DOCUMENTS Initial Application Date: q 16 9 I I / Application# aac l.c
CUP
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Ulrington,NC 27548 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits
^A RECORDED� SURVEY MAP,APRECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPUCATIN^
LANDOWNER:( ` a*y 12-4LLs r -GNI/• Mailing Address:
City: State:_Zip: Contact No: Email:
APPLICANT: Lc(.)(4I LLC Mailing Address: 33wxa� �-ILLa/aurdAUL S-1--4Z'..ac
City: �rinIebre/ra State:_ tzp:Z)t410 Contact No:"1/sIQ.QQS.LSLL EmaSITf
rniji
•Please NI out applicant information If different than landowner ',5/.�('41
CONTACT NAME APPLYING W4 OFFICE: /�,.(�L1IA1 ..2LLJQ 1 t Phone# COQ-QQS-SC/SC
PROPERTY LOCATION:y� Subdivision: a 0t4ifn- 4r3V\L- Lot#: 13 Lot Size:O.1CoI
State Road# 60 State Road Name: Cn L1 t S L?- 'u Map Book&Page:740i / g /
Parcel:
��0(1(yyd 161:6 0)1-17fl PIN:flS%4 'DO.37iaA `—
Zoningc 11 l� Flood Zone: N) Watershed:Deed Book A Page:0—M //(\4LS Power Company:aalka llp�y
*New structures with Progress Energy as service provider need to supply premise number DTP from Progress Energy.
PROPOSED USE: 1
SED:(Size ML) x 50 )#Bedrooms/#Bathse.fBasemen wAwo bath): 1, Slab:hXic
[( Garage: Deck:A) Crawl Space:_Slab: _Slab:
(ls the bonus room finished?( )yes U no w/a closet?( )yea ( )no(if yes add in with#bedrooms)
❑ Mod:(Size x 1#Bedrooms_#Baths_Basement(w/wo bath) Garage: Site Built Deck:_ On Frame Off Frame_
(la the second floor finished?( )yes ( )no My other site built additions?LU yes ( )no
❑ Manufactured Home:_SW_DW TW(Size x )#Bedrooms:_Garage: (site built? )Dade (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 ( I no
Water Supply: V County _Existing Well _New Well(#of dwellings using well _)`Must have operable water before Rnal
Sewage Supply:_New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist) X County Sewer
Does owner of this tract of land,own and that contains a manufactured home within five hundred feet(500')of tract listed above?LU yes ()( )no
Does the property contain any easements whether underground or overhead(1)yes ( )no
Structures(existing o mpose :Single family dwellings: I Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum )s3 Aetual_Sj_r.
Rear Za
Closest Side 1 t) Sa)a
Sidestreet/comer lot 2.0 �r—
Nearest Building
on same lot
APPLICATION CONTINUES ON BACK
•
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLMOTON! 1 2L L._ nd . I `kiq 7 I O 6 --f-a.2.9
2
L t (' '4Q h. rfo.nfil- `I kqn 'rvrri a Oh-Lc, E. rrny -5l-.
If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the spedlicabons of plans submitted
I hereby state that foregoing merits are accurate and cored to the best of my knowledge. Permit subject to revocation if false information is provided.
/llu
Signature Otttn
Date
of Owner mar's Agent Date
"1t is the ownerlapplicants 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 ate not responsible for any
Incorrect or missing Information that Is contained within these applications."'
'This application eaplree 6 months from the Initial data H permits have not been Issued"
APPROVAL FOR SfAIQNO:
THIS PLOT PLAN AS PREPARED BY RESIDENTIAL LAND SERNCES,
IS CORRECT AND IS HEREBY APPROVED FOR STAKING ON THE
DATE SHOWN BELOW.
WADE JURNEY HOMES REPRESENTATIVE DATE
31 'E 1 NOTE:
N ALL DIMENSIONS. LOCATIONS AND FEATURES SHOWN ON
PRPP
&; AR115THIST5LDs RENDIPLANPONA,E F%AACTROXIIMATE LOCAIIM OFANO ALLARF FEAONLYNflFSAN
ARE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED
(0 EXACTLY AS
1 ASRK«qo D_ PLACEMENT OF HOME. DRIVEWAY.A SIDEWALKS ADDLS,
EXTERIOR FEATURES ARE SUBJECT TO MODIFlCAPON AS
DEEMED NECESSARY BT HELD PERSIXINEI.
O
0
CL CUSTOMER DATE
CUSTOMER DATE
VICINITY MAP
Not To Scale ill -: PLAN A PROVAL
WADE JURNEY REPRESENTATIVE DATE
IMPERVIOUS SURFACE AREA - .- cZA46 USE
DESCRIPTION AREA31944999.
