PN_21-04_ Morrissey

Issued by WiRO PN21-04
Pender County RECEIVED Permit Number
CAMA MAR 1 5 2021
MINOR DEVELOPMENT
DCM WILMINGTON, N ` Ae, c
PERMIT s.7.
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 William and Mary Carol Morrissey authorizing development in the Estuarine Shoreline (AEC) at Lot 6
Waters Edge, in Hampstead, Pender County as requested in the permittee's application, dated February 10, 2021, and
received by DCM on February 11, 2021. This permit, issued on February 26, 2021, is subject to compliance with the
application and drawing dated and received by DCM on February 11, 2021 (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: Single-family residence with amenities (inc. swimming pool).
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on February 11, 2021.
(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
within twenty (20) days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for Jason Dail
compliance. Any maintenance work or project modification not covered under C A LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
Wilmin ton, C 28405-3845
December 31,2024
In issuing this permit it is agreed that this project is consistent with the local Land /
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal ✓ P RMITTEE
Management.
(Signatu guired Bondi s ve apply to permit)

• _
Name: William and Mary Carol Morrissey
Minor Permit#PN21-04
Date: February 26, 2021
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) This permit does not authorize the excavation or filling of any wetlands, even temporarily.
(7) 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.
(8) The amount of impervious surface/coverage on this property shall not exceed 25% within 575 feet of the Normal
High Water line. In this case, and according to the application package, 7,932 sq. ft. of built upon area is authorized
on the subject property.
(9) 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.
(10)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 lea DATE)( 3// /u
PERMITTEE f

.7141011*-p,
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-
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S.REGAN
Secretary
BRAXTON C.DAVIS
Director
February 26, 2021
William & Mary Carol Morrissey
275 Copper Ridge Road
Southington, CT 06489
Mr. & Mrs. Morrissey,
Attached is CAMA Minor Development Permit PN 21-04 for work to be done at Lot 6 Waters Edge at
Deerfield, adjacent to Mill Creek in Hampstead, Pender County. An electronic copy has been sent to
the Pender County Inspections Department, and to your Agent.
To validate this permit, please sign both copies as indicated for our records. Retain the gold copy for
your files, and return the white copy to us within 20 days of receipt in the enclosed, self-addressed
envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
,- I( / L L` J/
L L
Anita M. Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRo files
PN Inspection Dept.
Scott Sullivan
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North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1127 Cardinal Drive Extension Wilmington.North Carolina 28405
910.796.7215

Locality f- 1 amp 34eaol Permit Number PN 2 ( -Q y
Ocean Hazard Estuarine Shoreline X_ ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name: William and Mary Carol Morrissey
Address: 275 Copper Ridge Road
City: Southington State: CT Zip: 06489 Phone: [phone]
AUTHORIZED AGENT
Name: Scott Sullivan
Address: PO Box 10091
City: Wilmington State:NC Zip: 28404 Phone: [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront,what is the name of the
adjacent waterbody.)lot 6,Waters Edge at Deerfield,adjacent to Mill Creek
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)construct new single family
house and pool
SIZE OF LOT/PARCEL: 38,864 square feet .89 acres
PROPOSED USE: Residential (Single-family® Multi-family 0) Commerical/Industrial ❑ Other❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN(AEC): n/a square feet(includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN(AEC): 7932 sf(Calculations 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.)
Choose the AEC area that applies to your property:
(1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC,adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
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? YES ® NO 0
If yes,list the total built upon area/impervious surface allowed for your lot or parcel. 9,743 square feet.
RECEIVED
FEB 11 2021
DCM WILMINGTON, NC

OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA minor development permit.
As a service we have compiled a listing of the kinds of permits that might be required.We suggest you check over the list with your LPO to
determine if any of these apply to your project.Zoning,Drinking Water Well,Septic Tank(or other sanitary waste treatment system),Building,
Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA Certification,Sand Dune,Sediment Control,
Subdivision Approval,Mobile Home Park Approval,Highway Connection,and others.
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 person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the
person listed as landowner on this application has a significant interest in the real property described therein.This interest
can be described as: (check one)
® an owner or record title,Title is vested in William L Morrissey,see Deed Book 4723
page 2280 in the Pender County Registry of Deeds.
❑ an owner by virtue of inheritance.Applicant is an heir to the estate of ;
probate was in County.
❑ if other interest,such as written contract or lease,explain below or use a separate sheet and attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
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.
(Name) (Address)
(1)Ray Ballard 107 Waters Edge Drive.Hampstead,NC 28443
(2)Raymond Negele PO Box 891, Hampstead,NC 28443
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may be
susceptible to erosion and/or flooding.I acknowledge that the local permit officer has explained to me the particular
hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization
and floodproofing techniques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents
to enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information(this form),a site drawing as described on the back of this application,the
ownership statement,the AEC hazard notice where necessary,a check for$100.00 made payable to the locality,and any
information as may be provided orally by the applicant.The details of the application as described by these sources are
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,criminal and administrative action.
This the 10"of February,2021
RECEIVED adtZ`/e
FEB 11 2021 Landowner or person authorized to act as his agent
for purpose of filing a CAMA permit application
DCM WILMINGTON, NC

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SULLIVAN
i) ' f;' `r
PO Box 10091
Wilmington, North Carolina 28404
phone [phone]
9 February 2021
Raymond Negele
PO Box 891
Hampstead,NC 28443
Re: Lot 6,Waters Edge
Dear adjacent property owner:
This letter is to inform you that I have applied,as an authorized agent,for a CAMA Minor Permit
on behalf of William and Mary Carol Morrissey at the above referenced location.
I have enclosed a copy of the permit application and a copy of the drawing of the proposed
project.
If you have any questions or comments on the proposed project,please contact me at the number
listed above.
If you wish to file written comments or objections with Pender County,you may submit them to:
Jason Dail
Field Representative
NC Department of Environmental Quality
127 Cardinal Drive Ext.
Wilmington,NC 28405
Phone:[phone]
Sincerely,
Scott Sullivan, authorized agent
RECEIVED
FEB 11 2021
DCM WILMINGTON, NC

SULLIVAN
PO Box 10091
Wilmington, North Carolina 28404
phone [phone]
9 February 2021
Ray Ballard
107 Waters Edge Drive
Hampstead,NC 28443
Re: Lot 6, Waters Edge
Dear adjacent property owner:
This letter is to inform you that I have applied,as an authorized agent,for a CAMA Minor Permit
on behalf of William and Mary Carol Morrissey at the above referenced location.
I have enclosed a copy of the permit application and a copy of the drawing of the proposed
project.
If you have any questions or comments on the proposed project, please contact me at the number
listed above.
If you wish to file written comments or objections with Pender County,you may submit them to:
Jason Dail
Field Representative
NC Department of Environmental Quality
127 Cardinal Drive Ext.
Wilmington,NC 28405
Phone: [phone]
Sincerely,
Scott Sullivan, authorized agent
RECEIVED
FEB 11 2021
DCM WILMINGTON, NC

ArrA
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: f/i 2-/ 2D"
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
�1'l!�re�-►1', (n , rid 111012 S`y67 Scott R. Sullivan
Owner's Mailing Address:. Agent's Mailing Address:
g.'5 W 06-6- - PO Box 10091
Srru;rr-iat'6.1-3/01 Q6 y"y Wilmington, NC 28404
Phone Number($‘D) 983 Sti q (v Phone Number( 910 686-1223
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
For my property located at /oe, W,4-ry s 6O6e; 1-hymp57-646 Ajc,
This certification is valid thru (date)
S--lie/adt.ticte,ohot(042./zi; ` it y/ Ll
roPerty Owner Signature') Date RECEIVED
FEB 1 1 2021
DCM WILMINGTON, NC
One
127 Cardinal Drive Ext.,Wilmington,NC 28405 NorthCarolina
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net Natural!!!

