SH_13-01_ Hughes

Issued by WiRO SH 13-01
Town of Shallotte Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management'
Issued to Samantha Hughes, Quincy's Creek LLC., authorizing development in the Estuarine Shoreline (AEC) at 1800 Village Pc
Road, in Shallotte, adjacent to the Shallotte River in Brunswick County, as requested in the permittee's application, dated Februz
6, 2013. This permit, issued on February 21, 2013 is subject to compliance with the application and site drawing (where consistE
with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may
subject permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: The construction of an approximately 537 sq. ft. addition to an existing restuarant.
(1) All proposed development and associated construction must be done in accordance with the revised work plat drawings(s) dated
received on 02/06/2013.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations, applicc
local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and modificatio
this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at 910-796-7215 for a final inspection at completio
work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons within
twenty (20) days of the issuing date. From the date of an appeal, any work
conducted under this permit must cease until the appeal is resolved. This permit must
be on the project site and accessible to the permit officer when the project is
inspected for compliance. Any maintenance work or project modification not covered
under this permit, require further written permit approval. All work must cease when
this permit expires on:
December 31, 2016
_ Holley Snider
� at
Field Representative
NC Division of Coastal Management
MAR 0 6 2013 127 Cardinal Drive Extension
Wilmington, NC 28405
In issuing this permit it is agreed that this project is consistent with the local Land Us�)C M
Plan and all applicable ordinances. This permit may not be transferred to another
party without the written approval of the Division of Coastal Management.
WILrus° ' l
PERMITTEE
(Cinnnh ira rani dram if nnnrlitinnc nhnva nnnly to narmit'

Name: Samantha Hughes
Minor Permit # SH 13-01
Date: February 21, 2013
Page 2
(5) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of Normal High Water.
(6) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must
be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area
has been properly stabilized with a vegetative cover.
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Al! other disturbed areas shall be vegetatively stabilized (planted and
mulched) within 14 days of construction completion.
(8) Prior to any land -disturbing activities, a barrier line of filter cloth must be installed between the land disturbing
activity and the adjacent marsh or water areas, until such time as the area has been properly stabilized with a
vegetative cover.
(9) All original permit conditions remaining effect. Any proposed change to the approved original plans for development,
construction, or land use activities will require a re-evaluation and modification of this permit.
(10) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third -party
SIGNATURE:X­/,,P7,;/'(DATE: / _ )-
PERMIT EE

Permit Number'A 1 O
azerd Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other _
(For official use only)
AL INFORMATION
OWNER A
mincv's Creek L.L.C. C
1800 Village Pt Rd
Ibtte
State NC Zip 28470 Phone 9I0-754-6233
[e-mail]
RIZED AGENT
Im Milliken
1800 Village Pt Rd
sllotte
[e-mail]
State nc Zip 28470 Phone [phone]
[ON OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
waterbody.)1800 Village Pt. Rd.
IPTION OF PROJECT. (List all proposed construction and land disturbance.) Kitchen Addtition
? LOT/PARCEL: 50000 square feet 1.2 acres
SED USE: Residential ❑ (Single-family ❑ Multi -family Q ) Commercial/Industrial ✓Q Other
El
,ETE EITHER (1) OR (2) BELOW (Contact your Local Permit Offwer if you are not sure which AEC applies
roperty):
:AN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 0 square feet (includes
tioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
g non -load -bearing attic space)
mSTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER DAPERVIOUS OR BUILT
URFACES: 530 square feet (includes the area of the roof/drip line of all buildings, driveways, covered decks,
or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
;TORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
lent Permit issued by the NC Division of Water Quality?
NC=
t the total built upon area/impervious surface allowed for your lot or parcel: square feet.
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
©an owner or record title, Title is vested in Quincy's Creek Ilc see Deed Book 2973
page 0794 in the Brunswick County Registry of Deeds.
Qan owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
=f other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1) The Point LLC 1750 Shallotte Pt Loop Rd. Shallotte N.C. 28470
(2) John Madison S. Willis dr. Shallotte n.c. 28470
(3)
(4)
ACKNOWLEDGEMENTS:
I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
:&/I— This the 30 day of Jan. 20 12
Landowner or peon authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for $100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
RECEIVED
01CM "I` ILMINGTON, NC
I A nI 9 1 01119

A�
NCDENR
North Carolina Department of Environment and Natural
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
February 22, 2013
Tim Milliken
1800 Village Pt. Rd.
Shallotte, Nc 28470
Dear W-MiVi cl'en:
Resources
John E. Skvarla, III
Secretary
Attached is CAMA Minor Development Permit # SH13-01, for work to be done for Quincy's Creek, LLC,
at 1800 Village Pt. Rd., in Shallotte, Brunswick County.
In order to validate this permit, please sign both copies of the permit as indicated for our records.
Please retain the gold copy for your files and sign front and back of the white copy then return to us within
20 days of receipt, in the enclosed, self-addressed envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
Shaun K. Simm ps n
Permit Suppdrt echnician
Enclosures
cc: WiRO files
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net

AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA
C�t►�.-6v
COUNTY OF NEW HANOVER �� r-t.-
gq��k, MJ
CAMA MINOR PERMIT NOTICE
Before the undersigned, a Notary Public of Said County and State,
Pursuant to NCGS 113A-119(b), the
5l t
North Carolina Division of Coastal
J
Management, an agency authorized
to issue CAMA permits in areas of
Anita Thomas
environmental concern, hereby
gives NOTICE that on January 29,
2013, Heidi McDonough and Robert
Who, being duly sworn or affirmed, according to the law, says that he/she is
Gonce proposed to raise the exist-
ing dwelling onto pilings at 232 Lit-
tle Kinston Rd., adjacent to Topsail
Sound, in Surf City, Fender County;
publisher's Assistant
and on January 31, 2013, Quincy's
Creek, LLC proposed an addition to
the existing restaurant at 1800 vil-
of THE STAR -NEWS, a corporation organized and doing business under the Laws of the State of
lace Pt. Rd. ad scent to the Shal-
North Carolina, and publishing a newspaper known as STAR -NEWS in the City of Wilmington
lotte River, in ha lotte, Brunswick
County. These applications may be
inso pected at the address below.
CAMA MINOR PERMIT NOTICE Pursuant to NCGS 113A-119b, the North Carolina Division
Public comments received by Feb-
ruary 17, 2013 will be considered.
of Coastal Management, an agency authorized to issue CAMA permits in areas of
Later comments will be accepted
and considered up to the time of
environmental concern, hereby gives NOTICE that on January 29, 2013, Heidi McDonough
permit decision. Project modifica-
tions may occur based on further
review and comments. Notice of
he -permit ecision in this matter
will be provided upon written re-
quest.
Jason Dail /Fender Co.
Holley Snider / Brunswick Co.
Field Representative
Division of Coastal Management
was inserted in the aforesaid newspaper in space, and on dates as follows:
127 Cardinal Drive Extension
Wilmington NC 28405-3845
Ah8.91Q);.796-7215
{
2121X
And at the time of such publication Star -News was a newspaper meeting all thej<ienLeAt
qualifications prescribed by Sec. No. 1-597 G.S. of N.C. ft
�v ,�,OTAI?y
�%�P(, w4A.. Title: Publisher's` ssistand Ora
(� PII pUB�1G
orn or affirmed to, and subscribed before me this
A.D., 10 13
In Testimon hereof, I have hereunto set my hand and affixed my officia O.
year aforesaid. _
Notary Public
My commission expires � day of , 20_Q
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by the Court that the said
publication was duly and properly made and that the summons has been duly and legally served on the defendant(s).
This day of
MAIL TO:
Cir o 1weri 6oDurt
DCM WILMINGTON, N
FEB 0 6 2`ui3

