SC_12-20_ Wellman's

Issued by WiRO SC 12-20
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 Wellmarn's Construction, authorizing development in the Ocean Hazard (AEC) at 611 N. Shore Drive, in
Surf City, Pender County as requested in the permittee's application, dated September 20, 2012, and received by
DCM on September 25, 2012. This permit, issued on October 19, 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 residential structure.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by DCM on September 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.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons k
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 a Jason Dail
modification not covered under this permit, require further itn`,permit CAMA LOCAL PERMIT OFFICIAL
approval.All work must cease when this permit expires on:
December31,2015 00 2 6 2°12 127 Cardinal Drive Extension
ilmington, NC 284Q5-3845
In issuing this permit it is agreed that this project is consistent with the local Wildat4GT0N
Use Plan and all applicable ordinances. This permit may not be transfM4
another party without the written approval of the Division of Coastal PERMITTEE
Management. (Signature required if conditions above apply to permit)

r., , 9 � � '� j in ski�Iet'' o- s
"- r y 1 T
Y" ,,.PY. ,• T :d- .ku" - --.._ - .....--Frz9r fiL`n5. '•-•".r ..j Tom.•.. rr,y<
z a TBC ,.
r,. ?'fie �..: .p,i sF', ,a F 't% ➢ 4!'i r }t ` 1 '�sF`tl ii. 1. . . ,:d 1e ,T t z t.21 :r _ , .
!Yce a
S tr)
<14. ;it
•
:; • ,<.. � °1 :dye s 4_# 3 fi r' 4 n .oFx( ; r ' r ., } ; G . Fp ' of 9
.r .
lE ' ' .. . . • ' t�7 1 `9 . '�. i— m r1a 1
f.— 1 :iai• 4` E 1 r 3r ca4t4qt ,. t, 'r. :r ..•' *4 ,, ,-Y <:•
', hi "^ 4G« VIr' - fy),,3 }/t�)• t,` t8` b4 9 �i4 � F,4Y( { 4.. .. t4.. . ..<': a X t 'l i�t9 �i t �:t �5,. . r. l
} •-f$# a `fi. §'l *, .S,. .. t`�s0 1,.7;:35.a tr,• ��' 4.-4 f�.; '4,
': i
z .S „ j2
u%
•
` t < S x y j T y 0,a
a' # ", .,
.fc
*.! ..„,,,,...; , , . ,•,,
•' x'a a 1,6 1r•[ys =s ;� , �T"� rft? } . r rt k r *5'' ,, ..z :r-Yy�f °tix �K'`Rx t dL f^ Yt"t i z „1; 4,
z� Li,.x;i fie`-.:Fi -4 4-'4 fie' x °:�k •F# - . i r:i w : - ram♦
' _ , 'l'`RPrb 4i,..y £ " D ry' • ' L , pp f',s ''. �y_e 'Y. b
Y i i' Pp q[" YJ _
SS�� 5• �',$?R1t •
L�� - xis • }1;1 y` •• • _ .-f ,.. �9, . ' ' r
K.9 44 `
z
^5

Name:Wellman's Construction
Minor Permit#SC 12-20
Date: October 19, 2012
Page 2
(5) The structure(s) must be set back a minimum of 60 feet from the first line of stable natural vegetation, as determined
by 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 vegetatively 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) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
(13) The total floor area of the permitted dwelling shall not exceed 2,006 square feet, as stated in the CAMA permit
application.
it'etLliVED
OCT 26 2012
CM WILNIINGTON, NC
SIGNATURE: 0A-S\NY— DATE: 423:'�1 1 12_
PERM ITTEE

