DOCUMENTS Initial Application Date: lb 1 a0)1 lei Application# In 0 J t `.LJ
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street. Lillington, NC 27546 Phone:(910)893-7525 ext:2 Fax (910)893-2793 www.harnett.org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LANDrUSE APPLICATION'
LANDOWNER- �✓�l Mailing Address: d—"(1JU LA. '4'01
City •••-i1 t -�(1 Stater Zip: oZ L�`;Y!?ontact No: Email:
APPLICANT': U Mailing Address:
City State: Zip: Contact No: Email:
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Phone#
PROPERTY LOCATION:Subdivision: Lot#: Lot
Size: J'-`
State Road# l 4.01'5 State Road
Name: 46 I 5 Map Book&Page: U „J
Parcel ( 5 s t 6a-hp p PIN: 'G/ Cjb - We / ' 6°0
Zonini r �' ' Flood Zone X. Watershed Deed Book&Page. )"4 II /8'3 Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy
PROPOSED USE:
Monolithic
❑ 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)
❑ 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
❑ Manufactured Home: SW DW TW(Size x )#Bedrooms:_Garage: (site built?_)Deck: (site built?_)
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
`❑ Home Occupation:#Rooms: Si Use: �2Hourss(nof Operation:�_ #Employees:
AdditioniAccessory/Other:(Size O x Use: ��.�.�I�• (� ( Closets in addition?(_)yes ( )no
Water Supply County Existing Well New Well(#of dwellings using well )`Must have operable water before final
Sewage Supply New Septic Tank(Complete Checklist) 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 (_)no
1.--
Structures(existing or proposed). Single family dwellings Manufactured Homes. Other(specify):
Required Residential Proper() Line Setbacks: [
� c:75-4-
Comments: �� '.
Front Minimum pc Actual 35-4
Rear o
Closest Side I(>
Sidestreet/corner lot
Nearest Building
on same lot
Residential Land Use Application ?age 1 of 2 03/•1
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
LLS Lt d \ S
•
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 foregoin state ents accur and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
Silio reo O�r ner 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"
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Residential Land Use Application Page 2 of 2 03/11
NOT FOR LEGAL USE .
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LANDOWNER: M A-QQ't "`lam AcuaL:13,a)
MAILING ADDRESS:,atB0 1144
CITY:1,13.13411:1111-1. STATE: 14C✓ '1e;:#149 PHONE:GI t0 Via-Moto
APPLICATION DATE: ( I n APPLICATION# I 5( 4a 5C
APPLICANT: MMt
MAILING ADDRESS: U►S4,015
CITY:,-1 -til STATE: u C- ZIP:m PHONEf&LO L31 �p
PROPERTY LOCATION:SR# SR NAME: LAS �
t I 5
PARCEL# 1466 021(.. FARM NUMBER: 1 � ��,
ACREAGE: tO, �$
%F NON OF AO. SE PROGRAM BY TAX OFFICE:
VlOP. 16p01 r-1
SI ATURE/CENTRAL PERMITTING TECHNICIAN DATE
I(we)have read and understand the requirements to qualify for a farm exemption. I(we)
hereby claim such exemption because I(we)operate a bona fide farm which has a valid farm
serial number and is currently enrolled in Harnett County's Land Use Program. Within the
Land Use y�l rogram I(we)participate in:
Agriculture(V); Horticulture( ); Forestry( )
NOTE: Check each category that applies.
AFFIRMATION:I(we)the undersigned declare under penalties of law that the information
contained in this application has been examined by me(us)and to the best of my(our)
knowledge and belief is(are)true and correct.Additionally,I(we)fully understand that
falsification of information supplied by me(us)herein shall cause any permit issued relying
on such information,to be automatically revoked and all work shall immediately cease.
Signature(s)of Owner(s): r Date: �O
6, _re". Date: 10 w .& • goe
4mJ
FOR OFFICE USE ONLY
�,j a Sq
APPROVED BY' _r DATE: I f c�� PERMIT#1 � l
DENIED BY:
DATE:
REASON FOR DENIAL:
2
1
VERIFICATION OF FARM EXEMPTION
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting, 102 E. Front Street, Lillington, NC 27546
Phone (910) 893-4759Fax (910) 893-2793
INTRODUCTION
It is the spirit and intent of these regulations that only bona fide farms benefit from any
exemptions granted hereby. Three requirements must be met in order to qualify. First,
the land must meet the definition of a bona-fide farm if the site is within an area under the
jurisdiction of the Harnett County Zoning Ordinance. Second, the Harnett County Farm
Services Office, United States Department of Agriculture, must issue a valid farm serial
number. Third, the land-in question must be enrolled in the"Land Use Program" offered
by the Harnett County Tax Department which allows for reduced taxes based on meeting
the requirements ofN.C.G.S. 105.277.3(a) (1) or(2);N.C.G.S. 105.277.2 (b) and
N.C.G.S. 105.282.1 (a). Three categories, agriculture, horticulture and forestry,are
allowed. Those categories are descried below. To qualify, the land in question must meet
one of those categories.
