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DOCUMENTS Initial Application DateSal-iL I4 Application# I 1-1 ),4149/ Cud 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.hamettorg/permits is c-tr .- L`�'kI-c jcs "A RECORDEDS RVEY M ,R CORDED DEEB OR 0- R TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" '_____vvynn Construction, Inc. Mailing Address:2550 Capitol Dr. Ste 105 City Creedmoor State:NC Zip:27522 Contact No: 918603-7965 Email: edward@wynncanstruct.com APPLICANT':Edward Avered Mailing Address: Capitol Dr. Ste 105 Creedmoor NC 27522 919603-7965 edward@wynnconstruct.com City: _ State: Zip: Contact No: Email: *Pleasetill out applicant Information if different than landowner CONTACT NAME APPLYING IN OFFICE:J. Edward Averell Phone#919 603-7965 n PROPERTY LOCATION .c hdivision: Avery Pond � ,,� {� Lot#: S� -Lot Size:2./( State Road# 4 ✓(P State Road/ Name: • l CJ_c PO4� L?r• SW- Book 8 Page: 20/1t'/zo/ Parcel: pp��OS06S3 002 / (g Or ,PIN: D(J- 24 - S7WD-DOD Zoning: tte0 Flood Zone: Watershed: Deed Book 8 Page: / Power Company: Duke Energy 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: kat (00) `1Se..k✓ Men�l,n.,. p) SEP:(Size x #Bedrooms #Baths:Z' Basemenlr^,vo bath): Garage: ✓ DeNr Crawl Space: Slab: Slab (Is the bonus room finished?(✓Syes _,no w/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?_) ❑ Duplex: (Size x )No. Buildings: No.Bedrooms Per Unit: ❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees: U 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 and,own land that contains a manufactured home within five hundred feet(500)of tract Ilsled above?( )yes ( )no Does the propedy contain any easements whether undergrou d or overhead( )yes ( )no Structures(existing or oposed):Sln family dwellings: Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum 35 Actual_ L., Rear 25 45kV Closest Side 10 /`/ Sidestreet/corner lot 20 r 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 ordinanc nd laws of the SI a odh Caroline regulating such work and the specifications of plans submitted. I hereby slate that foregoi : terve a accurate orre to the be knowledge. Permit subject to rgvcanon if false information Is provided. Or St- lure of Owner wner's Agent ate "9t Is the owner/applicants responsibility to provide the county with any applicable Information aboutthe 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 K a2r y / ' w § \ it ■ : % '. - | ` �®ƒ /| 2f ; M! 1 , kE © & | PM! % k` E , | | ■ a ; w� | | 1 1 | | C/ § / 22 = / § | K -09q ■ _! 3 - |! e / § $ § 6 di PSaR ' 25 wf € \ | § ipso / , 0 / \ i § 0 SITE ma meat DISTRIC, Pi\-. , MBEmOOM: � . . in_C/5 ,ow.cambona4 | i 1 NAME: /1/Ail oIS7r Xedef f iC - 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# Environmental Health New Septic System Code 803 • 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 for 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 {_) 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 /NO Does the site contain any Jurisdictional Wetlands? {_}YES {if�(NO Do you plan to have an ilLjgation 6ythat now or in the future? { }YES {yr<9 Does or will the building contain any drains?Please explain. { )YES ( )NN_�_1 Are there any existing wells,springs, waterlines or Wastewater Systems on this property? ( }YES ((1'INO Is any wastewater going to be generated on the site other than domestic sewage? {_}YES VINO 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 { O 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 Unders } • h• I .m Solely Resp' sible For The P - tification And Labeling Of All Property Lines And Corners And Making Th ess'• - So' at Cote ,valnnti11y� ' •• '-' or coed. / //7 Air //ic/.ORO At /''��I"{�• RTY •'.