TB_16-13_ Benson

I
Issued by WiRO TB16-13
Topsail Beach 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 Thomas Benson authorizing development in the Estuarine Shoreline (AEC) at 206 N. Anderson Blvd., in
Topsail Beach, Pender County as requested in the permittee's application, dated August 11, 2016, and received by DCM
on August 17, 2016. This permit, issued on August 26, 2016, is subject to compliance with the application dated and
received by DCM on August 17, 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 residential structure.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawings,
revised and received by DCM on August 17, 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 Jason Dail
compliance. Any maintenance work or project modification not covered under CAMA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December3l,2019 Wilmington, NC 28405-3845
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 RECEIVED
Management. ©CM WILMINGTON,NC PERM ITTEE
(Signature required if conditions above apply to permit)

Name: Thomas Benson
Minor Permit#TB16-13
Date: August 26,2016
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 vegetated and
stabilized, and must remain in a vegetated state.
(7) No structure(s) shall be located within the 30' Coastal Shoreline buffer, including but not limited to concrete slabs,
stepping stones, roof covers, accessory buildings, etc.
(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(1170441-1A.) !O'AA-\ DATE: C l�
PERMITTEE
RECEIVED
DCM WILMINGTON,NC
SEP122016

/ -y/ 6, ^ /3 OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
/,,v''" ,.._ w `� Permit Number minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system), Electrical,Plumbing,Heatingand Air Conditioning,Insulation and Energy Conservation,FIA
e Building, g
rand Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other. Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
(For official use only) others.Check with your Local Permit Officer for more information.
J.INFORMATION STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
WNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
mas W.Benson listed as landowner on this application has a significant interest in the real property described therein.This interest can be
• described as:(check one)
'.O.Box 1607
Elan owner or record title,Title is vested in .see Deed Book
n State NC Zip 27894 Phone [phone] page in the County Registry of Deeds.
[e-mail]
Elan owner by virtue of inheritance.Applicant is an heir to the estate of •
tIZED AGENT probate was in County.
tarles F.Riggs&Associates,Inc. rif other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
P.O.Box 1570 Contract to Purchase
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
csonville State NC Zip 28541 Phone [phone] I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
[e-mail] (Name) (Address)
(1) Mr.Joseph W.Bland,III,6710 Barren Inlet Road,Wilmington,NC 28405
ON OF :(Address,street name and/or directions to site.If not oceanfront,what is the name of the
vote North Anderson Boulevard,Town of Topsail Beach (2) N Projects,LLC,386 Perkins Mill Road,Goldsboro,NC 27530
(3) Mr.John W.Watson&Others,310 Breckenridge Drive,Wilmington,NC 28412
PTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two Story (4)
iq on Pilings Over Concrete Slab Enclosed below for Entry,Storage and Garage with
'LOT/PARCEL: 13,953 square feet 0.320 acresDecks and Pervious Drive ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
;ED USE:Residential 0 (Single-family❑Q Multi-family 0) Commercial/Industrial❑ Other 0 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-
ETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
roperty):
i furthermore certify that i am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
AN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
Toned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
non-load-bearing attic space) This the ///T/1 day of ,20 X.
,STAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
LIRFACES:1,406 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, &cif s w,
or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or person authorized o. hi• er agent for purpose of filing a CAMA permit application
iTORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stomwater
This application includes:gen 'o' ation(this form),a site drawing as described on the hack of this application,the
lent Permit issued by the NC Didion of Water Quality?
] NO i
I 0 ownership statement,the Oce• -• rdAEC Notice where necessary,a check for$100.00 made payable to the locality and
any information as may be pmvided orally by the applicant.The details of the application as described by these sources are
t the total built upon areafd'irpervr3�is surface allowed for your lot or parcel: square feet. incorporated without reference in any permit which may be issued.Deviation from these details will constitute a violation of
.?hrr any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
t-•-+ 0
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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
BRAXTON DAVIS
Coastal Management Director
ENVIRONMENTAL QUALITY
September 7, 2016
Mr. Thomas W. Benson
PO Box 1607
Wilson, NC 27894
Dear Mr. Benson:
Attached is CAMA Minor Development Permit#TB 16-13, for work to be done at 206 N.
Anderson Blvd., in Topsail Beach, Pender 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 then
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,
l � n
Shaun K. Simpson
Permit Support Technicia
Enclosures
cc: WiRO files
Town of Topsail Beach Inspections Dept.
Charles F. Riggs, Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

