SC_14-06_ CJL Partners (2)

Issued by WiRO SC14-06
Surf City Permit Number
CAMA
MINOR DEVELOPMENT411
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 CJL Partners, Inc. authorizing development in the Ocean Hazard (AEC) at 118 North Shore Drive, in Surf
City, Pender County as requested in the permittee's application, dated April 9, 2014, and received by DCM on April 21,
2014. This permit, issued on May 12, 2014, is subject to compliance with the application and survey drawing dated
(mapped) April 9, 2014, and received by DCM on April 21, 2014 (where consistent with the permit), all applicable
regulations and special conditions and notes set forth below. Any violation of these terms may subject the permittee to a
fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Construction of a dwelling with associated pervious driveway, swimming pool,decks and utilities.
(1) All proposed development and associated construction must be done in accordance with the permitted survey drawing
dated April 9, 2014, and received by DCM on April 21, 2014.
(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, and/or land use activities will require re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at(910)
766-7221 for a final inspection at completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. 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 CAMA LOCAL PERMIT OFFICIAL
approval.All work must cease when this permit expires on:
127 Cardinal Drive Exten i
December31,2017 Wilmington, NC 2:; :(fig E ED
GTON, NC
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 9 2014
another party without the written approval of the Division of Coastal

Name: CJL Partners, Inc.
Minor Permit#SC14-06
Date: May 12, 2014
Page 2 of 3
(5) With exception of the proposed structural access walkway, gazebo, decking and swimming pool, ALL other
structure(s) must be set back a minimum of 60 feet from the First Line of Stable Natural Vegetation (FLSNV), as
determined by the DCM. With exception of the access walkway and structurally detached ocean side decking, no
eaves, cantilevers, pilings, etc. may encroach within 60'from the FLSNV.
(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) Any structure(s) 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) Any decking located within 60 feet from the FLSNV shall not exceed a combined footprint of 500 sq. ft. and shall be
structurally independent (detached) of the residential or primary structure. The deck(s) may be cosmetically
attached, but shall remain free standing as a single unit.
(9) 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.
(10) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(11) The total floor area of the permitted dwelling shall not exceed 2,390 square feet, as indicated in the permit
application.
(12) Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective value is
not weakened or reduced. Disturbed dune areas will be immediately stabilized.
(13) 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.
(14) 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.
RECEIVED
DCM WILMINGTON,NC
IIAAV 1 4 9nIL

Name: CJL Partners, Inc.
Minor Permit# SC14-06
Date: May 12, 2014
Page 3 of 3
(15) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATURE: DATE: ST-4—/f
PERMITTEE
RECEIVED
DCM WILMINGTON,NC

dd sivto
STATE OF NORTH CAROLINA
DEPARTMENT OF JUSTICE
ROY COOPER. P.O.Box629 REPLY TO:MARYL.LUCASSE
ATTORNEY GENERAL RALEIGH,NC 27602 ENVIRONMENTAL DIVISION
TEL:[phone]
FAX:[phone]
mlucassc @ncdoj.gov
June 6, 2014
Alan C. Lesesky CERTIFIED MAIL
David E. Lesesky RETURN RECEIPT REQUESTED and
8480 Timber Trail electronically:[e-mail]
Brecksville,OH 44141 and [e-mail]
Re: Final Decision DENYING Third Party Hearing Request
Dear Sirs:
The Chairman of the Coastal Resources Commission has denied your request for a third
party hearing to contest CAMA Minor Permit No. 14-06 issued on May 12, 2014 to CJL
Partners, Inc. for the construction of a dwelling, driveway, swimming pool ("spa") and decks on
the property located adjacent to the Atlantic Ocean at 118 North Shore Drive, Surf City, Pender
County, North Carolina. Attached is a copy of the final agency decision. You may appeal this
decision by filing a petition for judicial review in superior court as provided in N.C.G.S. § 150B-
45 within thirty days after receiving the final agency decision. A copy of the judicial review
petition must be served on the Coastal Resources Commission's agent for service of process at
the following address:
Lacy M. Presnell,III, General Counsel
Dept. of Environment and Natural Resources
1601 Mail Service Center
Raleigh,NC 27699-1601
If you choose to file a petition for judicial review, I request that you also serve a copy of
the petition for judicial review on me at the address in the letterhead. If you have any questions,
please feel free to contact me.
Sincerey,
;' t/
Mary L. Lucasse
Special Deputy Attorney General and
Counsel for the Coastal Resources Commission

