LAND USE •
• Initial Application Date: (Z / / ,5 / / o Application* / 5 2 4"
? 7527
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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.harnettorg/permits
LANDOWNER: 3,1/ C7�..k ` / bw-cd -of /L7 it P ll, Mailing Address: PO BoX R7 01
City: F r , . , ' c . t 9 w i / 4 State: NC Zip:2830VContact # ,' ° 263 -SO7-4 Email: 16 e_nni n a O1 fic. kati cwva,, c,;,,._
APPLICANT": :5 r}ME Mailing Address:
City: State: Zip: Contact# Email:
"Please 1111 out applicant Information if different than landowner
CONTACT NAME APPLYING IN OFFICE: S. -ere Phone # 4/0 - 26 S - Gz G.
PROPERTY LOCATION: Subdivision: (?okc'..S Pc - .wk - ' Lot #: 11 Lot Size: p. 54 2- c.crc.,r_
State Road # State Road Name: Tn { .w+ , vac/ Map Book &Page: 20O47 / `i 0 3
Parcel: 039547 6 (139 Pi PIN: 9697 —20 - Li 5G>S,roO
Zoning: R4 -UR. Flood Zone: N/* Watershed: N 1/44 Deed Book &Page: 2 177 / 58 L( Power Company': ( MA t - I - E c - T2/C.
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: / /!./Y 2 7 -/a 'c-rd 87 - 7'rn /c# 0, 77n it...And
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PROPOSED USE:y
/ onolithic
X SFD: (Size SZ x ,3a ) # Bedrooms: 3 # Baths: 2- Basement(wfwo bath): Garage: , Deck: Nf Crawl Space: Slab: Slab:_
(Is the bonus room finished? (X) yes ( )no w/ a closet? ( ) yes (X)no (if yes add in with # bedrooms)
❑ Mod: (Size x_) # Bedrooms # Baths_ Basement (w /wo bath) Garage:_ Site Built Deck: On Frame_ Off Frame_
(Is the second floor finished? ( ) yes ( )no Any other site built additions? (_) yes 1 )no
❑ Manufactured Horne: SW DW TW (Size x ) # Bedrooms: _ Garage: (site built? ) Deck: (site 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 ( )no
Water Supply: X County Existing Well New Well (# of dwellings using well ) 'MUST have operable water before final
Sewage Supply: X New Septic Tank (Complete Checkist) _ Existing Septic Tank (Complete Checklist) County Sewer
Does owner of this tract of land, own land that contains a manufactured home within five hundred feet (500') of tract listed above? (_J yes (Y)no
Structures (existing or proposed): Single family dwellings: / Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: Comments:
/ /
Front Minimum 3 S Actual 3 4. /
Rear Z S / 79
e /
Closest Side / D 5 - 9, 7
/ /
Sidestreet/corner lot 2 O SY. 7
Nearest Building /., l
on same lot
if permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the spedfications 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.
Q /2 / /.S - !(o .
Signatu f ner or Owner Agent Date
"This application expires 6 months from the initial date if permits have not been Issued ""
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Residential Land Use Application Page 1 of 1 07/10
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OWNER NAME: /34/ / gietcAn14 APPLICATION ti:
*This application to be filled out only when applying for a new septic system.*
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)
DEVELOPMENT INFORMATION
New single family residence
❑ Expansion of existing system
❑ Repair to malfunctioning sewage disposal system
❑ Non - residential type of structure
WATER SUPPLY
❑ New well
❑ Existing well
❑ Community well
Public water
❑ Spring
Are there any existing wells, springs, or existing waterlines on this property?
{_} yes {X} no {_} unknown
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
{_} Alternative {_} Other
X } Conventional {_} Any
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 {_ba NO Does the site contain any existing Wastewater Systems?
{_ }YES {4} NO Is any wastewater going to be generated on the site other than domestic sewage?
{_ }YES { 9I`} NO Is the site subject to approval by any other Public Agency?
{_ }YES { g } NO Are there any easements or Right of Ways on this property?
fro—A- tur
)YES {_} NO Does the site contain any existing water, cable, phone or underground electric lines? gl.re, -4-
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.
I 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.
