Loading...
LAND USE R • Initial Application Date:'Int.)IR Application# I f1 LTJ ba 31 49 (2. �az� I` V CU# \ �L O COUNTY n, 27548T RESIDENTIAL LANG 25E APPLICATION Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext2 Fax:(910)893-2793 www.hamett.org/permits ^A RECORDEDISURVEY' MAP,RECORDED DEED(OR OFFER TT,O(PUURCHHASE)&SITE PLAN ARE^ REQUIREDWHEN SUBMITTING A LAND USE APPLICATION' LANDOWNER: II ,�tAktiosiV �4l-pYv✓1.NA-W SpLL�Mailing Address: r V BAYC Noll City: 12aU I� State:IVC zip27101)/ Contact No: Email: On6rED M�5 s: 091 A C elg ile Ave- APPLICANT': Mailing Address. �bO�di�'uR e�, V-+ 4�tn'a_ City: •n oz- es'!�'k'L1A�'L- State%-�C Zip:In-laContact No: QA r Email: / • /Ann *Please ml out applicant Infoknaton If deferent than landowner o.q.1a3 CI 10'14$ 0 WI Cs- '�ti CONTACT NAME APPLYING IN OFFICE: �,,,1y �p� `n[ Phone# p I, r..Aa"� PROPERTY LOCATION:/ } Subdivision: €0 \vt \ IIlrll�ln0 �A'�r� �� �,/��� �_I Lot#: D Lot Size: / IUp/,30 State Road# \LQ,'IX/ I�1 State^ Road Name: kbal (..iliap0-1 1lV^We1IU�',I l21I, Map(B-ook&�Paa(gee': DUo/Q Z2 Parcel: 2�t0r�54 o b1J\p1( 01 PIN: 1 qD-1`>`1q(.j�1-^10`1 - 'CM • OVo Zoning'Ll/ loud Zone: X Watershed: IV Deed Book&Page:21Z1 / ;AYV Power Company: 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED U%%Al bb Monolithic 'p SFD:(Size]G->t )#Betlrooms:y #Baths:3 Basement(wlwo bath)'._Garage: X Deck: X Crawl Spare:_Slab: K Slab:_ (Is the bonus room finished?(_)yes (_)no w/a closet?(_)yes ( )no(if yes add in with#bedrooms) ❑ Mod:(Size x )ft 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?(_)yes (_)no ❑ Manufactured Home:_SW_DW TVV(Size x )#Bedrooms:_Garage: (site built?_)Deck: (site built?_) ❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit ❑ Home Occupation:#Rooms: \J /�, Use: ^ (J Flours of Operation: #Employees:_ (L/Addition/Accessory/Other Add10on/Accessory/Other:(Size. x Use: C4 Cr CACtAS L.CE 'etcrb, Closets in addition?(_)yes (_)no Water Supply: 1q County Existing Well New Well(#& dwellings using well )'Must have operable water before final Sewage Supply: ')G New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist) 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?(_)yes ( )no Does the property contain any easements whether underground or overhead(4.J yes ( 1 no Structures(existing or,ropose :Single family dwellings: 1 Manufactured Homes: Other(speciy):pim(ao � Raln Required Residential Property Line Setbacks: Comments: _ (, ,,t q �� 1 1 Front Minimum ScJ Actual--r1.6"‘�S W cxj. & `\-:VA— _1LL YV �l\Lt4 G 14 J� Rear 7c S2g n or,n �1L(_ -{..0 LL\( 13 \lo\ L� �L�l��,,l-'`s'7 Closest Side IC) 41*' Q`42.i5 \l't..\L l o1CPresl il'1 • ` YOW-- .—cfrvx..e\ SidestreeVcorner lot ^ 9o. ekaA - q 191 1 a I - ilo is Nearest Building on same lot Residential Land Use Application Page 1 of 2 03/11 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 2105 to CI10'E' (;Ape E t0 t44rn . C1ArAve\ fti.lrc\n RA F PraQcrky ;A A -flea C!It Ar✓ fit CC, ea oiv.s SCl1G1L • 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. 