LAND USE Initial Application Date: 3._ 14 , /" Application # 1/ t 2 C/ ` 6 ,0 y
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893-2793 www /permits
LANDOWNER: /Y/ 57' Cr4'/S % - ,r QL O2ve/ Mailing Address: �'v!Q 9 /' /
City: ! 41(, State: N Z Zip: ° 1 ontact # Email:
q /4, /(l.0 • CANT': ry � .n riff Mailing Address: 1211 [+ i^ e C? City:,( / / / /yr -01— State:? Zip:, Contact # ' 7 Y - 6 - 70. Email: ev
'Please fill out applicant information If different than landowner /�
CONTACT NAME APPLYING IN OFFICE: Are nn /� c `t it in r - 9 J Phone # Y t` Y - 7(
i
PROPERTY LOCATION: Subdivision: a � Lot #: C ✓/ f Lot Size: . r/"
State Road # /1/ 5 State Road Name: / � se�6 Map Book &Page: 2'2 11/4
Parcel: 3 � O 7 L "�/ PIN: -(� 7 /7 , OO✓l
Zoning: f/4 Z� ✓ Id' lood Zone: AV Watershed: { '//S Deed Book &Page: 121 / Power Company':
'New structures with Progress Energy as service provider need to supply premise number src from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 1-11 =-7 R 7 yr el - 7 — r L.' -
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75 - 7 - 0 eti , � " /0/ , y f - , sT /f
An //-1( re R. 6 h
7'ci .f 1e ,4L (( 71 Q, u , & /6 a /El; 1c' 7 .z x /-
PROPOSED USE:
Monolithic
❑ SFD: (Size 9e x 4Y) # Bedrooms;? # Baths42_Basement(w /wo bath): Garage:✓ Deck: /.-- Space: --- Slab:_
(Is the bonus room finished? (_) yes (_)no w/ a closet? (_) yes (_)no (if yes add in with # bedrooms)
❑ Mod: (Size x ) # Bedrooms_ # Baths_ Basement (w /wo bath)_ Garage: Site Built Deck:_ On Frame Off Frame_
(Is the second floor finished? (_) yes (_)no Any other site built additions? (_) yes (_)no
❑ 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:_
❑ Addition /Accessory/Other: (Size x) Use: Closets in addition? (_) yes (_)no
Water Supply: Cou Existing Well _ New Well (# of dwellings using well ) 'MUST have operable water before final
Sewage Supply: ✓IVew Septic Tank (Complete Checklist) _ 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 (_)no
Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum ' Actual J C
Rear G- L' ' [ /
Closest Side la .7 6
Sidestreetfcorner lot 7.2 •-2
Nearest Building
on same lot
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 statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
Sig ature of Owner or Own' s Agent Date
"This application expires 6 months from the initial date if permits have not been issued**
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Residential Land Use Application Page 1 of 1 10/10
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NAME: APPLICATION #: N 5-20 2 Fi Z5 /Y
*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, CIIANGED, 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 1 CONFIRMATION #
❑ Environmental Health New Septic System Code 8 00
• All property irons must be made v isible. 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 fines, 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 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 n ote c onfirmation 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(s): can be ranked in order of preference, must choose one.
{ Accepted {_} Innovative {nventional {_} Any
{} 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.
{ }YES { 414 Does the site contain any Jurisdictional Wetlands?
{_ }YES { . -Ia6 Do you plan to have an 'ripation system now or in the future?
{ }YES { _.}-NO Does or will the building contain any drains? Please explain.
}YES 1 yi OC Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
{_ }YES { c.} -N6 Is any wastewater going to be generated on the site other than domestic sewage?
{ }YES {} -TC) Is the site subject to approval by any other Public Agency?
{_ }YES { -4-16 Are there any Easements or Right of Ways on this property?
{ }YES { .4-NC 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.
1 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 Understand 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 Be Performed.