5c /Q.1 -c) f-in czl(buer...}.--
P-0 ,( I i - ,
4,% �Hu�.' S2z�`,i�, w,.'.;'�15'R.`�`� F2�1.,1 j� .y ��'.:ie �•v `ils n' ��( r •r 7r
w 4 i f ti. < I s"sr, ,,.. .4 i' t�:'v�.0.44�d' '` • � L "' d#:v f"ti g . • ;aaS*' a,-t�,. �". R .:47..t .�A,� t 0Pr y
', a VivA7�. -�1 ,c -`7 ,s, - "u_ 1M,i .i;& " : lrtg t!A! (l .i "'+ cur-• i •iis;;
,Y(; , y'''-, '� II,p,, 6yt. .,,,,4 . r�"� b' `in-., '� i ,. t�, `Pv Y y ,. xf.ji:,j ,41t. " w'F'.�4,0' dgy 3S- t P - :� _'tl f ,"i . ' c; I 'yf° �' �� z1 a.a."L.x, t !��1+ %t C F '"vl k1 q__ FfSY a ° i � i2 a l 5+f eh s, 55,• �,'T:
d, 14 3i �, � t Y P'.II�9 0�a Ufa': 0.��t�}C w 4 ''.FI�l� 2 ,.k e� '�:.pi��n' '� `� ��h"°:•�
' 1 i:1 r �.xy TE a F :'• '.q. Y
l ru ��-,�x t C sr J �a a..� a�'xC�'t t 72K.M1 y-"° F'1^ ?r� a "r;
� :�a4'„a +, 4�, :?.' 3f.i r b' .'�i 4-41 t.1,t Ai , ti y )1- s •,Api; ,, ,� ,- ;;a. , v. IC� ki "'.' ` 5 #
f` ¢.'J'.' `i;' , � '�'°1. .;,,k r 'S- .. "�` gFO'ft a, i'e° a c.:,;4. a I'i'. ua 1 .�+i �-A_ � L i*'�.. 1,, �,r'1��,.i ,µ :7.,„ .:(
J, SiY,. c M. ,. .'L,. ,-J tlir:lZ..ar :! ._: . 4 4..- J�. 'e. i,f .i i,' 2; :'�:'' y, �' '.;. 1 k�a b [ fk t Z: iC,. ,��'�J'..
e.-•-rr . � ar H 5,.;. avtn_ i.. ..._.... _„u., i�"3., �w,2>4 'fit,- 3'� ;�C',k �fi° „::�„?,.
GENERAL INF98MATI0N
LAND OWNER
Name `t) a Yl/) 'l O)
Address P O. e)u.,( s -
City qd�f t C e State N C Zip a Y 1 5Phone (qLQ) , ci- 435(4,
Email t („Q
P dial LUd Q.1'ralSo r strucii)Y) .1',mrn
AUTHORIZED AGENT
Name p___()Yl C`) i().4(19ft) ea/Lova_
Address P. O . 6b c
City 'p T,a v State Ki C Zip f- SPhone (9/Oj 4-y3 5
Email OIJA_G QI 5 I u 14 imons corn fru cJm a
LOCATION OF PROJECT:(Address,street name and/or direr ' ns to site.If not oceanfront,what is the name of the
adjacent waterbody.) tip[ ?npc c- / (�, ,{,t,,
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: Loa 1 C square feet acres
PROPOSED USE: Residential B .
(Single-family(Multi-family 0 ) 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 CEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:a W square feet(includes
410
:l I 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: square feet.

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:
1,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
page in the County Registry of Deeds. see Deed Book
an owner by virtue of inheritance.Applicant is an heir to the estate of
proba 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) RIM\d lyrcANN Sc (Y),11 Skrer �, 6 ..nsc1(1 NC_ Q150y
(2) FrAi-6m arld J32tett 1- +
(3) l--601 11Q CA\W-IrlctilOp 'i t`15 IBC. `t I (I)0110('D ►\]
(4) I
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.
This the a,C) day of oi.Q t 20 I Z
Os
Landowner or person authorized 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.
«CEIVED
DCM WILMINGTON, NC
SEP252012

Agar 47A
way
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
October , 2012
Wellmans Construction, Inc.
Attn: Angie Edens
PO Box 8
Holly Ridge, NC 28445
Dear Ms. Edens:
Attached is CAMA Minor Development Permit# SC 12-20 for work to be done at 611 N. Shore Drive, in
Surf City, Pender County.
In order to validate this permit, please sign both copies as indicated, for our records. Please retain the
gold copy for your files, sign both pages of the white copy, and return 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.
Accordingly, I am enclosing the previous letter that I sent to you on April 9, 2012, requesting signatures and
return of CAMA Minor Permits NTB12-07, 12-08, and 12-09. Please be reminded that these permits are not
valid until they are signed and filed with our office.
Thank you for your prompt attention to this matter.
Sincerely,
Shaun 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 NorthCarolina
An Equal Opportunity\Affirmative Action Employer Naturally

AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER L(jC-ea---t--4-. //J
CO-4,0 //h-e-r-'s /64/ )
CAMA INOR ERMIT NOTICE Before the undersigned,a Notary Public of Said County and tate,
Pursuant o N S 113A-119(b),the
North Ca Division of Coastal
Management,an agency authorized Keith Raffone
to jssue CAMA permits in areas of
environmental concern, hereby
ives NOTICE that September
s, 2012 the followingon land owners Who,being duly sworn or affirmed,according to the law, says that he/she is
applied for CAMA permits to con-
struct single-family dwellings in
Pender County: Ron & Amy Luciani
at 1129 Canady St., adjacent to Controller
Topsail Sound,in Topsail Beach,and
Wellman's Construction, Inc. at 611
North Shore Drive, adjacent to the of THE STAR-NEWS, a corporation organized and doing business under the Laws of the State of
Atlantic Ocean,in Surf City.The ap-
plications may be inspected at the North Carolina,and publishing a newspaper known as STAR-NEWS in the City of Wilmington
address below. Public comments
received by October 18, 2012 will
be considered. Later comments will CAMA MINOR PERMIT NOTICE Pursuant to NCGS 113A-119b, the North Carolina Division
thebe accted and considered to
time of permit decision. Project of Coastal Management,an agency authorized to issue CAMA permits in areas of
modifications may occur based on environmental concern, hereby gives NOTICE that on September 25,2012 the following land
further review and comments. No-
tice of the joerrnit decision in this owners
matter will be provided upon writ-
ten request.
Jason Dail,Field Representative
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:
10/3 lx
And at the time of such publication Star-News was a newspaper meeting all the requirements and
qualifications prescribed by Sec.No. 1-597 G.S.of N.C.
tiAAAIk(
Title: Control) r
Sworn or affirmed to,and subscribed before me this ) day of
eite ,fit, ,A.D., A.0!2... ti+trwi► artrtio
In Testimony Whereof,I have hereunto set my hand and affixed. cial s� 's `6jay and
year aforesaid.
li 'L2.
©; NOTdq
�/�.v r— i
Notary 'ublic
�VBLIC V;
My commission expires 12.1lL day of L• ,20±7 ' O
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
Clerk of Superior Court
MAIL TO: RECEIVED
DCM WILMINGTON, NC
OCT 1 0 2012

