MACON
COUNTY
PLANNING,
PERMITTING &
DEVELOPMENT
l'',
7, ‘
1834
Lakeside
Dr.,
Franklin,
NC
28734
iPhone: (
828)
349-
2073•(
828)
3492072,
Fax: (
828)
524-
2653
g.
RV
APPLICATION
z...
r.,
Y.,;
t-
INFORMATION
IS
REQUIRED
BEFORE
A
PERMIT
CAN
BE
ISSUED
IF
YOU
AREAPPLYING
FORA
PARK
MODEL
AND
THESIZE
IS
GREATER
THAN
400
SQUARE
FEET-
PLEASE
FILL
OUT
A
MOBILE
HOME
APPLICATION**
Parcel #:
Township:
Owners
Name:
Phone:
Owners
Address:
Directions
to
Job
Site
including
gate
code
if
applicable:
Deck
Size:
Estimates
Cost
of
Construction:$
Are you
replacing
an
Existing
Structure:
Power
Company
that
Supplies
or
will
Supply
your
Power:
CONTRACTORS:
Electrical:
License #:
Phone #:
Cell #:
Email:
Mechanical:
License#:
Phone #:
Cell #:
Email:
Plumber:
License#:
Phone #:
Cell #:
Email:
Building:
License#:
Phone# :
Email #:
SEPTIC/
SEWER &
WATER
SYSTEM
MUST
BE
INSTALLED
AND
FINALIZED
BEFORE
ISSUANCE
OF
FINAL
POWER. *****
What
Name
is
the
Septic
Permit
in?
Well?
IF
PERMIT
IS
GRANTED,
I
AGREE
TO
COMFORM
TO
THE
NORTH
CAROLINA
STATE
BUILDING
CODE
AND
TO
ALL
COUNTY
ORDINANCES
AND
THE LAWS
OF
THE
STATE
OF
NORTH
CAROLINA
REGULATING
SUCH
WORK
Signature
of
Applicant:
Date:
OFFICE
USE
ONLY
FEES: RV
MECHANICAL
WATERSHED
LAND
DISTURBANCE
FLOODPLAIN
TOTAL
Effective
4/
23/
22018
replaces
all
previous
applications
PERMIT #
AFFIDAVIT
OF
WORKER'
S
COMPENSTATION
COVERAGE
N.
C.
G.
S
87-
14
The
undersigned
applicant
being
the
Contractor
Owner
Officer/
Agent
of
the
Contractor
Do
hereby
aver
under
penalties
of
perjury
that
the
person(
s),
firm(
s)
or
corporation(
s)
performing
the
work
set
forth
in
the
permit:
has/
have
three (
3)
or
more
employees
and
have
obtained
Worker'
s
compensation
insurance
to
cover
them,
has/
have
one
or
more
subcontractor(
s)
and
have
obtained
Worker'
s
compensation
insurance
to
cover
them,
has/
have
one
or
moresubcontractor(
s)
who
has/
have
their
Own
policy
of
worker'
s
compensation
covering them,
has/
have
not
more
than
two (
2)
employees
and
no
Subcontractors,
While
working
on
the
project
for
which
this
permit
is
sought.
It
is
understoodthat
the
Inspection Department
issuing
the
permit
may
require
certificates
of
coverage
of
Worker'
s
Compensation
insurance
prior
to
issuance
of
the
permit
at
any
time
during
the
permitted
work
from
any
person,
firm
or
corporation
carrying
out
the
work.
Company
Name:
Signed:
Print:
Title:
Date:
Q__
Er:*
MACON
COUNTY
LAND
DISTURBANCE
PERMIT
APPLICATION
MUST
BE
FILLED
OUT
COMPLETELY)
APPLICANT
OWNER
OF
SUBJECT
PROPERTY***
Name:
Phone:
Address:
CONTRACTOR /
EARTH
MOVER***
Name:
Phone:
Address:
Estimated
Cost
of
Grading:
N.
C.
Licensing #:
PERSON
FINANCIALLY
RESPONSIBLE (
If
Different
from
Owner)***
Name:
Phone:
Address:
LOCATION
Macon
County
Land
Records
Township
City
Limits
of
Franklin.
Yes /
No
Property
Identification #
Parcel
Number)
Directions
to
Property:
PROJECT
Description
of
project:
Size
of
Land
Disturbance
Sq.
Ft.
or
Acres
43,
560
sq.
ft. =
1
Acre)
Are
you
applying
for
a
building
permit
as
well?
Yes /
No
If
yes,
square
footage
of
structure:
Will
the
land
disturbance
involve
a
slope
of
greater
than
1:
1 (
45°)?
