Non-Structural Modification Request Form

(One Improvement per Sheet)

Homeowner:________________________________________ Phone:__________________________

Address:___________________________________________ Fax/Email_______________________

Describe Improvement. Include type of materials, size, color, etc. (attach additional sheets as needed)

Attach appropriate exhibits as required to support request. (i.e. drawings, landscape plan, material samples, color samples, swatch, photos, etc.).

Estimated date of completion________________________

CONSTRUCTION SHALL BEGIN WITHIN 3 MONTHS OF THE DATE OF APPROVAL. IF CONSTRUCTION HAS NOT BEGUN WITHIN THE 3-MONTH PERIOD, A NEW APPLICATION WILL NEED TO BE SUBMITTED BEFORE CONSTRUCTION BEGINS.

Applicant understands that approval by the Uwharrie Point Community Association Architectural Review Board is for compliance with aesthetics and limitations described in the Declaration of Covenants, Conditions and Restrictions for Uwharrie Point Architectural Guidelines. Compliance with state, local, or Federal codes, permitting and zoning shall be the sole responsibility of the homeowner/applicant and shall not be the responsibility of the Community Association or its agents/employees.

_________________________________________________ _____________________________

Signature of Homeowner Date

ARB Comments:______________________________________________________________________

COMPLIANCE REVIEW

Inspected By:________________________________________________ Date Inspected:________________

Does actual modification match submittal: _____Yes_____No (if no add comments)

Work: Approved:_____ Approved with Conditions Noted:______ Denied: _______(see comments)

Forward Completed Form to:

Uwharrie Point Community Association – ARB

1520 Uwharrie Point Parkway

New London, NC 28127