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DOCUMENTS Initial Application Date: lb-al-IL/'] Application#14 S vV�� - Sr ..`- 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)893-2793 www.harnett.org/permits "•A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE •" A REQUIRED WHEN SUBMITTING A LAND USE APPLICATION LAND WMER: U1.l LAt- e Y (-e( Mailing Address: 79 V1 UU (. G4• City: -Ai( State:vv.. Zip:ct,gbd`t Contact No:CY-I-wit' all Email: APPLICANT*: 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: \' "tl ,, State Road# I I 5S State Road Name: �b —.. V _ 1, �� l�M-aapp^BBook&�Paagg L i SUY(Q Parcel: d l 5—7 5 � � b� PIN: -1 �r��1`S' ' � - q 6 O c ccx� Zoning�ood Zone: Watershed: IL1 1 Deed Book&Page: 21`i i 1/4.4 as Power Company*: New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: Monolithic U SFD:(Size x )#Bedrooms:_#Baths: Basement(wlwo 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) U Mod:(Size x )#Bedrooms_#Baths_Basement(w/wo bath) Garage: Built Deck:, On Frame Off Frame (Is the second floor finished?( l)yes ( )no Any other site built additions?(�)yes ( )no Manufactured Home:v SW DW_TW(Size I,T x YU )#Bedrooms: 3 Garage: (site built?_)Deck: (site built? ) J Duplex:(Size x )No. Buildings: No.Bedrooms Per Unit: J Home Occupation:#Rooms: Use: Hours of Operation: #Employees: U Addition/Accessory/Other:(Size x )Use: Closets In addition?( )yes ( )no Water Supply: County Existing Well New Well (ft 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 (I)no Does the property contain any easements whether underground or overhead(_)yes (_)no Structures(existing or pose .Single family dwellings: Manufactured Homes: Cher(specify): Required Residential Property Line Setbacks: Comments ►.•_ A. • • rr-4- c r'L Front Minimum Actual ,L • CL {14 L JQ•Ly( Rear L^^"4 1 k °-4\4.4 lAJ - " 0, i t. 4c....44. • Closest Side *1• Q` -` 6 L a • • • • A. ! • -1 k CO/Y∎ _. Sidestreeticorner lot v v�-�l`T (� t t -- Nearest Building on same lot Residential Land Use Application Page i of 2 03/11 APPLICATION CONTINUES ON BACK /,! .� SPECIFIC DIRECTIONS TOT E PROPERTY FRO LILLINGTOr�: LW . I1 I ,..1%`.. le, `141/1 11 ' dX b Vf Q4-, --`i, a j� v pyt, fop f+ �1 A A . If permits are granted I a• :: 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 • :•oin• -tatements are a•«∎rate and correct to the best of my knowledge. Permit subject to revocation if false information is provided. Signature .;* ner or Owner's Agent Date it Is the ownerfapplicants 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 7 SITE PLAN APPROVA1_ DISTRICT u SE ,..t3nLi 00 BEDROOMS i-ZaL±1_,..A1114611 Dattg AeminIstrator ::4P %4 0.1 1.1 cz,) 6 a • ; kr) gp4 oc) (C'O' .0 0 1r1CV:;11-A 4M r/ li 4 1, A . 1 ' 4litlit... 1 1 :: le 111 i 'I 1 .lugs I i ` . P 11 c 1tr .-.il !It if 1 Vigil z si!. .1 i Z+ 6 tit g ,11 I \I 11 itrif 1., lA �-, 4 ! AQ 3 1� we 4.A,a7 1411 N Tilf} 1 a �i MARY ELIZABETH MOYER It' g I t C DEED BOOK 1173 PAGE 31$ Y : .1 x= lk I _.-_. _ 57'01'0a"W 703.1Y' _ . . 'b NSTaa'001V MAO' ' ) A'' gI x Y s O i'. Is K 171 -m8 _i__ EW 30 T 17 g N .00 o-u Yons�_aa � Ape`°•" —}�dr uEUr -� — `= I 500 i CD worsen � worsen O A I Y 2 CON MOM 03 N t N 67'0111001W 55010' n N i $ 8 0 s5 0 E 0Maro0-[ 550.55• fi < MI Z ds'° n m Z c O - ;I X 1 T� O 1 0 Ca N C V1 0l .. N z �-pa xi '; a I - , 0 `O m STRAY CAT CORPORATION Z: , E (A 2 bilw O pO DEED BOOK 1361 PACE 332 Ig ■I v) N C17 .� v S' o N n Z Z t x 1= P il 8 m r \ 1 p Ng,pR � M of if Y2A I 21 Z � < w awZ � O0 I R 0 > > ®r.2F":91 2 1 ��tj a pc 'I ime,,,,, - - x- V100 N O Z f --- 41 :1':y4$� .'-g§ Q bZZ O O MpN L PuoQu0�333fff ¶o0 00 m g V" '1 A I Rai CA 0 O r 1i ��1vNI�Y�fUJ3�1 ` z££ nova 69£1, Aoaa 033Q lc!0 NOLINSOd2100 1V0 AV2l1S >; Ix 31000 dy• OYOE 31VAI2fd `t 3 40 dyM la ro 91 lr ptlU LE S A7b39Wfx Gd NOladISIOU n1 9b0ti0b08t $ o t a .00'09 t .00'091 .6 NOb� M„OQj LL•Z£ S M,.004 t9Z£ S AA.,00,L toZ£ S Li a£ o 14 o rfl a n v il-7q IT 0 D r c,�: $ C X —i , N 9 O CO xi trr� �1tf ,y r .� /gyp 831131, ,y W x o I" vi W(1)0 UT 23 m 1 W Z it'? u i_ Rr 179 a),N of 0 S lefrfi g g r 1 a•-ci sons : Lii 4© sod I �J Q t �$a �`� i a ti4 a I i I aoa NON; xs ON600 10ii1N00 `= I.00'Ost .00'051 i Wove' ,-----A, 1NIOd 1.00.11..Z£ N aiN 3,40.114f N a►N 1.0041..ZY N 101-15 N0!!i'x3 WdM/� 1.4 09 CVOS wf1NOVw S)400x8 GS!, l 01. 'tit�t„oc,gs.gs .... SS 3Nna31N30 NI ONf10j 3?IIdS QJ OVOVIVg 10 01,l0'I. 14.00,9C1r N w w 17Z AMH ON JO 'TO 3H.1 S1O3$81LNI 6! 3H1, 3e13HM aNfOd 1 VN '31'd JNI. ,c0'8L12 3,S.1,ZG061 N 03M0 HARNETT COUNTY HEALTH DEPARTMENT HTE(! 