QUA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
October 1, 2012
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington,North Carolina 28402
Re:
• Lucian Minor Public Notice
• Wellman's Minor Public Notice
Kyle/Heather: Please publish the attached Notice in the Wednesday, October 3, 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 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,
Shaun Simpson
Permit Support Technici
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 I Affirmative Action Employer 7atiiralltj

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 September 25, 2012 the following land owners applied for CAMA permits to construct
single-family dwellings in Pender County: Ron & Amy Luciani at 1129 Canady St., adjacent to
Topsail Sound, in Topsail Beach, and Wellman's Construction, Inc. at 611 North Shore Drive,
adjacent to the Atlantic Ocean, in Surf City. The applications may be inspected at the address
below. Public comments received by October 18, 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]

F
CAMA PERMIT
APPLIED FOR
PROJECT:
Ass El • • • • - • II - • gle-
family dwelling at 611 North Shore Dr., adjacent
te thA Atlrar7tie ■ lneAn7iN ■ ■ef C4 PeNder
7
County.
COMMENTS ACCEPTED THROUGH October 18, 2012
APPLICANT FOR MORE DETAILS CONTACT
Wellman's Construction, Inc. N iQ. e d f&riv 6Fa6�
c/o Angie Edens 127 Cardinal Dr. Ext.
PO Box 8 ,
Holly Ridge, NC 28445 - -
910-796 7221

"�\ Page 1 of 1
C° "Skij2
C
RECEIVED
DCM WILMINGTON, NC
SEP 2 5 2012
http://gis.pendercountync.gov/newgis/site/ESRI.ArcGIS.ADF.Web.Mimelmage.ashx?ImgID=eadOdl de-Oef0... 8/28/2012

