20160176 Ver 1_Application_20160222

Montalvo, Sheri A
From: Scarbraugh, Anthony
Sent: Tuesday, February 23, 2016 10.08 AM
To: Montalvo, Sheri A
Subject: RE: Virginia Dare Shores Block 50 Lots 5, 6, 11-14
A new number. I was out with the crud yesterday and still a little under the weather so excuse the error. O
Anthony Scarbraugh
Environmental Senior Specialist
Division of Water Resources — Water Quality Regional Operations
Department of Environmental Quality
252 948 3924 office
anthony scarbraugh@ncdenr gov
943 Washington Square Mall
Washington, NC 27889
II C�- 'Notlwiq Compares .
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From: Montalvo, Sheri A
Sent: Tuesday, February 23, 2016 10:06 AM
To: Scarbraugh, Anthony <[e-mail]>
Subject: RE: Virginia Dare Shores Block 50 Lots 5, 6, 11-14
New version or number?
From: Scarbraugh, Anthony
Sent: Tuesday, February 23, 2016 10:05 AM
To: Montalvo, Sheri A <[e-mail]>
Subject: RE: Virginia Dare Shores Block 50 Lots 5, 6, 11-14
Make it a new version.
Anthony
Anthony Scarbraugh
Environmental Senior Specialist

Division of Water Resources — Water Quality Regional Operations
Department of Environmental Quality
252 948 3924 office
anthony scarbraugh(c-),ncdenr gov
943 Washington Square Mall
Washington, NC 27889
IC.. --"Nothing Compares —,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From: Montalvo, Sheri A
Sent: Tuesday, February 23, 2016 9:25 AM
To: Scarbraugh, Anthony <anthon .scarbrau h ncdenr. ov>
Subject: Virginia Dare Shores Block 50 Lots 5, 6, 11-14
Anthony,
Do you want this to be a version 2 of 20081347?
Thanks
skerL MovLtaLvo
401 & Buffer Permitting Unit - Administrative Assistant
Department of Water Resources
Division of Environmental Quality
919-807-6303 (office)
sheri [e-mail]
512 N. Salisbury St., Ste 942-G1, Raleigh, NC 27604
1617 Mail Serive Center
Raleigh, NC 27699-1617
s ''Nothing Compares,-,_,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties

Quible
Quible & Associates, P.C.
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING
SINCE 1959
February 18, 2016
Jennifer Burdette
NCDWR, 401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Nationwide 18 PCN Virginia Dare Shores
Block 50
Ms. Burdette:
PAID
P O Drawer 870
Kray Hawk NC 27949
Phone [phone]
Fax [phone]
web gwble corn
rta z 2_2m I
Please find enclosed a Pre -Construction Notification for the above referenced properties located within
Block 50 of the Virginia Dare Shores Subdivision.
The properties are under contract to be purchased by Matt Conway:
Conway Construction & Desgin
208 Shiloh Street
Kill Devil Hills, NC 27948
The following documentation has been included (4 Copies):
Project Narrative
PCN Application
Relevant portion of USGS Topographic Quadrangle- Kitty Hawk with site identified
Relevant portion of USDA NRCS soils map -Dare County with site identified
Reduced size copy of JD
Copy of "Proof of Contract'
Agent Authorization
Mitigation Bank Acceptance Letter
$240 Check payable to DEQ
Please do not hesitate to contact the undersigned at [phone] if you have any questions or
comments concerning this project.
Sincerely,
Quible Asso ' to C.
Troy Murphy
enc as stated
cc file
Matt Conway

�PoarS

Block 50 Virginia Dare Shores
Project Narrative
February 18, 2016
Introduction
Conway Construction & Design proposes to develop approximately 0.95 acres of the 2.3 acre
tract known as Block 50 located in Virginia Dare Shores, fronting on Palmetto St. and Lee Ave.,
in Kill Devil Hills by subdividing the block to allow for the construction of single family homes.
Existing Conditions
The property is currently an undeveloped block within the Virginia Dare Shore subdivision
located in Kill Devil Hills. The property is dominated by large specimen live oaks and loblolly
pines occurring on a gently rolling sandy terrain. A portion of the south end of the property
contains Section 404 Wetlands, which is dominated by Red Maples, Wax Myrtles and Red Bays
with some pine species occurring. Also along the southern side of the property, a canal runs
from Kitty Hawk Bay through the Bickett St. right of way and ending where the asphalt begins at
the intersection of Bickett St. and Lee Ave. The adjacent properties surrounding Block 50 are
best characterized as single family residences to the north, south and east and undeveloped
wooded uplands to the west.
Proposed Development
The proposed development consists of constructing pile supported single family homes on each
lot with associated septic systems provided on each lot. The intended use of the property is
single family residences and vacation homes. The design of the proposed development takes
into account for the septic systems setbacks enforced by the Dare County Health Department
for the homes to be constructed. Each lot is a recombination of lots that were platted in 1927 as
25'x100' lots. Wetlands fill is required to create adequate setbacks for onsite wastewater
disposal. A detailed site plan showing the proposed development has been included with this
request.
The development requires Pre -Construction Notification and 401 Water Quality Certification
because 0.10 acres of wetlands will be shaded/ filled and disturbed.
Avoidance and Minimization
To avoid and minimize impacts to wetlands the newly created lots have been designed to
disturb the smallest amount of wetlands possible. Septic system locations have been placed as
far from wetlands as possible and meet Dare County Health Department setbacks. This
proposal limits impacts of wetlands to 0.10 acres to be filled to accommodate the proposed
development.

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit ❑Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 18 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps?
FEI Yes
N No
1d. Type(s) of approval sought from the DWQ (check all that apply):
N 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes N No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
N Yes
❑ No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
N Yes
❑ No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Virginia Dare Shores Block 50 (lots 5, 6, 11-14)
2b. County:
Dare
2c. Nearest municipality / town:
Kill Devil Hills
2d. Subdivision name:
Virginia Dare Shores
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Applicant: Matt Conway Owner: (under contract)
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
Conway Construction & Desgin
3d. Street address:
208 Shiloh Street
3e. City, state, zip:
Kill Devil Hills, NC 27948
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
[e-mail]
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
® Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
Troy Murphy
5b. Business name
(if applicable):
Quible & Associates, P.C.
5c. Street address:
P.O. Drawer 870
5d. City, state, zip:
Kitty Hawk, NC 27949
5e. Telephone no.:
252.261.3300
5f. Fax no.:
252.261.1260
5g Email address:
[e-mail]
Page 2 of i 1

