SC_16-08_ Schriver (2)

Issued by WiRO SC16-08
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 Scott M. and Sheila B. Schriver authorizing development in the Estuarine Shoreline Area of Environmental
Concern (AEC) at 7080 7th Street, in Surf City, Onslow County as requested in the permittee's application package,
dated March 14, 2016, and received by DCM on March 15, 2016. This permit, issued on April 4, 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 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 March 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 Jason Dail
site and accessible to the permit officer when the project is inspected for CAMA LOCAL PERMIT OFFICIAL
compliance. Any maintenance work or project modification not covered under
this permit,require further written permit approval.All work must cease when this 127 Cardinal Drive Extension
permit expires on: Wilmington, NC 28405-3845
December 31,2019
In issuing this permit it is aareed that this oroiect is consistent with the local Land

Name: Scott M. and Sheila B. Schriver
Minor Permit#SC16-08
Date: April 4, 2016
Page 2
(5) All buildings/structures 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.
(6) 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 vegetated and stabilized (planted and
mulched)within 14 days of construction completion.
(7) 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.
(8) No structures shall be located within 30' of the normal high water line, including but not limited to concrete slabs,
stepping stones, roof covers, accessory buildings, pump houses,etc.
(9) The permittee is required to contact the Local Permit Officer [phone], shortly before he plans to begin
construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline
change. Construction must begin within sixty (60) days of the determination or the measurement is void and must
be redone.
(10) If a court of competent jurisdiction determines that a party other than the permittee has legal title to any part of the
area approved for development under this permit, this permit shall be null and void as to the area the court
determines is not owned by the permittee. This condition shall take effect on the date such court judgment becomes
final. In such event, the permittee shall consult DCM prior to initiating or continuing any further development under
this permit
(11) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATURE: DATE:
PERMITTEE

64 ,r-----
67-,/ /� OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require pennits other than the CAMA
Locality (/ Permit Numbit ,( 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 Scott M.Schriver and wife,Shelia B.Schriver 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 P.O.Box 2402
Surf City State NC Zip28445 Phone [phone] Flan owner or record title,Title is vested in Fee Simple ,see Deed Book 4361
Citypage 417 in the Onslow 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. I-7f 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 furthennore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
Email [e-mail]
(Name) (Address)
(i) Mr.and Mrs. Darin A.Farmer,140 Flint Point Lane,Holly Springs,NC 27540
LOCATION OF PROJECT:(Address,street name and/or actions to site.If nyt oceanfront,what is the name of the
7080 7th Street,Town of Surf City I 1 �/ (2) Ms.Donna Gay Potter,7082 7th Street,Surf City,NC 28445
adjacent waterbody.) `"'iii!�� lil
J h (3)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Three Story (4)
Dwelling on Pilings Over Concrete Slab Enclosed below for Entry,Garage and Storage with Decks,
SIZE OF LOT/PARCEL: 7,727 square feet 0.177 acresCantilevers,Boat Ramp,Wood Bulkhead ACKNOWLEDGEMENTS:
and Pervious Drives I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
PROPOSED USE:Residential (Single-family 0 Multi-family❑) Commercial/Industrial D Other ❑ may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
COMPLETE EITHER(1)OR(2)BELOW(Conrad your Local Permit Officer it-you are not sure which AEC applies tion and floodproofing techniques.
to your property):
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
excluding non-load-bearing attic space) Uri
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT '74/..4-A /f
i This the 1'l�/7 day of/�W, ,RG AP
O
UPON SURFACES:2,187 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
/' 1
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
Landowner or person authorized .( t. e ._ t for ••se of filing a CAMA permit application
STATE STO'^ ATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
Mana ant'•= it issued by the NC Division of Water Quality.
This application includes:gen: • •ion(t s form),a site drawing as described on the hack of this application,the
YES j !EN ownership statement,the Ocean • • C No ce where necessary,a check for S 100.00 made parable to the locality and
any information as may be provi• • •. e applicant.The details of the application as described by these sources are
If yes,IR the ralrilt upon area/impervious surface allowed for your lot or parcel: square feet. incorporated without reference in any permit which may be issued.Deviation from these details will constitute a violation of
1 '1. g C) any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
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PAT MCCRORY
(,urernor
DONALD R. VAN DER VAART
sccr,q n)'
BRAXTON DAVIS
ManagementCoastal
ll,recror
ENVIRONMENTAL QUALITY
April 7, 2016
Scott & Sheila Schriver
PO Box 2402
Surf City, NC 28445
Dear Mr. & Mrs. Schriver:
Attached is CAMA Minor Development Permit No. SC 16-08 for work to be done at 7080 7th Street,
Surf City, Onslow County. A copy has been sent to your agent, Charles Riggs, and to the 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,
/S) -------
ZbLetli—,-1 '
Shaun K. Simpson
Permit Support Technicia
Enclosures
cc: WiRO
Charles Riggs
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

