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DOCUMENTS Initial Application Date: 13 /4.d,/1 WI7-e Application# I el`7L L ) 4 I RD IR CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Lillington,NC 27548 Phone:(9W)893-7525 ext:2 Fax:(910)893-2793 www.harned.org/permits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDOW\NNE",R,'�s)hn.S,c,ico /,VQ c7D2S tic Mailing Address@!.� ' D'C tor5 City: c-rI.cSo4 0: ,jA state:p(C Zip: 7c4( Contact No: (IO -34(•-9i(cfuEmaii: APPLICANT': /4Jfinaet Let- Mailing''�AAAddress:C?& `din x L�f��}f/- / L City i . 67yftJtt LA_ State:/4-C Zip:e�ST)1 Contact No: 9/0• t3-7 3ro(Email:/Coy F.idercoit,e1 PL *Please All a�I pplmant immmetan',different Vunlandowner (� J ssrr �,-(/� CONTACT NAME APPLYING IN OFFICE` //'�+� (0644--S G.I, Phone# Q(O- b2,{ ' ( PROPERTY LOCATION:Subdivision: �(Jfzfi7c.A9(A./L - �+� / Lot*: 5-3 Lott Size: dfljIa 1L State Road# State� Road Name: s t_L /W-ttP AIC 2;S',./ap Book 8 Page:C/✓/I / l I O Parcel. OII 1 non+ '( •IN: Oc44 J;-9A2-E Zoning: {lood Zone: x Watershed:JLA Deed Book 8 Page: U Irl Power Company: 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: SED:(Size �"px e ab olithic CI )#Betlmoms:'� 2#Baths: gasement(w/wo bath)'. Garage: /Deck: Crawl Space'. V_Slab: Slab: (Is the bonus room finished?( yes ( )no wl a c oset?( yes EZ{no(if yes add in with#bedrooms) ❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wtwo bath)_Garage: Site Built Deck:_ On Frame Off Frame (Is the second floor finished?( )yes (i no Any other site built additions?U yes (i no ❑ Manufactured Home:_SW_DW TW(Size x )#Bedrooms._Garage:_(site built? )Deck: (site built? ) ❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit: U Home Occupation:#Rooms: Use: Hours of Operation: *Employees:_ ❑ Addition/Accessory/Other.(Size x )Use: Closets in addition? (_)yes ( )no Water Supply: ✓/County Existing Well New Well(#of dwellings using well )'Must have operable water before final Sewage Supply. k'New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist) County Sewer Does owner of this tract of land,own and that contains a manufactured home within five hundred feet(500')of tract listed above?( )yesno D oes the property contain any easements vmether underground or overhead( )yes (�no Strudures(existing or ropased' gle family dwellings: t/ Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum il ActualI 31 Rear j..,_ Closest Side [o / Sidestreeucorner lot 4 Nearest Building ill - on same lot Residential Land Use Application Page 1 of 2 03/11 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: If permits are granted I agree to conform to all . :•d laws of the State of North Carolina regulating such work and the specifications of plans submitted. _ai I hereby state that foregoing state • red t• r-best of my knowledge. Permit subje��ctt1 to�revocation if false information is provided. _lam /3,4e, tc(7, -,r%'•I ^/`.r or r `&" t Date **It is the owner/applicants responsibility to to provide the county with any applicable information about the subject properly,including but not limited to:boundary information,house location,underground or overhead easements,etc.The county or Its employees are not responsible for any incorrect or missing information that Is contained within these applications.*— **This application expires 6 months from the initial date if permits have not been issued** Residential Land Use Application Page 2 of 2 03/11 P — a Lot 53 Sweetwater • — • Pin # 010544 0004 61 Tot ID a 0544-37-9028 I I 115 Folly Ct. Linden, N.C. 28356 in, NI I II I 1 kq 1 PORCH i � £ _I810� -.--- 54HWSE c I) ; I 2 i Q GARAGE Z �— -1 ! H ,j V ? : �` PORCH it DRIVEWAY of b fl imi p 001111.1. 11 T PROF1g2TY LINE 1 + 0 16' 601 601 WERCON, INC. SPROJECT WeetFOR:Water - LOT # 53 Po Sox 64776 910-237-3461-ph Sr.ALE2 II am 307 F1vRnev6Il,NC 21306 910-117-6-76-hv ‘%-117:ef."ssiwsearrecv rtte ‘Lijigisiess DLL 20.001 ies V1 r v1 / S 1 ' t ` 1 -- 1 1 1 t 44 fa- eg- • rt� t 1 lb) Al -O 1 q \ • $ t 4 1 . t 1 � 1 526. NAME: ) iTil ,—/ L(�-r APPLICATION#: *This application to be filled out when applying for a septic system inspection.