SC_12-11_ Kelly

Issued by WiRO SC 12-11
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina,Department of Environment,
and Natural Resources 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 Tom and Suzanne Kelly, authorizing development in the Ocean Hazard (AEC) along Neptune Place, in Surf
City, Pender County as requested in the permittee's application, dated June 13, 2012, and received by DCM on June
25, 2012. This permit, issued on July 16, 2012, is subject to compliance with the application and site drawing (where
consistent with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of
these terms may subject permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: The construction of a single-family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by DCM on June 25, 2012.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work.
RECEIVED
(Additional Permit Conditions on Page 2) DCM W1LMIN , NC
jUL20GTON2012
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. This
permit must be on the project site and accessible to the permit officer when the
project is inspected for compliance. Any maintenance work or project Jason ail
modification not covered under this permit, require further written permit CA A LOCAL PERMIT OFFICIAL
approval.All work must cease when this permit expires on:
127 Cardinal Dr' Extension
December 31,2015 'mington I C 2:4 05-3845
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- ITTEE
Management. (Signature r:6 -. if conditions above apply to permit)

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Name: Tom and Suzanne Kelly
Minor Permit#SC 12-11
Date: July 16, 2012
Page 2
(5) Any structure(s) not authorized under this permit must be set back a minimum of 60 feet from the first line of stable
natural vegetation,as determined by the DCM, the LPO, or other assigned agent of the DCM.
(6) The permittee is required to contact the Local Permit Officer [phone], shortly before he plans to begin
construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline
change. Construction must begin within sixty (60) days of the determination or the measurement is void and must
be redone.
(7) All buildings constructed within the ocean hazard area 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.
(8) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a
side if square; and the first floor level of the sills and joists must meet the 100-year flood level elevation.
(9) All pilings shall have a tip penetration greater than eight (8) feet below the lowest ground elevation under the
structure. The deck shall be constructed independently from the residence and shall be structurally detached.
(10) 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 vegetatatively stabilized (planted and
mulched)within 14 days of construction completion.
(11) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary
protective measures allowed under CRC rules.
(12) The total floor area of the permitted dwelling shall not exceed 2,545 square feet, as stated in the permit application.
RECEIVED
DCM WILMINGTON, NC
JUL 2 0 2012
-7(1 A(1
SIGNATURE: DATE:
PER EE

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GENERAL INFORMATION
LAND OWNER
Name O rn A N A S )LA-dJ.-i.rE_ es_t.LL-1
Address 3o a cL-``-1 iZ" -
City In)I Lv t ..l Co Tor State N) C— Zip at;k(tycy Phone 6't 1 Q)19 t — tP 4 I
Email
AUTHORIZED AGENT
Name K`r__rI `-'t V O LL t—A—'-+f
Address 1 l.v CPIp"3 11 `1 (—7
City \ ( A,n-.P 5 i€ *1 State r,C_ Zip D.ti4q M Phone Of l O) 51 a—D 59
Email Vert..►Ja-A`-► Q F v O t -E t-t o✓~sc g r4 t ,C o,,....... ,
LOCATION OF PROJECT: (Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.) (4E_P-r•J.Jt PL . so g_t G 0-4 1 eJC,
gat L D 2,,-(.90 s n .F.r ?...,10 SMCCA
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)V d^-'- ota P,< 1«-1 4 s o-4 AL 4-4 A 0'.1
tL@&ft'ED 50( '(oo r e.191- .
SIZE OF LOT/PARCEL: S OD OO square feet • l\S acres
PROPOSED USE: Residential (Single-family Multi-family ❑ ) Commercial/Industrial 0 Other 0
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: a5licsquare feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
concrete or masonry patios,etc. that are within the applicable AEC.Attach your calculations with the project drawing.)
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
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: a t b 0° square
tet
ECi V E D
DCM WILMINGTON, NC
JUN 252012

OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
minor development permit, including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building, Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
Certification, Sand Dune, Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
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)
'v.-an owner or record title,Title is vested in'iNo VIA Rf G. 4tU-i , R • ,see Deed Book 3--7-1 b
page 05 l in the ?c ,a 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&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) TEe2%-k GO IioL( b rI S Ads. , D%) a rJC_ ae314
(2) CNA M'3ARbo (Oka vJG3Tc. P . . cSvitc C 1 N t_ 3•4!) r(s
(3) SPrthSG S S. g Q 10 00 w.k - -i T. WASH . Zo 0 aq
(4)
ACKNOWLEDGEMENTS:
I, the undersigned,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 particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application. RECEIVED
DCM WILMINGTON, NC
JUN 2 5 2012 This the 13 day of -a-ad t. ,20 (
Landowner or person utho • ed to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information(this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC 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.