• ERS OR OW ••S LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/10 hlllleerolelAll/Ince AGREEMENT FOR PURCHASE AND SALE OP REAL PROPERTY 1t nantrons North Carolina Association Of REALTORS' THIS AGREEMENT,including any and all addenda attached hereto("Agreement"),is by and between Byron Construction, Ino .(n) RA ("Buyer'),and (individual or Stene of formation end type of entity) Little, Cross, LLC _ a(u) _ RA ("Seller"). (individual or Stole of formation and type of entity) POR AND IN CONSIDERATION OP THE MUTUAL PROAOSIIS SET VORTH HRRRTN 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 Dadaltone:The tetras listed below Wall bevo to respective meaning given them en set forth arSacent to each SUM (a) "Pmn71v"1(Addmae)?Mee 1, MOM/ Pond Lot 1 - 93, 67, 60, S0 and 70 Plat Reference:Logo) H11 ,Bluck or Section Plisse 1 ,asahown on Plot Book or Slide 2016 atPage(s) 111-142 , _ Harnett County,consie0ng of 35t/- acme, up If thin box is checked, "Property" shell mean that property described on ErMbIt A attached beano and incorporated herewith by inference, (Pot Infomandon pnrpmet(1)the tax parcel number of the Property lq: 0653-36-6553 end,OD some or of of thePmperty,cousiatiog ofapproximetely 35 acres,is deactrbed In Deed Book 9926 ,Page No. 900 V , Harnett _County.) together with el btdkllngo and Improvement!thereon and all fixtures and appurtenances thereto and all personal property, if say, itemized on Eabfit A. $ 01,170,000.00 (b) "Parana Price"nhnit moan the man of Ono 911111on, One Hundred Scvanty Thousand --- _.__._.Dogma, paa6M on thefotlowfng Nista: $ 11A (1) "Emmet Moate"obeli moon _ —_ �._ Dollars or terms eefoliowa:_17A Upon this Agreement becoming n contact in accordance with Section 14,the Hameln Money shall be prnmpdy deposited In escrow with . RA _ __(ammo of penodentlty with whom deposited),to be applied es pan payment of the Purchase Noe of the Property at Closing,or dinbuned au tweed upon under the prov Wore of Section 10 herein. Page 1 of 6 TSM 6onnjda1aqtt g'approved bye STANDARD FORM 6604NortY Cardin Bar Msodadon Redid 7/2013 „ , North C rem.Anorlatloc OfkEALTORS®'I07/2016 Buyer Initials JP", _ Seller Initiate 1 �sy�xn we new um,syein,no eta cexm,:.,scars 4 ainI ameuc»"mm a WW+mem sial,Ia .en,WeM al res!, a n,erynao THE NORTH CAROLINA ASSOCIATION OP REALTORS®,INC.AND THE NORTH CAROLINA BAR ASSOCIATION MAX NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN ANY SPECIFIC TRANSACTION, IP YOU DO NOT UNDERSTAND THIS FORM OR FEEL THAT TT DOES NOT PROVIDE FOR YOUR LEGAL NEEDS,YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SIGN IT. EUYERI &BELEM hullvidual hairlike Delo: Datk;: Data DAM Endue Rattly 01101Theel Malty Canatractien, Inc totea C Rim of Entity) tr 3 11 Noma: Title: Date: -• 57- 1.42_ mu,: 6/24 The andermiguad hereby acknowledges wept of the Earnest Money set forth herein and agrees to hold maid Earnest Money ln Borate with the term hereof. aqms.,ng Firm) Dew: By: at Fuse fl of STANDARD FORM 590.T Rni.ed 7/2013 • 0 712015 Pmeluoscl with&Womb byepee* mom Mb=Pan FIGail.ErniE ilchIw 4102t (Y101111 Avory PIM DO NOT REMOVE! Details: Appointment of Lien Agent Filed on 05115/2017 Entry/L 852989 Initially filen by'. wynnnomes Designated Lien Agent Project Properly Print & Post Pah Inn Company rY pond subs meson ml 056 0 .Th0 406 r Pond e. . Online ung 0LY on di 27526 ti(( V.Harem Sc.Dad 3 Dr Palo&,NL darneit C Ivry OHY • necl Con mon.i ses 650 73 Please pmt lits notes on the Job Site l.