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DOCUMENTS bow +Dae . /25/18 Appararzn# ( (1 SCO gqS� ORS a CUs COMNIEFICIAL COUNTY OF HARNETT LAND USE APPLICATION Oat*PeactOta ( l)tCO e.Pent Shot.tirceetm.NO MotOwn)POOnOStl onML27648 Phew Okt0188S-752 apt 2 PertPIC) LANDowNstk.iL 4. mt. awing Address: 2371 Au phi s, • atr_faiAle 'LID Statujgrellna=Contacts7 rte: APPUCAf rjArl Prt0J006 reiItleri-:_e;UOSIgaftilAalang Address: PO Zou en ois: gape Mats smta 1 iC zip:323'%contact a qm- -.1O7 Ernat Wed onb44n F'rt xt k,t opt -Plusoufeppatanttrton ionsMewl Eva tarectomper CONTACT SANE APPLYING IN Phan 0 PROPERTY LOCAL 8ubdhstonc LO 1T .tea sty y d( Sods Road* 303$ State Road Nam AIL y 21 Sw. 4-h Map llooktiPe ° , 1 Lel ParcetQ L_C.i .(' s-4)S(Ct O Pif�k E ?U — LoQ-1 On•n�Q �nfrt Rood Zontc )4 Watertdte* AA Dead sookaPa8epl:>a6 ! 111 Power Co7rrpany'_..__. 'New structures with Progress Energy es service provider need to sup0y premise number from Progress Energy. SPECIFIC oinsenotio TO THE PROPERTY FROM ULL EIGTO* PROPosB)USE: O l J-Fanmay►Detling No.Urdu: No.Bedrooms/Unit O MEM Sq.R Retail Spate: Type: 0 Enedoyrees: Hours of Operattonc LI Daycare .0 pressers: 0 Afters: 0 Enptoyeos: Hours of Openetom O Industry Sq.ft TypE _0 Employees: Wins o!tin: O Church Seating Capacity: 9 Kitchen: eI< Aooes eryr/ r(Size usix rircb rDc Ten* Water Supp y: County bdstIngWeD New We oaf thretTr s using wail ) %UST have operable water before typal Sewage Supply: Now Sept :Tani((tie Chadds° Edsting Septic Tank(Convskie( Q County Sewer aO If permgs We graded I agree to conform to ail ordirroces and Iowa of the Stateof North Cancun a Legg waft wadi and therspeofficadons of plans submitted. I hereby state that foregoing atatemants are o{{arrefe and correct to the best of my lue�ladga. Pemrrdt to revocation it tate Information is provlaad. l �, !VY rA 1/2,/18 bttorerorOwnem's Agent Gala "This expos 6 months two the Mat data if paw have not hese Issued" A RECORDED SURVEY s sAP.RECORDED OIC(OR OFFER TO AND PLAT ARE REQUIRED MEN APPLYltt[t FOR LAND USE APPLICATION tiatitett • 31tih� 1';L.,%. _ �' 1_. r �t7Nf�lfIGY fY(YtC�t(�I PbMi►t Fire Marshal Division P.O. Box 370 Lillington, NC 27546 910-893-7580 Application for Plan Review Application # I 4 Date Received: '1 Received By: •��`� Name of Project: Fireworks Temp Te Sal e Physical Address of Project: 3035 NC Hwy 87 S. Cameron NC 28326 Plans Submitted By: Billy Blackmon o;est Phone (919).215 2107 Contact Person/Address: Billy Blackmon PO Box 97 Hope Mills, NC 28348 Contact Phone: (919 )-215 2107 ( 1- Contractor's Namennfo: -Contractor'sNamennfo: TNT F reworks n n n Contractor's Phone: (919-215-2107 • Plans that are submitted will be reviewed as quickly as possible with an average time of review between 7-10 working days. • Status checks may be conducted on plan reviews by visiting the website http://hteweb.harnett.ore/Click2GovBP/Index.isp or by calling the Harnett County Central Permitting Office (910-893-4759), or the Ilarnett County Fire Marshal's Office (910-893-7580). • Approved plans must be picked up from the Central Permitting Office and all fees paid before any required inspections can be conducted. / 1 N DATE(MM/DD/YYYY) ACOREP CERTIFICATE OF LIABILITY INSURANCE ‘,..---- 11/1/2018 4/25/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies NAMEACT 3280 Peachtree Road NE,Suite#250 talc°.Ho.Ext): FAX .No): Atlanta GA 30305 E-MAIL (404)460-3600 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Everest Indemnity Insurance Company 10851 INSURED American Promotional Events,Inc. INSURER B: 1359629 DBA TNT Fireworks,Inc. INSURER C: P.O.Box 1318 INSURER D: 4511 Helton Drive Florence AL 35630 INSURER E: _ INSURER F: COVERAGES CERTIFICATE NUMBER: 13779446 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR :ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) IMM/DD/YYYY) LIMITS ,\ X COMMERCIAL GENERAL LIABILITY Y N S18GL00242-171 11/1/2017 11/1/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE ( X l OCCUR PREMISES(EaENTED occurrence) $ 500,000 