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DOCUMENTS Initial Application Dale'_ 7I Iq..5' Application# )0 SCOli/ + / CIA COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108�EE..Front Street.Lillington, NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnettorg/permits l7u nR • 1-0,4 r`Y E A3 C.C£ ARECORDEDSE MA ,R DEDD E (OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING ALAND USE APPLICATION" 1. NEER Wynn Construction, Inc. Mailing Address:2550 Capitol Dr.Ste 105 City. Creedmoor State:NC Zip',27522 Contac)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@wynnconslructcom "Please till out applicant information if different than landowner CONTACT NAME APPLYING IN OFFICE:J. Edward Averett Phone#919 603-79x66 D PROPERTY LOCATION'Subdivision: Avery Pond 11 Lot#: rc "Lot Size: z'+ 7 State Road# 469 State Road Name: r'y_ue QO�C br Map Book 8Page: OIbl Parcel: pp��,0g065-3 002 / J v[' PIN: O(o53- 24 -. b3(32,00 Zoning: Ffr3(� Flood Zone: Watershed: Deed Book 8 Page: I Power Company": Duke Energy "New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: I/ �^r / �/ / Monnum:= Pl SFD:(Size ( U x 670)#Bedrooms:- #Baths:Z'Basement' tgw bath): Garage: ✓ Beek:V Crawl Space:/Slab: Slab (Is the bonus room finished?Poi-yes no wl a closet?(_)Yes ( 1 no(if yes add in with#bedrooms) ❑ Mod:(Size_x )#Bedrooms_#Baths_Basement(wAwo 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_DW_TW(Size x )#Bedrooms: Garage: (site built?_)Deck: (site built?_) ❑ 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: ✓ 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(5001 of tract listed above?(__)yes I )no Does the property contem-enyMsements whether underground or overhead(_)yes (_)no Structures(existing o proposed): ngle family dwellings: ( Manufactured Homes: Other(specify): Required Residential Property Line Setbacks:/- Comments: Front Minimum 35 Actual_ l Y/ Rear 25 .374. I Closest Side 10 Jai 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, Left on 401 Hwy.for 15 miles Left on Chalybeate Rd.for 1/B mile,Avery Pond on the left If permits are granted I agree •• onfor to ordinan nd laws of the St e orth Carolina regulating such work and the specifications of plans submitted. I hereby state that foregoi teme, <a,./accurate • erre to the be knowledge. Permit subject to r cation if false information is provided. iftur ' .tore 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** Resider lel Land Use Application Page 2 of 2 03/11 02 IN.SS.VO fl N Pt Epz NORTH REFERENCE GRID 05 5 rtI 0 A i 1 F % % ® � bb Y ® P = y £ 511 F PLAN APPROVAI. g1 n ill DJSTAIC 8 4ernR0UM8__.___i _ __ CP1 el WagW Gale a,nw omuvarcao,-.- a 7 C 9 1 C v E ii � rn1 � E 9cN Gg g ��a4� 5g6 . R516 w P $ a � / ..., ,,, 61E1 $S eYD .tart ].K TAO S F 7 MhbOS 114 oNOd 12130 g 6 NAME: Aim &eSfgeiif etnle' - 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 1 CONFIRMATION#ee-V 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 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 B00 (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. U 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 Os—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 answeranis"yes",applicant MUST ATTACH SUPPORTING DOCUMENTATION: {, }YES (/) NO Does the site contain any Jurisdictional Wetlands? {_}YES {/,}/NO Do you plan to have an '— •. • _ 'm now or in the future? (_}YES {/1 Nv _ Does or will the building contain any& in ?Please explain. _. { )YES (j]N} 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? L_)YES f e/NNO Is the site subject to approval by any other Public Agency? (_}YES {/} NO Are there any Easements or Right of Ways on this property? (_J YES {,..40 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 Undersh h• i .m Solely Resp' sible Fur The Pr' . tification