SC_16-01_ Morris (2)

Issued by WiRO SC16-01
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 Floyd Morris authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC) at
540 Atkinson Point Road, in Surf City, Pender County as requested in the permittee's application package, dated
December 22, 2015, and received by DCM on January 15, 2016. This permit, issued on January 29, 2016, 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 drive and amenities
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by DCM on January 15, 2016.
(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 CA A LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this 0
127 Cardinal Drive Extension
permit expires on.
Wilmington, NC 2 405-3845 n <
December 31,2019 r—m
In issuing this permit it is agreed that this project is consistent with the local Land ,tta.• m
Use Plan and all applicable ordinances. This permit may not be transferred to o m
annthar Harty withnnt tha written annrnval of tha rlivicinn of Cnastal =DRAITTCC rn 0�

Name: Floyd Morris
Minor Permit#SC16-01
Date: January 29, 2016
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 structures shall be located within the 30' Coastal Shoreline buffer, including but not limited to concrete slabs,
stepping stones, roof covers, accessory buildings, etc.
(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: Fifl,A"
di--.. .________� DATE: 2/1/2. / 47
PERMITTEE
RECEIVED
OCM WILMINGTON,NC
FFR 0 4 MR

., e .r ,,r.,c' x: s r e »e• ,s' t _aW'
�C &. 'ti.c n¢1'2 �� �' ;'� rd �. r �Ft14'- x £ "�§" 1 •
Locality r .[^ 7, , r%. A
j 4-. 1, ( S, iZ i +�e ly
'u t x ff t ,y N," T3 ,,.'C"kt '4 ', -4 ;"h$c.. i- B'S�i F"'�
�� �` ,�3�rr+tx�'� �ic�„ .#a° ��g a'
� -7 ���"i r� ..o- � t ram' re rt'."v yrr ,� z? S�YYaffx=`
Ocean Hazard Eskia a Shor } () * fi F i
kt�efo 7 !a � Ac: 3 t �St � -s�oTa 5 r� -� "� �
_ � y � � a i t. Y -.n L _ �, �t� �, ro '•"s� �.3-�}'xa. {y��°'��^""4'c �y�r t�TYi
•
. 3, � _..- ,�..�L __. �._ _.: ...,...s.� 1 .... . _ -. _`.L.Y .a_t5�..__ , _ .. .._a. ._�L a:�L'.3�d,S,i�-•�='NCH �=..
GENERAL INFORMATION
LAND OWNER
Name t 0(--11 f©g`Z lS
Address 1 O'-("1 I✓tWL a
City C-V e-R A '- State rJ C_ Zip A'135 Phone (Q,0) ca a,�- i q 30
Email e_E.✓rtiO (2 2 l S--r K E PO S.1 v-nA , �C
AUTHORIZED AGENT
Name rJ rJ%gt VOL-1., T -
Address 1 kiCD(4,3 ‘,LP-s 14 l�l
City 14A (- 75-f f,t-i State C- Zip,WA 3 Phone i D 51,1—
Email v-N ri LA U r v 2F art e rr� S ^jC . CEO
LOCATION OF PROJECT: (Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.) .S 1k-re i r)Sv.-N SUILf G-r `-i I t�C—
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: 1 444 V square feet a t0 acres
PROPOSED USE: Residential (Single-family Multi-family ❑ ) Commercial/Industrial Other
40
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES:I l eisquare feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
concrete or masonry patios,etc. that are within the applicable AEC.Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit. d by the NC Division of Water Quality?
YES NO l�
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
RECEIVED
DCM WILMINGTON,NC

OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
Certification,Sand Dune, Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as: (check one)
an owner or record title,Title is vested in FL.v%-t fs t O -r ,see Deed Book 4
page lo in the P _ County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of
probate was in County.
if other interest, such as written contract or lease,explain below or use a separate sheet&attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1) V t iz-te <_ l )t �TQ+� 5 SO A-r IC f,�S D-) PO .x -CUT T F -� � Y - 1 - S
(2) -30 w1 f}Tl t 4-,..> Sc 3,(2) ,4-re -)S.0 Po, r R-c' 5�.� mil'{ r.e c
(3)
(4)
ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the g a day of -L ,20 I c
Veo -�+�-�t err
r-andowner or person authorize to ct as his/her agent for purpose of filing a CAMA permit application
'his application includes:general information(this form), a site drawing as described on the back of this application, the
)wnership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and
my information as may be provided orally by the applicant. The details of the application as described by these sources are
ncorporated without reference in any permit which may be issued Deviation from these details will constitute a violation
mypermit.Anyperson developing in an AEC withoutpermit is subject to civil, criminal and administrative a RECEIVED
P g v WILMINGTON,NC

PAT MCCRORY
rio,e mnr
DONALD R. VAN DER VAART
Seeremrr.
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
Director
January 29, 2016
Mr. Floyd Morris
10474 Hwy 421
Currie, NC 28435
Dear Mr. Morris:
Attached is CAMA Minor Development Permit# SC16-01, for work to be done at 540 Atkinson
Point Rd., in Surf City. A copy of the permit has been sent to the Surf City Inspection
Department and to your agent, Kenny Vollrath.
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.
Sincerely,
Shaun K. Simps
Permit Support Technician
Enclosures
cc: WiRO files
Town of SC Inspection Dept.
Future Homes do Kenny Vollrath
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

\(
N(
CAMA PERMIT
APPLIED FOR
PROJECT: Applicant proposes to construct
a 6-slip docking facility at 540 Atkinson
Pt.
Rd., adjacent to Waters Bay, in Topsail
Beach, Pender County.
CavW1 L-L-i I HROUGH jainiapy29r2of6_
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Floyd Morris NC Dili. of Coastal Management
10474 Hwy 421 127 Cardinal Dr. Extension
Currie, NC 28435 Wilmington, NC 28405
Agent: Kenny Vollrath [phone] Jason Dail, Fiefidesentative
910-796-7221

v
z
z
®P-
>0 I
0'-41/2' W z
IL
BEAM POCKET DET. 0 U�
74'-'
8'-0' 66'-0'
25.-7 3/4' 11'-6 3/4' 2-41/2' 5-2 3/4' 5'-5 3/4' 3'-1 I/2' 12-7'
3'-6' 16'-21/4' 12 5 10.-81/Y 23'-91/(
4 S1 OSl 30 52 0132 30 52 DO IRA'.--'' BEANPOglET N. T
NIL 2110 WAX HIER
ACt Be lit MESS NI0 Ir P. 1 O p� ll6/9NYLA / 60:F� Lo
yy�R 1/2 Pm7T. r:a vu Slit I M' �b g 1 D
`S 606 PT O, • _I i 1d �. FIBERGLASS R
tr &'
R s a
(00 BEDROOM 2 &2
-- PORTAL FRAK-SEE OETAA 00 II.OF I y S'-I 1/
ZQ KIT. „ la-r --� 11111
Num
1J o WOOF BEDROOM-1
- //..�� i re; LIVING ROOM T—
Z v N 31 I I "' ` ,�1 59l ® 72-1'K 17d'
d D -,� ai Y ,x MD.1. E, I I An,C •
2bba
1 Y NOlE716 M41 HERE PLY
a I '�.1cR4 ``
'A$ E__J ;�' HALL
R
IF'
:Fagg ACT.HST.z MO'I/1/Y FLIER 25 RAG. I 266E NM
_1/VW 2,.. 2665 2468
/2 PO$ POW BEAN LIS INTO
CLOSET CLOSET
NA PT wilt! 7
BOA POOIEI " Fip FAq VANN
C S t R SkR
� —�i
4 SROS 30 52 TIN.D52 30 52 XI 16f.
II/CMl PIN
5-6 16'-2 1/4' 11-9 1/4' 35.-6 1/2'
454 3'-1. 3'-7' 3'-5' 6'-21/2. 6'-41/2'
8.-0. 66'-6'
7(-0'
FIRST LEVEL FLOOR PLAN
301E:3/1(•fd
3J31 WE C/S FDbTO A.NQIA3R Mt Da(Ia1R15,11D556)
NOTE ONLY ONE HOUSE NATIONWIDE na0 RI1c5 Rao,aw1w5Mu,vA 24115 60UEcn N/sfR[s RARE JOB NC: I c 61RACT NO,
1S BE BUILT URRNC V 276))632-noo )0%6 BT:dF IOC Ft
THE PUNS THAT ARE • �L¢G1, FAX[phone] R901 DALE REP.65 lot BC RAY 11 al1 10-1F15
DESIONALD FOR TH6 •• ••• ••.. .... I*INDEIN E USTENE ES.COI HY.al[ REV BT. RAY RE»I ONE 1616201l004 PIDTElk3kYfm2zPa
CONTRACT JOB tiTBPs— (EY.SAL REY.BY: IA186101 DAL
I Dk6 ac

