SC_16-21_ Bettenhausen (2)

.o
Issued by WiRO SC16-21
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Management
ENVIRONMENTAL QUALITY
as authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission for development in an area of environment
concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area
Management"
Issued to Sandra Bettenhausen authorizing development in the Estuarine Shoreline (AEC) at 7080 Seventh Street, in
Surf City, Onslow County as requesed in the permittee's application, dated August 16, 2016, and received by DCM on
August 16, 2016. This permit, issued on August 31, 2016, is subject to compliance with the application and drawing
dated and received by DCM on August 11, 2016 (where consistent with the permit), all applicable regulations and
special conditions and notes set forth below. Any violation of these terms may subject the permittee to a fine,
imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Construction of a single family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on August 11, 2016.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at(910)
766-7221 for a final inspection at completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20)days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for o Jason Dail
compliance. Any maintenance work or project modification not covered under W E ;C 'es �PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this DCM
permit expires on: 427 Cardinal Drive Extension
SEP 2 Wilmington, NC 28405-384
December31,2019
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal PERMITTEE
Management.
(Signature required if conditions above apply to permit)

Name: Sandra Bettenhausen
Minor Permit#SC16-21
Date: August 31, 2016
Page 2 of 3
(5) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and
mulched)within 14 days of construction completion.
(6) Any proposed for grading within the 30' buffer from the Normal High Water level must be contoured to prevent
additional stormwater runoff to the adjacent marsh and/or canal. This area shall be immediately vegetatively
stabilized, and must remain in a vegetated state.
(7) This permit does not authorize any development within 30 feet of the normal high water line.
(8) All buildings shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards
of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood
Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent
with any of the following AEC standards, the more restrictive provision shall control.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATURE. DATE:X 9- — n o
PERMITTEE
RECEIVED
DCM WILMINGTON,NC
sEP 21 2016

^f �4i OTHER PERMITS MA1'BE REQUIRED The activtn you are planning may require permits other than the CAMA
ity Permit Numbs minor development permit.including.but not limped to,Chinking Water Well,Septic Tank toe other sanitary%taste
treatment system).Building.Electrical.Plumbing.Heating and Air Conditioning.Insulation and Energy Cotsermatron.PIA
f dazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other Certification,Sand Dune,Sediment Control.Subdivision Approval.Mobile Horne Park Approval.Highway Connection.and
Chin ejhcval HA I!Dap others ('heck with your local Permit Officer for more information
ERAL INFORMATION STATEMENT OF OWNERSHIP:
DOWNER I.the undersigned.an applicant for a CA MA tumor'development permit.being either the owner of property ran an AEC Of a
person authorized to act as an agent t r purposes ofapplynig for a CAMA minor deselopmcut permit.certify that the person
Sandra ttemng eettennauson(Contract to-Purchase) listed as landowner nit this application has a significant interest in the real property described therein This interest can he
described as %check ones
tan 8301 Davistre Drive p�
;A1e19t' State NC Zip276tS Lau owner or record title.file as vested in .see Deed Book
Phone [phone]
page in the Count!.Registry of feeds
[e-mail]
Flan owner by virtue of inheritance Applicant in an heir tit the estate of -. .
IORIT_EDAGENT probate was in County_
Charles F.Riggs&Associates,Inc. Elf other interest.such as written contract or lease.explain below or use a separate sheet A attach to this application
P.0,Boob 1570 Contract to Purchase
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
Iacksonville Brae NC zip 28541 Phone [phone] I furthermore certify that the following persons are owners of properties adjoining this property I affirm that i have t:iten
A(11l°Al,NOTICE to each of them concerning my intent to den ebp this property and to apply for a CAMA permit
[e-mail] Name n t A ldress i
(I) Mr.and Mrs.Darin A.Fanner, 140 Flint Point Lane,Holly Springs,NC 27540
kTION OF PROJECT:(Address.street name amdha directions to site If not oceanfront.%that its the name of the
uu watcrbody 11080 7th Street.Town of Surf City t 2) Ms.Donna Gay Pellet,7Ue2 7th street,surf City,NC 28445 _
tot
---
'RIPTION OF PROJECT:(List all proposed construction and land disturbance I Proposed Three Story t4)
Vino on Pilings Over Concrete Slab Enclosed below for Entry,Garage and Storage with Der;ks.
OFLOT/PAR('F:I.: 7,717 square feet 0.177 acresCantilevers,and Pervious Drive ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
'OSED USE:Residential© 4Singte fa mily Q Multi-family 0) Commercial Industrial❑ Other may be susceptible to erosion andor flooding I acknowledge that the Local Permit Officer has cuplained to we the particu-
lar hazard problems associated with this lot This explanation was accompanied by recommendations concerning stab,liza-
( I f l Woman roar Local Permit Officer if are new sure which AEC applies trim and tloodpro owing techniques
r property):
LEAN IIA7.ARD AECs:TOTAL FLOOR AREA OF PROPOSED STRI'CTI'RE: square feet(includes f furthermore certify that 1 am authorized to grant.and do in fact grant,Pernnssion to Division of Coastal Management staff.
dnmimed brines ace, the Local Permit Officer and their attests to enter on the aforementioned lands in connection with evaluating information
p parking elevated above ground level.non-conditioned space elevated above grouted level but related to this permit application
tog non-load-hearing attic space( l A
J.iST.4L SHORELINE AE('a:S7L1.OF BUILDING FOOTPRINT AND UT t1ER IMPERVIOUS OR BUILT / '�
This the /4j day of .20 LCp
SURFACES.2.102 squan:feet(includes the area oldie roof line of all buildings.drweways,covered decks.
to or masonic patios.etc.that are within the applicable AEC.Attach your calculations wtth the project drawuig,I —Landowner or person at to act a r �� i se of filing a CAMA permit application
E STORMHATF.R MANAGEMENT PERMIT:Is the project located in at area subject to a State Stonuwater
ement Permit issued by the NC Dix iston of Wiser Quality"' This application inekrd.. •meni/to/,rmatn (rhos I 0.a.oae drawing<te Jt scr,hrd our r/m•hrak a/Ihr.s applh'rrnrat.the
NO4 t/ I lot nrrohq,.ytraemt•uu.rho(hr• N. ahoy net eyrar.o<heck fin S1110 sO made to tea•lacrtllc and
list the total built upon area in%pert90os surface allowed for your lot of parcel; square teen this tnlorraarnn in may tn.prosiJed atn7lr hr the uppbcimt.the details aI the egyrlicwuon as described br these,soirtree an'
mcarpunaed without micron a Ui ant'permit dude may he rtstieil I krtarran Iron thew d2itith(wl/1{'i)tlrrrnk a triJai n it/
can•p<•rnra.urn lien+fui2 lnprimgtn r E Lw hraa permit is avht<t r to aril,mining/and arlmmt strartre action
()QM WILMINGTON, NC
AUG 1 G 2016

