20230988 Ver 1_Minor Variance_20230711

DocuSign Envelope ID: 4499D2A9-FA86-48D9-8D06-4907824739CA
STATE OF NORTH CAROLINA
ti� f•
MINERAL AND OIL AND GAS RIGHTS MANDATORY DISCLOSURE STATEMENT
Instructions to Property Owners
I. The Residential Property Disclosure Act (G.S. 47E) ("Disclosure Act") requires owners of certain residential real estate such as
single-family homes, individual condominiums, townhouses, and the like, and buildings with up to four dwelling units, to furnish
purchasers a Mineral and Oil and Gas Rights Disclosure Statement ("Disclosure Statement"). This form is the only one approved
for this purpose.
2. A disclosure statement is not required for some transactions. For a complete list of exemptions, see G.S. 47E-2(a). A
W-SCLOSURE STATEMENTT N F IN . 4 - , including transfers
involving the first sale of a dwelling never inhabited, lease with option to purchase contracts where the lessee occupies or intends
to occupy the dwelling, and transfers between parties when both parties agree not to provide the Residential Property and Owner's
Association Disclosure Statement.
3. You must respond to each of the following by placing a check � in the appropriate box.
MINERAL AND OIL AND GAS RIGHTS DISCLOSURE
Mineral rights and/or oil and gas rights can be severed from the title to real property by conveyance (deed) of the mineral
rights and/or oil and gas rights from the owner or by reservation of the mineral rights and/or oil and gas rights by the
owner. If mineral rights and/or oil and gas rights are or will be severed from the property, the owner of those rights may
have the perpetual right to drill, mine, explore, and remove any of the subsurface mineral and/or oil or gas resources on or
from the property either directly from the surface of the property or from a nearby location. With regard to the severance
of mineral rights and/or oil and gas rights, Seller makes the following disclosures:
Yes No No Representation
Buyer Initials
1. Mineral rights were severed from the property by a previous owner.
❑ ❑ 91
Buyer Initials
2• Seller has severed the mineral rights from the property.
❑
Buyer Initials
3. Seller intends to sever the mineral rights from the property prior to
Eltransfer
of title to the Buyer.
Buyer Initials
4. Oil and gas rights were severed from the property by a previous owner.
❑ ❑ KI
Buyer Initials
5. Seller has severed the oil and gas rights from the property.
❑
Buyer Initials
6. Seller intends to sever the oil and gas rights from the property prior
❑ IKI
to transfer of title to Buyer.
Note to Purchasers
If the owner does not give you a Mineral and Oil and Gas Rights Disclosure Statement by the time you make your offer to
purchase the property, or exercise an option to purchase the property pursuant to a lease with an option to purchase, you
may under certain conditions cancel any resulting contract without penalty to you as the purchaser. To cancel the contract,
you must personally deliver or mail written notice of your decision to cancel to the owner or the owner's agent within three
calendar days following your receipt of this Disclosure Statement, or three calendar days following the date of the contract,
whichever occurs first. However, in no event does the Disclosure Act permit you to cancel a contract after settlement of the
transaction or (in the case of a sale or exchange) after you have occupied the property, whichever occurs first.
Property Address: 253 Rice Avenue Merritt 2855E
Owner's Name(s): Oma Cannon Whitaker
Owner(s) acknowledge having examined this Disclosure Statement before signing and that all information is tare and correct as of
the date signed. noausipned by:
Owner Signature: � ^^ "`' � Oma Cannon Whitaker Da1e 8f$f201$ 5:36:03 AM PDT
E49BBABOCBC1499-
Owner Signature: Date
Purchaser(s) acknowledge receipt of a copy of this Disclosure Statement; that rhev have examined it before signing; that they
understand that this is not a n•arrantl, by owner or owner's agent; and ►hat the representations are made by the owner and not the
owner's agent(s) or srrbagent(s).
Purchaser Signature: Date
Purchaser Signature: Date
REC 4.25
Mariner Really, Inc, PO Sox 750 OTicnlal NC 29571 11,1115
Phone: [phone] Fax: [phone] Allen Propsi Whitaker.Olna
Produced with vpForrr6 by zipL091X 18070 Fifteen Mile Road. Fraser. Michigan 48026

