DOCUMENTS Initial Application Date:7 Application# '156)4 P-19 q
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting {1-08 E.Fron Street, Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnettorg/permits
a' ' ' EWIli yt- a
C—C.C.
A ORO M ,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
R01//�R;Wynn Construction, Inc. Malting Address:2550 Capitol Dr. Ste 105
City: Creedmoor State:NC Zip:27522 Contact No 919 603-7965 Email: edward@wynnconstruct.com
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 fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:J. Edward Averett Phone#919 603-7965
PROPERTY LOCATION• Subdivision: Avery Pond ��r� D 1 Lot#: L r 'Lot Size: ' Gs
Slate Road# 4 59 _State Road/ Name:�7 — " 1 Pod C tr. Map Book&Page: �/G / zoI
Parcel: nn``''OIlSO6S-3 002 / CO tPIN: 0( 53- 34 ' oVbO-MO
Zoning: 21130 Flood ZoneK Watersher Deed Book&Page ) Power Company: Duke Energy
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
I, Fn �/ �( / Monmmb'
0 SED:(Size (�x WO)#Bedrooms: ? #Baths:4'.Basement' 'so bath): Garage: ✓ Desk:1.# Crawl Space:_Slab: Slab
(Is the bonus room finished?(r_41-yes _, no wl a closet?( )yes ( )no(if yes add in with#bedrooms)
❑ Mod:(Size x_)It Bedrooms #Baths_Basement(wlwo bath)_Garage:_Site Built Deck: On Frame Off Frame_
(Is the second floor finished?( )yes (_)no Any other site built additions?U yes ( )no
❑ Manufactured Home:_SW OW TW(Sizex )#Bedrooms: Garage: (site built?_)Deck: (site built? )
O Duplex:(Size x )No. Buildings: No.Bedrooms Per Unit:
O Home Occupation:#Roams: Use: Hours of Operation: #Employees:
U Addition/Accessory/Other:(Size x )Use: Closets in addition?( )yes ( )no
Water Supply: I 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 I )no
Structures(existing r proposed): ' gle family dwellings: I Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual /a/�,eI25 1YpI rt
Rear /• /
Closest Side 10 2.O.J -
--
Sidestreeucornerlot 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, 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 . ordina nd laws of the St e crth Carolina regulating such work and the specifications of plans submitted.
I hereby state that forego] s tome. /accurate • orre to the be knowledge. Permit subied to rev cation If false information is provided.
P
• turete
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
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A NORTH REFERENCE GRID NAIL 81
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NAME: *A 6107771E ZeW,fl(C - 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 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 bo 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 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,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'.
( )YES ZNO Does the site contain any Jurisdictional Wetlands?
{—)YES { f NO Do you plan to have an 'SIS now or in the future?
{ }YES Lir-N-fr) Does or will the building contain any drains?Please explain. —
{ )YES ( )NN_)_ Are 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?
{ JYES {cO Does the site contain any existing water,cable,phone or miderground electric lines?
If yes please call No Cuts at 800-632-4949 to locate the lines. This is a flee 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 Ilnderst h. I s m Solely Resp sible For The P. - tification And Labeling Of All Property Lines And Corners And Making
The ' • ss " So ,ties" to taga _ " 'armed. S /n
//iv. O `
' 1 • RTY • '1 ERSS OR �// iOW. 'S LEGAL REPRESENTATIVF.SIGNATURE (REQUIRED) DATE
10/10
CRR11RRFsIRr
1A/l/ance AGREEMENT FOR PURCHASE AND SALE OF REAL PROPERTY
t
Mations North Carolina Association
of REALTORS*
TESS AGREEMENT,including any and all addenda atlnehed hereto("Agreement"),is by mid between
Myna Conetruotion, trio
a(n) NA ("Duym'9,and
(individual orStete of formation and type of entity)
Little Crowe, LLC _
n(u) _ t1A ("Seder").
