SC_16-06_ Sandlin (2)

Issued by WiRO SC16.06
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 Carl and Jennifer Sandlin authorizing development in the Estuarine Shoreline Area of Environmental
Concern (AEC) at 656 Spot Lane, in Surf City, Pender County as requested in the permittee's application package,
dated February 17, 2016, and received by DCM on March 2, 2016. This permit, issued on March 15, 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: Residential home construction.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by DCM on February 24,2016.
(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
permit expires on: 127 Cardinal Drive Extension
Wilmington, NC 28405-3845
December 31,2019
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 PFRMITTPF

;` . � `° :Locality '..:_,-It, / - L-_ / r ; P41r ; a r '1- Z , L0x�, S � uJl 4 'y1i14(f Y qsa a z�"t i` � J 4ait{rOCcFi,f ilaz:1.rd Fy u innc Shoreline OR1TSho� l mg =.t �,, Slj �I` Q � gt+'4" ,
L'.n �ftt 7 t,{ `� i�m. � r s sv�
- foY :piel rills 4 1z.t.-0, ,ti,,y � ju' '- 2� ., t 7 tT t { 1 4
GENERAL INFORMATION
LAM) OWNER
Name !.:.,: I_ 4 TGn0;7is 4 /
Address f D .?d--- 5-30 c;1 Y-D /n f v • £G?/A 04,6 �/ .
City lie ,,,.5 v;(le State /Va. Zip 253f7 Phone ' ra_Sz9—9 rt y
Email d.fi,I,.tR0fa6) c0shgr
AUTHORIZED AGENT
Name /trtc-‘fdti, l ey ` A .-, /A ?b; )J..'s
Address /34780 Nc- /147 .SO
City .j'„, C- State fV L Zip ZsYc5�Phone /it,—3Z 9 - 7Ti°!
Email fr1, rAl�iG j/ (07/`1,4/L. e-ar"1 _
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of.the
adjacent waterbody.) (-5(. -)f,r-t" (-•ci.t ir'./ $.: ,115 f1 i f; l L C Bed(y r Crt ,C ) /
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) hon., 4 r da e.�,-1- lo-f-.
SIZE OF LOT/PARCEL: G5-3‘{ square feet ©, is— acres
PROPOSED USE: Residential Ig/ (Single-family[Multi-family❑ ) Comrnercialllndustrial [] Other [)
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property): /n
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:�1/7 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) COAS'TA L SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: /U'I'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.) J
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwatie} - 'NC
Management Permit iss d by the NC Division of Water Quality? p(,M \�1. Y %20i6
YES NO MAR 0
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
r dio ? 1)td,

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)
,�
t/an owner or record title,Title is vested in (.1Gt,?(,:*_)e r n/�,�.r S�h��� , see Deed Book 42
page [?`7' in the 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)
(l) �vvv o ' 'k L._ � ni �S // ��,�esf1i,. kl/q S ;ti,4 c /VC. 21 9O
(2) 151 t t.Ge L 1�� o r' S (114 LItZ Rock n L �r�h o1✓� rf?LS D
(3) J S S 5
(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 t 7' day of rt b ,20 )(,
La downer or person d to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information(this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 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
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 actic ECEIVED
DCM WILMINGTON,NC

I
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Gd'/ 54,i/-
Mailing Address: ZI8 / 4-'G, Co''."47 CIS,L L1
cH >v, Ile Ne-- 2n '1
Phone Number: `/fo-Z90— g.32.
Email Address: cL 'p l i,1 a�4 o & ( i.-2_r- ,J. c
I certify that I have authorized A '„ ',4 13,,; 1d4.s - AGk.l,a,, 1 -Q(;`.r. ,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: AA Co-„fr,.�.4,0--. 6
-Re.5 i eic e.-12.4 r /- a.-,J B 0,4 1 i-4
at my property located at Al.c . S,X /(4o5i 3p4.4 14.,,. G st spp-f /. ,
<5.r-I' CI4 AA. Z y 1 f s—
in l�ercd� County. I/
I furthermore certify that 1 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.
Property Owner Informatio :
dill ' (-114d- -1-1
Signature
/ n C �i 1')l Print or Type Name
et)(
t �r U Ge14/ 4
Title
_q__t 2 Sr ,zU/0
Date
This certification is valid through P t (i / / 0/
7

