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DOCUMENTS Initial Application Date:3/6/2018 Application# WISCDC:31-1:214C Lu CUP COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:M10)893-7525 ext:2 Fax:(910)893.2793 nww.hametl.org/permits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8,SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER:James&Lillian MorganMailing Address: 414 Moores Chapel Rd City: Lillington State:NC Zip:27546 Contact No'. 910-514-4583 Email: suggie56Qyahoo.com APPLICANT':Emerald Energy(John Leoanrd) Mailing Address'.PO Box 99031 City Raleigh state:NC Zip:27624 Conran No: 919-247-3670 Email: IOMleonard®emeraldenergync Please fill out applicant information if different than landowner CONTACT NAME APPLYING IN OFFICE:John Leonard Phone#919-247-(3670 411 y1 PROPERTY LOCATION:Subdivision: \ nQ_ FZh4rc h Lot#: Lot Size: Ilr�rq�_ State Road*414 State Road Name: Moores Chapel Rd Map Book&Pag OC LiTc Parcel: PIN: 0093 10 PIN: 0528-19-8527.000 ZoningA Flood Zone: NSA Watershed: NSA Deed Book&Page:2988 10319 Power Com an Duke Energy Progress P Y : '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/wc 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: Use: Hours of Operation: #Employees: Addition/Accessory/Other:(Size 44 x 15 )Use:Grid Tied,Roof Mounted Solar Array 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(SOD')of tract listed above?(_)yes (_)no Does the property contain any easements whether underground or overhead(i yes ( )no Structures(existing or proposed):Single family dwellings: Manufactured Homes: Other(specify): Required Residential Proper Line Set(((bjjjcks: Comments:Grid Tied, Roof Mounted Solar Array,30 solar panels Front Minimum Actual Rear \\` Closest Side SidestreeUcorner lot Nearest Building on same lot Residential Land Use Application Page 1 of 2 03/11 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: NC27 W,TurnRight on Tim Currin Rd,Left onto Moores Chapel Rd 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 accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided. John Leonard 3/6/2018 S gni 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 Land Use Application Page 2 of 2 03/11 SP-11167 Sub 0 North Carolina Utilities Commission Report of Proposed Construction (RPC) [Building an electric generating facility in North Carolina with an alternating current capacity of less than 2 MW or an electric generating facility primarily for your own use per Commission Rule R8-65.] You may file this report electronically; please see http://www.ncuc.net/electronicfiling.html for instructions. If you file a paper version, you must file the original plus 6 copies. The mailing address is: Chief Clerk NC Utilities Commission 4325 Mail Service Center Raleigh, NC 27699-4325 Exhibits required by Rule R8-65(g) Applicant's Response (1) Full and correct name of the owner of the facility James Morgan Facility name 414 Moores Chapel Rd,Lillington,NC 27546 Business address E-mail address suggie56@yahoo.com Telephone number (910)514-4583 The owner is (check one) o Individual 0 Partnership 0 Corporation If a corporation, the state and date of incorporation If a partnership, the name and address of each general partner(add additional sheets if necessary) Owner's agent for purposes of this report, if applicable: John Leonard Agent's business address PO Box 99031 Raleigh,NC 27624 Agent's e-mail address johnleonard§emeraldenergync.com SP-11167 Sub 0 Agent's telephone number (918)247-3670 The full and correct name of James Morgan the site owner and, if the site owner is other than the applicant, the applicant's legal interest in the site (2) Attach a color map or aerial photo showing the location of the generating facility site in relation to local highways, streets, rivers, streams, and other generally known local landmarks. A U.S. Geological Survey map or an aerial photo map prepared via the State's geographic information system (found at http://gis.ncdcr.gov/hpoweb/) is preferred. E911 street address of the 414 Moores Chapel Rd,Lillington, NC 27546 proposed facility County in