STATE OF NORTH CAROLINA # COPIES
Department of Environmental and Natural Resources . Amount Due:
127 Cardinal Drive Extension
Wilmington, North Carolina 28405'
[phone]
FILE ACCESS RECORD
SECTION: Division of Coastal Management x7226/7215
TIIAE/DATE: /.2 ; S6! '2 3
NAME: Holl'v c?/
PHONE No.: '7W '
REPRESENTING: S'C.btl'
Guidelines for Access: The staff of Wilmington Regional Office is dedicated to making public records in our
custody readily available to the public for review and copying. We also have the responsibility to the public to
safeguard these records and to carry out our day-to-day program obligations. Please read carefully the following
guidelines signing the form:
1. Due to the large public demand for file access, we request that you call at least a day in advance to
schedule an appointment to review the files. Appointments will be scheduled between 9:00am and
3:00pm. Viewing time ends at 4:45pm. Anyone arriving without an appointment may view the
files to the extent that time and staff supervision is available.
2. You must specify files you want to review by facility name. The number of files that you may
,review at one time will be limited to five.
3. You may make copies of a file when the copier is not in use by the staff and if time permits. Cost per
copy is 2.5 cents for ALL copies if you make more than 25 copies. There is no charge for 25 or less
copies. Payment may be made by check, money order, or cash at the reception desk.
Charges can also be invoiced for your convenience.
4. FILES MUST BE KEPT IN ORDER YOU FOUND THEM. Files may not be taken from the
office. To remove, alter, deface, mutilate, or destroy material in one of these files is a misdemeanor
for which you can be fined up to $500.00. No briefcases, large totes, etc. are permitted in the file
review area.
5. In accordance with General Statue 25-3-512, a $25.00 processing fee will be charged and collected
for checks on which payment has been refused.
FACILITY NAME COUNTY
1. U'��zua�s �q- LLB
2. ti%�,- ,,�, ,3 -o
J
oZ —/ t - /3
Date
Time In Time Out
# COPIES MADE PAID INVOICED

A�'A
.w m��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory, Braxton C. Davis
Governor Director
January 31, 2013
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington, North Carolina 28402
Re: Minor Public Notice Combo PN
• Hughes for Brunswick Co.
• McDonough/Gonce for Pender Co.
Kyle/Heather: Please publish the attached Notice in the Saturday, February 2, 2013 issue.
John E. Skvarla, III
Secretary
The State Office of Budget and Management requires an original Affidavit of Publication prior t
payment for newspaper advertising.
Please send the original invoice and a copy of the affidavit for payment to Shaun Simpson at Division c
Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405, 910-796-7226.
Paying by Credit Card (number on file with Elsa Lawrence, Ref acct # 796-7215). Please send a fax of th
credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me at of
Wilmington office.
Sincerely,
Shaun Simpson
Permit Support Technician
Enclosure
cc: File Copy
Michele Walker - DCM
127 Cardinal Drive Ext.. Wilminaton. NC 28405

CAMA MINOR PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the North Carolina Division of Coastal Management, a
agency authorized to issue CAMA permits in areas of environmental concern, hereby gives NOTICI
that on January 29, 2013, Heidi McDonough and Robert Gonce proposed to raise the existin
dwelling at 232 Little Kinston Rd., adjacent to Topsail Sound, in Surf City, Pender County; and o
January 31, 2013, Quincy's Creek, LLC proposed an addition to the existing restaurant at 180
Village Pt. Rd., adjacent to the Shallotte River, in Shallotte, Brunswick County. These application
may be inspected at the address below. Public comments received by February 17, 2013 will b
considered. Later comments will be accepted and considered up to the time of permit decisior
Project modifications may occur based on further review and comments. Notice of the perm
decision in this matter will be provided upon written request.
Jason Dail / Pender Co.
Holley Snider / Brunswick Co.
Field Representative
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]

EXHIBIT A
N/F
JOHN MADISON
P.O. BOX 313
SHALLOTTE, NO 2W9
ZONING: SHALLOTTE R10
581.0716.E
20q.J5
EX STIN
G
+ it BUFF R STRIP
b
RIP
23 22 21 20 19 18 17 16 15
26127
EXISTING 18 PLAN'
BUFFER STRIP
101 ILLBRAELN
CHAP LHILL.NC27514
ZON GCOMR-3200
0
Z EXISTING
'• RESIDENCE
a � b
2
C
HAD
w1C
K wA
Rlw
ySW
SR 1233
X<
24.0. 13
12
32 11
3� f�� 10
7 /
56 /
4 /
2 n
RANDALLASNBURN
/ L
218N. WRIGNTST
RAEFORD, NC M76
ZONING: CO MR-3200
N/F
MCMULLAN PARTNERS, LLC
670 OLD CANTON ROAD N F
MARIETTA, GA 30066 MCMULLAN PARTNERS, LLC
ZONING: CO CUD 870 OLD CANTON ROAD
SITE DATA
MARIETTA. GA 30068
ZONING CO CLD
OWNER: QUINCY CREEK, LLC
PARKING SPACE LEGEND:
1800 VILLAGE POINT ROAD
SHALLOTTE, NC 28459
1 - 34 EXISTING SPACES ON SITE
[phone]
1
35 61 OFF -SITE SPACES (PROPOSED)
,
SITE AREA: 0.86 AC.
TAX PARCEL: 230OA01701
/
CURRENT ZONING: COMMERCIAL, WATERFRONT (CW) /
PARKING UTILIZATION
,
EXISTING 4,827 GSF BUILDING
/ 2
PROPOSED 537 GSF BUILDING ADDITION
43
TOTAL BUILDING 5,364 GSF
EXISTING
CONCRETE
BULKHEAD
REQUIRED PARKING- 43 SPACES
` ,
1 SPACE PER 125 GROSS SQUARE FOOT FLOOR SPAC E IV ID
EXISTING SPACES ON SITE 34
DCM W IL N, NC
OFF SITE SPACES 27
PARKING PROVIDED- 61 SPACES (INCLUDES
AP) J A N 3 1 i 3
/
I
East Coast Engineer�g & Surveying, P.C.
ENGINEERS NERS•SURVEYORS
TOWN OF SHALLOTTAAPPROVEL
OFFICIAL /
DATE / e ✓, 12-
1 7
I STAIRS
EXISTING
RESTAURANT
4,827 GSF
34.3-
PROPOSED BUILDING ADDITION = 537 GSI
DECK SHALLOTTE
RIVER
s
NF \
THE POINTS, LLC
1800 VILLAGE PONT RD EXISTING
SHALLOTTE. STE,LO TEE
ZONING: SHALLOTTE CW CONCRETI
b
■
2,1 1 n
COOPERATIVE PARKING PLAN
FOR
INLET VIEW BAR. & GRILL
SHALLOTTE, NORTH CAROLINA
Date: 11-14-12

