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LAND USE
Initial Application Dale: >r 4 Application # /0 / 2 2 y 7- �' 717 CU COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 �IG ?� E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.harnett.org /permits LANDOWNER: F;,t h LJet3 ei c /opera 7 Mailing Address: { ' 1 L e o Ireitell A CO Lit( City: tDd/ON) *I(•, S Stale: H( Zip: ? 7T 92 Home #: Contact #: APPLICANT': Coal Parr //1e2,11 es „Md., Mailing Address: Rae Sax 36 nt City: Clay/OK Slate4f . Zip:2 Home # rf eS- 7 - 3•Z. Contact 1t: 'Please till out Applicanl informalion if dillerenl than landowner --� / CONTACT NAME APPLYING IN OFFICE: Veragcc.L a 7r e41- Phone #L/`• /&.S53 :3 -71 PROPERTY LOCATION: Subdivision:.57tTTt'en.l Lot 11: / 1 Lot Acreage:r n ks - eJ Stale Road #: l t i i t B State Road Name: i n floc c Map Book &Page: / Parcel: newt 7 4 06 /I PIN: 0665 7 b' RR6$• Orwn Zoning: RA - 36 Flood Zone:NO Watershed: LI/ Deed Book &Page: p / Power Company': R- eyrie -K 4 SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 401 Atol -Y4 , R &/ an &Ja is Church Ref. 4 c s • /Gm god. s • .. , - le, Roan /j4.," /7e -:..e • PROPOSED USE: r (Include Bonus room as a bedroom il it has a closet) Circle: 1r r }.► SFD (Size��x�) #Bedrooms 3 # Baths 2, Basement (w /wo bath)MA. Garage p'069 Deck ' e Slab ❑ Mod (Size x ) # Bedrooms # Baths Basement (w /wo bath) Garage Site Built Deck ON Frame / OFF ❑ Manufactured Home: _SW _DW TW (Size x ) # Bedrooms Garage (site built? ) Deck (site built? ) ❑ Duplex (Size x ) No. Buildings No. Bedrooms /Unit ❑ Home Occupation # Rooms Use Hours of Operation: #Employees ❑ AdditiorVAccessory/Other (Size x ) Use Closets in addition( )yes ( )no 'Homes with Progress Energy as service provider need to supply premise number from Progress Energy Water Supply: County ( ) Well (No. dwellings / ) MUST have operable water before final Sewage Supply: ( New Septic Tank (Complete New Tank Checklist) (J Existing Septic Tank ( ) County Sewer Properly owner of this tract of land own land that contains a manufactured home w /in live hundred teat (500') of tract listed above? (DYES (V)NO Structures existin •roposed Single family dwellings Structures ( existing • P 9 Y 9 1 Manufactured Homes Other (specify) • Required Residential Properly Line Setbacks: • Comments: e Front Minimum 33 Actual 3& • Rear VS r 13'i r Closest Side the 2/ e Sideslreel /corner lot qUe NIA_ Nearest Building 4'7/ h�/,� on same lot '�"'�^' II permits are granted I agree to conform to all ordinances and laws of the Slate of North Carolina regulating such work and the specifications of plans submitted. I hereby stale that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation il false information is provided. Signature of Owner or Owner's Agent Date "This application expires 6 months from the initial dale i1 no permits have been issued" A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION Please use Blue or Black Ink ONLY 3/08 / a 0 0 - / W N • / W QWW > • O q O r / t ' 3 0 W > > 1-0 .r °� �' W aVI aV CU O O F� / i ' >0°- ' W w °O (U 117 O CV k / Y U ee 0i, aa¢ a _ ' I 3 3 a II 4 .-1 e' w / (Jr y ' ' c I c-1 A n o '.. ° o` er ° • / � �.' <OY >f ° z ' co N 5 ?� j= xgy L. - 1 Q %.".. y I> I 0 4 0 cta CZ LO V I J Q a O CD Co g� ' • C, 0 1`' F L,.. L Is, z Y I� �. [ � V' $ / -mo d). >Nd431-00 3 w P m 1 W cie CO d 1 c0 CP wm e)mmvC9 0 v 0 �fs 0 ,- / ' 1c ! o N N ■� r. `2-\: b o■ � as e ao s In • O W � < 2 la W o e O " y 1 4'''' 28 Q t-1 S 1 0° , 2 c • o � -o � 0 '0 ) , �s o ° , 7 57. ON OF a 4 `''� ° d'.n % �°ay ° b�d� . INTERS DR. & • Kra GH Z � 0Jv? s� � M O O K DR �lis.4 1D .2 �V SAD 9 x E -LO �9 414 ft a 1 24 y t � o S 4� o � z � 4 ,d a °�xz RQ co C •. 