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DOCUMENTS Initial Application Date: '11' ` ) [ Application# I /SOC) Qac 7 s CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A/LAND USE APPLICATION" LANDOWNER: IV''I P". ert64..• / U )4-(. 3 Mailing Address: /05 CL le.. 2t/A City: ri hc)/-Ya"'nq State: NL Zip: 275Z6Contact No: qiC"g2-5.'479Z Email: 1+'�U'r � �jw�G,�•CD«� APPLICANT*: Mailing Address: City: State: Zip: Contact No: Email: *Please fill out applicant information if different than i landowner 1 CONTACT NAME APPLYING IN OFFICE: 1 I N/�'r I` cAs Phone# 6114-�2, 6 7 k2-- PROPERTY LOCATION:Subdivision: , —St.,�' yy ` ,' �� CA 3 Lot#: 1 Lot Size:12 ' S State Road# /4)1 State Road Name: Oc 7.r"/' C- II2/W ,?I Map Book&Page: 2017 / 2Z7 Parcel: OS063'1 OO i g 03 PIN: 063 -21 -5"5"70.0o0 nn n Zoning: A11'10 Flood Zone: $ Watershed: Deed Book&Page: 351-5^ / 0%7- Power Company': 11 ) _ n')rz->;S' 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: / Q 2 y Monolithic t7 SFD:(Size.M(�z.. ) t Be rooms:3#Baths:'�S Basement(w/wo bath): NO Garage:/Deck:✓Crawl Space: -/-Slab: Slab:_ (Is the bonus room finished?(Z)yes (_)no w/a closet?(_)yes L. no(if yes add in with#bedrooms) O 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?_) U Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit: U Home Occupation:#Rooms: Use: Hours of Operation: #Employees: O Addition/Accessory/Other:(Size x )Use: Closets in addition?(_)yes (_)no Water Supply: /County Existing Well New Well(II 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 (Zno Does the property contain any easements whether underground or overhead Lyes (_)no Structures(existing or proposed):Single family dwellings: ufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum 35 Actual "- qG 3 / <-i-/t. rs nccs cC.C.e.(4. / tce Z 5 11-LRear Oh A d/)o,t end V e^)/ . Wc. dr, o Closest Side J 0 / 0 trQI / co o/t, Co.-tkc-/- Sidestreet/corner w lot k , Ali r t to IQ^ot'i C i�1 c��•c h o/1 Nearest Building NP N/A on same lot Residential Land Use Application Page 1 of 2 03/11 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: <L4 (oLt>14.r j U. 3 . ) • r.r� lCt { f ��c� A 5f+c �j ( �j�.'/� 4,4 d0�1/1•t.�,OrL �ra�f/l1. 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 st. e ••n . .//ccurate and correct to the best of my knowledge. Permit subject re:cation if false information is provided. Signature of Owner or Owner's Agent a , "it is the ownerlapplicants 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 2 of 2 03/11 SITE DATA THIS PROPERTY 0 (IS),IJ (IS NOT) LOCATED WITHIN A FEMA FLOOD HAZARD AREA. OWNER: WILLIAM & MACKENIZE DICKENS PROPERTY IS LOCATED IN ZONE"X"PER FEMA 105 FARMINGDALE ROAD FLOOD INSURANCE RATE MAP PANEL FUQUAY VARINA NC 27526 3720066500J, EFFECTIVE OCTOBER 3,2006. PIN: 0634-23-5570.000 REFERENCE: PB 2017, PG 227 SITE PLAN APPROVAL N/F -o c DB 3525, PG 462 �'��-1= -� VEL DICKENS I -o m 2 m HARNETT COUNTY REG `RIOT USE_ D� 3.P4-8306..00 G 0522 I zz �s m TOWNSHIP: BUCKHORN #BEDROOMS_ _ 3 _ 69 I SETBACKS PER PB 2017, PG 227 ilbi!1 I FRONT: 35' Date Zoning A a i inAstrator I 1-n REAR: 25' IPS N87' 00' 06"WI SIDE: 10' /r 200.00'(TIE) EIP S87' 00' 06"E " --- 0) 546.80' El' / ci PROPOSED GRAPHIC SCALE / .�vy� ti 'sobs DWELLING N / V'dte 0 0 200 / , to LA 363.05 N L: 16ot // a o�� h^ o., PROPOSED W ( IN FEET ) / "� A CONCRETE m ; � // PARKING W W cc z j 1 inch = 200 ft. N23' 57' 45"E PAD 106.89' EIP "sa' .� ZOOyr, 33�-54 "' 2-4, 'z 2444, q r cb ,)h 8 v, EIP • 6V PROXI,tijA ^. O I I • 1 i £kISTING c� /OEEKNOF (CI _ • -1 WILLIAM&MACKENZIE N. to cn " DICKENS EI' ? :p PIN 0634-23-5570.00 EX 30'INGRESS,EGRESS N L' DB 3525,PG 462 +•3' UTILITY EASEMENT a PB 2017•PG 227 p N/F BM2017,PG 227 `* I I sO' 7,0C) � STEVAN HOWELL IIIA N O PIN 0634-33-2159.00 N/F DB 2723,PG 873 BEN HARRINGTON 11 EIR 320.27' (/ PB 2010.PG 246 PIN 0634-02-2824.00 DB 1185,PG 731 N84' 05' 50"W EIR — —-� II PROPOSED 10'GRAVEL I DRIVE 3 I HOUSE FOOTSRIINT DETAIL III N I 30.00' COVERED �• TRAVIS&TRACEY SKIPPERin I PIN 0634-22-7988.00 I 0 16.00 b PORCH \ 0 DB 2125•PG 962 I co 0 0 0) POT-724C i0 N N N PB 2010,PG 246 I 'n 10.00'16.00'19.46' - l ''':..S\ I PROPOSED N 44' 58"E EIP L / HOUSE n 200.02' — _ 21.67' 32.00' 21.79' EIP — — I 8.42' E-2 032.238 71 \ -- - — — ------------ I COVERED 32.00' 8.42 NAD 83(2011) ' OAKRIDGE RIVER ROAD PORCH Sca=200' SITE PLAN S.R. 1418 Date (60' PUBLIC R/W) I 8-18-2017 WILLIAM & MACKENIZE DICKENS Field Book OAKRIDGE RIVER ROAD \ I I NAME: lv 1,a.-. J eft 6,4zm t 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 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 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. LL4 Accepted (_} Innovative ( V(Conventional (_) 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 {Z) NO Does the site contain any Jurisdictional Wetlands? (_}YES {iNO Do you plan to have an irrigation system now or in the future? (_)YES {✓`NO Does or will the building contain any drains?Please explain. { ) _)YES { NO Are there any existing wells.springs, waterlines or Wastewater Systems on this property? (_)YES {ZNO Is any wastewater going to be generated on the site other than domestic sewage? (_)YESA� {_40 Is the site subject to approval by any other Public Agency? ( ()YES {_) Are there any Easements or Right of Ways on this property? (_)YES { 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. e 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 Sole Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making The 7 ' le A Complete Site Evaluation Can Be Performed. PROPS Y OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) AT j 10/10