DOCUMENTS Initial Application Dale: 5/S/1 ( Application j I5C3 ' i 3;
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
1
Central
Permitting -1{'([� 08 F/�—^,Street,L'illin)g`tontNC 27546 Phone:(910)893-7525 ext2 Fax:(910)893-2793 www.harnell.orglpermils
v "'AIRECORDED SURV AP,REC D`D(ORO FER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
Wynn Construction, Inc. Mailing Address:2550 Capitol Dr.Ste 105
City Creedmoor State:NC zip,27522 Contact No: 919603-7965 Ema. edward@wynnconstruct.com
APPLICANT':Edward Averett Mailing Address:2550 Capitol Dr.Ste 105
City, Creedmoor State:NC Zip:27522 Contact No: 919 603-7965 Email: edward@wynnconstruct.com
'Please Ill]out applicant information i1 different than landowner
CONTACT NAME APPLYING IN OFFICE:J. Edward Averett Phone#919 603-79652[ 1��" 1'
PROPERTY LOCATION:Subdivision: Avery Pond p 'N ' /� ��• Lot#: 91 Lot siize_10110 dWd
State Road# 3 31 State Road Name:St ei y /�.OCN-L5 r=)1 , Map Book&Page:20/6 /iii-t2_
Parcel:
n//0�QQ8��065-3 Oo29 U S PIN: Dlwr3-36 -.9k2177. OOb.
Zoning9A3Qiood Zone: 7c--- Watershed/-X1; Deed Book&Page: OPEPower Company': Duke Energy
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
/ / fJ `/ CaP Monolithic
O SFD:(Size 60 . 60)#Bedrooms: / #Baths:Z' asement(w/wa bath): Garage:`Beek:✓ Crawl Space:_Slab:_Slab: V
(Is the bonus room finished?(—)yes ( )no w/a closet?( )yes (_)no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wlwo bath) Garage:_Site Built Deck:_ On Frame_Off Frame
(Is the second floor finished?(_)yes 1 )no Any other site built additions?( )yes (_)no
❑ Manufactured Home:_SW_OW 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 L)no
Water Supply: ✓ County Existing Well New Well(4 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?L)yes L)no
Does the property contain any easements whether underground or overhead(_)yes ( 1 no
Structures(existing o ropdsed'Single family dwellings: I Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks:r Comments:
Front Minimum 35 Actual 31,0 f
Rear 25 .2 jz.i
Closest Side 10 // 0 .
Sidestreet/corner lot 20
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: From HCCP right onto 210 Hwy.3 miles, Lefton 401 Hwy. for 15 miles
Left on Chalybeate Rd.for 1/8 mile,Avery Pond on the left
Ifpermits are granted agre oocon enc s n to of the eT. .t knowledge.
Northnow Carolina regulatingsuchwork and thee iiformatioofplanssubmitted.
I hereby state rat forego tale is a accurate o e to the beT y fnowl Carol Permit sting s chwork and
the specifications
false information of plans sub
If /7
SI nature o Own r or er's Agent Date
"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 0911 ll
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111111 SITE PLAN APPROVAL , \
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NAME: AIM LRd✓`fnrlr441_, IC... - 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 SystemCode 800
• All property 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 properly 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.
❑ 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 construct please indicate desired system type(s): can be ranked in order of preference,must choose one.
( ) Accepted { ) Innovative (conventional (_} Any
( ) 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:
LIVES {(�ka(NO Does the site contain any Jurisdictional Wetlands?
{ }YES fr r XII
Do you plan to have an irrigation sin now or in the future?
{ }YES { /A N Does or will the building contain any drains?Please explain.
( }YES {/ NAre there any existing wells,springs, waterlines or Wastewater Systems on this property?
}YES { NO Is any wastewater going to be generated on the site other than domestic sewage?
{ }YES {/)ANO Is the site subject to approval by any other Public Agency?
{_}YES {/}/NO Are there any Easements or Right of Ways on this property?
{ )YES {/} IVO Does the site contain any existing water,cable,phone or underground electric lines?
If yes please call No Cuts at 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 Arc Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I Underst. h, I s m Solely Resp. sible For The P - tification And Labeling Of All Property Lines And Corners And Making
, :deems' • So • at A Co eS,.valuati f
Th 'er armed.
//ii.e.//✓ te Aelice%I/ !/r
-ig
ERTY "tNERS OR OW S LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
ammero L111111. 10
ComeaoliIAllInca
AGREEMENT FOR PURCHASE AND SALE OF REAL PROPERTY
1t
DtALIOne North Carolina Association
ofREALTORS0
TEES AGREEMENT,including any end all addenda n0eohed herHo("Agreement"),in by crud boewoen
Wynn Conatruntion, Ino ,
o(n) BE ("Buyer'),and
(iodividunl or Stole of formation and type of entity)
Little Croon, LLC
a(a) _ to ("Se0er").
