20221553 Ver 2_CAMA Application_20240118

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: Capital Asset Topsail Development, LLC, C/o Charles F. Riggs & Associates, INC.
2. LOCATION OF PROJECT SITE: 103 Old Village Lane, North Topsail Beach, Onslow County
Longitude: •7727'59" Latitude: 34
3. INVESTIGATION TYPE: CAMA
4
7
INVESTIGATIVE PROCEDURE: Dates of Site Visit—1110812023
Was Applicant Present - No
PROCESSING PROCEDURE: Application Received Complete—1/17/2024
Office — Morehead City
SITE DESCRIPTION:
(A) Local Land Use Plan — Town of North Topsail Beach
Land Classification from LUP — mixed. use high intensity
(B) AEC(s) Involved: ES
(C) Water Dependent: No
(D) Intended Use: private
(E) Wastewater Treatment: Existing sewer handled by Pluris, Inc.
Planned — Pluris, Inc.
(F) Type of Structures: Existing — none
Planned — grading filling of 404 jurisdictional wetlands, construction of a single-
family residence with covered and uncovered decks, pool with decking, vegetated
swale, landscaping and a gravel pervious driveway.
HABITAT DESCRIPTION:
DREDGED FILLED OTHER
(A) High ground disturbance
11,761.2 sf
- (B) USACOE wetlands within the
590sf
575'AEC
(C) USACOE wetlands for entire lot
1,528 sf
(includes area within the AEC)
(D) Total Area Disturbed: 13,289.2 square feet
(E) Primary Nursery Area: No
(F) Water Classification: SA, ORW Open to shellfish harvesting (waterbody is south of the Permuda Island
Reserve)
PROJECT SUMMARY:
The applicant is proposing to construct a single-family residence with covered and uncovered decks, 404 wetland fill,
grading, pool with decking, vegetated swale, landscaping and a gravel pervious driveway on the existing .322 acre
tract of land. The single-family lot does not border normal high water therefore no work waterward of NHW is
proposed, only high ground development, which involves filling a total of 1,528 sf of 404 jurisdictional wetlands (590
sf within the 575'ORW Estuarine Shoreline AEC).

Field Investigation Report: Capital Asset Topsail Development, LLC,
C/o Charles F. Riggs & Associates, INC.
Page 02
9. Pro'ect Description
The existing .322-acre tract (14,039sf) currently is an undeveloped lot in North Topsail Beach
at 103 Old Village Lane. The site is located south of the Permuda Island Reserve. The
property does not extend to the normal high-water contour but is within the 575' ORW AEC.
The tract is 5' above NHW, has USACOE 404 jurisdictional wetlands and a small (12' x 35')
section of coastal wetlands. Permits have been issued by the USACOE and NC DWR
(USACOE- SAW-2022-02407 and NCDWR- DWR# 20221553).
The waters adjacent to the project area are classified as "SA, ORW" by the Division of Water
Resources and classified as a Primary Nursery Area. According to the maps provided by the
Shellfish Sanitation Section of the NC Division of Marine Fisheries, the waters within this area
are predominately open to shellfish harvesting. There is no development proposed within
navigable waters and there are no known historic or archaeological areas of value known within
the project site,
10. Proposed Project
The applicant is proposing to construct a single-family residence with covered and uncovered
decks, 404 wetland fill, grading, pool with decking, vegetated swale, landscaping and a gravel
pervious driveway. The lot is currently vegetated with trees, typical grasses, a section of coastal
wetlands and 404 wetlands.
The applicant is proposing to fill a total of 1,528 sf of 404 wetlands (590 sf within the AEC) to
accommodate the construction of a two-story single-family home (includes covered and
uncovered decks) on pilings over a concrete slab which includes a closed area for entry and
storage as well as garage. Per the applicant the peak of the proposed dwelling would be 43.3'
above slab elevation. A total of 1,528 sf of fill is proposed within the 404 wetlands to existing
grade.
They are also proposing the construction of a 10' x 20' pool with 6' x 34' concrete decking as
well as a pervious gravel drive, vegetated swale and landscaping. The existing tract area
calculated within the 575' AEC is 8,033 sf with 14,039 sf for the entire tract. The project
proposes a BUA for the site within the 575' AEC of 16.6% and 16.9 % for the entire tract,
11. Anticipated Impacts:
The development would grade, fill and disturb 11,761.2 sf (.27ac) of high ground with 1,336 sf
of BUA within the 575' Estuarine Shoreline AEC and 2,377 sf of BUA for the entire tract. The
proposal would fill a total of 1,528 sf of jurisdictional wetlands for the entire lot which includes
the 590 sf of wetland fill within the 575' AEC. There is no work proposed waterward of NHW at
this time. The applicant has already received permits from the USACOE and NC DWR for the
jurisdictional wetland fill (USACOE- SAW-2022-02407 and NCDWR- DWR# 20221553).
Submitted by: Heather Styron Date: 1117/24 Morehead City District Office

