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DOCUMENTS Initial Application Date:5)0)&1j r Application# 11 5004'`'r7 3 CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front (reel,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnettorg/permits Cir rq •L ' Le_ USS LLL A ORD 'SU V Y MAP,RE ROM DEED(OR OFFER TO PURCIIASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" iy6ilaPACiZ Wynn Construction, Inc. Mailing Address:2550 Capitol Dr. Ste 105 City: Creedmoor State:NC Zip:27522 Contac)No: 919603-7965 Email: edward@wynnconstrucLcom APPLICANT':Edward Averett Mailing Address:2550 Capitol Dr. Ste 105 City: Creedmoor State:NC Zip:27522 Contact No: 919603-7965 Email: edward@wynnconstruct.com 'Please till out applicant Inrormatlon if different than landowner CONTACT NAME APPLYING IN OFFICE:J. Edward Averett Phone#919 603-7965 r PROPERTY LOC❑ATIIONN Suhdivision: Avery Pond 1 Lot#: 7J •Lot Size: 'J State Road# l3 1/� State Road/ Name:'7 �l�j���*)-e-� � POGLC D]r• ry/ �,cMap Book&Page:War/ /Of Parcel' p�OSO6S3 002? 4 PIN: O�J- 7'P -, W IO 000 Zoning: 2.Pt30 Flood Zon�Watershed: 1 . Deed Book&Page: 0-FP Power Company*: Duke Energy 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: /� / 7 , ✓ WeiMon&I:n,' {A SFO:(Size a x( 0,#Bedrooms:,/ #Baths:_BBaasementc:/wo bath): Garage: Beek:Ic Crawl Space:_ Slab: Slab (Is the bonus room finished?(w 'yes _, no w/a closet?( 1 yes ( )no(if yes add in with#bedrooms) O Mod:(Size x )#Bedrooms_#Baths Basement(w/wo bath) Garage: Site Built Deck: On Frame Off Frame (Is the second floor finished?( )yes ( )no Any other site built additions?( )yes (_)no ❑ Manufactured Home:_SW OW TW(Sizex )#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: U Addition/Accessory/Other:(Size xJ 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: ✓ 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 ( )no Does the property contain any easements whether underground or overhead(_)yes ( 1 no Structures(existingrproposed): gre family dwellings: I Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum 35 Actual � �{ /y Rear 25 LOS Closest Side 10 /`'r Z _ Sidestreet'corner lot 20 Nearest Building on same lot Residential Land Use Application Page t oft 03/11 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: From HOOP right onto 210 Hwy. 3 miles, Left on 401 Hwy.for 15 miles Left on Chalybeate Rd.for 1/8 mile,Avery Pond on the left If permits are granted I agree onfor to ordinan nd laws of the St a orth Carolina regulating such work and the specifications of plans submitted. I hereby state that forego' s tame accurate orre to the be knowledge. Permit subject to r;vcation if false Information is provided. tura of Owner wner'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 03/11 ) §) a. ; ■ 15:e. ° : ; ©'., ; •- ■ , ®» �� � ` \ rt / � � ` | § ( ! | § r ! § ! % ■ | 9 � . § ! 7 1- >§ | , e - o ! n � z | ( ! II il 22 $ | ) # . , c` 1: i | | | � � [ a ��� � Or '52.11 _ I 1 . E w .a3 0 �a a -------------------------------------- SI PLAN «°>L DISTRICT fiThE\12 — . « �1 ��< �. _ ° 0—/ I -zoom g iii | lik . . CNN _ _ | N suL*osr hslsRpslR1Al11Rsae AGREEMENT FOR PURCHASE AND SALE OP REAL PROPERTY 1t HHAtron•North CamBna Association of REALTORS• TIES AGREEMENT,including say and all addenda attached hereto("Amerma ),is by mid between Wynn Construction, Ino a(n) RA ("Buyer"),and (individual or State of formation sed type of entity) L1tt.a Cxono, LLC n(u) _ t1A ("Seller"), (mdividnel sr Stow of formation and typo of entity) FOR AND IN CONST00MTION OP THE MUTUAL PROMISES SET FORTH HEREIN AND OTHER GOOD AND VALUABLE CONSIDERATION, THE maim AND SUFFICIENCY OP WHICH ARE HEREBY ACKNOWLEDGED, THE PARTIES HERETO AGREE AS FOLLOWS: Section 1.Terme and Defntdone:The terms Bated below shall Levo the respective ruling given them ea oat forth adjacent to ouch tent. (a) "Pmnafiv"t(Minton")Phase 1, Avory Pond Lot 1 - 39, 67, 66, 60 end 70 Plat Reference:Lot(a) R11 ,Block or Section Phase 1 ,na shown onPlat Book or Sgde 2016 et Page(s) 111-112 , ,., Harnett County,comising of 33t/- acme. 1O If this box Is checked, "Property" altnll mean that property described on Exhibit A attached hereto and incorporaid herewith by inference, (Por infomintlon purposes:(I)the tax parcel number of the Plenary it: 0683-36-6553 end,(ii)some oral of the Property,consisting of approximately 35 acres,is described In Deed Book 9226 ,PogeNo. 