DOCUMENTS Initial Application Date: � it, I t) Application# I SC S OO4 37 7( n
cue
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitng 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnetl.org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFERnTO PURCHASE)&SITE PLN!ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
R
Irecitlun (elm Won° did llCitou9{lan) S‘ ar; r
LANDOWNER: Meiling Atltlreea:
City: Ur{oR state: Arc Zip: 28J7{ Contact No: 9I1) -91)1''P172 Email: Shaun( (et tiles rvwflU n[.(sr)
APPLICANT: Melling Address:
City: State: Zip: Contact No: Email:
*Please 1111 out applicant Information tf different than landowner 11
CONTACT NAME APPLYING IN OFFICE: SJ4un GAIORer Phone# 91n -9J'p - got.
PROPERTY LOCATION:Subdivision: SVm mer/t� II Lot#: 3O Lot size: ' '(7
State Road# 63 State Road Name:
CC RppeQa4,fel IoAC Map Book&Page:a°IO /4'[t
parcel 9
o C1 45� q bbs4 Jcj PIN: qS - �1 -SQ,aL0 Ow
zoning:R A-ioJh Flood Zone:X watershed:"'? Deed Book&Page: 34 29 / /I Power Company: CP,I{raj (M(
'New stmctures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Z s Mantic
■ SFD:(Size S C z 4 C t#Bedrooms:y#Baths:_Basement(w(wo bath): Garage:_Deck:_Crawl Space:_Slab: J Slab:
(Is the bonus room finished?L)yes (J no w/a closet?( 1 yes (_)no(if yes add In with*bedrooms)
❑ Mod:(Size_x__)*Bedrooms_#Baths_Basement(wMo bath)_Garage:_Site Built Deck:_ On Frame_OI Frame_
(Is the second floor finished?U yes Lj no Any other site built additions?( )yes ( )no
❑ Manufactured Home: SW_DW_TW(Size x )0 Bedrooms:_Garage: (site builtt_i Deck: (We bullt?J
❑ Duplex:(Size_tr )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:_
❑ Addition/AcceseorytOther:(Size 1 Use: Closets in addition?(L yes Ll no
Water Soppy: --I County _Existing Well _New Well(I of dwellings using well )*Must have operable water before IS
Sewage Supply: New Septic Tank(Complete Checklist _Existing Septic Tank(Complete Checklist) _County Sewer
Does ovmer of this tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?(J yes —no
Dees the properly contain any easements whether underground or overhead L)yes (43 no
Structures(existing or proposed):Single family dwellings: Manufactured Homes: Other(specify):
PA'P°
Required Residential Property Line Setbacks: Comments:
Front Minimum 3 Actual 3S.5
Rear 2 S 3z
Closest Side
0 l7.$ /
Sideshow/comer lot
Nearest Building
on same lot
ARRI Ir:ATIrIN f:flNTINI IFR CIN RAM(
it le
11
y� V W
O
THIS MAP IS NOT INTENDED FOR , ` S
RECORDATION,SALES,CONVEYANCES BE>
OR TO BE ATTACHED TO A DEED AS AN
"1"111.11.1.41111in°. se 141111111.1"
EXHIBIT
Notes:
I. Acreage computed by DMD method. t l
2.All Distances Are Ground Distances. t 30 mm_
3.Property is Subject toall Easements ofR vrd.
4.Adjoining Property Information Per Hammett County 0.47 ACRES
Tax Records. DB 3499,PG 319
5.This plot plan was drawn from a physical survey PB 2010,PG 411
6.Property is zoned RA-20M.
FUTURE ERR `.? .
DEVELOPMENT
4, ,p PB 2010,PG 411 /
PHASE 3 5q .4. /
�61
P
000 OS.
CS v pOIN1IP
EEMPIGS•
15 v.