02/01/2013 16:02 7549260
... ........ ......_.. - -.._ I _.. ... 1
PAGE 01
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to 1n �� (Jr e- c.-- B R. /- L
(Nema of Property Owner)
property looeted at U U o (/, I ,� Pk & d 5' h.'a/ l v H
\ ( ) Addr+e=`s, Lot.
fBlock. Road, Ate.)
on -�1 YL�C �4 �Lint•
(Waterbody) (Town and/or County)
He has described to meas shown in the attached application and projoct drawing(a), the development
he is proposing at that location, ana, I have no objections to his proposal.
fAPPLICATION AND DRAWING OF .PROPOSED DI=VELOPMENT ATTACHED)
ature
Print or Yype Name
Tefephone Number
.�q--/ fie)
Date
ig 2 P

Dec.19. 2012 2:49PM Town of Shallotte
No.0323 P. 1
Othee Use On1;
ZONING COMPLIANCE PERMIT APPLICATION S y1 0z6
0 gig
P 0 Bons 2287 Shallotte NC 284S9 Phone: [phone] Pax Phone: [phone]
Required by Customer or Builder. * Site Plait * -Plood Cefty1cadon (Ijproperty is in fly eJlood hazard zone). $ ( De,
Date: /0-- 101—t2
Estimated Cost of Project:
Customer/Company Name: (person doing the work): f f, '! _ of < w
Customer/Company Mailing Address: / a a v f//, //nY! . P7d- (Z,o/
City: S A a-//r/ Ht State: A/ L Zip Code:
Telephones Number(s): g t v 2.3 3 Fax Number: r-7/
Do you have a current privilege license? d*es ❑ No, if property is located in town, you will need to purchase one at the Town Hall.
Property Address (Physical Address): 5 4 h,
Property Owner Name(s):1,'1,,1 n eAj1S Cjree-k i -t—C.
Tax Parcel No: 0 O D LL
Zoning District:(',V / Flood Area: ©' Yes, zone ❑
Set Backs-. Front Yard: Side Yard; lb Back Yard: _111,17 Corner Lot;
Business or Subdivision Name; Q�L11AQw a(-d-G,-illLot Number: ❑ Site Drawing Submitted
Permit Approved for, 0 New Residential ❑ New Commercial AbI4ddition/Remodeling ❑ Electrical ❑ Mechanical
❑ Plumbing ❑ Sign ❑ Accessory Structure ❑ Other
Description of work proposed:
New Residential or New Commercial:
Water Source: ❑ 'Vit'ell ❑ City Water OCounty Water
Sewage Treatment: ❑ County Sewer ❑ Septic TankceTown Sewer Water Quality --WQ: 00 I -J) L{ 1
How many bathrooms? How many bedrooms? Building Height
No
notice to Anmlicant: You are required to have Town Utilities (water and sewer) will require you or your organi2ation to reimburse
he Town for all labor, materials, and equipment used during the repair,
Tire Marshal Reouirements: In accordance with the Town of Shallotte Pire Prevention Ordinance section 93.12 Fire Inspections # 8
'Before a final certificate of occupancy, temporary certificate of occupancy is issued any outstanding fire prevention inspection /
tetivity fees associated with the project, owner, occupant, eontraetor(s), subcontractor(s) shall be paid to the Torun of Shallotte in full
refore same is released to Brunswick County Permit department, hire Marshal Andrew Thompson's cell number is 910-279-2164.
knnlicnnt Certification: I certify that I am authorized to make this application, that the information provided is correct to the best of
ny knowledge, that I am authorized to grant, and do grant, permission to the local zoning/building/fire official to enter on the property
lescribed above for the purpose of inspections. I understand that if this application is approved that failure to meet any conditions of
he approval shall result in the revocation of any permit(s) based upon this certificate. I understand that upon completion of my
:onstructlon, I am responsible for providing the Town of Shallotte a certification of occupancy !i•om the Brunswick County
3ullding Inspections. Failure to do so could result in fines and/or revocations of this zoning compliance pernut should it be approved
pcm»t shall be void after six months from date of issuo unless subs(antial progress on the project has been made by that time.
i,pplicant(s)oSignature Applicant(s) Tint Name Date
after consideration and review of the zoning compliance permit application, I have determined that the applicant is in compliance
vith all Town ordinances, which relate to structures erected or situated within the Town of Shallotte.
2- LIVED
,onmg Ofhcial Da
DCM WILMINGTON, NC
IAN 3 12013

