SC_16-25_ Pope (2)

issued by WiRO SC16-25
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Management
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 William and Mary Pope authorizing development in the Estuarine Shoreline (AEC) at 4073 Fourth Street, in
Surf City, Onslow County as requested in the permittee's application, dated September 26, 2016, and received by DCM
on October 3, 2016. This permit, issued on October 6, 2016, is subject to compliance with the application and drawing
dated and received by DCM on October 3, 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 single family residence with amenities.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on October 3, 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 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
December31,2019
In issuing this permit it is agreed that this project is consistent with the local Land aii i j aM
Use Plan and all applicable ordinances. This permit may not be transferred to �
another party without the written approval of the Division of Coastal PERMITTEE
Management. t�
(Signature required if conditions above apply to perm ))
it)

Name:William and Mary Pope
Minor Permit#SC16.25
Date: October 6, 2016
Page 2 of 3
(5) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and
mulched)within 14 days of construction completion.
(6) Any proposed for grading within the 30' buffer from the Normal High Water level must be contoured to prevent
additional stormwater runoff to the adjacent marsh and/or canal. This area shall be immediately vegetatively
stabilized, and must remain in a vegetated state.
(7) This permit does not authorize any development within 30 feet of the normal high water line.
(8) All buildings shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards
of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood
Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent
with any of the following AEC standards,the more restrictive provision shall control.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATURE: ICJ I 7 S,�(__ DATE: a py/Ii
PERMITTEE
6
RECEIVED
DCM WILMINGTON.NC

/ ` 6C- //f� -X OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Locality �V/`^ Permit Number 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 Tmst 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 William T.Pope and wife,Mary Elizabeth Pope 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 494 Parker Memorial Road 4466
Flan owner or record title,Title is vested in Fee Simple ,see Deed Book
City Clinton State nc Zip 28328 Phone [phone] page 562 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. of other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address P.O.Box 1570 NOTIFICATION OF ADJACENT PROPERTY OWNERS:
City Jacksonville State NC Zip 28541 Phone [phone] I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
Email [e-mail] (Name) (Address)
(1) Mr.and Mrs.Johnny F.Hodges,206 Old U.S.Highway 421 South,Dunn,NC 28334-1709
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the 2 Ms.Alice Lee Williford,91 Gordon Road,Clinton,NC 28328
adjacent waterbody.)4073 4th Street,Town of Surf City,Onslow County X��& ( )
(3)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two Story (4)
Dwelling on Pilings with Decks Over Concrete Slab Enclosed below for Entry,Storage and Garage
SiZE OF LOT/PARCEL: 7,314 square feet 0.168 acresand Pervious Drive ACKNOWLEDGEMENTS:
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 El Multi-family❑) Commercial/Industrial❑ 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(Contact your Local Permit Q8"icer if you are not sure which AEC applies tion and floodproofing techniques.
to your property):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes i furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
excluding non-load-bearing attic space) �) �y
(2) COASTAL SHORELINE AECs:SiZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the `/�4j/r day of:r/ {.20 LiO
UPON SURFACES:1,147 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or person authorized to ac rage for purpose of filing a CAMA permit application
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality? This application includes:genera i ation(this form),a site drawing as described on the hack of this application,the
YES= NCj ✓ I ownership statement,the Ocean AEC Notice where necessary,a check for S100.00 made patnble 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
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 may be issued Deviation from these details will constitute a violation of
Ql any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
BRAXTON DAVIS
Coastal Management Director
ENVIRONMENTAL QUALITY
October 6, 2016
William T. and Mary Elizabeth Pope
494 Parker Memorial Road
Clinton, NC 28328
Dear Mr. & Mrs. Pope:
Attached is CAMA Minor Development Permit# SC16-25, for work to be done at 4073 Fourth
St., Surf City, Onslow County. An electronic copy of the permit has been sent to the Surf City
Inspections Dept., and to your agent.
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
SC Inspection Dept.
Charles F. Riggs, Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext..Wilmineton,NC 28405

