20131028 Ver 1_401 Application_20130913

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form —Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the Corps:
❑ Section 404 Permit ❑ Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes ❑ No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
❑ 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express �Lx�aRiparian Buffer Authorization
1e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑ No
For the record only for Corps Permit:
❑ Yes ❑ No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes ❑ No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
®' Yes ❑ No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
w Yes ❑ No
2.
Project Information
2a.
Name of project:
h A 1 A J1 l J to 41 'J Cr
2b.
County
P A)j I=ic'
2c.
Nearest municipality /town:
C.43 1A.L
2d.
Subdivision name:
j �Ge�,Sp Ga ✓F
2e.
II`
NCDOT only, T.I.P. or state project no: -
3.
Owner Information
3a.
Name(s) on Recorded Deed:
JLL\%iA nLJ. /�LcLrRa1 n 4-
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
•V"'
3d.
Street address:
/
3e.
City, state, zip:
bRaPAH 6 J A-1C . �Ky�
3f.
Telephone no.:
3g.
Fax no.:
-3h.
Email address:
R AA4/-I /A 14 a 61 (/ cr7 iA H OD
Page 1 of 10
PCN Form —Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (lax PIN or parcel ID):
L p T 33
1b.
Site coordinates (in decimal degrees):
Latitude: 3S, OAS .j; , Longitude: 7& .763 L49tq
1c.
Property size:
1,4 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
&AC- ,J S C R 5E k
2b.
Water Quality Classification of nearest receiving water:
2c.
River basin:
C- rJsF-
3.
Project Description
3a.
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application: /S canpGc ►L-� C1.eF tj JQ /2GSrA EAtT/A[ i
POAPoSE d OES/anl,
3b.
List the total estimated acreage of all existing wetlands on the property:
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d.
Explain the purpose of the proposed project: Ca�sjrQdc %Ic ( dF s/ UGLY /= A1/ /Ly AfJ1(-F
4.U17-4 Ak, R1dJ;0Xq ADA fAL LISE 6-c1Ly
3e.
Describe the overall project in detail, including the type of equipment to be used:
st.JGL6 FQtI / =y ''a46 uSr�(r /i�,le�4L �ttU /P11EJr
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑ Yes 9,No ❑ Unknown
Comments:
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
El Preliminary E] Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency /Consultant Company:
Other:
4d.
If yes, list the'dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑yes (NO El Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes Q No
6b.
If yes, explain.
Page 3 of 10
PCN Form - Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ❑ Streams — tributaries Af Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes /No
W2 -
Choose one
Choose one
Yes /No
-
W3 -
Choose one
Choose one
Yes /No
-
W4 -
Choose one
Choose one
Yes /No
W5 -
Choose one
Choose one
Yes /No
W6 -
Choose one
Choose one
Yes /No
-
2g. Total Wetland Impacts:
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 -
Choose one
-
-
S2 -
Choose one
-
S3 -
Choose one
S4 -
Choose one
S5 -
Choose one
-
-
S6 -
Choose one
-
-
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form —Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Welland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded I
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWO)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any imparts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
'raj Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number-
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet )
6g.
Zone 2
impact
(square
feet
B1 - P
bA6idc- Mll }.j
Yes /No
1000
B2 - P
QWGWLJG
Yes /No
�OOd
B3
Yes /No
B4
Yes /No
B5
Yes /No
B6
Yes /No
6h. Total Buffer Impacts:
is
6i. Comments:
Page 5 of 10

