SC_15-25_ Copeland

Issued by WiRO SC15-25
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environmental Quality
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 Gail I. Copeland authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC) at
Lot 22, The Peninsula, in Surf City, Pender County as requested in the permittee's application package, dated
December 4, 2015, and received by DCM on December 4, 2015. This permit, issued on December 21, 201.5, 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 amenities and utilities.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by DCM on December 4,2015.
(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
compliance. Any maintenance work or project modification not covered under Jason Dail
this permit,require further written permit approval.All work must cease when this CA A LOCAL PERMIT OFFICIAL
permit expires on:
127 Cardinal Drive Extension
December31,2018 Wilmington, NC 28405-3845RECEIV
M WILMI N,
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal

Name: Gail I. Copeland
Minor Permit#SC15-25
Date: December 21, 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) With exception of 200 sq. ft. or less of elevated, slatted uncovered wood decking, no other structures shall be
located within the 30' Coastal Shoreline buffer, including but not limited to concrete slabs, stepping stones, roof
covers, accessory buildings, swimming pools, stormwater drains, pump houses, etc.
(8) Development on the subject lot shall be limited to 1,400 sq.ft. or less of built upon area according to NC Division of
Energy Mineral and Land Resources permit No. SW8060128M0D.
(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. TE: - Ag`
��
ERMITTEE
RECEIVED
DCM WILMINGTON,NC
IAKI (lA. 9111g

�/ -.4.,..)
OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Locality Sr-�P "' �f Permit Number-)Cl /'S -2 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 Gail I.Copland 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 512 Truitt Drive
Wan owner or record title,Title is vested in Fee Simple ,see Deed Book 4554
City Elon State uC Zip 27244 Phone [phone] page 107 in the Pender County Registry of Deeds.
Email [e-mail]
Flan 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. I1f 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)
(1) Ms.Debra N.Bodwell and Mr.Michael R.Hamlyn,75 Sunderland Drive,Auburn,Maine 04210
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.)Walter R.Atkinson Road,Surf City(Lot 22,Peninsula at Topsail) (2) Mr.and Mrs.Robert S.Park,3934 St.Marks Road,Durham,NC 27707
*DOCK AND BOAT LIFT NOT PART OF APPLICATION* (3)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.)Proposed Two-Story (4)
Dwelling with Uncovered Deck,Wood Decking,Wood Walk,Raised Slatted Wood Drives and
SIZE OF LOT/PARCEL: 16,511 square feet 0.379 acres Walk,Pool 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 Q Multi-family ii) Commercial/Industrial D Other D 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-
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):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
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) //���� �" �
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT /I This the 47) day of IipM1,20/?/
UPON SURFACES:1,208 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 authori -•to ac . ' er 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 Permit issued by the NC Division of Water Quality? This application includes:g='eral f. anon(this form),a site drawing as described on the hack of this application,the
YES= NCI ✓ I ownership statement,the O.'•' a -rd AEC Notice where necessary,a check for S100.00 made payable to the locality,and
any information as may be;,mvi, i 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 refe •n - n any permit which may be issued.Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
RECEIVED
DCM WILMINGTON
DEC 0 4 2015

!WIZ
PAT MCCRORY
(;nrernor
DONALD R. VAN DER VAART
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
I)ir:ctor
December 21, 2015
Gail Copland
512 Truitt Drive
Elon, NC 27244
Dear Ms. Copland:
Attached is CAMA Minor Development Permit No. SC 15-25 for work to be done at Lot 22
Peninsula, adjacent to Topsail Sound, in Surf City.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Retain the orange copy for your files and sign both pages of the white copy and return
to us within 20 days of receipt, in the enclosed, self-addressed envelope. A copy has been sent
to your agent, Charles Riggs, and the Inspections Dept. at Surf City.
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,
/:,lit.._et.A.,_ K, „,,././7),r: 7---
Shaun K. Simpson
Permit Support Technician.
Enclosures
cc: WiRO files
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

NOtICE
cAmA
PERMIT
APPLIED FOR
PROJECT: Applicant proposes to construct
a . _ _ - _ , la,
a • - , - - :
1 v - i y . .
Pender County.
m i it NTS ACCEPT, D c l RO L GA Dece ber 20
APPLICANT: FOR MORE DET T
0
THE LOCAL PERMIT OFFICER BELOW:
Gail I. Copland NC Div. of Coastal Management
512 Truitt Dr. 127 Cardinal Dr. Extension
Flon, NC 27244 Wilmington, NC 28405
Agent: Charles F. Riggs 9IU-455-U0/t Jason Dail, Field Representative
SC 15-25 910-796-7221

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]
December 4, 2015
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Gail I. Copland Minor CAMA Application
Dear Mr.Dail:
On behalf of Gail I. Copland,Charles F.Riggs&Associate,, �c. submits for your review the
enclosed revised Minor CAMA Application for the property lr'Walter R.Atkinson Road,Town of Surf
City,Topsail Township,Pender County,North Carolina.
Res,ctfully,
- ant6A---
James L.Riggs
RECEIVED
DCM WILMINGTON, NC

