SC_16-18_ CJL Partners (2)

Issued by WiRO SC16-18
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Manag ement
ENVIRONMENTAL QUALITY
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 CJL Partners, LLC authorizing development in the Ocean Hazard (AEC) at 126 N. Shore Drive, in Surf City,
Pender County as requested in the permittee's application, dated July 24, 2016. This permit, issued on August 8, 2016,
is subject to compliance with the application and drawing dated and received by DCM on July 27, 2016 (where
consistent with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of
these terms may subject the permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Construction of a residential dwelling with driveway, parking, utilities and amenities.
(1) All proposed development and associated construction must be done in accordance with the permitted survey drawing
prepared by Charles F. Riggs and Associates, Inc. and received by DCM on July 27, 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, and/or land use activities will require re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at (910)
766-7221 for a final inspection at completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20)days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for Jason Dail
compliance. Any maintenance work or project modification not covered under
this permit,require further written permit approval.All work must cease when this RECEIV A LOCAL PERMIT OFFICIAL
permit expires on: DCM WILMINGT
7l`(cardinal Drive Extension
December 31,2019 AUG 18 201bIVilmington, NC 28405-384
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
Management. PERMITTEE
(Signature required if conditions above apply to permit)

-"C

Name: CJL Partners, LLC
Minor Permit#SC16-18
Date: August 8, 2016
Page 2 of 3
(5) 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.
(6) Any structure(s) constructed within the Ocean Hazard area shall comply with the NC Building Code, including the
Coastal and Flood Plain Construction Standards of the N. C. Building Code, and the Local Flood Damage
Prevention Ordinance as required by the National Flood Insurance Program. If any provisions of the building code
or a flood damage prevention ordinance are inconsistent with any of the following AEC standards, the more
restrictive provision shall control.
(7) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a
side if square; and the first floor level of the sills and joists must meet the 100-year flood level elevation.
(8) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(9) With exception of the proposed beach access walkway and gazebo, all other development shall be set landward of
the landward side toe of the frontal dune. This permit does not authorize the removal, excavation or relocation of
material (i.e. sand,soil, earth,vegetation, etc.)from the frontal dune.
(10) 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 vegetatively stabilized (planted and mulched)
within 14 days of construction completion.
(11) With exception of the beach access walkway and gazebo, all other development shall be located a minimum
distance landward of the 60' setback line which is measured from the First Line of Stable Natural Vegetation
(FLSNV).
(12) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary
protective measures allowed under CRC rules.
(13) The total floor area of the proposed structure shall not exceed 2,788 sq.ft., as proposed in the permit application.
(14) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
RECVD
DCM WILMINGEON, NC
AUG 18 2016
S I N
G ATURE. DATE..
PERMITTEE

V V r`'v 5G/ � I g OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Locality ���///✓✓r w v` Permit Num er 000 minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
(For official use only) others.Check with your Local Permit Officer for more information.
GENERAL INFORMATION STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
LAND OWNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Name CJL Partners,Inc. listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
2
Address 8281Brenfield Drive
City State NC Zip 27606 Phone (9to)455 ofin Man Ian owner or record title,Title is vested in Fee Simple ,see Deed Book 4607
page 318 in the Pender County Registry of Deeds.
Email [e-mail] Flan owner by virtue of inheritance.Applicant is an heir to the estate of
•
AUTHORIZED AGENT probate was in County.
Name Charles F.Riggs&Associates,Inc. 17f other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address P.O.Box 1570 NOTIFICATION OF ADJACENT PROPERTY OWNERS:
City Jacksonville State NC Zip 28541 Phone [phone] I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
Email [e-mail] -
(Name) (Address)
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the (1) Mr.Wallace John Diehl,963 Hooper Road,Mebane,NC 27302
adjacent waterbody.)126 North Shore Drive,Town of Surf City (2) Mr.William H.Long et al.,6000 Bush Court,Fredericksburg,VA 22407
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two Story (4)
Dwelling on Pilings Over Concrete Slab Partially Enclosed below with Decks,Pervious Drive,
SIZE OF LOT/PARCEL: 12,395 square feet 0.285 acres Walk and Gazebo ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
PROPOSED USE:Residential El (Single-family 0 Multi-family 0) Commercial/Industrial D Other El may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
COMPLETE EiTHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies lion and floodproofing techniques.
to your property):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:2,788 square feet(includes I furthermore certify that i am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
air conditioned livingspace,parkingelevated above the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
ground level,non-conditioned space elevated above ground level but related to this permit application.
excluding non-load-bearing attic space) /J
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT / This the L 601 day of�4 ,20�L
UPON SURFACES: square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) �A- %��� -'
Landowner or person authori - ash ge t for p se o filing a CAMA permit application
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality? This application includes:gen. in. ati. (this form),a site drawing as described on the back of this application,the
YES1-1 NCl ✓ I ownership statement,the Ocean H. . ' ' C Notice where necessary,a check for$100.00 made payable to the locality and
any information as may be provided oral&by the applicant.The details of the application as described by these sources are
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet. incorporated without reference in any permit which maybe issued Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
bcMInRECEIVED
NC
JUL 27 2016

