DOCUMENTS Initial Application Date:21 I'1 I i / Application \inSt oLl
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27548 Phone:(910)8934525 ext:2 Fax:(910)893-2793 www.hamett.org/permits
^A RECORDED SURVEY MAP,RECORDEDI, DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USEAPPLICATIO "
LANDOWNER: S\}}\l 'REErAtiCJ _ink/ • Mailing Address:
City: I r 1II11 I.L.C. State: Zip: ContactctNo:
.,. �T - , 1 Email: I
APPLICANT: LW RI mailing Address:333D 64.4-1 LG ]![1 AUL 54-L.73a
City: L1 X0/1 Y77 State:,l/ycip: ID Contact No:`Z fl QQSS(SF1 EmaiIt t O(d_1 A/ kurneji
'Plean fill out applicant Information#different than landowner/ 1� /� l onst4 COfM
CONTACT NAME APPLYING IN OFFICE: {/&cif e.,L,.1[�i�.I,o,,l-w� Phone# "SIG`gGG5-SC/SU
PROPERTY LOCATION:C1Subdivision:_ @O\44-C. 4t 1 Lot#: LI Lot Size:65l,-7
State Road Lib State Road Name: Mrridi✓l u Map Book&Page:74Si1 / _Lf
Parcel: ,11�0"Y •f CP • ,?5 PIN: n5-f• StSS•ZU n �.,,/
Zoning: lV'Tf.�Fload Zone: N Watershed:�,)C Deed Book 8 Page: (444 /S415 Power Company:5lfU� V Irf.J'4
'New structures with Progress Energy as service provider need to supply premise number _from Progress Energy.
PROPOSED USE:
['j Monolithic
SFD:(Size's x 'JO #)#Bedrooms: BathsZ Basement(whwo bath):_Garage:\I Deck:1U Crawl Space:_Slab:_ _Slab:&
(Is the bonus room finished?U yes (_)no w/a closet?( )yes (J no(if yea 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 My other site built additions?( )yes ( )no
U Manufactured Home:_SW_DW_TW(Size x )t*Bedrooms:_Garage: (site built? )Deck: (ate built? )
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit
U Home Occupation:#Rooms: Use: Hours of Operation: *Employees:
❑ Addition/Accessory/Other:(Size x )Use: Closets In addition?( )yes ( )no
Water Supply: V 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) 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 (J no
Does the property contain any easements whether underground or overhead( yes ( 1 no
Structures(existing oropoae :Single family dwellings: l Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks:tb�/ Comments:
Front Minimum 3s Actual G LO
Rear Li1) QI. l
Closest Side lit/ 9:7
Sidestreet/comerlot 2.0
Nearest Building
on same lot
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTONX 1 /(y."-- .0 . I4UJc 7 10 3, - (jiLI .
QQ%4Q h. mil', .y, lt'nn a on-1-n E. roln-I-
S permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted
I hereby state that foregoing s amens are accurate and coned to the best of my knowledge. Permit subject to revocation If false information is provided.
GIttlii
Signature of Owner car's Agent Date
•"It Is the ownsrhpplicants 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 S permits have not been issued"
APPROVAL FOR STAKING:
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
r SITE _' m NOTE
o • 1 d ALL DIMENSIONS. LOCATORS AND FEATURES SHOWN ON
ill
‘I TIIS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN
BRIC ARTISTS RENDITION, EXACT LOCATION OF ALL FEATURES
o ARE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED
ggRF RD 0 EXACTLY AS SHOWN ON PLANS AND/OR IN MODELS.
TV
PLACEMENT OF HOME, DRIVEWAY SIDEWALKS AND
d m EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS
a N I DEEMED NECESSARY BY FIELD PERSONNEL.
CUSTOMER DATE
CUSTOMER DATE
VICINITY MAP
Not To Scale
A CITE PLAN APF'._ WADE JURNEY REPRESENTATIVE DATE
IMPERVIOUS SURFACE AREA
DESCRIPTION AREA ` 0131 BIGf Y\--C HEE . SFTBAC$S.
HOUSE w/ PORCH 2,078 S.F. FRONT - 35'
4BED 3OOUIi -- REAR - 25!DECK/PATIO/HVAC 18 S.F. SIDE - 10'
DRIVEWAY & WALKS 701 S.F. g 1 1�._ —I -
CORNER SIDE - 20'
TOTAL (PROPOSED)= 2,797 S.F.
I
LOT AREA = 25,035 S.F. 24
% IMPERVIOUS AREA =11.2%
589'23'53"E
141.10
f __ __ SETBACK EP)
0 91.5li
n 25,035 S.F. I
to n
0.57 AC o
20 r-. 1 0
ij P
o o o.03,
47.0
4,0
o I CO
o 1800-B o
Z SLAB N
FOUNDATION Yr
7 2-CAR 2
PER PLAN
N 20 I
- -k — 47.6 J
41 0 361.0
-16
116. 0'
CY
t8'4 I W
MODLIN COURT
NAME: lJ/l! 1J✓flJ14 L-hni -z) APPLICATION N:
*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
IFTHF INFORMATION IN THIS APPLICATION IS FALSIFIED.CHANGED.OR THE SITE IS ALTERED.THEN THE IMPROVEMENT
PERMIT OR AUTHORIZATION FO 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 i ron 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.
❑ Environmental Health Existing 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 &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 1W to hear results. Once approved, proceed to Central Permitting for remaining permits.
