SC_17-15_ Choux (2)

Issued by WiRO SC17-15
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 Charles Choux authorizing development in the Estuarine Shoreline (AEC) at 330 Little Kinston Road, in Surf
City, Pender County as requested in the permittee's application, dated September 26, 2017, and received by DCM on
September 29, 2017. This permit, issued on November 6, 2017, is subject to compliance with the application and
drawing dated and received by DCM on September 29, 2017 (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: Residential home construction with retaining wall.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on September 29, 2017. The proposed pier/dock depicted on the September 20, 2017, site plan is
omitted from this permit and will required authorization by way of either a CAMA General permit or CAMA Major Permit.
(2) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit.
(3) 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 Jason Dail
compliance. Any maintenance work or project modification not covered under CA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 1 7 Cardinal Drive Extension
Wilmington, NC 28405-3845
December 31,2020
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 X
another party without the written approval of the Division of Coastal PERMITTEE
Management.
(Signature required if conditions abovvmpk j IDermit)

Name: Charles Choux
Minor Permit#SC17-15
Date: November 6, 2017
Page 2 of 3
(4) 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.
(5) Any proposed for grading within the 30' Coastal Shoreline buffer (as measured 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 vegetated and stabilized, and must remain in a vegetated state.
(6) All development, unless specifically exempted in this permit, shall be located at least 30' landward of the normal
high water line. In this case, only the proposed retaining wall is permitted within 30 feet of the normal high water line.
(7) This permit does not authorize the excavation or filling of any wetlands, even temporarily. The proposed retaining
wall shall be located landward of all wetlands.
(8) No impervious coverage/built upon area, including but not limited to the house (including eaves), foundation pad,
covered decking,etc. shall extend into the 30-foot coastal shoreline buffer.
(9) Shall the plan of development exceed 30% impervious coverage within 75' of the normal high water line, the
applicant shall effectively demonstrate, through innovative construction and design that the amount of impervious
surfaces exceeding 30% impervious coverage within the 75' Coastal Shoreline AEC shall be managed and the AEC
protected. All proposed development and associated construction must be done in accordance with a credible
innovative design plan, sealed and sealed by a professional engineer.
(10)Upon completion of construction and prior to the issuance of a Certificate of Occupancy(CO), a letter of certification
must be received from the designer of the innovative system installed, certifying that the permitted system has been
installed in accordance with this permit, the approved plans and his design specifications. Any deviations from the
approved plans and specifications must be noted on the Certification and a permit modification may be required
prior to receiving a CO.
(11)All structures 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.
(12)Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
NOTE: 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.
SIGNATURE? � �- � DATE:h o .70�7
PERMITTEE
RECEIVED
DCM WILMINGTON, NC

U
Z
z. Z
j H D
t TL�f G /7 ' �� a w z
I/ Permit Number OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA U 2 eq
t
minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste W
azard Estuarine Shoreline ORW Shoreline Public Trust Shoreline_ _Other treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA CI—
Li.-1(For official u,e only) £ =y Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and )
ocito', b�.y, others.Check with your Local Permit Officer for more information. U
CD
AL INFORMATION
STATEMENT OF OWNERSHIP:
)WNER-MAILING ADDRESS I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
(ram v` .C ^t^�% person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
CYi lR.] l/1 ' listed as landowner on this application has a significant interest in the real property described therein.This interest can be
8430 Wes A I i Stinruit g1 described as:(check one) I n
PsaQ f� h State 1► 1 D Zip 20732.Phone i�' (61, (1�5 �an owner or record title,Title is vested in name of Cho t- s C you X e at ,
char
h a V t` p G &c er' ty)h e Ua ne see Deed Book �2 page (SZ in the Pena.3( County Registry of Deeds.
iRiZEE rD,AGENT i. li f V '"1 an owner by virtue of inheritance.Applicant is an heir to the estate of
Wet tf 1Aa l( 1 PE ,P LS probate was in County.
214 r y. ,. 1, f 1 NI- i kt j � /� if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
t I� ti i�q State N C. Zip L0 4 phone C(O,32//,q`1"�t� 1 NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
tt } I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
O}tS tvr to a�( e W t S 1 Un la II -(,O1l ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
ION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.) (1) (Name) C.a,r.� 1� O Eolc 2-%6(Address)
s) (AN,
t4C -
t,R-H2 ICinst o 124. Surf-G1t , Re- 284 (2) QS CL,iJPIOri Cf Po 130x 161 )fie-co, ale Z642,(r
pQ,Ytv1 ±5` &urn Intro 1 Mt-co/v.3 1 (4)
. "t"_ 3)
iPTION OF PROJECT:(List all proposed construction and land disturbance.) P ____ t'"'I it'(G�t'Ay ACKNOWLEDGEMENTS:
1
P,etO - CF 101 alad SUL i OUCtilst pin lim 00-plan I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
F LOT/PARCEL: it)252- square feet p,2' acres tion and floodproofing techniques.
SED USE:Residential tg' (Single-family"Multi-family❑) CommerciaUindustrial 0 Other ❑ I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
.ETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies related to this permit application.
Property): p
'sAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes ii.,,/,„
This the 2 day of, Q��.,20 �Ztioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but �/J/�� I
g non-load-bearing attic space) Landowner or person authorized to ct/has his/her agent for purpose of filing a CAMA permit application
i,STAL SHORE_LIME AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
URFACESi square feet(includes the area of the foundation of all buildings,driveways,covered decks, This application includes:general information(this form),a site drawing as described on the back of this application,the
a check ownership statement,the Ocean Hazard AEC Notice where necessary,
or masonry patios,etc that are within the applicable AEC.Attach your calculations with the project drawing.) forS100.00 made payable to the locality:and
any information as may be provided orally by the applicant.The details of the application as described by these sources are
STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without reference in any permit which may be issued.Deviation from these details will constitute a violation of
ter Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)? any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
_ NO X
it the total built upon area/impervious surface allowed for your lot or parcel: square feet.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit C
Mailing Address: (840 W4Q.SUU-3 St\Aflet B14
Ek_actii Nth 207,32_
Phone Number: 02416 - - 4 XS"
Email Address:
I certify that I have authorized WQ.,StDOLU tI. R: PLS., I'LLC_.
(Kiergy Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development S'oncju ( Jenthi two S
INCLUICQ- 001\ijillad idC)C14- inSiaLAIL)ri
at my property located at 3:50 LOU I.-t(1SflX Pd kY 1-7U NC
PailakV County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
CWV ti.(J (1: NOW(
Print or Type Name
Title
g , ,, 9/ ;1
Date
This certification is valid through JO C2.1) / 2.6) -7
lI)Crscix