23 Tho Signature of Owner 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 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 Md - 2193.9OBIdYttO °"m' '�M • 09Y 006 091 0•6• i M09L �031A„, LL d,,,,'PS Od,/i 45555-15•••5, I M.M 11.W 5 .S9Yg I6'CB Acme S5 amn Yl�� 3 .R [OS 1L41 BL OK q -> 33 WAS BZBI 1 AOUIC r3 SN 5'. ` 3 lR`'at C ' [OIL .CO'UK L] Jo,.", S3 P nw 3 Ot.F.60 C (C'LOZ Vow CO'dlL I] Pi-4.94,41:- ,, .4y'yS m' �yMl w.e Palo PACT VI4W MP% wn,J C V91 MI*OM team'so wow sob x+55 Men anun0 21 W lou ellsoPuoh W ll poly w PL'MVO+...Vole,pa WI h.9w4m U•wo4 trappyfy u spun anima M a Wa 1 NYY1 3 VMl t I 'il w'BSZI M¢.a LCSB S i v120 Iw/ )9'9)jHE• �y_ 000'09£0-09-9450 BNId Xe/ ,GN -1+ soy 03'91 w i 0 it I _ _ _ _. _._ ._. _ — _._._._ ._ ._._. 19'01:*3.SY.Ip.nN \ P.3 m0 11aIN NJ y nNJ Palp L10•1011 OM auPPY \oaS .Paa lae.e, q 000'9L6L-99-94£0 #Nld IeN -/+ soy L99L AZ _ Lysl \ y�'y \` eO N.LL .\ ��� snowy N.YowMJ. M- t ,ac5ac ISO u 15400150 555051 s \ s TI! �'" W— . .11.1.,NB� — _n.a„... J _ _ LI'IL 3.9IZ610 S 61 zroze .09 � peiwnn.WBLS _. m: , M5i SCff.ROS Li pEp _Cl . ,IC'611 3 211LSL$ I 1C ChM.0= n Zl LLt 3.SS.Z0.6L S 1l COZ LI$ 1 Ii SL 3 A[S10B C ---- - _ 6S 3 SY9LR S 21 CB 3.RFL9B S Il wwIWo 64,0•0 purcq AINO S3SOd90d 3NMVlLLSOIII 90d 31FIIl fly0 !Yid ABMINl1321d 920BL0Z 'ON ONIMV210 d Y Yl A 1 I N 1 3 I A II 'HOV31 '3 1939021 : AS 03A3ABOS 133J Oct = .1 31VOS 9LOZ/9Z/Z0 31V0 War us © VNIIOBVO H1tION A1N103 113N21VH ,¢ dIHSNM01 N33B0 S,14VM31S45°- OTT `SaI'wwOH ILISNO 21oJ NOISIAI09(1S .011 'SN3N1210d 13dYHO NV31013. BZB 30Vd 900Z )1000 d913 9 101 NY1d 31IS •` (y ` 1 ' 1 , $750.00 NAME M \Sl–kc F kJ-r\c 5l t�G 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# XEnvironmental Health New Septic SvstemCode 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 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. l Accepted ( I Innovative tkel Conventional lA Any l Alternative lI 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: (_AYES .kJ NO Does the site contain any Jurisdictional Wetlands? l—A YES lx) NO Do you plan to have an7rieao'n�n system now or in the future? ( DYES j } NO Does or will the building contain any drains?Please explain. IIYFS .lLl NO Are there any existing wells,springs, waterlines or Wastewater Systems on this property? [_)YES '2�yJ� NO Is any wastewater going to be generated on the site other than domestic sewage? ("�_]YES 1/V NO Is the site subject to approval by any other Public Agency? -ry}YES {_} NO Are there any Easements or Right of Ways on this property? �y� (_DYES 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 Th ite Accessible So That A Complete Site Evaluation Can Be Performed. OP'lTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/10