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B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Pin #:988517004391, 988517002179, 988517004430,
988517002218
1 b. Site coordinates (in decimal degrees):
Latitude: 36.0414749 N Longitude: -75. 6852497 W
1c. Property size:
0.95 Acres (6 lots: 5, 6,11-14)
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Albemarle Sound (Kitty Hawk Bay)
proposed project:
2b. Water Quality Classification of nearest receiving water:
SA
2c. River basin: map is available at
Pasquotank
http://h2o.enr.state.nc.us/admin/maps/
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site is currently undeveloped and wooded. Nearby properties include single family residential home sites and
undeveloped uplands
3b List the total estimated acreage of all existing wetlands on the property:
0.10
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
0
3d. Explain the purpose of the proposed project:
The purpose of this wetland impact permit request is for minor wetland fill impacts associated with the fill of 0.10 acres of
wooded Section 404 wetlands for a residential home site. The on-site septic treatment system will be located in the
location as permitted by Dare County Health Dept. (see enclosed Improvement Permit).
3e. Describe the overall project in detail, including the type of equipment to be used:
The block has recently been subdivided into lots to be sold and built upon. Associated grading will require minor wetland
impacts. Equipment will include bulldozer, backhoe, and dump trucks.
Page 3 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Comments:
®Yes ❑ No Unknown
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ® Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company. Quible & Associates, P.C.
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ® No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ® No
6b. If yes, explain.
Page 4 of 11

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ❑ Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W 1 ®P [--IT
fill
shrub 404/
El Yes
® Corps
0.10
non -riparian
® No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.10
2h Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 [--]P [-]T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 5 of 11

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑ PEI T
02 ❑P❑T
03 ❑ PEI T
04 ❑P❑T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWO)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar -Pamlico ❑ Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
131 ❑P❑T
El Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B3 ❑ P ❑ T
❑ Yes
❑ No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Fill will be sloped and stabilized; septic system is located as far as possible from wetlands.
b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Silt fencing to be maintained until disturbed area is stabilized with grass.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
® Yes ❑ No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ® Corps
2c. If yes, which mitigation option will be used for this
project?
® Mitigation bank
El Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: GDSRB
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments: 2:1 credits to impacts
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? If yes, you will have to fill out this entire form — please
contact the State for more information.
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 8 of 11

E. Stormwater Management and Diffuse Flow Plan (required by DWO)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
<30%
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: This is low density residential
construction on an existing platted lot.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
N/A
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
® DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
Kill Devil Hills
❑ Phase II
3b Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
® Coastal counties
❑ HQW
4a. Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5. DWO 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes
® No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes
❑ No
Comments:
2.
Violations (DWQ Requirement)
2a
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑ Yes
® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
An on-site septic treatment system will be installed to serve each of the proposed lots.
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
El Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Heritage Program
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Mapping data and field investigation; proposed impact area is not within an area of surface waters.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
National Register of Historic Places
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
® Yes ❑ No
8b. If yes, explain how project meets FEMA requirements: This type of fill is allowable with permit in AE zones.
8c. What source(s) did you use to make the floodplain determination? NFIP Flood Zone Maps (www.ncfloodmaps.com)
I
Applican Cgent'srrinted Name
licant/Agent's Signature
Date
(Agent'sAnaturevalid only if an authorization letter from the applicant
is provided
Page 11 of 11

DocuSign Envelope ID: ED212CO3-A5B7-4F00-AD61-2C70D466F3A7
OFFER TO PURCHASE Air]) CONTRACT - VACANT LOT/LAND
(Consult "Guidelines" (;orm 12G) for guidance in completing this form]
NOTE: This contract is intended for unimproved real property that Buyer will purchase only for personal use and does not haee
immediate plans to subdivide. It should not erty be used to sell propthat is being subdivided unless the property has been plarted,
properly approved and recorded with the register of deeds as of the date of the contract. If Seller is Buyer's 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 (Font 800-T) or, if the construction is completed, use the Offer to Purchase and Contract (Form 2=f) with the, New
Construction Addendum (Form 2A3 -T).
For valuable consideration, the receipt and legal sufficiency of which are hereby acknowledged. Buyer offers to purchase and Seller
upon acceptance agrees to sell and convey the Property on the terms and conditions of this Offer To Purchase and Contrdct and any
addendum or modification made in accordance with its terms (together the "Contract").
1. TERMS AND DEFINITIONS: The teens liswd below shall have the respective meaning given thein as set forth adjacent to each
term.
art) "Seller': USXCottages. LLC
(b) "Buyer"- Liatt.`tew C. Cnnuay_
(c) "Property": The: Property shall include all that real estate described below together with all appurtenances thereto including the
improvements located thereon. NOTE: 1; tate Property will include a manufactured (mobile) home(s). Buyer acd Seller should
consider including the Manufactured (Mobile) Home provision in the Additional Provisions Addendum (Standard Form 2A 11-T )
with this oFbr.
Street Address. See attached Exhibit
City:
County:– - .�._ . North North Carolina
(DOTE: Governmental authority over taxes, zoning, school districts, utilities and trail delivery may differ from address shown.)
Legal Description: (CompleteALLapplicable)
Plat Reference: Lot/Unit Block"Section Subdivision/Condominium
as shown on Plat Book -;Slide _
The P1WP1D or other identification number of the Property is:
Other description: _
Some or aL of the Property may be described in Deed Book
(d) "Purchase Price":
at P "Ns
STANDARD
— —
at Page
paid in U.S. Dollars upon the following terms:
BY DUE DIi.IGENCE FEE made payable and delivered to Seller by the Effective
Date
a 17,"t�0.0:1 BY INNITIAl. EARNEST MONEY DEPOSIT made payable and delivered to Escrow
Agent named in Paragraph 1(f) by 13 cash to personal check -3 official bank check
Q wire transfer, EITHER O with this offer ORWn fire (S) days of the
Effective Date of this Contract.
S -- '' 00_.� _ _ BY (ADDITIONAL) EARNEST MONEY DEP+JSIT m, P3YanIc and delivered to
Escrow Agent named in Paragraph I (f) by cash or immediately available funds such
as official bank check or wire transfer no later than
Ti:YIE
BFJNG OF THE ESSENCE 'with to said date.
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).
g— -- 0 fid attached
SELLER FINANCING in accordance with the attached Seller Financing
Addendum (Standard Form 2A5 -T).
S '()(,0 BALANCE of the Purchase Price in cash at Settlement (some or all of which may be
paid with the proceeds of a new loan)
Should Buyer fail to deliver either the Due Diligence Fee or any Initial Earnest Money Deposit by their due dates, or should any
check oT other funds paid by Buyer be dishonored, for any reason., by the institution upon which the payment is drawn. Buyer shall
Page I of 12
STANDARD FORM 12-T
Revised 7/2015
0 70h015