ROY COOPER
Governor
G.
MICHAEL S. REGAN
'ecrrrur•:
Coastal Management
ENVIRONMENTAL QUALITY BRAXTON DAVIS
November 6, 2017
Charles Choux
8430 Wesley Stinnet Blvd.
Chesapeake Beach, MD
Dear Mr. Choux:
Attached is CAMA Minor Development Permit No.SC 17-15 for work to be done at 330 Little Kinston
Rd., in Surf City, Pender County. An electronic copy has been sent to the Pender County Inspection
Department and to your agent.
To validate this permit, please sign both copies of the permit as indicated for our records.
Retain the orange copy for your files and 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.
SiincJe rely, ,
Jr f�—Cz.ir ram,,�'`
Shaun K. Simpson
Permit Support Technician
Enclosures
Cc: WiRO files
ON Inspection Dept.
Weston Lyall,Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

NOTICE
1 ,
-9. C E
I,
, CAMIA PERMIT
APPLIED FOR
le-family dwelling
!l5oconstruCt a sing y
at 3 - . . IP 1 -
AIWW, in Surf City, Pender County.
COMMENTS ACCEPTED THROUGH NSA
APPLICANT: FOR MORE DETAILS CONTACT
THE AFFI BELO�/V:
Charles Choux NC DivLOC of L CoastalPERMIT OMa nageCERmen
8430 Wesley Stinnet Blvd. 127 Cardinal Dr. Extension
Chesapeake Beach, MD 20732 Wilmington, NC 28405
Jason Dail, Field Representative
Agent: Weston Lyall [phone] 910-796-7221

NOTES -LEG 1 . •
-.1
SIR-1/2"SET IRON ROD
•:,
EIR-EXISTING IRON ROD
1. This plot plan is of an
EIP-EXISTING IRON PIPE
existing parcel of land.
,.
0 _R
SI
CP-CALCULATED POINT
0,45100 w'
_..... •
trictivs
RAN-RIGHT OF WAY Lill"'
TE
covenants,easements of
2. Subject to res l'S
record,zoning ordinance,&
underground utilities,if any. N.
3. No title search by surveyor.
VICINI7Y MAP: N
4. References;MB 3,PG 57TS
LITTLE KINSTON ROAD
De 1556,PG 237
____ __ __ _
DS 589,PG 100 60' PUBLIC RIW
5. Flood Zone-AE 8/AE 9/VE 10(EFFECTIVE)
AE 13/VE 13(PREUMINARY) ---- 2-4.0' - -
Community Panel#370186 4235J
8. Zone-MHS-SURF CITY
Setbacks: RAJ EIP_ 5:6125'16'E 1 13C't.J3G ki otaD R1w
Fretnt-lg'
....... _ _....,_
75.00'
EIP 25.00' EIR
Side- 7.5' t
t
Rear- 20'
(2) 10' WIDE CONCRETE
7. Normal High Water Line&Coastal
r 1.5. MaL. __,. 1-
DRIVEWAYS WHICH TAPER
Wetland delineation per CAMA. z
c:3 m 1 ----t------- --i
TO A MAXIMUM 24' WIDE
. 0
8. Elevations shown on cross soction vi rri ,i DRIVE TO EDGE OF
X CU have been interpolated a u m
from various shots on the-4
PAVEMENT
id-II .. 001
prpperty.Elevations noted a.
are mauve to normal high , : i-- -
...i I:3 m IIIIII
>-, ....,in
I!
II 4.1 CU MN COVERED FRONT
Li I
PORCH WITH 2'
0 x co - I
.cc ca 1615' 17- - EAVE
''I c)
".
,_.--I--
I I
1 r•----1 I 6'
I I In
4, --I 76 •,,E.c 1 ---1- —
-t- I- --- ---* ROOF EAVE
o o:t _ --* t (.., 1 al .• .,it I
P
Ln-
SHOWN DASHED
c)
-P v).ti tZ. I Fol (LS'I,I ci
I r-
0 0 8.0 I
PROPOSED I Ni •
0 • 1Ir)
RESIDENCE I 1 4-1
* co •
• 'o WI T1-1 16* b I I`i •
, a\
i 6 ROOF EAVE ,(:).4 j ', rzu
APPRIX. LIHW i.
i cN
JOSEPH E. BRANDT
- - - I I 29 7' I I
i 1 LOT 16 & PORTION OF LOT 17
COASTAL WETLANDS 1/4c?
I I ---- -='-'-------•_.,,,,.- --, I 1 DB 4462, PG 207
(dm*NI 1 14 3' I I
I k 4211kAiliglii L -
iiiii - -- i
1 . -
± 38.0'
1 iir'- i cmsrloirk — -1 - UNCOVERED REAR
1 DECK LOCATED
I
'i LOT 18 & PORTION t ±14' FROM CAMA
SETBACK
30' CAMA SETBACK 132 SF I OF LOT 17 co
Li
ROOFED AREA I (u 0,25 AC
u i
AT SECOND I
I PROPOSED 75' LONG
t
7 4117-11111111MIIIIIIIIIIIIIIIIIIII
Li FLOOR REAR L.... ..41 20' MBL I BULKHEAD LOCATION
Iq \lirlelliall GAZEBO
mini' m--,.11 v)
HATCHED AREA INDICATES
Li (:‘. ..*-'-iwil-t----:-"---.z------.1 ------ '' NOf44-= ---AL-----HICH WATEit-r-LINE
1
11111 :11
I LOCATION OF EXISTING 3.5'
>-
I
0 75.00' —LIP WIDE DOCK TO BE REMOVED
6E171 ,._ ___ ___
t LIP N61"24'20"W i 25.00' _r rp
Pi 3' WIDE 100.00' (TOTAL)- ----
v)I- , I o
PLATFORM
0
‘,
AROUND twERvtovicat.colAttotc
I I 11111 151 1 kJ);
DEEDED LOT AREA I I 252 SF PO 25 AC
PROPOSED tn I BOAT LIFT
LOT AREA TO NHW 10 105 S.(0 23 ACI
.... 2 111 II tall W-J 1 6'0"x56'0"
41 PROPOSED RESIDENCE
(INCE TO OVERHANG) .536 SE
L1- 011 _NM i.A.
i UNCOVERED
a) JIM I reilliplm. I,Zi
COVERED PORCHES&GAZEBO 559 SF
Li Li 69 V) Z WALKWAY LEADING 1
CONCRETE DRIVEWAY 1,310 S4'
V3 _., 4 0
CI - TO 16'0"x100" o* I- 1 TOTAL PROPOSED IMPERVIOUS 3,305 SF 132 T%1
V) z 0 '
0 o-.4 1-ty __
La. 1.4.. '
z..... ....5 II ..1 UNCOVERED ot •tl• •-. MAX IMPERVIOUS COVERAGE ALLOWABLE +042 SE(43%)
0 Rp-dp Li F.-- 'Zi PLATFORM e T t:
(I,
z L,0 0 0 At <4
LOT AREA WITHIN 75'AFC 5 082 SI.
U e) 0- ,
PROPOSED RESIDENCE WITHIN 73 AEC I 537 SF
0.0 1.,D)
0. Li (v) P r,,, f).' 1
Li
PROPOSED GA BO 13Z SE
CX>
TOTAL IMPERVIOUS WITHIN 75 AFC I 669 SF(29 5%)
13 0' •-•I
t- L.-- .....1- ' .....L 1...
CZ
MAX 49PERIKOUS WITHIN 75'AEC,.I 699 SF(30%1
16,0' 3,0'
(W,0 St ORMwATER DESIGN1
0
Li
PERVIOUS CALCULATIONS otYnNo BULKHEAD
pp rat -