North Carolina Secretary of State
Page 1 of 2
North Carolina
Elaine F. Marshall DEPARTI ENTOFTME
Secretary _ ECRETARY C>= STATE
PO Box 29622 Raleigh, NC 27626-0622 [phone]
Date: 12/21 /2012
Click here to. -
View Document Filings I File an Annual Report I
J Print a Pre -populated Annual Report Fillable PDF Form I Amended A Previous Annual Report I
Corporation Names
Name Name Type
NC QUINCY'S CREEK, LLC LEGAL
Limited Liability Company Information
SOSI D:
1094579
Status:
Current -Active
Effective Date:
4/28/2009
Annual Report Due Date:
Citizenship:
DOMESTIC
State of Inc.:
NC
Duration:
PERPETUAL
Annual Report Status:
CURRENT
Registered Agent
Agent Name:
Office Address:
Mailing Address:
Principal Office
HUGHES, A. SAMANTHA
1750 SHALLOTTE POINT LOOP
SHALLOTTE NC 28470
1750 SHALLOTTE POINT LOOP
SHALLOTTE NC 28470
Office Address: 1750 SHALLOTTE POINT LOOP
SHALLOTTE NC 28470
Mailing Address: 1750 SHALLOTTE POINT LOOP
SHALLOTTE NC 28470
Officers
Title:
Name:
Business Address:
MANAGER
ALLISON SAMANTHA HUGHES
1750 SHALLOTTE POINT
SHALLOTTE NC 28470
Title: MANAGER
Name: TIMOTHY LLOYD MILLIKEN
Business Address: 145 WEST PASCO LANE
COCOA BEACH FL 32931
RECEIVED
DCM WILMINGTON, N(
JAN 3 12013

1iANNUAL REPORT
NAME OF LIMITED LIABILITY COMPANY: Quincy's Creep LLC
REPORT FOR THE YEAR: 2012
SECRETARY OF STATE L.L.C. ID NUMBER: 1094579
NATURE OF BUSINESS: Seafood Restaurant
REGISTERED AGENT: Hughes, A. Samantha
REGISTERED OFFICE MAILING ADDRESS: 1750 Shallotte Point Loop
Shallotte, NC 28470
E-Filed Annual Report
-I-0-9102272
Do not data enter manually.
STATE OF INCORPORATION: NC
REGISTERED OFFICE STREET ADDRESS: 1750 Shallotte Point Loop
Shallotte, NC 28470 Brunswick County
PRINCIPAL OFFICE TELEPHONE NUMBER: 910-754-6233
PRINCIPAL OFFICE MAILING ADDRESS:
PRINCIPAL OFFICE STREET ADDRESS:
WANAGERS/MEMBERS/ORGANIZERS:
1750 Shallotte Point Loop
Shallotte, NC 28470
1750 Shallotte Point Loop
Shallotte, NC 28470
Vane: Allison Samantha Hughes Name: Timothy Lloyd AfiUiken
rifle. Manager Title: Manager
Iddress: Address:
!750 Shallotte Point 145 West Pasco Lane
>hallotte, NC 28470 Cocoa Beach, FL 32931
CERTIFICATION OF ANNUAL REPORT MUST BE COMPLETED BY ALL LIIVMD LIABILITY COMPANIES
Allison Samantha Hughes
FORM MUST BE SIGNED BY A MANAGER/1\ EMBER
Allison Samantha Hughes
01/20/2012
DATE
Manager
TYPE OR PRINT NAME TYPE OR PRINT TITLE
ANNUAL REPORT FEE: S200 MAIL TO: Secretary of State • Corporations Division • Post Office Box 29525 • Raleigh, NC 27626-0525
RECEIVED
DCM WILMINGTON,
JAN 3 12013

Applicant Name:
Inlet View Bar & Grill
Physical Address:
1800 Village Point Road
Tax Parcel Number:
230OA01701
Lot and Section
• �°°µ°`��"� Q
Transmission Recovery
Fee
Prepaid Yes No X
Sewer
Gravity Pressure _X
Water
County _Pre -installed Pressure X
Name of the
Water/Sewer Customer:
Inlet View Bar & Grill
Mailing Address if
different from the
WQ0012042
physical address:
�✓�•i7[ft'4'T iy��gii' 7( Y j¢" Tt
V;.r' Yt'.. * '
,� Z �i rni 2 t 4 �i- [
'±y�'y'37'J y'`� 6.•,.i
_
L S 'ti'.' CZ•-.' q- c),4T..�+)y.}^s .-
-'5�li.2y..?,,.^}q
Y
S2iahu;•
�.S" s s a• ?...
f7
6_�rn x_�, sk _.
o.:s s.,
Cof'Ylmef ci I
Amount Charged
FEES
Commercial
° , ;t r
?'.r,�_'i x'�.'6f�rL c?ra 4'•'k`�y3�Y
''*'u �ak:4-. 1a¢_,w.✓;.':s:ci*'.a:. z...Z.
Water connection - pre -installed water
line $350.00 (meter box in place)
Water connection - Tap onto the Main
meter
Water Capital Reserve
$1.50 x 537sq. ft. = $ 805.50
Water - Transmission Recovery Fee
1.5' meter- May be additional charges for Irrigation meter
SEWER
G E E� �'C' l i' Y { .
d
�SY 1'�'1.'y.l vt eh q
$
..ipr�EJeLf=..3�'�'Y_T�-'h`L"• ci. �.
_?S
,,�•'}rs.i°Z! ,k R,C;•
,lh'�.C=a�i.L._1:{(, •(+-Y`•• Fy7LC:
Sewer Installation - gravity - (pre -
installed)
$ -
$450.00
Sewer connection - Tap onto the Main
(pressure)
W Q0012042
Sewer Capital Reserve
$ 1,611.00
$3.00 x 537 sq. ft. _ $1611.00
Sewer - Transmission Recovery Fee
meter
A�SSESSM4F3=TS
t a •it s
rqq_ �� p 99 {•
<j i•.5 ,.d fVq. " RL{'' 1 C i-AQi� y 'i, -fi �Sy
-�f >xzbR�ri+.
Driveway Permit
$ - $ 10.00 Charge only for Town Roads
� �tixai�i�i.�4i��b+$k.•�.KF:u It'n��'..+'�
�l "-3.��t�u�j�i"�'4 �t'G'3 1��'''r 1Yc'r'-y�'�''.{K;j� ! `
Off site taps on State Roads
p
� - $ 500 minimum fee
Zoningsc.. Compliance Permit $ 40.00 $ 40.00 for Building permit - $ 20.00 for sub -contractors
•'a .r:T1• Y% pz zi' •y S �.1''f a °., -k rv� T,7�w,x"}4 '3'M} `SY+ �,�- .r, .rt z+Z�' +, ."arid �sY' 4�.. i r 1NOV Hv r' s.
_ .:1=....... -_mac-;3'�._+rai',.'-. _' :;.d..aE4L^.'L.a�L1 • t :t.tv_ 7, �
make one check for:
$ 40.00
Total for General Fund
make one check for:
$ 1,611.00
Total for Water/Sewer Fund
$ 1,651.00
Total
*** Developer needs to call before grading starts - $ 7,500.00 Fee is for a specific size & depth system. If the grade
requires a deeper station, then the price will change. This needs to be determined as soon as possible to avoid delay &
confusion.