I.
® tail es I
OPEN DECK I OPEN DECK OPEN DECK
24—01- 24'-0"x 6'JY 17-0 t 6'
/ MB" lej 24'-0" I I 1T-0"
/ 10'-10" 7J"4.--10-10' / 24-0" I
A-5'.6"—^,�.--r.a" 7-4" —E-4"—,--ss"—.' 1 r,..," 8.-r _8-0 I I* a 1 5�-6" 3 r'-Y-C I�
a l —+r--.ter 4--•r_r 1 • a �iP g-' I ! O
III - 1 �� , N N �� '
w �I >
1r1,p� �1 , I `
I ly PAn'iRV
5 il aC�� L}C y
'4 BEDROOM 1 BEDROOM `p 1?-
'O 4 6'a.8•
L IVA"x 10'-0" �` 10'1"x1W-0" b 01I.
� I�r
L[1
h
aO'''''
ci5H1111111PliiiIII -MO
III/...
611H \ DINING
TXaS'-N^ P.IFFVAT[M . - 1O-0"xT-10" { 4,7
E-t ; k:12�Vr! — 1 5'71'a 1'O" St Y
•
F
own
R a, t
a.
v —! 12...,„/I 7-1.—� IIPTONAI. CANTILEVERED
(. 1 aP
ib_2_. .... (:1[wT11E9FAFD GVdDIEVF•"n
O (1, I tlAl' tlAl' I 7
BEDROOM
•� IITJ"x13'-0"
LIVING ROOM -
LBEDROOM I _ Z] 15'-0" ".
IC)
16"1 . Ii- i Y.. !
j `-' N.BATH H
— 6Yi1 TT
i p_ 1�01 f f.. ., ,L ,.• _ f _ m.x5.' J J`1 : i\`hl t" Jj
I I
5'.6"--�1'9"f-4'.B}" C-6}"" •T.0" 2'.6"!' ' SVI"—, —T-0" T-0' S-0" ; / I •-0" 1 6d '
—T-3—i 16'-9 ✓ 0"
21,0" or OPE-0 DECK
OPEN DECK
21 -4
FIRST FLOOR PLAN SECOND FLOOR PLAN THIRD FLOOR PLAN
SCALE::"=V-0" SCALE:#"=1•-0" SCALE:}"=1'-0"
a
0
cf, CK SQUARE FOOTAGE
M C Ill CALCULATIONS
1"— FIRST FLOOR:
in
HEATED 816 SO.FT.
rt /Z— 1„ • OPEN DECKS. 336 SO..FT.
11/ C ALL STANDARDS PROVISIO IT IS THE SOLE NS REQUU OF IREME OEN�TSACTOR MEIHODSD/OR BUILDER TO OF CONSTRUCTION AND USES NOTICE• COVERED PORCHEs...o SO.FT. / NOTICE v ELEVATE
IV SECOND FLOOR:
""I OF MATERIALS PROVIDED IN BUILDINGS AND/OR STRUCTURES AS REQUIRED BY N.C.
—. UNIFORM BUILDING CODE WTTH.LOCAL AGENCIES AND-IN ACCORDANCE GOOD HEATED T/4 SO.FT. THIS DRAWING APPLIES ONLY
L�7 0 ENGINEERING PRACTICES.VERIFY ALL DIMENSIONS PRIORTO CONSTRUCTION. • OPEN DECKS' 338 SO.FT. TO THE SITE SPECIFIED HEREIN WTLLMAN THREE-STORY
Z a
COVERED PORCHES...0 SO.FT. ANY OTHER USE IS PROHIBITED. 2 SQ.FT.
NEITHER CONNER DRAFTING&DESIGN NOR ANY OF ITS SUB-CONTRACTORS IS THIRD FLOOR: NO PART IS TO BE COPIED, L;;3RA
Z RESPONSIBLE FOR ANY PROBLEMS DUE TO TO HUMAN ERROR AND/OR OMISSIONS ON HEATED 416 SQ.FT. MODIFIED,REDRAWN OR USED
^ THESE DOCUMENTS.IT IS THE OWNER AND/OR CONTRACTORS RESPONSIBILITY TO OPEN DECKS 168-SO.FT. OT ER THAN INDICATED HEREIN. WFIIMANs CONSTRUCTION
/ ANY VIOLATION WILL BE A SNEADS FERRY,NC 28460
CAREFULLY REVIEW THESE PLANS FOR ERRORS AND OMISSIONS PRIOR TO CONSTRUCTION. • COVERED PORCHES...0 SO.FT. DIRECT COPYRIGHT IF ANY PROBLEMS ARE FOUND IN THE REVIEW PLEASE NOTIFY CONNER DRAFTING ANDTOTAL HEATED 2,Q08 50.fT. W[IRKCr C ENT AND I5 6�AI.E: �:
DESIGN PRIOR TO BEGINNING CONSTRUCTION SO ANY REVISIONS CAN BE MADE. 0 2012 CDD `CONSIDERED ILLEGAL USAGE ^ 022112 li•.,"I.-",