%.aka lxuWit Property Type &Ithis and eub n helors Fnmll'.plpparvJ cmnamScan this m. .... image u your smart phoneNotice win Agent You Ihen I-1 Family Dwelling tut ien ayenl6rlM1i5P gaged Owner Information "rynMon rvml de ernormany NC 27577 Waled Stales I mail nan ypawynnhomes.am Phone.919-528 I74/ vets CnmmenlS(ot Technical Sunoco I Hotline:(848)691)/1114 UdlUell1 /Application if Harnett County Central Permitting 11 Soo'Vi cy Each section below to be filled out PO Box 65 Lillington NC 27546 910 893 7626 Fax 910 893 2793 www harnetl erg/permits by whomever pedormm°work Must be owner or licensed contractor Address company Aonhcation for Residential Buildina and Trades Permit name&phone must match '• 1 Owners Name WyY. . Qo&`'fnatt:° l SNCi Date Site Address VZ:2/o Aerie no✓d .(Jr. Phone %/9603-294.- Directions to lob site from Ldlington FL" Ned ri 1 kf a 2-10 I4Wy 3w lea Leff ori 'I/o/ 7 for ic,.t,S Le-ktoiu C.halybeakt_Rd dor YRhi:le , /Qrlery P#4,4"mr /eft, Subdivision A7Uer1 /% d Lot S & Description of Proposed Work Alegi) COPS fnre7bs✓ — ,SfD #of Bedrooms V Heated SF ZQLq Unheated SF 9'240_Finished Bonus Room'' N Crawl Space _Slab ✓' General Contractor Information Glyy rLk O'-nds-Frt ci:#0Lrue. 9/9 /003 . 776 S BuildiAg Contractors Company Name Telephone Z4 f0 e N4°' ft Ste /or&ed.ovc/ft 27122 Mer!@lthfnalu,tes.604 Address Email Address / SiZ9s License# sial Contractor o Description of Work New Cogs-lrue rosJ Service Size PO Amps T-Pole _Yes No Q. A. 5acksou C/ee.dre t 9A9 730- /Zs/ • Electrical Contractors Company Name Telephone 92-U 2ale;etkW. Beisoti,Ner- 27Sott Address Email Address 2.11 `111 License# PochanicaUllVAC Contractor Information Description of Work Weld CatatIlfeltal (gerf:Ued- Neat a.Nli A:r 9/c a g-Ddoo Mechanical Contractors Company Name Telephone 9�7,5WetaAePd. 4 aba3%tNL' fl3st? Address Email Address fitZooZ/2 N3 dfns/ License# // Pluu b Contractor Information Description of Work /4 1 / tri r .o/✓ #Baths .2,• �rarrs � afa%n9 9/4Sr0• y833 Plumbing Contractors Company Nethe Telephone 31100-/$ Onarkel. Cls f4.r Nt Z73-21Address / Email Address ZZ1S2- License# Insulation Contractor Information �J p 7fam r-Nsabte:94/ 7/? /0/G�-D99 1 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 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 permi a-issue fee is $150 00 After 2 years re-issue fee is as p curiehedule tura of 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 kV—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 f/ Hes 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' /41A/1 C- 1gS>a' OA/y.1ut. Sign w/Title �"-/ /4, Dale 6 -/-2 DO NOT REMOVE! Details: Appointment of Lien Agent Filed on 05/15/2017 Entry N-852909 Initially filed by wynnhomes Designated Lien Agent Project Property Print & Past I file I . ren C 1 p everyp d subdonsion lot D36 DP!;Z.:" 006 pverypond E. N� Online-en donne y t sryWow,NC n1 Heinen St S ,Nn4gi.NC tonnut County Qi • 215nl t•ontrlletcrs Dune.axe am wit Please post this notice on the lob sM te. not alt Property Type supPllersunJ Slmeono-naora M1nisiI:If�If0}IflJe llfj}gl__._..._..n 9999 this ims5e with ymo'UM phone to view dm(ling.?n I then file a Nona i 12 Fowl)Dweihng to Lies Agent for UMa project. Owner Information wnnhonl lase% vilnl di :erdmoor, NCnm Tinned states rail 0515ey@ rvynnhenm enol Phone 919 929 OYt View<a„nnents Nl I emmmm 9nrrertIlmMe(ns9)490 v96