VICINITY M" NTS
�k GS N4C." W^YER VIBE
46 L!
oEG" � t�
� 3
i alE
POWER POL o G
N � o � F
SEPTie v x f ICHARD MY S z R
PK �� DB 279, P 57
/ TAX PARCEL 051-5 e
17517.3 0. FT. ry
�8p 0-40 ACI S
f
N /F ti
PATRIC4A EATMON
D6 165, PG 678
TAX PARCEL K051-51
L2
N 34-11'31" E
50.75'
1 LM
N 54'05'08" E
46 15'
La
N 67'36'40" E
30.63'
L5
S 52-27-45" F
9.64'
Lfi
S F,6'20'19" E
29.36'
L7
N 77'12'39" E
68.05'
LS
N 89.2T46" E
23.34'
_8,-� E;P
W
� O
�—j g N /F
ROSA RICE
2 DB 196, PG 488
TAX PARCEL K051--32
POWER POLE
CERTIFICATE OF REVIEW OFFICER
I, minAm REVIEW OFFTCER OF
NOTE: THIS PROPERTY LIES PAMLJCO COUNTY, CERTIFY THAT THIS MAP, TO WHfCH
WITHIN FLOOD ZONE AE EL 7 TKS CERTIFICATION 1S AFFIXED, MEETS ALL THE STATUTORY
REQUIREMENTS FOR RECORDING.
ACCORDING TO 1=EMA FIRM DATA
RE EW OFFICER --- DATE
LEGEND
THE.n STANDARD SYYROLS WaL
BE FOUND IN THE DROVING
SIP -SET IRON PIN NPS-NO PIN SET
Aw Ekmwa [RON PIN/PTP6
EPK-E7G TWG PK NAIL
SPK- SET PK NAIL R/ll- RIGHT Or MAY
B/L-RUaDRiG IDLE E-Cl2MC IJ7¢E
CL-CENTER LINE PL-PROPERTY LINE
NIP -NO IP POUND
KU-1'YLSf CONC. MONUMENT
L T111Iam X. Marlowe, do hereby certify that, to
the bast or my Imowledge and bellel, this Plat,
dralrn under my superrWon, repreaenta afield
su"ey conducted under my eopervlste4 (Ref -
deed descrlptlon recorded In Book 279 ,
Page05, etc -)(other); that the bnundrlee
not surveyed we clearly noted ee 'Drawn from
W*rtnattan found In Boolf N/A
Page : Ebel the ratio of procirlom as
oalculated. Le greater than I in ta.OW: that
this Plat wee prepared to accordance with G.S.
47-30 as amended,
Tltntei my original signat d seal this
2r�l
of A20 14
L-3013
RESURVEY
DRAIFN
DATE
BOBBY WHITAKER
08124110
TAX PAR. K051-53
TWP. 2
APPROVED
DATE
PAMLICO CO., NC
SCALE
SHEET
PROJECT NO.
I" = 50'
10403
V IIlIJA M E. MARLOiNE, PIS
110 Gn.40 ROAD, OAI6NTA14 NC 2a571
2S2.2424M2
Book: 546 Page: 915 Page 3 of 3
3

Kti1 Lida €�
Pamlico County
s K,y Health Department
October 4, 2011
Bobby Whitaker
1012 NC 1 I 1 South
Goldsboro, NC 27534
RE: 253 Rice Ave.
Memtt NC 28556
The property identified by map # K051-53 has a type V system classification. Attached are the operation and
maintenance requirements for the system that has been installed. These requirements are an integral part of the
systems approval- To ensure system performance and to maintain the validity of the operation permit the
requirements trust be adhered to. Part of this approval requires a contract between a management entity and
the owner of the systern. You may choose one from the list or obtain one thw is not on the list as long as they
have a current certification. This contract needs to be provided and system inspected before an Existing Permit
can be issued.
If you have any questions, feel free to call me at 745-5634.
Sincerely,
Melanie D. Nobles, R.E RS-
Environmental Health Specialist
P. 0. Box 306.203 North Sahel - B3ayboro. N. C. 29515
Phone [phone]- Fax [phone] -Carl! ad&r Ss: txyarr.c.lrarsisri-10 1net

