DOCUMENTS Initial Application Date: S) �.L&/ ` / Application# ' / _Gal_q (j1
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington NC 27546 Phone:(910)893-7525 ext:2 Fax.(910)893-2793 www.harnettorg/permits
LQ—ISS LcL
ECORE0ti1vE�mAr,RECORDED (OR OFFER
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: 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: 919 603-7965 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 1 Lot#: S3 -Lot Size: • 9/
L
State Road# 14 0 State Road Name: , er ID OkiQ (�Vr• Map Book&Page: 120/✓6 / �
Parcel: 080633� 002? 5'7 PIN: 0(0S-3 2e - 6441-000
Zoning:eA 30 Flood Zone/41—Watershed:: Deed Book&Page: (TTP Power Company': Duke Energy
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
:�� /r
(SizeIOL/ 6,O Bedrooms:yDSc / : / Slabnir,i,1.
co SFD: x )# #Baths:Z• Basement(' bath): Garage: ✓ DSc Crawl Space ✓_Slab:_Slab
(Is the bonus room finished?(_✓ryes _,no wl a closet?( )yes ( )no(if yes add in with#bedrooms)
❑ 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_DW_TW(Size x )#Bedrooms: Garage: (site built? )Deck: (site built?_)
Cl 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: 1 County Existing Well New Well(#of dwellings using well )`Must have operable water before final
Sewage Supply: I 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 , easements whether underground or overhead( )yes U no
Structures(existing orgle family dwellings: I Manufactured Homes: Other(specify):
Required Residential Property Line Setbaacks:, Comments:
Front Minimum 35 Actual_ rL(0
Rear 25 3867
Closest Side 10 /0 x
Sidestreebcorner lot 20
Nearest Building
on same lot
Residential and 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 Dolor to ordinanc nd laws of the St a odh Carolina regulating such work and the specifications of plans submitted.
I hereby stale that foregoi s tame a accurate one to the be knowledge. Permit subject surbject In If false information is provided.
tura of Owner wner's Agent Dale
"`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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NAME: £J.44 orifi 'n'�Oti nit - 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 submined. (Complete site plan=60 months;Complete plat—without expiration)
910-893-7525 option 1 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 dean 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 VrC onventional {_} Any
{_j 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 {/NO Does the site contain any Jurisdictional Wetlands?
{ }YES (4 N0 Do you plan to have an iR'i4afic r system now or in the future?
{ }YES {,9 Does or will the building contain any drains?Please explain.
{ {YES (_j)N) Are them 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 {e-1-110 1O 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 {,z)NO 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
Slate Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I}Indent/4SSWLI4SENflTWE
m Solely Resp he P., '- tificalion And Labeling Of All Property Lines And Corners And Malang
filln
TheentL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
DO NOT REMOVE!
Details: Appointment of Lien Agent PnOd On05/15/2017
Entry IS l362B84
Initially filed by'. wyanhomen
,Desig noted I.len Agent Project Property Print & Post
irosios Tl.159957175c Company ry pd subdins7on Ian 053 Q Q
ae ,... 717111ypond di.
f 4v v vaults.eC 275217
Address JO Ac 1-11r¢co St 75755 307i 9elgn 115 Ilan7511 "nn 17 Ai
Il one exs6n11 pl
g35
we post this notice on the Jul,Site
411489 ill! Property Type
¢mdb9'M91'.: t!nsncoo�w. Squill/1s and Submsn'selors
scan Ibis map,.wit
hyour p(gme
1-2Fannin,Dwelling view thi111ing You can thenject. len Nonce
to Agent/girths piglet.