r,„\)
N() T1 (11
CAMA PERMIT
APPLIED FOR
PROJEC .A 0 • . 1 • • • • • • I _ _
single-family dwellingat 7080 7th St, ad a adjacent
to Stump Sound, in Surf City, Onslow County,
COMMENTS ACCEPTED THROUGH April 4, 2016
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Scott & Sheila Schrlver
PO Box 2402 127 Cardinal Dr. Ext.
Surf City, NC 28445 Wilmington, 'fewer
,'/_SCAM il �l Ciwl Rw i Li
ve—
Jason DArw
910-796-7221
Agent: Charles F. Riggs [phone]
SC 16-(

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]
March 14,2016
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Scott M. Schriver and wife, Shelia B. Schriver Minor CAMA Application
Dear Mr. Dail:
On behalf of Scott M. Schriver and wife, Shelia B. Schriver,Charles F. Riggs&Associates, Inc.
submits for your review the enclosed Minor CAMA Application for the property at 7080 7th Street, Surf
City, Stump Sound Township,Onslow County,North Carolina.
Respectfully,
J mes L. Riggs
RECEIVED
DCM WILMINGTON,NC
MAR 1 5 7fli

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 3Cr i 2 ( < 1
Name of Property Owner Applying for Permit:
\-\/
,
Mailing Address:
C( �,.. t�,C` 2 cE U4 s_
I certify that I have authorized (agent) .\-NN`.CS t�<' ) Oa.-to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) va Q( S 5 1 u (A1 )✓117,
at (my property located at)
This certification is valid thru (date)
Property Owner Signature Date
RECEIVED
DCM WILMINGTON,NC
MAR 1 5 Mf11R

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]
March 14, 2016
Ms. Donna Gay Potter
7082 7`h Street
Surf City,NC 28445
Re: Scott M. Schriver and wife, Shelia B. Schriver Minor CAMA Application
Dear Ms. Potter:
On behalf of Scott M. Schriver and wife, Shelia B. Schriver,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 at 7080 7th Street, Surf City, Stump
Sound Township,Onslow County. We are required to notify the adjoiners of this CAMA application.
Please review the package and sign the form provided,placing a check beside whether you have
objections or no objections to this. If you have no objections, please return the form to us in the self-
addressed stamped envelope provided. If you have objections,please send the form along with your
comments to Mr. Jason Dail, Division of Coastal Management,N.C. Department of Environmental
Quality, 127 Cardinal Drive, Wilmington,NC 28405 within 10 days of receipt of this notice.
R spectfully,
. /41-4/7-\ML --
,1✓ames L. Riggs
RECEIVED
DCM WILMINGTON, NC

U. . Postal ervice
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of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
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electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Reim
Receip4 attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.

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]
March 14,2016
Mr. and Mrs. Darin A. Farmer
140 Flint Point Lane
Holly Springs,NC 27540
Re: Scott M. Schriver and wife, Shelia B. Schriver Minor CAMA Application
Dear Mr. and Mrs. Farmer:
On behalf of Scott M. Schriver and wife, Shelia B. Schriver,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 at 7080 7th Street, Surf City, Stump
Sound Township,Onslow County. We are required to notify the adjoiners of this CAMA application.
Please review the package and sign the form provided,placing a check beside whether you have
objections or no objections to this. If you have no objections, please return the form to us in the self-
addressed stamped envelope provided. If you have objections,please send the form along with your
comments to Mr.Jason Dail, Division of Coastal Management,N.C. Department of Environmental
Quality, 127 Cardinal Drive, Wilmington,NC 28405 within 10 days of receipt of this notice.
Res ectfully,
....2?#40
11r
ames L. Riggs
RECEIVED
DCM VVILMINGTON,NC
MAR 15 2016