PAT MCCRORY
Governor
"� DONALD R. VAN DER VAART
Secretai,
BRAXTON DAVIS
Coastal AManagement Director
ENVIRONMENTAL QUALITY
September 7, 2016
Sandra Herring Bettenhausen
8301 Davishire Drive
Raleigh, NC 27615
Dear Ms. Bettnehausen:
Attached is CAMA Minor Development Permit# SC 16-21, for work to be done at 7080 7th
Street, in Surf City, Onslow County. A copy of the permit has been sent to the Town's
Inspections Department, and to your agent, Charles Riggs.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Please retain the orange copy for your files, sign both pages of the white copy, and
return to us within 20 days of receipt, in the enclosed, self-addressed envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
itiLzy, /-• _./ .
Shaun K. Simpson
Permit Support Technician
Enclosures
Cc: WiRO files
Town of Surf City Inspections Dept.
Charles F. Riggs, Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
010 IOC 4')1[

Simpson, Shaun
From: Dail,Jason
Sent: Wednesday,August 31, 2016 8:54 AM
To: Charles Riggs ([e-mail])
Cc: James Riggs ([e-mail]); Simpson, Shaun; Steve Padgett
([e-mail]); Patti Arnold ([e-mail])
Subject: CAMA Minor permit - Sandra Bettenhausen - 7080 Seventh Street
Attachments: SC16-21.Bettenhausen.Aug.ES.16.doc
Good morning. Attached is a copy of the subject permit.A signed hard copy will be mailed to the permittee via USPS.
Please let me know if you have any questions.
Thank you,
Jason
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]
•
—" Nothing Compares,,,
E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.