PRO ERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE
E- Health Checklist 1 of 3 10/10
ILvwlf c1 County
North Carolina
OFFER TO PURCHASE AND CONTRACT - VACANT LOT /LAND
NOTE: This contract Is Intended for unimproved real property that Buyer will purchase only for personal use and does not
have Immediate plans to subdivide. It should not be used to sell properly that Is being subdivided unless the property has
been platted, properly approved and recorded wtth the register of deeds as of the date of the contract. If Seller is Buyer's
builder and the safe Involves the construction of a new single family dwelling prior to closing, use the standard Offer to
Purchase and Contract (Form 2 -T)) with the New Construction Addendum (Form 2A3 -T).
as Buyer, hereby offers to purchase and e
{Seller-Name}- 7 C - tzi r el l (
as Seller, upon acceptance of said offer, agrees to sell and co nvey, all of that plot, piece or parcel of land
described below (hereafter referred to es the "Property "), upon the terms and conditions set forth herein. This
offer shall become a binding contract on the date that: (I) the last one of the Buyer and Seller has signed or
Initialed this offer or the final counteroffer, if any, and (11) such signing or initialing is communicated to the party
making the offer or counteroffer, as the case may be. Such date shall be referred to herein as the "Effective
Date." tt
1. REAL PROPERTY: Located In ' rAuu e44 County, State of North Carolina, being known as
and more particularly descr bed as:
Address: Street:
City: )1u... Q - Zip: .'7374_
NOTE: Governmental authority over taxes, zoning, school districts, utilities and mail delivery may differ from
address shown.
Legal Description:
Subdivision Name: --rite .auw..
Plat Reference: Lot /01 , Block or Section YZt as, on
Plat Boo or Sli 4 k at Page(s) yif C� (Property acquired by Seller In Deed Book iii A . at
Page G.. ).
NOTE: rior to signing this Offer to Purchase and Contract - Vacant Lot/Land, Buyer is advised to review
Restrictive Covenants, If any, which may limit the use of the Property, and to read the Declaration of Restrictive
Covenants, By -Laws, Articles of Incorporation, Rules and Regulations, and other governing documents of the
owners' association and /or the subdivision, if applicable. If the Property is subject to regulation by an owners'
association, it Is recommended that Buyer obtain a copy of a completed Owners' Association Disclosure And
Addendum (standard form 2Al2 -T) prior to signing this Offer to Purchase and Contract, and include it as an
addendum hereto.
2. PURCHASE PRICE: The purchase price Is $ .4O and shall be paid in U.S. Dollars.
Should any check or other funds pald by Buyer be dishohared, for any reason, by the institution upon which the
payment Is drawn, Bar shall have one(j, banking day after written notice to deliver good funds to the payee,
in the event Buyer does not t mefq deliver good funds, tTie seller s i ilfiiave the right to terminate hls contra
upon written notice to the Buyer. The purchase price shall be paid as follows:
(a) $ 0 , EARNEST MON�Y DEPOSIT with thls offer by ❑ cash ❑ personal check ❑ bank
check ❑ cer)Ifled check ❑ other: a fn to be deposited and held in escrow
by A A ("Escrow Agent "); until the sale Is
closed, at hlch time it will be credited to Buyer, or until this contract Is otherwise terminated. In the event: (1)
this offer is not accepted; or (2) any of the conditions hereto are not satisfied, then all eamest 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 return shall not affect any other remedies available to Buyer for such
breach. In the event of breach of this contract by Buyer, then all eamest 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.
Buyer Initials _ Page 1 of 8 Seller Initials LtSP
NOTE: In the event of a dispute between Seller and Buyer over the return or forfeiture of eamest money held
In escrow, a licensed real estate broker ( "Broker") Is required by state law (and Escrow Agent, If not a Broker,
hereby agrees) to retain said eamest money In the Escrow Agent's trust or escrow account until Escrow Agent
has obtained a written release from the parties consenting to Its disposition or until disbursement is ordered by
a court of competent jurisdiction. Alternatively, If a Broker is holding the Eamest Money, the Broker may
deposit the disputed monies with the appropriate clerk of court in accordance with the provisions of N.C.G.S.
§93A -12.
THE PARTIES AGREE THAT A REAL ESTATE BROKERAGE FIRM ACTING AS ESCROW AGENT MAY
PLACE ANY EARNEST MONIES DEPOSITED BY BUYER IN AN INTEREST BEARING TRUST ACCOUNT
AND THAT ANY INTEREST EARNED THEREON SHALL BE DISBURSED TO THE ESCROW AGENT
MONTHLY IN CONSIDERATION OF THE EXPENSES INCURRED BY MAINTAINING SUCH ACCOUNT
AND RECORDS ASSOCIATED THEREWITH.
