DOCUMENTS I el
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Initial Application Date: V)OU.D' I� Application# Snag/4 /
Cut/
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.harnelt.org/permits
O.A. er• 16 -tI.2 Lr"USS c••LL.
"A RECORDED SURVEY mAff RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
aWeeR•Wynn Construction, Inc. 2550 Capitol Dr. Ste 105
Mailing Address:
City: Creedmoor Slate:NC Zip:27522 Contact No: 919603-7905 Email: edward@wynnconsiruct.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 till out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: . Edward Averell Phone#919603-79.65
PROPERTY LOCATIION'Subdivision: 'Avery Pond D 1 f� Lot#: • . I -Lot Size:•7/
State Road# 1✓q State Road Name:_ Q 1 OLI C Vr• Map Book&Page:20✓6 1 zoI
Parcel: 1���0.7SO& 3 002? S. PIN: 0(5/533, ZG 490-DOO
Zoning: VIVO Flood Zone: X Watershed:/-^ ! Deed Book&Page: L >N 1 Power Company': Duke Energy
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: ^fir
� //�� / �J Z Car / / MolNhid..
0 SFC:(Size ldl x 1220)#Bedrooms: ! #Baths:_Basementf fjo bath):_Garage: ✓ Desk: •• Crawl Space:✓_Slab:_Slab
(Is the bonus room finished?Lyes _, no w/a closet?( )yes ( 1 no(if yes add in with#bedrooms)
U 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? )
U Duplex: (Size_x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
Li Addition/Accessory/Other:(Size x_j 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 lend,own land that contains a manufactured home within five hundred feet(5003 of tract listed above?( )yes ( )no
Does the properly contain any easements whether underground or verhead( )yes ( 1 no
Structures(existing or •le family dwellings:_Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual] -/� .—
Rear 25 tl I
�p�l . /
Closest Side 10 !a z
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
It permits are granted I agreeDolor to ordinanc nd laws of the St a orth Carolina regulating such work and the specifications of plans submitted.
I hereby slate that toregoi . .tame a accurate rre to the be knowledge. Permit subject to r cation if false information is provided.
411( lure 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
NAME:LAM ( ,/j7 4 -ale 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 submitted. (Complete site plan-60 months;Complete plat=without expiration)
910-893-7525 option 1 CONFIRMATION A-
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
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.
0 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 ( I Innovative OrConventional (_ } 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 VINO Do you plan to have an' t 't . ' t now or in the future?
(_)YES ( Does or will the building contain any drains?Please explain. - -
{ )YES {_/)NND Are there any existing wells,springs, waterlines or Wastewater Systems on this property?
{ }YES {/1//NO Is any wastewater going to be generated on the site other than domestic sewage?
(_ }YES {�}NO Is the site subject to approval by any other Public Agency?
LiYES {/1:1-0 Are there any Easements or Right of Ways on this property?
( }YES {),114O 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 Understi h• I s m Solely Resp sible For The Pa •- tilication And Labeling Of All Property Lines And Corners And Making
The ajessi• ' So ' at Cote .valuat • • " 'orated.
.'�.. ii,.AC Lail ;Ay
/ 6---/7
R Y •• ••' ERS OR OW E s S LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 05/15/2017
Entry n'. 652012
Initially filed by'.wynnhomes
Des Ig nated Lien Agent Project Property
Print & Post
erlori Title I . Company y pd subdo moo lot 054 O'er •0
]4 every pond A'. r, t a
• Jib Myna ,NI'27526
MINN 9W.. lw n]/RnIei&t. EmmettCrnu ry DI •
Ilial
Contractors:
✓ime.791 r IJ 1324 Plexte post alis nonce on the lob Me
in,913 MC NH 'Property Type
I
Suppliers dSubunit'mime.
munwia se ins moreery Y mart phoneto
v this!duty.Yu. n thefile a Notic
Da 12 Family Delling to Lien Agent for!hisparried.
owner Information
wynolithries
2550 capitol dr.
