LAND USE Initial Application Date - (/ /O Application# // 5-or �� / Zr
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permit(ng 108 E Front Street Lillington NC 27546 Phone (910)893 7525 e t 2 Fax (910)893 2793 www harnett org/perm is
"A RECORDED SURVEY MAP RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER Duncan Develpoment Mailing Address 1100 Meadow Wood Dr
City Fuquay Varina State NC Zip 27526 Contact No Dick Anderson Email 919 552 3444 Office
APPLICANT Stencil Builders Inc Mailing Address 466 Stencil Rd
City Angier State NC Zip 27501 Contact No 919 427 8266 Email Ted Strickland
PI III t ppl t f m t fdffe ntth I dow
CONTACT NAME APPLYING IN OFFICE Ted Strickland Phone#919 427 8266
PROPERTY LOCATION Subdivision Cokesbury Park Lot# 79 Lot Size 36p f 1
State Road#1403 State Road Name Cokesbury Park Lane Map Book&Page A004 1 294
Parcel
RA 0124 41
Zone /� NA
Zoning Watershed Deed Book I&Page 0635 b32086
131 1 A9 AI/'1/ .7Power Company
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New structures with Progress Energy as service provider need to supply premise number 5113 J 9390 from Progress Energy
PROPOSED USE
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4 SFD (Size1'9 36�)#Bedrooms 3 #Baths?Basement(w/wo bath)_Garage I Deck ✓ Crawl Space✓Slab_Slab
(Is the bonus room finished?( )yes ( )no w/a closet?(i yes (___)no(if yes add in with#bedrooms)
❑ Mod (Size__x )#Bedrooms_#Baths Basement(w/wo bath)_Garage_Site Built Deck On Frame_Off Frame_
(Is the second floor finished?( 1 yes ( )no Any other site built additions?(_,)yes (i no
❑ Manufactured Home _SW_DW_TW(Size x )#Bedrooms _Garage_(site built? )Deck_(site built?_)
❑ Duplex (Size_x )No Build ngs No Bedrooms Per Unit
❑ Home Occupation #Rooms Use Hours of Operation #Employees
❑ Add ton/Accessory/Other (S e_x )Use Closets in addition?( )yes ( )no
Water Supply County ✓ Existing Well _New Well(#of dwelt ngs 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 fi e hundred feet(500)of tract listed above?(_)yes (U no
Does the property contain any easements whether underground or overhead(_i yes (_J no
Structures(e ist ng or proposed) Single family dwellings Manufact red Homes _Other(specify)
Required R d nt al Property L n S [backs Comments
Front Minimum 35 Actual 41 5
Rear 25 29 2
Closest Side 10 34 5
Sidestreet/corner lot 20
Nearest Building _
n same lot
4 d t I I 11 Ai pl at F gel 7 13 1
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON
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If permits are granted I/agree conform to all ordinan.r. and laws of the State of North Carolina regulating such work and the specifications of plans submitted
I hereby state that foregoin ements are accurate a'',cor -ct tot - •-st of my knowledge Permit subject to revocation if false information is provided
- 4811
Signature of Owner or Owner's Agent Date
it is the owner/applicants responsibility to provide the county with any applicable Information about the subject property Including but not limited
to boundary information house location underground or overhead easements etc The county or its employees are not esponsibie 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
Re d i 1 5nd Us Apo di on P y 2 12 03 1
NOTES/LEGEND IMPERVIOUS CALCULATIONS
NC NW? 42 0% NOT AN ACTUAL SURVEY HOUSE - 1 609 SF
�� AREA BY COORDINATES DRIVE - 820 SF
DUNCAN PIN #0635-69-2086 000 PROPOSED TOTAL - 2 429 SF
ALLOWABLE - 3 500 SF
THIS LOT IS NOT LOCATED IN A 1 071 SF UNDER ALLOWABLE
41 FLOOD HAZARD AREA PER
I F E M A MAP #3720062400J
EFF DATE 10/3/2006 ZONE X
COKESBURY
i PARK SETBACKS
LANE
FRONT - 35
REAR - 25
VICINITY MAP NTS SIDE - 10
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MAP #2006-854-856/
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750 COKESBURY PARK LANE
C7 Q: FUQUAY-VARINA NC 27526
�', �gD `,�,�-1 :C LOT 79 COKESBURY PARK - PHASE III
