Lavigne, Rebecca - 88982C

dusu4 NCAMA ElDREDGE & FILL NU 98982 ^ s • O D
Previous permit
GENERAL PERMIT Date previous permit issued
B JgNew ❑Modification El Complete Reissue El Partial Reissue
As authorized by
the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC Oq - 17-00 ❑ Rules attached. ff General Permit Rules available at the folksvdng link: w dea nc eoWCAMAnjss
Applicant Name 15%IiC.l:tu V tylVl ITr.
Address IS
City h State ZIP 2q49I9
Phone #( ') C1Iw-1O3-il'
Authorized Agent /
Project Location (County): —Clffi
Street Address/Sute Read/Lot #(s)
Email IYlAV1AherCtrWr011e1CI1A,CC)M Subdivision /
City Pe1eMe r zip 2 6 58 E I
Affected 5?CW gEW IPTA ❑ES DPTS Ad]. Wtr. Body na n/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PINS Closest Mal. Wtr.Body W1J;Je OaV. VUVt.-
ORW:yesn PNA ye no
Type of Project/ Activity
Shoreline Length Z s
~ Access Length 55'
Pier (dock) length s X 101 I
Fixed Platform(s)
Floating Platornri
Fingerpier(s) /
Total Platform area 22
Groiniength/If /
y Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sil
Maxdistance/ engt om�IHVJ.
( Basin, channel_/
F Cubicyards em<
Boat ramp W�
Beath Its
Boatlit 13 A13 v
a esa�6 null
l'
SAV observed: yes tn
Moratorium: n/a yes Site Photos:Riparian Waiver Attached:
A building permit///zonning permit may be required by: C
Permit Conditlonsl !ryOTtfAI ii fWACA iM.OA
It _, -If
It
q��><s
Lo►vi�he
Agent or Ate It t PRINTEO Name" _ Permi
Sig ure•'Please read compliance statement on back of permit-- r� S att
Application Fee(s) CheeYY'lkkk N/Mon Order Issuing
(Scaleo`ys )
V
r / 1
I N ite4A���
e 1Pillr� e{1,ocok
QYOWn (NOw�l�w�
TARIPAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial) P L
Date

�`°"" �CAMA ❑DREDGE & FILL
3 GENERAL PERMIT
New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
N9 88982 A B CQ D
Previous permit
Date previous permit issued
As authorized by tthte_ State of�No�rt•�h Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ©TH •, l�J� ❑ Rules attached. General Permit Rules available at the following link: www.d .nc. ov CAMArules
Phone#(q•T) C1 Ito -0.3--iL
Email r!12\1111ne earwralellk rcoyvt Subdivision 1__�
City PeWity �' ZIP
Affected �CW XEW P<PTA ❑ ES ❑ PTs Adj. Wtr. Body Fe4AYA 0xee.►—» f! tAnan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body WIrn±2 ©a� K.I V'C V-
ORW: yes no PNA ye no
Type of Project/ Activity
Shoreline Length to L
Access Length 5' X 53'
Pier (dock) length �v A (O l 1 �"
Fixed Platform(s) I'h' Ai 4 1
Floating Platform(s) f_
Finger pier(s) --'
Total Platform area ZC(•"�
Groin length/#
Bulkhead/Riprap length i
Avg distance o/ffshoreshore
Breakwater/Silk t —
o Maxdistance/ engt m NNI/J
Basin, channel
Boatramp�
Boathous Boatli ►�J�X13
Beach Bull ozing
Other Y ki
t W
SAV observed: yes no r�
Moratorium: n/a yes no
Site Photos: o
Riparian Waiver Attached: yes no of
A building permit/zoning permit may be required
Permit Conditions lrl TO'►�n1I 5;�)MC JJl
Agent or Applicant PRINTED Name
q
Ilrt.�>�A1VC'kA) �
y: Cotrieke;
1 ni6`C
/11nnY1� nil1� � 7
(Scale:-TS )
V
i 13plut�v�^I 0i'l�occ�(`
• 1
sY 6p
4'
LaVi11he
L.-3 • r
THAT APPLY TO THIS PROJECT AND
Signature'*! --Please read compliance statement on back of permit'
Apoication Fees) Che k#/Mon Order
(6 Brown (qov llo)
TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
t
Permi Officer's PZN ED N^
; a�O
Si tur I1235
101s1?.3
Issuing Date Expiration Date

10A'00/ r" NCAMA ❑ DREDGE & FILL
GENERAL PERMIT
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N9 88982
Previous permit
Date previous permit issued
A B C D
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
i I
I SA NCAC ❑ Rules attached. EI. General Permit Rules available at the following link: www.deo nc gov/CAMArules
Applicant Name
Addressi�-
City State ZIP
Phone #
Authorized Agent
Project Location (County): /; L',Yi C'.V (,A
Street Address/State Road/Lot #(s) -2, ( � ) V ( (-} 1 [ e V ( ( I) �1
Email qsl 14 I) e 1V C 1(lk .( i' 'sue Subdivision
1
City I'E'�:'�r C�Y1 II ZIP
❑EW K PTA Adj. Wtr. Body i�(,F'i 1"f%V/1 IL (nat�man/unk)
Affected r CW ❑ ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body I k,-i V C. V
`
r
ORW: yes/no PNA�ye;/no
Type of Project/ Activity
Shoreline Length
(Scaiq-`j )
Access Length —
-
-
Pier(dock)length
-
Fixed Platform(s)
--
FloatingPla[form(s)
1 YY4
J'_
-
—
Finger piers)
Total Platform area
-le
Groin length/N
Bulkhead/ Riprap length =
Avg distance offshore
Breakwater/Sillap
Max distance/length lj il
-
-r-
-
A
r
1'1
Basin, channel --
-
_
�Ii-_717
-i
�'
�_
-
I
t.
---
-
-
-
.__, -
__
—
__
Cubic Yards
Boat rampBoathouse/
t�t
Boatlift - I '�
_
-
-
--
Beach Bulldozing
��,�•,
_
_
_,_�
Other 11.1 I i('r h•c,' 'I
I
—
.�
t
n
5—
.11�f?b..JPCI--
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: ,yes nolofl
1
A building permit/zoning permit may be required by: U"A 1I
Permit Conditions (; ) (i;•; ❑TAR/PAM/NEUSE/BUFFER(circle one)
SCj - i 'f
U4 4 h_�See note on back regarding River Basin rules
i-fYll�'E. See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULESAND CONDITIONS THAT APPLY TO THIS PROJECTAND REVIEWED COMPLIANCE STATEMENT (Please Initial)_
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit*' Signature
i_
Application Feels) Check p/Money Order Issuing Date Expiration Date

,IOA34❑CAMA ❑ DREDGE & FILL N9 88982 A B i,C D
AtRA
GENERAL PERMIT Previous permit
Date previous permit issued
©New []Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. E] General Permit Rules available at the following link: mwwdeq nc gov/CAMArules
Applicant
City ,
Phone # ( )
Email _
Authorized Agent
Project Location (County): L - !. l , `•. C' `;' ('--
State ZIP Street Address/State Road/Lot #(s) ; ,`X , v C I ( , 1,
`d ,, 0 f, i
Affected EdcW DEW EIPTA
AEC(s): ❑OEA ❑IHA ❑UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length '
-'1 Subdivision
City Y k • r r ZIP ' i
❑ ES ❑ PTS Adj. Win Body 'f,,'�� / U_ ((nat/man/unk)
❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
(Scale. } )
Access Length
MESON
Pier (dock) length A (r
Finger pier(s)
1
Groin length/#
SEEM
Bulkhead/ Riprap length
Avg distance offshore
■a■■■/BIT
■N■■
■.■■■■N
Max distance[ length
��
_
■era
■�����i
�i
Basin, channel
_�
A building permit/zoning permit may be required by: P i 'Y e,4 C C u v T l!
Permit Condltions� I `- I ,
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit** Signature
Application Feels) Check A/Money Order Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
_
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
R.
Name of Property Owner: Rebecca Lavigne
NR.
Missu
Address of Property: 230 Pettiford Rd. Peletier NC 28584
I
Mailing Address of Owner: 12613 Birchfalls Dr. Raleigh NC 27614
NCES,
Owners email: [e-mail] Owners Phones: 919-916-0037
D
Agents Name: AgentPhone#:
PR1OR
RG v pn
Agent's Email:
NrRna,
' ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
- raATEL
NOR
(Bottom Portion to be completed by the Adjacent Property Owner)
DIGITAL I
1 hereby certify that I own property adjacent to the above referenced property. The individual applying for this
NO THE
L HLE.
permit has described to me, as shown on the attached drawing, the development they are proposing. A
OTHE
description or drawing with dimensions mi t be provided with this letter.
D ATr
I DO NOT have objections to this
proposal. I DO have objections to this proposal.
it you have objections to what is being proposed you must notify the N.C. Division of Coastal
-LDE
ISTR'
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
ram
at [phone]. No response is considered the same as no objection if you have been notified by
P T
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Certified Mail.
4Ni
REu
WAIVER SECTION
'iTiO
I understand that an proposed ier, dockmooring
y p po p', , g pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
i I DO wish to waive somelall of the 15' setback ^ - HAu
h.,,.
-OR- Slgnatu o djacent Riparian Property Owner RUC
._
Sol
'— I do not wish to waive the 15' setback requirement (initial the blink)
L .
Signature of Adjacent Riparian Property Owner: �o( .J�a i OA -
Typed/Printed name of ARPO: U- dl: coot. -C2.
Mailing Address of ARPO: Z 32 PeAk Fore( 7-6 Ye w a8S8t
ARPO's email:
ARPO's Phone#: 95`d -ILow{ oQJ $0
Date: 7-2 M 'waiver Is valid for up to one year from ARPO's Signature
Revised July 2021
RECEIVED
",1AY - 6 2023
DLU-
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9123 0102
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Rebecca
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230 Pettiford
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47
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water 18
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Cooke Jr.
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is
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RECEIVED
MAY 16 2023
DCM-MHD CITY
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Rebecca
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N.C. DIVISION OF COASTAL MANAGEMENT
I
_
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Rebecca Lavigne
NR.
IM Issu
Address of Property: 230 Pettiford Rd. Peletier NC 28584
I
Mailing Address of owner: 12613 Bjrchfalls Dr. Raleigh NC 27614
`N°Er.
Owners email: [e-mail] Owners Phone#: [phone]
D
Agent's Name: Agent Phone#:
uc PRIOR' arms,
Agent's Email:
ARAC
,_-_.___.._ _»rw-�...s..
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
E ATFL
NOR
(Bottom portion to be completed by the Adjacent Property Owner)
DIGRAL I
i hereby certify that 1 own Property adjacent to the above referenced property. The individual applying for this
ND THE
L FILE'
permit has described to me, as shown on the attached drawing, the development they are proposing. A
OTHE
description or drawing with dimensions must be provided with this letter.
AL r
,, I DO NOT have objections to this
proposal. I DO have objections to this proposal.
1 DE
ISM
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RET
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'aN;
RETi
ITIG
ff you have objections to what Is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead Clty, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection ff you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revelments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
MAW/=
MR
I do not wish to waive the 15' setback requirement (initial the blllnk)
Signature of Adjacent Riparian Property Owner:
RECEIVED
MAY 10 2023
DCM-MHD CITY
Typed/Printed name of ARPO:
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de
C oo tC. -.So-
Mailing Address of ARPO:
2 32
PP-Ni�(�
a ?Ue:'Lef' (� 295SL4
ARPO's email:
ARPO's Phone#: 95`a 1 LA W 30
Date: 1 2O *waiver Is valid for up to one year from ARPO's Signature*
Revised July 2021
OR
Ivr UDRB IVTACE