(Individual or Stele of formation end typo of entity)
FOR AND IN CONSIDERATION OP THE MUTUAL PROMISES sr FORTH IMAM AND OTHER OOOD AND VALUABLE(
CONSIDHRATION, THE RECEIPT AND SUFFICIENCY OP WHICII ARE HEREBY ACKNOWLHDOED, THE PARTIES
HERETO AGREE AS FOLLOWS:
Section 1.Terme and Defddoam:The tam Herod holm shall Moo the respective meaning Leven than as set forth adjacent to each
term
(a) Hervit tiv"((Address)Fbape 1, Avery Pond _.__...�
Lot 1 - 35, 67, 60, 60 and 70
Plat Reference:Lot(n) RA ,Block or Section Phase 1 ,na shown on Plat Book or Sltde
2016 at Poge(s) 141-142 , - Harnett Cmmty,ronetedng of 35+f- acme.
Q If this box is eheckxd, "Property" shall mem that pmpeny described on Ealdblt A attached hereto and incorporated
herewith by Inference,
(For information purpose:(I)the rex parcel number of the Property ie: 0655-36-6583
and,(0)sora oral of the Property,consisting of apiaohdmotaly 35 scree,is deemibcd in Deed Book
3326 ,Page No. _ 900 Barnett County.)
together with all takings and Improvements thereon ad all Extorts and appurtenances thereto end all personal property, if any,
itemized on E MAA.
$ 51,170,000.00 (h) "Faceless Price"shall mem the son of Ono Killion, One Hundred Oevanty _
Thousand
pat*on thefallowing acne:
6 ._�... (i) "Unwed Manes"shall mean — DuAare
or terms as follows: NA
Upon this Agreement becoming n contract In accordance with Section 14,the Rmncat Money shall be
promptly depoelted in escrow with . RA _ (name of
person/entity with whom deposited),to he applied as pint payment of the Pmmbone Pica of the Property m
Clash%or diehased ea earned upon aderthe pmvidoa of Section 10]aurin.
Page 1 of 8
TSM form)u(n*approved bp STANDARD FORM 580'T
North Gras Bar Mood/don Revised 7/2013
North CASS Anniston of REALTORS®, /� 07/1018
Buyer Initials 3O(O Seller Initials
vm¢/ninmarig,mcesia::r,xcsrn moue)ver etr+,miM i4J+pe tem rm."ny rtar bvwaems ra:si a nn arm
NORTH
REERBN ATION AS TOO THEE LEGAL VALIDITYRY OR ADEQUACY OP
TH CAROLINA BAR ASSOCIATION MAKE
NO R PANY PROVISION OF THIS FORM IN ANY
SPIzOR
YOUR LEGAIC L'TRANSACTION.
YOU SHOULD CONSUUNDERSTAND NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE PROVIDE THAT IT DOES NOT SIGN
IT.
BUYER: SELLER:
Individual Individual
LlOa::
Dox. _ _ We:
Boehm Emily Eavhte a Enthy
Loma$rnclaovr Iris______ __ Lt: ''a C .ntn J4C
—_ Manx of Wiry) / —Nam minty)
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BV: I1 _..—._._..._.._______.....__
-------------- --
Daliar:. Da "/77g
The nndcreiped hereby acknowledges receipt of the Rangel Money id forth herein end agrees to hold said Earnest Monty to
oocordauve with the terms hereof.
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DWe:tu1,_.._.._._ _._ Ey: Fii.
Pulte S of b STANDARD FORM 590.1
Revised 7/2013
CO 7/2013
PjWoel wih.JpFnmghY wptctiv 10010 fleece NOW Rot,Frame,,IelchIIf 41020 ral L $ Awry rood
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 06/17/2017
Entry fl: 654306 Initially filed by. Wynnhomes
❑eslgiia ted Lien Agent Project Property Print & Post
1 EvestEs I En Entrance CompanY I averyP
pond subdIvnion lot 046 1 E —O
459 Eerypond di
C2 'p" {
ss IVW Xarue 1m'n .NC39526
Address )\4.Hnrgo S �1 IaKn,N .Fumet Counry it 0 i.
Contr elm s
Hume OS- Mu I Please post this notice an the lob Site.
