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HomeMy WebLinkAboutENVH ET REFUNDHarnett COUNTY NORTH CAROLINA Account Number: Project Number: Vendor Name: Vendor Number: Remittance Address: Date: 11-27-17 COUNTY OF HARNETT CHECK REQUEST FORM 110-0000-345.18-00 EH Robert M. Yost 1434 Atkins Road Fuquay Varina, NC 27526 ❑X Mail to payee El Check to be picked up by: (Requires approval of Finance Officer) Approved: Disapproved: Reason for check request: Mr. Yost does not want to continue construction with deck addition, and requested a refund. No ENV" site inspection was conducted. This check request has been examined by me and is hereby approved for payment. Department Head or uthonzed Designee Date Graham H. Byrd, R.E.H.S.�r---� 15 U v T 's' trumenthasbeen preaudited in the manner required by the Local Government Budget and Fiscal Control Act Harnett County Finance Director Description Amount ENVH Existing Tank Fee $ 100.00 (For an 8 x 12 addition to an exisiting deck) HTE Application # 17-5-42654R SR# 1448 - Atkins Road - Lot 4 Total Amount Due $ 100.00 Reason for check request: Mr. Yost does not want to continue construction with deck addition, and requested a refund. No ENV" site inspection was conducted. This check request has been examined by me and is hereby approved for payment. Department Head or uthonzed Designee Date Graham H. Byrd, R.E.H.S.�r---� 15 U v T 's' trumenthasbeen preaudited in the manner required by the Local Government Budget and Fiscal Control Act Harnett County Finance Director 2 /IC ■ . w LU co UJ ��emRR w 0 U) �UJ2«ee � U. , z caI\\:2 =as§§ / w,� W ,e . \/cw \ k ( w ■ )Lu§r>[ > z r-4 Z 3z®§©( ! )(<\_ a.0 0 � )E%@The § 0. ` » BP821U01 Harnett County 11/20/17 Application Fees Maintenance 11:39:56 Application number Address Position to . . . Type options, 1=Select Amount Opt To Apply 17 50042654/ 1434 ATKINS RD press Enter. Description CP* MISCELLANEOUS CREDIT/DEBIT PROC. FEE ENVIRON HLTH REVISION FEE EV* WELL FEE EV*RETURN TRIP FOR SEPTIC EXIST. TANK TEST/INSP. HOMEOWNER RECOVERY FUND LAND USE RENEWAL MAIL -IN PROCESSING FEE F3=Exit F9=Display all F12=Cancel 04 Starting characters Previously Applied Paid Inactive .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 0100.00 100.00 .00 .00 .00 .00 .00 .00 More... f F 6 mmmm f7 h m� MMw y M�II m�u c x T�yyY,,II I -S Iii W � Y OUB Il I�C�11 2 I ti 4! Y 6 pi C9 T M1 \ rfM FI�.I�.IQ Y2 x q. -I N�y.7 dmF• I F•Y OYdN U d A C H �VI00 O C Is �Y - ti i Initial Application Date:1 v� Application # t--] ClJ# I I � COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E. Front Street, Lillinglon, NC 27546 Phone: (910) 893-7525 ext:2 Fax: (9 111) 893-2793 wwvr.harneti.org/permhs "A RECORDEDSURVEYMAP, RECORDED DEED (OR OFFER TO PURCHASE) b SITE PIAN ARE REWIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDO�WN•ER: // ie -4 /V1 05-1- Mailing Address: � �'3 �/1 ` /"/tis n Ad" City: I' 4u9 r/IlAr Ir14 State:_XjCZip175�6 Co ntaU No:�I()'��' I Faiail: C1 i' is/ rein 4V f APPLICANT': Mailing City: State:_ Zip: Contact No: 'Please fill out applicant infonrnaaon a dlRerent than landowner CONTACT NAME APPLYING IN Pr,OPERTY Slate Road # I c -i -t -I- Q_ State PLrcel: PIN: Deed Book E 'New structures with Progress Energy as service provider need to supply premise number Email Lot #:__�__ Lot Stze: rTV Nap Book 8 Pager 'l 1/1 / ,h Company': From Progress Energy PROPOSED USE: k1mwinhic ❑ SFD: (Size _x_) # Bedrooms:_ # Baths:_ Basemenl(w/wo bath):_ Garage:_ Deck:_ Crawl Space:_ Slab:_ Slab:_ (is the bonus room finished? (_) yes L) no w/ a closet? (_) yes (_) no (if yes add in with # bedrooms) ❑ Mod: (Size _x_) # Bedrooms_ # Baths_ Basement (w/wo bath)_ Garage:_ Site Built Deck,_ On Frame_ OB Frame_ (Is the second floor finished? (_) yes (_) no Any other site built additions? (_) yes (_) no O Manufactured Home: _SW _DW _TW (Size_x_) # Bedrooms: _ Garage:_(site bui�h?_p�('•)) D_oeVldLc:_(slte built?—) CI Duplex: (Size _x_) No. Buildings: No. Bedrooms Per Unit.� r"^/e �,Eou ❑ Home Occupation: # Rooms: Use: Hours of Operation:ICVEesS]��11�� • g (UUl 1 Addilion/AccessorylOther. (Size _x� Use: - se n adtlition? (_) yes (_) no �ayi•�� � .��a i water Supply: I County _ Existing Well _ New We (# ofdi`ngs� g welt j )'Must have operable water before l' z..rtR Sewage Supply: _ New Septic Tal Does owner of this tract of land, own Is Does the property contain any easeme Structures (existing or proposed): Singl Required Residential Pryperty Line Front Minimum Actu (` Rear Closest Side------------��r��r//////------;;;;;; -///TT-/T/T/��������IIIIII Sidestreet/miner lot Nearest Building on same lot Residential Land Use Application Page 1 of 2 APPLICATION CONTINUES ON BACK