which the proposed Harnett County facility will be physically located GPS coordinates of the 35.369782 approximate center of the -78.926362 proposed facility site to the nearest second or one thousandth of a degree (3) The nature of the facility, Rooftop Solar PV including its technology, and the source of its power and fuel(s) A description of the buildings, N/A structures and equipment comprising the generating facility and the manner of its operation The gross and net generating 8 7kw DC Rated capacity of each unit and the entire facility in megawatts— .007977 Mw AC Altematinq Current The projected date on which the facility will come on line 03/19/2018 The applicant's general plan Net Metering-Duke Energy Progress for sale of the electricity to be generated, including the "All renewable energy credits will be retained by Duke Energy." name of utility to which the applicant plans to sell the electricity SP-11167 Sub 0 The projected annual sales in kilowatt-hours NIA Whether the applicant intends to produce renewable energy certificates that are eligible for compliance with the State's renewable energy and energy efficiency portfolio standard ❑ Yes El No (4) The expected cost of the $ proposed facility $34,000.00 Confidentiality If an applicant considers certain of the required information above to be confidential and entitled to protection from public disclosure, it may designate said information as confidential and file it under seal. Documents marked as confidential will be treated pursuant to applicable Commission rules, procedures, and orders dealing with filings made under seal and with nondisclosure agreements. The applicant must also file a public version with the confidential information redacted. All reports shall be signed and verified (notarized) by the applicant or by an individual duly authorized to act on behalf of the applicant for the purpose of the report. A blank verification page is attached below: g, ' 1 VERIFICATION ert STATE OF COUNTY OF k I U.— Signature of Own s Representative pPor Agent Title of Representative or Agent tot9 n LYtiv'G( Typed or Printed Name of Representative or Agent The above named person personally appeared before me this day and, being first duly sworn, says that the facts stated in the foregoing report and any exhibits, documents, and statements thereto attached are true as he or she believes. WITNESS my hand and notarial seal, this 8744 day of fe4n/ari// , 20 /7.m My Commission Expires: beceles' /1 o?#4/ ROBERT PHILLIPS IV Signature of Notary Public Wallotary Nm MY Commission Carolina Expires Dec.01,2027 2osecrf PA,v/ .s l✓ Name of Notary Public Typed or Printed This original verification must be affixed to the original report, and a copy of this verification must be affixed to each of the copies that are also submitted to the Commission. 09/09111 Application# Harnett County Central Permitting PO Box 85 Winton NC 27546 Each section babes to be Had out 910 893 7525 Fax 910 893 2793 www hamett am/permits by whomever performing work Must be owner or licensed Geneactor Address company Application for Residential Budding and Trades Permit name 8 phone must match Owner s Name James Morgan Date 3/6/2018 Site Address 414 Moores Chapel Rd. Lillington, NC 27546 phone 910-514-4583 Directions to lob site from Lillington NC27 W, Turn Right on Tim Currin Rd, Left onto Moores Chapel Rd Subdivision Lot Description of Proposed Work Grid Tied, Roof Mounted Solar Array #41 Bedrooms Heated SF Unheated SF_ Finished Bonus Room?