LAND USE O nitial Application Date: 7- Z12 -!.., Application # /75 24 1 ;2_
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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) 89 2793 www.hamett.org/permits
LANDOWNER: v/ /- •
4 i 4 / Mailing Address: 2 �` �i /fij'1 (4/j
City: (,//71 in t J tate: !/Zip: 7 . ontact # Email:
APPLICANT•: nse l
In rnp rv S�.f' ?n2 /Mailing Address: ' Pe Ln1 1 /3 A frip ) e 1�C,
City: State:_ Zip: Contact # Email: V'1
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: � f✓I/I,fez Phone # Q
PROPERTY LOCATION: Subdivision: ✓ dam/ .41/-25.1.41/-25.1.--t .41/-25.1.--t + / Lot #: /� Lot Size: /r
State Road # �7 /`- / dh State Road Name: n Fa; t e4 / / Map Book &Page: G o ✓ Q / /2 / I L'
Parcel: ✓ ! 110 / 0 ✓6 !/ 7 PIN: /4 I - i/ y /6 9 , ,P,'
n '/ t
Zoning: /YA Zo Mood Zone:_ Watershed: /V /4- Deed Book &Page. , 171 - ,wer Company*:
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LI _LINGTON: -[ry f , t • 1t I / y l 14 7 -I" Z 0 12916,11 ?
U/:. . a - (J • ' . r, a as 1. t •
PROPOSED USE:
Monolithic
❑ SFD: (Size _ x ) # Bedrooms: # Baths: Basement(w/wo bath): Garage: Deck: Crawl Space: Slab: Slab:
(Is the bonus room finished? (J yes (__)no w/ a closet? (__) yes (ono (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? (J yes (__)no Any other site built additions? U yes ( )no
Manufactured Horne: jLSW _ DW _ TW (Size / x 70 ) # Bedrooms: 3 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 x ) Use: Closets in addition? (__) yes (__)no
Water Supply: s.i
County _ Existing Well New Well (# of 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? U yes (__)no
Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks:: Comments:
Front Minimum 3) (� a
Actual / On
Closest Rear 5 y
Closest Side /0 2 7
Sidestreet/corner lot
Nearest Building
on same lot
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.
1 hereby state that for oin statements � `e accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
v ' IAiem w e Vogel ce I 0 Pc- 7 76 -1c
Signature of Ovine r 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
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NAME: APPLICATION #: � .5 9 2
This application to be tilled 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
ERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration
epen 'ng upon documentation submitted. (complete site plan = 60 months; complete plat = without expiration) rig
910 -893 -7525 option I CONFIRMATION #
Environmental Health New Septic System Code 800
• 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.
• Call No Cuts to locate utility lines prior to scheduling inspection. 800 - 632 -4949 (This is a free service)
• 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 door as diagram indicates. Loosen trap door cover. (Unless
inspection is for a septic tank in a mobile home park)
• After preparing trapdoor 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_1 Accepted {_} Innovative { nventional {_) Any
1_1 Alternative 1_) 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.
1 1YES (X) NO Does the site contain any Jurisdictional Wetlands?
{_)YES { l NO Do you plan to have an irrieation system now or in the future?
1_1 YES {} NO Does or will the building contain any drains? Please explain.
•_I YES • \ l NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
1_1 YES {' l NO Is any wastewater going to be generated on the site other than domestic sewage?
{_)YES { j } NO Is the site subject to approval by any other Public Agency?
{_IYES {2} 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 Accessible So That A Complete Site Evaluntio , Can He Performed. 7
s ' ,i' .�. . 6/ ' ii _V l
• PERTY OWNERS f R OWNERS LEGAL : :9' RESENTATIVE I ATUR' (REQUIRE I DATE
5/08
How to Properly Mark Property for Soil Evaluation
(MUST MATCH SrrE PLAN)
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6, ' iron
pink flag -'-► orange flag
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pink flag
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ROAD
N.
OFFER TO PURCHASE AND CONTRACT
(Consult "Guidelines' (font 2G) for guidance in completing this fort]
, as Buyer,
hereby offers to purchase and JAMES STEVE POPE and SUSAN E. POPE , as Seller,
upon acceptance' of said offer, agrees to sell and convey, all of that plot, piece or parcel of land described below, together with all
improvements located thereon and such fixtures and personal property as are listed below (collectively referred to as the "Properly").
upon the teams and conditions set forth herein. This offer shall become a binding contract on the date that: (i) the last one of the Buyer
and Seller has signed or initialed this offer or the final counteroffer, if any, and 00 such signing or initialing is communicated to the
party making the offer or counteroffer, as the case may be. Such date shall be referred to herein as the "Effective Date."
1. REAL PROPERTY: Located in Harnett - County, State of North Carolina,
being known as and More particularly described as:
Address: Street
City: Coats Zip 27521
--- Governmental authority over taxes, zoning,` school dlst eta; utilities and''mail delivery may differ from address shown.
Legal Description: N/A
Subdivision Name:
Plat Reference: Lot . Block or Section _S as shown on
Plat Book or Slide at Page(s) (Property acquired by Seller in Deed Book 2709 at Page 397 ).
