20240421 Ver 1_CAMA Application_20240312

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT: PA-1245
1. APPLICANT'S NAME: 501 Highway Manteo Holdings LLC
2. LOCATION OF PROJECT SITE: 501 Hwy 64/264 Manteo, NC 27954; adjacent man-made
canal, Shallowbag Bay & Scarboro Creek
Longitude:-75.6695 Latitude: 35.8998
3. INVESTIGATION TYPE: CAMA & D&F
4. INVESTIGATIVE PROCEDURE:
Date of Visit
Purpose of Visit
Applicant Present?
12/13/2023
Field visit for major permit application
No
5. PROCESSING PROCEDURE:
Application Received
Application Complete
Regional Office
2/14/2024
2/22/2024
1 DCM - Elizabeth City Regional Office
6. SITE DESCRIPTION:
(A) Local Land Use Plan: Town of Manteo
Land Classification from LUP: B-2, General Business
(B) AEC(s) Involved: Urban Waterfront, Estuarine Shoreline, Public Trust Areas, &
Estuarine Waters
(C) Water Dependent: Yes
(D) Intended Use: Private/Community
(E) Wastewater Treatment:
Existing: Central & Municipal
Planned: Central & Municipal
(F) Type of Structures:
Existing: Bulkhead, Riprap, Boardwalk, Pilings, Slips
Planned: Excavation(maintenance), Marina expansion, Boat lift, Duplexes, Town
Houses, decks, Pavilion/bathhouse, Swimming Pool, Retaining wall
(G) Estimated Annual Rate of Erosion: N/A
Erosion Information Source: On -site observation
7. HABITAT DESCRIPTION:
DREDGED ft2
FILLED ft2
OTHER ft2
A Open Water
50
CW's above NHW
C CW's below NHW
Shallow Bottom
75
High Ground
7273
63956
Non -Coastal WL
(E) Total Area Disturbed: 71354 ff (1.63 acres)
(F) Primary Nursery Area: No
(G) Water Classification: SC: Aquatic Life, Secondary Contact Recreation, Tidal Salt
Water
Open to Shellfishing: No
Field Investigation Report: 501 Highway Manteo Holdings LLC
DCM Major Permit
Page 11

8. PROJECT SUMMARY:
Recombine and subdivide parcels, construct residential duplexes and townhomes, install a
mooring piling for slip 914, remove 15'xl5' section of existing riprap approximately to allow
space at slip 913, grading and improvements to the existing boardwalk, and install kayak
launch platform.
9. NARRATIVE DESCRIPTION:
501 Highway Manteo Holdings, LLC, property is comprised of 2 parcels. Parcel 1 at 501 S.
Hwy 64/264, Manteo, is a 2.3-acre lot developed with a gravel/soil entrance, fire hydrant,
water and sewer line, vinyl bulkhead, boardwalk, boat basin,18 tie pilings, osprey nest pole,
and riprap and broken concrete along the northeast corner of the shoreline and has an elevation
of 2-3' above Normal Water Level (NWL). The shoreline line is —1,149 linear feet (lft). Parcel
2 at 0 S Hwy 64/264, Manteo, is a 0.34-acre undeveloped lot located outside of the CAMA
Area of Environmental Concern (AECs). The upland areas of these 2 parcels are vegetated
with indigenous grass, Camelias, Live oak (Quercus virginiana), Crepe Myrtle (Lagerstroemia
indica), holly (Ilex aquifolium), pine trees, palm tree, Atlantic cedar (Chamaecyparis thyoides),
and Magnolia tree. Potential 404 Jurisdictional wetlands (including Phragmites) were noted
along the north edge of the property, as well as Coastal wetland (CW) vegetation consisting of
Black needlerush (Juncus roemerianus), Smooth cordgrass (Spartina alterniflora), and Salt
meadow hay (Spartina patens). The 2.3-acre lot at Parcel 1 has 0.98 marsh acreage on the
south side that includes CW vegetation consisting of Black needlerush and Smooth cordgrass.
A wetland delineation was performed by Environmental Professionals Inc. and a USACE
Jurisdictional Determination Action ID SAW-2023-02114 was issued onl 1/08/2023. No
development is proposed in the wetland areas.
Coastal Area Management Act (LAMA) permit history for the property at Parcel 1 includes the
issuance of a General Permit (GP) in 2006 for a boardwalk and bulkhead, a GP issued in 2007
for maintenance dredging of the mouth of the canal, and a GP issued in 2007 for more
bulkhead installation.
The riparian property to the north is developed with a boathouse. The riparian property to the
south is a commercial development that includes the Burrus Inn with a utility shed, boat slips,
wooden deck, access ramp, and bulkhead.
A virtual scoping meeting was held on September 22, 2023, to discuss this high -density project
known as'Osprey Point'. Representatives of the USACE, Division of Water Resources
(DWR), Division of Energy, Mineral, and Land Resources, and Division of Marine Fisheries
were present.
The adjacent waters of Scarboro Creek and Shallowbag Bay are within the Pasquotank River
Basin and are classified as Coastal by the NC Marine Fisheries Commission. The DWR water
classification is SC. This area is not designated as a Primary Nursery Area (PNA) but is
documented as a Secondary Nursery Area and is closed to the harvesting of shellfish. The
water depths in the boat basin range from -2.7 to -5.7. The connecting water depth is -3.3.
Field Investigation Report: 501 Highway Manteo Holdings LLC
DCM Major Permit
Page 12

10. PROJECT DESCRIPTION:
The applicant proposes to recombine and subdivide the parcels to create 5 lots. The development
for Lots 1-4 is proposed outside of the CAMA AEC and will include the construction of 6
duplexes (3-story units @ 24'x39'x20'x39') with 18'x18' driveways (for 2 parking spaces for each
unit) using permeable pavement or pavers, 5'x6' concrete sidewalks, paved access road and
sidewalk(s), stormwater/ bioretention areas, and 86 1ft of retaining wall.
Development for Lot 5 within the Estuarine Shoreline and Urban Waterfront AECs includes the
construction of 6 town houses (3-story units @22'x42') with 20'x18' driveways (for 2 parking
spaces for each unit). Ten of those parking spaces are completely outside of the Estuarine
Shoreline AEC. Other structures proposed in the AEC include:
> a 16'x10' wood deck on the southeast corner of Town House Unit 6A,
> a 60'x10' geoweb/grass area adjacent a 60'x5' sidewalk that will connect to a 10'x22' concrete
patio,
> the concrete patio will connect to another geoweb access lane with grass lawn proposed east
of the patio,
> a 47'x6' walkway extending from the concrete patio to the existing bulkhead at the end of the
boat basin,
> a 20'x 6' portion of the concrete sidewalk proposed to access the 14'x38'x6' swimming pool
with associated concrete pool deck and pool fence,
> 181 lft of retaining wall,
> 54'x5 and 12'x5' elevated wood walkways for access from the pool to a proposed 38'x18'
pavilion with bathroom facilities, and
> a 10'x10' deck off the east side of the pavilion.
Water -dependent development proposed includes a 10'x5' (50 sf) kayak launch/lift,
repair/replacement of deck boards on the existing boardwalk, 1 additional mooring piling, 2 cleats
along the boardwalk at the ends of each boat slip (creating 7 additional slips for a total of 14), and
excavation of 4 cubic yards of existing riprap area (15'x5'xl8") adjacent slip 913. The marine
debris/spoils will be taken offsite to a landfill.
Other proposed development includes underground electric and water service and connection to 8
marine utility pedestals, 30" bollard lighting along the existing boardwalk, installation of
underground sanitary sewer, and new underground storm drainage collection pipes. The total area
of disturbance proposed with the upland development is calculated at 71,229 sf.
The proposed buildings, sidewalk, driveways, and other concrete within the Estuarine Shoreline
and Urban Waterfront AECs will result in 7,092 sf (10.2%) impervious coverage.
Field Investigation Report: 501 Highway Manteo Holdings LLC
DCM Major Permit
Page 13

It. ANTICIPATED IMPACTS:
Estuarine Waters/Public Trust AEC:
> The installation of the kayak launch/lift will shade 50 sf of Open Water Habitat.
> The excavation of marine debris will impact 75 sf of Shallow Bottom Habitat.
Estuarine Shoreline & Urban Waterfront AECs:
> The construction of the town houses, swimming pool decking, pavilion, sidewalks, patio,
parking and associated infrastructure will create 7,092 sf of impervious coverage in High
Ground Habitat.
> The installation of the retaining wall will fill 181 lft of High Ground Habitat.
High Ground outside of the CAMA AEC:
> The installation of the retaining wall will fill 86 1ft of High Ground Habitat.
> The remaining development will disturb 63,870 sf of High Ground Habitat.
Name: Yvonne Carver Date: 03-07-2024 Office: DCM - Elizabeth City Regional Office
Field Investigation Report: 501 Highway Manteo Holdings LLC
DCM Major Permit
Page 14

Permit Application Report
Application ID
Application Type
Submitted
App Complete
Deadline
Decision
Expiration
PA-1245
DCM Major Permit
02-14-2024
02-22-2024
05-07-2024
Click or tap
here to enter
text.
Primary Applicant Information
Applicant Type
Title
Business Name
Name
Email
Business Phone
Mobile Phone
Business/Company
501 Highway Manteo
Holdings LLC
501 Highway
Manteo Holdings
LLC
[e-mail]
540-840-8845
540-840-8845
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
419 Wood Landing
Road
Fredericksburg
VA
22405
419 Wood Landing
Road
Fredericksburg
VA
22405
Additional Applicant Information
Applicant Type
Title
Business Name
Name
Email
Business Phone
Mobile Phone
Business/Company
501 Highway Manteo
Holdings LLC
501 Highway
Manteo Holdings
LLC
[e-mail]
540-840-8845
540-840-8845
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
419 Wood Landing
Road
Fredericksburg
VA
22405
419 Wood Landing
Road
Fredericksburg
VA
22405
Registered Agent Information
Agent Type
Title
Business Name
Name
Email
Business
Phone
Mobile
Phone
Business/Company
Albemarle &
Associates Ltd
Albemarle &
Associates Ltd
[e-mail]
252-441-2113
x207
252-599-
6441
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
115 West St. Clair St.
Kill Devil
Hills
NC
27948
PO Box 3989
Kill Devil Hills
NC
27948
Project Information
Project Name
Project Type
Disturbed Land Area (Scl Ft/Acres)
Osprey Point
Private/Community
71229 Sq. Ft. / 1.64 Acres
Is proposed project located in national registered historic district or national register listed/eligible: False
List of previous state or federal permits for work on project tract: CAMA permit GP-44620 issued to Klimkiewicz Family on
5/15/2006 CAMA permit GP-46345 issued to Don Klimkiewicz on 1/9/2007 CAMA permit GP-47926 issued to Klimkiewicz Family
c/o Hannon Fry on 5/16/2007 WQ0031319 issued to the Town of Manteo on 2/9/2007
Project Location Information
Address
County
River Basin
Subdivision
County Parcel ID
Latitude
Longitude
501 Hwy 64/264 Manteo, NC
27954
Dare
none
025587000 &
025587001
35.8998
-75.6695
Project Discharges to State Waters
Discharge Type
Surface
Runoff
Sanitary
Wastewater
Industry/Commercial
Effluent
Vessel
I Wash Down
Residential
Other
Wastewater/Stormwater Discharged Into Wetland?
Discharge Same Salinity as Receiving Waters
Is There Any Mitigation Proposed
False
False
False
Detailed Description of the Existing Development Located on the Property
Existing Man -Made Features:
There is an existing canal / boat basin with turn -around and approximately 565' of wooden boardwalk along the edge as well as rip-

rap on the northeast end of the canal. A waterline and sewer line were installed (each with services) and some stormwater drainage
piping to the southwest of the canal in 2007. There is also a gravel driveway at the site entrance.
Existing Land Uses:
The site is grassed and used for non -commerical vehicle and boat storage as well as boat docking. The site was previously approved
as a 5-lot subdivision which is why utilities were installed. However, the road was not installed and the lots were not platted.
Existing Wastewater Treatment/Disposal:
The Town of Manteo has a municipal sewer system installed on the property. Dwelling units will be connected to the sewer system
and covered to the Town if Manteo wastewater treatment plant for treatment & disposal.
Solid Waste/Fish Offal/Trash Disposal:
Each dwelling unit will have a roll -out container for solid waste. The containers will be picked up by the Town of Manteo. The plans
do not include a fish cleaning station. Disposal of fish offal will be by individuals via solid waste roll -out containers.
Use and Daily Operations of the Project When Complete
Proposed Development Purpose:
501 Highway Manteo Holdings, LLC intends to recombine and subdivide the parcels into a small development comprised of 5 lots,
which will be developed by Carlisle Commons LLC as "Osprey Point". This requires a special use permit has been approved by the
Town of Manteo for the subdivision as well as the site plan. The western four lots (1-4) are intended residential. Lot 5 contains 1.12
acres of uplands and includes all shoreline and wetlands within the subdivision and is intended for residential multi -family. The
development will include a total of 14 units to the project. Lot 5 will include amenities for all owners within "Osprey Point".
Buildings/Facilities/Units/Structures:
The western four lots (1-4) are intended to be utilized as residential duplexes which are permitted by right in the in the B-2 zone. Lot
5 is intended to be developed as a multi -family lot containing 2 townhome structures with 3 units each for a total of 6 units.
Amenities within Lot 5 will include will be for all owners within "Osprey Point". These will include the canal access and dockage as
well as a kayak launch, green/open space, a pool and pavilion. Frontage along the existing wooden dock will be utilized for allow for
14 boat slips, each 30' long to accommodate a boat up to 25' in length. The kayak launch will be placed in the "turn -around" as the
inland end of the canal.
Use & Daily Operations:
Each of the units will be individually owned and will include an assigned 30' boat slip. All units will have access to the pool, pavilion,
kayak launch and greenspace along the canal. Stormwater runoff from all impervious surfaces will be directed to bioretention areas
installed alongside the duplex units. These bioretention areas will meet NCDEQ requirements for the 20 coastal counties under high
density development. An HOA will be utilized to maintain all amenities and common areas as well as the landscaping and
bioretention areas.
Construction Methodology & Equipment:
Construction of townhomes, duplexes and the pavilion will be standard wood frame with 2-hr firewall separation between units. The
building will be constructed on jetted pilings. All dwelling units will have a poured concrete slab ground floor enclosed parking. The
pavilion will have a lattice surround. Work around the boardwalk will include the replacement of deck boards (which is primarily
over land) using standard construction techniques and all removed materials will be properly disposed of off -site.
Development Activities Narrative Specifics:
Development in the AEC will include grading and the construction of townhomes, pavilion, and pool, sidewalks, geoweb
reinforcement, elevated wooden walkways, ramps & stairs, utility installation, improvements to the existing boardwalk include deck
board replacement and utility pedestals, the installation of a manufactured kayak lift, a mooring piling for slip #14 , the removal of
some rip -rap along the bulkhead.
Application Narrative:
Existing Conditions: 501 Highway Manteo Holdings, LLC recently purchased 2
parcels located at 501 Hwy 64 / 264 in Manteo, with the intent for development
of the land by Carlisle Commons LLC as a project named "Osprey Point". Carlisle
Commons LLC has been pursuing permitting for Osprey Point and had received

approval of a Special Use Permit by the Town of Manteo as well as Stormwater and
Land Disturbance by the NCDEQ DLQ. The parcels combine for approximately 2.50
acres, of which approximately 1.84 acres is upland. The site was formerly an RV
park and includes a canal. Bulkhead replacement and 6' wide boardwalk
installation for 500 If of 6' wide wooden shoreline boardwalk and relocation of
7 boat slips was constructed under CAMA permit #44620 issued to the Klimkeiwicz
family on 5/15/2006. Maintenance excavation at the mouth of the canal was
performed under CAMA permit #46345 issued to Don Klimkiewicz on 1/09/2007.
Additional bulkheading was installed under CAMA permit #47926 issued to the
Klimkeiwicz family on 5/16/2007. The site has also been used for dredge spoil
management and staging during dredging operations. The NCDEQ water
classification GIS map lists the canal as part of Scarboro Creek, with a surface
water classification of SC. In addition, there is a canal along the north edge
of the lot to the south. In areas between the on -site canal and adjacent canal,
the 75' AEC and 30' CAMA buffer overlap.
The Natural Resource Conservation Service Soil Survey for Dare County has mapped
the soils on the site to consist primarily of Johns Loamy Sand (JoA) and
Psamments (PsB) with wetland areas listed as Hobonny Muck (HoA). A series of
soil borings were performed to verify soils were consistent with the NRCS survey
and it was found that the soils are consistent with Dare County soils mapping
description. It also appeared to indicate a layer of dredge spoil above, which
is consistent with CAMA permit #46345. The majority of the site is around 4'
above mean sea level (NAVD 1988). The site is mostly cleared and grassed, with
trees and shrubs along the front (Hwy 64/264 R/W) as well as some along the
property line. The property is within a flood zone X and AE 4.
The parcel is located within the Town of Manteo corporation limits in the B-2
zoning district and was previously subdivided into the current 2 parcels.
However, in 2006 it received a special use approval on a subdivision intended to
further subdivide it into a total of 5 lots entitled "Osprey Point". The
previous developer installed the sanitary gravity sewer and waterline under
NCDENR (now NCDEQ) permits issued to the Town of Manteo as well as portions of a
drainage system. However, the proposed access road was not installed and the
project was abandoned prior to the subdivision receiving final plat approval and
recordation.
Proposed Development: Carlisle Commons LLC intends to recombine and subdivide
the parcels into a small development comprised of 5 lots. This requires a
special use permit which has been approved by the Town of Manteo. The western
four lots (1-4) are intended to be utilized as residential duplexes which are
permitted by right in the in the B-2 zone. Lot 5 contains 1.07 acres of uplands
and includes all shoreline and wetlands within the project area. Carlisle
Commons LLC intends to develop lot 5 as multi -family containing 2 townhome
structures with 3 units each for a total of 6 units. Lot 5 will include
amenities for all owners within "Osprey Point", including the canal access and
dockage as well as a kayak launch, green/open space, a pool and pavilion.
The existing wooden boardwalk will be reconfigured to accommodate fourteen (14)
30' long slips. This will allow one to be dedicated solely to each property
owner for a boat of up to 25' in length. The facility will be classified as a
marina by the Town of Manteo and CAMA and will comply with all applicable
regulations including the exclusion of commercial use.
CAMA Permitting: A NCDEQ CAMA Major permit is required for the development. The
flowing summarizes items to be included within the CAMA permit. Work to be
performed within the CAMA AEC:
Development within the normal water level will be limited but include the
installation of a mooring piling for slip #14 to provide adequate securing for

the boat. A section of existing rip -rap approximately 15' X 5' along the
bulkhead at the northeast end of the canal will be removed from the canal bottom
to allow for adequate space at slip #13.
Development within the 30' Buffer will consist primarily of grading and
improvements to the existing wood boardwalk. This will included replacement of
deck boards and installation of two cleats at either end of each boat slip to
secure the watercraft. Dock edging will be placed along the waterside edge of
the boardwalk. Eight utility pedestals will be installed along the waterside
edge of the boardwalk and located between boat slips, with six of the pedestals
being shared and 2 boat slips each having a dedicated pedestal. Buried water and
electrical extensions will be installed on the land side of the wooden boardwalk
and extended to each pedestal. Bollard lights will be installed on the land side
of the boardwalk at an elevation of approximately 30" above the ground. In
addition to the 14 boat slips, a premanufactured kayak launch platform designed
to lower and lift a kayak into and out of the water will be installed. The
launch will include a hand crank or electric winch and access ladder and will be
mounted to bulkhead & dock structure in a location not designated as a boat
slip. Signage will be placed indicating "Discharge of waste from boat toilets is
prohibited. Public pump services are available at the Town of Manteo Public Boat
Docks, Shallowbag Bay Marina and Marshes Light Marina".
Provisions are also being made for the ability to keep and on -site sewage pump
cart. A sewer lateral (buried) will installed to provide a pumpout location
for the cart pump and pavilion. Small diameter stormwater piping will encroach
at the edge of the buffer to convey runoff from impervious surfaces to
bioretention areas located outside of the AEC. Uncovered but elevated wooden
decks at the south edge of townhome unit 6A encroach into 30' buffer of a canal
located on the adjacent property to the south this includes 2 levels with a
total 70 sf per level. A corner to the pavilion walkway will also encroach
slightly into the setback with a total of 9 sf. A geoweb material will be
installed from the paved access road to the southwest end of the canal to allow
for emergency vehicles access to the dock area. The geoweb will be sand filled
with sod installed over to maintain a grassed surface
Development within the 75' AEC will consist of portions of each of the two
townhomes. The total area of the 75' AEC is 69,213 sf with a total impervious
coverage of 7,092 sf (10.2%). Additional items within the 75' AEC include 6'
wide elevated wooden walkway to be installed to access the existing boardwalk,
5.17' wide elevated wooden ramp connecting the pool area to the pavilion and
6.33' wide elevated wooden stairs from the pavilion to a 100 sf slightly
elevated wooden platform.
Notes Regarding the CAMA E-Permit Application: Items to be clarified regarding
the CAMA E-permit application include:
Piers and Docking Facilties: The kayak launch is a vertical lift design and was
included in the application as a "boat lift"
Stormwater Structure: The project requires an NCDEQ Stormwater Management permit
(high density) and the on -site BMP includes a "Stormwater Structure" which is
located on uplands within the bioretention areas (located outside of the AEC).
The structure provides an outlet for overflow in excess of the design volume and
underdrain. The control structure is connected to a pipe that conveys overflow
to the drainage system on Hwy 64/264.
Parcels Involved: The project area was a single parcel until it was subdivided
into 2 parcels via plat recorded on 1/18/2006. A second subdivision was approved
later in 2006 which would have resulted in 5 lots total. However, the
subdivision was never recorded and the project area remains 2 parcels. This

project will recombine those parcels into a total of 5 lots.
NCDEQ Erosion and Sedimentation Control Submittal: The Erosion and Sediment
Control Plan was submitted to NCDEQ DEMLR on 1/10/2024 and approval
"DARE-2024-00106" I was issued on 2/8/2024.
NCDEQ Stormwater Management Submittal: The Stormwater Management Permit
Application was submitted to NCDEQ DEMLR on 12/8/2023 and permit SW7231203 was
issued by NCDEQ on 1/25/2024
Marine Debris: Marine debris to be removed from below the NWL will consist of a
section of previously placed rip -rap. The rip -rap was placed or washed further
into the canal and a portion is being removed to accommodate boat slip #13.
Other: "Other" items to be included in the CAMA permit application include:
* Repair of existing boardwalk to include replacement of existing deck boards
* Installation of a Kayak lift / launch that will be mounted to the existing
bulkhead / wooden boardwalk
* Installation of new elevated walkway within CAMA AEC & buffer
* Installation of new underground electrical and water service and connection
to new marine utility pedestals within CAMA AEC & buffer
* Installation of new 30" bollard lighting along existing boardwalk within CAMA
AEC & buffer
* Installation of new underground sanitary sewer lateral within CAMA AEC &
buffer
* Installation of new storm drainage collection pipes underground within CAMA
AEC
* Installation of elevated pavilion, walkway ramp stairs and elevated landing
within CAMA buffer
A coping meeting was held for this project on 9/22/2023 during which DWR was
present
The project proponent hereby certifies that all information contained herein is
true, accurate and complete to the best of my knowledge and belief.
The project proponent hereby requests that the certifying authority review and
take action on this CWA 401 certification request within the applicable
reasonable time period.
Boat Ramp Development Activity Included: False
Shoreline Stabilization Development Activity Included: False
Living Shoreline Development Activity Included: False
Piers & Docking Facilities Development Activity Included: True
Docking Facilities Details
Facility Use
# of Tie Pilings
Existing Slips
New Slips
Private/Community
1
7
7