46117A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
July 16, 2012
Kenny Vollrath
16663 Hwy 17
Hampstead, NC 28443
Dear Mr. Vollrath:
Attached is CAMA Minor Development Permits #NTB12-17, for Terry Turbeville, for work to be done
along River Drive, in North Topsail Beach, Onslow County and CAMA Permit #SC12-11 for Tom and Suzanne
Kelly for work to be along Neptune Place in Surf City, Pender County.
In order to validate these permits, please sign both copies of each permit as indicated, for our records.
Please retain the gold copies for your files. Please sign front and back pages of the white copies then
return to us within 20 days of receipt, in the enclosed, self-addressed envelope.
These are not valid permits until they are signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
K. . „
S aun K. Simpson
Permit Support Technician
Enclosures
cc: WiRO files
127 Cardinal Drive Ext.,Wilmington,NC 28405 One
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net NorthCar�oliina
An Equal Opportunity 1 Affirmative Action Employer Naturally

AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER 'i �7 t e l/
4/1/ (A)
CAMA MINOR PERMIT NOTICE Before the undersigned,a Notary Public of Said County and State,
Pursuant to NCGS 113A-119(b), the 1
North Carolina Division of Coastal
Management,an agency authorized Keith Raffone
to issue CAMA permits in areas of
environmental concern, hereby
gives NOTICE that on June 26,2012
Tom & Suzanne Kelly applied for a Who,being duly sworn or affirmed,according to the law,says that he/she is
CAMA permit to construct a single-
family dwelling;on Neptune Place,
adjacent to the Atlantic Ocean, in Controller
Surf City, Pender County. The appli-
cation may be inspected at the ad-
'dress below. Public comments re-
ceived by July 14,2012 will be con- of THE STAR-NEWS, a corporation organized and doing business under the Laws of the State of
sidered. Later comments will be
accepted and considered up to the North Carolina,and publishing a newspaper known as STAR-NEWS in the City of Wilmington
time of permit decision. Project
modifications may occur based on CAMA MINOR PERMIT NOTICE Pursuant to NCGS 113A-119b,the North Carolina Division
further review and comments. No-
tice of the permit decision in this of Coastal Management,an agency authorized to issue CAMA permits in areas of
matter will be provided upon writ-
ten request. environmental concern, hereby gives NOTICE that on June 26,2012 Tom 4.Suzanne Kelly
Jason Dail applied for
Field Representative pp
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 28405-3845
Phone:[phone]
was inserted in the aforesaid newspaper in space,and on dates as follows:
6/29 lx
And at the time of such publication Star-News was a newspaper meeting all Otret""i i✓�tisalg,s and
qualifications prescribed by Sec.No. 1-597 G.S.of N.C. ```��v�°��`G`'" O/V�`',,?
QP '1�
lk
Title: Controller =2 1G U
Sworn or affirmed to,and subscribed before me this d hL y day of U B
Z
,A.D., la---- 's, grV i 0�� `
In T y Whereof,I have hereunto set my hand and affixed my oftCRe� Al le4ay and
year aforesaid.
&- Notary Public
My commission expires day of , 20 3llY COMMISSION EXPIRES 911212012
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by the Court that the said
publication was duly and properly made and that the summons has been duly and legally served on the defendant(s).
This day of ,
g t- r, !Au r. 'D Clerk of Superior Court
MAIL TO:
JUL 07 2012
DC:NI IN LAM I NGTON.. NC

ArfA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
June 27, 2012
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington,North Carolina 28402
Re: Kelly Minor Public Notice
Kyle: Please publish the attached Notice in the Friday, June 29, 2012 issue.
The State Office of Budget and Management requires an original Affidavit of Publication prior to
payment for newspaper advertising. Please send the original affidavit of the published notice to Melissa
Sabastian, 400 Commerce Avenue, Morehead City,N.C. 28557 [phone].
Please send the original invoice and a copy of the affidavit for payment to Shaun Simpson at Division of
Coastal Management, 127 Cardinal Drive Extension, Wilmington,NC 28405, 910-796-7226.
Paying by Credit Card (number on file with Elsa Lawrence, Ref acct # 796-7215). Please send a fax of the
credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me at our
Wilmington office.
Sincerely,
4ipson
Permit Support Techni
Enclosure
cc: File Copy
Michele Walker DCM
127 Cardinal Drive Ext.,Wilmington, NC 28405 One
Phone:[phone]\FAX:[phone] Internet:www.nccoastalmanagement.net North Carolina
An Equal Opportunity\Affirmative Acton Employer Naturally

