SC_13-22_ Phillips (2)

Issued by WiRO SC13-22
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 Judith S. & HC Phillips authorizing development in the Estuarine Shoreline Area of Environmental Concern
(AEC) at 7039 Seventh Street, in Surf City, Onslow County as requested in the permittee's application package, dated
received November 1, 2013. This permit, issued on November 18, 2013, 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: Construction of a single-family residence within amenities.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received November 4, 2013.
(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) RECEIVED
DCM WILMINGTON,NC
NOV 2 6 2013
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 Dail
modification not covered under this permit, require further written permit CAM LOCAL PERMIT OFFICIAL
approval.All work must cease when this permit expires on:
127 Cardinal Drive Extension
December 31,2016 Wilmington, 28 05 845 ,
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 /�

Name: Judith S and HC Phillips
Minor Permit#SC13-22
Date: November 18, 2013
Page 2
(5) 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 vegetate and stabilized (planted and
mulched)within 14 days of construction completion.
(6) The amount of impervious surface/coverage shall not exceed 30% within 75 feet of the Normal High Water line. In
this case, all impervious coverage within 75'of the Normal High Water line shall not exceed 651 square feet.
(7) Any proposed for grading within the 30' buffer, as measured from the Normal High Water level, must be contoured
to prevent additional stormwater runoff to/on the adjacent properties and/or surrounding open water areas. These
areas shall be immediately vegetatively stabilized, and must remain in a vegetated state.
(8) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of the Normal High Water line.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
C?"4-cattX, -1S.
SIGNATURE: � '` DATE: MM . a, ad/-9
PERMITTEE
RECEIVED
DCM WILMINGTON,NC

AlF4Ta
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, Ill
Governor Director Secretary
November 18, 2013
Judith & HC Phillips
9620 SW 136th Street
Miami, FL 33176-5820
Dear Mr. & Mrs. Phillips:
Attached is CAMA Minor Development Permit# SC13-22 for work to be done at 7039 Seventh Street,
in Surf City, Onslow County.
In order to validate this permit, please sign both copies of the permit as indicated for our records.
Please retain the gold copy for your files and sign front and back of the white copy then 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.
Thank you for your prompt attention to this matter.
Sincerely,
•
Shaun K. Simpson
Permit Support Technici n
Enclosures
cc: WiRO files
127 Cardinal Drive Ext.,Wilmington,NC 28405
Phone:[phone]\FAX:[phone] Internet:www.nccoastalmanagement.net

.. - ,, : .. - _
4IN
T
1 rinc\_ic______ ,„ .____1 ,
T /' i 1 '\ t r' E-f- --. ' ...
i-L (_,
CAMA PERMIT
APPLIED - FOR
PROJECT: A . . . . - -. -i __ - - a' - 11. a - _
.
th • nt
to the AIWW, in Surf City, Onslow County.
T O 7 RCQ J G H November , 2013
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
NC Div. of Coastal Management
127 Cardinal Dr. Ext.
\ Wilmington, NC 28405
1 Jason Dail, Field Representative
910-796-7215

i7J 6,-7-y /5
Locality U Permit Number
Ocean Hazard Estuarine Shoreline )( ORW Shoreline Public Trust Shoreline Other_
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name PHILLIPS JUDITH S&HC
Address 9620 SW 136th Street
City Miami State Florida Zip 33176-5820 Phone [phone]
Email [e-mail]
AUTHORIZED AGENT
Name Olde Anchor Building Co Inc.Christopher R Batts
Address Po Box 2165
City Surf City State NC Zip 28445 Phone [phone]
Email [e-mail]
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.)7039 7th Street Surf City NC(Canal-Intercoastal waterway)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) new construction single family home.
SIZE OF LOT/PARCEL: 7694 square feet acres
PROPOSED USE:Residential Q (Single-family:1 Multi-family 0) Commercial/Industrial D Other El
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: square 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:2448 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?
YESI I N• ✓
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
RECEIVED
DCM WILMINGTON, NC
NOV 0 4 2013