Piers & Docking Facility Structures
Structure Type
Length
Width
Quantity
Boatlift
10
5
1
Freestanding Moorings & Buoys Associated With This Docking Facility
Structures Consistent With Water Use Plan Existing Freestanding Moorings & Buoys Slips New Freestanding Moorings & Buoys Slips
False
Buoy Details:
Moorings & Buoys Details
Mooring or Buoy Distance From Shoreline I Arc of Swing Water Depth
Excavation Development Activity Included: False
Bridges & Culverts Development Activity Included: False
Oceanfront Erosion Control Development Activity Included: False
Temporary Structures Development Activity Included: False
Utility Crossings Development Activity Included: False
Freestanding Moorings, Buoys & Bird Nesting Poles Development Activity Included: False
Log Removal/Marine Debris Development Activity Included: Yes/No
Log Removal/Marine Debris Details
Excavation Length
Excavation Width
Average Existing Depth
Final Project Depth
15
5
3
4.5
Area Excavated Below
NHW or NWL (Sq Ft)
Volume Excavated Below
NHW or NWL (Cu Yds)
Type of Material to be Excavated
Describe "Other" Material
75
4.2
Other
Previously placed Rip -Rap
Does the Area to be Excavated Include Any Of The Following Areas
Area
Sq. Ft. Affected
Purpose of Fill in This Area
Coastal Wetland/Marsh (CW)
Submerged Aquatic Vegetation (SAV)
Shell Bottom (SB)
Other Non -Coastal Wetlands (WL)
Disposal of Excavated Material
Location of Disposal Area
Disposal
Area Length
Disposal Area
Width
Do You Claim Title to
Disposal Area
Will Wetlands be Crossed in
Transporting Equipment to Project Site
off -site landfill
False
False
How Will Excavated Material be Kept on Site and Erosion Controlled
Steps Taken to Avoid or Minimize Environmental Impact
Material is rip -rap and will not pose a threat of erosion and will be
disposed of in a landfill

Navigational Aids Development Activity Included: False
Other Fill Below Water Level Development Activity Included: False
Stormwater Structures Development Activity Included: True
Stormwater Structures - General
Does Stormwater Structure Have an Oceanfront Component: False
Navigational Aids Details
Number of Buoys
Number of Day Markers
Min Distance Each Aid Placed Beyond
Shoreline
Max Distance Each Aid Placed Beyond
Shoreline
Upland Development For Stormwater Structures
# of Lots/Parcels
Created
Lots Platted &
Recorded Date
#Residential Units
Units per Acre
Area Size to be
Disturbed (sq ft)
Tract Has State or
Local Approval
5
14
5.6
71229
False
Date Site Development
Plan Submitted
Date Sedimentation & Erosion
Control Plan Submitted
Impervious Coverage
(% Within AEC)
Impervious Coverage
(% of Entire Tract)
Project Includes Innovative
Stormwate Design
10.20
32.30
False
"Upland Development" Development Activity Included: True
Upland Development Details
# of Lots/Parcels
Created
Lots Platted &
Recorded Date
1
#Residential Units
Units per Acre
Area Size to be
Disturbed (sq ft)
Tract Has State or
Local Approval
5
1/18/2006
14
5.6
71229
False
Date Site Development
Plan Submitted
Date Sedimentation & Erosion
Control Plan Submitted
Impervious Coverage
(% Within AEC)
Impervious Coverage
(% of Entire Tract)
Project Includes Innovative
Stormwate Design
10.20
32.30
False
Energy Facilities Development Activity Included: False
Aquaculture Development Activity Included: False
Submerged Lands Mining Development Activity Included: False
General Development Activity Details Required

General Development Activity Questions
These questions are applicable if 1 of the following development activities are included in the project
(Boat Ramps, Freestanding Moorings, Buoys & Bird Nesting Poles, Piers & Docking Facilities, Temporary Structures, Living Shorelines,
Shoreline Stabilization Submerged Lands Mining)
Boat Type(s)
Typical Boat Length
Other Boat Type (Describe)
Personal water craft
25
Adj Riparian Property Line #1 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line #2 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line #3 (Proximity of
Structure Nearest to Property Line)
69
28
Width of Water Body
Water Depth @ Waterward End of
Structure (NLW or NWL)
Water Depth @ Most Landward
Boat Slip (NLW or NWL)
Water Depth @ Most Waterward
Boat Slip (NLW or NWL)
1
43
5.3
1 4.4
4
Navigational
Aids Required
Number of
Buoys
Number of Day
Markers
Min Distance of Each Aid Placed
Beyond Shoreline
Max Distance of Each Aid Placed
Beyond Shoreline
False
Marina Development Activity Details Required
Marina Details
These questions are applicable if there are a combined number of slips of 10 or more across all development activities
Repair or Maintenance
Travel Lift
Fuel & Marine
Dry Storage (# of Boats)
Lease of Slips
Other Services
Services
and/or Rail
Supplies
False
False
False
0
False
False
Detailed Plan - Location of Repair/Maintenance Services & Efforts to Contain Debris/Runoff From Entering Adjacent Wetlands/Water Bodies
Provide a Detailed Plan of the Location of Fuel Handling Facilities & Describe Safety Measures Planned to Protect Water Quality
Other Services (Detailed Description)
Industrial Pollutants Being Used (Paint, Sandblasting Waste,
Industrial Pollutants Management Plan
Petroleum Products, Vessel Maintenance Operations)
False
# of Toilets
# of Showers
Location of Toilets
Boat Holding
Existing
Proposed
Pumpouts—Location of Each
Pumpouts—Type of Each
Tank Pumpouts
Pumpouts
Pumpouts
False
0
0
How Will Overboard Discharge of
Number of Channel Marker
Provide Details to the Type of Signage and Location of the Signs
Sewage From Boats be Controlled
or No Wake Signs Proposed
Signage posted on either side of the
boat basin stating "Discharge of
waste from boat toilets is
"no wake zone" sign mounted to post at entrance to boat basin. "
prohibited. Public pump services
1
"Discharge of any waste from boat toilet is prohibited. pump out cart is
are available at the Town of
available beneath pavilion" will be posted on either side of the boat basin.
Manteo Public Docks, Shallowbag
Bay Marina and Marshes Light
Marina''
Marina Safety Policy on
Marina Located Within or Close
Shellfish Lease
Shellfish Leasholder(s) Name & Address
Overnight & Live Aboard Storage
Proximity to Shellfish Lease
Proximity to Marina
Transient or live aboard dockage
is prohibited by Osprey Point and
False
the Town of Manteo for this
facility.

0
0
M
N D ■3
t �J
� S -C LU
•L cc p 00 *+ O
Cl)s Y .� — co Q N G a+ N
Y O N ❑ f�
c- 75 cc cc E N U O W .= Z
3� Y0> �� >
W
Q ■—
r
CC0)c0� w� vq � r E _ s co
O CD U CL J W=
> 6� G Ir< Z O d N
LL3 lQ U
Qx Q� a>i o � 1 O r N N
T1 —E�J CcLu >O -W
Cc LL
w 13 M 3
cc OC
ca ca cc D CD
•i,E 0 +0+� O
O c IL
Cc cc O CC
bib -0 cc o
L cc N i 0
Cc
0- 0
L N
E p p O� N c0 y
p O •>
cc ' n (a � N •� � = y
� '+3 ■—
O'X0 �3 3M w W aw
C) 0 6 O D ca - � = R N ■v
cc c v x c� 3 O 0 N N
N� < O a y ti
co U s +, -0 � __> a O
'O ca
Cc p E N= O x
G O O i `J, R J y R r
9t w E
m E s O v
W f N> O z .T O
O ca L 0-cc +5 3: O N
a -aJ � O i W
a- W V IL v N
Q

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
WILLIAM E. TOBY VINSON,JR
inretim Director
Carlisle Commons, LLC
Attn: Mary J. Johnson - Manager
6620 Gordon Road, Suite G
Wilmington, NC 28411
NORTH CAROLINA
Environmenral Quality
January 25, 2024
Subject: State Stormwater Management Permit No. SW7231203
Osprey Point Subdivision
High Density Subdivision Project
Dare County
Dear Mary J. Johnson:
The Washington Regional Office received a complete State Stormwater Management Permit
Application for the subject project on December 11, 2023. Staff review of the plans and
specifications has determined that the project, as proposed, complies with the Stormwater
Regulations set forth in 15A NCAC 2H.1000 amended on January 1, 2017 (2017 Rules). We
are hereby forwarding Permit No. SW7231203 dated January 25, 2024, for the construction
of the built -upon areas (BUA) and vegetated conveyances associated with the subject
project.
This permit shall be effective from the date of issuance until January 24, 2032 and the
project shall be subject to the conditions and limitations as specified therein and does not
supersede any other a ency permit that may be required. Failure to comply with these
requirements will result in future compliance problems. Please note that this permit is not
transferable except after notice to and approval by the Division.
This cover letter, attachments, and all documents on file with DEMLR shall be considered
part of this permit and is herein incorporated by reference.
If any parts, requirements, or limitations contained in this permit are unacceptable, you
have the right to request an adjudicatory hearing by filing a written petition with the Office
of Administrative Hearings (OAH). The written petition must conform to Chapter 150E of
the North Carolina General Statutes and must be filed with the OAH within thirty (30) days
of receipt of this permit. You should contact the OAH with all questions regarding the filing
fee (if a filing fee is required) and/or the details of the filing process at 6714 Mail Service
Center, Raleigh, NC 2 699- 714, or via telephone at 919-431-3000, or visit their website
at www.NCOAH.com. Unless such demands are made this permit shall be final and binding.
If you have any questions concernin this permit, please contact Carl Dunn in the
Washington Regional Office, at (252548-3959 or [e-mail].
Sincerely���
William Carl Dunn, PE
Division of Energy, Mineral and Land Resources
Enclosures: Attachment A - Designer's Certification Form
Application Documents
cc: Michael 1. Morway, PE - Albemarle & Associates, Ltd ([e-mail])
Manteo Town Manager - Melissa Dickerson ([e-mail])
Washington Regional Office
D90� North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Washington Regional Office 1 943 Washington Square Mall Washington, North Carolina 27889
252.946.6481

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY SUBDIVISION DEVELOPMENT
In compliance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations promulgated and
adopted by the North Carolina Environmental Management Commission, including 15A
NCAC 02H.1000 amended on January 1, 2017 (2017 Rules) (the "stormwater rules"),
PERMISSION IS HEREBY GRANTED TO
Carlisle Commons, LLC
Osprey Point Subdivision
501 South Hwy 641264, Manteo, Dare County
FOR THE
construction, management, operation and maintenance of built -upon area draining to one
bio-retention cell ('stormwater control measures" or "SCMs") discharging to Class SC
waters as outlined in the application, approved stormwater management, supplement,
calculations, operation and maintenance agreement, recorded documents, specifications,
and other supporting data (the "approved plans and specifications") as attached and/or on
file with and approved by the Division of Energy, Mineral and Land Resources (the
"Division" or "D-EMLR"). The project shall be constructed, operated and maintained in
accordance with these approved plans and specifications. The approved plans and
specifications are incorporated by reference and are enforceable part of this permit.
This permit shall be effective from the date of issuance until January 24, 2032 and shall be
subject to the following specified conditions and limitations. The permit issued shall
continue in force and effect until the permittee files a request with the Division for a permit
modification, transfer, renewal, or rescission; however, these actions do not stay any
condition. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit for
cause as allowed by the laws, rules, and regulations contained in Title 15A NCAC 2H.1000
and NCGS 143-215.1 et.al.

BUA REQUIREMENTS. The maximum amount of BUA allowed for the entire project is
29,628 square feet. The runoff from all BUA within the permitted drainage areas of
this project must be directed into the permitted SCM. The BUA requirements and
allocations for this project are as follows:
a. SCM BUA LIMITS. The SCM has been designed using the runoff treatment method
to handle the runoff from 29,628 square feet of BUA within the delineated
drainage area, which includes 2,000 square feet for future development.
b. BUA FOR INDIVIDUAL LOTS. Residential Duplex lots one through four are limited
to a maximum amount of 2,669 square feet of BUA as indicated in the approved
plans and specifications. The Fifth town home lot is limited to a maximum amount
of 12,124 square feet of BUA as indicated in the approved plans and specifications.
The maximum BUA assigned to each lot via this permit and the recorded
deed restrictions and protective covenants may not be increased or
decreased by either the individual lot owner or the permittee unless and
until the permittee notifies the Division and obtains written approval from
the Division.
2. PERVIOUS AREA IMPROVEMENTS. At this time, none of the pervious area
improvements listed in G.S. 143-214.7(b2) or the Stormwater Design Manual have
been proposed for this project. Pervious area improvements will be allowed in this
project if documentation is provided demonstrating those improvements meet the
requirements of the stormwater rule.
3. SCM REQUIREMENTS. The SCM requirements for this project are as follows:
a. SCM DESIGN. The SCM is permitted based on the design criteria presented in the
sealed, signed and dated supplement and as shown in the approved plans and
specifications. This SCM must be provided and maintained at the design condition.
b. PLANTING PLAN. The SCM landscape planting plan shown in the approved plans
shall be followed in its entirety during construction. After the plants are
established, the operation and maintenance agreement must be followed.
4. STORMWATER OUTLETS. The peak flow from the 10-year storm event shall not
cause erosion downslope of the discharge point.
S. VEGETATED SETBACKS. A 50-foot-wide vegetative setback must be provided and
maintained in grass or other vegetation ad'acent to all surface waters as shown on the
approved plans. The setback is measured horizontally from the normal pool elevation
of impounded structures, from the top of bank of each side of streams or rivers, and
from the mean high waterline of tidal waters, perpendicular to the shoreline.
6. RECORDED DOCUMENT REQUIREMENTS. The stormwater rules require the
following documents to be recorded with the Office of the Register of Deeds prior to
the sale of individual lots or groups of lots:
a. ACCESS AND/OR EASEMENTS. The entire stormwater conveyance system,
including any SCMs, and maintenance accesses must be located in public rights -of -
way, dedicated common areas that extend to the nearest public right-of-way,
and/or permanent recorded easements that extend to the nearest public right-of-
way for the purpose of inspection, operation, maintenance, and repair.

b. OPERATION AND MAINTENANCE AGREEMENT. The operation and maintenance
agreement must be recorded with the Office of the Register of Deeds.
c. FINAL PLATS. The final recorded plats -must reference the operation and
maintenance agreement and must also show all public rights -of -way, dedicated
common areas, and/or permanent drainage easements, in accordance with the
approved plans.
d. DEED RESTRICTIONS AND PROTECTIVE COVENANTS. Recorded deed restrictions
and protective covenants must include, at a minimum, the following statements
related to stormwater management:
i. The following covenants are intended to ensure ongoing compliance with
State Stormwater Management Permit Number SW7231203, as issued by
the Division of Energy, Mineral and Land Resources the "Division")
under 15A NCAC 02H.1000, effective January 1, 2017.
ii. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
iii. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
iv. The covenants pertaining to Stormwater may not be altered or rescinded
without the express written consent of the Division.
V. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division.
vi. The maximum built -upon area (BUA) for lots one through four is 2,669
square feet. The maximum built -upon area (BUA) for lot five is 12,124
square feet. This allotted amount includes any BUA constructed within
the lot property Boundaries, and that portion of the right-of-way between
the front lot line and the edge of the pavement not shown on the
approved plans. BUA has the same meaning as G.S. 143-214.7, as
amended.
vii. The maximum allowable BUA shall not be exceeded on any lot until the
permit is modified to ensure compliance with the stormwater rules,
permit, and the approved plans and specifications.
viii. All runoff from the BUA on the lot must drain into the permitted system.
This may be accomplished via grading, a stormwater collection system
and/or a vegetated conveyance.
ix. A 50-foot-wide vegetative setback must be provided and maintained
adjacent to all surface waters in accordance with 15A NCAC 02H.1003(4)
and the approved plans.
X. Any individual or entity found to be in noncompliance with the provisions
of a stormwater management permit or the requirements of the
Stormwater rules is subject to enforcement procedures as set forth in
NCGS 143, Article 21.
e. DEEDS FOR INDIVIDUAL LOTS. The permittee shall record deed restrictions and
protective covenants prior to the issuance of a certificate of occupancy to ensure
the permit conditions and the approved plans and specifications are maintained in
perpetuity.

7. CONSTRUCTION. During construction, erosion shall be kept to a minimum and any
eroded areas of the on -site stormwater system will be repaired immediately.
a. PROJECT CONSTRUCTION, OPERATION AND MAINTENANCE. During
construction, all operation and maintenance for the project shall follow the
Erosion Control Plan requirements until the Sediment -Erosion Control devices are
converted to SCMs or no longer needed. Once the device is converted to a SCM, the
permittee shall provide and perform the operation and maintenance as outlined in
the applicable section below.
b. SCM RESTORATION. If one or more of the SCMs are used as an Erosion Control
device and/or removed or destroyed during construction, it must be restored to
the approved state stormwater design condition prior to close-out of the erosion
control plan and/or project completion and/or transfer of the state stormwater
permit. Upon restoration, a new or updated certification will be required for the
SCM(s) and a copy must be submitted to the appropriate DEQ regional office.
8. MODIFICATIONS. No person or entity, including the permittee, shall alter any
component shown in the approved plans and specifications. Prior to the construction
of any modification to the approved plans, the permittee shall submit to the Director,
and shall have received approval for modified plans, specifications, and calculations
including, but not limited to, those listed below. For changes to the project or SCM
that impact the certifications, a new or updated certification(s), as applicable, will be
required and a copy must be submitted to the appropriate DEQ regional office upon
completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size
including the SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
c. Further development, subdivision, acquisition, lease or sale of any, all or part of
the project and/or property area as reported in the approved plans and
specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), stormwater collection system and/or
vegetative conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. Adding the option to use permeable pavement or #57 stone within the lots as a
permeable surface. The request may require a proposed amendment to the deed
restrictions and protective covenants for the subdivision to be submitted and
recorded.
g. The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material within the common areas to be considered a permeable
surface that were not included in the approved plans and specifications.
h. Other modifications as determined by the Director.

9. DESIGNER'S CERTIFICATION. Upon completion of the project, the permittee shall
determine if the project is in compliance with the approved plans and take the
necessary following actions:
a. If the permittee determines that the project is in compliance with the approved
plans, then within 45 days of completion, the permittee shall submit to the
Division one hard copy and one electronic copy of the following:
i. The completed and signed Designer's Certification provided in
Attachment A noting any deviations from the approved plans and
specifications. Deviations may require approval from the Division;
ii. A copy of the recorded operation and maintenance agreement;
iii. Unless already provided, a copy of the recorded deed restrictions and
protective covenants; and
iv. A copy of the recorded plat delineating the public rights -of -way,
dedicated common areas and/or permanent recorded easements,
when applicable.
b. If the permittee determines that the project is not in compliance with the
approved plans, the permittee shall submit an application to modify the permit
within 30 days of completion of the project or provide a plan of action, with a
timeline, to bring the site into compliance.
10. OPERATION AND MAINTENANCE. The permittee shall provide and perform the
operation and maintenance necessary, as listed in the signed operation and
maintenance agreement, to assure that all components of the permitted on -site
stormwater system are maintained at the approved design condition. The approved
operation and maintenance agreement must be followed in its entirety and
maintenance must occur at the scheduled intervals.
a. CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily,
the permittee shall take immediate corrective actions. This includes actions
required by the Division and the stormwater rules such as the construction of
additional or replacement on -site stormwater systems. These additional or
replacement measures shall receive a permit from the Division prior to
construction.
b. MAINTENANCE RECORDS. Records of maintenance activities must be kept and
made available upon request to authorized personnel of the Division. The records
will indicate the date, activity, name of person performing the work and what
actions were taken.
11. PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days
prior to the expiration date of this permit. The renewal request must include the
appropriate application, documentation and the processing fee as outlined in 15A
NCAC 02H.1045(3).
12. CURRENT PERMITTEE NAME OR ADDRESS CHANGES. The permittee shall submit a
completed Permit Information U12date Application Form to the Division within 30
days to making any one or more of the following changes:
a. A name change of the current permittee;
b. A name change of the project;
c. A mailing address change of the permittee.