IMPERVIOUS CALCULATIONS
6210.0 SQ. FT. IN LOT 9-
768.0 SQ. FT. HOUSEDRIVE FIP oQSPti�� o�
-5-
450.5 SQ. FT.
192.0 SQ. FT. COVERED DECK \4 s,
90.0 SQ. FT. EAVES I SITE
38.1 SQ. FT. EXISTING STORAGE s
1538.6 SQ. FT. PROPOSED IMPERVIOUS 4 moo` • #
PROPOSED IMPERVIOUS=24.7% (0.247) N ors S�o`�o
co s
EDISON R GRADY j
HAROLD M MEDUNI DB 754, PG 304 N VICINITY MAP NO SCALE
DB 3433, PG 42 I LOT 19
LOT 20 BLOCK 42 Im LELAND E CAVENAUGH
BLOCK 42 MB 3 PG 83 I DB 770,LOT PG 222 �,,^
MB 3 PG 83 PP BLOCK 42 Q
FIP 1 N 60'16'03" E • MB 3 PG 83 A`3
_OD 60.22' '>FTF7 — — — �0
�„,4%1 EXISTING 0.14 AC
O7' o STORAGE L-J LOT 8
z V. BLOCK 42 I
0
20' MBL PB 3, PG 83 I
rr
U-4 r m OPEN m , I UNE BEARING DISTANCE
HAROLD M MEDUN rn o o m R DECK o L1 N 20'43'46" W 5.09'
LOT 9 - MP 24.0' I —I L2 N 29'53'16" W 15.00'
BLOCK 42 0
0 D L3 S 29'46'52" E 15.00'
MB 3 PG 83 '1 `n• 0 -1
DB 3433, PG 42 m , N ---'"
m m w PROPOSED I (Not. _------
p p-
oN 0 3 STORY N m ----�- LELAND E CAVENAUGH
J LC) AUBREY PLAN < ,Q+-'' n _m DB 623, PG 128
°' °'- ci ''" o' LOT 7
.� r __/ r N
> --- -I BLOCK 42
FLOOD ZONE AE - ------ r m MB 3 PG 83
FLOOD ZONE�E 24.0' -'1
SMN AT C/L co COVERED 0,, r 03
INTERSECTION D C40' co
o r
OF STEVENS ST. 5MN
AND N SHORE DR. o 4.00 N MSL NGVD 88
14' �
EDGE OF DRIVE
PAVEMENT OHEL P SMN AT C/L
EXCEEDS —E—E— E�W�EI—E—E—E—E—E E—E—E—E INTERSECTION
RECORDED R/W O OF DOLPHIN ST.
LINE SRIS 60.02' (CHORD) 15 MBL nSRIS Npy� AND N SHORE DR.
N S 60'30'01 " W 'WA —_
W -- -
- R� — — FPK� �- - -- --
- --- ---- —-----
SCA� R U�2.59' m FMN
- N 65'06'23� 61'38'16 E —120.63'
2 78.8 7' N. SHORE DRIVE (60' PUBLIC R/W) /
l_� l_���--- - -1 --- --- ---- --
SETBACK INFORMATION �,�<+ m -
ZONED: R-5 - SURF CITY D in rrrt 1 m
N 59°06'29" E
FRONT SETBACK: 15' 73 D D� ISIDE
SIDE STREETKSETBACK: N/A PAVEMENT
EDGE OF PAVEMENT I-0 co c IVED
REAR SETBACK: 20' -o DCM WILMINGTON, NC
FLOOD INFORMATION aKmo, SEP 2 5 20'12
FLOOD ZONE: AE/VE
BASE FLOOD ELEVATION:12.0'/13.0' 61 1 NORTH SHORE DRIVE 20 10 0 20 40
FREEBOARD: +0' ,„....._
LOWEST HORIZONTAL MEMBER: 13.00' PHYSICAL SURVEY
NAVD 88 DATUM GRAPHIC SCALE

'.,4,,,,' .KSi ' •: '' ''!f' i' .'OIMII�E!:1n.:a - _ .4riire `:t"..+.t:t�e".';,-E -4,. 'a'.:'.f -.-t•,t`, i-
- Ili : , �,
•
1.
I'r
Nr t~ NI;rr 1fi c.{`. it ry"}}EtJ : !- f}
•
I * Fl
ft i L 47+t `1�s. iC.�. - E
y' t r..r1:'.4Y. ,r,. e�E»x:'r oi. _ "�t+�w',qt°. w+axa. rwm4e'. .x...w7c.,w 7.4..,_
-{ s..rtwrR•yw MWMw#.'.A�i�•,e. S'
41y,.:,,,,,,..,i,v
y
E .....v-.....OW-"...r.., . a...40..NRs9.41x.- . 1 e.,i'wy ,.'a �.r,.,iF'!'.kl'�f /,...t,
. .. - r F"P r; ,a{t Y . . "; t.`:i� .. ,^?
{''
i.
.,. , ••••••,-. ...-•' ',‘-.'' - ,I.• . ',..0-::
f Y L�Ai V: ',Th.-Aka,:
'p .Y. ...R�.1 • 7, ♦ r'h .. { t�4 S • i ' j.�'''�i! '..-; �,]
1 ' ; gr 4 3 'r -� C .L ..` EPA -. /- MS 1+� '� #�� 4�
Y'ai tr .. Ali a
',..,.��+. fw�- ._.�.._ 3 ref . 1 -`.,.1 S V a .. y "';i4`� •1 11
f -1 v'. 7 1 a - 1*
•
r t 6�
- - ii 1F, ., y .r. , ti..
rti. r '1,v.
:* pp
• };_ • i - 1Y(Y . a.f•' r''� + fi .,.try V
TA', ,! .i!t,7 $ . .. t 1}
f: ' E. j' 1 '+ ',P. j?t1i ')L" '. E 1 .. - ? .�`f is'� I-Er. F z ,{r
c," " • F; ._ _ jPt iII a^
Si r r.. ! �•.. ,.• ,.,�\, 7 .
> 4q " P 31r'
> { .. vf+ yr -': r l' r { ,.. f 1� .p,l _ }k_ -}` `_— 1 r1• • y
,� _ "''•"'.�'w _ as.',-'• Er�.na-. r .r. ...ii.F`-: .�yly..rc.; a r
•
•
•
i t' '' `k it
•
'a
`` s. f {
gyp.. 4 x• ,
�" i : '
s r, F
. ft fid+.i 1 n � - .�.. b. stf`.'R'-1^ './'Y:ir. +CM'.T`•' M'Tf � i1"�' '+M`yii' • Jki0l . __-

