LAND USE Initial Application Date 41(4tc .1- 2_ b -2-6/ 1 Application # l/ 5 1..00 2 r0 , l 1
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E Front Street L II ngt n NC 27546 Pho e x (910) 893 7525 Fa (910) 893 2793 (0 www hamett org /permits
LANDOWNER T e� /( U- IS kGc-N %1 ,,a An .L 1 It rig Address 1 I L rt/ I f i f
C ty SA. 1 I n r of State fi Lz p 2- »27 Contact # Email
APPLICANT ,494 Mailing Address
C ty State Zip Contact # Email
PI fil t ppl t f in t fd& ttn I w
CONTACT NAME APPLYING IN OFFICE 5004 Pho e #
PROPERTY LOCATION Subdi Sion / / '# i4. 'a s. Lot # Lot Size ✓
Map Parcel • Road # L Z Z
State Road Name ' � � �/ 6 ✓ aD Book &Page ( 3
1C7 Zoning I f 4 7 ood Zone X Watershed /U/ eed Book &Page 1 a 7 `� , !O Power Com ppaannyy Prr7yr es S E./rery'
New structures w th P g ss E e gy s ry e p o der need to s pply prem se n mber from P og ess E e gy /
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON , i 4 • LV 1 •••: -T } ' -'- it' it
Rid ti+-
PROPOSED USE
M I th
❑ SFD (Size T 4 Bed ooms _ 4 Bath _ Bas ment(w /wo bath) _ Garage _ Deck _ Crawl Space _ Slab _ Slab
(Is the bon s room fnished? (_) yes (_)no w/ a closet? (_) yes (_)no (if yes add in with # bedroom )
❑ Mod (5 e 1# Bedrooms _# Baths_ Basement (wlwo bath)_ Ga age _ Site Bu It Deck On Frame_ Off Frame _
5 the second Floor finished? (_) yes f (7_) o Any other s te b It add t ons? (_) yes (_)no
�
Man fa t red Home _SW DW _TW (Sizeja' ) 4 Bed ooms 3 G ge ( 1 b Itv) D ck ( te b It ?)
❑ Duplex (Size _x_) No Buildings No Bedrooms Per Unit
❑ Home Occupation # Rooms Use Hours of Operation #Emo oyees
❑ Addition /Accessory /Other (Size _x_) Use Closets in addition? ( yes ( Jno
Water Supply 90unty E ist ng Well New Well (# of dwellings using well ) MUST have operable water before final
Sewage Supply l/ New Septic Tank (Complete Check/ st) Existing Septic Tank (Complete Checklist) _ County Sewer
Does owner of this tract of land own land that contains a manufactured home w th n f e hundred feet (500) of tract I sted abo e? (_) yes ()�
Structures (e isting or proposed) S ngle fam ly dwellings Manufactured Homes Other (spec fy)
Required Residential Property Line Setbacks Comments
Front Minimum 35 _ Actual 7.?
))
Rear T
Closest S de .1p J
S destreeticorner lot nn
Nearest Bu Id ng 12 / 0
on same lot
If permits are granted 1 agree to co fo m to all ord nances and laws of the State of North Carol na reg lating such work and the specificat ons of plans s bm tted
I hereby state that foregoing statements are accurate and cor to the � best of my knowledge Pe mit subject to re ocat on f false information is prov ded
P n� l ,i/ r k z. 3 -Z0 l 1
S gnat re of Owner or Owner s Agent Date
This applicat on e pares 6 months from the initial date if perm is ha a 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 Appl cat on Page 1 of 1 07/10
SITE PLANAPPri°V C�� 7 4
2 O USE
DISTRICT
#BEDROOMS �— ---'�
3 z3
�--" o inn Admtnistr• •r
frptc
/ , Alp- '
11141
IV 7 9 2 f 4/4f► ■ re.
1:7)51
a Or
72 z /./r'opyi, oi ' e
P /1 5 - or 2.4 3P,
NAME .�` .. • �� t.. � A: .f. / - • 1 APPLI CATION #
/ ..
*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
/411 ng upon documentation submitted (Complete site plan = 60 months Complete plat = without expiration) // (`- / L5 f
910 893 7525 option I CONFIRMATION it ✓ �j
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 dnveways 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 recordina for proof of request
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 (4
possible) and then put lid back In place (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 recordina for proof of request
Use Click2Gov or IVR to hear results Once approved proceed to Central Permitting for remaining permits
SEPTIC
If applymg for authonzation to construct please indicate desa stem type(s) can be ranked in order of preference must choose one
{_} Accepted (_J Innovative {_} Conventional {_) Any
(_} Alternative {_I 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 a answer is 'yes applicant MUST ATTACH SUPPORTING DOCUMENTATION
(_)YES f _ NO Does the site contain any Jurisdictional Wetlands?
{_)YES { J NNO Do you plan to have an imeation system now or in the future?
7(_) f N
(=O Does or will the building contain any ilia ? Please explain
{ }YES 1 _ { NO Are there any existing wells spnngs waterlines or Wastewater Systems on this property?
i
1_1 YES { 1N Is any wastewater going to be generated on the site other than domestic sewage?
1_}YES (_� Is the site subject to approval by any other Public Agency?
(_)YES {_ NO, Are there any Easements or Right of Ways on this property?
(_JYES 1_1 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 Intornwtion 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 SSSite Accessible So That A C� to Sit ad o i y ,Can Be Performed
A 3 —2_3 t '
2& u fKGf��/L. 7 ZO
PROPERT OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE
10 /10
i t
PROCEDURES AND GUIDELINES FOR MANUFACTURED HOME INSPECTIONS
4 / RA 20R & RA- 20M Certification Criteria
1 , p ..c1 wnderstand 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 )
r
24 Minimum i A Shaped 24 Minimum r 1
'.� � ' i x " Rounded
Y
Roof Pitch Rise rt� Roof Pitch Rise
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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 Horne = 24" Roof Rise)
Continued
1 "♦
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 )
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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
I
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How To Measure For Roof Pitch Requirements
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BOOK In% PAO 423 - A31
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Met) she rdl g to TERESA BAKER Route 14 Box 594 Sanford NC 2733Q
Thi iaalrvm tw p y dby J Allen Harrington Box 1045 Sanford NC 27331 -1045
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NORTH CAROLINA GENERAL WARRANTY DEED
THIR DEED msd tht 19641 Il day t 95 by d b tw
GRANTOR GRANTEE
BOBBY LEE BAKER
JR TERESA ANN BAKER
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a ce
Brbeu hp
Harnett C ty N th C 1 d m p rt 1 ly des b d f II w
BEGINNING at an iron pipe in the northwestern margin of State Road
No 1222 and rune thence North 28 degrees 20 10 West 180 45 feet
to an iron pipe thence South 61 degrees 39 50 West 193 12 feet
to an iron pipe thence South 28 degree 20 10 East 180 45 feet
to an iron pipe in the northwestern margin of State Road No 1222
said stake being located North 61 degrees 43 42 East 153 34 feet
from corner in the line of Lonnie Gales and rune thence with the
northwestern margin of State Road No 1222 North 61 degree 39
50 East 193 12 feet to the point and place of BEGINNING and
containing 0 BO acres more or leas according to an actual survey
by Randy Rambeau Registered Surveyor on February 28 1984 and
said plat appears of record in Plat Cabinet No 2 Slide 143
Barnett County Registry
Thi is a portion of the property conveyed to Nellie Roberts by
deed from Boyle Kelly and wife dated December 28 1982 and
recorded in Book 742 Page 302 Harnett County Registry and Book
338 Page 83 Lee County Registry
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