CAMA MINOR PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the North Carolina Division of Coastal Management, an
agency authorized to issue CAMA permits in areas of environmental concern, hereby gives NOTICE
that on June 26, 2012 Tom & Suzanne Kelly applied for a CAMA permit to construct a single-family
dwelling on Neptune Place, adjacent to the Atlantic Ocean, in Surf City, Pender County. The
application may be inspected at the address below. Public comments received by July 14, 2012 will
be considered. Later comments will be accepted and considered up to the time of permit decision.
Project modifications may occur based on further review and comments. Notice of the permit
decision in this matter will be provided upon written request.
Jason Dail
Field Representative
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]

NOt'
I ,
CAMA - PERMIT
APPLIED FOR
PROJECT: A • • . • S • $ • _
family dwelling on Neptune Place, adjacent to the
• . _ : . -
- • - • , .
COMMENTS ACCEPTED THROUGH July 14, 2012
APPLICANT FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Kenny Vollrath for Ton, R. Su7annp Kolly NC Div. of Coastal Management
16663 Hwy 17 127 Cardinal Dr. Ext.
Hampstead, NC 28443 Wilmington, NC 28405
Jason Dail, Field Representative
910-796-7221

U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE 0MB No. 1660-0008
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION For Insurance Company Use
Al Building Owners Name Thomas L.Kelly,Jr.and wife,Suzanne Kelly Policy Number
A2. Building Street Address(including Apt..Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number
0 Neptune place
City Surf City State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 10,Block 1-R,Section 5,Old Settlers Beach,Map Book 10,page 56. Deed Book 3776,page 51
A4. Building Use(e.g.. Residential.Non-Residential.Addition,Accessory,etc.)Residential
A5. Latitude/Longitude:Lat. 34-26-28.2 Long. 77-31-10.8 Horizontal Datum: 0 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 5
A8. For a building with a crawlspace or enclosure(s) A9. For a building with an attached garage
a) Square footage of crawispace or enclosure(s) rile sq ft a) Square footage of attached garage PL@ sq ft
b) No.of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade rile within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b nna sq in c) Total net area of flood openings in A9.b nl$ sq in
d) Engineered flood openings? 0 Yes ® No d) Engineered flood openings? 0 Yes IS No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number 82. County Name B3. State
Surf City 370166 Pender NC
1 134. Map/Panel Number B5. Suffix B6. FIRM Index l B7.FIRM Panel B8. Flood B9 Base Flood Elevation(s)(Zone
3720424500 K Date Effective/Revised Date Zones) AO, use base flood depth)
02/16/07 1 02/16/07 j VE 13.0
B10. Indicate the source of the Base Flood Elevation(BEE)data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other(Describe)
B11 Indicate elevation datum used for BFE in Item B9. 0 NGVD 1929 ® NAVD 1988 0 Other(Describe)
B12 Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ® Construction Drawings' 0 Building Under Construction' ❑ Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2 Elevations-Zones Al-A30,AE.AH.A(with BEE),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. Use the same datum as the BFE
Benchmark Utilized NCGS RTK network Vertical Datum NAVp 1988
Conversion/Comments n/a
Check the measurement used.
a) Top of bottom floor(including basement. crawlspace, or enclosure floor)15.$ ®feet ❑meters(Puerto Rico only)
b) Top of the next higher floor ❑feet ❑meters(Puerto Rico onljf)r'C E I V E D
c) Bottom of the lowest horizontal structural member(V Zones only) 14.1 ®feet ❑meters(Puerto Rico only) MINGTON, NC
d) Attached garage(top of slab) rge. 0 feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 14.1 - ®feet 0 meters(Puerto Rico only) !,! 2 5 2012
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 5.Q ®feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 6.1 ®feet ❑meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs,including 5.Q ®feet ❑meters(Puerto Rico only)
structural support
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.! \ \\111 huh ,,y
understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code, Section /001.0 �. CAR 0 7/i
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a c �/
licensed land surveyor? ® Yes 0 No .0$SAip%,9%
_ S A nt
Certifier's Name Johnny J.Williams License Number L-3170 ; f4
Title Professional Land Surveyor Company Name Johnny J.Williams Land Surveying,P.C. , L O 1q
1)7
Address P.O.Box 778 City Beulaville State NC ZIP Code 28518 �✓O • 4Z ' \C.
Z �f}s)11 LDate 05/30l12 Telephone [phone] ii I110�F1-31, Mar 09 See reverse side for continuation. Replaces all previous editions

