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DOCUMENTS Initial Application Date: 6-/ Ic-t Application# I Sial it 1 9 CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext2 Fax:(910)893-2793 www.hamett.org/pennits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SHE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USEAPPLICATION" LANDOWNER:Curr-Well Developments,LLC Mailing Address:21 Little Farm Circle City, Angier State:NC Zip:27501 Contact No: 9196327255 Email: cumie@adamshowell.com APPLICANT:WJH,LLC Mailing Address:3300 Battleground Ave.Ste 101 City: Greensboro State:NC Zip:27410 Contact No: 919-995-5654 Email: Tmbitz@wadejumeyhomes.cor *Please fill out applicant information N different than landowner CONTACT NAME APPLYING IN OFFICE:Tara Rabitz Phone#919-9951�-5nn654 Lice PROPERTY LOCA4DN:Subdivision: Quail Hollow Lot#: 717 Lot Size: r Lice State Road# 351 State Road Name: Deanne Ln. Map Book&Page:ffriati /0011, Parcel 011(1M111,f( 055$ 4l11S /I PIN: � (oil -a4 -&Z & 5 Zoning:g4-Enliood Zone: N Watershed:Al Deed Book&Page: Ia(O /Old Power Company': Duke 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: / c ✓ Monolithic 0( SFD:(Size S�I ib xS( )#Bedrooms. _#Baths:2 Basement(w/wo bath): Garage:_Dedc:_Crawl Space:_Slab:_Slab: ✓ (Is the bonus room finished?(_)yes (_)no w/a closet?L)yes (_)no(if yes add in with#bedrooms) ❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wAo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_ (Is the second floor finished?(_)yes (_)no Any other site built additions?L)yes ( )no ❑ Manufactured Home:_SW_DW TW(Size x )#Bedrooms: Garage: (site built?_)Deck: (site built?_) ❑ Duplex:(Size x_)No.Buildings: No.Bedrooms Per Unit ❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees: ❑ Addition/Accessory/Other:(Size_x_)Use: Closets in addition?(_)yes (_)no Water Supply: V 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 (✓)no Does the property contain any easements whether underground or overhead(_)yes (✓)no Structures(existing or proposed):Single family dwellings:Proposed Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum Actual Li Rear Closest Side - L� I _ SidestreeVcomer lot 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: Head west on E Front St toward S 1st St Continue on S Main St.Take US-421 S and NC-27 E to Ebenezer Church Rd in Coats If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the spedficalions 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. Signature of Owner or Owner's Agent Date "'S 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 NAME: WCtfj#i_t)YV111j liOt ie."5 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 kEnvironmental Health New Septic System Code 6 00 • All property irons must be made visible. Place"pink p roperty flags" o n 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 En vironmental 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 Existino Tank Inspections Cod e 800 • Follow above instructions for placing flags and card on property. • Prepare for inspection by removing soil over over outlet end as diagram indicates, and lift lid straight up(if possible) and then close back down. (Unless inspection is for a septic tank in a mobile home park) • After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 8 select notification permit if multiple permits,then u se code 800 for Environmental Health ins pection. 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. {_} Accepted {_} Innovative {xj Conventional {_}Any (_) Alternative ( } 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. OYES {X}NO Does the site contain any Jurisdictional Wetlands? (_}YES (X)NO Do you plan to have an 'nieafnn system now or in the future? (_)YES { }NO Does or will the building contain any drains?Please explain. { }YES Q{]NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property? {_)YES (J}NO Is any wastewater going to be generated on the site other than domestic sewage? ( )YES {A,}NO Is the site subject to approval by any other Public Agency? (_)YES {X}NO Are there any Easements or Right of Ways on this property? { YES (_)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 (/SSiiitte Accessible So Thatfh�A Complete Site Evaluation Can Be Performed. PROPERTY O%%N1 $OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DA E-Health Checklist 1 of 3 12/10 N ALL DIMENSIONS. LOCATIONS AND FEATURES SHONN ON S / THIS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN ARTISTS RENDITION. EXACT LOCATION OF ALL FEATURES ARE SUBJECT To CHANCE AND MAY NOT BE INSTALLED S �y IEXACTLY AS SHOWN ON PLANS AND/OR IN MODELS. PLACEMENT OF HOME. DRIVEWAY. SICEWALXS AND N— DEEMED BAT FIELDJECT PERSONNELTOMOIFICATON AS 4 a Pp.10 — W Y.OD7 U SHE 11) CUSTOMER DATE CUSTOMER DAIS EBF , ROD NJ WADEJUR��NEY REPRESENTATIVE ����ff//11.. DATE AI IRIS PLOT PLAN AS PREPARED BY RESIDENTIAL LAND SERVICES VIONII'Y MAP IS CORRECT AND BEIS HERBY APPROVED FOR STAKING ON THE DATNot To Scale WADE JURNEY HOFS REPRESENTATIVE DATE SETBACKS: FRONT - 35' REAR - 25' SIDE - 10' N "W 110. 