g la)
STATE OF NORTH CAROLINA
DEPARTMENT OF JUSTICE
ROY COOPER P.O.Box 629 REPLY TO:MARY L LuCASSE
ATroRNEY GENERAL RALEIGH,NC 27602 ENVIRONMENTAL DIVISION
TEL:[phone]
FAX:[phone]
mlucassc @ncdoj.gov
June 6, 2014
Alan C. Lesesky CERTIFIED MAIL
David E. Lesesky RETURN RECEIPT REQUESTED and
8480 Timber Trail electronically:[e-mail]
Brecksville, OH 44141 and [e-mail]
Re: Final Decision DENYING Third Party Hearing Request
Dear Sirs:
The Chairman of the Coastal Resources Commission has denied your request for a third
party hearing to contest CAMA Minor Permit No. 14-06 issued on May 12, 2014 to CJL
Partners, Inc. for the construction of a dwelling, driveway, swimming pool ("spa") and decks on
the property located adjacent to the Atlantic Ocean at 118 North Shore Drive, Surf City, Pender
County, North Carolina. Attached is a copy of the final agency decision. You may appeal this
decision by filing a petition for judicial review in superior court as provided in N.C.G.S. § 150B-
45 within thirty days after receiving the final agency decision. A copy of the judicial review
petition must be served on the Coastal Resources Commission's agent for service of process at
the following address:
Lacy M. Presnell, III, General Counsel
Dept. of Environment and Natural Resources
1601 Mail Service Center
Raleigh,NC 27699-1601
If you choose to file a petition for judicial review, I request that you also serve a copy of
the petition for judicial review on me at the address in the letterhead. If you have any questions,
please feel free to contact me.
Sincerely, •� ,,
/ r
✓l
Mary L. Lucasse
Special Deputy Attorney General and
Counsel for the Coastal Resources Commission
a .Craa`v rzD
DCM MIMING-TON, NC
I IU N 0 0i i(:

Alan C.Lesesky
David E. Lesesky
June 6,2014
Page 2
cc: CJL Partners, Inc. c/o Chris Majewski, Certified Mail, Return Receipt Requested
Frank D. Gorham, III, Chairman,electronically
Christine A. Goebel,Esq.,electronically
Braxton C. Davis, electronically
Angela Willis, electronically
RECEPIFD
DCM W,s_M G -ON, NC .
JUN 0 8 Lui4

IfiSk
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory John E. Skvarla, Ill
Governor Secretary
May 23, 2014
CJL Partners, Inc
Attn: Chris Majewski
2828 Brenfield Drive
Raleigh,NC 27606
CERTIFIED MAIL (7008 1830 0000 7330 1135)
RETURN RECEIPT REQUESTED
Re: Suspension of Work/Appeal of CAMA Permit Decision
Dear Mr. Majewski,
The Chairman of the Coastal Resources Commission, Frank Gorham,has received a request for an
administrative hearing to challenge CAMA Minor Permit SC14-06 issued to CJL Partners, Inc. The Third Party
Hearing Request was filed on behalf of petitioners David and Alan Lesesky on May 23, 2014. Under N.C.G.S.
§113A-121.1 (the Coastal Area Management Act), your permit is suspended upon receipt of a hearing request
and will remain suspended until either: (1) Chairman Gorham denies the hearing request(under standards set
out in the statute); or(2)there is a final agency decision on the permit appeal. You may not undertake any
development under the permit until further notice after Chairman Gorham issues his decision.
The Division of Coastal Management will prepare a recommendation for the Chairman on whether to grant or
deny the hearing request. The Chairman must make a decision within 15 days after receipt of the hearing
request. Therefore his decision is due close of business on June 9, 2014. If you wish to submit any materials
for the Chairman's consideration in ruling on the request for contested case hearing, please send them to me as
soon as possible.
Sincerely,
Braxton C. Davis
Director
cc: Debra Wilson, District Manager
RECEIVED
DCM WILMINGTON, NC
MAY 282014
400 Commerce Ave.,Morehead City,NC 28557
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net