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Qr� -t LS vz �rS� et✓t
Property Address: " ) r`1-eIP"r`...4.1'�- ?(-,, S' 6rtE ccr`--i "ic--
r
Date Lot Was Platted:
This notice is intended to make you, the applicant, aware of the SPECIAL NOTE: This hazard notice is required for
'special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
.area, which is subject to natural hazards such as storms, erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
`,require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site,the Local Permit Officer must he contacted to determine the
development can he issued. vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance, and the
' he Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement.
setbacks and dune alterations are designed to minimize, hut not the I PO will inform you that you may begin work. Substantial
lkeliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the safety of setback determination, or the setback must he remeasured. Also,
_:,. the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
he development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate remeasurement
nvironmental Concern include the condition that stnictures be of the setback. It is important that you check with the LPO
elocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
•y changes in shoreline configuration. The stnicture(s) must he work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing,
;'mminently threatened, and in any case upon its collapse or permit renewal can he authorized. It is unlawful to continue
jubsidence. work after permit expiration.
1 he best available information,as accepted by the Coastal or nu e information, contact:
'esources Commission, indicates that the annual long-terns i
is verage ocean erosion rate for the area where your property is j9-56" 1 /_('t
.,,as feet per year.
cat Permit Officer
:'a"-rate was established by careful analysis of aerial
.hotographs of the coastline taken over the past 50 years.
,tudies,,also indicate that the shoreline could move as much as dress SO1483 ON `NOieNIW1IM
.' /SO feet landward in a major storm. 1Va TO 1VNIO V3 at
The flpod waters in a major storm are predicted to he about 1N3w3evNVw 1d1SVOO dO 'A10 ON _
ki feet deep in this area.
Locality
Preferred oceanfront protection measures are beach nourishment /a - 79 - 7z -/
__-and relocation of threatened structures. Hard erosion control
-tnrctures such as bulkheads,seawalls,revetments, groins,jetties Phone Number
•'nd breakwaters are prohibited. Temporary sand bags may he
i uthorized under certain conditions.
s`
the applicant must acknowledge this information and
it quirements by signing this notice in the space below. Without RECEIVED
e proper signature,the a i lication will not be complete.
r GCM WILMINGTON, NC
. ' L1 L
/ i L ? c- / a JUN26zGi2
z'-roperty Owner Signature Date
Revised May 2010

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REVISIONS: C_'�SCAl 3/16'-1'-0" DRAWN
BY: H O L Y E S 3U I I \ G S YS TE V S L L C TITLEFRONT & RIGHT ELEVATION PROJECT NO:
DATE:6/11/12 TES/4/12 DRAWN BY: STEVEN A. 7 MODEL: FUTURE HOMES- KELLY DRAWING NO:MP-13.0

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REVISIONS: PROJECT NO:
DATE:6/11/2 DATT 1 4/12 _D. APPROVED BY:DRAWN BY: STEVEN A. H O L Y E S U I L t \ G S Y S T E V S, L L C MODEL L FU R E PLAN- KELLY DRAWING NO:MP-5.0

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Receipts for a •
Certified Mail
(Staple Here)
3UJ4c• k'at aol3—
Date
'TEg.R_ -t Tr() t
Adjacent Property Owner
O1-t 10•Avi S. A J4.
Mailing Address
v rs
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, 1b( + SvtA Vf 1-1-" have applied for a CAMA Minor
Property Owner
Permit on my property at LSD I•StP'`vrit ?t, . S v.F c H t_ , in Pe. JD* tL
Property Address
COUNTY. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at �q‘0) St a- OS°r. - ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dail, Field Representative
NC Department of Environment and Natural Resources
Division of Coastal Management for:
Town of Surf City CAMA Local Permit Program
127 Cardinal Drive Extension
Wilmington NC 28405
Sincerely,
k or-{ Sit A ni ge- �C'S
Property Owner
3oa KtiL L I 0.
Mailing Address
w 1 L Mt r4 Lir t ,J t_ a-g 1(Og
City, State,Zip Code
RECEIVED
DCM WILMINGTON, NC
JUN 2 5 2012

