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ENVH REFUNDA 1 ;!ORTH CAROLN Account Number: Project Number: Vendor Name: Vendor Number: Remittance Address: Date 03 -04 -14 110 - 0000 - 345.18 -00 Marshall Johnson Construction, Inc 283 Banner Elk Road Benson, NC 275804 ❑X Mail to payee Check to be picked up by: (Requires approval of Finance Officer) Approved: Disapproved: Reason for check request: Duplicate payment. Soil evaluation previously applied for and paid under application #06 -5- 14090. Improvement permit is still valid. Expiration date extended 4 years from date issued based on House Bill # 683 which was passed 8 -2 -2010. This check request has been examined by me and is hereby approved for payment. Department Head or Authorize Designe 1 Graham H. Byrd, R.E.H.S. This inYtFdKentrhas been preaudited in the manner required by the Local Government Budget and Fiscal Control Act Harnett County Finance Director Date Description Amount ENVH Soil Evaluation Fee $ 750.00 Location: Carlie Hills Ph 3- Lot 44 Application # 14 -5 -32972 Total Amount Due $ 750.00 Reason for check request: Duplicate payment. Soil evaluation previously applied for and paid under application #06 -5- 14090. Improvement permit is still valid. Expiration date extended 4 years from date issued based on House Bill # 683 which was passed 8 -2 -2010. This check request has been examined by me and is hereby approved for payment. Department Head or Authorize Designe 1 Graham H. Byrd, R.E.H.S. This inYtFdKentrhas been preaudited in the manner required by the Local Government Budget and Fiscal Control Act Harnett County Finance Director Date r Initial Application Datet�,,,__ I r - / _.,_i. Central Permitting Application # 1 45n- .J 3z '� _I f COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION CU# 108 E, Front Street, LlNington, NC 27546 Phone: (910) 893 -7526 ext:2 Fax: (910) 893 -2793 www,hameft.org/permits -A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) & SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION - LANOOVMEWMarshall Johnson Construction, Inc. Mailing address.283 Banner Elk Rd. City; Benson State: NC Zip: Contact No: 919- 427 -7111 Email: milconstructln@msn.com APPLICANT'': Mailing Address: City: State: Zip Contact No: `Please fill out aNAlaent information If different than landowner Email: CONTACT NAME APPLYING IN OFFICE: Marshall Johnson Phone #919-427 -7111 PROPERTY LOCATION: Subdivision: Carne Hills Phase 3 Lot #:44 Lot Size:' 71 acres State Road # 1125 State Road Name: Lemuel Black Road Map Book & Page Parcel: 010525 009548 PIN: 0526 -30- 1727.000 Zoning-RA-20R Flood Zone: South River g. �_ Watershed: Deed Book & Page:_c��"r"t! _Power Company`: *New structures with Progress Energy as service provider need to supply premise number PROPOSED USE: from Progress Energy. 59 0!1 y+ rat F Monolithic if SFd: (Size x ) #Bedrooms: 3 _ # Baths: � ` �/ Basement(wlwo bath) Garage:_ Deck:____ Crawl Space: ✓ Slab:— Slab :___„ (Is the bonus room finished? (-!�) yes (_,) no wl a closet? () yes 0�) no (if yes add in with # bedrooms) 0 Mod: (Size x ) # Bedrooms_ # Baths Basement (wlwo bath)____ Garage:_ Site Built Deck:,_,_,_ On Frame____- Off Frame.,, (Is the second floor finished? (_,_,,,) yes (_,,,,,) no Any other site built additions? (-_j yes (_,_) no U Manufactured Home: „_­SW ,____DW ___ 7W (Siz(k x ) # Bedrooms: ,Y,,,.,,, Garage :_(slte bulk? ) Deck: (site built ?