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DOCUMENTS Initial Application Date 0 ,2_5. 11 Fv ,l .1 Application# I Lc j)t4014� '` LOU# COUNTY OF HARNE RESIDENTIAL LAND U E APPLICATION Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext 2 Fax:(910)893-2793 www.harnettorg/Permits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN AREEin WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER: P\n I� I Q m . /II� a Mailing Address: 4 n 4 ou and J Ln n(A n State.A.4 Zipcn331. Contact No9lO 64'4-30'3 Email: l.D sb' JS C--I-k 33 E)31rn.,'r I .G a ryt City (� APPLICANT': Mailing Address: City: State- Zip: Contact No. Email: `Please MI out applicant information if different than landowner Ft 0 l e. 0-, �CAt�e Phone# q 10 - le)'( 4 - So 4� CONTACT NAME APPLYING IN OFFICE: C� �Arys PROPERTY LOCATION:TSubdivision: P_A117/ . 0 Llt tai/,1p Lot#: 2_ Lot Size cJ/V} State Road�# 1 Il15 State Road Name: �J 1 A fir ' Map Book 8 Page. I 1 I✓ Parcel S1 ) q • CC ,21 "P 1I�5 J19?�Q 1- (00� 1 Zoning: K t lood Zone. Watershed:140 Deed Book 8 Page/21 II 51 I Power Company 'New structures with Progress Enemy as service provider need to supply premise number from Progress Energy. PROPOSED USE: Noncom is ❑ SFD:(Size x )#Bedrooms:_#Baths: Basement(w/wo bath):_Garage:_Deck:_Crawl Space: Slab:_Slab: (Is the bonus room finished?( )yes ( )no w/a closet?( )yes ()no(if yes add in with#bedrooms) U Mod:(Size x )#Bedrooms_#Baths_Basement(wlwo bath)_Garage:_Site Built Deck: On Frame_Oft Frame_ i !Is the second floor finished??(_)yes em( )no Any other site built additions?(_)yes (_)no Manufactured Home: SW_ DW TW(Size2C/ x1U(J )#Bedr s rage_(slle built?— ,)Deck: V site ilt ),I 2. El Duplex.Duplex.(Size x )No.Buildings: No. Bedrooms Per Unit: ) IPI". U Home Occupation.#Rooms. Use: Hours of Operation: #Employees. ❑ Addition/Accetsssory/Other.(Size x )Use: Closets in addition?( )yes ( )no Water Supply i County Existing Well New Well(y of wellings using well )'Moat have operable water before final Sewage Supply: New Septic Tank(Complete Checklist) y Existing Septic Tank(Complete Checklist) County Sewer 1 // Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?(_)yes ( V)no Does the property contain any easements whether underground or overhead( )yes ( )no 1 U ebids) - Structures(existing or proposed):Single family dwellings: Manufactured Homes ,'LL{���,,,,,,'��///yyy ///��1�Or(Qspe�ci/fy): a�.l(.1f Required Residentiaalll Pro Per{)'Line Setbacks:SS / I Comments::— 1 I rau7L 7`�'P C ^rt/a Front Minimum x / Actual -1 CID kA 19e^ t1 J Rear aJ* /� ,,\ ^ �p Closest side /'j 34 /"'� "iL ^F.,�*4- f�c-k& `^ as SidestreeVcorner lot_/ \�-�S t. ` -11a-1 - 64 OA �, TIIJV-Yp_rxNlq.V[m. , Nearest Building I k.-) I on same lot 03/11 Residenlinl Land Use Application Page 1 of 2 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: T(4 1•5 e LI W it 4 .2 j 7o Loc.rag b Linn r-I-Ad-Ke art -Hca leo -I-h,,, Coes 4keeP , n�p ' 10 FA.;. 1\ V JrokrA � . - trn e;5h+ cp Woo4 ( /11; le IAT)'-G4 rots Ln talon Le_-Fto e-P4 F c+ s ' ngle ,o'ck on Le-Q4-, 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 foregei statements are accurateand correct to the best of my knowledge. Permit subject to revocation if false information is provided. , , 7/Y1C. n') e10 -3-a0I) Signature of Owner or r s Agent Date '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 Information that is contained within these applications."' "This application expires 6 months from the initial date if permits have not been Issued" • Resdenllel I and Use Application Page 2 of 2 0311 i .<K••' off ©Nlni Fy �•pp' - O OS 7006 I m='; $ Q m • Q• NAME: R nn i e- . Q(293 e-/A- APPLICATION#: "This application to be filled out when applying for a septic system inspection.' County Health Department Application for I mprovemelt Permit and/or Authorization to Construct IF THE INFORMATION IN THIS AFRICATION IS FALSIFIED.CHANGED,OR THE SITE IS ALTERED,THEN THE IMPROVEMENT PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for ether 60 months or without expiration depending upon documentation submitted. (Compl aestepl at=60 months;Comp!de pa=without expiration) 910-893-7525 option 1 CONFIRMATION# Environmental Health New Septic System Code 800 All property irons must be made visible. Place "pink properly flags" on each corner iron of lot. All property lines must be clearly flagged approximately every 50 feet between corners. Race"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 properly. 