NC' PAT MCCRORY
DONALD R. VAN DER VAART
BRAXTON DAVIS
Coastal Management
ENVIRONMENTAL OUALITY
March 16, 2016
Carl & J n ifer Sandlin Piet(' e0,,re41- bar address
PO Box 0..)k
-�
Keena svi , NC 28349
att3 0. Cowt-At d%d t..
Dear Mr. & Mrs. Sandlin: , -it------/
7\e h u n $ 0) •lie
( /U - li� G
Attached is CAMA Minor Development Permit No. SC 16-06 for work to be done at 656 Spot Lane,
in Surf City A copy has been sent to your agent, Michael Afify, and to the Town of Surf City
Inspections Department.
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
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
Shaun K. Simpson
Permit Support Technician
Enclosures
cc: WiRO files
Michael Afify
Town of Surf City
•
• RECEIVED
DCM NAIL.MINGTCN,NC
-------"Nothing Compares' u APR 18 2016
State of North Carolina I Environmental Quality I Coastal Management

PAT MCCRORY
DONALD R. VAN DER VAART
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
March 16, 2016
Carl & Jennifer Sandlin
PO Box 530
Keenansville, NC 28349
Dear Mr. & Mrs. Sandlin:
Attached is CAMA Minor Development Permit No. SC 16-06 for work to be done at 656 Spot Lane,
in Surf City. A copy has been sent to your agent, Michael Afify, and to the Town of Surf City
Inspections Department.
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
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
Shaun K. Simpson
Permit Support Technician
Enclosures
cc: WiRO files
Michael Afify
Town of Surf City
Nothing Compares

,,,\, -J. i T , ) T
.,, ,
1\:(,) ,
YAAiIi
APPLIED FOR
CAMA PERMIT
PROJECT: Applicant proposes to construct
Pender County.
COMMENTS C E?T 0rj March 13 2016
APPLICANT: FOR MORE DETAILS CONTACT
0
Carl & Jennifer Sandlin
THE LOCAL PERMIT OFFICER BELOW:
NC Div. of Coastal Management
PO Box 530
Kenansville, NC 28349 127 Cardinal Dr. Extension
Wulmmgtnn, NC 28405
Agent: Michael Afify [phone] Jason Dail, Field Representative
910-796-7424

Dail, Jason
From: Dail, Jason
Sent: Wednesday, February 24, 2016 4:46 PM
To: Michael A([e-mail])
Subject: CAMA Minor development permit application - Incomplete for processing -Additional
information requested
Attachments: Agent Auth 2016.doc
RE: INCOMPLETE APPLICATION—Carl and Jennifer Sandlin -ADDITIONAL INFORMATION REQUIRED
APPLICATION NUMBER—N/A
PROJECT ADDRESS—656 Spot Lane,Surf City, NC
Dear Mr. Afify:
The Division of Coastal Management's Wilmington Regional office received a CAMA Minor Permit application from you
on February 24, 2016, requesting approval for development activities at 656 Spot Lane, in Surf City, NC. In reviewing
your application,we have discovered that additional information is needed to complete the review process.Accordingly,
I am requesting that you submit the following additional information to this office:
Please provide a completed agent authorization agreement form along with this application package
allowing you the opportunity to apply for the CAMA permit on behalf of the property owner. Please have
the owner sign and date the attached form.
2) On page 1 of the application package, please complete the sections that references"Description of Project".
3) On page 1 of the application package, section (2)-Coastal Shoreline AEC, please indicate the amount or size
of buildings footprint and other impervious or built upon surfaces.
4) On a side note, I got in touch with Johnny Williams and requested another copy of the survey showing the
amount of impervious coverage within the AEC(75'from the normal high water line).Johnny is revising the
plan to account for only the upland portion of the property. Please note that if the numbers come back and
the percent impervious within the 75 AEC is greater than 30%, an innovative stormwater design system will
need to be installed and a copy of the engineered plan sent in as a supplement to the CAMA Major permit
application.
In accordance with the Department of Environment and Natural Resources regulations,we note that the application, as
submitted on February 24, 2016, is incomplete for processing. Upon resubmission of a complete application, a local
decision will be made in 25 days, provided this period is not extended as provided by law. Please contact me at 910-796-
7221 if you have any questions.
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]
.� -"Nothing Compares .�..,