UocuSign Envelope ID: ED212CO3-A5B7-4F00AWI-2C70D466F3A7
,s
OFFER TO PURCHASE AND CONTRACT - VACANT LOTILAND
[Consult"Guidelines" (form 12G) for guidance in completing this forst]
NOTE: This contract is intended for unimproved real property that Buyer will purchase only for personal use and does not have
used to sell property that is being subdivided unless the property has been platted,
immediate plans to subdivide. It should not be
properly approved and recorded with the register of deeds as of the date of the contract. If Seger is Buyer's builder and the sale
involves the construction of a neve single family dwelling prior to closing, use the standard Offer to purchase and Contract—New
Construction (Form 800-1) or, if the construction is completed, use the Offer to Putrebase and Contract (Form 2-7) with the New
Construction Addendum (Form 2A3-1).
For valuable consideration, the receipt and legal sufficiency of which are hereby acknowledged, Buyer offers to purchase and Seller
upon acceptance agrees to sell and convey the Property on the terms and conditions of this Offer To Purchase and Contract and any
addendum or modification made in accordance with its terms (together the "Contracel.
1. TERMS AND DEFT NMONS: The terms listed below shall have the respective meaning given them as set forth adjacent to each
term.
(a) `Seller": OBX Cottages. LLC
(b) "Buyer': Matthew C. Conwa
(c) `Property": The Property shall include all that real estate described below together with all appurtenances thereto including the
improvements located thereon NOTE: If the Property will include a manufactured (mobile) home(s), Buyer and Seller should
consider including the Manufactured (Mobile) Home provision in the Additional Provisions Addendum (Standard Form 2A I 1-T)
with this offer.
Street Address: See attached Exhibit "A"
Citv;
Cory: , North Carolina Zip:
(NOTE: Governmental authority over taxes, zoning, school districts, utilities and mail delivery may differ from address shown.)
Legal Description: (Complete ALL applicable)
Plat Reference: Lot/Unit Block/Section Subdivision/Condominium
as shown on Plat Book/Slide at Page(s)
The PIN/PID or other identification number of the Property is:
Other description:
Some or all of the Property may be described in Deed Book at Page
(d) "Purchase Price":
$35400000 paid in U.S. Dollars upon the following terms:
S 0.00 BY DUE DILIGENCE FEE made payable and delivered to Seller by the Effective
Date
S17300.00 BY Il+ TL41 EARNEST MONEY DEPOSIT made payable and delivered to Escrow
Agent named in Paragraph 1(1) by ❑ cash ■ personal check ❑ official bank check
❑ wire transfer, .EITHER ❑ with this oto
Effective Date of this Contract. W. C
OR 0%6,n five (5) days of the
$ ).00 _ BY (ADDITIONAL) EARNEST MONEY DEPOSIT -made payable and delivered to
Escrow Agent named in Paragraph 1(f) by cash or immediately available funds such
as official bank check or wire transfer no later than
BEING OFTBE ESSENCE with regard to said date. TIME
S 0.00 BY ASSUMPTION of the unpaid principal balance and all obligations of Seller on
the existing loan(s) secured by a decd of trust on the Property in accordance with the
attached Loan Assumption Addendum (Standard Form 2A6-'1).
S oA0 BY SELLER FINANCING in accordance with the attached Seller Financing
Addendum (Standard Form 2A5-7).
S3 ^ 00.00 BALANCE of the Purchase Price in cash at Settlement (some or all of which may be
paid with the proceeds of a new loan)
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
Pago 1 of 12
STA,'NDARD FORM 12-T
Eas Revised 7/201 s
—i C C'17/2015

uocubign Envelope ID: ED212CO3-A5B7-4FOO,AD61 2C7OD466F3A7
have one (1) banking day after written notice to deliver cash or immediately available funds to the payee. In the event Buyer does
not timely deliver cash or immediately available funds, Seller shall have the right to terminate this Contract upon written notice to
Buyer.
(e) "Earnest Money Deposit": The Initial Earnest Money Deposit, the Additional Earnest Money Deposit and any other earnest
monies paid in connection with this transaction, hereinafter collectively referred to as "Earnest Money Deposit", shall be deposited
and held in escrow by Escrow Agent until Closing, at which tithe 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. In the event of breach of this Contract by Seller, the Earnest Money Deposit shall be
refunded to Buyer upon Buyer's request, but such return shall not affect any other remedies available to Buyer for such breach. In
the event of breach of this Contract by Buyer, the Earnest Money Deposit shall be paid to Seller as liquidated damages and as
Seller's sole and exclusive remedy for such breach, but without limiting Seller's rights under Paragraphs 2(c) and 2(d) for damage
to the Property or Seller's right to retain the Due Diligence Fee. It is acknowledged by the parties that payment of the Earnest
Money Deposit to Seller in the event of a breach of this Contract by Buyer is compensatory and not punitive, such amount being a
reasonable estimation of the actual loss that Seller would incur as a result of such breach. The payment of the Earnest Money
Deposit to Seller 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. If legal proceedings are brought by Buyer or
Seller against the other to recover the Earnest Money Deposit, the prevailing party in the proceeding shall be entitled to recover
from the non -prevailing party reasonable attorney fees and court costs incurred in connection with the proceeding.
(f) "Escrow Agent" (insert name): Goy & Lloyd,LLP
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 stats law (and Escrow Agent, if not a Broker, hereby agrees) to retain the
Earnest Money Deposit in the Escrow Agent's trust or escrow account until Escrow Agent has obtained a written release from the
parties consenting to its disposition or until disbursement is ordered by a court of competent jurisdiction. Alternatively, if a
Broker or an attorney licensed to practice law in North Carolina ("Attorney") is holding the Earnest Money Deposit, the Broker or
Attorney may deposit the disputed monies with the appropriate clerk of court in accordance with the provisions of N.C.G.S. §93A-
12.
THE PARTIES AGREE THAT A REAL ESTATE BROKERAGE FIRM ACTING AS ESCROW AGENT MAY PLACE THE
EARNEST MONEY DEPOSIT IN AN INTEREST BEARING TRUST ACCOUNT AND THAT ANY INTEREST EARNED
THEREON SHALL BE DISBURSED TO THE ESCROW AGENT MONTHLY IN CONSIDERATION OF THE EXPENSES
INCURRED BY MAINTAINING SUCH ACCOUNT AND RECORDS ASSOCIATED THEREWITH.
(g) "Effective Date": The date that: (1) the last one of Buyer and Seller has signed or initialed this offer or the final counteroffer, if
any, and (2) such signing or initialing is wmmunicated to then 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 during the Due Diligence Period to investigate the property and the transaction
contemplated by this Contract, including but not necessarily limited to the matters described in Paragraph 2 below, to decide
whether Buyer, in Buyer's sole discretion, will proceed with or terminate the transaction.
(i) "Due Diligence Fee": A negotiated amount, if any, paid by Buyer to Seller with this Contract for Buyer's right to conduct Due
Diligence during the Due Diligence Period. It shall be the property of Seller upon the Effective Date and shall be a credit to Buyer
at Closing. The Due Diligence Fee shall be non-refundable except in the event of a material breach of this Contract by Seller, or if
this Contract is terminated under Paragraph 6(m) or Paragraph 9, or as otherwise provided in any addendum hereto. Buyer and
Seller each expressly waive any right that they may have to deny the right to conduct Due Diligence or to assert any defense as to
the enforceability of this Contract based on the absence or alleged insufficiency of any Due Diligence Fee, it being the intent of the
parties to create a legally binding contract for the purchase and sale of the Property without regard to the existence or amount of
any Due Diligence Fee.
0) "Dae Diligence Period": The period beginning on the Effective Date and extending through 5:00 p.m. on 60 days from the
effective date TLRE BEING OF THE ESSENCE with regard to said date.
03
Buyer Initials l C Seller Initials
Page 2 of 12
Association Form No. 12TORevised 72015 This standard form has been approved jointly by. Korth Carolinu
Printed by Agrwneat with the NC Bar Association North Carolina Bar Assockdon —NC Bar Form No. 12T
North Carolina Association ofRealtomt. Inc. — Standard Form 12T