'' ���N W ��,`! MAD#2006-854 54
BOOK 2229 PAGE 131
4 BENIGN W DEWAR CERTIFY THA THIS PLAT WAR DRAWN UNDER BUCKHORN TOWNSHIP
MY SUPERISION FROM AN ACTUAL SURVEY MACE UNDR w HARNETT COUNTY - NORTH CAROLINA
9UPERVISON THAT THE RATIO OF PRECISION IS I ff+L/A SCALE 1 = 40 APRIL 6 2011
THAT THE BOUNDARIES NOT SUFNEYED ARE SHOWN As tIOKEN LINES PIN #0635-69-2086 000
PLOTTED FROM INFORIMTON FOUND IN 800K ML pi*1ro‘
PAGE THAT THIS PLAT DOES NOT MEV SIZE REQUIREMENTS
FOR RECOR IN THE REGISTER OFF DEEDS. PER 0.5 47 30 AS &/MENDED
LICENCE NUMBER AND;EJJE THIS _J_ DAY OF 41*'IL-- 201) ,
c // � 0 ND 20 40 so BO
PROFESSION& LAND SURVEYOR L 3040 BENTON DEWAR & ASSOCIATES
PROFESSIONAL LAND SURVEYOR
THIS PLAT IS OF A BOUNDARY SURVEY OF AN comma
PARCEL OF LAND THAT IS REGULATED BY A COUNTY OR 5920 HONEYCUTT ROAD
MUNICIPALITY ORDINANCE THAT REGULATES PARCELS OF LAND HOLLY SPRINGS NC 27540
(919)-552-9813 11-47s
79COKES/11/650
NAMF APPLICATION# /r ��� 2‘ .1-/ 4
*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 pe m t valid f ther 60 m th or without expirati
depe g p n documentat on ubm tied (C mpl to rte pia =60 in nth Complete pl t=w thout p ration)
910 893 7525 option I CONFIRMATION#
Environmental Health New Septic SystemCode 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 $2500 return trip fee may be incurred
for failure to uncover outlet lid, mark house corners and property lines, etc once lot confirmed ready
Atter 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 (if
possible) and then Out 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 apply mg for authontat on to construct please indicate desire stern type( ) can be ranked in order of preference must choose one
(_) Accepted {_) Innovative ) Conventional (_) Any
{_) Alternative {_1 Other
The applicant hall notify the local health department upon submittal of this application if any of the following apply to the property in
question If the answ yes applicant MUST ATTACH SUPPORTING DOCUMENTATION
(_)YES —) NO Does the site contain any Jurisdictional Wetlands
(_)YES (i/NO Do you plan to have an irng,tti on ystem now or in the future
(_}YES { NO Does or will the building contain any drains Please explain
{_/YES I v'/ O Are there any existing wells springs waterlines or Wastewater Systems on this property
(_}YES ( V)/1 N NO Is any wastewater going to be generated on the site other than domestic sewage')
{_)YES {,(}'NO I the site subject to approval by any other Public Agency9
(_)YES ( s-4/NO Are there any Easements or Right of Way on flit 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 i a free service
I Have Read This Applicat on And Certify That The Inf rmat n Pr ded H rein I True Complete And G rect Authors ed County And
State Officials Are Granted Right Of Entry To Conduct Nec ssary Inspect ons T Determine C mpliance W th Appl cable I acs And Rules
I Understand That I Am S lely Responsible For •• - Pi I er;erg nhtication And I abeling Of All Property Lines And Corners And Making
The S te Accessib ' � i omp.• e `te cy. I n Be Performed /
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PROPER r OWN ' OR OWNERS LEGAL EPRE".m. ATIVE SIGNATURE(REQUIRED) DA
10/10
How to Properly Mark Property for Soil Evaluation
(MUST MATCH SITE PLAN)
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Pink flag —÷
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Apr 08 2011 8 46AM SUI 919 639-8841 P 1
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456 Stencil Road
Angier,NC 27501
(919)639 2073
(919) 639 8841 Fax
4-8 11
Harnett County Planning
Attn V C
Refer Lot 79 Phase III Cokesbury Park SD
750 Cokesbury Park Lane Fuquay Vanna NC 27526
Stancll Builders Inc will purchase Lot 79 Phase III from Duncan Development upon
receiving septic permit with Harnett County
emitted,
:Pm: Goldston, Vice President
Stencil Builders Inc