Yes /
No (
If
yes,
plans
are
required)
Do
you
have
water
on
your
Property?
No /
Yes
Spring
Lake
Branch
Pond
Stream
If
you
have
a
stream,
is
it
a
N.
C.
Trout
Stream?
Yes /
No (
Requires
25
foot
buffer
zone)
Will
the
property
require
a
stream
crossing?
Yes /
No (
Requires
permit
from
Department
of
Water
Quality)
Mandatory
Measures *
Groundcover:
Revegetate
within
21
calendar
days
upon
completing
any
phase
of
grading
Silt
Fences (
Steel
Posts
6'
O.
C.
trenched
8"
Deep)
or
Berms
and
Diversions
Mudmat/
gravel
construction
access (
3"
Stone:
50'
long
and
10'
W)
Cut
slopes
1.
5 :
1
Fill
slopes
2 :
1
Road
Grade
Standards
16 % -
Pavement
10% -
Gravel
6% -
grass
The
undersigned hereby
attests
that
the
information
given
above
is
true
and
correct.
The applicant
is
aware
of
the
stated
requirements
and
responsibilities
for
land
disturbance
in
Macon County.
The
applicant
understands the
principles
of
erosion
control
and
understands
that
the
North
Carolina
Sediment
Law
of
1973
applies
to
each
project
regardless
of
size.
The
applicant
acknowledges
that
county
staff
can
and
will
conduct periodic
inspections
of
this
project
to
ensure
compliance.
Any
non-
compliance
with
the
provisions
of
this
ordinance
may
result
in
civil
penalties.
The
signature
below
signifies
full
responsibility
for
all
land disturbance activities
on
subject
site.
Signature
of
Financial
Responsible
Party/
Owner:
Date:
AFFIDAVIT
OF
ON-
SITE
WASTEWATER
EXISTING
SYSTEM
PURSUANT
TO
NCGS §
160D-
1110 (
h)(
1)
This form
is
only
required
with
a
permit
application
if
the
permit
applicant
is
applying
for
exemption
as
allowed
by
NCGS§
160D-
1110(
hxl)]
STATE
OF
NORTH
CAROLINA
COUNTY
OF
MACON
DEPARTMENT
OF
PLANNING,
PERMITTING,
AND
DEVELOPMENT
Address
and
Parcel
Identification
of
Real
Property
Where
Building
is
to
be
Constructed
or
Altered:
I,
owner
of
the
property,
do
hereby, under
penalties
of
perjury,
affirm
that
the proposed
building
construction
will
meet
local
and
State
on-
site
wastewater
system setback
requirements
pursuant
to
NCGS §
130A-
335.
Additionally,
the
proposed
construction
shall
not
increase
the
daily
design
flow
or
wastewater
strength
of
the
existing
system
and
thereby
absolves
the
State,
Inspection
Department,
and
Local
Health
Department
of
any
responsibility
or
liability
regarding
the
existing
wastewater
system.
The
property owner
may,
at
his
or
her
discretion,
consult
with
an
authorized
on-
site
wastewater evaluator
certified
by
the
North
Carolina On-
Site
Wastewater
Contractors
and
Inspectors
Certification
Board
or
an
inspector,
as
defined
in
N.
C.
G.
S. §
90A-
71(
5),
to locate
the
on-
site
wastewater
existing
system and
verify
setbacks
requirements
prior
to
executingthis
affidavit.
Signature
of
Affiant
Date
Sworn
to(
or
affirmed)
and
Subscribed
before
me
this
the
day
of
20
Signature
of
Notary Public
Printed
Name
of
Notary
Public
My
Commission
Expires:
Notary
Stamp
or
Seal)
Attention* * *
AS
OF
FEBRUARY
1 ,
2003
A
SITE
PLAN
WILL
HE
REQLIKED
TO
OBTAI\
A
PIi;
KVIIT
FOR
NEW
CO\
STRUCTIO\
I\
CLUDI\
G
VIOBILF,
HOMES
MODULAR
HOMES.
YOUR
SEPTIC
DRAWING
IS
NOT
ACCEPTABLE
AS
A
SITE
PLAN.
Your
site
plan
mustshow
lot
lines,
elevation
above
sea
level ,
all
streams
or
bodies
of
water
location
of
existing
and /
or
proposed
structures,
driveways,
wells
and
septic .
iA*,,,
its.:
4
c,
Pldo
Kr
21
CpUv
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MACON
COUNTY
CODE
ENFORCEMENT
1834
LAKESIDEDRIVE
FRANKLIN
NC,
28734
INSPECTION
REQUESTS
FOR
ANY
PERMIT
ISSUED
AFTER
MAY
1ST
2005
MUST
BE
MADE
BY
THE
PERSON
OR
COMPANY
DOING
THE
WORK
THIS
INCLUDES
ROUGH-
IN
AND
FINAL
INSPECTION
REQUESTS
For
example:
Building
Contractor
requests
footing
inspection,
Electrical
Contractor
requests
temp.
pole inspection,
Plumbing
Contractor
requests
pre-
slab
inspection,
etc.
