LAND USE •
Initial Application Date: j l — /, Application it 1/ 5"00 2 113
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. � Fr nt Street Llllington, NC 27648 Phone: (910) 893.7525 Fax: (910) 8 2799 ww.
wharnea.org /permits
LANDOWNER: 3ini \\ I /I I .6 { IiQP l � twr MaWng /f A l ddress: Vt ( 1 1 I c url "ur ge
City: LJr1Vi f �,. Stater Zip: ??th Contact #'1 ( sow Email'
APPLICANT': 1 Y - y '� /Cr 4aS �'�( Meaing Address: Inn bucoct `d
City: L{11 i �t1ls M 1 ' State:LL Zlp: 719 ontect# C19 444-K Email:
' Please IIII out appitartginformatian it different than landowner
CONTACT NAME APPLYING IN OFFICE: MO rJfu a S Phone # —{ tq L i ` — V 819
PROPERTY LOCATION: ubdivlab /
n: �I �/ Lot Sit Lot Size; / Cb
State Road II 12 Z Y State Road Name: M !/
A. g l r /1 Map Book &Page:fia 2l / �/
Parcel: is a/7 ° J /. 9l 4! 7 9 PIN: 16 9/ - /3 — 637 2 006 Zoning: 7� Flood Zone:_, Watershed: /4' Deed Book &Page: I2 el l ?Cpawer Company:
New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
4 1 ` Tcnruard Sla nebrd T i e-14- i n -Fr or* 06 Fire (JP pt nn
(Ylrhitil1 fYiiI( Rd , firS+ riTYt TCocra.rnan Lane
PROPOSED USE:
Monolithic
❑ SFD: (Size st # Bedrooms: # Baths: Baaement(wMo bath): Garage: Deck: Crawl Space: Slab: Slab:
(Is the bonus room finished? (_) yes L)no wl a doset? (_J yes (_)no (0 yes add In with # bedrooms)
❑ Mod: (Size _ x )1$ Bedrooms # Baths Basement (w/wo 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: S SW _ DW _ TW (Size III x 7, ) 0 Bedrooms: 2 Garage:_(site builYl_J Deck: (site built ?J
❑ Duplex: (Size _ x ) No. Buildings No. Bedrooms Per Unit:
'tome Occupetbn: # Rooms: Use: Hours of Operation: #Employees:
ylOther: (Size x }Use' Closets in addition? (___) yes (__)no
Ater Supply: K County Existing Well New Well (# of dwellings using welt )'MUST have operable water before final
Sewage Supply: _ New Septic Tank (Complete Checklist) X 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 (5001 of tract listed above? ( yes Lino
Structures (existing or proposed): Single family dwellings: Manufactured Homes: X Other (specify):
Required Residential Property Line Setbacks: Comments; _ , a .
Front Minimum 3 Actual 70 , _ - -. •'
Rear Z /P01
Closest Side /0
Sldestreet/oorner lot //
Nearest Building N
on same lot
If permits are granted I agree ntonn to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby slate that foregoing s ants correct to the best of my knowledge. Permit subject to revocation i1 false information le provided.
a r,i 0140S 3 fy,� ��
netu of Owner or Owner's Agent bate
"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
1 Residential Land Use Application Page 1 of 1 07/10
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SITE PLAN AQ ., USE 1�"�'
DISTRICT p _ a _ a 5"�_� �_.
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i APPLICATION fit l "
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*This application to be filled out when applying fora septic system inspection.
'4 unty Health Department Aanlication for Imaroovemant Permit and/or Authorization to Construct
;TIM INPORMATlON IN THIS APPLICATION IS FALSIFIED, CHANGED, OR THE SITE IS ALTERED, THEN THE IMPROVEMENT
it • t OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVAUD. The permit is valid for either 60 months or without expiration
, d e p endles Won documentation submitted. (Complete site plan • 60 monde; Complete plat • without expiration) /l L' L
<' 910- S93.7525 option 1 CONFIRMATION* f / '
..0 Environmental Health New Sofia SvateniCode 800
• All nronenv Irons months m , de vtsiblq. Place "pink property flags' on each comer Iron of lot. All property
lines must be dearly flagged approximately every 50 feet between comers.
