DOCUMENTS Initial Application Date:, N I tl Annllralbn# I CZ; (51--)N L4 S
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,LIIingbn.NC 27548 Phone:(910)893-7525 ext2 Fax:(910)893-2793 www.hamett.org/pemAs
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TOPURCHASE)&SITE PLAN ARE REQUIREDPOEN 5UBAITI1NG A LAND USE APPLICATION"
LANDOWNER:McKee Homes,LLC Malli g Addrese;109 Flay Street,Suite 301
City: Fayetteville State:NC Zip:28901 Cooled No:(NC ext 127 Emelt: krNrere®mdeehoc eanc.com
APPLICANT*:McKee Homes, LLC Melling Address:108 Hay Street,Suite 301
City State:State:NC Zip: Contact Goofed No: (910)475-7100 eel722 Emelt t 1e®mcksehomeerlc.00m
*Neese M nut applicant inn-nano o/different than wanner
CONTACT NAME APPLYING IN OFFICE:Josh Patton y phone (910)475-7100 ext 722 1.A
PROPERTY LOCATION:SubdMslon: 0aACW�1/1\�1 1 ` Lot M: 198 Lott1sl-ze: C'TD a•K
State Road# al Stale Road Name: NOPPIVA� Lir• Map Book Page: Q.S / 39a
?-
Parcel: 03958901 %O3v1 41 \ 1 PIN: 05.1-43- 3195.000
ZoNng trod Zone: )C Watershed/Ler Dead Bora Page: 33641 DI% power conpeny': Central Electric
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy,
PROPOSED USE:
SFD:(Size 4)r x 556)#Bedrooms:#Baths:7Bm
/aseent(w/wo bath): ✓
_Garage: 'Deeckm
Crawl Spa :_Slab:_Slab:lr✓
(e the bon.u,s.room finished?(3 5 yes (_)no w/a closet?Li yes (yrno(N yes add In with N bedrooms)
2
`INAk no In
❑ Mod:(Sen x )#Bedrooms_#Baths_Basement(wMn bath)_Garage:_SRe Built Deck:_ On Emma_OR Frame_
(Is the semndfoor Stashed?Oyes ( )no Any other site bulltaddlons?Oyes (_)no
❑ Manufactured Home: SW_OW TW(Size x )#Bedrooms: Garage: (site butyl? )Deck: (site built? )
❑ Duplex:(Size_x_)No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:it Rooms: Use: Hours of Operation: #Employees:_
❑ Addltion/Acceseory/Oger(Size_x )Use: Closets in addition?( )yea Li no
Water Supply: County _Existing Well _New Well(#of dwellings using w,X )`Must have operable water before final
Sewage Supply:_New Septic Tat(Complete CheCANZO _Existing Septic Tank(Complete CheeldIst) County Sewer
Does ovmer of this tract of end,own land that contains a manufactured home wltS five hundred feet(500')of had lasted above?(_)yes Li no
Does the property contain any easements whether underground or overhead Li yes Li no
Structures(existtg (opaset�Single family dwellings:j__, ) f�RaenufedHorns:ured HaOther(specify):
Required Residential Property Line Setbacks: Comments;
TT
Front Minimum Actual 36 t
RearX�v08•S
Closed Side ye'S I
SidestreeVmmer lot
Nearest Building IVI/1
on same lot
Residential Land Use Application. Page I of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINOTON:
Dbc5 Rd, —GI Ent Lrel pr, -to Flopelvne Dr.
If permits ere granted I agree to conform to all ordinances end taws of the Slate of North Caroline regulating such work and the specifications of plans submitted.
I hereby state Stet foregoing statements me accurate and correct to the best of my knowledge. Permit subject to revocation if false information Is provided.
tmdtiL
gigaton Ma,"b /I SOwner or Own...Agent Data
"It Is the ownerfapplicants responsibility to provide the county with any applicable Information about the subject property,including but not limited
to:boundary Information,house location,underyrolnd or overhead easenunta,etc.The county or Its employees see not responsible for any
Incorrect or missing Information that is contained within these applications."'
"This application expire S months from the initial date N patmib have not been Issued"
Rasicenlial Land Use Applicutier Page 2 a'2 D3/11
NAME: ML Kct tic rrvsLitI APPLICATION R:
'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*
0 Environmental Health New Seotic SvstemCode 800
• All property Irons must be made vlslblt, 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 she 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 trio Me mar be Incurred
for failure,to uncover outlet lid.mark house corners and worst?lines.etc.once lot conf/mred ready.
• After preparing proposed site call the voice permitting system at 910-893-7525 option 1 to schedule and use code
BOO (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.
