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Initial Application Dec% \ c ) ` Application I50 1 pity p CUR COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Llllinglon,NC 27516 Phone:(910)693-7525 ext:2 Fax:(910)893-2793 www.harnell.org/permits "W RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER:Wynn Construction, Inc. Mailing Address:2550 Capitol Dr.Ste 105 City: Creedmoor Slate:NC Zip:27522 Contact No: 919 603-7965 Email: edward@wynnconstruct.com APPLICANT':Edward Averett Mailing Address:2550 Capitol Dr. Ste 105 City: Creedmoor Stele;NC Zip:27622 Comas No: 919 603-7965 Emelt: edwerd®wynnconalruct.com 'PMan 911 out applicant kuormallon IIdifferent than landowner CONTACT NAME APPLYING IN OFFICE:J.Edward Averell Phone#919 603-7965 Avery Pond �/(7 ' PROPERTY LOCATION:Sub Melon: A I�/ Lot#: 7 • Lot Size. -1 6-7 Slate Road#_3�—�//r/r Stale Road�Name: a IAIJe c aid ,�r Map Book&Page:2" /mcnl Parcel: h8'3 L_.l.OS.� 1 )C) i44 `` PIN: o 1D53�—/ /;3 Lo - 3-7 LO I•ooa Zoning: P,k3O Flood Zone. /oPI Watershed''Deed Book 8 Page:S/0/ 7d4power Company': Duke Energy 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: La/ _ _Monolilhk gr SFD:(Size WW x10 )#Bedraomsq__#Bath ✓ Basemenl(w/wo beth): Garage: Beska (P7rewl Space: _Slab: Slab: (Is the bonus room finished?(_)yes (_)no w/a closet?(_)yea (_)no(If yes add In with 0 bedrooms) ❑ Mod:(Size x )#Bedrooms #Baths_Basement(w/wo bath) Garage:_Site Built Deck:_ On Frame_Off Frame_ (Is the second floor finished?( )yea L)no Any other elle hull)additions?( )yes (_)no ❑ Manufactured Home:_SW_DW .TW(Size x )#Bedrooms:_Garage:_(slte built?_)Deck: Mile built?_) ❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit: ❑ Home Occupation: Rooms: Use: _ Hours of Operation: #Employees: ❑ Addition/Accessory/Other:(Size z )Use: Closets In addition?(J 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 Check/Mt County Sewer Does owner of this Had of land,own land that contains a manufactured home within five hundred feel(500')of tract listed above?(_)yes terriel Does the properly contain any easements whether underground or overhead(J yes no Structures(existing trp bpr oseeat M91e family dwellings: ! Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum 35 Actual 310 Rear 25 /79.1 Closest Side 10 Sldestrnticarner lot 20 Nearest Building on same lot Residential Land Use Application Page 1 of 2 03111 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINOTON: 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 to conform to all ordinanc and laws of the S to orth Carolina regulating such work and the specifications of plans submitted. I hereby slate that foregoln atoms a °curate cor to the best knowledge. Permit subfri to ravocatlon If false Information is provided. - _ 8lSignature of Owner or wner'e 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 oft 03/11 . . . . . . . . . . . . . . . ! !\1 I 4 ) ( | z ± \! i ! ! ! ^ � / ) ( ? ; I . « ! [ y 1 . . : . - ; T 1:� � { , / \ - - � \ \ \ / \ , ! - --- ( r { 1 : & ; ; , ' e ! ® . a » ---\ ! ° _ [ L> / ° — _a - . . . ( . � % \ \ \ i \2 } 1 NAME: Optic re 0� he, APPLICATION fl: •Tlds 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 460 months;Complete plat=without expiration) 910-893-7525 option 1 CONFIRMATION g p, 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 60 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 mat,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 CIIck2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. 