13. TRANSFER. This permit is not transferable to any person or entity except after notice
to and approval by the Director. Neither the sale of the project and/or property, in
whole or in part, nor the conveyance of common area to a third party constitutes an
approved transfer of the permit.
TRANSFER REQUEST. The transfer request must include the appropriate
application, documentation and the processing fee as outlined in 15A NCAC
02H.1045(2) and must be submitted upon occurrence of any one or more of the
following events:
i. The sale or conveyance of the project and/or property area in whole or in
part, except in the case of an individual residential lot sale that is made
subject to the recorded deed restrictions and protective covenants;
ii. The assignment of declarant rights to another individual or entity;
iii. The sale or conveyance of the common areas to a Homeowner's or
Property Owner's Association, subject to the requirements of NCGS 143-
214.7(c2);
iv. Dissolution of the partnership, corporate, or LLC entity, subject to NCGS
55-14-05 or NCGS 57D-6-07 and 09;
V. Bankruptcy;
vi. Foreclosure, subject to the requirements of Session Law 2013-121;
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site
inspection will be conducted by Division personnel to ensure the permit
conditions have been met and that the project and the on -site stormwater system
complies with the permit conditions. Records of maintenance activities performed
to date may be requested. Projects not in compliance with the permit will not be
transferred until all permit and/or general statute conditions are met.
14. COMPLIANCE. The permittee is responsible for complying with the terms and
conditions of this permit and the approved plans and specifications until the Division
approves the transfer request.
a. REVIEWING AND MONITORING EACH LOT FOR COMPLIANCE. The permittee is
responsible for verifying that the proposed BUA on each individual lot, within each
drainage area and for the entire project does not exceed the maximum amount
allowed by this permit. The permittee shall review all individual lot plans for new
construction and all subsequent modifications and additions for compliance. The
plans reviewed must include all proposed BUA, grading, and driveway pipe
placement. The permittee shall not approve any lot plans where the maximum
allowed BUA limit has been exceeded or where modifications are proposed to the
grading and/or to the stormwater collection system and/or to the vegetated
conveyance unless and until a permit modification has been approved by the
Division. The permittee shall review and routinely monitor the project and each
lot to ensure continued compliance with the conditions of the permit, the
approved plans and specifications, and the recorded deed restrictions and
protective covenants. The permittee shall notify any lot owner that is found to be
in noncompliance with the conditions of this permit in writing and shall require
timely resolution.
b. ARCHITECTURAL REVIEW BOARD (ARB) OR COMMITTEE (ARC). The permittee
may establish an ARB or ARC to conduct individual lot reviews. However, any
approval given by the ARB or ARC on behalf of the permittee does not relieve the
permittee of the responsibility to maintain compliance with the conditions of the
permit and the approved plans and specifications.

c. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable
recorded documents, and specifications shall be maintained on file by the
permittee at all times.
d. MAINTENANCE ACCESS. SCMs, stormwater collection systems, and vegetated
conveyances must be accessible for inspection, operation, maintenance and repair
as shown on the approved plans.
e. DIVISION ACCESS. The permittee grants Division Staff permission to enter the
property during normal business hours to inspect all components of the permitted
project.
f. ENFORCEMENT. Any individual or entity found to be in noncompliance with the
provisions of a stormwater management permit or the requirements of the
stormwater rules is subject to enforcement procedures as set forth in NCGS 143
Article 21.
g. ANNUAL CERTIFICATION. The permittee shall electronically submit to the
Division an annual certification completed by either the permittee or their
designee confirming the projects conformance with permit conditions.
h. OBTAINING COMPLIANCE. The Director may notify the permittee when the
permitted site does not meet one or more of the minimum requirements of the
permit. Within the time frame specified in the notice, the permittee shall submit a
written time schedule to the Director for modifying the site to meet minimum
requirements. The permittee shall provide copies of modified plans and
certification in writing to the Director that the changes have been made.
i. OTHER PERMITS. The issuance of this permit does not preclude the permittee
from obtaining and complying with any and all other permits or approvals that are
required for this development to take place, as required by any statutes, rules,
regulations, or ordinances, which are imposed by any other Local, State or Federal
government agency having jurisdiction. Any activities undertaken at this site that
cause a water quality violation or undertaken prior to receipt of the necessary
permits or approvals to do so are considered violations of NCGS 143-215.1, and
subject to enforcement procedures pursuant to NCGS 143-215.6.
Permit issued this the 25th day of January 2024.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
For Toby Vinson, Interim Director
Division of Entergy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW7231203

Attachment A
Certification Forms
The following blank Designer Certification forms are included and specific for this project:
• As -Built Permittee Certification
As -Built Designer's Certification for Bio-Retention Project
As -Built Designer's Certification General MDC
A separate certification is required for each SCM. These blank certification forms maybe
copied and used, as needed, for each SCM and/or as a partial certification to address a section
or phase of the project.

AS -BUILT PERMITTEE CERTIFICATION
I hereby state that I am the current permittee for the project named above, and I certify by
my signature below, that the project meets the below listed Final Submittal Requirements
found in NCAC 02H.1042(4) and the terms, conditions and provisions listed in the permit
documents, plans and specifications on file with or provided to the Division.
❑ Check here if this is a partial certification. Section/phase/SCM
Check here if this is part of a Fast Track As -built Package Submittal.
Printed Name Signature
-
a Notary Public in the State of
County of do hereby certify that
personally appeared before me this day of 20
and acknowledge the due execution of this as -built certification. (SEAL)
Witness my hand and official seal
My commission expires
Permittee's Certification NCAC .1042(4)
Completed /
Provided
N/A
/
A. DEED RESTRICTIONS BUA RECORDS
1. The deed restrictions and protective covenants have been
recorded and contain the necessary language to ensure that the
project is maintained consistent with the stormwater regulations
and with the permit conditions.
Y or N
2. A copy of the recorded deed restrictions and protective
covenants has been provided to the Division.
Y or N
3. Records which track the BUA on each of are being kept. (See
Note 1
Y or N
B. MAINTENANCE ACCESS
1. The SCMs are accessible for inspection, maintenance and repair.
Y or N
2. The access is a minimum of 10 feet wide.
Y or N
3. The access extends to the nearest public right-of-way.
Y or N
C. EASEMENTS
1. The SCMs and the components of the runoff collection
conveyance system are located in recorded drainage easements.
Y or N
2. A copy of the recorded plat(s) is provided.
Y or N
D. SINGLE FAMILY RESIDENTIAL LOTS - Plats for residential lots that
have an SCM include the following:
Y or N
1. The specific location of the SCM on the lot.
Y or N
1 A typical detail for the SCM.
Y or N

3. A note that the SCM is required to meet stormwater regulations
and that the lot owner is subject to enforcement action as set
forth in NCGS 143 Article 21 if the SCM is removed, relocated or
Y or N
altered without prior approval.
E. OPERATION AND MAINTENANCE AGREEMENT
Y or N
1. The 0&M Agreement is referenced on the final recorded plat.
Y or N
2. The O&M Agreement is recorded with the Register -of Deeds and
Y or N
appears in the chain of title.
F. OPERATION AND MAINTENANCE PLAN - maintenance records are
being kept in a known set location for each SCM and are available for
Y or N
review.
G. DESIGNERS CERTIFICATION FORM -- has 6een provide tote
Division.
Y or N
Note 1- Acceptable records include ARC approvals, as -built surveys, and county tax records.
Provide an explanation for every requirement that was not met, and for every "N/A" below.
Attach additional sheets as needed.

AS -BUILT DESIGNER'S CERTIFICATION FOR INFILTRATION_PRQJEET
I hereby state that 1 am a licensed professional and I certify by my signature and seal below,
that I have observed the construction of the project named above to the best of my abilities
with all due care and diligence, and that the project meets all of the MDC found in NCAC
02H.1051 in accordance with the permit documents, plans and specifications on file with or
provided to the Division, except as noted on the "AS -BUILT° drawings, such that the intent
of the stormwater rules and the general statutes has been preserved.
❑ Check here if this is a partial certification. Section/phase/SCM
Check here if this is a part of a Fast -Track As -Built Package Submittal per .1044(4).
Check here if the Designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed N
NC Registration Number Date
SEAL:
Consultant's Mailing Address:
City/state/ZIP
Phone Number
Consultant's Email address:
0 Circle N if the as -built value differs from the Plan. If N is circled, provide an explanation
on Page 2,
ON/E = not evaluated (provide explanation on page 2) OO N/A = not applicable to this
project or SCM
This Certification must be completed in conjunction with the General MDC certification under
NCAC 02H.1050
Consultant's Certification (MDC .1051)
OO As -
built
ON/E
OO N/A
A. Inlets Pretreatment Design Depths Elevations
1. Inlets are located per the approved plans.
Y or N
2. Pretreatment measures are provided? (Rooftop runoff
Y or N
does not require re -treatment.
3. BASIN only - the area and depth of t ebasin is
consistent with the approved plans
4. TRENCH only- the provided width, length and eig to
the trench are consistent with the approved plan.
5. TRENCH only- the provided length and size of the
perforated pipe is consistent with the approved plan.
b. The bottom elevation of the basin / trench is consistent
with the approved plans.
7. The bypass elevation is consistent with the approved
plan.
8. The overflow elevation is consistent with the approved
plan.

B. Soils / SHWT / Subgrade
1. The hydraulic properties of the insitu soils are in
Y or N
accordance with the soils report.
2. The lowest point of the infiltration system is a
Y or N
minimum of 2 feet above the SHWT.
3. If separation to the SHWT is less than 1 foot, the water
table draws down to its pre -storm level within 72
Y or N
hours.
4. The slope of the soil subgrade is <= 2%.
Y or N
C. Drawdown Time
1. The system dewaters within 72 hours?
Y or N
2. The Insitu soils were removed and replaced with
suitable infiltration media to achieve the 72 hour
Y or N
drawdown.
DAs-
ON/E
ON/A
built
D. Observation Port- for un ergroun systems, a minimum
Y or N
of one ins ection ort has been provided.
Provide an explanation for every MDC that was not met, and for every item marked "N/A"
or "N/E", below. Attach additional pages as needed:

AS -BUILT DESIGNER'S CERTIFICATION GENERAL MDC
I hereby state that I am a licensed professional and I certify by my signature and seal below,
that I have observed the construction of the project named above to the best of my abilities
with all due care and diligence, and that the project meets the below listed General MDC
found in NCAC 02H.1050 in accordance with the permit documents, plans and
specifications on file with or provided to the Division, except as noted on the "AS -BUILT"
drawings, such that the intent of the stormwater rules and statutes has been preserved.
❑ Check here if this is a partial certification. Section/phase/SCM
Check here if this is a part of a Fast -Track As -Built Package Submittal per .1044(3).
Check here if the designer did not observe the construction, but is certifying the project.
Check here if pictures of the SCM are provided.
Printed Name Signature
NC Registration Number
SEAL:
Consultant's Mailing Address:
City/State/ZIP
Phone Number
Consultant's Email address:
O Circle N if the as -built value differs from the Plan. If N is circled, provide an explanation
on Page 2.
OO N/E = not evaluated (provide explanation on page 2) ON/A = not applicable to this SCM
or project.
Consultant's Certification NCAC .1003((3) & General
iOAs-built
ON/
ON/A
MDC .1050
E
A. TREATMENT REQUIREMENTS
1. The SCM achieves runoff treatment.
Y or N
2. The SCM achieves runoff volume match.
Y or N
3. Runoff from offsite areas and/or existing BUA is
Y or N
bypassed.
4. Runoff from o site areas and/or existing BUA is
Y or N
directed into the permitted SCM and is accounted for
at the full build -out potential.
5. The project controls runoff through an offsite
Y or N
permitted SCM that meets the requirements of the
MDC.
&. The net area of new BUA increase for an existing
Y or N
project has been accounted for at the appropriate
design storm level.

7. The SCM(s) meets all the specific minimum design
Y or N
criteria.
B. VEGETATED SETBACKS BUA
1. The width of the vegetated setback as been
Y or N
measured from the normal pool of impounded
waters, the MHW line of tidal waters, or the top of
bank of each side of rivers or streams.
2. The vegetated setback is maintained in grass or other
Y or N
vegetation.
3. BUA that meets the requirements of NCGS 143-214.7
Y or N
b2 2 is located in the setback.
4. BUA that does not meet the requirements of NCGS
Y or N
143-214.7 (b2) (2) is located within the setback and is
limited to:
a. Publicly funded linear projects (road, greenway
sidewalk)
b. Water -dependent structures
c. Minimal footprint uses (utility poles, signs,
security lighting and appurtenances)
S. Stormwater that is not treated in an SCM is released
Y or N
at the edge of the setback and allowed to flow through
the setback as dispersed flow.
DAs-built
OE /
3N/A
C. STORMWATER OUTLETS - the outlet handles the pe-ak
Y N
flow from the 10 ear storm with no downslo a erosion.
or
D. VARIATIONS
1. A variation (alternative from the stormwater rule
Y N
provisions has been implemented.
or
2. The variation provides equal or better stormwater
control and equal or better protection of surface
Y or N
waters,
E. COMPLIANCE WITH OTHER REGULATORY PROGRAMS
Y N
has been met.
or
F. SIZING -the volume of the SCM takes the runoff from a
surfaces into account and is sufficient to handle the
Y or N
required storm depth.
G. CONTAMINATED SOILS - infiltrating M s are not
Y or N
located in or on areas with contaminated soils.
H. SIDE SLOPES
1. Vegetated side slopes are no steeper than 3H:1V.
Y or N
2. Side slopes include retaining walls, gabion walls, or
Y or N
other surfaces that are steeper than 3H:1V.
3. Vegetated side slopes are steeper than 3H:1V
Y or N
(provide supporting documents for soils and
ve etation .
I. EROSION PROTECTION
1. The inlets do not cause erosion in the SCM.
Y or N
2. The outlet doesnot cause erosion downslope of the
Y or N
discharge point during the peak flow from the 10 year
storm.
J. EXCESS FLOWS - An overflowbypass has been
Y N
provided.
or

K. DEWATERING - A method to drawdown standing water
Y or N
has been provided to facilitate maintenance and
inspection.
L. CLEANOUT AFTER CONSTRUCTION - the SCM has been
Y or N
cleaned out and converted to its approved design state.
M. MAINTENANCE ACCESS
1. The SCM is accessible for maintenance and repair.
Y or N
2. The access does not include lateral or incline slopes
Y or N
>3:1.
N. DESIGNER QUALIFICATIONS FAST -TRACK PERMIT] -
The designer is licensed under Chapters 89A, 89C, 89E, or
Y or N
89F of the General Statutes.
Provide an explanation for every MDC that was not met, and for every item marred "N/A"
or "N/E", below. Attach additional pages as needed:

Recorded: 01/29/2024 04:29:51 PM
BY: CLAUDIA HARRINGTON
Cheryl L. House, Register of Deeds
Dare County, NC
Fee Amt $26.00 NC Excise Tax: $2,091.00
O` � Land Transfer Fee: $10,455.0(
C
BOOK 2717 PAGE 630 (3)
l ` 700136229
C�
C
O NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: 2 091.00 Land Transfer Tax: $10 455.00 LT# 0280-24
Parcel Identifier No. 02558i4 Verified by County on the day of 20_
By: (�
MaiUBox to: Wheless & Whele , 4,LC, P.O. Box 500, Manteo, NC 27954
This instrument was prepared by: Casey & Robbins, PC, KLII-0623
Brief description for the Index: PARCEL 1 MINOR SUBDIVISION FOR FRANCIS M. JOLLIFF
THIS DEED made this 29th day o .t, January 2(J�4 , by and between
GRANTOR
KLIMKIEWICZ FAMILY MANTEO I, LLC
a North Carolina limited liability company
1501 Duke of Windsor Rd.
Virginia Beach, VA 23454
GRANTEE
501 HIGHWAY MANTEO HOLDINGS, LLC
a North Carolina limited liability company
419 Wood Landing Road
Fredericksburg, VA 22405
Enter in appropriate block for each Grantor and Grantee: nary mailing address, and, if appropriate, character of entity, e.g
corporation or partnership. \
The designation Grantor and Grantee as used herein shall include a�i l�parties, their heirs, successors, and assigns, and shall include singular,
plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid bGrantee, the receipt of which is hereby acknowledged, has and by
these presents does grant, bargain, sell and convey unto the Grantee Antsimple, all that certain lot, parcel of land or condominium unit
situated in the City of Manteo Nags HeW Township, Dare County,
North Carolina and more particularly described as follows: 1�
SEE EXIMIT "A" ATTACHED HERETO AND INCORPORATED HEREIN BY REFERENCE
�O
The property hereinabove described was acquired by Grantor by instrument recorded rook 1670 page 81
All or a portion of the property herein conveyed _ includes or X does not include thfi imary residence of a Grantor.
A map showing the above described property is recorded in Plat Book G page • 172
Page 1 of 2 C
NC Bar Association Form No. 3 © 1976, Revised © 1977, 2002, 2013 This standard form has been approved by:
Printed by Agreement with the NC Bar Association — 1981 Nortt%(Larolina Bar Association — NC Bar Form No. 3

TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee
.ale.
AMt Z
Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee
sin6IL that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful
c f all persons whomsoever, other than the following exceptions:
Gen ility easements and rights ofway ofreccrd; Ad valorem taxes subsequent to 2023; Restrictions and covenants of record Dare
CountyI?
stry.
IN WITNF—(q)N -IEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
CZ FAMILY MANTEO I,_LLC .. _.._SEAL
(Enjity Name) PrinVType Name:
By: �-
_.___._ ,SEALi
Print/Type Name & 1 Donald F. Klimkiewicz, Managing PrintfType Name:
By: SEAU
Print/Type Nam & Titledfi4keg.Khmkiewic n g Member Print/Type Name:
By.
,SEAL;
PrintfType Name & Title: _._ __. _._. _ Print/Type
State of i% - County or City of
1, the undersigned Notary Public of the County or City of ' d State aforesaid, certify that
bxo� C� 1, pegsonally appeared before me this day and acknowledged the due
execution of the foregoing instrument for urposes t tau ;sed- Witness my hand and Notarial stamp or seal this -2a— day of
4 j
My Commission Expires: Y\ Notary Public
(Affix Seal) y
No 's Printed or Typed Name
State of _ - County or % - . AMEYT .•' �e
I, the undersigned Notary Public of the Coii%io and State aforesaid, certify that
penally appeared before me this day and acknowledged the due
execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of
— -- , 20—•
O
My Commission Expires: _ Notary Public
(Affix Seal) Notary's Printed or Typed Name
State of Virg inia__ _ ___—_—- - County or City of _
I, the undersigneWotary Public of the Court City of and State aforesaid, certify that
Donald F. Klimkiewicz �annkYggune Kliml iewicz personally c before me this day and acknowledged that
Jr, is the Managing Members of
FAMII.YMANTEOI, , orth Carolina --�---'__—_— T'�d
ted liability compan
and that by authority duly given and as the act of such entity, _1e si ed the foregoing instrument in its name on its
behalf as its act and deed. Witness my hand and Notaq*� 'this _sue' f Januar 024
G# 7,23
l
�� . E 64 • ;9��
My Commission Expires: 3�Z9-- : o :
c `'RG,�ti 9s Notary Public
(Affix Seal) = m y; :_ No s rinted or Typed Name
4 fti n
NC Bar Association Farm No. 3 01976, Revised 01977, 2002 20T3'+,,; ,TH. �Fe; °°°°``'°�a C This standard form has been approved by -
Printed by Agreement with the NC Bar Association —1981 Norffil Bar Association — NC Bar Form No. 3

�o EXHIBIT "A"
c�
A1)(o that lot or parcel of land identified as "Parcel 1" on that map or plat entitled in part, "Minor
Sub v' ion for Frances M. Jolliff," prepared by Manson Ray Meekins, PLS, of Seaboard
Surveying & Planning, Inc., and recorded in Plat Cabinet G at Slide 172, of the Dare County Public
Registry:.
O
There is alsC�onveyed herewith, but without warranties of title, all rights, titles, and interests in
and to any su erged lands lying under the waters of the "DITCH" shown on the aforementioned
plat. Furtherm it is Grantor's intent and act to convey all rights, titles and interests Grantor may
own that lie wit an area bordered by the east right of way or margin of US 64-264, the south
line of lands now (eMerly owned by Evans and Miller, the mean high water mark of the waters of
Shallowbag Bay from the furthest eastern point of high ground, bulkhead or riprap north of the
"DITCH" southward to the northeast tip of the riprap wall, southward across the mouth of the
,*DITCH" to the point des' nated as "OBSERVED WATER LEVEL (1/10/06)", and then along the
mean high water mark o 1-11>
waters of Shallowbag Bay to the north line now or formerly owned
by Burrus and thence along(Did north line of Burrus westward to the east margin or right of way
of US 64-264. XA-\
XA-\
le
0

Recorded: 01/29/2024 04:29:52 PM
BY: CLAUDIA HARRINGTON
Cheryl L. House, Register of Deeds
2 Dare County, NC
Fee Amt $26.00 NC Excise Tax: $459.00
O Land Transfer Fee: $2,295.00
BOOK 2717 PAGE 633 (2)
700136230
C�
C
0 NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $459.00 Land Transfer Tax: $2,295.00 LT# 0281-24
Parcel Identifier No. 02558 1 Verified by County on the day of 120
By:
Mail/Box to: Wheless & Whele sfRLLC, P.O. Box 500, Manteo, NC 27954
This instrument was prepared by: Casey & Robbins, PC, KLI1-0623
Brief description for the Index: PARCEL MINOR SUBDIVISION FOR FRANCIS M. JOLLIFF
THIS DEED made this 29th day o January 2(g4 , by and between
GRANTOR O GRANTEE
ETTINGER FAMILY, LLC xll�\ 501 HIGHWAY MANTEO HOLDINGS, LLC
a North Carolina limited liability company xll�\ a North Carolina limited liability company
1501 Duke of Windsor Rd. 419 Wood Landing Road
Virginia Beach, VA 23454 Fredericksburg, VA 22405
C'
Enter in appropriate block for each Grantor and Grantee: narpe'�, mailing address, and, if appropriate, character of entity, e.g.
corporation or partnership. �/I-\
The designation Grantor and Grantee as used herein shall include (DO parties, their heirs, successors, and assigns, and shall include singular,
plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid bGrantee, the receipt of which is hereby acknowledged, has and by
these presents does grant, bargain, sell and convey unto the GranteeAine,simple, all that certain lot, parcel of land or condominium unit
situated in the City of Manteo Na s HeTownship, Dare County,
North Carolina and more particularly described as follows:
All of the lot or parcel of land identified as 'Parcel 2" on that map or plat entitled in part "Minor Subdivision for Francis M. Jolliff"
prepared by Seaboard Surveying & Planning, Inc., and recorded in Plat Cabinet G, at Slide 172, of the Dare County Public Registry.
�O
The property hereinabove described was acquired by Grantor by instrument recorded *%ook 1670 page 84
All or a portion of the property herein conveyed _ includes or X does not include the V imary residence of a Grantor.
A map showing the above described property is recorded in Plat Book G paee �' - -172
Page 1 of 2 Cl `
NC Bar Association Form No. 3 © 1976, Revised © 1977, 2002, 2013 7 This standard form has been approved by:
Printed by Agreement with the NC Bar Association - 1981 Nort}1�Carolina Bar Association - NC Bar Form No. 3

TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee
simple.
AnMe Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee
si that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful
claims
� all persons whomsoever, other than the following exceptions:
Gener ttyyeasements and rights ofway ofrecord; Ad valorem taxes subsequent to 2023; Restrictions and covenants ofrecord Dare
County � `'
IN WITNENe HEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
ETTENGER FAhMY. LLC
tity Name)
By
Print/Type Name & TNI� Dmald F IClimlcievvicz, Managing
Print/Type Name�imkiewG�ai�in'gMember
Bv: c0�`
Print/Type Na tne &
r SEAL i
Print/Type Name:
SEAL
PrinVType Name:
rSEAL
Print/Type Name:
Print/Type Name:
State of __ -___ - County or City of nC���
I, the�`dersigned Notary Public of the County or City of CSI
��
execution of the foregoing instrument for ttCe urposes�tl ewe �''�Nito
O
My Commission Expires:
(Affix Seal) r: tiP ' `� yy,, a .�
State of _ . _ _ - County or Cigi e 44 V,,,m;�;0t�'°
1, the undersigned Notary Public of the County VCity of
execution of the foregoing instrument for the purposes therein expressed_
, 20_
O
My Commission Expires:
(Affix Seal)
State of Virginia
- County or City of
1, the undersigned Notary Public of the County or City of
Donald_F-Khmkiewicz _and _3_nne-8-_ 1 ��VI
_he is the _ _ Manors inv Members _ of
. EiI'UQiiFAMU
L SEAL
aforesaid, certify that
appeared before me this day and acknowledged the due
my hand and Notarial stamp or seal this day of
- f--no-at- uaoc6_W__
51-000, 'W J_glol Notary Public
Notary's Printed or Typed Name
and State aforesaid, certify that
personally appeared before me this day and acknowledged the due
Witness my hand and Notarial stamp or seal this day of
__Notary Public
Notary's Printed or Typed Name
L,k_and State aforesaid, certify that
came before me this day and acknowledged that
a North Carolina oc000cocxxxxxxxxxxxx
ffinited liability compan
hXWNAM4 j, and that by authority duly given and as the act of such entity, _he ' the foregoing instrument in its name on its
behalf as its act and deed. Witness my hand and Notarial stamp or seal, this 2 of �Q ark}' 2024 .
����rrrrr rr �
My Commission Expires: ' - j L`� �.�D��E.. WE.. 0);,moo S Notary Public
(Affix Seal) e�' ., y% Notarytinted or Typed Name
Y� �� . o,?
NC Bar Association Form Na 3 01976, Revised 0 197'
Printed by Agreement with the NC Bar Association —198
� � This standard form has been approved by:
Qa North rolina Bar Association — NC Bar Form No. 3

Albemarle
& ASSOCIATES, LTD.
December 22, 2023
Cornerstone Capital Holdings LLC
47 Congress St.
Clayton, NC, 27527-5490
RE: Riparian Landowner Notification - Osprey Point (501 Hwy 64/264, Manteo, NC)
Dear Riparian Landowner:
This notification is being sent to inform you of a development proposed at a 501 Hwy 641264 in
Manteo NC. The 5-lot subdivision is proposed on a waterfront lot (with canal) and requires a
CAMA Major permit. The project will include a combination of duplex and multifamily dwelling
units with community amenities including a pool, pavilion, boat slips and kayak lift. The project is
being developed by Carlisle Commons, LLC. Enclosed is a (reduced -size) copy of the plans and
application,
You have thirty days to comment on this proposal. Your comments should be directed to myself
or Mrs. Yvonne Carver at the Division of Coastal Management at the address below,
Ms. Yvonne Carver
NCDEQ Division of Coastal Management
401 South Griffin Street, Suite 300
Elizabeth City, NC 27909
Ph 252.264-3901 (x237)
vonne.carve r ncdenr. gov
Also attached is the Adjacent Riparian Property Owner (ARPO) form, which we are requesting
you to complete and return in the self-addressed stamped envelope or by email at the address
below. For any questions regarding this project, please feel free to contact me at 252-441-2113
or by email at mikema-albemarleassociates_com.
Sincerely,
Michael Morw v. PE
Enc: Reduced Scale Plans
Application
cc: File 088741c (122)
Land Planning — ✓;ngineering — Environmental — Construction Management
P.O. Box 3989, 115 W Saint Clair St., Kill Devil Hills, North Carolina 27948
North Carolina License No. C-1027
Phone: [phone] www.AlbemarleAssociates.com Fax: [phone]

Osprey Point
CAMA Adjacent Riparian Property Owner Notification
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me, as shown on the attached
drawing, the development they are proposing. A description or drawing, with
dimensions, must be provided with this letter.
1 DO NOT have objections to this proposal.
I DO have objections to this proposal.
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#: Date:

A I b' e
emar
& ASSOCIATES, LTD.
December 22, 2023
DLC Properties LLC
450 NC Hwy 461 W
Ahoskie, NC, 27910
RE: Riparian Landowner Notification - Osprey Point (501 Hwy 641264, Manteo, NC)
Dear Riparian Landowner:
This notification is being sent to inform you of a development proposed at a 501 Hwy 641264 in
Manteo NC. The 5-lot subdivision is proposed on a waterfront lot (with canal) and requires a
CAMA Major permit. The project will include a combination of duplex and multifamily dwelling
units with community amenities including a pool, pavilion, boat slips and kayak lift. The project is
being developed by Carlisle Commons, LLC. Enclosed is a (reduced -size) copy of the plans and
application.
You have thirty days to comment on this proposal. Your comments should be directed to myself
or Mrs. Yvonne Carver at the Division of Coastal Management at the address below.
Ms. Yvonne Carver
NCDEQ Division of Coastal Management
401 South Griffin Street, Suite 300
Elizabeth City, NC 27909
Ph 252-264-3901 (x237)
Yvonne. carver(a-).ncdenr.gov
Also attached is the Adjacent Riparian Property Owner (ARPO) form, which we are requesting
you to complete and return in the self-addressed stamped envelope or by email at the address
below. For any questions regarding this project, please feel free to contact me at 252-441-2113
or by email at [e-mail].
Sincerely,
Michael orway, PE
Enc: Reduced Scale Plans
Application
cc: File 088741 c (122)
Land Planning — Engineering — Environmental — Construction Management
P.O. Box 3989, 115 W. Saint Clair St., Kill Devil Hilts, North Carolina 27948
North Carolina License No. C-1027
Phone: [phone] www.AlbemarleAssociates.com Pax: 252-441-0965

Osprey Point
LAMA Adjacent Riparian Property Owner Notification
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me, as shown on the attached
drawing, the development they are proposing. A description or drawing, with
dimensions, must be provided with this letter.
I DO NOT have objections to this proposal.
l DO have objections to this proposal.
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#: Date:

lbe'marle
& ASSOCIATES, LTD.
February 15, 2024
Cornerstone Capital Holdings LLC
47 Congress St.
Clayton, NC, 27527-5490
RE: Riparian Landowner Notification - Osprey Point (501 Hwy 641264, Manteo, NC)
Dear Riparian Landowner:
This notification is being resent to inform you of a development proposed at a 501 Hwy 641264 in
Manteo NC. The 5-lot subdivision is proposed on a waterfront lot (with canal) and requires a
CAMA Major permit. The project will include a combination of duplex and multifamily dwelling
units with community amenities including a pool, pavilion, boat slips and kayak lift. The parcels
are owned by 501 Highway Manteo LLC and the project is being developed by Carlisle Commons,
LLC. Enclosed is a (reduced -size) copy of the plans and application.
You have thirty days to comment on this proposal. Your comments should be directed to myself
or Mrs. Yvonne Carver at the Division of Coastal Management at the address below.
Ms. Yvonne Carver
NCDEQ Division of Coastal Management
401 South Griffin Street, Suite 300
Elizabeth City, NC 27909
Ph 252-264-3901 (x237)
Yvonne.carverP-ncdenr.Aov
Also attached is the Adjacent Riparian Property Owner (ARPO) form, which we are requesting
you to complete and return in the self-addressed stamped envelope or by email at the address
below. For any questions regarding this project, please feel free to contact me at 252-441-2113
or by email at mikem albemarleassociates.com.
Sincerely,
l
Michael o ay, P
Enc: Reduced Scale Plans
Application
cc: File 088741c (122)
Land Planning — Engineering — Environmental — Construction Management
P.O. Box 3989, 115 W. Saint Clair St., Kill Devil Hills, North Carolina 27948
North Carolina License No. C-1027
Phone: [phone] www.AlbemarleAssociates.com Fax: [phone]

Osprey Point
CAMA Adjacent Riparian Property Owner Notification
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me, as shown on the attached
drawing, the development they are proposing. A description or drawing, with
dimensions, must be provided with this letter.
I DO NOT have objections to this proposal.
I DO have objections to this proposal.
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#: Date:

Permit Application Report
Application ID
Application Type
Submitted
App Complete
Deadline
Decision
Expiration
PA-1245
DCM Major Permit
02-14-2024
Primary Applicant Information
Applicant Type
Title
Business Name
Name
Email
Business Phone
Mobile Phone
Business/Company
501 Highway Manteo
Holdings LLC
501 Highway
Manteo Holdings
LLC
[e-mail]
540-840-8845
540-840-8845
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
419 Wood Landing
Road
Fredericksburg
VA
22405
419 Wood Landing
Road
Fredericksburg
VA
22405
Additional Applicant Information
Applicant Type
Title
Business Name
Name
Email
Business Phone
Mobile Phone
Business/Company
501 Highway Manteo
Holdings LLC
501 Highway
Manteo Holdings
LLC
[e-mail]
540-840-8845
540-840-8845
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
419 Wood Landing
Road
Fredericksburg
VA
22405
419 Wood Landing
Road
Fredericksburg
VA
22405
Registered Agent Information
Agent Type
Title
Business Name
Name
Email
Business
Phone
Mobile
Phone
Business/Company
Albemarle &
Associates Ltd
Albemarle &
Associates Ltd
[e-mail]
252-441-2113
x207
252-599-
6441
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
115 West St. Clair St.
Kill Devil
Hills
NC
27948
PO Box 3989
Kill Devil Hills
NC
27948
Project Information
Project Name
Project Type
Disturbed Land Area (Sq Ft/Acres)
Osprey Point
Private/Community
71229 Sq. Ft. / 1.64 Acres
Is proposed project located in national registered historic district or national register listed/eligible: False
List of previous state or federal permits for work on project tract: CAMA permit GP-44620 issued to Klimkiewicz Family on
5/15/2006 CAMA permit GP-46345 issued to Don Klimkiewicz on 1/9/2007 CAMA permit GP-47926 issued to Klimkiewicz Family
c/o Hannon Fry on 5/16/2007 WQ0031319 issued to the Town of Manteo on 2/9/2007
Project Location Information
Address
County
River Basin
Subdivision
County Parcel ID
Latitude
Longitude
501 Hwy 64/264 Manteo, NC
27954
Dare
none
025587000 &
025587001
35.8998
-75.6695
Project Discharges to State Waters
Discharge Type
Surface
Runoff
Sanitary
Wastewater
Industry/Commercial
Effluent
Vessel
I Wash Down
Residential
Other
Wastewater/Stormwater Discharged Into Wetland?
Discharge Same Salinity as Receiving Waters
Is There Any Mitigation Proposed
False
False
False
Detailed Description of the Existing Development Located on the Property
Existing Man -Made Features:_
There is an existing canal / boat basin with turn -around and approximately 565' of wooden boardwalk along the edge as well as rip -
rap on the northeast end of the canal. A waterline and sewer line were installed (each with services) and some stormwater drainage
piping to the southwest of the canal in 2007. There is also a gravel driveway at the site entrance.

Existing Land Uses:
The site is grassed and used for non -commerical vehicle and boat storage as well as boat clocking. The site was previously approved
as a 5-lot subdivision which is why utilities were installed. However, the road was not installed and the lots were not platted.
Existing Wastewater Treatment/Disposal:
The Town of Manteo has a municipal sewer system installed on the property. Dwelling units will be connected to the sewer system
and covered to the Town if Manteo wastewater treatment plant for treatment & disposal.
Solid Waste/Fish Offal/Trash Disposal:
Each dwelling unit will have a roil -out container for solid waste, The containers will be picked up by the Town of Manteo. The plans
do not include a fish cleaning station. Disposal of fish offal will be by individuals via solid waste roll -out containers.
Use and Daily Operations of the Project When Complete
Proposed Development Purpose:
501 Highway Manteo Holdings, LLC intends to recombine and subdivide the parcels into a small development comprised of 5 lots,
which will be developed by Carlisle Commons LLC as "Osprey Point". This requires a special use permit has been approved by the
Town of Manteo for the subdivision as well as the site plan. The western four lots (1-4) are intended residential. Lot 5 contains 1.12
acres of uplands and includes all shoreline and wetlands within the subdivision and is intended for residential multi -family. The
development will include a total of 14 units to the project. Lot 5 will include amenities for all owners within "Osprey Point".
Buildings/Facilities/Units/Structures:
The western four lots (1-4) are intended to be utilized as residential duplexes which are permitted by right in the in the B-2 zone. Lot
5 is intended to be developed as a multi -family lot containing 2 townhome structures with 3 units each for a total of 6 units.
Amenities within Lot 5 will include will be for all owners within "Osprey Point". These will include the canal access and dockage as
well as a kayak launch, green/open space, a pool and pavilion. Frontage along the existing wooden dock will be utilized for allow for
14 boat slips, each 30' long to accommodate a boat tip to 25' in length. The kayak launch will be placed in the "turn -around" as the
inland end of the canal.
Use & Daily Operations:
Each of the units will be individually owned and will include an assigned 30' boat slip. All traits will have access to the pool, pavilion,
kayak launch and greenspace along the canal. Storrnwater runoff from all impervious surfaces will be directed to bioretention areas
installed alongside the duplex units. These bioretention areas will meet NCDEQ requirements for the 20 coastal counties under high
density development. An HOA will be utilized to maintain all amenities and common areas as well as the landscaping and
bioretention areas.
Construction Methodology & Equipment:
Construction of townhomes, duplexes and the pavilion will be standard wood frame with 2-hr firewall separation between units. The
building will be constructed on jetted pilings. All dwelling units will have a poured concrete slab ground floor enclosed parking. The
pavilion will have a lattice surround. Work around the boardwalk will include the replacement of deck boards (which is primarily
over land) using standard construction techniques and all removed materials will be properly disposed of off -site.
Development Activities Narrative Specifics:
Development in the AEC will include grading and the construction of townhomes, pavilion, and pool, sidewalks, geoweb
reinforcement, elevated wooden walkways, ramps & stairs, utility installation, improvements to the existing boardwalk include deck
board replacement and utility pedestals, the installation of a manufactured kayak lift, a mooring piling for slip H14 , the removal of
some rip -rap along the bulkhead.
Application Narrative:
Existing Conditions: 501 Highway Manteo Holdings, LLC recently purchased 2
parcels located at 501 Hwy 64 / 264 in Manteo, with the intent for development
of the land by Carlisle Commons LLC as a project named "Osprey Point". Carlisle
Commons LLC has been pursuing permitting for Osprey Point and had received
approval of a Special Use Permit by the Town of Manteo as well as Stormwater and
Land Disturbance by the NCDEQ DLQ. The parcels combine for approximately 2.50
acres, of which approximately 1.84 acres is upland. The site was formerly an RV

park and includes a canal. Bulkhead replacement and 6' wide boardwalk
installation for 500 If of 6' wide wooden shoreline boardwalk and relocation of
7 boat slips was constructed under LAMA permit #44620 issued to the Klimkeiwicz
family on 5/15/2006. Maintenance excavation at the mouth of the canal was
performed under CAMA permit #46345 issued to Don Klimkiewicz on 1/09/2007.
Additional bulkheading was installed under CAMA permit #47926 issued to the
Klimkeiwicz family on 5/16/2007. The site has also been used for dredge spoil
management and staging during dredging operations. The NCDEQ water
classification GIS map lists the canal as part of Scarboro Creek, with a surface
water classification of SC. In addition, there is a canal along the north edge
of the lot to the south. In areas between the on -site canal and adjacent canal,
the 75' AEC and 30' CAMA buffer overlap.
The Natural Resource Conservation Service Soil Survey for Dare County has mapped
the soils on the site to consist primarily of Johns Loamy Sand (JoA) and
Psamments (PsB) with wetland areas listed as Hobonny Muck (HoA), A series of
soil borings were performed to verify soils were consistent with the NRCS survey
and it was found that the soils are consistent with Dare County soils mapping
description. It also appeared to indicate a layer of dredge spoil above, which
is consistent with CAMA permit 446345. The majority of the site is around 4'
above mean sea level (NAVD 1988). The site is mostly cleared and grassed, with
trees and shrubs along the front (Hwy 64/264 R/W) as well as some along the
property line. The property is within a flood zone X and AE 4.
The parcel is located within the Town of Manteo corporation limits in the B-2
zoning district and was previously subdivided into the current 2 parcels.
However, in 2006 it received a special use approval on a subdivision intended to
further subdivide it into a total of 5 lots entitled "Osprey Point". The
previous developer installed the sanitary gravity sewer and waterline under
NCDENR (now NCDEQ) permits issued to the Town of Manteo as well as portions of a
drainage system. However, the proposed access road was not installed and the
project was abandoned prior to the subdivision receiving final plat approval and
recordation.
Proposed Development: Carlisle Commons LLC intends to recombine and subdivide
the parcels into a small development comprised of 5 lots. This requires a
special use permit which has been approved by the Town of Manteo. The western
four lots (1-4) are intended to be utilized as residential duplexes which are
permitted by right in the in the B-2 zone. Lot 5 contains 1.07 acres of uplands
and includes all shoreline and wetlands within the project area. Carlisle
Commons LLC intends to develop lot 5 as multi -family containing 2 townhome
structures with 3 units each for a total of 6 units. Lot 5 will include
amenities for all owners within "Osprey Point", including the canal access and
dockage as well as a kayak launch, green/open space, a pool and pavilion.
The existing wooden boardwalk will be reconfigured to accommodate fourteen (14)
30' long slips. This will allow one to be dedicated solely to each property
owner for a boat of up to 25' in length. The facility will be classified as a
marina by the Town of Manteo and CAMA and will comply with all applicable
regulations including the exclusion of commercial use.
CAMA Permitting: A NCDEQ CAMA Major permit is required for the development. The
flowing summarizes items to be included within the CAMA permit. Work to be
performed within the CAMA AEC:
Development within the normal water level will be limited but include the
installation of a mooring piling for slip #14 to provide adequate securing for
the boat. A section of existing rip -rap approximately 15' X 5' along the
bulkhead at the northeast end of the canal will be removed from the canal bottom
to allow for adequate space at slip #13.