PAT MCCRORY
(i"ven tor
DONALD R. VAN DER VAART
.'Cecre,a,y,
BRAXTON DAVIS
Coastal Management D;rec,or
ENVIRONMENTAL QUALITY
August 8, 2016
CJL Partners, Inc.
do Chris Majewski
8282 Brenfield Drive
Raleigh, NC 27606
Dear Mr. Majewski:
Attached is CAMA Minor Development Permit# SC 16-18, for work to be done at 126 N. Shore
Drive, in Surf City, Pender County. A copy of the permit has been sent to your agent and to the
Town's Inspections Department.
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, 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
Town of Surf City Inspections Dept.
Charles F. Riggs, Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

NOTICE
‘,4 x9
,i„ ,\
CAMA PERMIT
APPLIED FOR
. .
PROJECT: A _ AI _ _ _ _ _ I a - II a 4 - lling
at1 .r / / 1 - _ 1 _ - . • . - • n ti c
0 - - • - , ,
if • N/A
APPLICANT: FOR MORE DETAILS CONTACT
CJL Partners, Inc. 0 THE LOCAL PERMIT OFFICER BELOW:
NC
Div. of Coastal Management
2828 Brenfield Drive 127 Cardinal Dr. Extension
Raleigh, NC 27606 Wilmington, NC 28405
) .....% Jason Dail, Field Representative
910-796-7221
Agent: Charles Riggs [phone]

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: CJL Partners,Inc. (Chris Majewski)
Property Address: 126 North Shore Drive,Town of Surf City
Date Lot Was Platted: August 1948
This notice is intended to make you.the applicant.aware of the SPECIAL NOTE: This hazard notice is required tior
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 +I of the third year following the year in which the
require that you receive an AEC Hazard \otice 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 be issued. vegetation line and setback distance at your site. If the propeny
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 are designed to minimize. but not the LP()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 structuretsl must be work after the permit has expired. Generally. if foundation
relocated or dismantled within two 12) 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 information,contact:
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
located is 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.
Studies also indicate that the shoreline could move as much as Address
feet landward in a major storm.
The flood waters in a major storm are predicted to he about
feet deep in this area. Locality
Preferred oceanfront protection measures arc beach nourishment
and relocation of threatened structures. (lard erosion control
structures such as bulkheads,seawalls,revetments.groins,jetties Phone Number
and breakwaters are prohibited. Temporary sand bags may he
authorized under certain conditions.
The applicant must acknowledge this .nformation and
requirements by signing this notice in the ce below. Without
the p oper signature.the application will o •completer.
Property Owner Signature Date
Revised May 2010
RECEIVED
DCM WILMINGTCN, NC
JUL 2.7 2016,_

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
July 25, 2016
Date
Name of Property Owner Applying for Permit:
CJL Partners, Inc. (Chris Majewski)
Mailing Address:
2828 Brenfield Drive
Raleigh, NC 27606
I certify that I have authorized(agent) Charles F. Riggs & Assoc. to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) proposed dwelling, as shown on map
at(my property located at) 126 North Shore Drive, Town of Surf City
This certification is valid thru(date) July 25, 2017 .
t4
July 25, 2016
operty Owner Signatur Date
RECEIVED
DCIVI WILMIINGTCN. NC
JUL 272016