OCEAN HAZARD AEC NOTICE
Project is in an: _Ocean Erodible Area _High Hazard Flood Area AI -' Inlet Hazard Area
Property Owner: Aite/-
Property Address: NA
Date Lot Was Platted: Al)°V-
This notice is intended to make you, the applicant,aware of the SPECIAL NOTE: 1 his hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area, which is subject to natural hazards such as storms, erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site.the Local Permit Officer must be contacted to determine the
development can he issued. vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance.and the
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations arc designed to minimize, but not the LPO will inform you that you may begin work. Substantial
eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be re-measured. Also,
the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
- the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement
Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPO
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. The structure(s1 must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing.
imminently threatened, and in any case upon its collapse or permit renewal can be authorized. It is unlawful to continue
subsidence. work after permit expiration.
The best available information,as accepted by the Coastal For more btformalion,contract:
Resources Commission, indicates that the annual long-term
average ocean Sion rate for the area where your property is \.JNoIJ .j),t L
located is /111 feet per year.
Local Permit Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
NC DENR
Studi, also indicate that the shoreline could move as much as Div. of Coastal Management
feet landward in a major storm. g
127 Cardinal Drive Ext.
The od waters in a major storm are predicted to be about Wilmington, NC 28405-3845
Aifeet deep in this area.
Preferred oceanfront protection measures are beach nourishment ?
and relocation of threatened structures. Hard erosion control ��V� �r/�o "�
structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number
and breakwaters are prohibited. temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signature.the application will not be complete.
til A—
Property Owner Signature Date
RECEIVED
DCMfl�lfighlti 'NC

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to car/ # Je4 h)441er JLl 19G1 4/4 's
_ (� (Name of Property Owner)
property located at 11 5(e cpot Z etne ..i.te / C i,�y
on f��, -'`/� / Address, Lot, Block, Roaad,etc.)
y5 l�Y'1�K , in S(.tr/ Ld ( y , N.C.
(Waterbody) (Town and/or.Cydunty)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
& 1' -
Signature
DAI L . 44 '4;141
Print or Type Name
91� )s-
Telephone Nu ber
//30 //
Date
RECEIVED
DCM WILMINGTON,NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Car` rr Jp,4/1,I`t .J440IG i4 's
s� (Name of Property Owner
property located at JS pr�TL I n to_ , �u� // ei'IP -)- x
Address, Lot, Block, Road, etc.)
on 13eCK ����� in ) , N.C.
(Waterbbdy) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
•gnature 7
/Ld�
Print or Type Name
__ � yy
Telephone Number
Date
RECEIVED
DCM WILMINGTON,NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent toay'/04 .1rt4/ Y Ju ,Jt 4 's
r me Rt Pfoperty Owner)
properly located at 65 t Spot kve 14, ,•�
on /37 I/ /� ,� (Address, Lot, B}cck, oad, etcj)
CC,N, S C,P /(- , in / 'oat , N.C.
�aterbody) (CitylTown and/or County)
The
applicant has described to me, as shown below, the development proposed at the above location.
- I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
ngture I gnature
1 W/< l' �/�I'(l,2/2—
IPint or Type N me t r ype Na e
ytiv. � ,,;�� e/,�d /,� � 1;7 �0cx
MaTI•ag Address M iling Address
%/p wC �. �rl��✓U�' rvc Zb'.SS /
City/ te/Zip City/State/Zip
/b - -.S 32 D Zs2 3'60 o - to *o
Telep one Number Telephone Number
Date Date
(Revised 0 CEIVED
nr:M WILMINGTON,NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to j r/ f ✓e,Mrrfi-le
(Nagle of Property Owner)
property located at sl ,.Sod' lane ,5j,l _t°
////
/ (Address, Lot, Block, go , etc.)
on 4eGicS (:):-/'G'.c , in /F" 4r ,eY , N.C.
/ (Waterbody) (CitylTown and/or County)
The appli nt has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
the set ack, you must initial the appropriate blank below.)
;, I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent operty Owner Information)
/1 re Signature
141lif d40G/w / /M o ii/ L, /'I 1
Prin a Type amp1 Print or Type Name l
Ir/U hinY f/� hAt. `(Sl/ lie J'f Pr.
M
a/ri g Address Mailing Address
/t e))4 5I)i l re AA: e F.? v SPr,h f �G 7SZ/
City ate2i City/State/Zip
Telephone Number / Telephone Number
111141
Date Date
(Revised 6/1 ( CEIVED
Dem MINGTON,NC