September 20, 2017
To: North Carolina Division of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 28405
Subject: 330 Little Kinston Rd, Surf City NC 28445
The purpose of this letter is to notify the North Carolina Division of Coastal Management of
the proposed construction of a single family two-story residence, uncovered dock, walkway
and boat lift to be constructed at 330 Little Kinston Rd, Surf City, Pender County. The
property owner is Charles Choux, who can be contacted at 240-687-6747. Please see the
enclosed CAMA Minor Permit Application as well as the preliminary plot plan for the
proposed dimensions and location of the project.
Thank you,
Weston Lyall, PE, PLS, PLLC
W - •.cl5 ro
° � c� 1I�

1, 7 - T -
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September 20, 2017
To: Joseph E. Brandt
P.O. Box 2368
Surf City, NC 28445
Dear Mr. Brant,
I, Charles Choux, have applied for a CAMA Minor Permit on my property at 330 Little Kinston
Rd. Surf City, NC 28445, in Pender County.This property is located approximately 5' away from
the mean high water line of the Intracoastal Waterway. As required by CAMA regulations, I
have enclosed a copy of my permit application and project drawing(s) as notification of my
proposed project. No action is required from you, or you may sign and return the enclosed no
objection form. If you have any questions or comments about my proposed project, please
contact me at 240-687-6747, or by mail at the address listed below. If you wish to file written
comments or objections with the Local Government CAMA Minor Program, you can submit
them to:
Jason Dail
127 Cardinal Drive Ext.
Wilmington, NC 28405
Sincerely,
Charles Choux
8430 Wesley Stinnet Blvd.
Chesapeake Beach, MD 20732

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to
(Name of Property Owner)
property Iofated at 30 Li ' -
(Address, Lot, Block, etc.)on \i •
NC
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal
DESCRIPTION ND/OR DRAWflG OF PROPO
A
NT
(fittrwtifda(PkoijOithrideveiopinent SflUiffiin IPbØ1 . atjcJ,a site drawing)
I WAIVER SECTION
understand that a pier dock, mooring pngs boat ramp breakwater boathouse, lift or groin
must be set beck a minimum distance of 15' from my area of riparian access unless waived by
me. (if you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement
I do not wish to waive the 15'setback requirement.
(Property.. er rmation) (Adjacent Property Owner Information)
Signature
Signature*
CSe-P N r4tri4
Print or Type Name
Print or Type Name
13,430_3311a4Ltuaaed_Aul , '
9kL
Address
\732 Mailing Address
1.41)
city .1)
City/State/Zip
Telephone Number/email ackiress Telephone Number/email addtess
q-2-0711_ . — -
Date
Date*
(Revised Aug. 2014j
*Vatid for one calendar year after signature*
RECEIVED
nrshA1A/11 KAIAInTY11.1 Ka^

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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.
c anrm 9R00_e.,.iI ahamereal DCM 7can.m-rmonn7

