LAND USE Initial Application Date: / — 2 0 - g Application # / / 5—012 Z5 i6 d
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.harnett.org /permits
LANDOWNER: JAMES E. TAYLOR Mailing Address: 96 KNOLLWOOD
Ci CAMERON State: NC Zi 28326 C on t act # 9194781217 Email: jt.taylor2009 @yahoo.com
APPLICANT: JAMES AND USA TAYLOR Mailing Address: 96 kNOLLWOOD
City Cameron Sta N C Zi 28326 C # 919 Email:
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: James E. Taylor Phone # 919 -478 -1217
PROPERTY LOCATION: Subdivision: Carolina Seasons 1 Lot #: F Lot Size: 1.8
State Road # / 2 01 State Road Nam / �n aci0 S9 Map Book&Page: 2 / !L/ -!+ E/7g,
Parcel: Kn O '7 9567 c7cC /0 7 r PIN: 9556
Zoning: /1 N 74 Flood Zone: k Watershed: /1/4 Deed Book &Page: 7774 1 71 /7 Power Company':
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Highway 24/27 to (RT) Johnsonville Road , turn left onto Ponderosa
Road, turn left onto Ponderosa Trail (Carolina Seasons) go .5 mile and take left on Knollwood, 96 Knollwood on the right.
PROPOSED USE:
Monolithic
r SFD: (Size _x ) # Bedrooms:_ # Baths:_ Basemenl(wMro bath): Garage:_ Deck:_ Crawl Space:_ Slab:_ Slab:_
(Is the bonus room finished? L. 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? ( ) yes (_)no
❑ Manufactured Home: _SW _DW _TW (Size x ) # Bedrooms: _ Garage: (site built ? - ) Deck: (site built? 1
❑ Duplex: (Size _x ) No. Buildings: No. Bedrooms Per Unit:
❑ �-l ome Occupation: # Rooms: Use: Hours of Operation: #Employees: ` /.
/ Jf (J Adtlition /Accesso er. (Size I/2 x /4. ) Use: Al Closets in addition? ( ) yes L`C lno
Water Supply: _ County Existing Well New Well 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 Lino
Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: Comments: Plan to build 16 X 16 Deck
Front Minimum 39 Actual p �JU-f-
Rear 2r 1/
Closest Side in 34 J 1
Sidestreet/corner lot
Nearest Building
on same lot
It permits are granted ag e 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 for oin statements are accurate and correct to the best of my knowledge. Permit subject to re ocation if false information is provided.
1/
79 W n /728 „
to
of Owner or Owner's Agent Date
This application expires 8 months from the Initial date If permits have not been Issued**
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Residential Land Use Application Page 1 of 1 07/10
LOT B— 23
LOT B -24 6' 56 '54' A'
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LOT F-3
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DISTRICT AIL 1QiSL = — USE _'.Y! - A L - L
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SITE P N FOR
LOT F -2, CAROLINA SEASONS SUBDIVISION
MAP PREPARED 21':
SCALE DATE LARRY K ALLEN, P.I.S. 2454
4489 PONDEROSA ROAD
1" = 60 08/18/06 SA )ORD._4 . 27332
NAME: APPLICATION #: /1 5 2 ' V47
•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) i //, 5 fi
910 - 893 -7525 option 1 CONFIRMATION # 6 7 // (/ 7
❑ Envlronmental Health New Septic SvstemCode 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 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 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 propertv lines. etc. once lot confirmed readv.
• 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
K 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.
vlronmental 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 backln`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
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.
1_) Accepted (_1 Innovative {_} Conventional (_1 Any
1_} 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 jfrivatioo system now or in the future?
(_)YES (_) NO Does or will the building contain any diaias? Please explain.
{_) I I NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
{_)YES {_) NO Is any wastewater going to be generated on the site other than domestic sewage?
(_)YES 1_1 NO Is the site subject to approval by any other Public Agency?
1_1 YES (_) NO Are there any Easements or Right of Ways on this property?
{_}YES 1_) 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 Underst d T�l I Am S olely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Site ssibl So That A Complete Site Evaluation Can Be Performed. , e 1 1 ,
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PROPER '• a ' ` ' 1 R OWNERS LEGAL ' ' RESENTATIVE SIGNATURE (REQUIRED) DATE
10 /10
DIAGRAM OF A TYPICAL SEPTIC TANK
t
OUTLET LID
0
POSSIBLE POSSIBLE
HOUSE HOUSE
CONNECTION _ CONNECTION
t
POSSIBLE
HOUSE.
CONNECTION
POSSIBLE LID SHAPES
SQUARE (SHOWN ON DIAGRAM)
•
RECTANGLE (OLDER TANKS) _ ROUND
•
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NO . , •,1 • • , NA GENERAL WARRANTY DEED
Parcel I. '. '09 9567 0006 65
Mail after - • L. Halt Pelmet
•. O. Box 1689, Lillington, NC 27546
This instrument . p. -• - •}i)(L. Holt Pelmet
Brief Deacripti. \V) Lot 7-2, Carolina Seasons
index .
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THIS DEED mace this June 1. :0 • and between
0
LARRY E. ALLEN and wife, )
4469 d. ALLEN
M69 Pondeross R a hoed
Sanford, NC 27330
fiRran2a8 /' �
JAIOD3 B. TAYLOR and wife, J ,J
LISA M. TAYLOR �/
96 Kno11wood Drive
Cameron, North Carolina 28326
The designation Grantor and Grantee as us hall include said
parties, their heirs, successors, and assi e : lode singular,
plural, masculine, feminine or neuter as by •• ext.
WITNESSEfH, that the Grantor, for a valuable -• ` paid by the
Grantee, the receipt of which is hereby acknowl • . by these
presents does grant, bargain, sell and convey ..ee in fee
simple, all that certain lot or parcel of land eitua ri • of N/A,
Johnsonville Township, Harnett County, North Caron ,‘ • .. `• icui arly
described as follows:
ream all of Lot F -2, Carolina Seasons, Be t ••
shown on a plat thereof recorded in Plat :• :, ! _
98 -C, Harnett Coimty Registry.
SOBQBCT TO EASEHENTS, RESTRICTIONS AHD RIGHTS • • 1
OF RECORD.
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