General Permits (6432)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.) _
Phone Number ae�,S -
State _T_A/
zip 120 /
Type and Dimensions of Project �--
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH (SCALE: )
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
Applicant's signature
CAMA Official's signature
Issuing date
..3
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

SEE
REVERSE
FOR
LARGER -
SCALE
DRAWING
OF
PROPOSED
PROJECT
76
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POBOa 776 PAMLLCO (AUNTY BUILDING INSPFC11ONS BAYBOKO, N.C. 20515
(919) 74S-3B61
(After this form is completed by the landowner proposing the project,
a copy is given to his/her adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan
and other applicable required information, to the Building Inspections'
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that 1 own property adjacent to
CHARLES RUSH Vs on TARPON CHANNEL
Name of landowner proposing development body of water
Q/near ORIENTAL Lot4r' 19 of BLOCK "B", SEA VISTA
community Subdivision, if applicable
Tax Parcel lM082-120-lq off SR Complete description of how to
locate this property: property addrPtt is- 103 NORMAN CIRCI F nriPntal _ f..
Take left off of Ragan Rd. onto Norman Circle, blue house at end of cul-de-sac.
The proposed project, a PIER EXTENSION , and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15' minimum setback from my riparian access.
XX I DO NOT wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
lines, other structures on the property, and the road, water, etc.
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SEE
REVERSE
FOR
LARGER -
SCALE
DRAWING
OF
PROPOSED
PROJECT
POBOX 776 PAMLICO COUNTY BUILDING 1N: YVEGIIUNS BAYBOKO, N.C. 2B515
(919) 745-3B61
(After this form is completed by the landowner proposing the project,
a copy- is given to his/her adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan
and other applicable required information, to the Building inspections'
office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO
i o l V S, A
1 hereby certify that 1 3-adjacent to
CHARLES RUSH Is on
Name of landowner proposing development
TARPON CHANNEL
body of water
Q/near ORIENTAL Lot# 19 of BLOCK "B", SEA VISTA
community Subdivision, if applicable
Tax Parcel #,1082-320-19 off SR Complete description of how to
locate this property: Pro_�r_ty address is' 103 NORMAN CIR('I F oriental _NC.
Take left off of Ragan Rd. onto Norman Circle, blue house at end of cul-de-sac.
The proposed project, a PIER EXTENSION , and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
1 wish to waive the 15, minimum setback from my riparian access.
XX I DO NOT wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
lines, other structures on the property, and the road, water, etc.
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ADDITION SHALL EVTENn NO Fv2TNEr INTO TNT C-P46L
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Two TIE —OFF PI�►rJGs s��L 3r= f�DO+ 0 Sr—Iu� (3EYoNA i°rER.

Sail/Loft Realty, Inc.
OFFER TO PURCHASE AND CONTRACT
Charles K Rush• and wife Carolyn S. Rush , as Buyer,
hereby offers to purchase and Auke Venema nn_d wife Catharina,l Venema , as Seller,
upon acceptance of said offer, agrees to sell and convey, all of that plot, piece or parcel of land described below, together with all improvements 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 Oriental , County of
Pamlico , State of North Carolina, being known as and more particularly described as:
Street Address: 103 Norman Circle Orientall,NC Zip 28571
LcB�all) tion: Lot #19.Block "S" in the Sea Vista n Subdivisio-
All 17 A portion of the property in Deed Reference: Book 255 , Page No. 24 Pamlico , County.)
NOTE: Prior to signing the Offer to Purchase and Contract, 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.
