DOCUMENTS Initial Application Date:II 6777 Application# 1 1 so31-to-ios
MA
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)803-2793 www.harnettorg/permits
"A RECORDS SURV MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION^
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LANDOWNER:S UIOA is /4Lo Lkk /UCLA IWb^✓ Mailing Address:
City. State:_Zip: Contact No:
1y� /{ Email':
APPLIC/A'NT :/? s a A b_y L., _fi 6.•yilllingg'Address: — "�C ) ,�t�/� D !�
City: /--I/ slate/Ct Zip/`7 Ccontact�g Email: A all/C'f iroi4 ' -
•Please fill out applicant information if different than landowner //�V I
CONTACT NAME APPLYING IN OFFICE: �(!)4 I /VZI/Ohu' Phone# 95666 9.2r
PROPERTY LOCATION:Subdivision. �p)IJ -brook-- // 1 Lot#. /7 Lot Size:iz �i.)(2 40
State Road# State Road Name: fit Aiktiths�LIL t?1S4' ^11''- Map Book&Page:p�('1GIa / I
Parcel: (Js b�sa�/( )flS a at PIN: b-asTI - d T3A4S'L�v.D l
Zoning: Flood Zone: HS Watershed: X Deed Book S Page': O¶9 / Power Company': At PL/
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PRSFOSED USE:_ q� Monolithic
D:(Size 3C x l#Bedrooms#Baths:!Basement(w/w0 bath): Garage:_Deck:/awl Space:kSlab:_Slab'.
(Is the bonus room finished?(—)yes (_)no col 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_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: U County Existing Well New Well(#of dwellings using well )*Must have operable water before final
Sewage Supply: V 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 (k)no
Does the property contain any easements whether underground oroverheadN )yes (_)no
Structures(existing or proposed):Single family dwellings: -bctd Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 14 Actual
dal
Rear �/ (%S
Closest Side //Ql32.62
Sidesfreeucomer lot
Nearest Building
on same lot 1 of 2 03111
Residential Land Use ApplicationPage
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 110 I A0rL
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If permits are granted I agree to con y / ordi .n vs and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing sta .MCI to the best of my knowledge. Permit r
subject t evo tion d false information is provided.
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S fnatum of Owner or Owner's Agent D e
"It is the ownertapplicants 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 Jasements,etc.The countyor its employees are not responsible for any
incorrect or missing Information that Is contained within these applicatlois."'
"This application expires 6 months from the Initial date N permits have not been Issuer
Residential Land Use Application Page 2 of 2 03/11
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: SHOWN IS LOT 14 OF
DDOINIBRDDK PINES 8/D. IDONNIBR'OOK RUN\
REF: IS. 99, PG. 191 50 PUBLIC R/W
60 0 60 120 180
NAME:y Ld71-74:O o4eviek." APPLICATION k:
*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 ) 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 ynderarowth 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.S25.00 return trio 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 8 select notification permit
if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number
(liven 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(sh can be ranked in order of preference.must choose one.
( ) Accepted I—I Innovative (1.--) Conventional I—I Any
I—I Alternative f_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:
I—)YES III NO Does the site contain any Jurisdictional Wetlands?
I-1 YES i 4 NO Do you plan to have an irrigation ity±Agot now or in the future'!
I I YES IVI NO Does or will the building contain any drains?Please explain.
1 YES {' l NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property'!
II YES I.1 NO Is any wastewater going to be generated on the site other than domestic sewage?
1_�I I,YES I4 NO Is the site subject to approval by any other Public Agency?
/LIVES VES I-1 NO Are there any Easements or Right of Ways on this property?
I_AYES I.LNO 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
Slate Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I Underatandt• • t, ..; sible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
i
Th• - �j®� ��L��' � le a aluation Can Be Performed.
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rt RS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) ATE+ /
10/10
CONTRACT TO PURCHASE
THIS CONTRACT TO PURCHASE Ihereinultvr referred to us :he Ccnrran]_
made and entered into by and between Robert Crabtree Builder, Inc. (lnerzdna tier referred
to as the Buyer) and Charles Hartmann and Fawn Hartmann (hereinafter re/errea eo (2S
the Seller).
In consideration of the premises and mutual promises and covenants contained
herein, and other good and valuable consideration, the receipt of which is hereby
acknowledged, Seller and Buyer, for themselves and their respective heirs, successors
and assigns, do hereby covenant and agree as follows:
REAL PROPERTY: The Seller agrees to sell and convey to the Buyer all of that
plot, piece and parcel of land, together with all improvements and fixtures, located at 234
Donnibrook Run, Fuquay Varina, North Carolina and more particularly described as
follows:
Being all of Lot 14, Donnibrook Pines Subdivision as depicted in Plat Book
99, Page 191 Harnett County Registry. (hereinafter referred to as Land or Property)
2. PURCHASE PRICE: The purchase price of the property is $36,000.00 to be paid
as follows: Five Hundred and No/100 Dollars (5500.00) earnest money already paid to
the seller which will be credited to the Buyer upon the closing of the property. In the
event any of the conditions hereto are not satisfied, then all earnest monies shall he
returned to Buyer. In the event of breach of this Contract by Seller,upon Buyer's request,
all earnest monies shall be returned to Buyer, but such return shall not affect any other
remedies available to Buyer for such breach. In the event this offer is accepted and
Buyer breaches this Contract, then all earnest monies shall be forfeited upon Seller's
request, and receipt of such forfeited earnest monies shall be the sole remedy available to
Seller for such breach.
3. CLOSING DATE: The closing on the property shall take place on or before
November 16th, 2017.
4. TAXES AND INSURANCE. The panics agree that the Seller shall he
responsible for all real property taxes until the property is deeded to the Buyer at which
time the taxes shall become the responsibility of the Ru•.Cr. Current Years Taxes shall be
prorated as to the day of clnsng.
5. CLOSING EXPENSES- Seller shall pay ibr preparation of a deed and all anter
documents necessary to perform Seller's nbiluations under this Contract and .,n excise
tax (revenue stamps) LS I Cqulrea b‘ late Sucer sh i pay fo: recording tee r the Wino
and for preparation and cc hitter expenses such as ti7e Title Search and f ?su:an.T,
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