HomeMy WebLinkAboutDOCUMENTS Initial Application Date: q 113 1 11 Application# ' /rl AT) t,j1a .,2 /
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone (910)893-7525 ext:2 Fax:(910)8932793 www.harned.org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)*SITE PLAN ARE REQUIRED WHEN
NySUBMITTING/A�LAND USE�APPLICATION"
LANDOWN R: :� S - S !• Mailing AddresT l� F R" av PX\ Vl 1� 1\
City: ` itt a Slat-\ Zits, CC�.c ontact Nee^^l-I 1 1 Email. IBJ (A
APPLICANT*: OJ L= • of a9 Address 5✓f V \ e--
City: State Zip: Contact No Email.
*Pbese Mout applicant information 11 different thanlandowner
I/ L4'2)-71
/ G
CONTACT NAME APPLYING IN OFFICE:'rT ` -1r\ C ` Phone 0 Cir�({r}e1� 1�e "I�� /
PROPERTY LOCATION:Subdivision: � _ _ �y- _ 1 �,f Lot#: IA Lot Size: I- ) I
Stale Road# ‘1314 State Road Name- \W/R.J\ 1 t.O Wim' /v./l 1 Map Book 8 Page`)'1 I /�
Parcel:✓�1Jr3,. tLP a \ (�l5 �Z PIN' 0 1 — I-1:1 s—► 3_f `l -0o( l
Zoning\v\� Flood Zone. f( Watershed: (4 Deed Book 8 Page:S2 U 0 Rower Company
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
U SFO'. (Size x )#Bedrooms._#Baths._Basemem(wlwo bath):_Garage:_Deck:_Crawl Space:_Slab: Slab
// \(Is the bonus room finished?(_)yes (—)no w/a closet?IJ yes f_.)no(if yes add in with#bedrooms)
�y Mod (Size2-x St'y#Bedroom8 BatI Basement(wlwo bath)_Garage:_Site Built Deck._ On Frame_Off Frame IX-
Os 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.
O Home Occupation #Rooms Use. Hours of Operation. #Employees
U Addltion/Acres/sory/Other(Size x_j Use. Closets in addition?( )yes (_)no
Water Supply. V C unty _Existing Well _New Well(#of dwellings using well )'Must have operable water Wore 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��`` zt( 1 yes (J no
Structures(existing or proposed):Single family dwellings: 1 1 /Spark/Manufactured Homes. Other(specify).
(M ° C'
Required Residential Property Line Setbacks: Comments:
Front Minimum Xnt 135 AMU.' 'ILlh)^
p
Rear 1��j `Y
Closest Bide 14f 1
Sidestreel/corner tot at 4(4
Nearest Building /
on same lot
ftet.octibtil Lend Use PpVnm9v.n ..:'11
APPLICATION CONTINUES ON BACK
A
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINI\CIN6 •.I 1 it 1 a P M. ...a ikk a
—
I0 VM‘Ap Auif n C k I vioi,jein vt-g- __K si. cco cQ
tr1-1 le5 0±- --k--0 .4-1( Q_ 1----1- e-alci _Q ictn9
RavPn e mc c Ps
If permits are granted I qg e to confo P • all ordln• •5 a • aws of 1- State of North Carolina regulating such work and the specifications of plans submitted
I hereby state that . )
esiNstalemen • accurat• and co •ct to e ••-I of my knowledge. Permit sIfj o rvcain it false information is provided.
/
. _. . -4.-- :—/a... . a
Signet r,of Owner o'Owner's A.' ' 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 dote If permits have not been issuedi ..ui 4
•
40 OA• 6...,
A B' a %
tT
• ?
7.
mAr /
/• mo9
9
H i
6
%
B / c2vjsB, % % di a
- 8 e / 'S. 14, i;
/ amtt.0 )y7 � , 9
(/}y / / c2O, S
a 1,k, / / / k
. -..
c / / 74(9,4,)( /\0 o0ti S - ,
/ 0 1,6 ,�N'� V'
le
\<N k>s•
O •
0 ••\fi)
SITE PLAN APPROVAL 1 i N '\
L� �.-SIJ K 'ISE.� = \ v'•
DISIRI j � -
HBEDHooto5 . _.___.3 - I j A 45 \
Si LI'.. . � j • v o° •v
j I \.. cc,
NAME2 L \ l V. X13 APPLICATION k:__
*This application to he 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.CHANGER OR THE SITE IS ALTERED,THEN THE IMPROVEMENT
PERMIT OR AUTHORIZATION TO CONSTRUCT SIHALI.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 I CONFIRMATION p
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 properly
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 properly is thickly wooded, Environmental Health requires that you clean out the underarowih 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 t 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 Existina 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 lilt lid straight up (if
possible)and then put ltd back In place. (Unless inspection is for a septic tank in a mobile home park)
• DO NOT LEAVE UDS OFF OF SEPTIC TANK
• After uncovering outlet end call the voice permitting system at 910-893-7525 option 18 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
It applying for authorization to con slam(please indicate desiredmm
S)sIYpe(s): can be ranked in order ut preference, must choose one.
LI Accepted I._I Innovative I.. etlnventiun:l I I An)
I__I Alternative 1I Othet__ ..
The applicant shall notify the local health department upon submittal of this application if ally of the hollowing apply to the property in
question. If the answer is"yes-.applicant MINT ATTACH SUPPORTING DOCUMENTATION,
I—}YES (_� Does the site contain ally Jurisdictional Wetlands"
I_ IVES I__ O Do you plan to have an inigntiun system now or in the future?
I— vVIIYES I t/10 Does or will the building contain any drailul Please explain._
LJ ITS II NO Are there any existing wells,springs. waterlines or Wastewater Systems on this properly?
I_ I YES I‘-1-NO Is any wastewater going to he generated on the site other Than domestic sewage?
I—IYES #3Z(NO Is the site subject to appioval by any Whet Public Agency?
I—IYES I.NO Are then ally Easements or Right of Ways on this mopeds"'
I- }YESI�NO Does the site conlaan any existing stater,cable,plume or underground electric lines?
If yes please call No Cuts at Sn(L632-4949 to locate the lines. This is a free sen ice.
I Have Read This Application And Certify'that The Information Provided Herein Is True,Complete And Correct. Authorized County And
Stale Ome s Are(:ranted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Lars And Rules.
I Understthat I Am Sold)Responsibl. he ProinIdentification And Labeling Of All Property Lines And Corners And Making
T Site A sdMe So Tb' Complete nail o Can Re . fanned. y-7
PROPERTY? '' NERS A� • RyTr.-, Ito,"ATIVE SIGNATURE(REQUIRED) ITE �-
l0/IU