7C
a '
•
CIL 35.6 n
�s 'r' (.........._
f)16. SS� R=275.00'
s,A5FR L=42.06'
CsSP 9 `y9:f7• CHORD=N63°48'12nE S
CN.LENG7k1=12.O? fyn
k-..� \•$ Sha YY'P�/i QWI
.. ... - S.
50
PB 2010,PG 411 % QV5'�HE `
eit0C
R=375.00'
L=39.62'
CHORD=N 65°0911"E CH.LENGTH=39.60' [
o 60 leo 180 PLOT PLAN FOR:
INN-—� 1111111 PRECISION CUSTOM HOMES AND RENOVATIONS,LLC
NORTH CAROLINA fo niiiIIIIrr, SITE ADDRESS:63BEAUIIFULLANE ,
HARNETT COUNTY t\it CARO/St COUNTY OF'. HARNEff
I certify that this plat was drawn under my supervision from 4O•.o'FFSSfOry:-1 TOWNSHIP OF: JOHNSONVILLE
DATE: 41920176
a physical survey.This map dote not conform mGs 47-30ast4 S :9' SCALE: 1"=60'
amended and is not intended for recordation,nor should a st . r.
copy of this map be attached to a deed as an exhibit to be ? C
retarded per GS 19C-26 — IC L-518.5 it•.'�` TERRY C.FAIRCLOTH,PLS
' ' P ��A;Oe; 2017 FALLOW RUN
1.'� '• SUE.. G�.� FAYETTEVILLE,NC 28312
Terry C C. airaloth License No:U 5185 0 ,43,-C•.tie- .0 PHONE#:(910) 4947444 ,.
ry to mfoi`f EMAIL:fa ircIothsurveying®yaboo.com
WEBSITE:terrycfairclothpls.com
SPECIFIC DIRECTIONS TO THEIPROPERTY PROMeLILLINiO� TON: Hwy .Z7 � (( on P� N C Un
M'I?U& lv(mkt, M1J for •7 Meade) 2164-411 on Su nmerlin of. Iclqo e^
ReaoI;fal Icnc , ?iv) lot on lef4
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 statementsy� are accurate and correct to the best of my knowledge. Permit subject to revocation if false Information is provided.
B'EU.t, ,fir- /bast
Signature of Owner or Owners Agent Date
4"11 S 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 H permits have not been Issued"
NAME: Prtcblun Culler" Hume1 t Ileilang+Ivor
APPLICATION F:
*This application to be Idled out when applying for a septic system Inspection.'
County Health Department ADniication 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#
Environmental Health New Septic Svsh@Code 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 underorowth to allow the soil
evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade properly.
• All lots to be addressed within 10 business days after confirmation.$25.00 return in,,fee may be Incurred
for failure to uncover outlet lid,mark house corners and property lines.etc. once lot confined 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.
fpvironmental 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 sok In 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
given at and 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 coostmet please indicate desired system type(s): can be ranked in order of preference,must choose one.
t_) Accepted {_)Innovative (X) Conventional 4_1 Any
4_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 1 NO Does the site contain any Jurisdictional Wetlands?
(_)YES { 1 NO Do you plan to have an jrrjaation system now or in the future?
{_)YES { k 1 NO Does or will the building contain any claw Please explain.
1_IYES fa)NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
l_IYES { k1 NO Is any wastewater going to be generated on the site other than domestic sewage?
f_IYES 1-1 NO Is the site subject to approval by any other Public Agency?
{_)YES I X1 NO Are there any Easements or Right of Ways on this property?
(_)YES Or 1 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 Site Accessible So'tAat A Co�lleta lite Evaluation Can Be Performed.
