TB_19-27_ Moffat

Issued by WiRO TB19-27
Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT 7ir
NORTH CAROLINA
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 Keith Moffat authorizing development in the Estuarine Shoreline (AEC) at Parcel ID4223.36-6949.0000,_N.
Anderson Blvd., in Topsail Beach, Pender County as requested in the permittee's application, dated October 23, 2019,
and received as complete by DCM on October 24, 2019. This permit, issued on November 12, 2019, is subject to
compliance with the application and drawing dated and received by DCM on October 24, 2019 (where consistent with
the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may
subject the permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Construction of a single-family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on October 24, 2019.
(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 Z
within twenty (20)days of the issuing date. This permit must be on the project Z
site and accessible to the permit officer when the project is inspected for Ja n Dail W o 0
compliance. Any maintenance work or project modification not covered under CA LOCAL PERMIT OFFICIX
this permit,require further written permit approval.All work must cease when this Z
permit expires on: 127 Cardinal Drive Extensior r; -
Wilmington, NC 28405-3845w J
December31,2022 er
In issuing this permit it is agreed that this project is consistent with the local Land t
Use Plan and at applicable ordinances. This permit may not be transferred to 0
another party without the written approval of the Division of Coastal PERMITTEE

Name: Keith Moffat
Minor Permit#TB19-27
Date: November 12, 2019
Page 2 of 2
(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 shall be located at least 30' landward of the normal/mean high water line. 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.
(7) This permit does not authorize the excavation or filling of any wetlands, even temporarily.
(8) 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.
(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: D4. J ! DATE: 1/ 71 /l
PERMITTEE v
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'/ OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Locality 1 V' 1te�" Permit Number minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
` _ treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
Ocean Hazard Estuarine Shoreline`CT 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.
GENERAL 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
LAND OWNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Name Keith E.Moffat,and/or Assigns listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
Address 2801 Moffat Terrace
CityWake Forest State NC Zip225si Phone [phone] Flan owner or record title,Title is vested in ,see Deed Book
page in the County Registry of Deeds.
Email [e-mail]
Flan owner by virtue of inheritance.Applicant is an heir to the estate of ,
AUTHORIZED AGENT probate was in County.
Name Charles F.Riggs&Associates,Inc. [—If other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address P.O.Box 1570 Contract to Purchase
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
City Jacksonville 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.
Email [e-mail]
(Name) (Address)
(1) Mr.Robert B.Bland,P.O.Box 182,Little Switzerland,NC 28749
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.) North Anderson Boulevard,Topsail Beach,Pender County(Parcel 4223-36-6949-0000) (2) N Projects,LLC;386 Perkins Mill Road,Goldsboro,NC 27530
(3) Mr.John W.Watson,208 North Anderson Boulevard,Topsail Beach,NC 28445
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
Dwelling on Pilings with Decks Over Concrete Slab Enclosed below for Entry,Storage and Garage
SIZE OF LOT/PARCEL: 13,953 square feet 0.320 acreswith Asphalt and Dirt Driveway ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
PROPOSED USE:Residential I] (Single-family ID Multi-family❑) Commercial/Industrial❑ Other D 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-
COMPLETE EiTHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
to your property):
I furthermore certify that i am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:3,691 square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
excluding non-load-bearing attic space) PP
(2)COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the L�•A"'t/ day of oY ,20/97
UPON SURFACES: square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, ///
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or person oath rized to act as hi t for purpose of filing a CAMA permit application
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality? This application includes:general info qsfoim).a site drawing as described on the back ofthis application,the
YES. NCI ✓ I ownership statement,the Ocean Hazard' e where necessary,a check for$100.00 made payable to the locality and
any information as may be provided ora ,y the applicant.The details of the application as described by these sources are
If yes,list the total built upon area/impervious 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
any permit.Any person developing in an AEC without permit is subject to civil,criminitt dgtanvtion.
OCT 242019
DCM WILMINGTON, NC