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❑ Adult &gnatura Restricted Del\-ery $
Postage $1-1 • b
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a fill Total Postage and
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rU Sent To
rij 0 street and Apt. No., or Pb Box No.
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❑ Return ReceiPt (herdcopY) $ —
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[]Return Recelpt (electronic) $ —
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❑ Certified Mall Restricted Delivery $ —
0
❑ Adult Signature Required $ —
0
[]Adult Signature Restricted Dollvory $ -_
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Postage •637
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ECFIVED
W l 0 2023
-MHD CITY

C a r t e r e t
County
9123
0,102
eroperty of:
Rebecca
Michael G
Lavigne
Brown
230
Pettiford
....
...... ...
Rd.
15
14
2­
W.
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7..
1Ox12 5A
platfor - 4-)"4
plus
pilingg
for b t
lift li;0
-Twtter�9 fl
depth@
MILT
V
A& .... . ..
112
Property
Clyde
Robert
Cook Jr.
2936
3912
RECEIVED
MAY 10 2023
DCM-MHD CITY

C a r t e r e t
County
It
9.123
118
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property of
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Robert
3 Cook Jr.
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dotl000 signaNre verification: dtlo.Us/OaM%-DzFO-AolI
DocuSign Envelope ID: B1B4BEFg-AB5E-4C8E-B864-D54A261AE5EA
OFFER TO PURCHASE AND CONTRACT - VACANT LOT/LAND
[Consult "Guidelines" (Form 12G) for guidance in completing this form]
NOTE: If seller is selling less than the entire parcel of land owned, then compliance with subdivision regulation and/or an adequate
legal description of the land being sold must be considered. This contract should not be used to sell property by reference to,
exhibition of, or any other use of a plat showing a subdivision of the property before the plat has been properly approved and
recorded with the register of deeds as of the date of the contract. If a preliminary plat has been approved, this contract may be used
if an addendum drafted by a North Carolina real estate attorney addressing certain statutory requirements is attached. See NC
General Statutes Section 160D-807 for more details and possible exceptions. If Buyer is contemplating a subdivision of the land as
a condition of purchase, Buyer should first consult with an NC real estate attorney.
NOTE FOR NEW CONSTRUCTION: If Seller is Buyer's builder or has engaged a builder and the sale involves the construction
of a new single-family dwelling prior to closing, use the standard Offer to Purchase and Contract —New Construction (Form 800-T)
or, if the construction is completed, use the Offer to Purchase and Contract (Form 2-T) with the New Construction Addendum (Form
2A3-T).
For valuable consideration, the receipt and legal sufficiency of which are hereby acknowledged, Buyer offers to purchase and Seller
upon acceptance agrees to sell and convey the Property on the terms and conditions of this Offer To Purchase and Contract and any
addendum or modification made in accordance with its terms (together the "Contract").
1. TERMS AND DEFINITIONS: The terms listed below shall have the respective meaning given them as set forth adjacent to each
term.
(a) "Seller": Glynis N. Pennington
(b) "Buyer": Rebecca Lavigne
(c) "Property": The Property shall include all that real estate described below together with all appurtenances thereto including the
improvements located thereon.
The Property ❑ will ® will not include a manufactured (mobile) home(s). (If a manufactured home(s) is included, Buyer and Seller
should include the Manufactured (Mobile) Home provision in the Additional Provisions Addendum (Standard Form 2A1 I-T) with
this offer.)
Street Address: 230 Pettiford Rd
City: Peletier/ Swainsboro Zip:28584
County:Carteret , North Carolina
NOTE: Governmental authority over taxes, zoning, school districts, utilities and mail delivery may differ from address shown.
Legal Description: (Complete ALL applicable)
Plat Reference: Lot/Unit15 , Block/Section C , Subdivision/Condominium Pettiford Point
, as shown on Plat Book/Slide at Page(s)
The PIN/PID or other identification number of the Property is: 537512960181000
Other description: Lot 15 Block C Pettiford Point
Some or all of the Property may be described in Deed Book 558 at Page ll
(d) "Purchase Price":
$130,000.00
$ 250.00
$ 2000.00
paid in U.S. Dollars upon the following terms:
BY DUE DILIGENCE FEE made payable and delivered to Seller by the Effective
Date by ❑ cash ® personal check ❑ official bank check ❑ wire transfer
[]electronic transfer (sped payment service: )
BY INITIAL EARNEST MONEY DEPOSIT made payable and delivered to Escrow
Agent named in Paragraph 1(0 by ❑ cash ® personal check ❑ official bank check
❑ wire transfer, ❑ electronic transfer within five (5) days of the Effective Date of this
Contract.
RECFfVEp
Page 1 of 13
113 This form jointly approved by:
North Carolina Bar Association's Real Property Section
North Carolina Association of REALTORS®, Inc.
REACTOR® � DS
Buyer initials I I Seller initials =
MAY 10 2023
STANDARD FORM 12-T
11
DCAPWWOEY
onexrowxo