STATE OF NORTH CAROLINA
COUNTY OF !'A ML IC() rNSPECTION AND
M�4INTFNANCF AGRFEXMNT
THIS AGREEMENTis trade avid entered into this `al,'�j'„�
iu s� ,,�� of � . 2011, by and bat veer
( erein�si}er the `tiCon Cam_ {hti n 985 33`5dwner') and Klichael f Ashy Jr.
WITNIvSSET11
WHEREAS, the owner owns or controls the properly upon which a
"sr stc�t3 ') is iasutl l['d, such systm being desi,�atod a 7 ground absorption sewage treatment system (hereinat}er
and Disposal found at 15A N.C. Admin. Cade l 8A_ I9p0 et seq.; and tern tinder the Fades for Sanitary swage Collection, 'Treatment
u' titY for N.C. Admin. (Ode IBA. 1961 regnires a contrbet to be executed between the system owner and
naans;;emettt entity prior to file it"ance of all Operation Ptrnrit for said system, and
ti1Huted co 15A N.C. A dntin, Coale ! 8A. 1961 requires that a condition of the a
prol?erly executed contract between the system owner and a manageme,t entity clrall r , for asrlpnfor
� said the system
is al u
an[f
lb'Fli?RE.4.�s, the Crrnu�acior;s a nano e[rtcrrt emir r�#�a see
i }Pe system. Y type autborized by 15 N.C. Adruin. Code I SA_ 1961 to manage a
NCjW TxEle> Dim, in consideration of die premises and ofthe mutual hcovenants and promises c[srttaincd in i
cn:by ag)-ce I by and between the 0"zr and the Contra covenants
as stiff laled $elnw_
this Acrr:enE, it is
I . The Con I: actor's 4bli atiorts: The Contractor shell�pedfnrrn the following services cur the Owner's system Ic>cat� c
A. [3nEzactor SisaF inspect —be ttQ at leers y - d
1961 (b) for Type system. t the he�rretrey req red in Table V
(h) of ISA N.C. Aatatin. Grade 18A
a. the Contra Mr shalt perform the foliowin rflutine maintenance
Operation pennit: p g
p cednres nr accordance with the conditions of the
])perform ins`pec:tions twice per year,
(?)purge sniids fmro system usinti Potable water twice per year.
(3) check and adjust, as needed, the pmssttre on the diutrib,rtion ,Y-sf. , me iurc �— n'a a#'c.ast s ni-annually.
45) Record put P houar etcr during each inspection
rate after etch p%-sure head 4uqme.
(6) Record visual oh pection and caIculatc pturrping volume.
salt report
port of all s}stern compvnc r& and all maintenance activities.
C. 3'ne Cornrarror shall rc Relit the results of its inspections to the local be, d
V(b) of I SA N.C. A dmin. Code I SA. 1961 (b) forType epartment at the
frequency D. rf an inspection indicates #Ire need for the
� system
tent re em 4 y specified in Table
within 48 hours of the pis ys pairs, the Contractor shall notify the local heath rleparlment
pection.
E. The Contractor shall notit`y the O"er of needed
repairs subPp mph ) abi)ve. Tile cotter actor shall perform neces rY tle air to the sysfem at fbelr of routine e t of theainte dose ribe f in
rriiE€ tl to as r,nnnt tlreretare at the Cnatractor's normal cha for service and utaterpaLs.
! . "I'be cogtractor shall no ' Ow�aer and shall be
roc i[,t of such quest 'porx3 to a request for a nonscheduled service or maintenance call within 48 hours after
tirFer's Ohligation,,
A. The Owner shall pay to the Co,ntmctor the sum of$ Jq, ix)
pncedtt]tis and periodic reports. The atmuaf fee maybe amend Pery'ear for periodic ins
itrtzti.d inure than 24 percent inspections, routine rnainrenance
per year The upon sixty (GO) days advance; notice to the Owner but gray not be
d Xs ore tires stem as a result of noreschecinlcd servieec pr maintenance calla A!1 fees are due and
er shall v to the it advance his aurinal and rractoma fees for as work
Ll clans of biltin . I'aYrnents due to nc� Contractor and rrrtpald by fire Du ncr after th
.etc until ;aid at a rate of l.,S suable witbitr t4irty
—percent per month. n*y {30) days shalt acaTumterest from the due
B. l�'itltin -( days ofreceipt if notice ofneeded reps pttrsttanl to
Of an complete needed pia h 2.(a)
t epairs or shall pins ide to the ` pabove, the Owner snail request the
}' at rather entity. Contractor evidence that the needed repairs were satisfacrori 1y completed

The Owner shall provide the Contractor with such access to the system as is reasonably necessary for the Contractor to
coniply with the terms of this Agree pent.
3• TES �Q: Tllis Agreement shall remain in effect until terminated
A. Automatic Termination
This agreement shall time for
t tieally terminate
revocation are exh�►ustec} or timefar taif the Operation Permit for the system is revoked and all appeals of the
king an appeal ha, expired.
El- Termination By Mutual Consent
The patties may mutually agree to terminate this Agreement by giving written notices of termination by mutual
foc,•al health department (30) days in advance of the te. n ation consent to the
C. Termination Iiy The Ou-ncr
The C}caner may term mare this ABrrcmeat lty Lr ing notice to the Crmtractar and local heath deparunent Briny (3) days in
advance of the date of terntinarion.
Termination $ the Contractor
l } The Contractor may termini this Agmeertlent for cause by giving written notice of intent to terminate this Agreement to
the Uw net and to the local health department t13ir-ty (30) days in advance of the date of termination- Cause shall be defined as:
A) Failure to remit payment for any kill for services performed under and in aconrdance with this de ned 2.1;: if said
Emit p rant paid within thirty inat days if receipt by the Owner of the bill. If said bill ix Paid after notice of termination is given
hrit prior to the date of terrreinatiara of tihix Agreement, this Agreement repairs (o the Shall st�Y in of%ct; or
ip system Failure tilt Owner to provide to the Contractor auihoriration to rpmplete needed repairs or satisfactory eviderrcz that
stcau Yi were completed by another entity within 10 days Ofreceipt of notice ofnceded repairs is provided after
notice Oftc:rmiivaion is given but prior to the date of termination of this �,
() Failure. of the Chvner to allow the Contractor such scccss to Agreement, this Agreement shall continue in eft'ecg or
CC M"acTor to "imply with the terms of this AQC,ru.menr. sYstern as is reasonably necessary e:n order for the
?) Tlyc Contractor may not terminate this Agrer rnent without cause,
as pravi&d in f'a.�€aph 4, below, may ay assign its rights and deities under this Agreement
Ass' nmeut
A- Assigmnent b the (.honer. ,,be (7wner sh.ail trntif' the Contractor (if the name noel address clan
y �,
property on which the system is located. The dwer shall : y purchaser Of the
tits existence of this. lso notify any purchaser of the property an which the system is located of
Agreement and shall assign all rights and Burl, s under this Agrrcrrtt°*�* to s2i3 e�m c#saser.
B. Ass; ent b this Contractor. i1he Contractor may assi its riY ::S3F;7vCniCIIt entity which] ls %wlified pursuant to 15A N.C- Adrnirr. Cade #Sri 1 an dtutim u de a thiis � rstca another
days wairttI3 notice tv the (honer and to the local health department Y m upon thirty (sp)
s- iJsc �f Swbcnratractprs: the Contractor may subcantrttt with such manufactttr
dcstrahle to perform any of the Contractor`s duties under this Agreement.es+ suppliers and contractor as it dcerus
pericirmance c►f arzd pa'a gncnr for all work performed by all subco r.The Contractor shall at all times remain responsible for tine
tf- fte MMR(at!w The Parties raprr sent to each other that each has (lee power, authority and fetal right to enter into and
perform its obfig-atipns as set forth in this Agreement
7. l2s+rulaty Ameudaracnts: References in this A
tn�}' rnav he amended in the future, n7ent to sections of the Admirristrsgye Code shall include such ruleLs as
A- !yin tar Pied Waw-ier: The waiver by either Party of a default or a breach by the other P a
�1eemesat s#rall me►t operate or be cc►nstrraed to operate as a waiver of an subsequent f any pRn ision of this
ci-die 1'arev to err£arce art y provision of this A Y b5aquerrt defaults or br h. 'Ihe failure at any time of
4grcerrjcnt, or the rights
it. of either
P Agreement [a) shall not in any way atect the validity of this Acctritnt, or �y of this
Party therc�}er to enfearce each and every provision of his Agrecrnerat.
?atice: Every notice r-egttircd under this A_ cement shall be it' writi�garrd shall be Agdeeeen snlficientl
f►erson or sent b}' ecrtifierl or registered mail, return receipt requestcci, postage prepaid to the P
y given if delivered in
1�Ilc,wti: arty to be notified and
addressed as