J ERE A.ICER PRTFAT90NAL LAND SURVIVOR,
DO HEREBY CERTIFY THAT I HAVE SURVEYED THE '
PROPERTY AS SHOWN ACEON LAND SURE WITH
THESTANDARDS NOFA PRACTICE TH FOR T O SURVEYING
IN NORTH CA CAL THATALE THE RALATT OF
DEPOSOR AS CALOULAIED BY LATITUDES AND
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THIS IS TO CERTIFY THAT THE SUB.ECT PROPERTY IS LOCATED
IN FLOOD ZONE TYE' WHICH IS A T t!B X AA'V'
SPECIAL FLOOD HAZARD AREA AS DETERMINED BY THE FEDERAL {/ O[tM p
EMERGENCY YANADEYENT AGENCY,AND THE NATIONAL FL000 PROPOSED 110 WO. I P VICINITY SKETCH
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SAN OR 7 PROPOSED TOTAL BUILT UPON SURFACE-2600 Sq.FL
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TOTAL IOT AREA -IT710 Sa.Ft g FRONT-15'
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I2 NIN PROPOSED TOTAL IMPERVIOUS SURFACE-1487 Sq.FL ➢ E SOURCE
yy R TOTAL LOT AREA -0.201 Sett I D.B.4326,P.128
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F y ®-TELEPHONE PEDESTAL
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BENCHMARK:SYN -FIBER OPTIC CAB E MARKER
NOW OR FORMERLY ELEVATION:1049' 0 -TIGHT POE
OCN WATCH VIS CMUNITY
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GRAPHIC SCALE
CHARLES F. RIGGS & ASSOCIATES, INC. (c-780) y
BOUNDARY SURVEY & PRELIMINARY PLOT PLAN (p'err)
LAND SURVEYING - CONVENTIONAL & GLOBAL POSITIONING SYSTEMS, FOR E Mob-20 ft.
LAND PLANNING & COMPUTER MAPPING CJL PARTNERS INC.
502 NEW BRIDGE STREET ACTUAL FIELD SURVEY DATE:NOVEMBER 6,
MAPPING DATE: FEBRUARY 10,2014
P. P.O.BOX 1570 101 SCOTTS HILL LOOP ROAD LOT 10, BLOCK 23, SUBDIVISION No. 1 OF SURF CITY, M.B. 3, P. 45 DRAWN BY: J.HELMS
JAELEPHONE: N.C. 28541-1570 VAUAINGTON,N.C. 28411 TOPSAIL TOWNSHIP, PONDER COUNTY, NORTH CAROLINA
CHECKED BY: J.A.LEWlS
TELEPHONE: [phone] TELEPHONE: [phone] FIELD BOOK: 816 PAGE: _l__
6 FACSIMILE: [phone] E-MAIL rIggelandebIzec.rr.com 118 NORTH SHORE DRIVE
E-MAIL: riggeiondN7bizeo.rP.com (PROJECT NUMBER: 13-08-23
f

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 0 re /Zy LLC-
Address of Property: / Ai ee >k-Q A D,Lt/7
a' Sr? U/- S4ie f vic°!)
(Lot or Street#, Street or Road, ity &County)
Agent's Name#: PA/4 )JEf'L_ Mailing Address: :/K_:7 7 (r-rTZ2�S14Mc l,)f`
I
Agent's phone#: ' I / W"7 • r r/ Ar llf At Z, 79V
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the deve!opment
they are proposing. A description or drawing, with dimensions. must be provided with this letter.
_X I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings; breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
1 do not wish to waive the 15' setback requirement
(Property(Veh
Owner Information) (Adjacent Property Owner ormation)
)5ic, f l,>:O/2,6c.0
Signature Signature
44-, dJF _ try l' jrPAf-Z- S- PVC
Print or/ype Name Print or Type Name
fet,7 g-rafyskvi Af' .)S072 P0rreAl41
Mailing Address( Mailing Address
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Telephone Number Tele7f7- 7'Z7Z23?/
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Dare Dale
Revised 6✓18✓2012