And Labeling Of All Property Lines And Corners And Malang The.estL -So" atACoetcS valuati y, "mimed. / /47 //ii/.ORO �J RTY i''. ERS OR OW S LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/10 CeI11100relOr lA//1011ce AGREEMENT FOR PURCHASE AND SALE OF REAL PROPERTY 1t REALTOR.North Carolina Association of REALTORS. THIS AGREEMENT,including any and all addenda attacked hateta("Agreement"),hi by and between Wynn Construction, Inc _ , a(n) BR ("Buye?),aid (Individual or State of formation and type of entity) kitties Cross, LLC Ku) _ 1W ("Sailer"), (individual or Stam of formation and typo of entity) FOR AND IN CONSIDERATION OP 771E MUTUAL PROMISES SET FORTH HEREIN AND OTHER GOOD AND VALUABLE CONSIDERATION, THE RECTORY AND SUFFICIENCY OP WHICH ARE HERBBY ACKNOWLEDGED, THE PARTD3S HERETO AOREE AS FOLLOWS: Section 1.Terme end DoSaldonn:The toren Rated below.hal brave the respective meaning giveu them en ant forth adjooent to rerh tens. (n) "Preurty"((Addmse)Pluaa 1, Avant Pond Lot 1 - 39, 67, 60, se and 70 _ Plat Referemn:Lot(e) Ea ,Bluok or Section Phase 1 ,ns shown on Plot Book or Slide 2016 etPage(e) 111-142,_ Harnett county,conaiedog of 3941- acme. DI If thin box in checked., "Property" abnil mean that properly described on Enldb11 A attached Into and incorporated herewith by reference, (For information parlance:(1)the tax parcel number of the Pmpezty i9: 0653-36-6553 ; end,(B)Goma or all of tile Property,consisting of nppmximately 35 scree,1,described in Deed Book 9328 ,Pogo No. 900 , Barnett County.) together with all bulango and Improvements thereon and all Enthuse and import-enema thereto and ail personal property, if any, itemized on GAME A. $ 81,170,000.00 (a) "Perth=Prlee"ohnll mean timamn of Ono 11111/on, One Rundrad 0.venty Thalamus] Dollar& payable on the following t.nra: $ _ IA (I) "Emmaet Mone"'hall menu Dollen orternu as follow: RA u_ - Upon thin Agreement becoming a contract in accordance with Section 14,the Earnest Money gall be promptly deposited ineemow with . stn ,u(name of person/entity with whom depodted),to he Applied m pan payment of the Purchone Prion of the Property at Closing,ordiebtuted an agreed upon under the pmviaiom of Sermon 10 herein. Page 1 of H 71da Annnloqtd�approved by: STANDARD FORM 660�T ® Norm CardllaaBar AnodYton Revised 7/2013 n'Rd'" North Carolina Awsdetioe of REALTORS®,"Iy 07/1016 Buyer Initials -Nip Seller Initial,(/) wi�llfuayleln,an.,ml:,tlmseeTn �MPsv Any/ al fWee,nsesemay swum IettOn ,i eaa wutea THE NORTH CAROLINA ASSOCIATION OP REALTORS®,INC.AND THE NORTH CAROLINA BAR ASSOCIATION MAKE NO REPRESENTATION AS TO 111E LEGAL,VALIDITY OR ADEQUACY OP ANY PROVISION OP MILS FORM IN ANY SPFOR YOUR LEGC AL NSACTION, IP YOU DO NOT EEDS,YOU SHOULD CONSULT UNDERSTAND RTH CAROLINAA REAL ESTATE ATTORNEY BEFORE a THAT TT DOES NOT YO ESIGN rr. BUYER; SELLER Individual Individual Ilan:: Date: Date: _ Eudneee Entity lIlnItra Entity Consteneeiwy Diu_._____ fdL a ,4_Zkf._.__.._. stat off EnnNryy) LF tf lladq�) Nome: Nam: Title: rifle 6/77g � Dere. . _(O_#_S� .LIP... ___. Date ---77 The noderelpted hereby aellnow!edger receipt of the Earaert Money pet forth hare&and agrees to hold raid Earnest Mosey In nocordanee with the term hereof. Nam:orrihnt) Dm:HSS,---- —_'---.. Ey: . • • Page S of tl STANDARD FORM 55).T Revised 7/2913 0 7/2015 PmWoalwIth alpPome9 by rlpLoajx 10070 fleece Mie nae.Minn IeeMlpe'man tontAWYat9W Avery Pond DO NOT REMOVEI Details: Appointment of Lien Agent Flied on. 05/150017 Entry Or 56190s Initially riled by'.wynnhomes Designated Lien Agent Project Properly Print $ Post Imitators Title Insurance Company y pA sulpha' Ion lot 052 0 1� 461 Ygond 1 Online lam hunter.