MED EXP(Any one person) $5000 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICYERCTT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT $ (Ea accident) XXXXXXX ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED HBODILY INJURY(Per accident) $ XXXXXXX - - HIRED RED ONLY NNON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $.XXXXXXX $ XXXXXXX UMBRELLA LIAB _ OCCUR NOT APPLICABLE EACH OCCURRENCE S XXXXXXX EXCESS LIAB CLAIMS-MADE AGGREGATE s XXXXXXX DED RETENTION$ s XXXXXXX WORKERS COMPENSATION NOT APPLICABLE PER STATUTE ETH- AND EMPLOYERS'LIABILITY �� p ANY PROPRIETOR/PARTNER/EXECUTIVE ] E.L.EACH ACCIDENT $ XXXXXXX OFFICER/MEMBER EXCLUDED? ` I N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ XXXXXXX If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMIT S XXXXXXX DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S)REFERENCED. ADDITIONAL INSURED:FNC3035;PROPERTY LOCATED AT CAGLE FURNITURE 3035 NC HWY 87 SOUTH CAMERON,NC 28326;TIMOTHY TUCKER; DAVIS CHAPEL UHC;Certificate holder is an additional insured on the General Liability as required by written contract subject to policy terms,conditions, and exclusions. CERTIFICATE HOLDER CANCELLATION 13779446 H.M.'s KIDS,INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3035 NC HIGHWAY 87 South THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CAMERON NC 28326 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _ �, of ,, ©1988-20 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD as m 'T'1 CD �' ; m c) N D 7 0� _ cn• Cl) O m w CD O \, Z CD -' Q. < m -< M Z n CD 3 �'. � n cn y F < 0 3 . C7 O a' O - ? m z n — Z m aQ o � m � �. Q a .. �, p"3m - -I H, cb m y\ O C. � LI) ;'`. to C (D 4) O� 9,) N C a) O O V N cD cC/> cn . ? _U --I ��9 C O Q O`a) `C 4 O Po c�D tc:4 N v� Q tD a sv 3- . ? o z --1 OS a D m M Q `. "« < 0 _ sv m a m _5. Z I r = u' c� 3 cn • r ° p- CD (b « rn Zn � OCD 0 0 m su �' r N o A o c� Q. m m0 CO . n CD fD i- 7z sn I cln � N) rev 0 P� A o z W tn. 8 CD a c cn E r+ CO C) = cb -a Di N c Do Sv CO Cl) A) C C cD wo 0 a Z tG N 0 s) STATE OF NORTH CAROLINA LEASE AGREEMENT COUNTY OF HARNETT This TEMPORARY LEASE AGREEMENT(this"Agreement"), is made this � day of nA FY O 2018, between H. M.'s KIDS, INC.,a North Carolina corporation,through its manager Riddle Commercial Properties,Inc., located at 238 North McPherson Church Road, Fayetteville,North Carolina 28303 ("Lessor") and AMERICAN PROMOTIONAL EVENTS, INC D/B/A TNT FIREWORKS ("Lessee")whose address is 523 Carter Road, Graham,NC 2725�� et, WITNESSETH 1. "Lessor"hereby agrees to permit"Lessee"the right to use property of"Lessor"for over promotion and sell of fireworks,and for no other purpose. Lessee shall not have the right to sublease portions of the property to other vendors or users. 2. Term of Agreement The term of agreement shall be from June 19,2018 through July 5, 2018, total of Seventeen(17) days. 3. Taxes "Lessor" shall pay all applicable taxes or assessments levied and assessed on the leased property during the term of the agreement. "Lessee"shall pay all taxes on any personal property stored in or on the leased property. 4. Description Use of property listed as located on 3035 NC Highway 87 South, located in Cameron,North Carolina. The subject is more particularly described on the Attached" Exhibit A"and outlined in red. Parking,all vehicles must park in the Cagle Furniture parking lot. 5. Consideration Sum of Two Thousand and 00/100 Dollars($2,000.00) in advance for term of agreement. 6. Indemnification"Lessee"does hereby indemnify and save"Lessor" from any and all liabilities, damages, costs,and expenses as a result of any claim, action against it arising out of or in connection with"Lessee's"use of property. "Lessee" shall save"Lessor" harmless from and against any and all claims for injury to person or property damage resulting from or arising out of"Lessee's"use of the premises,the conduct of business or any act by"Lessee", "Lessee's"agents,employees or invitees. 