DOCUMENTS Initial Application Date: 1,'' I J ) . Application# 1 ScOt4 D . `Q
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.harnett.org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE
REQUIRED WHEN SUBMITTING`` A LAND USE APPLICATION"
LANDOWNER: GQ�j - u- &S �``t �rMlilingAddress: I ' (R1Ne �u "V`'!9Y1 1\C
R1
City: 1 A\n State:NC Zip: 2� 1'tontact No: `l�6 �"{(DEmail: -i 'pk \1 1✓ �`11 eie4' I• t`U4"(
APPLICANT*: - Mailing Address:
City: State: Zip: Contact No: Email:
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Phone
PROPERTY LOCATION:Subdivision: -------- Lot#: Lot Size
•5C°
State Road# ` q C) State Road Name: LW\•�- leo{ Map
Map BBook&Page:: LT
Parcel: b ` 5 3`o' b 014 b a PIN: \s '? kt e ��'�1 •C�� L?
ZoningX2`�Flood Zone: x Watershed. /00—Deed Book&Page: X.,-5q(/ ‘25 02Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SFD:(Size x )#Bedrooms:_#Baths:_Basement(w/wo bath):_Garage:_Deck:_Crawl Space:_Slab:_Slab:
, (Is the bonus room finished?(_)yes (_)no w/a closet?(_)yes (_)no(if yes add in with#bedrooms)
r Mod:(Size,. (k(f
x 1)#Bedrooms #Bath 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?_)
J Duplex:(Size x )No. Buildings: No. Bedrooms Per Unit:
• Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
J Addition/Accessory/Other:(Size x )Use: Closets in addition?(_)yes (_)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 (_)no
Does the property contain any easements whether underground or overhead(_)yes ( )no
Structures(existing or proposed):Single family dwellings: Manufactured Homes:1 5 er(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 3S Actual 10
Rear _1-=
Closest Side Y`�
Sidestreet/corner lot
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: /2 ` 1 CC'"'`�`�t Puri
1-ea Oh 361 D�^' L cin 1 �.-� on
Fr Lti a CfiW�iL +(tQv1 * 1.. 4{(
If permits are granted I agree to confirm to al . .nan s and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing s:tem zits are/A,• ate ect to the best of my knowledge. Permit subject to revocation if false information is provided.
• � -CD/7
Si ture of Owner or Owner's Agent Date
mit 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"
•
•
Residertial Land Use Application Page 2 of 2 03/11
NOT FOR LEGAL USE .
1111
c
m
o , 1"..4?) -
a- D n=
CL.
0:1 ca)
ATi; '
1 '
03y
Ob "lNd -
CD C r
er
C 3 CD
O
C
0 / is V
�/ V
a 1��j
m
re, P a Z R f
Ft; a a •2 r
N H O 3 r F MN
c9 Z N • -rAir -y '01.
d• f"f
� *
cD
fr.
a a)
-./. a... _
cu - o ccn n
w
3 I a N
n m
. 1,
co
._, :.. , ..
.411401111r- t. -
- t,t r .
i
ike
.: .
d
ma
•
Pi cn y4 .
o
- . 4
CI p
r ._ a .
•
i ---.., CI .
A 165
ir re
10
rt-
b C-'d
C
T_
7 .
---\ � o � .
o
co
--a-
--I-1ce
-
c----h )
LL
ruin.L ra t t vv UN 1 I HEALTH H 1)M'ARTMENl'
i ; ._ ENVIRONMENTAL HEALTH SECTION
N° 56
CERTIFICATE OF COMPLETION OPERATIONAL PERMIT
Name: (owner) LATtVa4aj New Installation plieptic Tank
Location: SR# J 0a. LI Repairs a'
Property8 GYiVitrification Line
Su' ionL N f t Lot# JJ I w
Contractor , ..L Registration# 3 G
Basement with Plumbing: ❑ Garage: ,
Water Supply: Well 0 Public 0 Community
Distance From Well: SC)'F Pt.
Following are the specifications for the sewage disposal system on above captioned property.