Ely 9o+au13I Property Type I Supplier nut,Sneeun s
um .ns 7/V 11 m ..n..., ISu r s with your art phone
Env lF filing Ynm fileNot=11.2Farndy Dwelling I in Eno Agent for this pject
I
Owner Information
1%mhot
2550 eeplml dr
mrmanr, NC 27522
United9wm
I hrned.nuncy@w'yncomeacom
!phone'.9l9-522-1347
VIE.,Comments(0) l'echnicul Support Hotline(88X)690.9104
Harnett County Central Permitting /?S4o y/ y99
PO Box 65 L4hngton NC 27548
Each section below to be filled out 910 893 7525 Fax Q18,883 93 www harnett orgrpermits
by whomever performing work ( Y
Must be owner or licensed
contractor Address company Application for Residential Budding and Trades Permit
name&phone must match ''•• `` /I��
Owners Name WCyyy. .f4S j Itlt:on4 i .1-1,1C.C, Date 7 —/�7
Site Address y - livQery /✓ ,Qt? Phone M4.493-MS—
Directions to job site from L9tinglon`/Fro.1 NGCP{�r 9 hi-o 2-101hJt' 3e.i Its Left I oN 4/0///Q�/
for 1Sn.r1G� Le.{t DM Chat1bea+G 2d for Ye N•le , AOC r4 Poadew //elf
Subdivision /7de5rr /'pt/c/ Lott 6-7 S� �j
Description of Proposed Work Ar5/eu) C0as frueCM/ — 5FQ #of Bedroomms /
Healed SF 239• Unheated SF d06 Finished Bonus Roomy, Crawl Space V Slab
General Contractor Information
G)yyrk este.-1-raet;ert pe 9'? 603 . 7966—
BuildiAg Contractors Company Nene Telephone
LCSO (lam N401 n-. Ste 46-erea/.00rdt 27s22. &4serde4/g44hoses.COAt
Address Email Address /
ybZ9s
License #
Ele t cal Co ltrac or o at o
Description of Work Neu) eitraintti IOU Service Size 100 Amps T-Pole _Yes_No
t• R. TTaakso4 r/e-t-t -.L 9/7 730- /Zs/
Electrical Contractors Company Name Telephone
92 ,1 Qale;gkW. Butsba,NQ Z73tLf
Address Email Address
Zit yy
License#
yechanica�lULH1VAC Contractor Information
Description of Work /veuJ NSfraC7.Ort/
Iner--:g:ed. Keit add& A:r 9/o 8SX-Obo6
Mechanical Contractors Company Name Telephone
779.5aasetAAke lit igosbn-3 'pc R- 1$35-7
Address Email Address
/IIC2ooz/2 $3 awl
License#
n�Contractor lilforinationhlfonnation
Description of Work /� f (dIS am/ #Baths
4rat 4 /gnta9 9/9 rcv- v133
Plumbing Contractors Company/ Nate Telephone
3/(0o-4 Otar2d. e/aylog Alt 27s-21
Address Email Address
21.-/5-2--
License
.-/f2License#
Insulation Contractor Information
7 Y m „T3447:O4/ 9/9lafo1-0999
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 by slows below I have obtained all subcontractors
permission to obtain these permits and if m 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,,,pppppp -6 Mon s to 2 years permit a-issue fee is $150 00 After 2 years re-issue fee
is asp curve EEEEEEhedule
7
ig lure of Owner/Contractor/Officer(s)of Corporation Date '/
Affidavit for Worker's Compensation N C G 8 87-14
The undersigned applicant being the
General Contractor _Owner 67#—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
t..71las 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 'M emeS rae71
Sign w?die aed Ld T LQ»'rcr Date fO • " /7
DO NOT REMOVE!
Details: Appointment of Lien Agent
Filed on om17ro bn
Entry nr 654306 Initially filed by wynnnomes
Designated Lien Agent Project Property
Print 84 Post
JEWCSLOIS T tle Insurann gummy awry pond nIE _ 1046
49[ivory pond dr
I C91194- uLiW !unsay N .17526 I I r
Autism 9 19 Hoo CH cl.51111[5D7 I RITICIO NC I c °Man Q
1460i Conlmders:
eLvncass.vaael Please peel this notice on OW o6 Site
I nr.913 4S9 Property Type Solmlln.rnae Sidman ;micro
vuy�PL l Scan
this with yourrtpho
Iview Mon fling Yousan en filet Notice l�
114famiiy Uve11AP ll to
Iien Agent for lair prof!
Owner Information
nnbomee '�
2550 capitol dr.
ntoecn,rvc nm
udain sae.
me omoy@91952H IMP ccmol
Panna vhxston
Mery Commons(0)
technical Suppml llntibie(cad)OM 4I.l