47486D - Luhrsen

DCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
{New ❑Modification ❑Complete Reissue []Partial Reissue
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources -^ J�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
F6-1 Rules attached
Applicant Name /t~iJ/ ,eP zel t''.S'P/,
/
Address
City State AN' ZIP 2W.?
IX
Phone # ) 2:59 . Vf6 Fax # (`)
Authorized Agent
Affected ElCW r:�,EW El -TA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
i
ORW: yes /,no PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
, ' 1 Gvt /
Subdivision)"�^,�7rs
City -,2,! 4--y ZIP
r` r
Phone # O->'^r't'*� River Basin
Adj. Wtr. Body n t man unkn
Closest Maj. Wtr. Body
Type of Project/ Activity ; y
(Scale:
Pier (dock) length
Platforms) �% X /7 - - — — —I -
Finger piers)
Groin length --1--
number
Bulkhead/ Wprap length
avg distance offshor ! e
max distance offshore
Basin, channelV�
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
.Other
-- --
_
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Shoreline Length SAM not sure yes no
Sandbags: not sure yes no — ,❑
Moratorium: n/a yes flo J
Photos: yes iho
Waiver Attached: 7,y s no
A building permit may be required by: ,P
Notes/ Special Conditions (r /
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l4,>�'�//� t�L�
❑ See note
✓ 7� r�l
on back regarding
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River
�� �� ��
Basin
hG
rules.
t�
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Agent o (applicant PrintedZINamr
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Perrr)kOfficers ignature
Issuing Date
f� � �.
&piration Date
IJ
011 r� rs
Local Planning jurisdiction
Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules J Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

p
ZCAMA/ DREDGE & FILL
Ne /V
w Modification Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources J ,l
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ff •/�Q�
s attached.
it Name // k "l 5j+044• ZII �j Rule 1h rj''n Project Location: County ,t- v' / t10v/l
4//y BU«Nets Ad, Street Address/State Road/Lot#(s)
fit//11$//17 i+► State , 'f ZIP zoo.? 6444i,
Or) • SC•065 Fax#( ) ^'— Subdivision ///i/*s COW
zed Agent City ,/1r!•+t/ ZIP -i
i RCW jEW F'ICTA ❑ES ❑PTS Phone# ( ) •e7fr^'f/ River Basin 6ElOEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body `, 4{f4 e'/'«1 nat
❑PWS: ❑FC:
yes / PNAel no Crit.Hab. yes / no Closest Maj.Wtr. Body 'PA 6s�i1
f Project/Activity C i$t"Yee,,,a,z D f I a/2/-4W D/�j-/ ,/,,7��..y
ck)length )$8 k L ' 1 lr f v 1. (Scale: /
GCS)E12
�L /41 { i Lp a -�
g distance offshore /
ax distance offshore ---
hannel V'
ibic yards / i _._ ,_.
cC ,
mp i... t .f it 28 Y�
-- - -.
use/Boatlift i � �-�-
L17 >
lulldozing i t,X - i i
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/fin tee
ie Length A.7!/ 1 ? {. __. Z
not sure yes 1 I
(no, _. 1_.f.. t
:s: not sure yes �i'o 7 1-n ......1 -i -_
um: n/a yes ..
yes ® , ,' ,I.' t 46444f frj f P • ; ' !
Attached: ye/ no ! i i l 1 I i i 1

DIRECTIONS FOR OBTAINING A CAMA GENERAL
PERIMIT for a PIER, DOCK, BOATHOUSE/LIFT
To obtain authorization to construct a pier, you must submit the following items to your
CAMA Permit Officer:
1. Signatures of no objection to the pier, from both adjacent riparian property
owners.
Fill out the attached forms, complete with drawing of the proposed
pier, and have your neighbors sign and date in the appropriate
3)-(0 place.
F. lk-we) / If your neighbor will not sign the form, or lives out of to
wnyou
may send the form to him, certified mail/retum receipt, d'10 days
EC I V E D after their date of receipt (which is listed on the green cards
WILMINGTON, NC returned to you by the Post Office) the permit can be issued, even if
no response has been received.
JAN 1 9 2007
If any part of the proposed pier is located wit}';•-' 15 fee: of t ,e
RECEIVED Riparian Access Corridor line, the applicable neighbor must check
M WILMINGTON, NC the box to waive the 15 feet setback requirement. A signed form.
FEB 1 6 2007 without this box checked, does not constitute a waiver
The Riparian Access Corridor is not the extension of property lines
out into the water. It is established by two imaginary lines that
extend at a 90° angle from the channel of the waterbody to the
highground property corners. Your Local Permit Officer can help
you in determining your Riparian Access Corridor. In some cases,
a survey may be required.
2. Scale drawing of the proposed pier. Your drawing must include the following
information (see attached example drawing):
17 cr. Your name and project address j v w N 4 Ai-BERT Te w e L L
41,4 B ueei4 0%) R D
Names of adjacent property owners
ek l oiv") O155°
Width of property and name of the waterbody

