DOCUMENTS Initial Application Date: LA I II( I ) Application it 1 d SCT 4.3 1-7
COUNTY OF HARNETT DEMOLITION APPLICATION
108 E. Front Street, Lillington, NC 27546 Phone: (910)893-7525 Fax:(910)893-2793 www.harnett.org/permits
Land Owner: AI ok- n W(74. . stn Li Mailing Address: a 10 S S . C)-,n+o✓1 A-V.e
City: ,,..in v, State:AJCZip: 27(33111-tome#: 9to-$' a-S 78i Contact#:
APPLICANT': -1-4C "-- iSo..Cte{ Recouec.i Mailing Address: 13t\ T v -ic�vn.e` .4.sQ.
City: S( . C(o•••), - Statef L Zip: '34"1-1101 Home#:M07- 4I`'I-Fcr$ Contact#: 0-10-)-4Z/'2-s'7Na
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: -2.30 a t-..S. 141 1 Phone#:
PROPERTY LOCATION: Subdivision: Lot Acreage:f• S Ca
State Road#: \ State Road Name: I_.x 'at) 1
Parcel{/' ISIS 5.A-SO PIN: 1Sj S- CCl-o - Z s'4•OO'• Zoning• Flood Zone: )`-
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
FAD . L.xc) W•J *-Ta- c \ OLS- tApc n ..vtl--1 Lo r.dis, A.
Sc.-�.t Un -k v v \cam ,4-/1,4) 115g 0.--1 T Sloia of ,co.
Structure(s)to be demolished &removed: Single family dwelling Manufactured Home Other(specify) 1.7-------
Structures
Structures(existing and/or proposed):Single family dwellings Manufactured Homes Other(specify)_
Water Supply: ( itounty (__) Existing Well
Sewage Supply: (-_) Existing Septic Tank County Sewer
' If a new structure is to be replaced on this lot, please ensure that existing septic system is not damaged.
'If an existing well is on site and is to be discontinued, please contact Harnett County Environmental Health for assistance.
'Upon the issuance of the Certificate of Compliance,the Harnett County Tax Department shall be notified of the removal to
ensure proper listing.
'The demolition contractor is responsible for submitting verification of proper disposal prior to the Final inspection.
"PLEASE NOTE**Failure to completely demolish, remove,and clear the premises will result in the withholding of the Certificate
tf Compliance. Thus,future permits for the property will be denied, and fines may be imposed for failure to complete demolition/
emoval.
permits are granted I agree to conform to all ordinances and laws of be State of North Carolina regulating such work and the specifications of plans submitted.
hereby state that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation iffalse information is provided.
ign .tsDome• -• s Agent Date
'Tt ifapplleation expires 6 months from the initial date If no permits have been Issuer
S:1Plannirg and Inspections FtiestFORMSICP Forms
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Asbestos requirements are applicable if the occupancy use is or changes to Commercial (not residential),
or if multiple structures are being demolished Si removed at one time.
An Asbestos Inspection Report prepared by an N.C. Accredited Asbestos Inspector must be provided with application to
demolish any building including residences demolished for commercial or industrial expansion or structures. It is the contractors
responsibility to properly notify the Department of Health and Human Services Division of Public Health - Health Hazards
Control Unit at least ten (10) working days before the demolition is to begin whether or not the building is known to contain
asbestos.
I hereby certify that the information on this application is correct and that all work in connection with the above
referenced job will be performed under my supervision and that such work complies with the requirements of the NC
State Building Codes and applicable Harnett County Ordinances,Call for at proper stage of work
CONTRACTOR/APPLICANT DATE LICENSE NO. (If applicable)
Please contact the Department of Health and Human Services for their requirements and permit information.
http:llwww.epi.state.nc.uslepilasbestoslahmp.html
S1Planning and Inspections Files\FORMS\CP Forms
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North Carolina Department of Health and Human Services
Division of Public Health
Roy Cooper Mandy Cohen,MD,MPH
Governor Secretary
Daniel Stanley
Director
April 10, 2018
Henry Elmore
Managing Member
TSI Disaster Recovery, LLC
1311 Indiana Avenue
Saint Cloud FL 34769-
SUBJECT: Demolition Notification
NESHAP No. 55333
Alphin Brothers
2302 US-301
Dear Henry Elmore:
The above-referenced Demolition Notification was received and accepted by the Health Hazards Control
Unit(HHCU) on April 09, 2018. The Notification indicates the demolition, by TSI Disaster Recovery, LLC, will
begin on April 17, 2018, and end on December 31, 2018.
Any revisions to the above Notification shall be submitted, in writing, to the HHCU within the time limits
prescribed by the rules governing the HHCU program. Failure to submit timely revisions may result in the initiation
of an enforcement action.
If you have any questions, please do not hesitate to call our office at(919) 707-5955.