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Gail I. Copland
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 pie , k, mooring pilings, breakwater, boathou , • , or groin must be set
back a minimum distance of 1 my area of riparian a unless waived by me. (If you
wish to waive the setback, you must ini a nate blank below.)
I do wish tow ' e 15' setback requireme .
do not wish to waive the 15' setback requirement.
(Prope. Inf n) (Adjacent Property Owner Information)
learAriN,
Signature - Signature
Charles F. - .gs, a•p •r 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
/Z*746
Date Date RECEIVED DCM W��M NGTON, NC
DCM WILMINGTON. NCo,..,:..,.,r 2,M,

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
charlesriggs()riggslandnc.com [phone] [phone]
[e-mail]
November 11, 2015
Ms. Debra N. Bodwell
Mr. Michael R. Hamlyn
75 Sunderland Drive
Auburn, Maine 04210
Re: Gail I. Copland Minor CAMA Application
Dear Ms. Bodwell and Mr. Hamlyn:
On behalf of Gail I. Copland, Charles F. Riggs&Associates, Inc. is submitting to the Division of
Coastal Management,North Carolina Department of Environmental Quality the enclosed Minor CAMA
application for the property located on Walter R. Atkinson Road,Town of Surf City, Topsail Township,
Pender County. The proposed dock and boat lift as shown on the map are not part of the application. 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 Environmental Quality, 127 Cardinal Drive, Wilmington,NC 28405
within 10 days of receipt of this notice.
Respectfully,
/ r� -
•lames L. Riggs
RECEIVED
RECEIVED DCM WILMINGTON,I
DCM WILMMGTON,NC

I. . 'os a ervice
CERTIFIED MAIL° RECEIPT
rn Domestic Mail Only
ca For delivery information,visit our website at www.usps.com
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delivery. USPS®-postmarked Certified Mail receipt to the
■A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service"' Restricted delivery service,which provides
for a specified period. delivery to the addressee specified byname,or
to the addr 's authorized agent.
Important Reminders: -Adult signature service,which requires the
I You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
■Certified Mail service is not available for -; requires the signee to be at least 21 years of eel
International mail. and provides delivery to the addressee specified
■Insurance coverage is notavallable for purchase r by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the To ensure that your Certified Mail receipt is
Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Prioety,Mail items. USPS postmark.If you would like a postmark on
■For an additronal fee,and wtth a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for
the following services: -postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt.attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
�S Fnrm SROIL Anal 9n1F/Rmiarcal DSrd 7F'!n.n,nM_Onn7

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]
November 11, 2015
Mr. and Mrs. Robert S. Park
3934 St. Marks Road
Durham,NC 27707
Re: Gail I. Copland Minor CAMA Application
Dear Mr. and Mrs. Park:
On behalf of Gail I. Copland, Charles F. Riggs&Associates, Inc. is submitting to the Division of
Coastal Management,North Carolina Department of Environmental Quality the enclosed Minor CAMA
application for the property located on Walter R. Atkinson Road,Town of Surf City, Topsail Township,
Pender County. The proposed dock and boat lift as shown on the map are not part of the application. 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 Environmental Quality, 127 Cardinal Drive, Wilmington,NC 28405
within 10 days of receipt of this notice.
Respectfully,
Lai 7
Jl James L. Riggs
RECEIVED RECEIVED
DCM WILMINGTON,NC DCM WILM1nir=:rnni ni(

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vw"I OVI YIHri IJIVIIILMO II IG IVIIVYYII Iy UCI ICI RS:
■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
■Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
■A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service'" -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee'seuthorized agent.
Important Reminders: -Adult signature service,which requires the
I You may purchase Certified Mall service with signee to be at least 21 years of age(not
First-Class Mails,First-Class Package Services, • ' available at retail).
or Priority Mails service. -Adult signature restricted delivery service,which
I Certified Mail service Is not available for } r requires the signee to be at least 21 years of ag(
international mall. rI .9 and provides delivery to the addressee specified
■Insurance coverage is not available for purchase;.1.1 by name,or to the addressee's authorized agent
with Certified Mall service.However,the purchase (not available at retail).
of Certified Mail service does not change the ' }o ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. r st1SPS postmark.If you would like a postmark on
I For an additional fee,and with a proper '- this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mallpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
Fri,m RAM ,oe.___,ooa, ,..,,. ,,.