General Permit for Piers
Page Two
Width of the waterbody (this is the measured distance from the
waterward edge of the marsh grass on your side of the waterbody
to the waterward edge of the marsh grass on the other side of the
waterbody)
Water depth at low tide, at the end of the proposed pier
Distance from the end of the pier to any federally maintained
channel, if applicable. This information can be obtained by
reviewing the channel survey maps at the US Army Corps of
Engineers District Office, 69 Darlington Avenue, Wilmington,
North Carolina
5. Once you have this information you should contact your CAMA permit officer
and arrange an appointment to meet you on the property and evaluate your
request. When you receive your permit, take it to your building inspector to
obtain a building permit. This authorization is only valid for 90 days, contact your
CAN1_A Permit Officer if for some reason you cannot complete the construction
within this time period. The CAMA Permit Officer will inspect the finished pier
to assure compliance with the submitted drawing and all conditions of the permit.
4. Do NOT mail information to the Wilmington Office.
Call J�'IGr�r 79G — ., /��
S at 910- y-=: g to arrange an on-site appointment.
(
5. Cost:S 100.00,1 v 41
P + ' 2006
Attached: Sample Drawings
15A NCAC 07H.1200
Riparian Property Owner Letters
s:\cama\shells\pier.dir
p7 C14ROI J

07H .1203 PERMIT FEE
The applicant shall pay a permit fee of two hundred dollars ($200.00) by check or money order
payable to the Department.
History Note: Authority G.S. 113A-107; 113A-113(b); 113A-118.1; 113A-119; 113-119.1;
113A-124;
Eff March 1, 1984;
Amended Eff. September 1, 2006;August 1, 2000; March 1, 1991.

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SECTION.1200-GENERAL PERMIT FOR CONSTRUCTION OF PIERS:DOCKS:AND BOAT HOUSES
ESTUARINE AND PUBLIC TRUST WATERS AND OCEAN HAZARD AREAS
15A NCAC 07H.1201 PURPOSE
A permit under this Section shall allow the construction of new piers,docks,and boat houses in the estuarine and public tr
waters AECs and construction of new piers and docks within coastal wetlands AECs according to the authority providec
Subchapter 073.1100 and according to the Rules in this Section. This permit shall not apply to oceanfront shorelines or
waters and shorelines adjacent to the.Ocean Hazard AEC with the exception of those shorelines that feature characteristics
the Estuarine Shoreline AEC. Such features include the presence of wetland vegetation, lower wave energy,and lov
erosion rates than the adjacent Ocean Erodible Area.
History Note: Authority G.S. 113A-107(a); 113A-107(b); 113A-113(b);;113A-118.1; 113A-124;
Elf March 1, 1984;
Amended Eff April 1,2003.
•
15A NCAC 07H.1202 APPROVAL PROCEDURES
(a) The applicant must contact the Division of Coastal Management and complete an application form requesting approval
development. The applicant shall provide information on site location,dimensions of the project area, and his name a
address.
(b) The applicant must provide:
(1) confirmation that a written statement has been obtained signed by the adjacent riparian property own,
indicating that they have no objections to the proposed work;or
(2) confirmation that the adjacent riparian property owners have been notified by certified mail of the propos
work. Such notice shall instruct adjacent property owners to provide any comments on the propos
development in writing for consideration by permitting officials to the Division of Coastal Manager-;;
within 10 days of receipt of the notice,and,indicate that no response will be interpreted as no objecnc
DCM staff shall review all comments and determine.based on their relevance to the potential impacts
the proposed project,if the proposed project can be approved by a General Permit. If DCM staff finds d
the comments are worthy of more in-depth revie:v,the applicant shall be notified that he must submit
application for a major development permit. •
(c) Approval of individual projects shall be acknowiedaed in writing by the Division of Coastal Manacement and t
appiicant shall be provided a copy of this Section..
Qd) Construction must be completed within 90 days of the approval of the permit or the permit expires.
(e) Any modification or addition to the approved project shall require prior approval from the Division of Coas
Management.
History Note: Authority G.S. 113A-107(a); I13A-107(b); 1I3A-113(ot: 113.4-118.1; 113A-124;
Eff March 1, 1984;
Amended Eff August 1, 1998;January 1, 1990.
15A NCAC 07H .1203 PERMIT FEE
History Note: Authority G.S. 113A-107; 113A-113(b);113A-118.1;;113A-119;113-119.1; 113A-124;
Eff March 1, 1984;
Amended Eff August 1, 2000;March 1. 1991.