AEC HAZARD NOTICE
Project Is In An: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: ff.•LC,;cL-wi c2.4/1 il l ( Al 5S45./
Property Address: /06 I ' LS c / ,9-1 I ,
Date Lot Was Platted:
This notice is intended to-make you,the applicant, aware of the SPECIAL NOTE:This hazard notice is required for development
special risks and conditions associated with development in this in areas subject to sudden and massive storms and erosion.Permits
area,which is subject to natural hazards such as storms, erosion issued for development in this area expire on December 31 of the
and currents. The rules of the Coastal Resources Commission third year following the year in which the permit was issued..
require that you receive anAEC Hazard Notice and acknowledge Shortly before work begins on the project site,the Local Permit
that notice in writing before a permit for development can be Officer must be contacted to determine the vegetation line and
issued. setback distance at your site.If the property has seen little change
since the time of permit issuance,and the proposed development
The Commission's rules on building standards, oceanfront can still meet the setback requirement,the LPO will inform you
setbacks and dune alterations are designed to minimize,but not that you may begin work. Substantial progress on the project
eliminate,property loss from hazards. By granting permits, the must be made within 60 days of this setback determination, or
Coastal Resources Commission does not guarantee the safety of the setback must be remeasured.Also,the occurrence of a major
the development and assnrnes no liability for future damage to shoreline change as the result of a storm within the 60-day period
the development. Permits issued in the Ocean Hazard Area of will necessitate remeasurement of the setback. It is important
Environmental Concern include the condition that structures be that you check with the LPO before the permit expires for official
relocated or dismantled if they become imminently threatened by approval to continue the work after the permit has expired.
changes in shoreline configuration. The structures) must be Generally,if foundation pilings have been placed and substantial
relocated or dismantled within two (2) years of becoming progress is continuing, permit renewal can be authorized It is
imminently threatened, and in any case upon its collapse or „nlawfu':to continue work after permit expiration.
subsidence.
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 Officer •
The rate was established by careful analysis of aerial photographs
of the coastline taken over the past 50 years. Address
•
Studies also indicate that the shoreline could move as much as
feet landward in a major storm. Locality
The flood waters in a major storm are predicted to be about
feet deep in this area. Phone Number
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
;iructures such as bulkheads,seawalls,revetments,groins,jetties
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions. •
RECEIVED
The applicant must acknowledge this information and requirements
by signing this notice in the space below. Without the proper FEe
signature,the application will not be complete. 20?
DCM WILMI�VGTON NC

Locality ` Permit Number _
Ocean Hazard Estuarine Shoreline ' ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name: William and Mary Carol Morrissey
Address: 275 Copper Ridge Road
City: Southington State: CT Zip: 06489 Phone: [phone]
AUTHORIZED AGENT
Name: Scott Sullivan
Address: PO Box 10091
City: Wilmington State:NC Zip: 28404 Phone: [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront,what is the name of the
adjacent waterbody.) lot 6,Waters Edge at Deerfield,adjacent to Mill Creek
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)construct new single family
house and pool
SIZE OF LOT/PARCEL: 38,864 square feet .89 acres
PROPOSED USE: Residential (Single-family® Multi-family❑) Commerical/Industrial❑ Other❑
Tnm• i TTtflW AlVTT T.Ti n/�T� •r^ . nr. . T,TTTT n-n.m/Y T1T TTTT1 flrn •1T TT♦.II ♦T\T\ ♦ar, ! !1T
NC Division of Coastal Management Cashier's Official Receipt A B C/`�
Date:1 3 5 6 0 z l 2 20 2 '
Received From: tOo
Permit No.: 76.tD Check No.:
Applicant's Name: " �1( f I 1 ` 0 [ ika(ri'wet,' County:
Project Address:' L64- 0.14.4 E -e 4644 /kfr
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date: -2-4-Tra
Signature of Field Representa Date:

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with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the ■To ensure that your Certified Mall receipt Is
insurance coverage automatically included with accepted as legal proof of mailing,It should bear t
certain Priority Mail items. USPS postmark.If you would like a postmark on
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Dail, Jason
From: Dail, Jason
Sent: Friday, February 12, 2021 8:57 AM
To: Scott Sullivan
Subject: RE: [External] Question
Also, I forgot to mention. Please provide the elevation certificate for this project. I'll need it and the imp. calcuations
before I can proceed.
Thank you,
Jason
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]
*E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
From: Dail,Jason
Sent: Friday, February 12, 2021 8:55 AM
To: Scott Sullivan <[e-mail]>
Subject: RE: [External] Question
Hey Scott, good morning.
I received your application package for Morrissey, but don't see the impervious numbers anywhere in the application
package. Could you please provide a break down of all impervious coverage located within the 575' AEC, and break it
down per feature (i.e. house, driveway, etc)?
Thank you
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]
1