Receipts for
C)e Certified Mail
(Staple Here)
• '.• , dcA.J
AdjacentProperfOwe. L
Mailigg fati ess NC �,S4�
City, ki
y,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, IILOCAMA Minor
Property Owner Permit on my property at (01 I 1 yU il SUnt 1J j�
r , in Pender/Onslow
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 (1Lb) i y 35t0 ,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 Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington, NC 28405
Siincerrelyr �,,,, j (�
IJJLJ I "J ,"' ,�'r'1 otweitAio
Property Owner
Pc. ex ' .
Mal mg ddress
0/,,k,eytaCi. N c 9015
City, State,Zi Code
RECEIVED
DCM WILMINGTON, NC
SEP 2 6 20i2

• - -TM
CERTIFIED MAILT,, RECEIPT
(Domestic Mail Only;No Insurance Coverage Provided)
-1 For delivery information visit our website at www.usps.coms
-r1
Postage $
Certified Fee 1=111111111L: CEIVED
Return Receipt Fee vIINTN,
n (Endorsement Required) ILM NC
Restricted Delivery Fee MEM
IP 2 5 20'12
(Endorsement Required)
-r1 Total Postage&Fees $
T1
Sent To
Stree
or P o '"C2 ( `-4\IDI-e- 'Da--
City,State,ZIP+4

Certified Mail Provides:
• A mailing receipt
• A unique identifier for your mailpiece
• A record of delivery kept by the Postal Service for two years
Important Reminders:
• Certified Mail may ONLY be combined with First-Class Mail®or Priority Maik
• Certified Mail is not available for any class of international mail.
• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo
valuables,please consider Insured or Registered Mail.
• For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Returr
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
• For an additional fee, delivery may be restricted to the addressee o
addressee's authorized agent.Advise the clerk or mark the mailpiece with thr
endorsement"Restricted Delivery".
• If a postmark on the Certified Mail receipt is desired,please present the arti
cle at the post office for postmarking. If a postmark on the Certified Mai
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047

qaSeN1
Receipts for
Certified Mail
(Staple Here)
rate •
b
-QAsljace t Prope2rrty Owner
l 1�
ailin Address
City,State,Zip Code
Dear Adjacent Property: l �� (�,,
This letter is to inform you that I,, )Q,�, Q�Qonr_.� �o"n6 �hlied for a CAMA Minor
Property Owner (�_
Permit on my property at t \,1 �C V� . � u VV'.. JG , in Pender/Onslow
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(. D)3Za `i 35cp ,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 Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington,NC 28405
Sin rely,
Property Owner
90.
Mailing Address A24Lib
City,State, 4 Code
RECEIVED •
DCM WILMINGTON, NC
SEP 2 5 2012

I. . •os a arvlceTM
CERTIFIED MAILTM RECEIPT
(Domestic Mail Only;No Insurance Coverage Provided)
For delivery information visit our website at www.usps.com..
Tl
Jl
Postage $
Ti
Certified Fee p E
Return Receipt Rev, f PHA*
S N NCHere
(Endorsement Required)
� r
Restricted Delivery Fee
(Endorsement Required) ' e fi 12
n Total Postage&Fees $
Tl
Sent To axsofvi ncsuu,
Street,Apt.No.; S,-f22c) `
or PO Box No. ��(( �/ `
City,State,ZIP 3 , 41 ki

Certified Mail Provides:
• A mailing receipt
• A unique identifier for your mailpiece
• A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail(
■ Certified Mail is not available for any class of international mail.
• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof o1
delivery.To obtain Return Receipt service,please complete and attach a Returr
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt
required.
• For an additional fee, delivery may be restricted to the addressee o
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
in If a postmark on the Certified Mail receipt is desired,please present the arti•
cle at the post office for postmarking. If a postmark on the Certified Mai
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

. Cfl'Th' S°1k..'.-.
Receipts for
Certified Mail
(Staple Here)
loliszkw, G
Ad'acent P t�►tY Own r
M 'I"gAdd117Ui je. INC Ayap5
City,State,Zip Code
Dear Adjacent Property:
i '�
This letter is to inform you that I, plitbd'YOa—CAMA Minor
Property Owner
Permit on my property at 1.,Q 1 W\ tC.. ¶r , in ONSLOW
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 o jection form, If you have any questions or comments about my proposed project, please
contact me 0t 6 32' — �5 ..o ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the NC DENR CAMA Minor Permit Program,you may submit them to:
Jason Dail
L
NCDENR/DCM
127 Cardinal Drive Extension
Wilmington, NC 28405 tea, �.� pc,t
�wruS C Pen� ' J
Sincerely,
Property Owner
PC, exy g
Mailing A dress qLb
Cciff Ke
City, tate,Zip Code •
RECEIVED
DCM WILMINGTON, NC
SEP252612

