DOCUMENTS Initial Application Date: \
1 i a I ( Application# � 1/ Jl is Q/ + /
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COUNTY OF TURNER RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillingtan.NC 27506 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hemett.rg/permits
"A RECORDED SURVEEYMAP
RECORDED DEED(OR OFFER TO PURCHASE)A SITE PUN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
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LANDOWNER. `AJC t r� Mailing Address!-3� 33 ,I�r. 11 i4g ` )
Cay. �//c ryd State�� � sL
v No. a L
APPLICANT: D'(-k)F°1 'W\,rnf A_ Mailing Address:
City. Slate:_Zip: Contact No: Email:
*Meese IN out appktent rXomiadnn a different Nen Nndwner
CONTACT NAME APPLYING IN OFFICE: C Phone ft 1^�
PROPERTY LOCATION:Subdivision:gVOPJ C���:\CC,•c1.)-0-.
�5- 1 \ Lot#:22 Lot Size: t. I
State Road# State Road..Name:SWit `L1— 1*-* _x#`4'3 Map Book 8/Paget 005itt s'i
Parcel; l b6ne V I'LC 1�[a� PIN: °S�T�Dp/ cz,q� Jute 3' OCC)
Zen gjfFlood zone:.Watershed: x+' Book 8 Page:
3f3x�Y \�`Powar Company':
'New structures wilh Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: Monolithic
o SED:(Size x )#Bedrooms:_#Baths:_Baseement(wlwo bath): Garage:_Deck:_Crawl Space:_Slab:_Slab:_
�� (Is Ute bonus room finished?( )yes t Ino w/a closet?L #l yes I )no lyes add in with bedrooms)
77
X Mod:(Size Ly( x #Bedroomsitt Baths/Basement(w/wo bath)_Garage:_Site Built Deck:_ On Frame ON Frame✓
(Is the second floor finished?(_)yes ( )no Any other site built additions?( )yes ( )no
❑ Manufactured Home: SW DW TW(Size )/1 Bedrooms:_Garage:_(sle built? )Deck. (site built?
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Nome Occupation#Rooms Use: Hours of Operation: #Employees:
❑ Addition/Accessory/Other(Size max_)Use: Closets In addition?( )yes Li no
Water Supply: /Count Existing Well New Wall(#o/dwellings using well f'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 trap fisted above?( )yes ( )no
Does the property contain any easements whether underground or overhead( )yes ( )no
Structures(existing on proposed):Single family dwellings: utactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimums C Actual I-ZS
Rear vS� L�
Asa
Closest Side _ �L
SidestreoVcomel lot
Nearest Beetling
on same lot
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
If permits are granted I agree conk• to all iretoo State of North Carolina regulating such work and the specifications of plans submittal.
I hereby slate that f dng dt cern Ma are a- best of my knowledge. Permit sublet[to vo n t Information Infostion is provided.
\: risque . Agent' D 1
"'ti is the ownrlappllcants 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,Mc.The county crib employees are not responsible for any
incorrect or missing Information that Is contained within these applications."'
"This application expires 6 months from the initial data N permits have not been blued"
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NAME: " ' 1 ,
Sa it i 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 it
Environmental Health New Septic SvstemCode 800
• All property irons must be made visible. Place "pink properly 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.
• It 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 IVH 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 properly.
• 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 UDS 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 type(s); can be ranked in order of preference,must choose one.
1_I Accepted l_I Innovative l,,r1' nventional 11 Any
1 I Alternative 1—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 the7wer is"yes",applicant MUST ATTACH SUPPORTING DOCUMENTATION:
{_IVES 1 } 0 Does the site contain any Jurisdictional Wetlands?
/41
1_)YES I WO Do you plan to have an irrig on system now or in the future?
1 }YES II NO Does or will the building contain any_ ri s?Please explain.
1 IYFS If II.ND Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
{_IVES }I N Is any wastewater going to be generated on the site other than domestic sewage'?