OCEAN HAZARD AEC NOTICE
Project is In an: Ocean Erodible Area High Hazard Flood Area inlet Hazard Area
Property Owner: Sandra Herring Bettenhausen(Contract to Purchase)
Property Address: 7080 7th Street,Surf City
Date Lot Was Platted: September 1968
'this notice is intended to make you,the applicant,aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area, which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the
development can be issued. vegetation line and setback distance at your site. if the property
has seen little change since the time of permit issuance,and the
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations are designed to minimize, but not the LPO will inform you that you may begin work. Substantial
eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the safely of setback determination,or the setback must be re-measured.Also,
the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement
Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPO
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. The structures)must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing,
imminently threatened, and in any case upon its collapse or permit renewal can be authorized. It is unlawful to continue
subsidence. work after penult expiration.
The best available information,as accepted by the Coastal For more informallon,ammo:Resources Commission, indicates that the annual long-term i ��`�"'�,
average ocean erosion rate for the area where your property is
i
located is feet per year.
Local Permit OKi r
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years. /1
9— (4-1-41--"-----r--sis--"e-- (6Z---
Studies also indicate that the shoreline could move as much as Address
feet landward in a major storm. 747- �(1�The flood waters in a major storm are predicted to he about Ai, �/1��feet deep in this area, Locality
Preferred oceanfront protection measures are beach nourishment 9/d — 7- - 1.)-a-
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signature,the application will not he complete.
rop fly Owner Signal() Date
RECEIVED
DGMVrILIA!N( TC .Inc'
[11h 2010
PIG 1 A ?

U.S. Postal ServiceTM
CERTIFIED MAIL® RECEIPT
.13
r Domestic Mail Only
n For dE!ivory'nfor.r.atiln,visit our website at www.usps.com-.
U ) LI:
-0 Certified Mail Fee
..... $ $2.7 0600
1.I II
Extra Services&Fees(check box,add fee as apipfpf,feti 11
u
0 Return Receipt(hardcopy) $ .
$0.
= 0 Return Receipt(electronic) $ 01.1 ' Postmark ,
j 0 Cenifled Mall Restricted Rec EINED$y.00 Here
l El Adult Signature
=JAW:k1GTC$04 7 filr -
['Adult Signatall.
M Postage $1.36 ---,
cc.
•11
.... $ ._. _
.4 Total Postage and Pets,.66 °8/09/201 6
„.. s
-. Sent To
4,,rwtac-
- oireet and Apt.No. )(NM-- , '
'or irlrtiat-I I 051- 'P b,i tAt
tity,State,ZIFt041:1- ---, t
' I ----pr2 75'4-o ,

, I u110U rvlarr Jcr vr{.G IJI%/IMMO Mrc uVu,VOrrra Ycr rcll w.
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(Including the recipient's retail associate.
signature)that is retained by the Postal Service" -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
'mportant Reminders: -Adult signature service,which requires the
I You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
I Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
I Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
I For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt:'attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
.� nary Anal o,,,c.oe,bba Dem 7c•a,.fO a,.4,

CHARLES F. RIGGS & ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
jameslewisnriggslandnc.com
August 5, 2016
Mr. and Mrs. Darin A. Farmer
140 Flint Point Lane
Holly Springs, NC 27540
Re: Sandra Herring Bettenhausen Minor CAMA Application
Dear Mr. and Mrs. Farmer:
On behalf of Sandra Herring Bettenhausen,Charles F. Riggs&Associates, Inc. is submitting to the
Division of Coastal Management,North Carolina Department of Environmental Quality the enclosed
Minor CAMA application for the property located at 7080 7th Street, Surf City, Stump Sound Township,
Onslow County. We are required to notify the adjoiners of this CAMA application. Please review the
package and sign the form provided, placing a check beside whether you have objections or no objections
to this. If you have no objections, please return the form to us in the self-addressed stamped envelope
provided. If you have objections, please send the form along with your comments to Mr.Jason Dail,
Division of Coastal Management, N.C. Department of Environmental Quality, 127 Cardinal Drive,
Wilmington, NC 28405 within 10 days of receipt of this notice.
R ctfully,
ames L. Riggs
DCM RECEIVED
Vl I f�INGTCN, NC
AUG 1 12016