uocutitgn tnvelope IU: tU212UU;-A5137-41-UD4W61-2C7UD466F3A7
(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 otherdoan or conveyance documents,
and the closing attorneys receipt of all funds necessary to complete such transaction.
(1) "Settlement Date": The parties agree that Settlement will take place on -75 days from the efrective date
(the "Settlement Date"), unless otherwise agreed in writing, at a time and place designated by Buyer.
(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 Norib Carolina State Bar has determined that the performance of most acts and services required for a closing
firm
say the practice of law and must be performed only by an attorney Iicensed to practice law in North Carolina. State la
prohibits unlicensed individuals or fis from rendering legal services or advice. Although non -attorney settlement agents mw
ay
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 REALTORS that all buyers should hire an attorney
licensed in North Carolina to perform a closing.
(n) `Special Assessments": A charge against the Property by a governmental authority in addition to ad valorem taxes and
recurring; governmental service fees levied with such taxes, or by an owners' association in addition to any regular assessment
(dues), either of which may be a lien against the Property. A Special Assessment may be either proposed or confirmed.
"Proposed Special Assessment": A Special Assessment that is under formal consideration but which has not been approved prior
to Settlement.
"Confirmed Special Assessment": A Special Assessmeafthat has been approved prior to Settlement whether or not it is fully
payable at time of Settlement.
2. BUYER'S DUE DILIGENCE PROCESS:
(a) Loan: During the Due Diligence period, Buyer, at Buyer's expense, shall be entitled to pursue qualification for and approval of
the Loan if any.
(NOTE: Buyer is advised to consult with Buyer's lender prior to signing this offer to assure that the Due Diligence Period allows
sufficient time for the appraisal to be completed and for Buyer's lender to provide Buyer sufficient information to decide whether
to proceed with or terminate the transaction since the Loan is not a condition of the Contract.)
(b) Property Investigation: During the Due Diligence Period, Buyer or Buyer's agents or representatives, at Buyer's expense,
shall be entitled to conduct all desired tests, surveys, appraisals, investigations, examinations and inspections of the Property as
Buyer deems appropriate, including but NOT !united 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.
(il) Septic/Sewer System: Any applicable investigation(s) to determine: (1) the condition of an existing sewage system, (2)
the costs and expenses to install a sewage system approved by an existing Improvement Permit, (3) the availability and
expense to connect to a public or community sewer system, and/or (4) whether an Improvement Permit or written
evaluation may be obtained from the County Health Department for a suitable ground absorption sewage system.
(ili) Water: Any applicable investigations) 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 frarn the CountyHealth Department for a private drinking water well.
r-°' , ;
Buyer Initials �� Seller Initials
Page 3 of 12
Association Forth No. 12T ¢`Revised 72015 7fu, standard norm fits been roved'oionl
Printed by Agreement with the NC Bar Association Iira
North Carolina Bar Associ4no —NC B Form Noo..12T
North Carolina Association ofReattMO, Inc.—Standard Form 12T

DocuSign Envelope ID: ED212CO3 A5B7-4F0041D61-2C70D466F3A7
(iv) Review of Documents: Review of the Declaration of Restrictive Covenants, Bylaws, Articles of Incorporation, Rates
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 charges fees for confirming owners' association
information and restrictive covenant compliance.
(v) Appraisals. -An appraisal of the Property
(vi) Survey: A survey to determine whether the property is suitable for Buyer's intended use and the location of easements,
setbacks, property boundaries and other issues which may or may not constitute title defects.
(vii) Zoning and Governmental Regulation: Investigation of current or proposed zoning or other governmental regulation
that may affect Buyer's intended use of the Property, adjacent Iand 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, stormwater management, and means of access to the Property and amenities.
(x) Streets/Roads: Investigation of the status of the street/road upon which the Property fronts as well as any other
street/road used to access the Property, including: (1) whether any streets)/road(s) are public or private, (2) whether any
streets)/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 streets disclosure statement prior to entering into an agreement to buy
subdivided property described in the Statute. If Buyer or Seller are uncertain whether the sale of the Property described
in this Contract is subject to the Statute, consult a NC real estate attorney.
(c) Buyer's Obligation to Repair Ramage: Buyer shalt, at Buyer's expense, promptly repair any damage to the Property resulting
front any activities of Buyer and Buyer's agents and contractors, but Buyer shalt 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
(d) 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 wi'gfal acts or omissions. This indemnity shall survive this Contract and any
termination hereof.
(c) Buyer's Right to Terminate: Buyer shall have the right to tBrminate this Contract for any reason or no reason, by delivering to
Seller written notice of termination (the "Termination Notice") daring the Due Diligence Period (or any agreed-upon written
extension of the Due Diligence Period), 77ME D&W OF WE ESSENCE. If Buyer timely delivers the Termination Notice, this
Contract shall be terminated and the Earnest Money Deposit shall be refunded to Buyer.
WARNING: If Buyer is not satisfied with the results or progress of Buyer's Due Diligence, Buyer should terminate this Contract,
prior to the expiration of the Due Diligence Period, unless Buyer can obtain a written extension from Seller. SELLER IS NOT
OBLIGATED TO GRANT AN EXTENSION. Although Buyer may continue to investigate the Property following the expiration
of the Due Diligence Period, Buyer's failure to deliver a Termination Notice to Seller prior to the expiration of the Due Diligence
Period shall constitute a waiver by Buyer of any right to terminate this Contract based on any matter relating to Buyer's Due
Diligence. Provided however, following the Due Diligence Period, Buyer may still exercise a right to terminate if Seller fails to
materially comply with any of Seller's obligations under paragraph 6 of this Contract or for arty other reason permitted under the
terms of this Contract or North Carolina law.
(f) CLOSING SHALL CONSTIT`M ACCEPTANCE OF THE PROPERTY IN rr$ THEN EXISTING CONDITION
UNLESS PROVISION IS OTHERWISE MADE IN WRITING.
3. BUYER REP#UENTATIONS: /
Buyer Initials i j C Seller Initials //�I
Page 4 of 12
Association rano No. I2T 0 Revised 7/201 S This stnmdard form has been approvedichWY by. Notch Caroline
Printed by Av=mam with the 1\C Bar Association Nortb Carolina Bar Associatfon—NC Bar Form No. 12T
Nor% Carolina Association ofRsaltam% Inc. — Sumdard Foam 12T