dptloop signature wificatipn: d[Ip.uV0aMx-DzF0-An11
DocuSign Envelope ID: B1B4BEFg-AB5E4C8E-B854-D54A251AE5EA
$ 0.00 BY (ADDITIONAL) EARNEST MONEY DEPOSIT made payable and delivered to
Escrow Agent named in Paragraph 1(f) no later than 5 p.m. on
TIMEBEING OF THE ESSENCE by ❑ cash ❑official bank check ❑ wire transfer
❑ electronic transfer
$ 0.00 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 (Standard Form 2A6-T).
$0.00 BY SELLER FINANCING in accordance with the attached Seller Financing
Addendum (Standard Form 2A5-T).
$127,750.00 BALANCE of the Purchase Price in cash at Settlement (some or all of which may be
paid with the proceeds of a new loan)
NOTE: If the parties agree that Buyer will pay any fee or deposit described above by electronic or wire transfer, Seller agrees to
cooperate in effecting such transfer, including the establishment of any necessary account and providing any necessary
information to Buyer, provided, however, Buyer shall be responsible for additional costs, if any, associated with such transfer.
Should Buyer fail to deliver either the Due Diligence Fee or any Initial Earnest Money Deposit by their due dates, or should any
check or other funds paid by Buyer be dishonored, for any reason, by the institution upon which the payment is drawn, Buyer shall
have one (1) banking day after written notice to deliver cash, official bank check, wire transfer or electronic transfer to the payee. In
the event Buyer does not timely deliver the required funds, Seller shall have the right to terminate this Contract upon written notice
to Buyer, and Seller shall be entitled to recover the Due Diligence Fee together with all Earnest Money Deposit paid or to be paid in
the future. In addition, Seller may be entitled to recover reasonable attorney fees and court costs. See paragraph 21 for a parry's right
to attorneys' fees incurred in collecting the Earnest Money Deposit or Due Diligence Fee.
(e) "Earnest Money Deposit": The Initial Earnest Money Deposit, the Additional Earnest Money Deposit and any other earnest
monies paid or required to be paid in connection with this transaction, collectively the "Earnest Money Deposit", shall be deposited
promptly and held in escrow by Escrow Agent until Closing, 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) a condition of any resulting contract is not satisfied, then the
Earnest Money Deposit shall be refunded to Buyer. See paragraph 21 for a parry's right to the Earnest Money Deposit, and attorneys'
fees incurred in collecting the Earnest Money Deposit, in the event of breach of this Contract by the other party.
(f) "Escrow Agent" (insert name): Debra Whaley Attorney at Law
Buyer and Seller consent to disclosure by the Escrow Agent of any material facts pertaining to the Earnest Money Deposit to the
parties to this transaction, their real estate agent(s) and Buyer's lender(s).
NOTE: In the event of a dispute between Seller and Buyer over the disposition of the Earnest Money Deposit 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 the Earnest
Money Deposit 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 or an
attorney licensed to practice law in North Carolina ("Attorney") is holding the Earnest Money Deposit, the Broker or Attorney 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 THE
EARNEST MONEY DEPOSIT 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.
(g) "Effective Date": The date that: (1) the last one of Buyer and Seller has signed or initialed this offer or the final counteroffer, if
any, and (2) such signing or initialing is communicated to the party making the offer or counteroffer, as the case may be. The parties
acknowledge and agree that the initials lines at the bottom of each page of this Contract are merely evidence of their having reviewed
the terms of each page, and that the complete execution of such initials lines shall not be a condition of the effectiveness of this
Agreement.
(h) "Due Diligence": Buyer's opportunity to investigate the Property and the transaction contemplated by this Contract, including
but not necessarily limited to the matters described in Paragraph 2 below, to decide whether Buyer, in Buyer's sole discretion, will
proceed with or terminate the transaction.
(i) "Due Diligence Fee": A negotiated amount, if any, paid by Buyer to Seller with this Contract for Buyer's right to terminate the
Contract for any reason or no reason during the Due Diligence Period. It shall be the property of Seller upon the Effective Date and
shall be a credit to Buyer at Closing. The Due Diligence Fee shall be non-refundable except in the event of a material breach of this
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Contract by Seller, or if this Contract is terminated under Paragraph 21(b) or as otherwise provided in any addendum hereto. Buyer
and Seller each expressly waive any right that they may have to deny the right to conduct Due Diligence or to assert any defense as
to the enforceability of this Contract based on the absence or alleged insufficiency of any Due Diligence Fee, it being the intent of
the parties to create a legally binding contract for the purchase and sale of the Property without regard to the existence or amount of
any Due Diligence Fee. See paragraph 21 for a parry's right to attorneys' fees incurred in collecting the Due Diligence Fee.
(j) "Due Diligence Period": The period beginning on the Effective Date and extending through 5:00 p.m. on
08/17/2023 TIME BEING OF THE ESSENCE.
(k) "Settlement": The proper execution and delivery to the closing attorney of all documents necessary to complete the transaction
contemplated by this Contract, including the deed, settlement statement, deed of trust and other loan or conveyance documents, and
the closing attorney's receipt of all funds necessary to complete such transaction
(1) "Settlement Date": The parties agree that Settlement will take place on 08/31/2023
(the "Settlement Date"), unless otherwise agreed in writing, at a time and place designated by Buyer.
NOTE: See paragraph 10, DELAY IN SETTLEMENT/CLOSING for conditions under which Settlement may be delayed.
(m) "Closing": The completion of the legal process which results in the transfer of title to the Property from Seller to Buyer, which
includes the following steps: (1) the Settlement (defined above); (2) the completion of a satisfactory title update to the Property
following the Settlement; (3) the closing attorney's receipt of authorization to disburse all necessary funds; and (4) recordation in
the appropriate county registry of the deed(s) and deed(s) of trust, if any, which shall take place as soon as reasonably possible for
the closing attorney after Settlement. Upon Closing, the proceeds of sale shall be disbursed by the closing attorney in accordance
with the settlement statement and the provisions of Chapter 45A of the North Carolina General Statutes. If the title update should
reveal unexpected liens, encumbrances or other title defects, or if the closing attorney is not authorized to disburse all necessary
funds, then the Closing shall be suspended and the Settlement deemed delayed under Paragraph 10 (Delay in Settlement/Closing).
WARNING: The North Carolina State Bar has determined that the performance of most acts and services required for a closing
constitutes the practice of law and must be performed only by an attorney licensed to practice law in North Carolina. State law
prohibits unlicensed individuals or firms from rendering legal services or advice. Although non -attorney settlement agents may
perform limited services in connection with a closing, they may not perform all the acts and services required to complete a
closing. A closing involves significant legal issues that should be handled by an attorney. Accordingly it is the position of the
North Carolina Bar Association and the North Carolina Association of REALTORSO that all buyers should hire an attorney
licensed in North Carolina to perform a closing.
(n) "Special Assessments": A charge against the Property by a governmental authority in addition to ad valorem taxes and recurring
governmental service fees levied with such taxes, or by an owners' association in addition to any regular assessment (dues), either
of which may be a lien against the Property.
NOTE: Buyer's and Seller's respective responsibilities for the payment of Special Assessments are addressed in paragraphs 4(a)
and 6(k).
2. BUYER'S DUE DILIGENCE PROCESS:
WARNING: BUYER IS STRONGLY ENCOURAGED TO CONDUCT DUE DILIGENCE DURING THE DUE DILIGENCE
PERIOD. If Buyer is not satisfied with the results or progress of Buyer's Due Diligence, Buyer should terminate this Contract,
prior to the expiration of the Due Diligence Period, unless Buyer can obtain a written extension from Seller. SELLER IS NOT
OBLIGATED TO GRANT AN EXTENSION. Although Buyer may continue to investigate the Property following the expiration
of the Due Diligence Period, Buyer's failure to deliver a Termination Notice to Seller prior to the expiration of the Due Diligence
Period will constitute a waiver by Buyer of any right to terminate this Contract based on any matter relating to Buyer's Due
Diligence. Provided however, following the Due Diligence Period, Buyer may still exercise a right to terminate if Seller fails to
materially comply with any of Seller's obligations under paragraph 6 of this Contract or for any other reason permitted under the
terms of this Contract or North Carolina law.
(a) Loan: Buyer, at Buyer's expense, shall be entitled to pursue qualification for and approval of the Loan if any.
NOTE: There is no loan or appraisal contingency in this Offer To Purchase and Contract. Therefore, Buyer is advised to consult
with Buyer's lender prior to signing this offer to assure that the Due Diligence Period allows sufficient time for the loan process
and for Buyer's lender to provide Buyer sufficient information to decide whether to proceed with or terminate the transaction.
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(b) Property Investigation: Buyer or Buyer's agents or representatives, at Buyer's expense, shall be entitled to conduct all desired
tests, surveys, appraisals, investigations, examinations and inspections of the Property as Buyer deems appropriate, including but
NOT limited to the following:
(i) Soil And Environmental: Reports to determine whether the soil is suitable for Buyer's intended use and whether there is
any environmental contamination, law, rule or regulation that may prohibit, restrict or limit Buyer's intended use.
(ii) Septic/Sewer System: Any applicable investigation(s) to determine: (1) the condition of an existing sewage system, (2)
the costs and expenses to install a sewage system approved by an existing Improvement Permit, (3) the availability and
expense to connect to a public or community sewer system, and/or (4) whether an Improvement Permit or written
evaluation may be obtained from the County Health Department for a suitable ground absorption sewage system.
(iii) Water: Any applicable investigation(s) to determine: (1) the condition of an existing private drinking water well, (2) the
costs and expenses to install a private drinking water well approved by an existing Construction Permit, (3) the availability,
costs and expenses to connect to a public or community water system, or a shared private well, and/or (4) whether a
Construction Permit may be obtained from the County Health Department for a private drinking water well.
(iv) Review of Documents: Review of the Declaration of Restrictive Covenants, Bylaws, Articles of Incorporation, Rules and
Regulations, and other governing documents of any applicable owners' association and/or subdivision. If the Property is
subject to regulation by an owners' association, it is recommended that Buyer review the completed Owners' Association
And Addendum (Standard Form 2Al2-T) provided by Seller prior to signing this offer. It is also recommended that the
Buyer determine if the owners' association or its management company charges fees for providing information required
by Buyer's lender or confirming restrictive covenant compliance.
(v) Appraisals: An appraisal of the Property
(vi) Survey: A survey to determine whether the property is suitable for Buyer's intended use and the location of easements,
setbacks, property boundaries and other issues which may or may not constitute title defects.
(vii) Zoning and Governmental Regulation: Investigation of current or proposed zoning or other governmental regulation
that may affect Buyer's intended use of the Property, adjacent land uses, planned or proposed road construction, and school
attendance zones.
(viii) Flood Hazard: Investigation of potential flood hazards on the Property, and/or any requirement to purchase flood
insurance in order to obtain the Loan.
(ix) Utilities and Access: Availability, quality, and obligations for maintenance of utilities including electric, gas,
communication services, storm water management, and means of access to the Property and amenities.
(x) Streets/Roads: Investigation of the status of the street/road upon which the Property fronts as well as any other street/road
used to access the Property, including: (1) whether any street(s)/road(s) are public or private, (2) whether any
street(s)/road(s) designated as public are accepted for maintenance by the State of NC or any municipality, or (3) if private
or not accepted for public maintenance, the consequences and responsibility for maintenance and the existence, terms and
funding of any maintenance agreements.
NOTE: NC General Statutes Section 136-102.6(t) (the "Statute") requires that under circumstances described in the Statute,
a buyer must be provided a subdivision streets disclosure statement prior to entering into an agreement to buy subdivided
property described in the Statute. If Buyer or Seller are uncertain whether the sale of the Property described in this Contract
is subject to the Statute, consult a NC real estate attorney.
(xi) Special Assessments: Investigation of the existence of Special Assessments that may be under consideration by a
governmental authority or an owners' association.
(c) Sale/Lease of Existing Property: As noted in paragraph 3(b), this Contract is not conditioned upon the sale/lease or closing of
other property owned by Buyer. Therefore, if Buyer must sell or lease other real property in order to qualify for a new loan or to
otherwise complete the purchase of the Property, Buyer should seek to close on Buyer's other property prior to the end of the Due
Diligence Period or be reasonably satisfied that closing on Buyer's other property will take place prior to the Settlement Date of this
Contract.
(d) Buyer's Obligation to Repair Damage: 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, but Buyer shall not be responsible for any damage caused by
accepted practices applicable to any N.C. licensed professional performing reasonable appraisals, tests, surveys, examinations and
inspections of the Property. This repair obligation shall survive any termination of this Contract.
(e) Indemnity: Buyer will indemnify and hold Seller harmless from all loss, damage, claims, suits 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 except for any loss, damage, claim, suit or cost arising out of pre-existing conditions of the Property and/or
out of Seller's negligence or willful acts or omissions. This indemnity shall survive this Contract and any termination hereof.
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(t) Buyer's Right to Terminate: Provided that Buyer has delivered any agreed -upon Due Diligence Fee, Buyer shall have the right
to terminate this Contract for any reason or no reason, by delivering to Seller written notice of termination (the "Termination Notice")
during the Due Diligence Period (or any agreed -upon written extension of the Due Diligence Period), TIME BEING OF THE
ESSENCE. If Buyer timely delivers the Termination Notice, this Contract shall be terminated and the Earnest Money Deposit shall
be refunded to Buyer.
(g) CLOSING SHALL CONSTITUTE ACCEPTANCE OF THE PROPERTY IN ITS THEN EXISTING CONDITION
UNLESS PROVISION IS OTHERWISE MADE IN WRITING.
3. BUYER REPRESENTATIONS:
(a) Funds to complete purchase:
® (Check if applicable) Cash. Buyer intends to pay cash in order to purchase the Property and does not intend to obtain a loan or
funds from sources other than Buyer's own assets. Verification of cash available for Settlement is ® is not ❑ attached.
NOTE: If Buyer does not intend to obtain a new loan(s) and/or funds from sources other than Buyer's own assets, Seller is advised,
prior to signing this offer, to obtain documentation from Buyer which demonstrates that Buyer will be able to close on the Property
without the necessity of obtaining a loan or funds from sources other than Buyer's own assets.
OR:
❑ (Check if applicable) Loan(s)/Other Funds: Buyer intends to obtain a loan(s) and/or other funds to purchase the Property from
the following sources (check all applicable sources):
❑ First Mortgage Loan:
Buyer intends to obtain a first mortgage loan of the following type in order to purchase the Property: ❑ Conventional ❑ USDA
❑ Other type:
in the principal amount of
❑ Second Mortgage Loan:
Buyer intends to obtain a second mortgage loan of the following type in order to purchase the Property:
11 Other funds:
Buyer intends to obtain funds from the following other source(s) in order to purchase the Property:
NOTE: Buyer's obligations under this Contract are not conditioned upon obtaining any loan(s) or other funds from sources other
than Buyer's own assets. Some mortgage loan programs and other programs providing funds for the purchase of property selected
by Buyer may impose repair obligations and/or additional conditions or costs upon Seller or Buyer, and more information may be
needed.
Material changes with respect to funding the purchase of the Property that affect the terms of the contract are material facts that
must be disclosed.
(b) Other Property: Buyer ❑ DOES ® DOES NOT have to sell or lease other real property in order to qualify for a new loan or to
complete the purchase. (Complete the folloiving only if Buyer DOES have to sell or lease other real property:)
Other Property Address:
❑ (Check if applicable) Buyers other property IS under contract as of the date of this offer, and a copy of the contract has either
been previously provided to Seller or accompanies this offer. (Buyer may mark out any confidential information, such as the purchase
price and the buyer's identity, prior to providing a copy ofthe contract to Seller.) Failure to provide a copy of the contract shall not
prevent this offer from becoming a binding contract; however, SELLER IS STRONGLY ENCOURAGED TO OBTAIN AND
REVIEW THE CONTRACT ON BUYER'S PROPERTY PRIOR TO ACCEPTING THIS OFFER.
❑ (Check i(applicable) Buyer's other property IS NOT under contract as of the date of this offer. Buyer's property (check only
ONE of the following options):
❑ is listed with and actively marketed by a licensed real estate broker.
❑ will be listed with and actively marketed by a licensed real estate broker.
❑ Buyer is attempting to sell/lease the Buyer's Property without the assistance of a licensed real estate broker.
NOTE: This Contract is NOT conditioned upon the sale/lease or closing of Buyer's other property. If the parties agree to make
this Contract conditioned on a sale/lease or closing of Buyer's other property, an appropriate contingency addendum should be
drafted by a North Carolina real estate attorney and added to this Contract.
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(c) Performance of Buyer's Financial Obligations: To the best of Buyer's knowledge, there are no other circumstances or
conditions existing as of the date of this offer that would prohibit Buyer from performing Buyer's financial obligations in accordance
with this Contract, except as may be specifically set forth herein.
4. BUYER OBLIGATIONS:
(a) Responsibility for Special Assessments: Buyer shall take title subject to all Special Assessments that may be approved following
Settlement.
(b) Responsibility for Certain Costs: Buyer shall be responsible for all costs with respect to:
(i) any loan obtained by Buyer;
(ii) charges by an owners' association or a management company/vendor as agent of the association under paragraph 7(b) of
this Contract;
(iii) appraisal;
(iv) title search;
(v) title insurance;
(vi) any fees charged by the closing attorney for the preparation of the Closing Disclosure, Seller Disclosure and any other
settlement statement;
(vii) recording the deed; and
(viii) preparation and recording of all instruments required to secure the balance of the Purchase Price unpaid at Settlement.
(c) Authorization to Disclose Information: Buyer authorizes the Buyer's lender(s), the parties' real estate agent(s) and closing
attorney: (1) to provide this Contract to any appraiser employed by Buyer or by Buyer's lender(s); and (2) to release and disclose
any buyer's closing disclosure, settlement statement and/or disbursement summary, or any information therein, to the parties to this
transaction, their real estate agents) and Buyer's lender(s).
5. SELLER REPRESENTATIONS:
(a) Ownership: Seller represents that Seller:
® has owned the Property for at least one year.
❑ has owned the Property for less than one year.
❑ does not yet own the Property.
(b) Owners' Association(s) and Dues: To best of Seller's knowledge, ownership of the Property ❑ subjects ❑ does not subject
Buyer to regulation by one or more owners' association(s) and governing documents, which impose various mandatory covenants,
conditions and restrictions upon the Property and Buyer's enjoyment thereof, including but not limited to obligations to pay regular
assessments (dues) and Special Assessments. If there is an owners' association, then an Owners' Association Disclosure and
Addendum For Properties Exempt from Residential Property Disclosure Statement (Standard Form 2A 12-T) shall be completed by
Seller, at Seller's expense, and must be attached as an addendum to this Contract.
(c) Sewage System Permit: (❑ Applicable ® Not Applicable) Seller warrants that the sewage system described in the Improvement
Permit attached hereto has been installed, which representation survives Closing, but makes no further representations as to the
system.
(d) Private Drinking Water Well Permit: (❑ Applicable ® Not Applicable) Seller warrants that a private drinking water well has
been installed, which representation survives Closing, but makes no further representations as to the well. (If well installed after July
1, 2008, attach Improvement Permit hereto.
6. SELLER OBLIGATIONS:
(a) Evidence of Title, Payoff Statement(s) and Non Foreign Status:
(i) Seller agrees to use best efforts to provide to the closing attorney as soon as reasonably possible after the Effective Date,
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, leases, and easements relating to the
Property.
(ii) Seller shall provide to the closing attorney all information needed to obtain a written payoff statement from any lender(s)
regarding any security interest in the Property as soon as reasonably possible after the Effective Date, and Seller designates
the closing attorney as Seller's agent with express authority to request and obtain on Seller's behalf payoff statements and/or
short -pay statements from any such lender(s).
(iii) If Seller is not a foreign person as defined by the Foreign Investment in Real Property Tax Act, Seller shall also provide
to the closing attorney a non -foreign status affidavit (pursuant to the Foreign Investment in Real Property Tax Act). In the
event Seller shall not provide a non -foreign status affidavit, Seller acknowledges that there may be withholding as provided
by the Internal Revenue Code.
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(b) Authorization to Disclose Information: Seller authorizes: (1) any attorney presently or previously representing Seller to release
and disclose any title insurance policy in such attorney's file to Buyer and both Buyer's and Seller's agents and attorneys; (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, and (3) the closing attorney to release and disclose any seller's closing
disclosure, settlement statement and/or disbursement summary, or any information therein, to the parties to this transaction, their real
estate agent(s) and Buyer's lender(s).
(c) Access to Property: Seller shall provide reasonable access to the Property through the earlier of Closing or possession by Buyer,
including, but not limited to, allowing the Buyer and/or Buyer's agents or representatives an opportunity to (i) conduct Due Diligence,
(ii) verify the satisfactory completion of negotiated repairs/improvements, and (iii) conduct a final walk-through inspection of the
Property. Seller's obligation includes providing existing utilities operating at Seller's cost including any connections and de -
winterizing. To the extent applicable, Seller shall also be responsible for timely clearing that portion of the Property required by the
County to perform tests, inspections and/or evaluations to determine the suitability of the Property for a sewage system and/or private
drinking water well.
NOTE: See WARNING in paragraph 2 above for limitation on Buyer's right to terminate this Contract as a result of Buyer's
continued investigation of the Property following the expiration of the Due Diligence Period.
(d) Removal of Seller's Property: Seller shall remove from the Property, by the date possession is delivered, (i) all personal property
which is not a part of the purchase and (ii) unless otherwise agreed, all garbage and debris.
(e) Affidavit And Indemnification Agreement: Seller shall furnish at Settlement an affidavit(s) and indemnification agreement(s)
in form satisfactory to Buyer and Buyer's title insurer, if any, executed by Seller and any person or entity who has performed or
furnished labor, services, materials or rental equipment to the Property within 120 days prior to the date of Settlement and who may
be entitled to claim a lien against the Property as described in N.C.G.S. §44A-8 verifying that each such person or entity has been
paid in full and agreeing to indemnify Buyer, Buyer's lender(s) and Buyer's title insurer against all loss from any cause or claim
arising therefrom.
(t) Designation of Lien Agent, Payment and Satisfaction of Liens: If required by N.C.G.S. §44A-11.1, Seller shall have designated
a Lien Agent, and Seller shall deliver to Buyer as soon as reasonably possible a copy of the appointment of Lien Agent. All deeds of
trust, deferred ad valorem taxes, liens and other charges against the Property, not assumed by Buyer, must be paid and satisfied by
Seller prior to or at Settlement such that cancellation may be promptly obtained following Closing. Seller shall remain obligated to
obtain any such cancellations following Closing.
(g) Good Title, Legal Access: Seller shall execute and deliver a GENERAL WARRANTY DEED for the Property in recordable
form no later than Settlement, which shall convey fee simple marketable and insurable title, without exception for mechanics' liens,
and free of any other liens, encumbrances or defects, including those which would be revealed by a current and accurate survey of
the Property, except: ad valorem taxes for the current year (prorated through the date of Settlement); utility easements and unviolated
covenants, conditions or restrictions that do not materially affect the value of the Property; and such other liens, encumbrances or
defects as may be assumed or specifically approved by Buyer in writing. The Property must have legal access to a public right of
way.
NOTE: Buyer's failure to conduct a survey or examine title of the Property prior to the expiration of the Due Diligence Period
does not relieve the Seller of their obligation to deliver good title under this paragraph.
NOTE: If any sale of the Property may be a "short sale," consideration should be given to attaching a Short Sale Addendum
(Standard Form 2A14-T) as an addendum to this Contract.
(h) Deed, Taxes, and Fees: Seller shall pay for preparation of a deed and all other documents necessary to perform Seller's
obligations under this Contract, and for state and county excise taxes, and any deferred, discounted or rollback taxes, and local
conveyance fees required by law. The deed is to be made to: Rebecca Lavigne
(i) Agreement to Pay Buyer Expenses: Seller shall pay at Settlement $0.00 toward any of Buyer's
expenses associated with the purchase of the Property, at the discretion of Buyer and/or lender, if any, including any FHA/VA lender
and inspection costs that Buyer is not permitted to pay.
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0) Owners' Association Fees/Charges: Seller shall pay any charges by an owners' association or a management company/vendor
as agent of the association under paragraph 7(a) of this Contract.
(k) Payment of Special Assessments: Seller shall pay, in full at Settlement, all Special Assessments that are approved prior to
Settlement, whether payable in a lump sum or future installments, provided that the amount thereof can be reasonably determined or
estimated. The payment of such estimated amount shall be the final payment between the Parties.
(1) Late Listing Penalties: All property tax late listing penalties, if any, shall be paid by Seller.
(m) Owners' Association Disclosure and Condominium Resale Statement Addendum (Standard Form 2Al2-T): If applicable,
Seller shall provide the completed Owners' Association Disclosure and Condominium Resale Statement Addendum to Buyer on or
before the Effective Date.
(n) Seller's Breach of Contract: See paragraph 21 for Buyer's remedies in the event of breach of this Contract.
7. CHARGES BY OWNERS' ASSOCIATION: Responsibility for payment of charges by an owners' association or a management
company/vendor as agent of the association shall be allocated between Buyer and Seller as follows:
(a) Seller shall pay:
(i) fees incurred by Seller in completing resale or other certificates related to a proposed sale of the Property;
(ii) fees required for confirming Seller's account payment information on owners' association dues or assessments for payment
or proration, including any expedite fee permitted under N.C. Gen. Stat. § 47F-3-102 that is charged in connection with providing
such information;
(iii) any fees charged for transferring or updating ownership records of the association; and
(iv) any fees other than those fees specifically required to be paid by Buyer under paragraph 7(b) below.
(b) Buyer shall pay:
(i) charges for providing information required by Buyer's lender;
(ii) working capital contributions, membership fees, or charges imposed for Buyer's use of the common elements and/or
services provided to Buyer in connection with Buyer taking possession of the Property, such as "move -in fees'; and
(iii) determining restrictive covenant compliance.
8. PROBATIONS AND ADJUSTMENTS: Unless otherwise agreed, the following items shall be prorated, with Seller responsible
for the prorated amounts of any taxes and dues through the date of Settlement, and Seller entitled to the amount of prorated rents
through the date of Settlement, and either adjusted between the parties or paid at Settlement:
(a) Taxes on Real Property: Ad valorem taxes and recurring governmental service fees levied with such taxes on real property shall
be prorated on a calendar year basis;
(b) Rents: Rents, if any, for the Property;
(c) Dues: Owners' association regular assessments (dues) and other like charges.
9. CONDITION OF PROPERTY/RISK OF LOSS:
(a) Condition of Property at Closing: If the Property is not in substantially the same or better condition at Closing as on the date
of this offer, reasonable wear and tear excepted, Buyer may terminate this Contract by written notice delivered to Seller and the Due
Diligence Fee and Earnest Money Deposit shall be refunded to Buyer. If the Property is not in such condition and Buyer does NOT elect
to terminate this Contract, Buyer shall be entitled to receive, in addition to the Property, the proceeds of any insurance claim filed by
Seller on account of any damage or destruction to the Property.
(b) Risk of Loss: The risk of loss or damage by fire or other casualty prior to Closing shall be upon Seller. Seller is advised not to
cancel existing insurance on the Property until after confirming recordation of the deed.
10. DELAY IN SETTLEMENT/CLOSING: This paragraph shall apply if one party is ready, willing and able to complete Settlement
on the Settlement Date ("Non -Delaying Party") but it is not possible for the other party to complete Settlement by the Settlement Date
("Delaying Party"). In such event, the Delaying Party shall be entitled to a delay in Settlement and shall give as much notice as possible
to the Non -Delaying Party and closing attorney. If the Delaying Party fails to complete Settlement and Closing within seven (7) days of
the Settlement Date (including any amended Settlement Date agreed to in writing by the parties), then the Delaying Party shall be in
breach and the Non -Delaying Party may terminate this Contract and shall be entitled to enforce any remedies available to such party
under this Contract for the breach.
Page 8 of asi
STANDARD FORM 12-T
Buyer initials � �' I= Seller initials �"f Revised 7/2022
���s� 07/2022