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: CJL Partners, Inc.
Address of Property: 126 North Shore Drive, Town of Surf City, Pender County
(Lot or Street#, Street or Road, City &County)
Agent's Name#: Charles F. Riggs & Assoc. Mailing Address: P. O. Box 1570
Agent's phone#: [phone] Jacksonville, NC 28541
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanagement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, mooring pilings, breakwater, boatho , ift, or groin must be set
back a minimum distance of 15 area of riparian s unless waived by me. (If you
wish to waive the setback, you must initi a nate blank below.)
I do wish to waiv 15' setback requireme .
not wish to waive the 15' setback requirement.
(Prope c/er Inf' ;pp n) (Adjacent Property Owner Information)
Signature Signature
Charles F. P(,,•gs, a•`,i •r application
Print or Type Name Print or Type Name
P. O. Box 1570
Mailing Address Mailing Address
Jacksonville, NC 28541
City/State/Zip City/State/Zip
[phone] REC� 1ED
Telephone Number Telephone Number DCM INILI.ni: ( TCN, NC
0-7/ //65, JUL 27 2016
Date Date
Revised 6/1812012

U.S. Postal ervice
CERTIFIED MAIL° RECEIPT
D Domestic Mail Only
For delivery information,visit our website at www.usps.com .
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3 ❑Certified Mail Restricted Delivery $ $f c 1 jit Here
3 ❑Aduk Signature Required $
+'•nit❑Aduk Signature Restricted Delivery$
Postage $1.36
07/26/2016
Total Postage and Fees
$ $7.36
Sent To i Ill(,1a K. ..`> SJStreetan6Apt N.,orFs3v1b Ob (,^c(/0 k
313 e-F �erlck-s6 r_ VA- 22(n�}t4-O

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r A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
r A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
r Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
r 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
r 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
r Certified Mail service is not available for requires the signee to be at least 21 years of agi
international mail. and provides delivery to the addressee specified
r 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 Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office' for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.

CHARLES F. RIGGS & ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
[e-mail]
July 25,2016
Mr. William H. Long&Others
6000 Bush Court
Fredericksburg, VA 22407
Re: CJL Partners, Inc. Minor CAMA Application
Dear Mr. Long&Others:
On behalf of CJL Partners, Inc.,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 126 North Shore Drive,Town of Surf City,Topsail Township,
Pender County. We are required to notify the adjoiners of this CAMA application. Please review the
package and sign the form provided, placing a check beside whether you have objections or no objections
to this. If you have no objections, please return the form to us in the self-addressed stamped envelope
provided. If you have objections, please send the form along with your comments to Mr.Jason Dail,
Division of Coastal Management,N.C. Department of Environmental Quality, 127 Cardinal Drive,
Wilmington,NC 28405 within 10 days of receipt of this notice.
Res ctfully,
r' / 4/ Th
James L. Riggs
RECEIVED
DCM WILMINGTON, NC
JUL 272016

I . •os a ervice
-
CERTIFIED MAIL® RECEIPT
3
✓ Domestic Mail Only
n• For delivery information,visit our website at www.usps.com'.
mEROIEFNPV0g; tj g:
3" Certified Mail Fee
$3.30 0600
m $
Extra Services&Fees(check box,add fee I 20321Jate) 06
Return Receipt(hardcopy) $ $1),Oil
El Return Receipt(electronic) $ $0.00 Postmark
Certified Mail Restricted Delivery $ Here
$0.00
=I ['Adult Signature Required • -$n on
El Adult Signature Restricted Delivery$ -
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$ $1.36
Total Postage and Fees 07/26/2016
$7.36
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Sent To
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r A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
r A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
I Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
r 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.
'mportant Reminders: -Adult signature service,which requires the
r You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
r Insurance coverage is not available 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 Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.
c__warm .L,.C.o_.u_ ,e,,,,,,,,,vte,t.