0 $nwronmental 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 8 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 em type(s): can be ranked in order of preference,must choose one. { ) Accepted f_} 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 answernsis"yes",applicant MUST ATTACH SUPPORTING DOCUMENTATION: (_)YES {L(NO Does the site contain any Jurisdictional Wetlands? {_)YES (e1 NDo you plan to have an privation system now or in the future? {_)YES tzr1CO Does or will the building contain any drains?Please explain. (_)YES (_„,-)41; Are there any existing wells,springs,waterlines or Wastewater Systems on this property? (_)YES ( �QO Is any wastewater going to be generated on the site other than domestic sewage? (_)YRS (r) NO Is the site subject to approval by any other Public Agency? (_}YEAS { NO Me there any Easements or Right of Ways on this property? {LlYES {_) 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 locale 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 Ta Determine Compliance With Applicable Laws And Rules. I Understand That I Am Solei Responsible F. The Proper Identification And Labeling Of All Property Lines And Corners And Making The Site eta! Thpl` ;ur lion Ca ntlned. 9-77 P P R O GAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10110 CmiemsnidAl/Inas AGREEMENT FOR PURCHASE AND SALE OP REAL PROPERTY hFntrono North Catalina Aaaoolstlon al REALTORS* THIS AORERMENP,including nay and all addenda atpahed hereto("Agreement"),le by oud between Wynn CAteettuatien, Zito 1(n) BA ("Beyer"),and (individual or Spas of Avmstlon and typo of entity) Little Crone, LLC (individual or Sate offmMBnnand typaotendty) ("Seller") POR AND IN CONSIERA'HON OP THE MITIVAL PROMISES SST PORTA HEREON AND OTHSR 000D AND VALUABLE CONSIDERATION, THB RELIT AND SUPITCIENCY OP WHICH ARE HEREBY ACKNOWLEDGED, THE PARTIES HBRHTO AGREE AR FOLLOWS: Sedan 1.Terme and Whittlers!The tame lewd below ahsV have the respective meaning given them ea eat forth tailored to Loch pmt (a) "Ptmnanty"t(Addams)nuns 2.. Assn Pond _ Lot 1 - 35, 67, 44, 00 and 70 PletReference:Lath) RA �,Black or Sandaa phase 1 ,as shown on Phu Book orSlide 7016 at Pepin) 141-142 , Barnett County,oonsiede&of 35t/- , acme. If this box is checked, "Repair thal mean that property deecdb.d on Exhibit A attached harem and Incorporated herewith by refines, (Pm infom echo suspense:(I)the tet pixel number of the Property is: 0659-36-6859 end,(li)some or nil of the Property,consisting of approximately 35 acne,is de gibed in Deed Book 9886 ,Page No. 000 Barnett _Coity,) tagNWee with .11 buIdpge and Improvement. thereon and ell Settee and epputteuancee thereto and all aeons] property, if any, incited on Exhibit A. $ $1,170,000,00 (b) "Pomheee Pim"Sil mem the mm of Oas Hillipn, ane Bunted Seventy _ Thousand payoff*on ake)bWwing knot: 3 f (1) "Bawl Mono"shall mean Dollars masons es Sallow: Upon this Agx:ement becoming n connect In accordance with Section 14,the Earnest Money shall be promptly deposited in dmow with tat ,(name of pmeodenUtywlHa whmadeposite(1),to ho applied w Pin Payment of the Purdue Pim of the Property at Clodag,or Manned an egroed upon under the{redefine of Section 10 herein, Page 1 of 8 Hna LTSS� Nod b aSh sprast do STANDARD FORM NW North Caralbin�Ayk�edt den ooff RREALTORSS,�I�'""pp((((''� Revisedc 7/W1013 Buyer Libido 'Ofn Seller Initials t4n,:��Ppy.�tx nn��N6a1aaa{��ttff 07/1016 �rW fffaatW aMW'0$an x,,,aeam noaeLxeaaumNwaWga renLxR"u wY lmea,"� tiZ4aa Pmt My THE NORTH CAROLINA ASSOCIATION OP REALTORS'S,INC.AND MB NORTH CAROLINA MR ASSOCIATION MARK NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OP ANY PROVISION OP THIS FORM IN ANY SPECIFIC TRANSACTION. IP YOU DO NOT UNDERSTAND THIS FORM OR PEEL THAT IT DOES NOT PROVIDE FOR YOUR MAL NEEDS,YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SIGN TT. BUYER' SELLBRh Individual IodMmul Dvo:.___-...-------_—__.__.___..._ Dote: __ ._..___..._. . Doro: .._...._......__.__..._._ _.____.____ Bodoni Ray Buehler*Entity �y'pR2traction, Ino b f a C as LL_C non of Batty) tFiff:_f Badty) Nan Name: Tide: TIthit Date: __ter_5.71fi_th—. Date: 6,777.g ./ The mderelgnetl hereby aelmowBdgn receipt of the Earned Mousy not forth herein and regrow to hold said Earnest Money N n oord*nro with the Orme bent. tiL (Nam afPlnn) Data:RR..__.._.__�...._._.....__.__.__. By: ta. _.__. __... .