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1a.
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
A'-t-
1"61"
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KEE
1b.
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
ALL 4- A'&-U/A/76,d W / rte Ar 6JrSlgL dF
'Z a ASS _/_0 1[ 6V IIPAC'-AS Ar7/_ - '7bJ,t+un
2.
Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a.
Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes _E-No
2b.
If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c.
If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3.
Complete if Using a Mitigation Bank
3a.
Name of Mitigation Bank:
31b.
Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c.
Comments:
4.
Complete if Making a Payment to In -lieu Fee Program
4a.
Approval letter from in -lieu fee program is attached.
❑ Yes
4b.
Stream mitigation requested:
linear feet
4c.
If using stream mitigation, stream temperature:
Choose one
4d.
Buffer mitigation requested (DWQ only):
square feet
4e.
Riparian wetland mitigation requested:
acres
4f.
Non - riparian wetland mitigation requested:
acres
4g.
Coastal (tidal) wetland mitigation requested:
acres
4h.
Comments:
5.
Complete if Using a Permittee Responsible Mitigation Plan
5a.
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form —Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) —required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
❑ Yes ❑i �No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
la.
Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules?
❑ Yes ❑ No
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
2e.
Who will be responsible for the review of the Stormwater Management Plan?
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
3b.
Which of the following locally - implemented stormwater management programs
apply (check all that apply):
❑ Phase II
❑ NSW
❑ USMP
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
4.
DWQ Stormwater Program Review
4a.
Which of the following state - implemented stormwater management programs apply
(check all that apply):
❑Coastal counties
❑HQW
❑ORW
[]Session Law 2006 -246
❑Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
S.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1a.
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes
.❑'No
use of public (federal /state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA /SEPA)?
1 c.
If you answered "yes' to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes
❑ No
letter.)
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H.1300), DWQ Surface Water or Wetland Standards,
❑Yes
,❑� No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after - the -fact permit application?
❑ Yes
❑ No
2c.
If you answered 'yes' to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑Yes
❑,' o
additional development, which could impact nearby downstream water quality?
3b.
If you answered 'yes' to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non- discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
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Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
habitat?
❑ Yes E] No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts?
❑ Yes ❑ No
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑ No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the stale, federal or tribal
governments have designated as having historic or cultural preservation
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
E] Yes E] No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
2r GHARp S. r4A4 4U
Applicant/Agent's Printed Name
A A
Date
Appli ant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant is provided.)
Page 10 of 10

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NORTH CAROLINA PREPARED BY SUMRELL & CARMICHA
PAMLICO COUNTY
THIS INDENTURE, made and entered into this 19th day o
January, 1972, by and between Teach's Cove, Inc., a corporation
organized and existing under and by virtue of the laws of the
State of North Carolina, with its principal office and place of
business in Pamlico County, North Carolina, party of the first
part, and any person, persons, firms, or corporation who or whic
may here after acquire title by deed of conveyance, mortgage, or
deed.of trust to any of the lots or parcels of land hereinafter
referred to and situated within the subdivision hereinafter men-
tioned, and their respective heirs and assigns, hereinafter re-
ferred tows parties of the second part;
WITNESSETH: That WHEREAS the said Teach's Cove, Inc,
is the owner of a certain tract or parcel of land located in
Number Five Township, Pamlico County; North Carolina; and
WHEREAS, the said Teach's Cove, Inc. has caused a per
tion of said tract or parcel of land to be divided into lots and
streets according to a certain map or plat entitled "Plan of
Teach's Cove" , prepared by Lox A. Kelly, P.E.,
in January, 1972, and which said map or plat is recorded in the
Office of the Register of Deeds of Pamlico County in Map Book 5
at Page 69 and which said map or plat is by reference incor-
porated herein: and
WHEREAS, the said Teach's Cove, Inc, intends to convex
all of the lots or parcels of land shown and delineated on said
map above mentioned by deeds, deeds of trust, mortgages, or othe:
instruments, to various and sundry persons, firms, and /or corpori
tions subject to certain restrictive and protective covenants,
conditions, and easements which are deemed to make said subdivis:
more desirable and to be for the benefit of all of those who
acquire title to any one or more of said lots, to the end that