September 20, 2017
To: James L. Peterson
P.O. Box 187
Delco, NC 28436
Dear Mr. Peterson,
I, Charles Choux, have applied for a CAMA Minor Permit on my property at 330 Little Kinston
Rd. Surf City, NC 28445, in Pender County. This property is located approximately 5' away from
the mean high water line of the Intracoastal Waterway. As required by CAMA regulations, I
have enclosed a copy of my permit application and project drawing(s) as notification of my
proposed project. No action is required from you, or you may sign and return the enclosed no
objection form. If you have any questions or comments about my proposed project, please
contact me at 240-687-6747, or by mail at the address listed below. If you wish to file written
comments or objections with the Local Government CAMA Minor Program, you can submit
them to:
Jason Dail
127 Cardinal Drive Ext.
Wilmington, NC 28405
Sincerely,
Charles Choux
8430 Wesley Stinnet Blvd.
Chesapeake Beach, MD 20732
RECEIVED
DCM WILMINGTON_ NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to (JAI S
property lopated at
3C� 1_I}j( (Name of ProPperty Owner)
on t)l1iCA 1 liNicafl (Address, Lot, Block, Road, etc.)
v\oul in
'
(Waterbody) j� cat 4 , N.C.
(City/Town and/or County)
The appiigant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(!ndIvfdua proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater. boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement..
(Property Owner Information) (Adjacent Property Owner Information)
'l
Signature
Chat it E , { x Signature*
Print or Type Name S
Print
WP.Si 5'fji�in .} i? or Type
X 1131
Name
Mailing Address ..
� r I Mailing Address
C►ty/Stat ip 3 71 u '; 'co, NC 2454glo
City/State/Zip
Telephone Number/email address
Telephone Number/email address
Dare
*Valid for one calendar year after signature* (Revised Aug 2014)
RECEIVED
nr'nn 1nn1 nnininTnm Mr•

14820112 jpg(JPEG Image,2544 x 4204 pixels)-Scaled(22%) http://gis2.pendercountync.gov/Deeds/4482/44820112.jp
IIIIIII III 1111111111111111111111 Shar Lear L i'1i ughb RRef
Pender County, NC Register of Deeds page 1 of 3
Sharon Lear Willoughby Register of Deeds
10-17-Z014 14.13:13.000 Pender County, NC
NC REVENUE STAMP: $310.00 (P75703)
NORTH CAROLINA GENERAL WARRANTY DEED
✓xcise Tax: $310.00
arcel I.D.No. 4235-41-8765-0000
Brief Description for the Index:Lot 18 and a portion of Lot 17,Reynolds
V Prepared by: Dan Rizzo,Attorney.PO Box 2676.Surf City,NC 28445
MailiHold after recording to:Dan Rizzo
THIS DEED,made this 14th day of October,2014,by and between J.A.REYNOLDS and wife,ELIZABETH F.
REYNOLDS and I.T.REYNOLDS and wife,BEVRET S.REYNOLDS GRANTORS;and CHARLES E.
CHOUX and wife,CLARISSE H.CHOUX,GRANTEES;having an address of:
330 Little Kinston Road,Surf City,NC 28445
[The designation Grantor and Grantee as used herein shall include said patties,their heirs,successors,and assigns,and shall
include singular,plural,masculine,feminine or neuter as required by context.]
WITNESSETH,that the Grantor,for a valuable consideration paid by the Grantee,the receipt of which is hereby
acknowledged,has and by these presents does grant,bargain,sell and convey unto the Grantee in fee simple,all
that certain lot or parcel of land situated in Pender County,North Carolina,and more particularly described as
follows:
Being all of Lot 18 and a Portion of Lot 17(0.25 acres),as shown on a map entitled,"Subdivision and
Recombination For J.A.Reynolds&I.T.Reynolds and Joseph Brandt",Sears Landing Division,Lots 16,17 and
18,Topsail Township,prepared by Weston Lyall,PE,PLS and recorded in Map Book 56,Page 102,Pender County
Registry,North Carolina.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 589,Page
100,Onslow County Registry,North Carolina.
A map showing the above described property is recorded in Plat Book 3 at page 57,Pender County Registry,
North Carolina.
3f
RECEIVED
nrnn lntn nnitor_Tnni Kid

I820113.jpg(JPEG Image,2544 x 4204 pixels)-Scaled(22%) http://gis2.pendercountync.gov/Deeds/4482/44820113.jm
III I 11111111111111111111111111 B4482 P0113 i 0�9%,, 0oF
Ponder County, NC Register of Deeds page 2 of 3
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto
belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee,that Grantor is seized of the premises in fee simple,has the light to
convey the same in fee simple,that title is marketable and free and clear of all encumbrances,and that Grantor will
warrant and defend the title against the lawful claims of all persons whomsoever,other than the following
exceptions:
Restrictions and Easements of record,if any.
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
(SEAL)
J . NNOLDS
(SEAL)
ELIZABE F.REYNOLDS
(SEAL)
I.T.REYNOLDS
(SEAL)
BERRET S.REYNOLDS
State of.5jtA+1 C Vt)1;4A ,County of itld
I,the undersigned a Notary Public of the County and State aforesaid,certify that J.A.REYNOLDS and
wife,ELIZABETH F.REYNOLDS,personally came before me this day and acknowledged the due execution
gc
the foregoing instrument for the purposes therein contained.Witness my hand and official stamp or seal this liffk
day of October,2014.
My commission expires: 4iii7z�l Notary Pub BWCA ELKINS lj \�8� 'n
Notary Public.State of South Carolj. ��'u
My Commission Expires AprY 4,2024 r•,..ydbl O`
State o ,County of '•.,, 'Iy•yO‘ ,e*
I,the undersigned a Notary f the County and State aforesaid,certify that — tiQOLDS and
wife,BERRET S.REYNOLDS,personally c ore me this day and ac geded' the due execution of the
foregoing instrument for the purposes therein contained. • s m and official stamp or seal this day
of October,2014.
My commission Notary Public
RECEIVED