. . •os a ervlceTM
CERTIFIED MAILTM RECEIPT
I (Domestic Mail Only;No Insurance Coverage Provided)
D For delivery information visit our website at www.usps.com�;
at l AL t
Postage $
Certified Fee
LJ Postmark
Return Receipt Fee Here
D (Endorsement Required)
D Restricted Delivery Fee
(Endorsement Required)
D
3 Total Postage&Fees
LJ
Sent ToL.„ t �,
or
StrePO et,Box Apt.No.No.; g 0
uA /% S �� Y
City,State,ZIP+4 5C-- -6-3 3 V,

Certified Mail Provides:
■ A mailing receipt
I A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
'mportant Reminders:
it Certified Mail may ONLY be combined with First-Class Mail®or Priority Mai
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. R
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof c
delivery.To obtain Return Receipt service,please complete and attach a Retur
Receipt(PS Form 3811)to the article and add applicable postage to cover th
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fc
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt i
required.
■ For an additional fee, delivery may be restricted to the addressee
addressee's authorized agent.Advise the clerk or mark the mailpiece with th
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired,please present the art
cle at the post office for postmarking. If a postmark on the Certified Me
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
'S Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Sig ature
item 4 if Restricted Delivery is desired. .Ijent
■ Print your name and address on the reverse ' R-E"----❑'Addresse
so that we can return the card to you. B. Received by( hte me) C. Date of Deliver
■ Attach this card to the back of the mailpiece,
or on the front if space permits. U
D. Is delivery address different ffvm item 1? ❑Yes
I. Article Addressed to: If YES,enter delivery atIrlfe$6_belc yy 0 No
W v N . '-i_cz
vO ){�V N S 4 ✓4 3. Servi Type I
\ ertified Mail 0 Express Mail
.J r-: '� L '46 3?y' 0 Registered 0 Return Receipt for Merchandis
0 Insured Mail 0 C.O.D.
4. Restricted Delivery/(Extra Fee) 0 Yes
?. (acnecle Numbrfrom 7011 2000 0002 2766 4893
(transfer from servi
'S Form 3811.February 2004 Domestic Return Receipt 1n25ge-m-M-1s

UNITED�3" � 6 i1`8P1t A , c E "-- .-w""
N . f3 1 T e.,:. .a"�0,.Jut ��, PIM �wN�'�"y, ."' ..'
• Sender: Please print your name, address, and ZIP+4 in this box •
t t—) v?-cc V-(ov,-,-5._S

Receipts for •
Certified Mail
37;dt `b) apt")-- (Staple Here)
Date
CHAR-L .' s Lonr,Ci�r�o
Adjacent Property Owner
l o to c.1e.-S''ro .
Mailing Address
SVRC Gt T Lt, .JL aP61-1NS
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Tor►-, SJraN1-1t. VEi.c._`/ have applied for a CAMA Minor
Property Owner
Permit on my property at N 'rt1 e4. ?L . S R c G,,`•-r .C_ , in ( •ip &
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at (1(0)s t a - OS 9 z ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dail, Field Representative
NC Department of Environment and Natural Resources
Division of Coastal Management for:
Town of Surf City CAMA Local Permit Program
127 Cardinal Drive Extension
Wilmington NC 28405
Sincerely,
I Ovt. + 5utA K`E
Property Owner
30 a. Kul � , 7
Mailing Address
w,t; 0.1 n1 C•-ra .1A0409
City, State,Zip Code
RECEIVED
DCM WILMINGTON, NC
JUN 2 5 202

I. . •os a erviceTM.
CERTIFIED MAILTM RECEIPT
LI (Domestic Mail Only;No Insurance Coverage Provided)
0
CI For delivery information visit our websit.1+at www.usps.comLI
Postage $
U
Certified Fee
U Postmark
Return Receipt Fee Here
(Endorsement Required)
• Restricted Delivery Fee
(Endorsement Required)
3• Total Postage&Fees $
Sent To
Street,Apt.No.;
3 or PO Box No. (.'kto, TrNit,r-c-1) C
City,State,ZIP+4
Urti— 1•) <-• abqkll

