LAND USE 0
Initial Application Date: /2_
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COUNTY OF HARNETT RESIDENT LAND USE APPLICATI
' I ng 108 E . Front Street Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.hamett.org/permits
• ' •.0 4 , I 1 t- , i t 1 1 C?.YYL F. m k71.) rt F. Mailing Address: F • o . 0.J 7■ C.r (.e
City I ' rn IOQVr t State: L Zi.: i n Home #: (ci OS) ZS —S Cu
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Cit . _/. Av, � J State: ZipZ !Home #:
* Please fit out a.. , t information if different than landowner Contact #:
CONTACT NAME APPLYING IN OFFICE: J 0 - r'i ; hon #
PROPERTY LOCATION: Subdivision w /phase or section: J, 1 !J IF 4 '
/� � ' : Lot Acreage:
State Road #: State Road Name: ,' Map Book Pa • / /
Parcel: CQ. 76 • ()f44 • �
,[� PIN: 0`J� • � • / 7
Zoning: V Z1J P? Flood Zone: )( Watershed: 4 / )4 Deed Book&Page: 9 Power Company:
New homes with Progress Energy as service provider need to supply premise number
from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILUNGTON: rSL i4 '-') u 71_ J n &tee,. Lis:- e at
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PROPOSED USE:
Circle:
O SFD (Size x ) # Bedrooms # Baths Basement (w /wo bath) Garage Deck Crawl Space / Slab
(Is the bonus room finished? w/ a closet if so add in with # bedrooms)
❑ Mod (Size x ) # Bedrooms # Baths Basement (w /wo bath) Garage Site Built Deck ON Frame / OFF
(Is the second floor finished ?__. Any other site built additions? )
Manufactured Home: _SW ,/ DW __ (Size 21 x F• L. ) # Bedrooms `` Garage r-/fl (site built? ) Deck *site built?
❑ Duplex (Size x ) No. Buildings No. Bedrooms/Unit
GI Home Occupation # Rooms Use Hours of Operation: #Employees 7-� ( -
❑ Addition/Accessory/Other (Size x ) Use Closets in addition es
(__)y ( )no
Water Supply: e County U Well (No. dwellings ) MUST have operable water before final
Sewage Supply: (_J New Septic Tank (Complete Checklist) Li Existing Septic Tank (Complete Checklist) ( )County Sewer
Property owner of this tract of land own land that contains a manufactured home w /in five hundred feet (500') of tract listed above? ( )YES ( VINO
Structures (existing & proposed): Stick Built/Modular ' Manufactured Homes 1 Prto et- Co Other (specify)
Required Residential Property Line Setbacks: / Comments:
Front Minimum �3�) Actual mei
Rear 2.. AS
Closest side i 0 / ! 5 =CLE47=EtTrailj:E
Sidestreet/corner lot �-c
Nearest Building l
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.
I hereby state that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
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Signature of Owner or Owner's Agent Date
"This application expires 6 months from the Initial date If no permits have been issued**
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Please use Blue or Black Ink ONLY
LAND USE
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PROCEDURES AND GUIDELINES FOR MANUFACTURED HOME INSPECTIONS
RA -20R & RA- 20M Certification Criteria
1, bu 1 1 , a, F. _ V1t0 -.z , 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.)
24" Minimum A - Shaped 24" Minimum ,t; 4: Rounded
Roof Pitch Rise Roof Pitch Rise
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4.
14' In Width x .---- — _; '' 4
14' M Width °: r
J 40
r fi l 1 a ii $t; Note: Most Rounded Roofs Will
- — Not Meet The Roof Pitch
e.
Measurement As From The Peak IllustratedThe f O
This Type Roof Design Will Not Meet The Roof To The Base Line Of
The Requirements of Roof Pitch. The Roof Must Be 12" For Every
7' Of Total Width Of The Home.
(14' Wide Home = 24" Roof Rise)
I 1 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.
NAME: WI l ( _ i'vt -' L APPLICATION #: 1 S 0 0-- zut 9 S U
*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 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. $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 Existinv 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 close back down.(Uniess inspection is for a septic tank in a mobile home park)
• 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 recordinq for proof of request.
• Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits.