3- 5-- 21,0 ENVIRONMENTAL HEALTH SECTION 17 016 OPERATIONS PERMIT ki Name: (owner) ...----:, ,., ,,A.,_' C'\ - 5N--;;;Installation Se tic Tank Property Location: SR# k)(0014) V A'4 j. -ssiN ci Repairs L fllitrification Line Subdivision S CON1 Lot# 2 _ Tax ID # Quadrant# E .Contractor: L• • t- Registration# Basement with Plumbing: ri Garage: Water Supply: ❑Well ~--i4blic CI Community Distance From Well: .50 ft. Following are the specifications for the sewage disposal system on above captioned property. Type of system: Conventional 71 Other Size of tank: Septic Tank: ' gallons Pump Tank: gallons Subsurface No. of 1 exact length �d ,� width of depth of I j Drainage Field ditches of each ditch Uft. ditches ft. ditches in. French Drain Required: Linear feet Date: V(1, D to-0 Inspected by: � �,Af,-5 PERMIT NO. `� p y Envir nmental Health Specialist ' — ( - r (V c i (.\/\ 'evI I a ( +`)' 5 ,---t 1- 3G _____ ______ _ 44 — — 6fi'``'t _____ NAMEQ r\1 l.„ 41 f'(%Q,f`O 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,CI IAN(iiED,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 I CONFIRMATION# Environmental Health New Septic System Code 8 00 • All property iron'must be made v isibled Place"pink p roperty flags"o n each corner i ron 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 undergrowth to allow the soil evaluation to be performed. Inspectors should be able to walk freely around site. po not oracle property. • All lots to be addressed within 10 business day= 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 1 to schedule and use code 800 (after selecting notification permit if multiple permits exist)for En vironmental Health inspection. Please note confirmation number given at end of recording for proof of reauest. • Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. ❑ environmental Health Exjsting Tank Inspections Cod e 800 • Follow above instructions for placing flags and card on property. • Prepare for inspection by removing soil over over outlet end,as diagram indicates, and lift lid straight up if possible)and then close back down. (Unless inspection is for a septic tank in a mobile home park) • After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 &select notification permit if multiple permits, then u se code 800 for Environmental Health ins pection. Please note confirmation number piven 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(s): can be ranked in order of preference,must choose one. {_} Accepted {_} Innovative { } Conventional {_} Any {_} Alternative { } Other rr 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 { } NO Does the site contain any Jurisdictional Wetlands? {_}YES {.J NO Do you plan to have an irrieatinn system now or in the future? {_}YES {V} NO Does or will the building contain any drains?Please explain. I ;YES I ) NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property? {_}YES (11 NO Is any wastewater going to be generated on the site other than domestic sewage? (_)YES NO NO Is the site subject to approval by any other Public Agency? {*.}YES {_} NO Are there any Easements or Right of Ways on this property? {_}YES { NO Does the site contain any existing water,cable,phone or underground electric lines? If yes please call No Cuts at 800-632-4949 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 State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules. I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making The to A cessible So That Aogrplete Site Evaluation Can Be Performed. PROPERTY OWNERS O OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE E-Health Checklist 1 of 3 1 2110 Date:kb �1"t Lf Application# PROCEDURES AND GUIDELINES FOR MANUFACTURED HOME INSPECTIONS RA-20R& RA-20M Certification Criteria I, 1\(\,Q- _erre(O , 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) 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 A-Shaped 24"Minimum r .I Rounded Roof Pitch Rise - Roof Pitch Rise - 14'In Width .::-_--._�. • - 14'In Width fib i3 20. Note: Most Rounded Roofs Will Not Meet The Roof Pitch i/\* 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.......... Mobile Home RA-20 RIM Criteria Page 1 of 2 12/10 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.) d�� • , y S 4. The home must have been constructed after July 1s`1976. 