A•A
IV
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skavarla, Ill
Governor Secretary
May 12, 2014
Dave Lesesky
Transmitted by way of email.
Letter sent to: [e-mail]
Dear Mr.Lesesky:
This letter is in response to your correspondence,which was received by the Division of Coastal Management on March
28,2014,regarding your concerns about the proposed development by CJL Partners,Inc.at 118 N. Shore Drive, in Surf
City,Pender County. The project,as proposed,consist of the construction of a dwelling with decking,a spa,driveway,
parking and utilities.The proposed project has been determined to comply with the Rules of the Coastal Resources
Commission(15 A NCAC 07K.0207)and as such,a CAMA Minor development permit has been issued. I have enclosed
a copy of the permit, as well as the applicable rules.
If you wish to contest our decision to issue this permit,you may file a request for a Third Party Appeal.The Chairman of
the Coastal Resources Commission will consider each case and determine whether to grant your request to file for a
Contested Case Hearing. The hearing request must be filed with the Director,Division of Coastal Management, in writing
and must be received within twenty(20)days of the disputed permit decision. I have enclosed the applicable forms and
instructions that must be filed prior to that deadline. Please contact me at(910)796-7221, if you have any questions,or if
I can provide any additional information.
Respectfully yours,
OIAZ
J n Dail,LPO
orth Carolina Division of Coastal Management
127 Cardinal Drive
Wilmington,NC 28405
Cc: WiRO file
Steve Padgett—Town of Surf City
127 Cardinal Drive Ext..Wilminaton. NC 28405

Dail, Jason
From: Dave Lesesky[[e-mail]]
Sent: Friday, March 28, 2014 10:15 AM
To: Dail, Jason
Cc: Alan Lesesky ([e-mail])
Subject: 118 North Shore Surfcity NC
Jason,
Per our conversation I do NOT agree on the variance request from our neighbor at 118 North Shore. We own the
property next door at 116E North Shore Surfcity. We would like additional information on their request before we
would agree with anything.
Sincerely,
Dave Lesesky
Dave Lesesky I Senior Client Executive
Office:210.918.9236 I Mobile: [phone] I dave.leseskyasiriuscom.com
f Sirius Computer Solutions I www.siriuscom.com
ff./
8480 Timber Trail, Brecksville,OH 44141
SBlum
WUM TOMICITS la CI In 021
This message(including any attachments)is intended only for the use of the individual or entity to which it is addressed and may contain information that is
non-public,proprietary,privileged,confidential,and exempt from disclosure under applicable law.If you are not the intended recipient,you are hereby
notified that any use,dissemination,distribution,or copying of this communication is strictly prohibited.This message may be viewed by parties at Sirius
Computer Solutions other than those named in the message header.This message does not contain an official representation of Sirius Computer Solutions.If
you have received this communication in error,notify Sirius Computer Solutions immediately and(i)destroy this message if a facsimile or(ii)delete this
message immediately if this is an electronic communication.Thank you.
Sirius Computer Solutions
RECEIVED
DCM WILMINGTON, NC
MAR 2 8 2014

AWA,
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, HI
Governor Secretary
May 12, 2014
CJL Partners, Inc.
Attn: Chris Majewski
2828 Brenfield Drive
Raleigh, NC 27606
Dear Mr. Majewski:
Attached is CAMA Minor Development Permit#SC 14-06 for work to be done at 8811 North Shore
Drive, in Surf City, Pender County.
In order to validate this permit, please sign both copies of the permit as indicated for our records.
Please retain the orange copy for your files and sign both pages of the white copy then return to us within
20 days of receipt, in the enclosed, self-addressed envelope.
This is not valid permit until signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
/--(1-7.1 4-64'4
•
Shaun K. Simpson
Permit and Customer Support
NC Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405
Enclosures
cc: WiRO files
127 Cardinal Drive Ext.,Wilmington,NC 28405
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net

1 i
.„ ,
lot lilliiiA
CAMA PERMIT
APPLIED FOR
. .
PROJECT: -' ii " , " i i ;i : - : ;•' ''' • • " = le—
. . . . .
- am • i - se A i • III ' II - • • k 9 •
. lip
• - 111 5 . 4 . - • - A - . 5 urf
City, Pender County.
COMMENT - ACC E 7TE r="73 THROUGH May 8, 2014
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Charles F. Riggs NC Div. of Coastal Management
502 New Bridge St_ 127 Cardinal Dr. Ext.
PO Box 1570 Wilmington, NC 28405
Jacksonville, NC 28541 Jason Dail, Express Coordinator
910-796-7221
For: CJL Partners, Inc.