U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
Aanronai f-t ,,l nI„Ia„,,. Progi ,,r Important: Read the instructions on pages 1-9. Expiration Date: July 31. 2015
SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owners Name Carl W.Sandlin and wife.Jennifer B. Sandlin Policy Number:
A2. Building Street Address(including Apt.. Unit. Suite,and/or Bldg No.)or P.O. Route and Box No. Company NAIC Number:
656 Spot Lane
City Surf City State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers.Tax Parcel Number, Legal Description,etc.)
Lot 2,Map Book 36, page 132
A4. Building Use(e.g.. Residential,Non-Residential,Addition,Accessory. etc.)Residential
A5. Latitude.Longitude: Lat. 34-25-53.0 Long. 77-33-42.4 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 bui'ding with a crawispace or enclosure(s): A9. For a building with an attached garage.
a) Square footage of crawlspace or enclosure(s) 168 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 n/a
c) Total net area of flood openings in A8.b 216 sq in c) Total net area of flood openings in A9.b n/a sq in
d) Engineered flood openings') ❑ Yes 0 Nc d) Engineered flood open nqs? 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 I Pender NC
84. Map/Panel Number 65.Suffix 1 B6.FIRM Index Date B7.FIRM Panel B8. Flood B9. Base Flood Elevaton(s)(Zone
3720423500 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 ❑ OtheriSource: _
B11. Indicate elevation datum used for BFE;n Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ OthepSource:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: 0 Construction Drawings' 0 Building Urcer 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) 4.0 0 feet Cl meters
b) Top of the next higher floor 19.8 0 feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 18.0 0 feet ❑ meters
d)Attached garage(top of slab) n/a. 0 feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 10.0 0 feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 2.9 0 feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 3.7 0 feet 0 meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 3.4 0 feet ❑ meters
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This reformation I certify thaification is to t the informal on on ted and sealed his s Certificatey a land erepresenineer.or nts my bestrchitect authorized by efforts to interpret thelaw to data available.ify evation \\ r 1 C A RG
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code. Section 1001. OQ- • • $/
0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a `�.(:) S O,y•�
❑ Check here if attachments. licensed land surveyor? 0 Yes ❑ No ••4 SEAL
Certifier's Name Johnny J.Williams License Number L-3170 1 70 Or;.
Vt,M ,�TI')`),N
Title PLS Company Name Johnny J.Williams Land Surveying •�00„{,%• 8 .`�`�`.
�i754. • _U •&AC -�•

ELEVATION CERTIFICATE, page 2
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.. Unit. Suite.andior Bldg.No.)or P O Route and Box No Policy Number:
656 Spot Lane
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 \���
0 • S
4QF�S /0� � �_.
1l S E SEAL
t—
Signature John y J ��'illiams Date 02/02.16
�� y. '
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND �9'It'Fril 'r FE)
Y J w1\:"\,
For Zones AO and A(without BFE),complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, c6/rOlptpi \)b s A. B
and C. For Items El—E4, use natural grade. if available.Check the measurement used. In Puerto Rico only,enter meters.
El. 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 ❑ 'eet ❑ meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement. crawlspace.or enclosure)is ❑ 'eet ❑ 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 Cr ❑ 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? 0 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
Cl 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
fill i G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: ❑New Corstruct'on ❑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 ❑meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date RECEIVED
Comments DCM WILMINGTON,NC

