DOCUMENTS Initial Application Date: 1o1LI I ( 1 Application# I rRaxa4Gn
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street Lillington,NC 27546 Phone:(910)593-7525 ext:2 Fax:(910)893-2793 www.harnett org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)a SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER.H&H Constructors of Fayetteville, LLC. Mailing Address:2919 Breezewood Avenue, Ste.400
City: Fayetteville State:NC Zip:28303 Contact Na: 910-486-4864 Email: leannahair@hhhomes.com
APPLICANT':H&H Constructors of Fayetteville, LLC. Mailing Address:2919 Breezewood Avenue, Ste.400
City: Fayetteville State:NC Zip.28303 Contact No. 910-486-4864 Email: leannahair@hhhomes.com
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:Leanna Hair Phone#910"486-44864 /,,^/�/�gyp(
Oakmont : I8y Lot Size: r AE Q Acr w
PROPERTY LOCATION:Subdivision: Lot# /y��I_ q E�'�
State Road
..�#((1116 pp//�� State Road Name: Docs Road /�� I MapBook8 PageOh!IC/ 1
Parcel:Q A a% OI IOa1 I-I1 ` PIN: Orrap�1��-� //Lk ( -CoYILle
Zoning:RA-20R Flood Zone:'.+ Watershed: Kit Deed Book 8 PagearMq/lh ower Company'. Central Elec.
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:ifrt0 4 ohmic
0SFO.(Size"A 1 z� )#Bedrooms #BathsaBasement(w/wo bath):_Garage:Deck:_Crawl Space':_Slab:�b:_
(Is the bonus room finished?( )yes ( 1 no w/a closet?( )yes ( )no(if yes add in with#bedrooms)
U Mod:(Size x )#Bedrooms #Baths_Basement(wtwo bath) Garage:_Site Built Deck: On Frame Off Frame_
(Is the second floor finished?( 1 yes ( )no Any other site built additions?( )yes ( )no
❑ Manufactured Home:_SW_DW_TW(Size x 1#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 ( 1 no
Water Supply: ✓ 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 Of)no
Does the property contain any easements whether underground or overhead(_)yes (Y)no
Structures(existing o • cams:. :Single family dwellings:Proposed Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks:' Comments:
Front Minimum 95 Actual l O
Rear 25 �5 Ill
5/101
Closest Side �J
SidestreeVcorner lot 20
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Take Hwy.27 to Docs Road,turn left,go about 1.5,turn let into
subdivision.
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 forego- statements are accurate and cor ect to the best of my knowledge. Permit subject to revocation if false information is provided.
!`•`]`9 Slgnature of Owner or er'sa g Agent ate
"'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 2 of 2 03/11
d\'
,t MICHAEL P. GRIFFIN , artily that undo my the and u,,z30
srpv stns this mise was drawn from c actual flm'd survey that the hat of /9.0
damn of Ms avey as cdr✓dted by coonMaNa 4 L MOO& : that Me .0°
arse shorn hereon was calculated by cordNONa 'u.
CP 6
Mums my hand and seal N4 day of NM]N MV. .1` -2>9V
/19
AL TURA DEVELOPMENT
5 38°3242"W—100.00'
O3P,
4Y WFTIANDS
RH A' •
1 _
® O
O
26,897 5o FT.
0.62 AC.
rr -
i� a n„�,., ( IB51
i
/ w 75.0 - _ x 4 0,
E0 MINI. ,w
N
s
111 N
O
/1/, >s. Nis 2
iN.
( 1831 \'4
\ _ .
�\\ 4
CI
,, .
