SEPTIC
Application #
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number 910-893-4759
Application for Existing Septic System Inspection for a Mobile Home Park
Date: - -
Name: A7
Address: - i'li- Al If 0'
Telephone: 'I1q- 4-`z7 - 15--l 9' 1;OwF 919- 77% --V q;7-2- UIggR,K
a41f.-
Property Owner:
Property Address: Q _
Name of Park: _ Lot Number: y ( AA1fneV
State Road Number.
Specific Directions to Job from Lillington:
qO/ AZ To KbOxAles, -Tulli/ O AIE -/'f .30
6
C-
S'0 t E `T eAl ON/
There is a $25.00 charge for this service. This certification is subject to revocation if the
intended use of the septic system changes, or if false information is provided on this application.
You signature below certifies that all above information is correct.
Signature of owner or authorized agent:
DO NOT SIGN BELOW - FOR OFFICE USE ONLY
Authorization of Existing System
Signature of Environmental Health Specialist Date
08/04
U~J1~
~1~s`1-1qLw wo
Application Number:
Harnett County Planning Department
PO Box 6 546
910-893-7527
Environmental Health New Septic Systems Test
Environmental Health Code 800
• Place "property flags" in each corner of lot. All property lines must be clearly flagged.
• Place "house corner flags" at each corner of where the house/manufactured home will sit. Use additional flagging to
outline driveways, garages, decks, out buildings, swimming pools, etc.
• Place flags at locations as developed on site plan by Customer Service Technician and you.
• Place Environmental Health "orange" card in location that is easily viewed from road.
• No grading of property should be done. Undergrowth should be cleaned out to allow soil evaluation to be performed.
Inspectors should be able to walk freely.
• After preparing proposed site call the voice permitting system at 910-893-7527 and give code 800 for Environmental
Health confirmation. Please note confirmation number given at end of recording for proof of request.
• To hear results, call IVR in approx.?-10 working days. Once approved, proceed to Central Permitting for permits.
Environmental Health Existin T Lions
Environmental Health Code 800
• Place Environmental Health and in location that is easily viewed from road.
• Prepare for inspection by removing soil over door as diagram indicates. Loosen trap door cover. (Unless inspection is
for a septic tank in a mobile home park)
• After preparing trapdoor call the voice permitting system at 910-893-7527 and give code 800 for Environmental Health
confirmation. Please note confirmation number given at end of recording for proof of request.
• To hear results, call IVR in approx. 7-10 working days. Once approved, proceed to Central Permitting for permits.
Health and Sanitation Inspections
Health and Sanitation Plan Review 826
• After submitting plans for food and lodging, call the voice permitting system at 910-893-7527 and give code 826 for
Health and Sanitation confirmation. Please note confirmation number given at end of recording for proof of request.
• To hear results, call IVR in approx. 7-10 working days. Once approved, proceed to Central Permitting for permits.
Fire Marshal Inspections
Fire Marshall Plan Review Code 804
• Call the voice permitting system at 910-893-7527 and give code 804 for plan review. Please note confirmation number
given at end of recording for proof of request.
• To hear results, call IVR in approx 7-10 working days. Once approved, proceed to Central Permitting for permits.
• Pick up Fire Marshal's letter and place on job site until work is completed.
Public Utilities
• Place stake with "orange" tape/name thirty feet (30) from the center of the road at the location you wish to have water
tap installed.
Allow four to six weeks after application for water/sewer taps. Call Utilities at 893-7575 for technical assistance.
Building Inspections
• Call the voice permitting system at 910-893-7527 to schedule inspections. Please note confirmation number given at
end of recording for proof of request.
• For new housing/set up permits must meet E 911 / Addressing guidelines prior to calling for final inspection.
• To hear results of inspections, call IVR after scheduled inspection is done.
`rnE911 Addressinq
Addressing Confirmation Code 814
• Address numbers shall be mounted on the house, 3 inches high (5" for commercial).
• Numbers must be a contrasting color from house, must be clearly visible night and day at entrance of driveway if home
is 100 ft or more from road, or if mailbox is on opposite side of road.
• Once you purchase permits and footing inspection has been approved call the voice permitting system at 910-893-7527
and give code 814 for address confirmation. This must be called in even if you have contacted E911 for verbal
confirmation.
Customers can view all inspection results online at www.harnett.org.
Applicant Signature: / LL L Date: G`~`tr-,a D
03/05
9089
FILEDg3
Sa i Fn:c x'IBY. O~~
o, RvZi E5
6 NA ExciseTGx
t OCT 7 II 4g AP l81
ttr-rr 3 7 BAYLe` , ?PLVER
aB. loth
° REGTi' 9F DEc`DS
rf3 hARh;-I' :,:,u I9. NO
Ise T r~", Oo Recording Time, Hook and Page
Tax Lot No. ....................................Parcel Identifier No...............
Verified by County on the . day of iB
by _
Ott M after recording to .........&..STEPHENS, P.A.
...X.... .....2ZSZG......,................
Th{a (natrument wsa yrepsrad h J mss Bellow
Brief deacr{ptioa for the Index
NORTH CA ENERAL WARRANTY DEED
THIS DEED made this ,..28th... day o her.........,...........,, 19..52....., by and between
GRANTOR GRANTEE
MARY A.'PER&INS, SR. and wife, MARK A. PERKINS, SR.
KATHLEEN H. PERMS • 2, Box 200-1
F vaY-Varina, NC 27526
8709D8~WII~~WIW~
e7oe9
Enter In appropriate block for each party: name, addrese. and, if app W. ter f eauty, e.0. corporation or putvenhip.
The designation. Grantor and Grantee as used herein sball ins de said their heir, successors, and assigns, and
shall include singular, ylural, masculine, feminine or neuter as u{ cant
WITNESSETH, that the Grantor, for a valuable consideration paid y ran as, the receipt of which is hereby
acknowledged, has had by these presents does grant, bargain, sell an vey n the Grantee in fee simple, all that
certain lot or parcel of land situated in the City of .ctor......s...... Creak Township,
County, North Carolina and more particularl i as Iowa:
BEING all of, Lot 4 of the division of Fred P. Sea er c pri g 8,728 -
- acres, according to pipt of sardey by g'homas Lest r c L.S.,
_ dated November 12, 19$4,-and recorded in Plat Cabi -AI de 281, .
reference-to whiclr is mads'for greater certainty of c ptio - -
• THIS DEED IS EXECUTED IN ACCORDANCE WITH T.I.C. GENERAL ST 2- ET SEQ.
Wife, Kathleen Perkins, intends to convey any and all right sh or y
have acquired in this property, by reason of the marriage. O .
N. C. far Amc. Fenn No.3 O I976, ar W,d m 19r1-+,erenuwao.,w. eo.,n, w...~, ac v.
n e...•.~,.~....a a r. - w,