* County Health Department Application for Improvement Permit and/or Authorization to Construct IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED,CHANGED,OR THE SITE IS ALTERED,THEN THE IMPROVEMENT PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration depending upon documentation submitted. (Complete site plan=60 months;Complete plat=without expiration) 910-893-7525 option I CONFIRMATION# Environmental Health New Septic SvstemCode 800 • All prooertv irons must be made visible. Place "pink property flags" on each corner iron of lot. All property lines must be clearly flagged approximately every 50 feet between corners. • Place"orange house corner flags"at each corner of the proposed structure. Also flag driveways, garages, decks, out buildings, swimming pools, etc. Place flags per site plan developed at/for Central Permitting. • Place orange Environmental Health card in location that is easily viewed from road to assist in locating properly. • If property is thickly wooded, Environmental Health requires that you clean out the undergrowth to allow the soil evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property. • All lots to be addressed within 10 business days after confirmation.$25.00 return trip fee may be incurred for failure to uncover outlet lid, mark house corners and property lines.etc. once lot confirmed ready. • After preparing proposed site call the voice permitting system at 910-893-7525 option 1 to schedule and use code 800 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note confirmation number given at end of recording for proof of request. • Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. C Environmental Health Existing Tank Inspections Code 800 • Follow above instructions for placing flags and card on property. • Prepare for inspection by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (if possible) and then put lid back in place. (Unless inspection is for a septic tank in a mobile home park) • DO NOT LEAVE LIDS OFF OF SEPTIC TANK • After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 & select notification permit if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number given at end of recording for proof of request. • Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits. SEPTIC If applying for authorization to co et please indicate desired system type(s): can be ranked in order of preference,must choose one. f—I Accepted II Innovative {_} Conventional II Any f—I Alternative I_} Other The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer is"yes",applicant MUST ATTACH SUPPORTING DOCUMENTATION: {_}YES (2} NO Does the site contain any Jurisdictional Wetlands? (_}YES LINO Do you plan to have an irrieation s S em now or in the future? {_}YES [ NO Does or will the building contain any drains?Please explain. I'AYES II NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property? i_)YES [✓I NO Is any wastewater going to be generated on the site other than domestic sewage? i—I VES LEA NO Is the site subject to approval by any other Public Agency? [ }//YES I VINO Are there any Easements or Right of Ways on this property? (NYES { I NO Does the site contain any existing water,cable,phone or underground electric lines? If yes please call No Cuts al 800-632-4949 to locate the lines. This is a free service. I Have Read This Application And Certify That The Information Provided Herein Is True,Complete And Correct. Authorized County And State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules. I Enders • $ hat I Am Sole Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making / o;o Thal` "omplete Site Evaluation Can Be Performed. SA 'n q7 444 G (y/•7- 1 �'- 'S"V0. ' So T RS OR OW ERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/10 0 TO PURCHASE AND CONTRACT-VACANT LOT/LAND [Cons "Guidelines"(form 12G)for guidance in completing this form] - ¢ NOTE: This contract is ' for ved real property that Buyer will purchase only for personal use and does not have immediate plans to subdivide. not be used to sell property that is being subdivided unless the property has been platted, properly approved and recd register of deeds as of the date of the contract If Seller is Buyer's builder and the sale involves the construction of a new single family dwelling prior to closing,use the standard Offer to Purchase and Contract—New Construction (Form 800-T) or, if the conelmctian is completed, use the Offer to Purchase and Contract (Form 2-T) with the New Construction 2A320.Addendum(Form 2A320. For valuable consideration,the receipt and legal sufficiency of which are hereby acknowledged,Buyer offers to purchase and Seller upon �. acceptance agrees to sell and convey the Property on the terms and conditions of this Offer To Purchase and Contract and any addendum or modification made in accordance with its terms(together the"Contract"). 