DOCUMENTS 11
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Initial Application Date: ! 11 / 1 Application# I /5064 p(o
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 1 108 E.Front Street, Lillington,eli NC 27546 Phone:(910)893-7525 ext:2 Fax: (910)893-2793 www.harnett.org/permits
' R COI/I Suba AP;R�QRyDED DEED OR OFFETO PUR SE)STEPPLLA"N ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION**
L��IATONdNE.4 RK -2— Mailing Address:6200 Ramsey Street Suite 200
City: Fayetteville State N. Zip:
28311 Contact No:910.401.5505 ext 226 Email:lauren.grhomes@gmail.com
APPLICANT*: Gary Robinson Homes,LLC Mailing Address:4140 Ramsey Street Suite 115
City: Fayetteville State: NC Zip:28311 Contact No: 910.401.5505 ext 226 Email: lauren.grhomes@gmail.com
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Lauren Robinson Phone# 910.401.5505 ext 226
PROPERTY LOCATION:Subdivision: Ciat-c,
�W Q�s 4- Lot#: J 0 Lot Size: e 3 e Rt
State Road# State Road Name: 1'�LINV (. .lc\ 14 1. 1 1 0r{"'�1 Map Book&Page: 12__04' i O37
Parcel: //�� 0( OSI-5-D I 0 09 5 30 PIN: O 2-tp "20" 4 I4/-
Zoning:l�'��la0IFlood Zone: NEC Watershed:/ Deed Book&Page:33P/1 I 011-I Power Company*:
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: / Q�
L� 4 1 1 Monolithic
d
XI SFD:(Size"[ - x Co)#Bedrooms: l #Baths:"Basement(w/wo bath): Garage:4 Deck:_Crawl Space:_Slab:_Slab:)C
(Is the bonus room finished?(A[)yes (_)no w/a closet?(AL)yes (_)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 (_)no
❑ Manufactured Home:_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?(_)yes (_)no
Water Supply: V County Existing Well New Well(#of dwellings using well )*Must have 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 feet(500')of tract listed above?(_)yes (jZno
Does the property contain any easements whether underground or overhead(_J yes (Zno
Structures(exiling oproposeSingle family dwellings: \ Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:j�
Front Minimum 3 5 Actual 'k0 ,�*�. d .S U.-. ci 2.��, (c `—
Rear 2,{ ��P� l/ 1 S�(U Im' lid ISS . -� t LL___
Closest Side f 0 3'3- 5 C Q tL2C& 't t'G) i rCk
Sidestreet/corner lot 20 (t
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
1LEGEND FRONT \
SETBACKS THIS SURVEY IS OF AN EXISTING PARCEL OR 35 PARCELS OF LAND AND DOES NOT CREATE A
P-PATIO NEW STREET OR CHANGE AN EXISTING STREET.
SW=SIDEWALK SIDE 10'
DW-CONC DRNEWAY REAR 25'
EB-ELECTRIC BOX SIDE STREET 20'SCO-CLEANOUT SHAWN T. RUMBERGER, PLS L-4909 DATE
TP-TELEPHONE PEDESTAL
WM-WATER METER THIS MAP IS ONLY INTENDED FOR THE PARTIES
AC-AIR CONDITIONING UNIT AND PURPOSES SHOWN. THIS MAP IS NOT FOR
BOC-BACK OF CURB RECORDATION. NO TITLE REPORT PROVIDED.
EOP-EDGE OF PAVEMENT
Q IRON PIPE FOUND NOTE: SEPTIC SHOWN HEREON IS SCALED
Q IRON PIPE SET FROM SEPTIC PERMIT PROVIDED BY BUILDER.