2. FIXTURES: The following items, if any, are included in the purchase price free of liens: any built-in appliances, light fixtures, ceiling fans, attached
floor coverings, blinds and shades.including.window,hardware, window and door screens, storm windows, combination doors, awnings, antennas, satellite
dislies and receivers, burglar/fire/smoke 'alanns, pool and spa equipment, solar energy systems, attached fireplace screens, gas logs, fireplace inserts,
electric garage door openers with controls, outdoor plants and trees (other than in movable containers), basketball goals, storage sheds, mailboxes, wall
and/or door mirrors, and any items attached or affixed to the Property, EXCEPT the following items:
3. PERSONAL PROPERTY: The following personal property is included in the purchase price: Dishwasher siQve,tvst�G�Pilln9 fans all
window tr, atments refria
4. PURCHASE PRICE: The purchase price is $ ) and shall be paid as follows:
(a) $ 500 , EARNEST MONEY DEPOSIT ®cash ❑personal check L:Ibank check ❑certified check ❑other
to be deposited and held in escrow by Sail/Loft Realty,inc
as 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: (1) this offer
is not accepted; or (2) any of the conditions hereto arc not satisfied, then all earnest monies shall be returned to Buyer. In the event of breach of this
contract by Seller, upon Buyer's request, all earnest monies shall be returned to Buyer, but such return shall not affect any other remedies available to
Buyer for such breach. In the event this offer is accepted and Buyer breaches this contract, then all earnest monies shall be forfeited upon Seller's request,
but receipt of such forfeited earnest monies 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 required
by state law 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) $ 1,500 , ADDITIONAL EARNEST MONEY DEPOSIT to be paid to escrow agent no later than 6/20/98
(c) $ 0 , BY ASSUMPTION of the unpaid principal balance and all obligations of Seller on the existing loan(s) secured by
a deed of trust on the Property in accordance with the attached Loan Assumption Addendum.
(d) $ 0 , BY SELLER FINANCING in accordance with the attached Seller Financing Addendum.
(c) $ i , BALANCE of the purchase price in cash at closing..
5. CONDITIONS: (state N/A in each blank that is not a condition to this contract.)
(aZ The Buyer must be able to obtain a loan commitment on or before 30-July 1998 "effective through the date of closing, for a
FHA ❑VA (attach FHA/VA Financing Addendum) ®Conventional ❑Other n/a
loan at a ®Fixed Rate ❑Adjustable Rate []other: n/a in the principal amount
of for a term of _3Q_ year(s), at an interest rate not to exceed 7.125 % per annum, with
mortgage loan discount points not to exceed 1.0 % of the loan amount. Buyer agrees to use his best efforts to secure such commitment. Buyer
shall be responsible for all costs with respect to any loan obtained by Buyer, except if Seller is to pay any of the Buyer's loan closing costs including
discount points, those costs are as follows: n/a . In the event Buyer fails to provide
Seller with written evidence of the loan commitment within five days after receipt of a written request from Seller (but such request may not be made
before the loan commitment date listed above), then Seller may terminate this contract unless Buyer waives the loan commitment condition.
(b) There must be no restriction, easement, zoning or other government regulation that would prevent the reasonable use of the real property for
single fnmi1residential purposes.
(c) The Property must be in substantially the same or better condition at closing as on the date of this offer, reasonable wear and tear excepted.
(d) All deeds of trust, liens and other charges against the Property, not assumed by Buyer, must be paid 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) Title must be delivered at closing by GENERAL WARRANTY DEED unless otherwise stated herein, and must be fee simple marketable title, free of
all encumbrances except: ad valorem taxes for the current year (prorated through the date of closing); utility easements and unviolated 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.
G. SPECIAL ASSESSMENTS: Seller warrants that there are no governmental special assessments, either pending or confirmed, for sidewalk, paving,
water, sewer, or other improvements on or adjoining the Property, and no owners' association special assessments, except as follows:
(Insert "None" or the identification of such assessments, if any.) Seller shall pay all confirmed owners' association assessments and all confirmed
governmental assessments, if any, and Buyer shall take title subject to all pending assessments, if any, unless otherwise agreed as follows:
7. PRORATIONS AND ADJUSTMENTS: Unless otherwise provided, the following items shall be prorated 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) Ad valorem taxes on
personal property for the entire year shall be paid by the Seller unless the personal property is conveyed to the Buyer, in which case, the personal property
taxes shall be prorated on a calendar year basis through the date of closing. (c) All late listing penalties, if any, shall be paid by Seller. (d) Rents, if any,
for the Property shall be prorated through the date of closing. (e) Owners' association dues, and other like charges shall be prorated through the date of
the date of closing. Seller represents that the regular owners' association dues, if any, are $ none per n/a
S. CLOSING EXPENSES: Seller shall pay for preparation of a deed and all other documents necessary to perform Seller's obligations under this
agreement, and for excise tax (revenue stamps) required by law. Buyer shall pay for recording the deed and for preparation and recording of all
instruments required to secure the balance of the purchase price unpaid at closing.