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 1 i" ( - /5
Name of Property Owner Applying for Permit:
agli O., 2e2f)ZAA/a
Mailing Address:
Si; , (7.4e,t-/ -,-.6- - _
LoV oir . 2,72. Y
I certify that I have authorized (agent) (21'II2rif S 1 . F1`` a%Ca e to act on my
behalf,for the purpose of applying for and obtaining
all CAMA Permits necessary to
we I 11� �S S�ii.t1,w u 1,'Lc
install or construct(activity) ' 1?/1.:f (�� 1` , � 1
J J
at(my property located at) V34 �1 k i Vt S(Jk2 c! , sun() C < -k .
This certification is valid thri(date) I I r q ^ )6 .
4._ _d_-z-6 \c9 . 41-re/;/AC-L //-9-- /61
Property Owner SignaturC Date
RECEIVED RECEIVED
DCM WILMINGTON, NOCM WILMINGTON, NC

The Town of Surf City
$11t) 214 N. New River Dr. Surf City, N.C. 28445 . ' of 31
Phone: [phone] • Fax: [phone]
www.towngthurfcity.com comdev(c townofsurfcity.com �n
Permit Number: (" Date: -r��-a O t L
Project Address: k \ ,rN -1 \ d
Property Owner: �A C 1 --.
Property Owner Mailing Address: \ Sk‘�k C, \ , j �
Property Owner Telephone Number: 6 U
P Y P �1 5,: `oc,,~�9 1p1 Email Address:
Project Information
DwellingType: CSYOne/Two FamilyTown Homes
yp 4 o s ❑ Manufactured Home
Bedrooms#of: Lawn Irrigation EYes f t
Description of Project: _ r,r,mt
Building Contractor
Contractor: i S by c\C, Phone:G l e)' l- 3 ,
Address: C) C ©�% c\\.
City: N eNc-N‘ px---, State: ' Zip: c)?1-)1Q —
NC License#:731100 Contact1Agent: A,C\ V Cell:
-4r--1 jikaalis,v,-Ksa '„1--.,\th \r.>>\ ;(\*e, he(r:e�'m p tion results will be 'mailed to)
1
Project Cost Including Subcontractors: $ SI '10C) , 00 ` .
I
Lien Agent-Required for Projects that Value $30,000.00 and Above.
RECEIVED
Lien Agent Company:
DCiN WILMINGTON, NC
Physical Address:
City: State: Zip:
SEP 2 9 2016---
Mailing Address:
City: State: Zip:
Phone: Fax:
Email Address:
RESIDENTIAL APPLICATION Page 1 of 2

Electrical Contr ctor
Contractor: Q�
Addr-s : • /
City: .�� � 411 State: Zip: a „i,4
Phone!'1 va iffit NC License#: Ogg L Email Address:C%111014&__.frUir
Plumbing Contractor
Contractor:
Address:
City: State: Zip:
Phone: NC License#: Email Address:
Mechanical Contractor
Contractor:
Address:
City: State: Zip:
Phone: NC License#: Email Address:
Gas Contractor
Contractor:
Address:
City: State: Zip:
Phone: NC Licer se#: Email Address:
Insulation Contractor
Contractor:
Address:
City: State: Zip:
Phone: NC License#: Email Address:
Signature of Applicant/Agent:
Printed Name of Applicant/Agent: .JyJ''��.C�
To he calculated by Community Development Deportment:
Area Square Footage
Heated Space: ! Elevator CYes ENo
Unheated Space: (Garage,Storage,Deck,Etc) Fireplace/Gas Yes INo
Total Square Footage of Structure: Lawn/Irrigation Sprinkler
Habitable Impact Fees: $ LYes LNo
r MiNGTON, NC
SEP 2 9 2016
RESIDENTIAL APPLICATION Page 2 of 2

40,of SUS,
P.Q.Box 2475, Surf City, NC 28445
Phone''[phone] Fax[phone]
www.townofr#city.com comdev(a.townofsurfcity.com
AFFIDAVIT OF WORKERS COMPENSATION COVERAGE N.C.G.S. 87-14
Site Address: ,
The undersigned applicant for Building Permit# being the
Contractor �c3,% ,_ ' ` �L� � t' -��`•
Owner � \_.)
Do hereby aver under penalties of perjury that the person, firms, or corporations performing the
work set firth in the permit:
has/have three or more employees and have obtained workers' compensation insurance
to cover them,
has/have one or more subcontractors and have obtained workers' compensation
insurance to cover them,
has/have one or more subcontractors who has/have their own policy of workmen's'
...............
compensation covering themselves,
has/have not more than two employees and no subcontractors,
While working on the project for which this permit is sought, it is understood that the Inspection
Department issuing the permit may require certificates of coverage of workers, compensation
insurance prior to issuance of the permit and at any time during the permitted work from an
person, firm, or corporation carrying out the work.
Authorized Agent and/or Property Owner
Print Name ' c's\
Date " 01
RECE' 'VE[)
DCM WtLt 9NGTON, NC
SEP 2 9 2016

