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DOCUMENTS Initial Application Date, i 1 Appliceeon p /;Y 1 C 1U n CenCentral Pemdtin COUNTY OF NARNETT RESIDENTIAL LAND USE APPLICATION CUM---"S- 1-11–j----21----8:21 (e3 �—737Y g 108 E.Front Street,Lillinglon,NC 27548 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamettorg/permlta 'A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ME REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER:Frensue Martinez Mailing Address:86 Slone Chase Way Spring lake City: NC 28390 State_NC Contact Na: 910-584-1828 Byofactiveduty�9meil.Com Email: Chris Yarbrou —�� APPLICANT•: 9h(NC Solar Now, Inc) 3401-101 Atlantic Ave _ailing Address. Raleigh City: NC 27604 'Meese fillout eppuram int 13V011 if different loan lando nen Zip:27604 No: 919-833-9098 Email: pennrth^9�ncsolamow.com CONTACT NAME APPLYING IN OFFICE:Chris Yarbrough �•x Phone p 919-833-9098 PROPERTY LOCATION:Subdivision a e A...I U s 'T q State Road p �– 86 Stone Chase Way. Spring Lake NC,28390 Lot p Lot Silo: 'OA , State Road Name: y p 9 Map Book 8 Page.W t t4, R.19, Parcel:lLI oS S a O Li 5 �yM��""..�� MPIN: 0 Zoninit-sec ircloatl Zone: x Watershed:FurT 'S _ Deed Book a Pa6e: _ South River EMC 'New structures with Progress Energyower Company'. 9 as service provider need to supply premise number from Progress Energy. PROPOSED USE: O SFD:(Size_x )4 Bedrooms: #Baths: Ila the bonus room finished? Besemengw/wo bath):_-Garage: Deck._Craw Space: Slab:_Monolithic ( )yes (_)no w,a closet?(_)yes I_)no(if yes add in with#bedrooms) ❑ Mod:(Size_ )4 Bedrooms p Baths Basement(wlwo bath)_Garage: Site Built Deck: On (Is the second floor finished? Frame Off Frame (_)yes (_)no Any other site built additions?(_)yes (_)no O Manufactured Home: SWDWTW(Size x_)4 Bedrooms: Garage: (site built? )Deck:_(site built? ) ❑ Duplex:(Size x_)No.Buildings: No.Bedrooms Per Unit: ❑ Home Occupation:#Rooms: Use: Hours ol Operation: NEmploYeec:__ �Use:Roof-Mounted Solar PV Array(approx.520 sq.ft.) 0 Addition/Accessory/Other:(Size_x Closets in addition?(_J yes (1)no Water Supply: County Existing Well _New Well(4 of dwellings using well_ )'Must Sewage Supply: New Septic Tank(Complete Checklist Existing Septic Tank(Complete Checklist) have operable Co bry Sewer before final 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 no Structures(existing or proposed):Single family dwellings: 1 Manufactured Homes: Other (specify): Comments:Array will be flush mounted to the existing roof,therefore setbacks Required Residential Property Line Setbacks: and footprint will be unaffected. Front Minimum Actual Rear Closest Side Sideatleet/Comer lot Nearest Building on same lot Residential Land Use Application Page I of APPLICATION CONTINUES ON BACK 03111 SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Attached Separately 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 a : and correct to the best of my knowledge. Permit subject to revocation if false information is provided. 9/7@077 • r re of Owner or Owner's Agent Date "It Is the owner/applicants 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 Information that Is contained within these applications.*** "This application expires 6 months from the Initial date If permits have not been issued^ Residential I and Use Application Page 2 011 03111 9/7/2017 108 E Front St, Lillington,NC 27546 to 86 Stone Chase Way,Spring Lake,NC 28390-Google Maps Go gle Maps 108 E Front St, Lillington, NC 27546 to 86 Stone Drive 15.3 miles, 22 min Chase Way, Spring Lake, NC 28390 r 0 Al I,[NJ ri ari Hsi 7ri u00,0 ,".n moi _ ,t � Cl 1..2trv� C I tl r,'I i ,, ete It _al ,l Har,00 01 F - .t.. n+:a �G r F neve. El [- iJ ,. 