Tn titre iharn r-
O " c f ell
i t TLC- !4wy (t( S
6btds(D�c /vC, -7
To the Contractor:
Michael L. Asbv Jr.
12120 NC Nwy 33 P
Choc:Crwinity NC 27817
rihnn�- `57.;3?..C_qb
To the local health Depa=L--nt:
P:rinlica C01111ty Health Dcaartmertt
Y_p. Box 30r
13avhoro- NC 28S 15
The chtie of any Notice shall be the date of personal delivery or the elate sl:own on the return
zrtenrtjicd rlelrverv, as the case may be. Chances in
the receipt as the dais of delivery
or 1 rune by either b Demncctive addresses to which noticr may be directed rnav be made from time
Part} y usrtice to the other party,
1 Ct. Nlaeemetat of A reernent _ This Agreement and anv puestinns cnnccrninu its v-ilidity. construction r
gc�c•Prucd by the laws of the State of North Car�Eina nniwitlxsiandin;� the place of execution, or
o the signce shah be
r�;,,�iP�� �'•' afi'iYP�r n, the ordav in wiaicl� the sigtaaittrc:s of the
] l • lJntire reement and Amendment_ This A
between the Parties whit respect to the sub- matter hereof TO be ent eff e, any atnel-Ament or modificatiojt to dlis Agreem
rsedes all la b0lra60rL% agre nts and understandings
be in �s riling and must be signed by the Parties.
l'- ,Seve^_r2boity; In the event that an ent must
unenlorceahfe in an respect Y (H'ovislOn of tlli5 Agr'eLFnent shall, for any rea%OYL be determined to be invalid, illegal or
Y act. the that
shall .n gotWe in good faith and agree to such alnendux-ms, modifications or supplement._ of
err to this Agreement or such crthcr appropriate slate actic)as as shalt to the maxirntnn exteKa[ prdcticai�le in light ofsuch detemtinaern
i ntplem�nt arnd give effect to the intentions of the Parties a, reflected in this A
_hail, as so amended, modified, supplemented or otherwise aflectui i such Agreactioem m MW the Other orr�c and e$cct
provisions Of this Agxeernenr
ea 'l l hcWF tic vVF.I<�'1' and y are f.a�tics hereto have executed this Agreement in duplicate originals, tNae of which is fetaiatc
each al'thc Parties_ ilte day and year ,,hereto
written.
d kv
(OWN-FR) 2�164e -
n
fit WNiI ACTOR)�� —

Michael L. Asby Jr.
12120 NC Hwy 33 E
ChocovVinity NC 27817
I lomc Phonc: 252-322-5599
Customer:
JDvoiae No. 356
INVOICE _
Order lrt#onnation
N.a ne: Bob Whitaker Datc wort: Performed: NIA
Addr : 1012NCilevy III SDr
City. Goldihum NC. 27534 Bate: 10I1211 I
Phone.[phone]
(tuaittity
Description
Uait Price
`Total
2
Annual Inspection
$150-00
S300.00
Subtotal
$300.00
Sttblatal
Please remit payment and signed contract, if applicable, as soon as possible we appreciate your business.
Thank you for your Business