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, ?Forth Carolina 28540 P.O. Box 1570 1213 Culbreth Drive
[phone] Jacksonville, North Carolina 28541 Wilmington, North Carolina 28405
charlcsriggsCc:.nggslandnc.com [phone] [phone]
www.riggslandnc.com jameslewisCLriggslandnc.com
November 10, 2023
To: Ms. Heather Styron
Division of Coastal Management
North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, North Carolina 28557
Re: Capital Asset Topsail Development, LLC
103 Old Village Lane
Town of North Topsail Beach
Stump Sound Township, Onslow County, North Carolina
Onslow County Tax Map Number 806-104
Onslow County Tax Parcel Number 050468
Dear Ms. Styron:
Please find enclosed the Express Major CAMA Permit Application and
accompanying documents and check for $ 2,000.00 for the above referenced
project.
Respectfully,
Charles F. Mas:AT.S. L-2981
Enclosures ent Authorization
AEC Hazard Notice
Application — Form DCM MP-1
Upland Development- Form DCM MP-3
Narrative
RECEIVED
Nov 2 B 2023
pips-em►c) ct6v
Page 1 of 2

Charles F. Riggs. P_L.S. L-2981
502 New Bridge Street
Jacksonville, North Carolina 28540
[phone]
charlesriggsa riggslandne.com
To whom it may concern:
Property Legal Description:
CHARLES F. RIGGS & ASSOCIATES, INC.
Land Surveyors
Corporate License (C-730)
502 New Bridge Street
P,Q. Box 1570
Jacksonville, North Carolina 28541
[phone]
L-MAIL: riggsland,rr riggslandnc.cont
James A. Lewis, P.L.S. L-4562
Landfall Executive Suites
1213 Culbreth Drive
Wilmington, North Carolina 28405
[phone]
jameslewisrrr riggsland nc.coni
Parcel IDs:_050468Map Number: 806-104
Street Address:_103 Old Village Lane, North Topsail Beach, North Carolina _
Subdivision: _Lot 6, Section 2, Village of Stump Sound , Map Book 27, Page 1 11, Onslow County Registry
County: Onslow
Please Print:
Property Owner (Title, ): Capital Asset Topsail Development, LLC c/o Mr. Chris Plaford, Owner Manager
The undersigned, registered property owners of the above noted property, do hereby authorize Charles F. Ries
and Associates, Inc. and the employees thereof, to act on my behalf as my agent and take all actions necessary
for processing, issuance and acceptance of any permit, certification, or approval and all standard and special
conditions attached, if any.
Address: 1 121 Military Cutoff Road, Suite 336, Wilmington, North Carolina
Telephone Number: [phone]
Facsimile Number: N/A
Email Address: [e-mail]
Authorized Sign e:
Date: 9-16-23
RECEWFD
NOV 2 Q 2023 '
Filename: 30-12-07 Southeast Partners Authorization Form Page l

