DOCUMENTS Initial Application Date: 5 I -J I Application 12 504140ra 3>
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER:Curr-Well Developments, LLC Mailing Address:21 Little Farm Circle
City: Angier State:NC Zip:27501 Contact No: 9196327255 Email: curie@adamshowell.com
APPLICANT':WJH,LLC Mailing Address:3300 Battleground Ave.Ste 101
City: Greensboro Sfate:NC Zip:27410 Contact No: 919-995-5654 Email: Trabitz@wadejurneyhomes.cor
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:Tara Rabitz Phone#919-995-5654 �1 2
PROPERTY LOCATION:NSubdivision: Quail Hollow Lot#: I I Lot Size: t/4_7
State Road# Z41. State Road Name: Deanne Ln. Map Book&Page:err-4 /
Parcel: DitL0\\06%36 PIN: )tii‘ 34 53 50
Zoning:EA 2.0"Flood Zone: (ALB Ai Deed Book&Page: IS1(l / OPower Company': Duke
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PRgPOSED USE: -S
PFt Monolithic
10( SFD:(Size Z`6 x6'1 )#Bedrooms:3 #Baths:4- Basement(w/wo bath): Garage: Deck: Crawl Space:_Slab:_Slab: s7
(Is the bonus room finished?(_)yes (_)no w/a closet?( )yes (_)no(if yes add in with#bedrooms)
❑ Mod:(Size_x_)#Bedrooms_#Baths_Basement(wAvo 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 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 (f)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:u � Comments:
Front Minimum Actual G91
Rear �6p��1 5
Closest Side 5
SidestreeVcomer lot
Nearest Building
on same lot
Residential Land Use Application Page I 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 spedfications 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.
"subeek41 5I2I(k
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 03111
NAME: tt4 aAP i)f'1 f J UUDYY L J 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 1 CONFIRMATION#
14. Environmental Health New Septic System Code 8 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 underqrowth to allow the soil
evaluation to be performed. Inspectors should be able to walk freely around site. Do not qrade 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 Existing 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 use 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 {jJ 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 inigationsystem now or in the future?
{_}YES {X)NO Does or will the building contain any drains?Please explain.
(_)YES {C)NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
{ }YES {X)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?
(_)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 AR Property Lines And Corners And Making
The
(/SSiite AAccceQssii�bllee1,Soo That A Complete Site Evaluation Can Be Performed.
PROPERTY OWN OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
F-Health Checklist 1 of 3 12/10
mom
ALL DIMENSIONS. LOCATORS AND FEATURES SHOWN ON
THIS PLOTLOT PLAN ARE MATE AND ARE LYIXAN
ARTISTS RENDITION, EXACT ACT LOLDCAEON OF ALL FEATURED
hi
ARE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED
CI; §� EXACTLY AS SHOWN . PLANS AND/OR IN MODELS,
8 —N— PLACEMENT OF HOME. DRIVEWAY, SIDEWALKS AND
-D EXTERIOR FEATURED ARE SUBJECT TO MODIFICA110N AS
GP DI DEEMED NECESSARY BY nao PERSONNEL
" ',Crk
SHE -o CUSTOMER DATE
za
CUSTOMER DATE
EBFN . .. gD,TD 0
WADE JJRNEY REPRESENTATVE STAKING DATE
-I APPROVAL POR STARING
ISD SERVICES.
(S PLOT PLAN CORRECT AND SIS HEREBY PREPAREDS T
APPROVED FORSTAKAL KINNG ON THE
VICINITY MAP DATE SHOWN BELOW.
Not To Scale
WADE JJRNEY HOMES REFRESENTAEVE DATE
SETBACKS.
FRONT - 35' SITE PLAN
(APPROVAL �T�
REAR - 25' DISTRICT SEIw
SIDE - 10'
#BEDROOMS
S I
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Dateore .7%'Minty
N8•'59'40W —
"
- 11 .0
IMPERVIOUS SURFACE AREA
DESCRIPTION AREA
--- -1
HOUSE w/ PORCH 890 S.F. 0-
DECK/PATIO/HVAC 9 S.F. J
DRIVEWAY & WALKS 386 S.F. Y 87.5'
. .
TOTAL (PROPOSED)= 1,285 S.F. - 0 o
LOT AREA = 18,218 S.F. CD co
- No 1 0
% IMPERVIOUS AREA =7.1% u' 15,218 S.F.
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VI P FOUNDATON r
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PER PLAN
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a L 43.5' p , 43.5'J
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0 37.0' 41.0'
bR
or 115...e
587'59 a
8.0' .
H DEANNE LANE
LO W
50' PUBLIC R/W
HARNETT COUNTY CASH RELcw.s
mrm CUSTOMER RECEIPT ***
Over: 3BROCY, Type: CF Drawer: i
Date: 5/15/18 52 Receipt no: 357071
Year Number Amount
2018 50044023
91749 TECH 2
LILLIHGTON, NC 27546
B4 OP - ENV HEALTH FEES
$750.00
NEG TANK
NTH LLC
fender detail
CK CHECK PAYMEN 15563 $750.00
Total tendered $750.00
Total payment 4750.00
Trans date: 5/15/18 Time: 10:59:43
** THANK YOU FOR YOUR PAYMENT **