20'DRAINAGE 3r�P
EASEMENT
‘J C2
/
SITE PLAN APPROVAL II1 E A T 11 E R W O O D DRIVE
DISTRICT US`Ey„� 5J 50' RAN (PUBLIC 4 UTILITY ACCESS)
#BEDROOMS
IblloI ,7
J°% Inn SETBACKS
IKONT 35'
5I
sue lo'
R`VLSON: LEFT HAND SIDE ENI KY, BACK,RIGHT 8/29/1 7
C I R=50.00'L=88.44 N36°03'1 I t 77.36'
C2 R-25.00'1_42 1.02 562°3824'W 20.41' I V 1242
I LEGEND
NAME:I x '1 11 n YI l InirS fiF FFcuH • LLL 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#
p Environmental Health New Septic SystemCode 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 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
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 he ranked in order of preference,must choose one.
{ } Accepted t_) Innovative al Conventional (,L) Any
{ I Alternative O 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 (3) NO Does the site contain any Jurisdictional Wetlands?
(_LYES { ) NO Do you plan to have an'Son_ now or in the future?
{_'YES (Zf ) NO Does or will the building contain any drains?Please explain.
{ )YES {y I NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
(_)YES {`J l NO Is any wastewater going to be generated on the site other than domestic sewage?
(_)YES (tell 0 Is the site subject to approval by any other Public Agency?
{_'YES (Y i NO Are there any Easements or Right of Ways on this property?
{_)YES (SI 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 The Proper Identification And Labeling Of All Property Lines And Corners And Making
The S�ccessibe So That AACommpleeteeitrt\ vahrtiotinCan Be Performed.
PROPERTYEROWNERS OR OWNE EGAL REPRESENTATIVE SIGNATURE(REQUIRED) A
10/10
I ,
<41/ /4: 2Ect '
13201343121PM
'4-4 ''it-,:i..*: H ;6-':1,1, ' ''''...:-Cl'. ' • :--,HX
'4r1 ' '1: ' N • -\ \. \'-' ' ' 1 ' I/ -- 14 .
. . . .. .. .. . ) ' l'A
. _
. . _
ir'IL 6:4 Li:lj.
____/ or, rn/ , • ,/ . ', y: 7 4
/
/ I : " ( , ' /,/,1
, •, ; Af ,, ,• • iiatz ... .ftv.\ 1 v
•. ,
„
/ /7 -f '-/
, ,, ,/
, 4 -'. '71 yArt, 4,111. 41 4rtr; ,
, / '-‘-'(/ / : '' C/:/1://7- ''."' / • ' V1''' ' 'rt.. . 1) Alt '' '
/1 ;
40p
, .. . .‘ " _ , . .1/4„.. .. / ,/ , .., .1_, 1 ' • ks‘ -4- ell
a
('A / . 4
p, ,,,,'''•...‹ '
;Sla
,
---' '-g- Zimil / • ' .- . ,‘ `, - r ' 11
' " ,Th 401111", ',_ 1i
ev& 11,
' ' ' ' . 434 ,01 7 H ,,(0)•,, ' 6SN ( i c•
4 4, AeSt •0 41 \
'' . \\ r '-. . (4 0 - ' '' - - \.; '• • . ; )4 ‘
( ' ' i Att v. -fost:,,, , ,, . ...- - 7. ,.. -, \\,rill ,:ila kei
1
A
.„,,,,,,, „ ,'„,..-.- k
) 7
- • d' 0 /1:<C7 --- I 1.INTERICK LA
ec-BC) q a'-I i
'V) 141 .,;., • 50' 12/W Sr- ,... -. ,,: 7,1 m i
, +
ftht . II I i 4.:tlib” (PRIVATE
& UTILITY ACCESS)I, a z ,
("a - •
/ -
, „
SOUTHEASTERN SOIL& ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION: OAKMONT LOT /8y
root ro Y°^/ (a
INITIAL SYSTEM:APPROVED 25% RECUCTION REPAIR Ater "E' a'% izeotera'/
DISTRIBUTION: P-$Olt DISTRIBUTION P-O•x
BENCHMARK: 100.0 LOCATION PT °^a `i,E in/ter
NO. BEDROOMS: 3 LTAR D,.r 6/O/ir
LINE FLAG COLOR ELEVATION LENGTH
P q 9, xr 6
i,aa. L3 W 98 . z.r b+
Yz, 7r 6�
9,.fr...-._.fr...-._ P g,