4444,L.e-r Signature of Property Owner/Agent Date • By signing this form the owner/agent is stating that they have read and understand the information on this form. Mobile Home RA-20 RIM Criteria Page 2 of 2 12/10 B3214 P425 FOR REGISTRATION KimEGIyy TSR DIEM Harnett Ceunt NC 2014 MAY 14 12:5:52 BK:3214 PG:425-427 TIEE 0 4HARN COUNTY TAX I e# INSTILLMENT Q ABnCNEILL 11_1 • s,.. • fu BY 2014006274 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: yet,60 Parcel Identifier No. Verified by County on the day of ,20 By: Mail/Boxto: Jose L. Guerrero - 38 Cameron Street. Cameron. NC 28326 This instrument was prepared by: Clyde K. Atkins Brief description forthelndex: Lot 2 (Recombination) Stray Cat Corpnratinn _THIS DEED made this 8th day of May ,2014,by and between GRANTOR GRANTEE Global House, Inc. Jose L. Guerrero P.O. Box 118 and wife Sanford , NC 27331 Bonnie S. Guerrero 38 Cameron Street Cameron , NC 28326 Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.g. corporation or partnership. The designation Grantor and Grantee as used herein shall include said parties,their heirs,successors,and assigns,and shall include singular,plural,masculine,feminine or neuter as required by context. WITNESSETH,that the Grantor,for a valuable consideration paid by the Grantee,the receipt of which is hereby acknowledged,has and by these presents does grant,bargain,sell and convey unto the Grantee in fee simple,all that certain lot or parcel of land situated in the City of , Johnsonville Township, Harnett County, North Carolina and more particularly described as follows: For a description see attached Exhibit "A" . All or a portion of the conveyed property does not include the primary residence of the Grantor. The property hereinabove described was acquired by Grantor by instrument recorded in Book page A map showing the above described property is recorded in Plat Book page NC Bar Association Form No. 3 © 1976,Revised® 1977,2002 +James Williams&Co.,Inc. Printed by Agreement with the NC Bar Association- 1981 www.JamesWilliams.com B3214 - P426 TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee,that Grantor is seized of the premises in fee simple,has the right to convey the same in fee simple,that title is marketable and free and clear of all encumbrances,and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever,other than the following exceptions: IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. Global House , Inc. (SEAL) (Entity Name) , By: L/ W' ��""s� - (SEAL) Title: 7r e „ z By: _ (SEAL) Title: By: (SEAL) Title: a State of North Carolina- County of z G 1,the undersigned Notary Public of the County and State aforesaid,certify that personally appeared before me this day and x acknowledged the due execution of the foregoing instrument for the purposes therein expressed.Witness my hand and Notarial stamp or seal this day of ,20^ wMy Commission Expires: Notary Public State of North Carolina-County of I. R°So ,� .`, .ersigned Notary Public of the County and State aforesaid,certify that .a. /e personally came before me this day and that he is the r e.s ; .,, f of /a L CIL I /le vs e, 1?�C ,� NOTARY a ` .lina or corporation/1i : ;.. .•• :. : - P U B Li d ip(strike through the inapplicable),and that by authority duly given and as the act of each entity, +:i �S stt'tbd the forgoing instrument in its name on its behalf as its act and deed. Witness my hand and k 9l 4 ;i o 'or seal this Ff 4 day of in., ,201/ 'ssionExpires: I - 15-2011: /i/._1 J. Notary Public • r*:Ak.a State of North Carolina-County of x1,the undersigned Notary Public of the County and State aforesaid,certify that 4 CI Witness my hand and Notarial stamp or seal this day of ,20 . wMy Commission Expires: Notary Public The foregoing Certificate(s)of is/are certified to be correct. This instrument and this certificate are duly registered at the date and time and in the Book and Page shown on the first page hereof. Register of Deeds for County By: Deputy/Assistant-Register of Deeds NC Bar Association Form No. 3 C© 1976,Revised® 1977,2002 *James Williams&Co.,Inc. Printed by Agreement with the NC Bar Association - 1981 www.JamesWilliams.com B3214 - P427 EXHIBIT "A" Being all of Lot Number Two (2) as shown on plat of survey entitled "Recombination Survey for Stray Cat Corporation - Johnsonville Township" dated July 23, 2003, as prepared by James Coxe Hasty, R. L. S. and recorded in Map#2004-566, to which reference is hereby made for greater certainty of description. This conveyance is made subject to that certain reserved easement appurtenant identified as "New 30 Private Easement" on the above referenced plat.