'eedmoor, NC 27522
coded Stat p
Email.nancy CaWynnhomes.mm
Phone.919 528
View Mammas(CO
Technical Support xa0me:(ass)690.7154
COIRIRoEtiIRr
IA/11/110! AGREEMENT FOR PURCHASE AND SALE OP REAL PROPERTY
neALTOna North Carolina Association
of REALTORS*
THS AGREEMENT,including Wry and all addenda attached hereto("Agreement"),is by mid between
_ Wynn Ceneteuestion, Ino
a(n) HA ("Buyer"),and
(Individual sr State of formalin end type of entity)
Ideas Cross, LLC
n(u) _ RA ("Seller").
(individual or Stem of formation and typo of entity)
POR AND IN CONSIDERATION OP THE MUTUAL PROMISES 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 Definitions:The totroa listed below si nil have the respective waning given them m net forth ar(incud to each
tam.
(a) "Property"((Address)Phage 1, Amery Pond
Lot 1 - 35, 67, 60, 60 and 70
Plat Reference:Lode) IA ,Flock or Section Plant 1 ,ns drown on Plot Book or Slide
2016 _et Poge(e) 141-142 easnste County,comia5ug of 35+/- scree.
U If thin box le checked, "Property" shall mean that prnperty described on Exhibit A attached hereto and incorporated
herewith by inference,
(Por Intonation purposes:(1)the tux parcel number of the Property is: 0653-36-6553
and,(d)some or all of the Property,coveinting of approximately 35 emu,is dcareibed in Deed Book
8326 ,Page No. 900 Barnett County.)
together with ell buildings and Improvements thereon and all f xtures and oppurtennocen thereto and art personal property, if any,
itemized on Exhtit A.
$ el,170,000.0D (b) "Parthaae Moe"phial mean the nun of Ono Killion, One Bemired 0aventy
Thousand DoNm,
Malik on the Jh/lo wiag tansy
lA (i) "Farmed Money"obeli mean _ Dollars
or terms as follows: EIA
Upon Oda Agreement hemming n contract in accurdenco with Section 14,the Earned Money dual be
promptly deposited Jetsam with . NA _(name of
penom1entity with whom deposited),to be applied en part payment of the Pmnhme Prim of the Property at
Closing,or disbursed du agreed upon under the pmvixioua of Section 10 herds,
Page l of S
�` TLA formjodlna*1�approved by: STANDARD 10/U4 580-T
North Cardin Her Auo&Uon /Wind 7!2013
North WolinAmociatlon of REALTORS®,1 $. 07/2016
Buyer Riddle_Dole Seller Initials
m"1'v:ooNl:,nmun„a R,ym::,.xc”,a vmsenmacvonmayay4rp, icon Flaw,Ata F1Ml£ iraMy rave Dl n n Arita+
THE NORTH CAROLINA ASSOCIATION OP REALTORS®,INC AND THE NORTH CAROLINA BAR ASSOCIATION MAKS
NO REPRESENTATION AS TO S FORM IN ANY
SPECIFIC TRANSACTION. IF YOU DO NOT UNDERSTAND THIS FORM OR FEEL THATLEGAL VALIDITY OR ADEQUACY OF ANY PROVISION
DOES NCYYT PROVIDE POR
YOUR LEGAL NEEDS,YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SIGN
IT.
BUYER: SELLER:
Individual Individual
Date; -- . Data:
Endows Entity Business Entity
Cionatrnnttono foe _._ _MAL. e C 130u to .__..
---- • moo d'Ilutity)
Name of IIntiry)
By: ...__ Or, . _
Name:Title: _______.__-- .__...__.._..
_.. title
Dote __ _� _S" .g -. _ Ode f:!f /O ..__-. .__.
The undersigned hereby acknowledges receipt of the Earned Money sat forth bandit end agree to hold said Ferns Money In
anemianoe with thetanne hereof,
Dme:$B.___._._..__ Ey: oh._
•
Page d ofa
STANDARD FORM 910•T
Revised 72013
072018
Protium!with VlpFc n.by*Loely f00)O Rtem Mew Rani.Frac,MNMaaf 41028 vM uh'•'atl : Avery Pond
00/00/11 Application ##
Harnett County Central Permitting /7- ,00 VII??