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. jrcrEUse Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. nvironmental 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 lid 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 applyi ng for adhorizaion to construct please indicate desired system type(s): cal be racked in oda of preference,must choose one. (_) Accepted {_.) Innovative {__} Conventional { } Any { , Alternative {__} Other kiiik The:.plicent Mail notify the lora{ hSth department u.en sdbm tial of this application if my of the f•. owing appl to the property in q :>ion. If theatsvw is"yes',applicant MUST AT ACH SU"PORTI NG DOCUMENTATI • : (__) ES {__) NO Doestheatexontan- Juriedictional etlatds? {__gY•S (J NO Do you plat to have . irrigationsy9L now or in the future? {__}YE• {__ 1 NO Dcesor will the ding contain anydra s?Reese explain. {_ }YES { } NO Arethereany = stingwdl s firings,wat= 'nes or Waster Systems on this property? {_}YES __ 1 NO Isamy wast- al a going to be generated ont'- ateo -: than domestic sewage? (__)YES ( NO Is the atr - bject to agprovai by my other Public Agency? {DYES { 0 Ar- : e any Easements or Right of Ways on this property? L. YES (__} NO Doesthe ate contain any existing water,cable, phone or underground electric lines? If yes place call No Cuts a 870-632-4949 to locate the lima This is a free service I Have Read This Applicati on And Cathy That The Information Provided Herein ISTrue Comp'eteAnd Carat. Authorized County And St ate Off idalsAre Granted Right Of Entry To Conduct Necessary Inwat ions To Deer mine Compliance With Applicable Lays And Rule: I Understand That I Am Sddy Responsible For The Proper Identification And Labeling Of All Property Lines And Cor ryas And Making The YA So That A Cg[nplete Ste Evaluat ion Can Be Pafor mod. //y1.) 17l IG - 3- abr� ROPERTY OWNERS OR OWN R EGAL REPRESENTATIVE S GNATURE(REQUIRED) DATE 10/10 Date: (O . 3-2oI 1 Application# PROCEDURES AND GUIDELINES FOR MANUFACTURED HOMES Q,� g3Replacement& Removal Criteria n i, k n ; e, �. d JU � do hereby certify the following: (Print Name) v� /`� 1. That I own a tract of land located on SR '7 in in ap RA-30/12A-40 or RA-20R/RA-20M district which has a functional septic tank; 2. That the existin sing! double-wide manufactured home is to be removed or was removed on . (date) Wig 3. That I am replacing an existin sing! double wide manufactured home with a single/ able wide manufactured home,and; 4. That the replacement of this manufactured home creates I 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 measuring fourteen(14 ft.) in width must have a twenty four(24)inch rise as measured from the center of the rootline to the baseline of the roof) (See Illustrations Below.) 24"Minimum . -!r- t, A-Shaped 24"Minimum ' J Rounded Roof Pitch Risec_' . Roof Pitch Rise • w.4 a . � la --- 14'in Width ----e- 03/13/2008 -- /^\ 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 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. R. The home must have been constructed after July 1" 1976. /9. The homes moving apparatus removed,underpinned or landscaped. �j t/Select One of the Following Options Below: (�J 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 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 Transfer of the existing home must be submined. 3) Items 1 &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 Hamett 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 and the penalties for creating a violation of the Hamett County Zoning Ordinance have been explained and accepts this document as an initial notice of violation. `^ „ — M Owner \b 3 .Q0 if Signature of Property Owner /J C Date *By signing this form the ow er/agent is stating that they have read and understand the information on this form