SEPTIC
I 1 ing for authorization to construct please indicate desired system type(s): can be ranked in order of preference, must choose one.
{_} Accepte• (} Innovative {_} Conventional
{} Any
{_} Alternative Other
The applicant shall notify the local he • department artment upon sutal of this applicatif any of the
question. If the answer is "yes ", applicant • T ATTA '' DOC ON following apply to the property in
{_} YES {_} NO Does the site contain . . Jun : ' tional Wetlands?
{_} YES {} NO Do you plan to have an '4., '. , _ : „ • • w or in the future?
(_) YES {} NO Does or ,will the building contain any ? Pleas •lain.
YES { NO there any existing wells, springs, waterlines or Wastewater ' ems on this property?
{_ } YES {_ } NO Is any wastewater going to be generated on the site other than domestic se ' • ?
{_} YES { O Is the site subject to approval by any other Public Agency?
{_ } YES,. {} NO Are there any easements or Right of Ways on this property?
{_} 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.
1 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 1 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 Evaluation Can Be Performed.
PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE D cij
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NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax 42.00 Recording Time, Book and Page
Tax Lot No. Parcel Identifier No.
Verified by County on the day of
by
Mall after recording to GLOBAL HOUSE, INC., PO BOX 118, SANFORD NC 27331
This instrument was prepared by Frank W. Wishart, Jr. (TITLE NOT CERTIFIED -NO TITLE EXAMINATION)
Brief description for the Index Lot 3, Viranda
THIS DEED made this 29th day of June , 2010 ,by and between
GRANTOR GRANTEE
GLOBAL HOUSE, INC. WILLIAM E. MOORE
PO Box 118 PO Box 66
Sanford NC 27331 Rembert SC 29128
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity,
e.q. corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns,
and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in the City of , Johnsonville Township,
Harnett County, North Carolina and more particularly described as follows:
BEING all of Lot Number 3 as shown on plat of survey entitled "Subdivision of The Viranda ", dated 11 -28-
2001, revised 07 -10 -2002, as prepared by James Coxe Hasty, RLS, and recorded at Map Number 2002 -1319,
Harnett County Registry, to which plat reference is hereby made for greater certainty of description.
Along with 50' easement running with the land for ingress, egress and utilities shown as "New 50 Ft. Road
Easement - Elirea Lane" on the above reference plat. This conveyance is made subject to a reserved easement
for Lots 4 -6 of the Viranda subdivision for access and utilities over, under and upon Elirea Lane.
All or a portion of the property herein conveyed does not include the primary residence of Grantor.
The property hereinabove described was acquired by Grantor by
A map showing the above described property is recorded in Plat Book page
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey
the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and
defend the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
This conveyance is made subject to easements, restrictions, and rights of way of record and utility lines and rights of way
in existence over, under, or upon the above - described property.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument
to be signed in its corporate name by its duly authorized officers and its seal to be hereunto affixed by authority of its
Board of Directors, the day and year first above written.
USE BLACK INK
GLOBAL HOUSE, INC. (SEAL)
(Corporate Name)
By: (SEAL)
John H. Kelley, President
ATTEST: (SEAL)
Secretary (Corporate Seal)
(SEAL)
SEAL -STAMP NORTH CAROLINA, County.
I, a Notary Public of the County and State aforesaid, certify that
Grantor,
USE BLACK INK personally appeared before me this day and acknowledged the execution of the foregoing
instrument. Witness my hand and official stamp or seal, this day of
My commission expires: Notary Public
SEAL -STAMP NORTH CAROLINA, County.
I, a Notary Public of the County and State aforesaid, certify that John H. Kelley
personally came before me this day and acknowledged that he is President of
USE BLACK INK Global House, Inc. a North Carolina corporation, and that he (or she)
as President, being authorized to do so, executed the foregoing on behalf of the
Corporation.
Witness my hand and official stamp or seal, this day of
My commission expires: Notary Public
The foregoing Certificate(s) of
is /are certified to be correct. This instrument and this certificate are duly registered at the date and time and in the Book
and Page shown on the first page hereof.
REGISTER OF DEEDS FOR _COUNTY
B y Deputy /Assistant — Register of Deeds