Project is in an
Property Owner:
OCEAN HAZARD AEC NOTICE
Ocean Erodible Area High Hazard Flood Area
Capital Asset Topsail Development, LLC
Property Address: 103 Old Village Lane, North Topsail Beach
Date Lot Was Flatted:
December 1990
This notice is intended to make you, the applicant, aware of the
special risks and conditions associated with development in this
area, which is subject to natural hazards such as storms, erosion
and currents. The rules of the Coastal Resources Commission
require that you receive an AEC Hazard Notice and
acknowledge that notice in writing before a permit for
development can be issued.
The Commission's rules on building standards, oceanfront
setbacks and dune alterations are designed to minimize, but not
eliminate, property loss from hazards. By granting permits, the
Coastal Resources Commission does not guarantee the safety of
the development and assumes no liability for future damage to
the development. Permits issued in the Ocean Hazard Area of
Environmental Concern include the condition that structures be
relocated or dismantled if they become imminently threatened
by changes in shoreline configuration. The structure(s) must be
relocated or dismantled within two (2) years of becoming
imminently threatened, and in any case upon its collapse or
subsidence_
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
located is feet per year.
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
feet landward in a major storm.
The flood waters in a major storm are predicted to be about
feet deep in this area.
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads, seawalls, revetments, groins, jetties
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.
(W 9-16-23
Properfy'94)4 Signature Date
Inlet Hazard Area
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive storms and
erosion. Permits issued for development in this area expire on
December 31 of the third year following the year in which the
permit was issued. Shortly before work begins on the project
site, the Local Permit Officer must be contacted to determine the
vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance, and the
proposed development can still meet the setback requirement,
the LPO will inform you that you may begin work. Substantial
progress on the project must be made within 60 days of this
setback determination, or the setback must be re -measured. Also,
the occurrence of a major shoreline change as the result of a
storm within the 60-day period will necessitate re -measurement
of the setback. It is important that you check with the LPO
before the permit expires for official approval to continue the
work after the permit has expired. Generally, if foundation
pilings have been placed and substantial progress is continuing,
permit renewal can be authorized. It is unlawful to continue
work after permit expiration.
For more information, contact. -
Local Permit Officer
Address
Locality
Phone Number
RF,CEIVF-,D
$'a,-wiU '�My
Revised May 2010

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]
103 Old Village Lane Project
Lot 6, Section 2, Village of Stump Sound, Map Book 27, Page I 1 I
Stump Sound Township, Onslow County, North Carolina
103 OId Village Lane Project is titled to Capital Asset Topsail Development, LLC in Deed Book 6033, Page 71
of the Onslow County Registry. The property consists of one single family lot as depicted as Lot 6, Section 2,
Village of Stump Sound, Map Book 27, Page I I I as recorded on December 20, 1990. The property contains
14,039 square feet or 0.322 acres and has no shoreline along Topsail Sound and the Atlantic Intracoastal
Waterway. The Atlantic Intracoastal Waterway and Topsail Sound are located on 18-87-0.5 and are classified as
ORW(Outstanding Resource Waters), and rest within the White Oak River Basin. The waters of Stump Sound
designated as Primary Nursery Area.
The dwelling on Lot 5 to the west was constructed in 1998 and the dwelling on Lot 7 to the east was constructed
in 2017, as stated on the Onslow County Tax Office records. It is apparent the stormwater from these Iots has
sheet flowed to this vacant lot.
Capital Asset requests to construct a single family dwelling, driveway and pool with pool decking on Lot 6.
During the due diligence of the property, it was determined there was a presence of 404 Wetlands on the lot. The
wetlands were delineated by Mr. Gene Young of Applied Resource Management and confirmed by the United
States Army Corps of Engineers. Plot Plans were created illustrating the proposed construction of the dwelling in
the center of the lot, however, this would impact more wetlands than the USACE allowed, so to avoid and
minimize the impacts the proposed dwelling was shifted westward, therefore reducing the impacts. The USACE
issued a fill permit under SAW-2022-02407 for the filling of 1,528 square feet or 0.035 acres of 404 wetlands.
The Division of Water Quality has issued the 401 Water Quality Certification, DWR # 20221553.
Lot 6 has a total of 8,033 square feet of area within the 575' of ORW. The proposed impervious surface within
the 8,033 square feet is 1,336 square feet or 16.6 %.
Development of the property results in one two story single family dwelling on pilings over concrete slab,
enclosed below for entry, storage and garage. Sewer to be provided through the existing sewer system handled
by Onslow Water and Sewer Authority and water service to be provided by Onslow Water and Sewer Authority.
Land disturbance will be less than 12,700 square feet and will not require a State Erosion Control Plan. When the
subdivision was created in 1990 a State Stormwater Permit was issued and Restrictive Covenants were placed on
record and allowed for 2,500 square feet of impervious surface for Lot 6. As stated on the Survey, Capital Asset
is proposing a total of 2, 377 square feet, which is compliant with the stormwater restrictions.
The proposed development has been designed to comply with all subdivision and zonin uI ti including
re
zoning setbacks. CF: ��
NOV 2 8 2023
tV1- MHo CITY

