LAND USE •
Initial Application Date: 7 /Zl J so
.'1 Application # /'9 �v • 24 9 4/
COUNTY OF NARN RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27548 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.hamett.orglpermlts
LANDOWNER: NO 411( J,,,� �
Mailing Address:
C ,J r� 4Z
City: 9999 ���' / State: 1.9 ?tact# Email:
APPLICANT': .a Mailing Address:
City: State: Zip: Contact # Email:
'Please fill out applicant Information if different than landowner
CONTACT NAME APPLYING IN OFFICE: f- A a p il - ' Pho e # N.
I
PROPERTY LOCATION: Subdivision: / � , .. / J � _ a , J ■ Lot #: Lott , QZb/L'-
State Road # '/d l0 7 State Road Name: Wga I- Map Book&Page: C.� /.< /
Parcel: 7J - n C n -/// 41/ PIN: � / j v /� C�/ Z — !l2 - Z 96'a
Zoning: � fUl Fbod Zone: Watershed. -141- _ Deed Book&Page: /, S /l 1� / / `' / ,�. 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: / ' d . ; I .4. / ' 4 , a r
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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 (ono w/ a closet? (3 yes (_)no (if yes add in with # bedrooms)
❑ Mod: (Size x ) # Bedrooms # Baths Basement (w/wo bath) Garage: Site Built Deck: On Frame OR Frame
r+ / (is the second floor finished? (_) ye ( no Any other site built additions? (3 yes ( no
A Manufactured Home. _ SW a ltDW _ TW (Sizr Z �x 7 ' 0 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: County Existing Well New Well (0 of dwellings using well ) *MUST have operable water before final
Sewage Supply: _ New Septic Tank (Complete Checldist) ✓ Existing Septic Tank (Complete Checkhsf) 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? (i yes (__)no
Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify):
Required Reeldental Property Line Setbacks: Comments:
Front Minimum 3 Actual J Z
Rear L 'r 2 ;o✓
Closest Side if
Sidestreet/comer lot
Nearest Building
on same lot
If permits are granted I agree to conform to all ordi , s and I of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing statements I accur, nd corre to the best of my knowledge. Permit subject lo revocation if false information is provided.
Sig
t s` J : ror o er � 'sAgent / j Dale -0 /o
"This app 'cation expires 6 months from the Initial date If penults 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: 0, / APPLICATION #: 0 1 Z / 767
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)
910- 893 -7525 option 1 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
k 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.
{_} Accepted 1_) Innovative ( ✓I Conventional (_) Any
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.
{_ }YES {'NO Does the site contain any Jurisdictional Wetlands?
{_}YES 1 140 Do you plan to have an irrieation system now or in the future?
{_}YES 1 6440 Does or will the building contain any drains? Please explain.
I_IVES Ito NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
{_)YES 1O Is any wastewater going to be generated on the site other than domestic sewage?
1_ }YES 11_Y14O Is the site subject to approval by any other Public Agency?
{_)YES 1 =1 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 Si • Accessible So That A Complete Site Evaluation Can Be ' g ormed. i
m g13/i6
P' OPERTY OWNERS t ' OWNERS LEGAL REP' 4. NTATIV r'IGNATURE (REQUIRED) DATE
5/08
PROCEDURES AND GUIDELINES FOR MANUFACTURED HOMES
Replacement & Removal Criteria
/ / /
I, , do hereby certify the following:
(Prin Name) //
1. That I own a tract of land located on SR /7 7 in an A b / RA -40 or RA -20R /RA -20M
district which has a functional septic tank;
2. That the existing double -wide manufactured home is to be removed or was removed on
. (da
3. That I am replacing an existing /double wide manufactured home with a sin oub el wide
manufactured home, and; /�
4. That the replacement of this manufactured home creates #- residence(s) on this single tract of land,
and;
5. That there will be manufactured home(s) on this single tract of land and I do not own
property within 500 feet of this tract that contains a manufactured home.
6. 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
.. _.4asal:0141.14� 14"2?v�raa
Will Not Meet The Roof Pitch
". r Requirement As Illustrated.
�� �1 The Measurement From The
6 ,+,c w...SA"�y41fS> S16 .sa 1.14t na7,r,kiere rn;
?rfhisrTypq ,R of Wt11 N - Peak Of The Roof To The
Me e t ' The Requ to A: c Base Line Of The Roof Must
Pitch 4 ' R ,k; 1 + zJ - ' Y .: �� Be 12" For Every 7' Of Total
.px ° • . T ec x Width Of The Home. (14'
�� y ' Wide Home = 24" Roof Rise)
7/10
7. The home must be underpinned, the underpinning must be designed for manufactured homes &
installed in good workmanship -like manner along the entire base of a manufactured home, except for
ventilation and crawl space requirements, and consisting of the following: metal with a baked —on
finish of uniform color; a uniform design and color vinyl; or brick, cinder block, and stone masonry as
well as artificial stone masonry.