Development within the 30' Buffer will consist primarily of grading and
improvements to the existing wood boardwalk. This will included replacement of
deck boards and installation of two cleats at either end of each boat slip to
secure the watercraft. Dock edging will be placed along the waterside edge of
the boardwalk. Eight utility pedestals will be installed along the waterside
edge of the boardwalk and located between boat slips, with six of the pedestals
being shared and 2 boat slips each having a dedicated pedestal. Buried water and
electrical extensions will be installed on the land side of the wooden boardwalk
and extended to each pedestal. Ballard lights will be installed on the land side
of the boardwalk at an elevation of approximately 30" above the ground. In
addition to the 14 boat slips, a premanufactured kayak launch platform designed
to lower and lift a kayak into and out of the water will be installed, The
launch will include a hand crank or electric winch and access ladder and will be
mounted to bulkhead & dock structure in a location not designated as a boat
slip. Signage will be placed indicating "Discharge of waste from boat toilets is
prohibited. Public pump services are available at the Town of Manteo Public Boat
Docks, Shallowbag Bay Marina and Marshes light Marina".
Provisions are also being made for the ability to keep and on -site sewage pump
cart, A sewer lateral (buried) will installed to provide a pumpout location
for the cart pump and pavilion. Small diameter stormwater piping will encroach
at the edge of the buffer to convey runoff from impervious surfaces to
bioretention areas located outside of the AEC. Uncovered but elevated wooden
decks at the south edge of townhome unit 6A encroach into 30' buffer of a canal
located on the adjacent property to the south this includes 2 levels with a
total 70 sf per level. A corner to the pavilion walkway will also encroach
slightly into the setback with a total of 9 sf. A geoweb material will be
installed from the paved access road to the southwest end of the canal to allow
for emergency vehicles access to the dock area. The geoweb will he sand filled
with sod installed over to maintain a grassed surface
Development within the 75' AEC will consist of portions of each of the two
townhomes. The total area of the 75' AEC is 69,213 sf with a total impervious
coverage of 7,092 sf (10.2%). Additional items within the 75' AEC include 6'
wide elevated wooden walkway to be installed to access the existing boardwalk,
5.17' wide elevated wooden ramp connecting the pool area to the pavilion and
6.33' wide elevated wooden stairs from the pavilion to a 100 sf slightly
elevated wooden platform.
Notes Regarding the CAMA E-Permit Application: Items to be clarified regarding
the CAMA E-permit application include:
Piers and Docking Facilties: The kayak launch is a vertical lift design and was
included in the application as a "boat lift"
Stormwater Structure: The project requires an NCDEQ Stormwater Management permit
(high density) and the on -site BMP includes a "Stormwater Structure" which is
located on uplands within the bioretention areas (located outside of the AEC).
The structure provides an outlet for overflow in excess of the design volume and
underdrain. The control structure is connected to a pipe that conveys overflow
to the drainage system on Hwy 64/264.
Parcels involved: The project area was a single parcel until it was subdivided
into 2 parcels via plat recorded on 1/18/2006. A second subdivision was approved
later in 2006 which would have resulted in 5 lots total. However, the
subdivision was never recorded and the project area remains 2 parcels. This
project will recombine those parcels into a total of 5 lots.
NCDEQ Erosion and Sedimentation Control Submittal: The Erosion and Sediment

Control Plan was submitted to NCDEQ DEMLR on 1/10/2024 and approval
"DARE-2024-00106" I was issued on 2/8/2024.
NCDEQ Stormwater Management Submittal: The Stormwater Management Permit
Application was submitted to NCDEQ DFMLR on 12/8/2023 and permit SW7231203 was
issued by NCDEQ on 1/25/2024
Marine Debris: Marine debris to be removed from below the NWL will consist of a
section of previously placed rip -rap. The rip -rap was placed or washed further
into the canal and a portion is being removed to accommodate boat slip #13.
Other: "Other" items to be included in the CAMA permit application include:
* Repair of existing boardwalk to include replacement of existing deck boards
* Installation of a Kayak lift / launch that will be mounted to the existing
bulkhead / wooden boardwalk
* Installation of new elevated walkway within CAMA AEC & buffer
* installation of new underground electrical and water service and connection
to new marine utility pedestals within CAMA AFC & buffer
* Installation of new 30" bollard lighting along existing boardwalk within CAMA
AEC & buffer
* Installation of new underground sanitarysewer lateral within CAMA AEC &
buffer
* Installation of new storm drainage collection pipes underground within CAMA
AEC
* Installation of elevated pavilion, walkway ramp stairs and elevated landing
within CAMA buffer
A coping meeting was held for this project on 9/22/2023 during which DWR was
present
The project proponent hereby certifies that all information contained herein is
true, accurate and complete to the best of my knowledge and belief.
The project proponent hereby requests that the certifying authority review and
take action on this CWA 401 certification request within the applicable
reasonable time period.
Boat Ramp Development Activity Included: False
Shoreline Stabilization Development Activity Included: False
Living Shoreline Development Activity Included: False
Piers & Docking Facilities Development Activity Included: True
Facilities Details
Facility Use i # of Tie Pilings I Existing Slips I New Sli
Piers & Docking Facility Structures
Structure Type Length
Width
Quantity
Boatlift 20
5
1

Freestanding Moorings & Buoys Associated With This Docking Facility
Structures Consistent With Water Use Plan Existing Freestanding Moorings & Buoys Slips New Freestanding Moorings & Buoys Slips
False
Buoy Details:
Moorings & Buoys Details
Mooring or Buoy Distance From Shoreline I Arc of Swing Water Depth
Excavation Development Activity Included: False
Bridges & Culverts Development Activity Included: False
Oceanfront Erosion Control Development Activity Included: False
Temporary Structures Development Activity Included: False
Utility Crossings Development Activity Included: False
Freestanding Moorings, Buoys & Bird Nesting Poles Development Activity Included: False
Log Removal/Marine Debris Development Activity Included: Yes/No
Log Removal/Marine Debris Details
Excavation Length
Excavation Width
Average Existing Depth
Final Project Depth
15
5
3
4.5
Area Excavated Below
NHW or NWL (Sq Ft)
Volume Excavated Below
NHW or NWL (Cu Yds)
Type of Material to be Excavated
Describe "Other" Material
75
4.2
1 other
Previously placed Rip -Rap
Does the Area to be Excavated Include Any Of The Following Areas
Area
Sq, Ft, Affected
Purpose of Fill in This Area
Coastal Wetland/Marsh (CW)
Submerged Aquatic Vegetation (SAV)
Shell Bottom (SB)
Other Non -Coastal Wetlands (WL)
Disposal of Excavated Material
Location of Disposal Area
Disposal
Area Length
Disposal Area
Width
Do You Claim Title to
Disposal Area
Will Wetlands be Crossed in
Transporting Equipment to Project Site
off -site landfill
False
False
How Will Excavated Material be Kept on Site and Erosion Controlled
Steps Taken to Avoid or Minimize Environmental Impact
Material is rip -rap and will not pose a threat of erosion and will be
disposed of in a landfill

Navigational Aids Development Activity Included: False
Other Fill Below Water Level Development Activity Included: False
Stormwater Structures Development Activity Included: True
Stormwater Structures - General
Does Stormwater Structure Have an Oceanfront Component: False
Navigational Aids Details
Number of Buoys
Number of Day Markers
Min Distance Each Aid Placed Beyond
Shoreline
Max Distance Each Aid Placed Beyond
Shoreline
Upland Development For Stormwater Structures
arcels
# 7Created
Lots Platted &
Recorded Date
#Residential Units
Units per Acre
1
Area Size to be
Disturbed (sq ft)
Tract Has State or
Local Approval
1 14
5.6
71229
False
Date Site Development
Plan Submitted
Date Sedimentation & Erosion
Control Plan Submitted
Impervious Coverage
(%Within AECJ
Impervious Coverage
(% of Entire Tract)
1
Project Includes Innovative
Stormwate Design
10.20
1 32.30
False
"Upland Development" Development Activity Included: True
Upland Development Details
# of Lots/Parcels
Created
Lots Platted &
Recorded Date
# Residential Units
Units per Acre
Area Size to be
Disturbed (sq ft)
Tract Has State or
Local Approval
5
1/18/2006
14
5.6
_
71229
False
Date Site Development
Plan Submitted
Date Sedimentation & Erosion
Control Plan Submitted
Impervious Coverage
(% Within AEC)
Impervious Coverage
(% of Entire Tract)
Project Includes Innovative
Stormwate Design
10.20
32.30
False
Energy Facilities Development Activity Included: False
Aquaculture Development Activity Included; False
Submerged Lands Mining Development Activity Included: False

General Development Activity Details Required
General development Activity Questions
These questions are applicable if 1 of the following development activities are included in the project
(Boat Ramps, Freestanding Moorings, Buoys & Bird Nesting Poles, Piers & Docking Facilities, Temporary Structures, Living Shorelines,
Shoreline Stabilization Submerged Lands Mining)
Boat Type(s)
Typical Boat Length
Other Boat Type (Describe)
Personal water craft
25
Adj Riparian Property Line 91 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line #2 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line 12 (Proximity of
Structure Nearest to Property Line)
69
28
Width of Water Body
Water Depth @ Waterward End of Water Depth @ Most Landward
Structure (NLW or NWL) Boat Slip (NLW or NWL)
Water Depth @ Most Waterward
Boat Slip (NLW or NWL)
43
1 5.3 4.4
4
Navigational
Aids Required
Number of
Buoys
Number of Day
Markers
Min Distance of Each Aid Placed
Beyond Shoreline
Max Distance of Each Aid Placed
Beyond Shoreline
False
Marina Development Activity Details Required
Marina Details
These questions are applicable if there are a combined number of slips of 10 or more across all development activities
Repair or Maintenance
Travel Lift
Fuel & Marine
pry Storage [tf of Boats]
Lease of Slips
Other Services
Services
and/or Rail
Supplies
False
False
False
0
False
False
Detailed Plan - Location of Repair/Maintenance Services & Efforts to Contain Debris/Runoff From Entering Adjacent Wetlands/Water Bodies
Provide a Detailed Plan of the Location of Fuel Handling Facilities & Describe Safety Measures Planned to Protect Water Quality
Other Services (Detailed Description)
Industrial Pollutants Being Used (Paint, Sandblasting Waste,
Petroleum Products, Vessel Maintenance Operations)
Industrial Pollutants Management Plan
False
d of Toilets
# of Showers I
Location of Toilets
Boat Holding
Existing
Proposed
Pumpouts— Location of Each
Pumpouts—Type of Each
Tank Pumpouts
Pumpouts Pumpouts
False
0
0
How Will Overboard Discharge of
Number of Channel Marker
Sewage From Boats be Controlled
or No Wake Signs Proposed
Provide Details to the Type of 5ignage and Location of the Signs
Signage posted on either side of the
boat basin stating "Discharge of
waste from boat toilets is
"no wake zone" sign mounted to post at entrance to boat basin. "
prohibited. Public pump services
1
"Discharge of any waste from boat toilet is prohibited. pump out cart is
are available at the Town of
available beneath pavilion" will be posted on either side of the boat basin.
Manteo Public Docks, 5hallowbag
Bay Marina and Marshes Light
Marina".
Marina Safety Policy on
Marina Located Within or Close
Shellfish Lease
Overnight & Live Aboard Storage
Proximity to Shellfish Lease
Proximity to Marina
Shellfish Leasholder(s) Name & Address
Transient or live aboard dockage
is prohibited by Osprey Point and
False
the Town of Manteo for this
facility.

Postal
CERTIFIED MAILP a
■
Domestic Mail Only
Certified Mall Fee $4 40
�
i:i448
� ' "
01
Extra SeNlC25 &Fees (check6ox, add fee ay@gprgq!T�teJ
❑ Return
Receipt(hardoopy) $
❑ Return Receipt (electronic) s o
Postmark
❑ Certified Mall Restricted Delivery $ �—
Here
El Adult Signature Required $ _--stf-_
❑Adult signature Restricted Delivery $
Postage
02/15/2 124
age and Fees
$$iliao
y f �
S$etj_ C_
ornerstone Capital Holdings LLC
Stir
47 Congress St.
----------------
c1t} Clayton, NC 27527-5490
--------------------------
r r„ •0.
2UNITED STATFS
POSTAL SERME■
KILL DEVIL BILLS
302 S CROATAN HWY
KILL DEVIL HILLS, NC 27948-9998
[phone]
02/15/2024 03:43 PM
------------------------------------------
Product 0ty Unit Price
Price
-----------------------------------------
First-Class Mail® 1 $2.35
Large Envelope
Clayton, NC 27527
Weight: 0 lb 4.50 oz
Estimated Delivery Date
Sat 02/17/2024
Certified Mail@ $4.40
Tracking #:
70191640000031543183
Return Receipt $3.65
Tracking #:
9590 9402 8204 3030 5298 53
Total $10.40
--------------------------------------------
Grand Total: $10.40
Credit Card Remit $10.40
Card Name: VISA
Account #: XXXXXXXXXXXX4224
Approval #: 09861G
Transaction #: 946
AID: AOOOOO00031010 Contactless
AL: VISA CREDIT
---------------------------------------------
Text your tracking number to 28777 (2USPS)
to get the latest status, Standard Message
and Data rates may apply. You may also
visit www.usps.com USPS Tracking or call
1-800-222-1811.
Preview your Mail
Track your Packages
Sign up for FREE W
https://informeddelivery.usps.com
All sales final on stamps and postage.
Refunds for guaranteed services only.
Thank you for your business.
Tell us about your experience.
Go to: https://postalexperience.com/Pos
or scan this code with your mobile device,
or call 1-800-410-7420.
UFN: 364088-0448
Receipt #: 840-52700343-1-2480126-2
Clerk: 01

asprey Fain)
LAMA Ad,=ent Riparian R,cperty Owner No9Fr2Uo-n
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
rBottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property The
individual applying for this permit has described to me, as shown on the attached
drawing, the development they are proposing A description or drawing, with
dimensions, must be provided with this letter
l DO NOT have objections to tiirs proposal,
I DO have objections to this proposal
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO
Mailing Address of ARPO
ARPO's email 4er�'p cqr� (9 - U6 -c 0A�---
ARPO's Phone# Date: --Q, — as -a

Postal
Ln
CERTIFIED ■ p RECEIPT
S Domestic Mail •
c'a
tIl Certified Mail Fee
ra $
TT -I Extra Services &Fees (check box, add fee as appropriate)
O ❑Return Receipt thardcopyl $ Postmark
13 ❑ $ Return Receipt {electronic) Here
Q ❑ Genifled Mall Rostrcted �ellvery $ r
O Adult Signature Required
❑Adult Signature Restricted Delivery $ ��—
la Postage ..
$
p Total postage and Fees
r-3
ErSent To DLC Properties LLC---------
SfreetandApt.h 450 NC Hwy 461 W
cfiy, staree; zip+• Ahoskie, NC 27910
Postal
r!1 CERTIFIED MAIL@ RECEIPT
Lr) Domestic
rnTF
Certified Mail Fag
m $
EXtra.SerVECeS & Fees (checkbox, add fee asappmpriafe)
t� El Return Receipt (hardcopy) g
CZ1 Return Receipt {electronic) $
CM ❑ Certified Mail Restricted oellvery $ � � Postmark
❑Adult Signature Required $ _ Here -
❑ Adult Signature Restricted Dellvery $
Postage
$
r-9 Total Postage and Fees - -
Q' $ -- -....-.
Sent To
Cornerstone Capital Holdings LLC
M1 Street ariorA�
47 Congress Street
cf stare:z Clayton, NC 27527-5490

USPS.com® - USPS Tracking® Results
https ://tools.usps.com/go/TrackConfumAction?tRef=fullpage&tLc=2&...
ALERT. SEVERE WEATHER CONDITIONS ACROSS THE U.S. MAY DELAY FINAL DELIVERY 0...
USPS Tracking® FAQs >
Tracking Number: Remove X
70191640000031543152
Copy Add to Informed Delivery(https://informeddelivery.usps.com/)
Latest Update
Your item could not be delivered on January 25, 2024 at 11:18 am in CLAYTON, NC 27520. It was
held for the required number of days and is being returned to the sender.
Get More Out of USPS Tracking:
USPS Tracking Plus®
Alert
Unclaimed/Being Returned to Sender
CLAYTON, NC 27520
January 25, 2024, 11:18 am
• Reminder to Schedule Redelivery of your item
IJanuary 3, 2024
Notice Left (No Authorized Recipient Available)
CLAYTON, NC 27527
December 29, 2023, 2:04 pm
In Transit to Next Facility
December 28, 2023
Departed USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
December 27, 2023, 8:48 pm
1 of 2 1/31/2024, 1:53 PM

USPS.com® - USPS Tracking® Results
https ://tools.usps. com/go/TrackConftrmAction?tRef=fullpage&tLc=2&...
Arrived at USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
December 27, 2023, 4:38 pm
Departed Post Office
KILL DEVIL HILLS, NC 27948
December 22, 2023, 5:20 pm
USPS in possession of item
KILL DEVIL HILLS, NC 27948
December 22, 2023, 11:26 am
Hide Tracking History
What Do USPS Tracking Statuses Mean?(https://faq.usps.com/s/article/Where-is-my-package)
Text & Email Updates
USPS Tracking Plus®
Product Information
Track Another Package
Enter tracking or barcode numbers
u
u
M
See Less /\
Need More Help?
Contact USPS Tracking support for further assistance.
FAQs
2 of 2 1/31/2024, 1:53 PM

■ Complete items 1, 2, and 3. 1 A s nature
■ Print your name and address on the reverse
so that we can return the Card to you. X ❑ Agent
■ Attach this card to the back of the mailpiece, y*ng--7C.,?�te/of9Vvc
0 Address
or on the front if space permits. p ceived b
fr.
1. Article Addressed to:
D. is deliveryaddress different from item ? Yes
If YES, enter delivery address below: ❑ No
DLC Properties LLC
450 NC Hwy 461 W
Ahoskie, NC 27910
i���+�
�� ���
11�I� ��1
111
3.
pMessp
9590 9402 $204 3030 529$ 77
Q Adrrvicearype
ult SignaturesSignature
Restricted Delivery
certified Restricted
0 Reglstered[Ma
Registered Mail Restricted
Delivery
2. Article Number (Transfer from service label)
Mar! Delive
Q Collect on Delivery ry
Q Collect on Delivery Restricted Delivery
Signature ConfirmationT^^
❑ Confirmation
7019 1640 0000 31E4
-
uredMail
ared Mail
RestrSigricted Delivery
.314E
PS Form 3811, Jta1y2020 PSN 7530-02-000-9053
Restricted Delivery
.r$5uD)
Domestic Return Receipt

Filed Book: ISW Page: 81 Doc Id: 61B9056
01/1912006 05:01Pi1 Receipt 8, 156636
Doc Code. DEED NC Excise Tax pd: $2352.00
BARBARA M GRAY, REGISTER OF DEEDS DARE CO, NC
IIIIIIIIIIIIIIIIII�IIIflllllllll IIIIIII III�IIIIII�II 01g8022006 05.01P
O
vl�l
\--' APFFOVEE!
PRE COUNTYLECTORTAX
NO
16
0
Excise Tax: S 2,3'5
Parcel Identifier
By:
DARE nj�f. REAL ESTATE
COUNTY TRANSFER TAX
LT a(06X
NORTH CAROLINA GENERAL WARRANTY DEED
County on the _ day of 20_
.1;�
Mail/Box to: Michael C. Casey, Casey, Grimsley & Ragaller, PLLC, P. Q. Box 28, Nags Head, CC. 27959
This instrument was prepared by: Christopher L, Seawell, Aldridge Seawell, Spence, & Felthousen LLP, P. D, Box 339, Manteo, NC
Brief description for the
THIS DEED made this 5th day of Jh! 20 06, by and between
GRANTOR 0
Frances M. Jolliff, unmarried C^l
O
�j
GRANTEE
Klimkiewicz Family Manteo 1, LLC
3012 Lynndale Road
Virginia Beach, VA 23452
The designation Grantor and Grantee as used herein shall include s0 arties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.?
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey unto the Grantee in fe simple, all that certain lot or parcel of land situated in
the City of Manteo Nags Head Township, Dare County, North Carolina and more
particularly described as follows:
All of the lot or parcel of land identified as "Parcel V on that map or plat entit inpart "Minor Subdivision for Francis M.
Jolliff'prepared by Seaboard Sureying & Planning, Inc., and recorded in Plat Pat , at Slide _ of the Dare County
Public Registry.
The property hereinabove described was acquired by Grantor by instrument recorded 3t�ook 369 page 172
A map showing the above described property is recorded in Plat Book P e G ` ```'�T ee
NC Bar Association Form No. L-3 © 1976, Revised © 1977, 2002 Y
Printed by Agreement with the NC Bar Association —1981 SoftPro Corporation, 333 E. Six Fp fks Rd., Raleigh, NC 27609
O
�X

TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple.
the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee
le, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
claims of all persons whomsoever, other than the following exceptions: Easements and restrictions appearing of record, and
a , z,ing ordinances and other land regulations applicable thereto.
C �IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
Y"
(Entity Name) Frances M. Jolliff
By:�
Title
By: d MAP
Title:
By'
State of North
I, the
the County and State aforesaid, certify that Frances M. Jolliff
personally appeared before me this day and acknowledged due
ofecutiofn the fA3egoi ins x theigurposes therein expressed. Witness my hand and Notarial stamp or seal this l �y
My Commission Ex9•• ..'./�•• 'A
111101 111tNotary Public
State of North Carolina - County of
I, the undersigned Notary Public of the CC.�kiiity and State aforesaid, certify that personally
came before me this day and acknowledged that _he#the of
a North Carolina or corporation/lir�d liability company/general partnership/limited partnership(strike through the
inapplicable), and that by authority duly given and as the act of such entity, _he signed the foregoing instrument in its name on its
behalf as its act and deed. Witness my hand and Notaria�#mp or seal, this day of 20_,
My Commission Expires: 0
�j Notary Public
State of North Carolina - County of
I, the undersigned Notary Public of the County and State afore d; certify that
witness my nand and Notarial stamp or seal, this day of , 20_
My Commission Expires: 6
-( s,tary Public
The foregoing Certificate(s) ofislarr
VV
certified to be correct. This instrument and this certificate are duly registered at the date .time and in the Book and Page shown on the
fast page hereof.
Register of Deeds for 0 County
By Deputy/Assistant - Register f lZeeds
NC Bar Association Form No. L-3 © 1976, Revised 0 1977, 2002
Printed by Agreement with the NC Bar Association — 1981 SoftPro Corporation, 333 E. Six Fg�ks Rd., Raleigh, NC 27609
O
�X
1I�IIII IIIIIIIIIIII IIIIII IIII IIII!IIIIIII IIII IIII 65189056
006 05:01P

DARE Sri` REAL ESTATE
COUNTY COUNTRANSFER TAX Filed Book: 1670 Page: 84 Doc Id. 6189059
01,IS,2006 05:03PM Receipt N: 158636
ter. Doc Code: DEED NC Excise Tax Pd: $910.00
(DLT/ir{1, $� BARBARA M GRAY, REGISTER OF DEEDS DARE CO, NC
O(�SI
[ARE ICOUNTYTAX IIIIII fflIlrIr iIiII I IIII IIII I6189059
J �LECTOR D I ��IIII I�II� Iffll I����I IIIIII I��II ���II II� ■II I lFII I��i 0Page: 1 of 2
1 // 181 006 05:03P
10
0 NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $ 910.Ob(
Parcel Identifier No. 2 Verified by County on the _ day of 20
BY: ri
Mail/Box to: Michael C. Cas , Casey, Grimsley & Ragaller, PLLC P. O. Box 28 Nags Head, NC 27 5
This instrument was prepared by: Christopher L. SeaweIl, Aldridge Seawell, Spence, & Felthousen LLP, P. O. Box 339, Manteo, NC
Brief description for the
THIS DEED made this Sth day of Janty 20 06, by and between
GRANTOR 0
Frances M. Jolliff, unmarried "
O
GRANTEE
Ettinger Family, LLC
3012 Lynndale Road
Virginia Beach, VA 23452
The designation Grantor and Grantee as used herein shall include sa'i x,arties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context. l
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in
the City of Manteo Nags Head Township, A Dare County, North Carolina and more
particularly described as follows:
All of the lot or parcel of land identified as 'Parcel 2" on that map or plat entitl n part "Minor Subdivision for Frances M.
Jolliff' prepared by Seaboard Surveying & Planning, Inc., and recorded in Plat%et at Slide , of the Dare County
Public Registry.
The property hereinabove described was acquired by Grantor by instrument
recorded i-$ook 369 pa$e 172
A map showing the above described property is recorded in Plat Book
NC Bar Association Form No. L-3 © 1976, Revised © 1977, 2002
Printed by Agreement with the NC Bar Association — 1981 SoftPro Corporation, 333 E, Six Forms Rd., Raleigh, NC 27609
�0
�X

TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple.
the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee
le, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
Tp claims of all persons whomsoever, other than the following exceptions: Easements and restrictions appearing of record, and
iv ing ordinances and other land regulations applicable thereto.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
ri
(Entity Name) Fran sM. if �
By:
Titl
By: <� - l
Title:
By')
Title:
State of North Carolina "
I, the urioi , Nlde r f the County and State aforesaid, certify that Frances M. Jolliff
t V p1� I AR z _. personally appeared before me this day and acknowledg JA due
executio f the is Bing ing nt r th purposes therein expressed. Witness my hand and Notarial stamp or seal this day
MyCommiasion lt�s['�:""'•••• •''' ����lwltO�%1
in ilitl►UNotary Public
State of North Carolina - County of _ S4-1'
1, the undersigned Notary Public of thety and State aforesaid, certify that personally
came before me this day and acknowledged that _he,�Othe of
a North Carolina or corporation/liryAd liability company/general partnership/limited partnership (strike through the
inapplicable), and that by authority duly given and as the act of such entity, he signed the foregoing instrument in its name on its
behalf as its act and deed. Witness my hand and Notar"rop or seal, this day of 20—.
My Commission Expires: 0
Notary Public
State of North Carolina - County of
I, the undersigned Notary Public of the County and State a€oregai certifythat
Witness my hand and Notarial stamp or seal, this day of " 20_,
My Commission Expires:
�lotary Public
The foregoingCeiti&ficate(s) of v
certified to be correct. This instrument and this certificate are duly registered at the dat6antititrte and in the Book and Page shown on the
first page hereof.
Register of Deeds for S o�ty
By: Deputy/Assistant - Register Deeds
NC Bar Association Form No. L-3 0 1976, Revised © 1977, 2002
Printed by Agreement with the NC Bar Association —1981 SoftPro Corporation, 333 E. Six Forks Rd., Raleigh, NC 27609
�0
IIIII II��I II IIIII IIIII �I�II IIIII III II I II I III 06189059
/ 0506 05 03P

LIMITED LIABILITY COMPANY ANNUAL REPORT
1/s/zozz
NAME OF LIMITED LIABILITY COMPANY: CARLISLE COMMONS LLC
SECRETARY OF STATE ID NUMBER: 2344136 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 707Q
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: ,Johnson, Mary Joan
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Filing Office Use Only
E - Filed Annual Report
2344136
CA202303101054
1 /31 /2023 11:15
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2005 Deer Island Ln
2005 Deer Island Ln
Wilmington, NC 28405-5247 New Hanover County Wilmington, NC 28405-5247
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: LAND DEVELOPMENT
2. PRINCIPAL OFFICE PHONE NUMBER: (910) 442-75500 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
2005 Deer Island Ln
Wilminqton, NC 28405-5247
2005 Deer Island Ln
Wilmington, NC 28405-5247
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Mary Joan Johnson
TITLE: Manager
ADDRESS:
2005 Deer Island Ln
Wilmington, NC 28405-5247
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Mary Joan Johnson 1 /31 /2023
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form.
DATE
Mary Joan Johnson Manager
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

SCHEDULE II
To
OPERATING AGREEMENT
OF
CARLISLE COMMONS LLC
Manager(s):
Mary Joan Johnson
Craig Johnson
Robert S. Gollahon
Amendment 1, Effective Date: �/ C) , 20,

CONSENT OF SOLE MEMBER
OF
CARLISLE COMMONS LLC
TO
ACTION WITHOUT MEETING
IN LIEU OF SPECIAL MEETING
THE UNDERSIGNED, being the sole Member of CARLISLE COMMONS LLC (the Company),
hereby consents to the following action without meeting, in lieu of special meeting, and hereby waives
formal meeting and notice of meeting:
BE IT RESOLVED, that the number of Managers of the Company be increased from two Managers to
three Managers, and that Robert S. Gollahon be appointed as the third Manager of the Company, effective
immediately.
BE IT FURTHER RESOLVED, that Schedule II to the Operating Agreement of the Company be
amended to add Robert S. Gollah9n as a Manager, in the form attached hereto as an exhibit.
This the, day of"'A'n-�"942023
Mary J. Jo ns ber

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
TANCRED MILLER
Director
EMAIL MEMORANDUM
TO: The Coastland Times
NORTH CAROLINA
Environmental Quality
ATTN: Hannah Russ
Manteo, NC 27954
legals(a-)thecoastlandtimes. net
FROM: Lisa Doepker, Administrative Specialist
DATE: 3/12/2024
SUBJECT: Major Public Notice: 501 Highway Manteo Holdings, LLC
Please publish the attached Notice in the Sunday, March 17, 2024, issue of The
Coastland Times. Please note that this is for a one -day publication only.
The State Office of Budget and Management requires an original Affidavit of Publication
prior to payment for newspaper advertising. Please send the affidavit, an original copy
of the published notice, an original invoice and payment request to Lisa Doepker, via
email at: [e-mail].
Thank you for your assistance in this matter. If you should have any questions, please
contact me at our Elizabeth City office [phone].
Attachment
cc: Gregg Bodnar, Major Permits Coordinator, gregg.bodnar(@_deg.nc.gov
Christy Simmons, PIO, DCM, christy.simmons(@�ncdenr.gov
Ellie Davis, Accounts Payable, DCM, ellie.davis(@)-ncdenr.gov
File
D E Q�� North Carolina Department of Environmental Quality I Division of Coastal Management
Morehead City Office 1 400 Commerce Avenue I Morehead City, North Carolina 28557
NORTH CAROUNA -
oepadmeMolEnWmnmem l0ual\ /� 252.515.5400

NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR
DEVELOPMENT PERMIT
The NC Department of Environmental Quality hereby gives public notice as
required by NCGS 113A-119(b) that application for a development permit in an AEC as
designated under the CAMA was received on 2/14/2024. The applicant proposes to
recombine and subdivide parcels, construct residential duplexes and townhomes, install
a mooring piling for slip #14, remove 15'x15' section of existing riprap approximately to
allow space at slip #13, grading and improvements to the existing boardwalk, and install
kayak launch platform. Located at 501 Hwy 64/264 in Dare County.
A copy of the entire application may be reviewed at the office of the Division of
Coastal Management, located at 401 S Griffin St, Ste 300, Elizabeth City and reached by
phone at [phone] during normal business hours. Comments mailed to Tancred
Miller, Director, DCM, 400 Commerce Avenue, Morehead City, NC 28557, prior to April
7, 2024, will be considered in making the permit decision. Later comments will be
considered up to the time of permit decision. Project modification may occur based on
review & comment by the public, state & federal agencies. Notice of the permit decision
in this matter will be provided upon written request.
PLEASE PUBLISH ON: March 17, 2024
D E Q�� North Carolina Department of Environmental Quality I Division of Coastal Management
Morehead City Office 1 400 Commerce Avenue I Morehead City, North Carolina 28557
NORTH CAROUNA -
OepadmeMaf EnWmnmeM l Vualfty /� 252.515.5400

DocuSign Envelope ID: 06AFBF6D-E893-4D69-BEE4-4CFC692Br4F8
ACKNOWLEDGMENT OF RECEIPT OF MONIES
Seller, Klli3mkiewicz Family Manteo I LLC of 1 Eton er Famil LLC of 2 („Seller"}
Buyer: Robert S. Gollahon or Assi ns
- �-- -- —___-- _ _---- ("Buyer'')
Property Address: SOI S Ai wa 64/264 -hots 1 and 2 to ether Manteo NC 27954 (''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 Seiler of a Due Diligence Fee in the amount of S , receipt of which Listing Agent hereby acknowledges.
Date:
Fes: Landmark Sotheby's International Real
By:
(Signature)
Bradley_ Beacham
(Print name)
----------------------
Q SELLER ACKNOWLEDGMENT OF RECEIPT OF DUE DILIGENCE FEE
Paragraph 1(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 ill ence Fee in the amount of $ 5,000.00
, rece' is tier hereby acknowledges.
Date: 8 3 -
Seller:
(Signature) -___.
amity Manteo I, LLC (Lot 1)
Date: Seller:
(Signature)
Ettinger Family LLC (Lot 2)
----------------------
ESCROW AGENT ACKNOWLEDGMENT OF RECEIPT OF INITIAL EARNEST MONEY DEPOSIT
Paragraph 1(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 $ . Escrow Agent as identified in
Paragraph 1(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:
Finn: McCown & McCown/ Linda McCown - 252-473-2191
By:
(Signature)
(Print name) T
---------------------
--------------------------------------------
---------------------------
ESCROW AGENT ACKNOWLEDGMENT OF RECEIPT OF (ADDITIONAL) 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 (Additional) Earnest Money Deposit in the amount of $ . Escrow Agent as identified
in Paragraph 1(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: McCown & McCown/ Linda McCown - 252-473-2191
Time: ❑ AM. [] PM By:
(Signature)
Page 13 of 13
(Print name)
STANDARD FORM 12-T
Revised 7/2022
© 7/2022
Produced with Lone Wolf Transactions {zipForm Edition) 717 N Harwood S€, Suite 2200, Dallas, TX 75201 www.lwoifxpn M—tc-

MAJOR PERMIT FEE MATRIX
Applicant: Carlisle Commons, LLC
Selection
Development Type
Fee
DCM %
DWQ %
(14300 1601 435100093 1625 6253)
(24300 1602 435100095 2341)
I. Private, non-commercial
development that does not
$250
100% ($250)
0% ($0)
involve the filling or
excavation of any wetlands
or open water areas:
II. Public or commercial
development that does not
$400
100% ($400)
0% ($0)
involve the filling or
excavation of any wetlands
or open water areas:
Major Modification to a
$250
100% ($250)
0% ($0)
CAMA Major permit
III. For development that
involves the filling and/or
excavation of up to 1 acre
of wetlands and/or open
water areas, determine if A,
B, C, or D below applies:
III(A). Private, non-
commercial development, if
$250
100% ($250)
0% ($0)
General Water Quality
Certification No. 4501 (See
attached) can be applied:
III(B). Public or commercial
development, if General
$400
100% ($400)
0% ($0)
Water Quality Certification
No. 4501 (See attached)
can be applied:
III(C). If General Water
Quality Certification No.
$400
60% ($240)
40% ($160)
4501 (see attached) could
be applied, but DCM staff
determined that additional
review and written DWQ
concurrence is needed
because of concerns
related to water quality or
aquatic life:
III(D). If General Water
®
Quality Certification No.
$400
60% ($240)
40% ($160)
4501 (see attached) cannot
be applied:
IV. For development that
El
involves the filling and/or
$475
60% ($285)
40% ($190)
excavation of more than
one acre of wetlands and/or
open water areas:

M--..o:.... r_.—_
DocuSign Envelope ID: BFDF23E0-B7EF-4066-AQB4-998A479DAEE6
ADDENDUM TO SALES CONTRACT
This Addendum is made on June 18, 2023
offered on June 15, 2023
between
to a sales contract ("Contract")
("Buyer") and Klimkiewicz Family Manteo 1, LLC (Lot 1)
and Ettinger Family LLC (Lot 2)
("Seller") for the
purchase and sale of the Property: 581 Highway 64/264 (Lot 1 and Lot 2), Manteo, NC 27954
The parties agree that this Contract is modified as follow:
Initial Earnest Money Deposit shall be made in the amount oflM by personal check and will be made payab' in
delivered to Escrow Agent within 10 days of the Effective Date of the Contract.
Due Diligence Fee
At the end of the 90 day Due Diligence Period, Purchaser shall pay Sellermper month until closing which shau not
exceed 9 months unless mutually agreed to in writing by the parties. However, if Purchaser has diligently pursued
necessary approvals for the property and is delayed by government agencies, such extension will not be reasonably
►vithheld..Payments shall be made to Seller at the beginning of each month.
DS .Due Diligence Fee
is Contract is contingent upon any necessary approval(s) by the Town and/or County and Seiler shall cooperate with
rchaser at no cost to Seller. Seller shall provide any necessary engineering, survey(s) or other documentation that will
assist Purchaser.
Settlement shall occur 15 days after Town and/or County approval(s) and any government appeals period.
This Addendum shall not alter, modify, or change in any other respect this Contract, and except
as modified herein, all of the terns and provisions of this Contract are expressly ratified and
confirmed and shall remain in full force and effect.
SELLER: J PURCHASER:
DotuSlgned by:
6/18/2023
1956F016 NRC6...
Date Signature Date Signature
SELLER: PURCHASER:
1
Date Signature Date Signature
SELLER: PURCHASER:
Date Signature Date Signature
SELLER: PURCHASER:
I I
Date Signature Date Signature

DocuSign Envelope ID: BFDF23E0-$7EF-4066-ADB4-998A479DAEE6 _ :D 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 fist 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 Properly 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 teams listed below shall have the respective meaning given them as set forth adjacent to
each term.
(a) "Seller": Klimkiewlez Family Manteo I LLC Lot 1 Ettinger Family LLC (Lot 2)
(b) "Buyer": Robert S. Gollahon or Assigns
(c) "Property": The Property shall include all that real estate described below together with at] appurtenances thereto including
the improvements located thereon.
The Property r1will 5dwill 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: 501 S Highway 64/264 - Lots 1 and 2 together
City: Manteo Zip: 27954
County: Dare County, North Carolina
NOTE: Governmental authority over taxes, zoning, school districts, utilities and mail delivery may differ from address shown.
Legal Description: (Complete .ILL applicable)
Plat Reference: Lot/Unit I and 2 , Block/Section , Subdivision/Condominium None
, as shown on Plat Book/Slide at Page(s)
The P1N/PID or other identification number of the Property is: Lot 1 PIN: 978907695103 Lot 1 Parcel: 025587000
Other description: Lot 2 PIN: 978907692054 Lot 2 Parcel: 025587001
Some or all of the Property inay be described in Deed Book Lot 1: 1670 Lot 2: 1670 at Page Lot 1: 0081 Lot 2: 0084
(d) "Purchase Price":
$ __ paid in U.S. Dollars upon the following terms:
S Addendum Attached BY DUE DILIGENCE FEE made payable and delivered to Seller by the Effective Date
by [] cash 0 personal check ❑ official bank check wire transfer
electronic transfer (specify prryinenl service: )
S Addendum Attached BY INITIAL EARNEST MONEY DEPOSIT made payable and delivered to Escrow Agent
named in Paragraph 1(f) by []cash Qpersonal check official bank check []wire
transfer, ❑ electronic transfer within five (5) days of the Effective Date of this Contract.
This form jointly approved by: Page 1 of 13
North Carolina &ar Association's Real Property Section
North Cttrol�n�AA,,ssoeiation of REALTORS@ 12r
REACTOR' 1 vi
Buyer initial Seller initials
Premier Real Fstate Brokers and Associates. 4191Vood Landing Road Fredericksburg VA 22,05 Phone: [phone]
Karen McFarlane Produced with lope Wol(Transactiions (,dpForm Edillon) 717 N Harwood St, Suite 2200, Dallas, TX 75204
STANDARD FORM 12-T
Revised 7/2022
© 7/2022
Fax: Manteo Soundrronl
W6V-k,d1,com

DocuSign Envelope ID: BFDF23E0-B7EF-4066-ADB4-998A479DAEE6
S
BY (ADDITIONAL) EARNEST MONEY DEPOSIT made payable and delivered to
Escrow Agent named in Paragraph 1(f) no later than 5 p.m. on
TIME BEING OF THE ESSENCE by ❑ eash []official bank check ❑ wire transfer
❑ electronic transfer
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).
BY SELLER FINANCING in accordance with the attached Seller Financing Addendum
(Standard Forrn 2A5-T).
BALANCE of the Purchase Price in cash at Settlement (some or all of which may be paid
with the proceeds of a new loan).
DOTE: 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. fit addition, Seller may be entitled to recover reasonable attorney fees and court costs. See
paragraph 21 for a party'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): Mccown & McCownt Linda McCown - 252473-2191
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 liccnscd to practice law in North Carolina ("Arlomey") 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 Buyers 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
Page 2 of 13
as STANDARD FORM 12-T
Revised 712022
Buyer initial Seller initials c0 712022
1 '7 7uoe whin Lane Wolliransactions (zipFwm Edition) 717 N Harwood St, Suite 2200, Pallas, TX 75201 www.two U m hlenteo

DocuSign Envelope ID; BFDF23EO-B7EF-4066-ADB4-998A479DAEE6
shall be a credit to Buyer at Closing. The Due Diligence Fee shall be tion-refundable except in the event of a material breach of this
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 Tight 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 fora patty'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
90 tit . from Effective Datc of Contract/Ratification 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 See Attached Addendum
(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 finns 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 it North Carolina to perform a closing.
(n) "Special Assessments": A charge against the Property by a governmental authority it 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 Scller's respective responsibilities for the payment of Special Assessments are addressed in paragraphs 4(a)
and 6(k).
2. BUYER'S DUE DILIGENCE PROCESS:
WARMING: 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', gl'the Dire 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, Buyers 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 tight 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 Contractor 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 Buyers 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.
Page 3 of 13
STANDARD FORM 12-T
Revised 7/2022
Buyer initial Seller initials �4K07/2022
Lwith Lons Wdf TranSdUiOnS (apFvmt E"ditlon) 717 tJ Ha[wpod S S�1Le 2200, Danes, TX ?tQ0] Yil16x.twdL.cam �Tnntco

DocuSign Envelope ID: BFDF23E0-B7EF-4066-AD134-998A479DAEEB
kul a 1upciLy anreattgauvn: nuyer or rsuyers 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 Buyers 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 hnprovement Permit or written
evaluation may be obtained fiom 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)Zonutg 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: (I) 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(f) (the "Statute") requires that under circumstances described in the Statute,
a buyer must be provided a subdivision sheets 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
govenrmental 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 Buycr. 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 Buyers other property will take place prior to tine 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 Buyers 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 willftd acts or omissions. This indemnity shall survive this Contract and any
termination hereof.
Page 4 of 13
Ds STANDARD FORM 12-T
Revised 7/2022
Buyer initial L Seller initials © 7/2022
vrilh Lone Wolf Transactions (zipForm Edillon) 717 N Harwood Si, Suite 2200, Dallas, TX 76201 si •n Iv f Mantea

DocuSign Envelope ID: BFDF23Eo-B7EF-4066-ADB4-998A479DAEE6
(f) 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 TIIE PROPERTY IN ITS THEN EXISTING CONDITION
UNLESS PROVISION IS OTHERWISE MADE IN WRITING,
3. BUYER REPRESENTATIONS:
(a) Funds to complete purchase:
❑ (Check ifapplicable) 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 n is not n 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 fiom 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 Ioan of the following type in order to purchase the Property:
U 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 W 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 following only ifBrsyer DOES have to sell or lease other real property:)
Other Property Address:
❑ (Check if applicable) Buyer's 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 of the 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 ifopplicable) 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/leasc 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.
Page S of 13
as STANDARD FORM 12-T
Revised 712022
Buyer initial Seller initials ©7/2022
Produced with Lone Wolf Trangaetion3 (zlpForm Fditton) 717 H Harwood St. Salta 2200. Dallas. TX 76201 www.lwdi.com r antm

DocuSign Envelope ID: BFDF23E0-B7EF-4066-ADB4-99BA479DAEE6
(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 cotnpany/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 agent(s) and Buyer's lender(s).
5. SELLER REPRESENTATIONS:
(a) Ownership: Seller represents that Seller:
K 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 Lrtv%l 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 2Al2-T) shall be completed
by Seller, at Seller's expense, and must be attached as an addendum to this Contract.
(c) Sewage System Permit: (F1 Applicable ❑K 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 Q 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,
Page 6 of 13
as STANDARD FORM 12-T
Revised 7/2022
Buyer initial Seller initials © 7/2022
with t_onn Waif "transactions (ApForm Edition) 717 N Harwood St, Suite 22170, 6811as, 3X 75201 %WMI'Volf.cnm Mani—

DocuSign Envelope ID: BFDF23E0-B7EF-4066-ADB4-998A479DAEE6
(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 dewinterizing. 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 therefiom.
(f) 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 surrey 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 2AI4-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 perforni 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: Robert S. Gollahon
(i) Agreement to Pay Buyer Expenses: Seller shall pay at Settlement $ NIA toward any of Buyers
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.
Page 7 of 13
os
Buyer initial Seller initials��
Produced with Lone Wolf Tranmcdms (zlpForrn Ednion) 717 N Harwood St. Suite 220D, Dallas. TX 75201 www.tvrolf.com
STANDARD FORM 12-T
Revised 7/2022
© 7/2022

DocuSign Envelope ID: BFDF23Eo-B7EF-40(36-ADB4-998A479DAEE6
6) Owners' Association Fees/Cliarges: Seller shall pay any charges by an owners' association or a management
companylvendor 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 surn 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 Linder 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 conhibutions, 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.
S. PRORATIONS 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;
(e) Dues: Owners' association regular assessments (dues) and other like charges.
9. CONDITION OT 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 Eat -nest 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 oil 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 Nou-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 13
os STANDARD FORM 1.2-T
�p� Revised 7/2022
Buyer initia s Seller initials 0 7/2022
Lwith Lone Woft Transactions (ApForm 5dition) 717 N Harwood St, Suite 2200, Dallas, TX 75201 mm.hwitcom 'Ahofco

DocuSign Envelope ID: BFDF23E0-B7EF-4066-ADB4-998A479DAEE6
I L 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 1(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 2AI1-T)
❑ Additional Signatures Addendum (Form 3-T)
❑ Back -Up Contract Addendum (Form 2A 1-T)
❑ Loan Assumption Addendum (Form 2A6-T)
❑ Owners' Association Disclosure Addendum
(Form 2Al2-T)
❑Seller Financing Addendum (Forms 2A5-T)
Short Sale Addendum (Form 2A14-T)
0 identify other attorney or party drafted addenda: Attached Addendum to Sales Contract
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 Contact 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 alter
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 REALTORO 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 there 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 party's agent.
Delivery of any notice to a party 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
STANDARD FORM 12-T
Revised 7/2022
Buyer initia Seller initials ©7/2022
Ds 2
With Lona WolI Transactions (zipForm Edition) 717 N Harwood St. Suite 2200, Dallas, TX 75201 v+xnv.hvolF.tbm ,SAntco

ll.. .Qlr.. C.. „1.. .. 11. -..
❑ocuSign Envelope ID. BFDF23E=0-B7FF-4066-ADB4-998A479DAFE6
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 Seller's 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 terninate 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 teens 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 (S) days from the mailing of the notice to pay the outstanding amount(s) without the attorneys' fees.
(THIS SPACE INTENTIONALLY LEFT BLANK)
Page 10 of 13
os STANDARD FORM 12-T
Revised 7/2022
Buyer initial Seller initials (D 7/2022
Pr uce with Lone Wolf Transactions wworm Editbn) 717 H Harwood St. Suilo 2200. papas. TX 75201 wwwhMfcow Ai■n4o

