DOCUMENTS Inidal Appian Date: \ 1 - I a.- 1 S Appticeeons 1 SSOx 3-i 4 5',
COUNTY OF NARtEIT RESIDENTIAL LAND USE APPUCATION
Central Permitdng 108 E.Front Shed.Ltlington.NC 27548 Phone:(910)893-7525 ert2 Far(910)893-2793 www.hamstorglpannits
"A RECORDS)SURVEY MAP. D®(OR OFFER TO PURCHASE)IL SIRE PLAN ARE UiED Y EN MMINITING A LAID UR APPLICATION"
LANDOWNER: Crevems- 140 lei P ,s L.4- C Mang Address:
City: State:, .,.aoZip: Contact No Email: /
APPLICANT': A4..11-v1d a.. Cow • �"-t Maw Address: • . 01( 2T 74
4,4.6".a state;NL no: z VOI'cartact No: 7(l0-7"-3 473F.mal:
*Please al out applicant Inwnmdion tr diNarent than landowner
CONTACT NAME APPLYING IN OFFICE: Pty S 9
PROPERTY LOCATION:Subdivision: Lot S: 4 y Lot Size: . 5"t7��
State Road to State Road Name: Map Book&Pam .3ii?t', G..
Parcel: ( S S'S hC3C1 PIN: 9 Sib - 7!0— SG ? 2012. s'/2.
Zodn Flood zone• pre : �,.�_yDeeed Book Abe: /JO L i G Y I Power Company*:
'New structures with Progress Energy as*avid niedd to lip pranlla nunt� from Progress Enemy.
PROPOSED USE:
1�araoti0ric
`d� RFD:(Sine 6 x_3�4 Bedrooteall Bat 3 Basemarn(Mrwu bath):_Garage_Dec!__Crawl Space: SW �'*
�`' (is the bonus room finished?U Yes (___)no wl a closet?(__)yes ( 1 no(o yes add in vile,*bedrooms)
O Mod:(Size x 1 S Bedrooms *Baths Basement(wAvo bating_Carage:___Site Buil Dade_ On Frame Off Frame
(Is the second Door**had?Li yes Li no My other site built (__)yes U no
O Manufactured Home: SIN OW 7W(Size x )tl Bedrooms:_Clarage:_.(sl a bins?._)Deck tail bullt?—_)
O Duplex(Size x )No.Buildings: No.Bedrooms Per Unit
O Home Oc cupaion:S Rooms: Use: Hours of Operation: *Employees:
O Addition,Accessory/Other:(Size_mod__)Use: Closets in addition?L.)yes (J no
Water Say: County VExisting Well New Well(1f ddueling*using well )'Must have operate water before final
Sewage Supply: New Septic Tank(Complete Cheddrst) Existing Septic Tat*(Complete ) .... /"County Sewer
Does meter of this tract of land.own land that contains a manufactured home wNrtn five hundred feet(SW)of had Sated above?U yes U no
Does the property contain any easements whether underground or overhead U yes U no
Structures(existing lordly dwellings: \ Manufactured Homes: Other(spay);
Required Residential Property Line Setbacks: comments:
Front Minimum 3r Actual -7�I Co
Rear
Closest Side l 0 2-Y
sioestreetoorner lot
Nearest Building
on same lot
APPUCATION CONTINUES ON SACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM ULUNOTON:
If pis are griaNd I agree to conform to al a1nenoea laws of Ms MO of North Carobs mutating such wok and me spec one of plan submitted.
1 hereby stale that foregoing statements =.. , - be army blowledge. Permit subject to ebbe infomediwn Is provided.
of ow isr or Owners Agent
"eft is the a nedappicants responsibility to provieth the county with any applicable information about the subject property,including but not mulled
to boundary information,house batioa,undimmed or overhead ameaments,eta.The county or its employees are not responsible for any
incorrect or missing idoraalioa that b oadafned Mein these application.'"
"This application expires a months from the initial dale it permits have not been issued"
Q`\„` ( ar n3r
0,,. tso!� men �0 R c ! site
THIS s NOT A COMFED
'/ ?��
CREEK LANE Nfi
SITE $ CAROLINA LAKES II __ \ PROPERTY OWNERS'
9 ' \ ASSOCIATION, INC.
Fig t 93 ) t \ DB 1070, PG 320
N/F
>E+ EARL RUSHIN JR & WIFE \
TAMARA RUSHIN
'® DB 3066, PG 837 I • S2758'31'E
_ CAROLINA LAKES 20.70'
H PHASE X r
BLOCK 'T' PART 'B' 1 S81'35'OB"E
PB 2012, PG 342
VICINITY MAP A4 63 20.53'cTiti
NOT TO SCALE 146013‘' 't G .
.. \I
sa R-R—;- _..R sit
24,662 SF
�s (0.57 AC)
�% c4
co �� '% q ti 44. � 43 LOCATION OF
I — ? ♦ i Al 100 YEAR
o 3 �4.�y �� ryo N FLOODPLAIN
36' T " 3 PER FIRM PANEL
u°Di �ba �" 24. w 3710958400J
m In
O 8 ..:1)*
DATE: OCTOBER 3, 2006
r
- ,_ d
M * Q N/F
EDMOND C. SCARBOROUGH
o DB 3286, PG 129
1 I ,, CAROLINA LAKES
1 a) /o PHASE X
I 35' FRONT - BLOCK "T' PART 'B'
SETBACK u, PB 2012, PG 342
I —�
R=25.00' —_�_'
L=39.27'
I CHORD S8311'OrW 67.03'
I N51'48'58'W
35.36'
H PELICAN COURT
• 60' R/W PRIVATE
1 e
1
LEGEND; BEEEBEKFS: EIMESI
EIP—EXISTING IRON PIPE PIN 9585-76-5697.000 1. ALL DISTANCES ARE
EIS—EXISTING IRON STAKE DB 3302, PG 641 HORIZONTAL GROUND.