Type of system: Conventional 0 Other
Size of tank: Septic Tank: 0 00 gallons Pump Tank: A)« gallons
Subsurface No. of L[ exact length ns width of Q depth of el :
Drainage Field ditches 7 of each ditch / ft. ditches ft. ditches 7 in.
French Drain: )J I ft Linear feet
i
Date: X'7'
NO. $ I i Inspected by:: A AV.
_ .es
Environmental Health Specialist
.
•
r\ e `'.:C6
1
i :
64,eftl r
r
,, ,r 1
I
1
I
f ,6 no S'oPISod
B3548 - P292
IIIIIIIIIII
FOR REGISTRATION
K�REG��TrR �yyrOE�S
2A 7 T E6G San•s6:ea en
H• 'NETT COUNTY • ID# -
iii0P
• 11 • l� 284
INS CISE T L,IENT 17ea 134
i� �... TUES
0 11"171111
4iiiiM 111111111M
k i Ie:Y 2017015134
<>
1 011111P r ' ' CAROLINA GENERAL WARRANTY DEED
Prepared by am • t- rec. g, .il to: Cecil B. Jones,JONES AND JONES, P.L.L.C. PO Box
397, Dunn,NC 28 c 5 c)
EXCISE TAX: $30.0 S ile
Parcel ID Nos. 02153800 : I i and ► l .2:11611
THIS DEED, made this : • . I . ••r,2017, by and between, DAVID LEE
STRICKLAND, Unmarried, 77 I. • oa• •unn,Nort Carolina 28334, hereinafter called
GRANTOR and CODY RHODES . • a ILY MU: ' as Tenants in Common,77 Lane
Road, Dunn, North Carolina 28334, hereinafter : ed RA' ES.
The designation Grantor and Gran - as .sed . rei hall include said parties,their heirs, •
successors,and assigns, and shall include si :Alla ,plu • ,masculine or feminine as required by
context.
WITNES . 0
That the Grantor, for a valuable consideration paid .y t - i . i- , the receipt of which
is hereby acknowledged,has and by these presents does g .nt bar::•n se land convey unto the
Grantees in fee simple,all that certain lot or parcel of Ian. .ituat-• in • e • boro Township,
Harnett County, North Carolina and more particularly descri. oil. •s:
TRACT 1:
Parcel Number: 021538001402
Property Address: 113 Lane Road, Dunn, NC 28334
BEGINNING at a found PK nail in the centerline of N.C.S.R. 180 (" •:n- 'oa• ),
said PK nail being located 484.62 feet South 19 degrees 26 minutes 2 :: o
from a found cotton spindle in the centerline intersection of N.C.S.R. :i 'Lain
Road")and N.C.S.R. 1810("Stewart Road");thence North 72 degrees 12 nu LW
seconds East 152.47 feet to a found iron pipe;thence South 18 degrees 46 mi'ute`
B3548 - P293
O.w
econds East 160.87 feet to a found iron pipe;thence South 71 degrees 28 minutes 22
onds West 150.27 feet to a found PK nail in the centerline of N.C.S.R. 1802
'Lane Road");thence with the centerline of N.C.S.R. 1802("Lane Road")North 19
- s 26 minutes 22 seconds West 162.85 feet to the point and place of beginning
c• taming .56 acre according to a map entitled"Recombination for property of
Iia H. • Barefoot" by Joyner Piedmont Surveying,dated February 1, 1999.
4011111 r: 021 8016102
• •-n • dd - : SCocateil Lane, Dunn,NC 28334
Beg!• • n: . a : nd iron pipe being located 152.47 feet North 72 degrees 12
minute• 9 - • :s D.,t of a found PK nail in the centerline of N.C.S.R. 1802
("Lane ' •a•' a' . .•id •K nal being located 484.62 feet South 19 degrees 26
minutes 22 • • ds - t ro. Al nd cotton spindle in the centerline intersection of
N.C.S.R. 181 (" e ' .-.d",.. dd N.C.S.R. 1801 ("Stewart Road");thence from the
BEGINNING point • ort • ees 12 minutes 29 seconds East 99.93 feet to a set
rebar; thence So 1 1! • ' • : inutes 32 seconds East 158.69 feet to a found
rebar; thence Nort' 7 de • 3 inu -. 29 seconds East 95.63 feet to a found
rebar; thence South 1 ! ds 1: '- tes :t seconds East 320.50 feet to a found
iron stake; thence Sour 7 0 • : •s 5. mutes 5 seconds West 135.93 feet to a
found iron stake;thence :rt. 8 •.-: ees 13 min tes 52 seconds West 321.38 feet to
a found iron pipe;thence S. . I degrees 3• in es 39 seconds West 60 feet to a
found iron pipe;thence North 18 degree • . mi• tes , 1 seconds East 160.87 feet to
the point and place of beginning,co. !ni : .9•.au: according to a map entitled
"Recombination for property of 1. illi:. ay : . -foot" by Joyner Piedmont
Surveying,dated February 1,1999.