I,JORNNY 1 MIWAMS,PROFESSIONAL LAND SURVEYOR.CERTIFY THAT
THIS MAP WAS PREPARED UNDER MY SUPERVISION FROM AN ACTUAL g \ \ A
SURVEY MADE UNDER MY SIPERNSION COMPLETED ON 02/02/16 ees
FROM REFERENCES AS SHOWN HEREON; THAT BOUNDARIES NOT O rat5Z
SURVEYED ARE NOTED AS SUCH AND PLOTTED FROM REFERENCES O q
AS SHOWN HEREON; MAT THIS GPS SURVEY WAS PERFORMED TO
SECOND ORDER CLASS 0 FGCC SPECWICATIONS THAT GPS FIELD
PROCEDURES AND COORDINATES WERE OBTAINED BY NCGS RI% g NETWORK ADJUSTMENTS; THAT THIS GPS SURVEY WAS PERFORMEDUSING TRIMBLE SURVEY GRADE CPS UNITS MAT ALL COORDINATES 8
ARE BASED ON N.C.O8D NORM(BAD 1983 2007 ADJUSTMENT); -MAT ALL DATA ETHODSCBTAINED RT1 GPS METHODS AS WELL AS CONVENRCNAL MEM005 ARE IN ACCORDANCE WITH A CLASS A
SURVEY AS DEFINED BY TITLE 21,CHAPTER 56,SECTION.1600 OF WZ MI
N.C.ADMINISTRATIVE ACCORD N CODE:AND MAT MAP WAS
PREPARED IN ACCORDANCE MUM TITLE 21.CHAPTER 58,OF THE N.C. `
ADMINISTRATIVE CODE. H �CIN ETCt
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JOH Y JJ VNIJAMS,P.LS,7L-3170 _ .4 SEAL
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WC SURFACE CALCULATIONS'
Ea —— ——� (DELUDING COVERED BOAT LIFT)
TOTAL AREA OF LOT-6,603 SO.FEET
COI SSS ORT
OFT
7 4
NC..S.R 160E SPoT LANE 60' R/Rl 4,9.9 1 OF WITHIN 75'CAW AEC UNE
A LOT FEET
A • - - - - - - - - TOTAL AREA OF ROOF-OVERHANG- 1,680 50.FEET
I,wm'w••128$5'MOM A 0101.0 OF RE I1 - AREA OF ROOF OVERHANG WITHIN 75'CJW
v«.0C.s$..MOS WIN D,OUAI A«I(Mam ODIS O E)cnorrW Nn•y1p:r_._ OF S 1P3729'E 50.15• AEC UNE- 1.185 SO.FEET
V.Z. sic Ds ......4 l ' TOTAL AREA OF DEEDS.STEPS.ETC.- 124 50.FEI
o.18 2a
_ O ti/ AREA OF 0ECK5,STEPS.ETC WITHIN 75'CA
�AT — - � AEC LINE- 124 SO.FEET
\ MASr,T - TOTAL AREA OF DRIVEWAY-500 SO.FEET
fPprl SEIYP'n
\ BRUCE W.TAYLDR WI CII I ,4 AREA OFO DRIVEWAY WITHIN 75'CAVA AEC
UNE,A 50.FEET
\ DEED BOOK 4079,PAGE 43 4 --___i IIn99 N
ri
\ LOT J $ I �E 4 Aft ID(
MIP B001C JB,PAGE 132 4q
\ � ._Ili! '._ 6.4.
\ Nv 8 •' ; MANN
DEED BOOK 4097,FADE I1
\ x L m i
_,•,_ \ IMP BOOK 36,PAGE 132
cow/AA Kw. 1
It.W
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\N BT36'33'E — ar vw.a$T$COI-".U, °M0.1•x
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A IN UT L .,....1-....., 0.156 ACRES. aA AOAE o'
IN O C .R"R�
writ?
— A N 474r44.'W 0' v 1
2.11' \� Leo r urt 36'/
EILNAN 0
N 4603.55
W n•-'r a c
35.50' I .
(DMA<ENa
SOMA Or Tyr
A.
WPM"M 2.3 nN '°..,%rur"E BOUNDARY SURVEY AND
Sbn1'21•w NOte __ir
Q.,„„„,. 54.62'14-140 Vwl 9FPu-07'
"\ (4-.0. -0EI _ _ PRELIMINARY PLOT PLAN FOR:
CANAL _ CARL A'. SANI>LIN AND WIFE,
_.__ ✓ENNIFER B SANDIJN
CURRENT OWNER: CARL W. SANDUN AND WIFE, JENNIFER B. SAND
LEGEND: NOTES' GRID TIES AND COORDINATES' REFERENCES.
EIS-EASING IRON STAKE 1)THE PROPERTY SHOWN HEREON IS LOCATED ENTRELY WITHIN EIS NO.1 - NORTH 251,181.933
DEED BOOK 4566.PAGE 78 INDIVIDUAL TRACT ON 1608 (SPOT LANE)
-
155-IRON STAKE SET A SPECIAL YEAR ELA HAZARD AREA,ZONE RE,ACCORDING (CONTROL CORNER) EAST-2,433,702.484 LOT 2 TOWN OF SURF CITY
SOS-WC NAIL SET D ES)FEBRUARY INSURANCE16,RATE MAP NO.37204EVATIO3500J MAP BOOK 36,PAGE 132
NP -SURVEYMONSPINE SET DATED 16,2007.BASE FLOOD ELEVATION-10.0' SURF CITY TOWNSHIP, PENDER COUNTY, N.C.
NP- TOP ABOVE
B VE GROUNDTED POINT 2)ALL N.C.GRID DATA SHOWN HEREON 15 BASED ON NAD 1983 EIS NO.2 NORTH-251,162.261
BC-TOP BELOW SURFACE 2011 ADJUSTMENT USING THE NCGS R11L NETWORK SYSTEM. CONTROL CORNER) EAST- 433,852.332 DATE: FEBRUARY 2, 2016 J
BC/-TOP BELOWT GROUND SURFACE ( 2.
I - ENHT-ONE MAY 3)ALL DISTANCES SHOWN HEREON ARE N.C.GRID DISTANCES SCALE: 1' - 30'
t -PRO ERTY UNLESS OTHERWISE NOTED.
t -PROPERTY UNE
NCGS-NORTH CAROLINA GEODETIC 4)COM8INED GRID FACTOR- 0.99997413E
SURVEY ✓ONA)WT.1 rah/Aresrah/AresL,l/VD SURVEYIA4^, PC
5)THIS PROPERTYM IS ZONED MRS(MANUFACTURED HOLE SUBOSON). P.O. BOX 778, BEULAVILLE, N.C. 28518
6)WATER DEPTHS LISTED HEREON VARY WITH THE ODE. PHONE: [phone] FAX: [phone]
rat MA.wavo.a_0116-s°1 EMAIL: JMAWAMSOJWSURVEY.COM FIRM NO. C-2532
193 Fat:aNK'AAWFI4
R[v500-U/Ao/I6-ISIZA Ii0A1 ur1-LS O-PROJFCT VNfAR0114