Town of Shallotte
Office of the Fire Marshal
<� 106 Cheers Street
Shallotte, NC 28470
Office 910-754-4032
Fax [phone]
Mobile [phone]
"Reducing the communties risk through fire prevention, engineering and awareness"
Occupant Name: Inlet view Grill Inspection Date: 12/712012
Address: 1800 Village Point Road InspectionType: Plan Review: Building
Suite: Current Permits: -None-
City: Shallotte
Inspected By: Andrew Thompson
[phone]
North Carolina Fire Code 2012
Section 105 Permits
105.1.1 Permits required.
1. Have fire protection fire alarm company submit plans for building addition and obtain permit from the fire marshal's
office. 2. Have fire protection sprinkler company submit plans for building addition and obtain permit from the fire
marshal's office.
Section 1006 Means of Egress Illumination
1006.1 Illumination required.
1. Install a emergency light in the new dish washing area. See fire marshal for placement.
Section 1008 Doors, Gates and Turnstiles
1008.1.9.1 Hardware.
1. Panic door hardware to be installed on bar area rear exit door.
Section 1011 Exit Signs
1011.1 Where required.
1. Combo exit sign to be installed above bar area new rear exit door.
Inspector Comments: Building plans submitted on 12-6-2012 were reviewed and approved by the fire marshal on 12-
7-2012.
1. Call for final fire inspection prior to occupancy 910.279.2764.
RECEIVED
DCM WILMINGTON, NC
JAN 3 1 2013
Signature on file
Inspector: Andrew Thompson Fire Marshal
12/7/2012

Brunswick County Property Development Application
20 Referendum Drive, Bolivia NC 28422-0249
[phone] [phone]
Date: 12/21/2012
Tax Parcel: 230OA01701
App #:
2012072495
Legal Desc:
Deed Ref: 2973 - 0794
Prop. Addrs: 1800 VILLAGE POINT RD 28470
Phone:
Applicant: QUINCYS CREEK
LLC„'" y EK LLC
1750 SHALLOTTE
1750 SHALLOTTE
POINT LOOP
SHALLOTTE AMC
''SHALLOTTE NC 2 "
,"Pr
PLANNING`
_
Subdivision:
Lot:
Block:
County Jurisdictio
C04ETY
Community Pan mbar
Map FIRM
Suffix F
Date a Floor I§at ion
Zone
3702
2/2006 17 j
Required Lowe oOr:
9 1 ti
eq
No
CAMA: No ORW:'
No
wi++
Req red:
Comment:
Jurisdiction: Zon - LOTTE ax Bldg. Heigh 0
0
Proposed Use: HEN AD ITION
Conforming: ay Z cial
SAAWW
Front Rear Left F fight
Setback Principal Structure 0 0
------
Setback Accessory Structue 0 0 0
*SETBACKS MEASURED FROM PROPERTYLINE. OWNER MUST MARK CORNERS OF LOT.
Max. Lot Coverage: Parkingit Loading:
Directions to Property: 17S TO MAIN ST TO VILLAGE RD TO VERY END
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUE
County Official Date Applicant
Printed: 12/2112012 3:46:42 PM
Date
RECFIVED
OCM WILMINGTON, NC
JAN 3 1 2013

lul 28 C9 11:22a East Coast Engineering Su 19107548049 p.2
J.S. DEFARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-000
°ederal Emergency Management Agency I Expires March 31, e
dational Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
Al. Bu icing Owner's Name Samantha A. Hughes Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number
1800 Village Point Road, SW
City Shatlotte State NC ZIP Code 28470
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Deedbook 2310, Page 112; Map Cabinet 33, Page 186; Bruns. County Tax ID# 230OA017
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Nbn-Residential
A5. Lattude/Longitude: Lat. 33°54'53.6" Long. 78'22'22.3" Horizontal Datum: ❑ NAD 1927 ® NAD 19
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 5
AS. Fora building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspaceor enclosure(s) WA sq ft a) Square footage of attached garage NIA sq ft
b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade NIA
c) Total net area of flood openings in A8.b WA sq in c) Total net area of flood openings in AS.b NIA sq it
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name 8 Community Number B2. County Name B3. State
Brunswick County/370295 Brunswick North Carollna
B4. Map/Panel Number I B5. Suffix I B6. FIRM Index I 87. FIRM Panel I B8. Flood I B9. Base Flood Elevation(s) (2
3720109600 J Date Effective/.Revised Date Zone(s) AO, use base flood depth)
5-15-86 6-2-06 VE 17.0
10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)
11. indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 19aa ❑ Other (Describe)
12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' ® Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
2. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, ARlA1-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item AT Use the same datum as the BFE.
Benchmark Utilized NCSG "Isleport" Vertical Datum NGVD 1988 f
Conversion/Comments None 1l/�
Check the measurement used. 1
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 2D.6 ® feet ❑ meters (Puerto Rico only)
b) Top of the next higher floor 22.2 ® feet ❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) 18.1 ® feet ❑ meters (Puerto Rico only)
d) Attached garage (top of slab) t/q/ . ❑ feet ❑ meters (Puerto Rico only) /fix
e) Lowest elevation of machinery or equipment servicing the building 21.7 ® feet ❑ meters (Puerto Rico only) ( y
(Describe type of equipment and location in Comments) 9
f) Lowest adjacent (finished) grade next to building (LAG) 6.3 ® feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) '10.2 ® feet ❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of (fecik or stairs. including 7.0 ® feet ❑ meters (Puerto Rico only)
structural support
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
this certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation ,
nformation. I certify that the information on this Certificate represents my best efforts to interpret the data available. , - ii+ CApr'=.-4
understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ,�� � . • ' "r�S• • , � N,
RJ Check here if comments are provided on back of form. Were latitude and longitude in Section PpF)
licensed land surveyor? ®. 11IL. p T!
:ertifier's Name Christopher D. Stanley
License
.LQ ��� 10-; -
. Q L-3 Ei r
Title Professional Land Surveyor Company Name EascCoast EnRineeriag&Surveying,