+ . ! ram.1 of„II,. a
�
_ ,,,ipt.
r ( •
PrTIM
tl x 9*fir O `v ! -!CP ? `d S /f ff�'
vAlft
y��
lilt
1
10t 401,,, iy
v ,,.,
440 s .... /
' \ 4-'. 't;C:' . -
"ices
,
I:‘'"' 4 ,2, Ili h. '", ,. lk Z \
is '�' r \, '`. j
... i,, O,A-
iiti ) ,,
41,
)10
. 'Ayr-.1: 4 1 ..tit lelf,, .
.:• lik,
r‘ \44471Ailt- '. -
PIN: 4235-84-3340-0000 L-1 Sale Price: $Null Acres:0.1
Owner: KOS NDA 1 V-- (S Sale Date: 1988-11-09 Land Value:$49,500 e n e rCounty
6 224 ANDREWS BRANCH Plat: 00040102 Building Value: $2,390
1 656
z < NORTH AUGUSTA,SC 29860 Account No: 819449 Total value:$51,890 0 0.00475 0.0095 0.011
Da rn 722/27 Township: TOPSAIL Deferred Value:$0 I r r r r r r r
i
Subdivision: ATKINSON POINT SUBDIVISION Exempt Amount:
Z 0 0.0075 0.015 0.03
N.) O I Tax Codes: G01 C53 R40 PCL Class:R
o pp$ 1 inch = 55 feet
I� A ess: 540 ATKINSON PT DR Heated Sq Feet: �,-
October 10, 2015
Des ' tion: PT r T c7 nN sni iNn PR AHn9

F U TRE Modular Made
.r. Easy.
• : HOMES
et._L i CL-‘&Yr:NI A r'')DV-t s authorize Future Homes and
any of its agents to apply for and pick up permits on my behalf for my
project at 5140 ( ,,,50 Po, F cc r-t r C ,
� l2"lam 1) t o (
Buyer y ate
/717 /_--c-z__.- 61-I o( 15
yer Date
RECEIVED
16663 US Highway 17 N., Hampstead, NC 28443 DCM WILMINGTON,NC
Phone: [phone], Fax: [phone] tAN 1 5 2016
www firtnrphnmacnr rnm

. . -os a ervice
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
q For delivery information,visit our website at www.usps.com°c.
n RICO r PFT9AL
0 Certified Mail Fee $3.4s 430
U c
Extra Services&Fees(check box,add fee d te) '�
..a ❑Return Receipt(hardcopy) $ .I I G `G
] E Return Receipt(electronic) $ $lfyl_00�e -A,(4`�
] ❑Certified Mail Restricted Delivery $ $O.0O „AV' �0��
3 Adult Signature Required $ VN.
❑Adult Signature Restricted Delivery$
`
A
Postage1.20
_a Total Postage and Fees 1 2/23>`201
5
a $4.65
n Sent
PQ- . --ro„,/,--c.1A+', C.0 ,.�L�
Street and of,.No.,or PO ffox 11fo.
Ss`-[`�_ L !—{`LC1S`0 1..3 A Vp-ex__.