Simpson, Shaun
From: Dail,Jason
Sent: Friday, August 26, 2016 1:44 PM
To: Charles Riggs ([e-mail])
Cc: Simpson, Shaun; Christina Watkins ([e-mail])
Subject: 206 N.Anderson - Thomas Benson CAMA Minor
Attachments: TB16-13.Benson.ES.Aug.16.doc
Attached. A signed hard copy will be mailed to the applicant on Monday.
Please let me know if you have any questions.
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]
r'�� 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.

N() T
\\,
‘i
CAMA PERMIT
APPLIED FOR
PROJECT: To construct a new single-family
• rr • • •• r • - • - - . - - ► i ,, : i ; " -
to Topsail Sound, in Topsail Beach,
Pender County.
COMMENTS ACCEPTED THROUGH N/A
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Thomas w- Ronson NC Div. of Coastal Management
PO Roy 1607 127 Cardinal Drive Ext.
WilsonYd.C_27S94 Wilmington, NC 28405
Agent: Charles Riggs [phone] Jason Dail, Field Representative
910-796-7221

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 11,2016
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Thomas W. Benson Minor CAMA Application
Dear Mr. Dail:
On behalf of Thomas W. Benson,Charles F. Riggs&Associates, Inc. submits for your review the
enclosed Minor CAMA Application for the property located at North Anderson Boulevard,Town of
Topsail Beach,Topsail Township, Pender County,North Carolina.4esLR
pectfully,
)1/14
iggs
RECEIVED
DCM WI!M!NGTCN, NC
Alii 1 72010

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area _. High Hazard Flood Area Inlet Hazard Area
Property Owner: Tom Benson
North Anderson Boulevard,Topsail Beach
Property Address: — —
Date Lot Was Platted: July 1954
I his notice is intended to make you. the applicant, aware of the SPECIAL NOTE: This hazard notice is required fur
special risks and conditions associated with development in this development in areas subject to sudden and massive stones and
area. which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this area expire on
and currents I he 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 protect
acknowledge that notice in writing before a permit fur 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
fhe 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 he made within 61) days of this
Coastal Resources Commission does not guarantee the safety 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 l.P t
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. the structuretst must be work after the permit has expired Cienerally, 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 permit expiration
I he best available information,as accepted by the Coastal For more information.conned:
Resources Commission. indicates that the annual long-term
average ocean erosion rate tar the area where your property is
located is feet per year.
Local Permit Officer
'Ihe rate was established by careful analysis of aerial
photographs of the coastline taken over the past M)years.
Studies also indicate that the shoreline could move as much as Address
feet landward in a major storm.
the flood waters in a major storm are predicted to he about
feet deep in this area. Locality
Preferred oceanfront protection measures are beach ismurishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads.seawalls,revetments. groins,jetties Phone Number
and breakwaters are prohibited. 'temporary sand bats may be
authorized under certain conditions.
the applicant must acknowledge this into rmation and
requirements by signing this notice in the spaLe below. Without
the proper signature. the application will not be complete. RECEIVED
DCM WILMINGTON, NC
ILA) kit �11 1� 4 7 2016
Prt pert y Owner Signature Date
Revised May 2010