7 SITE PLA APPROVAL DISTRICT 1 . ( U E S r ^_ n#BEDROOMS 88.6E? C �.5 a j )ate 2oni SIT . °' Inter iD 20,084 S.F. Zo 0 0.46 AC No - ea o 0 m © a 3 m b cc �Q p 1201-8 IMPERVIOUS SURFACE AREA N "FDJN�TCN. o Eg -CAR a DESCRIPTION AREA N PER PLAN P. HOUSE w/ PORCH 1,529 S.F. m DECK PATIO HVAC 9 S.F. —� ° / / 41.0' PJ,` 41.0'J--- y DRIVEWAY & WALKS 371 S.F. L — — — — — — \ `oma TOTAL (PROPOSED)= 1,909 S.F. �e LOT AREA = 20,084 S.F. 37.0• 42.0' rc rc % IMPERVIOUS AREA =9.5% JI 110.03i S87'59 44" 8.0' DEANNE LANE 50' PUBLIC R/W HARNETT COUNTY CASH RECEIPTS *** CUSTOMER RECEIPT *** Oper: TBROCK Type: CP Drawer: 1 Date: 5/15/18 52 Receipt no: 357063 Year Number Amount 2818 50044019 71749 TECH 2 11111 GT0N, HC 27546 04 0P - EIV HEALTH FEES 4750.08 NEU TANK WJH LLC Tender detail CK CHECK PAYMEH 15563 5750.80 Total tendered $750.00 Total payment $750.80 Trans date: 5/15/18 Time: 18:57:26 ** THANK YOU FOR YOUR PAYMENT ** Application#j ' 500qt-ion •Each section below to be filled out Harnett County Central Permitting by whomever performing work. p0 Box 65 Lillington,NC 27546 Mustbe owner or lss910-893-7525 Fax 910-893-2793 wharnett.org/permits contractor. Address,,company ww. name 8 phone must match Application for Residential Building and Trades Permit Owner's Name: Curr-Well Development,LLC Date: Site Address: 357 Deanne Lane Phone: 919-623-7255 Directions to job site from Lillington: Head Weston E Front St.towards S 1st St.Continue on S.Main St.Take US-421 S and NC-27 to Ebenezer Church Rd.in Coats. Subdivision: Quail Hallow Lot: 6 Description of Proposed Work: Single Family New Residential #of Bedrooms: 4 Heated SF:1209 Unheated SF:216 Finished Bonus Room? No Crawl Space:_Slab: General Contractor Information WJH,LLC 919-995-5654 Building Contractor's Company Name Telephone 3300 Battleground Ave. Ste.101 Trabitz@wadejumeyhomes.com Address Email Address 49262 License# Electrical Contractor Information Description of Work Electrical Install Service Size: 200 Amps T-Pole: 1 Yes_No W-3 919-550-7341 Electrical Contractor's Company Name Telephone 308 W.Main St.Clayton,NC,27528 Ewiggly@w3electric.com Address Email Address 11452U License# Mechanical/HVAC Contractor Information Description of Work Heating and Air Comfort Air 336-794-9730 Mechanical Contractor's Company Name Telephone PO Box 527 Clemmons NC 27012 kayaustin@outlook.com Address Email Address 4218 License# Plumbing Contractor Information Description of Work Plumbing Install #Baths 2 Thornton's Plumbing 919-550-4833 Plumbing Contractor's Company Name Telephone 3160 A Vinson Rd.Clayton NC 27520 Thornlonsplumbing@embargmail.a Address Email Address 4218 License# Insulation Contractor Information Builders Insulation 919-788-9806 Insulation Contractor's Company Name&Address Telephone *NOTE:General Contractor must fill out and sign the second page of this application. RFsIDFNIlel AULLnINc,MPI If.AIl0u Iv2 04/I1 Homeowners Applying to Build Their Own Home Please answer the following questions then see a Permit Technician to determine if you quality for permit under Owners Exemption. Questionnaire per G.S.87-14 Regulations as to Issue of Building Permits (Memo available upon request) 1. Do you own the land on which this building will be constructed? Yes No 2. Have you hired or intend to hire an individual to superintend and manage construction of the project? Yes No 3. Do you intend to directly control &supervise construction activities? Yes _No 4. Do you intend to schedule, contract, or directly pay for all phases of construction work to be done? / Yes No 5. Do you intend to personally occupy the building for at least 12 consecutive months following completion of construction and do you understand that if you do not do so, it creates the presumption under law that you fraudulently secured the permit? _Yes No 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 I affirm that I have obtained all listed contractors permission to obtain these permits and it a y 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. Atter 2 years re-issue fee is as per current tee schedule. ras Abed Signature of Owner/Contractor/Officer(s)of Corporation Date Affidavit for Worker's Compensation N.C.G.S. 87-14 The undersigned 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. Has 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. Company or Name:WJH,LLC Sign w/Title: '°".4.441 Date: RFsIENI . BJ1 ,IN(3.aPP 14nnn`I 2 ntd 04/11 DO NOT REMOVE! Details: Appointment of Lien Agent Filed on: 05/08/2018 Entry #: 846585 Initially flied by: wjh2013 Designated Lien Agent Project Property Print & Post Investors Title Insurance Company QLH 6 El" -7 0 357 Deanne Lane Hae¢NCuntIt oy Addre19 W.FlaHarneySt..Suite 507 Raleigh,NC Harnett County ��.�_ n: 27601 Contractors: Phone:888.690.7784 Please post this notice on the lob Site. Fax:911489-5231 Property Type Suppliers and Subcontractors: Email:suppon!almnonccots,-__:_: Scan this image with your smart phone to ew this filing.You can then file a Notice 1-2 Family Dwelling to Lien Agent for this project. Owner Information WIH,LLC 3300 Battleground Ave Suite 101 Greensboro, NC 27410 United States Email:trabitz@wadejumeyhomes.com Phone:336-282-3606 View Comments(0) Technical Support Hotline:(8881690-7384