LAND USE Initial Application D 02/18/2011 Application [/ COP 24 ✓ ! O
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893-2793 www.harnett.orglpermits
LANDOWNER: Concepsion Nambo Suazo /Enedina L Cruz Mailing Address: 85 JE Rogers Drive
Cit Cameron State: NC Zip. 28326 Contact # 919- 935 -7003 Email: N/A
APPLICANT*: same as above Mailing Address:
City: State:_ Zip: Contact # Email:
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Enedina Lagunas Cruz Phone # 919- 935 -7003
PROPERTY LOCATION: Subdivision: JE Rogers Lot #: 6 Lot Size: .
State Road # / / Z State Road Name: 7746 ,45 /l 5,/rt jt/ Map Book &Page: // / f ih
Parcel: 9 1 5: N ✓ n PIN: 9566 - 86 - 6042.000
Zoning: 1 f a
/, Flood Zone: I Watershed: 1-4- Deed Book &Page: 01424 / 0613 Power Company: Central Carolina
New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: take 27 Hwy toward Cameron go approx 15 miles when you get to
johnsonville elementary school turn right in the street in front of the school subdivision to the left..go in second entrance third lot on the
left
PROPOSED USE:
Monolithic
❑ SFD: (Size _x ) # Bedrooms:_ # Baths:_ Basement(w/wo bath):_ Garage:_ Deck:_ Crawl Space:_ Slab:_ Slab:_
(Is the bonus room finished? (U yes (_no w/ a closet? L j yes Lino Of 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? (J yes (ono Any other site built additions? (__) yes ( )no
i Manufactured Home: 1_SW _OW _ (Size 14 x 76 ) # Bedrooms: 3 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? (i 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 (500) of tract listed above? ( ) yes (1 )no
Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify):
Required Residential P / L
party Line Setbacks: Comments:
Front Minimum 5 Actual o /`
Rear 2 2 6
Closest Side / v Z )
Sidestreet/corner lot
Nearest Building
on same lot
If permits am 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.
1 hereby state that foregoing statements are a rate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
L L /n e , ` • cni � �
Signature of ner or Owner's Ageii Date
"This application expires 6 months from the initial date if permits have not been issued"
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
SITE PLA /�APPRO"I +:L • �h'IG1 th
j ...-- l DISTRICT —�'- `—' USE
/_ #BEDROOMS 3 ��
2 It
Zoning Admini /,
Date •
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NAME: APPLICATION #: / O � Z6
*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) / f i '-7 z
910- 893 -7525 option 1 CONFIRMATION # `
❑ Environmental Health New Septic SvstemCode 800
• All property Irons must be made visible. Place "pink properly 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 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 lid. mark house comers 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 rawest.
• 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 property.
• Prepare for inspection. by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (if
possible) and then put Ild back In (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 recordino 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 1_) Any
(_} Alternative (,} 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 (_) NO Does the site contain any Jurisdictional Wetlands?
{_) YES {_} NO Do you plan to have an jrrigation system now or in the future?
(_) YES {_) NO Does or will the building contain any d 7 Please explain.
{_ }YES I — NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
1_1140 Is any wastewater going to be generated on the site other than domestic sewage?
{_}YES (_1 NO Is the site subject to approval by any other Public Agency?
(_)YES 1_1 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 Site Accessible So That A Complete Site Evaluation Can Be Performed
PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE ( Q UIRED) DATE
10/10
1
PROCEDURES AND GUIDELINES FOR MANUFACTURED HOME INSPECTIONS
RA -20R & RA- 20M Certification Criteria
I, ( 2at C 2 `-S « 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.)
Roof Pitch Rise - sx + P Ro M . / 4 - 4 /
� r � A Sha ed �
A c � Roof Pitch RRise ``U , Rounded
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Note: Most Rounded Roofs Will Not Meet The Roof Pitch
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
4 i
How To Measure For Roof Pitch Requirements
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/ .s 0009171
Book 1424
MIMI `° SU Oh 0W2O120b° P e es 0613 -0614
rf
$32. g 2 NM ISI
n 0 0 IIAB11ETT DOUBT? NC
far 06/211/2000 2:02 pt
iota a . Reel Estate RThB LLT S. mpdaOV1 •
B RCIae Tex Rapist*: Of Deed:
a Reeordlng Thna Beet aml Pepe .
Tax Lot No ...., ........,..._.....,......_. „. Parcel Identifier No. ...........
Verified by .. ....... County on the ............ day of
by ...
...._.....,...._.,......... ..
Mali after r000rding to `on - , . i. Mambo Suazo, 85 .1. E. Rogers Drive,,,. Cameren, . 3 N.C. ,,
28 2b
This instllment was 'gayety ,, _ . Pa.ttACPall
Brief description for the Index` 6 TJP - L `
NORTH C ' r • .,4 t• ENERAL WARRANTY DEED
TEIS DEED made this ..1$.tb... day o . _.,ex T. = . *00. . .......... . by and between
GRANTOR GRANTEE
Clyde L. Patterson, Unmarrie• ConCePOioT Nambo Suazo and wife,
Michael D. Eatcer and wife, En -diva Lagunes Cruz
Nicole R. Eaker
1 1271 Leaflet Church Road 8 J. E. Rogers Drive
!roadway, N. C. 27505 •n, N. C. 28326
eater In .ppreprlale block foe each party= aamm satires sat If apI' o •. at eta ter •t entity, e4 corporation .r pattnenhip,
The designation Grantor and Grantee as uses herein shall In.. tide meld • • r - heir heirs, successors, and ensigns, and
shall include singular, plural, masculine, feminine or neuter as - ui -. contex
WITNESSETH, that the Grantor, for a valuable consideration paid .y t r an• the receipt of which is hereby
acknowledged, her and by then pmenta dove grant, bargain, sell an co. .y • to the Grantee in fee simple, all that
certnia lot or parcel of land situated In the City of .. .. ..,.,. .. Asonvil.ie..,....,.... Township,
Harnett County, North Caroline and more particular • dale Wm fol t wa:
Being all of Lot No. 6, oontaining 0.95 acre, more • 1 = - -, shown on
a map entitled "TJP - P dated May 3, 1999, by Do ell . 'ak:s, RLS,
and recorded in the Office of the Register of Deed- o rn= t County at
Map Number 99 - 336. Reference to said map is hereby --de °,r : -ater
certainty of description.
. `_
_ 3
N. C. Wr Nan. Farm No: e I We, Rand 01921- ..waimacwu4.w. ut+ru.+.. e, a MU
...,w w M.ae.••1 w u. a v..r - ISM
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