Q NAIL SET
VICINITY MAP (NTS)
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S 86'45'28"
W A 28 .06'
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S 87'42'37" E 108.45'
REMINGTON HILL DRIVE
50' PUBLIC R/W
GRAPHIC SCALE
40 0 20
P R ELI M I NARY cKl�:mo:z.mca ry(:)I:�. �I�sim[;:U1:h_4a�;eiN:;.�:a.i�yaryg j
1 inch = 40 ft. PLOT PLAN °' 5.' :06 46 W ..-
PROJECT: FOR
m DRAWN
16-006 GAMEST GARY ROBINSON HOMES J E C L S
n AMW REMINGTON HILL DR G L O B A L
-,,,,. �:
r SCALE: "_ ' LOT 30 GATEWEST SUBDIVISION ! % U.S. VETERAN-OWNED
19 N MCKINLEY ST
1n=40' ANDERSON CREEK TWP., HARNETT CO., NC COATS, NC 27521
N DATE: P.B. 2006, PG. 878 910.597.3257 ECLSOLOBAL.COM
08-04-17 910.697.2329 (FAX) C041'C•4175
Vacant Lot Purchase Contract
Buyer, I`V. 2_ offers to purchase from
Seller, }�Ilrj\V SS NVCS+W 4M-S LL( the following parcel of land:
Subdivision, 20ot./_ 2'1 CIC(k,( .1tS.} ,City, Zi( .vlvlt'Je,
County, \Gom-c, Lot number 30 Deed Book 33
Page OT-3.1 Purchase Price$ 2-51 O D D Earnest Money
Deposit$ 3/ Balance Due at Closing$ 25, DOD
Property must be zoned with no restrictions for 5 (1 flAYIAt I f AW eM inl use.
Seller will pay for deed preparation, title research and revenue stamps. Buyer will
pay all other closing costs. Closing will occur on or before c' — 11-
The
11-The deed will be made to 12N\& 2 .
Special Conditions:
Seller will provide public water access and private or public sewer to the vacant lot.
All earnest monies become non refundable if closing does not occur on or before the
contract closing date.
Buyer and Seller agree and confirm all terms and conditions in the contract.
Buyer: 114- 2 Date: 4-
0
Title: Pr eS,cl(JAI- Phone: I D 1-5 S-OS Fax:
Buyer's Mailing Address: VD 0 17-0kritSt u\SA. •(.21) i N V2$ 11
Seller: 10kMSS Inve yioatS 1.1-C Date: 'S-4 -r+
10
Title: p W�q,,( Phone: �5 3 tits I- Fax:
Seller's Mailing Address: U-11- L6. 1Q gr ctcv, R.o\ Fccu rl(✓ -2-Y3
NAME: VL.'L 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 SvstemCode 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 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. $25.00 return trip fee may be incurred
for failure to uncover outlet Ild, mark house corners and property lines, etc. once lot confirmed ready.
• After preparing proposed site call the voice permitting system at 910-893-7525 option 1 to schedule and use code
800 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note
confirmation number given at end of recording for proof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
❑ Environmental Health Existing Tank Inspections Code 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (if
possible) and then put lid back in place. (Unless inspection is for a septic tank in a mobile home park)
• DO NOT LEAVE LIDS OFF OF SEPTIC TANK
• After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 & select notification permit
if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number
given at end of recording for proof of request.
• Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits.
SEPTIC
If applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference,must choose one.
(_) Accepted {_) Innovative {_} Conventional {X} Any
{_} Alternative {_} Other
The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in
question. If the answer is"yes", applicant MUST ATTACH SUPPORTING DOCUMENTATION:
{_}YES ($) NO Does the site contain any Jurisdictional Wetlands?
{_}YES ( (} NO Do you plan to have an 'rr'gation system now or in the future?
{_}YES {X} NO Does or will the building contain any drains?Please explain.
{_}YES (A) NO Are there any existing wells,springs, waterlines or Wastewater Systems on this property?
{_}YES {,X} NO Is any wastewater going to be generated on the site other than domestic sewage?
{_}YES {_X} NO Is the site subject to approval by any other Public Agency?
{_}YES {. } NO Are there any Easements or Right of Ways on this property?
{X)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.
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 e Proper Identification And Labeling Of All Property Lines And Corners And Making
The Site Accessible So T °t A Complete Site Ev ;'on Ca Re-P. ormed.
t21 IT
PROPERTY Go W 'OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10