Docu.Sign Envelope ID: ED212CO3-A5B7-4F00-AD61-2C70D466F3A7
(a) Loan: Buyer 0 does w does not have to obtain a new loan in order to purchase the Property. If Buyer is obtaining a new loan,
Buyer intends to obtain a loan as follows: ❑ Conventional 0 Other. N/A loan at a
❑ Fixed Rate 0 Adjustable Rate in the principal amount of N/A for a term of N/A year(s), at an
initial interest rate not to exceed N/A % per annum (the "Loan').
(NOTE: Buyer's obligations under this Contract are not conditioned upon obtaining or closing any loan. If Buyer represents that
Buyer does not have to obtain a new loan in order to purchase the Property, Seller is advised, prior to signing this offer, to obtain
documentation from Buyer which demonstrates that Buyer will br able to close on the Property without the necessity of obtaining
a new loan.)
(b) Other Property: Buyer O does ■ does not have to sell or lease other real property in order to qualify for a new loan or to
complete purchase. (NOTE: If Buyer does have to sell, Buyer and Seller should consider including a Contingent Sale Addendum
(Standard Form 2A2 -T) with this offer.)
(c) Performance of Buyer's Financial Obligations: To the best of Buyer's knowledge, there are no other circumstances or
conditions existimg 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.
(d) 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 Bayer's lender(s); and (2) to release and disclose
any buyer's closing disclosure, settlement statement and/or disbursennent summary, or any information therein, to the parties to this
transaction, their real estate agent(s) and Buyer's lender(s).
4. BUYER OBLIGATIONS:
(a) Owners' Association Fees/Charges: Buyer shall be responsible for the payment ofany fees charged by an owners' association
for information relating to Buyer's Dire Diligence other than those fees to be paid by Seller under Paragraph 60).
(b) Responsibility for Proposed Special Assessments: Buyer shall take title subject to all Proposed Special Assessments.
(c) Responsibility for Certsin Costs: Buyer shall be responsible for all costs with respect to any loan obtained by Buyer,
appraisal, title search, title insurance, recording the deed and for preparation and r=rding of all instruments requited to secure the
balance of the Purchase Price unpaid at Settlement.
5. SELLER REPRESENTATIONS:
(a) Ownership: Seller represents that Seller:
0 has owned the Property for at least one year.
■ has owned the Property for less than one year.
O does not yet own the Property.
(b) .Assessments: To the best of Seller's knowledge there are no Proposed Special Assessments except as follows (Insert "None" or
the identification of such assessments, if any): None
Seller warrants that there are no Confmned Special Assessments except as follows (Insert "Nona" or the identification of such
assessments, if any): None
(c) Owners' Association(s) and Dues: To best of Seller's knowledge, ownership of the Property O subjects ■ does not subject
Buyer to regulation by one or more owners' association(s) and governing documents, which impose various mandatory covenants,
conditions and restrictions upon the Property and Buyer's enjoyment thereof, including but not limited to obligations to pay regular
assessments (dues) and Special Assessments. If there is an owners' association, then an Owners' Association Disclosure and
Addendum For Properties Exempt from Residential Property Disclosure Statement (Standard Form 2A 12-T) shall be completed by
Seller, at Seller's expense, and must be attached as an addendum to this Contract
(d) Sewage System Permit: (0 Applicable 0 Not Applicable) Seller warrants that the sewage system described in tate
Improvement Permit amcbed hereto has been installed, which representation survives Closing, but makes no further
representations as to the system.
.41
Buyer InitialsZnc=.-Seller Initials
/y4y
Page 5 of 12
Associarion form No. 12T 0 Revised 72015 This standard farm has been approved jointly by. Noah Cmolina
Printed by Agreement with the NC Bar Association Nortb Carolina Bar Associtdion —NC Bar Form No.12T
North Carolina Association ofRealtors@, Inc. — Standard Fom►12T

Docu§ign Envelope ID. ED212CO3-A5B74F00-AD61-2C70D466F3A7
(e) Private Drinking Water Well Permit: (0 Applicable 0 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 and Payoff Statement(s): Seller agrees to use best efforts to deliver to Buyer as soon as reasonably possible
ager 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. 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).
(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 insurees
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 Bayer's lender(s).
(c) Access to Property/Walk-Through Inspection: Seller shall provide reasonable access to the Property (including working,
existing utilities) through the earlier of Closing or possession by Buyer, including, but not limited to, allowing the Buyer an
opportunity to conduct a final walk-through inapectioa of the Property. To the extent applicable, Seller shall also be responsible for
timely clearing that portion ofthe 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.
(d) Removal of Seller's Property: Seller shall remove, by the date possession is made available to Buyer, all personal properly
wbich is not a part of the purchase and all garbage and debris from the Property.
(e) Affidavit And Indemnification Agreement: Seller shall famish at Settlement an afn"davit(s) and indemnification agreements)
in form satisfactory to Buyer and Buyer's title insurer, if any, executed by Seller and any persoa 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 leader(s) and Buyer's title insurer against all loss from any cause or
claim arising therefrom.
(t) Designation of Lien Agent, Payment and S2tisfaction of Liens: If required by N.C.G.S. §44A-11.1, Seller shall have
designated a Lien Agent, and Seller shall deliver to Buyer as soon as reasonably possible a copy of the appointment of Lien Agent
All deeds of trust, deferred ad valorem taxes, liens and other charges against the Property, not assumed. by Buyer, must be paid and
satisfied by Seller prior to or at Settlement such that cancellation may be promptly obtained following Closing. Seller shall remain
obligated to obtain any such cancellations following Closing.
(g) Good Title, Legal Access: Seller shall execute and deliver a GENERAL WARRANTY DEED for the Property in recordable
form no later than Settlement; which shall convey fee simple marketable and insurable title, without exception for mechanics'
liens, and free of any other liens, encumbrances or defects, including those which would be revealed by a current and accurate
survey of the Property, except: ad valorem taxes for the current year (prorated through the date of Settlement); utility easements
and unviolated covenants, conditions or restrictions that do not materially affect the value of the Property; and such other liens,
encumbrances or defects as may be assumed or specifically approved by Buyer in writing. The Property must have legal access to
a public right of way.
(NOTE: Buyer's failure to terminate this Contract prior to the expiration of the Due Diligence Period as a result of any
encumbrance or defect that is or would have been revealed by a tide examination of the Property or a current and accurate survey
shall not relieve Seller of any obligation under this subparagraph)
(NOTE: If any sale of the Property may be a "short sale" consideration should be given to attaching a Short Sale Addendum
(Standard Form 2A14-1) as an addendum to this Contract.)
as
�Zn
Buyer Initials(tr' C Seller initials !D�
Page 6 of 12
Association Form M. I2T CReviscd 711015 This standard form ins been approved jointly by: North Camlim
Printed by Agmewat with the NC BarAssooiation North Carolina Bar Association —NC 13arForm No. 12T
North CrLmlim Association of Realtors#, Ina.. Standard Form 12T

