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DOCUMENTS Initial Application Date: `I.f a 1 I ' 1izfr pplication# 71J��'t a v ` COUNTY OF HARN9 •Ai SID ULICATION 'CU# 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 LAND USE APPLICATION" ELANDOWNER: J err et.rLe Mailing Address: E 5COLASt City: L �` e 9( ,t I t (�L:,40r, Stater ,Zip:��t�'Contact No: �� /-Y 7 1 y3 �� Email: (11�+.[[i 4 • `��'t1 ±�J yr f e_pert ` APPLICANT': tJ€f(\ - C )� Mailing Address: 1 S ©e 1T State:/ S- Zip ' SAO Contact No: 9ft'�{ i 5�-1311 Email: rt 4 t 10►• \er r1 1es Ir'i `Please fill out apNijrit information if different than landowner !_ �, • 1 CONTACT NAME APPLYING IN OFFICE: Phone# PJtOPERTY LOCATION:Subdivision: C T P'1 CS Lot#: 1 I Lot Size: • State Road``# I 5 S �1 I State Road Name: � L iY' MapaBook&Page: `4' Parcel:�fL) 3n-`'f S 1 vo V a ��c7C) O I PIN: pns. i 1 19 - NYS -S -W Zoning:`NoRElood Zone: ( Watershed:/ i Deed Book&Pager 5 O/ ' S0ower 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'`se�DW` (Size SP x 1 113#Bedrooms:' Garage: (site built?_)Deck: (site built?_) ❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit: ❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees: ❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?(_)yes (_)no Water Supply: County Existing Well New Well(#of ellings 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( s (_)no Structures(existing or proposed):Single family dwellings: Manufactured Homes: Other(specify): Required Residential Property Line Setbacks:ksComments:_- Front Minimum D / Actual `k,SA-1 . Rear S 4 —11 Closest Side ID Sidestreet/corner lot Nearest Building on same lot Residential Land Use Application Page 1 of 2 03/11 APPLICATION CONTINUES ON BACK • • SPECIFIC DIRECTIONS TO THE ERTY FROM LILLING1TON: /q..j, //l� t,.e 1 v / 1 Cs /U ! 4 J//! 'PRO ( � ! I"L S r (4 C le 1A.{i el/, . e ie vce pva,1 G .ce,-flap 11 4, : gra d. mac. Lv 6.1 Lt [ t -e t— . If permits are granted I agree t. conf.rm to all ord' ances an. s •f the State of North Carolina regulating such work and the cifications of plans submitted. I hereby state that foregoing -tem nts are acc ate and co e t , the best of my knowledge. Permit subj ct t ev catlo i information is provided. -ignatur�Ow er or c?'e Agen . Date • ***It is the owner/applicants responsibiljfy to provi•e the county with any applicable information about the subject property,including but not limited to:boundary information,house location,underground or overhead easements,efb.The county oT•its employees are not responsible fdr any incorrect or missingaint'ormation that 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 03/11 _ NOT FOR LEGAL USE . ;:.ri ,.....)) 1. +` ..o Lb Ft • c D = ^_ a _ Qra n - C.""t I A fill ). N„, N tri >n Z :72 _in) it\ is ... A ue, . t . mNr T e• IIN cv 4 %. "i. . -.. :,.. . C ma r Z' a 44, co �,� co n m s " c 4 . 1000:51 W c c a m 13 4 2 ,.9g. Z io � tAil I : 13 = r 3 \ iii ,p. M ; \ . % ss tor Xi " ^"� a4. Q 1• oa d. O d 1- - ... ' 1.1 00111111.1111111111111111111F \ v II %'41111t...