1820114.jpg(JPEG Image,2544 x 4204 pixels)-Scaled(22%) http://gis2.pendercountync.gov/Deeds/4482/44820114.jm
1111111101111110111111111111 Peiti82 Pa1i4 i;,;o73ghb;4%F
Pander County, NC Register of Deeds page 3 of 3
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto
belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee,that Grantor is seized of the premises in fee simple,has the right to
convey the same in fee simple,that title is marketable and free and clear of all encumbrances,and that Grantor will
warrant and defend the title against the lawful claims of all persons whomsoever,other than the following
exceptions:
Restrictions and Easements of record,if any.
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
(SI.AL)
J.A.REYNOLDS
EV• o-DAN
ELIZABETH
'(FF...RREYNOLDS NOTARY PUBtiC '
t 1p N • GUILFORD COUNTY
•
ii1 0l1 N e•'�� CAROLI�9
I.T.R OLDS �' '
LLA
hFQ' EVA JORDAN
�tT NOTARY PUBLIC •
r n OUILFORD COUNTY •
State of N or-fit Cn rn lira ,County of (i 1 ,.NORTH CnROWrn
. axow
I,the undersigned a Notary Public of the County and State aforesaid,certify that J.A.REYNOLDS and
wife,ELIZABETH F.REYNOLDS,personally came before me this day and acknowledged the due execution of
the foregoing instrument for the purposes therein contained.Witness my hand and official stamp or seal this Veil
day of October,2014. gi,i4_
41P
My commission expires:+ fq Notary ublic
State of NI p 41n 0.4.rn l,r,a ,County of l'ILta Word
Beige r 3
the undersigned a Notary Public of the County and State aforesaid,certify that I.T.REYNOLDS and
wife, .REYNOLDS,personally came before me this day and acknowledged the due execution of the
foregoing instrument for the purposes therein contained.Witness my hand and official stamp or seal this /pAday
of October,2014. /
My commission expires: n I �Q� --ia --
No/ ✓ ,
RECEIVED
DCM W!LMINGTON,NC

4820115.jpg(JPEG Image,2544 x 4204 pixels)-Scaled(22%) http://gis2.pendercountync.gov/Deeds/4482/44820115jp
•
IJIIIIII IIIIIIIIIIIIIIII III III 844??aii5 fo9,hb5P0F
ender III
NORTH CAROLINA DEED OF TRUST
SATISFACTION: The debt secured by the within Deed of Trust
together with the note(s)secured thereby has been satisfied in full.
This the day of ,20_
Signed:
Parcel Identifier No.4235-41-8765-0000 Verified by County on the day of ,20_
By:
MailBox to: Dan Rizzo,Attorney,14131 Highway 50,Surf City,NC 28443
✓This instrument was prepared by:Dan Rizzo,Attorney,14131 Highway 50,Surf City,NC 28443
Brief description for the Index:LOT 18 and a portion of Lot 17,Sears Landing
THIS DEED of TRUST made this 17th day of October 2014 ,by and between:
GRANTOR TRUSTEE BENEFICIARY
Charles E.Choux and wife, Dan Rizzo J.A.Reynolds and wife,Elizabeth F.
Clarisse H.Choux Post Offie Box 2676 Reynolds and I.T.Reynolds and wife,
8430 Wesley Stinnett Boulevard Surf City,NC 28445 Bevret S.Reynolds
Chesapeake Beach.MD 20732 4521 Willows Court
High Point,NC 27265
Enter in appropriate block for each party:name address,and,if appropriate,character of entity,e.g.corporation or partnership
The designation Grantor,Trustee,and Beneficiary as used herein shall include said parties,their heirs,successors,and assigns,and
shall include singular,plural,masculine,feminine or neuter as required by context.
WITNESSETH, That whereas the Grantor is indebted to the Beneficiary in the principal scum of
—One Hundred Fifteen Thousand and 00/100 Dollars (S 115,000.00 ), as evidenced by a
Promissory Note of even date herewith,the terms of which are incorporated herein by reference.The final due date for payments of
said Promissory Note,if not sooner paid,is October 17 , 20 16
NC Bar Association Form No.L-5©1976,Revised©September 1985,2002
Printed by Agreement with the NC Bar Association—1981 SoftPro Corporation,333 E.Six Forks Rd.,Raleigh,NC 27609 u
1
RECEIVED
DCM WILMINGTON,NC