Certified Mail Provides:
■ A mailing receipt
IN A unique identifier for your mailpiece
■ A record of delivery kept b ythe Postal Service for two years
'mportant Reminders:
■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mai
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fi
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof c
delivery.To obtain Return Receipt service,please complete and attach a Retur
Receipt(PS Form 3811)to the article and add applicable postage to cover th
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fc
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt i
required.
■ For an additional fee, delivery may be restricted to the addressee c
addressee's authorized agent.Advise the clerk or mark the mailpiece with tr
endorsement"Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired,please present the art
cle at the post office for postmarking. If a postmark on the Certified Ms
receipt is not needed,detach and affix label with postage and mail.
MPORTANT: Save this receipt and present it when making an inquiry.
'S Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

3NI10311O0/V OIOd'ss3H00tl NHfLL3H 3H1 dO
.ENDER: COMPLETE THIS SECTION 1HOIH 3H1013dO13AN3 d0 d011tl H3x0LLS 30tl1d
a Complete items 1,2,and 3.Also complete A. it . •r'
item 4 if Restricted Delivery is desired. • Agent
li /
Print your name and address on the reverse �`' , - ❑Addresse
so that we can return the card to you. eceived by ted Na e C. Date o Delivar
• Attach this card to the back of the mailpiece, �;h„ ,�-1CS j,� , ,- L(21 '1+
or on the front if space permits. •J�� ""►�{�✓ U`C
D. Is delivery address different from item 1? 0 Yes
Article Addressed to: If YES,enter delivery,address btilo'w: 0 No
uu �o <
r'.(Z- . C LA,k t SLo ,-i�.� ix:,
.>
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fz(Jfj _
-tZ)t.G t- c--? J..7- _ 3. ieriee�Type ��WYY 5
ertified Mail Li xOess Mail
S V j2 c' C (i,...j _ ❑ Registered ❑Return Receipt for Merchandis
ICJ�I't 0 Insured Mail 0 C.(c8.
4. Restricted Delivery?(Extra Fee) ❑Yes
'. Article Number 7011 2000 0002 2766 4886
(Transfer from service label)
IC c.,.r.,'2A i I cetir„.,r.,onnn

UNIT E4D.SW.T.S P0aTAL SERVICE-A Ai-411 -A A; :.? • ``", :A4,.........—,,-Ag'.."'" m'Almaity,„..., .
I
--,-Yo1).:.-twi.N.).1.-.? . • ..i,..A4, - .. , ,-.....Fig:rjawot-c.a„,„.
• Sender: Please print your name, address, and ZIP+4 in this box •
A4ct,m PS-T—c, ek f3 C_ CYB q,
l'

Receipts for
Certified Mail
"27). 19# (Staple Here)
Date
TP+ham S E R g . _
Adjacent Property Owner
000 wlt'41�— S -r
Mailino Address
_W1' sH , D c aooalt
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Toy► `—gota.a1-1'E i t-(21 have applied for a CAMA Minor
Property Owner
Permit on my property al Nrc•-PTLi-^+t, 't- . -S RJ Gi,`i ^C , in ^1pf L
Properly Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at \(c )S t a - OS 9 a ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dail, Field Representative
NC Department of Environment and Natural Resources
Division of Coastal Management for:
Town of Surf City CAMA Local Permit Program
127 Cardinal Drive Extension
Wilmington NC 28405
Sincerely,
10". ' SutA..1, K E t C-1
Property Owner
30a. KsLon ;) .
Mailing Address
w,t, •/ n)GTo1 4L aSq°9
City, State,Zip Code
RECEIVED
0CM WILMINGTON, NC
JUN 2 5 20i2

. . •os a erviceTM
CERTIFIED MAIL,. RECEIPT
(Domestic Mail Only;No Insurance Coverage Provided)
l For delivery Information visit our website at www.usps.com;,
rf't,, 1 ra.: t,€
Postage $
Certified Fee
J Postmark
3 Return Receipt Fee .'.:' Here
3 (Endorsement Required)
3 Restricted Delivery Fee
(Endorsement Required)
3 Total Postage&Fees $
Sent To A S �2n
Street,Apt.No.; _ ` FS r
D or PO Box No. k 0 00 i e(_rt 1 T.
City,State,ZIP+4 Lb(' S14 �d u