PAMLICO COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
( i
CERTIFICA?E OF _UMPLETION
(_?
0?F.RATT0*( PERMIT
ISSUED '2Urr+'i
'� _
ON PERMIT*
i 7
ADDRESS:
RECORD i
313E
� PHONE;
OR it
LOCATION_ sIE
OR s 714
1390 LEFT QaTO DIRT RG
COT P`%NP_
HATER SUPr LY
i�� ) PUBLIv
✓" ) PRIVATE: feet iron uDsest point oz ,optic rysjca<
INSTALLER: l
1 COME a -7
hPPRGVA0 This system has Me;n inspected by the s:cn »q Sanjtzraan azc
ban been APPROVED as shown on the:
i PLOT PLAN
)- FINAL PLOT
e. ( ELECTRICAL lKSPECT IONT APPROVAL RECEIVED! SEE ATTACHMENT
0ARA'1"ANAL PERMIT PF,STFIC ;OYS. tHD Ei^IPULATIONS:
( i This syste; will he inspected tilefsi a yea:
( WATER l'.OXgr.RVATION DEVICES OR METPOUS
Comments.'
( ) ADDITIONAL;
HOUSE ( 1 lE0SILE HOMP ( } OTHER f 1
IDEDROONS. _ ISATHROOMt f � FACTUP-S
!!!Y[tlRLtl Rl�t R�:stR*-sttls �kltRk FIMAL PLOT �Fr�s sakz,txzst-r�kt�reEaRtRaia�
SEPTIC TANK .I
r
i
SANITARIAN 1 � � A11PIROVAL DATE
NOTE: THE r FR CONIRDL( )F A PROPERTY 15 ItE5PONS£BLe FOR THE
KhiNTF}+iAAfCG OF A. CROUND ADS02PTION SEPTIC UYSFEM 1N A MAgN R
WHICH: WILL NOT EMIT EFFLUENT OR CONTAB NATION TO GROUND GURFACE
OR SURFACE 4dATERS. VIOLATTOWS DF TDIS :AW ARL PUNISHABLE AS A
MISDEREANOR UhDEP C S.130A-13W; Qof.1161)

¢ARLIi;O COUNTY HEALTH DEPARTT'IEtiT
ENVIRONMENTAL HEALTH SECTION
BAYBORO, NORTH CPROLINA 285;5
W.R.Vt!, r-NTr P£Ftf!IT
Permit valid for 5 pears
:BSUED ci:T_-EftA _ rN PERA17 t
ADDRESS: PO E?UX 19 .._ _...._ RECORD t 3162
�_— Toi�E)rAI,L NC ?Ss?SS83 HAP -9 lSD�1-?3 �.
REGISTERED PLAT; EAP 0001K _ - - FACF 4 --,DATE-
REGISTERED DEED: HEED HOOK PACE DATE
SUBDIVISION, _ _ Lear 8
TORN: :'Ir(7f?N[:£ _w aft *
LOCATION DIRECTTONF- DIRT 8i1 oN LKE 0T * F"N -
WATER SUPPLY: (X) PUBLIC
GR (N) PRIVATE P54 feet fray any part of septic system
HOUSE E 1s ROME; { Y. ) OTHER (
SPEDROGMSZ — z 1 BAT"90OMS: SFACTORS
CLASSIYICATiON: f ) SUITABLE ( X ) PROVISIONALLY SUITABLE
LAND DRAINAGE- i ) SUGGESTFO t ) NECESSARY
( ) DITCH N&CESSARY ( ) SUS-SUFfACZ- TILE NECESSARY Set - deep
and t ) TRENCH ROCKED TO WITIiIN I'OF GROUND SURFACE
and f ) WITH POLYURIT'Ii? NE CURTAIN; cke.NCH DRAi;v'
and ( ) FINISHED AT UUTFP.LL W/ SOLiB PIPE & SCREEN
and E ) FINISHED AT OUs FALL W/ CHECK VALVE
*t2 If 12nd drainage Is DecessarY, you MAY APQe to contact CANA for
appropriate pervIt t Ref- ETt;IIdSaq Irispectlon,= Department
LOCA7IGO OPTIONAL ( X ) LOCATIOt! AS SPECIFIED 01; PLOT PLAN
( x ) CONVENTIONAL S's STE14- 1 ref . i sr-5i 18"% I'trench , rock i 7"ETeep
n±t-ifzcAtlrn 1-�nas on S' rfnters
( } SHALLOW SYSTEKN:(ref,195i;) trench " bride, rock 12"Goer,
r" sail cover, roct to natural ground surface
kIt?ffiiD 5YST:M: iref.195©b}trench '! wide in su_table fill
elteAd!Mq _' beyond a='. Part of systez
•" = dpptN of FILL; pump neue rs4ry if unable to gravity feed
f*� ri fill sateriai is Prescribed, you may need to Contact Tat Army
Corps of ftginrerL for appropriate permits: Ref: BuJId. Tnsp"
E X ) LPP SYSTEM:(ref-1957) 5ec cou*euts for design criteria
r ) BED SYZTFP: (rEf.l9+Sd) sae comments for deLLLgn criteria
E } OFF-5ITE PTSPOSAL:(ref.1957) see tomnents For design note...
- 1900 gal SEP?Far TANK -0" . gel PUMP TANF. ( ) GRL'A5E TPAF
360 -SQUARE FEES' NITRIFICATION FIELD or NITRIFICATION BED
_..74Q__LINEAR FEFT OTTR fiCATiON LIFE;--_ ;IBL C2i#li Hz!