(b) $ /I k. , (ADDITIONAL) EARNEST MONEY DEPOSIT to be paid to Escrow Agent no
later than ,n /A_ TIME BEING OF THE ESSENCEWITH REGARD TO SAID DATE.
(c) $ n G.- , OPTION FEE In accordance with paragraph 13, Alternative 2, to be paid to Seller on
the E fr.-
Date as set forth In paragraph 22. (NOTE: If Alternative 2 applies, then do not insert $O, N /A,
or Ieaya blank).
(d) $ in. , BY ASSUMPTION of the unpaid principal balanoe and all obligations of Seller on the
exlsti �rf{g loan(s) secured by a deed of trust on the Property In accordance with the attached Loan
Assumption Addendum.
(e) $ ,t(6 BY SELLER FINANCING In accordance with the attached Seller Financing Addendum,
(f) $ a8`` x,``440 , BALANCE of the purchase price In cash at Closing.
3. LOAN CONDITION:
(a) Loan. Buyer's performance is contingent upon Buyer's ablllty to obtai a ❑ Conventlonaf ❑ Other: vt /&.
loan at a ❑ F ixed Rate ❑ Adjustable Rate In the principal amount o et 4.- f r a
term of n f „ year(s), at an Initial interest rate of to exceed v� c4 % per annum, with mortgage loan
discount ` ,A points not to exceed % and with ton origination fee not to exceed yt /c_, % of
the loan amou t ( "Loan "). f
(b) Loan Obligations:The Buyer agrees to:
(I) Make written application for the Loan, authorize any required appraisal and pay any necessary fees
within days after the Effective Date;
(11) Promptly furnish Seiler written confirmation from the lender of having applied for the Loan.
If Buyer falls to furnish Seller written confirmation from the lender of having applied for the Loan, Seller may
make written demand for compliance. If Buyer does not furnish Seller written confirmation from the lender
of application within five (5) days after such demand, then Seller may terminate this contract by written
notice to Buyer at any time thereafter, provided Seller has not received either written evidence of the
application or a waiver of the Loan Condition, and all Eamest Money shall be forfeited to Seller as
liquidated damages and as Seller's sole and exclusive remedy for Buyer's failure to close, but without
limiting Seller's rights under paragraph 14 for damage to the Property. Buyer further agrees to:
(lip Pursue qualification for and approval of the Loan diligently and In good faith;
(iv) Continually and promptly provide requested documentation to lender.
(c) °Buyer's �If Puyer�has complledtwittrBuyer' strarrObligatl unsinsubsectton'(b)above;
then within d ays after the Effective Date (or any agreed -upon written extension of this deadline)TIME
BEING OF TE�{E ESSENCE,Buyer shall have the right to terminate this contract by delivering to Seller written
notice of termination if Buyer, In Buyer's sole discretion, Is not satisfied that the Loan will be approved and
funded. If Buyer has timely delivered such notice, this contract shall be terminated and all Earnest Money
shall be refunded to Buyer. If Buyer falls to deliver such notice, then Buyer will be deemed to have Waived this
condition. Thereafter, if Buyer falls to close based upon inability to obtain the Loan, then all Earnest Money
shall be forfeited to Seller. if Buyer provides Seller reasonable third-party documentation confirming Buyer's
Inability to obtain the Loan, then the Earnest Money shall serve as liquidated damages and as Seller's sole and
exclusive remedy for Buyer's failure to close, but without limiting Seller's rights under paragraph 14 for damage
to the Property. (WARNING:Buyer Is advised to consult with Buyer's lender to assure that the number of days
allowed for Buyer to obtain the Loan is sufficient to allow Buyer's lender time to take all reasonable steps
necessary to provide reliable loan approval.) //�`[��
Buyer Initials _ Page 2 of 8 Seller Initials /''f�7
4. FLOOD HAZARD DISCLOSURE /CONDITION (Choose ONE of the following alternatives):
❑ To the beat of Seller's knowledge, the Property IS located partly or entirely within a designated Special
Flood Hazard Area. Buyer understands that It may be necessary to purchase flood insurance In order to
obtaln any loan secured by the Property from any federally regulated institution or a loan Insured or
guaranteed by an agency of the U.S. Government.
