DOCUMENTS Initial Application Date: S HP jI Application# Ilii..
CU#
COUNTY OF7 RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NCC 27546 27548 Phone:(910)893-7525 ext.2 Fax:(910)893-2793 www.hametl.org/permits
"A RECORDED SURVEY MAP,RECORDED DEED((OR OFFER TO PURCHASE)E.SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION'
LANDyO�W_ NLANDOWNER:1'rc1Ac kAc CcOU)t 1\ Mailing Address: ' /51.1471 V.f)O!O �a
City: 0.TA\C.QC\ pn(1� 11 \\ State:h5C•zip33?5"€ntac'tTNCol9tOn�a15-:ZLINr2�l Email
APPLICANT': HAMI lfev7 IUlL11dCrI • Mailing�f1Address'. dsa 6��ff/�1_Ix890-09/3
'1��a�CA &...�pE� s- I ,` �nI IIII
Ciy. Ltl\l l Vi.?T. l State:PG'Zip:2?5'4 Contact NoQ V/-0"IU))973 Email: Ilrlrlle#&A.0 1#t✓Y-Myelo 1WM
'Please mill out applicant information if different Man landowner
CONTACT NAME APPLYING IN OFFICE:ie.'R"I \JT`c '\*ZL• Phone# (�—I 10T 0 p
90-073
/.331
PROPERTY LOCATION:Subdivision: I,b Op�A I Loop` C Lot#: Lot Size: f^
State Road# /132 State Road Name. l-%OO'P K o• Map Book 8.Page: GlF,5
Parcel. 1.O5 V1
NIA PIN. US39-?6 6953.ocao
Zonin �lood Zone: 1\ Il Watershed Deed Book&Pagea Li-0:-.707 t! 'Power Company':SOPA C(
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SKI:(Size x )#Bedrooms #Baths:_Basement(w/wo bath): Garage:_Deck: Crawl Space: Slab: Slab:_
Is the bonus room finished?( )yes I )no wl a closet?(_)yes ( )no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths Basement(wlwo 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_OW_TW(Size x )t/Bedrooms:_Garage: (site built?_)Deck: (site built? )
❑ Duplex:(Size x_)No.Buildings: _ No.Bedrooms Per Unit:
❑/Home Occupation:#Rooms: Use. Flours of Operation' #Employees'.
li Addition/Accessory/Other:(Size I f q 1 Use'. 0 hh1 W,COON Closets in addition?(_)yes (g')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) 1/Existing Septic Tank(Complete Checklist) County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundredrefeet(500')of tract listed above?(_)yes ( V)no
Does the properly contain any easements whether underground or overhead( )yes (t/)no (�
Structures(existing or proposed):Single family dwellings: f -Q..�� Manufactured Homes: Other(specify):OLA "1.1Aeu '.)
SFp
Required Residential Property Line Setback,: Comments:
Front Minimum ,AS Actual 11
Rear 7.S I/LJ ITh\c
Closest Side _loll 151'
Sidestreetfcorner lot D U
Nearest Building IOQI
on same lot
Residential L and Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: ` P1'\1-C Nw, A\O S&K . °CASS RAlc
TL t o l Doe Q,a WO nowt, o*. �(÷,.
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 hereby state that foregoing statements are acc to a correct to the best of my knowledge. Permit subject to revocation if false information is provided.
9-)&I I
SI Lure of Owner r Owner's Agent Date
"'It is the owner/applicants responsibility to provide the county with any applicable information about the subject property,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 6 months from the initial date if permits have not been issued"
Residential Land Use Application Page 2of 2 03111
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NAME; 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 I 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 lid.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 ltd 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 8 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 typets l: can be ranked in order of preference,must choose one.
I—1 Accepted 1—) Innovative I ) Conventional 1—I Any
(_) Alternative I—I 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:
IIVES I—•'I///yyyHHH_ Does the site contain any Jurisdictional Wetlands?
I_IYES I
v<
rytf Do you plan to have an irrigation system now or in the future?
I—I YES I__ NO Does or will the building contain any drains?Please explain.
1.1/IVES ES 1—IINNO Are there any existing wells,springs, waterlines or Wastewater Systems on this property?
I—)YES I terc Is any wastewater going to he generated on the site other than domestic sewage?
I—I YES IS 1�NO Is the site subject to approval by any other Public Agency?
INNOI YES IAre there any Easements or Right of Ways oil this property?
(kicES 1_I 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 Soldy Responsible For a Proper Identification And Labeling Of All Property Lines And Corners And Making
The ccessible So at I�e Site Ev anon Can Be Performed.