56 /
CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 502 NEW BRIDGE STREET Wilmington Office:
James A.Lewis,P.L.S.L-4562 P.O.Box 1570 101 Scotts Hill Loop Road
Kenneth E.Johnson, P.L.S.L-4925 JACKSONVILLE,NORTH CAROLINA 28541 Wilmington,N.C. 28411
Corporate License(C-730) TELEPHONE: (910) 455-0877 [phone]
FACSIMILE: (910) 455-9033
E-MAIL:riggsland@,bizec.rr.com
Date: April 17,2014
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environment and Natural Resources
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: CJL Partners, Inc.Minor CAMA Application
Dear Mr. Dail:
On behalf of CJL Partners,Inc.,Charles F.Riggs&Associates, Inc. submits for your review the
enclosed Minor CAMA Application for the property at 118 North Shore Drive, Stump Sound
Township, Onslow County.
Resp tfully,
es L. Riggs
‘4G
PQ�94

�5� iy,--ole, OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
/ Permit Number 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
and Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
(For official use only) others.Check with your Local Permit Officer for more information.
J.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
JirNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Partners,Inc. listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
.828 Brenfield Drive 4236
Man lan owner or record title,Title is vested in Fee Simple see Deed Book
^
or State NC Zip 27606 Phone [phone] page 128 in the Pander County Registry of Deeds.
[e-mail]
Flan owner by virtue of inheritance.Applicant is an heir to the estate of
tIZED AGENT probate was in County.
lades F.Riggs&Associates,Inc. of other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
3.O.Box 1570 NOTIFICATION OF ADJACENT PROPERTY OWNERS:
csonville State NC Zip 28541 Phone [phone] 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.
[e-mail] (Name) (Address)
(1) Mr.Wallace John Diehl,6007 Graystone Drive,Chapel Hill,NC 27514
ON OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
vaterbody.) 118 North Shore Drive(Lot 10,Block 23,Surf City Subdivision No.1) (2) Mr.Alan Leseky et al.,8480 Timber Trail,Brecksville,OH 44141
(3)
PTiON OF PROJECT:(List all proposed construction and land disturbance.) Proposed Dwelling with (4)
:cks,4'Wood Walk Concrete Slab,Gazebo,and Pervious Drive
LOT/PARCEL: 13,/30 square feet 0.315 acres ACKNOWLEDGEMENTS:
i,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
IED USE:Residential Q (Single-family 0 Multi-family 0) Commercial/Industrial❑ Other ❑ 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 stabilize-
ETE EiTHER(I)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
•operty):
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
AN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:2.390 square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
ioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
non-load-bearing attic space) !� '/
.STAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the 1 7/7 day of et G,20��
JRFACES: square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, ��a/ s i�i
al.masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or person authorized to ac _ t for fir,i.se of filing a CAMA permit application
iTORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater /�
rent Permit issued by the NC Division of Water Quality? This application includes:general i o his form),a site drawing as described on the back of this application,the (/ )
ownership statement,the Ocean Haza• - otice where necessary,a check for SI00.00 made payable to the locality,andis r\
any information as may be provided orally by the applicant.The details of the application as described by these sources are
t theftal built upon area/impervious surface allowed for your lot or parcel: square feet. 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.
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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
November 19, 2013
Date
Lame of Property (.)s ncr Applying for Permit:
Mr. Chris Majewski, CJL Partners, Inc.
Mailing Address:
2828 Brenfield Drive
Raleigh, NC 27606
Charles F. Riggs & Assoc.
certify that 1 hale authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all( AMA Permits necessary to
install or construct (activity.) proposed dwelling, as shown on plot plan
JVorfii
at t ms property located at) 118£eut#h Shore Drive (Lot 10, Block 23,
Surf City Subdivision No. 1)
November 19, 2014
This certification is .alid thru (date)
November 19, 2013
1
Property O.r ncr Signal ire Date
RECEIVED
DCM WILMINGTON,l