Owner Information
Aon
25507epibl di.
xeedinooi NC 27522
United Steles
Feai:nancy@nynnhomes mm
Phone:919-528-134/
%/m y Comments(0)
Ieebnleal Support Dianne(888)520 Mil
inALTORIP
Eemu.erolel/llisaaa
AGREEMENT FOR PURCHASE AND SALE OP REAL PROPERTY
1t
nEAtlo Rs Nor h Carolina Association
of REALTORS'
MIS AGREEMENT,including any and all addenda attached hereto("Agreement"),is by and between
Wynn Conntruation, Inc
a(n) to ("Buyer'),aid
(individual or Stele of formation end type of entity)
Litti. Crone, LLC ,
a(n) _ NA (",Yelled),
(individual or Stele of formation and typo of entity)
POR AND IN CONSIDERATION OP THE MUTUAL PROMISES SET FORTH HEREIN AND OTHER GOOD AND VALUABLE
CONSIDERATION, nm RECEE+T AND SUFFICIENCY OP WHICH ARE HEREBY ACKNOWLEDGED, THE PARTES
IIIIPEM AGREE AS FOLLOWS:
Section 1.Terme and Delnldone:The tem lilted below dial tevc the rtapeedva me"nlog given them en net forth acUoomd to each
tens.
(a) "Pmmeriv"t(Addeo')Phase 1, Avon Pond
Lot 1 - 95, 67, 66, 60 and 70 _
PlarRefeence:Lot(a) All ,Block or Section Plume 1 ,ns ohowu on Plat Book or Slide
2016 at Pogo(e) 161-142 Barnett County,consisting of 3511- =et,
13 If this box is checked, "Property" shall mean that property described on Exhibit A attached hereto and incorporated
herewith by inference,
(For information purposes:(1)the tax parcel number of the Property is: 0653-36-6559 _
end,(H)some or all of the Property,rambling of approximately 35 acres,is described in Deed Hook
3328 ,Page No. 900 - Barnett County.)
together with all buildingo and Improvements thereon and alt fixtures and uppurtenancee thereto sxd all personal property, if any,
itemized on Exhibit A.
,$ 61,170,000.00 (b) "P,uyhu Prdre"Wmll roam tlm nun of Ono Ri111on, One ;lunched Seventy
Trrooeanci Dollen.
payable on the following Wow
g lA (i) "Earnest Many"shall menu __w.._... bullar;
or terms as follows: HA
Upon this Agreement becomiug n connect In accordance with Section 14,the Evameot Money shall be
promptly deposited in escrow with . Rh (name of
petmn/entlty with whom deposited),to he applied as pen payment of the Mahone Prim of the Property at
Clueing,or El/Mused to agreed upon under the pmvisione of Section 10 herein.
Page I of 8
79Js fomkjednity approved Isy STANDARD FORM 5804
North Carolina Bar Anodsllon Revised 7!2013
,. ,_t .,• North Carolina Aw'dstlon ofREALTORN®,I j -- 0712015
Buyer 1Wtlale "SO(O Seller Initials
1 vsorxaninlna n.,m c..m,:v,ncu;n othesim,ar{uranoralicou MTh/Mian Ma XaJ cwt,,scovoIaCN �,e n.ebavl
t
DIPEP In* ,
THE NORTH CAROLINA ASSOCIATION OP REALTORS®,INC„AND THE NORTH CAROLINA RAR ASSOCIATION MAKE
NO REPRESENTATION AS TO THE LEGAL,VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN ANY
SPBCEEC TRANSACTION. IF YOU DO NOT UNDERSTAND THIS FORM OR PEEL THAT IT DOES NOT PROVIDE FOR
YOUR LEOAL NEEDS,YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SIGN
IT.
BUYER: SELLER:
Indlvldoai Indhlded
Dm;....__--_.___ _ Dab...:
Data: . . .. . _.__. . _. ._ _. DAM
Boakw®Entity Buchman Endy
Coaet:xnoelonr Ion Lit o C'.oeo 34C
.._
nave olEntity) � Cattily)
Tido __ .... __ .. _ _. ... Ude; 6/77g
)_
Dote �_ _S LSP.___.. _ .___-_ Date Uf 7/lesThe imdnreigned hereby acknowledges receipt of the Ranted Money set forth Nue and agrees to hold maid Earnest Mousy to
accordance with the terms hereof.