�1f/w' J `t ll•hV
PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
SOUTHEASTERN SOIL&ENVIRONMENTAL ASSOC.,INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION: 5tom rV.ec\ ; in .-,LOT U
rr +O 4 c
INITIAL SYSTEK�1:APPROVED 25%RECUCTION REPAIR' F i c: v r d ±S/c h'z.C/acf r r
DISTRIBUTION: S E f I a < DISTRIBUTION 0- R x
BENCHMARK: 100.0 LOCATION f bees 5 to to FC 3 C I i i
NO. BEDROOMS: LTAR 2 7 '
LINE FLAG COLOR ELEVATION LENGTH
C i 'I co. -15 40
y y 9 • Ii 5s
e.1 51-0. 14 l z c
i 10
Z --'� n 45.141 9c
! C14,(c1 .. co
lqt.O
BY /3 < . 2c„/ n or DATE o S / CU -, 2-0 Cl
TYPICAL PROFILE THERE SHALL BE NO GRADING
Q - b U L S fr, Ern:. r CUTTING,LOGGING OR OTHER SOIL
DISTURBANCE IN SEPTIC AREA
ANY DISTURBANCEMAY CAUSE A SITE
TO BECOME UNSUITABLE
r� c i�95 g..,q+, via ap t 2s aI 15 a z .
� _ 89# q..."tl E s3
, c4,yW�^\,n� 4tc2� 131-yaN I Rg &,i g S g a X
u.5 \e'-'‘.. M. yN w S u.. q
I Vt.N. . L4y6;IN 4\Ba 5g y 4 s^A A-' Ot t f
, � \ t .wAQ�� .\rJ•
ra. a o
r �,,�uVV C ��' T
LmSL ��� Jl �A9 � id z m GYl Y;' wn��hc'�-1 a
'�
at40 t '� ' o W ,\ .'- oNix. . 3 "`' 0 tg ib . ' _u " >� ��
p w� a (n I� 1�� W to
V Oi C� ®�� q/ ...--NiO O 9r VG C.' O pOI t4 f,, 004%01-, Ib
c o - Y� �w m .-." @D D u I_,t'or10 ° 0 °IQ to (
cm
CB.q£7' 3 in LoL) ez cOL M..£S6fi[�� �� �� a r�� �" w iwito�la�i h 1^' fc
S.. '� ( _.tee_ r '•� z M ,c• . >Iz l' �+L.0•� r0)rnfo
,44 IIIII%% u'_"_` m �o w rn ro -�—
c41 -c- o m fm w
� o b �,�� g �� m Cal
mImlwl ISI�� C'Pi til'
¢G IS, �a m l E m F���m `I.
�� f gi m�� u . s . .� ozefl= _ ii I Lf r.I - :-"l° I` , t,,,,IQlwc�oJ
(- 4 o w•
m a , sq I �`L�L °16 'I^ 1
U Li_ =
If'S Sol _ • - ,z_zAii * in
F
3.L9, �� V ' r Ci
m *�vH'ig / �% '®tea _ 7jej
Illy _. _1-3
r
VV �y� Y, � q �cF" R`
R c4
Y
SI m Ytit' S
W
' nS\Y13.3. IIIA\000 ,
4- .o qi .1`. / / / f 4 ,y0
s s ..&. .1-, a� ' 2 u' �, e,
q GI C' 'D\A f 1444‘", 3+ .. / o' O
!Qe ;J N �A V [T v� 'i •; / / --�-
clil
!�! t ��' '6 '9 T'`y.V��VV fJ,t
S' I O/ '
S
l �\
HARNETT COUNTY CASH RECEIPTS
ama CUSTOMER RECEIPT ***
Oper: MOCK Type: CP Drawer: 1
Date: 4/11/18 52 Receipt no; 318241
Year Number Amount
2818 58043776
1 91749 TECH 2
LILLINOTON, NC 27546
B4 BP - ENV HEALTH FEES
NEW TANK $750.80
PRECISION CUSTOM
Tender detail
CK CHECK PAYMEN 4797 $758.08
Total tendered 4750.80
Total payment $750.80
Trans date: 4/11/18 Time: 11:32:41
** THANK YOU FOR YOUR PAYMENT **