_) 0 Duplex: (Size x_- -„___) No. Buildings: No. Bedrooms Per Unit: U Home Occupation: # Rooms: Use: Hours of Operation: #Employees: O Addition/Accessory /Other, (Size _,_„X_,,,_) Use: Closets in addition? (,) yes (_) no Water Supply: ✓ County Existing Well New Well (# of dwellings using well ) *Must have operab{e water before final Sewage Supply: t✓ 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? yes (V ) no Does the property contain any easements whether underground or overhead („_,) yes (W) no Structures (existing or pose Single family dwellings: proposed Manufactured Homes: Other (specify): Required Residential Property I,ine Setbacks: Front Minimum 35 Actual 41.6 Rear 25 102.4 Closest Side 10 33.6 Sidestreet/comer lot 20 -- Nearest Building 10 on some lot APPLICATION CONTINUES ON BACK HARNETT COUNTY CP /ENVIRON HEALTHTRACKING SHEET ENVIRONMENTAL / HEALTH & SANITATION TRACKING SHEET APPLICATION APPLICANT NAME TYPE REC,EH FEES TRACK DATE REMARKS 14 -5 -32830 MARSHALL JOHNSON NEW 2/25/2014 $ 750.00 2/24/2014 2/25/2014 2/24/2014 2/25/2014 2/24/2014 2/25/2014 2/24/2014 2/25/2014 2/24/2014 2/25/2014 2/24/2014 2/25/2014 2/24/2014 2/25/2014 $ 2/24/2014 2/25/2014 $ - 2/24/2014 2/25/2014 $ - 2/24/2014 2/25/2014 $ - 2/24/2014 2/25/2014 $ - 2/24/2014 2/25/2014 $ - 2/24/2014 2/25/2014 $ - 2124/2014 TOTAL 750.00 2/28/2014 HARNETT COUNTY HEALTH DEPARTMENT HTE #0�6 -56014o9Cj Be it ordained by the Harnett County Board of Health as follows: Section III, Item B. "No person shall begin construction of any building at which a septic tank system is to be used for disposal of sewage without first obtaining a written permit from the Harnett County Health Department." Name: (owner) C,--,T. New Installation Septic Tank Repair ❑ Property Location: SR# ",- - muF.L.. 9C>LCIC.14. -Q�q Nitrification Line Expansion ❑ Subdivision C. p,o..L- A-- L� 5 Lot # Tax ID# Quadrant # Number of Bedrooms Proposed: �?�� �'� Lot Size: -1 1 gC,. Basement with Plumbing: ❑ Garage: Water Supply: ❑ Well Public ❑ Community Distance From Well: p eI ft. Following is the minimum specifications for sewage disposal system on above captioned property. Subject to final approval. Type of system: ❑ Conventional Other Vum �o Size of tank: Septic Tank: \©cn zc, gallons PumRTank: took gallons Subsurface No. of exact length width of depth of Drainage Field ditches 5 I. of each ditch 6 b ft. ditches 3 ft. ditches in. French Drain Required: Linear feet This permit is subject to revocation if site plans or intended use change. �1EMp,tictSA \N A�. -.�.. }�- •6Ac..YS Pump ' %'5ctiuo vayv�5 . a,I Pc�Es�d�E. liEP9 5 J-i 0 Pie or- 6 "(!K-- --0v16t- tv6�0`GO Sy55E.M Date: 3115 /b�, 5 YEARS FROM ABOVE DATE Signed i Specialist f0^n, i, 4.h 5'HAL11Yhl VNOVATlv6. aot' D X sop 0Q`VE 1' y E, HARNETT COUNTY DEPARTMENT OF PUBLIC HEALTH AUTHORIZATION TO CONSTRUCT Authorization is hereby given to construct a wastewater system to the specifications described by Harnett County Department of Public Health, Improvement Permit #a�j . This authorization shall be valid for a period not to exceed five (5) years from the date of issuance. This authorization will be invalid if ownership, site plans, or intended use change. Naine �} Telephone # Address \laS Property Location SR# Subdivision L Lot # # Road Name -1 Lot Size TYPE OF SYSTEM ] New Installation [) Repair �q Septic Tank X] Nitrification Lines [ ] Conventional '�(j Other Q u me -'Co `�5 °la 1..Epi. �aN'L 7s AE,Cn [ ] Basement [ ] With Plumbing [ ) Without Plumbing Water Supply: [ ] Well Public Water Supply Minimum Well Setback: t04 Ft. Septic Tank � b coo gal Pump Chamber ► bb p NITRIFICATION FIELD SPECIFICATIONS Number of fields E # of lines per field 5 Length of lines (,© Width of ditches 3 ft. Depth of ditches Y-.), inches French Drain: Linear feet required Depth of gravel gal Ft. No wastewater system shall be covered or placed into use by any person until an inspection by the Harnett County Health Department has determined that the system has been installed according to the conditions of the Improvement Permit and that a valid Operations Permit has been issued. Signature of Authorized Agent for (LS County I