ENVH PARTIAL REFUNDHarnett
COUNTY
NORTH CAROLINA
COUNTY OF HARNETT
CHECK REQUEST FORM
Account Number:
110-0000-345.18-00
Project Number:
Vendor Name:
James P. Moore
Vendor Number:
HTE # 16-5-37872 R
Remittance Address:
461 Cedar Rock Trail
Date 02-08-16
Fuquay Varina,NC 27526
❑X Mail to payee
F1 Check to be picked up by:
(Requires approval of Finance Officer)
Approved: Disapproved:
Reason for check request: $750.00 fee paid for a soil evaluation with property having an an existing tank on
the property but wanting to add a bedroom. Revision made to show completion of
second floor addine an offfice not a bedroom. No site visit made. 9100.00 remainder
This check request has been examined by me and is hereby approved for payment.
Department Head orikuthorized Designee / Date
Graham H. Byrd, R.E.H.S '7
instrument has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director
Description
Amount
Partial Soil Evaluation Fee
$ 650.00
HTE # 16-5-37872 R
Location: Cedar Rock Trail Lt 9 - Cokesbury Rd.
Total Amount Due
I
I $ 650.00
Reason for check request: $750.00 fee paid for a soil evaluation with property having an an existing tank on
the property but wanting to add a bedroom. Revision made to show completion of
second floor addine an offfice not a bedroom. No site visit made. 9100.00 remainder
This check request has been examined by me and is hereby approved for payment.
Department Head orikuthorized Designee / Date
Graham H. Byrd, R.E.H.S '7
instrument has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director
(/n r r �/ -, n
Initial Application Date: Application p I4- - �l.�J �j �-] 1) (2,,
r A'g'I(00COUNTY CU#
Central Permitting 108 E. From Simi, Lill nglon, C 27545 RESIDENTIALHRNETT Pho e: (910) 93. 525 ext:2 Fax' (0910) 893-2793 www.hamek.org/pernift
"A RECORDED SURVEY MAP, RECORVEED DEED (OR OFFER TO PURCHASE) 8 SITE PUN ARE REQUIRED WHEN SUSINYTING A LAND USE APPLICATION"
LANDOWNER: J U M r°S P 7` 00 r i Malting Address: `(6 ( C4. r R of K 1 r n'
City: L 4 Vcr,nq State: LC ZI 0$Z5 P Eme9: ) v.1 r`+Op r�2 Yp hqk
$ � D: Comad No: J ,c"r erOo r I
APPLICANT': Je. M �S P. ^00 r C Mailing Address: 46 I i pore. f R OC 1k 1 rA '
1
City: _Fac ccY 1�ef rn State: rUL Zip: 'z Tf4 Contact No: J,^,�ore Email: ViMnpOrB 2 V4 rl W.ro ps
'Please 611 o applicant IMormaOon Ir dHlereM Nan lerdwrwr
CONTACT NAME APPLYING IN OFFICE: J ``r l� �/I oo r it Phone 9 5 10 — Ci L Z - 7010
�f
PROPERTY LOCATION: Subdivision: 1 .l l/,Unrl P A .Lf , k./C 4i.i Lot #: ` (/' L//olt1 MSSbe 11. 5 `l ar r e
Slate Road # State Read Name. Map Book 8 Page: eS 74
Parcel: �MM—I Z- I I PIN: W
EFlood
Zone: Watershed: JOL Deed Book & Pa9eL_;1_`�"� r Company':
'New structures with Progress Energy as service provider need to supply premise number
from Progress Energy.
PROPOSED USE:
❑ SFD: Size _x all
( ) #Bedrooms:_ # Baths— Bsssment(wMv bath):_ Garage:_Deckk:= CCra ab:_
(Is the bonus room finished? (_) yes (_) no 111 coast? (_) yes L) no if yes add;with
❑ Mod: (Size _x_) At Bedrooms_ # Baths_ Basement (w/wo bath)_ Garage:_ Site Built Deck:_ On Frame_ O# Frame_
(Is the second floor finished? (_) yes I_) no Any other site bulk additions? (_) yes (_) no
O Manufactured Home: _SW _DW _TW (Size_x_) # Bedrooms: _ Gare9e:_(sile Duik? )Dad: rjJ d'e`but ?)�UX V
O Duplex: (Size _x_) No. Buildings: No. Bedrooms Per Unit:`'
O Home Occupation: is Rooms: Use:/H1�ou�n eof Operation: #Employe s:_
Addition/Accessory/Other (Size _x_) Use: I �l : I.1R l �� Closets in addition? (�j yes L ) no
rrr �a r r r �,� ,1 „� o
Water Supply.County _Existing Well o/ r sing )'Nose Tievd opi{iabbtar Before float'
Sewage Supply New Sepfic Tank (Complete Checklist) f, xisting Septic Tank (Complete Chedkst) _ Counly Saver
Does owner of this bad of land, own land that contains a manufactured home within five hundred feat (SOV) o1 tract listed above?(_) yes (—)m
Does the property contain any easements whether underground or overhead L) yes L_) no �
Structures (existing or proposed): Single family dwellings:_Manufacture Homes: SCYA- `. �„-)
Relluiri d Residential Propern. Line Se/�tbacks: Co' J a - (�' {V �Z „J
Front Minimum Actual
Rear r _,
Closest Side
SidestreeVcorner lot
Nearest Building
on same lot
Residential and Use Application Page 1 012
APPLICATION CONTINUES ON BACK h
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BP821U01 Harnett County 2/08/16
Application Fees Maintenance 08:54:21
Application number .
Address . . . . . .
Position to . . . .
16 50037872
461 CEDAR ROCK TRL
Type options, press Enter.
1=Select
Amount
Opt To Apply
100.00
_ 40.00
25.00
.00
.00
Description
PZ FLOOD PERMIT
PZ* SITE PLAN REVISION
REVIEW RESIDENTIAL PLANS
SOIL EVAL/NEW SEPTIC TANK,
911 REFLECTIVE SIGNS
F3=Exit F9=Display all F12=Cancel
05
Starting characters
Previously
Applied Paid Inactive
.00 .00
.00 .00
.00 .00
750.00 750.00
.00 .00
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