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Initial Application Date:`\.\an ` i 11 Application# 501:-)Lte=C Q 1J CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPUCATION Central Permitting 108 E.Front Street,Lillington.NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER: Ala n(i LL- Y/o r Mailing Address: 3 7O Lo UP C"](�0 LIE- C 4.&LSC►'1 i J N\c 919-y99-g79t2mail: City: c�Ay1--p►rtl State: Zip:1�a�ontact No: APPLICANT': /k(7/ eit ! J I'piave- Mailing Address: 2O t (J&/2J iy City: � 1- State)VC—Zip:=c ontact No:5 7 -5a9-5,1t60/ 0,14a..4(61.1. Email: 'Please fill out applicant information if different than landowner CONTACT NAME APPLYING IN OFFICE: Phone# PROPERTY LOCATION:Subdivision: Lot#: Lot Size: it r-A L State Road# kg-C:3 State Road Name: ( ac! . Map Book&Page 44r 3204 C Parcel:: 09 GSbb S 14 PIN: GS t1)I— Lk o - 431 G‘ JCA O ZoningR 'Flood Zone: WatershAAPI Deed Book&Page: 0 T1? Power Company': 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: Monolithic O SFD:(Size x )#Bedrooms:_#Baths:_Basement(w/wo bath):_Garage:_Deck:_Crawl Space:_Slab:_Slab:_ (Is the bonus room finished? ��(_)yes ( )no w/a closet?( )yes ( )no(if yes add in with#bedrooms) Mod:(Size c.8 x� )#Bedrooms,#Baths2 Basement(w/wo bath)'Garage Site Built Deck e' On Frame[*'Off Frame L / (Is the second floor finished?( )yes (_)no Any other site built additions?(J yes (J no O 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 of dwellings using well )'Must have operable water before final Sewage Supply: New Septic Tank(Complete Checklist) Y Existing Septic Tank(Complete Checklist) 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 (V)no Does the property contain any easements whether underground or overhead(_)yes (t/Sno �-1 l/ Structures(existing or proposed):Single family dwellings:` anufactured Homes: Other(specify): O. t7–f Required Residential Property Line Setbacks: Comments: \CIt Front Minimum�S Actual a0;9 (?\ a .L-P� Cra�R-p,•rP Rear S q..34 1 Closest Side L .? 511 Sidestreet/corner lot Q Nearest Building 0 on same lot Residential Land Use Application Page 1 of 2 03/11 APPLICATION CONTINUES ON BACK v ii 1 SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: • Srt" 5+ -\- >- Le psi Ao 41c10:0,-, 51-. R,t ' c�r�4-0 l,J . plc\ �\ . ) U c`�'1 (o,� l Nc- a7 �v�t� fZ1�►,� fiI or) A-r) INC.' �l `(�^ar r i p �r1 e ice' o r C C.`lh v L I C lrl O►�L ' 1 RC'I o Vb iT 1 (Y t e L'-owl-1 Oti\ R c3Vt CJ C\Q If 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 tements are accurate an correQt to the best of my knowledge. Permit subject to revocation if false information is provided. fl—tit �y 1l- I- �-ol 7 Signature of 0 ner or er's 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 of 2 03/11 p... .. W d . 4 ,,... 1 alp c V ." 1 ASO IPP C r M O • i[ k, , 1 #fir. -,; ,�, _ 3g 1 110), uIn Q l6 . rm ot . . . OFIA/ 4 • .414...Li) ie. • V) - i, 1",' 1 I.) O d� I tap IM _ ` 1 07 Z 'far °a 1E_ i , `i - i l O © a r �' c 7. Zs i.....::. . ''tri - COn C i . % mr cc I I 1- l � . 411111111. C2 N • O. CCS v ' Alitit 111111•'- ' '''' . 1-11:31 0 w I, , r N • i • 3Sf1 1V931 IJOi ION v •. v V~ y ' xa - •.. /3 ' I. 290• 111sg . ... 690 ■ . • . 0 ' low s „ J a SZ 111.11 kt . rY, i o . ... /. 0 mac. . 1 2. 2 6 . o: \ vl .4 tv N .0. \ H 1i 1 * ® o i I 1r e , ► , C_ • e-‘ C- 5 "� ___—_. _ 4- - ,.. ..._ _. __-.-- ..._ r�r la Oa ,,/� l ( Y t�LLsa, 0amo a«•�a� rte_. CDS /',.��1 1. Dowell 0. RLS, certify that the == 1.'rr ,,...•..10. :c�,. �.w•.. �7. .�e &=.fit.-Y,[7 survey creates a SaDdlvl Ston in Parnate .'rot .`•f•i rylrc•; .2V•Av. r.�.. (y ' County which is regulated by the Harnett �A „grey County Subdivi•ion Regulations. a' ::•7v + y dJF' '• /¢ .r /i Sr .wliftit alj C>lka, RL9 ti _. �. y -sr`' pectMs.+ 47607 , a •� tr a •e.w..rr�+rsa.s:i -.•u•....m-L_ • � • ay h�...._• • `O rfrar�c �� .Qiy]'i�'iarisYs$a1' v/eln%/y ply -:4 F-- . �a�..��. .f(t)) „w f. I st.b..rd Lael/eMIT'a7,o.AW. r awn ichtiA„ rT N/f A�I/w.v .u,.c:0 1 /C -IMi '. 4 w.iN' JeetOtryt' so'0/.. '40. 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JAw1�/ Q EA Tl 2.3 /4 .v/. .,'�• ,../4 N 44•J1•lt•a 102-r5' a m2 /� #611 � a a., ,/y. 4' ye"S/•NO• 11./9' /58.75' N/4•S4.Oe•W t IJ3' OOI7 f044,1 . 5'1 .a./A _,ar ...;4 /A N 04.1,7.15•L IS.vi' 'Line btryor SS' " Sanford, N( flS•�y. /4 4 •••47./1"2 I re••• /� OFFER/ TO PURCHASE AND CONTRACT �T �t /„ , as Buyer, ;hereby offers to purchase and `1J Ind oY /_2 i-.1 , as Seller. � Jbagrees to sell and convey, all of that plot, piece or parcel of described bel. •,I pon acceptance of said offer, ' -��et with all unprovements located thereon and such fixtures and personal property as are listed below (collectively referred to as the Property). upon the following terms and conditions: 1. REAL PROPERTY:Located In the City of Jain County of I E{-}- State of North Carob,being known as and more particularly described as: Street Address 890 C 4fra R y (.'4u)RLit led zip a 733 �. Legal Description: ( CI All O A portion of the property in Deed Reference:Book , Page No. , County.) NOTE:Prior to signing this Offer to Purchase and Comma,Buyer is advised to review Restrictive Covenants,if any,which may limit the use of the Property. and to read the Declaration of Restrietive Covenants, By-Laws, Articles of Incorporation, Rules and Regulations.and other governing documents of the owners' association andlor the subdivision, if applicable. 