• Place 'orange house comer flags' at each comer of the proposed structure. Also flag driveways, garages, dents,
,," 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.
• fl property Is thickly wooded, Environmental Health requires that you clean out the gnsteruglyth to allow the soil
evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property.
• Ati Iota to be addressed within 10 business days after confirmation. S2 &00 return trio fee may be Incurtel
Jor Valium to uncover (net lid. mark house comers and property lines, ate. once tot 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. pie note
confirmation number given at end of recording for proof of recluse,
• Use CIIdt2Gov or IVR to verify results. Once approved, proceed to Cenral Permitting for permits.
nylronmental Health Exlefipp Tank in: amnion. Code 800
• Follow above instructions for placing flags and card on property.
• Prepare for Inspection by removing soli over outlet end of tank as diagram Indicates, and lift lid straight up (If
paaelb/o) and then put (Id,beok In piece. (Unless Inspection is for a septic tank In a mobile home park)
?, 00 NOT LEAVE,LI On 3OF. BEPTIC.TANK
• After uncovering outlet and call the voice permitting system at 910-893-7525 option 1 & select notification permit
11 multiple permits, then use code 800 for Environmental Health Inspection. Please irate confirmation num
given at end of recordina for oroof of reauegi.
• Use CIIck2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits.
fang
11 applying ng for authorization to construct please indicate desired system type(s): can be ranted in order of preference, must choose one.
1_} Accepted (_) Innovative (__) Conventional 1_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 (_I NO Does the site contain any Jurisdictional Wetlands?
(_I YES 1 -1 NO Do you plan to have an kiggjlagyjffai now or in the future?
LIVES 1_.1 NO Does or will the building contain any kggg? Please explain.
LIVES 1 -1 NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
1— }YES 1_) NO Is any wastewater going to be generated on the site other than domestic sewage?
1—}YES 1_1 NO Is the site subject to approval by any other Public Agency?
1 — 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 14o Cuts m 8M:02 to locate the lines. This is a free service.
I Have Read This Application And Certify Must The Information Provided Herein L True, Complete And Correct &uthorised County And
State Officiate 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 Label! n Of A/IlI Property lines And Corners And Maldng
The Site Accessible So That A Complete Site Beatuadon Can Be 4 ' `r LL/, � I f PROPERTY OWNERS OR OWNERS LEGAL REPRESSIGNATURE (REQUIRED) 1)A
10110
FILED
B00KM PAGEIC;
.arCOatr In iliat„il 97 JUN 6 PM 4 25
40 ,
GAYLE F. IIOLDER
4 14 1 21. DO REGISTER OF DEEDS
n.n l � l■tete NAR21 CCLJnTY, NC
link Tax
le
�j7 t' 9053
(� a j 2 L. • Recanting time. Book sea nn
Tat Lot Ne. .. ..,... ... Parcel Identifier No. ...1 3.141/ of 7'9
Verified by .. County on the .... .... day of , 11 _....
by.. .. ...... .., .._... _.. ......._ ..... ..... ......
Mail after neordl Thanes � . _ Q/ / , •4±: p &0°i `""r N Asps' ..... .......
4 00
- This tmtmmaet was p • - erd A. Love Attorney
Brief description for the I
se
• NO' • A GENERAL WARRANTY DEED
Tina DUD made We 5th
AT IL_ ..................... .......... 19 by and betwesn
GRANT GRANTER
C>
EVERETTE N. BAKER JIMMY THOMAS
end wife, and
JLOITH 8. BMER MI L i _ THOMAS
/ lane ltbO Jtu. rlC alsa�
Soryeid KsC al3d t rootkO° a'!l
110
woe s YaYrkb bleak tat sa war: ®m sibs. ea. .... N many. Y awewatbo or eareaarwa►.
