LAND USE Initial Application Date: hr — 2 4/P Application 0 P9 2 ;5 UJ[9 7
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street. Liillington, NC 275548 J Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.hamett.org/pennits
LANDOWNER: �kliC / 7 1 Sv 4 v Mailing Address:
City: / L State: Zip' � Contact if _ Email:
APPLIIC 7 2 .twI jFZC (2I•s✓Z Mail* d ( 86 _ lie=
City: l"PI / pe: i tits, Statq/ye• Zip ° f Contact p Email:
*Piea(a all cut applicant if different than Ian• • -r
CONTACT NAME APPLYING IN OFFICE: , # N L e t2) r D/2 Phone # 9/0 -19 69 -159
PROPERTY LOCATI SubdNlalon: i . a • Lot* Lot Size; p
State Road # 7 P I -- State Road Name: If // �f. / - Map Bock&Page: ✓� tl /2/ F � ,(J
Parcel: n (/ os 1 S q co/4 64 PIN: v h ,.: ' j - 1 7 34, 2 2o
Zoning: }' lL 2 1Flood Zone: X Watershed: in Deed Book&Page: / 2 /7 / 117 Power Company:
New structures with Progress Energy as service provider need to guppy premise number r from Progreso Energy.
SPECIFIC rIRECTION: TO THE PROPERTY FROMLILLINGTON: �D ..10 G. / CC117/ —
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PROPOSED USE: Monolithic
O SFD: (Size x ) 0 Bedrooms: # Baths: Baeement(wMro bath):_ Garage: Dedc_ Crawl Space: Slab: Slab:_
(Is the bonus room finished? (__) yes (__)no wI a closet? (J yes (,ono (if yes add In with 0 bedrooms)
O Mod: (Size x ) # Bedrooms 0 Baths Basement (w/wo bath) Garage: Site Built Deck: On Frame Off Frame_
(Is the second floor finished? U yes (—.)no Any other site built additions? (i yes (Jno
O Manufactured Home: _ SW _ DW 1W (Size x 1 0 Bedrooms: _ Garage: (site built?_.) Dedr_(site built?_)
D Duplex: (Size x 1 No. Buildings: No. Bedrooms Per Unit
OA ome Occupation: 0 R ome: Use: Hours of Operation: *Employees:
ddition/Access° er. (Size 1 )(le-1 Use: Closets in addition? U yes ( ^o
water Supply: County _ Existing Wen _ New well dwellings using well ) 'MUST have operable water before final
Sewage Supply: _ New Septic Tank (Complete Checklist) Existing Septic Tank (Complete Checkdsf _ 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? U yes Lino
Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify):
Required Residential Property Une Setbacks: Comments:
Front Minimum 9 Actual
Rear 2 S -
Closest Side /0
SldestreeUcomer lot
'
Nearest Building
on same lot
If pemkits are granted d agree . • nform to all ordi antes a of the State of North Carolina regulating such work and the specifications of plans submitted.
1 hereby state that foregoing 1 i t nts are - • u l to the best of my knowledge. Pend sub to revocation if false information Is provided.
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Signature of • : er o er s Agent Da .
"This application expires 8 months from the Initial date H permits have not been Issuer
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
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CLOSING MAP
PROPERTY OF Shirley Mt Harrison;- Not For Recordatiod
ADDRESS 7132 Woodwind Dr.
TOWNSHIP OF Anderson Creek ared in Accordance
CITY OF near Lillington Not Prep
COUNTY OF Harnett with G - S
DATE -July 29, 1997
SCALE 1 = 30'
REFERENCE Lot#79, Tradewinds, Phase Two, Section es .sViCA/to
ten, PC -F, 535B, Harnett County Regis e miiiFq�Ot y
e if JOHN M. IVEY I SEAL LAND USE PLANNING AND SURVEYING . L-1488 e.
3428 North Main. Street y �o• 86
(lope Mills, North Carolina 28348 ,�
Phone (910) 425 -4882 ;,, 0', m. O
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John M. Ivey,. ,,) P'(•k L -1486
Job fl1 pozh(D bpw
NAME: APPLICATION #: /P 52P 25 �2
*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 #
❑ Environmental Health New Septic System Code 800
• All property Irons must be made visible. Place "pink property 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 atifor 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 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 Existlna 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 backIn: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 & select notification permit
i f 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.
{_) Accepted (_) Innovative (_) Conventional (_) Any
I_) Altemative {_) 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:
(_)YES (_) NO Does the site contain any Jurisdictional Wetlands?
(_ }YES (_) NO Do you plan to have an it[j atiw.�on system now or in the future?
{_)YES (_I NO Does or will the building contain any drains? Please explain.
1 —) YES I — NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
I — IVES {_ NO Is any wastewater going to be generated on the site other than domestic sewage?
{_AYES {_j NO Is the site subject to approval by any other Public Agency?
{_}YES {_I 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.
1 Have Read This Application And Certify That The Information Provid • s erein Is True, Complete And Correct. Authorized County And
State Officials Are Granted Right Of Entry To Conduct Necessary Ins 1 • ons To Determine Compliance With Applicable Laws And Rules.
I Understand That I Am Solely Responsible For The Proper ldentific: 1 And Labelin Of A roperty Lines And Corners And Making
The Site Accessible So That A Complete Site Evaluation Can Be Pe C �4//9
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PROPERTY OWNERS OR OWNERS LEGAL REPRES / ATIVE SIGNATURE (REQUIRED) DATE
10 /10
DIAGRAM OF A TYPICAL SEPTIC TANK
1
- • LID
El
POSSIBLE POSSIBLE
HOUSE HOUSE
CONNECTION - CONNECTION
POSSIBLE
HOUSE
CONNECTION
POSSIBLE LID SHAPES
1 - 1 SQUARE (SHOWN ON DIAGRAM)
RECTANGLE (OLDER TANKS) 0 ROUND