U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE ,
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
Minonat 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 GAIL I.COPLAND Policy Number: ;
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No, Company NAIC Number:
LOT 22 WALTER R.ATKINSON ROAD
City SURF CITY
-
y State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Pirbel Number,Legal Description,etc)
LOT 22,THE PENINSULA AT TOPSAIL
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude:Let.34d24'58"N Long.77d34'1i"W Horizontal Datum. ❑ NAD 1927 N NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 5 1
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) N/A sq ft a) Square footage of attached garage NiA sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in ;he 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 AB.b 0 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? 0 Yes 2 No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
1 B1.NFIP Community Name&Community Number 82.County Name B3.State
f TOWN OF SURF CITY 370186 I i ; PENDER NORTH CAROLINA
B4.Map/Panel Number l 65.Suffix B6.FIRM htdi x Date B7,FIRM Panel 38.Flood B9. Base Flood Elevation(s)(Zone
3720423400 J 02/1 / 7 EffectivelRevised Date Zones) AO,use base flood depth)
02/16/07 I AE 9.0
B10. Indicate the source of the Base Flood Elevation(BFE)`)data or base flood depth entered in Item B9,
FIS Profile ® FIRM ❑ Community Determined 0 Other/Source:
B11 Indicate elevation datum used for BFE in Item 89. ❑ NGVD 1929 0 NAVD 1988 0 Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes C. No
Designation Date: 0 CBRS 0 OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ® Building Under Construction" 0 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,ARIAO.Comp ete 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 ®NAVD 1988 0 Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
C.'
a)Top of bottom floor(including basement.crawlspace,or enclosure floor) 14.4 ®feet 0 meters _
b)Top of the next higher floor N.A 0 feet ❑meters e_, ,,,
c) Bottom of the lowest horizontal structural member 0.?Zones only) N.A 0 feet ❑meters rm .- I I I
d)Attached garage(top of slab) N.A ❑feet ❑meters -v r- (1
e) Lowest elevation of machinery or equipment servicing the building N.A ❑feet ❑meters S '"?
(Describe type of equipment and location in Comments) co 7- I-
f) Lowest adjacent(finished)grade next to building(LAG) 4.2 ®feet 0 meters n, 2,1 C„
g)Highest adjacent(finished)grade next to building(HAG) 4.5 ®feet 0 meters 0 m
h)Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N.A Elfeet 0 meters GMZ a
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION Z
n
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation ,i t+t re r f rr I
information.I certify that the information on this Certificate represents my best efforts to interpret the data available. .�"+` CA{rr,r9
I understand that any false statement may be puntshatlg�by fine or imprisonment under 18 U.S.Code.Section 1001. . (,,\ ,, (�4, #.00
® Check here if comments are provided o2 of f�or�t orrrWere latitude and longitude in Section A provided by a ,.ICJ. OY CSStp,`.�, ,
❑ Check here if attachments. �.` 4• ., O sensed land surveyor? N Yes ❑ No c • 1.'•'T7 I
_ L.7 • -FSR '•,\f ., ,
Certifier's Name JAMES A.LEWIS,PL,z°"q.�''Q`�aC IQ/i9'. license Number L 4562 tiSEAL
,. °� ,
Title PROJECT MANAGER ` �- Jam`�� Com��iy'�arrre CI-tAR�ES F.RIGGS&ASSOCIATES,INC.
Address 502 NEW BRIDGE STREE e t k'E T State NC ZIP Corte 2854D ,« ',1' (J \J ' `
pity .f 31v • • ".co si
3` •Signature s patg -� ,• � Telephone [phone] °�., �C' v'
FEMA Form 086-0-33(7/12) +�'`' •• .%o•r4oSee reverse side for continuation. Replaces all previous editions.

t_.1_1...V't I IV,t vI�11 I II Ivlt i I_., FJGIV Z.
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
LOT 22 WALTER R.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 UNDER CONSTRUCTION
00,i tt1r/IP
l�/jsva 0• C7FSs! . 1 s
Signature ��` ate
SEAL 2
SECTION E—BUILDING ELEVATION fFIFORpAA t JR2VE`(NiT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
�vyyY �O
For Zones AO and A(without BFE),complete Item 5.7thtr►N ffic.a, Itended to support a LOMA or LOMR-F request,complete Sections A. B.
and C. For Items E1—E4,use natural grade,if availadte,J Me rri ee..ii dent used. In Puerto Rico only,enter meters.
El. Provide elevation information for the following and' " t,t 'apgrrct late boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawlsoace,or enclosure)is 0 feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement,crawlsoace,or enclosure)is ❑feet ❑meters ❑above or 0 below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet 0 meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is ❑feet 0 meters ❑above or 0 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, $,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 -
- iComments
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.)
G2.0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zcne AO
G3.0 The following information(Items G4—G10)is provided,for community floodplain management purposes.
Permit Number G5. Date Permit Is tied G6. Date Certificate Of Compliance/Occupancy issued
G7. This permit has been issued for: 0 New Construction ❑Substantial Improvement
G8 Elevation of as-built lowest floor(including basement)of the building: 0 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 ❑meters Datum
Local Official's Name Title
- - Diu! E` !'vD
Community Name + NC Telephone
Signature
Date
Comments
SEP 2 9 2018
❑Check pere if attachments.
FEMA Form 086-0-33(7/12) Replaces all previous editions.