8. The homes moving apparatus removed, underpinned or landscaped.
a.
Select One of the Following Options Below:
The current manufactured home will be removed prior to the Zoning Inspection.
b. The current manufactured home is scheduled to be removed through Project AMPI
c. The current manufactured home will be removed after the final inspection has been performed
and the certificate of occupancy has been issued. (Additional Fees & Requirements Shall Apply)
*(Additional Information for Option C) Temporary approval for replacement of a manufactured home is
allowed only under the procedures and limitations stated below.
Please initial next to each item to indicate that you understand and have or will comply as n essary.
Si 1) A valid manufactured home moving permit must be submitted for the removal of the isting home located
on the property.
2) A copy o till of Sale or a Title Transfer of the existing home must be s . mitted.
3) Items 1 & 2 must be s ..• itted to Central Permitting prior to your p' it issuance.
1 4) Property owner /agent acknowle• t : that due to the fact t . a second zoning inspection is required, in
order to facilitate this request, a re- inspec ' fee in the ount of fifty ($50.00) dollars shall be paid
during the permitting process.
1 5) Once the home has met all other zoning re.. trements, a tem.. . approval shall be granted in order
to proceed with obtaining a certificate ' occupancy. From the da - . e certificate of occupancy is issued,
the property owner shall have five business clays to remove the pre-e ' ting manufactured home.
6) Property owner /agent .. owledges that if the pre - existing manufactured home is • removed by the
specified time of fiv ) business days that he / or she shall be in direct violation of the ' :. ett County
Zoning Ordinan . And by creating a violation of the Harnett County Zoning Ordinance shall ...ect
themselves : enforcement actions, penalties, and fines specified within Article XV, (Administration;
Enforc - en and Penalties) of the Harnett County Zoning Ordinance. Each day the violation continues is
a s• .arate offence and is a misdemeanor punishable by a fine not to exceed one hundred ($100.00) dollars
•r imprisonment not to exceed thirty (30) days.
MI 7) Property owner /agent acknowledges and affirms that the guidelines, procedures, and requirements
associated with the replacement of a manufactured home and the penalties for creating a violation of the
Harnett County Zoning Ordinance have been explained and accepts this document as an initial notice of
violation. y� 4
Signature of Property Owner Date
*By signing this form the owner /agent is stating that they have
read and understand the information on this form
7/10
PROCEDURES AND GUIDELINES FOR MANUFACTURED HOMES
(�
/� RA -30 Criteria Certification
1, R .V t:CL , landowner /agent of Parcel Identification Number
, located in an RA -30 Zoning District, do hereby certify the
following:
The multi- section manufactured home shall meet the following appearance standards,
verified by zoning inspection approval, prior to the issuance of a Certificate of Occupancy:
1. The structure must be a multi- section unit built to the HUD code for manufactured
homes.
2. When located on the site, the longest axis of the unit must be parallel to the lot
frontage.
3. The structure must have a pitched roof that is covered with material commonly used in
standard residential roofing construction. Said material must be installed properly and
be consistent in appearance.
4. The structure must have masonry underpinning that is continuous, permanent and
unpierced except for ventilation and access.
5. The -- exterior siding must consist predominantly of vinyl, aluminum, wood, or
hardboard; and must be comparable in composition, appearance, and durability to the
exterior siding commonly used in standard residential construction. Said exterior
siding shall be in good condition, complete, and not damaged or loose.
6. The minimum lot size must be one (1) acre excluding any street right -of -way and the
minimum lot frontage must be 150 feet as measured at the right -of -way line or along
an easement whichever applies.
7. The tongue or towing device must be removed.
By signing this form, I acknowledge that I understand and agree to comply with each of the
seven (7) appearance criteria listed above for the multi- section manufactured home I propose
to place on the above referenced property. I further acknowledge that a Certificate of
Occupancy (CO) entitling me to apply for electric service will not be issued until each
appearance criteria s bee et a approved.
/l' `- g r( 31 / a
Signature of L down /Agent (/( Date
By signing this form the owner /agent is stating that they have read and understand the
information on this form
7/10
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DIAGRAM OF A TYPICAL SEPTIC TANK
• OUTLET LID
ill
POSSIBLE POSSIBLE
HOUSE HOUSE
CONNECTION - CONNECTION
- -- 4
1
POSSIBLE
HOUSE
CONNECTION
POSSIBLE LID SHAPES
I I SQUARE (SHOWN ON DIAGRAM)
RECTANGLE (OLDER TANKS) CD ROUND