TG designation Gunter and Grantee as and herein shall red p • their heirs, euocwon, and mink and
shall include einsnlar, plural masculine. hmSeble or neuter by contest.
iii
WITN®86T8• that the Grantor. fora valuable considera•.,8 b y a Grantee. the receipt of wbkb is hereby
acknowledged, ba and by these presents don pat. bargain n11 and • • to the Grata in tee almpla, ell Nat
certain lot or parcel of land situated le the City of .._ ............... _ .. _._.... . .._.... t p 1.., Litt18 River... Township.
.. HerneLt ....... _. _.. ....... County, North Carolina and mare portion) rly - . • ad follows:
BEGINNING at an Iron stake, a corner of Lots 4 and 5 ng sap of the Baker end
Kelly Subdivision made by Thomas J. Matthews, RLS, a • •f - or• ' • e office of the Register
of Deeds of Harnett County and turning thence es Lots 9 - a .... ';'• g to said map. S. 14 degs.
37 mins. 35 secs. N. 276.67 feet to en Iron stake, a corner •f . 6• , e N. 73 degs. 59 mins.
48 secs. H. 82.50 feet to an iron stake, a corner of Lot ac•• • . . said sap; thence as •
the line of Lot 8a, N. 12 degs. 26 mins. 3 secs. E. 275.11 'eat o ,, I stake located In the
center of a 30 foot road easement; thence as the center of 8.•n. . t, S. 75 degs.
14 mins. 12 secs. E . 93 feet toe stake in the center of a 50 •.• -d - , said stake
being at the point of BEGINNING, and being all of Lot it actor•• n, o m -• herelnhefcre
mentioned.
Conveyed with the foregoing ise right of ingress, egress and rear - -- th : • •..rtiss having
property in said subdivision, said easenttt a being particularly •- LL,. as o • s: The
centerline of said 50 foot road easement being at the point of BEGI -, , . above described
property
and riming thence S. 75 dogs. 14 mins. 12 secs. E. 285.99 e- to w
Conveyed with the foregoing is a 1984 mobile home, Vega HT IDs F548514•• ..
ri C xns.-,: .
r a
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w. C.r Nef !WS Olent- e....�.es....M.n.war auaew • • , e y�,• ..ww C Y r -,w arr....
•
PROCEDURES AND GUIDELINES FOR MANUFACTURED HOMES
N ` -� Replacement & Removal Criteria
t, 1 1 . CAI' tG t / GvbaS . do hereby certify the following:
(Print Name) A . That I own a tract of land located on SR / Z Z (J in a RA -30 / RA - 40 or RA - 20R /RA - 20M
district which has a functional septic tank;
2. at the existing e • ouble - wide manufactured home is to be removed or was removed on
5 e - 1/ . (date
3. That I am replacing an existin • single double wide manufactured home with a single /double wide
manufactured home, and;
4. That the replacement of this manufactured home creates 2. residence(s) on this single tract of land,
and;
5. That there will be 2 manufactured home(s) on this single tract of land and I do i o not own
property within 500 feet of this tract that contains a manufactured home.
6. 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.)
( �M lI �yW '; *' , t1 ii n, ii" • , ryg,y
ai t n'tan r 'r� . ! n . ,ria ' - 1 , ra,�,� ;