W.I.SCUP
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0 HERESY THAT I IN ... : "".
PROPERTY AS SHOWN HEREON N .. •D<�' R2
THE STANOANDS OF PRACTICE FOR Led. .-. I(1,'F9'Q,
N 0110 CAROLNA.THAT THE RAT10I1F 44' ^KY•
PREOSION AS CALCULATED BY TATIT11DE5 ^
DEPAR RES IS 1.10 D004 SEAL
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N FLOOD ZONE IAEE !FL..9.0') KIKCI4--_ IS A
44012 FLOODHAIARO AREA AS DETERMINED BY FEDERAL
FYERGENCY MANAGEMENT AGENCY,AND NNE NATIONAL0.FLOOD VICINITY SKETCH
NWiANCE PROGRAM. COWALNIIY PANEL NUMBER '
370,6 0,E 8 372042310 EEBRUARY f6 2007 NOT 10 9W2
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VERTICAL DATUM:NAND 88
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p / SS �����\VH" / \ ZONED R-5 EIR .C $1144G RON ROD(FOUND)
p / S' F TO J� zing's SETBACKS EMN-EASTING MAGNETIC NAL(FOINOXCONTROL CORNEA)
^f�// I FRONT.15' ERR EXISTING£3150 PARKER-NMEN NAIL BWND000NTRO.CORER)
•W .,I^ f `_!ANN. REAR -30'CANA ERRS- 9040N0 RMLROAD SPIKE(RX943)
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3. GRAPHIC SCALE
-.-„.....--...... " — -- ---- _>- BOUNDARY& FOUNDATION SURVEY - J I� p o
CHARLES" RIGGS & ASSIOCIATES, .INC.(c-780) FOR (Di Fg,)
LAND SURVEYING CONVENTIONAL & GLOBAL POSITIONING SYSTEMS, GAIL I. COPLAND I Web-20 N.
LAND PLANNING & COMPUTER MAPPING LOT 22, THE PENINSULA AT TOPSAIL, M.B. 56, P. 39 ACTUAL FIELD SURVEY DATE: APRIL 11, 2016
502 NEW BRIDGE STREET LANDFALL EXECUTIVE SUITE 217 TOPSAIL TOWNSHIP, FENDER COUNTY, NORTH CAROUNA MAPPING DATE APRIL 12, 20)6
P.O.BOX 1570 1213 CULBRETH DRIVEDRAWN 8Y: '..-.r N'if-
JACKSONVILLE,NC 28540-1570 WILMINGTON,NC 28405 GAIL I. COPLAND, OWNER, D.B. 4554, P. 107 CHECKED K: <-:78 %4:.�,•.
5 WALTER R. ATKINSON ROAD FIELD BOOK: 789D PAGE: 45
S TELEPHONE: [phone] TELEPHONE [phone]
�y E-MAIL; 6998(0ODQElg981800nacom !PROJECT NUMBER; 13-05-26

U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Hood 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 GAIL I.COPLAND Policy Number:
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number.
LOT 22 WALTER R.ATKINSON ROAD
City SURF CITY State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 22,THE PENINSULA AT TOPSAIL
A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat.34d24'58"N Long.77d3417"W Horizontal Datum: 0 NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 1080 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 6 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 1200 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ® 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 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 9.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date: 0 CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. 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. 0 NGVD 1929 ® NAVD 1988 CI 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) 5.0 ®feet 0 meters
b)Top of the next higher floor 15.0 ®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 9.1 0 feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 3.6 ®feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 4.5 ®feet El meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N.A ❑feet 0 meters
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
WI information. /certify that the information on this Certificate represents my best efforts to interpret the data available. ��%W �‘i,
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. %%%``'(N CARp 1,,,
® Check here if comments are provided o n I b }iii.,,,, Were latitude and longitude in Section A provided by a O • OFVSS/O�;`%I,;.,
❑ Check here if attachments. �0 •'(N RO "4ensed land surveyor? ® Yes ❑ No Z' '.QQ' 9e'•;9
Certifier's Name JAMES A. LEWIS,PLS. .. O*Gss/U4,'•.9 License Number L-4562 SEA-
Title PROJECT MANAGER _ : Comme CHARLES F. RIGGS&ASSOCIATES,INC. � l
• • <
i
Address 502 NEW BRIDGE STREET City(. NVILCE State NC ZIP Code 28540 (_ RE,' i I:.ey,'y. SUB .• \•

_VV v r+I SiI41 SOLI%In uVr1 I 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:
LOT 22 WALTER R.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 PROPOSED TWO STORY ON PILINGS, ENCLOSED BELOW.SURVEYOR HAS NOT REVIEWED FINAL CONSTRUCTION
PLANS. (PROPOSED FINISH FLOOR= 15.0') PROPOSED ROOF PEAK IS 36 ABOVE ADJACENT GRADE.
42a4'."(04 X1• ic;;Ye.,2,----- %,„‘„s‘,\V!!,9.A.
Signature �• OFE3-s4O,• .•
SECTION E-BUILDING ELEVATION INFOFBNIA1ION ftr Y NOT RL_QUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
-4562
For Zones AO and A(without BFE), complete Items E1- 5. lf' ,Certificate i tendedto support a LOMA or LOMR-F request,complete Sections A, B,
and C. For Items El-E4, use natural grade, if available. nth hlt.n\C ect. In Puerto Rico only,enter meters.
El. Provide elevation information for the following and chige.) ttcappropr f D�i3c to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG). •,,` A.
a)Top of bottom floor(including basement, crawlspace,or ei d105Ute)is ❑feet ❑meters Cl 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 ❑feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is LI 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
❑ 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
)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 i G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
37. This permit has been issued for: ❑ 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 ❑ meters Datum
310. Community's design flood elevation: ❑feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments ❑ h�
nrnn\NILN1iv „; UC:�I1ILMIR!�

DENR CAMA Daily Check Log for WIRO
Date
Date Deposite Check Check Recefp
Received d Check From(Name) Name of Permit Holder Vendor Number amount Pennit Number/Comments Refund/Rea
11/12/2015, 11/13/15 Allied Marine Contractors LLC _ Scott Tucker B of A 7909 $200.00 GP 66192D TM rot.0441E
11/12/2015 11/13/15 Richardson Construction Brian Hennessee BB&T 6162 $200.00,GP 66187D TM rct.0440E
11/12/2015 11/13/15 Carolina Marine Construction Inc Federal Point Yacht Club First Bank 9922 $400.00 major fee,910 Basin Road,CB NHCo RM rct 03811
11/12/2015 11/13/15 Clements Marine Construction Inc Ray Sito First Citizens Bank 3957 $250.00 major fee,462 Causeway Dr,WB NHCo RM rct.03791
11/12/2015 11/13/15 City of Wilmington same B of A 324120 $100.00 renewal fee,MP 61-12 RM rct.03801
11/12/2015 11/13/15 Eduardo San Miguel same _ _ PNC Bank 1007 $600.00 GP 66197D JD rct 1054C
11/12/2015 11/13/15 Charles or Linda Honde same Navy Federal Credit Union 4012 $600.00 GP 66115D JD rct.1053C
11/13/2015 11/16/15 Carolina Coast Contracting,Corp 470 Anderson,LLC B of A 7000 $100.00 minor fee,179 Topsail Road,NTB Ons.Co JD rct.1056C
11/13/2015 11/16/15 Coastal Land Design James Taggart B of A 5123 $100.00 minor fee,230 N.Anderson Blvd.TB PN JD rot 1057C
11/16/2015 11/16/15 Allied Marine Contractors LLC Hays Lambert B of A 7996 $200.00 GP 66215D JD rct.1058C
11/16/2015 11/17/15 Charles Riggs&Assoc. Michael&Becky Steed First Citizens Bank 14263 $100.00 minor fee,135 Soundview,Hampst PN JD rct.1063E
11/16/2015 11/17/15 Charles Riggs&Assoc. Sandy Feet,LLC First Citizens Bank 14265 $100.00 minor fee,111 Permuda Wynd NTB Ons JD mt.1062E
11/16/2015 11/17/15 St Moritz HOA Inc same North State Bank 1563 $100.00 minor fee,4110 Island Dr.NTB Ons JD mt.1061E
11/16/2015 11/17/15 Charles Riggs&Assoc. Dennis&Mary Backer(Boeker/) First Citizens Bank 14264 $100.00 minor fee,614 Hampton Colony Cir NTB On JD rot 1059E
11/16/2015 11/17/15 Sunset Dock Assoc same First Citizens Bank 1103 $536.00 NOV 15-18D,$250,$250,$36 TM rot.04351
11/17/2015 11/17/15 County of Brunswick same BB&T 742767 $400.00 GP 66219D HS rct.09961
11/17/2015 11/17/15 Benjamin Spence Albright same BB&T 18168 $200.00 GP 66216D HS rct 09941
11/17/2015 11/17/15 Money Order from Brandon Grimes Chris Lutterioah Wells Fargo Bank 59183420956 $200.00 GP 66217D JD rct.1064E
11/17/2015 11/17/15 Southeastem Coastal Construction Co Robbie Brooks First Federal 9640 $400.00 GP 66218D JD rot.1065E
11/17/2015 11/17/15 Lee Thornton Lee Thornton Coastal Bank and Trust 992 $100.00 minor fee,S.Lloyd Lt 19 The PeninsulaSC/PI JD rat.1106E
11/20/2015 11/24/15 H5 Construction LLC Richard James BB&T 1367 $600.00 GP 66170D HS mt.09981