DocuSign Envelope ID: ED212CO3-A5B7-4FOO-AD61-2C7OD466F3A7
(h) Deed, Taxes, and Fees: Seller shall pay for preparat3on of a deed and all other documents necessary to perform Seller's
obligations under this Contract, and for state and county excise taxes, and arty deferred, discounted or rollback taxes, and local
conveyance fees required by law. The deed is to be rnade to: Buyer or Buyer's assigns
(i) Agreement to Pay Bayer Expenses: Seller shall pay at Settlement $0.00 toward any of Buyer's expenses
associated with the purchase of the Property, less any portion disapproved by Buyer's lender.
NOTE: Examples of Buyer's expenses associared with the purchase of the Property include, but are not limited to, discount points,
loan origination fees, appraisal fees, attorney's fees, inspection fees, and "pre-paids" (taxes, insurance, owners' association dues,
etc).
6) Owners' Association Fees/Charges: Seller shall pay: (i) any fees required for confirming Seller's account payment
information on owners' association dues or assessments for payment or proration; (ii) any transfer or similar fee imposed by the
owners' association; and (iii) fees incurred by Seller in completing the Residential Property and Owners' Association Disclosure
Statement.
(k) Payment of Confirmed Special Assessments: Seller shall pay all Confirmed Spacial Assessments, if any, provided that the
amount thereof can be remonably determined or estimated
(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 2A)2-1): If applicable,
Seller shall provide the completed Owners' Association Disclosure and Condominium Res -We Statement Addendum to Buyer on or
before the Effective Date.
(a) Seller's Failure to Comply or Breach: If Seller fails to materially comply with any of Seller's obligations under this
Paragraph 6 or Seller materially breaches this Contract, and Buyer elects to terminate this Contract as a result of such failure or
breach, then the Earnest Money Deposit and the Due Diligence Fee shall be refunded to Buyer and Seller shall reimburse to Buyer
the reasonable costs actually incurred by Buyer in connection with Buyer's Due Diligence without affecting any other remedies. if
legal proceedings are brought by Buyer against the Seller to recover the Earnest Money Deposit, the Due Diligence Fee and/or the
reasonable costs actually incurred by Buyer in connection with Buyer's Due Diligence, the prevailing party in the proceeding shall
be entitled to recover from the non -prevailing parry reasonable attorney fees and court costs incurred in connection with the
proceeding.
7. PRORATIONS AND ADJUSTN ENTS: Unless otherwise provided, the following items shall be prorated through the date of
Settlement and either adjusted between the parties or paid at Settlement:
(a) Taxes on Real Property: Ad valorem taxes and recurring governmental service fees levied with such taxes on real property
shall be prorated on a calendar year basis;
(b) Rents: Rents, if any, for the Property;
(c) Dues: Owners' association regular assessments (dues) and other like charges.
& CONDITION OF PROPERTY AT CLOSING: Buyer's obligation to complete the transaction contemplated by this Contract
shall be contingent upon the Property being in substantially the same or better condition at Closing as on the date of this offer,
reasonable wear and tear excepted.
9. RISK OF LOSS: The risk of loss or damage by fire or other casualty prior to Closing shall be upon Seller. If the improvements on
the Property are destroyed or materially damaged prior to Closing, Buyer may terminate this Contract by written notice delivered to
Seller or Seller's agent and the Earnest Money Deposit and any Due Diligence Fee shall be refunded to Buyer. In the event Buyer does
NOT elect to terminate this Contract, Buyer shall be entitled to receive, in addition to tate Property, any of Seller's insurance proceeds
payable on account of the damage or destruction applicable to tine Property being purchased. Seller is advised not to cancel existing
insurance on the Property until after confirming recordation of the deed.
10. DELAY IN SETTLEMENT/CLOSING: Absent agreement to the contrary in this Contract or any subsequent modification
thereto, if a patty is unable to complete Settlement by the Settlement Date but intends to complete the transaction and is acting in good
faith and with reasonable diligence to proceed to Settlement ("Delaying Party"), and if the other party is ready, willing and able to
complete Settlement05
on the Settlement Date Non -Delaying Party'l then the Delaying Party shall give as much notice as possible to
Buyer Initials C Seller Initials'
Page 7 of I2
Association Form No. 12T O Revised 72015 'this stmdard form bus befit Wroved jointly by. North Carolina
Printed by Agmemcnt with the NC Bar Association North Carolirm Bar Asmcirlion —NC Bee Fort No. 12T
North CaroliaaAssochdon of Rca wn*, Ina — Standard Form 12T