"Jellified Mail Provides:
• A mailing receipt
I A unique identifier for your mailpiece
• A record of delivery Opt by the Postal Service for two years
mportant Reminders:
▪ Certified Mail may ONLY be combined with First-Class Mails or Priority Mai
I Certified Mail is not available for any class of international mail.
NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. FF
valuables,please consider Insured or Registered Mail.
For an additional fee,a Return Receipt may be requested to provide proof c
delivery.To obtain Return Receipt service,please complete and attach a Retui
Receipt(PS Form 3811)to the article and add applicable postage to cover th
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fc
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt
required.
I For an additional fee, delivery may be restricted to the addressee
addressee's authorized agent.Advise the clerk or mark the mailpiece with tt
endorsement"Restricted Delivery".
a If a postmark on the Certified Mail receipt is desired,please present the art
cle at the post office for postmarking. If a postmark on the Certified Ms
receipt is not needed,detach and affix label with postage and mail.
MPORTANT:Save this receipt and present it when making an inquiry.
'S Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

•ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. 1.Agent
I Print your name and address on the reverse X ��` 0 Addresse
so that we can return the card to you. B. e eceived by(• •-•Name) C. Date o!f�eliver)
I Attach this •ack of the mailpiece, (7_ ) ` _w
or on th= f.•- - : p. its. U
I. Article r. _•to D. Is delivery address from Item 1? ❑Yes
If YES,enter deli ress�elow: 0 No
%111111111171\j ,
1 2 t 3. Se Type G
Al Certified Mall�CpreMail
�)AC N . _..J i3Q a_L\ 0 Registered eturn Receipt for Merchandise
0 Insured Mail .O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
!. Article Numbrfrom 7011 2000 0002 2766 4879
(Transfer from service label)
'S Form 3811.February 2004 Domestic Return Receipt 102595-02-M-154

UNITED STATES POSTAL SERVICE 111111 First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
�ii�}i'tili 11l}IflfS�iil�iifill i Ei�Ei3�i Il it}}}}�ii it�I}�i�}i1

•
Alf
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H.Gregson Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: Sk)kW.
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
--1-0(\ a`-t VG LL. rt t-i
Owner's Mailing Address: Agent's Mailing Address:
•
Phone Number(gto) - Loci l7 Phone Number(c1to) - ta- OS9
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):
A nt w e-tis (114-d-1 L 0 R A / & i O i L A_a 2 O co
(my property located) at `L • -rut. P c`-i- ".%
This certification is valid thru (date) (fl- to- t 3
RECEIVED
DCM WILMINP,Tnn! NC
5-7V7iliftd-AZ eLA cr-WN kei2 - 1 -
Property Owner Signature Date
JUN25zui2
127 Cardinal Drive Ext.,Wilmington,NC 28405 One
Phone:[phone]\FAX:[phone] Internet:www.nccoastalmanagement.net NoorthCarolina
An Equal opportunity 1 Arfrmarrve Action Employer Naturally aturally

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
0 Neptune Drive
City Surf CityState NC ZIP Code 28445 Company NAIC Number
•
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building Ii/.
Comments Lot is vacant as of this date • • • . c
' : E•SS/0• .�1.'
SEAL =
Signature oh n .Williams Date 05/30/12 ::::..... .�v
(( ,, %O d q V R� -- '. �'Ehecl(here if attachments
SEGTIO -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR1OfitA0 AlkitlAirt 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,B,
and C. For Items El-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters.
E1. 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 0 meters ❑above or 0 below the HAG
b)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 feet 0 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 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is 0 feet 0 meters 0 above or 0 below the HAG.
E3. Attached garage(top of slab)is ❑feet 0 meters 0 above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters ❑above or 0 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? 0 Yes 0 No 0 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's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
0 Check here if attachments
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 and G9.
G1. 0 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. 0 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. 0 The following information(Items G4-G9)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued 1
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G7. This permit has been issued for: ❑ New Construction 0 Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building: . 0 feet 0 meters(PR)Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet ❑meters(PR)Datum
G10. Community's design flood elevation . 0 feet 0 meters(PR)Datum
Local Official's Name Title
Community Name Telephone RECEIVED
Signature Date DCM WILMINGTON, NC
Comments J U N 2 5 2U112
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FEMA Form 81-31. Mar 09 Replaces all Previous editions

KENNETH VOLLRATH 66-7704/2531 13 81
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