❑ To the best of Seller's knowledge, the Property IS NOT located partly or entirely within a designated
Special Flood Hazard Area. If, following the Effective Date of this contract, it is determined that the
Property is located partly or entirely within a designated Special Flood Hazard Area according to the
current FEMA flood map, or If this contract is subject to a Loan Condition and Buyer's lender requires
Buyer to obtain flood insurance as a condition of making the Loan, then In either event Buyer shall have the
right to terminate this contract upon written notice to Seller, and all earnest monies shall be refunded to
Buyer.
5. OTHER CONDITIONS:
(a)There must be no restriction, easement, zoning9r °tiler gpvemmental regulation that would prevent the
reasonable use of the Property for fa%Ugat.a purposes ("Intended Use ").
(b)The Properly must be In substantially the same or better condition at Closing as on the date of this offer,
reasonable wear and tear excepted.
( c)The Property must appraise at a value equal to or exceeding the purchase price or, at the option of Buyer,
this contract may be terminated and all earnest monies shall be refunded to Buyer, even If the Loan
Condition has been waived as provided In paragraph 3.
If thls contract is subject to a financing conti gency requiring an appraisal, Buyer shall arrange to have the
appraisal completed on or before dt C
(d)All deeds of trust, liens and other charges a inst the Property, not assumed by Buyer, must be pald and
satisfied by Seller prior to or at Closing such that cancellation may be promptly obtained following Closing.
Seller shall remain obligated to obtain any such cancellations following Closing.
(e)Tltie must be delivered at Closing by GENERAL WARRANTY DEED unless otherwise stated herein, and
must be fee simple marketable and insurable title, free of all encumbrances except:.ed valorem taxes for
the current year (prorated through the date of Closing); utility easements and unvioiated restrictive
covenants that do not materially affect the value of the Property; and such other encumbrances as may be
assumed or specifically approved by Buyer. The Property must have legal access to a public right of way.
6. SPECIAL ASSESSMENTS: NOTE: For purposes of this agreement, a "confirmed" special assessment Is
defined as an assessment that has been approved by a governmental agency or an owners' association for the
purpose(s) stated, whether or not it is fully payable at time of closing. A "pending" speclal assessment is
defined as an assessment that is under formal consideration by a governing body. Seller warrants that there
are no pending or confirmed governmental special assessments for sidewalk, paving, water, sewer, or other
improvements on or adjoining the Property, and no pending or confirmed owners' association special
assessments, except as follows: (Insert "None" or the Identification of such assessments, if any):
Unless otherwlse agreed, Seller shall pay all owners' association assessments and all governmental
assessments confirmed through the time of Closing, if any, and Buyer shall take title subject to all pending
assessments disclosed by Seller herein, If any.
- 7. PRORATIONS•AND ADJUSTMENTS: Unless•otherwise provided; the following shall be
and either adjusted between the parties or paid at Closing: (a) Ad valorem taxes on real property shall be
prorated on a calendar year basis through the date of Closing; (b) All late listing penalties, if any, shall be paid
by Seller, (c) Rents, If any, for the Property shall be prorated through the date of Closing; (d) Owners'
association dues and other Ike charges shall be prorated t rough the date of Closing. S Iler represents that
the regular owners' association dues, If any, are $ ft �G•- per
Unless otherwise agreed, Buyer shall pay any fees require{ for obtaining account pa ent Information an
owners' association dues or assessments for payment or proration and any charge made by the owners'
association In connection with the disposition of the Properly to Buyer, Including any transfer and/or document
fee imposed by the owners' association.
8. EXPENSES: Unless otherwise agreed, Buyer shall be responsible for all costs with respect to any loan
obtained by Buyer, appraisal, title search, title insurance, recording the deed and for preparation and recording
of all instruments required to secure the balance of the purchase price unpaid at Closing. Seller shall pay o
Buyer Initials Page 3 of 8 Seller Initials r
_
preparation of a deed and all other documents necessary to perform Seller's obligations under thls agreement,
and for exclse tax (revenue stamps) required by law. Seller shall pay at Closing $ O
toward any of Buyer's expenses associated with the purchase of the Property, Including any FHANA lender
and inspection costs that Buyer Is not permitted to pay, but excluding any portion disapproved by Buyer's
lender.