1820 116.jpg(JPEG Image,2544 x 4204 pixels)-Scaled(22%) http://gis2.pendercountync.gov/Deeds/4482/44820I I6.JP1
11111111111111 11111111111111111111184482 Le 11 6.iit i oug:,74
Ponder County, NC Register of Deeds page 2 of 4
NOW,THEREFORE,as security for said indebtedness,advancements and other ruins expended by Beneficiary pursuant to this
Deed of Trust and costs of collection (including attorneys fees as provided in the Promissory Note) and other valuable
consideration,the receipt of which is hereby acknowledged,the Grantor has bargained,sold,given and conveyed and does by these
presents bargain,sell,give,grant and convey to said Trustee,his heirs,or successors,and assigns,the parcel(s)of land situated in
the City of Surf City Topsail Township, Pender County,
North Carolina,(the"Premises")and more particularly described as follows:
Being all of Lot 18 and a Portion of Lot 17(025 acres),as shown on a map entitled,"Subdivision and Recombination For LA.
Reynolds&I.T.Reynolds and Joseph Brandt",Sears Landing Division,Lots 16,17 and 18,Topsail Township,prepared by
Weston Lyall,PE,PLS and recorded in Map Book 56,Page 102,Pender County Registry,North Carolina.
TO HAVE AND TO HOLD said Premises with all privileges and appurtenances thereunto belonging,to said Trustee,his heirs,
successors,and assigns forever,upon the trusts,teens and conditions,and for the uses hereinafter set forth
If the Grantor shall pay the Note secured hereby in accordance with its terms,together with interest thereon,and any
renewals or extensions thereof in whole or in part,all other sums secured hereby and shall comply with all of the covenants,
teens and conditions of this Deed of Trust,then this conveyance shall be null and void and may be canceled of record at the
request and the expense of the Grantor.
If,however,there shall be any default(a)in the payment of any sums due under the Note,this Deed of Trust or any other
instrument securing the Note and such default is not cured within ten(10)days from the due date,or(b)if there shall be default
in any of the other covenants,terms or conditions of the Note secured hereby,or any failure or neglect to comply.with the
covenants,terms or conditions contained in this Deed of Trust or any other instrument securing the Note and such default is not
cured within fifteen(15)days after written notice,then and in any of such events,without further notice,it shall be lawful for
and the duty of the Trustee,upon request of the Beneficiary,to sell the land herein conveyed at public auction for cash,after
having first giving such notice of hearing as to commencement of foreclosure proceedings and obtained such findings or leave
of court as may then be required by law and giving such notice and advertising the time and place of such sale in such manner
as may then be provided by law,and upon such and any resales and upon compliance with the law then relating to foreclosure
proceedings under power of sale to convey title to the purchaser in as full and ample manner as the Trustee is empowered. The
Trustee shall be authorized to retain an attorney to represent him in such proceedings.
The proceeds of the Sale shall after the Trustee retains his commission,together with reasonable attorneys fees incurred by
the Trustee in such proceedings, be applied to the costs of sale, including,but not limited to, costs of collection,taxes,
assessments,costs of recording,service fees and incidental expenditures,the amount due on the Note hereby secured and
advancements and other sums expended by the Beneficiary according to the provisions hereof and otherwise as required by the
then existing law relating to foreclosures.The Trustee's commission shall be five percent(5%)of the gross proceeds of the sale
or the minimum sum of S 1,500.00 whichever is greater,for a completed foreclosure.In the event foreclosure is
commenced,but not completed,the Grantor shall pay all expenses incurred by Trustee,including reasonable attorneys fees,and
a partial commission computed on five per cent(5%)of the outstanding indebtedness or the above stated minimum sum,
whichever is greater,in accordance with the following schedule,to-wit: one-fourth(/)thereof before the Trustee issues a
notice of hearing on the right to foreclosure;one-half(%)thereof after issuance of said notice,three-fourths(' )thereof after
such hearing;and the greater of the full commission or minimum sum after the initial sale.
And the said Grantor does hereby covenant and agree with the Trustee as follows:
1.INSURANCE.Grantor shall keep all improvements on said land,now or hereafter erected,constantly insured for the
benefit of the Beneficiary against loss by fire,windstorm and such other casualties and contingencies,in such manner and in
such companies and for such amounts,not less than that amount necessary to pay the sum secured by this Deed of Trust,and as
may be satisfactory to the Beneficiary.Grantor shall purchase such insurance,pay all premiums therefor,and shall deliver to
Beneficiary such policies along with evidence of premium payments as long as the Note secured hereby remains unpaid.If
Grantor fails to purchase such insurance,pay premiums therefor or deliver said policies along with evidence of payment of
premiums thereon,then Beneficiary,at his option,may purchase such insurance.Such amounts paid by Beneficiary shall be
added to the principal of the Note secured by this Deed of Trust,and shall be due and payable upon demand of Beneficiary.All
proceeds from any insurance so maintained shall at the option of Beneficiary be applied to the debt secured hereby and if
payable in installments,applied in the inverse order of maturity of such installments or to the repair or reconstruction of any
improvements located upon the Property.
2.TAXES,ASSESSMENTS,CHARGES.Grantor shall pay all taxes,assessments and charges as may be lawfully levied
against said Premises within thirty(30)days after the same shall become due.In the event that Grantor fails to so pay all taxes,
assessments and charges as herein required,then Beneficiary,at his option,may pay the same and the amounts so paid shall be
added to the principal of the Note secured by this Deed of Trust,and shall be due and payable upon demand of Beneficiary.
3.ASSIGNMENTS OF RENTS AND PROFITS.Grantor assigns to Beneficiary,in the event of default,all rents and profits
from the land and any improvements thereon,and authorizes Beneficiary to enter upon and take possession of such land and
improvements,to rent same,at any reasonable rate of rent determined by Beneficiary,and after deducting from any such rents
the cost of reletting and collection,to apply the remainder to the debt secured hereby.
4.PARTIAL RELEASE.Grantor shall not be entitled to the partial release of any of the above described property unless a
specific provision providing therefor is included in this Deed of Trust.In the event a partial release provision is included in this
Deed of Trust,Grantor must strictly comply with the terms thereof.Notwithstanding anything herein contained,Grantor shall
NC Bar Association Form No.L-5®1976,Revised®September 1985,2002
Printed by Agreement with the NC Bar Association—1981 SoftPro Corporation,333 E.Six Forks Rd.,Raleigh,NC 27609
RECEIVED
DCM WILMINGTON, NC

