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LAND USE RRR -99 Initial Application Date:° I ?a' ) )n Application# •SW SEIJ RA R CU# I l COUNTY HARNETT RESIDENTIAL LAND USE APPLICATION Central Penndting 108 E.Front Street,Lillirglon,n,NCC275462]548 Phone:(910)893-7525 exC2 Fax:(910)893-2193 viww.hamett.org/pennils RECORDED SURVEY MAP,RECORDED DEED OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER: fits E-G #414.-EDMailing Address: ‘;SS SIEYXm A.✓ AA'ES DK. city: {iAUAt/ L9/LI ## State:&C Zip:795?Contact No: 9/9'742--G5572 Email: /ZAHOMESSO Ptn te •0*i APPLICANT': guSSEU.- 41n-7' Mailing Address: LSNJSDE City: FHaF8141 141X/tilt State:PG Zip:'-37G Contact No: SIAs'rd Email: 5:4 241£ 'Please fill out appliCantinformation if different than landownerEL / CONTACT NAME APPLYING IN OFFICE: Xu SSL RT Phone# 9iq_ 942 C :S6 PROPERTY LOCATION:Subdivision: SHEeotti R" e5 Lot#: 06 Lotot1S,,izz..eeJa x}G2E,f State Road# a0S State Road Name: S rn�a f i nns Map Book 8 Page:9'w^a1 373 Parcel: 6,xYYg. LCS S o I S •'4 I PIN: CUSS (Lk 3 - $o3g •OAt Zoniny�l'1 ,n Flood Zone: Watershed: Deed Book&Page3l/ • Power Company': 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: 1 I :: / ,�/,i'A... Mono U� SFD':(Size97 9a)#Bedrooms_ #BathsBasement(wMro bath): e.= t _Garage. Deck: SVtrawl Space:✓ SLab:_Slab:liMic (Is the bonus room finished?( )yes ( )no w/a closet?(_)yes ( )no(if yes add in with#bedrooms) ❑ Mod:(Size x )#Bedrooms_#Baths Basement(wtwo 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:It Rooms: Use: Hours of Operation: #Employees: ❑ 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 undergroupd or overhead( )yes (_)no Structures(existing compose . ingle family dwellings: \ Manufactured Homes: Other(specify): yrt1 Required Residential Property Line Setbacks: Comments: Front Minimum Z5 Actual 1 Ti 1 Rear r�S LDS• Closest Side l V -- NieB corner lot Nearestotltling onnsame lot Residential Land Use Application Page I of 03/11 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted. I hereby state that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided. flryMia sad- Z7—I8 Signature of ner or Owner's Agent Date "'It 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 emyloyees are not responsible for any incorrect or missing information that is contained within these applications."' 4 "This application expires 6 months from the initial date if permits have not been issuer Residential Land Use Application Page 2 of 2 03/11 NAME: R.U55E1L Ikngr 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 I 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 oroof of reguest. • 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 given at end of recording for oroof 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 I_} Innovative IN Conventional Any—}AnY f_} Alternative 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: {_}YES f) } NO Does the site contain any Jurisdictional Wetlands? I—}YES (x} NO Do you plan to have an ti `t now or in the future? I_}YES { I) NO Does or will the building contain any drains?Please explain. }YES f Y i NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property? }YES 1K1 NO Is any wastewater going to be generated on the site other than domestic sewage? _}YES I V i NO Is the site subject to approval by any other Public Agency? (_IVES (i) NO Are there any Easements or Right of Ways on this property? {_)YES 1 Y}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 Accessible So That A Complete Site Evaluation Can Be Performed. ,•n{ rc 41 Od-dd-/Q PROPERTY OWNERS OR WNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/10 �d oma'] Course Bearing Distance P.p,, 3c1/4 leLI N 90'14'04• W 88.49' Curve Radius Length Chord Chord Bear. @ 1 Cl 925.00' 114.48' 119.87' N 20°08'42° W C2 275.00' 294.88' 280.94' N 00°28'58° E VICINITY 94P (NTS) LEGEND OTS P NOT TO 1. SITE PLAN APPROVAL OP DOSING IRAN PIPE Y�1 PP POWER POLE x'11 a12'J Will WATER METER ISO 390 IPS IRON PIIPEPEESET1 " DISTRICT � ]� _USESFI� GPM_ TRAWORNE0 PROPOSED CANTV CABLEBOX L POLE NONT POLE #BEDROOMS HOUSE R OWL OVERHEAD POWER LINE FES. rum END SECTION (RPE) a �a a I ( RCP RENEORCEO CONC. PIPE f 21.0 SOC. SAO< Of CL m1A P.N. DRE HYCNNT De/. / f PORCH C\0 901E1 OLEAN OUT 33.] EIn EXISTING IRON STARE / // . IWINClE ECM E STNC CONCRETE LWNNHEM / / INSET (N76) P.K. PARKER KILON NAIL �/ /� :#ro B^ n InP \ 2 �� 0 1 ��PROPOSEDNOUSE / II i 8 TPA VI "� \,\ ,, %/ It9/ N .72i \ \ © � . I 09\� \ \ R, is . NZ •� c \ I b \ I .PPROXNATE ` LOCATION DR POD r x \\\ \\ n tel \ \ \ � � \ \ ' \ 225.47 \ � 1 B �.� \1 \' 75 B2 5 7956 30 1.2 44„,,„ I ; `, 6 NOTE: SHOAT] IS LOT 5 OF SHERMAN PINES 6/D REF: B.O.N.2006 P0.973 /00 0 100 200 300 . . . . . AREA = 2.044 ACRES • • ■ ■ • a 11111111 enc suceua OTUCC na Tvc CRAPRIr .tY747R — PRPP HARNETT COUNTY CASH RECEIPTS amm CUSTOMER RECEIPT amm Oper: JBROCK Type: CP Drawer: 1 Date: 2/22/18 52 Receipt no: 262344 Year Number Amount 2014 50034529 205 SHERMAH PINES DR FUDUAY-VARINA NC 27526 B4 BP - ENV HEALTH FEES $25.00 REVISION 2814 50834529 205 SHERMAN PINES DR FUOUAY-VARINA NC 27526 B1 BP - PERMIT FEES 440.80 SITE PLAN CYPRESS HOMES INC Tender detail CN CHECK PAYMEN 1646 $65.00 Total tendered 865.00 Total payment $65.00 Trans date: 2/22/18 Time: 15:05:30 ** THANK YOU FOR YOUR PAYMENT mm