. . -os a ervice
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
xi For delivery information,visit our website at www.usps.com".
, 1
1- Certified Mail Fee $3.3 I _U6UU
D $ $2.711 j-
Extra Services&Fees(check box,add fee a 6te) y. .;` +'"�\
-R ❑Return Receipt(hardcopy) -.- `� V
0 Return Receipt(electronc)RE -% /v 0'
❑Certified Mail item Nu t, $rl„I1l1 `` 'erk ID
\
❑Adult Signature Required $ $41 CO
0 Adult Signature Restricted $ °:`t A,•
Delivery.
% i
Postage
TI $1 .36 )i > `6 C
t $ /
-R Total Postage and Fges.36 I- ,( tt1" �
PI $ 7//.
Sent To MS r ay, pG�ex-
-a `A
Street and Apt.No.,or PEW.Bgyt NJ o.^ J.�
ti _"l 7�1 Zj 7/�
City,State,ZIP+ t.f, r C/_IY ^ 'C f7 QlLLL�
-t- T � <V ,f�`T T

NCfU11CU IVldll*CI VII:C piUV1UCb 111C 1L11UW1IlU UCIIC1llr:
■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
■Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
I A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service'" -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
Important Reminders: -Adult signature service,which requires the
■You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
■Certified Mail service is notavailable for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
■Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. LISPS postmark.If you would like a postmark on
■For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mallpiece,you may request Certified Mail item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(Including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.

CHARLES F. RIGGS & ASSOCIATES, INC.
Land Surveyors
Charles F. Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217
Jacksonville,North Carolina 28540 P.O. Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
[e-mail]
August 5,2016
Ms. Donna Gay Potter
7082 7th Street
Surf City,NC 28445
Re: Sandra Herring Bettenhausen Minor CAMA Application
Dear Ms. Potter:
On behalf of Sandra Herring Bettenhausen, Charles F. Riggs& Associates, Inc. is submitting to the
Division of Coastal Management,North Carolina Department of Environmental Quality the enclosed
Minor CAMA application for the property located at 7080 7th Street, Surf City, Stump Sound Township,
Onslow County. We are required to notify the adjoiners of this CAMA application. Please review the
package and sign the form provided, placing a check beside whether you have objections or no objections
to this. If you have no objections, please return the form to us in the self-addressed stamped envelope
provided. If you have objections, please send the form along with your comments to Mr.Jason Dail,
Division of Coastal Management,N.C. Department of Environmental Quality, 127 Cardinal Drive,
Wilmington,NC 28405 within 10 days of receipt of this notice.
'espectfully,
—"4- WNW
mes L. Riggs
G
OCNI�REEi_p
I�f i.NIV
GTC�'V, NC
AUG . 1 2016

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Sandra Herring Bettenhausen (Contract to Purchase)
Address of Property: 7080 7th Street, Surf City, Onslow County
(Lot or Street#, Street or Road, City& County)
Agent's Name#: Charles F. Riggs & Assoc. Mailing Address: P. O. Box 1570
Agent's phone#: [phone] Jacksonville, NC 28541
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 have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanagementnet/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pi , ck, mooring pilings, breakwater, boathouse , r groin must be set
back a minimum distance of my area of riparian acce ess waived by me. (If you
wish to waive the setback, you must ini e ap r e blank below.)
I do wish to waiv 5' setback requirem .
o not wish to waive the 15' setback requirement.
(Prop- -., ► ner f .tion) (Adjacent Property Owner Information)
/
Signature Signature
Charles F. iggs, aafor application
Print or Type Print or Type Name
P. O. Box 1570
Mailing Address Mailing Address
Jacksonville, NC 28541
City/State/Zip City/State/Zip
[phone] RECEIVED
Telephone Number Telephone Number DrM V1lILmlNGTCN, NC
e b SA& AUG 1 1 201E
Date Date
Revised 6/18/2012

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
July 29, 2016
Date
Name of Property Owner Applying for Permit:
Sandra Herring Bettenhausen (Contract to Purchase)
Mailing Address:
8301 Davishire Drive
Raleigh, NC 27615
I certify that I have authorized(agent) Charles F. Riggs & Assoc. to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) proposed dwelling, as shown on map
at(my property located at) 7080 7th Street, Surf City
This certification is valid thru(date) July 29, 2017
July 29, 2016
Property Owner Signa re Date
RECEIVED
DCM WILM!NGTCN, NC
AUG 11 2016

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
[e-mail]
August 5, 2016
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Sandra Herring Bettenhausen Minor CAMA Application
Dear Mr. Dail:
On behalf of Sandra Herring Bettenhausen,Charles F. Riggs&Associates, Inc. submits for your
review the enclosed Minor CAMA Application for the property at 7080 7th Street, Surf City, Stump
Sound Township,Onslow County,North Carolina.
Respectfully,
(-s---afialA , -
..."‘es L. Riggs
RECEIVED
DCM WI!MINGTGN,NC
Atli, 1 1 201E