•
(b) Individuals shall allow authorized representatives of the Department of Environment and Natural Resources to ma
periodic inspections at any time deemed necessary in order to be sure that the activity being performed under the authority
this general permit is in accordance with the terms and conditions prescribed herein.
(c) There shall be no unreasonable interference with navigation or use of the waters by the public by the existence of pie
docks and boat houses.
(d) This permit will not be applicable to proposed construction where the Department believes that the proposed activ
might unnecessarily endanger adjoining properties;significantly affect historic,cultural,scenic,conservation or recreati
values, identified in G.S. 113A-102 and G.S. 113A-113(b)(4),nor that might significantly affect the quality of the hum
environment.
(e) This permit does not eliminate the need to obtain any other required state, local,or federal authorization.
(f) Development carried out under this permit must be consistent with all local requirements,AEC Guidelines,and local la
use plans current at the time of authorization.
History Note: Authority G.S. 113A-107(a); 113A-107(b); 113A-113(b); 113.-I-118.1; 113A-124;
Eff March 1, 1984;
Amended Eff. May!, 1990;
RRC Objection due to ambiguity Ef.May 19, 1994;
Amended E}f.August 1, 1998;July 1, 1994.
ha NCAC 07H.1205 SPECIFIC CONDITIONS
(a) Piers,docks,and boat houses may extend or be located up to a maximum of 400 fee:w•atercard from the normal h;
water line or the normal water level,whichever is applicable.
(b) Piers,docks,and boat houses shall not extend beyond the established pier length along the same shoreline for similar u
This restriction shall nor apply to piers 100 feet or less in length unless necessary to avoid unreasonable interference w
navigation or other uses of the waters by the public such as blocking established navigation routes or interfering with act
to adjoining properties. The length of piers shall be measured from the watervard edge of any wetlands that border the:va
body.
• (c) Piers longer than 200 feet shall'ce permitted only if the proposed length gives access to deeper water at a rate of at le
one foot at each 100 foct increment of pier length longer than 200 feet.or if the additional length is necessary to span-so
oCsr rc:Ion to navigation. Measurements to determine pier lengths shall be made from the wateruard edge of any coa'
wetland vese:ation,which borders the water body.
(d) Piers and docks shall be no wider than six feet and shall be elevated at least:I ree fee:above any coastal wetland subsa
as measured from the bottom of the decking.
(e) An.;portion of a pier(either fixed or floating)extending from the main sir.cn:rc and six fee:or less in width shall
considered either a"T"or a finger pier.
(f) Except in the case of boat houses,any portion of a structure(either fixed or floating)greater than six feet wide shall
considered a platform or deck.
(g) "T"s,frrger piers,platforms.and decks of piers on lots with shorelines 100 feet or greater in length shall not excee
combined total area of 400 square feet. The combined total area for lots less than 100 feet shall not exceed four square i
per linear foot of shoreline.
(h) Platforms and decks shall have no more than six feet of any dimension extending over coastal wetlands.
(i) The*'idth requirements established in Paragrt hs(d)i(e),(f),(g)and(h)of this Rule shall not apply to pier structure:
existence on or before July 1,2001 when structural modifications are needed*to prevent or minimize storm damage. In th
cases,pilings and cross bracing may be used to provide structural support as long 3s they do not extend more than of two
on either side of the principal structure. These modifications may not be used to expand the floor decking of platforms
piers.