•
•
ROY COOPER
Governor
i I
MICHAEL S. REGAN
Secretary
NORTHCAROLSNA BRAXTON DAVIS
Environmental Quality
Director
November 13, 2019
Keith E. Moffat
2801 Moffat Terrace
Wake Forest, NC 27587
Dear Mr. Moffat,
Attached is CAMA Minor Development Permit TB 19-27 for work to be done at Parcel No.4223-36-6949-
000 North Anderson Boulevard in Topsail Beach, Pender County. An electronic copy has been sent to
the Topsail Beach Inspections Department and your Agent.
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and 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.
Sin rely,
C �
ny. K. Pi-Oa
P l .port Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
TB Inspection Dept.
Charles Riggs-Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

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 Suites
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]
October 23,2019
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Keith E.Moffat Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of Keith E. Moffat,Charles F. Riggs&Associates,Inc. submits for your review the
enclosed application for a Minor CAMA permit for the property at North Anderson Boulevard,Topsail
Beach, Pender County,North Carolina(Parcel 4223-36-6949-0000.)
R- •ectfully,
i
i �
James L. Riggs
RECEIVED
OCT 24 2019

• 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 Suites
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]
AGENT AUTHORIZATION FORM
Date: September 24,2019
Name of Property Owner Applying for Permit:
_Keith E. Moffat,and/or Assigns(Contract to Purchase)___
Mailing Address:
_JO) 4drJ— ?—;;-.
Li Ft; . 4z7� f *
I certify that I have authorized Charles F. Riggs&Associates,Inc. to act on my behalf,for the purpose
of applying for and obtaining all CAMA Permits necessary to install or construct proposed dwelling,as shown
on attached map and located at 206 North Anderson Boulevard,Topsail Beach,Pender County(Parcel 4223-36-
6949-0000,New Lot 3 of M. B. 59,P. 108), and I grant permission to the Division of Coastal Management to
access the property to mark/flag:
The First Line of Stable Natural Vegetation
X The Coastal Wetlands
X The Normal High Water Line
This authorization is valid thru September 24,2020 .
/4_,........ gefr--
September 24,2019
Property Owner Si RECEIVECPate
OCT 2 4 2019

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Keith E. Moffat, and/or Assigns (Contract to Purchase)
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.nccoastalmanagement.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 pier, dock, m •ng pilings, breakwater athouse, lift, or groin must be set
back a minimum distance of 15' from rea of ripa • access unless waived by me. (If you
wish to waive the setback, you must initial propriate blank below.)
I do wish to waive 5' setback require t.
I do wish to waive the 15' setback requirement.
(Propert •t/ r I-for- . on (Adjacent Property Owner Information)
/L.i/ V.leil&S
Signature ' Signature
Charles F. Rigg . agent or .pplication
Print or Type Name W- Print or Type Name
P. O. Box 1570
Mailing Address Mailing Address
Jacksonville, NC 28541
City/State/Zip City/State/Zip
[phone] RECEIVED
Telephone Number Telephone Number O C T 2 4 2019
/°r2S f
Date Date DCM WILMINGTON, NC
Ravicarl R/1P/9(119

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 Suites
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]
October 23,2019
Mr. Robert B. Bland
P.O. Box 182
Little Switzerland,NC 28749
Re: Keith E. Moffat Submittal for Minor CAMA Permit
Dear Mr. Bland:
On behalf of Keith E. Moffat,Charles F. Riggs&Associates, Inc. is submitting to the Division of
Coastal Management,North Carolina Department of Environmental Quality the enclosed application for a
CAMA permit for the property located at North Anderson Boulevard,Topsail Beach, Pender County,
North Carolina. Keith E. Moffat is planning to construct a two-story dwelling on pilings with decks over a
concrete slab and enclosed below for entry, storage and garage and with an asphalt and dirt driveway.We
are required to notify the adjoiners of this submittal. Please review the package and sign,address and
date the form provided and place a check and your initials beside whether you have obiections 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,
Tad-
James L. Riggs
RECEIVED
OCT 242019

U. . Posta ervice
CERTIFIED MAIL° RECEIPT
3 Domestic Mail Only
1 For delivery information,visit our website at www.usps.corn
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delivery. LISPS®-postmarked Certified Mail receipt to thi
A record of delivery(including the recipient's retail associate.
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for a specified period, delivery to the addressee specified by name,or
to the addressee's authorized agent.
rnportant 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
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or Priority Mail®service. -Adult signature restricted delivery service,whic
Certified Mail service is not available for requires the signee to be at least 21 years of at
international mail. and provides delivery to the addressee specifies
I Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agen
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
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.
Pc cn,,,,nstnn_Arai!Om a iae,.e.cer cell>s0nm-rw1-OAAI

