SC_15-18_ CJL Partners

I
Issued by WiRO SC15-18
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 CJL Partners, Inc. C/o Chris Maiewski authorizing development in the Ocean Hazard (AEC) at 120 N. Shore
Drive, in Surf City, Pender County as requested in the permittee's application, received by DCM on July 27, 2015. This
permit, issued on August 17, 2015, is subject to compliance with the application and drawing dated and received by
DCM on July 27, 2015 (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 parking, driveways and amenities.
(1) All proposed development and associated construction must be done in accordance with the permitted survey drawing
dated received by DCM on July 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, 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. 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 modification not covered under
this permit,require further written permit approval.All work must cease when this Jason Dail
permit expires on: CA A LOCAL PERMIT OFFICI
December 31,2018 127 Cardinal Drive Extensi. /
Wilmingt n, NC 28405-3%4
In issuing this permit it is agreed that this project is consistent with the local Land r=
Use Plan and all applicable ordinances. This permit may not be transferred to ®J
another party without the written approval of the Division of Coastal cc) Z
Management.

Name: CJL Partners, Inc. C/o Chris Majewski
Minor Permit#SC15-18
Date:August 17,2015
Page 2 of 3
(5) The permittee is required to contact the Local Permit Officer [phone], shortly before he/she 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.
(6) 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.
(7) With exception of the proposed structural access walkway and decking, 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, the LPO,
or other assigned agent of the DCM.
(8) Any deck(s) located within 60 feet from the FLSNV shall not exceed a combined footprint of 500 sq. ft. and shall be
structurally independent of the residential or primary structure. The deck(s) may be cosmetically attached, but shall
remain free standing as a single unit.
(9) The total floor area of the permitted dwelling shall not exceed 2,538 square feet.
(10)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.
(11)All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(12)All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetatatively stabilized (planted and
mulched)within 14 days of construction completion.
(13)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.
(14)Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permi may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATURE:
DATE:
RMITTEE
RECEIDCM WILM NGTON,NC

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]
July 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: 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 120 North Shore Drive,Town of Surf City,
Topsail Township,Pender County,North Carolina.
Re .ectfu
4
low
liris.
ames L. Riggs
RECEIVED
0CM VVIL.MINGTON, NC

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area � ......_ High Hazard Flood Area —____ Inlet Hazard Area
Property Owner: CJL Partners,Inc.C/O Mr. Chris Ma)swski
120 North Shore Drive,Town of Surf City
Property Address: - -- —
Date Lot Was Platted: August 1948
Ihis notice is intcndcd to make you. the applicant. aware is(the SPECIAL NOTE: this hazard notice is required fur
special risks and conditions associated with desel.spment 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 ( oasts! Resources Commission December 3I of the third year Ml owing the year in which the
require that you receive an AEC Hazard 'seoticr and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit foi site.the Local Permit Officer must he contacted to determine the
development can he issued. vegetation line and setback distance at your site. If the property
has seen link change since the time of permit issuance,and the
1 he ('ommmss ion's rules on huilding standards. oceanfront proposed development can still meet the setback requirement.
setbacks and dune alterations are designed to minimize. but not the CPO 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
t oastai 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 desek)pment. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement
Environmental (oncrrn include the condition that structures be of the setback. It is important that you check with the I Pt t
relocated or dismantled if they become imminently threatened before the permit expires fix official approval to continue the
by changes in shoreline configuration. The structurelst must be work after the permit has expired. (generally. if foundation
relocated or dismantled within two i2t 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 ater pemtit expiration
the best available information,as accepted by the t oastal 1 iu nwrre information.ccomaet:
Resources Comibission. indicates that the annual long-terns �
average oce �� ��rosioo rate for the area where your property is P#4-% L.
located is feet per yea
Local Pernnt Officer
the rate was established by caretut analysis of aerial
photographs of the coastline taken oser the past 50 years / 2— Ce � I-t-
i-e a4
A�n set indicate that the shoreline could move as much as Address
C beet landward in a major stornt.
kG L /V_ ZakC "'
'Q, l lyt�tltt6 waters in a major storm are predicted to be about/ /`f feet deep in this area. Locally
Preferred oceantront protection measures are beach rnounshnirnt -(.' r- 7?1 2 2 2 /
and relocation of threatened structures. Hard erosion control
structures such as bulkheads.seawalls.revetments,groins.jetties Pntiie Number
and breakwaters arc prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this tniirmation and
requirements by signing this notice in space below. W ithout
the proper signature.the application not he complete.
7- 2
j-----
....._
Property t Signatur gate
i" + / Revisal May 2010
RECEIVED
0CM 1NIL MINGTON, NC

