DOCUMENTS Initial Application Daley) I nApplication# I 1 SCI; $4 IC)c
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COUNTMOF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108.E.Front Street;Lillmgton,NCE7546 Phoneo(9 t0)893-7525 exC2 Fax:(910)593--22.793 www.framettoig/permits '
•'A RECORDED SURVEY MAP,/zRECORDED DES(OR OFFERTO PURCHASE)'&SITE PUN ARE REQUIRED WHEN SUUBMITTIR,U'_A/LAND USE APPLICATION•' -
LANDOWNER: WL(1LY • Lulwate C CL4415AC Mailing Address: L(r 1 Or?jot
City: ' �-wState'HIC'Zip': Contact No: Email:
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APPLICANT*:CA.96•S C .Nasal Mailing Address: (4A K4(L(/-v4 )cyst JS
City: 4n State': 1. jip:�/52ontact No: WTT�LEUt1 Email: IQ/944 •ac,� l r Qat
•Please fill out applicant information if different man landowner 3)(( 446d elti91
CONTACT NAME APPLYING IN OFFICE:LII(4Ca1L Phone# 336460-0581
PROPERTY LOCATION:TISubdivision'. 3.110 /Manor `-ak / Lot 4:49 I ('Lot Size. •Y S
State Road#c 1(J G4 State Road� /NNaamee::•� Y r-eiLi.l LA IL1G( Map Book 8 Pabe:'bII /514
Parcel' CR —1 S1 Ci C) r PIN: 1 clic 51•40711° .00(]
ZoninclifinDfinod Zone: x Watershed10 T\ Deed Book 8 Page: 3.350/ DELI i Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
U SD:(Size x )#Bedrooms: #Baths:_Basement(wlwo bath): Garage:_Deck:_Crawl Space: Slab. Slab
(Is the bonus room finished?( )yes (_)no w/a closet?( )yes ( )no(If yes add in with it bedrooms)
❑ Mod:(Size x_)#Bedrooms #Baths Basement(w/wo bath)_Garage: Site Built Deck._ On Frame_Off Frame_
(Is the second floor finished?(_)yes (_)no Any other site built additions?(_)yes (_)no
2-34'41
ti Manufactured Home:_SW 1/1DW TW(Size 1st ;ye )#Bedrooms:'4 GarageAi
s built?_)Deck:_(site built? ) �ofcs
CI Duplex:(Size x )No.Buildings'. No.Bedrooms Per Unit. PPP
❑ Home Occupation:#Rooms, Use: Hours of Operation. #Employees._
❑ Addition/Accessory/Other.(Size_x_)Use: Closets in addition?(—)yes (—)no
Water Supply: 1,Xounty Existing Well New Well(#of dwellings using well )'Must have operable water before final
Sewage Supply: New Septic Tank(Complete Checklist). _1/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?(_)yes (_)no
Does the property contain any easements whether underground or overhead(_)yes (
Structures(existing or proposed):Single family dwellings: Manuf lured Homes: Other(specify).
LarK7+v.ki 9W in ( u2IAA,Li be IT'Qaatoa?saa and Pu' ZJ L.\
Required Residential Property Line Setbacks: - )Comments:
Front Minimum Actual ces
Rear
Closest Side (S(
Sldestreet/corner lot
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03111
APPLICATION CONTINUES ON BACK
SPECIFIC•DIRECTIONS TO THE PROPERTY FROM LILLINGTON: G 9•-r....4- it►,[l ' \•I ^ % .Ma►W Jr ry
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ta*LL t 4 to/LP -Fn Cn6 .yL 14.12 es4 fl.,.
If permits are granted I agree 1l nfo...yyyyyy o all ordinances find'laws of the State of North Carolina regulating such work and tI1 cifications of plans submitted.
I hereby state that foregoin• ...oil: a t . . r e and correct to the best of my knowledge. Permit subject revocation if false information is provided.
Ig -n - of Ow nays Agent
•"It is the ownerlapplicants 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 responsible for any
incorrect or missing informatlonlhat is contained within these applications."'
•
"This application expires 6 months from the initial date if permits have not been issued"
•
Residential Land Use Application Page 2 of 2 03111
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Harnett County Parcel Report Page I of I
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Harnett Legal DescriptioN-414n:
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L o u e r v Ziarnett County GIS
strong toots new growth LT121DIV OF GIL BROWN IW%198 MBN11-54
PID:099575 0080 Tax Data Last Modified'.
PIN:995-56-2010000 lir Calculated Land Units l Type:0 ac
REID:0025245 Nelghbolncod:00923
Subdivision:11-54 Actual Year Built:
Deeded Acreage.0 ac TMalAcutsAreaHaNed:Sryr1
Total Acreage.0.45777824 ac UM Month and Year:10/2015
Account Number.1500017414 Sale Price:$25000
Nana 1:CUTLER IMLLIE ped Book I Par:3350-0335
Name 2:CUTLER CATHERINE Deed Date:
Owns Address 1:419 MAYER RD Plat Book a Par:-
Owner Address 3: Ineuunwnl Tyr': %O
Owner Address 3: Vacant or Improved.