NO
EXCEPTIONS
414ift
Opy`•
C
NTY-
MACON
COUNTY
CODE
ENFORCEMENT
1834
LAKESIDEDRIVE
FRANKLIN
NC,
28734
PLEASE
NOTE
As
of
May
1,
2005,
Macon County
Code
Enforcement
cannot
issue
any
permit
without
the
following
documents
being
on
file
in
our
office
or
included
with
the
application
packet:
1.
Current Copy
of
Certificate
of
Workers
Compensation
coverage
if
NC
law
requires
such
coverage.
2.
Current
copy
of
your
subcontractor'
s
Certificate
of
Workers
Compensation
coverage
if
they
are
providing
their
own
insurance.
This
coverage
must
be
keptin
place
until
the
project
is
completed
or
your
permit
will
be
revoked.
You
or
your
insurance
company
must
notify
this
department
of
any
changes
to
your
policy.
There
will
not
be
any
exceptions
made.
We
are
sorry
for
any
inconvenience this
may
cause
but
it
is
required
by
NCGS.
MACON COUNTY, NORTH CAROLINA
ADDRESS REQUEST FORM
MACON COUNTY 9-1-1 OFFICE
Phone: (828) 349-2547
/ Brandon Crone
Email: bcrone@maconnc.org
Mail: 104 East Main St.
Franklin, NC 28734 Date of Application: _________________
The following information is required in order to assign you a permanent house number and road name. This
address is necessary for Macon County to provide you, the homeowner, with adequate emergency service when
a 9-1-1 call is made. Your address will be assigned as soon as possible after your request is made. (The
driveway must be cut in on the property before the address can be generated). This form must be filled out if
you are building a new home or placing a mobile home on your property. Leave this form at the Building Permit
office. The assigned address must be posted on your home or at your driveway before a Certificate of Occupancy
can be issued.
Homeowners Name: _____________________________ Telephone: ______________________
Contractor’s Name: _____________________________ Telephone: _______________________
Road Name: ___________________________________ PIN #___________________________
Parcel Identification Number
Building Permit # ______________________________ Lot # if applicable:________________
Directions to building site: _________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Name of nearest neighbor: _________________________________________________________
Description of new home: (example: 2-story gray house) ________________________________
Attach a
drawing of the proposed location of the structure and driveway. You can create this drawing on the Macon County Parcel
Viewer. Go to the following link: gis.maconnc.org/Maps/default.htm. . Read the disclaimer box, and click “Accept”. On the upper right side
of the map, select the “Photography” button. On the left side of the screen, you should see “Search”. You can search your property by
Parcel ID or Owner Name. Once you have put your information into the appropriate field, select “Search” button. If you used the “Parcel
ID” search feature, it should auto-populate your property onto the map. If you used the “Owner Name” search feature and own multiple
parcels of property, you may have to select/confirm your name as it is listed for the parcel of land you are searching for. Once the property
you are searching for is correctly displayed on the screen, it should be highlighted. You can now click and drag the map to move around, or
use your mouse scroll to zoom in and out. On the top-right of the screen, you will see a pencil button in the toolbar. Select this pencil to
“draw” on the map. Once selected, you will see a new tool box opened on the left side of your screen. You can select “Line” or “Poly” to
draw the area where your structure will sit on the property. It is suggested to use a contrasting color for your line or polygon so that is
shows up best on the map. You do this by clicking on the “Color” or “Fill Color” selector on the left side of the screen once you select
“Line” or “Poly”. Once you have created a depiction of where your structure will go, make a drawing to depict where your driveway will
be. You need to show where it will turn from the main road or street that your driveway comes off of. This step is imperative to getting the
most accurate 911 Address. Once you are done sketching your structure site, and driveway location, select the “Printer” button on the top-
right of the screen, beside the “Eraser” Icon. Select “Export Map” from the print popup. Once this downloads, you can print it as normal
and include it with your Permitting Packet, or save it as a PDF and email it in with your packet.
This completed form along with the site plan are required for us to assign an address to your property.
If this home is not to be your permanent full-time residence, please list an out of town mailing
address and telephone number where you can be reached.
Mailing Address: ___________________________________ Telephone: ___________________
___________________________________
(FOR OFFICE USE ONLY) NEW HOME ADDRESS: ________________________________