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)
Flan owner or record title,Title is vested in ONSLOW COUNTY ,see Deed Book 4060
page 624 in the ONSLOW County Registry of Deeds.
Flan owner by virtue of inheritance.Applicant is an heir to the estate of •
probate was in County.
Ejf 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) GEORGE D & BARBARA S WEST 8408 FAYETTEVILLE RD RALEIGH NC 27603
(2) CECIL H&PATRICIA P WHALEY 942 LYMAN RD BEULAVILLE NC 28518
(3)
(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.
This the • 'A- day of`NC 20 I.3
X c a11,47i
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 S100.00 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.
RECEIVED
DCM WILMINGTON, NC
NOV 042013

I,JOHNNY J.WILLIAMS,PROFESSIONAL LAND SURVEYOR,CERTIFY THAT I.JOHNNY J.WIWAMS.PROFESSIONAL LAND SURVEYOR,CERTIFY THAT ONSLOW COUNTY NORTH CAROUNA ONSLOW COUNTY NORTH CAROUNA
THIS MAP WAS PREPARED UNDER MY SUPERVISION FROM AN ACTUAL THIS MAP REPRESENTS A SURVEY OF AN EXISTING PARCEL OF LAND AND ONE OF NE THIS MAP WAS FILED FOR REGISTRATION AT y
SURVEY MADE UNDER MY SUPERVISION COMPLETED ON 07/23/13 DOES NOT CREATE A NEW STREET OR CHANGE AN EXISTING STREET REVIEW OFFICERS FOR ONSLOW COUNTY.CERTIFY THAT O'CLOCK_.M.ON THIS NE —NV ,4•
FROM REFERENCES AS SHOWN HEREON;THAT BOUNDARIES NOT AND IS THEREFORE AN EXCEPTION TO THE DEFINITION OF A SUBDIVISION. THE MAP OR PLAT TO WHICH THIS CERTIFICATION IS OF ,20_ SITE J),
SURVEYED ARE NOTED AS SUCH AND PLOTTED FROM REFERENCES AFFIXED MEETS ALL STATUTORY REQUIREMENTS FOR
AS SHOWN HEREON; THAT THIS GPS SURVEY WAS PERFORMED TO RECORDING.
SECOND ORDER CLASS 0 FGCC SPECIFICATIONS; THAT GPS FIELD JOHNNY J.WILLIAMS,P.LS..L-3170 REGISTERED IN MAP BOOK ,PAGE `T
PROCEDURES AND COORDINATES WERE OBTAINED BY NCOS RTK s.
NETWORK ADJUSTMENTS; THAT THIS GPS SURVEY WAS PERFORMED '.
USING TRIMBLE SURVEY GRADE GPS UNITS THAT ALL COORDINATES 4?
ARE BASED ON N.C.GRID NORTH(NAD 1983 2011 ADJUSTMENT); REVIEW OFFICER DATE
THAT ALL DATA OBTAINED WITH GPS METHODS AS WELL AS REGISTER OF DEEDS
CONVENTIONAL METHODS ARE IN ACCORDANCE WITH A CLASS A VP M110
SURVEY AS DEFINED BY TITLE 21,CHAPTER 56.SECTION.1500 OF 0
THE N.C.ADMIMSTRATVE CODE; THAT THIS MAP WAS PREPARED H
IN ACCORDANCE INN G.S 47-30 AS AMENDED.
WITNESS MY ORIGINAL SIGNATURE.REGISTRATION NUMBER,AND SEAL �. VICINITY SKETCH
THIS_DAY OF .20_ ,_A.N (NOT TO SCALE)
JOHNNY J.WILLIAMS,PLO,,L-3170 ..n..�i
van/ •......�/ ./•..... 1)THE PROPERTY SHOWN HEREON IS LOCATED ENTIRELY
WITHIN A SPECIAL 100 YEAR FLOOD HAZARD AREA.ZONE VE.
B.MOO
l! WMOMp ACCORDING TO FLOOD NSURANCE RATE MAP NO.3720424500K
_ DOCIP ® N 344f'11',W ar I BAN'/ DATED FEBRUARY 16.2007.