960 He nett County.) together with ell btldingo end improvements thereon end all futures end appurtenance' thereto and all personal property, if any, itemized on rabbit A. $ 01,170,000.0D (b) "Dyreue Priem"alien mean Ummun of Ono Wi111on, One Hundred Baventy vlsoorsoncl Dams. Diva:.an tofotIowutg Nims: $ 1ID (i) "Earns&Manny"eballmsan _Dothan or terve es follow., Wt Upon this Agreement b tsraisg n confront in accordance with Section 14,the Earnest Money shell be promptly deposited in escrow with , Bs _(name of person/entity with whom deposited),to be Applied as part payment of the Purchone Price of the Property at Closing,or disbursed no Agreed upon under de provisions of Section 10 herein. Page 1 of g ThN formlutndy approved byy: STANDARD FORM 980-7 North Carolina Bar Aaro&iRon Revised 7/2013 North Carolina Medalists ofREALTORNS,1 j-- 07/2016 Buyer NUM!" 'JOLP Seller Initials _ . _.. . 99..RR����55A�1 Areca=use rlpe�P,i,on„M rou [Fiefon mo1uc+IM gRm,eby Nem nbm FRnf P a¢j]Funl.YerWO4uINd lin_____ n„/am THE NORTH CAROLINA ASSOCIATION OP REALTORS®,INC.ANT)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. IF YOU DO NOT UNDERSTAND THIS PORM OR FEEL THAT TT DOES NOT PROVIDE POR YOUR LEGAL NEEDS,YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SION IT. BUYER: SELLER: Individual Individual Dau,: 11Thaa bate: ._ llodnve Entity EuviM6 Entity Ennat:rannlnn, too tat '0 C .neo.�?.1iC ._—..._. .. �.. name of Entity) - Fmu�Hudty) Nimic Tido! Tine: Doul to:' 57- L _ _..___ Dote 6/24 The undersigned hereby acknowledges receipt of the Earned Money eat forth herein and agreed'to hold said Earnest Money in accordance with the sante hereof, (Mum:ol'isixt:0 Dun:H„'--"-'-'------- Ey: Ftiy`— "_-_ .._.._....—--_._._ . _.__._. Page S of ETANDARDFORM5S0•T RevLed 74013 0 72018 PNdiato with alpFonTO bynpLaad MOM Mee®wd Roel,Fria,MIchlavI 41029 youllik }Mott Avay Pool NAME: kik/ o.e.07747:91 /fnft - APPLICATION#: ._ // *This application to be filled and 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 1 CONFIRMATION# „47Environmental Health New Septic System Code 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 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 maybe 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 TankInspections 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,nest choose one. 4._) Accepted (_) Irmovative {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: {AYES (( NO Does the site contain any Jurisdictional Wetlands? { }YES (../}NO Do you plan to have an cjit tiofrkynon now or in the future? ( }YES Lir< Does or will the building contain any dcnina?Please explain. U. )YES ( )N) Are there any existing wells,springs,waterlines or Wastewater Systems on this property? {}YES (/fNO Is any wastewater going to be generated on the site other than domestic sewage? {_}YES {i) NO 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 (zKVO 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 Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules. I Dnderst' • h Ism Solely Resp• sible For The P'••' - tilicaticn And Labeling Of All Property Lines And Corners And Making The • es' ' So ' at Cote valuation, • '-- tamed. �7 ..