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LAND USE J t 7 Y SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON TO) 'rO r" �R".'J FF741 y - 90 ! 3 m l J� f t�.reni RV o// At /l Rd ` 'twin/ 12'1 0d 0 05rk /1/914Wdezr,7) r — f a"' Jei on( Of eika ;Y& - it,-u,/ kt, v4 in/fry grey C*- stree - 1 - , dri aaSS :0 9 l RI? If permits are granted I agree 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 foregoing stateme s are acc to a ' correct to the best of my knowledge Permit subject to revocation if false information is provided -�k E 4 a 3 alii/ Signature of ner or Owner's Agent Date • " is the ownerlapphcants responsibility to provide thelcounty with any applicable information apout the subject property nccluding but not limited to boundary information house location underground or overhead easements etc The county or Its employees are not responsible for any Incorrect or missing Information that is contained within these applications — This application expires 6 months from the initial date If permits have not been Issued" t t N Y lC N ":1" N -- —as- _ 0 0 L i 1 400! aY02111dd N213H1110S )I1032ION z tn O 0 3N11 Altl3dOtld 51 04091149 AVM 40 1H9I9 0 M5fS_.fZS 98451 tZ t£t 49 La 49 £01 a co t m c x3 c 4 2 it, aa g LA 0 CS �q 'r" f A �i ry b� N CO. �O w t rip O N h N N N N O N r !� O G 4 -• {© N OD 3 a .3‘,0 ro t 0 04 ° W � ey N U 17454 'V M c4 - � ��. ... ..V • p N l /if \%) ry \ ry � q\' lt' (J . e s ();7111,111 NN �Ity \ s tj ry'� 43 M O F t o Y t ,.9ZO h _4, b 9 O S 40 . a ` 'y 94 99Z B + 0 1 n o N t O 4. - Pi + N M T 1 p O 86 ell' "� f It., .nom M Al S1 g ££ 5 N h o o Z q "O 0 ry N N A ii M 0o to . = V O i ° n _ a s Z Q if S •" r 1 S ] W m 4 = a a 3 as 84 8Z N = t6 OSf 4111 a W aiNi Wild 2 4U1 N2 O a en t ~ ~ < Ji = SITE APPROVA K t� WQ Q 9 -� - Pt CAN T aUSEC�1 W c -4 t8EDROO' ci s Z c tow 'T IN STAAT ul X z N telik%A#Mbi z in ta M FN i . a • n/S ✓ APPLICATION # I 1 che oZ (03 / G *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 ,'^ ` 910 893 7525 option 1 CONFIRMATION # (_}�_ __ — ❑ 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 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 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 Of possible) and then put Ild 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 {_} Accepted { Innovative { Conventional {_} Any {_} Alternative {} Other The applicant , all notify the local health department upon submittal of this application if any of the following apply to the property in question If t e answer is yes applicant MUST ATTAC • - s • • i ' ING DOCUMENTATION 1 {__ }YES { } NO Does the site contain any sdictional Wetlands? {_ }YES { } NO Do you plan to have a tine lions stem now or in th. future? {_ }YES {_ NO Does or will the but , ing contain any chins? Please exp . in {}YES {i NO Are there any exi mg wells springs waterlines or Waste ater Systems on this property? { }YES {} 0 Is any wastewa -r going to be generated on the site other th. domestic sewage {_} YES {} 0 Is the site sub ect to approval by any other Public Agency? {_ }YES {_} ii Are there a Easements or Right of Ways on this property? { }YES {_} Na Does the s e contain any existing water cable phone or undergro • nd electric lines? If yes pl ase call No Cuts at 800 632 4949 to locate the lines This a free service I Have Read This Applic: ion An • edify That The Information Provided Herein Is True, Complete A i Correct - uthorized 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 Site Accessib • So Tha Co lete Site Evaluation Can Be Performed .3 ^a9. iii OPERTY OWNER R OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE 10 /10 tNETT COUNTY HEALTH DEP/ -)'MENT 17 5 4 4 HTE # o'l -C" / °Y L% ENVIRONMENTAL HEALTH SEC t ION OPERATIONS PERMIT Name (owner) l' ld'o..£ ff ., 14' l /New Installation YQ Septic Tank ❑ Repair Property Location SR# /y7 LOCI Nitrification Line ❑ Expansion Subdtvision),q / /&411 (' Lot # 71 Tax ID # Quadrant # Contractor Ci Registration # _/ Basement with Plumbing ❑ Garage L✓1 Water Supply ❑ Well Public ❑ Community Distance From Well p5) ft Following are the specifications for the sewage disposal system on above captioned property Type of system ❑ Conventional 12( Other Kt Fj Size of tank Septic Tank /coo gallons Pump Tank gallons Subsurface No of exact length width of depth of Drainage Field ditches / of each ditch,'00 ft ditches ditches /2 in French Dram Required Linear feet Date e oar PERMIT NO 2,1 L/9,1 Inspected by 4 " __ ._. ( f 0 PP Le he 13 kl j93-4' I 0 ti 1' ea Or J 3t t r 4 1 l 0 111111111IIII FM ,� 1 7 w xms RNETT COUNTY TAX IDM aY ! r • u 27 PI1 � M a 6 • 4 - s _ _ W( 2368 PG 1$t 193 FEE 117 36 1 1 M I � 1299 C 00 - Reca'deng Ronk &Page BRIE 'VI t. ON Lot78 Ph .ctwo (BJlud Wool S bdsymcc Mad To Parcel Identtf(catton No 080654 0292 73 Prepared By C • • Attorney t Law .r. ;:.: Dwell, N a • 4• a 4 . BNERAL WARRANTY DEED Thu WARRANTY • fi ,s � a � tint 27th day of kpru1, 2007 by and between TODD ANDREW BAUCOM • • 1 : +an•. A VERY BAUCOM, whose address u 804 Philhps Pointe Drive, Fuquay Varna 27 ' 111. tea) of the first part, hereinafter retested to u the Grantor J ( Grantor(s) and DAVID E i HMSO nm• 7 u d) whose address 20 Mary Grey Court, Fuquay Vanne NC 27526 • - e the hereinafter referred to as the Grantee(s) 'I. J6 a. • WHEREAS Grantor() for an�eons,deran• of u, Sum of Ten Dollars ($1000) and other good and valuable consudeiatuon receipt o - win • is • • by cknowledged have given, granted bargained sold and conveyed, and by • p do by give, grant, bargain, sell and convey unto the Grantee in fee simple Saud; lop -• • • • all • f that certain piece, parcel or tract of land situated lying and being in Hector s a eek -• • •' • : • • • • ett County North Carobna, and more pamculariy described as follows BEING all of Lot 76 Phase Two of B • • - • . S S • . . non as shown m Map No 2004 Page 1226 Harnett County '. • Subject to all easements, ngbts•obway • • . . • testnctuots as shown on the public record or as would be due .:. • accurate survey and mspecdon of the land This conveyance L expressly made subject to •. - , • by all the Grantors' teal 2007 Harnett County ad valorem taxes • • • • d • of land winch the Grantee(e) agree to assume and pay in full . • . See Deed Book 2073 Page 796 TO HAVE AND TO HOTS) the above described lands and p + •th all apputtenuues thereunto belonging, or in anywise appertammg, unto the t - simple their hens, successors rid assigns forever, but subject always however to • • •r set out above c) 101 1