ul 28 09 11.22a East Coast Engineering Su
19107548049 p.3
IMPORTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
1800 Village Point Road, SW
amity Shallotte State NC ZIP Code 20470
SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
iopy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Number
;omments 1. Current FIRM places this structure in a Floodway. According to Brunswick County Building Inspections, this structure was pre-existing befo
June 2006 and is grandfathered; therefore this certificate does not show the structure in a Floodway. (2. The lovrest machinery servicing the building is
;levator equipment (Elevation is to bottom of machinery) (3. Bottom of A/C units are located on First Floor Platform= 22.7' (4. Water Heater is located on tl
Second Floor at elevation 32.25' (5. Bottom of electrical panel located in the area below the First Floor-- 11.7'.
;ignatureZ Date 7-26-09
®Check here if aUachm
SECTION E - BUILDING LEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE]
=o on AO and A (without BFE), complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B.
and For items Ell-E4, use natural grade, if available. Check the measurementused-In Puerto Rico only, enter meters.
=1. P\Cd
elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest a ' cen
gG) and the lowest adjacent grade (LAG).
aottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the AG.
bf be m floor (including basement, craWspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below a LAG.
7-2. Fding Di rams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), th ext higher floe
(n C2.b in a diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
=3. Ad garage (top f slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
.4. Tlatform of mach ry and/or equipment servicing the building is ' ❑ feet ❑ meters ❑ above or ❑ ow the HAG.=5. Zonly: If no flood th number is available, is the top of the bottom'floor elevated in accordance with the commu rty's floodplain managemroe? ❑ Yes ❑ No Unknown. The local official must certify this information in Section G.
SECTION PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFI TION
he property owner or owner's authorized re esentative who completes Sections A, B, and E for Zone A (without a F -issued or community -issued BF
r Zone AO must sign here. The statements in ections A, B, and E are correct to the best of myknowledge.
roperty Owner's or Owner's Authorized Represe tine's Name
ddress City' State ZIP Code
ignature Oate Telephone
omments
❑ Check here if attachn
SECTION G - COMMU
local official who is authorized by law or ordinance to administer the comrrrh
I G of this Elevation Certificate. Complete the applicable item(s) and sign be
❑ The information in Section C was taken from other documentation tW ha een signed and sealed by a licensed surveyor. engineer, or architect v
is authorized by law to certify elevation information. (Indicate the urce an ate of the elevation data in the Comments area below.)
❑ A community official completed Section E for a building locate. in Zone A (witho a FEMA-issued or community -issued BFE) crZone AO.
❑ The following information (Items G4-G9) is provided for community floodplain m
INFOOATION (OPTIONAL)
4. Permit Number
G5. Date Permit Iss
This permit has been issued for: ❑ New
Elevation of as -built lowest floor (including ba:
BFE or (in Zone AO) depth of flooding at the i
). Community's design flood elevation
yn000piarn management ordinance can complete Sections A, B, C (or E
Check the measurement used in Items G8 and G9_
purposes.
G6_ Dgte Certificate Of Compliance/Occupancy Issued
uction ❑ Substantial Improvement
i of the building: ❑ feet ❑ me rs
site: El feet ❑ mete
❑ feet ❑ meters
(PR) Datum
((PR) Datum
ow Datum
ical Official's Name j' Title
)mmunity Name j Telephone
3nature j' Date
)mments

URU110VVIlin IrUUIV I T Ep
11PERMIT APPLICATIONSEPTIC ZONING
WELL BUILDING
'LEASE COMPLETE ALL APPLICABLE ITEMS BELOW :
J]'bWNER (OF STRUCTURE) AUTHORIZED AGENT PHONE TAX PARCEL NUMBER
71`/ /rIC g.v 1;� ot
OWNER/AUTHORIZED AGENT'S MAILING ADDRESS CITY ST ZIP
CURRENT OPERTY OWNER MAILING ADDRESS CITY ST ZIP
G11 �) - G 1 3� S;,)a c
OWNER'S PHONE PROPERTY ADDRESS CITY/STATE/ZIP
SUBDIVISION LOT BLOCK SECTION TRACT PHASE OTHER
rections to Property: 'e.t �(y �� ���t �� rl Sh It
- - - - - LJ maa,-1i•Jac1J►2M U Technicians$` i
Property Dimensions (to the nearest foot): FRONT U REAR '�) &ip L. SIDE $� R. SIDE �l U
PROPOSED PROJECT TYPE:
.sidential: Site Built/Modular House Mobile Home No. Units No. Bedrooms No. Occupants_
)mmercial/Industrial: Describe the Type of Business:
Dumber of Employees: Hours of Operation
Attachments:
I his application is for the following (Check those that apply)
Site evaluation for an Improvement Permit and/or Construction Authorization Permit valid for 5` years.
Site evaluation for an Improvement/Authorization to Construct for REVISION to existing permit.
Site evaluation for an Improvement Permit valid without expiration date (see attachment).
Recheck of Existing System: Number of Existing Bedrooms . Number of New Bedrooms
I am asking Environmental Health to perform a site evaluation for an Improvement Permit if the Existing System is found to
be inadequate for the proposed use, I understand ADDITIONAL FEES ARE REQUIREI ❑ YES OR ❑ NO
Please initial Please initia
I have been informed that my lot/site must be prepared properly within one week (5 working days) of application date.
(Acknowledgement of lot preparation requirements and notes attached) PLEASE INITIAL BOX—>
Proposed Garbage Disposal: ❑ YES 0 NO Sprinkler: YES NO Spa: YES NO
Is any part of the property located in a designated wetland?11 YES NO F" CAMA YES NO
Is any portion of the proposed structure WITHIN 5 FEET of the Septic System/Drain Lines YES ❑ NO
Is any portion of the proposed structure WITHIN 25 FEET of the Well Head'
❑ YES
WELL DRILLER (If known
Is property located within the jurisdiction of: Unincorporated Brunswick County, li i hhqg Springs, Belville,
Sunset Beach, or St. James? ❑ YES ❑ NO 1A�''�"f
IF )ntS CONTINUE TO QUESTION g BELOW I IF IVQ, SKIP TO QUESTION #5 ON BACK OF THIS PAGE
3. Is development commercial/industrial? ❑ YES (If YES, a Storm Water Permit IS REQUIRED) ❑ NC
Is disturbed area greater than or equal to 1 acre? YES (If YES, a Storm Water Permit IS REQUIRED)D NC
). Will the site be graded, filled or excavated changing the elevation of any location by an amount exceeding four (4 El
hes;
ElYES (If YES, a Storm Water Permit IS REQUIRED; NC
_. Is development or any related disturbance within the limits of a Riparian Buffer (within 30 ft. of a bank of a natural stream
nr uiMfor {- —4-Y) f I -- .1, -- ... . — - -- — — - ^—'