•
(m) Pier alignments along federally maintained channels must also meet Corps of Engineers regulations for pier constructioi
pursuant to Section 10 of the Rivers and Harbors Act.
(n) Piers,docks,and boat houses shall in no case extend more than 1/4 the width of a natural water body,human-made cana
or basin. Measurements to determine widths of the water body, human-made canals or basins shall be made from ail
waterward edge of any coastal wetland vegetation which borders the water body.The 1/4 length limitation shall not appl;
when the proposed pier is located between longer piers within 200 feet of the applicant's property. However,the propose;
pier shall not be longer than the pie
.: =-« �� head line established by the adjacen
:- --r s;, �; 1 , b piers,nor,longer than 1/3 the width o
al
.^>t, >?t ++.�r't• 5i Z rtgr- ,. 1 '.yam .'4. ' g
' ilk- z=3 t :i'co3 t n y� the ware:body.
'' .-, <��o r t
, a ' xr`Tt '` � t -, (o) Piers,docks and scat houses steal
tit .; ••—•�6 .�•g y ` :--�� not Inrerz:e with the access to ar.r, `,% . ri'—''sue-. �� `�� . -1, Pi. _ riparian property, and shall have
\t \" \Y' �-4,.. �� z`' minimum setback of I feet be^.rze;
w \i � �jam ��`1
+'=' ;,/ �ti.,a �_sv \ ,, any part of the pie: and the ad'a
=.__5,-. '� � , "" \�\\\ ja i cee
�.., property lines extended into the ware
�,' ��\��\\.
��\ ' at the points that they intersect th
• shoreline. The minimum setback
f��,. . .:, �- ,ti y;,z: �...,:� provided in the rule may be waived b
.. a;tip..;.._—:�l
r, ,"-". .er.._ :to- j.:.. 2, �s,:�'•` thew , e.
_a_� p ,�-, ,.r• � jripen agree.;.nt of the adi..__.
T: .. F Y, �r �-._ , . f riparian, ow
ner(s),'' ;,,�• o ner(s), or when tw
a' :_ adjoining riparian owners ar
.,T.,. - i co-applicants. Should the adiace:
;�x� ...i ,�► ,,, property be sold before construction c
�";z ir�:i S' the pier commences.the applicant sha
_:r_'�1
t: l - ;�"t \.�����\ obtain a written agreement with th
`'�` � \� / \.\\\��, ne•.v owner waiving the n-ilnitr."
. �•\� N/ g.?-,_S\` setback and submit it to the Division c.
•
Coastal Management prior to initiatin
any development of the pier, dock. c
1:.�'? i3:fi:: ,; -'`-- - boat house. The line of divisier c
e►.nn,�_ f:'T:-..rho- � I RIPARIAN 5 1RF.iS
r`'^'--' fir= r areas of riparian.. access shall C
11•J: �100 {L i. �;,:;;;rl.__:L:r _-1 , r� established by drawing a lire alor._:`
- r-1 _ `J �:I ".r; ;.:,.• PPOIECT AREA c^arre! or deco water in front--..1 .. .._ ,-.-_ of t,
_ +' �t•.://p..r_:�= prope thenir,Q,7.-- - ^.i _ -r1./!• .-'.- t _ EDGEOFCNANtiE1GR d:a..v - a lit
-.1'=, ;,.'�- ' -- DEEP WATrR pe-perdic:aar to the line of the char.::
p'. �ji1t.. \\�\\\�\ I PROPERTY LINE :
, k,., , 1 so that it intersects with the shore at t:
�; '::-\*�`: i RIPARIAN LIMIT point the upland property line met.;;1
;'.: ��\� \ I �� MEAN HIGH 1%':1TER '.safer s edge.. Application of this Ru
• L -• s'\' •\"'N' �_ may be aided by reference to ti
a WATER
'T •approved diagram in Paragraph (r)
this Rule illustrating the rule as apcii;
to various shoreline configuratior
Copies of the diaera.- l:e
from the Division of Coastal Management. When shoreline configuration is such that a perpendicular iig•..:ent cannot
achieved,the pier shall be aligned to meet the intent of this Rule to the maximum extent practicable.
(p) Piers,and mooring facilities shall be designed to provide docking space for no more than two boats.
(o) Applicants for authorization to construct a dock or pier shall provide notice of the permit application to the owner aril

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORK
Name of Individual Applying For Permit: rA L L Rr 4 SO RN F RAuQ.S J E �L
Address of Property: A1 1 y IU CC A nl R Rb .
(Lot or Street#, Street or Road)
L tLr jGTOn'1 NEW t-tO1Jovkr .
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indi
applying for this permit has described to me as shown on the attached drawing the developme;
are proposing. A description or drawing, with dimensions, should be provided with this let
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access unless waived by me. (
wish to waive the setback, you must initial the appropriate blank below.)
/040 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
- _ 0,144 /6' 2,00-7
Sign Name Date
D et) rtl OL:_35 04,/

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: r LB e? o p.N FIZ HN e,'s TE W e I
Address of Property: L/j 13 kce_>-N e e R R
(Lot or Street #, Street or Road)
L iNA ►J 6:T 0 l3 Nei H 1'i .o V E R
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development tl
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this ro osal.
J P P
If you have objections to what is being proposed, please write the Division of Coas
Management. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3S
within 10 days of receipt of this notice. No response is considered the same as no objectioi
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifv
wish to waive the setback, you must initial the appropriate blank belotiti )
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
RECEIVI
DCM WILMINGT
FEB l 6 20
Sign Nan r'e ` ��i Date