1 1 Be Slone Chose ' r RLE PF, • wit, tEl E t1 Gogle _,1 Map data©2017 Google United States 2 mi r 108 E Front St ❑Ilinglon. NI'27546 t 1. Head west on E Front St toward S 1st St 41 2. Turn left onto S Main St °1 m' r 3- Turn right onto NC-210 S °6 m. r. 4. Turn right onto Overhills Rd '5011 r. 5. Turn right onto Stone Cross Dr a 9011 1. 6. Turn right onto Cobblestone Dr o m: 8 Destination will he on the right 449 0 hitps:/Nww.google.comlmaps/dirt108+E+Front+St+Lillington,+NC+27546/86+Stone+Chase+Way,+Spring+Lake,+NC+28390/g35.3266197;78 9694 1/2 9/7/2017 108 E Front St,Lillington, NC 27546 to 86 Stone Chase Way,Spring Lake,NC 28390-Google Maps 86 Stone Chase Way Spring Lake, NC 28390 [hese directions are for planning purposes only You may find that construction projects, traffic weather,or other events may cause conditions to differ from the map results,and you should plan your route accordingly.You must obey all signs or notices regarding your route ht1ps//www.google.com/mapsid,0108+E+Front+StaLillington,+NC+27546/86+StoneaChase+Way,+Spring+Lake,+NC+28390/W35.3266197,-78.9694._ 2/2 DocuSlgn Envelope ID:D3CAE588-3F33i554$A14-73294ESC1476 Attachment 2 4. 5. 6. Interconnection Member Signature I hereby certify that,to the best of my knowledge,the information provided in this Interconnection Request is true. I agree to abide by the Terms and Conditions for Interconnecting a Certified Inverter- Based Generating Facility No Larger than 50 kw and return the Certificate of Completion when the Generating Facility has been installed. rr lIn,xuegna e Signed 41 rl.- Y/ o?A64934Eew9E -d Title: Home Owner Date: 09/05/2017 Contingent Approval to Interconnect the Generating Facility(For Cooperative use onlyj Interconnection of the Generating Facility is approved contingent upon the Terms and Conditions for Interconnecting a Certified Inverter-Based Generating Facility No Larger than 50 kw and return of the Certificate of Completion. Cooperative Representative Signature: &4-441-P Title: 1 D 1 )r _g-♦'k-Y12.fr.5 p-I/l1.,_s r �1� Dater_ Interconnection Request ID number: Cooperative waives inspection/witness test? OVes ONo 4 Application# Liaa3V Harnett County Central Permitting PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.hamed.org/permits Certification of Work Performed By Owner/Contractor (Individual Trade Application) Owner(s)of Structure: Fransue Martinez Phone:910-584-1828 Owner(s)Mailing Address:86 Stone Chase Way,Spring Lake NC,28390 Land Owner Name(s): Fransue Martinez 910-584- Phone: 1828 Construction or Site Address:29 Copper Loop, Sanford,NC 27332 PIN# Parcel# Job Cost: $27,774 Description of Work to be done Installation of a roof-mounted solar pv array Mechanical: New Unit With Ductwork_ New Unit Without Ductwork_ Gas Piping_Other_ Electrical': 200 Amp / <200 Amp_Service Change Service Reconnect_ Other f •For Progress Energy customers we need the premise number Plumbing: Water/Sewer Tap Number of Baths Water Heater_ Specific Directions to Job from Lillinolon: Attached separately Subdivision: Lot#: 1 Karl Stupka will provide the Electrical (Contractors Name) labor on this structure. (Trade) I am the building owner or my NC state license number is 31533-L which entitles me to perform such work on the above structure legally. All work shall comply with the State Building Code and all other applicable State and local laws,ordinances and regulations. NC SOLAR NOW 919-833-9096 Contractors Company Name Telephone 3401-101 Atlantic Ave Raleigh NC 27604 Kedancsolarnow.com Address Email Address 31533-L License# / Structure Owner/Contractor Signature: Fi N ,� 9/7/2017 [.A"6 Date: By signing this application you affirm that you have obtained p mission from the above listed license holder to purchase permits on their behalf. If doing the work as owner you understand that you cannot rent, lease or sell the listed property for 12 months after completion of the listed work. *Company name, address, & phone must match Information on license