DOCUMENTS 1:5 eppwyr
Initial Application Date: 13 *L. ?'J)7- - i"+ei Lu OApplication 1 SOh4 I Ito 9
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION CU#
Central Permitting 108 E. Front Street,Lillington,NC 27546 Phone-(910)893-7525 ext2 Fax:(910)893-2793 www.hamettorglpermits
"A RECORDEDaSURVEY MMP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN AREJREQUIRED WHEN SUBMITTING
G A LAND USE APPLICATION"
LANDOWNER' ' S if rfei kuti-9Th4s )ttLG,Mailing Address:ARDv
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CitY Jd'c-(C504 OW L h State gC-Zip: `ft 1 `Contact No
mail:
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APPLICANT*: �l .4COAF 4/G O 40 1--
ty: /, / Mailing Atltlress'.� P K LT"�
Ciiteaee fills plicentinformation itCiNaremtd nentlZip: aot4 Contact No:9/O._3t 31C( Email'�.ero) tierce. /Le+
owner
CONTACT NAME APPLYING IN OFFICE`: /est r1A4-coc , Phone# I/O`2-37' ��(.�/p
PROPERTY LOCATION:Subdivision:_,t,V(i/. CfJrtiJ. �k{L , I Lot#: Cr Lot Size: �Gv`LIG�j
State Road State Road Name: M3 fall-(/ Cr ( ucl/MAIL NC SMap Book&Page'. •-?C ! 470
Parr»)'. 0 (05¢ OOT � 1/� PIN: D /S/�ri-- 31'�`�30 /
Zoninod Zone: x Watershed/-.{'] Deed Book&Page: V Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: ono
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Ye SEG.(Size 4 t x 'ft )#Bedrooms:al #Baths: Z Basement(w/wo bath):_Garage: Deck: Crawl Space:_Slab Slab'.Lrh1c
(Is the bonus room finished?( )yes ( no w/a closet?f yes ( )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 ( )no Any other site built additions?(__)yes f )no
❑ Manufactured Home:_SW_DW_TW(Size x )#Bedrooms:_Garage: (site built? )Deck: (site built? j
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:*Rooms' Use: Hours of Operation. #Employees:__
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?( )yes (_)no
Water Supply- 17/County _Existing Well _New Well(#of dwellings using well )*Must have operable water before final
Sewage Supply:✓New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist) _County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500)of tract listed above?( )yes ( moo
Does the property contain any easements whether underground or overhead( )yes (✓1 no
Structures(existing e(pmposetl gle family dwellings- Manufactured Homes'. Other(specify):
Required ResidentialProperlyLine Setbacks: Comments:
Front Minimum Actual 7
( 9--/Rear .,, Los .
Closest Side I D 2 \
Sidestreet/corner lot _A._A
Nearest Building n
on same lot
Residential Land Use Application Page I of 2 03/11
APPLICATION CONTINUES ON BACK
•
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
If permits are granted I agree to co . ..noes and laws of the State of North Carolina regulating such work and the s cifications of plans submitted.
I hereby state that foregoing at. pe
J rM correct to the best of my knowledge. Permit subject to revocation if false information is provided.
eefalr
zai9,
• nor or Owner's Agent Data
"'It is the owner/applicants responsibility to provide the county with any applicable Information about the subject property,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
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IVERCON, INC. PROJECTFOR:
PO Box 64778 910.237-3461-ph Sweetwater - LOT # 55 SCALE+ N is 30'
Fayetteville,NC 28306 910-717-5-76-tax
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NAME: (V)641.1.04 1 .
APPLICATION A:
*This application to he 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 properly 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 property.
• 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 alter 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.
❑ Environmental Health Existino 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 con ct please indicate desired system type(s): can be ranked in order of preference,must choose one.
L} Accepted { Innovative j_} Conventional {_} Any
f_I Alternative { } 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:
I—}YES {.��IanNO Does the site contain any Jurisdictional Wetlands?
{ }YES ( ✓) O Do you plan to have an irrinalion system now or in the future?
_}
IYES {_ O Does or will the building contain any drains?Please explain.
(LAVES I_}NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
{_}YES (yr{/NO Isany wastewater going to he generated on the site other than domestic sewage?
I—IYES (3,4/NO Is the site subject to approval by any other Public Agency?
II ES (u(NO Arc there any Easements or Right of Ways on this property?
ILLI SES {—I NO Does the site contain any existing water,cable,phone or underground electric lines'?