9. EVIDENCE OF TITLE: Seller agrees to use his beat efforts to deliver to Buyer as soon as reasonably
possible after the Effective Date of thls contract, coples of all title Information in possession of or available to
Seller, including but not limited to: title insurande policies, attorney's opinions on title, surveys, covenants,
deeds, notes and deeds of trust and easements relating to the Property. Seller authorizes (1) any attorney
presently or previously representing Seller to release and disclose any title insurance policy In such attorneys
file to Buyer and both Buyer's and Seller's agents and attorneys; and (2) the Property's title insurer or its agent
to release and disclose all materials In the Property's title Insurer's (or title insurer's agent's) file to Buyer and
both Buyer's and Seller's agents and attorneys.
10. LABOR AND MATERIAL: Seller shall furnish at Closing an affidavit and Indemnification agreement in
form satisfactory to Buyer showing that all labor and materials, If any, furnished to the Property within 120 days
prior to the date of Closing have been paid for and agreeing to indemnify Buyer against all loss from any cause
or claim arising therefrom.
11. CLOSING• losing shall be defined as the date and time of recording of the deed and shall be on or
. before • r (the "Closing Date "). All parties agree to execute any and all documents and
papers neces a In connection with Closing and transfer pQff title on or 49fore the Closing Date at a place and
time designated by Buyer. The deed Is to be made to keydAe t..a"mi`vjS
Absent agreement to the contrary in this contract or any subsequent modlflcationithereto, the following terms
shall apply: If either party is unable to close by the Closing Date, then provided that the party is acting In good
faith and with reasonable diligence to proceed to closing, such party shall be entitled to reasonable delay of the
Closing Date and shall give as much notice as passible to the non - delaying party and closing agent. In such
event, however, either party for whom the Closing Date is delayed shall have a maximum of ten (10) days from
the Closing Date, or any extension of the Closing Date agreed -upon in writing, in which to close without
payment of Interest. Following expiratlan of the ten -day period, the party not ready to close shall be
responsible for paying to the other party (If ready, willing and able to close) interest on the purchase price at
the rate of eight percent (8 %) per annum accruing from the end of the ten -day period until closing occurs or the
contract is terminated. Should the delay in closing continue for more than thirty (30) days from the Closing
Date or the last agreed -upon extension of the Closing Date, then the non - delaying party shall have the
unilateral right to terminate the contract and receive the earnest money, but the right to such receipt shall not
affect any other remedies available to the non - delaying party for such breach.
CLOSING SHALL CONSTITUTE ACCEPTANCE OF THE PROPERTY iN iTS THEN EXISTING CONDITION
UNLESS PROVISION IS OTHERWISE MADE IN WRITING.
12. POSSESSION: Unless otherwise provided herein, possession shall be dellvered at Closing. No
alterations, excavations, tree removal or other such activities may be done before possession Is delivered.
Seller shall remove, by the date possession Is made available to the Buyer, all personal property which is not a
part of the purchase and all garbage and debris from the Property.
13. PROPERTY INSPECTION /INVESTIGATION (Choose ONLY ONE of the following Alternatives):
❑ ALTERNATIVE 1:
(a) Soil, Utilities And Environmental Contingency: This contract is contingent upon Buyer obtaining
report(s) that (i) the soil Is suitable for Buyer's Intended Use, (II) utilities are available to the Property, (111) there
Is no environmental contamination, law, rule or regulation that prohibits, restricts or limits Buyer's Intended
Use, and (Iv) there is no flood hazard that prohibits, restricts or limits Buyer's Intended Use (collectively the
"Reports "). All costs and expenses of obtaining the Reports shall be borne by Buyer. Buyer shall use Buyer's
best efforts to obtain such Reports. If the Reports cannot be obtained, Buyer may terminate this contract and
the Eamest Money Deposit sha(I be refunded to Buyer. Buyer waives this condition unless Buyer provides
written notice to Seller by t4 that this condition cannot be satisfied, TIME BEING OF THE
ESSENCE.