HOUSE w/ PORCH 1,978 S.F. L, L,-+ t 'IS _. .._ _- ._. FRONT - 35'
REAR - 25'
DECK/PATIO/HVAC 18 S.F. cti91 in SIDE - TO'
CORNER SIDE - 20'
DRIVEWAY & WALKS 645 S.F. 1Inq o r1svRlDr
TOTAL (PROPOSED)= 2,641 S.F.
LOT AREA = 2S.F.
% IMPERVIOUS AREA =9.9=9.99 16
__ 86143147"E
15•.0. __
L ___ SETBACK (TYP)
1111) 8'.8
N 26,543 S.F. m
oo
m 0.61 AC o
E- J
® • Mp 4
0
N
I 2.. m 14
:CA I1A--
v
IBOD-A >
411 SLAB I J
Z
FOUNDAPON
ewcx H 2-CAR
PER PLAN
01.
L e - k J
3..0 3 .0
-u.0-
150 00
584 4:
GILLIS COURT
NAME: (i XJa,Q, UMW APPLICATION#:
*This application to be tilled 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 AUPHORIZA TION f0 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 I CONFIRMATION#
❑ Environmental Health New Septic System Code 8 00
• All property irons must be made visible. Place"pink p roperty flags"o n 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 En vironmental 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 Existino Tank Inspections Cod e 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over over outlet end as diagram indicates, and lift lid straight up(if
possible) and then close back down. (Unless inspection is for a septic tank in a mobile home park)
• After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 8 select notification permit if
multiple permits, then u se code 800 for Environmental Health ins pection. 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(sl: can be ranked in order of preference,must choose one.
1_3 Accepted ( } Innovative IL! } Conventional LT Any
I } 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.
I_}YES ,IT NO Does the site contain any Jurisdictional Wetlands?
j I YES II} NO Do you plan to have an ifppation system now or in the future?
L}YES TkI NO Does or will the building contain any drains? Please explain.
:YES ; t ; NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
I }YES II} NO Is any wastewater going to be generated on the site other than domestic sewage?
1_}YES I1} NO Is the site subject to approval by any other Public Agency?
I I YES I } NO Are there any Easements or Right of Ways on this property?
I,LI YES I } 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
State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I Lnderstand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners and Making
The Site
k essers�s-ibllleee(,.S,00TThat A Complete Site Evaluation Can Be Performed. 3
PROPERTY OWNERS WNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) ��(DA E
AGREEMENT TO PURCHASE AND SELL LOT(S)OR VACANT LAM)
THIS AGREEMENT TO PURL E AND SELL LOT(S) OR VACANT LAND (the
"Agreement") is made this SSG day of 20 (1, by and between Will LLC, a
Delaware limited liability company ( inafter, "WJH"), and Mastin Baker Investments, LLC
(hereinafter,the"Seller").
WITNESSETH:
WHEREAS,Seller is the owner of certain real property commonly known as Cottlestone Estates,
and more particularly described on Exhibit "A",which is attached hereto and incorporated by reference
(the"Property",or each individual lot being referred to as a"Lot");
WHEREAS, WJH is engaged in the business of building and selling residential real properties in
the southeastern United States,among other places,and acquires vacant lots or land from time to time in
furtherance of that business;and
WHEREAS, WJH desires to purchase the Property from Seller, and Seller desires to sell the
Property to WJH.
NOW THEREFORE,in and for good and valuable consideration,the receipt and sufficiency of
which is hereby acknowledged,the parties hereby acknowledge,agree and covenant as follows:
I. DEFINITIONS. The following defined terms shall have the meanings set forth below:
a. "Seller": Mastin Baker Investments,LLC
b. "Purchaser'or"WJH": WJH LLC,a Delaware limited liability company,
and/or any of its successors or assigns;
c. "Purchase Price":
($224,000)
d. "Earnest Money": ($4,000),to be deposited in accordance Section 4,below.
e. "Escrow Agent": Black.Slaughter,&Black,PA
3623 N.Elm Street,Suite 200
Greensboro,NC 27455
1. "Effective Date": The date on which this Agreement is executed by the
latter to sign of Purchaser or Seller,as indicated on the
Seller nt
WJH ///i/
EXHIBIT"A^
Lot# Address Street City State Zip
2 45 Cottle Lake Dr Coats NC 27521
7 71 Gillis Ct Coats NC 27521
•
13 50 Gillis Ct Coats NC 27521
16 39 Modlin Ct Coats NC 27521
21 40 Modlin Ct Coats NC 27521
30 78 Vic Mcloud Ct Coats NC 27521
35 385 Cottle Lake Dr Coats NC 27521
41 366 Cottle Lake Dr Coats NC 27521
•
Seller WJH 'r/
DonnWgn Envelop ID:8CBCFIFC-0504JES457361E6422FESATO
CONFIRMATION OF AGENCY RELATIONSHIP,APPOINTMENT&COMPENSATION
NOTE:When working with an Unrepresented Seller(For Sale By Owner)you should use Form 1511
See Guidelines(Standard Form 7706)on proper urs of this form.