•
portion of the Certified Mail label). for an electronic return receipt,see a retail
Wrs
ntifier for your lier mailpiece. associate for assistance.To receive a duplicate
nic verification of delivery or attempted return receipt for no additional fee,present this
LISPS®-postmarked Certified Mail receipt to the
r very
I 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's authorized agent.
Important Reminders: -Adult signature service,which requires the
"'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 notavailable for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
•Insurance coverage is notavailable for purchase 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 Priority Mail items. USPS postmark.If you would like a postmark on
•For an additional fee,and with a proper this Certified Mall receipt,please present your
endorsement on the mallpiece,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.

I. . •os a ervice
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
For delivery information,visit our website at www.usps.com
HO vce8t5
Certified Mail Fee $3.45 044 %
fl
Extra Services&Fees(check box,add fee�s pro ate) ` Q �Y
❑Return Receipt(hardcopy) $ �� V� ()
❑Return Receipt(electronic) $ $0-QQ !G�\ 5gtmark
❑Certified Mail Restricted Delivery $ !$0.00 � , \ Herrt�
0 Adult Signature Required $
❑Adutt Signature Restricted Delivery$ $0 y0 � ".
Postage $1.20
Total Postage and Fees L 2/23/2015
s $4.65
Sent To
I V t R-CP1t. U PTQrJ
an6Apt 7rfo.,or�b Box A(o.
�'O A"k t,_$S-vb (7'r. �e,
buy,3y�S u i_l= �" I. MIC— •34L(�ls

rCf IIIICU IvMal1 SC/v1GC IJIUVIUCS LIIC fu,auvalll J UCfle11ts:
A receipt(this portion of the Certified Mall 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 trill
delivery. USPS®-postmarked Certified Mail receipt to it
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 specifietlby name,o
to the addressee's authorized agent.
nportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Maily,First-Class Package Services, : available at retail).
or Priority Mail®service. ..Adult signature restricted delivery service,whir
Certified Mail service is notavallable for requires the signee to be at least 21 years of a
international mail. and provides delivery to the addressee specific
Insurance coverage is not available for purchase by name,or to the addressee's authorized ages
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
certain Priority Mail items. LISPS postmark.If you would like a postmark on
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.ff you don't need a postmark on tit
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portia
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 Ms receipt for your records
Fe,.,,2Aflff Anal ecu 7eannosnn enn7

":ND 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 Floyd Morris Policy Number:
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number:
540 Atkinson Point Road
City Surf City State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
Tax parcel number:4235-84-3340-0000
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.)Residential
A5. Latitude/Longitude:Lat.34-26-24.0 Long.77-32-46.4 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 5
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 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 n/a within 1.0 foot above adjacent grade n/a
c) Total net area of flood openings in A8.b n/a sq in c) Total net area of flood openings in A9.b n/a sq in
d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? 0 Yes 0 No
SECTION B-FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1.NFIP Community Name&Community Number B2.County Name B3.State
Town of Surf City 370186 Pender NC
B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
3720423500 J 02/16/07 Effective/Revised Date Zone(s) AO, use base flood depth)
02/16/07 VE 10.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 89: 0 NGVD 1929 ® NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ® No
Designation Date: 0 CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ® Construction Drawings' 0 Building Under Construction' ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones A1-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:NCGS RTK Network Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below. NGVD 1929 NAVD 1988 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) 14.8 IA feet ❑meters
b)Top of the next higher floor n/a. ®feet Cl meters
c) Bottom of the lowest horizontal structural member(V Zones only) 13.0 ®feet 0 meters
d)Attached garage(top of slab) n/a. ®feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 11.1 la feet 0 meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 2.1 ®feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 3.3 ®feet ❑meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 2.1 ®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. \1{III 1l/i
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CA R p//0
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a •.• SL. • s.$ ����i
❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No •
�2• 0 S P A,�'Y.''
Certifier's Name Johnny J.Williams License Number L-3170 = f
;r L-. 1701\t: -
Title PLS Company Name Johnny J.Williams Land Surveying \'�° -
Address P.O.Box 778 City Beulaville State NC ZIP Code 28518 r� • S�R�,• \
`ilk . %II • \>, \N
Signs ir� I h / Date 10/30/15 Telephone [phone] �w A ' ' 'a .1NUI�.\\\\