Sincerely,
lel �•--..,.----o-'—
Ed Norman
Program Manager
Health Hazards Control Unit
Attachment
cc: Permit File
Location:5505 Six Forks Road,Raleigh,NC 276091 Mailing Address;1912 Mail Service Center,Raleigh,NC 27699-1912
919-707-5950 T1919470-4308 Is
An Equal Opportmity l AIRrmalire Action Employer
A
North Carolina
n• Department of Health and Human Services
• l
Division of Public Health
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Health Hazards Control Unit
Demolition Notification
Permit#: N/A Facility: Alphin Brothers
Location:
NESHAP#: 55333 Contact: Jesse Clifton Alphin,Jr County: Harnett
Address: 2302 US-301 Dunn,NC 28334-
Date
-�
Issued: 04-10-2018 Size: 80,000 sf Of of Floors: 2 Age: 35
Removal Start: Demolition Start: 04-17-2018 Days: M TU W THF SA
End: End: 12-31-2018 Hours: 7:00 AM-6:00 PM
Owner: Removal Contractor: Demolition Contractor:
Alphin Brothers,Inc TSI Disaster Recovery,LLC
201 West Broad Street 1311 Indiana Avenue
Dunn,NC 28334 Saint Cloud, FL 34769
Contact: Jesse Clifton Alphin,Jr Contact: Contact: Marc Junker
Phone: (910)892-1301 Phone: Phone: (704)921-2446
Operator: Contact: Phone:
Transporter: Transporter: Landfill:
•
Contact: Contact: Contact:
Phone: Phone: Phone:
Inspector: Supervising Air Monitor: Designer:
DENISE A POPEO-#12048
Samples Collected
Work Practices: Bulldozer/Loader
RACM:
Signatory: Henry Elmore
TSI Disaster Recovery,LLC 1311 Indiana Avenue Saint Cloud,FL 34769-
�.� NZ -2
Any revisions to this Permit/Notification must be submited to the Health Hazards Control
Unit(HHCU). Waste Shipment Records(W SR)shall also be submitted to the HHCU. Ed Norman
These forms must be submitted,in writing,on a form provided or approved by the HHCU Program Manager,HHCU
within the time limits prescribed by the rules governing the HHCU Program. Failure to NCDHHS-Division of Public Health
submit these forms may result in the initiation of enforcement actions. 1912 Mail Service Center Raleigh,NC 27699-1912
Phone: (919)707-5950 Fax:(919)8704808
REMOVAL PERMITS MUST BE POSTED FOR THE DURATION OF THE PROJECT
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043837 Date 4/18/18
Property Address 2302 US 301 S
PARCEL NUMBER . 02-1515- - -0250- - -
Tenant nbr, name EXPIR ED - NEW APP MADE
Application type description CP DEMOLITION COMMERCIAL
Subdivision Name
Property Zoning INDUSTRIAL DISTRICT
Owner Contractor
ALPHIN BROS INC OWNER
2302 US 301 SOUTH
DUNN NC 28334
Applicant
TSI DISASTER RECOVERY
1311 CANOE CREEK RD
(407) 891-8005
--- Structure Information 000 000 DEMO COMMERCIAL BUILDING
Other struct info PROPOSED USE DEMO
Permit COMMERCIAL DEMOLITION PERMIT
Additional desc .
Phone Access Code 1239136
Issue Date . 4/18/18 Valuation . . . . 0
Expiration Date . 4/18/19
Special Notes and Comments
T/S : 04/19/2016 03 : 59 PM LBENNETT --
FOLLOW US HWY 301 OUT OF DUNN HEADED
SOUTH TO PLANT ON RIGHT SIDE OF RD
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 893-2793
Page 2
Application Number 18-50043837 Date 4/18/18
Property Address 2302 US 301 S
PARCEL NUMBER . 02-1515- - -0250- - -
Tenant nbr, name EXPIR ED - NEW APP MADE
Application description . . CP DEMOLITION COMMERCIAL
Subdivision Name
Property Zoning INDUSTRIAL DISTRICT
Permit COMMERCIAL DEMOLITION PERMIT
Additional desc .
Phone Access Code 1239136
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 179 C179 C*BLDG FINAL
999 131 R131 ONE TRADE FINAL
999 133 R133 ONE TRADE FINAL > 2500
999 820 Z820 PZ*ZONING/FINAL INSPECTION / /
HARNETT COUNTY CASH RECEIPTS
mam CUSTOMER RECEIPT **w
Oper: JBROCK Type: CP Drawer: 1
Date: 4/18/18 52 Receipt no: 327581
Year Number Amount
2818 58043837
2302 US 301 S
DUNN, NC 28334
81 BP - PERMIT FEES
475.00
DEMO PERMIT
RAYMOND JUNKER
Tender detail f75.88
CP CREDIT CARD 475.08
total tendered 475.08
Total payment
trans date: 4,10/18 Time: 14:18:01
Rx THANK YOU FOR YOUR PAYMENT as