DOCUMENTS \ \ \ I3 ) I / Application #
POHarnett
County Central Perm275468
PO Box 65 Lillington, NC
910-893-7525 Fax 910-893-2793
www.harnett.org/permits
Application for Existing Septic Tank in a Mobile Home Park
Applicant Name: Fre.ot Vti<„cdwwow- � Date: CII/ 3/17
Address: Si Artt r 1 c-•ws Ln el..t1tiv.' Lcn AIC" a254(c
Telephone: 9jo - 893 - 9a3/
Property Owner: / a-.,'. Srevv.`-� Phone: `i' -F59O 654Z_
Lot Address: #/C 55s rkh...&r LAA..c juts
Name of Park: Mg w.crs w\ - Lot Number: /a-
Parcel:
5Parcel: IS talo O t, 10-7 PIN: Dlcae - 2L0 - O14-3-7.O?5
SW _DW TW (Size /y x L d ) # Bedrooms Year /9 2 ?
Power Company: wKt- (For Progress Energy we need the premise number.)
Specific Directions to Job from Lillinaton:
Oie 4a \ L11\rL (
r3�^•'� I�r`j't�wv' �i..,..�iu.s 4 w•%I
<3�
+u-rv, r�q\..'� o..,� 4r t+-..‘v k"-LtLLs Lw
ca21,p r1h.�
There Is a $100.00 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
ininnffoormationn iss correct.
Signature of owner or authorized agent: h.c(21. +Glo',ondx
DO NOT SIGN BELOW- FOR OFFICE USE ONLY
Authorization of Existing System
Signature of Environmental Health Specialist Date
4/08
SEPTIC
Application#
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number: 910-893-7525 Fax 910-893-2793 www.harnett.org/permits
Application for Manufactured Home Set-Uo Permit
(Please fill out each part completely)
Part I-Owner Information:
Home Owner Information (To be completed by owner of the manufactured home)
Name: f2re.d Vkn c r. t,.ov\ • Address: .5 -&
Avu-r Lt..c l u,5 L
City: L t( t t r`5 1J+v- State: tJ C Zip: a`y 5`/"Daytime Phone: (94 g93-51-15
Landowner Information (To be completed by landowner, if different than above)
Name: AA v v-ySnraLz #rrV Address: (OS4.9- OID LIZ
City: ZC (1 kre'l ua State: IVl- Zip:L7c9A Daytime Phone: V/0) %9C-CSSti{ t
Part II-Contractor Information (To be completed by Contractors or Homeowner,if applicable.
Name,address, &phone must match information on license)
A. Set-Up Contractor Company Name:
Phone: Address:
City: State: Zip:
State Lic# C7--4 JA_l.l— Email:
B. Electrical Contractor Company Name:
Phone: Address:
City: State: Zip:
State Lic# C
C. Mechanical Contractor Company Name:
Phone: Address:
City: State: Zip:
State Lic# (mail:
D. Plumbing Contractor Company Name:
Phone: Address:
City: State: Zip:
State Lic# a"�-✓Y'� Email:
Pan III-Manufactured Home Information
eHAwp o✓
Model Year: r 9 F3 Size: /Y X 60 Complete& follow zoning criteria sheet
yv�
Park Name: r r Iaw)e.r5 M WP Lot Number: ff.
I hereby certify that I have the authority to apply for this permit, that the application is correct including the contractor
information and have obtained their permission to purchase these permits on their behalf, and that the construction or
installation will conform to the applicable manufactured home set-up requirements, and the Harnett County Zoning
Ordinance. I understand that if any item is incorrect or false information has been provided that this permit could be
revoke
�7G✓1LKl/ II JI3 )/ 77
Signature of Home Owner or Agent Date
*Effective July I,2004,a County Tax Department Movino Permit must be provided before a Set Up Permit will be issued. It is
purchased from the tax office of the county that the home is moved from. If the home is from a dealer, we need proof of year on the
Form 500 and if available,the serial number.
List of inspections and Egress requirements available upon request. Progress Energy customers must provide Premise Number.
SETUP 04111
g 4 e r 3 gp 0 D m 0 _ __.
m 3 m
Li
_ m ,S O. p l.0) rat,'-" a .