9. FUEL: Buyer agrees to purchase from Seller the fuel, if any, situated in any tank on the Property at the prevailing rate with the cost of measurement
thereof, if any, being paid by Seller.
10. EVIDENCE OF TITLE: Seller agrees to use his best efforts to deliver to Buyer as soon as reasonably possible after the acceptance of this offer,
copies of all title information in possession of or available to Seller, including but not limited to: title insurance policies, attorney's opinions on title,
surveys, covenants, deeds, notes and deeds of trust and easements relating to the Property.
11. 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.
® This Standard Form has been NORTH CAROLINA BAR ASSOCIATION, INC. Standard Fonn No. 2
approved jointly by the: NORTH CAROLINA ASSOCIATION OF REALTORS®, INC. Copyright ©6/96
nuuo�� u

12. PROPERTY DISCLOSURE AND INSPECTIONS:
(a) Property Disclosure:
®Buyer has received a signed copy of the Residential Property Disclosure Statement prior to the signing of this Offer to Purchase and Contract.
❑Buyer has NOT received a signed copy of the Residential Property Disclosure Statement prior to the signing of this Offer to Purchase and Contract and
shall have the right to terminate or withdraw this contract without penalty upon receipt of the Residential Property Disclosure Statement provided such
termination or withdrawal notice is hand delivered or mailed to Seller or Seller's Agent within three days following receipt of same.
❑Exempt from Residential Property Disclosure Statement because (SEE GUIDELINES) n/a
❑The Property is residential and was built prior to 1978 (Attach Lead -Based Paint or Lead -Based Paint Hazards Disclosure Addendum.)
(b) Property Inspection: Unless otherwise stated herein, or as otherwise provided on an inspection addendum attached hereto, Buyer shall have the
option of inspecting or, obtaining at Buyer's expense, inspections to determine the condition of the Property. Unless otherwise stated herein, it is a
condition of this contract that: (i) the built-in appliances, electrical system, plumbing system, heating and cooling systems, roof coverings (including
flashing and gutters), doors and windows, exterior surfaces, structural components (including foundations, columns, chimneys, floors, walls, ceilings and
roofs), porches and decks, fireplaces and flues, crawl space and attic ventilation systems (if any), water and sewer systems (public and private), shall be
performing the function for which intended and shall not be in need of immediate repair; (ii) there shall be no unusual drainage conditions or evidence of
excessive moisture adversely affecting the structure(s); and (iii) there shall be no friable asbestos or existing environmental contamination.
Inspections must be completed on or before 3Q _June 12gA . Buyer is advised to have any inspections made prior to incurring
expenses for closing and in sufficient time to permit any required repairs to be completed by closing_
(c)..Wood-Destroying Insects: Unless otherwise stated herein, Buyer shall have the option of obtaining, at Buyer's expense, a report from a licensed pest
control operator on a standard form in accordance with the regulations of the North Carolina Structural Pest Control Committee, stating that there was no
visible evidence of wood -destroying insects and containing no indication of visible damage therefrom. The report must be obtained in sufficient time so
as to permit treatment, if any, and repairs, if any, to be completed prior to closing. All treatment required shall be paid for by Seller and completed prior to
closing, unless otherwise agreed upon in writing by the parties. The Buyer is advised that the inspection report described in this paragraph may not always
reveal either stnrctural damage or damage caused by agents or organisms other than wood -destroying insects. If new construction, Seller shall provide a
standard warranty of termite soil treatment.
(d) Repairs: Pursuant to any inspections in (b) and/or (c) above, if any repairs are necessary, Seller shall have the option of (i) completing them, (ii)
providing for their completion, or (iii) refusing to complete them. If Seller elects not to complete or provide for the completion of the repairs, then Buyer
shall have the option of (iv) accepting the Property in its present condition, or (v) terminating this contract, in which case all earnest monies shall be
refunded. Unless otherwise stated herein, or as otherwise provided on an inspection addendum attached hereto, any items not covered by (b) (i), (b) (ii),
(b) (iii) and (c) above are excluded from repair negotiations under this contract.
