LAND USE iir . .
Initial Application Date: Z - 1/ // fJ
L I Application # /• j /
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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
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LANDOWNER: i}gUND WEN /t a Mailing Address: 2 2 78 at /orr 1341OUER-0
city: RQ A) J L L- state: 141C- 1C- zip:2S323Contact # 7 /(a 2.87 6 z Email: 6 CC'` t it l u D €' LiLE , con
ED
AI ` AION tAJ TtAN Mailing Address: ZZ7e c Mgt 066
City: 900 NLE7 state:N C zip: 2e32tontact# 7/4 245 6 23/%Email: eta 1 ✓6 ' A D 4i Z. dF .Cc.... q
'Please 011 out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: IDs'( ti 4dJ 1 V E" 72- ANl> Phone # 7/ 2$ ? 6 1-3 6'
PROPERTY LO Subdivision: �� '� Lot #: Lot Size /
State Road # L/7g `7 % State Road O 7 Name: I, ( 3 ' /' Map Book &Page: 20 / 7'
Parcel: 0/ ?` Y � / �/ G PIN: X7 / X �J — 7 - a 4, yg,
Zoning: Flood Zone: .i1 Watershed: ///�. Deed Book &Page: 77/9 [ I 11 tl4 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: 2,10 SaLT)/ ro E2-L1 OT/ /�v l P/ /20
rt/KO t- &-ter F / /257_ Mov5E ON Rty 1f - PAST FLA -T BR/Jac1
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PROPOSED USE:
Monolithic
❑ SFD: (Size _x) # Bedrooms:_ # Baths:_ Basement(wlwo 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_ it 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 ?_)
❑ Duplex: (Size x) No. Buildings: No. Bedrooms Per Unit:
❑ Home Occupation: # Rooms: � Use: Hours of Operation: #Employees:
Addition /Accessory/Other: (Size 27 x 3,) Use: Ca A KA7� Closets in addition? (_) yes (( no
W2ter Supply: County Existing Well New Well (# o/ dwellings using well )'MUST have operable water before final
Sewage Supply: New Septic lank (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
Structures (existing or proposed): Single family dwellings: /�/ Manufactured Homes: N/'o Other (specify): j//F0
Required Residential Property Line Setbacks: Comments:
Front Minimum , 5 Actual / 7
Rear ZC 4,
Closest Side /tJ / 2.
Sidestreet/corner lot
Nearest Building
on same lot
If permits are granted I agree to conform to all or.' antes and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoi g state nts, are acc I :te and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
it i
Signature of Owner wner's Agent Date
"This application expires 6 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
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0 NAME: r�Dn ✓NO ( TLMMb APPLICATION #: // 5 -77 !n ✓ 6�
*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 ID 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) / / - � , 2
910 - 893 - 7525 option 1 CONFIRMATION # l y /
❑ Environmental 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 underarowth 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 comers 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 oiven at end of recordina for proof of reauest.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
e Environmental Health Existing Tank lnspectlons 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 & 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.
(_J Accepted (_} Innovative (_) Conventional (_) Any
(_} Alternative {_) 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 (_1 NO Does the site contain any Jurisdictional Wetlands?
(_ }YES {_} NO Do you plan to have an iIDgation sysletu now or in the future?
{_) YES (_) NO Does or will the building contain any dam? Please explain.
( _ f NO Me 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 (_) NO Is the site subject to approval by any other Public Agency?
{_)YES f_) 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.
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 Making
The Site Access e , T A 9 omplete Site Evaluation Can Be Performed.