dOMOpp slenamre verificatlon: dtlp.us/OaMx-DZFo-Agll
DocuSign Envelope ID: B1B4BEF9-AB5E-4CBE-BB64-D54A261AE5EA
11. POSSESSION: Unless otherwise provided herein, possession, including all means of access to the Property (keys, codes including
security codes, gate openers, electronic devices, etc.) shall be delivered at Closing as defined in Paragraph I(m). No alterations,
excavations, tree or vegetation removal or other such activities may be done before possession is delivered
12. ADDENDA: 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.
❑ Additional Provisions Addendum (Form 2A11-T)
❑ Additional Signatures Addendum (Form 3-T)
❑ Back -Up Contract Addendum (Form 2A1-T)
❑ Loan Assumption Addendum (Form 2A6-T)
af ® Identify other attorney or party drafted addenda: Addendum
—buyer will be responsible for removal of derelict boat at buyer's expen
❑ Owners' Association Disclosure Addendum
(Form 2A 12-T)
❑ Seller Financing Addendum (Form 2A5-T)
❑ Short Sale Addendum (Form 2A 14-T)
Owner's Statement for Well & Septic Permits
after
time £ramp
NOTE: UNDER NORTH CAROLINA LAW, REAL ESTATE BROKERS ARE NOT PERMITTED TO DRAFT ADDENDA
TO THIS CONTRACT.
13. ASSIGNMENTS: This Contract may not be assigned without the written consent of all parties except in connection with a tax -
deferred exchange, but if assigned by agreement, then this Contract shall be binding on the assignee and assignee's heirs and successors.
14. 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. Buyer and Seller shall execute such additional documents,
including assignment of this Contract in connection therewith, at no cost to the non -exchanging party, as shall be required to give effect
to this provision.
15. PARTIES: This Contract shall be binding upon and shall inure to the benefit of Buyer and Seller and their respective 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.
16. 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.
17. 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 REALTOR® or broker and Seller or Buyer as contained in any
listing agreement, buyer agency agreement, or any other agency agreement between them.
18. CONDUCT OF TRANSACTION: The parties agree that any action between them relating to the transaction contemplated by this
Contract may be conducted by electronic means, including the signing of this Contract by one or more of them and any notice or
communication given in connection with this Contract. Any written notice or communication may be transmitted to any mailing address,
e-mail address or fax number set forth in the "Notice Information" section below. Any notice or communication to be given to a party
herein, any fee, deposit of other payment to be delivered to a party herein, may be given to the party or to such patty's agent. Delivery
of any notice to a parry via means of electronic transmission shall be deemed complete at such time as the sender performs the final act
to send such transmission, in a form capable of being processed by the receiving patty's system, to any electronic address provided for
such party in the "Notice Information" section below. Seller and Buyer agree that the "Notice Information" and "Acknowledgment of
Receipt of Monies" sections below shall not constitute a material part of this 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.
19. EXECUTION: This Contract may be signed in multiple originals or counterparts, all of which together constitute one and the same
instrument.
20. COMPUTATION OF DAYS/TIME OF DAY: 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 upon which any act or notice as provided in this Contract
was required to be performed or made. Any reference to a date or time of day shall refer to the date and/or time of day in the State of
North Carolina.
Page 9 of 13
Ds STANDARD FORM 12-T
Buyer initials I � I� Seller initials M_�_ Revised 7/2022
� ©7/2022

