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DOCUMENTS Initial Application Date.\\ I aq ) I / Application# nsatag a� CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Lillinglon,NC 27546 Phone:(910)893-7525 ext 2 Fax:(910)693-2793 www.harnetl org/permits RECORDED.SURVEY MAP,RECORDED1DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" �- LANDOWNER. eeMrn 1y 1Qr Mailing Address. 5-0 E' is -TT' aro'. 1'irKtl-w�n• Q-- State d`Zipa RIContactNecllo- 113-3y611Email: c' erg10@SMuiI.CJM APPLICANT*1 V V t C Mailing Address: City. State. Zip. Contact No: Email. 'Please Oil out applicant information if different than landowner CONTACT NAME APPLYING IN OFFICE: '�'r�tee,�theer\ `1\QS' ^ Phone# Rlo1-/ 273.390L] PROPERTY LOCATION:Subdivision' 1315 _our-ay-1 Lel/V dam- Lot# Y'3 nLott Size: • U State RoadF # / StateRoadName.amI VCY 54 Map Book 8 PagE`\4/l ala Parcell I bS IS S�v >lo PIN. 0SI �1�1SI � — II 44OCSL\ Zoninr aoRFlood Zone. /` Watershed:NrV Deed Book 8 Page: '7 1r I lell"Y 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 wi a closet?( )yes ( )no(if yes add in with#bedrooms) ❑ Mod.(Size x )#Bedrooms #Baths_Basement(wlwo bath) Garage: Site Built Deck: On Frame_Off Frame_ (Is the second floor finished?( )yes ()no Any other site built additions?(_)yesY )no / ^ (� wtyns�/1 Manufactured Home. ✓ SW DW TW(Size IIX x yy )#Bedrooms:o2 Garage() (site built? )Deck, (site built?_) LI 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 dwellings using well )'Must have operable water before final Sewage Supply. New Septic Tank(Complete Checklist) t/ 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 (v)no Does the property contain any easements whether underground or overhead( )yes (Ni)no Structures(existing or proposed).Single family dwellings: Manufactured Homesl�er(specify): SLAOA 11 Required Residential Prnperry.Line Setbacks: Comments: 35 Actual It Front Minimum Rear 135' -- Closest Side I C) ' y Sidestreeticorner lot Nearest Building on same lot Resdenhal Lurid Use iNphrmhun Huge t of 2 03/11 APPLICATION CONTINUES ON BACK SPECIFIC�DIR'ECTIONS TO THE PROPERTY FROM LILLINGTON: O� b Ski I I�.CS 5`^v`f \ ' •` D M�IaS mourn 69,0- nY. co Rrc\ R._ S\- . 30 o,\\ fie. �4 & n cry o kit \\.,\A _\fir \\ cc\s kD \vy Sr. \oh ' 5 43 ley 3*• 59,6nSLDJset_ as3Aoa 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 ttements are accurate-rid correct to e best of my knowledge. Permit subject to revocation if false information is provided. \I^ R8- 11 Signa re of r°n: or Own- s /'nt Date "'It is the ownerlapplicanta responsibility to provide the county with any applicable information about the subject property,including but not limited to:boundary Information,house location,underground dr overhead easements,etc.The county or Its employeeb are not responsible for illy 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" Resider sal Land Use Application Page 2 of 2 n'i11 Harnett GIS N / _ - w-t 3 QV we _i ' O p . o di .),/ / Harriett UIS Ma,,data apeesr,eer.leprer,nne,ors CCRyefi Recyde Center L 1 .y CIy Lim" e— NC Parcels Harnett Address tubers -�_ a u n r r Landfills ■ Su rrountlms County eoundares © arpod Roads GIS E-911 AddressingMaJorRoads 0 Mile Markers `� —'O w l / Federal Properly Feetl November 27,2017 Inlerslale Ra dread lincp= Yee[ SITE PLAN APPROVAL I DISTRICT S�rn USE T'I #BEDRDOMS e_ atcc r . N —L--- __ 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 SvsteemCode 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 undernrnwth 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 canfirmation 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. `n Environmental Health Exisdna Tank Inspections Code 800 J`�• Follow above instructions for placing flags and card on property. Il • 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 & 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(sl: can be ranked in order of preference,must choose one. {—I Accepted I—} Innovative I—I Conventional {_I Any {—I Alternative I_I 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: { 1 YES l—I NO Does the site contain any Jurisdictional Wetlands'? {_)YES I I NO Do you plan to have an irrigation system now or in the future? I—!YES I—I NO Does or will the building contain any drains?Please explain II YES 1 NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property? IJ YES {—{ NO Is any wastewater going to be generated on the site other than domestic sewage'? (_)YES I—) NO Is the site subject to approval by any other Public Agency? I—)YES { ! NO Are there any Easements or Right of Ways on this property? {_{YES {—I NO Does the site contain any existing water,cable,phone or underground electric lines? If yes please call No Cuts at 8(10-632-4949 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 Stale Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules. I Understand Thal I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making The Site Accessible Sr 'hat A Complete ' e Eval +tin, an Re Pert. med. i.- I I- 28- 17 PROPERTY • NERS 0• 0 I ERS „ •. I,REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/10 Date: Application# PROCEDURES AND GUIDELINES FOR MANUFACTURED HOME INSPECTIONS RA-20R& RA-20M Certification Criteria I, n-'2F{'r'Pin 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 ..•,7"" - A-Shaped 24•Minimum 1 Rounded Roof Pitch Rise Roof Pitch Rise • '� ' 1. .. , r 9 t � � _ 03/13/2006 - Note: Most Rounded Roofs Will 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.) .14 4. The home must have been constructed after July 1" 1976. /-2 -1'? Signature of Pr. . y Owner Agent Date • By signing this form the owner/agent is stating that they have read and understand the information on this form.