I '
h covenants, restrictions, and casements herein sot forth shal
ro to the benefit of each person, firm, or corporation, which
acquire title to any one or all of such lots, and which shall
binding upon any person, firm, or corporation to whom or to
which the said Teach's Cove, Inc.. shall hereafter convey any one
or more of said lots.
NOW THEREFORE, in consideration of the premises, the
said party of the first part does hereby covenant and agree with
the parties of the second part, that it will convey all of the
lots in said subdivision subject to all of the restrictive coven-
ants, conditions, and easements hereinafter recited, and the saic
party of the first part, and any person, firm, or corporation,
who or which shall acquire title to any of said lots by deed,
mortgage, deed of trust or other instrument, by the acceptance of
such conveyance thereof, agrees that the same shall be subject tc
all the restrictive covenants, conditions, and easements followil
1. The lots in said subdivision shall be used only V
residential purposes. No building shall be erected, altered,
placed or permitted to remain on any lot other than one detached
single family dwelling not to exceed 2 -1/2 stories in height and
other outbuildings incidential to residential use of the lot,
2. No building shall be located on any lot nearer to
the front lot line than the minimum building set back line shown
on the above mentioned map of said subdivision.
3. No noxious or offensive activity shall be carried
on upon any lot, nor shall anything be done thereon which may be
or may become any annoyance or nuisance to the neighborhood.
4. No structure of a temporary character, trailer,
basement, tent, shack, garage, barn, or other outbuilding shall
be used on any lot at any time as a residence, either temporaril;
or permanently.
J. Drainage and utility casements are reserved along
all lot lines and G feet on each side thereof, and such drainage
and utility casements are also reserved over those areas indicat,
on the recorded plat above referred to.
G. No boat house, pier, or dock shall be built or
allowed to remain on any lot unless the same shall be kept in.a
neat and safe state of repair and shall.be properly painted.

163 'Ok3i
7. All lots in said subdivision shall be kept free w
clear of weeds, rubbish, trash, and debris, and said lots shall i
Ikept neatly mowed. .
S. All garbage and refuse disposal and all plumbing
installed on said lots shall be in accordance with appropriate
govornmontal regulations,
9. No mining or drilling operations for minerals sha
bo permitted on any lot.
10. Fuel oil tanks shall be buried, placed in the
basement of the dwelling house, or enclosed in such a manner as
to create a harmonious blending of the structure with the dwells
house constructed on each lot.
11. No sign of any kind shall be displayed to the
public view on any lot except one sign of not more than 5 square
feet advertising the property for sale or rent, or signs used by
a builder during the construction and sales period.
12. No animals, livestock, or poultry of any kind
shall be raised, bred, or kept on any lot, except that dogs, cat
or other household pets may be kept, provided that they are not
kept or bred, or maintained for any commercial purpose.
13. No lot in said subdivision shall be reduced in
size by a subsequent purchaser provided, however, that one owner
of two or more adjoining lots, or one owner of one -half of one o.
both of the adjoining lots, or one owner of one -half of one lot
and the adjoining one -half of the adjoining lot, may construct a
residential dwelling thereon upon and across the dividing line
of such adjoining lots, or lot and adjoining; one -half lot, or
two adjoining .half lots so owned by one owner.
14. These covenants are to run with the land and sha
be binding on all parties and all persons claiming under them fo.
a period of Twenty -five (25) years from the date these covenants
are recorded, after which time said covenants shall be automatic .
extended for successive periods of ten (10) years each unless an
instrument signed by a majority of the then owners of the lots
has been recorded, agreeing to change said covenants in whole or
in part.
15. Enforcement of these covenants and restrictions
shall be by proceedings at law or in equity against any person
or persons violating or attempting to violate any covenants eith.
to restrain such violation or to recover damages for such viola-
tion and it shall be lawful for any person or persons owning any
real property situated in said subdivision to prosecure any pro-
ceeding at law or in equity against the person or persons viola-
ting or attempting to violate any of those covenants and restric
tions.
16. Invalidation of any one of these covenants by
judgment or court order shall in no way affect any of the other
provisions hereof which shall remain in full force and effect.

w_..,,....,, _...:........_...._
r.,
IN TESTIMONY WHEREOF, Teach's Cove, Inc, has caused
this instrument to be 'executed in its corporate name by its
President, attested by its Secretary, a. nd its common corporat(
seal to be herounto affixed all by order of its Board of Dire(
duly given,
'•�., ^< ATTEST:
SECRETARY
TEACII'S COVE, IN
i 1
NORTH CAROL//IIpNA
COUNTY OF
a Notary public in and .
said County and State, do hereby certify that Jeanette Hudson
personally appeared before me this day and acknowledged that sl
Js Secretary of Teach's Cove, Inc., a corporation, and that by
authority duly given and as the act of the corporation, the
foregoing instrument was signed in its name by its president,
sealed with its corporate seal, and attested -by herself as its
Secretary.
Witness my hand and notarial seal this
�Uay,A.d {�1GJ
January, 1972,
n NOTARY PUBLIC
My commission expires: [.( G .t;•'- '. n
NORTH CARO,,,lll.^f,NA
COUNTY OFr +i)
The regoing certificate of w2d— + a Notai
Public of County, North UaL10111111, 1s Certified tot
correct. T I's fns rument was presented for registration this
day and hour and duly recorded in the Office of the Register of
Deeds of County, N.C. in Book 163 at page. l () 7
Tiiis o" Lday "of January, A.D., 1972 at J, o'clock
11
RL C
BY;