II
_rtTE,page 2
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:
540 Atkinson Point 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 Lot is vacant as of this date ,' � C A R 0//0
i
��0Q'.•FSS/•p���'
)o )3-� )I! .a SEAL �r: _
Sig atur Joh ny J.Williams Date 10/30/15 _ •r L 3 17 0 2 '
SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO R.Z,t�1N�` 1(yy?1 M�OUT BFE)
."'/ '/„ J. v.:',"'
For Zones AO and A(without BFE),complete Items El—E5.If the Certificate is intended to support a LOMA or LOMR-F rebtiett,'Cbrhplete Sections A,B,
and C.For Items El—E4,use natural grade, if available.Check the measurement used. In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawlspace,or enclosure)is . ❑feet 0 meters ❑above or 0 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 ages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is 0 feet 0 meters 0 above or 0 below the HAG.
E3. Attached garage(top of slab)is . ❑feet 0 meters ❑above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is . ❑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 0 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)
-he local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G
if this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10.In Puerto Rico only,enter meters.
31.0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
32. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
33. ❑ 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
;7. This permit has been issued for: 0 New Construction ❑ Substantial Improvement
;8. Elevation of as-built lowest floor(including basement)of the building: . ❑feet 0 meters Datum
;9. BFE or(in Zone AO)depth of flooding at the building site: . ❑feet ❑meters Datum
;10.Community's design flood elevation: . 0 feet ❑meters Datum
Local Official's Name Title
Community Name Telephone RECEIVED
DCM WILMINGTON,NC
Signature Date
JANI52016
Comments
0 Check here if attachments.

