DOCUMENTS Initial Application Date: 5 iQ1 •
Alition# •
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPUCATION
Central Permitting 108 E. Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/pemlits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER:
H&H Constructors of Fayetteville, LLC. Mailing Address:2919 Breezewood Avenue,Ste.400
City:
Fayetteville State:NC Zip:28303 Contact No: 910-486-4864 Email: leannahair@hhhomes.com
APPLICANT': Mailing
H&H Constructors of Fayetteville,LLC. Address'.2919 Breezewood Avenue,Ste.400
City:
Fayetteville State:NC Zip.28303 Contact No: 910-4864864 Email: leannahair@hhhomes.com
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:
Leanna Hair Phone#910-4864864
Oakmont Lot#:303 Lot Size:.60
PROPERTY LOCATION:Subdivision:
1118 Docs Road Map Book&Page / �(
State Road# State Road Name:
0395 8901 1021 62PIN, 0507-43-9836
Parcel: L F
RA-20R ,,//�� Nr� 5 1 ower Company: Central Elec.
Zoning: Flood Zone:IN�YT Watershed: ti ler Deed Book&Pag /��
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: , Monolithic
4 SFD:(Size 53W x ss—s.0)#Bedrooms:5 #Baths:4 Basement(w/wo bath)_Garage':/Deck:_Crawl Space:_Slab: Slab:_
(Is the bonus room finished?( 1 yes ( )no w/a closet?Li yes ( )no(if yes add in with#bedrooms)
❑ Mod:(Size_x_)#Bedrooms_#Baths_Basement(w/wo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?( )yes ( )no Any other site built additions?( 1 yes ( )no
U Manufactured Home:_SW_DW TW(Size x )/*Bedrooms: Garage:_(site built?_ )Deck: (site built?_)
❑ Duplex:(Size_x )No.Buildings: No,Bedrooms Per Unit:
LI Home Occupation:#Rooms: Use: Hours of Operation: **Employees:
❑ Addition/Accessory/Other:(Size_x 1 Use: Closets in addition?(_)yes ( )no
Water Supply: 14 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 (✓1 no
Does the property contain anneasements whether underground or overhead( )yes Li no
Structures(existingpmposetl ' gle family dwellings:
Proposed Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual 36.9'
25 107.2'
Rear
Closest Side 5/10 28.4'
SidestreeVcorner lot 20 N/A
Nearest Building
on same lot Page 1 of 2 W111
Residential Land Use Application 9
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Take Hwy.27 to Docs Road,turn left,go about 1.5,turn let into
subdivision.
If permits are granted I a•ree to conform to all ordinances a d laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that fore. statements are accurate an recto to the best of my knowledge. Permit su lett t revo tion if false information is provided.
is LoaAvis �.S11 �
Signature of Owner Ys Agent Da
"'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 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'•
Residential Land Use Application Page 2 of 2 03/11
1. MICHAEL P. GRIFFIN certify that undo-my dreads, and
supervision this map was d'atm from on actual Weld sur X that the erre of
Closure of the y as calculated by rosMoba Is I: 14000#: that the
no sham hereon was calculated by coordinates
*Mess my hand ond— this day of MONTH 2018
FUTURE
(z je DEVELOPMENT
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IV 1 PROPOSED
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PORCH 29.71
12149 J 31.59
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PROP
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5'UTILITY
EASEMENT
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\;,,_. Cl 5 38°32'42" W ---
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SUNNYBROOK LANE SETBACKS
50' RAY (PUBLIC * UTILITY ACCESS) FRONT 35'
REAR 25'
55 TE 10'
REVISION: LEFT HAND 2119/16
C I R=255.00' L=69.01 ' 530°47'31 "W 68.80' I 1 1222
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NAME:MN( C3(1 �ru&WS 4 Faci • l e, . 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#
{X 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 ltd,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 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 & 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.
O Accepted (_} Innovative (1) Conventional (11 Any
{ 1 Alternative (_J 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 (S.)NO Does the site contain any Jurisdictional Wetlands?
{ }YES (_>) NO Do you plan to have an' fon system now or in the future?
(_)YES (X,} NO Does or will the building contain any drains?Please explain.
f_JYES (. ,I NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
{_J YES ('b) NO Is any wastewater going to be generated on the site other than domestic sewage?
(_}YES 41 NO Is the site subject to approval by any other Public Agency?
{OYES f_} NO Are there any Easements or Right of Ways on this property?
{ }YES TF-4 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 Accessible^^ ,So That Co p to Site Evaluation Can Be Performed.
ist
PROPERTYrOOWW'N�ER`S O`R OW ERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) VIII-
-
10/10
-
10/10
SOUTHEASTERN SOIL&ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION: OAKMONT LOT 303
INITIAL SYSTEM:APPROVED 25% RECUCTION REPAIR frPPO-rCO 2.r% Reck a.a+
DISTRIBUTION: SEa DISTRIBUTION (Ea(a..
BENCHMARK: 100.0 LOCATION u.s-rnn. 443 eo 3
NO. BEDROOMS: S LIAR o. s +S O)rr`
LINE FLAG COLOR ELEVATION LENGTH
�I 0 103,9V SDS
L 8. 102-.1-8 7,r '
SV° 2
4 6 Io I.SS 70 '
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BY M, EAMeA DATE a3/2. 1'r
TYPICAL PROFILE / THERE SHALL BE NO GRADING,
0 -'f$ ile-J(//6; w'i/ CUTTING, LOGGING OR OTHER SOIL
1' J-- > k8 " DISTURBANCE IN SEPTIC AREA
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09/09111 Application#
Harnett County Central Permitting
PO Box 65 Edlington NC 27546
Each section below to be filled out 910 893 7525 Fax 910 893 2793 www hermit org/permits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name&phone must match 11r
Owners Name n11Ort reCt'6C3 CSC �L�<Iekti 11€ t011 • tate 3 5 I . lf1
• • 1
- .Site Address I �1�11�br�k.` 1L`y,,�,c^.;,,' r-� ,\ Phon(e� � '" , • "
Directions to Job site from Lillington t CA Y. t•4u) e I +n be Cry Ie_ccic\ f or n
\e * ( ft til- \r,-) bin into
rThu ,viS1Ofl .