LI YFS /// Is the site subject to approval by any other Public Agency?
(_IVES I NO Arc there any Easements or Right of Ways on this property?
I—I YES I 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 Thal The Information Provided Herein Is True,Complete And Correct. Authorized County And
Stale Omd re Granted Right Or Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I Undenlaat I Am Solely R.-po or The Proper Identification And Labeling Of All Property Lines And Corners And Malang
The SApA ihle So That A Cimplel P .valuation n Be Performed. Ifs ) ,S)
PROPER s OW ' A •R t' ... E A 'ENTATIVE SIGNATURE(REQUIRED) DATE
10/10
RECEIVED 12/86/2017 02:14RM 9197757533 COMRY FAIR FOMES
From: 12/0e/2011 14:1836906 P.001
��c!",t Town of Erwin
f Pmmil#1
tP+ � Zoning Application & Permit
an ayNie
�7Fa10 Planning&Inspections Department
Each application should be submitted with an attached pbUiite plan with the proposed use/structure showing lot
shape,existing and proposed bu tidings,puking and loading areu,access drives and front,rev,and side yard
d Mansions.
Name of Applicant 4d. (1 V- J Property Owner Q11 • • War
Home Address 1�_`,n•_`Sr K-P3 "Y IIT#IJ (1 11 Home Address !r7• f
Ci State, e4 I f •{[\ 4 1 QA ( // o
ty. Zip u[!JI✓1 N � City.State,Zip �t 1 s„, �7�—`\U
Telephone �tR'�s•3en00 Telephone , — q
Email '"l / Email en n-frticnivhrrvrtS 4) 'QN.0U4Q
Address of Proposed Properly ppi5 Pe-kc e' I. L.✓x Cfdy
Parcel Identification?lamberts)(PIN) Osz'7 - b/- f 55 3 I Beim sled Project Cox .IWhat is the applicant requesting to build/what u Ip(. �' FCOy'1C. rvSu l(_
the proposed use of the subject properly? Be specific.
Description of any proposed improvements Steil
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the beading or property �"
What was the Previous Use oftbe subject properly? can - Krex..)
Does the Property Aqua DOT road?
Number of dwelling/structures on the property already I Property/Parcel size 11_ 13
Flood laln SPHA Yes Ll" C17
nily Watershed Wetlands Yer
hjgiSI bele one that sppliea Coto property Existing end Septic Or
Existing/Proposed Com /City Sews5
Owner/Applicant Must Rca -
The undersigned property owner,or duly authorized aganUreprearntive thereof acetifies that Mb appladee and the forgoing
answers,antemran,and other information herewith submitted are in all ems ss sue and carted to the beat of their knowledge
gad belief The undersigning party understands that ny incorrect Information submitted may result in the revocation of this
application. Upon issuance of this permit,the enderslgoieg party agrees to conform to all applicable town ordinances,ming
rage kittens,and the laws of the State of North Carotin mutating such work and to the specifications of plans herein submitted.
The undersigning party aathorizee the Town of Erw.. . lase this r-root and conduct a site Inspection to ensue compliance
to h' application LAPP opt.
Print Names _ Iasi 17
nisLunef I acct -•reastathre Data
For Office Use
Zoning District rp Existing NonconformSg Um or Features
Front Yard Setback / / 1 Other Permits Required I_Conditional Use)guilding _Pee Manhal?C Other
', ) Regains Town Zoning luspeation(s) r foundation _Prior to C.do.
Side Yard Setback IJ Zoning Permit statue I Approved _Doted
Rear Yard Setback ±O r Fee Paid: I Dare Paid: I Staff halals:
1Common Z fi(,) XPi/ 'Cc.J.' 1 vhf /1 4 S"s t /o fee /40,--, e/
/ Signature of Town Repmmtative f .„ j). ei`7".. DMApPiovgd/Denied: /02/7)(/ / 7
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