LAND USE r
Initial Application Date: �` �� Appllcalion # . l 5 0 G r 7 2 O
CU
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillingt NC 27548 Phone: (910) 893 -7525 Fax: (910) 893 -2793 / www.hametl.org
LANDOWNER: Cif /4 FZ i a 4 H U 4 l/ Mailing Address: 7 2 S q, I4 Z4
City: ii.vae State: fie-- r C- Zip: 2553 L.Home p/ /
® "7 r —1 r 4 C contact #:
APPLICANT': : j4/2 L- l Mailing Addr ss: 7A/
City: 5'4M a State: / 4s' Zip:, t Home #: 97 i7 / 4r Contact #:
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: 4» C Phone #: ...(4/...(4/1/- 4i �j p� A
PROPERTY LOCATION: Subdivision: f 1 j - ij st 4 #� Lot Size: ,// -/ !(4 •
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State Road #: G 03 ( 7 / /� State Road Name: I G- U (/, / h [�[ Map B000k &Page; —
Parcel % l (Z , _( " " PIN: ° C - 7 2331 7
1� — 1 • / O
Zoning: -ll Az , f A/4 � Flood Zone: Watershed: Deed B ookBPage: 2331 [l / 4 ijq
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: / es /1 1 ,q p, &_-. p s V }-�
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PROPOSED USE: 4k: T 5 7 c/T 1/41/- 4-' • . Circle:
❑ SFD (Size x ) # Bedrooms_ #Baths_ Basement (w/wo bath) Garage Deck Crawl Space / Slab
❑ Mod (Size x ) # Bedrooms_ # Baths_ Basement (wAvo bath) Garage Site Built Deck ON Frame / OFF
❑ Duplex No. Buildngs No. Bedrooms/Unit, / 3 / /'
Manufactured Home: 2(SW DW TW (Size I B 9 # Bedrooms ,J Garage _ite built ?,r )Deck (site built?/ 1
❑ Home Occupation # Rooms Use Hours of Operation: *Employees
❑ Addition/Accessory/Other (Size _x ) Use Closets in addition(_)yes ( )no •
Water Supply: )County Li W ell (No. dwellings ) M UST h operable water before final
Sewage Supply: *New Septic Tank (Complete New Tank Cbecalla0 (J Existing Septic Tank ( ) County Sewer
Property owner of this tract of land own land that contains a manufactu home w/In Live hundred feet (500') of tract listed above? .(45YES (__)NO
Structures (existing or proposed): Single family dwelling Manufactured Homes it-24 tether (specify) -
Comments:
Required Residential Property Line Setbac D rl , iet,i, /193
V
Front Minimum 1 1 • A � / 7
4 Aclual_._
/
§ Rear L'y _ `�
Closest Side /d
Sidestreet/corner lot / / J
Nearest Building !j _ ) on same lot
If permits are granted I agree to conform to all ordinances and laws of the Stale 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 it false information is provided.
s . - — 9 -2 ° `f
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 APPUCATiON
Please use Blue or Black Ink ONLY
9/07
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NAME: APPLICATION #: /0 S✓ , 9 ZS 22 0
*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) it n O /.--
910- 893 -7525 option 1 CONFIRMATION # 7 i
❑ 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
XI 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 close back down.(Unless 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 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 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 1_1 NO Does the site contain any Jurisdictional Wetlands?
{_)YES (_) NO Do you plan to have an irrieation system now or in the future?
(_)YES (_) NO Does or will the building contain any _.ains? Please explain.
{_}YES 1 I NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
{_ }YES (_} NO Is any wastewater going to be generated on the site other than domestic sewage?
{ _)YES (_) NO Is the site subject to approval by any other Public Agency?
{_)YES {_} 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.
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.
1 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.