U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660 0008
National/load Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name SANDRA BETTENHAUSEN Policy Number:
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number
7080 7TH STREET
City SURF CITY State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LLOT 47, BLOCK 30,OLD SETTLERS BEACH
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat.34d27'02"N Long.77d31'021W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 1449 sq ft a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood op
enings?penings? ❑ Yes ® No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
81. NFIP Community Name&Community Number B2.County Name B3.State
TOWN OF SURF CITY 370186 ONSLOW COUNTY NORTH CAROLINA
B4. Map/Panel Number B5.Suffix 136.FIRM Index Date B7. FIRM Panel B8.Flood B9 Base Flood Elevation(s)(Zone
3720424500 K 02/16/07 Effective/Revised Date Zone(s) AO,use base flood depth)
02/16/07 VE 11.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined Cl Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: El NGVD 1929 N NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date: ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Dl. Building elevations are based on: ® Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
7,2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized: NC CORS Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below. 0 NGVD 1929 N NAVD 1988 0 Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a)Top of bottom floor(including basement, crawlspace, or enclosure floor) 3.5 ®feet ❑meters
b) Top of the next higher floor 14.1 ®feet 0 meters
c) Bottom of the lowest horizontal structural member(V Zones only) 12.1 ®feet -.ni;❑meters
d)Attached garage(top of slab) N.A
❑feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 11.5 ®feet El meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 2.5 ®feet El meters
g) Highest adjacent(finished)grade next to building(HAG) 3.0
®feet ❑meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N.A ❑feet ❑meters
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law to certify elevation
information. /certify that the information on this Certificate represents my best efforts to interpret the data available. ��\" CA f? ///,,
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. �� 0
® Check here if comments are provided on bll Matt/ Were latitude and longitude in Section Aprovided bya Q' ESS/ •' (/
/// 9 • • O '
❑ Check here if attachments. \\.\',`N CA R�/'1+�ensed land surveyor? N Yes El No ' :•qO •
9 Y
• .AL . .;;a- SEAL
Certifiers Name JAMES A. LEWIS,P69 O¢'' ESS/0'•`". : License Number L-4562 -
Title PROJECT MANAGER • ?• r om... Nam'( F S F.RIGGS&ASSOCIATES,INC. �J7��I�./•
�✓
Address 502 NEW BRIDGE STREET City J i' - f y •_ , r tv -4 • NVILI:E _ State NC ZIP Code 28540 � •9 $URv� ���
L 'I f N
Signature �/ ,w^ g _ct� Telephone [phone] z/i/.� S' Ai ;

IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt-, Unit,Suite,and/or Bldg- No.)or P.O. Route and Box No. Policy Number:
7080 7TH STREET
City SURF CITY State NC ZIP Code 28445 Company NAIC Number.
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner.
Comments DWELLING IS PROPOSED TWO STORY ON PILINGS, klptli9pril BELOW. SURVEYOR HAS NOT REVIEWED FINAL PLANS.
PROPOSED BOTTOM OF BAND= 12.1'
' N C A/q"//``\\ //
0 •¢ FEs
Gk X. 4% = 0
Signatur _ • Q. SEA
-
•
SECTION E—BUILDING ELEVATION INFORMSTIO�.�,S4R/ A-REQU1f2ED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
v `��Q `I��y
For Zones AO and A(without BFE),complete Items El-E5.k,t,ettif (�i3 iTitd Leisupport a LOMA or LOMR-F request,complete Sections A, B,
and C. For Items El-E4,use naturalgrade, if available.Chedt' u em �1h Puerto Rico only,enter meters.
A ,n ` y,
El. Provide elevation information for the following and check the Aopf9�ii?�et s to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or El below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑ meters ❑ above or❑ below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
El Check here if attachments.
SECTION G-COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G
of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8-G10. In Puerto Rico only,enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. El A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3. ❑ The following information(Items G4-G10)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
37. This permit has been issued for: ❑ New Construction ❑Substantial Improvement
38. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum
39. BFE or(in Zone AO)depth of flooding at the building site: El feet El meters Datum
310.Community's design flood elevation: El feet ❑meters Datum
Local Official's Name Title `E
Community Name Telephone �GAA 1n'/I�
Signature Date
Comments
❑Check here if attachments.

