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�9 OUNrY OF NARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting8 E.Fruit\s/COUNTY
Llllirphm,NC 27546 Phone:(810)893-7525 ext2 Fax:(910)893-2783 s w v.hamen.orglpermlts
'A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)A SITE PLAN ARE REQUIREDMIEN SUBMITTING A LAND USEAPPUCA110I1'
LANDOWNER McKee Homes,LLC Mailing Address: Hay Street,Suite 301
CNV: Fayetteville State:NC Z1p.28301 Contact x:(910)475-7100 ext 727 kriveraffnckeehornesno.com
APPLICANT:McKee Homes,LLC Mailing Address:109 Hay Street,Suite 301
City: Fayetteville State:NC 21p:28301 Comae No: (910)475-7100 est 722 Email: Mimra@m&ceslsomeenc.com
'Please fie out appax&emanation If different rem landowner
CONTACT NAME APPLYING IN OFFICE:josh Parton P1KKw#(910)475-7100 ext 722
PROPERTY LOCATION:Subdivision: 0 L YT((T\\LL Lot Si: 315 Lot Size: (Pig
o acr(
State Road it 68 Stab Road Name: SUFIPi b,woK l– Map Book A Page: a017/ 3/aa
Parcel: 0395 8401 Tod 174 PIN: 05D/–53– 131(7,000
Zoning: Flood Zone: Watershed: Deed Book&Page:3%11 / 0106 power company.. Cemral Electric
'New structures with Progress Energy as service provider need to supply premise number from
Progress Energy_
PROPOSED USE:.az/� l�F
gi SFO:(Sleatlg_x�tt)#BedraontarWP#Ba9u:4 Baeeme'm(wwM,bath): Garage:✓Deck: Crawl Spam:_Slab: ✓ SIm: iMic
(Is the bonus room finielxtd?U yes lye i10 Me closet?(_)yes ✓no(If yes add In with#bedroane)
❑ Mod:(Size )a Bedrooms N Baths_Basement(wMo bawl)_Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?( )Yes LJ no My other ate built addluons?(_)yes (i no
❑ Manufactured Home:_SW_OW_TW(Size x_1 N Bedrooms:_Garage: (site tat? )Dock: (site burn?_)
❑ Duplex:(Size_x_)No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:It Rooms: Use: Hours of Operation: #Employees:
❑ AUBitio&Aawseay/OUwr:(Size x )Use: Closes In addition?( )yes LJ no
Water Supply: —Count Existing Well New Well(It of dwellings uekp well )'Must neve
opercula water Mfanflnal
Sewage Supply: New Septic Tank(Compete Checklist) _Existing Septic Tank(Complete CbedJoVsl) County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundred feel(500)of tract listed above?L_)yes L_)no
Does the property contain any easements whether underground or overhead Li yea U no
Structures(existing or proposed):Single family dwellings.. .MM�anu�hwtured Hanes: /1 Other(spa&fy).
Required Residential Property Line Setbacks: Comments: S VU,^^��Q_. —�,A1... o A)
Front Minimum_ Actual Ito 1 � W� .At te/V RDK'.s
Rear _ la1!DV —tp
Closest Side 3a,
SldestreeUcomer lot _
Nearest Building NIAy,
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
bar Ra. to EKtwi.e Dc. -to Svnrlbrook Ln.
It permits are granted I agree to conform to ea ordnance.and laws of the Slate of North Carolina regulating such work and the spedlcalbns at plans subtitled.
I hereby stets that foregoing statements are accurate and coned to the best of my knowledge. Penult subject to revocation If bine Information le provided.
190.4 b 18
Slgruero of Owner or Owner's Agent Ura
'"N Is the ownedapplicems responsibility to provide the county with any applicable Information about the subject property,Including but not limbed
to:boundary Information,have location,underground or overhead easements,etc.The county or lb employee.are not moonshots Iaany
incorrect or missing Information that Is contained wlthb the..applicatieu.•"
"This application expires 0 months from the initial dab N permit have not been Issued"
Residential Lend Use Applicanor Page 20.2 03/11
NAME: M(,KV kArDTISr LL(, APPLICATION t:
*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 mouths or without expiration
depending upon documentation submitted. (Complete site plan=60 months;Complete plat a without expration)
910-893-7525 option 1 CONFIRMATION#
0 Environmental Health New Septic SvstemCode 800
• All property Irons must be made visible. Place 'pink property flags" on each corner Iran 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 properly.
• If property Is thickly wooded, Environmental Health requires that you clean out the underarowth 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 Wan after confirmation.525.00 Tatum trio fee mat,be lncuned
for failure to uncover outlet lid.mark house corners andbrewerfv 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 absn 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 end 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 Ild back N place.(Unless inspection is for a septic tank in a mobile home park)
• DO NOT LEAVE UDS 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
elven 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.
(DI Accepted (D)Innovative (QiConventional (DI Any
ICM Alternative (Q) 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:
(DI YES (��l/NO Does the site contain any Jurisdictional Wetlands?
CITES g�yl/NO Do you plan to have an jmvation system now or in the future?
(D)YES Ia,1�NO Does or will the building contain any lltHLn9?Please explain.
MITES 11.2 NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
[Ell YES (13;16tO Is any wastewater going to be generated on the site other than domestic sewage?
(DIYFS ( /T70 Is the site subject to approval by any other Public Agency?
ID)YES to TJ6 Me there any Easements or Right of Ways on this property?
((])YES (it 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 mit The Information Provided Hersh Is True,Complete And Correct Authorized County And
State Omdala Are Granted Right OfEntry To Conduct Neceswy limped/ens To Determine Compliance With Applicable Lan And Rules
I Understand That I Am Solely Respaodble For The Proper Ideotlpodon And Labeling Of All Property lines And Corners And Making
The Ste Accessible Collate Site Evduatlon Can Be Performed
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PROPERTY WNE OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) A
10/10
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HOUSE PLAN: NELSON W/COVERED PORCH - LH
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