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 Suites
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]
October 23, 2019
N Projects, LLC
386 Perkins Mill Road
Goldsboro,NC 27530
Re: Keith E. Moffat Submittal for Minor CAMA Permit
To whom it may concern:
On behalf of Keith E. Moffat,Charles F. Riggs&Associates, Inc. is submitting to the Division of
Coastal Management,North Carolina Department of Environmental Quality the enclosed application for a
CAMA permit for the property located at North Anderson Boulevard,Topsail Beach, Pender County,
North Carolina. Keith E. Moffat is planning to construct a two-story dwelling on pilings with decks over a
concrete slab and enclosed below for entry, storage and garage and with an asphalt and dirt driveway. We
are required to notify the adjoiners of this submittal. Please review the package and sign,address and
date the form provided and place a check and your initials 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,
f-'' r
James L. Riggs
RECEIVED
0CT 2 4 2019

imilimmillm

•. . -os a ervice
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
7
1 For delivery information,visit our website at www.usps.com".
" AL USE
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I A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. LISPS®-postmarked Certified Mail receipt to th
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service'" -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
mportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to beat least 21 years of age(not
First-Class Mails,First-Class Package Service°, available at retail).
or Priority Mail°service. -Adult signature restricted delivery service,whic
Certified Mail service is not available for requires the signee to be at least 21 years of a{
international mail. and provides delivery to the addressee specie
l Insurance coverage is not available for purchase by name,or to the addressee's authorized agen
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
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 partio!
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy retum 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 Suites
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]
October 23,2019
Mr.John W. Watson
208 North Anderson Boulevard
Topsail Beach,NC 28445
Re: Keith E. Moffat Submittal for Minor CAMA Permit
Dear Mr. Watson:
On behalf of Keith E. Moffat,Charles F. Riggs&Associates, Inc. is submitting to the Division of
Coastal Management,North Carolina Department of Environmental Quality the enclosed application for a
CAMA permit for the property located at North Anderson Boulevard,Topsail Beach,Pender County,
North Carolina. Keith E. Moffat is planning to construct a two-story dwelling on pilings with decks over a
concrete slab and enclosed below for entry, storage and garage and with an asphalt and dirt driveway. We
are required to notify the adjoiners of this submittal. Please review the package and sign,address and
date the form provided and place a check and your initials 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,
rgie /7V
ames L. Riggs
RECEIVED
OCT 242019
DCM WILMINGTON, NC

. . •os a ervice
n CERTIFIED MAIL° RECEIPT
r Domestic Mail Only
For delivery information,visit our website at www.usps.com'''.
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A receipt(this portion of the Certified Mall label). for an electronic return receipt,see r741111
A unique identifier for your mailpiece. associate for assistance.To receive a duplico
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that Is retained by the Postal Service- -Restricted delivery service,which provides
for a specified period. . :. delivery to the addressee specified by name,or
to the addressee's authorized agent.
mportant Reminders: -Adult signature service,which requires the
I You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,whicl
Certified Mail service Is notavailable for requires the signee to beat least 21 years of ag
international mall. and provides delivery to the addressee specifier
Insurance coverage is notavailable for purchase by name,or to the addressee's authorized ages'
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 r
certain Priority Mail items. LISPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mall 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.
m Zinn a.,ai s oe,bMa DCM 7C'nso.,,,,2«a