Should Buyer fail to dclivet 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 t I) banking day after written notice to deliver.:ash 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.
tel "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
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. 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 hut 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): ATTORNEY KENNETH ORDING
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
au 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-I2.
THE PARTIES AGREE THAT A REAL ESTATE BROKERAGE FIRM ACTING AS ESCROW AGENT MiAY 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.
t g; "Effective Date":The date that:(t t 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 shut the complete execution of such initials lines shall not be a condition of the effectiveness of
this Agreement.
ihi "Due Diligence": Buyer's opportunity doting the Doc 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.
t it "Due Diligence Fee": A negotiated amount,it 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 he a credit to Buyer at
Closing. The Due Diligence Fee shall he non-refundable except in the event of a material breach of this Contract by Seller,or if this
Contract is terminated under Paragraph hint! or Paragraph 9. or as otherwise provided in any addendum hereto. Buyer and Seller
each expressly waive any right that they may inane 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 purclut:c and sale of'the Property without regard to the existence or amount of any
Due Diligence Fee.
1+ "Due Diligence 1'eri d": -fix: itc.t li li 1 i ti ai !.tic i.i't'e ti.e Oa(, and cxtt;ticirtug through 5;00 ):,lit. oil
as us 1> % BELV',OP THE ESSENCE
with reeard to staid lilte.
,' 51 A,NDa RD t)kit1 '1 I -1'
,� -- ,llr�l liked .r'yi)(=fe
r
f n L c }fy
s ,:r l:rrt.. ,j( l c:d' i%. � E C;E I V Eb
DCM WILMINGTON;`NC

(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.
(I) "Settlement Date":The parties agree that Settlement will take place on August 19, 2016
(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: (II 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 deedis)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 firms 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 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 Assessment that 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 fur 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 limited to the following:
(i► Soil And Environmental:Reports to determine whether the soil is suitable for Buyer's 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: (I)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 he obtained from the County Health Department for a suitable ground absorption sewage system.
(iii) Water: Any applicable investigations)to determine: 1 I t 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
Page 3of it
STANDARD FORM 12-T
•
Revised 7/2016
filler initials
Seller initia� f�CC,It? 07,/301b
?rimucea Aegn Z:(Pant=b z;pt cqe' '.9070 F7(geo We goad Fuser.Micrirdn 4.1f123 4ximi,r^� R E C E l\ .p
DCM WILMINGTON. NC

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.
(vl 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 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.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: (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 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.
tc) 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 Buyer's 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.
(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 willful acts or omissions.This indemnity shall survive this Contract and any termination
hereof.
(e) Buyer's Right to Terminate: 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.
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. Althought 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 any other reason permitted under the
terms of this Contract or North Carolina law.
(f) CLOSING SHALL CONSTITUTE ACCEPTANCE OF THE PROPERTY IN ITS THEN EXISTING CONDITION
UNLESS PROVISION IS OTHERWISE MADE IN WRITING.
3. BUYER REPRESENTATIONS:
(a) Loan:Buyer 0 does IXJ 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 ❑ Other:N/A loan at a
Page 4 of I 1
STANDARD FORM 12-T
ts Revised 7/2416
Buyerinisial Seller initial, RECEIVE6l6
Prc¢Jcea mai 7.:9FJn,.g„y 18070 Fifteen Mae Rcae Frasc,MIchlgan 4$2G V..a,�.001/2 DCM WILMINGTO1 E NC

❑ Fixed Rate ❑ 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 c- 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 be able to close on the Property without the necessity of obtaining a
new loan.)
lb) Other Property:Buyer ❑ 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 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:
ta) Responsibility for Proposed Special Assessments:Buyer shall take title subject to all Proposed Special Assessments.
(b) Responsibility for Certain Costs: Buyer shall be responsible for ail costs with respect Buyer shall be responsible for all costs
with respect to:
(i) any loan obtained by Buyer. including charges by an owners association and/or management company as agent of an
owners'association for providing information required by Buyer's lender,
(ii)charges required by an owners'association declaration to be paid by Buyer for Buyer's future use and enjoyment of the
Property. including, without limitation. working capital contributions, membership fees, or charges for Buyer's use of the
common elements and/or services provided to Buyer,such as"move-in fees":
(iii)determining restrictive covenant compliance;
(iv)appraisal,
(v)title search.
(vi)title insurance.
(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:
❑ 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) Assessments:To the best of Seller's knowledge there are no Proposed Special Assess lt nts except 4 follows s t "None"or
the identification of such assessments,if any):NONE,
s
Seller warrants that there are no Confirmed Special Assessmentceps l.3ollow, "None" or the identification of such
assessments,if any): NONE, * **v t SE E '�
•
(c) Owners'Association(s)and Dues:To best of Seller's knowledge,ownership of the Property ❑ subjects ®does not subject
Buyer to regulation by one or more owners' associations) 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: ( Applicable Q 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.
Page 5 of l 1
STANDARD FORM l2-T
Revised 7/2016
Buyer initials Seller initials : RECEIVED
'reduce('y,tnz,oFo,rr f)Dyzor.gox r8070=,(teen'We Road Fraser Whig/in 48078 •, .IN= DCM WILMINGTON{,NC
_ _ w wA•A

