SC_15-06_ Warren

Issued by WiRO SC15-06
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 Walter A. Warren authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC)
at 128 Walter Atkinson road, in Surf City, Pender County as requested in the permittee's application package, dated
March 2, 2015, and received by DCM on March 27, 2015. This permit, issued on April 13, 2015, 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 with driveway and decking.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by DCM on March 27,2015.
(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
within twenty(20)days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for Jason Dail
compliance. Any maintenance work or project modification not covered under CAMA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this 127 Cardinal Drive Extension
permit expires on:
Wilmington, NC 28405-3845
December31,2018
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 nartv without the written annroval of the r)ivisinn of Coastal ❑CDRAITTCC

Name: Walter A.Warren
Minor Permit#SC15-06
Date:April 13, 2015
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) Any proposed for grading within the 30' buffer from the Normal High Water level must be contoured to prevent
additional stormwater runoff to the adjacent marsh and/or canal. This area shall be immediately vegetatively
stabilized, and must remain in a vegetated state.
(7) No development shall occur within 30'of the normal or mean high water boundary.
(8) All buildings 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.
(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.
SIGNATURE: DATE:
PERMITTEE

///G / \- Q OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Locality V tc n y Permit Number C!V 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
Ocean Hazard 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.
S:FNF.RAi,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
LAND OWNER / 1 r, person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Name Walter A.Warren • /li�i•ca.)N--!J� listed as landowner on this application has a significant interest in the real property described therein.This interest can be
7 described as:(check one)
Address P.O.Box 2611
Flan owner or record title,Title is vested in Fee Simple see Deed Book 293
City Surf City State Nc Zip 28445 Phone [phone] page 273 in the Pender County Registry of Deeds.
Email riggsland©bizec.rr.com
Dan owner by virtue of inheritance.Applicant is an heir to the estate of ,
AUTHORIZED AGENT probate was in County.
Name Charles F.Riggs&Associates,Inc. of other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address P.O.Box 1570 NOTIFICATION OF ADJACENT PROPERTY OWNERS:
City Jacksonville 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.
Email riggsland©bizec.rr.com
(Name) (Address)
(1) Mr.and Mrs.Ted R.Compton,121 Driftwood Lane,Surf City,NC 28445
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.)128 Walter R.Atkinson Road,Surf City,Pender County(Lot 32,Atkinson Shores) (2) Mr.and Mrs.John Koloskl,130 Atkinson Road,Surf City,NC 28445
(3) Mr.and Mrs.Jason E.Stone,8125 Blue Needle Lane,Apex,NC 27539
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
Dwelling with Uncovered Decks&Pervious Drive and Enclosed Below for Storage&Garage
SiZE OF LOT/PARCEL: 6,756 square feet 0.155 acres ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
PROPOSED USE:Residential Q (Single-family El Multi-family❑) Commercial/Industrial 0 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 stabiliza-
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
to your property):
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
excluding non-load-bearing attic space) y L
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT /�j ' l This the LNI, day of i7AL sil,20/5
UPON SURFACES: 898 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, iJt/{�(ir/ /
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or person authorize as'his/h agent for purpose of filing a CAMA permit application
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
Management Perrot issued by the NC Division of Water Quality? This application includes:ge formation(this form),a site drawing as described on the back of this application,the
YES I NCIT1 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
If yes,listdre totallouilt 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
PD C.ZI
t� �—fll any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
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North Carolina Department of Environment and Natural Resources
Pat McCrory, Donald R.van der Vaart
Governor Secretary
April 14, 2015
Mr. Walter A. Warren
PO Box 2611
Surf City, NC 28445
Dear Mr. Warren:
Attached is CAMA Minor Development Permit# SC 15-06 for work to be done at 128 W.R. Atkinson Rd., 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 gold copy for your files and sign front and back pages 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 Technician
Enclosures
Cc: WiRO files
N.C.Division of Coastal Management