l
C.S.R 1608 SST LONE 60 ' R/r
' 24 S 89'37'29* E 50,15'
S/8' EIS 5/8' EIS r
=P PROPOSED . •—
PERVIOUS
\ DRIVEWAY '?
15' FRONT SETBACK Fs
B W TAYLOR z 92'i _..._. nu
DEED BOOK 4079. PAGE 43 14 kill r
LOT 3 >0 i -
MAP BOOK 36. PAGE 1.32 w tic $X
;`- -t•--A it "-i =.4 f 75' CAMA AEC LIE
I: j off • O `�.
•
4'x0' FNAC — '
PLATFORM 2.3' I., j i Tel
INTO SEIBACKr 1
\ .+ I, i TIMOTHYL. LIMN
o `T DEED BOOK 4097, PM
F ti- -I C N LOT 1
- p�SEA FRp iD MAP BOOK 36, PAGE
r Cc AirPP C.
\ ......
S .FLOOD\N 87'36'33 E_ 30' vox SETBACK ••`_. s fl•—
INACCESSIBLE POINTS
TRUCK ' 30.51'PARKED 5i1 1 S Q.156 ACRA'S• ROOD ZONE yE _
IN THIS LOCATION 0 AFT = 1 0.0'
-.-.. N 4T47'44• W ELEVATION • 3.3' ',
2.11' � g.BUT 2'
N 46'03'55* W---4- 5/8- ISS 3" BO
-,,,,,-. 35.50' I` IN PLACE OF
BOTTOM OF CANAL a BENT ES
ELEYAIlON - -,3?` — o_CK
WATER DEPTH -.23. 10 .
NP IN VNS Ev S 8731'21' W BOTTOM OF CANAL
Eamon - -2.7'
id�r4AL. DOCK 54.62'(6-500) WATER DEPTH -..23'
\ (6-200. = 51.681
CANAL
GRID TIES AND COORDINATES: REFERENCES:
J IS LOCATED ENTIRELY WITHIN DEED BOOK 4561
iAZARO AREA, ZONE YE, ACCORDING EIS NO. 1 - NORTH 251,161.933
IAP NO. 3720423500J .(CONTROL CORNER) EAST = 2,433,702.484 LOT 2.
SASE FLOOD ELEVATION = 10.0' MAP BOOK 36.. F
-HEREON IS BASED ON NAD 1983 EIS NO. 2 - NORTH - 251,162.261
IE NCGS RTK NETWORK SYSTEM. (CONTROL CORNER) c&r = 9 All AS/ Al?