DENR CAMA Daily Check Log for WIRO
Date I
Date Deposite Check Receipt a
Received d Check From(Name) 1 Name of Permit Holder Vendor Check Number_ amount Permit Number/Comments Refund/Reallo
12/17/2015 12/21/15 Maritech,LLC Marc Noel B of A 2131 $400.00 GP 662360 RM rot.0395D
12/17/2015 12/21/15 Lighthouse Marine Construction Jack MacKnoll _ B of A 5671 $200.00 GP 66210D JD rct.1160D
12/17/2015 12/21/15 David or Nancy Taylor David Taylor Wells Fargo Bank 2090 $100.00 minor fee,3627 Island Dr NTB Ons JD rct.1552D
12/17/2015 12/21/15 Pippin Marine Construction LLC Richard Woodbury Wells Fargo Bank 3599 $200.00 GP 66237D RM rct 0396D
12/21/2015 9/25/02 Oyster Bay Homeowners Assoc Thomas McCurley for Oyster Bay HOA First Bank 999 $100.00 renewal fee,41-89 RM rct.0397D
12/21/2015 12/21/15 American Marine Construction Jim Nelson First Citizens Bank 86080 $200.00 GP 66188D TM rct.0409D
12/21/2015 12/21/15 Peggy Roberts Ralph Gibson Branch Banking&Trust 1499 $400.00 GP 66238D JD rct.1553D
12/21/2015 12/21/15 Overbeck Marine Construction Inc NC Baptist Assembly,Fort Caswell SunTrust 4540 $100.00 mod fee,MP 35-10 TM rct.0444D
12/21/2015 12/21/15 Town of Ocean Isle Beach same Branch Banking&Trust 70607 $200.00 GP 66178D HS rct 1288D
12/21/2015 12/21/15 Backwater Marine Construction Inc Warren and Kelley Miller BB&T 2193 $200.00 GP 66179D HS rct.1289D
12/21/2015 12/22/15 New Hanover County General Account Layton Bedsole for same BB&T 331294 $100.00 renewal fee,151-01 RM rct.0398D
12/21/2015 12/22/15 Hampstead Pool Spa&Patio,Inc Michael Schwend First Federal 5510 $100.00 minor fee,1605 New River Inlet Rd NTB Ons JD rct 1554D
12/22/2015 12/22/15 Bradley Creek Boatominium Inc Laurie Baldwin for same First Citizens Bank 1461 $100.00 renewal fee,MP 106-75 RM rct.0399D
12/22/2015 12/22/15 Bald Head Island Ltd Bruce Marek for Deep Point Marina First Citizens Bank 1530 $100.00 mod fee,MP 91-96 TM rct 0446D
12/22/2015 12/22/15 Bald Head Island Ltd Bruce Marek for same First Citizens Bank 1531 $100.00 mod fee,MP 191-86 TM rct.0445D
12/22/2015 12/22/15 Richardson Construction Steve and Sandy Dellinger BB&T 6198 $400.00 GP 66227D HS rct.1290D
12/22/2015 12/22/15 Coastal Dredging LLC Craig Youndt BB&T 4394 $600.00 GP 66239D JD rct.1555D
12/28/2015 12/29/15 Allied Marine Contractors LLC Kenan Brock B of A 8052 $250.00 major fee,1182 B.N.Anderson Blvd TB PN JD rct 1556D
12/28/2015 12/29/15 Coastal Marine Piers and Bulkheads LLC Southside Dock Assoc.-Larry Mahl Wells Fargo Bank 20606 $200.00 GP 66240D RM rct.0400D
12/28/2015 12/29/15 Connaway Marine Construction Mike Hamilton B of A 1150 $200.00 GP 66117D JD rct.1161D
12/28/2015 12/29/15 Allied Marine Contractors LLC Bill Cherry B of A 8051 $200.00 GP 66207D JD rct.1162D
12/28/2015 12/29/15 Charles Riggs&Assoc. George&Christine Allison First Citizens Bank 14357 $100.00 minor fee,119 S.Permuda Wynd NTB Ons JD rct.1557D
12/28/2015 12/29/15 Susan Ballard Susan&Rex Ballard and others B of A 1141 $100.00 minor fee,emergency sand push NTB Ons JD rd.1558D
12/30/2015 1/5/16 SeaScape at Holden Plantation,LLC same First Citizens Bank 1071 $100.00 mod fee,MP 05-01 HS rct.1294D