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Thomas W. Benson
Address of Property: North Anderson Boulevard, Topsail Beach, Pender 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.nccoastalmanaaement.net/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 pie , k, mooring pilings, breakwater, boathouse groin must be set
back a minimum distance of 1 my area of riparian acce ess waived by me. (If you
wish to waive the setback, you must ini appr • e blank below.)
I do wish to waiv 5' setback requirem .
not wish to waive the 15' setback requirement.
(Propert ne Inf mat' (Adjacent Property Owner Information)
Signature Signature
Charles F. Riggs, ag for application
Print or Type Name Print or Type Name
P. O. Box 1570
Mailing Address Mailing Address RECEIVED
VED
Jacksonville, NC 28541 DCM WILI'All\IGTCi`1,NC
City/State/Zip City/State/Zip ��j(; t i ?016
[phone]
Telephone Number Telephone Number
Dighfro
Date Date

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 11,2016
Mr.John W. Watson&Others
310 Breckenridge Drive
Wilmington, NC 28412
Re: Thomas W. Benson Minor CAMA Application
Dear Mr. Watson:
On behalf of Thomas W. Benson,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 North Anderson Boulevard,Town of Topsail Beach,Topsail
Township, Pender 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.
Re pectfully,
Ghtev
\ James L. Riggs
RECEIVED
0CM WILMINGTON, NC
aIIC? 7 )n16

I. . •osta ervice
CERTIFIED MAIL® RECEIPT
Domestic Mail Only
n▪ For delivery information,visit our website at www.usps.com”
• "LineNctw elf A L S E
1- Certified Mail Fee
- RECE' E
4 $3.30
$ CM WILMINGTO
Extra Services&Fees(check box,add fee in ate)
• Return Receipt(hardcopy)
• Return Receipt(electronic) $ $0.00 Postmark
• Certified Mail Restricted Delivery $ $O•00 Here
• Adult Signature Required $ $0.00
Adult Signature Restricted Delivery$
• Postage
$1.57
▪ $ 08/16/2016
_R Total Postage and Fees
$7.57
▪ Sent To ni kik ja/3014_
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Important Reminders: -Adult signature service,which requires the
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or Priority Mail®service. -Adult signature restricted delivery service,which
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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. LISPS 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
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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 11,2016
N Projects, LLC
386 Perkins Mill Road
Goldsboro,NC 27530
Re: Thomas W. Benson Minor CAMA Application
To whom it may concern:
On behalf of Thomas W. Benson,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 North Anderson Boulevard,Town of Topsail Beach,Topsail
Township, Pender 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.
Respectfully,
James L. Riggs
RECEIVED
DCM WILMINGTON, NC
p 7 2016

drvice
. irIED MAIL° RECEIPT
,rnestic Mail Only
For delivery information,visit our website at www.usps.com
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Certified Mail Fee ¢J.3�1 l►b��U
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Extra Services&Fees(check box,add fee
❑Return Receipt(hardcopy) $ $ WILMINGTON, NC
] ❑Return Receipt(electronic) $ $1 t 40 Postmark
] ❑Certified Mail Restricted Delivery $ Fr Here
] ❑Adult Signature Required $ •$1-► rya!-+j h /0{(-f
❑Adult Signature Restricted Delivery$ V
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$1.57
total Postage and Fees 08/16/20116
$ $7.57
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delivery. USPS®-postma V
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signature)that is retained by the Postal Service' -Restricted delivery se V ,a .„„CS.for a specified period. delivery to the addresse ,l
to the addressee's authoriz-
'mportant Reminders: -Adult signature service,which . .re
I You may purchase Certified Mail service with signee to be at least 21 years of au.knot
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 notavailable for requires the signee to be at least 21 years of agi
international mail. and provides delivery to the addressee specified
I 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. 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.
1A Fnnn%AOO.Anni 2f11 S/Pwvw,nnl PAN]F.'U1112-f5f'f1-OM]

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 11, 2016
Mr. Joseph W. Bland, III
6710 Barren Inlet Road
Wilmington,NC 28405
Re: Thomas W. Benson Minor CAMA Application
Dear Mr. Bland:
On behalf of Thomas W. Benson,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 North Anderson Boulevard,Town of Topsail Beach,Topsail
Township, Pender 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.
Respectfully,
L. Riggs
mes
RECEIVED
DCAA WILMINGTCN, NC
AULi 1 7 2016