(io6vitbial orState of formation and type of entity)
FOR AND IN CONSIDERATION OP 771E MUTUAL PROMLUES SET FORTH HEREIN AND OTHER GOOD AND VALUABLE
CONSIDERATION, THE RECEIPT AND SUFFICIENCY OP WHICH ARE HEREBY ACKNOWLEDGED, THE PARTIES
HERETO AGREE AS FOLLOWS:
Section 1.Terme and Defbddomt TM tonna Med bolow Mall have dos roapective mooning given them as ret forth adjacent to each
tato
(a)"Plmaarty"t( Phnom 1Miami Fond
67, Miami
Loc 1 - 35, 67, 60, 60 and 70
Plat Reference:Lot(a) tot ,Black or Section Moore 1 ,taabown on Plat Book or Slide
2016 at Page(a) 141-142 Barnett Canty,emeiating of 3811- acme,
If tbte box le ebecked, "Property" shall mann that property described on DNdhit A attached boom and incaipomted
herewith by mfernncc,
(Pox Infomatloo popaeas:(I)the um parcel number of the Popery is: 0603-36-6883
mid,(g)some or all of the Property,condoling of approximately 35 edea,ie described is Deed Book
3$20 ,Page No. 900 - Emmett County.)
together with all btldmga and Improvements Omrean and all Bztoms and appurtenant= thereto and all pvmoml propo0', if any,
itemized on Exhibit A.
$ $1,170,000.90 (b) "Emboss Fria"shall mean thenuo of Ono R1131on, One Bsmdrod Sorority '..
Thcmand --.-----------. .._ _Dalton, ''..
pools on Ne fb#awfagsoress:
$ US (I) "Earnast Mooty"shell mem Dugan
or tetras os hollow: NA
Upon thin Agreement becoming o combed in acemda co with Boohoo 14,the Bmnmt Money than be
promptly depooked in arrow with . Ent _(name of
person/entity with whom tlepmftd),to ho applied m port payment of iho Mohan Rite of the Property or
Closing,ordishotrod as agreed upon under the provisions of Section 10hateln,
Page 1 of S ',
Ibis term Jooltaa*approved by: STANDARD FORM 58114
®
,WNorth CeroltumBar Mmdatlon Revised 7/2813
, North CarolinAnodnOon of REALTORS®,T1k O moxa
Buys loitbia -3.0(o Seller Initiate
pry, tN ae Cei„InAsn„n M4mglrcflel ltd i troth;vo,bytec t Rab mart fod,, 'w. tzoncis Ea'amtdarmmArm o �+
THE NORTH CAROLINA ASSOCIATION OP REALTORS®,INC.AND THE NORTH CAROLINA BAR ASSOCIATION MAKE
NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OP THIS FORM IN ANY
SPECIFIC TRANSACTION.IP 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 SION
If.
BUYER, SELLER'
Indlvldanl Individual
_.._ Bev :..
Dab: Date: ,
Uutlnees Entity OualnessItndty
yen CmeafEtty)y Inc __ X,SL -IL:
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Dab ..._�J S— .Liv__. _ . ...__ Defe 6/7/it The on lcatigved hereby Ralmowledgn receipt of the Earoast Money set forth herein and agrees to hold said Earnest Meaty In
accordance with the forme hereof.
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Dru:s?4------ _ By .i(_`--- .-.._.._.
Page E nee
STANDARD FORM 9803'
Revised 7/2013
07/2019
Pmnmvl.lt SPIsraa ts/*Layx 'ton Mara kilo Ant).FR:[/,Michigan 41e2e Iv:Na e...a Avis Pond
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on osloanon
Entry# 64/202
Initially filed by. wynnhomes
Designated Lien Agent Project Property
Print 8 Post
Mummy ram Ink rannel orillankapond subd.a kmn lot 041 N earl I rypond 9 k ,
a al ink
mm talo ], t Isivy Co sNC. o
e
Cnn x
P rrmLXXMIt,.W IPlease post this markt)an the lob Site
Fe).n.4x) 3 Property Type
suppliers vntl subun nnry dears'.
tmul.smrvunelsmpa°t $.mane with your tpl'.at
a to
a this trona Youto n then file a Nonce
xd
11 Family nlmG tole this Snl forth pmcet
Owner Information
winitomis
naso capitol dr
aeMmooa NC :2i^
Umwvl same
Fm. maw corn
mc
Piu '919)42811947
Cuw Cnmmenlsl al
l eInlenl Support Hotlleea SSBI Mhpli4
vernal InYY'°oamim q
Harnett County Central Permitting — /ts 9/3/7.