Buyer Initials _ Page 4 of 8 Seller initials 1-1515
(b) Septic/Sewer System (check only ONE):
❑ Buyer has Investigated the costs and expenses to install the sewer system approved by the improvement
Permit attached hereto as Exhibit A and hereby approves and accepts said Improvement Permit.
❑ Seller represents that the system has been Installed, which representation survives Closing, but makes no
further representations as to the system. Buyer acknowledges receipt of the Improvement Permit attached
hereto as Exhibit A. Buyer shall have the option of Inspecting or obtaining, at Buyer's expense, lnspectlon(s)
to determine the condition of the system. If the system Is not performing the function for which Intended and is
in need of immediate repair, Buyer may terminate this Contract and the Earnest Money Deposit shall be
refunded to Buyer. Buyer waives this condition unless Buyer provides written notice to Seller by that this
condition cannot be satisfied, TIME BEING OF THE ESSENCE.
❑ This contract is contingent upon ❑ Buyer ❑ Seller ( "Responsible Party") obtaining an Improvement Permit
or written evaluation from the County Health Departme t ( "County") for a (check only ONE) ❑ conventional or
❑ other ground absorption sewage system for a 6. bedroom home. All costs and expenses of
obtaining such Permit or written evaluation shall tie o e by Responsible Party unless otherwise agreed. In
any event Seller, by no later than " h. , shall be responsible for clearing that portion of
the Property required by the County to perform I tests and /or inspections. Responsible Party shall use best
efforts to obtain such Permit or written evalu tion. If the Improvement Permit or written evaluation from the
County cannot be obtained by N --- (date), either party may terminate this Contract and
the Eanest Money Deposit shall be refunds to Buyer.
Citpuyer has investigated and approved the availability, costs and expenses to connect to a ❑ public or ❑
community sewer system,
(c) Water (check only ONE):
Buyer has Investigated and approved the availability, costs and expenses to connect to a ❑ public or ❑
community water system or ❑ shared private well.
❑ Buyer has investigated the costs and expenses to Install the private drinking water well approved by the
Construction Permit attached hereto as Exhibit A and hereby approves and accepts said Construction Permit.
❑ Seller represents that a private drinking water well has been installed, which representation survives
Closing, but makes no further representations as to the well. With respect to wells Installed after July 1, 2008,
Buyer acknowledges receipt of the County Health Department's Certificate of Completion attached hereto as
Exhibit A. Buyer shall have the option of inspecting or obtalning, at Buyer's expense, Inspection(s) to
determine the condition of the well. If the well is not performing the function for which Intended and Is In need
of immediate repair, Buyer may terminate this Contract and the Eamest Money Deposit sh II be refunded to
Buyer. Buyer waives this condition unless Buyer provides written notice to Seller by A, A_
that this condition cannot be satisfied, TIME BEING OF THE ESSENCE. 116111
❑ This Contract is contingent upon ❑ Buyer ❑ Seller ( "Responsible Party ") obtaining a Construction Permit
from the County Health Department ("County') for a private drinking water well. All costs and expenses of
obtaining such Permit, including but not Ilmited to any required survey, hall be borne by Responsible Party
unless otherwlse agreed. In any event Seller, by no later than A �r~ , shall be responsible
for clearing that portion of the Property required by the County to conduct a field investigation to evaluate the
site. Responsible Party shall use be t efforts to obtain such Permit. If the Construction Permit from the
County cannot be obtalned by A h_ (date), either party may terminate this Contract and the
Earnest Money Deposit shell be ref nded to Buyer.
(d) CLOSING SHALL CONSTITUTE ACCEPTANCE OF THE PROPERTY IN ITS THEN EXISTING
CONDI-TION-UNLESS- PROVISION IS-OTHERWISE-MADE-IN-WRITING. • - • • - •
❑ ALTERNATIVE 2: (This Alternative applies ONLY If Alternative 2 is checked AND Boyer has paid the
Option Fee,)
(a) Property Investigation with Option to Terminate: In consideration of the sum sat forth in paragraph 2(c)
paid by Buyer to Seller (not Escrow Agent) and other valuable consideration, the sufficiency of which Is hereby
acknowledged (the " Option Fee "), Buyer shall have the right to terminate this contract for any reason or no
reason, whether related to the physical condltlon of the Property or otherwise, by deltvering to Seller written
notice of termination (the 'Termination Notice ") by 5:00 p.m. on " a, , TIME
BEiNG OF THE ESSENCE (the "Option Termination Date "). At any time pri r to Closing, Buyer shall have the
right to Inspect the Property at Buyer's expense (Buyer is advised to have all Inspections of the Property,
including but not limited to those matters set forth In Alternative 1, performed prlor to the Option Termination
Date).