I. . •osta ervice
a CERTIFIED MAIL® RECEIPT
, Domestic Mail Only
J
1 For delivery information,visit our website at wwwusps.com®.
-
WILIITATON'1'tg 23411 4 ,
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a $3.30 RECEIVED°60AA0
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q 0 Return Receipt(hard kk46WILMINGTON,copy) $ $
3 El Return Receipt(electronic) $ $O.01:1 Postmark
D Certified Mail Restricted Delivery $ n e .00 He
3 0 Adult Signature Required $ rt.
$0.00
El Adult Signature Restricted Delivery$
3 Postage
$1.57
- $
a Total Postage and Fees 03/16/2016
$7.57
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Sent To
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r 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
I 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
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,whicl
I Certified Mail service is nor available for requires the signee to be at least 21 years of ag
international mail. and provides delivery to the addressee specifies
I 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<
certain Priority Mail items. LISPS postmark.If you would like a postmark on
r 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.
'S Form 3800.Anril 201A/Ravaiaal PSN 7F.9e.A2-001-0047

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
August 11, 2016
Date
Name of Property Owner Applying for Permit:
Tom Benson
Mailing Address:
P. O. Box 1607
Wilson, NC 27894
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 locate at12 North Anderson Boulevard, Topsail Beach
August 11, 2017
This certification is valid thru (date)
n August 11, 2016
Property Owner Signature Date
RECEIVED
DCM WILMINGTCN,NC

OFFER TO PURCHASE AND CONTRACT-VACANT I.OT/LAND
[Consult"Guidelines"(form 12G)for guidance in completing this form]
NOTE: 'Phis contract is intended for unimproved real property that Buyer will purchase only for personal use and does not have
inuuediate plans to subdivide. It should not be used to sell property that is being subdivided unless the property has been platted,
properly approved and recorded with the register of deeds as of the date of the contract. If Seller is Buyer's builder and the sale involves
the construction of a new single family dwelling prior to dosing,use the standard Offer to Purchase and Contract—New Construction
(Form 800-T) or, if the construction is completed, use the Offer to Purchase and Contract (Form 2-T) with the New Construction
Addendum(Form 2A3-T).
I'or valuable consideration,the receipt and legal sufficiency of which are hereby acknowledged,Buyer offers to purchase and Seller upon
acceptance agrees to sell and convey the Property on the terms and conditions of this Offer To Purchase and Contract and any addendum i
or modification made in accordance with its terms(together the"Contract").
t
i
1. TERMS AND DEFINITIONS:The terms listed below shall have the respective meaning given them as set forth adjacent to each
terw.
(a) "Seller": William B Bland
(b) "Buyer":Thomas W Benson
(c) "Property":The Property shall include all that real estate described below together with all appurtenances thereto including the
improvements located thereon. NOTE: if the Property will include a manufactured (mobile) home(s), Buyer and Seller should
consider including the •ome provision in the Additional Provisions Addendum (Standard Form 2A11=1')
with this o
Stree dd s: 206 N Anderson Blvd
City. rP nail Beach Zip: 28445
County: rider — — _
-- ,North Carolina
(NOTE:Governmental authority over taxes,zonieg,school districts,utilities and mail delivery may differ from address shown.)
1.e.gal Description:(Complete All.applicable)
Plat Reference:Lot/Unit 3 ,Block/Section _,Subdivision/Condominiutn
.._.-_._ _____ __ ,as shown on Plat Book/Slide 5 at Page(s)_.. 3
The PIN/PID or other identification number of the Property is: 4223-37-6033-0000
Other description:Lot 3_PB 5/3 Joseph Bland Heir on Sound
Some or all of the Property may be described in Dec ook _ 879 at Page . 78
(d) "Purchase Pric
$ ' paid in U.S.Dollars upon the following terms:
-
$ 50.00 BY DUl?DILIGENCE FIEF made payable and delivered to Seller by the Effective Date.
$ •_ 3,.500.00 BY iNITIAL EARNEST MONEY DEPOSIT made payable and delivered to Escrow
Agent named in Paragraph 1(l) by ❑ cash la personal check ❑ official bank check
❑ wire transfer,13TIH 3R K1 with this otter OR ❑ within five(5)days of the Effective
Date of this Contract.
_ N/A BY (ADDITIONAL) EARNEST MONEY DEPOSIT made payable and delivered to
Escrow Agent named in Paragraph I(f) by cash or immediately available funds such as
official bank check or wire transfer no later than N/A ,TIME
BEiNG OF THE ESSENCE with regard to said date
$ ...._.... ._- _ N/A BY ASSUMPTION of the unpaid principal balance and all obligations of Seller on the
existing loan(s)secured by a deed of trust on the Property in accordance with the attached
Loan Assumption Addendum(Standard Form 2A6-T).
$ _.. N/A BY SELLER FINANCING in accordance with the attached Seller Financing Addendum
(Standard Form 2A5-1).
$ — BALANCE of the Purchase Price in cash at Settlement(some or all of which may be paid
with the proceeds of a new loan).
5This form jointly approved by: Page 1 of t I A STANDARD FORM 12-'1'
North Carolina Bar Association Revised 7/2015
,130 North Carolina Ass elation of REAI;TORS®,Inc. ,'�jwax ®7/2015
Buyer initials ,. - _, _ Seller initials _.Ig.._ K//__ RECEIVED
I.aidmaiM SolM:by'n xosmNlooal Nulty,laa 0 ,wod Road Sotto 313 Wllmin on,Nc 1e401 �. i.)CM W 11. � f�l,QC iV, N C.
Prank Sharron Ybwwe:910-0ti0.21w ran, and
Nrodlrea7 wriSm riphx,na by apt tax 1 f1070 Fdtenn MtiW Hood.I Inset.MIGhlgan 49028 yolfuiptlg
7
AUG 701E