DocuSlgn Envelope ID:BE28E687-06A6-4825-887D-8276CAA85BFF
OFFER TO PURCHASE AND CONTRACT-VACANT LOT/LAND
• [Consult"Guidelines"(form 12G)for guidance in completing this form]
NOTE: This contract is intended for unimproved real property that Buyer will purchase only for personal use and does not have
immediate 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 closing, 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).
For valuable consideration,the receipt and legal sufficiency of which are hereby acknowledged,Buyer offers to purchase and Seller
upon acceptance agrees to sell and convey the Property on the terms and conditions of this Offer To Purchase and Contract and any
addendum or modification made in accordance with its terms(together the"Contract").
1, TERMS AND DEFINITIONS: The terms listed below shall have the respective meaning given them as set forth adjacent to
each term.
(a) "Seller":Thomas W.Benson,Kimberly F.Benson
(b) "Buyer":Keith E.Moffat and/or assigns
(c) "Property":The Property shall include all that real estate described below together with all appurtenances thereto including
the improvements located thereon.
NOTE: If the Property will include a manufactured (mobile) home(s), Buyer and Seller should consider including the
Manufactured(Mobile)Home provision in the Additional Provisions Addendum(Standard Form 2A11-T)with this offer.
Street Address:206 N Anderson Rd Lot 3
City:Topsail Beach Zip:28445
County;Fender ,North Carolina
NOTE:Governmental authority over taxes,zoning,school districts,utilities and mail delivery may differ from address shown,
Legal Description:(Complete ALL applicable) •
Plat Reference:Lot/Unit New lot 3 ,Block/Section ,Subdivision/Condominium Bland
,as shown on Plat Book/Slide 59 at Page(s) 108
The PIN/PID or other identification number of the Property is:4223-36-7843-0000
Other description:NEW LT 3 PB 59/10 BLAND RECOM
Some or all of the Property may be described in Deed Book 4629 at Page 668
(d) "Purchase Price":
$ +411111, B paid in U.S.Dollars upon the following terms:
$ BY DUE DILIGENCE FEE made payable and delivered to Seller by the Effective Date.
$ Jim BY INITIAL EARNEST MONEY DEPOSIT made payable and delivered to Escrow Agent
named in Paragraph 1(f)by [1 cash X ersonal check. E official bank check El]wire
transfer, [i electronic transfer,EITHER Li with this offer OR ]within five(5)days of the
Effective Date of this Contract.
$ BY(ADDITIONAL)EARNEST MONEY DEPOSIT made payable and delivered to Escrow
Agent named in Paragraph 1(f) by cash, official bank check, wire transfer or electronic •
transfer no later than 5 p.m.on
•
TIME BEING OF THE ESSENCE.
$ 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).
$ BY SELLER FINANCING in accordance with the attached Seller Financing Addendum
(Standard Form 2A5-T).
$ 4911111111.11.0r BALANCE of the Purchase Price in cash at Settlement (some or all of which may be paid
with the proceeds of a new loan).
Page 1 of 12
This form jointly approved by: STANDARD FORM 12-T
\ North Carolina Bar Association Revised 7/2019
RFALTOR*North Carolin 'on of REALTO sin . D9 ` it;4" ®7/2019
Buyer initials Seller initia s TIP t2-Ft5 RECEIVE®
Con,la1 Ceraann Reel Estntgl,1.C,1377S Hwy SS Steel Sari City NC 2E445 Phone:t-911N70-1475 Fax:1-910-7E9-9793 Keith Mega
JarkitJnnu, Produced win*Roane by/;ploy& 10070 Fifteen Mile Road,Fraser,M1chlQan 48028 maalig,aabgalte
nrT 41 A „.,.