= . knurly NC 27516 jd Address)iniv.Hawes SiSwie107 Rai lh,fie hanettrony ?ran i Cun IPnnetuedm Nat Please post this nonce nn the Son site lei Iu sot Properly Typo Stranilris arid 6uhaon the Lona 98ptl@hcmne cool can ibis image pith ynnr'I/14n phone to view this;ling.You can then file a Nuliei I-2ranuly Dwelling o Lim Agent For thisprotect Owner Information ,mmnun 2550 capitol dr. aemmo r, Nr 2;522 United scams Email vane)@nryn nnomes clam Phone:919525 View Continents(01 Tahniunl Suppoit Hotline: 09/09/11 Application,# Harnett County Central Permitting /720 4/ '1 9S Each section below to be filled out PO Box 65 Lillington NC 27598 by whomever performing work 010 893 7525 Fax 910 893 2793 www harnett org/permits Must be owner or licensed contractor Address company Application for Residential Buildina and Trades Permit name 8 phone must match //ii / Owners Name Wynn QoS{rit.l':ciq tie, Date 1p -If? Site Address `/GY ffdery �/N. c! Dr Phone 9/9643-7y6S Directions to lob site from Lillington /rows H&CP r: kt02-101}Wt' 3A..les Leff or-! did/fdf for ISAutrc Le-{}ON C.ha1.I6ento ad cot YRk.le Aber, Poa.J /e(t. Subdivision ,4Uer1 Padel Lot SZ Description of Proposed Work Neuf Coes frueioyt/ - 51.0 #of Bedrooms Heated SF 2079 Unheated SF 533 Finished Bonus Room9 A/ Crawl Space ✓Slab _ General Contractor Information lig nit t(naca-raet;erl ra,0. 9/9 /bO3 - 796 S BuildiAg Contractors Company Naha Telephone Z4-so ('a N401 ft Ste /4 &eel aryl 27522 Pdoerl@4/104honeS.Catt Address Email Address / etZ9S License # Ele t cal Co/tractor Infor atio Description of Work Neat) Copts-Inte_ .OA/ Service Size Zoo Amps T-Pole 64es_No t. a• Taek.sop1 tlet.irtit 9/n 230- /Zs7 Electrical Contractors Company Name Telephone 92- Pale1gk A. Be /soil,NC- 27,5-orf Address Email Address License# �iAechanicalltIVAC Contractor Information Description of Work //e19J Coa/S trao.6A/ (teft:te . kat a-Nt f4:r 9/0 8SB-Oaoo Mechanical Contractors Company Name Telephone 72?bsiietlakeAI. J#4er3afe-Ale- '1$367 Address Email Address 02.002/2 N3 bassi License# p��lumb/�1rig Contractor Information Description of Work tai S/ra�t id #Baths .2. .r //oratsrs ANA.Ap 9/9,rcD '/833 Plumbing Contractors CompanynIName Telephone 31( o-4 OhartA. f_l/ay4,. Alt Z75-2 '7 Address Email Address ZZ/5-2-- License# Insulation Contractor Information 77444 .ThS4/2t.04/ 9/9 (4/0/-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 signing below I have obtained all subcontractors permission to obtain these permits and if ay 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 rs my responsibility to notify the Harnett County Central Permitting Department of any and all changes EXPIRE PERMIT FEESssssss������ -6 Mon s to 2 years permi a-issue fee is$150 00 After 2 years re-issue fee is asp currehedule 17 el tura o Owner/Contractor/Officer(s) of Corporation Date Affidavit for Worker's Compensation N C G S 87-14 The undersigned applicant being the General Contractor _Owner f 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 forthtin the permit f/ Has 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 n Company or Nam; ��%2 A� dews/re sten11..1Nt. // /� l'7 Sign w/Tiue / -- X4e.t.d. (,dr 4 Date - DO NOT REMOVE! Details: Appointment of Lien Agent Folly re. 652e09 Heel on 0y: Innitially filedd bby_wynnhomes Designated Lion Agent Project Property print & Post Tole Instrance Curponv 1131,131110nd subdivision lot 057 04 s1 464 'Y()nib` att7177- &g",warms.NC1.1366 Address vn n ,I I C my : �M1 176111 ©'✓G.-_ neon,.AU 69013x1 Cmetlndorel Piemcpool this notice On Ibe Job Silt. 131 NJ 4119373I Property Type supi&nett.uuoer/bit&meam. .- Scar,this.is and 9lib[o ruernrst Suns hswith your filo to 12 Runily Pvellin4 ma11115gent f You Lao thenrfilo n Notice to lie Agent for Onproject Owner Information 2550 2550 capitol dr. cleNmmoq NC 27511 grutrd slms Fre rmncv2 r oineiwmPhone 915-528.11347 i w Cmmntm¢(01 Teebnionl SnppoM Hotline:(MO 690-7384