(e) 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 I.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
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. 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: (l) 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/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 inspection of the Property.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.
(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 therefrom.
(t) 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 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 title 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 he given to attaching a Short Sale Addendum
(Standard Form 2A14-T)as an addendum to this Contract.)
th) Deed, Taxes, and Fees: Seller shall pay for preparation of a deed and all other documents necessary to perform Seller's
obligations under this Contract, and for state and county excise taxes, and any deferred. discounted or rollback taxes, and local
Page 6 of I
STANDARD FORM 12-T
Revised 7/2016
Buti er initiuts ::.0*."‘
Seller initials
��6 0 7/2016
?rodueea with 2ipFotirtitty 3w�icn. 1807e Fitteer'M Reao.=rasar.µch>gan d8G26 mina 4 oc)A,CGtn R E C E I V1
DCM WILMINGTON. NC

conveyance fees required by law.The deed is to be made to: SANDRA HERRING BETTENHAUSEN
(i) Agreement to Pay Buyer Expenses:Seller shall pay at Settlement$ZERO 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 associated 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-pails"(taxes,insurance,owners'association dues,etc).
(j) 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 fees imposed by an owners' association
and/or a management company as agent of the owners' association in connection with the transaction contemplated by this Contract
other than those fees required to be paid by Buyer under paragraph 4(b)above: and(iii)fees incurred by Seller in completing the
Residential Property and Owners'Association Disclosure Statement.and resale or other certificates related to a proposed sale of the
Property.
(k) Payment of Confirmed Special Assessments: Seller shall pay all Confirmed Special Assessments, if any, provided that the
amount thereof can be reasonably determined or estimated.
(I) 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 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 party reasonable attorney fees and court costs incurred in connection with the
proceeding.
7. PRORATIONS AND ADJUSTMENTS: 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.
8. 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 the Property. any of Seller's insurance proceeds
payable on account of the damage or destruction applicable to the 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 party 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 Settlement on the Settlement Date("Non-Delaying Party")then the Delaying Party shall give as much notice as possible to 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 agreement, then the Delaying Party shall be in breach and the Non-Delaying Party
may terminate this Contract and shall he entitled to enforce any remedies available to such party under this Contract for the breach.
Page 7 of I(
„ STANDARD FORM tt-T
�j1yAV�1 Revised 7/20Id
Buyer initials _ Seller initials C�7l24116
eteajce.i*0 711)FIVIVO ny Yol.Nix fro:C F'tthP Moe limit Fraser Ntch;,an 481726 yaw 7•n£X it COT'
Fd E C E I ttED
../14 A ,Aril F RINIrTnnl N(:

I I. 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 2A I I-T) ❑ Owners'Association Disclosure And Addendum For Properties
❑ Additional Signatures Addendum(Form 3-T) Exempt from Residential Property Disclosure Statement(Form
❑ Back-Up Contract Addendum(Form 2A1-T) 2A I 2-T)
❑ Contingent Sale Addendum(Form 2A2-T) ❑Seller Financing Addendum(Form 2AS-T)
0 Loan Assumption Addendum(Form 2A6-T) ❑Short Sale Addendum(Form 2A14-T)
❑ Identify other attorney or party drafted addenda:
NOTE:UNDER NORTH CAROLINA LAW,REAL ESTATE BROKERS ARE NOT PERMIT I BD 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 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 therewith,at no cost to the non-exchanging party,as shall be required to give effect
to this provision.
IS. 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 patties 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 REALTOR® 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 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 he 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 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.
Page 8 of I 1
STANDARD FORM 12-T
Pkb Revised 7/2016
Buyer initial~ Seller initials i 7 1�
ceb
NC
Proou w+th z.pForrrh%,d by z pig?, 1&J70 Fifteen'Me Road Erase.M,rhi9ar..ISO yvww TJCI<t-rY.eMn R E G{
DCM WILMING N,