dotloop signature verification: dt1p.p5/0aM.-DZF0 Ao ll
DocuSign Envelope ID: B1B4BEFg-AB5E-6C8E-B864-D54A261AE5EA
21. REMEDIES:
(a) Breach by Buyer: In the event of material breach of this Contract by Buyer, any Earnest Money Deposit shall be paid to Seller. The
payment of any Earnest Money Deposit and any Due Diligence Fee to Seller (without regard to their respective amounts, including zero)
together shall serve as liquidated damages ("Liquidated Damages") and as Seller's sole and exclusive remedy for such breach, but
without limiting Seller's rights under Paragraphs 2(d) and 2(e) for damage to the Property. It is acknowledged by the parties that the
amount of the Liquidated Damages is compensatory and not punitive, such amount being a reasonable estimation of the actual loss that
Seller would incur as a result of a breach of this Contract by Buyer. The payment to Seller of the Liquidated Damages shall not constitute
a penalty or forfeiture but actual compensation for Sellers anticipated loss, both parties acknowledging the difficulty determining
Seller's actual damages for such breach.
(b) Breach by Seller: In the event of material breach of this Contract by Seller, Buyer may (i) elect to terminate this Contract as a result
of such breach, and shall be entitled to return of both the Earnest Money Deposit and the Due Diligence Fee, together with the reasonable
costs actually incurred by Buyer in connection with Buyer's Due Diligence ("Due Diligence Costs"), or (ii) elect not to terminate and
instead treat this Contract as remaining in full force and effect and seek the remedy of specific performance.
(c) Attorneys' Fees: If legal proceedings are brought by Buyer or Seller against the other to collect the Earnest Money Deposit, Due
Diligence Fee, or Due Diligence Costs, the parties agree that a party shall be entitled to recover reasonable attorneys' fees to the extent
permitted under N.C. Gen. Stat. § 6-21.2. The parties acknowledge and agree that the terms of this Contract with respect to entitlement
to the Earnest Money Deposit, Due Diligence Fee, or Due Diligence Costs each constitute an "evidence of indebtedness" pursuant to
N.C. Gen. Stat. § 6-21.2.
NOTE: A party seeking recovery of attorneys' fees under N.C. Gen. Stat. § 6-21.2 must first give written notice to the other party
that they have five (5) days from the mailing of the notice to pay the outstanding amount(s) without the attorneys' fees.
[THIS SPACE INTENTIONALLY LEFT BLANK]
Page 1 D 3
STANDARD FORM 12-T
Buyer initials I %%� �� Seller initials Revised 7/2022
©7/2022