NOTE: Prior to signing this Offer to Purchase and Contract, Buyer is advised to review Restrictive Covenants, if any, which may limit
the use of the Property, and to read. the Declaration of Restrictive. Covenants, By -Laws, Articles of Incorporation, Rules and
Regulations, and other governing documents of the owners' association and/or the subdivision, if applicable. If the Property is subject
to regulation by an owners' association, it is recommended that Buyer obtain a copy of a completed Owners' Association Disclosure
And Addendum (standard fonn 2Al2 -T) prior to signing this Offer to Purchase and Contract, and include it as an addendum hereto.
2. FIXTURES; The following items, if any, and if owned by the Seller, are included in the purchase price free of liens: any built -in
appliances, light fixtures; ceiling fans, attached floor coverings, blinds, shades, drapery rods and curtain rods, brackets and all related
hardware, window and door screens, storm windows, combination doors, awnings, antennas, satellite dishes and receivers,
burglar/fire/smoke alarms, pool and spa equipment, solar energy systems, attached fireplace screens, gas logs, fireplace inserts, electric
garage door openers with controls, outdoor plants and trees (other than in movable containers), basketball goals, storage sheds,
mailboxes, wall and/or door mirrors, attached propane gas tank, invisible fencing including all related equipment, lawn irrigation
systems and all related equipment, water softener /conditioner and filter equipment, and any other items attached or affixed to the
Property, EXCEPT any such items leased by the Sella and the following items: N/A
3. PERSONAL PROPERTY: The following personal property is included in the purchase price: N/A
4. PURCHASE PRICE: The purchase price is $ D u O O . " and shall be paid in U.S.
Dollars. Should any check or other thuds paid by Buyer be dishonored, for any reason, by the institution upon which the payment is
drawn, Buyer shall have one (1) banking day after written notice to deliver good funds to the payee. In the event Buyer does not timely
deliver good funds, the Seller shall have the right to terminate this contract upon written notice to the Buyer. The purchase price shall
be paid as follows:
(a) $ DO 0 - " , EARNEST MONEY DEPOSIT with this offer by O cash SI personal check
❑ bank check O certified check ❑ other: to be deposited
aadkwld 1R+senav by JAMES STEVE POPE / .2.7w•a•,Jae //. („Xscsaw-Aagern10 until the sale is
closed, at which time it will be credited to Buyer, or until this contract i therwise terminated. In the event: (1) this offer is not
accepted; or (2) any of the conditions hereto are not satisfied, then all a est monies shall be refunded to Buyer. In the event of
breach of this contract by Seller, all earnest monies shat be refunded to Buyer upon Buyer's request, but such return shall not
affect any other remedies available to Buyer for such breach. to the event of breach of this contract by Buyer, then all earnest
monies shall be forfeited to Seller upon Seller's request, but such forfeiture shall not affect any other remedies available to Seller
for such breach.
Buyer iinitia Seller initials
77617V -5 - p _ii _ Pagel of
NC BAR ASSOCIATION • Form No. 2 ® 2007, 7/2008 This standard form bas been approved jointly by:
North Cardlos Bar Association - NC nu Porn No. 2
North Carolina Association MRe eras ®, Inc. - Standard Pam 2T
PROCEDURES AND GUIDELINES FOR MANUFACTURED HOME INSPECTIONS
RA -20R & RA- 20M Certification Criteria
I, • G _ % . Y c ., - i', A o understand that because I'm located in a RA -20R or
RA -20M Zoning District and wish to place a manufactured home in this district I must meet the
following criteria, verified by zoning inspection approval, before I will be issued a certificate of
occupancy for this home.
1. The home must have a pitched roof, for a manufactured home, whether A- shaped or
rounded, which has a minimum rise (measured at the center of the home) of twelve (12)
inches for every seven (7).feet of total width of the home. (Example: A home measuring
fourteen (14 ft.) in width must have a twenty four (24) inch rise as measured from the
center of the roofline to the baseline of the roof.) (See Illustrations Below.)
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Note: Most Rounded Roofs Will
,x # ' 1 v� ,; Not Meet The Roof Pitch
� .1/4 Vi . �� � �. Requirement As Illustrated. The to
fax r � ® „ t Measurement From The Peak Of
h 'Type�Roo 7, WIII Neot Met 4 The Roof To The Base Line Of
14 4 -1The Re g yi reme nts ; ol of¢ R 4 II
� 1 ' M. „, o .i i k , ' � N The Roof Must Be 12” For Every
7' Of Total Width Of The Home.
1 ° (14' Wide Home = 24" Roof Rise)
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Continued on back.......
2. The home must be underpinned, consisting of a brick curtain wall or have
galvanized metal sheeting, ABS or PBC plastic color skirting with
interlocking edges, installed around the perimeter of the home. Skirting
shall be consistent in appearance, in good condition, continuous,
permanent, and unpierced except for ventilation and access.
3. The homes moving apparatus must be removed, underpinned, or
landscaped. (See examples below.)
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Signature of Property Owner / Agent Date
• By signing this form the owner / agent is stating that they have read and
understand the information on this form.