OCEAN HAZARD AEC NOTICE
Project is in an: X Ocean Erodible Area X High Hazard Flood Area Inlet Hazard Area
Property Owner: Mr.Chris Majewski,CJL Partners,Inc.
X.'1i
Property Address: 118.Esuth Shore Drive(Lot 10, Block 23,Surf City Subdivision No.1)
Date Lot Was Platted: July 1948
this nrutce is intended to make sou. the applicant, aware ot the SPECIAL NOTE: I his hazard notice is required for
special risks and conditions associated with development in this desekipmenl in areas subleci to sudden and massive sIorm'and
area. which is subject to natural hazards such as stoornis.erosion erosion Permits issued for development in this area expire on
and currents. the rules ot the (oastal Resources t ornmiasion llecemher 11 of the third sear following the year in which the
require that sou recerse an AL( Hazard \clues and permit was issued Shunt) before work begins on the pnject
acknowledge that notice in writing before a permit fix site.the I peal Permit Officer must he contacted to determine the
dcselapment can be issued vegetation tux and setback distance at sour site 11 the pnipen,
has seen link change since the time of permit issuance.and the
I he ( ommt,,ic.n s rules on huiidtuc standards oceanfront proposed development can still meet the setback requirement.
setbacks and ,fume alterations are designed to immunize. hut not the I.Pf1 will inform sou that you ma) begin work. Substantial
eliminate. pa perts kiss from hazards. lls granting permits. the progress tat the project must he made within Mi days of this
t oastal Resources(ismmisston dales not guarantee the sales) of setback dclenninalion.or the setback must he re-measured Also
the development and assumes no liability for future damage so the occurrence of a mafar shoreline change as the result of a
the desekilanent Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement
I-ns imnrnental t oncern include the condition that structures be tit the setback It is important that sine :heck with the I Pt I
relocated or dismantled it thes become imminently threatened betimes the permit expires for offiicial approval to continue the
is changes in shoreline configuration the striaiturefs)must he work after the permit has expired t.ienerally. it foundation
relocated .tr dismantled within two t2i scats of heconiing pilings have hcen placed and suhstanttal progress is continuing.
imminenth threatened. and in arts :ass upon its collapse of permit renewal can he authorized It is unlawful to co+niinuc
subsidence work atter permit expiration
the test asailahle tnlurmutiott.as accepted by the(oastat tar marein/vrmatinn,cYirtlat►:
Resources (camas-sum. indicates that the annual tone-terra y I as crake ocean erosion rate for the area where your property is
tilt-:k
located is tent per sear -
Loc6f Permit Officer
the rate was established h+ caretut anal,sus oat serest
Photographs of the coastline taken oser the past�rl sears _NC DI�/. QE,COAsTALIttlANAGE^97ENT
Studies also indicate that the shoreline could mine as much as Addrei527 CARDINAL DR. EXT.
wet landward in a major sturiu WILMINGTON, NC 28405
the flood waters in a major storm are predicted to he about
!eel deep in this area. 1.0Catlty
Preferred oceanfront protection measures are beach nourishment �7 4'a /
and relocation of threatened structures I-lard erosion conuosl -- ----
structures such as bulkheads.seawalls.revetments.groins.jetties Phone Numb ot
and breakwaters are prohibited. -temporary sand hags mas be
authorized under certain conditions
I he applicant musi acknowledge this inlormatton and
requirements by signing this notice in the space below Y.ithrtum
the proper signature.the application will not he complete
Properly Owner Stgnafu►e DAN,.
Revised May 2010
RECEIVED
DCM WILMINGTON,Ni

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 502 NEW BRIDGE STREET Wilmington Office:
James A.Lewis,P.L.S.L-4562 P.O.Box 1570 101 Scotts Hill Loop Road
Kenneth E.Johnson, P.L.S.L-4925 JACKSONVILLE,NORTH CAROLINA 28541 Wilmington,N.C. 28411
Corporate License(C-730) TELEPHONE: (910) 455-0877 [phone]
FACSIMILE: (910) 455-9033
E-MAIL:riggsland®bizec.rr.com
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to CJL Partners, Inc.'s property at 118 North Shore,Topsail
Township,Pender County,North Carolina,Town of Surf City.CJL Partners, Inc. is proposing to construct a
dwelling with spa, uncovered decks,4' wood walk,concrete slab,gazebo and pervious drive,as illustrated on the
enclosed plans.This residence will be provided sewer service and water service from Surf City.All areas of
environmental concern have been evaluated by'the North Carolina Division of Coastal Management and these
areas have been identified on the enclosed plans.
The State of North Carolina Division of Coastal Management does not require a response, however the
State does consider no response to be no objection. If you do wish to respond or if you have objections,
please state them in the space below and return this form in the addressed,stamped envelope provided to
Charles F.Riggs&Associates, P. O. Box 1570,Jacksonville, NC 28541.
Please check the appropriate space for your response.
( ��) I have objections to the proposal.
( ) I have no objections to the proposal.
e / /,9v
Signature Date
0 L c5%5� /
Print or Type Name
��- 702V CIg9
Telephone Number
• f i 1✓ E:i'VIED
DCM WILMINGTON., NC
APR 232014