11/20/2015 11/24/15 Holden Docks&Bulkheads Michael Huskey CresCom Bank 2303 $200.00 GP 66172D HS mt.10001
11/20/2015 11/24/15 Frederick H.Kart same BB&T 1000 $400.00 GP 66171D HS rct.09991
11/20/2015 11/24/15 Logan Marine LLC SEL Property Investors LLC Coming Federal Credit Union 1236 $200.00 GP 66220D RM rkx.0382
11/23/2015 11/24/15 Money Order from Dixon Broadfoot Burmah Broadfoot Wells Fargo Bank MO 17-269805108 $200.00 GP 66221 D TM rat 04071
11/23/2015 11/24/15 Mike Milligan Painting George Garalis BB&T 11712 $400.00 GP 66173D HS rot.12761
11/23/2015 11/24/15 Maritime Coastal Construction LLC Robert McCormack CresCom Bank 2195 $400.00 GP,66174D HS rat 12771
11/24/2015 11/25/15 Jill and Matthew Robinson same USAA Federal Savings Bank 2669 $100.00 transfer fee,MP 4-05 RM rct 0384
11/24/2015 11/25/15 Pippin Marine Construction LLC Larry Warshaw Wells Fargo Bank 3571 $250.00 major fee,914 Santa Maria Ave,Wilm NHCo RM rct.0383
11/25/2015 12/1/15 Antinori Construction Inc Caroline Brinkley B of A 4004 $600.00 GP 66198D JD rct 10671
11/25/2015 12/1/15 Antinori Construction Inc Glen Baxter B of A 4006 $200.00 GP 66114D JD mt.10681
11/30/2015 12/1/15 Deyo and Associates LLC same representing NC State Port Authority Wells Fargo 1147 $100.00 mod fee,MP 47-87 RM mt.0385
11/30/2015 12/1/15 Ocean Blue Pools and Spas of NC Al Weston First Citizens Bank 881 $100.00 minor fee,1267 New River Inlet Rd,NTB Ons JD rot 10691
11/30/2015 12/1/15 David C.Winner,Jr Timothy Chase BB&T 1750 $600.00 GP 66222D©$200 RM mt.0386
Jeff Carter GP 66223D©$400
12/1/2015 12/4/15 Custom Island Homes by Ken Kiser LLC Max Kohler CresCom Bank 4085 $100.00 minor fee,Caswell Beach 15-06 TM mt.0442
12/1/2015 12/4/15 Coastal Marine Piers and Bulkheads LLC Larry Funderburk Wells Fargo Bank 20559 $250.00 major fee,712 Waynick Blvd WB NHCo RM rct.0387
12/2/2015 12/4/15 Carolina Sport Court LLC Michael Moss North State Bank 3389 $100.00 minor fee,640 Hampton Colony Cir.NIB Ons JD rct.10701
12/3/2015 12/4/15 Clements Marine Construction Inc Anthony Patterson First Citizens Bank 3958 $250.00 major fee,2309 Middle Sound Loop Rd NHCc HS rct.1278
12/4/2015 12/4/15 Coastal Construction&Consulting LLC Anchors Bend PNC Bank 4021 $100.00 mod fee,MP 132-96 RM rot 0388
12/4/2015 Allied Marine Contractors LLC Marvin Rozear B of A 8049 $200.00 GP 66214D JD rat 10711
12/4/2015 Seawatch at Sunset Harbor LLC Coastal Communities Inc. NBSC Synovus Bank 1667 $100.00 renewal fee,MP 06-10 HS rct.1279
12/7/2015 Charles Riggs&Assoc. Gail Copland First Citizens Bank 14232 $100.00 minor fee,Lot 22 Atkinson Rd Surf City PN JD mt.12821