I have attached a vicinity map, aerial of existing conditions, preliminary sketch of the proposed upland
development.
The project proponent hereby certifies that all information contained herein is true, accurate and complete to the
best of my knowledge and belief.
The project proponent hereby requests that the certifying authority review and act on the CWA 401 certification
request within the appropriate reasonable period of time.
t iiCA
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L_2981
a, SUP FR
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RECFAMD
Nov Y,9HO
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IN MF4
APPLICATION for
Major Development Permit
(last revised 12/27106)
North Carolina DIVISION OF COASTAL MANAGEMENT
9. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
Capital Asset Topsail Development, Llc
103 Old Village LaneO
Applicant 1: First Name
MI
Last Name
Chris
NA
Plaford
Applicant2: First Name
MI
Last Name
NA
NA
NA
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
City
State
1121 Military Cutoff Road, Suite 336
NA
Wilmington
NC
ZIP
Country Phone No.
FAX No.
USA 917 - 588 - 0302 ext.
NA -
Street Address (if different from above)
City
State
ZIP
NA
Na
NA
NA -
Email
[e-mail]
2. AgenWontractor Information
Business Name
Charles F. Riggs & Associates, Inc.
Agent/ Contractor 1: Fast Name
Mi
Last Name
Charles
F
Riggs
Agent/ Contractor 2: First Name
MI
Last Name
NA
NA
NA
Mailing Address
PO Box
City
State
NA
1570
Jacksonville
NC
ZIP
Phone No. 1
Phone No. 2
28541
910 - 455 -
0877 ext. 21
NA - - ext.
FAX No.
Contractor #
NA
NA
Street Address (if different from above)
City
State
ZIP
502 New Bridge Street
Jacksonville
NC
28541 -
Email
[e-mail]
IRMFIE)
Form continues on backs NOV 2 8 202,E

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Onslow
103 Old Village Lane
NIA
Subdivision Name
City
State
Zip
Village of Sturnp Sound
North Topsail Beach
NC
28445 -
Phone No.
Lot No.(s) (if many, attach additional page with fist)
910- - 455 - 0877 ext. 21
1,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
White Oak River
Atlantic Intracoastal Waterway - Stump Sound
c. Is thewater body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade ❑Unknown
Atlantic Intracoastal Waterway - Stomp Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes ❑ No
work falls within.
Town of North Topsai Beach
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
0'
14,039 Sq. Ft.
C. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
14,039, ,
NWL (normal water level)
(if many lot sizes, please attach additional page with a list)
5' ®NHW or ❑NWL
e. Vegetation on tract
Trees and grass, 404 wetlands and coastal wetlands
f. Man-made features and uses now on tract
None
g. Identify and describe the existing land uses adjacent to the proposed project site.
Single family residences
h. How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
R-5
(Attach zoning compliance certificate, if applicable)
®Yes ❑No ❑NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ®No ❑NA
If yes, by whom?
I. is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ®No ❑NA
National Register listed or eligible property?
Form continues on next page> RECE EI)
m,rmoD CITY