U.S. Postal ServiceTM
n CERTIFIED MAIL° RECEIPT
., Domestic Mail Only
n
n For delivery information,visit our website at www.usps.comv.
u NOI.LR
II Certified Mail Fee $3.45
u Extra Services&Fees(check box,add fee- -p...riate) 0600
u ❑Return Receipt(hardcopy) $ li
j ❑Return Receipt(electronic) $ IOW 15 Postmark
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irerlmea mail service proviaes me Toiiowing oenenis:
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. deliverylo the addressee specified by name,or
to the addressee's authorizdd agent.
Important Reminders: -Adult signature service,which requires the
r You may purchase Certified Mail service with „•Fr signee to be at least 21 years of age(not
First-Class Mail°,First-Class Package Servicen, available at retail).
or Priority Mail®service. Adult signature restricted delivery service,which
r Certified Mail service is notayailable for r::. requires the signee to be at least 21 years of agi
international mail. 'n and provides delivery to the addressee specified
r Insurance coverage is not available for purchabil-• by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchas `�} (not available at retail).
of Certified Mail service does not change the 4}'lo ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mg items. '. ,v,j*ISPS postmark.If you would like a postmark on
r For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request rtified Mail item at a Post Office'"for
the following services: ,d•^imstmarking.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.

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Scott M. Schriver and wife, Shelia B. Schriver
Address of Property: 7080 7th Street, Surf City, Onslow County
(Lot or Street#, Street or Road, City &County)
Agent's Name#: Charles F. Riggs & Assoc. Mailing Address: P. O. Box 1570
Agent's phone#: [phone] Jacksonville, NC 28541
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanagement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pi , k, mooring pilings, breakwater, boathous , or groin must be set
back a minimum distance of 1 my area of riparian acc nless waived by me. (If you
wish to waive the setback, you must ini a a e blank below.)
I do wish to wai 15' setback requireme .
o not wish to waive the 15' setback requirement.
(Prope•y Owner I fo.::.•tion) (Adjacent Property Owner Information)
Ailaik
Signature Signature
Charles F. Ri,,g- . • - for application
Print or Type Name Print or Type Name
P. O. Box 1570
Mailing Address Mailing Address
Jacksonville, NC 28541
City/State/Zip City/State/Zip
[phone]
Telephone Number Telephone Number
RECEIVED
40-3 !'f" DCM WILMINGTON,NC
Date Date
Revisegl1 4c87�016