_Crawl Space _Slab General Contractor Information Emerald Energy 919-247-3670 Building Contractors Company Name Telephone PO Box 99031, Raleigh, NC 27624 johnleonard©emeraldenegync.com Address Email Address 69879 License# glectneal Contractor Information Description of Work Solar Tie In Service Size _Amps T-Pole _Yes_No Wiring Solutions Plus 919-795-8291 Electrical Contractors Company Name Telephone 4509 Meadow Pine Drive, Knightdale, 27545 wiringsolutionsplus@yahoo.com Address Email Address 25181 License# Mechanics HVAC Contractor Information Description of Work Mechanical Contractors Company Name Telephone Address Email Address License# plumbma Contractor Information Description of Work #Baths Plumbing Contractors Company Name Telephone Address Email Address License# Insulation Contractor Information Insulation Contractors Company Name&Address Telephone 'NOTE General Contractor must fill out and sign the second page of this application I hereby certify that I have the authonty to make necessary application that the application is correct and that-the construction will conform to the regulations in the Building Electrical Plumbing and Mechanical codes and the Harnett County Zoning Ordinance I state the information on the above contractors is correct as known tome and that by sinning below I have obtained all subcontractort permission to obtain these permits and if any changes occur including listed contractors site plan number of bedrooms building and trade plans Environmental Health permit changes or proposed use changes I certify it is my responsibility to notify the Harnett County Central Permitting Department of any and all changes EXPIRED PERMIT FEES-6 Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee is as per current fee schedule ,. ._ _...__....,_-.... 3/6/2018 t Leonard -- Signature of 0wnerlContractor/O6lcer(s)of Corporation Date Affidavit for Worker's Compensation N C G S 87-14 The undersigned applicant being the x General Contractor _Owner OffwerlAgent of the Contractor or Owner Do hereby confirm under penalties of perjury that the person(s) firm(s)or corporation(s)performing the work set forth in the permit Has three(3)or more employees and has obtained workers compensation insurance to cover them Has one(1)or more subcontractors(s)and has obtained workers compensation insurance to cover them X Has one(1)or more subcontractors(s)who has thea own policy of workers compensation insurance covenng themselves _Has no more than two(2)employees and no subcontractors While working on the project for which this permit is sought it is understood that the Central Permitting Department issuing the permit may require certificates of coverage of workers compensation insurance prior to issuance of the permit and at any time dunng the permitted work from any person firm or corporation carrying out the work Company or Name Emerald Energy Sign wlh LeorQNPer ... Date HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call: (910) 893-7525 Fax: (910) 893-2793 Application Number 18-50043496 Date 3/08/18 Property Address 414 MOORES CHAPEL RD PARCEL NUMBER 13-0518- - -0093- -10- Application type description CP STANDALONE TRADE - RESIDENTIAL Subdivision Name Property Zoning PENDING Owner Contractor MORGAN JAMES & LILLIAN EMERALD ENERGY 414 MOORES CHAPEL RD PO BOX 99031 LILLINGTON NC 27546 RALEIGH NC 27624 (919) 247-3670 Applicant EMERALD ENERGY PO BOX 99031 RALEIGH NC 27624 (919) 247-3670 Structure Information 000 000 Flood Zone FLOOD ZONE X Other struct info PROPOSED USE SOLAR PANELS WATER SUPPLY UNKNOWN Permit RESIDENTIAL ELECTRICAL PERMIT Additional desc . SOLAR PANELS Phone Access Code 1232628 Issue Date . . . 3/08/18 Valuation . . 0 Expiration Date . 3/08/19 Special Notes and Comments T/S : 03/07/2018 03 : 02 PM JBROCK ---- 414 MOORES CHAPEL RD HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call : (910) 893-7525 Fax: (910) 893-2793 Page 2 Application Number 18-50043496 Date 3/08/18 Property Address 414 MOORES CHAPEL RD PARCEL NUMBER 13-0518- - -0093- -10- Application description . . CP STANDALONE TRADE - RESIDENTIAL Subdivision Name Property Zoning PENDING Permit RESIDENTIAL ELECTRICAL PERMIT Additional desc . SOLAR PANELS Phone Access Code 1232628 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 / / HARNETT COUNTY CASH RECEIPTS mmw CUSTOMER RECEIPT mwm Uper: JBROCK Type: CP Drawer: I Date: 3/08/18 52 Receipt no: 279941 Year Number Amount 2018 50043496 414 MOORES CHAPEL RD LILLINGTOH, NC 27546 BI BP - PERMIT FEES 480.00 ROOF SOLAR PANELS JOHN LEOANRD Tender detail CP CREDIT CARD $80.00 Total tendered $80.00 Total payment 480.00 Trans date: 3/08/18 Time: 10:23:30 as THANK YOU FOR YOUR PAYMENT mm