City.State.24p CAMERON NC 28326 OuallledCode:A
Building Count:0 Transfer or Split
Township Code:09
Fire Code:FR16
Property Address:356 MAYER RD
Parcel Building Value:$0 Prior Building Value $200
Parcel Outbuilding Value:$400 Prior Outbuilding Value $0
Parcel Land Value:$12000 Prior Land Value:$7500
Parcel Special Land Value'.$0 Prior Special Land Value:$0
Total Value:$12400
Parcel Deferred Value'.$0 Prior Deterred Value'.$0
Total As.eeeed Value:$12400 Prior Aniseed Value:$7700
Legal Land Units,Unit Tyr:045,AC Prior Land Units:0 45 ac
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NAME: APPLICATION#:
*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 SvsfemCode 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.
/7 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 put Ild 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 8 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.
i—I Accepted } Innovative 1—I Conventional II Any
I Alternative I—I Other
The applicant shall notify the local health deportment upon submittal of this application if any of the following apply to the property in
question. If the answerais"yes",applicant MUST ATTACH SUPPORTING DOCUMENTATION:
1-1 YES I!i NO Does the site contain any Jurisdictional Wetlands?
I YES i No Do you plan to have an iwg:Rigasystem now or in the future?
I- IVES 1._40 Does or will the building contain any drains?Please explain.
( I YES I NNO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
)_}YES le NO Is any wastewater going to be generated on the site other than domestic sewage?
I—I YES 11Pg0 Is the site subject to approval by any other Public Agency?
I}YES 1 O Are there any Easements or Right of Ways on this property!
I.'YES I—1 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 Responsi j For T Proper ntirication And Labeling Of All Property Lines And Corners And Making
The Site Accessible So That A Compl fIS.I• tut t an Performed.
PROPERTY OWNERS a—•'ERR Iii AL EPR TATIVE SIGNATURE(REQUIRED) —
10/10
Date: Application#
PROCEDURES AND GUIDELINES FOR MANUFACTURED HOMES
Replacement & Removal Criteria
Le0C-ke c
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I, A1 .0 Q A .44,do hereby certify the following:
Print Name)
I. That I own a tract of land located on SR 11 54 in an RA-30/RA-40 or RA-20R/RA-20M
district which has a functional septic tank;
2. That the exist' mg double-wide Tanufactured home is to be removed or was removed on
`I111 (date) QAC � ps�..�jt' W C.3 tuuniv f,A. .A-b
3. That I am replacing an exist' +;ff '�oub1E wi e mnnaacmred home with a single/ ouble 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 I manufactured home(s)on this single tract of land and I do/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 measuong 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 .r 1 A-Shaped 24"Minimum 2 Rounded
Roof Pitch Rise Roof Pitch Rise
• 03/13/200E -
Note: Most Rounded Roofs Will Not Meet The Roof Pitch
Requirement As Illustrated. The Measurement From The
Peak Of The Roof To The Base Line Of The Roof Must Be
12" For Every 7' Of Total Width Of The Home. (Ex: 14'
Wide Home= 24" Roof Rise)
Continued
Lep,
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 home must have been constructed after July 1" 1976.
9. The homes moving apparatus removed,underpinned or landscaped.
10. Select One of the Following Options Below:
0 The current manufactured home will be removed prior to the Zoning Inspection. r,
b. The current manufactured home is scheduled to be removed through Project AMM
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 with as necessary.
1) A valid manufactured home moving permit must be submitted for the removal of the existing home located
on the property.
2) A copy of a Bill of Sale or a Title Tranier of the existing home must be submitted.
3) Items I &2 must be submitted to Central Permitting prior to your permit issuance.
4) Property owner/agent acknowledges that due to the fact that a second zoning inspection is required,in
order to facilitate this request,a re-inspection fee in the amount of fifty($50.00)dollars shall be paid
during the permitting process.
5) Once the home has met all other zoning requirements, a temporary approval shall be granted in order
to proceed with obtaining a certificate of occupancy. From the date the certificate of occupancy is issued,
the property owner shall have five(5)business days to remove the pre-existing manufactured home.
6) Property owner/agent acknowledges that if the pre-existing manufactured home is not removed by the
specified time of five(5)business days that he/or she shall be in direct violation of the Harnett County
Zoning Ordinance. And by creating a violation of the Hamett County Zoning Ordinance shall subject
themselves to enforcement actions,penalties,and fines specified within Article XV,(Administration
Enforcement.and Penalties)of the Harnett County Zoning Ordinance. Each day the violation continues is
a separate offence and is a misdemeanor punishable by a fine not to exceed one hundred($100.00)dollars
or imprisonment not to exceed thirty(30)days.
7) Property owner/agent acknowledges and affirms that the guidelines,procedures,and requirements
associated with the replacement of a manufactured home .nd the penalties for creating a violation of the
Harnett County Zoning Ordinance have bee plainst and acc-• this document as an initial notice of
violation.
A* is 443
�=gm ture .aj'rop 0 r D to
*By signing this form the owner/agent is stating that they have
•
read and understand the information on this form