9 4 ) Q', ro f a
r p 16.SL (9'
Gu SC, VI.- 6'
BY `h Mecf t DATE of/Z+/f'"
TYPICAL PROFILE THERE SHALL BE NO GRADING,
o _ xy cs /1.4c7 ,„r.i CUTTING, LOGGING OR OTHER SOIL
zee - y/r YEA- G , MI DISTURBANCE IN SEPTIC AREA
Cr VeM 7 y° •
/NJ 70446 AT 13
OAKMONT SUBDIVISION
PROPOSED HOUSE BOX/BEDROOM COUNT
LOT BEDROOMS HOUSE BOX ENTRY
157 3 60'X60' S
158 3 60'X60' S
159 4 60'X60' S
160 5 60'X60' S
161 5 60'X60' F
162 5 60'X60' F
163 4 60'X60' F
164 3 60'X60' F
165 3 60'X60' F
166 3 60'X60' F
167 3 60'X60' F
168 3 60'X60' S
169 3 60'X60' S
170 3 60'X60' S
172 5 60'X60' F
173 5 60'X60' F
174 3 60'X60' F
175 3 601X60' F
176 4 60'X60' F
177 4 60'X60' F
178 5 60'X60' F
179 5 60'X60' F
180 5 60'X60' F
181 4 60'X60' F
182 4 60(60' F
183 4 60'X60' F
184 3 60'X60' S
185 4 60'X60' S
186 4 60'X60' S
187 4 60'X60' S
188 4 60'X60' S
189 4 60'X60' S
190 4 601X60' F
191 4 60'X60' F
192 3 601X60' F
193 3 60'X60' F
194 3 60'X60' F
195 3 45'X60' F
196 3 60'X60' F
197 5 60'X60' F
198 5 60'X60' F
199 5 60'X60' F
200 4 601X60' F
3cr1vw-
00/09/11 Application#
Harnett County Central Permitting
Each section below to be filled cut PO Box 65 Lillington NC 27546
910 693 7525 Fax 910 893 2793 www harnett org/permits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name&phone must match 1' _�(� /, �I
Owners Name 1A1 '`4 eOnsir L.c-1-3C3 3c C1-t• t('Vt 1IC l,��._ ) tate IC � 1
*Site Address�4 4-lectf'he.r (�l:�.X.X.I Or sive (� Phone ' " ��y
Directions to job site from Lillington iIQ (a 1!!✓ ,t—VIIL>Llvc� I -tcs lJl`)C;`1 I?c e\ *ur n
4 *� ((((���,�ora—ba 1J cc \cs , . \ \ ;er' \eft \Ilto
Subdivision >>ll�i nnni- Lott I Z14- 3 _
Description of Pro�p/gsed Work Ne LU ii jic. \-1:Uhrl(j )LtLeki.i11r1 #df Bedrooms CT
'4 Heated SftQXST Unheated SFIYW ` Finished Bonus Room/ Crawl Space Slab
General Contractor Information
A H On -wtruLtor5 tie,U!' . (11)- y8L- -i?uM
Building Contractor s Company Name Telephone 1
rilri freeze. u �tl AVe > ,y�) mC.a »j Lecav -lairElyhltrr* ,ptY\'1
Address Email Address
r1 Li 15%
License#
Electrical ContractorInformation
Description of Work Service Size ; O.. nips T-Pole tf Yes_No
Sctnc\q R4oa f\e�trir Inc . C-110 3(1)3- 3 `4r7
Electrical Contractor Name Telepho9,a
45q W�;ckehe�:�d (tuul Fly, NC a`6:Ic 71ane.e�rxvlyQ'idg�ElEC+ lc .Q(1)01
Address Email Address
0%r100— L
License#
Mechanical/HVAC Contractor Information
Description of Work
( (irnlinctCnrr\i-or+ Air, Tt7C qhi 'i3� IOle3
Mechanical Contractors CompanyName Telephone
is 1)`1 }Awl it)1 S L1C11/44-it>ili N(', oni 3 (an\ircL'nmkoriAirlicfcl .),t )iv1
Address Email Address
Qc13. TI 11 -3- I
License#
Plumbing Contractor Information
Description of Work #Baths r .5
Dell Naf e. tQ\tvn- \rc� c1 ►0 �1dq dgJ5l
Plumbing Contractors Company Namer Tninnhone
Pr)P-1—AuaicLc:JG'iIle:-viet,Si-.kW, Ne. llkhare9lu(� cYfl
I ,C
• Address ,3(. Email Address
33s58lcP - I
License#
y Insulation Contractor Information
IrICi1.4,1nSulcrhunix . ylS Per &t. Fitt' IVB �111J' LAS -���JJ
Insulation Contractor s Company Name&Address - 1 Telephone