ill:_
(Mum anti:in)
Dare: pnEy: Eti
•
Page B of g
STANDARD FORM SBO•T
Revleed 7/2013
0 7/2013
Pmaomwtth dew"bY>IPLoIIx I sono RAM Mia Royal,Inter,MIchlau,41026 :nmalilL,tM aEI Avay Pond
09/09/11 Application# c/q/-
Harnett County Central Permitting 1?SOO y/7/ (0
PO Box 65 Lalin0ton NC 27548
Each section below to be filled out 910 893 7525 Fax 910 893 2793 www hernelt orglpermtts
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Budding and Trades Permit
name 8 phone must match '•• \\ rrtt 1 r7
Owners Name ILX\r t. Cogs{ret+:eat t rte.... Date to -�/
Site Address Phone Y/9looj-796S
Directions to job site from Lillington , _ e •• rrs • 2A0 41.0 ,. i I O
for ISar � l.
lrekto0Ual\6ea+e ea tof % at:ley Aocr7Pagel awl /e(1'.
Subdivision Ar/crr Paul Lot 5-3
Description of Proposed Work Ned 1.045 fraiei( a/ — 5fD #of Bedrooms H
Heated SF JBVr Unheated SF 703 Finished Bonus Room'r Al Crawl Space Slab _
General� Contractor Information
bit inn e ods{rtl.et:ett =1111•. 9/9 lao3 . 796 S-
Buddha Contractors Company Nellie Telephone
LCJb OA is:-Fol I. Ste /0sSeee400/ Ak. 2322 t oidert&a o.#y44&iowes•Caft
Address Email Address /
y6Z?S
License #
er c Co trac o
Description of Work New} Copair4c IOAt Service Size 700 Amps T-Pole _Yes_No
Q.. A• 5aeksou r./ee it t 919' 730- /Zs/
Electrical Contractor s Company Name Telephone
92101 2akt k W. & Acrid , C 2JLNt't
Address Email Address
21141
License#
)y1echanicalllll1VAC Contractor Information
Description of Work Neu) Costs truth BA/
(ler+:E:sL Neat dal A:r 910 SSS-Deo.0
Mechanical Contractors Company Name Telephone
7?7,StiasetbkePI. kafr 3-%eNC 28357
Address Email Address
/e'Czooz/2 $3 e/nsst
License#
• _u ' n• Co t _ • r o 11tor
Description ofWork / r. «_ riig #Baths .2. S
�r4l0sr3 /.t 7 %A9 9/9 rs0. 4833
Plumbing Contractors Company Narhe Telephone
3/(00-4 Clear& fJayfar Nt- Z7s 1
Address Email Address
Zi/sz-
License#
Insulation Contractor Information
Tatum _Thy/n s24/ 9/? 60-0999
Insulation Contractor s 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 tome and that pv signing below I have obtained all subcontractors
permission to obtain these permits and if au 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 FEES-6 Mon s to 2 years perms e-issue fee is $150 00 After 2 years re-issue fee
is as p currehedule /L%
%Si lure of Owner/Contractor/Officer(s)of Corporation Date
b 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 forth in the permit
(/ ties 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
Hs 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 A
Company or Nam RIM ows 74rtct/IMI, UCT/ 6011i
Sign w/Title d.es g4 Date 6 /2
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on 05/15/2017
Entry it. 652884 Initially filed by'. wynnhomos
Designated LI en Agent Project Property Print & Post
I ile Insuran3e.r onumnY avery pun315148Inunou Int 053 El"-4.717
pond di
Inning r 4r v vanna,NC 17/16 1
Add int 11w.[Iowa Suite fmlenheBNr C y ol. LR
21601
CLvnr,gaL563-nx Plwe005/0:is noose on 0e lob Site
r>._slwe»m Property (ypo 's::ppnen nnu snbennllnrtors:
E�nnllsonontilprnLfg - - - Sre)/Ns 1na0u with yw en phoo to
view ihis lirmy.You van then rile a Nance
I-I Family Dwaine lei'enitgentferthizpre'col.
Owner Information
trynnhen
2550 cepilol dr.
mcd:noor, NC 7/122
Untied Stales
Falai!.nancy(ufrynnlioniexwn
Phone 91'1128-1141
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"I ethnical Snunnu Ila)line:(888)690.984