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PROPERTY OWNERS OR O 1 RS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE
10 /10
x,1111 i. 111101101
F0" "e
HARNETT COUNTY TAX ID# `r it or OEM
1 S: 9M
BK:2794 PI:41141i FEE:$3.00
I11511 #X1001
NORTH CAROLINA
SPECIAL WARRANTY DEED
Excise Tax: $ Exempt Recording Time, Book and Page
Tax Map No. Parcel Identifier No. 01 -0536.0068
Mailafterrecordingto: Lewis, Deese & Nance, LLP LDNY1 ORE— 22689R
This instrument was prepared by: Ronda G. Moore, a North Carolina licensed attorney
WITHOUT THE BENEFIT OF A TITLE EXAMINATION — NO OPINION ON TITLE IS MADE OR
PROFFERED BY THE PREPARATION OF THIS DOCUMENT
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THIS DEED made this riA day of /4X45+ , 2010 by and between
GRANTOR
NORTH CAROLINA HOUSING FINANCE AGENCY,
a public agency and instrumentality of the State of North Carolina
P.O. Box 28066
Raleigh, North Carolina 27611 -8066
GRANTEE
ED WENTLAND, unmarried
2278 Elliott Bridge Road •
Bunnlevel, NC 28323
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors,
and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the
Grantee in fee simple, all that certain lot or parcel of land situated in Harnett County, North Carolina,
and more particularly described as follows:
1
•
Beginning at a nail in the centerline of State Road No. 2045 marked
by an iron stake in the western margin of the right of way of State
Road No. 2045, and being a portion of the tract of land described in
Book 298, Page 295, and runs thence a new line with Edwin Bain,
South 75 degrees 31 minutes West 285.26 feet to an iron stake,
thence North 5 degrees 38 minutes East 380.51 feet to an iron stake,
corner with Gene Autry, thence South 85 degrees East 72.6 feet to a
nail in the center line of the road; thence with the center line of
the State Road No. 2045, South 34 degrees 30 minutes East 180.18
feet to a nail in the center line of the road, thence South 23
degrees 8 minutes East 165.45 feet to the point and place of
beginning and containing 1.37 acres, more or less, according to an
actual survey by Micky R. Bennett, Registered Surveyor, on July 14,
1977. Together with improvements located thereon; said property
being located at 2278 Elliott Bridge Road, Bunnievel, North
Carolina.
This is a portion of the second tract described in a deed to Edwin
Bain which appears of record in Book 298, Page 295, Harnett County
Registry.
The property hereinabove described or as set forth in Exhibit A hereto was acquired by Grantor by
instrument recorded in Hook 2718, Page 676.
All or a portion of the property herein conveyed does not include the primary residence of Grantor.
A map showing the above described property is recorded in Plat Book , Page
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges . and appurtenances
thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as
Grantor received, and that Grantor will warrant and defend the title against the lawful claims of all
persons claiming by, under or through Grantor, except for the exceptions hereinafter stated.
Title to the property hereinabove described is hereby conveyed subject to all valid and existing
restrictions, reservations, covenants, conditions, rights of ways and easements properly of record and
which burden and benefit the property at or prior to the date of Grantor's execution of this Deed, if
any, and current year ad valorem taxes.
2
IN WITNESS WHEREOF, the Grantors have hereunto set their hands and seals, or, if corporate, has
caused this Deed to be executed by its duly authorized officers and its seal to be hereunto affixed, the
day and year first above written.
North Carolina Housing Finance Agency,
A public agency and instrumentality of the State
of North Carolina
0 (SEAL)
Elizatptit I. Rozattis, Chief Financial Officer
NORTH CAROLINA
Ladd- COUNTY
I, the undersigned Notary Public of the County and State aforesaid, certify that Elizabeth I.
Rozakis personally appeared before me this day and acknowledged that she is the Chief Financial
Officer of the North Carolina Housing Finance Agency, a public agency and instrumentality of the
State, and that by authority duly given and as the act of such entity, she signed the foregoing
instrument in its name on its behalf as its act and deed. y
Witness my hand and official stamp or seal, this the 2 day of . Alter, , 2010.
My Commission Expires: a1 {7!l 3 4a A•- ��
Notary Pu c
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S I P 0 TAzo p Print Notary Name: inuskol. Pa.L e.
MY
COMMISSION EXPIRES
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