PO Box 65 Ldlingion NC 27548
Each section below to be filled out 910 693 7626 Fax 010 693 2793 wwwhornet(ore/permits
by whomever performing work R/pOW
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name&phone must match pp
Owners Name LO r‘. L01lSirs ;erkrt� I INCA Date _k 17
Site Address 3 Der c (Jr Phone 9/9GOj-MS
Directions to lob site from Lillington Fm.. Neel n9hta 2-1014Wtj 3a.;le_t.ief4 am 1/0/#49
for tSAiilr 4, l e{t obi Chaly bakes td kill' %R rr.le r Auer, Powrd nns lee.
Subdivision I41Cq &Waal Lot 9/
Description of Proposed Work 6u1 Loris fpwe., ld - .SFo #of Bedroom- `11
Healed SF 3s / Unheated SF&ZZ Finished Bonus Room9 V Crawl Space . Slab ✓
General Contractor Information
Li4 INA &A4.1ruet;est =u0, 9/9 603 . 776 S
BuddlAg Contractors Company Nellie Telephone
ZSSo (la 15:401 Ik. Ste /a5 erealsoeytt 2322 shred@4WMMAOAes.Ca&t
Address Email Address /
nZ?S
License#
Electrical Contractor Information
Description of Work New CoNst4uc—.00 Service Size 700 Amps T-Pole /Yes No
.. ft. 5aeksoAl f:/eaAr:t 9/9' 730- /Zs/
Electrical Contractors Company Name Telephone
9 ad. Bettsaa ,Sa'F
Add er ss1 llGt r Ne- 27Email Address
21I yy
License#
pnMechanical/ItiVAC Contractor Information
Description of Work New t,outstraC7•end
('er+:te - Neat aWd- A:r 9/0 956-64o0
Mechanical Contractors Company Name Telephone
799.9wsetAakthi• 4garflfdytit '1$35_7
Address Email Address
Ne-2ooZ12 /13 dass1
License#
plumb no Contractor Information
Description of Work rod It Baths• 3
retr /.aK ;s 3
Plumbing Contractor s Company Ne a 9/9.scv• V93
Telephone
3/6o-4 Ostarti. fl/syfn,r Mt 27s27
Address Email Address
Z1/5-1-
License
l./sZLicense#
Insulation Contractor Information
rites ts Tse/trol 9/?/alol-0999
Insulation Contractors Company Name&Address Telephone
*NOTE General Contractor must fill out and sign the second page of this application
I hereby certify that I have the authority to make necessary application that the application is correct
and that-the construction will conform to the regulations in the Building Electrical Plumbing and
Mechanical codes and the Harnett County Zoning Ordinance I state the information on the above
contractors is correct as known to me and that pv signing below I have obtained all subcontractors
permission to obtain these permits and if any changes occur including listed contractors site plan
number of bedrooms building and trade plans Environmental Health permit changes or proposed use
changes I certify it is my responsibility to notify the Harnett County Central Permitting Department of
any and all changes
EXPIRE PERMIT S-6 Mon s to 2 years permi e-issue fee is$160 00 After 2 years re-issue fee
is asp Curren a edule
Si lure of Owner/Contractor/Officer(s)of Corporation
iDate
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the
General Contractor Owner Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s) firm(s)or corporation(s)performing the work
set forth in the permit
(e"--1--las three(3)or more employees and has obtained workers compensation insurance to cover them
Has one(1)or more subcontractors(s)and has obtained workers compensation insurance to cover
them
Has one(1)or more subcontractors(s)who has their own policy of workers compensation insurance
covering themselves
_Has no more than two(2)employees and no subcontractors
While working on the project for which this permit is sought it is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of workers compensation insurance prior ,
to issuance of the permit and at any time during the permitted work from any person firm or corporation
carrying out the work 6n _
Company or Nam RIM ,,e5�4-,e rOii,iftC, // ,� f�
Sign w/Tdle U [—d £ * 4 Date - i
DO NOT REMOVE!
Details: Appointment of Lien Agent Fled on 0511712017
Entry%: 654150
Initially riled by.wynnbomes
I
Des lgnatod Lien Agent II Project Property "I Print 8 Post
I twesno!se InsuranceCompany ry psub'worm lot OAI
ry may pond Jr
•—' Away - .NC 7226 ]
e „V Hyrum Intammo No lumen(county
»m' l !actors
vhonr,RAS coonp
Pleasepro this pollee mi 0¢AA Site.
topyytt Property Typorpoi l sepnl' s 1
noon ,se.r. monly actors
Peon Om' s of your phone to
w tNie filing You can l en file n Notice I—a Fundy Dwdll�p to l lm Agent Pm Mtn
via
Owner Information
Iwym25 0Ami
et
2550 capitol dr.
crtvlmoo5 NC 27P22
Ported Stales i t
¬] nmry28ry nnhom amm
Phone 919528 IPP
Vow Comments(0)
Technlcnl 6uppon Hmllue:I tl86)69H361
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