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ®Yes []No
(ii) Are there coastal wetlands on the site? ®Yes [-]No
(iii) if yes to either (i) or (i i) above, has a delineation been conducted? ®Yes ❑No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
Existing sewer system handled by Pluris, Inc.
o. Describe existing drinking water supply source.
Onslow Water and Sewer Authority
p. Describe existing storm water management or treatment systems.
All stormwater sheet flows through property.
5. Activities and Impacts
a. Will the project be for commercial, public, or private use?
❑Commercial ❑PubliclGovernment
MPrivatelCommunity
b. Give a brief description of purpose, use, and daily operations of the project when complete.
Enjoyment of single family residence and accompanying pool
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
Excavator to remove trees and stumps, dump truck for hauling of suitable fill and previous gravel, and front end loader for
spreading of suitable fill and pervious gravel. Standard construction for development of residence.
d. List all development activities you propose.
Construction of residence, pool and pervious gravel parking.
e. Are the proposed activities maintenance of an existing project, new work, or both?
New Work
f. What is the approximate total disturbed land area resulting from the proposed project?
0.27 ❑Sq.Ft or ®Acres
g. Will the proposed project encroach on any public easement, public accessway or other area
❑Yes ®No ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
No proposed discharges to the waters of the state.
i. Will wastewater or stonnwater be discharged into a wetland?
❑Yes ®No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water?
❑Yes ❑No ❑NA
j. Is there any mitigation proposed?
®Yes [:]No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (f) are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A listof the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Mr. and Mrs. Paul Phillip Brown Phone No.
Address 105 Old Village Lane, North Topsail Beach, N.C. 28445
Name Mr. and Mrs. Charles Yawn Phone No.
Address 207 Tamarix Court, North Topsail Beach, N.C. 28445
Name Hark Properties, LLC Phone No.
Address P.O. Box 12729, Wilmington, N.C. 28403
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
SAW-2022-02407
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date 11/10123
Print Name _Charles F, Riggs, P.L.S. L-2981_
Signature
Please indicate application attachments pertaining to your
❑DCM MP-2 Excavation and Fill Information
®DCM MP-3 Upland Development
®DCM MP-4 Structures Information
verts
RECEIO
NOV 9, 9 2023
0CM41 HG- city

Form DCM MP-3
UPLAND DEVELOPMENT
(Construction and/or land disturbing activities)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
GENERAL UPLAND DEVELOPMENT
a. Type and number of buildings, facilities, units or structures b. Number of lots or parcels.
proposed. 1 lot
one two story single family dwelling on pilings over concrete
slab enclosed below for entry, storage and garage with
accompanying pool and concrete pool decking
c. Density (give the number of residential units and the units per
acre).
1 residential units, 3.1 units per acre
e. If the proposed project will disturb more than one acre of land, the
Division of Land Resources must receive an erosion and
sedimentation control plan at least 30 days before land -disturbing
activity begins.
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
[-]Yes ®No ❑NA
(ii) If yes, list the date submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and/or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
16.6
i. Give the percentage of the entire tract to be covered by impervious
and/or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
16.9%
j. Describe proposed method of sewage disposal.
Sewer is handled by existing sewer system within the
subdivision handled by Pluris, Inc.
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industrial!
commercial effluent, "wash down" and residential discharges).
Stormwater to sheet flow through property
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
0.27 Acres
f. List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
All surfaces to be pervious with the, exception of the single
family dwelling, concrete pool decking and pool coping
h. Projects that require a CAMA Major Development Permit may also
require a Stormwater Certification.
(i) Has a site development plan been submitted to the Division of
Water Quality for review?
❑Yes ®No ❑NA
(ii) If yes, list the date submitted: _
k. Have the facilities described in Item (i) received state or local
approval?
❑Yes ❑No ®NA
If yes, attach appropriate documentation.
m. Does the proposed project include an innovative stormwater
design?
❑Yes Ni ❑NA RFCFIVFD
If yes, attach appropriate documentation.
NO 2/�6M3
it 1CpYr,-'wHL.i C ITY

m. Describe proposed drinking water supply source (e.g.. well,
community, public system, etc.)
Onslow Water and Sewer Authority
o. When was the lot(s) platted and recorded?
December 20, 1990
11 / 10/23
Date
103 Old Village Lane
Project Name
Capital Asset Topsail Development, LLC
n. (i) Will water be impounded? ❑Yes ❑No ®NA
(ii) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
❑Yes ❑No ®NA
RECEIVED
.NOV 4 8 2023
DM�� HU -Cl�

Page 1 of 4
Type: CONSOLIDATED REAL PROPERTY
Recorded: 9112/2023 1:14:04 PM
Fee Amt: $394.00 Page 1 of 4
Revenue Tax. $368.00
Onslow County, NC
Omega K. Jarman Reg. of Deeds
BK 6033 PG 71 - 74
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $16B.00 Recording Time Book and Page set forth above
This instrument prepared by: Gaylor ) divards & Vatcher, P.A.,Licensed North Carolina Attorneys
Tax Parcel. rD N o(s).: 050468
Brief description for index: Lot 6, Village of Stump Sound, Sec. 2, Map Bk 27, Pg 111
The hereinafter described properly does xx does not include the primary residence of Grantor.
THIS DEED made this-{�, day of September, 2023 by and between:
GRANTOR:
Thomas W. Kaugher and wife, Elizabeth
Dubovsky, MD, Trustees under the Kaugher
and Dubovsky Family Trust Agreement, dated
\clay 6, 2019
Mailing ling address:
117 N_ Jay Street
Middleburg, VA 20117
GRANTEE:
Capital Asset Topsail Development, LLC,
a North Carolina limited liability company
Mailing address:
1121 Military Cutoff Road, Suite C :336
Wilmington, NC 25405
The designation Grantor and Grantee 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 the Grantor, for a valuable consideration paid by the Grantee, the receipt and
sufficiency of which is hereby acknowledged, has and by these presents does grant, bargain, sell, and
convey unto the Grantee, in fee simple, all that/those certain tract(s), lot(s) or parcel(s) of land, situated in
Stump Sound Township, Onslow County, North Carolina and more particularly described as follows:
Being all of Lot 6, as shown on a reap entitled, "Final Plat Section 2, Village of Stump Sound," dated June
21, 1990, prepared by Siteworks Design Group, P.A. and recorded in Map Book 27, Pages 111 -111B, in the
Office of the Register of Deeds of Onslow County, North Carolina.
Subject to Declaration of Restrictions, Conditions, Faserrlents, Covenants, Agreements, Liens f
of Restrictive Covenants recorded in Book 1003, Page 13, Onslow County Registry, as amended.
1 Submitted electronically by "Gaylor Edwards vatcher LawFirm"���� ��J
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the onslow county Register of needs.
Book: 6033 Page: 71 Page 1 of 4 Book: 6033 Page, 1977-Current: 71 Seq: 1

Page 2 of 4
The property herein above described was acquired, or is a portion of the property acquired, by Grantor by
instrument recorded in: Book 4980, Page 754, Onslow County Registry.
TO HAVE AND TO HOLD the aforesaid tract(s), lot(s) or parcel(s) of Iand and all privileges and
appurtenances thereto belonging to the Grantee, in fee simple.
THE GRANTOR COVENANTS WITH THE GRANTEE, that Grantor is seized of fee simple title to the
premises, has the right to convey fhe 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 except for the exceptions hereinafter stated.
Title to the property herein above described is subject to the following exceptions:
Property taxes for the year 2023 and thereafter; restrictive covenants, and utility easements of record, and
matters shown on any recorded map or plat of the above described property.
IN WITNESS WHEREOF, the Grantor has hereto set his/her hand and seal, or if corporate or other
entity, has caused this instrument to be executed by its duly authorized partner(s), manager(s), trustee(s)
or officer(s), the day and year first above written.
Thomas W. Kaugher and wife, Elizabeth Dubovsky, MD,
Trustees under the Kaugher and Dubovsky Family
Trust Agreement, dated May 6, 2019-
Br�z__ - V,
Y• 1
Thomas W.
BY=
J:N'4PD0051 :EVFORM,DE�-DS',,KAUGHER & DL 0VSKY TRGST_CATD.LT 6.wpd
I
Dubovsky
Trustee
RECEWED
NOV 2 FiIM
DUA- WiD CM
Book: 6033 Page. 71 Page 2 of 4 Book: 6033 Page, 1977-Current: 71 Seq; 2

Page 3 of 4
STATE/CONMONWEALTH OI; VIRGINIA
COUNTY/CITY OF r1
I certifv that the following person(s) personally appeared before me this dav, each acknowledging to me
tha L he or she voluntarily signed the foregoing document for the purposes stated therein and in the
capacity(ies) indicated: Thomas W. Kaugher and Elizabeth Dubovsky
Date: September \� 2023
!Of-dal
SignatureofNotary)
(Notar'y'S printed or tWea name)
My commission expires: C Z—A
J:WoPD0CSNGrVFpRuIDEEDS IKAUGHER & DUSOVSKY TRUST..G}TMIT 6,wx
(Official Stamp ar Sea!)
PATRICIA R. SOPHIA
NOTARY ?USuC
�of ��h*
�Y Coromtaaion E,4. - q��\��
gFC'F1 FD
Nod ?.8 2023
CATY
Book: 6033 Page: 71 Page 3 of 4 Book: 6033 Page, 1977-Current: 71 Seq: 3