�. Page S of A STANDARD FORMISO•T Inlaid 7/2013 07/7015 Produced with r.4FemOWtlp$1/2l210010 nom Mils Rood,Rum,Mlohleae Mme wxvaln,sJsiw Aray Pond DO NOT REMOVE! Details: Appointment of Lien Agent Piled on: 05/17/2017 Entry#: 664182 !nitJelly flied by:wynnhomee I Deelgneted Lien Agent /Project Property Print & Post Investors Title InsuranceCompany every pond subdivision lot 040 C•, -315 every o Online:neensnvmm.:-..e.u,.,- fegyaY varina.NC 27526 l -wN Addrm:19 W.Rupe St.,Suitc 507/Raleigh,NC "Theft County k'>"a 23601 Conlracton: euane.81Y6901114 Please post this notice on the lob Site. ria:9/3-09-5231 Property Type Suppliers and Subcontractors amain ry Idllev Scn Ibis image with your small Phone In view this m ding.You cthen file a Notice !III-2 Family!Menem to Lien Agent The One Prfeet Owner Information wymhotn 2550 capitol dr. creedmoor,NC 27522 United States Ewed'.nency@ ynnhomeecom Phone:919-521-1347 view Comments(0) Te@nital Support Hotline:(515)695.3354 Harnett County Central Permitting I r7 CZ�as •a PO Box 86 Lilimglon NC 27648 Each section below to be filled out 910 893 7626 Fax 910 593 2793 www harnell org/permits by whomever performing work Must be owner or'monied contractor Address company Application for Residential Building and Trades Poing name&phone must match //�� Owners Name 1041m, LOlSi r l'ieMlriel Date 7 'A7 Site Address_ _X,j ifae -'lave & Phone frfe03'2n3— Directions to lob site from Lillinglon ream //ttP r;1 III k a Zlo lfdy .3r;Its Leff 60 WA, !guidet., ke.(FDM Chalrlbeafe Ed kor %Ri le , Autry Pink(am left Subdivision Autry POAel Lot D /d Description of Proposed Work ieid Coaslne4 sI — Sfd #of Bedrooms if Heated SF 1.14:. Unheated SF_072. Finished Bonus Room9 N Crawl Space I-Slab _ General Contractor Information big vv, (f_nrlrl,raol:e,te. 9/9 k03 . 796 S Build) g Contractor s Company Nampie Telephone 2-Cso ('a poi cf. sae /o erdrairy#E 27122 e4erl@4klenitenes.eost Address Email Address / 16293— License# ./ lertwal Contractor Information / Description()Mork luau) Conine ,OA/ Service Size 200 Amps T-Pole ✓_Yes_No t. A. Tacks*Ai &lee.ir.t 9/923o-/Zs/ Electrical Contractors Company Name Telephone 9261 ealeigkkVI. SCMSt1L,Nc 2-7Sa't Address Email Address 2/l 'Pi License# m,ssJAechanical/JVAC Contractor Informatioq Description of Work AJeuJ tnee •ice Per+ted- Neat twit A:r 9/0 ise-&ea Mechanical Contractors Company Name Telephone 7716110eteakek.krfer3rdytM- 8351 Address Email Address Ne-200Z/2 $3 tubal License# n n Cont actInformation Description of Work C read #Baths .2, .� fr CA " h 9/4,ssD-033 Plumbing Contractors Company Nada Telephone 3/10o-4 OAarPd. nal?, Nt Z75-27 Address / Email Address Z2-/.57.—• License# Insulation Contractor Information /yY9 /"09 Op 776 m 7 .so/zt bel 4lth 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 stoning below I have obtained all subcontractors permission to obtain these permits and if any 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-5 Mon s to 2 years permi a-issue fee is$150 00 After 2 years re-issue fee is asp Curren a edule i lure 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 _OwnerOfficer/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 //tHas 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 1 Hee 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• It a /del*to tad idle. Sign w/Title �r"�� i ' L/ ' - • Date 9— / DO NOT REMOVE! Details: Appointment of Llen Agent Filed on: 05/17/2017 Entry A', 854182 Initially flied by:wynnhomes 'Designated Lien Agent Project Property Print& Poet Invasion Title luswvice Company every pond subdivision lo1040 315 every pond*. t Online: v'mlievnrmmn...,.o-.... fu:ryny wine.NC 77526 Addmn19 la Noo I St,Suite 507/Raleigh.NC hamea County 27601 Contractor, Flmne A851-6M.7314 Please poet fit notice on the lob Site. I Far:913.49,5231 Property Type Suppliers and Subcontractors: 9mnII:yP®@liaemomm...n„.:„ Scan this image with your smart phone to view this(Jing Yon van then file a Notice 1-2 Family Dwelling to Lien Agent for Nin project li owner information wytmhom 2550 capitol cis. enamor,NC 27522 United Steles Email:nancy© mnhomeecorn Phone:919-528-1347 View Comments(0) Technical Support Bodine:(888)690-7384