!♦®� p 2)ALL N.C.GRID DATA SHOWN HEREON IS BASED ON NAD 1963
o;. �® 2011 ADJUSTMENT USING THE NCGS RTK NETWORK SYSTEM.
4� Vs'Es SMELTER 3)ALL DISTANCES SHOWN HEREON ARE N.C.GRID DISTANCES
,y. 66 UNLESS OTHERWISE NOTED.
'VQp 0 '''4WRAF" 4)COMBINED GRID FACTOR. 0.999970203
�Nb 7 5)ALL UTUTY UNES SHOWN HEREON MAY HAVE EASEMENTS
AND RIGHTS OF ENTRANCE AND MAINTENANCE ASSOCIATED
WITH THEM.
y_ z
�8 . PROPOSEDui p ;4 e)THIS PROPERTY IS ZONED MHs BY THE TOWN OF SURF CITY.
STEPS S 7)AAELL VEL(NAVD S SHOWN HEREON ARE BASED ON MEAN SEA
IIt
I IIIIII•IIIIII I PI
DEED 859,PPAACCE 421 " = I DEED BOOK 414,E 576
SITE CALCULATIONS: PROPOSED R REFERENCES'
# DEED BOOK 1212,PAGE 244
OLD SETTLERS BEACH 8 PORCH OLD SETTLERS BEACH
LOT 11,BLOCK 38,SECTION 4 LOT 13.BLOCK 38,SECTION 4 OLD SETTLERS BEACH
TOTAL AREA OF LOT.7894 SO.FT. MAP BOOK 11,PACE 4 MA P BOOK 11,PAGE 4 LOT 12,BLOCK 38,AN
- n•caw ARE u< 'B EXTENSION TO SECTION 4
AREA OF LOT WITHIN 75'MC LINE.4112 SO.FT. 8 MAP BOOK 11.PAGE 4
LE
TOTAL IMPERVIOUS AREA UNDER RCOF OVERHANG• 2448 S0.FT. SCSECO1E A
IMPERVIOUS AREA OF ROOF OVERHANG WITHIN 75'AEC UNE.851 SO.FT. S P0110.° q S GRID TIES AND COORDINATES'
TOTAL AREA OF DECKS,STEPS,HVAC STAND.174 S0.FT. RRpsoOF OPoieSnw.Hc 8 HOLS
OR
SONGS
$ EIS NO.203 - NORTH 257,348.224
AREA OF DECKS,STEPS,HVAC STAND WITHIN 75'AEC LINE.100 SO.FT. (CONTROL CORNER) EAST.2,447,543.339
AREA OF ROOF OVERHANG AT WOOD DOCK.323 SO.FT.
^
I.I .Ro EC HOPS ~T EIP NO.200 NORTH.257,391.418
- (CONTROL CORNER) EAST.2,447,512.082
1z CCOVERED 10501
C I
f tr NNW SITS.
'C C P S SC W'SR'W 200W41'MOOR OR K
Eo 01TM sn�T TO-EPIC IIIWInc
`f s..Ca We Ea® cnnu a Tls CM-OIL-SAC Of TIP STRUT
C ii
�� -lb„A„ f 9437'ss'a II0.o2' —E
$ 5 34'4111`E err QT> Op
_ ,I BOUNDARY SURVEY &
o —I C MSI N BENCHMARKUTIUTY ,it g. PRELIMINARY PLOT PLAN FOR:
w ELEV..12.00' =I P,
Uz ; HENRY C. PHILLIPS AND WIFE,
LEGEND: 4— — — — — — _ _ — 09EWE,r. SUS'
DP.EXISTING I PIPE ® JURY STANCIL PHILLIPS
OS.EXISTING IRON TAKE Vs E.
EPK.EXISTING P.K.NAIL
EXISTING HG
ISO.IRON STAKE SET NAIL INDIVIDUAL TRACT ON 7TH STREET
MNS.MAO NAIL SET 7TB STRAY' BUM R/J'
SOS.SURVEY SPIKE SET TOWN OF SURF CITY
SD.TOP TOP BEBLLOWW GROUND SUURFACE STUMP SOUND TOWNSHIP, ONSLOW COUNTY, N.C.
R/W.RIGHT-OF-WAY _
I .PRPROOPERRTYY UNE NE RA. "�' DATE: OCTOBER 14, 2013 T '9• i
NCOS.NORTH CAROUNA GEODETIC SCALE: 1" . 20' L
SURVEY
E-E- .OVERHEAD UTUTY LINE
-..UTILITY POLE 4 JOHNNY.1 F/LLIANS LAND SURNSY/A� P.C.
p.WATER METER P.O. BOX 778, BEULAVILLE, N.C. 28518
O-TELEPHONE BOX E-IR, T:MU",IC,m1s-ml 51 �f%a PHONE: [phone] FAX: [phone] �/�
roRAM
S Nm°`O E75 EMAIL: JWILLIAMSOJWSURVEY.COM FIRM NO. C-2532