12/30/2015 1/5/16 VCC,INC same-Brian Murdock BB&T 3662 $400.00 GP 66228D&GP 66229D ea.@$200 HS rct 1291 D&
12/30/2015 1/5/16 Ronald or Clarice Holden same First Bank 1368 $200.00 GP 66230D HS rd.1293D
1/4/2016 1/5/16 Todd or Kelly Surratt same First Bank 7758 $100.00 transfer fee,MP 66-15 BrCo SF rct 1601D
1/4/2016 1/5/16 Goodrich Architecture,PA David Carr First Citizens Bank 7987 $100.00 minor fee,603 Maritime Way,TB Pender JD rct.1559D
1/5/2016 1/5/16 Otter Creek Landing Yacht Club Loretta Whelan,agent for Otter Creek First Citizens Bank 3464 $100.00 renewal fee,MP 7-11 RM rct.1451 D
1/5/2016 1/7/16 Clements Marine Construction Inc Steve Dutton First Citizens Bank 3985 $400.00 GP 66253D JD rct.1560D
1/5/2016 1/7/16 James or Marie Hardee same BB&T 5472 $100.00 renewal fee,MP 66-12 JD rd.1561 D
1/5/2016 1/7/16 Masonboro Landing Homeowners same BB&T 379 $100.00 renewal fee,MP 109-09 RM rct.1452D
1/5/2016 1/7/16 Money order from Brandon Grimes John Eubanks BOKF,NA R206357380449 $200.00 GP 66254D JD rot.1562D
1/7/2016 1/7H6 Richardson Construction Doug Garrison BB&T 6220 $600.00 GP 66234D @$200 HS rct 1297D
Richard McCain _ GP 66233D @$400 HS rot 1298D
1/7/2016 1/7/16 TRA COM Services,Steven Farmer John Kauffman BB&T 4752 $400.00 GP 66231D©$200 HS rct 1295D
Williams Family,Deborah Sheehan GP 66232D @$200 HS rct 1296D
1/7/2016 1/11/16 Mark Lewis Crew Boats Inc DBA Old Town Marina Jason Thompson PNC Bank 2174 $100.00 minor fee,822 Carolina Blvd,TB PN JD rct.1563D
1/7/2016 1/11/16 F and S Marine Contractors Inc Fredericka Goldenberg PNC Bank 5074 $250.00 major fee,21 Sandy Point Wilmington NHCo RM rct.1453D
1/8/2016 1/11/16 East Coast Engineering and Surveying Michael McCullough First Bank 1627 $100.00 renewal fee,MP 105-08 HS rd.1508D
1/8/2016 1/11/16 Grice Construction Woody Wilkinson BB&T 10759 $2,800.00 GP 66241D @$200 HS rd.1507D
_Frank and Jane Wilmer GP 66249D(@1$200 HS rct 1506D
Bradley and Jeanine Moock GP 66248D @$400 HS rot.1505D
Robert and Mary Suggs GP 66247D @$400 HS rct.1504D
JoAnn Griffin Small Trustee GP 66246D @$400 HS rct.1503D
Ryan and Dorothy Buddin GP 66245D©$400 HS rct.1502D
Timothy and April Morley GP 66244D @$200 HS rct.1501 D
Daniel and Cheryl Qualls GP 66242D @$400 HS rct 1299D
1/11/2016 1/12/2016 Lighthouse Marine Construction Inc Sonya Leibowitz B of A 5706 $200.00 GP 66264D JD rct.1564D
1/11/2016 1/12/2016 Maritech LLC Gary Burkart B of A 2134 $400.00 GP 66263D RM rct.1454D
1/11/2016 1/12/2016 Harmony Investments,Inc Wilmington Convention Hotel,LLC TowneBank 7038 $400.00 major fee,9 Estell Lee Place,Wilm.NHCo RM rct 1455D
1/11/2016 1/12/2016 Buff Builders,Inc George Zippel BB&T 4758 $100.00 minor fee,CasB 16-01 TM rct.1602D
1/12/2016 1/13/2016 Town of North Topsail Beach same First Citizens Bank 40348 $200.00 minor fee,end of River Road NTB @$100 On:JD rct.1565D
mod fee,MP 92-14 @$100 JD rot.1565D
1/14/2016 Pippin Marine Construction LLC Gary Lynch Wells Fargo 3622 $250.00 major fee,25 Pipers Neck,Wilm NHCo RM rct.1456D
1/15/2016 Future Homes Uve Oak Ent,LLC Larry Norris BB&T 35936 $100.00 minor fee,1053 First St SC Ons JD rot.1567D
1/15/2016 -Future Homes Live Oak Ent.,LLC Floyd Moms BB&T 35935 $100.00 minor fee,540 Atkinson Point Rd.SC Pn JD rd.1566D