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New Residence for
Scott & Shelia Schriver
7080 7th Street, Surf City, North Carolina
•
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Sheet Index:
•
Cover Sheet
/„"-, A-I Site Plan
A-2 Ground and First Floor Plans
• A-3d Ground and First Floor Dimension Plans
• A-3 Second and Loft Floor Plans
I, _ �— a� I A-3d Second and Loft Floor Dimension Plans
A-4 Front and Side Elevations
f:-- • A-5 Rear and Side Elevations
e - - - - A-6 Building Sections
-a — A-7 Building Sections 3
'_ - A-8 Building Sections t
ft-- S-I Ground and First Floor Framing Plans
S-2 SecondandLoftFloorFramingPlans• 'Re - S-3 PorchandStaFramingPlans
fie., - -. - IN S-4 Roof Framing Plans -
L 3
,. : r
_ it_ F 3: „
0 Square Footage:
0 I ISA 1, Ground Floor 315 sf Conditioned,
r t ,;i 1138sf Unconditioned
f e • �� - First Floor 1483 sf
r •• _ Second Floor 1453 sf
t, ''+ / • .� \ tl��. Loft 352 sf(249.5 sf net)
W� ' �� i Total Gross is 3603 sf
. + - at calculations are gross square footages
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U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name SCOTT M.SCHRIVER&WIFE,SHELIA B. SCHRIVER Policy Number:
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number.
7080 7TH STREET
City SURF CITY State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LLOT 47,BLOCK 30,OLD SETTLERS BEACH
A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat.34d27'02"N Long.77d31'02'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 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 0 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 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 ONSLOW COUNTY NORTH CAROLINA
B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7. FIRM Panel 88.Flood B9. Base Flood Elevation(s)(Zone
3720424500 K 02/16/07 Effective/Revised Date Zone(s) AO, use base flood depth)
02/16/07 VE 11.0
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: ❑ 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)? ❑ Yes ® No
Designation Date: ❑ 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 Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized: NC CORS Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 El NAVD 1988 0 Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 1I.5 ®feet 0 meters
b)Top of the next higher floor 22.5 0 feet ❑meters
c) Bottom of the lowest horizontal structural member(V Zones only) 11.5 ®feet ❑meters
d)Attached garage(top of slab) N.A ❑feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 11.5 0 feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 2.5 ®feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 3.0 0 feet 0 meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N.A ❑feet ❑meters
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation _vossa„ist�
information./certify that the information on this Certificate represents my best efforts to interpret the data available. ,••-Vk cA&O*„
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. •• '•
0 Check here if comments are provided on back% of form. Were latitude and longitude in Section A provided by a O ESSl -,
❑ Check here if attachments. ,�%%%N CAR is,�licensed land surveyor? ® Yes ❑ No : .••QQ '�( �'
Certifier's Name JAMES A.LEWIS,PLC.'QP Q�tESSfo. y� License Number L-4562 SEA" .
2 �: Q RECEIV l �L`
Title PROJECT MANAGER dompany Nam'3�cRAI ES F. RIGGS&ASSOCIATES, INC.DCM WILMIN , ' �.,(��
Address 502 NEW BRIDGE STREEj : City 7A49ONVILtE + State NC ZIP Code 28540 •ci . o v miS-1 •may
_ ._ _ - L-4562 , = 1 bin R 1 g o n t r..'l c;:....*•v1.11,•

L.L.•fluu 11M 'a I II I•Srll I L., F/aU i
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:
7080 7TH STREET
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,OPEN BELOW.SURVEYOR HAS NOT REVIEWED FINAL PLANS.
PROPOSED BOTTOM OF BAND= 11.5' `tt t t t t r r t t,,
'
Si natu „0� N CAR � •..
P �QSEAL •SECTION E—BUILDING ELEVATION INFSRMyIIC !' 1cA/�Y•�10T EQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items Eo- ••tti88'.)0pgcc�te �t,ded to support a LOMA or LOMR-F request,complete Sections A,B,
•
and C. For Items El—E4,use natural grade, if available) meatused. In Puerto Rico only,enter meters.
El. Provide elevation information for the following and ch'e . •i•wista 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 ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement,crawlspace,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 0 feet El meters 0 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 . 0 feet 0 meters ❑above or 0 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
❑Check here if attachments.
SECTION G—COMMUNITY INFORMATION (OPTIONAL)
rhe local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G
)f this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10. In Puerto Rico only,enter meters.
31. 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. El 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. 0 The following information(Items G4—G10)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
37. This permit has been issued for: ❑ 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: . 0 feet ❑meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
,,�EIVED.
DCM'Mt rritlatflchments.