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Peiu.iit: O\ .�� c v' "`nv1.4z‘,1 `, 1 r-S
Address of Property: l %--1 .6 vC-c. A AJ P Q
(Lot or Street#, Street or Road)
(City and County
I hereby certify that I own property adjacent to the above-referenced property. The indil
applying for this permit has described to me as shown on the attached drawing the developmer
are proposing. A description or drawing, with dimensions, should be provided with this lets
✓ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
1-/,r-D7
Sign N me Date
6e0,--re. /s �cw4�S�r
Print Ndifie AA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ON ; .- 5 "A,,,,t13.,\ 1,v L e S c�
Address of Property: LI 1 y Q A ` C
(Lot or Street #, Street or Road)
W ;\ V" V1 l./Gr l l CA
(City and County)-I
I hereby certify that I own property adjacent to the above-referenced property. The indi'
applying for this permit has described to me as shown on the attached drawing the developmer
are proposing. A description or drawing, with dimensions, should be provided with this let
x'A,() ✓ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Ci
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, break-water, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (
wish to waive the setback. you must initial the appropriate blank below.)
V 60 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
c cL} 0 a- t5ram, o.7
Sign Name Date
rDcstO 4 . OL Soa)
Print Name 4 �

RTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
ergency Management Agency Expires February 28.
iod Insurance Program Important: Read the instructions on pages 1-8.
SECTION A-PROPERTY INFORMATION For Insurance Company U
ing Owner's Name Albert Jewell&Joan N. Francis Policy Number
ing Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number
sneer Rd.
Wilmington State NC ZIP Code 28409
arty Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
-ates Cove Subdivision,Map Book 10,Page 48,Parcel ID#: R06218-001-003
ing Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential
ide/Longitude: Lat.3411'28.4" Long.77'51'31.6" Horizontal Datum: 0 NAD 1927 ® NAD
,h at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
ing Diagram Number 8
I building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide:
square footage of crawl space or enclosure(s) 2370sq ft a) Square footage of attached garage 658
lo.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached gai
nclosure(s)walls within 1.0 foot above adjacent grade 1 walls within 1.0 foot above adjacent grade 0
'otal net area of flood openings in A8.b 135 sq in c) Total net area of flood openings in A9.b 0
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Community Name&Community Number B2.County Name B3.State
Imington 370171 New Hanover NC
/Panel Number B5.Suffix B6. FIRM Index B7.FIRM Panel B8.Flood B9. Base Flood Elevation
Date Effective/Revised Date Zone(s) AO,use base flood d
20314600 J 6/2/2006 4/3/2006 AE 10'
ate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
] FIS Profile ®FIRM ❑Community Determined 0 Other(Describe)
ate elevation datum used for BFE in Item B9: ❑NGVD 1929 Z NAVD 1988 0 Other(Describe)
building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes No
gnation Date ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
ig elevations are based on: 0 Construction Drawings* ❑Building Under Construction' ®Finished Construction
v Elevation Certificate will be required when construction of the building is complete.
Lions—Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items
according to the building diagram specified in Item A7.
imark Utilized Local BM Vertical Datum NAVD 88
;rsion/Comments None
Check the measurement used. H EC
f bottom floor(including basement,crawl space,or enclosure floor)_ 7.3 ®feet 0 meters(Puerto Rico only) DCM U/I LA
'op of the next higher floor 10.5 ®feet 0 meters(Puerto Rico only)
lottom of the lowest horizontal structural member(V Zones only) NA. ❑feet 0 meters(Puerto Rico only) FEB
attached garage(top of slab) 8.5 ®feet ❑meters(Puerto Rico only)
.owest elevation of machinery or equipment servicing the building 7.4 ®feet 0 meters(Puerto Rico only)
Describe type of equipment in Comments)
.owest adjacent(finished)grade(LAG) 6.7 ®feet 0 meters(Puerto Rico only)
iighest adjacent(finished)grade(HAG) 8.2 ®feet 0 meters(Puerto Rico only)
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
fication is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
)n. I certify that the information on this Certificate represents my best efforts to interpret the data available.

Building Photographs
See Instructions for Item A6.
For Insurance Compan)
Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number
sneer Rd.
rnington State NC ZIP Code 28409 Company NAIL Number
the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below accordi
-uctions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "I
ew" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation F
9-
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Building Photographs
Continuation Page
For Insurance Compan)
g Street Address(including Apt, Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number
caneer Rd.
'ilmington State NC ZIP Code 28409 Company NAIC Number
flitting more photographs than will fit on the preceding page, affix the additional photographs below. Identi
graphs with: date taken; "Front View"and "Rear View"; and, if required, "Right Side View" and"Left Side View."
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