1. TERMS AND DEFINITIONS:The terms listed below shall have the respective meaning given them as set forth adjacent to each term. (a) "Seller": Diversified Investors, Inc. (b) "Buyer"; Ivercon, Inc. (c) "Property":The Property shall include all that real estate described below together with all appurtenances thereto including the improvements located thereon. NOTE: If the Property will include a manufactured (mobile) home(s), Buyer and Seller should consider including the Manufactured (Mobile) Home provision in the Additional Provisions Addendum(Standard Form 2A11-1') with this offer. Street Address: 115 & 138 Folly Court, Linden, NC 28356 City: Zip: County: Harnett ,North Carolina 'I: (NOTE:Governmental authority over taxes,zoning,school districts,utilities and mail delivery may differ from address shown.) �FF_ Legal Description:(Complete ALL applicable) I'' Plat Reference:Lot/Unit 53 & 56 ,Block/Section ,Subdivision/Condominium Sweetwater ,as shown on Plat Book/Slide at Page(s) The PIN/PID or other identification number of the Property is: Other description; Some or all of the Property may be described in Deed Book at Page (d) "Purchase Price": $ 56,000.00 paid in US.Dollars upon the following terms: S BY DUE DILIGENCE FEE made payable and delivered to Seller by the Effective Date. $ BY LNTTIAL EARNEST MONEY DEPOSIT made payable and delivered to Escrow Agent named in Paragraph 1(f) by 0 cash 0 personal check 0 official bank check 0 wire transfer,EITHER 0 with this offer OR 0 within five(5)days of the Effective Date of this Contract. $ BY (ADDITIONAL) EARNEST MONEY DEPOSIT made payable and delivered to Escrow Agent named in Paragraph 1(f) by cash or immediately available funds such as `� official bank check or wire transfer no later than TIME BEING OF THE ESSENCE with regard to said date. $ BY ASSUMPTION of the unpaid principal balance and all obligations of Seller on the existing loan(s)secured by a deed of trust on the Property in accordance with the attached Loan Assumption Addendum(Standard Form 2A6-T). $ BY SELLER FINANCING in accordance with the attached Seller Emending Addendum (Standard Form 2A5-T). $ 56,000.00 BALANCE of the Purchase Price in cash at Settlement(some or all of which may be paid with the proceeds of a new loan). This form jointly approved by: Page 1 of 11 STANDARD FORM 12-1' North Carolina Bar Association Q Revised 7/2015 North Carolina Association of RFAT TORS®,Inc_ '„°m. ' tl 72015 Buyer initialsC'l/ Seller initials aPAURPwvAapgs uorozMran CFurtl,Md➢ggFa,.aC WO Thane(910)4767711 Pa: (910(164550 417liush y 9vn Wetia PtWUNWh apFcmS by arso0M1 18070 Fftoa,Ws Mee;Met,IMAM,laOe Seetalaonnm 20. COMPUTATION OF DAYS/TIME OF DAY: ilrle s otherwise provided,iu purpose-5 of this Contract,the era'days" shall meat,consecutive calends days.including Saturdays,Sundays,and hnnrMys,whether indeed,state,local or religious.For the purposes of calculating days,the count of"days" shall begin on the day foRoning et day upon which my art or Haden as prodded in This Cunhact wasrecuhed Inbepc}formed oimz4e.Any reference to a date or time of day shall refer o tb a date and/or time of day in the Sus of NonhC&olin , THE NORTH.CAROLINA ASSOCIATION OF REALTORS®,INC.AND.THE NORTH CAROLLNA BAR ASSOCL4TION MANE. ?CO REPRESENTATION AS TO THE LEGAL VALID/TY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN ANY SPECIFIC TR NS:ACTION.i''YOU DO NOT UNDERSTAND THIS FORM OR FEEL THAT IT DOES NOT PROVIDE FOR YOURr. IPA 4L NEWS,YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SIGN IT. This oi'rershall become abinding:anireeron theE3ecdss Data.Unless specifically provided otherwise Buyers failure to timely deliver any fee,deposit or other payment provided for herein shag cot prevenrthis offer from becoming a binding contract prosidad that any such fatlsit shall give Seller cesdnrightts to Laminate the cant as described herein or as otherwise perminedby law. Darn: Dau: i. Buyer Seller Rr i y I I BSJe'l:le—r lJ vs— sN0DSL: Date: Buyer EnhtyBoyer. Fahey 5tlan 2 Gct (Name of/ o{pOnarmerbtilwpfncutlue.) 1Y; It1FVt ° r. Name•. ( +,.w. u,t.+t-=\ - Name Tid a..0:Ant f - Tide: ✓c•:- v,�o -r Dare: (r.r.- 4"-762):', St? _ Dam: `t" 70 11'7 t, [THIS SPACE LYIEYffONALLY LEFT BLANK) ft f. Page 9 of 11 STANDARD FORM I2-T Revised 7/2015 7/20)5 P - .4ear .y:sw„u.ErWs Wit ic4a..rrasi,.>na..411os 417F.i'-rirw.