OCEAN HAZARD AEC NOTICE 41).'
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
l •
Property Owner: \1 Cs JC'11 t V-c•N —
Property Address: r [ C' S�- ~c (A' \jC L.Utit `J
Date Lot Was Platted: S 2tu l�er`
I his notice is intended n> make }. a. the applicant. aware of the SPECIAL NOTE: I his hazard notice is required li>r
special risks and conditions associated with decclopment in this •.eiopi ent in areas subject to sudden and massive storms and
area. sshich is subject to natural hazards such as storms. erosion a. n. I'ennits issued for development in this area expire on
and currents. The rules of the Coastal Resources ( ontmission December I of the third year tilltowing the }ear in which the
require that you receive an \f.t. hazard Notice and permit ssas issued. Shortly hefr're work begins on the project
acknowledge that notice in ssritinl.! before a permit for site the Local Permit()Meer must he contacted to determine the
development can he issued xe get:mon line and setback distance at sour site. If the pn>perts
has seen little change since the time of permit issuance. and the
omntission•s rules on building standards. Lice milront proposed de%elopment can still meet the setback requirement.
setbacks and dune alterations are designed to minimize. but not the I I'O will infirm you that tau max begin lurk. Substantial
eliminate. proper•n loss from hazards. Rs _ranting permits. the progress on the project must he made within 6fl dais of this
Coastal Resources Commission does not guarantee the salelx ,>f setback determination,or the setback must he re-measured. •\Iw.
the deselopntent and assumes ix, liahilit} lur tutute damage to the occurrence of a major shoreline change as the result of a
the des elopment. Permits issued in tite Ocean !Lizard area of storm ssithut the 60-dad pet iod will necessitate re-measurement
I•.nsironmental Concern include the ...minion that structures he of the setback. It is important that you check with the LPO
relocated or dismantled if thex he,. na; intntinentls threatened hetOre the permit expires for official approval to continue the
In changes in shoreline eonticuratiun. the strueturetst must he work atter the permit has espired. Generally. if foundation
relocated or dismantled within two r_'t sears of hceon>ine: Nine, hase been placed and substantial progress is continuing.
imminently threatened. and in an> case upon its collapse ,mr -fa , renessat can he authorized. It is unlawful to continue
subsidence .‘or..atier permit expiration
I he hest available information. ;Is ON. .astral /ur a it,Jurmotiutt.tu,sft tr:
Resources Commission. indicates that the annual louL4.-tern;
as erage ocean erosion rate for the area where sour pis as
located is feet per s ear.
Local Permit Officer
the rate was established its careful anal,sis „'. aerial
photographs oldie coastline taken oser the past 50 years.
Studies also indicate that the shoreline could most: as much ;is Address
feet landward in a manor storm
I he flood waters in a major storm are predicted it,he about
feet deep in this area. Locality •
Preferred oceanfront protection measures are beach nourishment
and relocation ,•t threatened structures. (lard erosion control
structures such as bulkheads.seawalls. retetincnts._rains. ienies Phcrte Number
and breakwaters are prohibited. Temporary sand hags max he
authorized under certain conditions
Mc applicant must acknowledge this information sue
requirements h signing this notice in the space below. 11 thou;
the Uper sip• ores •• Vlieation%t in not he
•
Properly Owner Signature Date
tU lfl
DCM WILMINGTON,NC
Linn 7 r nn4e