MA Daily Check Log for WIRO
Date
Deposite Check Check Receipt or
1 d Check From(Name) Name of Permit Holder Vendor Number amount Permit Number/Comments Refund/Reallocated
5 11/13/15 Allied Marine Contractors LLC Scott Tucker B of A 7909 $200.00 GP 66192D TM rct.0441D
5 11/13/15 Richardson Construction Brian Hennessee BB&T 6162 $200.00 GP 66187D TM rct.0440D
5 11/13/15 Carolina Marine Construction Inc Federal Point Yacht Club First Bank 9922 $400.00 major fee,910 Basin Road,CB NHCo RM rct.0381 D
5 11/13/15 Clements Marine Construction Inc Ray Sito First Citizens Bank 3957 $250.00 major fee,462 Causeway Dr,WB NHCo RM mt.0379D
5 11/13/15 City of Wilmington same B of A 324120 $100.00 renewal fee,MP 61-12 RM rd.0380D
5 11/13/15 Eduardo San Miguel same PNC Bank 1007 $600.00 GP 66197D JD rct.1054D
5 11/13/15 Charles or Linda Honde same Navy Federal Credit Union 4012 $600.00 GP 66115D JD rot.1053D
5 11/16/15 Carolina Coast Contracting,Corp 470 Anderson,LLC B of A 7000 $100.00 minor fee,179 Topsail Road,NTB Ons.Co JD rot 1056D
5 11/16/15 Coastal Land Design James Taggart B of A 5123 $100.00 minor fee,230 N.Anderson Blvd.TB PN JD rd.1057D
5 11/16/15 Allied Marine Contractors LLC Hays Lambert B of A 7996 $200.00 GP 66215D JD mt.1058D
5 11/17/15 Charles Riggs&Assoc. Michael&Becky Steed First Citizens Bank 14263 $100.00 minor fee,135 Soundview,Hampst PN JD rct.1063D
5 11/17/15 Charles Riggs&Assoc. Sandy Feet,LLC First Citizens Bank 14265 $100.00 minor fee,111 Permuda Wynd NTB Ons JD rot.1062D
5 11/17/15 St.Moritz HOA Inc same North State Bank 1563 $100.00 minor fee,4110 Island Dr.NTB Ons JD rot 1061D
5 11/17/15 Charles Riggs&Assoc. Dennis&Mary Backer(Booker/) First Citizens Bank 14264 $100.00 minor fee,614 Hampton Colony Cir NTB On JD rot.1059D
5 11/17/15 Sunset Dock Assoc same First Citizens Bank 1103 $536.00 NOV 15-18D,$250,$250,$36 TM rot.0435D
5 11/17/15 County of Brunswick same BB&T 742767 $400.00 GP 66219D HS rot.0996D
5 11/17/15 Benjamin Spence Albright same BB&T 18168 $200.00 GP 66216D HS r t.0994D
5 11/17/15 Money Order from Brandon Grimes Chris Lutterloah Wells Fargo Bank 59183420956 $200.00 GP 66217D JD mt.1064D
5 11/17/15 Southeastern Coastal Construction Co Robbie Brooks First Federal 9640 $400.00 GP 66218D JD rot.1065D
5 11/17/15 Lee Thornton Lee Thornton Coastal Bank and Trust 992 $100.00 minor fee,S.Lloyd Lt 19 The PeninsulaSC/PN JD mt.1106D
5 11/24/15 H5 Construction LLC Richard James BB&T 1367 $600.00 GP 66170D HS rd.0998D
15 11/24/15 Holden Docks&Bulkheads Michael Huskey CresCom Bank 2303 $200.00 GP 66172D HS rot.1000D
15 11/24/15 Frederick H.Kart same BB&T 1000 $400.00 GP 66171D HS rd.09990
15 11/24/15 Logan Marine LLC SEL Property Investors LLC Coming Federal Credit Union 1236 $200.00 GP 66220D RM rot.0382D
15 11/24/15 Money Order from Dixon Broadfoot Burmah Broadfoot Wells Fargo Bank MO 17-269805108 $200.00 GP 66221 D TM rd.0407D
15 11/24/15 Mike Milligan Painting George Garalis BB&T 11712 $400.00 GP 66173D HS rd.1276D
15 11/24/15 Maritime Coastal Construction LLC Robert McCormack CresCom Bank •
2195 $400.00 GP 66174D HS rot.1277D
15 11/25/15 Jill and Matthew Robinson same USAA Federal Savings Bank 2669 $100.00 transfer fee,MP 4-05 RM rd.0384D
15 11/25/15 Pippin Marine Construction LLC Larry Warshaw Wells Fargo Bank 3571 $250.00 major fee,914 Santa Maria Ave,Wilm NHCo RM rot.0383D
15 12/1/15 Antinori Construction Inc Caroline Brinkley B of A 4004 $600.00 GP 66198D JD rd.1067D
15 12/1/15 Antinori Construction Inc Glen Baxter B of A 4006 $200.00 GP 66114D JD rd.1068D
15 12/1/15 Deyo and Associates LLC same representing NC State Port Authority Wells Fargo 1147 $100.00 mod fee,MP 47-87 RM mt.0385D
15 12/1/15 Ocean Blue Pools and Spas of NC Al Weston First Citizens Bank 881 $100.00 minor fee,1267 New River Inlet Rd,NTB Ons JD rot 1069D
15 12/1/15 David C.Winner,Jr Timothy Chase BB&T 1750 $600.00 GP 66222D©$200 RM rd.0386D
Jeff Carter GP 66223D©$400
15 12/4/15 Custom Island Homes by Ken Kiser LLC Max Kohler CresCom Bank 4085 $100.00 minor fee,Caswell Beach 15-06 TM rd.0442D
15 12/4/15 Coastal Marine Piers and Bulkheads LLC Larry Funderburk Wells Fargo Bank 20559 $250.00 major fee,712 Waynick Blvd WB NHCo RM rd 0387D
15 12/4/15 Carolina Sport Court LLC Michael Moss North State Bank 3389 $100.00 minor fee,640 Hampton Colony Cir.NTB Ons JD rd.1070D
15 12/4/15 Clements Marine Construction Inc Anthony Patterson First Citizens Bank 3958 $250.00 major fee,2309 Middle Sound Loop Rd NHCc HS rd.1278D
15 12/4/15 Coastal Construction&Consulting LLC Anchors Bend PNC Bank 4021+ $100.00 mod fee,MP 132-96 RM rd.0388D
15 Allied Marine Contractors LLC Marvin Rozear B of A 8049 $200.00 GP 66214D JD mt.1071 D
15 Seawatch at Sunset Harbor LLC Coastal Communities Inc. NBSC Synovus Bank 1667 $100.00 renewal fee,MP 06-10 HS mt.1279D
15 Charles Riggs&Assoc. Gail Copland First Citizens Bank 14232 $100.00 minor fee,Lot 22 Atkinson Rd Surf City PN JD rct.1282D