(e) Acceptance: -CLOSING SHALL CONSTITUTE ACCEPTANCE _F EACH Dy THE SYSTEMS, IT M AND CONDITIONS LiSTF,D
ABOVE IN ITS THEN EXISTING CONDiTION IINI. SS MVTSiON IS OTHERWISE MADE iN WRITING,
13. REASONABLE ACCESS: Seller will provide reasonable access to Buyer or Buyer's representatives for the purposes of appraisal, inspection, and/or
evaluation. Buyer may conduct a walk-through inspection of the Property prior to closing.
14. CLOSING: Closing shall be defined as the date and time of recording of the deed. All parties agree to execute any and all documents and papers
necessary in connection with closing and transfer of title on or before 3-0--September 19.98 , at a place designated by Buyer.
The deed is to be made to rharlesJ(--Rushmnd_wife,t;arotyn_S-RuWh
15. POSSESSION: Unless otherwise provided herein, possession shall be delivered at closing. In the event possession is NOT to be delivered at closing:
❑ a buyer possession before closing agreement is attached. OR, ❑ a seller possession after closing agreement is attached.
16. OTHER PROVISIONS AND CONDITIONS: (ITEMIZE ALL ADDENDA TO THIS CONTRACT AND ATTACH HERETO. SEE LIST OF
STANDARD FORM ADDENDA AVAILABLE.)
A)This offer is contingent upon the permissibility of the Buyer to extending the existing pier a total distance of 100 feet,parallel to the
shoreline.Said pier shall be conf)
gured in a manner remaining compliant with all official regulations,
and any costs incurred for obtaining official permission (application fees,etc.)shall be the.expense of the Buyer.
Official permission for extending this pier shall be granted prior to closing.
B) Buyer has been advised that it will be necessary to purchase flood insurance in order to obtain a loan secured by the property from
any federally regulated financial institution or US Government -insured loan.
17. RISK OF LOSS: The risk of loss or damage by fire or other casualty prior to closing shall be upon Seller. If the improvements on the Property are
destroyed or materially damaged prior to closing, Buyer may terminate this contract by written notice delivered to Seller or Seller's agent and all deposits
shall be returned to Buyer. In the event Buyer does NOT elect to terminate this contract, Buyer shall be entitled to receive, in addition to the Property, any
of the Seller's insurance proceeds payable on account of the damage or destruction applicable to the Property being purchased.
18. 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.
19. PARTIES: This contract 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 all parties. Nothing contained herein shall
alter any agreement between a REALTORV or broker and Seller or Buyer as contained in any listing agreement, buyer agency agreement, or any other
agency agreement between them.
22. EXECUTION: This offer shall become a binding contract when signed by both Buyer and Seller. This contract is executed under seal in signed
multiple originals, all of which together constitute one and the same instrument, with a signed original being retained by each party and each REALTORR
or broker hereto, and the parties adopt the word "SEAL" beside their signatures below.
IF YOU DO NOT UNDERSTAND THIS OFFER TO PURCHASE AND CONTRACTOR FEEL THAT IT DOES NOT PROVIDE FOR YOUR LEGAL
NEEDS, YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SIGN IT.
Buyer acknowledg vin a e on- ers pal examination of the Property prior t the malting of this offer.
Buyer (SEAL) Seller o 4 (SEAL)
Charles K. Rush Auke Venema
SS/Tax ID# 1�4B�B_4 SS/Tax IN2, l - 2 (o - Z 3 S )
TT�zBuyer (SEAL) Seller C' � C, (SEAL)
�,.ly.S. Catharlha J. Venema
SS/Tax ID# _ 30.�4�415 SS/Tax ID# /- 3 i _ b t
Date: 15 June 19 B Date:
I hereby acknowledge receipt of the earnest money herein set forth and agree to hold and disburse the same in accordance with the terms hereof.
Date: 15_June 1998 Fin
Inuyees Agent
�t, Sellers (sub)agent
Selling Agent/Firm/Phone Gkris_Machle-SailLLoft-Realty,lnc.-M-9)242_1 A37 Acting as Dual Agent
Rual
eller's (sub)agent
Listing Agent/rirm/Phone Larry-Gw-almay�ailLLoft-Realty.lric--(919).2`4B�87 Acting a Agent