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CAMA PERMIT
APPLIED FOR
PROJEC7ppll cant proposes to construct a single-
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... a . A A A A A AN
Onslow County.
COMMENTS ACCEPTED ' -:--1 -' ,ii-, ,( ,T\-:L-- N/A
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
William & Mary Poke �N,_ t NC Div. of Coastal Management
494 Parker Memorial Road 127 Cardinal Dr. Ext.
Clinton, NC 28328 Wilmington, NC 28405
Jason Dail, Field Representative
910-796-7221
Agent: Charles F. Riggs [phone]

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]
September 22,2016
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: William T. Pope and wife,Mary Elizabeth Pope Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of William T. Pope and wife, Mary Elizabeth Pope,Charles F. Riggs&Associates, Inc.
submits for your review the enclosed application for a Minor CAMA permit for the property at 4073 4th
Street,Town of Surf City, Stump Sound Township,Onslow County,North Carolina,with our$100.00
credit to be applied to this CAMA Permit application fee.
Respectful)y„,..------?
htQa4 __
ames L. Riggs
RECEIVED
DCM WILMINGTON,NC
OCT 032016

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
August 16, 2016
Date
Name of Property Owner Applying for Permit:
Tracy Pope and wife, Beth Pope
Mailing Address:
494 Parker Memorial Road
Clinton, NC 28328
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 LAMA Permits necessary to
install or construct (activity) proposed dwelling, as shown on map
at(my property located at) 4073 4th Street, Surf City, Onslow County
This certification is valid thru (date)
August 16, 2017
August 16, 2016
3ra-c4ij
Pro er Owner Signature Date
P g
RECEIVED
DCM WILMINGTON,NC
OCT 032016

U. . - es • ervice
CERTIFIED MAIL® RECEIPT
Domestic Mail Only
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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]
riggslandnc.com
September 22,2016
Ms. Alice Lee Williford
91 Gordon Road
Clinton,NC 28328
Re: William T. Pope and wife, Mary Elizabeth Pope Submittal for Minor CAMA Permit
Dear Ms. Williford:
On behalf of William T. Pope and wife, Mary Elizabeth Pope,Charles F. Riggs&Associates, Inc. is
submitting to the Division of Coastal Management,North Carolina Department of Environmental Quality
the enclosed application for a CAMA permit for the property located at 4073 4`h Street,Town of Surf
City, Stump Sound Township,Onslow County,North Carolina. We are required to notify the adjoiners of
this submittal.Please review the package and sign,address and date the form provided and place a
check and your initials beside whether you have objections or no objections to this. If you have no
objections,please return the form to us in the self-addressed stamped envelope provided. If you have
objections,please send the form along with your comments to Mr.Jason Dail, Division of Coastal
Management,N.C. Department of Environmental Quality, 127 Cardinal Drive, Wilmington,NC 28405
within 10 days of receipt of this notice.
Respectfully,
James L. Riggs
RECEIVED
DCM WI!MINGTON,NC
Uc1032016

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CERTIFIED MAIL° RECEIPT
.a Domestic Mail Only
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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]
September 22,2016
Mr. and Mrs.Johnny F. Hodges
206 Old U.S. Highway 421 South
Dunn,NC 28334-1709
Re: William T. Pope and wife, Mary Elizabeth Pope Submittal for Minor CAMA Permit
Dear Mr.and Mrs. Hodges:
On behalf of William T. Pope and wife, Mary Elizabeth Pope, Charles F. Riggs&Associates, Inc. is
submitting to the Division of Coastal Management,North Carolina Department of Environmental Quality
the enclosed application for a CAMA permit for the property located at 4073 4th Street,Town of Surf
City, Stump Sound Township,Onslow County,North Carolina. We are required to notify the adjoiners of
this submittal.Please review the package and sign,address and date the form provided and place a
check and your initials 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.
4am
spectfully�
Yvt-lo
es L. Riggs
RECEIVED
DCM WILMINGTON,NC
OCT 0 3 2016

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: William T. Pope and wife, Mary Elizabeth Pope
Address of Property: 4073 4th 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 , ck, mooring pilings, breakwater, boathous • , or groin must be set
back a minimum distance of my area of riparian acc ess waived by me. (If you
wish to waive the setback, you must in ' e ap • e blank below.)
I do wish to waiv 5' setback require
o not wish to waive the 15' setback requirement.
(Propert %/%er f-r 4i+.n) (Adjacent Property Owner Information)
Signature Signature
Charles F. Rigs, a•e. or 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 RECEIVED
DCM WILMINGTON,NC
[phone]
Telephone Number Telephone Number U C T 0 3 2016
‹,‘VleP
Dale ` Dale
Rovicorl RHR/7n17