I 1 .4 .4 +K2 /9 41‘77-j
PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURQUIRED) DATE
11/09
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DIAGRAM O TYPICA SEPTIC T K
dit /MS
UTLET LID
POSSIBLE POSSIBLE
HOUSE HOUSE
CONNECTION _ CONNECTION
POSSIBLE
HOUSE
CONNECTION
1 POSSIBLE LID SHAPES
1 _ 1 SQUARE (SHOWN ON DIAGRAM)
0 ROUND
RECTANGLE (OLDER TANKS)
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40 ; • RNETT COUNTY 'PAX It» no art a a WEDS
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07111
Tract I:
Parcel ID 120555 0204
Pin No. 0555-11-3092.000
REID: 1038
O Tract II:
Parcel 101205440203
STATE OP NOR O
COUNTY OF • - WARRANTY DEED
(RESERVING LIFE ESTATE)
No tide search dons nor opinion given by the
(� the propane of this deed.
THIS DEED, made ' i13C • February, 2007, by and between Charles A.
Autry and wife, Carolyn A. A ., , • : .:'ah Lane, Linden, Harnett County, North Carolina,
28356 (hereinafter referred to in the - a singut : "the • tots") to Michael Aaron Autry, of
87 Isaiah Lane, Linden, County, North Caro '• • : H - inafta referral to as Grantee);
W1 LhSgL' T•:
That said Grantors, for a valuable Cass recap • f which is hereby acknowledged,
have given, grunted, bargained, sold and conveyed, dP presents does hereby give, grant,
bargain, sell and convey unto said Grantee, his h:. • • . i nistmtors and assigns,
subject, however, to the We estate of the Grantors, Ch • A. • and Carolyn A. Autry,
which said life estate Is herein specifically reserved, that -.1:;: • A. r tract of land situate,
lying and being in Stewart's Creek Township, Harnett Co • • I. a'. • line, and more
pattiadarly described as follows:
1Yaet1:
(Parcel ID No. 12-05550204
BEGINNING at an Iron Mahe located South BS deg. 32 min. Wait •
northwest corner of the Sat acre trot heretofore conveyed to Francis 'a .. . "4
wife, end runs thence South 35 deg. 31 min. West 220 feet to a stake, a co • r - 1 •
Autry; thence South 73 deg. 44 min. West 305 fat to • mike; thence North • mat.
West 4111 feet to the enter of Anderson Creek; thence down the run of • - • C - - tg)
point In the center of said Creek lusted North 7 deg. 33 min. West Eta feet • •
aonkent corner of the lot of Jams L Autry; throat South 7 deg. 33 min. Fast 3; f. • ■
Mahe; thews North BS deg. 32 ado. East 220 feat to a stake es the end of the north •. a 4;
• 60-foot Wrest; thence with the westernmost and dead sod margin of sold street; ;
deg. 6 min. Rut 60 fest to UN BEGINNING. Contelnhtg four (4) acre, more or Ise,
Wing part of the Melvin Land described to Book 597, Page 245, Herbed Curdy
d:77' .
PROCEDURES AND GUIDELINES FOR MANUFACTURED HOME INSPECTIONS
/I RA -20R & RA- 20M Certification Criteria
I, gi ley �l uJif , 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.)
.,tee a ar L ed t y 444.11÷1131 iCr "fir ra n ,Z Alnimum p 5 ap ed r,MA �r!num . , itgl ° RO' n I. 1 wm � u : n ¢ t "- .. o w - " t . ' t w�fip t
w I , r 1 b l + 4 . #
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.A z ° NE",vvNl rs iV h,:j.� �i7 , r .lyL.. ' '' ii " 1. ' #, � ,_'� I .. . '"
!_ ' i Note: Most Rounded Roofs Will
n s "r.ct, E 53 € f 1y r h . 1 y w Not Meet The Roof Pitch
' y u r;! Requirement As Illustrated. The
�y �� i`L1x � Measurement From The Peak Of
'Id � °« {'Jra'+aGl w-uS.t..�z �, �sx rw�+f v�;;� �� <k :11. " Th: y a Roo D si gnt W 61 N oti ,tnt w Base Th Regirements pf =Roo tip Pitch ��pr t�t� „ } „ � The k" The Roof Roof To Must The Be 12” For line EveOf ry lc 7Tk ��"�.35�, r« s, � xa. an x ,� c 1 Ilk 1 , , f i T Of Total Width Of The Home.
} w # (14' Wide Home = 24” Roof Rise)
r al i i ir * 4 d ` Continued on back I 11
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.