Page 4 of 4
DEPARTMENT OF TAX ADMINISTRATION
Tax Certification Form
(Check One Box)
❑V This certifies that there are no delinquent ad valorem taxes, or other
taxes which the Onslow County Tax Collector is charged with
collecting; that are a lien on:
Parcel Identification Number:
050468 GRANTEE: CAPITAL ASSET TOPSAIL
DEVELOPMENT,LLC
This is not a certification that this Onslow County Parcel
Identification Number matches the deed description.
No certification required, as attorney statement that any delinquent
taxes wilI be paid from closing proceeds is included on first page of
deed, and the assessor has obtained the desired information from the
conveyance {G.S. 105-303).
Balance due on account. It must be paid to Onslow County Tax Collector. � � �
Please make payment within 5 days of closing.
Betsy R Brothers Dig altvs�redbyBetsy RBmthers 09/1212023
C•a-.e: 2023,09.12 11:38 C3 -[WC0
Tax Collections Staff Signature Date Ilm-wo1
❑ This parcel may have deferred taxes which became due upon transfer of the
property. Call the Tax Office; Land Records Division at 910-989-2204 for
more information.
234 'W Corridor B vc - Jacksonv;]e, Norti Caroiina - 2-8540 - Phone: [phone] - Fax: [phone]�s10wCour1 y.NC.auv/tax
Book: 6033 Page: 71 Page 4 of 4 Book: 6033 Page, 1977-Current: 71 SegI 4

LIMITED LIABILITY COMPANY ANNUAL REPORT
11612022
NAME OF LIMITED LIABILITY COMPANY: CAPITAL ASSET TOPSAIL DEVELOPMENT, LLC
SECRETARY OF STATE ID NUMBER: 2009572 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2022
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: CT Corporation System
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
20D9572
CA202211203241
4/22/2022 C2:46
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200
Raleiqh, NC 27615 Wake County
160 Mine Lake Ct Ste 200
Raleiqh, NC 27615
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: RFAI F.RTATF
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
5. PRINCIPAL OFFICE MAILING ADDRESS
1121 Military Cutoff Rd Ste C336 1121 Military Cutoff Rd Ste C336
Wilminqton, NC 28405 Wilmington, NC 28405
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Chris Plaford
TITLE: Owner Mana
ADDRESS:
r
1121 Military Cutoff Rd Ste C336
WILMINGTON, NC 28405
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
RFCF9 D
,NOV 2 8.2023
DCM-'1WHO CITY
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Chris Plaford 4/22/2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Chris Plaford Owner Manager
Print or Type Name of Company Official Pant or Type Title of Company Official
This Annual Report has been filed efectronically.
MAIL TO: Secretary of State. Business Registration Division, Post Office Box 29525, Raleigh, NO 27626-0525
■

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRAXTON DAVIS
Director
January 17, 2024
MEMORANDUM:
�nEQ
NORTH CAROLINA
Environmental Quality
FROM: Cameron Luck, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Avenue, Morehead City, NC 28557
Fax: [phone] (Courier 11-12-09)
cameron.luck(caNCDENR.gov
SUBJECT: EXPRESS CAMA MAJOR
Applicant: Capital Assets Topsail Development LLC
Project Location: 103 Old Village Lane, North Topsail Beach, Onslow County
Proposed Project: The applicant proposes to construct a single-family residence with covered and
uncovered decks, 404 wetland fill, grading, pool with decking, and landscaping.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Cameron Luck at the address above by February 1, 2024. If you have any
questions regarding the proposed project, contact Heather Styron (252)-515-5400 when appropriate, in-
depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
**Additional comments may be attached**
This agency has no comment on the proposed project.
PRINT NAME
AGENCY
SIGNATURE
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
DATE
E Q North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
NORTH CAROLINA -
.e ..e t of en.troome W mail /� 910.796.7215

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