-ps 40 a o l llfnl Rt� ',L G t 4 1 f ' n ? {S- ,r- N ct rl
witch lo of P ue 5 r - i4 444 9
haped i
5 Root , l.i. .. tRounded .
s ut , -� G -( -.o --- t .. ,
"_ �' e...,:. 'fit ' au>- `«T d^,�� °ia •n '` r
,i eL. r 1 r WY'' n t N(' ...� ^A 4 3 i
�yM �: of u e 51 tt 1 ?:4 3 ¢¢ ;i r : c? x ; 4 , a •• J In =lit,: t , , ' jI i, di 9 t . l a ! r `; gg 4 E
r, ( '" �ti " lz w � v ` �i.Sa3w+.,F � � 1p n F�hu�4 iH � dtnV� � le' i' , d 1 i' � , 1 4 r'P ;, � � 53 1 4' ' i � a�
tt w , r ^t r; H
ri r ,r A tI { p arlit ' M III
L04 . Y5
. 1� .. # (:, ii L E r e i n� isto k l" ar e J t � �,. � ( i� 1 ��
4 t ie { � 4 t J kfiV A 1r v r ,I i {
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,441' Ix l,s oi4 s � ;myp nit"° L ' y c A.r e' �f i, .
fl ..,44, it i a i t °Ptf ; W ;5e41 -a.. i 3 n - — — 24�s' gi r w_._
4r..bA l ',rVV tf
t ,,,., 4 ...+.t „ ,. . s„‘„,,,,,,,?„,/,,,,,,,,,,..,,,...,4„..,•4_,,,.,, w. . 1.. . `5 '�t i f . 13 zI O6 • r t •.. (... M � !' iffy;
kr
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rr�� ' { Yil*{II k
,..i+ n a J P• n . . 1 P t f fa"` , t .- ... I ' 1'.
� 1,.re.,6 ,lt_�,ei. .Po 9 ,{ : � . -.
ti Note: Most Rounded Roofs
1 4 5 t, r 4 Will Not Meet The Roof Pitch
tilitibir Re uirement As Illustrated.
: / .b ' ' The Measurement From The
°
, ThishTypkileot ;l taslg - I 7Not�, Peak Of The Roof To The
1,40T1ig egla , r ci ao , i ; Base Line Of The Roof Must
r 1 teh • ` x ' t ?" n" 4' ,� Be 12" For Every 7' Of Total
I i f i a. . 'r 1 , . Width Of The Home. (14'
t L v , ' I sT ta 3 47 t " Wide Home = 24" Roof Rise)
, 9
, f .. i s 'a "Si � � � 1 ,.it `
7/10
7. The home must be underpinned, the underpinning must be designed for manufactured homes &
installed in good workmanship -like manner along the entire base of a manufactured home, except for
ventilation and crawl space requirements, and consisting of the following: metal with a baked —on
finish of uniform color; a uniform design and color vinyl; or brick, cinder block, and stone masonry as
well as artificial stone masonry.
8. The homes moving apparatus removed, underpinned or landscaped.
9. Select One of the Following Options Below:
a. The current manufactured home will be removed prior to the Zoning Inspection.
b. The current manufactured home is scheduled to be removed through Project AMPI
c. The current manufactured home will be removed after the final inspection has been performed
and the certificate of occupancy has been issued. (Additional Fees & Requirements Shall Apply)
"(Additional Information for Option C) Temporary approval for replacement of a manufactured home is
allowed only under the procedures and limitations stated below.
Please initial next to each item to indicate that you understand and have or will comply as necessary.
1) A valid manufactured home moving permit must be submitted for the removal of the existing home located
on the property.
2) A copy of a Bill of Sale or a Title Transfer of the existing home must be submitted.
I 3) Items 1 & 2 must be submitted to Central Permitting prior to your permit issuance.
4) Property owner /agent acknowledges that due to the fact that a second zoning inspection is required, in
order to facilitate this request, a re- inspection fee in the amount of fifty ($50.00) dollars shall be paid
during the permitting process.
1 5) Once the home has met all other zoning requirements, a temporary approval shall be granted in order
to proceed with obtaining a certificate of occupancy. From the date the certificate of occupancy is issued,
the property owner shall have five (5) business days to remove the pre-existing manufactured home.