The property herein described is not the pri aide. e of the Grantor(NCGS 105-
317.2).
The property herein above described was acquired by ran :y • strument in Book
3509,Page 991, Harnett County Registry.
TO HAVE AND TO HOLD the aforesaid lot or parcel • Ian. • , . all . 'vileges and
appurtenances thereto belonging to the Grantees in fee simple.
And the Grantor covenants with the Grantees, that Grantor is • iz... • e p . ises in fee
simple,has the right to convey the same in fee simple,that title is mark a. an. •e a d clear
of all encumbrances, and that Grantor will warrant and defend the title ag•• t - aw , claims
of all persons whomsoever except for the exceptions hereinafter stated.
0
1 I 06 c,t,:?;t
_y
_.__._ . B3548 • P294
Title to the property herein above described is subject to the following exceptions:
General utility easements for phone and power purposes.
Roadways and rights-of-way of record and those visible by inspection of the
dr 'remises.
c i • , as an environmental study on the subject property by an environmental
ngin--r . ould reveal.
•i W c • '. OF,the Grantor has hereunto set his hand and seal the day and
year firs . • •v
.<:/ /)1C) G•-� (SEAL)
tc,) AVID LEE STR ND
1C/,' ''>
C:)'(;;
N4 H`..-t1 LINA
CC rrCOUNTY r,,
I, Jjjg. •,I , P ' is for topea� v County,
North Carolina,do hereby certify that DAV Ia LEE S ' - AND appea> before me this day
and acknowledged the due execution of the foregoin! nst me for the purposes therein
expressed.
Witness my hand and notarial seal,this the • . •f October, 2017.
A
/ ,
. •t. s ' I 'c 14,
AMANDA S.RIDDLE
NOTARY PUBLICC��
My Commission Expire- y�rr�..•..� "r..rr on
0
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 1 CONFIRMATION#
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 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
(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(s): can be ranked in order of preference,must choose one.
(_) Accepted {_} Innovative {_) Conventional {_} Any
{_) A ternative { Other
The appli-ant shall notify th oca health department upon submittal of this application if any of the following .pply to the property in
question. f the answer is" -s",ap,licant MUST ATTACH SUPPORTING DOCUMENTATION:
(_}YES {_} NO Does the '.te contain any Jurisdictional Wetlands?
(_}YES {_} NO Do you pla to have an irrigation system now or in the future?
{_}YES {_} NO Does or will e building contain any drains? •.se explain.
(_MMES (_l NO Are there any ,xisting wells,springs,waterli s or astewater Systems on this property?
{_}YES _} NO Is any wastewat. going to be generated on t e site of•er than domestic sewage?
{_)YES { } NO Is the site subject I approval by any other ;ublic Agen•y?
{_}YES ( } NO Are there any Ease ents or Right of Ways on this prope y?
{_)YES { } NO Does the site contain • y existing water, 'able,phone or u uerground electric lin; ?
If yes please call No C sat 800-632-4'49 to locate the line. This is a free se ice.
I Have Read This A plic tion And Certify That The In . mation P,I vided Herein Is True,Com. •to And . rect. Authorized County And
State Officials Are G ed Right Of Entry To Conduct Nec = •Inspections To Determine Compliance With Applicable Laws And Rules.
I Understand hat I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Sip c ible So TI. 'A C. plete Site Evaluation Can Be Performed.
ylRoII'ERT WNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10