t'AIVILII:U k. UUN I Y Ht=AL 1 H UtNAFC I Mt--N I
�. P.O. BOX 306
BAYBORO, N.C. 28515
IMPROVEMENT PERMIT- �•
^� TI (valid 5 years) � © \ \`
Owner:Teach's Cove Developers, Inc.% 2
Owner Address:983 Hardison Lee Farm Road 3 s
Owner Address(2):Arapahoe, NC 28510
Owner Phone #: FLL,--t ' 1
Property Address:Treasure Drive (Teachs Cove S/D) 25.433 54 Ft
Property Address(2):Oriental NC 28571
PIN:1081 -5-33 G15
Record: LOT y �� r'oastat r �
Establishment Type:Home Gil V H ��.
Type of Well:Public Well Mash '04 Z23•
Design Flow (GPD):360 / tpF I G
Initial Site �'A - 4 n,Op- W tti
Wastewater System:Conventional Pipe IPF 52.4 N
Long Term Acceptance Rate(GPD /SQFT):0.4
Trench Wiidth:3 FT,/ -+^"ter U
Trench Spacing (OC):9 FT
Trench Bottom From NGL: -12 IN (L
Septic Tank Volume: 1000 GAL Q
'Repair area exempt (platted prior to 1982) IPF 34
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AN AUTHORIZATION TO CONSTRUCT MUST BE OBTAINED AND
ALL FEES PAID PRIOR TO WASTEWATER SYSTEM INSTALLATION.
THE PAMLICO CO. HEALTH DEPARTMENT RESERVES THE RIGHT
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.-TO REVOKE THIS PERMIT IF THE SITE IS ALTERED, INTENDED
USE CHANGED, OR ANY INFORMATION IS FALSIFIED.
ANY CHANGES TO THIS RM`T WILL REQUIRE A REDESIGN
f �Q� PERMIT AND SUBSEQUENT FEE.
f Authorized Agent: z/JA/)./,g j �� Date 2/52007
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RETURNED T0:
DATE RETURNED:
Recorded: 07/08120130atT12:50:43 Ph
Fee Amt: $251.00 Pane 1 of 3
Revenue Tax: $225.00
Pamlico, NC
Lynn H. Levis Register of Deeds
BK582 P0246 -248
Prepared by/Return to: Sara L. Delamar, Delamar & Delamar, PLLC, Attorneys at Law,
P.O. Box 411, Bayboro, N.C. 28515
N.C. Excise Tax - $225.00
NORTH CAROLINA
GENERAL WARRANTY DEED
r419X9161JWWA
This deed, made and entered into this —� day of t,. �i 2013, by and
between Teach's Cove, Inc., a North Carolina corporation, hereinafter r referred to as
"Grantor"; and Richard A. Samanns, hereinafter referred to as "Grantee ". Grantor's mailing
address is P. O. Box 459, Bayboro, NC 28515 Grantee's mailing address is P.O. Box 245,
Arapahoe, NC 28510.
WITNESSETH:
That said Grantor, for and in consideration of valuable consideration paid to Grantor, the
receipt of which is hereby acknowledged, does grant, bargain, sell and convey unto the Grantee
in fee simple all that certain tract or parcel of land lying and being in Number Five (5) Township,
Pamlico County, North Carolina, and more particularly described as follows:
Being all of Lot Number Thirty -Three (33) Teach's Cove Subdivision, as shown on that
map prepared by Lex A. Kelly, P.E. dated October, 1973, of record in Map Book 9, Page
63, Pamlico County Registry. Reference to said map being made for a more complete and
detailed description of said property.
This conveyance is subject to the restrictive covenants recorded in Book 163, Page 207 and
Book 195, Page 526, Pamlico County Registry.
The property hereinabove described is subject to ad valorem taxes for the current year
(prorated through the date of closing); utility easements and unviolated restrictive covenants
that do not materially affect the value of the Property.