NOtICE
CAMA PERMIT
APPLIED FOR
PROJECT: Applicant proposes to construct a
► ► • • - - in
IP
my y
Y,
Pender County.
COMMENTS ACCEPTED TH L G April 11, 2015
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Charles F. Riggs & Associates
NC Div. of Coastal Management
Attn: Charles Riggs 127 Cardinal Dr. Ext.
PO Box 1570 Wilmington, NC 28405
Jacksonville, NC 28541 Jason Dail: Field Representative
910-796-7221
For: Walter A. Warren

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
E-MAIL:[e-mail] [e-mail]
February 27,2015
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environment and Natural Resources
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Walter A. Warren Minor CAMA Application
Dear Mr. Dail:
On behalf of Walter A. Warren,Charles F.Riggs&Associates, Inc. submits for your review the
enclosed Minor CAMA Application for the property on Walter R.Atkinson Road,Town of Surf City,
Topsail Township,Pender County,North Carolina.
Resp tfully,
fryte44
mes L. Riggs
RECEIVED
DCM WILMINGTON, NC
►I A f1 ea IV —.�

OCEAN HAZARD AEC NOTICE
Project is in an: X Ocean Erodible Area X High Hazard Flood Area Inlet Hazard Area
Property Owner: Walter A.Warren
Walter R. Atkinson Road, Surf City, Pender County
Property Address:
Date Lot Was Platted: July 2003
I his notice is intended to make you. the applicant, aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area, which is subject to natural hazards such as storms. erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site.the Local Permit Officer must be contacted to determine the
development can be issued. vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance, and the
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement.
setbacks and dune alterations are designed to minimize, but not the 1.PO will inform you that you may begin work. Substantial
eliminate, property loss from hazards. By granting permits. the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be re-measured.Also,
the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement
Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPO
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. The structure(s) must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing.
imminently threatened, and in any case upon its collapse or permit renewal can he authorized. It is unlawful to continue
subsidence. work after permit expiration.
The best available information.as accepted by the Coastal For more information,contact:
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is NJA�NI Al1—
located is feet per year. r 1
Local Permit Officer
fhe rate was established by careful analysis of aerial NC DIV. OF COAZTAL A+N aC^7,�a��T
photographs of the coastline taken over the past 50 years.
127 CARDINAL DR. EXT
Studies also indicate that the shoreline could move as much as AddNftMI OTON� NC 2� Ov
feet landward in a major storm.
The flood waters in a major storm are predicted to he about
feet deep in this area. Locality
Preferred oceanfront protection measures are beach nourishment (-!Ld1 1"6)--6)-0
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls.revetments,groins.jetties Phone Num
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signature.the application will not be complete.
7t//C 2/4. a.42,1/4-,p,,, i'r-F .E49,16----
Property Owner Signature Date
RECEIVED
DCM WILM NGTON,
Revised May 2010
MAR 27 2O1i

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
February 24, 2015
Date
Name of Property Owner Applying for Permit:
Walter A. Warren
Mailing Address:
P. O. Box 2611
Surf City, NC 28445
I certify that I have authorized (agent) Charles F. Riggs $ Assoc. to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) proposed dwelling, as shown on map
at(my property located at) Walter R. Atkinson Road, Surf City
This certification is valid thru (date)
February 24, 2016
gz a, February 24, 2015
Property Owner Signature Date
RECEIVED
DCM WILMINGTON,NC

CHARLES F. RIGGS & ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-298I Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
E-MAIL:[e-mail] [e-mail]
February 27, 2015
Mr. and Mrs.John Koloski
130 Atkinson Road
Surf City,NC 28445
Re: Walter A. Warren Minor CAMA Application
Dear Mr. and Mrs. Koloski:
On behalf of Walter A. Warren,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 Walter R.Atkinson Road,Town of Surf City,
Topsail Township, Pender County,North Carolina. We are required to notify the adjoiners of this CAMA
application. Please review the package and sign the form provided, placing a check beside whether you
have objections or no objections to this. If you have no objections,please return the form to us in the self-
addressed stamped envelope provided. If you have objections,please send the form along with your
comments to Mr.Jason Dail, Division of Coastal Management,N.C. Department of Environment and
Natural Resources, 127 Cardinal Drive, Wilmington,NC 28405 within 10 days of receipt of this notice.
Respectfully,
James L. Riggs
RECEIVED
DCM WILM NG ON,
MAR 2 7 2015