2. FIXTURES: The following items, if any, are included in the purchase price free of liens: any built-4n appliances, light fixtures, ceiling fiats, attached floor coverings, blinds, shades, drapery rods and curtain rods,brackets and all related hardware, window and door screens,storm windows,combination doors,awnings.antennas,satellite dishes and receivers.burgle/titre/smoke alarms:pool and spa equipment, solar energy systems. attached fireplace screens, gas logs,(replace inserts, electric garage door openers with controls, outdoor plants and trees(other than in movable containers),basketball goals,storage sheds, mailboxes, wail and/or door mirrors, and any other items attached or affixed to the Property. EXCEPT the following items: 3. PERSONAL PROPERTY: The following personal property is included in the purchase price: • c)4. PURCHASE PRICE:The purchase price is S a S, 600 . b band shall be paid as follows: a) S , EARNEST MONEY DEPOSIT with this offer by Cl cash personal check O bank check U certified cheek other. to be deposited and held in escrow by ("Escrow Agent") until the sale is closed, at which time it will be credited to Buyer,or until this contract is otherwise terminated.In the event(I)this offer is not accepted;or (2)any of the conditions hereto are not satisfied.then all earnest monies shall be refunded to Buyer. In the event of breach of this contract by Seller,all earnest monies shall be refunded to Buyer upon Buyer's request, but such moan shall not affect any other remedies available to Buyer for such breach. In the event of breach of this contract by Buyer,then all earnest monies shall be forfeited to Seller upon Seller's request, but such forfeiture shall not affect any other remedies available to Seller for such breach. NOTE: In the event of a dispute between Seller and Buyer over the return or forfeiture of earnest money held in escrow by a broker, the broker is ',squired by state Iaw to retain said earnest money in the broker's trust or escrow account until a written release from the parties consenting to its disposition has been obtained or until disbursement is ordered by a court of competent jurisdiction_ (b) S , ADDITIONAL EARNEST MONEY DEPOSIT to be paid to Escrow Agent no later than TIME BEING 01."111E ESSENCE WITH REGARD TO SAID DATE.. (c) S , OPTION FEE in accordance with paragraph 13. Alterative 2. to be paid to Seller on the Effective Date as set forth in paragraph 23.(NOTE: If Alternative 2 applies,then do not insert$0,N/A,or leave blank). (d) S , BY ASSUMPTION of the unpaid principal balance and all obligations of Seller on the existing loans) secured by a deed of trust on the Property in accordance with the attached Loan Assumption Addendum. (e) S ,BY SELLER FINANCING in accordance with the attached Seller Financing Addendum. (f) S 2 s� op v ,BALANCE of the purchase price in cash at Closing. Buyers initials /4//11 Sellers Initials 77, Li. Page 1 of 5 C Nt link ASSOCAWN-'4C l3 r i-cwm Nv.2 vaitIS IBa standard farm has been approvedjetnt'Y by: t'nntcd An reerherrt with the NC liar Association-1951 North Carolina liar Association-NC Bar Form No. North Carolina As-sacral-on of Realtors®.lrc.-Standard Form 2-"I NAME: 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 I CONFIRMATION H Environmental Health New Septic SvstemCode 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 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. • It 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 recordina for proof of request. • Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. / 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 8 select notification permit if multiple permits, then use code 800 for Environmental Health inspection, Please note confirmation number Given at end of recordina for proof of request. • Use Click2Gov or IVA 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 he ranked in order of preference. must choose one. LI Accepted f_I Innovative II Conventional {—} Any I—) Alternative I ) 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—IYES 1_I NO Does the site contain any Jurisdictional Wetlands? 1_IYES II NO Do you plan to have an Eman s now or in the future? {—IYES f_l NO Does or will the building contain any drains?Please explain. I. IVES I _1 No Are there any existing wells.springs, waterlines or Wastewater Systems on this property? {__I YES { ) NO Is any wastewater going to be generated on the site other than domestic sewage? )_IYES II NO Is the site subject to approval by any other Public Agency? {—IYES 1I NO Are there any Easements or Right of Ways on this property? {_IYES 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 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 The it Accessible So That A Comple Sit Evaluation Can Be Performed. 40. elf / , ,, l!- 2 aO17 • P -RTY OWNERS OR 5 NERS AL RE 'ESENTATIVE SIGNATURE(REQUIRED) DATE 10/10