7. Hazardous Materials "Lessee" shall not cause or permit any hazardous or toxic materials to be brought upon, kept or used in or about the Premises by "Lessee", it's agents, employees, contractors, or invitees: "provided,however, for the purposes of this Agreement the term "hazard or toxic material"shall not include UN 1.4G consumer fireworks or deregulated novelty items.". PROHIBITION OF CONSUMER FIREWORKS. In the event that any federal, state or local statute, ordinance, regulation, or court holding is issued or passed that temporary or permanently prohibits the sale, use, storage or possession of 1.4G consumer fireworks or deregulated novelties at the property listed on Exhibit A,then the provisions of this Lease shall automatically become null and void. 8. Agreement Binding Upon Parties The terms, covenants, conditions,provisions and undertakings in this agreement shall extend to and be binding upon the heirs,personal representatives, successors and assigns of the respective parties hereto, as if they were in every case named and expressed and shall be construed as covenants running with the land, and wherever reference is made to either of the parties hereto, it shall be held to include and apply also to the heirs,personal representatives, successors, and assigns of such party, as if in each and every case so expressed. 9. "Lessee" shall obtain all permits and licenses required by local governmental authorities to operate its business herein. Lessee shall abide by all rules and regulations and ordinances in its business operations. 10. "Lessee"shall keep the premises free of debris,trash, etc., and shall be responsible for the disposal of such. Lessee's use of the property will not include loud music or noise and/or obnoxious odors to be emitted. 11. "Lessee" shall not permit the use of fireworks on the property. 12. "Lessee"shall not permit smoking within 25 feet of the fireworks or the tent that is erected to hold the fireworks. 13. "Lessor"has made no representations or promises with respect to the premises except as herein expressly set forth. The taking of possession of the premises by"Lessee" shall be conclusive evidence, as against"Lessee"that is accepts the same"As Is"and that the premises are suited for the use intended by"Lessee"and were in good and satisfactory condition at the time such possession was so taken. INTENTIONALLY LEFT BLANK SIGNATURE PAGE FOLLOWS If all parties agree on the day and year first above written, signatures by all parties below will cause agreement to be fulfilled. LESSOR: H. .'s KID , NC. L d 11/ ug ichael Cagle / President (Official Seal) LESSEE: AMERICAN PROMOTIONAL EVENTS, INC. d/b/a TNT FIREWORKS Attest: Y: 1I1141OI \(' A - J/L_ 4L. A . t, Name — Lei:. �.' , Name A f C Title 1)i t'. . `Dp 5 . Title I• _ eal P�G,ELIA ti * M N9TARy 72 D PIRE MISSION cti, PUBLI7 1 2j 944 7ATEAl�� STATE OF NORTH CAROLINA ) COUNTY OF O ' l ) I, .SI\ / , a Notary Public for said County and State, do hereby certify that Hugh Michael Cagle personally came before me this day as President of H. M.'s Kids,Inc. and acknowledged the due execution of the foregoing instrument. Dated: � ai11e)l Lj .I #1106. !AO* Printed Name: (}Z ��i�nirrrr�, Notac,: Public .``S-c ,q ''', (Official sig/ 1NE Ry'q My commission expires. I —I N0TARy c PUBLIC ci STATE OF ) 1 ,A 4CrA—• ) COUNTY OF ) I, 1\`1 CA 1 0 1\' 4A. \ , a Notary Public in and for the aforesaid County and State, do hereby certify that 'kes (Insert Name of Secretary) personally came before me this day and acknowledge that he/she is the Least Secretary of AMERICAN PROMOTIONAL EVENTS, INCO6b/a TNT FIREWQRKS, a rx 7M-- corporation, and that by authority duly given and as the act of the corporation the foregoing instrument was signed in its name by its President, sealed with its corporate seal, and attested by him/herself as its Leas ti Secretary. • Dated: 3 f( Le ` Printed NAme: r '1 `\0Y\ Notary Public (Offici• •: My commission expires: /WV. 1I 2.0 2 04GEL/q "♦ 424,9 4f44/ O y p 1' �6C/�,s,�A,l s, EXHIBIT A Site Plan: • , •Tr fr.'.. 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