SEPTIC
If applying for authorization to construct please indicate desired system typets): can be ranked in order of preference,must choose one.
j } Accepted j_} Innovative (LJ Conventional L} Any
(_} Alternative 1_1 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"yes",applicant must attach supporting documentation.
l }YES lj} NO Does the site contain any Jurisdictional Wetlands?
( I YES til NO Do you plan to have an irzigatl9n system now or in the future?
1_1YES { ✓J NO Does or will the building contain any drains? Please explain.
, IYES t NO Are there any existing wells.springs,waterlines or Wastewater Systems on this property?
OYES 14_} NO Is any wastewater going to be generated on the site other than domestic sewage?
1_}YES :1) NO Is the site subject to approval by any other Public Agency?
;YES I44 NO Are there any Easements or Right of Ways on this property?
(X}YES _} 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
Slate Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
ThheSSiit(ee Acccc(e�ssysiblelleeSo That A Complete Site Evaluation Can Be Performed. If(I
PROPERTF'OWNERS 0 HERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) �I EM
AGREEMENT TO PURCHASE AND SELL LOT(S)OR VACANT LAND
THIS AGREEMENT TO PURCHASE AND SELL LOT(S) OR VACANT LAND (the
"Agreement") is made this.514 day of ,20 n, by and between WJH LLC, a
Delaware limited liability company ( wafter, "WJH"), and Mastin Baker Investments, LLC
(hereinafter,the"Seller').
WITNESSETH:
WHEREAS,Seller is the owner of certain real property commonly known as Conlestone 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, Will 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:
L 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
f. "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 r
EXHIBIT"A"
Lot# Address Street City State Zip
2 45 Cottle Lake Dr Coats NC 27521
7 71 Gills 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 V I\ WJH
OomSgn Enveops a&MCF IFC-0504JE64B234-1E0M2FESA7g
CONFIRMATION OF AGENCY RELATIONSHIP,APPOINTMENT&COMPENSATION
NOTE: When worling with an Unrepresented Seller(For Sale By Owner)you should use Form Ma
See Guidelines(Standard Farm 220GJ an proper use of this form
TO LISTING AGENT Luerecia Jackson
FIRM NAME: lam Durkin Realty, Inc
FANO: Email: lucrattiajackeoneyaboe.mom
FROM SELLING AGENT: army Carroll
FIRM NAME: Trolls@ Properties i Realty
FAXt. Email: jcarroltStlpraalty.coat
Thank you for checking with your idler and permitting mem show your listing as a® buyer agent ❑ subagent of seller.
Cottle®tons Estates (Lots Listed on
PROPERTY DESCRIPTION: Exhibit A)- Coats, BC 27521
NAME OF BUYER: CR LIZ
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 he as
follows: 3.5% of purchase price
I understand din my fan's entitlement to the compensation tat forth above will be determined by my perfomume as the procuring
cause of any sale of the Property to Buyer. Your signature a this document does not constitute an acknowledgment that I am the
procuring came of any such salt
(b) If I have received or am to receive any other feels) in connection with the sale of the Property,I hereby confirm that
such feels)are as follows:
Please sign below and fax or email this Confirmation back to men your earliest convenience. Please call me at my office:
or at if then are any further instructions or communications
prior to the showing.Thank you for your cooperation.
THE NORTH CAROLINA AfSSOCIATION OF REALTORS®. INC. MAZES NO REPRESENTATION AS TO THE LEGAL
V ITY OR ApEQUA `NANY °VISION OP THIS FORM IN ANY SPECIFIC TRANSACTION.
(o-f- Ll
•
Ager Ltsaseeia son Date
Crit 5/31/2017 Nay 31, 2017
l Date
Cr/trent 01Bagent 0my 1 Subagent of Seller
ACKNOWLEDGEMENT BY BUYER AND/OR SELLER(Opobnal--see Guidelines)
•
Seller hereby acknowledges receipt of awpyof�ir form and Buyer hereby acknowledges receipt of a copy of this form and
consents ty(tyfpe ay nus Ami herein. consents to the fee auaagemats set forth herein.
Seller. VV Buyer.
Dee: b-1-II Date:
Seller Buyer
Date: Date:
Entity Seller. MARS.u QakaiZ$N -- Entity Buyer.
(Name of LLC/CorporationdArmen ' UWetc.) (Name of LLCJCorponto&PamehthfpfftmLea.)
By: By:
Name: Nide:
Tide: Tide:
Date: ate:
Page 1 of 1 STANDARD FORM 220
North Carolina Association of REALTORS®,Inc. a Revlfed 7/703/
C'Sr Y.�. C7/lOW
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1..tl Coll Preload Mntinwea 4^In row eneeneeekee P1 '&d I'4ax -N---
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 09/01/2017
Entry it: 714336 Initially filed by: wjh3013
Designated Lien Agent Project Property
Print & Post
Invcstore Tale Insurance Company CSF 21
ill Medlin Cl Q •�Q
Online:/nu.Moms-s ni Coats.NC 27521 &".r.
%d4ren:la w.Hargrn Sr.Sone Safi !time,5c Hilmar County :.• • ,�1
Dom a
Phone:+ex.miw1m Property Type Contractors:
Fat;011-1e0-5211 Please post This notice on the lob Site
„0,,u,/,hens,zm 1-2 Family Dwelling Suppliers and Subcontractors:
Scan this Image with your smart phone to
w the filing You can then lilt a Notice
to LMn Agent for this project.
Owner Information
NCH.I LC
3300 Battleground Ave Suite 230
Greensboro. NC 27410
United States
Email.nabnzwwatl jumelhomes corn
Phone.919-405-5654
View Comments Itll
enchain)Support Hotline:tang 1690-7184