PO Box 65 Lillington NC 27548
Each section below to be filled out 910 893 7525 Fax 910 893 2793 www harnett org/permits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name&phone must match ^�1 1 -7
Owners Name c�z�J. t's,.l.o/S irrier:all 4 rex, Dale b - /
Site Address 7v / /very /Odd DIV Phone 9/7603-2,14.5-
Directions
/9/003-2,145Directions to lob site from Lillington . _ , • •• . 2-I0 !al ... I - S • _
for ISn�rtt4r Ltic DPJ Chalybea+t lad For %Ata te , hoer, P0adAM /eft.
Subdivision Aar/ 85AS Lot 5-11
L,�
Description of Proposed Work /vein L�i airs{/•phot/ -' 5f0 #of Bedrooms /
Heated SF zIStO Unheated SF 79Z- Finished Bonus Room'+ t Crawl Space ✓Slab
General Contractor Information
Ui4ynn e /*sinc :F:oftPao. 9/9 /103 . 7965
BuildiAg Contractors Company Name Telephone
ZSSo ('a p;+ol f t ste /15-ergree rar, /tk. 2702 tela mewl 4a40Aes•eo"t
Address Email Address
SZ?S
License #
/i
Alec cal Contractor Information
Description of Work Neuf &magma .0k1 Service Size 200 Amps T-Pole Yes_No
Q. P• Tack-sou G/et r•`t_ 9/7 730- /Ls-/
Electrical Contractor s Company Name Telephone
92-1,1 Pate:01. Segos, 27504'
Address Email Address
2/ ►
SP/
License#
echanicalllJVAC Contractor Information
Description of Work /veal COOS7ititC7tWd
(er•F.E:ed- Neat afxld A:r 9/o 858-6400
Mechanical Contractors Company Name Telephone
7?7S00setAAkePI• Jr.rber3.dpa/YC 1835'?
Address Email Address
//t2001/2 /13 c'/sssl
License #
.0 ! Cot _ o rou :tio
Description of Work I r. I rtF/ #Baths .2. 5 •
..�� r 9/9.rco• 033
ra( .tS Ami i4¢
Plumbing Contractor s Company Nae Telephone
3/6o-4 Ohw-& e/a ,csa Nt Z-73-21Address / Email Address
ZZ/Sl
License #
Insulation Contractor Information
77141444 /zt 4/ 9/760-014
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 tome and that pv signing below I have obtained all subcontractors
permission to obtain these permits and if spy 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������££E££E -6 Mon s to 2 years perms e-issue fee is$150 00 After 2 years re-issue fee
is asp curiehedule
tura c 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 V.-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
// 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 /�
Company or Nam: //IAA istree/tel/ 1NC,
Sign w/TRle �� /4 Date —/ /
DO NOT REMOVE!
Details; Appointment of Lien Agent Filed on OS/15/2017
Entry Si': 652912
Imhally filed by'. wynnhomes
Designated Llen Agent Project Properly Print & Post
Ins esdsrs 141t I rduarer CornpAllY ani1P011d hd1,1015 lot 054 0 0
4 -0 YI'radar.
Chliws 1 .fu — F I y�NC 7526 Adie_ r
Address 1W Hn6 5 n,e,eh bY "'nett Cou^LY QT taA ,R
v<in con Iraclnr:
I4onr.xxnelunxn Florae post llris notice on Ne lob SAe
a. 911 IMO 23[ Property Type
Suppliers and Sub actors
nnoIFm he ew San this- x:phone
Lien Afiling i You can then Glcallonce
I 112 Family Dsseihrp ro Uen A5enl torthisprolect
Owner Information
25ho
50mcapitol dr.
tednonr, NC 29522
Undid Sta
Eniall nancy L:Annho mes cons
Phone 919-528 1317
Vmry oo„,,, ,(0)
'Ieelmleel Suppo rt Hollins(888)6907384