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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 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217
Jacksonville.North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington.North Carolina 28405
[e-mail] [phone] [phone]
E-MAIL:[e-mail] [e-mail]
February 27,2015
Mr. and Mrs. Ted R.Compton
121 Driftwood Lane
Surf City,NC 28445
Re: Walter A. Warren Minor CAMA Application
Dear Mr. and Mrs. Compton:
On behalf of Walter A. Warren,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 Walter R. Atkinson Road,Town of Surf City,
Topsail Township, Pender County,North Carolina. We are required to notify the adjoiners of this CAMA
application. Please review the package and sign the form provided,placing a check beside whether you
have objections or no objections to this. If you have no objections,please return the form to us in the self-
addressed stamped envelope provided. If you have objections, please send the form along with your
comments to Mr.Jason Dail, Division of Coastal Management,N.C. Department of Environment and
Natural Resources, 127 Cardinal Drive, Wilmington,NC 28405 within 10 days of receipt of this notice.
' - . ctfully,
I i
ames L. Riggs
RECEIVED
DCM WILMINGTON, N
MAR 2 7 2015

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addressee's authorized agent.Advise the clerk or mark the mailpiece with th
endorsement"Restricted Delivey.
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
iddressed to APOs and FPos.

CHARLES F. RIGGS & ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
E-MAIL:[e-mail] [e-mail]
February 27, 2015
Mr. and Mrs.Jason Stone
8125 Blue Needle Lane
Apex,NC 27539
Re: Walter A. Warren Minor CAMA Application
Dear Mr. and Mrs. Stone:
On behalf of Walter A. Warren,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 Walter R.Atkinson Road,Town of Surf City,
Topsail Township, Pender County,North Carolina. We are required to notify the adjoiners of this CAMA
application. Please review the package and sign the form provided, placing a check beside whether you
have objections or no objections to this. If you have no objections, please return the form to us in the self-
addressed stamped envelope provided. If you have objections,please send the form along with your
comments to Mr.Jason Dail, Division of Coastal Management,N.C. Department of Environment and
Natural Resources, 127 Cardinal Drive, Wilmington, NC 28405 within 10 days of receipt of this notice.
RespP¢tfully,
L-0/14>
`Junes L. Riggs
DCM WILM NIGT(
MAR o n nn,i

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Street,Apt.No.; �t u p !v ee I�t t��
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MPORTANT:Save this receipt and present it when making an inquiry.
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Walter A. Warren
Address of Property: Walter R. Atkinson Road, Surf City, Pender County
(Lot or Street#, Street or Road, City& County)
Agent's Name#: Charles F. Riggs & Assoc. Mailing Address: P. O. Box 1570
Agent's phone#: [phone] Jacksonville, NC 28541
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 development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
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. Contact information for DCM offices is
available at www.nccoastalmanagement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pi , ck, mooring pilings, breakwater, boathou , , or groin must be set
back a minimum distance of my area of riparian a unless waived by me. (If you
wish to waive the setback, you must ini ' e a late blank below.)
I do wish to w e 15' setback require
do not wish to waive the 15' setback requirement.
(Prope 7 w er fgr9tion) (Adjacent Property Owner Information)
Signature �� Signature
Charles F. Rigg , ent for application
Print or Type Name Print or Type Name
P. O. Box 1570
Mailing Address Mailing Address
Jacksonville, NC 28541
City/State/Zip City/State/Zip
[phone] RECEIVED
Telephone Number Telephone Number DCM WILMINGTON, N
3/0,2// MAR 2 7 2015
Dale Dale