Brunswick County Health Department
•' 25 Courthouse Drive N.E.
Post Office Box 9
Bolivia, North Carolina 28422-0009
Bolivia 253-2250 1-888-428-4429
David M. Stanley
Health Director
December 20, 2012
Inlet View Bar & Grill
C/o: Tim Milliken
1800 Village Point Rd.
Shallotte, NC 28470
Re: Remodeling plan review
Dear Mr. Milliken,
On December 11, 2012 The Brunswick County Health Services Department received your remodeling
plans of the kitchen at Inlet View Bar & Grill (ID # 07010010878). The plans were reviewed by this
Department during an on -site visit with you at the establishment on December 17, 2012. Please be
advised that the floor plans as proposed for the planned building extension to allow the relocation of
the walk-in cooler/freezer and the construction of the new
dishwashing room are approved as proposed and you may begin that
part of the project after first obtaining all required mechanical,
Wash
Rinse
HI
electrical, plumbing, and building permits from Building Inspections.
Of course, the layout of the equipment in the dishwashing room
able fa
Utensil sink
should be as we discussed with respect to protection of washed
:ones �ceesu:
utensils against possible recontamination by soiled ones. In short,
Soiled
C a
y �-
due to the construction of your existing dishwashing machine, the
utensils
C7
equipment should be set up and the utensil sink physically labeled as
��Cn
shown in the drawing to the right (Unless you would like to suggest a
Dish
w CD
different layout that would serve the same purpose). The sink and
Machin
CD 9.
the dish machine must both be plumbed to a floor drain in the
dishwashing room (An indirect drain with at least a 2 inch open air
gap to help protect the water source from back flow should it occur).
Washed
utensils
Floors, walls, and ceilings shall be durable, smooth, and easily
R E(�Ef
EL
cleanable. We strongly suggest the installation of FRP wall paneling
�
rn� n11LMIN
in the new dishwashing room. Please contact this office to inform us
❑<-HandslIAN
of your planned start date for construction of the extension so that
3 1 2013
we may make frequent construction visits to view the progress.
In addition, we also discussed your plan for relocating the existing ice machine presently in the kitchen
to instead be outside in an enclosed area at the top of your existing service ramp. That request is
approved so long as additional construction is completed that will completely enclose the ice machine
so that the ice is protected at all times. Of course, adequate screening at the top of the enclosure will be

necessary to allow venting of the heat that the ice machine will generate. The mesh of that screening
should be at least as small as size 16 so as to adequately restrict the entry of all pest into the enclosure.
The ice machine and/or the door way leading into the new enclosure will have to be lockable and
remain locked when left unattended. The ice machine will also have to be properly plumbed to an
approved drain with at least a 2 inch air gap.
Other items discussed were the proposed relocation of the existing equipment on the cook line beneath
the hood system and the installation of a new 6 foot hood over the area where the existing ice machine
is presently located so that you will have added space for installation of a new convection oven. Also, a
cooler and table that is presently blocking the exit way at the east end of the cook line will have to be
moved to the opposite end near the area where the present walk-in cooler is located. Should that
equipment not be relocated so that entry into the cook line area is accessible at both ends, the
installation of another handwash sink shall then be required at the east end of the cook line that will be
accessible to employees working at that end of the cookline. A handwash sink shall be added near the
proposed entrance of the new dishwashing room. The existing dishwashing room and the area where
the existing walk-in cooler/freezer is located will be remodeled and used for storage and other means.
Last, one section of the wait station shall be remodeled as well to use for relocating your computers. All
floors, walls, and ceilings shall be durable, smooth, and easily cleanable. All equipment shall be NFS
approved meeting ANSI standards and shall be new or in like -new conditions having no rust, corrosion,
damage, or alterations and each piece of equipment shall include its identifying information
(Manufacturer, Serial #, etc...). Please note as we discussed on site the details of these proposed change
being somewhat different from that shown on your present hand drawn plans, you must submit revised
scaled floor plans showing the final layout of all proposed changes, notes on the intended use for each
room and all equipment, plus an updated equipment list prior to starting to work on their construction.
Understand that any and all newly constructed areas or equipment that are to be installed may not be
put to use nor operated until it is first permitted, inspected and approved by the Building Inspections
(and Fire Marshall as needed) AND only after you have received final inspection by and written approval
from the Brunswick County Health Services Department.
Last, you have also requested to change your menu to include sushi products that will be prepped at the
restaurant. Please be advised that this will require you to submit a revised copy of your complete menu
to be reviewed for approval by this Department. You must include detailed information on the source
for all sushi items, documentation of parasite destruction, what method you will use to prepare and
hold the sushi rice, proposed consumer advisory, etc.... The North Carolina Food Code (Adopted 7-1-
2012, Effective date 9-1-2012) requires the following regarding parasite destruction:
3-402.11 Parasite Destruction.
(A) Except as specified in ¶ (B) of this section, before service or sale in READY -TO -EAT form,
raw, raw -marinated, partially cooked, or marinated -partially cooked FISH shall be:
(1) Frozen and stored at a temperature of -200C (-4°F) or below for a
minimum of 168 hours (7 days) in a freezer;
(2) Frozen at -350C (-31 OF) or below until solid and stored at
-350C (-31 OF) or below for a minimum of 15 hours; or
(3) Frozen at -350C (-31 OF) or below until solid and stored at
-200C (-4°F) or below for a minimum of 24 hours.
(B) Paragraph (A) of this section does not apply to:
(1) MOLLUSCAN SHELLFISH; RECEIVED
DCM WILMINGTON, NC
, ,, .I " -1 rifiS1)