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
j „- "2--)A ,... .)
Date
Name of PropertyOwner Applying for Permit:
L 2/4 sZ i itJ-re 1- k' C
Mailing Address:
2-1-CZ iGt4 (C /C
It ,� /l/� 276O
I certify that I have authorized (agent) (hall( 5 1,0)3..5 to act on my
behalf, for the purpose of applying for and obtaining all COMA Permits necessary to
install or construct(activity) %b/ ,✓ /.
, c� j/r) l� j�ivf1, j�Crv1� ,
at(my property located at) / Jf^ NO Tti JhoT-t .0 .
This certification is valid thru (date) 6 30 /) .
i , ,
5 -Jo/
Property Owner Signature % Date
RECEIVED
DCM WILMINGTON, I
ii a 97 )f11R

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]
July 27, 2015
Mr. Wallace John Diehl
6007 Graystone Drive
Chapel Hill,NC 27514
Re: CJL Partners, Inc. Minor CAMA Application
Dear Mr. Diehl:
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 120 North Shore Drive, Town of Surf City, Topsail
Township, Pender County. 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.
pectfully,
James L. Riggs
RECEIVED
DCM WILMINGTON, NC
JUL 2 7 2015

1. . e os a ervuce
a, CERTIFIED MAIL° RECEIPT
co Domestic Mail Only
r9
co For delivery information,visit our website at www.usps.com .
CHAPErilIPP/SiC IAL
Certified Mail Fee
U $ $3.45
Extra Services&Fees(check box,add fee as appropriate) 0600
0 ❑Return Receipt(hardcopy) $ •
0 ❑Return Receipt(electronic) $ fTiWit1 23 Postmark
0 ❑Certified Mail Restricted Delivery $ !iXtit Here
0 ❑Adult Signature Required $ y/
❑Adult Signature Restricted Delivery$
Postage $1.42 07/27/2015
.a $
El Total Postage and Fees
$ $7.67
rra ►
Sent To Mf.l-r t jet I 4� T VI✓l `L/lc,
Street andA%ir tfo.,j1lO lF `c -
;ry State ,s2.35I -

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]
July 27, 2015
Mr. Martin J. Comes
45548 163rd Street
Watertown, SD 57201
Re: CJL Partners, Inc. Minor CAMA Application
Dear Mr. Comes:
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 120 North Shore Drive,Town of Surf City,Topsail
Township, Pender County. 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.
o
ectfully,
0 6(44
James L. Riggs
RECEIVED
DCM WILMINGTON, NC

1. . •os a ervice
CERTIFIED MAIL° RECEIPT
✓ Domestic Mail Only
c For delivery information,visit our website at www.usps.com
WATER1 N r720 K"`
rl Certified Mail Fee $3.45
Extra Services&Fees(check box,add fee as appropriate) 0600
❑Return Receipt(hardcopy) $ :t
❑Return Receipt(electronic) $ ItMlI1 23 Postmark
M 0 Certified Mail Restricted Delivery $ Here
❑Adult Signature Required $
❑Adult Signature Restricted Delivery$ /�
Postage $1.42 07/27/2015
Total Postage and Fees
$ $7.67
Sent To m t Vt VI 1 lly rU25,
Street andpt o r & s ec"
City,State,
M4 .5 � (

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: CJL Partners, Inc. C/O Mr. Chris Majewski
Address of Property: 120 North Shore Drive, 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 , k, mooring pilings, breakwater, boathou , or groin must be set
back a minimum distance of 1 my area of riparian ac nless waived by me. (If you
wish to waive the setback, you must ini a ate blank below.)
I do wish to wai 15' setback requirem .
o not wish to waive the 15' setback requirement.
(Prope •wner for• .I ion) (Adjacent Property Owner Information)
IL- l Ls +�
Signature Signature
Charles F. Riggs : ; - t 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]
Telephone Number Telephone Number
' 7 2 7 IJ ACM WECEIVED M!N ON, NC
Date Date
/'f...,:.....J C/4O/7l11'1