(lf ) PIPF,.
PUMP' AtdD_ sEpTIC Tpign; To
PUMP SET(JP: CHFCC, YAW,. LATE VALVE, TFPEA -FR U,41
0
N I14 PLACE IN
iyLIMF- of7u��O.!l10_ ET
TOTAL- KQ A F_7S4'T 'TQ_9G[.01d PUhP TO RF, Af g SiJ,�:lrFR(-,RD S _I.._.,R ti' PUMP) AN
FLOAT Ste- ] A1t3VE_Nvll�ti.jA1.LU4�'" RPPitDIliA3' �"� f5R S?`iiR1�GE)
1';iT r S c 0 FIELD!4iLI'FT.Y S.r{ _°r 'CH 40 PVJ'_PIPE, L ^Il"
win
Prul� _ or. es. (WEE epilHErr' TT19�MF-�[p5
EMTkS a i�!►�'�i�? ARE Qr".'� rhl.L��,._
a�I_CAL C it�'.P C?i(1. . 'cam -- ^!!�-Pgc? R N��,�ESSA�db �] - fi F. _:i� 2
L114E
E. IRE
I =' Q'
� _�
SPACE
SPACE
ffOLEST_� APART @
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ADDITIONAL FOP ALL SYS E S:
LANDSCAPE SYS'FEfl AREA FOR SURFACE WATER RUNOVF AND GRASS
DO NOT PLACE DRIVE OR ANY SUILD't#G 0VFR SYSTEM AREA
OBSERVE ALL PROPER !!ET9ACXS: ref .1950
TANKS KU17 BE PUMPED CLEAF AS A PART OF ANf SYSTEM REPAIR.
n= f:ATURAL GROUND BEF0 2E INSTALLATION nF ANY FILL
Af.. RX & Ott -OFF F .OATS ON PUMPS MUST 9£ 09 SEPARATE CIRCOITS
• IF BUILDING AREA EXTENDS YNTO SYSTEir AREA TKJS RERKrT WILL BE INVALID
• IF ANY OTHER REGULATORY AGENCY UENIE: PERMITS FOR LIND ALTERATIONS AS
DESCRfSED HERf'.IN. THIS PERMIT WILL BE INVALID
PLOT PLAN MUST 11071 BE ALTERED UNLESS BY SANITARIAN APPROVAL
rirciswta���rii:areftet:srtecei# PLOT .FLAW �cre�a,re#�**saersvesexi:t:ali
n
'COTE: THIS PERMIT Zv,,'M REPLACEMENT PERMIT FOR ONE ISSUED ON ID/23/90
]ND i5 BEING �S_UED DUE To RECONSIDERATION OF SPACE LIMITATIONS.
I€ ` HTS PERMIT ,ES NOT C HANCE OR 1PIV dLIDATE THE EXPIRATION DATE OF
'10/23/IS Nt)TEIt,ON THE OR!GfNAL PCF,%IIT.
Aj `0
PERMIT DATZ 10f2/90_ ...^
SANITARIAN � i � � ._ I �'u_ � _�' DATE. �o I1�'��_
NOTE: ALL :il'F'[I� Ca{a1E!$i 111J5T' £ SI'Ei:'fEU —AND fECEFYE.PPR�+YrSL BY
SANITARIAN OF THE LOC&L HEALTH DEPARTMENT BEFORE SETNO COVERED
OR PLACED INTO USE AND NO ELECTRICAL CONNECTION SHALL BE A1.1.4HE10
UNTIL KPPRGVRt. PIAS EFE'N RECEIVED. C C. S . I30A_ 33'f d T �3R 3

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279 FACE 859
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REFERENCE : A DEED RECOI DeV #V DEED BOOK Z39
PAGE- 779, CF TW PAARICO COLWTY REGISTRY.
BASED OVV FLOOD AV.'Z RATE AW NO 370IB1-0145-8
MW PIROPERTY /S "XATFD ASV AN A45" FLOOD ZOAC
AND 1.5 *77W ThE 100 YEAR FLOOD BgL 04RY.
TW SURVEY IS OF ANEAVTM A3i1M.
RPAAYAN WHM AWVE NOT EVEN DE'TERMWD
OR COWMERW 9Y rw SI VEY
PREPARED BY
A SURVEY FOR
{ A hf VH HA4RRIS, ✓R.
RICHARD
L.
MYERS
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PAWICO COUV rY , N.C.

