LAND USE Initial Application Date: 3-8-2011 Application # " / 5-0 v 2‘ 2
cu #
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.harnetl.org /permits
LANDOWNER. San — Lee Builders. Inc. Mailing Address: P.O. Box 3367
City: Sanford State: NC Zip: 27331 Contact# 919 - 9582 Email: adcockco@live.com
APPLICANT Same Mailing Address Same
City: State: Zip: Contact # -. Email:
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Vicki Cannady (field rep: Paul Utley 919499 -3094) Phone # 919- 777 -3086
PROPERTY LOCATION: Subdivision: Mason Hill Lot #: 35 Lot Size: 0.52 ac
State Road # 1285 State Road Name: Cool Springs Road Map Bcok &Page: 2000 / 117
Parcel: 130602 0088 035 pIN 0611-93-9003 �
Zoning: RA-20R Flood Zone: X Watershed: ' t' Deed Book &P - Z)) y ,�v , /
Power Company' Progress Energy
'New structures with Progress Energy as service provider need to supply premise number 7 97 R 9 (): 4 7 from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: West on US #421 to SR 1265 (Cool Springs Road); right/north onto
SR 1265 (Cool Springs Road); appr. one mile to Mason Hill Subdivision; take right onto Mason Hill Lane; Lot 35 ( 1 '219" per GIS
map attached hereto) is on left near curve
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 /wo bath)_ Garage:_ Site Built Deck:_ On Frame_ Off Frame_
(Is the second floor finished? (__) yes (ono Any other site built additions? (__) yes ( )no
Manufactured Home: ✓ SW _DW _TW (Size 14 x80 ) # 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? ( ) 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? ( - .J yes (XN.no
Structures (existing or proposed): Single family dwellings: Manufactured Homes._rr i n' i Other (specify):
Required Residential Property Line Setbe cks: comments: There was a double -wide manufactured home previously located on
Front Minimum 35 Actual 7 '5 this lot which has been removed. Proposed single -wide manufactured home
Rear 25 73 will use existing septic tank system and water lines which are already in place.
Closest Side 10 Z r
Sidestreet/corner lot
Nearest Building
on same lot
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 accura and c ct to the best of my knowledge. Permit subject to revocation if false information is provided.
� / P 3/9J11
'y' Sin re o(Owne or Owner's Agent 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
Residential Land Use Application Page 1 of 07/10
SITE PLAN APPRc - ' / I 9 >< w
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Lot 35, Mason Hill Subdivision
219 Mason Hill Lane
Lillington, NC 27546 PLOT PLAN
NAME: San —Temp Bpi 1 tiers, Tnr. APPLICATION #: /1 Sr, Z‘ 2 ig
•
*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 I5 ALTERED, THEN TIIE 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 1 CONFIRMATION #
❑ Environmental Health New Septic SvstemCode 800
• All property irons must be made visible. Place "pink property 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 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 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.
;Ij 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 liil back (Unless inspection is for a septic tank in a mobile home park)
=DO,,NOT LEAVETIAS.60FyOF SEPTIC TAN*
• 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
(liven 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
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 irrig syste now or in the future?
( ( NO Does or will the building contain any drains? Please explain.
( ( NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
NO Is any wastewater going to be generated on the site other than domestic sewage?
(_)YES ( NO Is the site subject to approval by any other Public Agency?
( 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 e Perfor
San—Lee Builders, Inc. Evaluation
V /�' 3/9111
PROPERTY OWNERS OR OWNERS LEGAL EP SE ATIVE SIGNATURE (REQUIRED) DATE
10/10
111111111 11111111111111
2011003825
HAR ETT COUNTY TAX ID#
1 o&D7 0,05N'35
FOR REGISTRATION REGISTER OF DEEDS
NARNETT S o I
2011 MRR 0 9 12;08:11 PM
BK:2845 PG:304 -306 FEE:$22.00
BY INSTRU ENT 112011003525
NORTH CAROLINA
GENERAL WARRANTY DEED
Revenue Stamps: No Revenue litTih
Mail to: San -Lee Builders, Inc., P.O. Box 3367, Sanford, NC 27331 -3367
Prepared by: Paul J. Adcock, P.O. Box 3367, Sanford, NC 27331 - 3367— WITHOUT OPINION ON TITLE—
Brief Description for the Index: Lot 35- Mason Hill Subdivision — / - o( 0 02 - oo - 3S
NORTH CAROLINA
LEE COUNTY
•
THIS DEED is dated this _8 day of March, 2011, by and between
ACAIPJA, LLC (P.O. Box 3367, Sanford, NC 27331), a North Carolina Limited Liability Company,
Grantor; and
SAN -LEE BUILDERS, INC. (P.O. Box 3367, Sanford, NC 27331), a North Carolina Corporation, Grantee.
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 Upper Little River Township, Harnett County, North Carolina,
and more particularly described as follows:
BEING all of Lot 35 as shown on that plat of survey entitled "Masan Hill Subdivision " ", prepared by
Bennett Surveys, Inc., dated December, 1999, and recorded in Map Number 2000 -56 and revised in Map
Number 2000 -117, Hamett County Registry. Reference to said map is hereby made for a more particular
description.
TO HAVE AND TO HOLD the aforesaid lots or parcels 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
1 /4 M / ,11 ,
PROCEDURES AND GUIDELINES FOR MANUFACTURED HOME INSPEf'rinNc
RA -20R & RA- 20M Certification Criteria
San-Lee Builders, Inc., by Paul J. Adcock, VP, as agent for
I, Clifton & Christina Anderson, understand that because I'm located in a RA - 20R nr
RA -20M Zoning District and wish to place a manufactured home in this district i must mee the
a a cc, usts_ate of
.. __.. —_. . _ . ° tafl ow )anim - iw ennryian approval, before 1 ::ill bc iaSuc +,b __�
n rcun2nec 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 horse. (Example: A nmm� msaact,rie
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.)
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24" Minimum r t�.� A- Sh t it 'l +i 1 Rounded I
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Most Rounded Roofs WIII Not Meet The Roof Pitch
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Note: Mos _
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
From: n3!0912011 08:59 >239 9.002/002
How To Measure For Roof Pitc Require
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2. The home must be -underpinned, consisting of a brick curtain Wdii or tba:C
gaivanized metal sheeting. ABS or PBC piaSTIC 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.)
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aft a„ ,.
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ssPe � i k
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c t`,.. _-� .. w I `
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fi ' " M r er g i '
r '. 4aa ' , 4 i � r,' 03/O1 - < 2 ,,„ a 4 '
as 3 Agent for C �ton & Chri Anderson
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.