Kilgore, John

Oier'(dodk) Length
Other
. . .......... ....... ----------
This .pL.rm'
t, is sub)ect to compliance wi
th this application, site drawing
And attached general And specifi 0 c conditions. Any Violation of these terms
May subject th"e permittee to a fine, imprisonment or civil action; and
applicant's signature

To Whom It May Concern:
I r I Of"e� 've P ermission to dc i' C"Iqrkv- to
act as agent in noehalf in obtaining a CAMA General Permit to place sandbags as
a temporary er ion con 1 s tore in front of In property located
at®S.- _ in the town of
I have read the specific conditions in 15A NCAC 7H.1700 and understand that by
receiving such a permit, I will be responsible for the removal of remnants of all or
portions of any a ed sandbags, and that the sandbags may remain in place for
up to two / after the date of permit approval. Once the temporary erosion
control structure sandbags) is determined to be unnecessary due to the relocation or
removal of the house, the bags must be removed within 30 days.
I also understand that the removal of the sandbags shall not be required if they are
covered by dunes with vegetation sufficient to be considered stable and natural two
years from permit approval date.
Authorized Signature
Date

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Join &UgOM, OWnMt 8t IUS SoM Court in hmeraW Isle. NC vennfam to
add 30 additional feet of ode nt hie evnmp nrntn my nrnnPrfy
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.9
Apr-62-02 04:10P JOHN KILGORE 252-354-2483 P.01
tLr-Vx I IV04 t.,ILrl I Ir14H I C
FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM
Ihill form r t Pr I-IRM IA,n , mtnel wun PoY,l FIIIM •uir•,
S t0 t)B 01t!d (Or t, Ausl-FInM construction only when flea base flood in/onnation a, evadable for the building alto. anti el e- hti�� tit y
InelrucUorts (Or cumoletinu 11+1s Form can oe luund un the reWrBi S O#
John Moors Kilgore
BUILDING OWNER-S NAME
103 Boa * CS.
STREET ADDRESS - — " ---� -
Apt -Al n t- to- I ..9 ROUTE BOX NUMBER
lot 27 S sot e B Blk. 53 "Effi+L WLD ISLE Hi THE SEA"
OTHER DESCRIPTION (Bleak and let numbers., etc.)
&eirald Isle 11.13e 28594
CITY -" I CODE
This form is to be 001"plefed by a land surveyor. engineer, or arahitecf who is aufhoeized by state law to cerdlyalevatton information when the elevation
intormabon for zones Alf-A30. AE, AH, A(with BFE), V 1.V30, VE, and V(with BFE) is required. in the case of zone AO, the building official, (Me tiroperf),
owner, or the owner's representative should complete the information in Section I and may a1SO pomplefe the certification. Community ofrici24 who AM,
authorized by local law or ordinance to provide fteodplain management information may also complete this form. _
SECTION I RUILOING ELEVATION INFORMATION
1. Using the Flood Insurance Manual or the NF1P Flood Insurance Application —Part 2 Worksheetr indicate the proper diagram number. s
2. FIRM Zones AI•A30, AE, Ali, and A (with 8FE), The top of the reference level floor from the selected diagram is at an
elevation of 13.00 feet NGVD. (or other datum -see #5)
3. FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level floor from
the selected diagram is at an elevation of feel NGVD (or other datum -see N5),
4. FIRM Zone AO. The floor used as the reference level from the selected diagram is L,ij feet above highest natural grade next to
the building (also enter in line 8). This value must be equal to or greater than the AO Zone flood depth number listed below It Flo
flood depth number is available, is the building's lowest floor (or reference level) elevated in accordance with the community's
floodplain management ordinances? ❑ Yas ❑ No ©unknown