SIR—SET IRON ROD PB 2012, PG 342 2. ZONING: RA-20R
N/F—NOW OR FORMERLY
R/W-RIGHT OF WAY PLOT PLAN FOR
CUENT: MEDALLION CONSTRUCTION BARBECUE TOWNSHIP
SUBDIVISION: CAROUNA LAKES PHASE IX — BLOCK 'T" PART "B" NEAR SANFORD
120 LAKEWOOD VIEW HARNETT COUNTY
SCALE: 1° • 40' NORTH CAROUNA
LOT 94 GRAPHIC SCALE DATE: OCTOBER 19, 2015
40 0 20 40 eo
DRAWN BY: TERRY
PROJECT: 698
(Y .. ( IN,RT)
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€ r�� '' ,.. site
} ' < � J solutions Roe=.`44,
F. m vVl�lrUANCE 409 Chtca90 Drive,ante 112.Fayetteville.yette*Ue.NC 28306
APPLICABLE LAND office I 910-426-6777 fax 1910-426-5777 license nurnber 1C-2354
DEVELOPMENT REGULATIONS www.4Dskesolutiorts.00m
SEAN R. SEEVER PLS L-4571
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Maws Name VI�c �1it Ca CI ettl rur 71/nOe Dab
No Address Phone elfiellit.tin
oeeotons toy*stein=i dinaon.
Subdivision ra.rellit Lot
Oesophagi of Proposed Work *of Bedrooms
Healed BF Unhealed SF, Robed Boos Rome', creel8peoe - Slab
� 's� ► � �.1 '�i�.2tl .t tr 1 ;i{r_ t CMOs
C rdradoreCor Poo � Telephone‘4Wifilaktigna3. &cur)
Address
Leone
of Work 1411r4PlAtifeue Se r�sme T-Pate's Yes___1b
1b41 Time E•eryttes k-onn mob
Detrcollators Compaq Tatephone
ealt a942Cri 'Clinker,%X 216Z-it AMMO MCA• LIM
Address Enid Addmes
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peeonpaon afMlel(c 441! . 'A■ al 1—t 1
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ors anraobors NOM&
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I hereby caddy that I have the aut hoalyto=We neoeleary apphemioa that the applwaeon hs tamed
and that-the con of we*atone to the ogulsoons n Ats Bakke Nahtcs1 P
Mscltanr:al codas sad She Manse Case Zang Ordnance t aide the eiamehon on the above
contractors w correct sole nto ateadthat low.1111111110 11.1111.
and f RIKdhargas moor inaludmg Wad oodrsolors Ida plan
maib r of bedroom building and Innis plans Eturanmoid HIM
chews cetiy dm my responearkW to nobly the Hama County OsrMa Pell Department of amend al changes
MaPIRED POINT PEES-O Weft to 2 yeas pelmet roreaus fee re$15100 Ater 2 Yearn feat=fee
n as per current fee
Apr ///v7/
Affidavit for Mwohllass'!s Otttalpawa
tiaaNCGS 87-14
Ths rndersgaad applicant brag the
✓general Cordrador -Omer dioedpoenterths Contactor or Owner
Do hereby careen under panda=ofperiesyShsttshepareon(s)feats)orcarperaborh($)pedoraine the work
milord'in the pond
Has three(S)or more a mplaysae and has(blared wisdom conpseaiun aahrwance to cover them
Has one(1)or lime iCtJi*8 aid has dhtemedseorhers tonepensahon insurance beaver
them
_/Nrre one(1)or male sub a ralmiasa(er)wb h■s Scar wan pang of wata ss oomparrshOn armor
ooa mthemsavas
_Hss no sod no saboentr trlola
While working an She pgeotiorwhich Sus pens*a nought a understood eaten Genesi Permitting
Dapatmant hawing She pareet reaprequie carIenabs of coverage&walkers conspaltstrion ra war=pox
b araunroe of the parrot and deny illaa dmag the pareweedviedi fia n arty parson ens oroorporabaa
=along
Comma Nuns dQ-4.11.'• ' - s. Ir v•
O — Date 01/4--
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 11/04/2015
Entry #: 376377 Initially filed by: duckman
Designated Lien Agent Project Property
Print & Post
Fidelity National Title Company,LLC Lot 94 lakewood view
sanford,NC 27332 ❑ ,f1 ❑
Online:www.liensnc.com NC County X
Address:19 W.Hargett St.,Suite 507/Raleigh, �t1" .
NC 27601 ❑ t7
Phone:888-690-7384 Property Type
Contractors:
Fax:913-489-5231 Please post this notice on the Job Site.
1-2 Family Dwelling
Email:$u000n(ulliensnc.com Suppliers and Subcontractors:
Scan this image with your smart phone to
view this filing.You can then file a Notice
Date of First Furnishing to Lien Agent for this project
Owner Information
11/18/2015
medallion construction group
po box 2476
matthews, NC 28106
United States
Email:jim@medallioncg.com
Phone:980-722-3273
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Technical Support Hotline:(888)690-7384