DOCUMENTS Initial Application Dater n— I I (1 Application# IS 5�. -3 L4 1 3
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COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Pewit-Nig (PhysiLscc,a,l)106cE.From�S�tr�ee�i,LL2�a01ng Lon,NC 27596 I Mailing)PO Box 65 LII'0gIOn NC 27596 Phone:(910)297.7525 opt#12 Fav(010)8992799 lmmellary/permits
L ANDOWNERA IVC{d5lr1ITh CQF Wath C fQ 1)fn1 f lu gAddress: 111U Irf('rcWS Cnuv+
City:(ref r\A-noo r State: LZip7j75ZZ-Contact# 5)Z-Z?PIP'J35 I Email: werxaa.l Sm*990.9 mg t)LDIn
APPLICANT': kii-PY16A, Srn11-4,--h Mailing Address: I1 -7`) A-n(1 vC.t,w s Cf
city:f_ Y'C.t.C-rnooir StatA)L Zip: Z751 ntact# 357 fo%aI Email: LA-^rsld.L.l 51n 114-1/4G 9 P9iffy:7 it .raf'I
'Please fill out applicant information il different than landowner
CONTACT NAME APPLYING IN OFFICE: USC f di �1vt I1~ Phone#
PROPERTY LOCATION:Subdivision: I 5 11 I t� ] Lot#: Lot Sizer('/SZ
State Road# \-alY' --State Road Name: SCAn `L' 1( I` C Map Book&Page:OtC)Iy011 TSN
Parcel:
IV,,,,a� .,, 1 S a' / b o1 .C. I 1(� PIN: 9105 a� -1,,b - - cal c.00H-'
Zonint C A-ri ttod Zone:X Watershed:/`-+" t Deed Book&PageiS S'a 7 at kt- Power Company':
'New structures with Progress Energy as service provider need to supply premise number ) (� from Progress� Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILUNGTON: I'D 65- back l e c had Dunn IVC
PROPOSED USE:
❑ yulti-Family Dwelling No.Units: No.Bedrooms/Unit: 7 �/
pp/Business Sq.Ft.Retail Space: Type:
# CCJ Employees: Hours of Operation: /Prm - SPM
❑ Daycare #Preschoolers: #Afterschoolers. It Employees: Hours of Operation:
❑ Industry Sq.Ft: Type: #Employees: Flours of Operation:
❑ Church Seating Capacity: #Bathrooms: Kitchen:
❑ Accessory/Addition/Other(Size x I Use:
Water Supply: /County Existing Well New Well dwellings using well ) 'MUST have operable water before final
Sewage Supply: New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist County Sewer
Comments: I
Eult'h ( n9 t3cpf c re. oprn huSine55 •
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.
Signature of Owner or Owner's Agent Date
'This application expires 6 months from the Initial date If permits have not been issued"
A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
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NAME: Al f+ emprIA, GarWat F Lk-Win/,1 nC. APPLICATION if:
*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 submined. (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 reauest.
,'s• Use Click2Gov or IVR to verify results. Once approved,proceed to Central Permitting for permits.
, ' Environmental Health Existing Tank Inspections Code 800
v\ • 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
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 convict please indicate desired system type(s): can be ranked in order of preference,must choose one.
1-1 Accepted 1-1 Innovative 1-1 Convent= 1-1 Any
(ltAlternative _) er
Tplicant shall noti the local h Ith department upon sub ' ml oft 's application if any of the following ap. y to the property in
qn. If the answ is"yes",appli ant MUST ATTACH S "POR I G DOCUMENTATION:
{ ES 1_} Does the sit contain any lurisdictio . Wetlands:
( ES l_l O Do you plan 10 have an'..! . '.i n now ori the future?
( ES (_ NO Does or will the building contain : y drains?Pleas explain.