= ca Z s L '� p ,a164"
ru 04 '
ID) m _ m Z
i.
Xtri0 TA
il
D J' - O N 3 3 2 p ._.
O d N m O O td J Z
T o =l o a• 3 n D _ Cj D
• ' O 'm po n ° ` 3
E.
Eh 3 a. m m
t me 4F '^ - 3 _ O
0
K O , . S Q
3 Q� g m 3
OS H D , A__ O
p 3 d = �',: , C
Z m H
m B 0
3 St _ 3
N N N Z g Z
G •
C C
N —
ra r
L. Z cp {�� a
C v
S LI rn
o z
-v
bprn
O
c cow3 3
W n= S __ Z
p c
11
rn
101%k 1/411
S w MIMI
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50042744 Date 12/08/17
Property Address 36 ARTHUR LUCIUS LN
PARCEL NUMBER 13-0620- - -0107- - -
Application type description CP MOBILE HOME PARK
Subdivision Name JA BYRD EST
Property Zoning PENDING
Owner Contractor
STEWART WILLIAM C & LARRY J OWNER
520 OLD COATS ROAD
LILLINGTON NC 27546
Applicant
VUNCANNON FRED #15
58 ARTHUR LUCIUS LN
LILLINGTON NC 27546
(910) 890-0542
--- Structure Information 000 000 14X60 2BDR 2BA SWMH
Other struct info # BEDROOMS 2000000 . 00
MOBILE HOME YEAR 1993 . 00
PROPOSED USE SWMH
SEPTIC - EXISTING? EXT TANK
Permit MANFACTURED HOME PERMIT
Additional desc . J
Phone Access Code 1218940
Issue Date . . . 11/16/17 Valuation . . 0
Expiration Date . 11/16/18
Special Notes and Comments
T/S: 11/13/2017 01 : 38 PM JBROCK ----
MASERS MHP #15
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50042744 Date 12/08/17
Property Address 36 ARTHUR LUCIUS LN
PARCEL NUMBER . 13-0620- - -0107- - -
Application description . . CP MOBILE HOME PARK
Subdivision Name 7A BYRD EST
Property Zoning PENDING
Permit MANFACTURED HOME PERMIT
Additional desc . J
Phone Access Code 1218940
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10 501 T501 R*MOBILE HOME FOUND. / M. WALL TSG AP 11/30/17
10 814 A814 ADDRESS CONFIRMATION SB AP 12/08/17
20 818 Z818 PZ*ZONING INSPECTION AD AE 12/08/17
30 507 T507 R*MANUFACTURED HOME FINAL TI 0/00/00
999 H824 ENVIR. OPERATIONS PERMIT / /_
999 H828 ENVIRO. WELL PERMIT / /_
999 307 P307 R*PLUMB WATER CONNECTION / /
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50042744 Date 12/08/17
Property Address 36 ARTHUR LUCIUS LN
PARCEL NUMBER 13-0620- - -0107- - -
Application type description CP MOBILE HOME PARK
Subdivision Name JA BYRD EST
Property Zoning PENDING
Owner Contractor
STEWART WILLIAM C & LARRY J OWNER
520 OLD COATS ROAD
LILLINGTON NC 27546
Applicant
VUNCANNON FRED #15
58 ARTHUR LUCIUS LN
LILLINGTON NC 27546
(910) 890-0542
--- Structure Information 000 000 14X60 2BDR 2BA SWMH
Other struct info # BEDROOMS 2000000 . 00
MOBILE HOME YEAR 1993 . 00
PROPOSED USE SWMH
SEPTIC - EXISTING? EXT TANK
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1221183
Issue Date . . . 12/08/17 Valuation . . . . 0
Expiration Date . 12/08/18
Special Notes and Comments
T/S : 11/13/2017 01: 38 PM JBROCK ----
MASERS MHP #15
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50042744 Date 12/08/17
Property Address 36 ARTHUR LUCIUS LN
PARCEL NUMBER 13-0620- - -0107- - -
Application description . . CP MOBILE HOME PARK
Subdivision Name JA BYRD EST
Property Zoning PENDING
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1221183
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 131 R131 ONE TRADE FINAL / /_