*NOTE General Contractor must fill out and sign the second page of this application
I hereby certify that I have the authority to make necessary application that the application is correct
and that-the construction will conform to the regulations in the Building Electrical Plumbing and
Mechanical codes and the Harnett County Zoning Ordinance I state the information on the above
contractors is correct as known to me and that by signing below I have obtained all subcontractors
permission to obtain these permits and if my changes occur including listed contractors site plan
number of bedrooms building and trade plans Environmental Health permit changes or proposed use
changes I certify it is my responsibility to notify the Harnett County Central Permitting Department of
any and all changes
EXPIRED PERMIT FEES- 6 Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
per current fee schedule
•
Signature of Owner/Contract icer(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The unde igned applicant being the
General Contractor Owner Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s) firm(s)or corporation(s) performing the work
set forth in the permit
Has three(3)or more employees and has obtained workers compensation insurance to cover them
Has one(1)or more subcontractors(s)and has obtained workers compensation insurance to cover
them
L Has one(1)or more subcontractors(s)who has their own policy of workers compensation insurance
covering themselves
Has no more than two(2)employees and no subcontractors
While working on the project for which this permit is sought it is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of workers compensation insurance prior
to issuance of the permit and at any time during the permitted work from any person firm or corporation
carrying out the work
Companyorvame 14L 401S f-Tk: 1-c ( vl I . U 0 .
ign w/Tu : 1 / .tr.QLt d&i /(E'f'n i4c \--CXYCV114-1DiDate 1 Q Ig 1 11
Appointment of Lien Agent: Details -LiensNC Lien Service Page 1 of 1
DO NOT REMOVE!
Details: Appointment of Lien Agent Fled an: 08/20/2017
Entry #. 111161 Inittaily flied by: meegenbredshew
Designated Lien Agent Project Property Print 8 Post
hirst American l it We Insurance Company OKM1100184 Lot 184 Oakmont 4e-•E
304 HEATHERWOOD DRIVE rVt
Online-my ltmsnc cora . ...._ I I IIMgton,NC 27346 �r�M1��j{
Address.19 W.Haryen St.Sun 507/MM.NC Hamen County rire5 •
274u1
Phone:XXX-MHatl4 Please pow this notice on the lob Site
Pe.:913+gu3131 Property Type
auralSuellen anti Subconrruction:
ylppip
(0311°tr'v"- •' "" Scan this imarre with your sman phone re
ew thiscrime You can ben Ale a Norm
1-2 Family Fuelling ro lien Agent for this
Protect
Owner information
Date of First Furnishing
H&H Constructors.Inc.
2919 Breezewood Avenue Ste 000
fayetlevi Ile. NC 28303 05/26/2017
United Stares
Entail.louuhaii @hlthomes cum
Phone 910.486-4864
View Comments101
Technical Support llalline18881690-7384
https://apps.liensnc.com/scr/appointment/details.html?entryNumber=711141&printable= 9/20/2017