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PROP TY WN1LhS OR OWNERS LE AL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
83191 - P504
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t- ,LINA GENERAL WARRANTY DEED
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Parcel Idr
� 12 0548 0034 and 01 0537 0034 02
Mail aft
to L. Bolt hlrt, P.O. Boat 1689
Lil�a^^'T, ND 27566
This instr , by L. Bolt P%lmat with no tax advice
Brief Descr 1 0 119328 area Cvn paeaals,
index / ) mea Cask i Staarte Creek
, Townships
THIS DEED made this y and between
CHARMS 1RIRB.II1 CPCIELL e,
DBA1689 L w METER CAM=
1689 Loop Pad
1689Barinlevel, North Carolina 28323
4122191118
CHARLES /B18HB.L1 CRCIIELL and wife,
DEA=L CARPENTER CRONE= D
1689
1689 Leap road
Banleval, North Carolina 28323
The designation Grantor and Grantee as — shall include said
parties, their heirs, successors, and assign. . d - I include singular,
plural, masculine, feminine or neuter as red •• context.
WITNESSETH, that the Grantor, for a valuab - • s'+- ion paid by the
Grantee, the receipt of which is hereby acknow °. ._ and by these
presents does grant, bargain, sell and convey . •t- e antes in fee
side, all that certain lot or parcel of land si - - City of N/A,
Sts its Creak aid Andasfce Creak Townships, : .* . carats
and more particularly described as follows:
SBDIIi ww at a pout in the centerline of Imp .. '� 92)
at the point when the sonata lino of the J. 0
acre tract described in a dead at Book 387, papa - T..
Qwmty Papistry, intersects with the centerline -. !7 .
than running North 14° 41' last, an the atm • ••
Bond, a distance of 960 feet to a point; thence con ae'a'•'�.
the ceeterline of Loop taad North 140 a' Lit, a -'�
100 fact to en iron stake in the atm of tha road;
running Bath 56° Past, a distance of 600 feet tola .
stake; thence running South 29° 50' last a distance of 8
to a Crake in the old property line and in the
lin; thence running, as the palart/Oardan lino, Sat 11° 55
83191 - P504 - -- -
Nut a distance of 460 feet to a point; thence running North
30° 49' Nast, a distance of 1,172.7 feet to a oosputd point;
thence running North 79° 37' 46^ Met, • distance of 329.64
feet to a Deputed point in the centerline of Loop Pad; thence
as the centerline of Loop Road North 14° 41' But, a
stance of 15 feet;i thence running as the lis of Stave
North 67° But, a distance of 239.60 feat, to a point that was
Chants= corner of the 40 sore .7. C. Christian parcel
cLusining
in the deed at Book 387, Page 266, Harnett County
thence running a. the another% lis of the pareal
•.. - by T. C. Christian, North 89° list a distance of
the point and place of beginning and containing
ears or lees.
r-- deed is to serge taw gavels Number 12 0548
t��0034 02. The tract designated Parcel Number
', 0 " a mall parcel which is believed to contain
of road frontage along the right of way
.-4,. _,,,inr Road and 45% of its land area is rade up of
--,. 7,-. Therefore, it has net been an independent
ti.-• inclodad a sufficient amount of land to
wtor
an• r - County regtlatieo. so that it could serve
u an
dor -. ifs .i le w dude at Book 597, Page 112;
Bonk 596, 77711 Book 819, Pages 416-417; Book 2611,
Pages 949-'1-i ; 698, Payee 507-509, Barnett Canty
Podiatry.
This am down prlsery reaidenae of the
Grantors. O
TO HAVE AND TO HOLD the -+or= -a or parcel of land and all privileges
and appurtenances there , • . g to the Grantee in fee simple.
And the Grantor covenants . the Gran - , at Grantor is seized of the
premises in fee simple, has the nigh o c• vey the same in fee simple,
that title is marketable and free a.• cl=. o. all encumbrances, and that
Grantor will warrant and defend t ti - a•ai!st the lawful claims of all
persons whomsoever except for e e apt'• s hereinafter stated.
Title to the property hereinabov. de-crib-• is subject to the following
exceptions: //�/
IN WITNESS WHEREOF, the Grantor has -ru'o --t his hand and seal, or
if corporate, has caused this instr . t to = ed in its corporate
name by its duly authorized officers a • .' al to •- hereunto affixed
by authority of its Board of Directors, ter- •-• an. year first above
written.
(Corporate Name) _< / to -4-Ta"(SEAL)
Charism ,IIT -�•
By: President ... `A ' L• sP A..,t - (SEAL)
Deanne Caspm
ATTEST:
.� (SEAL)
Secretary
SEAL)
(Corporate Seal) lir
9
83191 - P605 _- -- --
NORTH CAROLINA, Harnett County.
I, the undersigned, a Notary Public of the County and
State aforesaid, certify that Marl.. 7naalffn°rowan
niinii,,,� and tie seams ra—, r reach Grantors, personally
K
fE4a q� appeared before me this day and acknowledged the
fa, execution of the foregoing inst t. Witness my hand
and official stamp or seal, thisday a! February,
afaiv = 9014.
.1� g y
..HC ' ""`„o` Notary c
crnnSssion expires: Daly 23, YO1C
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