DocuSign Envelope ID: BFDF23E0-B7EF-4066-ADB4-998A479DAEE6
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.
D 6 $�pn Y: Date: GZ., -1 (a
.1,� !1 r -
Btu l41ti Seller: bt`"
fA�4®ollahon or Assigns Klimkiewlez Family Manteo I, LLC (Lot 1)
Date: Date: (f f q �>_'4
Buyer: Seller:
Ettinger Tamil LLC (Lot 2)
Entity Buyer: Entity Seller:
(Name of LLC/Corporation/Partnership/TYust/ete.)
By: _
Name:
Title:
Date:
Print Name
Klinkiewlez Family Manteo I, LLC (Lot 1)
(Name ofLLC/Corporation/Par(uership/Tnist/etc.)
By:
Name: Ettinger Family LLC (Lot 2)
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 MTN MUM,
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 1N AN EMAIL FROM THE CLOSING ATTORNEY'S OFFICE, YOUR REAL ESTATE
AGENT OR ANYONE ELSE.
Page 11 of 13
STANDARD FORM 12-T
Revised 712022
0712022
Produced with Lone Wolf Transactions (ziprorm Edition) 717 N Harwood 31, SOW 2200, Dallas,'LX 75201 wvnv.hvolf.rom ,{lsnteo

DocuE ign Envelope ID: d3 bD;23EO-B7EF-4066-ADB4-998A479DAEE6
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 "NIA" FOR ANY
WHICH ARE NOT APPROVED.
BUYER NOTICE ADDRESS:
Mailing Address: c/o, Agent: Karen McFarlane
419 Wood LandhiRd - Fredericksburg, VA 22405
Buyer Fax M
SELLER NOTICE ADDRESS:
Mailing Address: c/o, Agent; Bradley Beacham
1176 Duck Road - Duck, NC 27949
Seller Fax #:
Buyer E-mail: c/o Agent: justeaWcarenia outlook,ie Seller E-mail: c.o Agent: Brad r�bradbeachani.com
CONFIRMATION OF AGENCY/NOTICE ADDRESSES
Selling Firm Name: Premier Real Estate
Acting as 0 Buyers Agent ❑ Scllees (sub)Agent ❑ Dual Agent
Firm License #: C37863
Mailing Address: 419 Wood Landing Road,
Fredericksburg, VA 22405
Individual Selling Agent:Karen McFarlane
❑ Acting as a Designated Dual Agent (check only if
applicable)
Selling Agent License#: 341652
Selling Agent Phone#: 22 -2
,034
Selling Agent Fax#:
Landmark Sotheby's International
Listing Firm 'Rea tv
Acting as ❑X Sellers Agent Dual Agent
Firm License M C20671
Mailing Address: 1176 Duck Road Duck NC 27949
Individual Listing Agent: Bradlcy Beacham
❑ Acting as a Designated Dual Agent (check only if
applicable)
Listing Agent License#/: 194377
Listing Agent Phone#: [phone]
Listing Agent Fax#:
Selling Agent E-mail: justeglkareng9utlook,le Listing Agent E-mail: grad(oBradBeacham.com
Page 12 of 13
DS
Buyer initial Fa Seller initials Orlll�
r uced with Lone Wdf Transactions Cepforrn E610on) 717 N Harwood SI, Suife 2200. OaAas, Tx 75201 )'A'is,tl'rnSi.00n1
STANDARD FORM 12-T
Revised 712022
c0 7/2022
3[nnica

prinnRinn Pnuolnnn I naana AAA C- annr n
DocuSign Envelope ID: BFDF23E0-B7EF-4066-ADB4-998A479DAEE6
ACKNOWLEDGMENT OF RECEIPT OF MONIES
Seller: Klinrkiewiez Family Manteo I LLC of 1), Ettinger Family LLC Lot 2 ("Seller")
Buyer: Robert S. Gollahon or Assigns ("Buyer")
Property Address: 501 S HIVhway 64/264 - Lots 1 and 2 together, Manteo NC 27954 ("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 paynient
to Seller of a Due Diligence Fee in the amount of $ , receipt of which Listing Agent hereby acknowledges.
Date:
Firm. Landmark Sotheby's International Realty
By:
(Signature)
Bradley Beacham
(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 tine Property provides for (lie payment
to Seller of a Due Diligence Fee in the amount of $ , receipt of which Seller hereby acknowledges,
Date:
Date:
Seller:
Seller:
(Signature)
Klimkiewiez Family Manteo 1, LLC (Lot 1)
(Signature)
Ettinger Family LLC (Lot 2)
------------------------------_------------_--_----------_----------------------_-------------_---
❑ ESCROW AGENT ACKNOWLEDGMENT OF RECEIPT OF INITIAL EARNEST MONEY DEPOSIT
Paragraph 1(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 all Initial Earnest Money Deposit in the amount of $ . Escrow Agent as identified in
Paragraph 1(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: McCown & McCown/ Linda McCown - 252-473-2191
By:
(Signature)
(Print name)
------------------------------------------------------------------------__------------__-------
❑ ESCROW AGENT ACKNOWLEDGMENT OF RECEIPT OF (ADDITIONAL) EARNEST MONEY DEPOSIT
Paragraph 1(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 $ . Escrow Agent as identified
in Paragraph 1(1) of the Offer to Purchase and Contract hereby acknowledges receipt of the (Additional) Earnest Money Deposit and
agrees to hold and disburse the sane in accordance with the ternns of the Offer to Purchase and Contract.
Date: Firnn: McCown & McCown/ Livid McCown - 252473-2191
Time: ❑ AM. [] PM By:
(Signature)
Page 13 of 13
(Print name)
STANDARD FORM 12-T
Revised 7/2022
© 7/2022
Produced with Lana Wolf Transactions (zipForm Edition) 717 14 Harwood St, Suite 2200, Dallas, TX 75201 wwW.h cdgf.com 4lnn�en

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2023-02114 County: Dare U.S.G.S. Quad: NC-Manteo
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Requestor: Klimkiewicz Family Mateo 1, LLC
Don Klimkieweez
Address: 30.12 Lynndale Road
Virginia Beach, VA 23452
Telephone Number: 910-399-5688
E-mail; cram(r�herringtonelassichomes.com
Size (acres) 2.497 Nearest Town Manteo
Nearest Waterway Shallowbag Bay River Basin Albemarle-Chowan
USGS HUC 03010205 Coordinates latitude: 35.900492
Longitude:-75.668395
Location description: The proiect review area is located at 501 S Hwy 34/264 Manteo Dare County, North Carolina. The lot
features a manmade basin and the shoreline is stabilized with a bulkhead and rin-ran. The surrounding land use is
commercial.
Indicate Which of the Following Apply:
A. Preliminary Determination
® There appear to be waters on the above described project area/property, that may be subject to Section 404 of the Clean Water
Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The waters have been
delineated, and the delineation has been verified by the Corps to be sufficiently accurate and reliable. The approximate boundaries
of these waters are shown on the enclosed delineation map dated 10/4/2023. Therefore this preliminary jurisdiction determination
may be used in the permit evaluation process, including determining compensatory mitigation. For purposes of computation of
impacts, compensatory mitigation requirements, and other resource protection measures, a pennit decision made on the basis of a
preliminary JD will treat all waters and wetlands that would be affected in any way by the permitted activity on the site as if they
are jurisdictional waters of the U.S. This preliminary determination is not an appealable action under the Regulatory Program
Administrative Appeal Process (Reference 33 CFR Pail 331). However, you may request an approved JD, which is an appealable
action, by contacting the Corps district for further instruction.
❑ There appear to be waters on the above described project area/property, that may be subject to Section 404 of the Clean Water
Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). However, since the waters
have not been properly delineated, this preliminary jurisdiction determination may not be used in the permit evaluation process.
Without a verified wetland delineation, this preliminary determination is merely an effective presumption of CWA/RHA
jurisdiction over all of the waters at the project area, which is not sufficiently accurate and reliable to support an enforceable
permit decision. We recommend that you have the waters on your project area/property delineated. As the Corps may not be able
to accomplish this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can
be verified by the Corps.
B. Approved Determination
❑ There are Navigable Waters of the United States within the above described project area/property subject to the permit
requirements of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act
(CWA)(33 USC § 1344). Unless there is a change in law or our published regulations, this determination may be relied upon for
a period not to exceed five years from the date of this notification.
❑ There are waterson the above -described project area/property subject to the permit requirements of Section 404 of the Clean
Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations, this determination may be
relied upon for a period not to exceed five years from the date of this notification.
❑ We recommend you have the waters on your project area/property delineated. As the Corps may not be able to accomplish
this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by
the Corps.
Page 1 of 2 Fonn Version 10 June 2020_updated

SAW-2023-02114
❑ The waters on your project area/property have been delineated and the delineation has been verified by the Corps. The
approximate boundaries of these waters are shown on the enclosed delineation map dated . We strongly suggest you have this
delineation surveyed. Upon completion, this survey should be reviewed and verified by the Corps. Once verified, this survey
will provide an accurate depiction of all areas subject to CWA jurisdiction on your property which, provided there is no change in
the law or our published regulations, may be relied upon for a period not to exceed five years.
El The waters have been delineated and surveyed and are accurately depicted on the plat signed by the Corps Regulatory Official
identified below on. Unless there is a change in the law or our published regulations, this determination may be relied upon for a
period not to exceed five years fiom the date of this notification.
❑ There are no waters of the U.S., to include wetlands, present on the above -described project area/property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
® The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act (CAMA).
You should contact the Division of Coastal Management in in Elizabeth City, NC, at [phone] to determine their
requirements.
Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material, construction or
placement of structures, or work within navigable waters of the United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403). If you have any questions
regarding this determination and/or the Corps regulatory program, please contact Shane F Staples at 910-251-4609 or
shane.f stapiesC&usace.army.mil.
C. Basis For Determination: See the preliminary _jurisdictional determination form dated 11/08/2023.
D. Remarks: The wetland delineation was reviewed on 111712023 using the applicant's submittal and desktop
tools. The wetlands are correctly depicted on the attached plat labeled Carlisle Commons, LLC dated 10104123.
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in B.
above)
If you object to this determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed
you will find a Notification of Appeal Process (NAP) fact sheet and Request for Appeal (RFA) form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Mr. Philip A. Shannin
Administrative Appeal Review Officer
60 Forsyth Street SW, Floor M9
Atlanta, Georgia 30303-8803
Phone: [phone]
AND
PHILIP.A.SHANNIN USACE.ARMY.MIL
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by Not applicable.
**It is not necessary to submit an RFA form to the Division OgIC9 if yo do not object to the determination in this correspondence. **
Corps Regulatory Official:
Date of JD: 11/08/2023 Expiration Date of JD: Not applicable

SAW-2023-02114
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete the Customer Satisfaction Survey located at
http://corpsmapti.usace.army.mil/em—apex/Pp=l 36:4:0
Copy furnished:
Agent: Environmental Professionals, Inc.
George Wood
Address: PO Box 3368
Kill Devil Hills, NC 27948
Telephone Number: 252-423-1234
E-mail: obxwood yahoo.com

d g
¢ � ' WHO
i1t�5io�Q�a��fnu�J p Raeas
a
s �>
A
p,q
Val!
ig�� gdy4a�
Qi�6Q �pd�a .a
pdp3 3
g gag
AV8 OVEM01WHS }
i
Lll
\
�Fl
Y � a
� g
am
101M
i
Y�tt� =Sd�V
� tl ��■i€Yi.
rd CCCV yt� 3�
r
J
\ {
bi
U'
Q
��
-
��� �
•� i�
` �
�
in j � I
�
� rcy'
C x
♦ � 7 � �
d
�OpYe.f
'
L
5 J
!`
Y
3
fl t S
o
�
I
�
rn e
1
.vrla�aaisrsrini r {y q �3
ss:snot — — _ sm;FTIO e
3o,w MISw
e Y
II F
S177i6a F
0 G��
10
IN
n.,ve asa.sctrx II&U6
A4�
-
y
d fArrris�' —�-
�;
(ul s'I7a!/1 001ri8Z/ti9 ),MRSo

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Klimkiewicz Family Mateo 1, LLC,
File Number: SAW-2023-02114
Date: 11/08/2023
Don Klimkieweez
Attached is:
See Section below
❑
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission)
A
❑
PROFFERED PERMIT (Standard Permit or Letter of permission)
B
❑
PERMIT DENIAL WITHOUT PREJUDICE
C
❑
PERMIT DENIAL WITH PREJUDICE
D
❑
APPROVED JURISDICTIONAL DETERMINATION
E
®
PRELIMINARY JURISDICTIONAL DETERMINATION
F
SECTION I
The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at https://www.usace.army.mil/Missions/Civil-Works/Reaulatorv-
Program-and-Permits/appeals) or Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the
district engineer for final authorization. If you received a Letter of Permission (LOP), you may accept
the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the
LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit,
including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions
therein, you may request that the permit be modified accordingly. You must complete Section II of this
form and return the form to the district engineer. Upon receipt of your letter, the district engineer will
evaluate your objections and may: (a) modify the permit to address all of your concerns, (b) modify the
permit to address some of your objections, or (c) not modify the permit having determined that the
permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the
district engineer for final authorization. If you received a Letter of Permission (LOP), you may accept
the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the
LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit,
including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms
and conditions therein, you may appeal the declined permit under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the
division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.

C. PERMIT DENIAL WITHOUT PREJUDICE: Not appealable
You received a permit denial without prejudice because a required Federal, state, and/or local
authorization and/or certification has been denied for activities which also require a Department of the
Army permit before final action has been taken on the Army permit application. The permit denial without
prejudice is not appealable. There is no prejudice to the right of the applicant to reinstate processing of
the Army permit application if subsequent approval is received from the appropriate Federal, state, and/or
local agency on a previously denied authorization and/or certification.
D: PERMIT DENIAL WITH PREJUDICE: You may appeal the permit denial
You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section 11 of this form and sending the form to the division engineer. This form must be
received by the division engineer within 60 days of the date of this notice.
E: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information for reconsideration
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps
within 60 days of the date of this notice means that you accept the approved JD in its entirety and
waive all rights to appeal the approved JD.
• APPEAL. If you disagree with the approved JD, you may appeal the approved JD under the Corps of
Engineers Administrative Appeal Process by completing Section 11 of this form and sending the form to
the division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.
• RECONSIDERATION: You may request that the district engineer reconsider the approved JD by
submitting new information or data to the district engineer within 60 days of the date of this notice. The
district will determine whether the information submitted qualifies as new information or data that
justifies reconsideration of the approved JD. A reconsideration request does not initiate the appeal
process. You may submit a request for appeal to the division engineer to preserve your appeal rights
while the district is determining whether the submitted information qualifies for a reconsideration.
F: PRELIMINARY JURISDICTIONAL DETERMINATION: Not appealable
You do not need to respond to the Corps regarding the preliminary JD. The Preliminary JD is not
appealable. If you wish, you may request an approved JD (which may be appealed), by contacting the
Corps district for further instruction. Also, you may provide new information for further consideration by the
Cor s to reevaluate the JD.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision you
If you have questions regarding the appeal process,
may contact:
or to submit your request for appeal, you may
District Engineer, Wilmington Regulatory Division
contact:
Attn: Shane F Staples
Philip Shannin
Washington Regulatory Office
Regulatory Appeals Review Officer
U.S Army Corps of Engineers
South Atlantic Division
2407 West Fifth Street
60 Forsyth St SW, Floor M9
Washington, North Carolina 27889
Atlanta, Georgia 30303-8803
Phili _A. Shan nin26U-)usace.army.mil
404-562-5136
SECTION 11— REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT

REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your
objections to an initial proffered permit in clear concise statements. Use additional pages as necessary.
You may attach additional information to this form to clarify where your reasons or objections are
addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps
memorandum for the record of the appeal conference or meeting, and any supplemental information that
the review officer has determined is needed to clarify the administrative record. Neither the appellant nor
the Corps may add new information or analyses to the record. However, you may provide additional
information to clarify the location of information that is already in the administrative record.
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and
any government consultants, to conduct investigations of the project site during the course of the appeal
process. You will be provided a 15-day notice of any site investigation and will have the opportunity to
participate in all site investigations.
Date:
Signature of appellant or agent.
Email address of appellant and/or agent:
Telephone number:

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 11/08/2023
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Klimkiewicz Family Mateo 1, LLC, Don
Klimkiewecz, 3012 Lynndale Road, Virginia Beach, VA 23452
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, 501 S HWY 64/264 Manteo,
SAW-2023-02114
D. PROJECT LOCATIONS) AND BACKGROUND INFORMATION: The project review area is located at
501 S Hwy 34/264 Manteo, Dare County, North Carolina. The lot features a manmade basin and the shoreline
is stabilized with a bulkhead and rip -rap. The surrounding land use is commercial.
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES
AND/OR AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Dare City: Manteo
Center coordinates of site (lat/long in degree decimal format): Latitude: 35.900492 Longitude:-75.668395
Universal Transverse Mercator:
Name of nearest waterbody: Shallowbag Bay
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
®Office (Desk) Determination. Date:11/7/2023
❑Field Determination. Date(s):
TABLE OFAQUATIC RESOURCES INREVIEWAREA WHICH "MAY BE" SUBJECT TO
REGULATORY JURISDICTION
N Basin
S Basin
35.900682
35.900338
Wetland
Wetland

1. The Corps of Engineers believes that there may be jurisdictional aquatic resources in the
review area, and the requestor of this PJD is hereby advised of his or her option to request
and obtain an approved JD (AJD) for that review area based on an informed decision after
having discussed the various types of JDs and their characteristics and circumstances when
they may be appropriate.
2. In any circumstance where a permit applicant obtains an individual permit, or a Nationwide
General Permit (NWP) or other general permit verification requiring "pre- construction
notification" (PCN), or requests verification for a non -reporting NWP or other general
permit, and the permit applicant has not requested an AJD for the activity, the permit
applicant is hereby made aware that: (1) the permit applicant has elected to seek a permit
authorization based on a PJD, which does not make an official determination of
jurisdictional aquatic resources; (2) the applicant has the option to request an AJD before
accepting the terms and conditions of the permit authorization, and that basing a permit
authorization on an AJD could possibly result in less compensatory mitigation being
required or different special conditions; (3) the applicant has the right to request an
individual permit rather than accepting the terms and conditions of the NWP or other
general permit authorization; (4) the applicant can accept a permit authorization and
thereby agree to comply with all the terms and conditions of that permit, including
whatever mitigation requirements the Corps has determined to be necessary; (5)
undertaking any activity in reliance upon the subject permit authorization without
requesting an AJD constitutes the applicant's acceptance of the use of the PJD; (6)
accepting a permit authorization (e.g., signing a proffered individual permit) or undertaking
any activity in reliance on any form of Corps permit authorization based on a PJD
constitutes agreement that all aquatic resources in the review area affected in any way by
that activity will be treated as jurisdictional, and waives any challenge to such jurisdiction
in any administrative or judicial compliance or enforcement action, or in any administrative
appeal or in any Federal court; and (7) whether the applicant elects to use either an AJD or
a PJD, the JD will be processed as soon as practicable. Further, an AJD, a proffered
individual permit (and all terms and conditions contained therein), or individual permit
denial can be administratively appealed pursuant to 33 C.F.R. Part 331. If, during an
administrative appeal, it becomes appropriate to make an official determination whether
geographic jurisdiction exists over aquatic resources in the review area, or to provide an
official delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds that
there "may be" waters of the U.S. and/or that there "may be" navigable waters of the U.S.
on the subject review area, and identifies all aquatic features in the review area that could
be affected by the proposed activity, based on the following information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply) Checked items are included in the administrative
record and are appropriately cited:
Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Carlisle Commons LLC 10/4/2023
® Data sheets prepared/submitted by or on behalf of the PJD requestor. Datasheets:
®Office concurs with data sheets/delineation report.
❑Office does notconcurwith data sheets/delineation report. Rationale:
❑Data sheets prepared by the Corps:
❑Corps navigable waters' study:
❑U.S. Geological Survey Hydrologic Atlas:
❑USGS NHD data:
❑USGS 8 and 12 digit HUC maps:
❑ U.S. Geological Survey map(s). Cite scale & quad name:
❑Natural Resources Conservation Service Soil Survey. Citation: Websoil Man
®National wetlands inventory map(s). Cite name: NWI OnlineMapner
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
❑Photographs: ❑ Aerial (Name & Date):
or ❑ Other (Name & Date):
El Previous determination(s). File no. and date of response letter:
®Other information leasespecify): Antecedent Precipitation Dates 09/04/2023
(P To - Tool ,
IMPORTANT NOTE: The information recorded on this form has not necessaril„y, been verified by the Corps
and should not be relied upon for later Jurisdictional determinations.
AZ 7
Signature and date of Regulatory
staff member completing PJD
1 1 /08/2023
Signature and date of person requesting PJD
(REQUIRED, unless obtaining the signature is
impracticable)'
► Districts may establish timeframes for requester to return signed ('JD fornis. If the requester does not respond within the established
time frame, the district may presume concurrence and no additional fallow up is necessary prior to finalizing an action.

NC Division of Coastal Management
Cashier's Official Receipt
Received From: r l °S �v .ram M 4 A
Permit No.:
Applicant's Name: f 6- /'L Q'L ''i ^'D A , L 4,s -
Project Address:
W 1 (P UZ(ay, m e, ,7
2438 a� C D
Date: 20 :2�:'LL
$
Check No.:
County: T) �C
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: �` ` c b C-0-� 6
Signature of Field Representative:
Date: /
Date: �i

��<�:�»:�..,r. .
« :. .
_ >� ��}�\.-�\
^ . \�. \\� ..�:
®- �
�--_ >� /: � �� \.
. , .� �
e�� ,: � .:� . }>. ¥.
��+!/f\\» \
`� � y:
\�y .
�A/
� � _
2 '��\_������/
%/\`
��
��
�
� � «j
\�=
� \
z
`
}\�
\� �\
.�\\
.��=*.�»��+<2
w�»—a�
. «
�� 2 ���
��
y\�
!\�
.\.�
\
.�
%/^`
� ��
� � 2 \\
� :� �}«
� .
y��
�« � � .