dodoop signature verification: dt1D.us/0a1Vx-DZF0 Ag11
DocuSign Envelope ID: B1B4BEFg-AB5E-4C8E-B854-D54A261AE5EA
THE NORTH CAROLINA ASSOCIATION OF REALTORS®, INC. AND THE NORTH CAROLINA BAR ASSOCIATION MAKE
NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN ANY
SPECIFIC TRANSACTION. IF YOU DO NOT UNDERSTAND THIS FORM OR FEEL THAT IT DOES NOT PROVIDE FOR
YOUR LEGAL NEEDS, YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SIGN
IT.
This offer shall become a binding contract on the Effective Date. Unless specifically provided otherwise, Buyer's failure to timely
deliver any fee, deposit or other payment provided for herein shall not prevent this offer from becoming a binding contract, provided
that any such failure shall give Seller certain rights to terminate the contract as described herein or as otherwise permitted by law.
04/21/2023 1 1:49 PM EDT
Date: Date:
q��� 3 cs�p%T
Buyer: �''�^`"'7"�' CP4ZBPGpCUi0.
Date:
Buyer:
Entity Buyer:
(Name of LLC/Corporation/Partnership/Trust/etc.)
By:
Name
Print Name
Title:
Sellel: a,,,,jt N PuntAit. OIA.
`4A 6I46A2094F9_.
Date:
Seller:
Entity Seller:
(Name of LLC/Corporation/Partnership/Trust/etc.)
By:
Name:
Print Name
Title:
Date:
WIRE FRAUD WARNING
TO BUYERS: BEFORE SENDING ANY WIRE, YOU SHOULD CALL THE CLOSING ATTORNEY'S OFFICE TO VERIFY
THE INSTRUCTIONS. IF YOU RECEIVE WIRING INSTRUCTIONS FOR A DIFFERENT BANK, BRANCH LOCATION,
ACCOUNT NAME OR ACCOUNT NUMBER, THEY SHOULD BE PRESUMED FRAUDULENT. DO NOT SEND ANY
FUNDS AND CONTACT THE CLOSING ATTORNEY'S OFFICE IMMEDIATELY.
TO SELLERS: IF YOUR PROCEEDS WILL BE WIRED, IT IS RECOMMENDED THAT YOU PROVIDE WIRING
INSTRUCTIONS AT CLOSING IN WRITING IN THE PRESENCE OF THE ATTORNEY. IF YOU ARE UNABLE TO
ATTEND CLOSING, YOU MAY BE REQUIRED TO SEND AN ORIGINAL NOTARIZED DIRECTIVE TO THE CLOSING
ATTORNEY'S OFFICE CONTAINING THE WIRING INSTRUCTIONS. THIS MAY BE SENT WITH THE DEED, LIEN
WAIVER AND TAX FORMS IF THOSE DOCUMENTS ARE BEING PREPARED FOR YOU BY THE CLOSING
ATTORNEY. AT A MINIMUM, YOU SHOULD CALL THE CLOSING ATTORNEY'S OFFICE TO PROVIDE THE WIRE
INSTRUCTIONS. THE WIRE INSTRUCTIONS SHOULD BE VERIFIED OVER THE TELEPHONE VIA A CALL TO YOU
INITIATED BY THE CLOSING ATTORNEY'S OFFICE TO ENSURE THAT THEY ARE NOT FROM A FRAUDULENT
SOURCE.
WHETHER YOU ARE A BUYER OR A SELLER, YOU SHOULD CALL THE CLOSING ATTORNEY'S OFFICE AT A
NUMBER THAT IS INDEPENDENTLY OBTAINED. TO ENSURE THAT YOUR CONTACT IS LEGITIMATE, YOU
SHOULD NOT RELY ON A PHONE NUMBER IN AN EMAIL FROM THE CLOSING ATTORNEY'S OFFICE, YOUR REAL
ESTATE AGENT OR ANYONE ELSE.
Page I I of 13
STANDARD FORM 12-T
Revised 7/2022
© 7/2022