I.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
'EDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
'ational 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 WALTER A.WARREN Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number.
128 WALTER A.ATKINSON ROAD
City SURF CITY State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 32,ATKINSON SHORES
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat.34d24'44"N Long.77d33'56'W Horizontal Datum: 0 NAD 1927 E 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) 1320 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 7 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 1400 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? E Yes ❑ No d) Engineered flood openings? 0 Yes Z No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2. County Name 63. State
TOWN OR SURF CITY 370186 PENDER NORTH CAROLINA
B4.Map/Panel Number 65.Suffix 66. FIRM Index Date 87.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 AE 8.0
310. 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:
311. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 Z NAVD 1988 0 Other/Source:
312. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes E No
Designation Date: ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Building elevations are based on: E Construction Drawings* 0 Building Under Construction* 0 Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
�2. 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. ❑ NGVD 1929 E 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) 5.5 E feet ❑meters
b)Top of the next higher floor 15.5 E feet ❑meters
c) Bottom of the lowest horizontal structural member(V Zones only) N.A ❑feet ❑meters
d)Attached garage(top of slab) N.A ❑feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 8.1 0 feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 4.7 E feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 4.7 E feet ❑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.I certify that the information on this Certificate represents my best efforts to interpret the data available. \\ (,;; I//
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Ns .• RO
E Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a 0. .. E S S/0%%
❑ Check here if attachments. licensed land surveyor? E Yes 0 No a SEAL 9
Certifier's Name CHARLES F. RIGGS,P.L.S. License Number L-2981 • L-2981 :
•Title PRESIDENT Company Name CHARLES F. RIGGS&ASSOCIATES,INC. 9'f' -k0 '���
P y �SURO'
Addres 5 B REE City JACKSONVILLE State NC ZIP Code 28540 � .�'�FS+ cj $

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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:
128 WALTER A.ATKINSON ROAD
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 PROPSED TWO STORY ON PILINGS,ENCLOSED BELOW(FOR PARKING AND STORAGE).SURVEYOR HAS NOT
REVIEWED FINAL CONSTRUCTION PLANS. PROPOSED FIRST FINISH FLOOR(LIVING SPACE)= 15.5';PROPOSED BOTTOM OF METER BOX=8.1';
PROPOSED BOTTOM OF HVAC UNIT=8.\ t--119riisED ROOF PEAK IS 36.5'ABOVE SLAB.
Signaturille 9 S-r0 . .y Date
}P: SEAL ..7
SECTION E—BUILD VATIO�I.I,�VORMATIOA (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE) let©It# Et .�e Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C.For Items El—E4,use naturaTIP 4 f al/ i tiles sltthe measurement used. In Puerto Rico only,enter meters.
El. Provide elevation information for tr�E,f o cb�ck the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent � .
a)Top of bottom floor(including basement,crawlspace,or enclosure)is 64.0 ®feet ❑meters ❑above or®below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is 54.0 ®feet ❑meters ®above or❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is 57.3 ®feet ❑meters ®above or 0 below the HAG.
E3. Attached garage(top of slab)is N.A 0 feet ❑meters ❑above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is 53.6 ®feet 0 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 0 Unknown.The local official must certify this information in Section G.
SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
0 Check here if attachments.
SECTION G—COMMUNITY INFORMATION(OPTIONAL)
rhe 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
)f 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. ❑ 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.❑ 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: 0 New Construction ❑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: . ❑feet 0 meters Datum
310.Community's design flood elevation: . ❑feet ❑meters Datum
Local Official's Name Title RECEIVED
DCM WILMINGTON, NC
Community Name Telephone
Signature Date MAR 2 7 Z015
Comments
0 Check here if attachments.