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Tracy Pope and wife, Beth Pope
Property Address: 4073 4th Street, Surf City, Onslow County
Date Lot Was Platted: February 1969
Ibis notice is intended to make you. the applicant. aware of the SPECIAL NOTE: this hazard notice is required for
special risks and conditions associated with development in this deseinpnnnt 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 mica expire on
and currents I he rules of the ( nastal Resources Commission lkcemher 31 of the third year following die y ear in which the
require that you receive an AL( Hazard \otice and permit was issued Shortly before work begins on the project
acknowledge that notice in writing belore a permit for site.the Local Permit Officer must he contacted to determine the
development can he issued. vegetation line and setback distance at your site If the property
has seen link change since the time of perm 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 he made within 60 days of this
Coastal Resources Commission does not guarantee the satety 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 deselvpment Permits issued in the Ocean Hazard Area of .tort within the 60-day period will necessitate re-measurement
Environmental ( oncem include the condition that structures he of the setback It is important that you check with the I PO
relocated or dismantled it they become imminently threatened hetore the permit espires for official approval to continue the
by changes in shoreline configuration. the structure(s1 must be work atter the permit has expired Generally, if toundation
relocated or dismantled within two (2) years of beeomma pilings have been placed and substantial progress is continuing,
imminently threatened. and in any case upon its collapse or permit reuessal can be authorized It is unlawful to continue
subsidence work atter permit estimation
!he best available intormauon.as accepted by the(oastal For more in/ureattiutt,contact:
Resources Commission. indicates that the annual long-terni
average ocean erosion rate for the area where your property is
located is tees per year.
Local Permit Officer
I he rate was established by careful analysis tit aerial
photographs of the coastline taken over the past U years.
Studies also indicate that the shoreline could move as much as Addams
fed landward in a major storm
I he blood waters in a major storm are predicted to he about
feet deep in this area. Locality
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard 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 information and
requirements by signing this notice in the space below N ithout RECEIVED
the proper signature.the application will not be complete DCM WILMINGTON, NC
t 1' OCT 0 3 2016
Proper/ wrier Signature, Date
Revised May 2010

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2018
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company, and(3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
WILLIAM T. POPE&WIFE, MARY ELIZABETH POPE
A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
4073 4TH STREET
City State ZIP Code
SURF CITY North Carolina 28445
A3. Property Description(Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 30, LOCK 42, SECTION III, OLD SETTLERS BEACH
A4. Building Use(e.g., Residential, Non-Residential, Addition, ArrPssory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d26'56"N Long.77d31'12"W Horizontal Datum: ❑ NAD 1927 ❑x 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):
a) Square footage of crawlspace or enclosure(s) 1,360 sq ft
b) Number of permanent flood openings in the crawlspace or endosure(s)within 1.0 foot above adjacent grade 7
c) Total net area of flood openings in A8.b 1,400 sq in
d) Engineered flood openings? ❑x Yes ❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage 0 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes ❑x 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 B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s)
Number Date Effective/ (Zone AO, use Base
Revised Date Flood Depth)
3720424500 K 02/16/2007 02/16/2007 VE 11.0'
RECEIVED
MINGTON,NC
B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item B9: , U 3 ?0$
❑ FIS Profile ❑x FIRM ❑ Community Determined ElOther/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS) area or Otherwise Protected Area(OPA)? ❑ Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA

OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2018
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
4073 4TH STREET
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on' ❑x Construction Drawings" ❑ Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations—Zones A1—A30, AE,AH, A(with BFE),VE,V1—V30, V(with BFE), AR,ARIA, 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 ❑ 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 ❑x feet ❑ meters
b) Top of the next higher floor 15. 1 0 feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 13, 1 El feet ❑ meters
d) Attached garage(top of slab) N/A. ❑x feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 13. 1 ❑x feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 2. 9 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 3. 4 El feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including NSA. X feet ❑ meters
structural support
SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor'? ❑Yes ❑No ❑Check here if attachments.
tkIttIiiiii
Certifiers Name License Number \\`� N CA.ur ''
JAMES A. LEWIS L-4562 �i. ,.• .
Title O'.•OFESS/0 • /,/'
PROJECT MANAGER =` 2' a� a SEAL �r
Company Name = Ta _
CHARLES F. RIGGS&ASSOCIATES, INC. ;
• `•..9 lSt'62 0
Address ��$U ��k
502 NEW BRIDGE STREET .
City State ZIP Code i l l l l l 1 1 1
JACKSONVILLE North Carolina 28540 9�r�
Signature Date Telephone
05- n,o [phone]
Copy all p ges of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments(including type of equipment and location, per C2(e), if applicable) I\ck2.'='"c.-_"
DWELLING IS PROPOSED TWO STORY ON PILINGS, ENCLOSED BELOW. pCN1\NI' 11hIr T0,N. NC
PRELIMINARY FLOOD FLOOD MAPS SHOW A BASE FLOOD ELEVATION OF 13.0', SURVEYOR RECOMMENDS BOTTOM OF
LOWEST HORIZONTAL STRUCTURAL MEMBER AND ANY MACHINERY OR EQUIPMENT SERVICING THE BUILDING TO BE
PLACED AT AN ELEVATION OF 13.1'OR HIGHER. DCM\1'' --
i)C1 0 3 2016
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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 DIMENSIONS 'Pc
APPLICATION FOR
l.abelroads CAMA MINOR
Label highways right-of-ways
Label local setback lines 4 DEVELOPMENT
Label any and all stnictures and driveways currently existing on property
Label adjacent waterbody
PHYSICAL CHARACTERISTICS PERMIT
'raw and label normal high water line(contact LPO for assistance) In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
Draw location of on-site wastewater system (('AMA)and set the stage for guiding development in fragile and productive areas that
If you will J)e working in the ocean hazard area border the state's sounds and oceanfront.Along with requiring special care by those who
l aw and label dune ridges(include spot elevations) build and develop,the General Assembly directed the Coastal Resources Commission
raw and label toe of dunes (('RC)to implement clear regulations that minimize the burden on the applicant.
}dentify and locate first line of stable vegetation(contact LP()for assistance)
raw and label erosion setback line(contact LP()for assistance) This application for a minor development permit under('AMA is part of the
Draw and label topographical features(optional I 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 13 working in a coastal shoreline area. the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
',Show the roof overhang as a dotted line around the structure locality in which you plan to build to be certain that you understand what information he
/praw and label landward limit of AEC or she needs before you apply.
..")..)raw and label all wetland lines(contact LP()for assistance)
Thaw and label the 30-foot buffer line Under CAMA regulations,the minor permit is to be issued within 25 days once a
DEVF,I.OPMENT PLANS complete application is in hand.Often less time is needed if the project is simple.The
i process generally takes about 18 days.You can speed the approval process by making
,Draw and label all proposed structures certain that your application is complete and signed,that your drawing meets the
"D draw and label areas that will be disturbed an or landscaped specifications given inside and that your application fee is attached.
,Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled Other permits are sometimes required for development in the coastal area.While these
/Show all areas to be disturbed are not CAMA-related,we urge you to check with the Local Permit Officer to determine
'Show landscaping which of these you may need.A list is included on page two of this folder.
NOTE TO APPLICANT
We appreciate your cooperation with the North Carolina Coastal Management Program
Have you: and your willingness to build in a way that protects the resources of our beautiful and
• completed all blanks and/or indicated if not applicable? productive coast.
• notified and listed adjacent property owners?
• included your site drawing? Coastal Resources Commission
• signed and dated the application? Division of Coastal Management
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice.if necessary?(Must be signed by the property owner)
FOR STAFF USE m r
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Site Notice Posted _ Final Inspection Fee Received
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Site Inspections 0 )
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Date of Action:Issued Exempted„3_ 9%ed Appeal Deadline(20 days from permit action) DCM Form EB195 2010,Re iced Apnl 2010
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Check From(Name) Name of Permit Holder Vendor Check Number Check amount i Permit Number/Comments ; Receipt or Refund/Realk
Charles F.Riaqs&Associates Inc William T&Mary E.Pope First Citizens Bank 14677 S100.00 minor fee,4073 4th St,SC,Onslow JD rct.2520D