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Judith S & HC Phillips's
property located at 7039 7th Street Surf City NC 28445 Lot 12 block 38
Old Settlers Beach,
on the Inter-Coastal Waterway Canal, in Surf City/Onslow County, N.C.
He/she has described to me as shown in the attached application and
project drawing(s), the development
He/she is proposing at that location, and, I have no objections to his/her
proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT
ATTACHED)
Signature
Cecil H & Patricia P Whaley
Telephone #
RECEIVED
DCM WILMINGTON, NC
NOV 042013

ATA
NCDffilit
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director RECEIVED Secretary
DCM WILMINGTOiv, NC
AGENT AUTHORIZATK* )R UI
Date:
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
)h,11 cis :StJAtkirr. C- OWE AnC t-lic•R -bu,ki 1.1 Co lc
Ct rzc-te,a r B
Owner's Mailiny Address: Agent's Mailing Address:
q Er c> S U.) l 3(li C C` 3c.- at%Gs--
\ &nr."{ L 3 1"7to - -o h -stiqS-
•
Phone Number(305-) Zg bGL- Phone Number( lit?) 540 -3
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
For my property located at • 7 ' eck: 3 tLifti3 pc al.Li Lis-
This certification is valid thru (date) 1,11 301 39 t 4
•
d 4 // /- v13
Property Owner Signature Date
S o AON
ON 'NOlONIWIIM WOO
a3Al 0
127 Cartiirral Drive Ext.,V41irnin ton,NC 28405 OAe
Phone.[phone]\FAX:9i0-395-3964 Internet wrww.rccoasiaimanagemant.nei NO It' O�lIla

Date: 10/28/2013
George D & Barbara West
8408 FAYETTEVILLE RD
RALEIGH NC 27603
Dear Adjacent Property Owner:
This letter is to inform you that I, Judith S & HC Phillips have applied for a
CAMA Minor Permit on my property at 7039th Street Old Settlers Beach Surf City, NC
Lot 12 Blk. 38, in Onslow 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 30J— as 3- 1 ,or by mail at the address listed
below. If you wish to file a written comments or objections with the LOCAL GOVERNMENT
CAMA Minor Permit Program, you may submit to:
Jason Dail
Local Permit Officer for CAMA Local Permit Official
127 Cardinal Drive
Wilmington, NC 28405
Sincerely,
Judith S & HC Phillips
9620 SW 136th Street
Miami, FL 33176-5820 RECEIVED
DCM WILMINGTON, NC
NOV 04 2013

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Judith S & HC Phillips's
property located at 7039 7th Street Surf City NC 28445 Lot 12 block 38
Old Settlers Beach,
on the Inter-Coastal Waterway Canal, in Surf City/Onslow County, N.C.
He/she has described to me as shown in the attached application and
project drawing(s), the development
He/she is proposing at that location, and, I have no objections to his/her
proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT
ATTACHED)
Signature
George D & Barbara West
Print or Type Name
Telephone Number
RECEIVED
DCM WILMINGTON, NC
NOV 0 4 2013