PAMLICO COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
EAYBORD, NORTH CAROLINA 28515
IMPROVEMENTS PERMIT
Permit Valid for 5 years
ISSUED TO: H. Frank v gin
PERMIT # y�
P_DDRESS: P. 0. BOY 39
Stonewall NC 28583 RECORD # 31E2
PHONE # [phone]-
464I MAP # Y.05I-53
REGISTERED PLAT: MAP BOOS
REGISTERED DEED: DEED BOOM, PAGE DATE
SUBDIVISION: DATE
TOWN. LOT #
LOCATION DIRECTIONS Iiw
TL on 55 TL SR I� C"R #
24 o oncord Christ Church
3330 Ist rd or to Rice's C iry TL o to end TR
WATER SUPPLY: (x) PUBLIC
0� R (z) PRIVATE Io0 feet from any part of septic system
HOUSE ( x ) OR MOBILE HOME ( x ) OTHER
#BEDROOMS: 2 4tBATHP.00MS. }
FACTORS P40
CLASSIFICATION: ( } SUITABLE ( x ) PROVISIONALLY SUITABLE
LAND 1RAINAGE: { ) SUGGESTED
{ ) CESSARY
DITCH NECESSARY ( } KEEP EXISTING DITCHPLANTEDAND CLEARED
and ( ) TRENCH ROCKED TO WITHIN I'OF GROUND SURFACE
and ( ) WITH POLYURITHANE CURTAIN: FRENCH DRAIN
and ( ) FINISHED AT OUTFA.LL W/ SOLID PIPE d SCREEN
and ( ) FINISHED AT OUTFALL W/ CHECK VALVE
AA* If land drainage
a You may reed to contact CAMA for
appropriate perm
is necessary,
r�its: P,ef: Building Inspections Department
DESIGN:( ) LOCATION OPTIONAL ( x ) LOCATION AS Sp
( ) CONVENTIONAL SYSTEM: �ECIFIED ON PLOT PLAN
(ref- ,) 18F, X 3 trencb, rock 12"deep
nitrification lines on 9' centers
{ x ) SHALLOW SYSTEM:(ref.I956) 12"X 38"trench, rack 12 dee
soil cover, rock to natural ground surfape fi„
( ) MOUND SYSTEM:(ref.1950b) I8"X 3'trencb in suitable fill
extending as shown on the diagram below.
depth of FILL;
PULP necessary if unable to If fill material is prescribed, gravity feed
you may need to contact The Army
Corps Of Engineers for EPPropriate Permits, Ref: Build. Insp.
( x ) LPP SYSTEM! (ref .1957) see cOzLeLts for design criteria
( ) BED SYSTEM:(ref,1955d) see ccmaents ( 1 OFF -SITE DISPOSAL:(ref.1a57) for design criteria
1000gal SEPTIC TANK see for
for design Hates
0 -�000 GAL P`'YP TAN
00 SQUARE FEET NITRIFICATION FIELD or NITRIFICATIONA
RY
2BED
-' LINEAR FEET NITRIFICATION LINE

COMMENTS: PUMP ANTS SEPTIC TANKS TO BE WATERTIGHT
PUMP SETUP_ CHECK VALVE GATE VALVE THREADED UNION IN PLACE IN
PUMP -SUPPLY SETUP. PUMP TO ACCOMMODATE 30 GAL 'SIN @ 12 FT
TOTAL HEAD. ON & OFF FLOATS SET 4 INCHES APART WITH FLOAT
SET TO ALLOW PUMP TO REMAIN SUBMERGED 1" ABOVE PUMP) AND ALAQ!
FLOAT. SET i" ABOVE ON FLOAT. (ALLOWS APPROXIMATELY 24 HR STORAGE)
NITRIFICATION FIELD: SUPPLY LINE = 2" SCH 40 PVC PIPE. LATERALS
I&1 4" SCH 40 PVC PIP£ SET ON 10' CENTERS. TRENCHES 18" WIDE
WITH 12" ROCK DEPTH. HOLES TO BE NO CLOSER THAN 5' FROM ENDS.
PLACE 7 32" HOLES ON 10' CENTERS = 6 HOLES PER LINE. TURN -UPS
@ ENDS OF LATERALS NECESSARY.
LANDSCAPE NITRIFICATION AREA FOR SURFACE WATER RUNOFF AND GRASS.
ELECTRICAL INSPECTION BY BUILDING INSPECTOR NECESSARY FOR PUMP.
ADDITIONAL FOR ALL SYSTEMS:
LANDSCAPE USTEM AREAS FOR SURFACE WATER RUNOFF AND GRASS
DO NOT PLACE DRIVE OR ANY BUILDING OVER SYSTEM AREA
OBSERVE ALL PROPER SETBACKS: ref .1950
DISC NATURAL GROUND BEFORE INSTALLATION OF ANY FILL
ALARM & ON -OFF FLOATS ON PUMPS MUST BE ON SEPARATE CIRCUITS
* IF BUILDING AREA EXTENDS INTO SYSTEM AREA THIS PERMIT WILL BE INVALID
* IF ANY OTHER REGULATORY AGENCY DENIES PERMITS FOR LAND ALTERATIONS AS
DESCRIBED HEREIN, THIS PERMIT BILL BE INVALID
PLOT PLAN MUST NOT BE ALTERED UNLESS BY SANITARIAN APPROVAL
tt*tkttttttttttttt:tttttt:ttt*t PLOT PLAN tttttettttt*tt#::t:tttttttt:*
SANITARIAN LO
ATE 10/23/90
NOTE: A.LL SEPTIC S TEAS MU SE INSPECTED AND RECEIVE APPROVAL BY A
SANITARIAN OF THE LOCAL HEALTH DEPARTMENT BEFORE BEING COVERED
OR PLACED ENTO USE AND NO ELECTRICAL CONNECTION SHALL BE ALLOWED
UNTIL APPROVAL HAS BEEN RECEIVED, (G. S. 130A-337d,339)

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Pamlico County
GeoBlocks. Map View
September 2007
364 0 364 729
5.0PA
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INDEXED ON 7501
Date: 03/26/2009
This map is prepared for the inventory of real property found
within this jurisdiction, and is compiled from recorded deeds,
plats and other public records and data Users of this map
are hereby notified that the aformenlioned public primary in-
formation sources should be consulted for verification of the
information contained on this map, The county nor SunGard
HTE Geographic Solutions Center assumes any legal
responsibility for the information contained on this map.