-107 s 044040400 „, 1 i r . , .,_ I pipP• r 4\13 \ . Il is lbs R ,j_.,41 a z t4 2 m i} ^-.. .. ti --%, oilim. Y � - a ye 6a. 0 A :1\4 • iII n a o 33 rn ° 1 i fid' ' 'PP lit ,r <� pa 0 m 4, A� N ' g .4 al 1?. n e g' m cn p 0' Y at n S ti W C), pa g C1a 0 \ \ is ��1 I H�4_ (WEER'1'O PURCHASE AND CONTRACT JCn a d'/-t't) 7--,4 y y�- �- l k..6, e 7—_,‘,,S ,ed u timer, hereby often purchase and A42/ t _SeNM• T 4 _ _ uer. OP"'acceptance LacePlansa OF Il .a ll aap MI nl that plot peace -I a laird ncabed M1l together Aallp le 1 :ml thereonpe ,and sash rsonol lmgnrty as Lx od nelow iihe reale I ' Ip " 1 a enll [eternal m m J P p ').in assort/arena,both the Standard P he RI VINF SID} IRRL UI and upon the following rams and- JI I. REAI PROPERT1 I named ni theI ty tit /''i - Cowin./ot. t-/ a of NurshCarolina,being kno and pend l dscnhed m'. s p _ Co, k // w,- _N zap - el ASYe Lege A11 -_/rr "�� �� f �) } Legal Deetnpr nn GOr vJ LO tAP[f AG/L4(. p '5`. Z. ]. PERSONAL PROPER II. J. PURI IHARI Pd11('E:I hpurchase price is S / Hne ' and shall bp follows Ia1 S 1/n :paid by Y44c )- a AveI . (cash, Fh k enGµl personal rheJa with thedela ay of ria h held in w by Il / -' as agent. l dry saleis I .sed at MYECYWill he yrthonl us Boyer,or imul hist therwuu terminated am'I!is di shurNed 0 aLcord4ncc sr ali the Standard PISA on the RLVrRSE SI I)1 IIEREIIE lb/ S K-^7 .by assumption nt the utmaid pniaipal balance mkl all vohgations of Seller on the existing loan soured by a deed of Waft on the Property, iti S _ NA _.by r Promnnto se umd by a proem st money deed of trust an the Peeped with interest pact to default at tae of_ _ °.per annum payable as toiis poable ai follows i __._. _-_—_ __ Orymonent restnctinns anchor penalties,if any Than he Assuutollun or roma&r itgbts,LI am,Mall be Im s $ a� beldam c the purchasep h Irat'77'a / / _ is i 4. Buyemoae9. l t. h blank Iparagraph ea arl) h t aa c,ndr I the (a)the IlYr t be aisle to obtain firm mmtt . Ilkl.1 I c _ K [Arabia.through the datens /L% 1 the Pal. S. .✓4 f of � dt - t t an erest int rale roll d fly1 withmooadoe discount ntpry ti ":6_ I the lan H agrees tit mehh aflame to Arum- . me and o advse Senor vmMOJYuMn receipt ofthe l J- 4mr1f911 is pay any loo ;hosing-Lasts,tlina Mavis are as halloo /✓A - -- -_ ii The Eraser!naiIbe able to aschme theunpaid P PaI halame of ihee g l . ilial La paragraph l In above Mr tho remainder LII the Lem call rare mit to examl-. /sir_ c per mutant toedf dearibe gyro ofl n) ,A'Q with mortgage loan p J or dissimat pointy . 'ted J_/ f the lam halo (See S andard Proymon No Il Ylyuil assurnimon I quires the lencbars approval,4PProval MILStbe granted On or Ware NA - _buyei agreesuse his bull oho. 1 appiasal and to advise Yellyr immechmcb open h receipt c'I the d deusion If Seller pay asstunptlant yoYTY,Mose costsarc as follows (c)Them a Fe no resin(Linn Paring. 1 .nu tool lu m ou wo I I P ent the reasonable t the al p'oI nv nr a (MS ts+-M _ _ - paring, p Ina s. \s ESSM F NIS:Sah th herea spe 1 a, ,,en ither pen[ b ml g con,nenal\ ut.tire,anprovemenis on or ad, Ig the Paneeml osseld as"lb"' P'' t - nem duan -None nInc te Lm of emit uw- r . l any me agreement lot payment nrpmmut n d arty aseesFloms oulmaIel IN to be w forth in paragraph b Moss) M1. onrv:R PR(l'SHINS AND CONDI IONS. rDlmwwF la'. Alla e`dentinal er,sanns on the nsiitsL SIDI-IrTRI UI .re underslad, d shall appi' 'mann(nmmenlmarlin numbered Sundard Provisions shall by deltas (II nom.are to he ddelcd state None'.t PP`R"Ea+Y .5010A! /5 IF I HF HI:PRI PPM Al)l NIM 10 THIS CONNI RACT.INDICNIT A 110A I AND AT IAC II III RI IY cannectron wish roan and Icr of title 9 CI11AINl All I'R�R /j ?D.-, l n plla &Ar by v ' st' L _. esouly o J IlJ lnnrM mDa 1,.n ./=Ganef.- rmw be maden Pres. J L g_nail Buyer s'agr hllMdl' A LJd n - InNee that rnitlusatheate Ic`osingon(e ntdtivnmt i . 