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. PoliicyNtjtltber '
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company IOC'Number
120 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 11,SUBDIVISION NO.1 OF SURF CITY
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat.34d25'35"N Long.77d32'36'W Horizontal Datum: ❑ 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) 223 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 2 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 432 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? 0 Yes ® No d) Engineered flood openings? ❑ Yes ® 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 B7. 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.
El FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 ❑ Other/Source:
812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date: ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ® Construction Drawings* ❑ Building Under Construction* Cl Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,Al-I,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 El 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) 14.0 Z feet ❑meters
b)Top of the next higher floor 25.0 ®feet ❑meters
c) Bottom of the lowest horizontal structural member(V Zones only) 23.0 ®feet ❑meters
d)Attached garage(top of slab) N.A ❑feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 14.1 ®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) 14.2 ®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./certify that the information on this Certificate represents my best efforts to interpret the data available. ,`'0,cN CAA° ,�
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. _� •,,
® Check here if comments are provided on t14�k[if#p16 Were latitude and longitude in Section A provided by a 'OFESS/��. 2
❑ Check here if attachments. ����.�N CAJ�? 1��i,licensed land surveyor? ® Yes ❑ No = Q �<
Certifier's Name JAMES A. LEWIS,P�S�`O 'pFESS/���4 License Number L-4562 : : SEAL
loteri_.
Title PROJECT MANAGER ;* Corp��t3�n Nail FHl 2LES F.RIGGS&ASSOCIATES,INC. { RECEI ' f,�l
Address 502 NEW BRIDGE STREET I City_K64 ONVIILE_ State NC ZIP Code 285 0 M WILMIf��* ,,..1'y�a*�SUf�:k- 0.