Buyer Initials _ Page 5 of 8 Seller Initials LLS?
(b) Exercise of Option: If Buyer delivers the Termination Notice prior to the Option Termination Date, TIME
BEING OF THE ESSENCE, this contract shall become null and void and all eamest monies received in
connection herewith shall be refunded to Buyer; however, the Option Fee will not be refunded and shall be
retained by Seller. If Buyer falls to deliver the Termination Notice to Seller prior to the Option Termination
Date, then Buyer will be deemed to have accepted the Property in its physical condition existing as of the
Option Termination Date; provided such acceptance shall not constitute a waiver of any rights Buyer has under
paragraphs 3, 4 or 5 above. The Option Fee Is not refundable, is not part of any earnest monies, and will be
credited to the purchase price at Closing.
(c) CLOSING SHALL CONSTITUTE ACCEPTANCE OF THE PROPERTY IN ITS THEN EXISTING
CONDITION UNLESS PROVISION IS OTHERWISE MADE IN WRITING,
14. RIGHT OF ENTRY, RESTORATION AND INDEMNITY: Buyer and Buyer's agents and contractors shall
have the right to enter upon the Property for the purpose of appraising and evaluating the Property, and
performing the tests and inspections permitted In thls contract. Buyer shall, at Buyer's expense, promptly
repair any damage to the Property resulting from any activities of Buyer and Buyer's agents and contractors.
Buyer will Indemnify and hold Seller harmless from all Toss, damage, claims, sults or costs, which shall arise
out of any contract, agreement, or injury to any person or property as a result of any activities of Buyer and
Buyer's agents and contractors relating to the Property. This indemnity shall survive this contract and any
termination hereof, but Buyer shall not be responsible for any loss, damage, claim, suit or cast arising out of
pre- existing conditions of the Property and /or out of Seller's negligence or willful acts or omissions.
15. OTHER PROVISIONS AND CONDITIONS: CHECK ALL STANDARD ADDENDA THAT MAY BE A
PART OF THIS CONTRACT, IF ANY, AND ATTACH HERETO. ITEMIZE ALL OTHER ADDENDA TO THIS
CONTRACT, IF ANY, AND ATTACH HERETO.(NOTE:UNDER NORTH CAROLINA LAW, REAL ESTATE
AGENTS ARE NOT PERMITTED TO DRAFT CONDITIONS OR CONTINGENCIES TO THIS CONTRACT.)
❑ Additional Provisions Addendum (Form 2A11 -T) ❑ Loan Assumption Addendum (Form 2A6 -T)
❑ Back -Up Contract Addendum (Form 2A1 -T) ❑ FHA/VA Financing Addendum (Form 2A4-T)
❑ Contingent Sale Addendum (Form 2A2 -T) ❑ Seller Financing Addendum (Form 2A5-T)
❑ Owners' Associ tlon Disclosure And Addendum (form 2Al2 -T)
.OTHER: t(W fnnkS 4o toe- -- rill) In Intl"
16. RISK OF LOSS: The risk of loss or damage by fire or other casualty prior to Closing shall be upon Seller.
17. ASSIGNMENTS: This contract may not be assigned without the written consent of all parties, but If
assigned by agreement, then this contract shall be binding on the assignee and his heirs and successors.
18. TAX-DEFERRED EXCHANGE: In the event Buyer or Seller desires to effect a tax - deferred exchange in
connection with the conveyance of the Property, Buyer and Seller agree to cooperate In effecting such
exchange; provided, however, that the exchanging party shall be responsible for all additional costs associated
with such exchange, and provided further, that a non - exchanging party shall not assume any additional liability
with respect to such tax - deferred exchange. Seller and Buyer shall execute such additional documents, at no
cost to the non - exchanging party, as shall be required to give effect to this provision. (NOTE: If Alternative 2
under paragraph 13 of this contract will apply, Seller should seek advice concerning the taxation of the Option
Fee.)