PRO OWNER (REQUIRED) OR ERS LEGAL REPRESENTATIVE SIGNATURE ) / L DA ' 17N / U
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nredldmatry
Prepared b7t Richard Ali 41 1 - . Road. Fayetteville, NC 28303
Bergin agar recording tserl 7 . ! A 2333 Raiford Red, h lm.vm aro
e, NC ts
Lief Dser anfor the Indium iiii ip1 .,
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GRANTOR U GRANTEE
STANCH. BUILDERS, INC., ' ,CLARK HOM OF FAY$178VILLE, LLC,
&NoraCerdhaCorporation ib • • • s TSSI d Llab8g7Compoa7
446 Stand! R0811 1206 no , i 1 Road
• toper, NC 77501 F ., n,. IV ••:. 04
Rider appr b blab Pea ash party: mow ( • - . charade of entity, eg., corporatism or
The designation Grantor and Grantee ea used :, d parties, their beim, uxemas, and
assigns, and den include sbtpl r, plural, masculine, ine, prnani • „ minted by context
minimum Posy the Granted, See a Valuable cond. 4 , the Oitttte, tied tcucipt of *hint to
busby eotmwledged, hat and by these preemie does corm mm the frame in fee
simple, all that curtain lot or parcel d land situated in : . , • • Camlha and more particularly •
deeoribed as Wows
MOM ALI, of Lots 1,2,3, 4, 3, 6, 7, 397, 108, 109, 1/ 0, 11 15 117 and 118,in
aohdMd m known as PATRON'S PONT, acwrdlag to • m , . 1 retarded In Map Book
2005.1193, Damtett County, North Carolina Registry; and
BEING ALL of Led 4 9, IS, 11, 13, 14, 96, 97, 98, 99, 100, 1 r 4 d r r 103 and 106, In ■
subdivision sewn as PATR'ON'S POINT, according to a map of , , - , . i In Map Boot
2005497,Harnstt Comply, Nora Carolina Registry; sad
BEING ALL of Loh 15, 82,83, 84, 83, 86, 87, 88, 89,90, 91, 92, 93, 94• , Mown u
PATR'ON'S POW!, wording to a map of the name duly recorded In ', Barnotf
Comfy Nora Cants Registry; and
BERYL ALL sit Lob 18, 19, 20, 21, 22, 23, 24,25, 26, 27, 29, 30, 31 ad 32, ri .. m
PATR'ON'S POINT, mama; Es • map d the same duly retarded 133 Mop ;T"1 901, , , .. ..
County, North Carolina Registry; and {'�
4.
33, 34, 35, 36, 37, 38, 39, 73, 76, 77, 78, 79 an 80, Vs a V ,
PATFON'8 Kerr, according to a map of the acme duly recorde m Map R � � t
county, Nora L lsegislel, and
:. NG 1 of Lots 40, 41, 42, 43, 44, 45, 46, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73,
and to a subdivision known as PATTON'S POINT, according to a map of the name duly recorded In
e . 4. 2005-905 Harnett County, North Carolina Registry; and
.� - , of 47, 48, 50, 51, 53, 53, 54, 55 and 56, in a subdivision known as PATTON'S POINT,
a map of the same duly recorded to Map Book 2005 -907, Harnett County, North Carolina
hoer bove described was acquired by instrumeu recorded in Book _, Page
A s) e
, • bed property is recorded in Map Book 2005 - 895, 2005-897, 2005 -899, 2005 -
901, • - 11 -907. a
TO HAVE - , foreaad Tot or parcel of land and all privileges and appurtenances thereto
belonging t. 1 s'.•
And the Gran • •• .. 1. ,$ ... e, that Grantor is seized of the premises in fee simple, bas the right to
convey the .. . an f -- ' • . toe is marketable and free and clear of all encumbrances, and that Grantor
will warrant and • against the lawful claims of all persona whomsoever except for the exceptions
hereinafter elated. T' 1 • - heremabove described is subject m the following exceptions: restrictive
covenants, and utili Is, and rights-of-way as the same may appear of record.
IN WITNESS t: . . s •, m set his hand and seal, or if corporate, has caused this
instrument to be signed i. i. . , its duly authorized officers and its seal to be hereunto affixed
by authority of its Board o Dir • the day an• year first above written.
!s frier C /i
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g „A N p< y: y: FREDD? •
or e r . President
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NOL(TH CAROLINA
ESL L e► Nas;r.v• . a 4 11P • .lie of the County and State aforesaid,
certify that Freddie L. Stencil either being persona 1 known . a •. proven by satisfactory evidence
(said evidence being crake 1.• fararvA\ ), • ...... • • - • before me this day and
acknowledged that be is President of Stancil Builders, Inc., •, • • inn corporation, and that (s)be,
as Pres ** ' authorized to do so, voluntarily •- Satin. .. _ .. on behalf of the corporation for
th M • � j 4
d -• ••
F t4%Id official stamp or. ,dds 4_ day of , .
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-., Notary Publ Sr
My Contmission Expires:
The aaepingC.eaaa(.) of a
Wars cudad rob cone+.Td, maaamt.,dda, certificate .e deer ny,Md at ar OE OM time and m ec soak '^ • eM,ny+a4s • pF
hereof b •e U
REGISTER OA DEEDS POR
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BERLY S. HARGROVE
E• - - 4 0 F DEEDS, HARNETT
• - NELIUS HARNETT BLVD
UITE 200
Llt. T G O C 27546
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Filed For Registration: 0111 t • .., , :42• • . AM
Book: RE • 7 age: 58488
Document No.: 1008000487
DEED 3 PG' S1
NC REAL ESTATE EXCISE TAX: $4,928.00 ��� fff
Recorder. ELMIRA MCLEA
0
State of North Carolina, County of Harnett
KIMBERLY 8. HARGROVE , REGISTER OF DEEDS
00
DO NOT DISCARD
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2006000487