L.LL V 1%I.VI• VLIS I II IVP11 L, F•ayG 1.
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:
120 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.SURVEYOR HAS NOT REVIEWED FINAL
BUILDING PLANS.PROPOSED BOTTOM OF BAND=23.0'
```oitsirsiiii
� ACA
° ?:*.prt.... Xf• .f:Vre---&--- .
Signatur ;'QQ' Dat •.'j7
SECTION E-BUILDING ELEVATION INFORMATFON (SUR 1 REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
.r Q:
For Zones AO and A(without BFE),complete Items El-E5. If tl�Ce'ti 6eje is int •• siort a LOMA or LOMR-F request,complete Sections A, B,
and C. For Items El-E4,use natural grade, if available.Check t� sureehldiR • •.-rto Rico only,enter meters.
El. Provide elevation information for the following and check the itpp Ste o --'•0/tow whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG). '....ii;ir'ttt
a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑ meters ❑above or❑ below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is . ❑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 ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is . 0 feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is . 0 feet ❑meters ❑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
0 Check here if attachments.
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G
of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8-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. ❑ 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: . ❑feet ❑meters Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: . ❑feet ❑meters Datum
G10.Community's design flood elevation: . ❑feet 0 meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
RECEIVED ❑Check here if attachments
DCM VVILMINGTON. NC

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory, Donald R.van der Vaart
Governor Secretary
August 17, 2015
CJL Partners, Inc.
do Chris Majewski
2828 Brenfield Drive
Raleigh, NC 27606
Dear Mr. Majewski:
Attached is CAMA Minor Development Permit# SC 15-18, for work to be done at 120 North Shore Drive,
in Surf City, Pender County. A copy of the permit has been sent to your agent.
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 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.
Sin erely,
/e4S---------)
Shaun K. Simpson
Permit Support Technician
Enclosures
Cc: WiRO files
N.C.Division of Coastal Management

1
\), )
J/(-)
N() T / (, 14
JECAMA PERMIT
APPLIED FOR
PROJECApplicant proposes construct a single-
family dwelling with amenities at 120 North
I I I A a
m
in Surf City, Pender County.
COMMENTS ACCEPTED =l Aiigusii4, 20 I 5
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
CJL Partners, Inc. (SC 15-18) NC Div. of Coastal Management
c/o Chris Majewski 127 Cardinal Dr. Ext.
232t3 Brenfield Dr. Wilmington, NC 28405
Raleigh, NC 27606 Jason Dail, Field Representative
910-796-7221
Agent: Charles F. Riggs [phone]

56/ Gt 7t /�/ OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Locality Permit Numbik 6 `? 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.
GENERAL 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 person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Name CJL Partners,Inc.C/O Mr.Chris Majewski listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
Address 2828 Brenfield Drive 4326
Flan owner or record title,Title is vested in Fee Simple ,see Deed Book
City Raleigh State NC Zip 27606 Phone [phone] page 108 in the Pender County Registry of Deeds.
Email [e-mail]
ran 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. F1f 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 [e-mail]
(Name) (Address)
(I) Mr.Martin J.Comes,45548 163rd Street,Watertown,SD 57201
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the Mr.Wallace John Diehl,6007 Graystone Drive,Chapel Hill,NC 27514
adjacent waterbody.)120 North Shore Drive,Town of Surf City(Lot 11,Block 23,Surf City#1) (2) y
13)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
Dwelling Partially Enclosed Below with Uncovered Decks,Walk and Pervious Drive
SIZE OF LOT/PARCEL: 13,913 square feet 0.319 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 (Single-family❑ Multi-family El) 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:2,538 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) ,l
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This theT I' day of11 ,20 15
UPON SURFACES: square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
Landowner or person authorized t act as his/her a urpole of ng a CAMA permit application
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? This application includes:general information ,a site drawing as described on the back of this application,the
YES 77 NCI i ownership statement,the Ocean Hazard AEC Not. necessary,a check for 5100.00 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,list the total 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.
SIOZ L g lnr
ON `NOIJNIW1IM WOO
a3AI3O3a

li:11 NC Division of Coastal Management
Cashier's Official Receipt 0468 D
Date: 1 --- 2i 20 ( 6
Received From:CA‘ar $ i v"
Permit No.: k' of•-0 r e Check No.: I 9 l D v
(j ,
Applicant's Name:C,`- QCounty: VI•ji
(-. r); ... ‘ ,
Project Address: ' i 1kRP C1 Ty
V\,
1 Please retain receipt for your records as proof of payment for permit issued.
Q \�J Signature of Agent or Applicant: 7 < 'u-`"-`� Date: 1 —
r
Signature of Field Representative: Date: ( - --- 1 -IA
(4ets

DENR CAMA Daily Check Log for WIRO
Date
Date Deposi Check Check Receipt of
Received ted Check From(Name) Name of Permit Holder Vendor Number amount Permit Number/Comments Refund/Realloi
7/16/2015 7/24/15 Morgan or Erica Mehler Highland Shores HOA Park Sterling Bank 1017 $100.00 renewal fee,MP 141-11 PH rct.0464D
7/17/2015I 7/20/15 Stanley or Sharon Stubbs same B of A 4859 $200.00 GP for 1304 Carolina Blvd,TB,PN
7/17/2015,7/20/15 Richard or Sharon Love same Wells Fargo Bank 1434 $200.00 GP 64712D JD rct.0333D
7/17/2015 7/20/15 Antinori Construction,Inc. Chris Mohr B of A 3780 $200.00 GP 64715D JD rct.0331D
7/17/2015 7/20/15 Holden Dock&Bulkheads Anna Odam&Rufus Yates CresCom Bank 2181 $200.00'GP 64697D HS rct.0265D
7/17/2015 7/20/15 Atlantic Coast Industrial LLC David Brinkley BB&T 11791 $200.00 GP 1400 Point Harbor Road NHC TM rct.0402D
7/20/2015 7/24/15 Money order from Brandon Grimes Patricia Welfare Wells Fargo Bank 17-213876532 $200.00 GP 64717D _ JD rct.0334D
7/20/2015 7/24/15 Robert or Candace Rice same BB&T 10394 $200.00 GP 65041D JD rct.0335D
7/22/2015 MHCDO River Bluff Holdings LLC same ? 1121 $100.00 renewal fee,MP 62-09 CM rot.0174 ser
7/22/2015 7/24/15 Richardson Construction Michael O'Hem BB&T 6063 $600.00 GP 64698D©$200 HS rct.0267D
Lennon Smith GP 64700D©$200 _ HS rct.0268D
Geneveive Cassese GP 64699D©$200 'HS rct.0269D
7/22/2015 7/24/15 Backwater Marine Construction Inc Matt Hendrix BB&T 2017 $200.00 GP 64701 D HS rct.0266D
7/22/2015 7/24/15 Clements Marine Construction Inc David &Ann Sneeden _ First Citizens Bank 3856 $200.00 GP 64756D JD rot.0336D
7/23/2015 7/24/15 Coastal Earth Works Inc. Rick Edwards First Bank 4236 $200.00 GP 64734D TM rct.0426D
7/24/2015 Town of Oak Island same BB&T 59968 $100.00 mod fee,MP 152-07 HC rct.0204D
7/27/2015 Waterfronte Villas Owners Assn./CAMS same North State Bank 1703 $100.00 transfer fee,MP 84-05 PH rct.0465D_
7/27/2015 Logan Marine LLC David and Diane Rodger Coming Federal Credit Union 1208 $200.00 GP 64777D RM rct.0353D
7/27/2015 Charles Riggs&Associates Inc James Bresee First Citizens Bank 14102 $100.00 minor fee,NTB,Ons PH rct.0466D
7/27/2015 Charles Riggs&Associates Inc CJL Partners,Inc First Citizens Bank 14099 $100.00 minor fee,1538 S.Shore,SC PnCo PH rot.0467D
7/27/2015 Charles Riggs&Associates Inc • CJL Partners,Inc First Citizens Bank 14100 $100.00 minor fee,120 N.Shore Dr.SC PnCo PH rct.0468D
I