I. . 'os a ervice,,:,
CERTIFIED MAIL,,,, RECEIPT
-a (Domestic Mail Only;No Insurance Coverage Provided)
-q For delivery Information visit our website at www.usps.com;.
n
n
f Postage $ - LY RI
n Certified FeeMIEIMED. Ai, OCR
D Return Recei- • 1� i
D (Endorsement Required) MINGTO , r.
Restricted Delivery Fee \G of
//V,
• (Endorsement Required) S E P 2 5 26 i s,,
D S
n Total Postage&Fees $
n
-R Sent To
-R e., l
Street,Apt.No.; , ���� y��l
or PO Box No. or btfi./
City,State,ZIP, ^ c` ., n c a 5s j:s

Certified Mail Provides:
• A mailing receipt
• A unique identifier for your mailpiece
• A record of delivery kept by the Postal Service for two years
Important Reminders:
• Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail
• Certified Mail is not available for any class of international mail.
• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fc
valuables,please consider Insured or Registered Mail.
• For an additional fee,a Return Receipt may be requested to provide proof o
delivery.To obtain Return Receipt service,please complete and attach a Returi
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 fo
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
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 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 Ma
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

,
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE4 OMB 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 ttris rarioe a m1101 Y Uss•
Al. Building Owner's Name Palicyt+ltiinber'
Wellmans Construction Company
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC'Number '
611 North Shore Drive
City State ZIP Code
Surf City NC 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 8 Block 42 MB 3 pg 83
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential
A5. Latitude/Longitude:Lat.34°25'53.87" Long. 77'32'05.53" Horizontal Datum: 0 NAD 1927 El 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
crawlspace or enclosure(s) NIA sq ft a) Square footage of attached garage NONE 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 ' N/A within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? 0 Yes E No d) Engineered flood openings? 0 Yes ® No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number 82.County Name B3.State
370186 Surf City Onslow NC
B4.Map/Panel Number 85.Suffix 136.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
3720424500 K Date Effective/Revised Date Zone(s) AO,use base flood depth)
Feb.16,2007 November 3rd,2005 "VE" 13.0'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
0 FIS Profile E FIRM 0 Community Determined ❑ Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 E NAVD 1988 0 Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date 0 CBRS 0 OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: E Construction Drawings" ❑ 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 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. Use the same datum as the BFE.
Benchmark Utilized NCGS"TOWER RM 1" Vertical Datum NAVD88
Conversion/Comments NONE
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 13.00 E feet ❑meters(Puerto Rico only)
b) Top of the next higher floor N/A (22 feet D meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N/A E feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) N/A E feet 0 meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 13.00 E feet 0 meters(Puerto Rico only)
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 7.9 E feet 0 meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 11.1 E feet 0 meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs,including 10.0 ®feet ❑meters(Puerto Rico only)
structural support
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION ,`t1lllillfli
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation �``� CADY //i,
information. /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. `�"1;•� $ . 4 •
❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a .@.�p k •licensed land surveyor? E Yes ❑ No .n . •
Certifiers Name License Number " • �� + •
Gairy I.Canady L-2904 1 l •9 s , , -
Title Company Name . ��
taint Canadv Surveying ��/�'Ss/ ° - • Z -�S.
AddressProfess City
Land Survey City State ZIP Code I 2 �j /�$_`W.
PO Box 915 Richlands NC 28445 7" (l�
Date Telephone
Signature 914/12 [phone]
_..,....e..;ao fro-rnnfinnafinn Replaces all previous editions

IMPORTANT: In these spaces,copy the corresponding information from Section A .
BuildingStreetAddress(including •,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. s s 611 North Shore Drive
City
State
Surf City NC ZIP Code as <�
28445 ,
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 owner,
Comments
Si au
Date 9/4l12
0 Check here if attachments
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. lithe 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.
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 0 feet 0 meters 0 above or 0 below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 feet 0 meters 0 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 ❑below the HAG.
E3. Attached garage(top of slab)is ❑feet 0 meters
0 above or CI below the HAG.
E4. Top of platform of machinery and/or equip
ment servicing the building is ❑feet 0 meters 0 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,8,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
❑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 Certficate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9.
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.)
G2.0 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
G7. This permit has been issued for: 0 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 AD)depth of flooding at the building site: ❑feet ❑meters(PR)Datum
G10.Community's design flood elevation ❑feet ❑meters(PR)Datum
Local Official's Name Title
Community Name Telephone
Signature Date RECEIVED
Comments DCM WILMINGTON, NC
S E P 2 5 2012
n Check here if attachments
-• ••-- Replaces all previous editions

Building Photographs
See Instructions for Item A6.
For insurance+ ompanyUstE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number _
611 North Shore Drive ._
City State ZI PCode Company
Surf City NC 28445
Lot is vacant
RECEIVED
DCM WILMINGTON, NC
SEP 2 5 2012
Lot is vacant

