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HomeMy WebLinkAboutDOCUMENTS Initial Application Date: \ \ s C) I I O Application# ` S SOC 7-L s, —1� CU# 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.harnett.orglpermits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION” LANDOWNER: B ICh4✓4 B. S ✓5 'ft.,. Mailing Address: 2-401/ V�AV..✓ICI Rives City: Fust VOL✓(vnk„ state:NL Zip:91SJ1/Gontact No:RR-4al--133A Email CHSCag51 € QOLCv+T APPLICANT: J Sh % Mailing Address'. City: State: Zip: Contact No. Email: 'Please fill out appllcantiintennetion if different than landowner CONTACT NAME APPLYING IN OFFICE: Phone# • 871C-- State .11 PROPERTY LOCATION: Subdivision: �Z .-s,.,� Lot#: a Lot Size: I I' S On� State Road# 1•41V�, State Road Name: LIQ[C1^I�� 1\t wC��12-0/ Map Book&Page: Parcel:0/� //��S OLP 31 (] 01 0 03 PIN: () OSLI — �L I.Y - Sa�U' Zoning:f111❑k-1 Flood Zone 4 )P1 Watershed: I V Deed Book&Page:35(OU / '74 3 Power Company': 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: 1� S Monolithic 1t() SED:(Si3�\k/ x13 )#Bedrooms. #Baths:3'Basement(w/wo bath): Garage: Deck: Crawl Space: ✓ Slab: Slab:_ (Is the bonus room finished?( )yes (_)no w/a closet?( )yes (_)no(if yes add in with#bedrooms) ❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wlwo bath) Garage:_Site Built Deck:_ On Frame_Off Frame (Is the second floor finished?( )yes ( )no Any other site built additions?I )yes (_)no ❑ Manufactured Home: SW DW TW(Size x )#Bedrooms: Garage:_(site built? )Deck: (site built? ) ❑ Duplex:(Size )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: `7 /Cyunty Existing Well New Well(#of dwellings using well )'Must have operable water before final Sewage Supply: `"i" 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 (V)no Structures(existing or proposed).Single family dwellings: I Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: �Front Minimum S Actual'4O 0 / Rear /000 t Closest Side 1IIIJJJJ���_L1` /0co(71- Sidestreet/corner 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: 1+01 t4 Qvl vt "1 V WT"f en l hU 1 vnan 1-11(1-1- Rd . Lef+ on Et-dots Rd . Rt.5k-t- an Oakvl'dye, IZt1re17. P�,i . 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 star ents am aural correct to the best of my knowledge. Permit subjept to r9'oc tion if false information is provided. Signature of Owner or Owner's Agent Date •"It Is the owner/applicants responsibility to provldp the county wighany applicable information about the subject property,jncluding 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" i. Residential Land Use Application Page 2 of 2 03/11 ID°"""` SEARS CUSTOM RESIT SITE PLAN APPROVAL DISTRICT 3l� USE D WeepROWAS 3-0-1.I - SEARS PROPERTY 1187 ACRES I I 11 WOOED10 1- 01-1/1SORE M0CEMD0E9OR0010P0 prAdints WAL 460004 3-1/2 f IW I i OAK RIDGE RIVER ROAD \ ` . 3R | if m© top • ® ; , ' | |; is ` i m °) . ■| emsgk1 | |; , & ki � � | A§ 11 iM AC | • I Ti• . | \ ,, ~�_ : E v . 1 � I m. Z :A6 I\ / _n . � 4/ . 2 / \\/ I,. i i /, 1 1 / ■ 0. / / § (% ƒ_ _ - ( )il 11 . M) _: g . 0 SEAR!FAMILY RESIDENCE Ems_ , _ ;, NAME: 0/7–.41SeA-¢S 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# '/Environmental Health New Septic SvstemCode 800 ii __• All monody irons must be made visible. Place 'pink properly 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 properly 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 70 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 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. Environmental 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 back in place. (Unless inspection is for a septic tank in a mobile home park) • DO NOT LEAVE LIDS OFF OF SEPTIC TANK • 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 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. SEPTIC If applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference,must choose one. I—I Accepted (_) Innovative I14 Conventional fJ Any {_) Alternative {_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: 1LYES {✓) NO Does the site contain any Jurisdictional Wetlands? I—IVES I "1/NO Do you plan to have an irrigation system now or in the future? I )YES f�NO Does or will the building contain any drains?Please explain. { }YES I "/1 ryO Are there any existing wells,springs,waterlines or Wastewater Systems on this property? I_LYES 1-1 I40 Is any wastewater going to be generated on the site other than domestic sewage? {_LYES I_ Is the site subject to approval by any other Public Agency? I—IVES f_ NO Are there any Easements or Right of Ways on this property? {_IVES { 14 O 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 MMgking The Site AcceVielerSo That Ahab t�luation Can Be Performed. / L/7-I/l 7 KI:I194 nQQL / / PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/10 HARNETT COUNTY CASH RECEIPTS aaa CUSTOMERRECEIPT "Draper: 1 Oper: TBROCK TyP Date: 1/38/18 52 Receipt no: 231043 Year Hunker Annunt 2018 500431% 91749 TECH 2 LILLINGTON, BP 27546ENV HEALTH FEES B4 $750.80 HEW TANK RICHARD SEARS Tender detail CK CHECK PAYNEN 5024 5750.00 Total tendered $758.00 Total payeent Trans date: 1/30/18 Tine: 11:49:06 ** THANK YOU FOR YOUR PAYMENT **