DENR CAMA Daily Check Log for WIRO
Date Check Check
Received Check From(Name) Name of Permit Holder Vendor Number amount Permit Number/Comments Refund/Realloc
3/12/2015 Dennis W.and Beverly Morgan same High Point Bank and Trust 8255 $200.00 GP for 444 Ocean Blvd.W,HB
3/12/2015 Compass Pointe Engineering PA Starboard by the Sea BB&T 3084 $100.00 minor fee,OIB,Br
3/13/2015 Allied Marine Contractors,LLC Peter Morse B of A 7288 $400.00 GP 851510
3/13/2015 Southern Sportfishing,Inc. Town of Carolina Beach B of A 1144 $200.00 GP 85127D
3/13/2015 John S or Janet L Sargent same BB&T 4278 $200.00 GP 85125D
3/13/2015 Carolina Bluewater Construction,Inc. William Donovan BB&T 9375 $200.00 GP 85126D
3/13/2015 Backwater Marine Construction Inc Joseph L.or Gypsy A.McKinzie BB&T 1846 $200.00 GP 651241)
3/13/2015 Deyo&Associates LLC NCSPA Enviva Wells Fargo Bank 6884001253 $100.00 mod fee,MP 47-87
3/13/2015 Duncan Marine Contractors,Inc. Walter Bryan BB&T 5007021072 $400.00 GP for 300 Williams Rd,NHCo,check retumed/GP
3/16/2015 Michael or Bonnie Winbum same Wells Fargo Bank 8769 $200.00 GP for 11 Wilmington St.OIB
3/17/2015 Jeanne L.or James S.Wallis Eagles Watch HOA PNC Bank 3814 $100.00 transfer fee,MP 120-08
1 3/17/2015 Southeastern Coastal Construction Co. James Mabry First Federal 9408 $200.00 GP 65152D
3/18/2015 Antinori Construction,Inc. Glen Ottaway B of A 3542 $600.00 GP 65032D
3/18/2015 Duncan Marine Contractors,Inc. Walter Bryan BB&T 5007021085 $200.00 GP for 300 Williams Rd,NHCo
3/19/2015 F and S Marine Contractors Inc. Sean O'Leary PNC Bank 4386 $250.00 major fee,Pelican Drive,WB
3/19/2015 Land Management Group,Inc Southport Marina,Inc. First Bank 45222 $100.00 renewal fee,MP 99-01,BrCo
3/19/2015 Gregory A Holden Yates and Odham CresCom Bank 2027 $800.00 GP 65128D Yates i$400
GP 65129D Odham 6$400
3/20/2015 William or Caryn Yankalunas same Wells Fargo Bank 7930 $400.00 GP 65039D
3/20/2015 Connaway Marine Construction,Inc. Jim Magnuson B of A 7153 $200.00 GP 85155D
3/20/2015 Land Management Group,Inc River Bluffs Development Corporation First Bank 45251 $100.00 mod fee,MP 30-13
3/20/2015 Carolina Marine Construction,Inc. John Clark First Bank 9550 $300.00 major fee,8 Cedar Island,NHCo
*applying$100,from do#9458
1/20/2015 meant for MP 24-07 renewal
3/20/2015 John or Robin Koloski same BB&T 1321 $100.00 minor fee,SC 15-05,PNCo.
3/24/2015 D.Evans Contracting Inc D.Heugel BB&T 3069 $200.00 GP for 818 Ravenswood,Hampstead
3/25/2015 Richard or Erica Penny same USAA Federal Savings Bank 742 $200.00 GP reissue for 133 Soundview Dr,Hamp.
3/25/2015 Vamams Docks&Bulkheads Inc Laughery BB&T 6973 $200.00 GP 65134D
3/25/2015 Maritime Coastal Construction LLC Silver State Properties CresCom Bank 2073 $400.00 GP 85131 D©$200
GP 85132D
3/25/2015 Grice Construction of Brunswick Co Megan Powell BB&T 10226 $400.00 GP 85133D
3/25/2015 Andy Thornton same First Citizens Bank 529 $200.00 GP 65036D
3/27/2015 Charles Riggs&Associates Inc Walter Warren First Citizens Bank 13960 $100.00 minor fee,PnCo
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