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.
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: Date: .2--/ —(6
C9,,
Buyer ' --44 - - Seller ,
sArrows. BERRTNO BETTE AtJSgN COTT M. SCHRIVER
Date: Date: )---I L..0- (14
Buyer Seller
. R
Entity Buyer: Entity Sel e ,
(Name of LLC/Corporation/Partnership/Trustietc.i (Name of LLC/Corporation/Partnership/Tru.st/etc.)
By: By:
Name: Name:
Title: Title:
Date: Date:
ITHIS SPACE INTENTIONALLY LEFT BLANK]
Page 9 of I I
STANDARD FORM 12-T
Reused 7/2016
(0 7/2016
,)radv...gel with zioFOrrra'by z,pirv,o law)Fdiec, M;c Po:e. FP3-,l.VtCt •1,4,3,23 te! ''' ,",-.2
RECV i
rv'KA \MU miNGTON. NC

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: SELLER NOTICE ADDRESS:
Mailing Address: Mailing Address:PO BOX 2402, SURF CITY, NC 28415
Buyer Fax#: Seller Fax#:
Buyer E-mail: Seller E-mail:waterboysaot te;mail-am
SELLING AGENT NOTICE ADDRESS: LISTING AGENT NOTICE ADDRESS:
Firm Name:WEST AGENCY LLC Firm Name:FSBO
Acting as t:4 Buyer's Agent 0 Seller's(sub)Agent UDual Agent Acting as 0 Seller's Agent 0 Dual Agent
Firm License#:11273 Firm License#:
Mailing Address:PO BOX 337, wARsAW, NC 28398 Mailing Address:
Individual Selling Agent:J. NORWOOD MST Individual Listing Agent:
lj Acting as a Designated Dual Agent(check only if applicable) El Acting as a Designated Dual Agent(check only if applicable)
Selling Agent License#:81871 Listing Agent License#:
Selling Agent Phone#: [phone] Listing Agent Phone*:
Selling Agent Fax#: Listing Agent Fax#:
Selling Agent E-mail:lromost61a1l.com Listing Agent E-mail:
(THIS SPACE INTENTIONALLY LEFT BLANK]
Page 104 II
STANDARD FORM 12-T
Revised 7/2016
IeL
RECEIVE7/2016L)
WILMINGTOMANG

ACKNOWLEDGMENT OF RECEIPT OF MONIES
Seller: SCOTT M. SCHRIVER, SHELIA B. SCHRIVER ("Seller")
Buyer:SANDRA HERRING BETTENHAUSEN ("Buyer")
Property Address: 7080 7TH STREET, SURF CITY, 28445 ("Property")
❑ LISTING AGENT 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 Diligence Fee in the amount of$ ,receipt of which Listing Agent hereby acknowledges.
Date: Finn: FSBO
By:
(Signature)
(Print name)
❑ 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 Diligence Fee in the amount of$_ ,receipt of which Seller hereby acknowledges.
Date: Seller:
(Signature)
SCOTT M. SCHRIVER
Date: Seller:
(Signature)
SHELIA B. SCHRIVER
❑ ESCROW AGENT ACKNOWLEDGMENT OF RECEIPT OF INITIAL EARNEST MONEY DEPOSIT
Paragraph 1(d)of the Offer to Purchase and Contract between Buyer and Seller for the ale of the Property provides for the payment to
Escrow Agent of an initial Earnest Money Deposit in the amount of$ a O 00. 0 .Escrow Agent as identified in Paragraph
I(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: ATTORNEY KENNETH ORDING
ki47//)71-4/42:-
Ali i_xnie►r
(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 Itf)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: ATTORNEY KENNETH ORDING
Time: 0 AM ❑ PM Bv:
(Signature)
(Print name)
Page I I of II
STANDARD FORM 12-T
Revised 7/2016
G 7/2016
Proa.cetl wrh xipF7rrr.Z?Oy:ipLogrr 13C70 Fiheert!Mle Read.Fraser.M.:el-ow 48026 wtivmvzi:,LawccINL
RECEIVED
nr.M WII MIN( TC)N. NC

DENR CAMA Daily Check Log for WIRO
Date '
Date Deposits Check
Receipt
Received d Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Real
8/11/2016 Charles F.Riggs&Associates Inc Sandra Herring Bettenhausen First Citizens Bank 14657 $100.00 minor fee,7080 7th St.SC,Onslow iJD rct.2514D