Subdivision �- f11nn-�' Loot �r�W')
C •
' IU flux-41(1(6 # Bedrooms 5
Description of Proposed�C��. Work �Qp7��U �II-ok �{'1111r 1
*Heated SF Jj nheated SF O`73 Finished Bonus Roomy Crawl Space _Slab '
I1
General�Contractor Information
N4H l nns—rUC"'Fors fT� VaLie k ,Ile u11 . (1I6- gSto- LISIsio -1
Building Contractors Company Name Telephone
agiq 8reeze.Lomt1 ave 5-1e.4C) l ayme ascan5 Leantl-lairgi-Wfo s
Address Email Address
`1 LI 15%
License#
Electrical Contractor Information
Description of Work Service Size )t(X—\1mps T-Pole ✓ ces No
R4\ee. e\'ectric znc , 3?5- 34`39
Electrical Contractor s Catnpani Name Telepho e
45y Luhc\&cuci I .xul Fay. me G ila •DianeC nnlL02kIgeElet- rrc .Q 01
Address Email Address
0%160- L
License#
MechanrcallHVAC Contractor Information
Description of Work
CQrnlino, Corrncnr+ r.,tnC. . q Iq- city- LOCK)
Mechanical Contractors Company Name Telephone
r-Dia 1)N Fkivy'l( ho , LIctgson, NC. aiat rami menni 4-AirQyc,.hm,Coin
Address Email Address
q0711-1 -3- 1
License#
Plumbing Contractor Information
Description of Work paths
NM *Ore. P\wt.b'iimc q10 4 - cic13c1
Plumbing Contractors Company Name Toienhone
PddEn.x orxY-lg. loo1JG'iIIF l`ie' .�i .ga.v.31e. De 110cdr�.Plu�rncul,C1
Address d. Email Address
,';antsP
License#
Insulation Contractor Information�'
IrIc j-nScictiun(ix , ' sPerbcnot. Falt// NUl!, � x�-��
Insulatioid#Contractors Company Name&Address ;�` y:si 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 application, that the application is correct
and that the construction will conform to the regulations in the Building, Electrical, Plumbing and
Mechanical codes, and the Harnett County Zoning Ordinance. I state the information on the above
contractors is correct as known to me and that by signing below I have obtained all subcontractors
permission to obtain these permits and if any changes occur including listed contractors, site plan,
number of bedrooms, building and trade plans, Environmental Health permit changes or proposed use
changes, I certify it is my responsibility to notify the Harnett County Central Permitting Department of
any and all changes.
EXPIRED PERMIT FEES -6 Months to 2 years permit re-issue fee is$150.00. After 2 years re-issue fee
is as per current fee schedule.
oar u �rlJn (S1611%
Signature of Owner/Cont or/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N.C.G.S. 87-14
The and igned applicant being the:
General Contractor Owner Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s), firm(s)or corporation(s) 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.
--las one(1)or more subcontractors(s)who has their own policy of workers'compensation insurance
covering themselves.
Has no more than two(2)employees and no subcontractors.
While working on the project for which this permit is sought it is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of worker's compensation insurance prior
to issuance of the permit and at any time during the permitted work from any person, firm or corporation
carrying out the work. y ' 1 l L� J.J, Jp
Company or Name: hi' I (,.n151 r1)c-tors c 1Teui nevl/l`,/ L.
•
Sign w/Title.1111 • !.. __ It f! ' Sate C dc.r'es3
Appointment of Lien Agent: Details - LiensNC Lien Service Page 1 of 1
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 03/05/2018
Entry #: 811162 Initially filed by: meaganbradshaw
Designated Lion Agent Project Property Print & Post
First American Title Insurance Company OKM000301 Lot 307 Oakmont
155 Sunnybrook Lane
Onleo wu'lirnmr raeu..._.. Lillin81on,NC 27546
Addicts 19W.Huger S Sulk 51N Raleigh,NC Hamer County
27601 Contractors;
Phone:XBed90-7384 Piffle post this notice on the lob Site.
Far 917489,5231 Property Type Supplier'and Subcontractors:
Emmy ytp®Npnr ucrm^ ' _ Scan this image with your an phone
view this(ling You can then file a Notice
1,2 Family Dwelling to Lien Agent for this pmj en.
Owner Information
Date of First Furnishing
H&H Constructors,Inc.
2919 Breezewood Aaenue Ste 400 02/05/2018Fayetteville, NC 28303
United States
Email lannahair@hhhomamm
Phone 910486,4864
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Tmhniul Support Hotline(888)690,7384
https://apps.liensne.com/ser/appointmeft/details.html?entryNumber-811162&printable= 3/5/2018
Harnett County
102 EAST FRONT ST
P 0 BOX 65
LILLINGTON NC 27546
DATE: 3/12/18 RECEIPT #: 0000011284
TIME: 9 :57 : 10 CASHIER: JBROCK
APPLICATION NBR: 18-50043520
LOCATION ADDR: 91749 TECH 2
REFERENCE: NEW TANK
ITEM DESCRIPTION PAID
SOIL EVAL/NEW SEPTIC TANK 750 . 00
TOTAL AMOUNT PAID: 750. 00
PAYMENT TYPE: ESCROW