d.ftw wnature verincation: d[IP.us/Oa Mx-DzFO AgII
DocuSign Envelope ID: B1B4BEF9-AB5E-4C8E-B664-D54A261AE5EA
NOTICE INFORMATION
NOTE: INSERT AT LEAST ONE 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:
Mailing Address:
Buyer Fax #:
SELLER NOTICE ADDRESS:
Mailing Address:
Seller Fax
Buyer E-mail: [e-mail] Seller
CONFIRMATION OF AGENCY/NOTICE ADDRESSES
Selling Finn Name: Keller Williams Crystal Coast
Acting as ® Buyer's Agent ❑ Seller's (sub)Agent ❑ Dual
Agent
Firm License#: C26989
Mailing Address: 5113 Hwy 70, A
Morehead City, NC 28557
Individual Selling Agent:Meredith Reilly
❑ Acting as a Designated Dual Agent (check only if applicable)
Selling Agent License#:158116
Selling Agent Phone#:[phone]
Selling Agent Fax#:
Listing Firm Name: Landmark Sotheby's International Realty
Acting as ® Seller's Agent ❑ Dual Agent
Firm License#: C20671
Mailing Address: 4747 ArendellSt
Morehead Citv. NC 28557
Individual Listing Agent _Steve Brown
❑ Acting as a Designated Dual Agent (check only if applicable)
Listing Agent License#: 72181
Listing Agent Phone#: [phone]
Listing Agent Fax#:
Listing Agent E-mail:[e-mail]
Selling Agent E-mail: [e-mail]
Page 12 of W
� STANDARD FORM 12-T
Buyer initials I e I=Seller initials �`T Revised 7/2022
'— ©7/2022

dotloop signature verification: dtlp.us/OaW-DZFO-Agll
DocuSlgn Envelope ID: B1B48EF9-AB5E-4C8E-B864-D54A261AE5EA
ACKNOWLEDGMENT OF RECEIPT OF MONIES
Seller: Gs N. Pennington ("Seller")
Buyer: e
Y Lavigne ("Buyer")
Property Address:230 Pettiford Rd, Peletfer/ Swainsboro, NC 28584 ("Property")
❑ LISTING AGENT ACKNOWLEDGMENT OF RECEIPT OF DUE DILIGENCE FEE
Paragraph l(d) of the Offer to Purchase and Contract between Buyer and Seller for the sale of the Property provides for the payment to
Seller of a Due Diligence Fee in the amount of $ 250.00 , receipt of which Listing Agent hereby acknowledges.
Date Firm: Landmark Sotheby's International Realty
By:
(Signature)
Steve Brown
(Print name)
❑ SELLER ACKNOWLEDGMENT OF RECEIPT OF DUE DILIGENCE FEE
Paragraph l(d) of the Offer to Purchase and Contract between Buyer and Seller for the sale of the Property provides for the payment to
Seller of a Due Diligence Fee in the amount of $ 250.00 , receipt of which Seller hereby acknowledges.
Date: Seller.
(Signature)
Date: Seller:
(Signature)
❑ ESCROW AGENT ACKNOWLEDGMENT OF RECEIPT OF INITIAL EARNEST MONEY DEPOSIT
Paragraph l(d) of the Offer to Purchase and Contract between Buyer and Seller for the sale of the Property provides for the payment to
Escrow Agent of an Initial Earnest Money Deposit in the amount of $ 2,000.00 . Escrow Agent as identified in Paragraph I (f)
of the Offer to Purchase and Contract hereby acknowledges receipt of the Initial Earnest Money Deposit and agrees to hold and disburse
the same in accordance with the terms of the Offer to Purchase and Contract.
Date: Firm:
By:
(Signature)
Debra Whaley
(Print name)
❑ ESCROW AGENT ACKNOWLEDGMENT OF RECEIPT OF (ADDITIONAL) EARNEST MONEY DEPOSIT
Paragraph I (d) of the Offer to Purchase and Contract between Buyer and Seller for the sale of the Property provides for the payment to
Escrow Agent of an (Additional) Earnest Money Deposit in the amount of $ .00 . Escrow Agent as identified in Paragraph
I (f) of the Offer to Purchase and Contract hereby acknowledges receipt of the (Additional) Earnest Money Deposit and agrees to hold
and disburse the same in accordance with the terms of the Offer to Purchase and Contract.
Date: Firm:
Time: ❑ AM ❑ PM By:
(Signature)
Debra Whaley
(Print name)
Page 13 of 13
STANDARD FORM 12-T
Revised 7/2022
© 7/2022

DocuSign Envelope ID: B1B4BEF9-AB5E-4C8E-B864-D54A261AE5EA
Environmental Health Services — Onsite Water Protection
Carteret County Health Department
3820 Bridges Street, Suite A
Morehead City, NC 28557
Phone [phone] Fax [phone]
Office Hours are 8:OOam to S:OOpm,
Monday through Friday
Website: www.carteretcountync.gov/139/Environmental-Health
Email: [e-mail]
The application must be filled out completely and accompanied with the appropriate fee before services can be
initiated. Completion of the application does not imply or guarantee any permit will be issued or an
authorization granted. Please be sure all the information is correct as the information you provide will guide the
staff in the evaluation and permitting of your property. If you change your plans after the permit is issued, a new
application and fees will be required, so please be sure the information given is correct. Any permit may be
suspended or revoked if the information is falsified, incorrect or if the site is altered after the
permit/authorization is issued.
In the interest of processing your permit application as smoothly and quickly as possible, we ask that you:
• Make sure that you have submitted an accurate site plan (preferably to scale) that shows ALL proposed
improvements to your lot. This includes:
o Existing and proposed property lines with dimensions.
o Location of existing and proposed structures showing setbacks, wells, driveways, etc.
o Location of surface waters.
o Your preferred site for the septic system and well. If your designated area is not suitable, one
will be assigned, if available, by the CCHD staff performing the evaluation.
o Please stake out any structures, additions, or future improvements on the ground. If you need
wire flags for this, we have some available for you.
o Make sure that property lines and property corners Eire clearly marked and that the site is
accessible for a full evaluation. If we are unable to verify property line locations, it will be
necessary for the property to be surveyed before a determination can be made.
o When vegetation is too thick to permit movement through the site or observation of the
topography, the area will need to be "bush -hogged" or thinned out. Be careful not to grade or
excavate potential areas, as it is possible to damage sites beyond use. After the site is permitted,
do not allow any disturbance of the area designated for the drainfield.
You may need to provide backhoe pits in the following cases:
o Evaluation of tracts for proposed subdivisions and large design flows,
o Sites where existing fill is prevalent, or
o Whenever deemed necessary by the Environmental Health Specialist.
Proposed subdivision applications must include:
o A stamped, surveyed plat with a scale no smaller than I "=100' and shall include all dimensions,
roadways, utility and/or drainage casements, existing and proposed storm water, controls,
proposed minimum building setbacks and location of proposed waterlines or community wells,
wetlands and mean high water marks (if applicable).
o A set of storm water plans accepted by NCDEQ-DWR for review for final approval.
I DS o Surveyed, staked and numbered lots.
Page 1 of 2

DocuSign Envelope ID: B1B48EF9-AB5E-4CBE-8864-D54A261AE5EA
Applications must include the property owner's information. Property owners may designate an agent to
represent them by completing the owner's statement which is included with the application package or a similar
owner's authorization. Real Estate Agents or other agents contracted to act as property representatives must
provide a copy of the signed contract verifying owner has acknowledged the agents representation of the
property on the application.
Applications will be returned after sixty (60) days if Carteret County Environmental Health has not been
notified that the site is staked and accessible. A re -inspection fee of thirty (30) dollars is required if the lot
is not properly cleared and/or staked. Fees paid with applications are forfeited when the application is
returned to the applicant or agent. Fees are non-refundable once site visit is initiated or already
rendered.
An application for septic or well evaluation or a wastewater or well permit does NOT grant approval for
development. It is the owners/agent/applicants responsibility to contact other permitting agencies to
determine if the proposed development is allowed or if other permitting requirements are applicable.
This information is designed to outline the different agencies you may need to contact prior to any land
disturbance or development.
Local Jurisdiction
Atlantic Beach
Beaufort
Bogue
Cape Carteret
Carteret County Planning/Inspections
County Inspections/Westent office
Cedar Point
Emerald Isle
Indian Beach
Morehead City
Newport
Peletier
Pine Knoll Shores
Address -Town Hall
Phone Number
125 W. Fort Macon Road
[phone]
701 Front Street
[phone]
121 Chimney Branch Road
[phone]
102 Dolphin Street
[phone]
402 Broad St, Beaufort
[phone]
701 Cedar Point Blvd, Cedar Point
[phone]
427 Sherwood Avenue
[phone]
7500 Emerald Drive
[phone]
1400 Salter Ptah Road
[phone]
706 Arendell Street
[phone] ext.125
200 Howard Boulevard
[phone]
1603 Hwy 58
[phone]
100 Municipal Circle
[phone]
Website for NC Government Agencies: http://portal.ncdenr or /web! nest
Division of Coastal Management —400 Commerce Avenue, Morehead City, NC, [phone]. Contact if
any land disturbance or proposed coastal development.
CAMA handbook: http://portal.ncdenr.org/c/document library/get_file?uuid=bda7e013-846e-488c-a9c2-
3848b80658cd&groupld=38319
NC Department of Environmental Quality (NCDEO) Energy, Mineral and Land Resources — Land Quality
Division, Wilmington, NC, [phone] or Raleigh, NC, [phone]. Land Quality Section Regulates
and provides technical assistance related to mining, dams, sediment and erosion control and stormwater
management. Contact if disturbing more than one acre of land or proposing subdivision drainage systems.
US Army Corps of Engineers (USACOE) —404 Wetlands & Dredging, Wilmington, NC, [phone].
Contact if you are unsure if you have wetlands on the property or if you are disturbing land within wetlands or
proposing dredging.
Page 2 of 2