If yes please call No Cuts at 800-6324949 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 Understand' :.onsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The ' r ,1 ��. , • to ' adon Can Be Performed.
f S4' Za 17,
PR.rE i • 0 .is'Tr • •i l - •S LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
11
O'' ' TO PL'RCRASE AND CONTRACT-VACANT LOT/LAND
[C. t"Guidelines"(form 12G)for guidance in completing this form]
NOTE: This contract is 'as .1 unimproved real property that Buyer will purchase only for personal use and does not have I''
immediate plans to subdi ,i,..uld not be used to sell property that is being subdivided unless the property has been platted,
properly approved and -.;., • th the 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 I,'.
(Form 800-T) or, if the construction is completed, use the Offer to Purchase and Contract (Fore 2-T) with the New Construction
Addendum(Form 2A3-1).
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 teams listed below shall have the respective meaning given them as set forth adjacent to each
e m.
(a) "Seger": Diversified Investors, Inc. [.
(b) "Buyer": Ivercon, Inc.
(c) "Property": The Property shall include all that real estate described below together with all appurtenances thereto includ'ng the
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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-T)
with this offer.
Sleet Address: 137 Folly Court, Linden, NC 28356
11
City: Zip
County: Harnett ,North Carolina
(NOTE:Governmental authority over taxes,zoning,school districts,utilities and mail delivery may differ from address shown.) f
Legal Description:(Complete ALL applicable) i
Plat Reference:Lot/Unit 55 ,Block/Section ,Subdivision/Condominium Sweetwater
1,1
,as shown on Plat Book/Slide at Page(s)
The PIN/P]D 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":
$ 28,000.00 paid in U.S.Dollars upon the following terms:
$ BY DUE DILIGENCE FEE made payable and delivered to Seller by the Effective Date.
$ BY INITIAL 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 Rifective
Date of this Contract.
$ BY (ADDITIONAL) EARNEST MONEY DEPOSIT made payable and delivered to Ali
EscrowAgent named in Paragraph 1(t)by cash or immediately available funds Bach as
official bank check or wire transfer no later than ,
TIME II
BEING OF 777E 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 accor:wce with the:attached •
Loan Assumption Addendum(Standard Form 2A6-T).
$ BY SET T FR FINANCING in accordance with the attached Seller Financing Addendum
(Standard Form 2A5-T).
$ 28,000.00 BALANCE of the Purchase Price in cash at Settlement(some or all of which may be paid
with the proceeds of a new loan).
ij
This form Jointly approved hy: Page 1 of 11 STANDARD FORM12•1
North Carolina Bar Association
len Revised 7/2015
North CarotioaAsAssociation of REALTORS®,Inc. ;,ao�, C 7/2015
Buyer initial8< � t- Seller initials
RPMAXA.mi.ngxop MONMOITmn ram.saw P..l.aa\NCf®w Phony(91a)116711I Fax: (9104614645 417kmamWY
Sai0 'O ProdwNwMn xlpFo,me by yp J 18070 Fifteen MIN Hoed,Fraser,19r1ryPl 980a IngUlapaigira
20. COMPUTATION OF DAYS/TIME OF DAY; Unless otherwise provided, for purposes of this Contract, the term "days" shall
mean consecutive calendar days,including Saturdays,Sundays, and holidays, whether federal,state,local or religious.For the purposes
of calculating days, the count of "days" shall begin on the day following the day upon which any act or notice as provided in this
Contract was required to be performed or made.Any reference to a date or time of day shall refer to the date and/or time of day in
the State of North Carolina
THE NORTH CAROLINA ASSOCIATION OF REALTORS®, INC.AND THE NORTH CAROLINA BAR ASSOCIATION MAKE
NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN ANY
SPECIFIC TRANSACTION,1F YOU DO NOT UNDERSTAND THIS FORM OR PEEL THAT IT DOES NOT PROVIDE FOR YOUR
LEGAL NEEDS,YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SIGN IT.
This offer shall become a binding contract on the Effective Date.Unless speci&cally provided otherwise,Buyer's failure to timely deliver iY
any fee,deposit or other payment provided for herein shall not prevent this offer from becoming a binding contract,provided that any
such failure shall give Seller certain rights to terminate the contract as described herein or as otherwise permitted by law.
Date:
Date:
Buyer
Seller
Date:
Date:
Buyer
Seller
Entity Buyer:
Entity Seller
cs / C .
artnership/7}usUatc.) (Name oLLC/CorporationWarmarshi
f P/itueVatoJ
By:
Nam
'f Name: I..
Titlel
(/C(4-:Inder • Title:
Date: /2J 'CPC(L, 0I'�—i
Date:
[THIS SPACE INTENTIONALLY LEFF BLANK] - - - _ --
Page 9 of 11
STANDARD FORM 12•T
Revised 7/2015
C 7/2015
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