CaStf),5
OFFER TO PURCHASE AND CONTRACT-VACANT LOT/LAND
[Consult"Guidelines"(form 12G)for guidance in completing this form]
NOTE: This contract is intended for unimproved real property that Buyer will purchase only for personal use and does not have
immediate plans to subdivide. It should not be used to sell property that is being subdivided unless the property has been platted,
properly approved and recorded with the register of deeds as of the date of the contract. If Seller is Buyer's builder and the sale
involves the construction of a new single family dwelling prior to closing,use the standard Offer to Purchase and Contract -New
Construction(Form 800-1)or,if the construction is completed,use the Offer to Purchase and Contract(Form 2-T)with the New
Construction Addendum(Form 2A3-T).
For valuable consideration,the receipt and legal sufficiency of which are hereby acknowledged,Buyer offers to purchase and Seller
upon acceptance agrees to sell and convey the Property on the terms and conditions of this Offer To Purchase and Contract and any
addendum or modification made in accordance with its terms(together the"Contract").
1. TERMS AND DEFINITIONS:The terms listed below shall have the respective meaning given them as set forth adjacent to each
term.
(a)"Seller": PARKS FAMILY LEASING LLC
(b)`Buyer WELLMAN'S CONSTRUCTION
(c)"Property":The Property shall include all that real estate described below together with all appurtenances thereto including
the improvements located thereon. NOTE:If the Property will include a manufactured(mobile)home(s),Buyer and Seller should
consider including the Manufactured(Mobile)Home provision in the Additional Provisions Addendum(Standard Form 2A1 1-T)
with this offer.
Street Address: 611 NORTH SHORE DRIVE
City: SURF CITY Zip: 28445
County: RENDER ,North Carolina
(NOTE:Governmental authority over taxes,zoning,school districts,utilities and mail delivery may differ from address shown.)
Legal Description:(Complete ALL applicable)
Plat Reference:Lot/Unit 8 ,Block/Section ,Subdivision/Condominium
,as shown on Plat Book/Slide 3 at Page(s) 83
The PIN/PID or other identification number of the Property is: 4245-11-7384-0000
Other description: L8 PB 3/83 SURF CITY#2 BLK 42 •
Some or all of the Property may be described in Deed Book 3785 at Page 146
(d)"Purchase-Price":
$ IIMMIIMP paid in U.S.Dollars upon the following terms:
$ OOP BY DUE DILIGENCE 1ihl made payable to Seller by the Effective Date
BY INITIAL EARNEST MONEY DEPOSIT made payable to Escrow Agent named in
Paragraph 1(f)with this offer OR 0 delivered within five(5)days of the Effective Date
of this Contract by ❑cash 0 personal check 0 official bank check 0 wire transfer
S Mb BY (ADDITIONAL)EARNEST MONEY DEPOSIT made payable to Escrow Agent
named in Paragraph 1(f)by cash or immediately available funds such as official bank
check or wire transfer to be delivered to Escrow Agent no later than
N/A
TIME BEING OF THE ESSENCE with regard to said date.
Sdill BY ASSUMPTION of the unpaid principal balance and all obligations of Seller on the
existing loan(s)secured by a deed of trust on the Property in accordance with the
attached Loan Assumption Addendum(Standard Form 2A6-T).
dliiR BY SELLER FINANCING in accordance with the attached Seller Financing Addendum
(Standard Form 2A5-T).
S afillaifik BALANCE of the Purchase Price in cash at Settlement (some or all of which may be
paid with the proceeds of a new loan)
Should Buyer fail to deliver either the Due Diligence Fee or any Initial Earnest Money Deposit by their due dates,or should any
check or other funds paid by Buyer be dishonored,for any reason,by the institution upon which the payment is drawn,Buyer shall
Page 1 of 9
I
. This form jointly approved by: STANDARD FORM 12-T
North Carolina Bar Association A Revised 712012
North Carolina Association of REALTORS®,Inc. EQUAL HOUSING p�.�
I�EALTORs -y CP?ORRINRY R EC ffi t=1J
Buyer initials Seller initials 0CM WiLMINGTON, NC
This form p oduoed by- xf r• 800-499-9612 F 5 2G'12
S�P 2

A
c
f .
f]� i
; yy.
' t *
Y
•
,f t`F• +, $# y
1 u 1 ,E
m s_
•
•
•
.. ¢r
•
F Waf i'�#- 11. 4 •''. : p
k ' 1.
''fit l -

s 8427
ear
WELLMAN'S CONSTRUCTION, INC. _BRANCH BANKING AND TRUST COMPANY
P.O.BOX 8 1-800-BANK BBT BBT.com
HOLLY RIDGE,NC 28445 66-112/531
910-329-4356 9/20/2012
U
N
m
C
O IPAY TO THE NCDENR 1 $ '100.00
ORDER OF
One Hundred and 00/100***************************************************************************************************4 DOLLARS II
i
D
NCDENR
127 Cardinal Drive Ext. y
Wilmington NC 28405 11
LL
T
MEMO
ahan. "r
�CC. PM AUTHORIZ D onn,SIGNATURE
�S�/� ice`' ill/ �/ I