L'.
I It

HlEON A1NOOJ ]EVO dIHSNMOI Otl3H SOVN O1NVH
4.071.0 IAA II el Inn
y ®"M 1 ' °" NtD9d 1N3WdOlDAD(1 (INV NOSIAI48nS 43SOdOHd
i
z j
03
O U I3 3 1 I
III
�K�ogo
aa�0.�
"a§"w�way
U°.,.,
"ccc��cc��ee
Z
w0 1x M r M r ©I afi a
cc O
I I r
-
oz as d d
4
, „Noe , .� I ' I �, _.o /
O
ftm
A €fi ' $
M3. �� 'I . I✓ 'I
1 3 f 4
�z 4 e + - E
=o?3 ®III$ i
-
3 �� al,
e g3 I f+ 3
Is I .\ I I \
it i i { -
a
3 I
I,
r d
I1 4
a d ® o
w e wo
a 9 4
I �
� ado
ffi
ail m \ \\ nl om x(j <m o° -- \ --
F �i lip
\ ry 41
\ \ z
ze �e M.as. r ec ez.
N IN o 0
z
i �

u uue�d pue�-leryawuoi!w3- u u3
•
o,
? �'
VNIlOW
HidON ANOO) 3NV0 dIHSNMOL 0VIH SOVN OLNVIN
Q
w
N
d�
aptagl
ti9Z ti9.lMH S lOS
1NIOdA-9ddSO
077''MOWWOO 37S17tIVO
y
e 3
oL
sHOlsvNI dl1
NVId IOHiNOO NOISOH3 4NV SNOLIGNOO ONLISIX3
�II
JJJiJ�iJ
G i 3 r3 3 3"a� 3
G
30 U
j�Ia
L Z)
3 , OCIO
� a
�,
s
3 3
�♦ �a g. I
Q z 0
F z
L L 3 +g 3s
ICI 3
3
u♦ 3 � _��°
ICI
�3 lL U
.��
3
°_;$3
3
3
3P
� I3
3
-
>
I 3
t I 3
oa - -
o's
a 3 ,
t I 3
II 3
tiga
`Sd
le 4
le
II
I o
I 3 3
3
3 �
3 s
3
}r✓ 1
�3
g� 3
rya
_
I�
g� 3
I
4
,
s a
4 M
g"
As 5
_
j `I
t R�
I n� ,s i%
8^
N
s
e
� �2
e
Ig
a
s —=
By
=d
_
, M�a
L
o
mod
x
u 4g
♦
lM .z x
♦
4�s�\ x
_
w�
w�
JJ c
rw 69Z/69,(MN SYI U .,
cR On zii
e6e 69Z/69,45YI SYl %
- y _ Un
-
Imm m m
m .�.�wu.m�Mwm�m m m o

„,,,Id pnj-Iquawuo lnu3- u3 VNIIOdV3 HIEON A1NfIC{:-]�(IEVOO {-,(� l,1n /dIIHSNN�M011 GVIH SOVN 01NVW
'011 `531VIJOSSV '8 P9 P9 /VV 14 F09 w O Q
2��It aq w „ _yew = 1N�od,�3ddso a T g
077 00WW00 37SnUVO o 3 a
sNolsln38tltl Wd E)NISHHd IOUNOO NOISOHD O to l o g
o
a
r la I 1 li
z O 01 v
Qa0
O
¢LLB v ��
Q z Z
Z O _
LL U
ax-
� YG I JJ 1
o I 1 FT
s s m w 6 N5
wg
-
E� I�
-- N 9 F--————— — — — — —
o og N il-11'
d
0304, s§ 1<
f I x e P€d
o�03= �y�r
I r� lily! 300 3 I I l i o oguo I �/—�I�� 3 x 3 li 1 I j
' -li I\1 i G G¢ n s G Ga "I I \1 I ) sS
N Wmo aI ,I i
I o �
— I I
I�I
3's
1 1 I 1
i
I i I 1 GSGo � N r -.
1'�S 1 z3aoo �¢ rp zoFl
I
o
F o $
TiTi
is i Gg4 z
¢so e 1 M o£ oN 1 M
E j
J 697/49 "(MH97 � J b8l/to/68SY7
Vo Vo w n I
J zx J
a
^+ .�niv�ivm"'"3N:�_ _� _-- vo ”" r,nrmivm"'�.�m � 60

ueJd P.7-puawuo nu3- a u3 ............. ...... .... dIHSNM......
....
......
"" P9Z P9 MH S tog w 0
2��IELUaq w s = 1NIod,�3ddso
$Na
-,: o5
�77 OWWO� 37SI7tIV� 0 3 a
SNOISIA38 S-lIdl34 4NV S3UON -1OHiNOO NOISOHJ ] °risio g
a i€➢ ➢Ee fl e {? ? _ ✓§ o $ii as
Z Z i i gb ➢e $ g �4 =➢
O ,a x sE
O ULL
i
Qa
Z OrD $ 1a a a{qq p
J Z Z �, �6I {➢ge 1 11 ek$ p a e R'a i gAF 111
OCL
af g=F`a x,� € ➢ $§ ➢ r ➢'a" 1;{ {gym ; Y {1{{"
o �� .g- g€ a
{s��a ➢€ a- € $� i� ax a ��€�s� ���� '� �➢x➢ =.Ka.i€ �p6 { {� 11M @$'"�ia3
a as=t x{ sBeB{ a{ mEPai➢ .a $.ke.k ➢ a o 'a B q 6 n € € 9s $ §I ME a
O
a €;xs sE i �e E{ �F : $ @_= d e'.• §°f a 8e $- ➢` 7 $a { e f %
It ..
$ a 5 ia H �:1 a 1 Pi E�{➢ � � s@t Rum {=€ 1=g � 1`* xaa i ba➢� `Y 1�
a ei: s e ➢ •-€ D W{➢ es-,[EF ss s.
E a ns $➢`"pad? e; d'm x 'e a= ➢;a; Ep i 1 a➢, $€ axz 4:i1 ii➢➢
�'.^�z. syka as � � F7
g s.$a{ia;"1�a a- €$ ➢n ➢�a z 1= k a a€si �O' d $ =3 ing$g;= 7ay.mx '. ,a➢ $ if
11
aye ;;',E i2 x 3 g 6
{:€e $ i �€ q I➢ .�g@s -➢? i e { 3's° ➢a $° �a %a { d
�•"�x$�=e - z[:➢i g a BF
a a$= SE z a as. ®•-i "°ii€ `�ia6 { { {=1`s i 1 �E xs €4g
sga gia i5 ➢ =.1 s s➢"$➢ e° ➢°x {. mi g$ Q i $ .e.s s i` b EX$'s x .`➢
Q;gesa axg:g aaa€En U
e 5's $g: ;'s x1'_'a,% ta$' '-{$ $`=:r .a s➢an z gs$ ei. i➢ arx i`�$ia" 3 {a s8 ➢ U
1' 2e{§�ixia ,,"i o"s {:o-sg k{ _ i {{ i' a €ia•;g i a• x a1 €!
_{ F"ae {i€➢eiee={e i€ s¢;Eeg o { •=€ ''i a1i d "a$5<'' ' 9; ➢$ ➢1as: ➢ssa x s , i ={ ➢:E
x' x1s 'seEze;=s 1➢➢{a'3F 's `A1g
$£'➢ -_ ➢ -$'3'€iiea' �; �1x x•ia� - Esa�� 18s�'� s =�8 �# 1{$ $ i z8$ O
,�bis�i=,s
€ �$.sasd.ei E§a€ 5€{xs on yeaA.s. i x➢e €$z4 a. 41 4neg
s 1� g� i c➢ z E A ziia➢� � �� � � iE{6�°�'
$ is 9 aE{ "s { z €� e19z i O a 4{€si @@ i ➢ s1{i':1➢ W
➢ 11- is Id
g {io.$ -x6 @ 1 Ra gi�a5i�iS rn
Hui
x a a i .i i(s @`." Rk C7 iCH i°i
eE^nr $Eia9 £ aeiji$S a ze U ➢i°°➢➢i1i $.€a{_{ z
➢ e i a g e s § R a{E ni z € €Hit M
e ��a€ s€i s1 s a#ip`ss gl lbl
aE �sR € a ass➢a gb..sgafg P bsm31:�
$ ea kg 4 €1i¢_${a 3a6➢;€ 'ai 1s'ie
F
a➢ p e3 a v� � k3!4F $�€?a �{{`a $`� � {i1@ t?te{{1➢
3€eki R13 ➢.,Ra S.e 8' ""
X, x .
q_-
iEge
a m
osa
m¢o Aso 4'
Ed
N ?z yy #m Jmf J jj h
Aoo
z
ooI hoop
a8
_ �30-� g� & � `o 'mso pbN' GEW �o'<o oga
PM,
S4 awo g § 4 gy g Go zo
§ g o na"w
o 0 0 0 =z= g�s
oar a
�g
°�
p�m a Viz_ ouzo ou�oo �g off" W-
W PM - - - - -
- - Rq- der
- -
o§= o ? - - - - - - - - - oGo ogo - -
E'o -
'�G o5o`z -
w5 - - a�aQ a�aQ a� -
�a
-
wG
:Y
N�r
n �G
�N
G' o
.we.E so Aso
000
WW �o
e��.�ww�w ea��
�
a

uiuueld Pue7-Iquawuo inu3- u3
aeoie ay".�'W"''
•••oa P •••,� ,••••.
VNIIOIII 111M IINfIC{:-]�(11111 {-�(� l�1 �1 /1HINNNI 1111 SNVN IIINM
P9 P9 A VIl7 .7 /09
�
w O
_
'011 `531VIJOSSV '8
a����uaq�
s
1NIOdAgddSO
a
ii
g
077'00WW00 37SIIUVO
sNolsln38tl
S3UON 3UIS 4NV Nb�d 311S
oz1610
z z
0
I3
19 4 I'i 6
3i
0
.? 0 0
aLL
z H F
J
zz
4
= s 3 3
e
}
,,,� ® z a 0
All
i
® -4
°
Illo
a
G G G G o
o 000000000
oe,}o�o�o
e _
1p
3 I
L
4
z
W
o
az¢ i 3
6
n �I
j
e�gd
x3 3g I
¢
I =°__appa=°,GGGeGaaGawawawa G G aa° a s
a
G
eII vHIM
< ss
3gs
p
b• FY d
I s li it
eV
$
sA
J33'S3
ti Y3 E
v
l m
IWNz�g.",uoo 3F po ; o
/
..I. � ,I `•.b 'L Z 2..'.I, oZ
e
� z z¢>'$Sw �"F'z� m§ W �4 �fn
w
a w w
b1
I
JII
oFa°per
a
r�
Ou
z I I I I
e nn
os� G
=G=
g 5 G
a o§o
a
Rot�/I'
/
^6i
u� y
0.3
x
Ev
m_e
Q
`oY ME-
`e°
. _ - 3 0€� _-
P
ovaEg s
w n
�a
� o 03 �oSai szw
-y
t lzt °a ,wn aoo .".2S�
Nix
S.
c Gs 5 G
�`
-09Z/49,IhY1611
Ga
s�im

uiuueld pnj-Iql-11nu3- u3 VNIIOdVJ 11,Iom A,NnC{:-] ,IIvaa {-�(� l^n /dIIHSMM011 GV]H SVVN ol,mv
'011 `531VIJOSSV '8 ,eo,e,r+a.+.,w.,�o •'oa P •••,� ,••••,- P9 P9 A VIl7 .7 F09 w O
1NIOdAgddsO a g
077'00WW00 MIIUV0 r a
sNolsln3atl S-lIdl34 4NV S3UO 'Nd-ld H3iAAn9 or1610 9
z 0
O
o _ O U
3 = QL�
o O 155
zzz
O
�.� i
3
� 3 3
I 3�
J I 1
Hp
3
I I 3 3
�I 3
,
3
a 3
3
I1 s ,
3 3 3
•� 3 3 3 �
gas i yam i�"" pan i sae i �a� g�
s r �
�.
..
°wo
o4oz
c3°wi,.o
b-p- -
4ber
_
?Gg�
3o z
06�0_0�
pro
a�
s-
pS'
-
sEoe
ar
dnXi
-,y
bXTfbB AdVY 5il
1=o
?
o m
`�'6i
m
oQ44uj
:oj�W<
G G G
�
z
ih

HIEON A1NOW IEVO dIHSNMOI Otl3H SOVN 0hNVH
fia7fia Ann61 c inc
MlVil ]4 4NV S3UO 'Nd-ld ONUH9I-1
!.
Ill���:�llll
�II�III■I`�77,■
■■r'■
■■ m■
- ■■■■

u,—Jd P.7-Iquawuo lnu3- u3 VNIIOdVJ H1ElON A1NfICql—
{:-]�(IEVOa {-, (� l ^ n /dIIHSNN�MOI GVIH SSVN 031NtlW
'011 `531VIJOSSV '8 ,eo,e,r�a. �.,w.,o �'o + •••,� °'••,, V.7ii Pq A V 14 to7 O
aliE Uaq w „ °y gejj
pp 1N'od,�3�dso a c� g
077 0OWW00 37SI7NV0
M" sNolsln3atl S-lIdl34 NV-ld 3UIS
a
6��3W U j
g`ea a
^go m
��OFF
Ilk
i Io
d �e 3z
8:
a u ogu ss vv � -
1r
�a 1�
oV$ 4 u Yw � �� oa�oNo�Vgo�6
'z &Y��o�m4oGp E1 1
G "G� gG d��om 3N
#�� 0 8� o o nj 40 ooa ooa
zG ��=6
py= - LLy� M§ooa a a
u"&G, ���3�ao ao3°�aPo,'nao4o°

u 111d pnj-Iql-11nu3- J11,11, bl3 „ VNIIOdVJ HlEON llNfIC{{:--]��((]EVOO {-,(� l ^n /dI/HSNN�MOI GV]H SOVN OlNVN
'011 `salvloossv'8 aeoieay"."'W"'' •••o•\�P �' V.7 ii V.7 /V VIl7 .7 Fo7 wO
1N�od,�3ddso a g
a 07700WW00 TSnUVO ry In
..., sNolsln38tl SNV-ld 1N3W3nOadWl 1NOaAa31bM Orlsl
z3 z 3 3 3 3 3 3 rf 3' 3 3 3 3 3 px
a 3�0
;wm =`o=
mN
z3oz cz~n
aff,
aInm 3 i
031P—o�
--
�'
4
�I 4 7.r�
4
A —
NO
s
E66
-~I3 4
�I
.�
m�
I
�i
9
i
e$
Y r
3
J
z�
I
�
w
°
i w
I
II
3
- 6
1 °
� w
w 4x a
-I
s
0Al
¥i
i
w p me w
�i
g
®3II
igs A �
oca
ag mao a Go
�G
_
3 o o=s
e31I
o gN==6 poa
I
Q
II
1
� %
00o
of �
I G ooze moo � ,., o cn cc
IL111
A e >000 -0000 3 i
Eo 4
i a w ap 000eo
311 - - o�G,a�T.
s Em= o m wP
p aG=� =
g= x= e o6ax
H
=3 onp p xGm-1- N oVam
°_ H
- o �a4g�a
oa w �o g000== =ow
Q
IY IA L - z<k� - oEGj%No6ao -o�oN� zm��3
- -
m§"mom
3 a�
-
I � - omm 3
P
� -
o
w
-
§m
a
l \4 —
3 F
y
o � a
W�
___ I sl I Vet` - aGf ooEa Neu§w�om Go
I I I I

NIIOdVJ HlEON AINOOJ ]EVO dIHSNMOI GV]H SDVN OhNVN
P901P9 AM14 s tog
INIOd A3ddSO
077 '00MV00 TSnUVO
S-lffi3(]'8 NV-ld 1N3M3AOHM 1NOHAH3iVM
77
71
FFR7
O
z 0
0
'0 (Z),
ICE Ga
0 co
z z
w 0
q
Rv
"'v
�" n
moo
z
yes

'I —Id pnj-Iq""'I"]- u3 VNIIov3 HlEoN "MOO{{:--]��((3Eva0 {-,(� l^n /dIIHSMM011 GVIH SOVN OhMVH
'011 `531VIJOSSV '8 =e°,e,r�a. �.,w.,°o •'oaP ..„G,••••,- V.7 ii V.7 /V VIl7 .7 F07 w O
1NIOdAgddsO aC,g
077'00WW00 TSnUV0 r a
sNolsln38tl S11d134 4NV S3UON 3IOVNIVHG (INV DNIGVHO orlslso g
o a g Epp 3¢ pp N o
®• 192
3 N °gmo ow -.
3c.i
ao2¢iz z O ez "
N
RU
of i
Z pp o ®i ® ® "0 Ai Xt i S 'l0 2
O m i
} Oir
U p oa G Fina o a w
Q LL E
Z F p aM
.. Wo� p ,.
J z z fax nmeIt
If S
a.
w"
-
ry
•.i� I 4
I I
o y
A 3
s
e ,o_000loo o 3 3
13
— 4 wo
A f�
°as
�
—�� ee a
3
�00
0 0�����
°21moo
II
3 3 3
r
asI
i
e 3
ss
so 00000;�;�;�;�;�;�o�000000;;;00000,
�A
-
1 °
s
I
N,_
aP
�! s
0
00
.
goo
0000000000
=
a
'
l000000000g
v�Q,. -
o000000000
)00000000000
.
00000000000
�00000000000
..
.3"
�S
a r
o0000000000
E �00000000000_
.
00000000000
�00000000000
00000000000
�00000000000
..
�
�,= o0000000000
,
'
l00000000000
00000000000
�00000000000
00000000000
l00000000000
0000000000
0
�0000000000
0
0000000000
�000000000
� �
�
000000.
0000000
z rcrrrr.=�;
uk lal `iL}
}yy?tt
fk
mm��
irk}+•f
V ��Snn
�J'�� tr,rf..YnSS
11
m �Eao �3
a
£e
e

uiuueld Pe7p....olnu3- u3 VMIIov3 HlEom "MOO 3EVa dIHSMM01 GVIH SOVM Ohm
P .., ,....,, P90 P9 AMH S t09 w � '011 `531VIJOSSV '8 =eo,e,��a. �.,w.,o
1NIodAgddSO a �CO
yy aga
. •'F,rm`: 077'00WW00 TSnUV0
sNolsln38tl S-IIdl34 4Nd inOl d-1 NISd9 NOUN3a019 orlslso
z o
0TF— 6
S00
Q LL
n
zNN
z w w= s§4
O 1
e o
z
o M
Oak
\ §
10 =
�
R
c
o = E
o�
.21
—>/
�-Z oa
E s s
� yy
Aso I.
\ \i
V
I I a
T—
v � —_—�1 -- —�I --i -- —_�
II
\ N. � \
1
mo
_________________-- X C
I
�o
1 IL

u uue�d NueH-leryawuot!w3- u u3
r„
„o,,,,,aw,w.,°°
=
.�
--��''
VNllOW H1dON ANOO) 3NV0 dIHSNMOL aVIH SOVN OhNVW
P90 P9 AMH S lO9
1NIOd AgddSO
077''MOWWOO RMUVO
111,
w N
g
al, s3ld�os5d�
a ���a
a
_
,"", • °"'.�
wM
N
oN III
oL
sNolsreaatl
3PIdOad 4NV Nb�d hll�llfl 4Nb l bMdbOFJ
oD
j
o E
I
o
Y
4
,-y
_�€� �i�
©777}1 �3 waa'awww°°o wiwww°aaaawal
I
z O
O
;s€ .I
4 Il
QLL
z"I
col'
J Z
W O
i U
I
-sae
-III
3
92
-
6
r 3
3 k=�I
Irv.
I
-
(
....�
[s
-
zd�=t
.ads
•soe
'4
5
—z
—
�
\• £�
Y\
I
the
a
r
C � Y
II
tae
—
sIg
rl
L.�
V
f
I lxxt.r as � x
IN
LL
nI
L
8
TT
.tea
� I
IR
(
.� �
tSJtiW
J 0 l'F,H vu✓a cJ)
it
u
Me
i-ffi
"� b8Z/P9 A'hW Sl1
o^
�o
o
tax
.xn> �o xr

uueld puej- pp.—u"N a- u u3
011'S31VI:JOSSV '3
�a
oa
I
� aOtsg I
I
OOU
� LL
}
O
oa
z Z
W-
cc
�I� IIEJj
=.%.,I `0
HidON A NHO) IdVa dIHSNMOL Otl3H SOVN OhNVH
8
d G
Y razlay.tiwv sn
Y
-
a E
o�
po
3_
n
NV-ld kiniin
m
b
I
a-
\ VQG I
J §
I
I
\ I
000c
JOJOJ
p p .G
000000
nfin�0
�n�
o
lid
00
-
o G o G o G G G o
' I £
off.®� 0000R�Itto ar,=I
a4N
a��o boo
N o�� �rc
_= EaNez�
G
_G `m ccom Imo
_ _ 1,
of
mNzaoG
poW -
4£ q.- po
G�nga
°
nn N. aVz �5
G p G"w
m �i �No
oazoi
¢GHa��m
NU
zpo w��
�Fwi
N.
Gwxo Nome ��Wo
w
m:
�0
z Goe
5 Rh
x a¢nxai. ae°i
¢ m ry�z$ o�m Pm2-

u uue�d pue�-leryawuoi!w3-........
0 u3 tlNll0iltlJ H1ilON ALNOOJ 3NV0 dIHSNMOL Otl3H SOtlN 031NVW
p ti9Z pg AMH S tog w v ® �
Q
1N�od,ORdSo z
e 077'SNOWW0O37SI7tIVO ry N ® 1
rry
eurnanwaieas�o 3ma �oN sa.oN Is �w„ees
L�o�L,rL<< 3,da