DocuSign Envelope ID: B164BEF9-AB5EAC8E-8864-D54A261AE5EA
Fee Received CARTERET COUNTY HEALTH DEPARTMENT
Checks or Cash 3820 Bridges St. Morehead City, NC 28557 Area
Dare Received Phone: [phone] Fax: [phone] Priority_
Received By: APPLICATION Date Staked Staff Initial_
Improvement Permit, Construction Authorization, and/or Well Permit
IF INFORMATION IS FALSIFIED, CHANGED OR SITE IS ALTERED, THE IMPROVEMENT PERMIT AND/OR
AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. PERMIT IS VALID FOR 60 MONTHS OR WITHOUT
EXPIRATION DEPENDING UPON DOCUMENTATION SUBMITTED.
Type of Application(s): Mark all that apply Parcel ID:
_Single Family: (_house MH) #Bedrooms #Occupants Sq.Ft.
_Multi -Family: _ # Buildings —Units/Building #BedroomstUnit #OccupantsBdrm.
—Non-Residential: describe (see supplement to application)
Information required:
_Tap -In (describe)
Drinking Water Well (required prior to C.A. when not connecting to a public water supply
Irrigation (with new construction)
Imurovement Permit: (New Construction or Expansion) (This is an evaluation of the soil for a septic system)
5 years: Site plan only (Improvement Permit valid for 5 years from issue date)
Indefinite: Plat required showing proposed structures and appurtenances, and proposed system and repair or
Subdivision map with scaled site plan (Improvement Permit valid without expiration)
Authorization to Construct: Indicate order of desired system type or requested system type:
(This Authorization is needed to obtain a building permit and install a septic system)
New C.A. _Conventional (Includes Accepted Systems) _Alternative _Innovative _Other
Existing C.A. _Site re -visit to re -issue or modify a valid Construction Authorization
Owner
Name: First
Last Pennington
Mailing Address 1814 Carpenter Farm Rd.
City Raleigh State NC Zip 27613
Phone: Home Work si9-43i-ii22 Mobile 919-ani-3377 Fax
Email mikewpennington(Pbldr.com Organization
Applicant If same as owner: _Yes
If no, complete this section and provide owners statement.
Name: First Last
Mailing Address
Phone: Home
Work
State
Mobile
Email Organization
Parcel Address: 230 Pettiford Rd.
Zip
Peletier
Subdivision: Peftiford Point Existing _*New_
Lot 15 Phase _ Section Block C # of Acres .602
*Proposed Subdivision: Concept plan or a plat, prepared by a surveyor, and storm water plans that have been submitted to
and accepted by NCDEQ-DWR for final approval must be submitted with applications.
L DS
Page 1 of 3
Initial _Date

DowSign Envelope ID: B1B4BEF9-AB5E-4C8E-6864-054A261AE5EA
CARTERET COUNTY HEALTH DEPARTMENT
3820 Bridges St. Morehead City, NC 28557
Phone: [phone] Fax: [phone]
APPLICATION
Improvement Permit, Construction Authorization, and/or Well Permit
Owner Glynis N. Pennington
Parcel ID: 537512960181000
Site Sketch: Provide an accurate diagram of property with dimensions, proposed building location with dimensions and
setbacks to two property lines, proposed or existing wastewater system location, existing or proposed water source
location(s), bordering roads, driveways and parking area, wetlands, ditches and water bodies, and any other features that
Application will be returned after sixty (60) days if Carteret County Environmental Health has not been notified that site
is staked and accessible. Fees paid for application are forfeited when application is returned to applicant or agent.
The site evaluation is performed based on the information contained in this application. Any changes to the site or soil
conditions, the property lines, the proposed use, the proposed design waste flow or characteristics shall be cause to revoke
the Improvement Permit. I have read this application and certify 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 staking of all property lines and corners and making the site accessible so a complete site evaluation
can be performed.
Property Owner's signature or authorized agent (REQUIRED) Date
L
DS
Page 2 of 3

DocuSign Envelope ID: B1B46EF9-AB5E-4C8E-B864-054A261AE5EA
CARTERET COUNTY HEALTH DEPARTMENT
3820 Bridges St. Morehead City, NC 28557
Phone: [phone] Fax: [phone]
APPLICATION
Improvement Permit, Construction Authorization and/or Well Permit
far celID: 537512960181000
_ New Construction _ Expansion _ Change of Use _Permit Revision
Guesthouse/Apartment/Above Garage Living Unit (describe)
Additional Information:
Type Water Supply: _Private Well _Shared Well _Public _Community
P=Proposed E= Existing _ Garbage grinder
Foundation: _ Crawlspace _ Slab _ Swimming pool: _in ground _above ground
_ Easements _ Right of Ways _ Buried Utility Lines
_ Water lines _ Basement: _ plumbing _w/o plumbing
Grading or soil removal _ Additional structures on property
Applicant must inform Local Health Department if any of the following apply and attach supporting
documentation (if applicable). Check all that apply:
_ Previous permit evaluation or denial _ Zoning approval
_ Wastewater, other that domestic _ Existing well on property
_ Site subject to approval by other public agency _ Existing septic tank system
Designated wetlands _ Stump holes/buried debris
Any proposed development must be reviewed by the local jurisdiction for compliance with local ordinances and regulations.
Additionally, you must consult with any state or federal agency with jurisdiction over the proposed development.
Initial Date
This information is designed to outline the different agencies you may need to contact prior to any land disturbance or development
Local Jurisdiction
Address -Town Hall
Phone Number
Atlantic Beach
125 W. Fort Macon Road
[phone]
Beaufort
701 Front Street
[phone]
Bogue
121 Chimney Branch Road
[phone]
Cape Carteret
102 Dolphin Street
[phone]
Carteret County Planning/Inspections
402 Broad St, Beaufort
[phone]
County Inspections/Westem office
701 Cedar Point Blvd, Cedar Point
[phone]
Cedar Point
427 Sherwood Avenue
[phone]
Emerald Isle
7500 Emerald Drive
[phone]
Indian Beach
1400 Salter Path Road
[phone]
Morehead City
706 Arendell Street
[phone] ext.125
Newport
200 Howard Boulevard
[phone]
Peletier
1603-Hwy393-8666
Pine Knoll Shores
100 Municipal Circle
[phone]
Website for NC Government Agencies: http://portal.ncdenr.org/web/guest
Division of Coastal Manaeement — 400 Commerce Avenue, Morehead City, NC, [phone]. Contact if any land disturbance or
proposed coastal development.
CAMA handbook: http://portal.ncdenr.org/c/document—library/get—file?uuid=bda7eOl3.846e-188c-a9c2-
3848b80658cd&groupid=38319
NC Department of Environmental Quality (NCDEO), Energy, Mineral and Land Resources — Land Quality Division, Wilmington,
NC, [phone] or Raleigh, NC, [phone]. Land Quality Section Regulates and provides technical assistance related to
mining, dams, sediment and erosion control and stormwater management. Contact if disturbing more than one acre of land or
proposing subdivision drainage systems.
US Army Corps of Eneineers (USACOE) — 404 Wetlands & Dredging, Wilmington, NC, (910) 2514811. Contact if you are unsure
if you have wetlands on the property or if you are disturbing land within wetlands or proposing dredging.
us
Page 3 of 3 Ll�f

DowSign Envelope ID: B1 B4BEF9-AB5E-4C8E-B864-D54A261AE5EA
CARTERET COUNTY HEALTH DEPARTMENT
Environmental Health Division
3820 A Bridges Street
Morehead City, NC 28557
Phone [phone] Fax [phone]
OWNER'S STATEMENT
TO: The Environmental Health Division
SUBJECT: Authorization for Representation as Agent for Owner and Permission to Access Property
I, Glynis N.Penninaton (print), hereby authorize Rebecca Lavlane (print)to act
as my agent in the process of application for an on -site wastewater system permit or a water well
permit for the property listed below:
(Real Estate Agents or other agents contracted to act as property representatives shall provide a copy
of the signed contract verifying owner has acknowledged their representation of below property).
230 Pettitord Rd., Peletler, INC 28584 PIDN # 537512960181000
In addition to the above, the Environmental Health Division has my permission to access the above
listed property.
Should you need additional information, please contact:
Owner's Name: Glynis N. Pennington
Address: 1814 Carpenter Pond Rd.
City: Raleigh State: INC Zip: 27613
Phone: cto-Rn1-3377
Email: [e-mail]
04/21/2023 1 1:49 PM EDT
Docusi9ned by:
Owner's Signature:[�Ws N. Pt ln.tuK,46n, Date:
9A338746A2B94F9...