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DCM WILMINGTON. NC

`� SURVE� �° N Fes:
BOUND AR PLOT PLAN 1[16E'
EUNL�N ARY �►'pR �,�. ANDLID
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• CALL W. �°uN �
CURRENT OWNER: 608 (SPOT `ANE)
CT ON 1
INDIVIDUAL � of SURF CITY uN' N.C.
-�owN
�$ HIP� FENDER c
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4566 �E 'TOWNS
SURF CITE +
�,. PAGE. �� RU AO � 2016
OAS' . 1�� 30' y.�rl�, �C SCALE:
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Q j�1V11�' � 8, BEULAVILLE, N -231 0
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J BOX FAX: 910�29 p C-2832
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DENR CAMA Daily Check Log for WIRO
Date I
Date Deposits Check Receipt o
Received d Cheek From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Reallo
2/18/2016 2/19/2016 Allied Marine Contractors LLC Riley Pleasants B of A 8265 $600.00 GP 65042D JD rct.1751D
2/18/2016'2/19/2016 John Graham/Lighthouse Marine John Graham Four Oaks Bank I 1688 i $200.00 GP 64773D JC rct.1752D
2/18/2016 2/19/2016 Rick West/JRW/RDW Inc Leslie Paglian First Bank 1114 $400.00 GP 66189D @$200 _ TM rct.0413D
Kevin Grennan GP 66302D @$200
2/19/2016 2/22/2016 Rebecca&David Watson same First Citizens Bank 2207 $200.00 GP 66330D JD rct.1735D
2/19/2016 2/22/2016 MO/Miles McQueen Marco!Dredging Company Duke Energy Progress/Bruns.Nuclear Pk BB&T 3001831433 $600.00 GP 64674D,GP 63902D,GP 50371D(0200 TM rct.0414D
2/19/2016 2/22/2016 Ray"Marty"McGowan Duke Energy Progress -Wells Fargo 5981 $400.00 GP 66331D TM rct.0415D
2/23/2016 Brent&Sherrie Turner same Wels Fargo 3869 $100.00 minor fee,Lot 4 Chestnut St.NTB Ons. JD rct.1736D
2/24/2016 Daniel Shirley/Overbeck Marine Construction Inc Laboccetta and Stokely SunTrust 4580 $450.00 GP 66332D for Labocetta @$200 RM rct.1473D
major fee,Stokely,512 N.Channel Dr.WB
2/24/2016 Michael Afify/ANA Builders Inc. Carl&Jennifer Sandlin TD Bank 7774 $100.00 minor fee,656 Spot Lane SC PnCo JD rat 1737

UCNK IiAMA Uany t necw L09 rOr nrrtV
Date
Date Deposits Check Receipt o
Received d Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Reallo
2/18/2016 2/19/2016 Allied Marine Contractors LLC Riley Pleasants B of A 8265 $600.00 GP 65042D JD rct.1751D
2/18/2016 2/19/2016 John Graham/Lighthouse Marine John Graham Four Oaks Bank 1688 $200.00 GP 64773D JC rct.1752D
2/18/2016 2/19/2016 Rick West/JRW/RDW Inc Leslie Pagliari First Bank 1114 $400.00 GP 66189D($200 TM rct.0413D
Kevin Grennan GP 66302D @$200
2/19/2016 2/22/2016 Rebecca&David Watson same First Citizens Bank 2207 $200.00 GP 66330D JD rct-1735D
2/19/2016 2/22/2016 MO/Miles McQueen Marcel Dredging Company Duke Energy Progress/Bruns.Nuclear Pit BB&T 3001831433 $600.00 GP 64674D,GP 63902D,GP 50371D @$200 TM rct.0414D
2/19/2016 2/22/2016 Ray"Marty"McGowan Duke Energy Progress Wells Fargo 5981 $400.00 GP 66331D TM rct.0415D
2/23/2016 Brent&Sherrie Turner same Wells Fargo 3869 $100.00 minor fee,Lot 4 Chestnut St.NTB Ons. JD rct.1736D
2/24/2016 Daniel Shirley/Overbeck Marine Construction Inc Laboccetta and Stokely SunTrust 4580 $450.00 GP 66332D for Labocetta @$200 RM rct.1473D
major fee,Stokely,512 N.Channel Dr.WB
2/24/2016 Michael Afify/ANA Builders Inc. Carl&Jennifer Sandlin TD Bank 7774 $100.00 minor fee,656 Spot Lane SC PnCo JD rct.1737