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SEPTIC Application # d 500 - 202-S 1 Harnett County Central Permitting PO Box 65 Lillington, NC 27546 Q 5 D 910- 893 -7525 Fax 910- 893 -2793 3 www.harnett.org /permits c,kn Application for Existing Septic Tank in a Mobile Home Park Applicant Name: /4n Mi 1 hr /i S Date: 3- /S Address: h17 /0 / A/( c 1O AMR- -A 19-t iFR Ale a 950 / Telephone: 911 /a 39 37 3 57 Email: . : ' ' . 'A / Property Owner: 119#if/ 4/72s Phone: 914 w 39 343 t Lot Address: 9't G iLts Lsa it Name of Park: Gifts 'Wink elierni PR /k Lot Number: It 1 Parcel: O`t°c°73 Ott PIN: N - 23.000 I /SW DW _TW (Size 13/4 x se,, ) . # Bedrooms: 3 Year: { 9 $9 Power Company: -afr7 Q �G s% ,EN f fri u� (For Progress Energy we need the premise number.) v d U Specific Directions to Job from Lillington: nom 1 401 q- (MO O i wl4 sF( /tJnl +AJf ( a t o W. 3 It) i s 41.11 Al le-P4- on1 4;lrs LANE= , ( so (4;les 1 -ArJe._) There is a $100.00 charge for this service. This certification is subject to revocation if the intended use of the septic system changes, or if false information is provided on this application. You signature below certifies that all above information is correct. fo Signature of owner or authorized agent: 4 n /Ar j ' XJ t !lOa- DO NOT SIGN BELOW - FOR OFFICE USE ONLY Authorization of Existing System Signature of Environmental Health Specialist Date C»tFht lI.S 3 E- Health For Mobile Home Park 1 of 1 06/10 I. i HARNETf COUNTY TAX It 1111, vow Y 11 . ru � DEEDS nrpG a (Y)1 or OK:2116 P6:999W9 3 FEE:$29.69 • s BY trim 1MM1 EN11 This it* , t. ,-,0- • • Rhonda H. Em Attorney, PO Box 1102, Lillington, NC 27546 Re .4. Parcel Identification Number. _ NORTH C: s L h a NORTH CAROLINA GENERAL WARRANTY DEED HA' • CO THIS DEED 5 da of July, 2005, by and between Rosie Evelyn Giles at1 /a Evelyn Giles, 50 Giles N 270 Grantor, and Kathy Ann Giles, 4761 NC Highway 210 North, Angier, NC ' 75 r • The designation Grantor: •Ass used herein shall include said parties, their heirs, successors, and assigns, and shall Inc , p , : , masculine, feminine or neuter as required by context. I N • ETH: That the Grantor, for a valuab .• ns� i , • d by the Grantee, the receipt of which is hereby acknowledged, has and by these • +. -. -..: • • •: grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or p, • d situated • Black River Township, Harnett County, North Carolina, and more partic • ascribed as • ow • TRACT ONE: All of that certain • :, or . - • f I. • being Tract No. Two and cootaining9.53 acres in Black Ri :, • , .. • • County, North Carolina, in the division of the Mattle H. Gil E. : . • West side of N. C. No. 210 Highway about five miles southwe' from th own of Angier, and being more particularly described according to p ■ • Thomas Lester Stencil, R.L.S. 1512 on May 21, 1976, which is - , Book 22, Page 4, Harnett County Registry and more particularly • - ..• , ws: BEGINNING a t a n iron stake comer, a • .• _ • •.• t No. , in the north line of the 60 -foot easement for right of ingress and egress :. • • •'•• wi • the said easement North 68 degrees 11 minutes West 89,26 feet to : co ' • r • th ract No. 3; thence with that line North 7 degrees 08 minutes East 872 : -. • i • -, e; thence North 31 degrees 46 minutes East 531.90 feet to iron , ' -• • - • 14 degrees 22 minutes East 689.74 feet to iron stake; thence South 36 , -• - 0 utes West 238.49 feet to iron stake; thence South 43 degrees 09 . - to iron stake; thence South 24 degrees 1I minutes West 174 feet • . North 68 degrees 49 minutes West 288 feet to iron stake; • • • • t • 35 minutes West 269.40 feet to point of BEGINNING, contai In addition to the above described property there is hereby con t : • • easement as shown by plat recorded in Book 22, Page 4 in •• • ,, Registry. TRACT TWO: All that certain tract or parcel of land containing 0.78 male or less (inclusive of Highway right of way which is 0.131 acres, more or bi/ a net acreage exclusive of Highway right of way of 0.656 acres, more or less 1. ?r on the western side of N.C. Highway #210 a short distance North of the in - • • • of N.C. Highway #2Kw 10 with Harnett Central Road (aka S. R. #1403) in Black R- Township, Harnett County, North Carolina, and shown on a map of survey end t • (:)(A/7