TO LISTING AGENT: Lucrscia Jackson
FIRM NAME: Ann Durkin Realty, Inc
FAX): Email: lucacia jacksongyahoo.con
FROM SFILING AGENT: Jassy Carroll
FIRM NAME: Ttesline Properties i Realty
FAX& Email: jcarrollgtlprealty.tom
Thank you for checking with your seller and permitting me to show your listing as a® buyer agent ❑ subagent of seller.
Cattlestone Bataha (Lots Lisbd on
PROPERTY DESCRIPTION: Bahibit A)- Coats, NC 27521
NAME OF BUYER: RJB LW
APPOINTMENT DATE TIME:
FEE ARRANGEMENT:
(a) You hereby confirm that your offer of compensation to my firm regarding any sale of the Property to Buyer shall be as
follows:3.50 of purchase price
I understand that my firms entitlement to the compensation set forth above will be determined by my performance as the procuring
cause of any sale of the Properly to Buyer. Your signature on this document dos Dot constitute an acknowledgment that I am the
prowling aloe Many such ale.
(b) If I have received or am to receive any other feels)in connection with the eek of the Property,I hereby confirm that
such feels)am as follows:
Please sign below and fax or email this Confirmation back to me at your earliest convenience. Please call me at my office:
or at if there are any further instructions or communications
prior to the slowing.Thank you for your cooperation.
THE NORTH CAROLINA ASSOCIATION OF REALTORS), INC. MAKES NO REPRESENTATION AS TO THE LEGAL
V HY OR ADEQUA ANY VISION OF TIES FORM IN ANY SPECIFIC TRANSACTION.
A�yyJ/�� (o-I- 17
1I70n;Agent son Date
sg_ 5/31/2017 Nay 31, 2017
t Jammy Carroll Date
x❑ Buyer agent ❑ Subagent of Seller
ACKNOWLEDGEMENT BY DINER AND/OR SELLER(Opdossl—see Guidelines)
Seller hereby acknowledges receipt of•cyPyafirii form and Buyer hereby acknowledges receipt of a copy of this form and
consents tyTfjr7geppay nn herein. consents to the fee suangemenn set forth herein.
Seiler: �v VV �_ /f Buyer.
Date: E_I-11 Date:
Seller. Buyer.
Pa Date:
Entity Seller. MRst:N ilia I*V C.. Entity Buyer.
(Name of LLC/Cmporuio&Parmenh' IL .) (Name of L1.C/Corporatioollhmanhip/ rusuetc.)
By. By.
Name: Name:
mit: Tide:
Date: Date:
ill
Page 1 of I STANDARD FORM 220
North Carolina Association of REALTORS),Inc. a Revised 711014
MIN STANDARD
7/2016
ir.,w+ta a ace.in,lowed r w.S NC Ice, Cabw n11l01-034 r 0.+r,IRIS
Jay Cavell rs*ea«n sworn**Se lion mon I .Mie i ..Wm...aae ma---
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 09/01/2017
Entry Y: 714373 Initially filed by: wJh2013
Designated Lien Agent Project Property
Print & Post
Investors Title Ilaurance Company CSE 13
50 GlIlsCi
o�llm:.uw.Immnr cote Gots,NC 21531
tarAddress:le W Hagen St.Suite 502 Kaletub.NC Harnett County
27M101 i] /IV
Phone:aaN- o-73a3
Properly Type contractors:
Pm 41/-0V-5231Please post this notice on the lob Site.
Ymmh 59pm.mu twine cote 1-2 Palm Dwelling> web Suppliers and Subcontractors:
Scan this imago with your sman phone to
Dew this fling_You can then foe a Notice
Owner Information 10 Lien Agent for this protea.
WMH,LUC
3300 Battleground Ave Suite 130
Greensboro. NC 27410
United States
Email:trahl Vlwwmlejurneyhomes.com
Phone:919-995-5554
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Technical Support Hotline:(Sag I MO-7384