1 6) Property owner /agent acknowledges that if the pre - existing manufactured home is not removed by the
specified time of five (5) business days that he / or she shall be in direct violation of the Harnett County
Zoning Ordinance. And by creating a violation of the Harnett County Zoning Ordinance shall subject
themselves to enforcement actions, penalties, and fines specified within Article XV, (Administration,
Enforcement, and Penalties) of the Harnett County Zoning Ordinance. Each day the violation continues is
a separate offence and is a misdemeanor punishable by a fine not to exceed one hundred ($100.00) dollars
or imprisonment not to exceed thirty (30) days.
1 7) Property owner /agent acknowledges and affirms that the guidelines, procedures, and requirements
associated with the replacement of a manufactured home and the penalties for creating a violation of the
Hamett County Zoning Ordinance have been explained and accepts this document as an initial notice of
violation.
441 ( f�cn� -� 03/0 / l/
Sig . Property Owner Date
*By signing this form the owner /agent is stating that they have
read and understand the information on this form
7/10
AFFIDAVIT OF JIMMY THOMAS
JIMMY THOMAS, first being duly sworn, avers and states the following:
1. I am over the age of eighteen (18), suffer from no legal disabilities, have firsthand
knowledge of the matters stated herein, and am otherwise competent to testify to the
contents of this affidavit.
2. I am the legal owner of the property that contains two residences addressed as 71 &
97 Jockaman Lane, identified as Parcel ID # 13- 9691 -0179, in the Upper Little River
Township of Harnett County.
3. I hereby verify that a singlewide manufactured home that was located at the address
of 71 Jockaman Lane was rendered uninhabitable and had to be demolished and removed
from the property due to severe fire damage.
4. The home that was removed has been located on the above referenced property prior
to zoning regulations that became effective on June 5, 2000. The home was constructed
under HUD Standards and had a rounded or rolled roof design when placed on the property.
5. I hereby desire to replace the manufactured home with another manufactured home
that is similar in construction and design including roof type, dimension, and location.
FURTHER AFFIANT SAYETH NOT.
This the J / day of p A p e e , 2011.
/
MMY T ' MAS
Sworn to and subscribed / before me this the /1 day of 444YC� , 2011.
P r, i .FYI.41 6M4
(Printed Name of Notary Public
APRIL M. MCLAMS
q ?p _ NOTARY PUBLIC
HARNETT COUNTY, M.C.
it I 41 ,Ei , NOTARY PUBLIC M, Commissio Expires 7 _
(Signature of Notary Public)
My Commission expires: 7/25/// (SEAL)
AFFIDAVIT OF MICHAEL JAMES THOMAS
MICHAEL JAMES THOMAS, first being duly sworn, avers and states the following:
1. I am over the age of eighteen (18), suffer from no legal disabilities, have firsthand
knowledge of the matters stated herein, and am otherwise competent to testify to the
contents of this affidavit.
2. I am the legal owner of the property that contains two residences addressed as 71 &
97 Jockaman Lane, identified as Parcel ID # 13- 9691 -0179, in the Upper Little River
Township of Harnett County.
3. I hereby verify that a singlewide manufactured home that was located at the address
of 71 Jockaman Lane was rendered uninhabitable and had to be demolished and removed
from the property due to severe fire damage.
4. The home that was removed has been located on the above referenced property prior
to zoning regulations that became effective on June 5, 2000. The home was constructed
under HUD Standards and had a rounded or rolled roof design when placed on the property.
5. I hereby desire to replace the manufactured home with another manufactured home
that is similar in construction and design including roof type, dimension, and location.
FURTHER AFFIANT SAYETH NOT.
t
This the day of / o 14 CA , 2011.
MICHAEL J • MES THOMAS
Sworn to and subscribed before me this the , I day of /u/ C / a, , 2011.
(Printed Name of Notary Public r APRIL M. MCLAMB
NOTARY PUBLIC
HARNETT COUN , N.C.
4. .4 / My Commissio Expires �t
A 1 fJ/f // ( N49 , NOTARY PUBLIC
(Signature of Notary Public)
My Commission expires: 7/derio (SEAL)