AGRICULTURE
Agriculture land consisting of one or more tracts, one of which consist of at least ten(10)
acres that are in actual production and that for the three years preceding January 1 of the
year for which benefit is claimed, have produced an average gross income of at least
$1,000.
HORTICULTURE
Horticulture land consisting of one (1) or more tracts, one(1) of which consists of at least
five(5) acres that are in actual production and that for the three (3)years preceding
January 1 of the year for which benefit is claimed have produced an average gross
income of at least $1,000.
FORESTRY
Forestry land consists of one or more tracts, one of which consists of at least twenty(20)
acres that is in actual production and is under a sound management program. For
purposes of this category, a sound management program means a program of production
designed to obtain the greatest net return from the land consistent with its conservation
and long-term improvement.
ADDITIONAL QUALIFICATION CRITERIA
Rent received shall not be considered as income for purposes of this exemption. Gross
income must be from the sale of agricultural products produced from the land and any
payments received from a governmental soil conservation or land retirement program.
Any use of farm property for non-farm purposes is subject to all applicable ordinances of
Harnett County.
1
# 1.
SCHEDULE FProfit or Loss From Farming oMB "°. '545 0074
(Form 1040) 2016
► Attach to Form 1040, Form 1040NR, Form 1041, Form 1065,or Form 1065-B.
Department 31 the Treasury Attachment
Internal Revenue Serv,ce(99) ► Information about Schedule F and its separate instructions is at www.irs.gov.'schedulef. Sequence No. 14
Name of proprietor Social security number(SSN)
MARTY BYRD 240-02-5897
A Principal crop or activity B Enter code from Part IV C Accountin_a method. D Employer ID no.(EIN), isee nstr)
CORN AND PUMPKIN 0. 111210 F. Cash I Accrual
E Did you"materially participate"in the operation of this business during 2016?If"No,"see instructions for limit on passive losses r Yes X No
F Did you make any payments in 2016 that would require you to file Form(s) 1099(see instructions)? ^ Yes X No
G If"Yes,"did you or will you file required Forms 1099? Yes No
Part I Farm Income — Cash Method.Complete Parts I and II(Accrual method.Complete Parts II and III, and Part I, line 9.)
la Sales of livestock and other resale items(see instructions) la
b Cost or other oasis of livestock or other items reported on line la 1b
c Subtract line lb from line la lc
2 Sales of livestock, produce,grains,and other products you raised 2 2, 495
3a Cooperative distributions(Form(s)1099-PATR)•• 3a 3b Taxable amount 3b
4a Agricultural program payments(see instructions) 4a 4b Taxable amount 4b
5a Commodity Credit Corporation(CCC)loans reported under election 5a
b CCC loans forfeited 5b I I 5c Taxable amount 5c
6 Crop insurance proceeds and federal crop disaster payments(see instructions)
a Amount received in 2016 6a I I 6b Taxable amount 6b
c If election to defer to 2017 is attached,check here ► r[Jt 6d Amount deferred from 2015 6d
7 Custom hire(machine work) income 7
8 Other income, including federal and state gasoline or fuel tax credit or refund(see instructions) 8
9 Gross income.Add amounts in the right column(lines lc,2,3b,4b,5a,Sc.6b,6d,7,and 8). If you use the
accrual method,enter the amount from Part III,line 50(see instructions) ► 9 2, 495
Part II Farm Expenses — Cash and Accrual Method.Do not include personal or living expenses(see instructions).