Jul 06 03 11:34a Cand1 & Rich My2rs
[phone] p,4
SI TE
VICINITY AAA
r
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WHIT ORp
• rry' I �, oy
b V %ly 'b
BANKS
�'yo�� `yD. SUy�; o-�o ;"1�, � 2Q � • o� y1 I� '' �,j3�,6 � �r s
•,��r�h�nuHr..,`�V Et Epp 5t9'la RICE
iB 0�• � � � SI
AREA IN 75' AEC
TO SHORELNE rRAVER.-E
13,677 SOFT
AREA OF IMPERVIOUS
3,036 SO FT
22 V. IMPERVIOUS
IN AEC
PREPARED BY
A. HJGH H,41?17/5, JR,
PROF£S51ONAL ENGINEER
REGISTERED LAND SURVEYnR
ORENTAL , N.C.
OATE . FeR, ZO , 199. 2 JOB NO. 1214
STALE : !'� = 40' �DRWJV QY 40
SCALE: r - 40'
0' d'O' 40' 80'
EIP - EXISTING IRON PIPF
51F SET IRON PIPE
NPS - NO POINT SET
REFERENCE - A DEED RECORDED IN DEED BOOK 259
PAGE 779 , OF THE PAML 1C0 COUN rY REGISTRY.
BASED ON FLOOD INS, RAT£ MAP NO. 370181- 0145-5
THIS PROPERTY 15 LOCATED /N AN 'A6" FLOOD ZONE,
4ND IS W17'N1N THE / 0 0 YEAR FLODD BOUNDARY.
THIS SURVEY IS OF AN EXISTING PARCEL.
RIPARIAN RIGHTS HAVE- NOT BEEN DETERMINED
OR CONSIDERED SY THIS SURVEY
RF'VISFD ; APR 23, 1B9R . TO SHOW OWELL /NG AS-B14 7
11£V15tD ; MAR. 3O . 1990. RJ SHOW Pi•:oPOSF-p DW1 . 1/r
d SURVEY FOR
RICHA R!� L . M YERS
ANO WIFE
CAN49A CE L . - M YERS
FI,ORF. NCF
NO, 3 TOWNSHIP PAMLICO COUNTY, N C.

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Illl��lil!WIIII!Illlll�lf{II!!Illy{II!!iI�N!Iflllllllll!Il!III{IIII{I�I!
Doc ID: 002027600003 Type: CRP
Recorded: 0$/03/2010 at 02:08:54 PM
Fee Amt: $206.00 Pape I of 3
Revenue Tax: $180.00
Pamlico. NC
Sue H. uhltford Repister of Daeds
P71.IRN aK546 Pa915-9 7
- q - ro-ram
Prepared by/Return to: 180.00 Delamar, Delamar & Delamar, PLLC, Attorneys at Law, P.O.
Box 411, Bayboro, N.C. 28515
N.C. Excise Tax - $180.00
NORTH CAROLINA
GENERAL WARRANTY DEED
PAMLICO COUNTY
This deed, made and entered into this P day of September, 2010 by and between
Richard L. Myers and wife Candace L. Myers, hereinafter referred to as "Grantor'; and
Bobby Gene Whitaker and wife Oma Cannon Whitaker. hereinafter referred to as `Grantee".
Grantor's mailing address is 113 Kelso Road, New Bern, NC 28562. Grantee's mailing address
is 1012 NC Hwy 11 S., Goldsboro, NC 27534,
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 Two (2)
Township, Pamlico County, North Carolina, and more particularly described as follows:
Being all of that 0.40 acre parcel shown as Tax Parcel K051-53 on the survey map entitled
"RESURVEY, BOBBY WHITAKER," dated August 24, 2010 and prepared by William F.
Marlowe, PLS. Said survey map is attached hereto and incorporated herein by reference.
Excepting the "20' RECREATIONAL EASEMENT" as shown on the attached survey
map.
The property described above was acquired by Grantor by instrument recorded in Book
279, Page 857, Pamlico County Registry.
To have and hold the aforesaid tract or parcel of land and all privileges thereunto
belonging in fee simple forever.
Book: 546 Page:915 Seq: 1
Book: 546 Page: 915 Page 1 of 3

And Grantor covenants with Grantee that Grantor is seized of the premises in fee simple,
has the right to convey the same in fee simple, that title is marketable and free and clear of all
encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persons whomsoever, except for the exceptions hereinafter stated.
Title to the property described above is subject to ad valorem taxes for the current year
and utility casements and restrictive covenants of record, if any.
The designation Grantor and Grantee as used herein shall include the parties hereto, their
heirs, successors, assigns and legal and/or personal representatives.
In Testimony Whereof, said Grantor has/have hereunto set his/her/their hand s and
seal s, the day and year first written above.
(SEAL) - %? (SEAL)
Richard L. Myers Candace L. ivlyers
If marked or initialed, the property includes the primary residence of at least one of the
Grantors, otherwise, note as N/A. (per NC GS § 105-317.2)
Ms. i e-o County, North Carolina
I certify that the following person(s) personally appeared before me this day, each
acknowledging to me that he or she voluntarily signed the foregoing document for the purpose
stated therein and in the capacity indicated: Richard L. Myers and wife Candace L. Myers.
Date: /20, O
:ate
Oji Mal Si,,malure of Notary
Notary Public
]Votary Public Printed Name
My commission expires: 9. / I / ,
A
�O
Notary Seafar"Stamp Must
Appear In Above Box
Book: 546 Page: 915 Page 2 of 3
Book: 546 Page: 915 Seq: 2

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