19. PARTIES confract shall be binding upon and shall inure to the benefit of the parties; i.e., Buyer and
Seller and their heirs, successors and assigns. As used herein, words In the singular Include the plural and the
masculine includes the feminine and neuter genders, as appropriate.
20. SURVIVAL: if any provision herein contained which by Its nature and effect is required to be observed,
kept or performed after the Closing, it shall survive the Closing and remain binding upon and for the benefit of
the parties hereto until fully observed, kept or performed.
21. ENTIRE AGREEMENT: This contract contains the entire agreement of the parties and there are no
representations, Inducements or other provisions other than those expressed herein. All changes, additions or
deletions hereto must be In writing and signed by ail parties. Nothing contained herein shall alter any
agreement between a REALTOR® or broker and Seller or Buyer as contained in any listing agreement, buyer
agency agreement, or any other agency agreement between them.
Buyer Initials _ Page 6 of 8 Seller Initials
22. NOTICE AND EXECUTION: Any notice or communication to be given to a party herein may be given to
the party or to such party's agent. Any written notice or communication In connection with the transaction
contemplated by this contract may be given to a party or a party's agent by sending or transmitting it to any
mailing address, a -mall address or fax number set forth In the "Notice Address" section below. Seller and
Buyer agree that the "Notice information" and "Escrow Acknowledgment" sections below shall not constitute a
material part of this Offer to Purchase and Contract, and that the addition or modification of any information
therein shall not constitute a rejection of an offer or the creation of a counteroffer. This contract may be signed
In multiple originals, all of which together constitute one and the same Instrument, and the parties adopt the
word "SEAL" beside their signatures below.
23. COMPUTATION OF DAYS: Unless otherwise provided, for purposes of this contract, the term "days"
shall mean consecutive calendar days, including Saturdays, Sundays, and holidays, whether federal, state,
local or religious. For the purposes of calculating days, the count of "days" shall begin on the day following the
day upQ� which any act or notice as provided in this contract was required to be performed or made.
Buyer has 0 has not made an an -site personal examination of the Property prior to the making of this offer.
BUYER DATE (SEAL)
- 15,/ kexu.6 t Ciw.u,.451.
BUYER J DATE (SEAL)
µi s, 4 , ' L c_/ ,�----
SELLER Ic --6.l Q 7 4 DATE 3 //`1 if (SEAL)
SELLER DATE (SEAL)
NOTICE INFORMATION
NOTE: INSERT THE ADDRESS AND /OR ELECTRONIC DELIVERY ADDRESS EACH PARTY AND AGENT
APPROVES FOR THE RECEIPT OF ANY NOTICE CONTEMPLATED BY THIS CONTRACT. INSERT "N /A"
FOR ANY WHICH ARE NOT APPROVED.
BUYER NOTICE ADDRESS: SELLER NOTICE ADDRESS:
Mailing Address: Mailing Address: Ib c
i. /dos ilia. t c)d.3doa-
Buyer Fax #: vX Seiler Fax#:
d rt. -
Buyer E -Mail Address: KR Seller E -Mail Address; 6114-
SELLING AGENT NOTICE ADDRESS: LISTING AGENT NOTICE ADgRESS:
Individual Selling Agent: Alt._ Individual Listing AgQent: it (�-
License #: In 17 f.... License #: to ( I- 111
Firm Name: Finn Name: (((((vt/A.
Acting as ❑ Buyer's e n ❑ Seller's (sub) Agent 0 Dual Agent Acting es ❑ Seller's (s b) gent❑ Dual Agent
Mailing Address: A w Mailing Address: A --
Selling Agent Fax#: to (n Listing Agent Fax#: V A`.
Selling Agent E -mail Address: ,� f & Listing Agent E -mail Add ess: 1n./i,
Selling Agent Phone#: qt.— I Listing Agent Phone* vt t... f
Buyer Initials _ Page 7 of 8 ( Seller Initials �(
ESCROW ACKNOWLEDGMENT
Escrow Agent acknowledges receipt of the earnest money and agrees to hold and disburse the same
In accordance with the terms hereof.
Date: Firm:
By:
(Signature)
•
Buyer Initials _ Page 8 of 8 Seller Initials _