DocuSign Envelope ID:BE28E687-06A6-4825-867D-8276CAA85BFF
DocuSign Envelope ID:A60FE833.3F49-4492-AA48-13E7E0F2CA15
documents,including assignment of this Contract in connection therewith,at no cost to the non-exchanging party,as shall be required
to give effect to this provision.
14, PARTIES: This Contract shall be binding upon and shall inure to the benefit of Buyer and Seiler and their respective heirs,successors and assigns, As used herein,words in the singular include the plural and the masculine includes the feminine and neuter
genders,ns appropriate,
15. SURVIVAL:If any provision herein contained which by its nature and effect is required to be observed,kept or performed after
the Closing,it shall survive the Closing and remain binding upon and for the benefit of the parties hereto until fully observed,kept or
performed. l j
16. ENTIRE AGREEMENT: This Contract contains the entire agreement of the parties end there are no representations,
inducements or other provisions other than those expressed herein, Ail changes,additions or deletions hereto must be in writing and
signed by all parties.Nothing contained herein shall alter any agreement between a REALTOR®or broker and Seller or Buyer as
contained in any listing agreement,buyer agency agreement,or any other agency agreement between them.
17, CONDUCT OF TRANSACTION: The parties agree that any action between them relating to the transaction contemplated by
this Contract may be conducted by electronic means, including the signing of this Contract by ono or more of them and any notice o'
communication given in connection with this Contract. Any written notice or communication may be iranamilted to any mailing
address,e-mail address or fax number set forth In the"Notice Information"section below.Any notice or conmuniention to be given
to a party herein,any any fee,deposit of other payment to be delivered to a party herein,may be given to the party or to such parry's
agent. Seller and Buyer agree that the"Notice Information" and"Acknowledgment of Receipt of Monies"sections below shall not
constitute a material part of this Contract, and that the addition or modification of any information therein shall not constitute a
rejection of an offer or the creation of a counter offer.
18. EXECUTION: This Contract may be signed in multiple originals or counterparts, all of which together constitute one and the
same instrument.
19, COMPUTATION OF DAYS/TiME OF DAY: Unless otherwise provided, for purposes of this Contract,the term"days"shall
mean consecutive calendar days, including Saturdays, Sundays, and holidays, whether federal, state, local or religious. For the I ;
purposes of calculating days,the count of"days"shall begin on the day following the day upon which any act or notice as provided in
this Contract was required to be performed or made,Any reference to a date or time of day shall refer to Iho date and/or time of day iu
the State of North Carolina.
THE NORTH CAROLINA ASSOCIATION OF REALTORS®, INC. AND THE NORTH CAROLINA BAR ASSOCIATION
MAKE NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN
ANY SPECIFIC TRANSACTION.IF YOU DO NOT UNDERSTAND THiS FORM OR PEEL 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 heroin shall not prevent this offer from becoming a binding contract,provided
that tiny such failure shall give Seller certain rights to terminate the contract as described herein or as otherwise permitted by law.
9/20/2019 9/20/2019
Date: r—oecuslpnedby: Y Date: Docusionedby - !
Buyer �iy� Seller A-S ill. �JLL1.SbIA.
Keith.3-Atbaife,teend,i ..asslgns I playgeison
Date: Date: r—JJ Docualgnea by:
Buyer Seller Gta%($ r. t4.4A.SOla,
�101'dilo Amason
Entity Buyer: Entity Seller;
(Name of LLC/Corpoi'atiwn/PnrtnershiptTrust/ete.) (Name of LLC/Corporation/Partnership/Tnist/etc.)
By: By:
Name: Name:
Title: Title:
Date: Date:
Page 9 of 12
STANDARD FORM 12-T
iRECEIVLWised 7/2019
®7/2019
Produced with zlprwn®byzlpLojle 10010FWloonMelo flood,rumor,Walton 10020 wytailattesz4r0 KdMiM.tfu
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OCEAN HAZARD AEC NOTICE
•
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Keith E.Moffat,and/or Assigns(Contract to Purchase)
Property Address: 206 North Anderson Boulevard,Topsail Beach, Ponder County(Parcel#4223-36.6949.0000)
Date Lot Was Platted: September 2016
This notice is intended to make you, the applicant,aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area,which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the
development can be issued. vegetation line and setback distance at your site. l f the property
has seen little change since the time of permit issuance,and the.
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations are designed to minimize, but not the LPO will inform you that you may begin work. Substantial
eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the 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 LPO
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. The structure(s)must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing,
imminently threatened, and in any case upon its collapse or permit renewal can be authorized. It is unlawful to continue
subsidence. work after permit expiration.
The best available information,as accepted by the Coastal For more information,contact:
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
located is feet per year.
Local Permit Offfcer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 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 be about
feet deep in this area. Locality
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signature,the application will not be complete.
Property Owner Sig t e Date
RECEIVED
Revised May 2010
OCT 2 4 2019

IiIN:1 NC Division of Coastal Management
Cashier's Official Receipt 9061 A B i
Date: Z 20I 7
Received From: d./1--M-' f-e1125---- $ IN V
��
Permit No.: �� Check No.:
Applicant's Name: a " _ County:
Project Address: V OOto ,
7(V , 7
Pie-�- - ain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applica ��%'I •�� Date:
% I , 07441
Signature of Field Representative: /A A Date:

Date Date Check From Name of Vendor Check Check Permit Rct
Received Deposited Permit Holder Number amount Number/Comments
10/25/2019 10/25/2019 Charles F Riggs& Keith Moffat First 16252 $100.00 Minor fee, parcel 4223-36-6949- JD rct,
Associates, Inc. Citizens 0000, N Anderson Blvd,Topsail 9061
Bank Beach PnCo