10 Car and truck expenses(see 23 Pension and profit-sharing plans 23
instr.).Also attach Form 4562. • 10 24 Rent or lease(see instructions):
11 Chemicals 11 a Vehicles, machinery,equipment 24a
12 Conservation expenses(see mstr.) . , 12 b Other(land, animals,etc.) 24b
13 Custom hire(machine work)• •• • 13 25 Repairs and maintenance 25 698
14 Depreciation and section 179 26 Seeds and plants 26
expense(see instructions) 14 2, 339 27 Storage and warehousing 27
15 Employee benefit programs 28 Supplies 28
other than on line 23 15 29 Taxes 29 196
16 Feed 16 30 Utilities 30
17 Fertilizers and lime 17 2, 288 31 Veterinary, breeding,and medicine 31
18 Freight and trucking 18 32 Other expenses(specify):
19 Gasoline,fuel,and oil 19 131 a MISCELLANEOUS 32a 1, 12 3
20 Insurance(other than health) 20 b TAX FEES RELATED 32b 100
21 Interest: c 32c
a Mortgage(paid to banks,etc.) 21a d 32d
b Other 21b a 32e
22 Labor hired :less employment creahts) 22 f 32f
33 Total exp*nses.Add lines 10 through 32f.If line 32f is negative,see instructions ► 33 6, 875
34 Net farm profit or(loss).Subtract line 33 from line 9 34 —4, 380
If a profit,stop here and see instructions for where to report.If a loss,complete lines 35 and 36.
35 Did you receive an applicable subsidy in 2016?(see instructions) Yes ® No
36 Check the box that describes your investment in this activity and see instructions for where to report your loss.
a Fl All investment is at risk. b n Some investment is not at risk.
For Paperwork Reduction Act Notice, see the separate instructions. Schedule F(Form 1040)2016
FDA 16 Fl BWF 1040 Form Software Copyr,ght1996-2017HRBTax Group,Inc.
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aoI Irl Application# 1±150L4)259(40
)259(40
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph: 910-893-7525 - Fx: 910-893-2793 - www.hamett.org/permits
Certification of Work Performed By Owner/Contractor
n(� `(Individual Trade Application)
Owner(s)of Structure: IV\ �� "f • -es{Zei Phone:C(10 "`87G-Sn0
Owner(s) Mailing Address:o O U 4401
L- C .:= -" ,--1(40
Land Owner Name(s): •6 k- AS Afex.1LE - (O
Construction or Site Address:6An"-L A6 400E-
PIN
00-
PIN# C��S2 -Cilfj- .000 Parcel# I �SS� 3-7 L
42
Job Cost: LS-3O__61- - Description of Work to be done QrCAJ__ to cA.32.pk �
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork_ Gas Piping_Other
Electrical*: 200 Amp <200 Amp—Service Change_ Service Reconnect_ Other
*For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillington: �,
c wy S is-,APc4rnr+.c� --A LIE,dot
Buz�
Subdivision: Lot#: f.S1(�
will provide the labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is ,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.
Contractor's Company Name Telephone
Address Email Address
License# l l
Structure Owner/Contractor Signature: v Date: 0-
By signing this application you affirm that you have obt ' d permiss : I om 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
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50042596 Date 10/20/17
Property Address US 401
PARCEL NUMBER 10-0558- - -0276- - -
Application type description CP FARM BUILDING/ETC.
Subdivision Name
Property Zoning PENDING
Owner Contractor
BYRD MARTY VANN 1/2 & HAL OWNER
LLOYD BYRD JR 1/2
RT 4 BOX 111
LILLINGTON NC 27546
Applicant
BYRD MARTY
2930 US 401 S
LILLINGTON NC 27546
(910) 893-3896
-- - Structure Information 000 000 48X100 FARM BLDG
Flood Zone FLOOD ZONE X
Other struct info . . . . PROPOSED USE FARM BLDG
SEPTIC - EXISTING? NA
WATER SUPPLY NA
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1215458
Issue Date . . . 10/20/17 Valuation . . . . 0
Expiration Date . 10/20/18
Special Notes and Comments
T/S : 10/20/2017 11 : 18 AM JBROCK ----
BLDG BEHIND HOUSE AT 2930 US 401 S
HARNETT COUNTY CENTRAL PERMITTING
P .O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50042596 Date 10/20/17
Property Address US 401
PARCEL NUMBER 10-0558- - -0276- - -
Application description . . CP FARM BUILDING/ETC.
Subdivision Name . . . . .
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1215458
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 211 E211 R*ELEC ABOVE CEILING _/_/-
999 217 E217 R*ELEC RECONNECT _/—/-
999 205 E205 R*ELEC UNDER SLAB _/—/-
999 215 E215 R*ELEC. UND . POOL _/—/
999 213 E213 R*ELECTRICAL UNDERGROUND _/_/_.
999 131 R131 ONE TRADE FINAL _/ /-
999 125 R125 ONE TRADE ROUGH IN _/_/