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DOCUMENTS Initial Application Dater1/4—\ til k I Y Application/ ' O 5004 31 t7 L( cut COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.From Street Llllinglon,NC 27548 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hametlorg/permis ^A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)a BITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USEAPPLICATION" LANDOWNER: Yre(isun (a�fam None) q�d 2ertaoo{Ion) MailingAddreea. 2S6 arise urV Rd' City: Rr{°'Y State: Ai( zip. 26J)_ Contact No: 910 -922-8172 Email: She oePQreo)fon prvier+u)ni.tory APPLICANT: Mailing Address: Cly: State: Zip: Contact No: Email: 'Please fill out applicant Iriormation tt different than Ian CONTACT NAME APPLYING IN OFFICE: ShCtxn GprORP!' Phones 91o '9d'4) ' F17L PROPERTY LOCATION:Subdivision: SUm roe lilt n Lot/: 2 y Lot Size: ,' 9 4c i43 State Roads 90 State Road Name: UPd 41r{ul lone Mep t3ook8 Page a O �/ 3'3(31 Parcel: oR 4 S(hrl EL)S t 52- PIN: 9)S 17 '7 5f — 75 aq•0 a--Th Zoning'R A' -°M Flood Zone: n. Watershed:9.510E- Deed Book A Page: 3 9 9 / 31 Rowel-Company: 0012494 En 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: M fO4 Z S' Manoli Ic BED:(Size 6O z #Bedrooms: /Baths:_Basement(wMro beth):_Garage: Deck:_Crawl Space:_Slab:_Slab: (Is the bonus room finished?( 1 yes (J no w/a closet?( )yes (_J no(H yes add In with$bedrooms) ❑ Mod:(Size_x__)/Bedrooms_it Baths_Basement(w/wo bath)_Garage:_Site Built Deck:_ On Frame_ON Frame_ Ns the second floor finished?(_J yes ( )no Any other site built additions?(_J yes ( )no ❑ Manufactured Home:_SW_DW TW(Sizex )S Bedrooms:_Garage: (site built? )Deck:_(she built? ) ❑ Duplex:(Size x l No.Buildings: No.Bedrooms Per Unit: ❑ Home Occupation:S Rooms: Use: Hours of Operation: /Employees:_ ❑ Addition/Accessory/Other.(Size_A 1 Use: Closets in addition?(i yes (__)no Water Supply: J County _Existing Well _New Well(/of dwellings using well )'Must have operable water before final Sewage Supply: 1 New Septic Tank(Complete Check//88 —Existing Septic Tank(Complete Check//so _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?Li yes J no Does the property contain any easements whether underground or overhead U)yes (J no Structures(existing cV421 to :Single family dwellings: J Manufactured Homes: Other(specify): Cpl oSt—¢Q Required Residential Property Line Setbacks: Comments: Front Minimum 35 Actual 3t•7 Rear 2 S 30 Closest Side 11.9 ' Sldestreet'comer lot Nearest Building on same lot AWN If:ATIfM f:fNTNl IPA(IN Ranh SPECIFIC DIRECTIONS TO THE1 PROPERTY FROM LILLIN1G�TON: i141).• Z7 /( on P-7 lV Un M�I4as lrrP\c4 0 for .T Mt�'S . R;,Li on So,nerlin Of. Ren WQVh71�41 lent' d zAa I04 an 0190 II 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 it false Information is provided. �.gN�au.r. /9'1Jwvri` 911°V Signature of Owner or Owner's Agent Date "'I 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 Is employees ere not responsible for any Incorrect or missing Information that la contained within these applications."' "Rib application expires S menthe from the Initial date I permits have not been Issued" • NAME: Prtc Ion (ul1on WuMe1 i 1�PAubq}Ivor 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 plot=without expiration) 910-893-7525 option 1 CONFIRMATION# ffnvironmenta/Health New Septic SvstegiCode 800 • '11l propene 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 a 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 lee may be Incurred for failure to uncover outlet lid,ma*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 divan at end of recording for proof of request. • Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. frpvironmental Health Exiatina 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 bads In place. (Unless inspection is for a