(2) Tuna of the species Thunnus alalunga, Thunnus albacares (Yellowfin tuna), Thunnus
atlanticus, Thunnus maccoyii (Bluefin tuna, Southern), Thunnus obesus (Bigeye tuna), or
Thunnus thynnus (Bluefin tuna, Northern); or
(3) Aquacultured FISH, such as salmon, that:
(a) If raised in open water, are raised in net -pens, or
(b) Are raised in land -based operations such as ponds or tanks, and
(c) Are fed formulated feed, such as pellets, that contains no live parasites infective to
the aquacultured FISH.
(4) FISH eggs that have been removed from the skein and rinsed.
3-402.12 Records, Creation and Retention.
(A) Except as specified in ¶ 3-402.11(B) and ¶ (B) of this section, if raw, raw -marinated,
partially cooked, or marinated -partially cooked FISH are served or sold in READY -TO -
EAT form, the PERSON IN CHARGE shall record the freezing temperature and time to
which the FISH are subjected and shall retain the records of the FOOD
ESTABLISHMENT for 90 calendar days beyond the time of service or sale of the FISH.
(B) If the FISH are frozen by a supplier, a written agreement or statement from the supplier
stipulating that the FISH supplied are frozen to a temperature and for a time specified
under § 3-402.11 may substitute for the records specified under ¶ (A) of this section.
(C) If raw, raw -marinated, partially cooked, or marinated -partially cooked FISH are served or
sold in READY -TO -EAT form, and the FISH are raised and fed as specified in
Subparagraph 3-402.11(13)(3), a written agreement or statement from the supplier or
aquaculturist stipulating that the FISH were raised and fed as specified in Subparagraph
3-402.11(13)(3) shall be obtained by the PERSON IN CHARGE and retained in the
records of the FOOD ESTABLISHMENT for 90 calendar days beyond the time of service
or sale of the FISH.
If you should decide to prepare your sushi rice using vinegar to preserve the product, then
understand that a variance will be required from the State Variance Committee as is required by
the following section of the NC Food Code:
3-502.11 Variance Requirement.
A FOOD ESTABLISHMENT shall obtain a VARIANCE from the REGULATORY
AUTHORITY as specified in § 8-103.10 and under § 8-103.11 before:
(C) Using FOOD ADDITIVES or adding components such as vinegar:
(1) As a method of FOOD preservation rather than as a method of flavor
enhancement, or
(2) To render a FOOD so that it is not POTENTIALLY HAZARDOUS (TIME/TEMPERATURE
CONTROL OF SAFETY FOOD).
Any other menu changes that you may now like to propose should also be included in your update(
menu. NOTE: No changes in your menu or operation make take place nor be implemented until you first
receive written approval from this Department.
If you should have any questions regarding these matters, then please feel free to contact this
Department at [phone] Monday through Friday between 8:30 AM to 4:30 PM. My extension # is
2258. In my absence, please feel free to contact my supervisor Mrs. Bobbie Johnson at Ext. #2338.
Sincerely,
Dewayne Varnam, REHS
Cc: Bobbie Johnson, EH Prog. Spec./F&L Sec.
RECEIVE[
DCM WILMINGTON
JAN 3 1 2013

EFS Consultants
80 Calabash Drive
Calabash, North Carolina 28467
December 3, 2012
Town of Shallotte- Administration Department
Post Box 2287
Shallotte, North Carolina 28459
Re: Inlet View Bar & Grill — No Rise Certification
Town of Shallotte
Dear Sir or Madam:
No Rise Certification
Located at the end of Village Point Road and Chadwick Way in the Town of Shallotte, North
Carolina is a minor proposed addition to Inlet View Bar & Grill. The proposed addition to the
existing restaurant is 537 sf. The proposed addition to the existing structure will consist of an
expansion to the existing kitchen area and open deck on the floor above. The entire addition will
be located on pilings with the bottom of the lowest horizontal structural member to be placed
above the 100-year water surface elevations, including the required Town required flood zone
freeboard elevation. No change is proposed to the existing parking; thus precluding the need for
any fill material to be added to the site. The property within the area of the proposed building
addition is currently located in the floodway.
Per the Brunswick County Flood Insurance Study (FIS) and Federal Insurance Rate Map (FIRM)
# 3720109600J, both dated June 2, 2006, Shallotte River is currently defined as a Special Flood
Hazard Area (SFHA), based upon a re -delineated detailed study, with base flood elevations
established and a regulatory floodway shown. Per 44 CFR Ch. 1 paragraph 60.3, when a
regulatory floodway has been designated, the community shall "prohibit encroachments,
including fill, new construction, substantial improvements, and other development within the
adopted regulatory floodway unless it has been demonstrated through hydrologic and hydraulic
analyses performed in accordance with standard engineering practice that the proposed
encroachment would not result in any increase in flood levels within the community during the
occurrence of the base flood discharge." This language is echoed in the Town of Shallotte Flood
Damage Prevention Ordinance Article 5, Section F (1). Since the proposed development
associated with the minor proposed building addition to Inlet View Bar & Grill will require
construction within the effective floodway, one of the following options must be chosen:
A Conditional Letter of Map Revision (CLOMAR) request for the affected Flood
Insurance Rate Map (FIRM) panels, followed by a Letter of Map Revision (LOMR)
request at the completion of construction. This series of requests will formally update the
FEMA FIRM panels to show the effects of the proposed crossings and require approval
by both the Town of Shallotte and FEMA. RECEIVED
DCM WILMINGTON, N(
JAN 3 12013

Inlet View Bar & Grill — No -Rise Certification
December 3, 2012
Page 2
• A "no -rise" analysis be performed certifying that the proposed encroachments within the
floodway will not cause a rise in the 100-year floodplain elevations or floodway
elevations while preserving the floodway widths throughout the entire length of the
studied stream or river. This option does not require a submittal to FENIA. It only
requires local approval by the Town of Shallotte.
Due to the nature of the proposed development and its location in the floodway, a no -rise
certification is being submitted to the Town of Shallotte. Per the structural building plans
developed by this consultant, the only above -grade obstructions to flow during the 100-year
event are the new pilings supporting the proposed minor building addition. The bottom of the
lowest horizontal structural member of the proposed building addition is to be placed above the
100-year water surface elevation, including the Town required freeboard elevation. No change is
proposed to the existing site grades. This analysis of the flood impacts of the proposed building
addition assumes that the Site Plan and survey provided by East Coast Engineering & Surveying,
P.C. is correct.
This letter is to certify that I am a duly qualified engineer licensed to practice in the State of
North Carolina. It is further to certify that the proposed minor building addition to Inlet View
Bar & Grill, will not raise the 100-year flood elevations or floodway elevations on Shallotte
River either at Sections published in the Flood Insurance Study for Brunswick County, dated
June 2, 2006, or at Sections left unpublished when compared to the corrected effective model. It
is, finally, to certify that the proposed minor building addition to Inlet View Bar & Grill will not
impact floodway widths at sections published in the Flood Insurance Study or at sections left
unpublished.
Date: /Z — j — /Z
Seal:
(Signature)
(Title)
80 Calabash Drive, Calabash NC 28467
(Address)
RECEIVED
DCM WILMINGTON, NC
IAN 1 1 2013

r -1
4
No I I (00011A
CAMA PERMIT
APPLIED FOR
PROJECT:
Brunswick County.
■ . ■
he
COMMENTS ACCEPTED THROUGH _F_ebruagcj7,2013
APPLICANT:
Quincy's Creek, LLC
c/o Tim Milliken
1800 Village Point Rd.
Shallotte, NC 28470
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
NC Div. of Coastal Management
127 Cardinal Dr. Ext.
Wilmington, NC 28405
Holley Snider, Field Representative
910-796-7215

IN1.I:T 11II-:W BA12 & G12I1.1.
1800 VIIIAGI: POINT 1ZOAD
JHAII.OTTI-: NC 25470
[phone]
PAY TO THE
ORDER OF
WACCAMAW BANK
66-1215/531
6392
$ /o c) -
DOLLARS