0 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 Rd 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 LIPS OFF OF SEPTI:TANK
• After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 &select notification permit
It multiple permits, then use code 800 for Environmental Health Inspection. Please note confirmation number
niven at end of recording for proof of reouest.
• Use Click2Gov or IVA to hear results.Once approved,proceed to Central Permitting for remaining permits.
SEPTIC
H applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference,must choose one.
CI Accepted 101 Innovative I EiConventional [❑)Any
IBlAltemative 11:11 Other
The applicant shall notify the local health depamnent 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:
(DIVES [�JNO Does the site contain any Jurisdictional Wetlands?
(0)YES f O Do you plan to have an ir.ioanon sva m now or in the future?
Cr YES {I i//NiO Does or will the building contain any gluing?Please explain.
{DIVES (L'al111O Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
{OWES I.13 x�v0 Is any wastewater going to be generated on the site other than domestic sewage?
I❑)YES dal; Is the site subject to approval by any other Public Agency?
1❑)YES 1✓1�NO Are there any Easements or Rigid of Ways on this property?
((])YES IIEI N'O Does the site contain any existing water,cable,phone or underground electric lines?
If yes please call No Cuts at 800632-4949 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 ImpeeHem To Determine Compliance With Applicable Laws And Rules.
I Understand That I An Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Site AccessibleblaSo That A Complete Site Evaluation Can Be Performed
i p af6 /e
PROPERT 'OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) A
10/10
HOUSE PLAN: ZUCKER W/COYEREO PORCH - RH DS CN
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R=25.00' 80.40
L=39.27' NO5'42 11 E o
N50'42'11"E
35.36'
HOPELAND DRIVE(50'RNV)
PRIVATE & UTILITY ACCESS (30' BC-BC)
PLOT PLAN oW 1 CAI,,,R0',,,,
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SOUTHEASTERN SOIL&ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION: OAKMONT LOT /1 it
p.•..e. re p....p n
INITIAL SYSTEM:APPROVED 25% RECUCI'ION REPAIR /h PPA O eft peA.c1ba
DISTRIBUTION: SEF•n-.- DISTRIBUTION 1e-..-•a•-
BENCHMARK: 100.0 LOCATION pr • c,..E 14n/.7 B
NO. BEDROOMS: C LTAR 0. 8 6e0/fr L-
UNE FLAG COLOR ELEVATION LENGTH
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BY /K 5,4166.4- DATE 02 P1•e.r-
TYPICAL PROFILE THERE SHALL BE NO GRADING,
0-y o-. 1 41 ( 0`,24.4,/ CUTTING, LOGGING OR OTHER SOIL
v 1 /rd. 7 'M " DISTURBANCE IN SEPTIC AREA
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OAKMON• [
2/2/2018
To Whom it may Concern,
Oakmont Development Partners, LLC herby gives McKee Homes, LLC the right to
begin applying for permits&beginning construction of lots 198, 296, and 315 in the
Oakmont community before the lots are purchased.
Sincerely,
Patrick McKee
Managing Member
5112 Pine Birch Dr
Raleigh, NC 27606
919-793-5237
•
09/09/11 Apptrgpn
J
Hamett County Central Permitting co
PO Boa 65 Lembo NC 27548
East salon below b belied out 9108937525 Fuel°8932763 www lumed«a/wamie
bywtemowt Worming work
Must boons«!cereal
contactor Address mewl Application for Residential Boldins and Trades Permit
nos 8 phone must match
Owners Name McKee Homes,LLC Date 2/16/18
Site Address 21 Hopeland Drive phone 910-475-7100
Dlroebens to lob site from Lllington 127 to Docs Road,development on the left
Subdivision Oakmont Valley View Lot 198
Desgnption or proposed work Single Family Home #of Bedrooms 3
Heated SF 1672 Unheated SF 602 Finished Bonus Room9 No Crawl Space _Slab X
General Comreuor Yderrrlatbon
GML Development, Inc 910-475-7100,727
Building Contractor s Company Name Telephone
109 Hay Street, Ste 301, Fayetteville, NC 28301 krivera@mckeehomesnc.com
Address Email Address
63970
License#
j leotnW Contractor lnfonnahon,
Description of Work single Family Home Service Size zoo Amps T-Pole 0 es_No
J.M. Pope Electric 919-776-5144
Electrical Contractors Company Name Telephone
409 Chatham St.,Sanford, NC 27330 jmpopeelectric@gmail.cam
Address Email Address
21326-L
License#
MechamalMVAc Contractor 1ldormatan
Description of Work Single Family Homes
Certified Heating 8 Air 910-858-0000
Mechanical Contractors Company Name Telephone
P.O. Box 1071, Hope Mills, NC 28348 • certifiedheatair@embargmail.com
Address Ems9 Address
20012-H3-1
License#
plumbing'Contractor Information
Description of Work Single Family Home #Baths 2
Dell Haire Pluming 910-818-4863
Plumbing Contractors Company Name Telephone