DocuSign Envelope ID: ED212CO3-A5B7-4F00-AD61-2C70D466F3A7
the Non -Delaying Party and closing attorney and shall be entitled to a delay in Settlement. if the parties fail to complete Settlement
and Closing within fourteen (14) days of the Settlement Date (including any amended Settlement Date agreed to in writing by the
parties) or to otherwise extend the Settlement Date by written agr"ment, then the Delaying Party shall be in breach and the Non -
Delaying Party may terminate this Contract and shall be entitled to enforce any remedies available to such party under this Contract
for the breach.
11. POSSESSION: Unless otherwise provided herein, possession shall be delivered at Closing as defined is Paragraph 1(m). No
alterations, excavations, tree or vegetation removal or other such activities may be done before possession is delivered
12. OTHER PROVISIONS AND CONDITIONS: CHECK ALL STANDARD ADDENDA THAT MAY BE A PART OF THIS
CONTRACT, IF ANY, AND ATTACK HERETO. ITEMIZE ALL OTHER ADDENDA TO THIS CONTRACT, IF ANY, AND
ATTACH HERETO.
(NOTE: UNDER NORTH CAROLINA LAW, REAL ESTATE BROKERS ARE NOT PER 17BD TO DRAFT CONDITIONS
OR CONTINGENCIES TO THIS CONTRACT.)
❑ Additional Provisions Addendum (Form 2A1 I -T) O Owners' Association Disclosure And Addendum For
❑ Additional Signatures Addendum (Form 3-7) Properties Exempt from Residential Property Disclosure
0 Back -Up Contract Addendum (Form 2A1 -T) Statement (Form 2Al2-T)
❑ Contingent Sale Addendum (Form 2A2 -T) Q Seller Financing Addendum (Form 2A5-7)
Cl Loan Assumption Addendmn (Form 2A6-1) ❑ Short Sale Addendum (Form 2A14 -T)
■ OTIER: Exhibit " " attached hereto
13. ASSIGNMENTS: Trus Contract may not be assigned without the written consent of all parties except in connection with a tax-
deferred exchange, but if assigned by agreement, then this Contract shall be binding on the assignee and assignee's heirs and
successors.
14. TAX-DEFERRED EXCHANGE: In the event Buyer or Seller desires to effect a tax-deferred exchange in connection with the
conveyance of the Property, Buyer and Seller agree to cooperate in effecting such exchange; provided, however, that the exchanging
party shall be responsible for all additional costs associated with such exchange, and provided further, that a non -exchanging party
shall not assume any additional liability with respect to such tax-deferred exchange. Buyer and Seller shall execute such additional
documents, including assignment of this Contract in connection therewhb, at no cost to the non -exchanging party, as shall be required
to give effect to this provision.
15. PARTIES: This Contract shall be binding upon and shall inure to the benefit of Buyer and Seller and their respective heirs,
successors and assigns. As used herein, words in the singular include the plural and the masculine includes the feminine and neuter
genders, as appropriate.
16. SURVIVAL: If any provision herein contained which by its nature and effect is required to be observed, kept or performed after
the Closing, it shall survive the Closing and remain binding upon and for the benefit of the parties hereto until fully observed, kept or
performed.
17. ENTIRE AGREEMENT: This Contract contains the entire agreement of the parties and there are no representations,
inducements or other provisions other than those expressed herein. All changes, additions or deletions hereto must be in writing and
signed by all parties. Nothing contained hereat shall after any agreement between a REALTORm or broker and Seller or Buyer as
contained in any listing agreement, buyer agency agreement, or any other agency agreement between them.
I8. CONDUCT OF TRANSACTION: The parties agree that any action between them relating to the transaction contemplated by
this Contract may be conducted by electronic mans, including the signing of this Contract by one or more of them and any notice or
communication given in connection with this Contract Any written notice or communication may be transmitted to any mailing
address, e-mail address or fax number set forth in the "Notice information" section below. Any notice or communication to be given
to a party herein, and 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 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 ojkr or the creation of a Co r.
Buyer Initials C Seller initials`
Page 8 of 12
Association Form No. 12T R?Revised 740ts TI& standard Corm hrys been approved jointly try. NOM Carolina
Printed by Agreement with the NC BarAssooiation North Carolina Bar Association —NC Bar Forth No. 12T
North CaroHmAssocWoa ofRcWtorse, Inc.—Standard Form 12T

DoalSign Envelope ID: ED212CO3-A5B74FOO,AD61-2C7OD466F3A7
19. EXECUTION: This Contract may be signed in multiple originals or coanterparts, all of which together constitute one and the
same instrument.
20. COMPUTATION OF DAYSrMff OF D4y: 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
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.
Date: 2/9/2016 j
Date:
/'—ue�9�aeY
Buyer. A—
fKattacwC. Conway
Entity Seller:
OBX CottagesC
Michael R. I4irk, Manager
(THIS SPACE MENTIONI ALLY LEFT BLANK]
as Buyer Initials W, C Seller Initials
Page 9 of 12
Association Form No. 12T 0 Rtvind 7!2015 Thies ��
Printed by Agreement with the NC Ba Agoe Mon been ePpmved jantly by. North Camlina
North CarolinaBor Association- NC Bar Form No. 12T
North Carolina Association ofRcaltonO, Inc. - Standard Form 12T

DocuSign Envelope ID: ED212CO3-A5B7-4FOO,AD61-2C7OD466F3A7
NOTICE INFORMATION
NOTE: INSERT THE ADDRESS AND/OR ELECTRONIC DELIVERY ADDRESS EACH PARTY AND AGENT APPROVES
FOR THE RECEIPT OF ANY NOTICE CONTEMPLATED BY THIS CONTRACT. INSERT "N/A" FOR ANY WHICH ARE
NOT APPROVED.
BUYER NOTICE ADDRESS:
Mailing Address:
Buyer Faxg:
Buyer E-mail:
SELLER NOTICE ADDRESS:
Mailing Address: 200 E. Blacktnan Street, Naos Head. NQ
27959
SeUer Fax#:
Seller E-mail:
SELLING AGENT NOTICE ADDRESS: LISTING AGENT NOTICE ADDRESS:
Firm Name: Firm Name:
Acting as D Buyer's Agent O Seller's (sub)Agent 0 Dual Agent Acting as O Seller's Agent O Dual Agent
Mailing Address:
Mailing Address:
Individual Selling Agent Individual Listing Agent
13 Acting as a Designated Dual Agent (check only if applicable) ❑ Acting as a Designated Dual Agent (check only if applicable)
License f#:
Selling Agent Phone; :
Selling Agent Fax#:
Selling Agent &mail:,
License R:
Listing Agent Phone#:
Listing Agent Fain:
Listing Agent E-mail:
[THIS SPACE INTENTIONALLY LEFT BLANK]
Buyer Initials I Seller initials f ' 1 -_— -
Page 10 of 12
Assoclation Form No. 12T C Revised 720I5 This standard form has been approved jointly by. North Carolina
Printed by Agreement with the NC Bar AssooMon North Carolina Bar Associmion —NC Bar Form No. 12T
North Carolina Association ofRealtors@,Int —Standard Fonn 12T

r DocurSign Envelope ID: ED212CO3-A5B7-4F00-AD61-2C70D466F3A7
ACKNOWLEDGMENT OF RECEIPT OF MONIES
Seller: OBX Cottages, LLC ("Seller")
Buyer: _Matthew C. Conwav ("Buyer")
Property Address: _ ("Property")
❑ LISTING AGENT ACKNOWLEDGMENT OF RECEIPT OF DUE DILIGENCE FEE
Paragraph i (d) of the Offer to Purchase and Contract between Buyer and Seller for the sale of the Property provides for the payment
to Seller of a Due Diligence Fee in the amount of $ , receipt of which Listing Agent hereby acknowledges.
Date Firm:
By: _
(Signature)
(Print name)
0 SELLER ACKNOWLEDGMENT OF RECEIiPT OF DUE DILIGENCE FEE
Paragraph 1(d) of the Offer to Purchase and Contract between Buyer and Seiler for the sale of the Property provides for the payment
to Seller of a Due Diligence Fee in the amount of $ , receipt of which Seller hereby acknowledges.
Date:
Date:
Seller:
Seller.
(Signature)
(Signature)
r— r® m co .0 r ..� w. c
ESCROW AGENT ACKNOWLEDGMENT OF RECEIPT OF P41TIAL EARNEST MONEY DEPOSIT
Paragrapb 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 $ ,00 . Escrow Agent as identified in Paragraph
1(i) of the Offer to Purchase and Contract hereby acknowledges receipt of the Initial Earnest Money Deposit and agrees to bold and
disburse the same in accordance with the terms of the Offer to Purchase and Contract.
Date, 2/ 5 / 201 Firm:
By:
_ 'Si e) /
(Print name
m rF
Buyer Initials . _I�! C Seller Initials 1
Page 11 of 12
Association Form No. I2T O Revised 78015 This standard farm hits bleu aPPMVdioiauy by. North Cmol=
Printed by ASreement with the NC Bar Associatien Norih CaroHna Bar Association —NC Dar fomt No 12T
Nordt Camlim Asmladon of Reahorstu, Inc. —Stmtdard Form 12T

L
a
MATTHEW C CONWAY
PH,,252-261-4112 514
208 SHILOH STREET 3159
KILL DEVIL HILLS, NC 27948
Dart Z—%Z-k
f PAYTo
ORR ^
THE DER OF
BANK( S !a`;...
"WTONR&D G'�way $ank
MEMO C
1:0 514 0 5 i 4-a /0"
B,8i ° ° 10 i004??no3 159

DocySign Envelope ID: ED212CO3-A5B7-4F00-AD61-2C70D466F3A7
— a — — — — — — a — — — 0 — — a — — — — — e ,o. m o v — — ® m a — o v — ® — t —
© UCROW AGENT ACKNOWLEDGMENT OF RECEIPT OF (ADDITIONAL) EARNEST MONTEY 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 S . Escrow Agent as identified in
Paragraph 1(f) of the Offer to Purchase and Contmat 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
By:
(Signature)
(Print name) —
Buyer Initials rm iyC Seller Initials �4 i
Page 12 of 12
Association Form No. 12T ®Revised 9/2015 This stemdnrd form bas been approved jointly by. Nortb Carotis
Prinrad 5y Agwemcnt with the NC Bw Association North Caolina Bar Association— NC Bar Form No. 12T
North CaroHnaAssociedon of RealtanS, Inc. — Standard Form 12T

DocvSign Envelope ID: ED212CO3-A5B7-4FOo-AD61-2C70D466F3A7
Exhibit "A"
to Offer to Purchase and Contract - Vacant Lot/Land
by and between
OBX Cottages, LLC, as Seller
and
Matthew C. Conway, as Buyer
The Property that is being acquired is six (6) lots, being Lots 5, 6, 11, 12, 13 and 14, as
shown on proposed replatted subdivision plat, which are contained within Block 50, Virginia
Dare Shores, a copy of proposed recombination plat being attached as Exhibit `B" and
incorporated herein by reference as if set out word for word. The actual Property to be
conveyed will be based upon a recorded plat showing the Property.
2. If Buyer does not terminate during the Due Diligence Period, then thereafter, Seller sball
cause to be recorded a recombination survey plat comparable to that which is shown on
Exhibit `B". The Property to be conveyed by Seller to Buyer shall be pursuant to the
recombination plat that is recorded.
3. Pursuant to the provisions of Section 6(n), if Seller materially breaches the Contract, then
Seller agrees to a return of the earnest money deposit to Buyer and to reimburse Buyer the
sum of $8,500.00 as Buyer's total claim for the reasonable costs incurred by Buyer in
connection with Buyer's Due Diligence. Upon such payment, Buyer shall be entitled to no
further remedy.
BUYER:
�K (SEAL)
Matthew C. Conway
SELLER:
OBX Cotta es, L C
BY (SEAL)
Michael R. Kirk, Manager
NAW0RD1Clienls10 0BX Cottages, LLC tka Coastal CollagesWonwaY E-Aibit A. Revised 020816.%x -pd

Agent-Authorization Form
• J r,
Date:
Name, of Property Owner(s)-Applying fo�Permit:
Types of Perm'its,Sought:
By signature belovVI 'do hereby,certify-that l"havIe the authority,and duly,'authorize'Quible & ,
Associates, P.C. to act.ori my.;behalf for purposes of'apply(hg fot,and;ob_taining any and all
necessary" permits,foi my 'p'"roperty:located at: '
`�ui11 `ikviI NiIIS NG
This certification ;is'vaI'd until:
Sincerely i

The Great Dismal Swamp RestorationBank, LLC
P. O. Box 6186 Phone [phone]
Chesapeake, VA 23323 Fax [phone]
February 18, 2016
Mr. Troy Murphy
Quible & Associates, P.C.
8 Juniper Trail
P.O. Drawer 870
Kitty Hawk, NC 27949
RE: Conway Construction
Block 50 Virginla Dare Shore
Dare County, NC
Dear Mr. Murphy:
The following price quote is given in reply to your request for the purchase of 0.25 wetland mitigation credits (HUC Code 03010205)
from The Great Dismal Swamp RestorationBank Timberlake Farm. These credits are currently available from our Timberlake
mitigation bank.
The cost will be Five Thousand, Seven Hundred, Fifty Dollars ($ 5,750.00). This quote will expire on June 30, 2016. You will need to
submit to the LISCOE the necessary application for said mitigation, and receive USCOE permission to furnish said required credits
from our Timberlake bank.
To complete this transaction, we will require payment in full. Once payment is received, the credit sale will be reported to the US
Army Corps of Engineers. Please provide and/or confirm the following information:
Corps Project #:
Waterway:
Permittee Name:
Locality of Impact:
Permit action (i.e., IP, NWP-39, enforcement, etc.)
Impacts (acres/linear feet):
Impacts NWI classification:
Impacts Hydrologic Unit Code: 03010205
Mitigation Bank, Permittee, and Consultant agree not to discuss with any other party the details and/or pricing of this agreement,
unless necessary for regulatory matters. Information contained herein shall be held in the strictest confidence.
Thank you for allowing us to quote on this project. We look forward to working with you.
Sin erely,
Beverly M W ite
Manager counting / Sales
GDSRB
CC: File

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ENVIRONMENTAL SCIENCES * SURVEYING
WDE
CONSIDERED PRELIMINARY, NOTA
CERTIFIED DOCUMENT AND SHALL NOT
BE USED FOR CONSTRUCTION,
NORTH CAROLINA
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NC License#: C-0208
PO Drawer 870, Kitty Hawk, NC 27949
0 5p' 100'
DATE
RECORDATION, SALES OR LAND
Phone: [phone]
02/15/16
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