20. COMPUTATION OF UAYSl1'IM>;
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 rcfer to the date and/or time of day in
the State of North Carolina.
TIlE 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: 9 9-
- - -- - _.. Date: ��
Huy _
W Bons _. Seller o
_ _ _
m s n
William B Bland — — — —
Date: __
Date:
Buyer
- - - - Seller
Entity Buyer:
Entity Seller:
(Name of LLGCorporation%Partne►ahip/�1vst/etc.) - —
(Name of LLCl/Corporation/Partnershipfrmst/eteJ
By: _ -
Name:
Name:
Title:
— ---- Title:
-.._.._ Date:
[Tilts SPACI.INTENTIONALLY LEFT BLANK]
RECEIVED
DCM WILMINGTON, NC
•
AUG 1 7 2016
Page 9 of I I
STANDARD FORM 12-T
Revised 7/2015
®7/2015
I hnd,4.wt wad,boon,q*ay/KX"0 0 I IWO ninon Mir Road,rraem,M.C'05 48026 ipl i.mr
Bwroun,'Tlwmas

S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
DERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
rnonal Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
41. Building Owner's Name TOM BENSON Policy Number:
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number
NORTH ANDERSON BOULEVARD
City TOPSAIL BEACH State NC ZIP Code 28445
43. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
NEW LOT 3,PROPOSED BLAND LOT RECOMBINATION
44. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
45. Latitude/Longitude: Lat.34d23'35"N Long.77d35'45"W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
46. 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) 1500 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 1600 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 8 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ® Yes ❑ No 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 TOPSAIL BEACH 370187 PENDER NORTH CAROLINA
B4.Map/Panel Number B5.Suffix B6. FIRM Index Date B7.FIRM Panel B8.Flood B9 Base Flood Elevation(s)(Zone
3720422300 J 02/16/07 Effective/Revised Date Zone(s) AO,use base flood depth)
02/16/07 AE 8.0'
10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
12. 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)
:1. 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.
:2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,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 El 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) 8.0 CO feet ❑meters
b)Top of the next higher floor 18.0 0 feet ❑meters
c) Bottom of the lowest horizontal structural member(V Zones only) N.A ❑feet ❑meters
d)Attached garage(top of slab) N.A ❑feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 11.1 ®feet ❑Rteters VED
(Describe type of equipment and location in Comments) ;r,4 Sri, . IIGTCN,NC
f) Lowest adjacent(finished)grade next to building(LAG) 3.0 ®feet 0 meters
g) Highest adjacent(finished)grade next to building(HAG) 7.0 (9 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
0„I,Ir,ri
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation \�� t� {`i
information. /certify that the information on this Certificate represents my best efforts to interpret the data available. �•
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. '0,'•'. .••