U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
\`ational Flood Insurance Program Important: Read the instructions on pages 1-9. P July 31, 2015
Expiration Date:
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al_ Building Owner's Name Henry C. Phillips and Judith S.Phillips Policy Number:
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number....
7039 r Street
City Surf City State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers.Tax Parcel Number, Legal Description,etc.)
Lot 12.Block 38,Extension to Section 4,Old Settlers Beach,Map Book 11,page 4
A4. Building Use(e.g.. Residential,Non-Residential,Addition,Accessory.etc.)Residential
A5. Latitude/Longitude:Lat. 34-26-52.5 Long. 77-30-56,3 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 6
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) 209 sq ft a) Square footage of attached garage n/vr sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s)within 1.0 foot above adjacent grade 2 within 1.0 foot above adjacent grade n/a
c) Total net area of flood openings in A8.b 432 sq in c) Total net area of flood openings in A9.b nla sq in
d) Engineered flood openings? 0 Yes ® No d) Engineered flood openings? 0 Yes 0 No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name B3. State
Town of Surf City 370186 Onslow NC
B4. Map/Panel Number 85.Suffix 86.FIRM Index Date B7.FIRM Panel E113.Flood 1 B9 Base Flood Elevation(s)(Zone
3720424500 K 02/16/07 Effective/Revised Date Zone(s) AO,use base flood depth)
( j 02/16/07 VE 11.0
310. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile 0 FIRM ❑ Community Determined 0 Other/Source:
311. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other/Source:
312 Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)7 0 Yes ® No
Designation Date: 0 CBRS 0 OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
:1. Building elevations are based on: ® Construction Drawings* ❑ Building Under Construction* ❑ Finished Ccnstruction
*A new Elevation Certificate will be required when construction of the building is complete.
:2. Elevations-Zones Al-A30,AE,AI-I,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A1-A30,AR/AH.AR/AO.Complete Items C2.a-h
below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized:NCGS RTK Network Vertical Datum: NAV( 1988
Indicate elevation datum used for the elevations in items a)through h)below. 0 NGVD 1929 ®NAVD 1988 0 Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a)Top of bottom floor(including basement,crawlspace, or enclosure floor) 3.5 ®feet ❑meters
b)Top of the next higher floor 14.6 ®feet 0 meters
c) Bottom of the lowest horizontal structural member(V Zones only) FH E C E IV E -13.1 ®feet 0 meters
d)Attached garage(top of slab) n L7nl". 0 feet 0 meters
e) Lowest elevation of machinery or equipment servicing the buiP WILMINGTON � ®feet 0 meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) NOV 4 20 3 2.5 0 feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG)
3.3 (82feet 0 meters
h) Lowest adjacent grade at lowest elevation of deck or stairs. including structural support 2.5 ®feet 0 meters
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the data available. ���\�t t I I I I t f///
t understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ��\\,5 C A AO //;
❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a \'Off'•�1.$S/6•'y
❑ Check here if attachments. licensed land surveyor? ® Yes 0 No �• t •9
:ertifier's Name Johnny J.Williams License Number L•3170 ` ;aO SEAL p
9 L 317 cc0E:
rifle PLS Company Name Johnny J.Williams Land Surveying y =
gddress P.O. Box 778 _- o - V`°•
City Beulaville State NC ZIP Code 28518 ',� Y • `R • •
i 11at ,_ '. J.w``'\, `�
t9 i \ I, I,. Date 10/11/13 Tcdm-Anna oin_',oasmo,e \�

ELEVATION CERTIFICATE, page 2
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Number
g Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy
7039 7 Street
City Surf City State 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 owner.
Comments `���� C q R��//,�.
. • • • .
•
i�I, 111i SEA. r -
Signature Johngy J.Williams Date 10/11/13 - :r 1_-317 Q O:
SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOt 44 (WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA 6ff4ti*
RAF r49ae51.complete Sections A,B,
and C.For Items E1-E4,use natural grade, if available.Check the measurement used.In Puerto Rico only,enti41dtt11•'
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 ❑meters 0 above or 0 below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 feet 0 meters ❑ above or 0 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 floc r
(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 ❑meters 0 above or 0 below the HAG
E4. Top of platform of machinery and/or equipment servicing the building is 0 feet ❑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 ❑ No ❑ Unknown.The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B.and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of my knowledge. J� T
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
0 check here if attachrrents
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
'he 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
rf this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters.
31. 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.)
32.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
33. 0 The following information(Items G4-G10)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
37. This permit has been issued for: ❑New Construction 0 Substantial Improvement
38. Elevation of as-built lowest floor(including basement)of the building: _ ❑feet ❑meters Datum
39. BFE or(in-Zone AO)depth of flooding at the building site: 0 feet 0 meters Datum
310.Community's design flood elevation: 0 feet 0 meters Datum
Local Official's Name Title RECEIVED
Community Name Telephone DCM WILMINGTON, NC
signature Date N O V 0 4 2013
Comments
0 Check here if attachments

Date: 10/28/2013
Cecil H & Patricia P Whaley
942 Lyman Rd
Beulaville, NC 28518
Dear Adjacent Property Owner:
This letter is to inform you that I, Judith S & HC Phillips have applied for a
CAMA Minor Per
mit on my property at 7039th Street Old Settlers Beach Surf City, NC
Lot 12 Blk.
38 in Onslow 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
d fromyou or you may sign and return the enclosed no objection form. If
action is require Y
you have any questions or comments about my proposed project,
35�,Z._ ,or by mail at the address listed
please contact me at ��L��� ��3
below. If you wi
sh to file a written comments or objections with the LOCAL GOVERNMENT
CAMA Minor Permit Program, you may submit to:
Jason Dail
Local Permit Officer for CAMA Local Permit Official
127 Cardinal Drive
Wilmington, NC 28405
Sincerely,
Judith S & HC Phillips RECEIVED9620 SW 136th Street `�t:M UVILMINGTON, NC
Miami, FL 33176-5820 NOV 0 4 2013

U.S. Postal Service,
CERTIFIED MAIL., RECEIPT U.S. Postal ServiceTr.,
N (Domestic Mail Only;No Insurance Coverage Provided) CERTIFIED MAIL,,, RECEIPT
E
`� Q, (Domestic Mail Only;No Insurance Coverage Provided)
N. For delivery information visit our website at www.usps.com.
R_ For delivery information visit our website at www.usps.com
E
u _ ::. y
Postage
—13
.13
PostageMUM t
CD
Certified Fee 1111116 f1// NC _a ;,E I�r E D
Return Receipt Fee lLM JNCu m Certified Fee 70,tVi \. IL MI! PG TON, NC
C] (Endorsement Required) �i
!] c q Hereostmark
O Return Receipt Fee
Restricted Delivery Fee •V V4
� C3 (Endorsement Required) \,/ 0 4'1113
Ii (Endorsement Required) p
—p Restricted Delivery Fee lrfiltr'i i
13
En (Endorsement Required)
.n-" Total Postage&Fees '"''-
Sent To Total Postage&Fees
ru - m
I= Street,Apt.N
h rel. Uje 5 % Sent To
Cror PO Box No. (� ( die /` 1 r� !l � 'l l-/6,';4, (/t4to l'e
City ---t----------- --`--+u-a- _ 44-- I`L� /' Street.Apt.No.;
State,ZIP+4 /�� /
[_ or PO Box No. ( `..t` `� L``r Ll�f ,.� C..
I�l- ti _ ----_--_-'-- City,State,ZlP+4 1�+
PS Form 3800,August 2006 16,0V L-'ti-,fi' 1v C 5/Sr
See Reverse for Instructions L U
PS Form 3800.August 2006 See Reverse for Instructions
OLDE ANCHOR BUILDING COMPANY INC 11052
PO BOX 2165 910-540-3586
+ SURF CITY NC 28445-0018 66-19 530 NC
c / �-li/ /
DATE 58754 is
•
PAY /� //�' /f (fit
+ TO THE iti/d ' l �J JL/ ioo i� +
ORDER OF l/
1 7 b�atfrilk 4-'-/ •DOLLARS 2 a
Bank ��j `
h t
ACH R/T 053000196
1 FOR e r�-- Oa '`10 3/ ___ _