homes: Other(specify):
Required Residential
Properly Line Setbacks: Comments:
)
Front Minimum 105 Actual 36
Rear �s GO/5'
Closest Sloe a
Sillesksebrener tet –
Nearest Building N f rte
on same lot
Zea ad ilial Lar_Jse Fl ).cal on 'ace 1 n:2 ,.3111
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINOTON:
Docs A. -ID Exp.wi;ve 1r-, to Bison Lan. -to Cov111rTlsite be.
It permits ere granted I agree to conform to all wdinancos and laws of the State of North Caroline regulating aid work end the specifications or plana submitted.
I hereby stale that foregoing statements are accurate and cowed to the best of my kncwtadge. Permit subject lo revocation It false Information Is prodded.
� 7/ /7/i7
gnaws of Owner or Owners Agent Dale
"'N is me owner/applicants naponsiblllty to provide the county with any applicable Information about the subject properly.Including but not limited
to:boundary Information,house location,underground or overhead easements,etc.The county or Its employees are not responsible for any
Incorrect or missing information that is contained within these applications."'
"This application expires I months from the initial date If permits have not been Issued"
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SUBDIVISION: OAKMONT SUBDIVISION
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PHASE ONE - SEAl .
SOUTHEASTERN SOIL & ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION GMIa,WaNT LOT 'V.
INITIAL SYSTEM 2r1.ANMJE4Rfasect:.N REPAIR Af/H.Fi vm/, ge_sucila.A
DISTRIBUTION A-box DISTRIBUTION Tin
BENCHMARK IOD.o LOCATION IT •w L1 nt
NO. BEDROOMS 4 PROPOSED LTAR 0.1 SFD/tr'-
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NAME: M L Kee k nivis/ LLC. , APPLICATION k: _
*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 ALTTIORQATION 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)
910.693-7525 option 1 CONFIRMATION if
El Environmental Health New Septic SystemCode BOO
• All property Irons must be made visible. Place "pink properly 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 et/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 fo 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 confined 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.
0 Environmental Health Exist/na 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 indictees, and lib lid straight up (if
possible)and then put 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
it multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number
given at end of recording for proof of reaueal.
• Use CIIck2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits.
pEPTIc
If applying for authorization to constmct please indicate desiredesedsystem type(s): can be ranked in order of preference,must choose one.
IOI Accepted ID)Innovative (Lyi Conventional lel Any
IMT-Alternative IDI Other
The applicant shall notify the local health department upon submittal of this application if any of the following apply to the properly in
question. If the answer is'yes",applicant MUST ATTACH SUPPORTING DOCUMENTATION:
IaYES i( rNO Does the site contain any Jurisdictional Wetlands?
CIYES II2r(NO Do you plan to have an IRVration system now or in the future?
ISI YES IIi01 NO Does or will the building contain any amine Please explain.
I.IYES 1.1tIO Arc there any existing wells,springs,waterlines or Wastewater Systems on this property?
(DIVES 1)Ipl NO Is any wastewater going to be generated on the site other than domestic sewage?
1)YES {2/NO Is the site subject to approval by any other Public Agency?
( !YES (KIN NU Are there any Easements or Right of Ways on this property?
{1:11YES IL➢f/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 Comec. Authorized County And
State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
TheSite Acca®Ibis So hat A Complete Site Evaluation Can Bc Performed.
frig 7/ .7/t7
PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DAT
10110
HARNETT COUNTY CA RECEIPTS
OPer: JB
ROCK
RECEIPT xxx
Te: CP Drawer: 1
Date: 8/12/17
52r Rec ipt no: 34493
99 2817 58841 Amount
84LLINGT sINC 54
BP - ENV HEALTH FEES
NEM TANK
MCKEE HOMES $750.00
Tender detail
CP CREDIT CARD
TotalTotatendered 1750.00
payment $750.00
$75
.90
Trans date: 8/02/17 Lae: 18:13:44
THANK YOU FOR YOUR PAYMENT xx