2 O N C K DEED NORTH 1841 PC 532 { o - .. O O W . C N 0) ° N J v. © NW IS a on, z •40- •C a •J 0 S °p wN cg Z T A G Y C LCCC ] K � l ° N C U1 L � Zz0 Pa o z WC' C� ,� D¢RI = N O ce a C. ° n w a- MUCI I� Z O C al m U J c U n ti z ~ z w H ° obL o 0 Pi P7 w V as ro O PQ CA In II/ > Z z O z 0 N « ✓ z 1 a tz Nya z Z Qy o e Q a e re" e e N 0 pp Q O b IX X t N ° � °� � ` « . �g'�.'' - ' . . tt F CO N 0 2 PI C.) t4 U e e .` .� ' c l -, '` . l':.. � O a" 0 z A I'- w O (r y d Y:�g� e � 11 Z NN P } >W rz ¢ o a:a - 2 4: LL1 "t0ti W .0 x e x.ra W CCE .J Ce I c j 1 0 O • s>0 `J ', Q °e ' U LC) ;l a CI Pa w� aL >. ttr b � `Poot 0 0 w r rn _ L y�''.. Q U r n m e A t] CCI U ^~ 7 O WO Cn Z i 2 H °', °~ 0, -, N O) Li 2 I- r Ali, Z o a-z V 1 0 > .' R ' { ��n ° D U o Z O) • 9 U I � fF" U Z O �O °a°o 2, 10 0 i I x co z ,i HW c z H Q..6 O . N S ^ ' .. e O Z a (n � fiq W q CC 0 OPi w . a \� F om m 0 • ag nCC ¢ z Jzz (/1 c 10 i s a. - „, a `/', zi J Z • ut pr ID LT, al Ww ,;18 m> —010. ° C m 0 r J m OW W 1- 0 O6 F 0 m O ^ «10LI I- H P ea W = nix z z> zip a0 ?i d N OWNER NANIE: eC-ys_ APPLICATION #: *This application to be filled out only when applying I'or a new septic system.* Count' Health Department Application for Improvement Permit anll /or Authorization to Construct IF TI II? INFORMATION IN 'IIIIS APPLICATION IS FALSIFIED, CI 'ANGEL), OR IIIE SITE IS ALTERED, TIIEN'IIIE IMPROVEMENT PERMIT OR AUTHORIZATION 10 CONSTRUCT SI IALL BECOME INVALID, The permit is valid for either 60 months or without expiration depending upon documentation submitted. (complete site plan = 60 moths; complete plat = without expiration) DEVELOPMENT INFORMATION G_ New single l amily residence ❑ Expansion of existing system ❑ Repair to malfunctioning sewage disposal system ❑ Non- residential type of structure WATER SUPPLY ❑ New well ❑ Existing well ❑ Community well k _ Public water ❑ Spring Are there any existing wells, springs, or existing waterlines on this property? {_) yes j no tX.1 unknown 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 Alternative {} Other (XI Conventional { Any The applicant shall notify the local health department upon submittal of this application if any of the following apply to the properly in question. If the answer is "yes ", applicant must attach supporting documentation. }YES { } NO Does the site contain any Jurisdictional Wetlands'? ; YES TX! NO Does the site contain any existing Wastewater Systems? {_IVES { I NO Is any wastewater going to be generated on the site other than domestic sewage? {_I YES (X) NO Is the site subject to approval by any other Public Agency? {_ }YES j.) NO Are there any easements or Right of Ways on this property'? � j_ }YES { } NO Does the site contain any existing water, cable, phone or underground electric lines? On 4 a f`Sr�" o � k.b If yes please call No Cuts at 800 -632 -4949 to locate the lines. This is a free service. 1 (lave 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. 1 Understand That 1 Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making The Site Accessible So T A Complete Site Evaluation Can Ile Performed. —r PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE 3/07 I/ / / n/d l /(/l /' 70. To, 16P cei ., 55 vac 919- 553 -3242 July 6, 2010 Comfort Homes, Inc. has an option to purchase Lots 11 and 39, in Stetson Subdivision, recorded in Map Book 2008, Page 199, Harnett County Register of Deeds. (Seal) 1, Patricia F. Waite, do hereby certify that Julian R. Stewart, President of Comfort Homes, Inc., personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and Notarial Seal, this 61.11 day of July 2010. • _ • (Notary Public) .. " " "q. , ,'P`P�GIA'F h • My commission expires 4/2/12. Q• O TA ..9i 1. y °y •t/BL‘ ?* �'.�2sT...... o'�• 1 4 4 ON COO ...