7612 Documentary Drive, Fayetteville, NC 28306 dellhaireplumbing@hotmail.com
Address Email Address
32886 P1
License#
Insulation Contractor hdonnatbon
Cumberland Insulation 910-484-7118
Insulation Contractors Company Name&Address 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 applcaton that the applcabon is correct
and that-the construction will conform to the regulations in the Building Electrical Plumbing end
Mechanical codes and the Harnett County Zoning Ordinance I state the information on the above
contracom IS correct as known to me end that by same babes I have obtanad stl aubeontndon
permasron to obtain mese oaring and of my changes occur including listed contractors site plan
number of bedrooms budding and trade plans Ermronmental Hearth pend changes or proposed use
flanges I candy a is my reeponaibddy to notify the Harnett County Cenral Permitting Department of
any and all thangec
EXPIRED PERMIT FEES-13 Monts to 2 years permit reissue fee is$150 00 After 2 years re-issue fee
is es per current fee schedule
Kelsey Riveraa:.Elirc „09.5825.OEW 2/16/18
Signature of Owner/Contractor/Olhcer(*)of Corporation Data
Affidavit for Worker's Compensation N C Q 8 87-14
The undersigned applicant being the
X General Contractor _Owner _Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s) hrm(s)or corporations)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
X Has one(1)or more subcontractors(s)who has paw own policy of workers compensation insurance
coverag themselves
_Has no more than two(2)employees and no subcontractors
While working on the project for Much this permit is sought 4 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 dunng the permitted work from any person firm or corporation
carrying out the work
Company or Name McKee Homes, LLC
signwrrme Kelsey Rivera o.7 sPo'T .tareConstruction Coord. Date 2/16/18
LIEN AGENT INFORMATION
Effective April 1,2013
In accordance with North Carolina General Assembly Session Law 2012-158,
Inspection Departments are not allowed to issue any permit where the project cost
is $30,000 or more unless the application is for improvements to an existing
dwelling that the applicant uses as a residence OR the property owner has
designated a lien agent and provided the inspections office with the information
below:
Name of Lien Agent First American Title Insurance Company
Mailing address of Agent 19 W. Hargett St., Suite 507
Raleigh, NC 27601
Physical address of Agent same as above
Telephone 888-690-7384 Fax 913-489-5231
Email support@liensnc.com
The information will be attached to the permit record and a copy provided to the
applicant. The applicant is required to post a copy on the construction site.
Excerpt from North Carolina G.S. 160A-417:
"(Effective April 1,2013)No permit shall be issued pursuant to subdivision(1)of subsection(a)of
this section where the cost of the work is thirty thousand dollars($30,000)or more,other than for
improvements to an existing single-family residential dwelling unit as defined in G.S. 87-15.5(7)that
the applicant uses as a residence, unless the name,physical and mailing address,telephone number,
facsimile number,and electronic mail address of the lien agent designated by the owner pursuant to
G.S.44A-11.1(a)is conspicuously set forth in the permit or in an attachment thereto.The building
permit may contain the lien agents electronic mail address.The lien agent information for each
permit issued pursuant to this subsection shall be maintained by the inspection department in the
same manner and in the same location in which it maintains its record of building permits issued."
www.liensnc.com
F -
Appointment of Lien Agent:Details-LiensNC Lien Service haps://appsjiensnc.com/scr/appointmentldetails.html?entryNumb...
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 02/15/2018
Entry #: 800485 Initially filed by: jbuckwalter
Desg d Lien Agent Project Proper Print & Post
First American Title Insurance Company Oakmont Valley View Lot 198 Harnett County 21 CrNi]
Hopeland Drive
Oeliee:www.hemmc cciii wewoo.aw NC
Addmr:l9 W.Hagen St,Suite 507/Raleigh,NC 0'547..'n
mans Contractors:
Phone:885-690-7354 Property Tspa Please post tins notice on the lob Site.
fin:91 i-189.5211
• Suppliers and Subcontractors:
[main^@F^n@Ilmanccow i.w...w.+w.wo Scan this image with your smart phone to
I-2 Family Dwelling view this filing.You can then file a Notice
to Lien Agent for this project.
Owner Information Date of First Furnishing
McKee Homes LLC
Ing Hay Street 03/05/2018
Ste 301
Fayetteville, NC 28301
United States
Email.krivera@mckeehomesnccom
Phone:910-473-7100
View Continents(0)
Technical Support Hotline:(888)690.'984
I of 1 2/15/18, 10:37 AM