E• S S/ %
® Check here if comments are provided on back of Feilrll I/0 r Were latitude and longitude in Section A provided by a .. . ....'�O O,L
❑ Check here if attachments. \\‘�,�N CARQt.vsed land surveyor? ® Yes ❑ No . Q SEAL '
Certifier's Name JAMES A. LEWIS,PLS�O••.'OF E S S/0...c/ ,. License Number L-4562 = L-456�/
Title PROJECT MANAGER G ipa�y Name y�l-IA1 LES F. RIGGS&ASSOCIATES,INC. S U /vfi.
r UR •
Address 502 NEW BRIDGE STREET_ City .IACr„• ' ILLE. - State NC ZIP Code 28540 • N�
i /� •,- .. __ r tk _ Tele..l.....e /ol rNArf.11A77 //�°•A. `w,I\' /. .

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:
NORTH ANDERSON BOULEVARD
City TOPSAIL BEACH 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 SURVEYOR HAS NOT REVIEWED FINAL CONSTRUCTION DRAWINGS. THE TOWN OF TOPSAIL BEACH ADDS A 3.0'FREEBOARD TO
THE BASE FLOOD ELEVATION,THEREFORE THE ELEVATION OF THE FIRST FINISH FLOOR AND THE LOWEST ELEVATION OF MACHINERY OR
EQUIPMENT SERVICING THE BUILDING MUST HAVE AN ELEVATION OF ATLEAST 8.0'+3.0'= 11.0'(PROPOSED FIRST FINISH FLOOR= 18.0';
MACHINERY= 1.1')) `,t l 1 t t r r f
, ->r- \N CA.zO _/ice
Signature \••O�•...•E••S/ �/ ate
• S
SECTION E-BUILDING ELEVATION INFO S(SUR NM-REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items 1-�5r if tt 62te is iptended to support a LOMA or LOMR-F request,complete Sections A, B,
and C. For Items E1-E4,use natural grade, if available.C't)epl,the measure 2nt used. In Puerto Rico only,enter meters.
El. Provide elevation information for the following arl4Che �iapA t'Wce� to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LA_CSj, 4 '••. U •`� \
a)Top of bottom floor(including basement,crawlsda Os' r$. __` Elfeet ❑meters El above or❑ below the HAG.
b)Top of bottom floor(including basement,crawlspace!ipy� Virrp44 ❑feet El meters ❑above or El 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 El feet El meters El above or ❑below the HAG.
E3. Attached garage(top of slab)is . El feet El meters ❑above or El below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is El feet ❑meters El above or El 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? El Yes ❑ No El 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)
-he 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
A 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.
31. ❑ 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.)
32. 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.
33.El 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: El feet ❑meters Datum
39. BFE or(in Zone AO)depth of flooding at the building site: . El feet ❑meters Datum
310.Community's design flood elevation: ❑feet ❑meters Datum
=IVcD
UGiViVv it iA!NGT'
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
11 Check here if attachments.

DENR CAMA Daily Check Log for WIRO
Date
Date Deposite Check Receip
Received d Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Rea
8/17/2016 Charles F.Riggs&Associates Inc Thomas W.Benson 'First Citizens Bank 14669 $100.00I minor fee,North Anderson Blvd,TB,Pender JD rct.2517C