4820117.jpg(JPEG Image,2544 x 4204 pixels)-Scaled(22%) http://gis2.pendercountync.gov/Deeds/4482/44820117.jp
I INN II I III III 11 I 1 IIIIIIIII Bhp? P0117 i'�, °b ROF
Tender County, NC Register of Deeds page 3 of 4
not be entitled to any release of property unless Grantor is not in default and is in full compliance with all of the terms and
provisions of the Note,this Deed of Trust,and any other instrument that may be securing said Note.
5.WASTE.The Grantor covenants that he will keep the Premises herein conveyed in as good order,repair and condition as
they are now,reasonable wear and'tear excepted,and will comply with all governmental requirements respecting the Premises
or their use,and that he will not commit or permit any waste.
6.CONDEMNATION. In the event that any or all of the Premises shall be condemned and taken under the power of
eminent domain,Grantor shall give immediate written notice to Beneficiary and Beneficiary shall have the right to receive and
collect all damages awarded by reason of such taking,and the right to such damages hereby is assigned to Beneficiary who shall
have the discretion to apply the amount so received,or any part thereof,to the indebtedness due hereunder and if payable in
installments,applied in the inverse order of maturity of such installments,or to any alteration,repair or restoration of the
Premises by Grantor.
7.WARRANTIES.Grantor covenants with Trustee and Beneficiary that he is seized of the Premises in fee simple,has the
right to convey the same in fee simple,that title is marketable and free and clear of all encumbrances,and that he will warrant
and defend the title against the lawful claims of all persons whomsoever,except for the exceptions hereinafter stated.Title to
the property hereinabove described is subject to the following exceptions:
8.SUBSTITUTION OF TRUSTEE.Grantor and Trustee covenant and agree to and with Beneficiary that in case the said
Trustee,or any successor trustee,shall die,become incapable of acting,renounce his trust,or for any reason the holder of the
Note desires to replace said Trustee,then the holder may appoint,in writing,a trustee to take the place of the Trustee;and upon
r pi
the robate and registration of the same,the trustee thus appointed shall succeed to all rights,powers and duties of the Trustee.
THE FOLLOWING PARAGRAPH, 9. SALE OF PREMISES, SHALL NOT APPLY UNLESS THE
BLOCK TO THE LEFT MARGIN OF THIS SENTENCE IS MARKED AND/OR INITIALED.
9. SALE OF PREMISES. Grantor agrees that if the Premises or any part thereof or interest therein is sold, assigned,
transferred,conveyed or otherwise alienated by Grantor,whether voluntarily or involuntarily or by operation of law[other than:
(i)the creation of a lien or other encumbrance subordinate to this Deed of Trust which does not relate to a transfer of rights of
occupancy in the Premises;(ii)the creation of a purchase money security interest for household appliances;(iii)a transfer by
devise,descent,or operation of law on the death of a joint tenant or tenant by the entirety;(iv)the grant of a leasehold interest
of three(3)years or less not containing an option to purchase;(v)a transfer to a relative resulting from the death of a Grantor;
(vi)a transfer where the spouse or children of the Grantor become the owner of the Premises;(vii)a transfer resulting from a
decree of a dissolution of marriage,legal separation agreement,or from an incidental property settlement agreement,by which
the spouse of the Grantor becomes an owner of the P,a»ises;(viii)a transfer into an inter vivos trust in which the Grantor is
and remains a beneficiary and which does not relate to a transfer of rights of occupancy in the Premises],without the prior
written consent of Beneficiary,Beneficiary,at its own option,may declare the Note secured hereby and all other obligations
hereunder to be forthwith due and payable.Any change in the legal or equitable title of the Premises or in the beneficial
ownership of the Premises,including the sale,conveyance or disposition of a majority interest in the Grantor if a corporation or
partnership,whether or not of record and whether or not for consideration,shall be deemed to be the transfer of an interest in
the Premises.
10.ADVANCEMENTS.If Grantor shall fail to perform any of the covenants or obligations contained herein or in any other
instrument given as additional security for the Note secured hereby,the Beneficiary may,but without obligation,make advances
to perform such covenants or obligations,and all such sums so advanced shall be added to the principal sum,shall bear interest
at the rate provided in the Note secured hereby for sums due after default and shall be due from Grantor on demand of the
Beneficiary.No advancement or anything contained in this paragraph shall constitute a waiver by Beneficiary or prevent such
failure to perform from constituting an event of default.
11.INDEMNITY.If any suit or proceeding be brought against the Trustee or Beneficiary or if any suit or proceeding be
brought which may affect the value or title of the Premises,Grantor shall defend,indemnify and hold harmless and on demand
reimburse Trustee or Beneficiary from any loss,cost,damage or expense and any sums expended by Trustee or Beneficiary
shall bear interest as provided in the Note secured hereby for sums due after default and shall be due and payable on demand.
12. WAIVERS. Grantor waives all rights to require marshaling of assets by the Trustee or Beneficiary. No delay or
omission of the Trustee or Beneficiary in the exercise of any right,power or remedy arising under the Note or this Deed of
Trust shall be deemed a waiver of any default or acquiescence therein or shall impair or waive the exercise of such right,power
or remedy by Trustee or Beneficiary at any other time.
13.CIVIL ACTION.In the event that the Trustee is named as a party to any civil action as Trustee in this Deed of Trust,the
Trustee shall be entitled to employ an attorney at law,including himself if he is a licensed attorney,to represent him in said
action and the reasonable attorneys fee of the Trustee in such action shall be paid by the Beneficiary and added to the principal
of the Note secured by this Deed of Trust and bear interest at the rate provided in the Note for sums due after default.
14.PRIOR LIENS.Default under the terms of any instrument secured by a lien to which this Deed of Trust is subordinate
shall constitute default hereunder.
15.OTHER TERMS.
NC Bar Association Form No.L-5©1976,Revised©September 1985,2002
Printed by Agreement with the NC Bar Association-1981 SoftPro Corporation,333 E.Six Forks Rd.,Raleigh,NC 27609
RECEIVED
DCM WILMINGTON,NC

4820I 18.jpg(JPEG Image,2544 x 4204 pixels)-Scaled(22%) http://gis2.pendercountync.gov/Deeds/4482/44820I I8.jp;
•
it l lllll111llll llll�ll ll ll 1111 l ll111 Sharon Pear a 11I looughbyPROF
ender County, Register of Deeds page 4 of 4
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
ac-1 (SEAL)
(Entity Name) Charles E.Choux n/,/,,,,//
By: t�a1U�C t /w (SEAL)
Title: Clarisse H.Choux
By: (SEAL)
Title:
By: (SEAL)
Title:���� n
State of}lmlb asioiar-County of, l f1,y
I,the undersigned Notary Public of the County and State aforesaid,certify that Charles E.Choux and wifer Clatt c-l-.'�
Choux personally appeared before me thf yilii� �1�.
•
acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my h{i
stamp or seal this L5�day of :tZ ,20.(. '. as
My Commission Expires:t2/t5 j2a(.4 c n
Notary `sr • 1�k10�
Public >'•;.,
•. 'MOO `,•
State of North Carolina-County of
I, the undersigned Notary Public of the County and State aforesaid, certify that
personally came before me this day and acknowledged that be is the
of ,a North Carolina
or corporation/limited liability company/general parmership/limited partnership (strike through the
inapplicable),and that by authority duly given and as the act of such entity,_he signed the foregoing instrument in its name on
its behalf as its act and deed. Witness my hand and Notarial stamp or seal,this day of ,20_.
My Commission Expires:
Notary Public
State of North Carolina-County of
I, the undersigned Notary Public of the County and State aforesaid, certify that
•
Witness my hand and Notarial stamp or seal,this day of ,20 .
My Commission Expires:
Notary Public
The foregoing Certificate(s)of
is/are certified to be correct. This instrument and this certificate are duly registered at the date and time and in the Book and Page
shown on the first page hereof.
Register of Deeds for County
By: Deputy/Assistant-Register of Deeds
NC Bar Association Form No.L-5©1976,Revised©September 1985.2002
Printed by Agreement with the NC Bar Association—1981 SoftPro Corporation,333 E.Six Forks Rd.,Raleigh,NC 27609
RECEIVED
DCM WILMINGTON,NC