6 then posy:a t a oe P Buyer h': noor_'Fr. pet day tem and .KPA T thehcaonfdhaiugwntul mrbWrngconi'K that nsignedr by Is to huydwndJIIaMi ad berth st 9 <i Is Ili RPARI S'. nits PMI bong brvorrm a biWeyroynertoterathby both Buyer and Seller 41am bengrtMm wm Iarpw4 uldt a siµnN eowrah^rl lx'Irg mrmueil by each Pan`hereto and the[sunt agent ifany. Daft of Oro `• fitt/c>.. _ Date xPta�n/y�e. _ lima - _— _. _ (Mn M'e.AI.l sLER _. _ 'M,L"LWf All NAS Roy`, _ .. . ISFAI I `II I YR - (SIAL) 1 hent)orlonnledge acorn el the earnest Mulvey!tent Sri anh and amt.to bola and disburse the,ane in nominee*arab the Imes hemi gm n: o )_r a a _ mem ® L n,1,,, Sel engcnu Firm_ w•lv BEA14m Limon Ayent1 inn _ __ __ _ a yn p Tate siandard form liar ,n NORTH CAROLINA BAR ASSOCIATION.awnn at 2 AR°vArk amhm w. NORTH CAROLINA ASSOCIATION OF REALTORS,INC.esew.e re_.rr.n, mama Le am. Date: Application# PROCEDURES AND GUIDELINES FOR MANUFACTURED HOME INSPECTIONS ( ,! 1yf `-RRA-20R& RA-20M Certification Criteria I, r oft l• <1 �(/1M�31A1 1 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.) 24'Minimum " Y "t-, A-Shaped 24"Minimum � Rounded Roof Pitch Rise ‘. Roof Pitch Rhe P`. 4.14--11rigra ilk 03.13 7008 Note: Most Rounded Roofs WIII Not Meet The Roof Pitch L 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 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.) w. 4. The home must have been constructed after July 1"1976. gnature y roperty Ow it/Agent Date • By signing this form the owner/ . .ent Is stating at they have read and understand the information on this form. NAME: APPLICATION#: *This application to he tilled 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 1 Environmental Health New Septic Sv$temCode 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 aVfor 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 ltd, 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. Environmental Health Existing Tank Inspections Code 800 • Follow above instructions for placing flags and card on properly. • Prepare for inspection by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (it 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 & select notification permit it 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(sl', can be ranked in order of preference.must choose one. I—I Accepted I—) Innovative II Conventional I—I Any I—I Alternative 1-1 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 f—) NO Does the site contain any Jurisdictional Wetlands? l I YES II NO Do you plan to have an thiamin]] ?damn now or in the future? l_IYES II NO Does or will the building contain any drains'?Please explain. - I YES 1I NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property? (_}YES ( 1 NO Is any wastewater going to be generated on the site other than domestic sewage? )YES l—I NO Is the site suhlect to approval by any other Public Agency? I—I YES I NO Are there any Easements or Right of Ways on this property? I—I YES II NO Does the site contain any existing water,cable, phone or underground electric lines'? If yes please call No Cuts at R00-632-4949 to locate the lines. This is a free service. I Have Read This Application And ertify That The Information Provided Herein Is True,Complete And Correct. Authorized County And State meials Are Granted Righ/ f Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules. I U d rsland Th' I Am Solely insihle For The Proper Identification And Labeling Of All Property Lines And Corners And Making T to Accessi e So hat a • Jere Site Evaluation Can Re Performed. . .J ,. _ X1 -22.11 PM ERTY' 'RS d!fr WNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/10