DOCUMENTS OCH
Initial Application Date: P I o I I / Application# ' 9 a. t )
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Ellington,NC 27546 Phone: (910)893-7525 ext2 Fax (910)893-2793 www.harneLLorg/permits
^A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER:Lamco Custom Builders, LLCMailing Address:7424 Chapel Hill Rd Ste 203
City. Raleigh State:NC Zip:27607 Contact No. 919-307-4254 Email'. lamcocutombuilders®gmail.cor
APPLICANT': Mailing Address:
City State: Zip: Contact No: Email:
'Please Gu out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:Tony Toro Phone#919-935-9282
PROPERTY LOCATION:Subdivision: Colonial Hills Lot#:•1--PCD Lot^Size: ' TS—O
State Road# State Road Name e'��elmont Ct //��N �Mapp Book 8 Page: O'er`/ 7f3
Parcel: 030507//022678 �/� PIN: DSolo - 04 " .`i I q ou0
Zoning.RAwlFlood Zone: �C WatershedN 1 Deed Book B Page: 754 9/ a6q Power Company': Duke Energy
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
itl SFD:(Size 50 x45 )#Bedrooms:3 #Baths: Basement(wMo bath): Garage: ✓ Deck:_Crawl Space / Slab_Slab:
_
(Is the bonus room finished?( )yes ( )no WI a closet?(_)yes ( )n0(If yes add in with Si bedrooms)
❑ Mod.(Size x )#Bedrooms #Baths Basement(w/wo bath)_Garage: Site Built Deck:_ On Frame_Off Frame
(Is the second floor finished?( 1 yes ( )no My other site built additions?( )yes ( )no
❑ Manufactured Home:_SW_DW_TW(Size x )#Bedrooms:_Garage' (site built? )Deck' (site built? 1
❑ Duplex (Size x )No. Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms Use Hours of Operation: #Employees:
J Addition/Accessory/Other(Size x J Use: Closets in addition?( 1 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) I County Sewer
Does owner of this tract of and,own land that contains a manufactured home within five hundred feet(500')of tract listed above?( 1 yes (✓1 no
Does the property contain any easements whether underground or overhead( 1 yes (✓)no
Structures(existing o props :Single family dwellings:New Home Manufactured Homes: Other(specify):
Required Residential Properly Line Setbacks: Comments:
Front Minimum 35 Actual ^4c
Rear 25 ^1 )
Closest Side 10' 9J
Sidestreebcorner lot 20'
Nearest Building
on same lot
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: HWV 27 to Docs Rd(left)to Colonial Hips Dr(right)to Kingston Dr(left)
at the end of the street go right for Belmont Ct.
If permits are granted I agree to conform to all or ' nces and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing stat ent accurate nett to the best of my knowledge. Permit subject to r vocation if false information is provided.
c%Signature of Owner or Owner's Agent Date
"'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"
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NAME: . G AMCc HVTheS 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#
Environmental Health New Septic SvstemCode 800 '
All property Irons must be made visible. Place "pink property flags" on each corner iron of lot. All properly
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 aiven at end of recording for proof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
JnvfronmenMI Health Existino 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 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 Drool 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 desngd system type(s): can be ranked in order of preference,must choose one.
I Accepted 1J Innovative I][ Conventional f_I Any
1—I Alternative (_J Other
The applicant shall notify the local health department upon submittal of this application if any of the following apply to the propeny in
question. If the answer is"yes", applicant MUST ATTACH SUPPORTING DOCUMENTATION:
(_IYES ( I NO Does the site contain any Jurisdictional Wetlands?
IL I YES (sic) NO Do you plan to have ani at t now or in the future?
{_IYES 1f) NO Does or will the building contain any drains?Please explain.
I_IYES Ft NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
IVHS 41 NO Is any wastewater going to be generated on the site other than domestic sewage?
I_I YES fJ NO Is the site subject to approval by any other Public Agency?
(_IYES (X) NO Are there any Easements or Right of Ways on this property?
{_IYES p(.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 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 Site Accessib Gamld Ire Evaluation Can Be Performed.
PROPE NERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
HARNETT COUNTY CASH RECEIPTS
ama CUSTOMER RECEIPT xaa
Oper: TBROCK Type: CP Drawer: 1
Date: 12/18/17 52 Receipt no: 198547
Year Number Amount
2817 58842958
91749 TECH 2
LILLINGTON, NC 27546
B4 BP - ENV HEALTH FEES
NEW TANK 4750.88
LAMCO
fender detail
CK CHECK PATMEN 4636 $758.88
Total tendered $758.88
Total payment $758.88
Trans date: 12/18/17 Time: 11:46:19
as THANK YOU FOR YOUR PAYMENT as