CHARLES F. RIGGS & ASSOCIATES, INC.
Land Surveyors
Charles F. Riggs,P.L.S.L-298I Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217
Jacksonville.North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville.North Carolina 28541 Wilmington,North Carolina 28405
charlesriggs riggslandnc.com [phone] [phone]
jameslew [e-mail]
July 25,2016
Mr. Wallace John Diehl
963 Hooper Road
Mebane,NC 27302
Re: CJL Partners. Inc. Minor CAMA Application
Dear Mr. Diehl:
On behalf of CJL Partners, Inc.,Charles F. Riggs&Associates, Inc. is submitting to the Division of
Coastal Management, North Carolina Department of Environmental Quality the enclosed Minor CAMA
application for the property located at 126 North Shore Drive,Town of Surf City,Topsail Township,
Pender County. We are required to notify the adjoiners of this CAMA application. Please review the
package and sign the form provided, placing a check beside whether you have objections or no objections
to this. If you have no objections, please return the form to us in the self-addressed stamped envelope
provided. If you have objections, please send the form along with your comments to Mr.Jason Dail,
Division of Coastal Management,N.C. Department of Environmental Quality, 127 Cardinal Drive,
Wilmington,NC 28405 within 10 days of receipt of this notice.
Re ctfully,
�jJames L. Riggs
RECEIVED
DCM WILIV1!NGTCN, NC
JUL 27 2016

U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name CJL PARTNERS, INC. Policy Number:
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number:
126 NORTH SHORE DRIVE
City SURF CITY State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 14,BLOCK 23,RECOMBINATION OF SUBDIVISION NO. 1 OF SURF CITY(M.B.58, PG.37)
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat.34d25'36"N Long. 77d32'35'W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 298 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 PENDER NORTH CAROLINA
B4. Map/Panel Number B5.Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9 Base Flood Elevation(s)(Zone
3720423400 J 02/16/07 Effective/Revised Date Zone(s) AO, use base flood depth)
02/16/07 VE 14.0
B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes tEl No
Designation Date: ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ® Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized:NC CORS Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below. ❑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) 12.5 ®feet ❑meters
b)Top of the next higher floor 24.5 ®feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 22.5 ®feet ❑meters
d)Attached garage(top of slab) N.A ❑feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 14.1 ®feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 11.5 '
®feet , .❑meters' "'
g) Highest adjacent(finished)grade next to building(HAG) 15.8 ®feet ❑meters I.
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 `\`1 i t i I l i t rrt rr
information. I certify that the information on this Certificate represents my best efforts to interpret the data available. \�� H CAR i,�
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ,s� ., 0 i/
® Check here if comments are provided on back i? (grn1J i I I/)Were latitude and longitude in Section A provided by a Off' F .S S/ •'•�/ '�
❑ Check here if attachments. \\\" CA 11/60 ed land surveyor? ® Yes ❑ No O O 'L
Certifiers Name JAMES A. LEWIS,PLS \ S '.' �% _ Q SEAL 9r • _
4F E $70 4, License Number L 4562 = =
Title PROJECT MANAGER .or any Name G IA12[ESF.RIGGS&ASSOCIATES,INC. _
r 4 y0
Address 502 NEW BRIDGE STREET - City J ILLE • = State NC ZIP Code 28540 ' v ••O S V�••' •'
_ UR
�'••.
Signature 1 % Dkrq 62/�: Telephone [phone] ��i� �S A k, \```

. . J
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:
126 NORTH SHORE DRIVE
City SURF CITY State NC ZIP Code 28445 Company NAIC Number
SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments DWELLING IS PROPOSED TWO STORY ON PILINGS, PARTIALLY ENCLOSED BELOW.
\\\¢\\��tllllll/r/////
rl�ss'k
Signatur � _ � . FESr,, ------
14 SECTION E-BUILDING ELEVATION INFORMATI (SeatY Not REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
- : L-4562
For Zones AO and A(without BFE), complete Items E1:E5. It Certificate is�{ended.ID support a LOMA or LOMR-F request,complete Sections A, B,
and C. For Items El-E4, use natural grade, if availabie:7ch�K easur nt `fin Puerto Rico only,enter meters.
El. Provide elevation information for the followingand c �ajtiate �
Key pp, sso show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG). /i, S A. k. \\\
a)Top of bottom floor(including basement, crawlspace,cifieNlpls. g�(s,\\\ ❑feet ❑ meters ❑above or❑ below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑ meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑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 ❑ 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
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
y1. ❑ 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.)
;2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO_
;3.❑ 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: ❑ New Construction ❑Substantial Improvement
8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum
9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum
10. Community's design flood elevation. ❑feet ❑meters Datum
. . _ IVED
Local Official's Name Title DCM VV l.l..Nlt. I UN. N,
3ommunity Name Telephone
Signature Date
'.omments
0 Check here if attachments.