5. Indicate the elevation datum system used In determining the above reference level alevations:® NGVO ❑ Other (describe on back)
6. Indicate the elevation datum system used on the FIRM for base flood elevations; ® NGVD n Other (describe on back)
(ATTENTION., it the elevation datum used in measuring the elevations is different than that used on the FiRM, then the elevations provided
must be converted to the datum system used on the FIRM,}
7. Is the reference level based on actual construction? ®Yes ❑ Noe
A "Nor' answer is only valid if the building does not have the reference level floor in place. Fill in the elevation based on constrr.i;
Lion drawings and do not complete question 08 If "No" is checked, this cenificallon Will be valid only for buildings in the course Of
construction. After construction of the reference level floor is completed, a post -construction elevation certificate will be requiratl far'
continued flood Insurance coverage.
8, Provide the following measurements using the natural grade next to the building (round to the nearest foot).
a. The reference level is: b. The garage floor (if applicable) is;
feet IN ❑ below (check one) the highest grade, LJ feet Cl above ❑ below (check one) the highest grade,
�.. ❑ feet ®above ❑ below (Check one) the lowest grade. (..LJfeet v above U below (check one) the lowest qrado.
SECTION II FLOOD INSURANCE RATE MAP INFORMATION
Provide the following from the proper FIRM (see Instructions on back -Date of FIRM) and accompanying insurance application:
COMMUNITY No. PANEL N I KfI%tx'lQl3 Ro'EtiTiRl1T6R�u�xLQQD
(In AO Lone, use depth) ELEVATION ESTABLI HED FOR LONE •
OR EST V.
IF AVAILABLE
370047 0001 C 3�5 a12 121
Elevation reference mark used appears on FIRM [N Yes ❑ No (Sae reverse side for details) �.,.
SECTION III CERTIFICATION
his certification is to " s gne 0y a an surveyor, engineer, or arc ec who s authorized y state low o certl elevation information whorl d
0avation information for ron�e A1430. AE. AN, A(wirh 8FE), V1-V30, VE, and V(with 8FE) is required. In the case of mne AO. the bwldirtg officiiai, flrk
pfoperty owner, or (he owner's representative can sign the certification. Community officials who are au hofFted by local law or ordinance to provide
IloodplaFn managemenf Information, may also sign the certtficallon. i cortily that the information on this certillcaf r tupre5rents my best efforts in rnfern.'el
the data available. I undersfartd ltiat any false sfafement may be punishablvoy tine or Im fisonment linger 18 U.S. Code, Section 1001
Pate D. Phillips L-2640
Registered Land Surve�ror Pate Phillips and kasociatesit P.A.
TITLE COMPANY NAME
P.O. Box 214 Smansboro N.C. 2804
ADDR �iIT 1�STATE ZIP
10-22-90 _ (919)326-•1101
SIGNATURE — — - DATE PHONE -
The Insurtrtee agent should ataeh the on trial copy at the completed form to the flood inwrrnes potloy, ripplieetivn• The second copy should be supplied to the
p011cyholde► and the third copy rat■load by the nt. The fourth cop y for ttN lietal cantmunity, permit office, 11 required.
FOA OPTIIrO^^1NAL COMMUNITY USE: Is the reference level also the lowest floor udder
DYES UNO 11 NO the elevation of the lowest floor is feet NQVD.
management ordinbnc*s'r
593-117 (6/87)

Rpr-02-02 04:10P JOHN KILGORE
z..
252-354-2483 P.02
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REFERENCE
L7r Z7 5&cT U OLK.53 ��R•/�Y �oK
EMLRds.t7 15Le EYYHE 5�"
M-R. B 3 %..Aerf-REr & v
I, Pat. D. Phillips hereby certify that l M
this Map is correct and that ( � K I L
` �-` �v 1 I �%��7�� Cq Q K— L—
*W (the encroach., nb on said lot are
of shown above). E-:-MPP-pA - i' ISLG- t A VTE 4EY 6P • ) ►.J , G.
_•'_�Q� .CAR Ii•ra� f ! A �tc- i"= 4o' o�� az) 1990
PATE PHI LLIPS and ASSOCIATES, P.A.
swansboro, n. c. 28584
Project No.90.7-73