1ES i I NO Are there any 11xisting wells,spri gs.waterlines or `. astewater Systems on this pro. rty?
t_ S 1 ) NO Is any wastewater going to be g. erated on the site o er than domestic sewage?
(_}YS I I NO Is the site subje. to approval b any other Public Age:cy?
(_)YES 1 } NO Are there any Ea -ments or Ri ht of Ways on this pro.. y?
(_IY { ) NO Does the site cont'n any exis ing water,cable,phone or derground electric lin- ?
If yes please call , Cuts a :00-632-4949 to locate the lin,s. This is a free sery ce.
I Have Read This Application And Certify That T . 'intuition Provided Herein Is True, •, plete And Co . Authorized County And
State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine . pliance Wit• Applicable Laws And Rules.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All P 1•Tp ' es And Corners And Making
The Site Accessible So That A Complete Site Evaluation Can Be Performed.
l A. 2,..CLA,s h 349 -18
PROPERTY OWNERS O WNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
l0/10
B3582 - P216
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For Registration Kimberly S. Hargrove
f Z./,..-r"\ Register of Deeds
1 07/
_7 2 Harnett County, NC
�/ Electronically Recorded
� 2018 Feb 26 11 11 AM NC Rev Stamp: $ 740.00
\.-L------'"7:- _,/ Book: 3582 Page:216 - 218 Fee: $26.00
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\/ // Instrument Number: 2018002400
/� 2251 COUNTY TAX ID R
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3.53 acres,Su e -(�*'�eter ' t Truck Center of Dunn,LLC
Prepared by: McNcQ s, tak sf Hamer,PLLC, 104 N. Fayetteville St.,Clayton,
Mail To: G IRA -- V
Excise Tax: $740 X %
Parcel ID: 1537-07-'90'� ,,\--.
The property conveyed he inctSpdTiIt le fi or's primary residence
NORTH CA AGESERAL WARRANTY DEED
State of NORTH CAROLINA v �7 ,1 J
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County of HARNETT /
This GENERAL WARRANTY DEED;madetltis,the a?... day of February,
2018, by and between DEBORAH BLIZZARD-0 ,JOSEPH BLIZZARD,
whose address is P.O. Box 236,Pikeville,NC 8er referred to as
"GRANTOR"),and ALBERT SMITH CAR AG,INC.,a North
Carolina corporation,whose address is 99 Sweet-PeS WRiow Spring,NC 27592
(hereinafter referred to as"GRANTEES"): ( )
WITNESSETH — j
That the Grantors,for valuable consideration paid b e'trc lie receipt of
which is hereby acknowledged,has and by these presents doeigit4 sell and
convey unto the Grantee in fee simple,all that certain lot or parcof. mo
particularly described as follows: Z< V-
BEING ALL of that certain 3.53 acre parcel,according to aima8-d
entitled "Survey for Peterbilt Truck Center of Dunn,LLC," gt7ae qty
Township,Harnett County,North Carolina,as surveyed by Joyhe it n
Surveying,dated June 14,2010, recorded at Plat Book 2010,Pa 4
Number 2010-493)Harnett County Registry,incorporated herein by
reference. C �,S ,,,—�
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Submitted electronically by " nal stat, Whitaker & Hamer. PUG" X�--
in compliance with North ittelib as statutes governing recordable documents
and the terms of the submitter agreement with the Harnett county Register of seeds.
B3582 - P217
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HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT ***
Oper: SHOCK Type: CP Drawer: 1
Date: 3/06/18 52 Receipt no: 277868
Year Number Amount
2018 58043473
91749 TECH 2
LILLINBTON, NC 27546
B4 BP - ENV HEALTH FEESf100.BB
EXT TANK
ALBERT SMITH'S CARWASH
Fender detail
Cy, CHECK PAYMEN 1085 $100.00
Total tendered $100.00
Total payment $100.88
Trans date: 3/06/18 Time: 11:22:17
** THANK YOU FOR YOUR PAYMENT **