�./'' ��,,,. // S R Y • '' ERS OR OW 'S LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/I 0 DO NOT REMOVE! Details: Appointment of Lien Agent Filed on: On/1712017 Entry* 654266 Initially filed by'. wynnhomos Designated LI en Agent Project Property ISI Print & Post Investors Tale Insurance Company1C1ry➢ aeldr u of 095 ' Jenm ..." f 9 39 every panel dr qy y m,NC 9526 t2f Aad =1 W.Hu 56)IROIdeM1N �1h e Qj3A{'(^IY li i flan] Con Dow ee1-6902314 :Please post his notice on the Job Sne. Fun 91399>)nI I Property Type Suppliers and&dimmlmclat al Enmi6my onTL=mn=mm..-....e._T, Sewn this nese with your annul phone to Iview this filing You can then file a Nonce 1-2 Family Dwelling ;I to Lien Agent for this pmlen Owner Information wynnhomes 7550c pitol drI . creedmoor, NC 27522 !United Slates Email nancy@toymiliomesmin ,Phone 919-529-1347 View Cnmmants fm Technical Stippon Pmllnel(999)690.7]99 p Harnett County Central Permitting /75-00 11/ ii? 3 Each section below la be filled out PO Box 85 Lilhnpton NC 27546 670 893 7525 Fax Qin 93 2723 www hornet(org/permits by whomever performing work R (13- Must be owner or licensed contractor Address company Application for Residential Building and Trades Permit name&phone must match 1., Owners Name liJ &Y CSA S{r eel rN�, Date to - Site Address 439 Auerry d )> Phone P/9 bo3-7965 Directions to job site from Lnnngton` iron. Net? r;9 kt a 2-10 Ift4t' 3st.Its Leff/ oro 1/0//145/ Tor tcM.t[.� ke-4 oN Cha1 bea4e td tot �R N.Ie , Auer, pap nl.r /et•f. Subdivision fYder/ Podd 1 epos Lotla ys,1. Description of Proposed Work Il/eu) epos fru&i ti - SFU #of Bedrooms Heated SF 247? Unheated SF 53, Finished Bonus Roomv Al Crawl Space VSlab _ General Contractor Information 044 AA 0.-1514,541.deaf: Pt �tu0. 9/9 1003 . 796 5 ButidiAg Contractors Company Nalne Telephone 2Xso CaN+ol fk. Ste /as Geuleacifi' Z7s22. edworie69444enes.cost Address Email Address // itbZ9S License # E e t cal Con rac or n o at o Description of Work /lieu) CONSfrrlc .oAl Service Size j00 Amps T-Pole _Yes_No t. P. 5aek.sou !:/et+r:t 919. 730- /ZS/ Electrical Contractors Company Name Telephone 9261 Pale;qkW. Basalt,NC 27s7W Address Email Address 211yy License# H ,I`Iechanical/MIVAC Contractor Information Description of Work /lieu( COOSfteiet/Pid tier+:teL Neat a cL A,r 9/0 8SB-dsoo Mechanical Contractors Company Name Telephone 797$trttfe"-LakePj. 4gMbar3.fptit ss3s7 Address Email Address AitZooll2 N3 4 sol License# Plumbing Contractor Information Description of Work ier✓ #Baths ..Z r iu s /. 46ip 9/9,5-so- 4133 Plumbing Contractors Company Narhe Telephone 3/6o-4 OharPa4. f/arfoir Alt 27s27 Address Email Address Z1/5-2-- License 2/sz,License# Insulation Contractor Information 7YtaM Tnisa/at•o4/ 9l9 /010/-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 stanina below I have obtained all subcontractors permission to obtain these permits and if a>jy 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 EXPIRED PERMIT FEES-S Mon s to 2 years permit e-issue fee is $150 00 After 2 years re-issue fee is asp Curren e hedule 7 ig lure of Owner/Contractor/Officer(s)of Corporation CDate Affidavit for Worker's Compensation N C G S 87-14 The undersigned applicant being the General Contractor Owner se,"---Offtcer/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 !/tHas 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 ,'/ Company or Nam, /^'. A/1 r/54-40 0A/y1AUL' // / Sign w/Titie , / > /� r- Date t 0 r DO NOT REMOVE! Details: Appointment of Lien Agent Filed on 05.11712017 Entry#'. 654)66 Initially filed by'. wynnhomes '.Designated Lien Agent Project Properly Print & Post imnias illeInsuran.efompam. III Are&PO'pondsubr o n lot 015 I wa 439averypond a. CIDInd 2 Mum.DOHI r a.NC 1526 ARrest.Lipa.H _n,nalcIN 1 n - fo'ob Qt) Cony th220 263 690 pH I Plcrac pa&IhISMJobSae 595231 I Property Type Soppllos andS u mpror'eines Ed&L aw21699 9swLL .^-- I scants unego with 3oui sit ma OIn e 10 mew nus Olnig,Y then filenNotice Vsntily Dwelling tole f Ji p ct. Owner Information "9919993 3550 capitol dr. creedmool NC 22522 Lina Slwm 5ntaibnancyowyninnales corn Phone:919-520-1149 Vicom mom,(0) "falnical Suppe:'ratline.(S9a)690.9981