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
[e-mail]
July 25,2016
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: CJL Partners, Inc. Minor CAMA Application
Dear Mr. Dail:
On behalf of CJL Partners, Inc.,Charles F.Riggs&Associates, Inc. submits for your review the
enclosed Minor CAMA Application for the property at 126 North Shore Drive,Town of Surf City,
Topsail Township,Pender County,North Carolina.
Respectfully,
14.44Cf3 ---,
ames L. Riggs
RECEIVED
DCM WILUIINGTON,NC
JUL 2 7 2016

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you,if requested.
PHYSICAL D1hiENSIONS
of WASTq f APPLICATION FOR
7tabel roads
0 1 CAMA MINOR
Jrabel highways right-of-ways
c
� `;eabel local setback lines
Label any and all structures and driveways currently existing on property DEVELOPMENT Label adjacent waterbody
PHYSICAL CHARACTERISTICS PERMIT
aw and label normal high water line(contact LPO for assistance)
Draw location of on-site wastewater system In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA)and set the stage for guiding development in fragile and productive areas that
If you wipe working in the ocean hazard area: border the slate's sounds and oceanfront.Along with requiring special care by those who
Arawwor and label dune ridges(include spot elevations) build and develop,the General Assembly directed the Coastal Resources Commission
/Draw and label toe of dunes (CRC)to implement clear regulations that minimize the burden on the applicant.
!identify and locate first line of stable vegetation(contact LPO for assistance)
,taw and label erosion setback line(contact LPO for assistance) This application for a minor development permit under CAMA is part of the
Draw and label topographical features(optional) Commission's effort to meet the spirit and intent of the General Assembly.It has been
designed to be straightforward and require no more time or effort than necessary from
If you will b.working in a coastal shoreline area: the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
.0" how
the roof overhang as a dotted line around the structure
w and label landward limit of AEC
locality in which you plan to build to be certain that you understand what information he
or she needs before you apply. j
�w and label all wetland lines(contact LPO for assistance) i
Draw and label the 30-foot buffer line under CAMA regulations,the minor permit is to be issued within 25 days once a
DEVELOPMENT PLANS complete application is in hand.Often less time is needed if the project is simple.The
process generally takes about 18 days.You can speed the approval process by making
/dDraw and label all proposed structures certain that your application is complete and signed,that your drawing meets the
raw and label areas that will be disturbed and/or landscaped specifications given inside and that your application fee is attached.
,l ote size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled Other permits are sometimesdevelopment
l area.While these
ow all areas to be disturbed are notAMA-related,we u eq ou tto chek with hLocal Permit aOfficer to determine
Show landscaping urge Y
Q which of these you may need.A list is included on page two of this folder.
NOTE TO i(PPLICANT
c.-- We appreciate your cooperation with the North Carolina Coastal Management Program
Harmon: and your willingness to build in a way that protects the resources of our beautiful and
comp/bled all blanks and/or indicated if not applicable?
• notifieil)and listed adjacent property owners? productive coast.
• included your site drawing?
. • signed-and dated the application? Coastal Resources Commission
r • enclosed the S100.00 fee?
Division of Coastal Management
y c • completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner) M d
FOR STAFF USE
n
Site Notice Posted Final Inspection Fee Received y m
Site Inspections
X t=
zit
Date of Action:Issued _ Exempted Denied _Appeal Deadline(20 days from permit action) ElZ C
DCM Form EB1952-2010/Revised April 2010

DENR CAMA Daily Check Log for WIRO
Date
Date Deposite Check Receipt
Received d Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Real
7/27/2016! (Charles F.Riggs&Associates Inc CJL Partners/Chris Majewski First Citizens Bank 14634 $100.00 minor fee,126 North Shore Drive,SC,Pender IJD rct.2175D