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 502 NEW BRIDGE STREET Wilmington Office:
James A.Lewis,P.L.S.L-4562 P.O.Box 1570 101 Scotts Hill Loop Road
Kenneth E.Johnson, P.L.S.L-4925 JACKSONVILLE,NORTH CAROLINA 28541 Wilmington,N.C. 28411
Corporate License(C-730) TELEPHONE: (910) 455-0877 [phone]
FACSIMILE: (910) 455-9033
E-MAIL:riggsland(c bizec.rr.com
April 17, 2014
Mr.Alan Leseky et al.
8480 Timber Trail
Brecksville,OH 44141
Re: CJL Partners, Inc. Minor CAMA Application
Dear Sir or Madam:
On behalf of CJL Partners,Inc.,Charles F. Riggs&Associates,Inc. is submitting to the Division of
Coastal Management,North Carolina Department of Environment and Natural Resources the enclosed
Minor CAMA application for the property located at 118 North Shore Drive.We are required to notify
the adjoiners of this CAMA application.Please review the package, sign the form provided,stating
whether you have objections or no objections to this,and return the form to us in the SASE provided.
leectfully,
��
OFames L. Riggs
RECEIVED
DCM WILMINGTON, NC

I. . -os a erviceiM
a CERTIFIED MAILTM RECEIPT
p (Domestic Mail Only;No Insurance Coverage Provided)
For delivery information visit our website at www.usps.co,....
'FT.4f1 640
Postage $ :<<j :\'
�jCertified Fee $j.3 ql
j Return Receipt FeeHere
$2.7ro
(Endorsement Required)
3 Restricted Delivery Fee SII,IIII
LI (Endorsement Required)
D
Total Postage&Fees $ 1.411 04/17/2014
n
3 Sent To ^ ( ' L
Street,Apt.No.; -- , /
or PO Box No. I IJ (��/t
City,State, ` L�V `I p t v T 1 L���TI(�
t I

:edified Mail Provides:I A mailing receipt (as„naa)aooa aunt' w�
'oose od Sc
I A unique identifier for your mailpiece
r A record of delivery kept by the Postal Service for two years
nportant Reminders:
r Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail(
Certified Mail is not available for any class of International mail.
r NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo
valuables,please consider Insured or Registered Mail.
I 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 Returr
Receipt(PS Form 3811)to the article and add applicable postage to cover tht
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver foi
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt it
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 thi
endorsement "Restricted Delivery".
r 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 Ma
receipt is not needed,detach and affix label with postage and mail.
MPORTANT: Save this receipt and present it when making an inquiry.
nternet access to delivery information is not available on mail
addressed to APOs and FPOs.

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 502 NEW BRIDGE STREET Wilmington Office:
James A.Lewis,P.L.S.L-4562 P.O.Box 1570 101 Scotts Hill Loop Road
Kenneth E.Johnson, P.L.S.L-4925 JACKSONVILLE,NORTH CAROLINA 28541 Wilmington,N.C. 28411
Corporate License(C-730) TELEPHONE: (910) 455-0877 [phone]
FACSIMILE: (910) 455-9033
E-MAIL: riggsland@.bizec.rr.com
April 17, 2014
Mr.Wallace John Diehl
6007 Graystone Drive
Chapel Hill,NC 27514
Re: CJL Partners,Inc. Minor CAMA Application
Dear Sir or Madam:
On behalf of CJL Partners,Inc.,Charles F. Riggs&Associates,Inc. is submitting to the Division of
Coastal Management,North Carolina Department of Environment and Natural Resources the enclosed
Minor CAMA application for the property located at 118 North Shore Drive. We are required to notify
the adjoiners of this CAMA application. Please review the package, sign the form provided, stating
whether you have objections or no objections to this,and return the form to us in the SASE provided.
Res ectfully,
J mes L.Riggs
•
RECEIVED
DCM WILMINGTON,NC

1. . "os a ervlceTM
n CERTIFIED MAILTM RECEIPT
n (Domestic Mail Only;No Insurance Coverage Provided)
r
For delivery information visit our website at www.usps.com,
tti1/4
vk• m,
Postage 11111hill .‘\.\C-1
$3.30 A,r
3 Certified Fee
3 poOal
3 Return Receipt Fee
$2.70
(Endorsement Required) 04 ilbr•
p Restricted Delivery Fee $0.00
Li (Endorsement Required)
0
$7.40 04/17/2014
Total Postage&Fees $
3 Sent To I
3 Mr,
A
street,Apt.No.;
or PO Box No 60 7—prti17 —Dr
City,StaMI ped , r Iv/C..