septic tank in a mobile home park) • DO NOT LEAVE UDS OFF OF sEPT1t 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. METE If applying for authorization to constmct please indicate desired system type(s): can be ranked in order of preference,must choose one. (_) Accepted [_) Innovative 41} Conventional [-) Any 1-1 Alternative 4_1 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 { x) NO Does the site contain any Jurisdictional Wetlands? {-)YES [_) NO Do you plan to have an jalpation system now or in the future? I_IYES (if)NO Does or will the building contain any drajm?Please explain. (_}YES I±I NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property? {-1YPS l.I NO Is any wastewater going to be generated on the site other than domestic sewage? (_}YES { )NO Is the site subject to approval by any other Public Agency? (_IYES { XI NO Are there any Easements or Right of Ways on this property? (_)YES (k I NO Does the site contain any existing water,cable,phone or underground electric Lines? If yes please call No Cuts at 800-6324949 to locate the lines. This is a free service. I Have Read This Application And Certify That The Intonation 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 Mal dog The Site Accessible So'�pt A Co ate ite Evaluation Can Be Performed. �.A�y^�� y li e it r PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/10 / THIS MAP IS NOT INTENDED FOR RECORDATION,SALES,CONVEYANCESV' / ,,.FV- OR TO BE ATTACHED TO A DEED AS AN EXHIBIT. R=325.00' Notes: L=35.55' pp. CHORD=N 37°3848"E 1. Acreage computed by DMD method. CH.LENGTH=35.53' / 2.All Distances Are Cammd Distances. ' 3.Property is Subject to all Easements of Record: 4.Adjoining Properly Information Per Harnett County Tax Records. 5.This plot plan was drawn from a physical survey 6.Property is zoned RA-20M. ` V. ERB J* <43Q ERB e �a� Dlk CcF 0.48 ACRES �F \Si"o6 elf; O,, a oa \ 25� DB 3499,PG 319 0� ., #5 o G� 2,.� •F, m �. PB 2017,PG 338 eV' to 35.r .m PB 2017,PG 338 N C s 0P� PROP. � S y yet DWELLING Y 114' FRa ~ ' / ✓ Q -.4°P. ERB \ \�O .0 4. N 15 `6Sye \ PB 2010,PG 411 N 863°Aa3 • / ERB q.o t PB 2010,PG 411 PB 2010,PG 411 o 60 120 180 \ PLOT PLAN FOR: —•••-•• . PRECISION CUSTOM HOMES AND RENOVATIONS,LLC ont JJ STIEADDRaS: HARNETT " - NE NORTH t t),.INA •,sN•CARpiwf.. C k11WE17E g � I certify that this plat was drawn under my supervision from .„� O`•;••"•ESS/ a TOWNSHIP OF:JOHNSONVILLE a physical survey.This map does not conform to Gs 47-30 as ?'¢Of G,I9•% ' DATE: 4/9/2018 amended and is not intended for recordation,nor should a Q S� SCALE: 1"=6(1' copy of this map beamr8cdmadeed asan exhibit mbe E •r L-51R5 .1-44-:: ; TERRY C.FAIRCLOTH,PLS recorded pa GS 89C-26. 4y � 2017 FALLOW RUN =y'&0.*:••SUR'4 C•••.+I'S'% FAYETTEVILLE,NC 28312 Terry C.F cloth License No.L-5185 St,”? C• F tv�"S PHONE#'(9!o)-494-7444 ssssttstataNf EMAIL: fairclothsurveying©yahoo.com WEBSITE:terrycfairclothpls.com SOUTHEASTERN SOIL&ENVIRONMENTAL ASSOC.,INC. PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET SUBDIVISION:Su en an eri `in LOT giW Tum0 --kc 'IU ,� i� INITIAL SYSTEM:APPROVED 25%RECUCTION REPAIR R l' , rc✓e a 25'/e 2-c i C t'e n DISTRIBUTION: Se ( oc,.) DISTRIBUTION S(3r`c-\ BENCHMARK: 100.0 LOCATION'%C L c ' 2 '? 77J11 /2 3 NO.BEDROOMS: V LTAR ) C t ' LINE FLAG COLOR ELEVATION LENGTH I 5 44 .33 y0 .� 2 Y el), )c (v0 3 R Q1. 1-1 4n ,p/ 94.x5 U O 220 Lib ! 5(2. 59 40 SI- I5 6 54.es /00 CD v 95,59 Bo no BY ' . (. e,/r‘ 0 / DATE OS/C2 /Zull) TYPICAL PROFILE I THERE SHALL BE NO GRADING ,7 - ✓7 ' CUTTING,LOGGING OR OTHER SOIL DISTURBANCE IN SEPTIC AREA ANY DISTURBANCEMAY CAUSE A SITE TO BECOME UNSUITABLE 4 91, br z--- .- ,/ ,./"..,,,..',:i 'SL \6 n \ fps �:S nnl! G ) J .n 9 �o - Jt Il 4 C 0 n •p cr-`• i 'U to /r/ Ye y L. O dE i. 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