DENR CAMA Daily Check Log for WIRO
Date
Date Deposits Check Receipt of
Received d Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Realloi
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 2/25/2016 Brent&Sherrie Turner same Wells Fargo 3869 $100.00 minor fee,Lot 4 Chestnut St.NTB Ons. JD rot.1736D
2/24/2016 2/25/2016 Daniel Shirley/Overbeck Marine Construction Inc Laboccetta and Stokely ,SunTrust 4580 T $450.00 GP 66332D for Labocetta @$200 RM rct.1473D
major fee,Stokely,512 N.Channel Dr.WB
2/24/2016 2/25/2016 Michael Afify/ANA Builders Inc. Carl&Jennifer Sandlin TD Bank 7774 $100.00 minor fee,656 Spot Lane SC PnCo JD rct.1737D
2/26/2016 3/4/2016 Vamams Docks&Bulkheads Inc. Emma Mims&Jeri Adams BB&T 7082 $200.00'GP 66304D SF rot.1610D
3/2/2016 3/4/2016 J.Michael Randall Joel Winegarden NC SECU 2867 $100.00 minor fee,38 Porpoise Place NTB Ons _JD rct.1740D
3/2/2016 3/4/2016 MO/Brandon Grimes Lawrence Parks/Parks Family Leasing Co. Wells Fargo 17-335655415 $200.00 GP 66341D JD rct.1739D
3/2/2016 3/2/2016 Stephen Conway/Southeastern Coastal Const.Co Timothy Moore First Federal 9778' $400.00 GP 66339D @$200 RM rct.1474D
Howard Ramsey GP 66338D©$200 ]
3/2/2016 3/2/2016 Darrell Emy/Lighthouse Marine Constr.Inc Bob Bamett B of A 5769 $400.00 GP 66340D _ JD rot.1738D
3/2/2016 3/2/2016 Will Richardson/Richardson Construction Lee McConnell BB&T 6275 $200.00 GP 66303D _ SF rct.1609D
3/3/2016 3/4/2016 Randy Mosley/Allied Marine Contractors LLC Kevin&Wendy Longenecker B of A 8168 $200.00 GP 66271 D HS rct.1518D
3/4/2016 3/4/2016 Charles Riggs&Associates John and Janel Brogan First Citizens Bank 14449 $100.00 minor fee,140 Walter R.Atkinson Rd.SC PN _ JD rct.1741
3/4/2016 3/9/2016 Hobie BuffingtonBoatzright Inc. David&Ellen Surprise First Citizens Bank 2262 $200.00 GP 66344D 1RM rd.1475D
3/4/2016 3/9/2016 Hobie BuffingtonBoatzright Inc. David Young/Gejan,LLC First Citizens Bank 2249 $200.00 GP 66342D RM rot.1475D
3/4/2016 3/9/2016'Kim Loucks&Carolyn Hirst-Loucks same Security Savings Bank,SSB 584 $400.00 GP 66337D SF rot.1613D
3/4/2016 3/9/2016 H5 Construction/Matt Hon Rene Litalien BB&T 1444 $200.00 GP 66335D SF rd.1615D
3/7/2016 3/9/2016 MO from Calvin Muncy Oak Island Beach Villas USPS money order 23494660885 $100.00 minor fee,1000 Caswell Bch.Rd.CB BrCo TM rot.0448D
3/7/2016 3/9/2016 Stephen Conway/Southeastern Coastal Const.Co Tom Tomlinson First Federal 9782 $400.00 major fee,304 Gull Road,Hampstead PnCo JD rot.1742D
3/8/2016 3/9/2016 Jimmy North/Coastal Marine Piers Bulkheads LLC Burrows Smith Wells Fargo 20730' $200.00 GP 66347D RM rot.1476D
3/8/2016 3/9/2016 Cliff Pender/Solstice Builders LLC Ben Goetz First Citizens Bank 12549 $200.00 GP 66190D TM rd.0447D
3/10/2016 MO from Brandon Grimes Kim Morgan BancFirst 204490240 $200.00 GP 66212D JD rct 1174D
3/11/2016 Mark Clements/Clements Marine Construction John Tinney First Citizens Bank 4041 $600.00 GP 66358D JD rot.1743D
3/11/2016 David Logan/Logan Marine Spencer Jackson Coming Federal Credit Union 5466 $200.00 GP 64654D RM rot.1477D
3/11/2016 Will Richardson/Richardson Construction pending BB&T 6289 $400.00 GP 64725D @$200 _ SF rot.1616D
Michael Serafin GP 57306D @$200 SF rct.1616D
3/14/2016 Robert Kean&Carol Keane same Wells Fargo 1214 $400.00 GP 66334D SF rct.1614D
3/14/2016 George Montague&Barbara Montague Grover Dillon III B of A 8622 $200.00 GP 66357D SF rct.1619D
3/14/2016 Kevin Smith/Carolina Yacht Club same South State Bank 41255 $100.00 renewal fee,MP 69-09 RM rct.14769D
3/14/2016 Timothy Gray II&Courtney Gray J.W.Lawson NC SECU 3676 $200.00 GP 66351 D SF rot.1620D
3/14/2016 Carolina Lifts Inc Robert Williams CresCom Bank 1035 $600.00 GP 66353D SF rd.1618D
3/15/2016 Jimmy North/Coastal Marine Piers Bulkheads LLC Nancy Gerald Wells Fargo 20767 $250.00 major fee,13 Bahama Drive,WB NHCo RM rd.1480D
3/15/2016 Jimmy North/Coastal Marine Piers Bulkheads LLC Philip Brown Wells Fargo 20768 $200.00 GP 66359D RM rd.1481 D
3/15/2016 Jerry Ennett/Antinori Construction Inc Butch Smith B of A 4154 $200.00 GP 66309D JD rct.1753D
3/17/2016 Charles Riggs&Associates Inc. Scott&Sheila Schriver First Citizens Bank 14460 $100.00 minor fee,7080 Seventh St.Surf City,Ons JD rd.1744D