:edified Mail Provides:i A mailing receipt (asianey)yppy eunr'oose uuoj Sd
I A unique identifier for your mailplece
I A record of delivery kept by the Postal Service for two years
nportant Reminders:
r Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail
r Certified Mail Is not available for any class of international mail.
r NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo
valuables,please consider Insured or Registered Mail.
r 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 ie
required.
r For an additional fee, delivery may be restricted to the addressee oa
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement 'Restricted Delivery'.
r 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.
MPORTANT:Save this receipt and present it when making an inquiry.
nternet access to delivery information is not available on mail
addressed to APOs and FPOs.

U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31, 2015
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name CJL PARTNERS, INC. Policy Number:
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number:
118 NORTH SHORE DRIVE
City SURF CITY State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 10,SUBDIVISION NO.1 OF SURF CITY
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat.34d25'34"N Long.77d32'361W Horizontal Datum: El 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) 300 sq ft a) Square footage of attached garage N/A 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 0 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes 0 No d) Engineered flood openings? El 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 PENDER NORTH CAROLINA
B4.Map/Panel Number B5.Suffix B6. FIRM Index Date 67. FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
3720423400 J 02/16/07 Effective/Revised Date Zone(s) AO,use base flood depth)
02/16/07 VE 14.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes 0 No
Designation Date: ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: 0 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. In Puerto Rico only,enter meters.
Benchmark Utilized:NC CORS Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below. El NGVD 1929 El NAVD 1988 El 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) 14.5 0 feet ❑meters
b)Top of the next higher floor 25.5 ®feet ❑meters
c) Bottom of the lowest horizontal structural member(V Zones only) 23.5 ®feet El meters
d)Attached garage(top of slab) N.A ❑feet El meters
e) Lowest elevation of machinery or equipment servicing the building 15.1 ®feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 13.8 ®feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 14.6 0 feet El meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N.A ❑feet ❑meters
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information./certify that the information on this Certificate represents my best efforts to interpret the data available. tt t t r t to tr,
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. `�`tttt CA/ ",,
® Check here if comments are providecipattaildefiir. Were latitude and longitude in Section A provided by a �` Q`•:+. •••
Nj
❑ Check here if attachments. •*ck.�� CApcQ licensed land surveyor? 0 Yes ❑ No ,� .QQ,O O,>
Certifier's Name JAMES A. LEWIg1'R OtSSi O '`: 's• License Number L-4562• litieief4r_AL
Title PROJECT MANAGER , Q nyNetre ® HARLES F. RIGGS&ASSOCIATES,INC.
�� RECEIVED
Address 502 NEW BRIDGE STREET L 58 KSOINVII3E State NC ZIP Cdac 'bLMINGTONVefr..",;L:: :
eQ9, r

LL V In I IVI• VLI\Iu IV/'1L, 'Jaye L
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:
118 NORTH SHORE DRIVE
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 DWELLING IS PROPOSED TWO STORY ON PILINGS, PARTIALLY ENCLOSED BELOW FOR ENTRY AND STORAGE.SURVEYOR HAS
NOT REVIEWED FINAL BUILDING PLANS.THE TOWN OF SURF CITY ADDS A 1.0'FREEBOARD TO THE BASE FLOOD ELEVATION,THEREFORE
THE ELEVATION OF THE BOTTOM OF THE LOWEST HORIZONTAL STRUCTURAL MEMBER MUST HAVE AN ELEVATION OF ATLEAST 14.0'+1.0'=
15.0'(PROPO D BOTTOM OF BAND=23.5') C�RO,/ //�
� - A� rs
Signature �• Q1/4 .••....•. �, '.Date
O FESS/O r.
SECTION E—BUILDING ELEVATION INR RMA IIOZ11SUR3 OtREQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE), complete ItemgE1-5. If tLe4582ate is:intergied to support a LOMA or LOMR-F request,complete Sections A,B,
and C.For Items El—E4,use natural grade, if avails le. the measuetent Lied. In Puerto Rico only,enter meters.
El. Provide elevation information for the following ' , 0i9 !'s to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LA /��y, ,1+
a)Top of bottom floor(including basement,crawlsp baerAps ❑feet 0 meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement,crawlspace,tf blt lush'$)is ❑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 ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters 0 above or❑below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G.
SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of my knowledge.
Property Owner'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 Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10.In Puerto Rico only,enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. 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. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building: 0 feet 0 meters Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: _ .._ ❑feet 0 meters Datum
G10.Community's design flood elevation: ❑feet 0 meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑� ns.