DOCUMENTS Initial Application Date: I/1 I Q1, I ( Application# \ 1XU 4
Cut,
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Edlington,NC 27548 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.arg/pennitz
^A RECORDEDDSURVEYURIMAP,RECORDED DEED•�- (OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPUCATION^
LANDOWNER.\ • 4ASALni,RCLOF-T✓f W• Mailing Address:
City: _State:_ap: Contact No: Email:
APPLICANT*: WiIa•ILLC. Mailing Address:33xexz -.1L2elaird.AUL 54-t.Z'SC
city: ("nen#3barn State: AC p:Z? 410ContctNo:Q14QQS Xar EmaitillSilit Juniitsi
'Piens ml out applicant information R deferent than landownerl1 L%O4QS 10444
CONTACT NAME APPLYING IN OFFICE: I -E CA.�.Cain fT Phone# �lLG-1G_GS-S SC.I
PROPERTY LOCATION:/, SubdMslon: _ ( 0)I4'C5%CIn Lot#: I U Lot Size:C4
State Road a#� .3�"/;1 State Road Name: M O61.VI C • Map Book&Page:1�1•1�
Parcel': t 1/D�r5�Sr�4 QOZ 2.0 PIN:
PIN: O5& • •2.t-t`Jl0
Zoninggl�T4oFlood Zone: N Watershed: Deed Book&Page:I4MLL / t Power Company:5fy,r rlr
'New structures with Progress Energy as service provider need to supply premise numb ' • from Progress Energy.
PROPOSED USE:
� �n o� Monolithic
VD:(Size&__x "rd)#Bedrooms4 #Bat9-S Basement(whwo bath):_Garage:V Deck:AL Crawl Space:_Slab:_ _Slab: X
(Is the bonus morn finished?(....)yes L___)no w/a closet?(_)yes ( )no(if yes add in with#bedrooms)
❑ Mod:(Size_x )#Bedrooms_#Bats_Basement(whxo bat)_Garage:_Site Built Deck:_ On Frame OR Frame_
(Is the second floor finished?( )yes ( 1 no My other site built additions?( )yes ( )no
❑ Manufactured Home:_SW_DW_TW(Sizer )#Bedrooms: Garage: (site built? )Deck: (Me built? )
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Haute of Operation: #Employeess:
❑ Addition/Accessory/Other:(Size x )Use: Closets In addition?( )yes (J no
Water Supply: V County Existing Well New Well(#of dwellings using well )'MUM have operable water before final
Sewage Supply:_New Septic Tank(Complete Checklist) _Existing Septic Tank(Complete Checklist) X 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 Ot I no
Does the property contain any easements whether underground or overhead(g)yes ( )no
Structures(existing om :Single family dwellings: I Manufactured Hornet Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 3(5 Actual_a
Rear LC;)
Closest Sideq1 'J tc;-.
Sidestreeucomer lot 10
Nearest Building
on same lot
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON! 124 L- ud. I `wq T Io "7 -fake
L? G pn Fo h mane+ tO rvl a oh--n t Carnn-i-4F.
If permits are granted I agree to conform to all ordinances end laws of the State of North Carolina regulating such work and the specifications of plans submitted
I hereby state that foregoing menti are accurate and correct to the best of my knowledge. Permit subject to revocation if false information ie provided.
Sig n MilII-7
Signature ner nor's Agent Date
"It Is the ownerlapplicanb 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 S months from the Initial data if permits have not been blued"
APPROVAL FOR STAKING:
THIS PLOT PLAN AS PREPARED BY RESIDENTIAL LAND SEANCES,
is CORRECT AND IS HEREBY APPROVED FOR STAKING ON THE
DATE SHOWN BELOW.
N WADE JURNEY HOMES REPRESENTATIVE DATE
I. SITE
I m
NOTE:
O ALL DIMENSIONS, LOCATIONS AND FEANRES SHOWN ON
o
6811/ Il MA
IS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN
ARTISTS RENDITION. EXACT LOCATION OF ALL FEATURES
ARE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED
EXACTLY AS SHOWN ON PLANS AND/OR IN MODELS,
,[1. EXACTLY
No C) PLACEMENT OF HOME, DRIVEWAY SIDEWALKS AND
ip EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS
DEEMED NECESSARY BY FIELD PERSONNEL.
N
CUSTOMER DATE
CUSTOMER DATE
VICINITY MAP
Not To Scale
WADE JURNEY REPRESENTATIVE DATE
IMPERVIOUS SURFACE AREA
DESCRIPTION AREA Sl E P: AN APPROVAL SETBACKS:
HOUSE w/ PORCH 1,290 S.F. (1 JCA 1 USE FRONT - 35
REAR - 25
GIST FIC. -- -- — SIDE - 10'
DECK/PATIO/HVAC 18 S.F. 'y1 CORNER SIDE - 20'
DRIVEWAY & WALKS 626 S.F. FEEDHOOMS. ___-_ —7.h-----'"-
TOTAL (PROPOSED)= 1,934 S.F.
LOT AREA = 25,234 S.F. �11�-1�i ._-.rl
>- ATImsvalor
% IMPERVIOUS AREA =7.7%
S:6'43'47"W
13:.16
SETBACK (TW.J
I I
I I
100.4 16
r- 25,234 S.F. I u
0.58 AC
o
® aD I yGo
w f
� �
PAD
52.7
-t I 300 mN
M m
N I o 2104-8
"' SLAB ®HVAC
FOUNDATION I
I 2-CAR
PER PLAN
I101
I
L55.9 .—la,,
36.0
-16.3-
1 .2.:8'
N8: 4 0
MOM IN COURT
NAME: ijadejor( ia.) .APPLICATION if:
*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 APPL!CATION IS FALSIFIED,CHANGED.OR THE SITE IS ALTERED.THEN THE IMPROVEMENT
PERMIT OR All IHORIZA TION TO CONSTRUCT SHALT. BECOME INVALID. The permit is valid for either 60 months or without expiration
dependine upon documentation submitted. (complete site plan=60 months:complete plat=without expiration)
910-893-7525 option I CONFIRMATION it
❑ 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 made progeny.
• 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 Existing Tank Inspections Cod e BOO
• 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
piven 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.
1_1 Accepted { } Innovative (k} Conventional ( } Any
t_} 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. lithe answer is' es",applicant must attach supporting documentation.
{_}YES 1'�1 NO Does the site contain any Jurisdictional Wetlands?
{_I YES It} NO Do you plan to have an 'rtiea[ion svgtcm now or in the future?
1 YES {j,k} NO Does or will the building contain any drains? Please explain.
YES I I No Are there any existing wells,springs, waterlines or Wastewater Systems on this property?
{_}YES Il} NO Is any wastewater going to be generated on the site other than domestic sewage?
}YES {l,} NO Is the site subject to approval by any other Public Agency?
;YES NO Are there any Easements or Right of Ways on this property?
1�}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 Accessible So That A Complete Site Evaluation Can He Performed.
alr�l�`7
PROPERTY OWNERSO WNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE
AGREEMENT TO PURCHASE AND SELL LOT(S)OR VACANT LAND
THIS AGREEMENT TO PURL SE AND SELL LOT(S) OR VACANT LAND (the
"Agreement") is made this Sr4 day of 20 (1, by and between WJH 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 Will.
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"WH": 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 WJH it
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`/1\ WJH 11(
DomSign Envelope ID:BBBGFIFC-05014E64437961EtS22FEM713
CONFIRMATION OF AGENCY RELATIONSHIP,APPOINTMENT&COMPENSATION
NOTE:When worling with an Unrepresented Seller(For Sale By Owner)you should use Penn 150
See Guidelines(Standard Forte 2206)on proper use of this fours
TO LISTING AGENT Lucretia Jtoksen
FIRM NAME: Ann Oarkin Realty, Inc
FAX#: Email: lucreciajacksonhpahoo.coat
FROM SELLING AGENT: Jersey Carroll
FIRM NAME: Troilism Properties f Realty
FAYE Email: lc arroil,tlprsalty.cam
Thank you for checking with your seller and permitting me to show your listing as a® buyer agent 0 subagent of seller.
Cottlsstone Estates (Lots Lista& on
PROPERTY DESCRIPTION: Exhibit lel- Coats, NC 27521
NAME OF BUYER CR LLC
APPOINTMENT DATE TIME:
FEB ARRANGEMENT:
(a) You hereby confirm that your offer of compensation w my firm regarding any sale of the Property to Buyer shall be as
follows: 3.5% or purchase prior
I understand that my firm's entitlement to the compensation set forth above will be determined by my performance as the procuring
cause of any sale of the Property to Buyer. Your signature on this document don ttmconatltutu an acknowledgment that I mm the
precot(ag mune et any such sale-
(b) If I have received or am to receive any other fee(s) in connection with the sale of the Property,I hereby confirm that
such fee(s)are as follows:
Please sign below and fax or email this Confirmation back to me at your earliest convenience. Please NI me at my office:
or at if there are any further instructions or communications
prior to the showing.Thank you for your cooperation.
THE NORTH CAROLINA ASSOCIATION OF REALTORS®, INC. MARES NO REPRESENTATION AS TO THE LEGAL
V OR ApEQUA OF THIS FORM IN ANY SPECIFIC TRANSACTION.
(0-1- L7
(''ten ''/sent Lumrsala son ate
SSAA�,___ i_� 5/31/2017 leap 31, 2017
r ray Carroll am
JABuyeragent 0 Subagent of Seller
ACKNOWLEDGEMENT BY BUYER AND/OR SELLER(Optional—see Goldelinn)
Seller hereby acknowledges receipt of apyofl rte' form and Buyer hereby acknowledges receipt of a copy of tis form and
consents Igyl)s'ipe J(my no herein. consents to the fee arrangements set forth herein.
Sells: (� V Buyer.
Dale: b-1-1'1 ase'
Seller Buyer.
Dam: Date:
Entity Seller. Meat,N 9ale,&-=NV LL.C^ Entity Buyer:
(Name of LI.C/Corporation*Pannersh' Weta.) (Name of LLC/Corporenon/Pommship/DmUcc.)
By: By
Name: Name:
Tide: Title:
Doe: ate:
aitPage I of I STANDARD FORM 220
North Carolina Annelidan of REALTORS®,Inc. a Revised 7/2014
Mr ®7/2016
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DO NOT REMOVE!
Details: Appointment of Lien Agent Flied on: 09/01/2017
Entry #: 714332 Initially filed by: wjh2013
Designated Lien Agent Project Property
Print & Post
Investors Title Insurance Company CSFII,
39 Modlin Cl
nnllne:xw•Len.t cnt Coats.NC 275E "Tsdkies
snares.:IP N.Hu:ycn 4:..Suite 507 Raleigh.NE County FC y-: ? y
nn1
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?•;13'13
Mar xxwa911-nx' Prop•rty Type Contractors:
u13-lea3:I I please post This nolim on the lob Sue
Finall:.Loon...IwlLlc o.m I-2 Family Dwelling Suppliers and Subcontractors:
Scan this Image with your smart phone to
%lew this fling.You can then file a Nonce
tLien Agent kir this project
Owno Information
N]IL LL('
33011 Battleground Aac Suite 210
ircensbum, NC 27110
United State.,
hmail lmbiVrtwadpumcybomeccnm
Phone.919-995-5n51
View Co:mnents Un
Technical Support Hotline 00151 M100-7184