0 "rotting Compares .
*E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
From: Scott Sullivan [mailto:[e-mail]]
Sent: Tuesday, February 9, 2021 4:55 PM
To: Dail,Jason <[e-mail]>
Subject: [External] Question
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
1 Benort Spare;
Hey Jason,
I am preparing an application for a CAMA minor permit for lot 6 Waters Edge Drive in
Hampstead. There are two AEC issues with the property appearing to be within the 575' AEC
from the ICWW and the 75' AEC from Mill Creek. The design is under the 30% coverage limit
for the 75' AEC and the 25% limit for the 575' AEC. AEC should I check on the application?
I've attached a site plan. I'm assuming you're the CAMA officer for this. Let me know if you're
not.
Thanks,
Scott R. Sullivan
Sullivan Design Company
phone [phone]
www.sullivandesigncompany.com
www.SDChouseplans.com
2

Dail, Jason
From: Scott Sullivan <[e-mail]>
Sent: Friday, February 12, 2021 2:03 PM
To: Dail,Jason
Subject: RE: [External] Question
Attachments: MORRISSEYec.pdf
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attment to
i Report Spam.
Jason,
The elevation certificate is attached.
The impervious coverage breakdown as followed:
House with roof overhang — 3387
Drive and walk — 3515
Pool terrace — 1030 sf
Let me know if you need anything else.
Thx,
Scott
From: Dail,Jason <[e-mail]>
Sent: Friday, February 12, 2021 8:57 AM
To: Scott Sullivan <[e-mail]>
Subject: RE: [External] Question
Also, I forgot to mention. Please provide the elevation certificate for this project. I'll need it and the imp. calcuations
before I can proceed.
Thank you,
Jason
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]

NC "'tiothmy Compare~
*E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
From: Dail,Jason
Sent: Friday, February 12, 2021 8:55 AM
To: Scott Sullivan <[e-mail]>
Subject: RE: [External] Question
Hey Scott, good morning.
I received your application package for Morrissey, but don't see the impervious numbers anywhere in the application
package. Could you please provide a break down of all impervious coverage located within the 575' AEC, and break it
down per feature (i.e. house, driveway, etc)?
Thank you
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]
INO -.•ax"any s n'TV.11f Vi
*E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
From: Scott Sullivan [mailto:[e-mail]]
Sent:Tuesday, February 9, 2021 4:55 PM
To: Dail,Jason <[e-mail]>
Subject: [External] Question
CAUTION:External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
1 Report Spam.
Hey Jason,
I am preparing an application for a CAMA minor permit for lot 6 Waters Edge Drive in
Hampstead. There are two AEC issues with the property appearing to be within the 575' AEC
from the ICWW and the 75' AEC from Mill Creek. The design is under the 30% coverage limit
for the 75' AEC and the 25% limit for the 575' AEC. AEC should I check on the application?
2

I've attached a site plan. I'm assuming you're the CAMA officer for this. Let me know if you're
not.
Thanks,
Scott R. Sullivan
Sullivan Design Company
phone [phone]
www.sullivandesigncompany.com
www.SDChouseplans.com
3

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2022
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9
Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2) insurance agent/company, and(3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
Morrisey
A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
106 Waters Edge
City State ZIP Code
Hampstead North Carolina 28443
A3. Property Description(Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 6,Waters Edge,book 4723 page 2280, map book 37 page 133
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude: Lat.34.34577 Long.-77.70212 Horizontal Datum: ❑ NAD 1927 © NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 2587.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 13
c) Total net area of flood openings in AB.b 2600.00 sq in
d) Engineered flood openings? ❑X Yes ❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑Yes ❑ No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2. County Name B3. State
Pender County 370344 Pender North Carolina
B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
37203291 J 02-16-2007 02-15-2007 AE 12.0
810. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile ❑X FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes E No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6

OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30,2022
IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
106 Waters Edge
City State ZIP Code Company NAIC Number
Hampstead North Carolina 28443
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* [] Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones A1-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 C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized: HDS Vertical Datum:NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 El NAVD 1988 E Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor(including basement,crawispace,or enclosure floor) 6.5 Ej feet ❑ meters
b) Top of the next higher floor 18.7 © feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters
d) Attached garage(top of slab) 6.5 ❑X feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building )C feet
(Describe type of equipment and location in Comments) 14.0 ❑ E meters
f) Lowest adjacent(finished)grade next to building(LAG) 6.5 0 feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 9.0 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support 9.0 0 feet ❑ meters
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information,
I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ©Yes ❑No ❑Check here if attachments.
Certifiers Name License Number <��.�' """ ..,,,�
Jonathan L.Wayne PLS 3391 tl ;'�
Title J ,'- � O,• y• O
Professional Land Surveyor ,or
Company Name - 1
Hanover Design Services, P.A. I
Address � > a fir'
1123 Floral Parkway Sa , " ;
City State ZIP Code V\).s,
Wilmingt• North Carolina 28403 «,
Signaturz � Date Telephone xt.
02-12-2021 [phone] na
Copy :ages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments(including type of equipment and location, per C2(e), if applicable)
FEMA Form 086-0-33(12/19) Replaces all previous editions Form Page 2 of 6

OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30,2022
IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
106 Waters Edge
City State ZIP Code Company NAIC Number
Hampstead North Carolina 28443
SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, Band C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,
enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade(HAG)and the lowest adjacent grade(LAG).
a) Top of bottom floor(including basement,
crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG.
b) Top of bottom floor(including basement,
crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions),
the next higher floor(elevation C2.b in
the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is ❑feet ❑meters ❑above or ❑below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or
community-issued BFE)or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attachments.
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 3 of 6

OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30,2022
IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
106 Waters Edge
City State ZIP Code Company NAIC Number
Hampstead North Carolina 28443
SECTION G—COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below. Check the measurement
used in Items G8—G10. In Puerto Rico only,enter meters
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.)
G2 ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO.
G3. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as-built lowest floor(including basement) feet meters Datum
of the building:
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet ❑ meters Datum
G10. Community's design flood elevation: ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments(including type of equipment and location, per C2(e), if applicable)
❑ Check here if attachments.
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 4 of 6

BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30,2022
IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
106 Waters Edge
City State ZIP Code Company NAIC Number
Hampstead North Carolina 28443
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken;"Front View"and"Rear View"; and, if required, "Right Side View"and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page. use the Continuation Page.
Photo One
Photo One
Photo One Caption Clear Photo One
Photo Two
Photo Two
Photo Two Caption Clear Photo Two
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 5 of 6

BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date November 30, 2022
IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
106 Waters Edge
City State ZIP Code Company NAIC Number
Hampstead North Carolina 28443
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo Three
Photo Three
Photo Three Caption Clear Photo Three
Photo Four
Photo Four
Photo Four Caption Clear Photo Four
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 6 of 6

1
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$a •.,Qa v -.},. r { i s' z3 m ^;per t'
,� 'rt c -:_ �,,' = ,s5. � tainCla1` e �, 45,wol i �r firs 4 ,,
GENERAL INFORMATION
LAND OWNER
Name: William and Mary Carol Morrissey
Address: 275 Copper Ridge Road
City: Southington State: CT Zip: 06489 Phone: [phone]
AUTHORIZED AGENT
Name: Scott Sullivan
Address: PO Box 10091
City: Wilmington State: NC Zip: 28404 Phone: [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront,what is the name of the
adjacent waterbody.) lot 6, Waters Edge at Deerfield, adjacent to Mill Creek
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) construct new single family
house and pool
SIZE OF LOT/PARCEL: 38,864 square feet .89 acres
PROPOSED USE: Residential (Single-family ® Multi-family ) Commerical/Industrial _ Other_
T l,m♦ T tr.t.r!".T my rt- i-,r !\!',TT ♦1T iT 7 ♦TT\ ♦TT ! /lT
NC Division of Coastal Management A B C5
Cashier's Official Receipt
Date: 2' 1 Z- 20 2
1 3560Received From: 41-C4Pari-- ( vt $ 16 0 ...—
Permit No.: 71171:CsCheck No.: A Ail'
Applicant's Name: vv /I l r - MOD `0 I / f rIPSCI County: MI
.
Project Address:'`- L44 10 r • (4 w
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date:
/707-Z7fg
Signature of Field Representa Date:

Date Date Check From Name of Vendor Check Check Permit Rct. #
Received Deposited Permit Holder Number amount Number/Comments
2/15/2021 Scott R Sullivan William and Mary FCB 4364 $100.00 minor fee, Lot 6 Water Edge, JD rct.
Carol Morrissey Hampstead PnCo 13560