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30.2018
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company, and(3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
CHARLES CHOUX
A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and
Box No. Company NAIC Number:
330 LITTLE KINSTON RD.
City State ZIP Code
SURF CITY North Carolina 28445
A3. Property Description(Lot and Block Numbers, Tax Parcel Number, Legal Description,etc.) "
LOT 18 WiTH 1/2 OF LOT 17 SEARS LANDING
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude: Lat.34-25-58 Long.-77-33-28 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):
a) Square footage of crawlspace or enclosure(s) 816 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 7
c) Total net area of flood openings in A8.b 896 sq in
d) Engineered flood openings? ❑Yes E No
A9. For a building with an attached garage:
a) Square footage of attached garage 0 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? [)Yes [❑ No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1. NFIP Community Name&Community Number B2. County Name B3. State
Town of Surf City 370186 Pender North Carolina
84, Map/Panel 85. Suffix N. FIRM Index 87. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s)
Number Date Effective/ (Zone AO, use Base
3720423500 Revised Date Flood Depth)
02/16/2007 02/16/2007 AE 9
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89:
0 FlS Profile J FIRM ❑ Community Determined [) Other/Source:
811. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 0 NAVD 1988 Cl Other/Source:
812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? (J Yes 0 No
Designation Date: 0 CBRS [] OPA

ELEVATION CERTIFICATE OMB No. 1 60-0008
Expiration Date: November 30, 2018
. 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:
330 LITTLE KINSTON RD.
City State * ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl, Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations—Zones A1—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: Vertical Datum: Geoid 12A VRS RTK GPS
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 ❑x NAVD 1988 ❑ 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) 4. 0Ln< feet meters
b) Top of the next higher floor 16. 2 d feet 0 meters
c) Bottom of the lowest horizontal structural member(V Zones only) _ N/A. 0 feet ❑meters
d) Attached garage(top of slab) N/A, (Jx' feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building N/A, x feet 0 meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) _____3 5 Q feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 4 0— Ei feet El meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including . Q feet ❑ meters
structural support
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.
I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code. Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ❑Yes d No ❑Check here if attachments.
Certifiers Name License Number
Weston Lyall L-4438
ttttliii
Title pit b++i
Owner/PLS ���N CA0l'si
., 0' ��SSiD.'r ,�r
. CS •
Company Name ��,, g�,IaG 44 q •«
Weston Lyall,PE, PLS, PLLC w t SSgA"- , a
Address I-I38
r.
214 Highway 17 N. Suite 1r
Si aw SUN+a'' Vywv
City State ZIP Code ,r**, "'r0N k'`(4`t�,
Holly Ridge North Carolina 28445 ''+€+rtrie9ete"�
Signature t Date Telephone
( (4, 09/20/2017 [phone]
Copy all pages of this Eleva n C rtificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments(including type of equipment and location, per C2(e), if applicable)
This elevation is preliminary only for a proposed residence. Elevations noted are per construction drawings.
Section A8: The estimated enclosure area is determined from preliminary construction drawings.The flood vent openings are assumed
to be 8"x16", Final calculations are determined with the finished construction elevation certificate.
Sections 88&B9: Information noted is the effective flood zone.The flood zone shall change to AE 13 per preliminary FEMA flood map
Ct A r.—„n„Is .,., ,.,.._. RECEIVED

ELEVATION CERTIFICATE OMB No. 1660-0008
Expiration Date: November 30,2018
. 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:
330 LITTLE KINSTON RD.
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
SECTION E—BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items El—E5, If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, Band C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only.
enter meters.
El. Provide elevation information for the following and check the appropriate boxes 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 0 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 1-2 of Instructions),
the next higher floor(elevation C2.b in
the diagrams)of the building is 0 feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is •
[�feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is El 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? 0 Yes 0 No 0 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 or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attain e `.VEu

ELEVATION CERTIFICATE OMB No, 1660-0008
Expiration Date: November 30.2018
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
330 LITTLE KINSTON RD,
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
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 ❑ 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
G7. This permit has been issued for: [] New Construction ❑ Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)
of the building: ❑feet ❑ meters Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: _ ❑feet ❑ meters Datum
G10. Community's design flood elevation: ❑ feet 0 meters Datum
Local Official's Name Title µ
Community Name Telephone
Signature Date
Comments(including type of equipment and location,per C2(e), if applicable)
❑ Check here if att t ED

BUILDING PHOTOGRAPHS OMB No 1660-0008
ELEVATION CERTIFICATE See Instructions for Item AS. Expiration Date: November 30,2018
• IMPdRTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Budding Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No, Policy Number
330 LITTLE KINSTON RD.
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View"and"Rear View"; and, if required, "Right Side View"and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page; use the Continuation Page.
Photo One
Photo One
Photo One Caption
•
Photo Two
Photo Two
Photo Two Caption RECEIVED

BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30,201E
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:
330 LITTLE KINSTON RD.
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
If submitting more photographs than will fit on the preceding page. affix the additional photographs below. Identify all photographs
with: date taken: "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8.
Photo One
Photo One
Photo One Caption
Photo Two
Photo Two
Photo Two Caption RECEIVES
GGAAA C...,..ride A �� -i"ari _ /�('AA 1AMI e14n1i 1•

Date Date Check From Name of Vendor Check Check Permit Number NOTE
Received Depos (Name) Permit Holder Number amount
ited
10/23/2017 Weston Lyall ' Charles Choux Coastal 1597 $100.00 minor fee, 330 Little JD rct
Bank & Kinston Rd., SC PnCO 5069L
Trust