SC_17-06_ Bennett (2)

Issued by WiRO SC17-06
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 Gordon and Selena Bennett authorizing development in the Estuarine Shoreline (AEC) at 9027 9th Street, in
Surf City, Pender County as requested in the permittee's application, dated June 9th, 2017, and received by DCM on
June 14, 2017. This permit, issued on June 27, 2017, is subject to compliance with the application and drawing dated
and received by DCM on June 14, 2017 (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.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on June 14, 2017.
(2) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit.
(3) 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 MA LOCAL PERMIT OFFICIAL
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 31,2020 �1,1/1-q
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 PERMITTEE RECEIVED
Management.
(Signature required if conditions ab {iY)Vti21qP ON, NC

Name: Gordon and Selena Bennett
Minor Permit#SC17-06
Date: June 27, 2017
Page 2 of 3
(4) 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.
(5) 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 vegetated and
stabilized, and must remain in a vegetated state.
(6) This permit does not authorize any development within 30 feet of the normal high water line.
(7) All 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.
(8) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
NOTE: 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.
jgk56-9LIVAW±
SIGNATURE: j — DATE: 4i
PERMITTEE
RECEIVED
DCM WILMINGTON,NC

#1" or er
Locality Permit Number
. Ocean Hazard Estuarine Sho eline RW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS//
Name �_.. iOiu 74' scle/t 9 411 t%If
Address 021 etirt e i7U
City d+G State 71 - zip)s3P 5 Phone 6//a - S��f
Email Qd gnti ff" (et) nifa/,yP_ ,Jj c-k /ec I eon
AUTHORIZED AG NT
Name X-1/%1
Address Asir e S
City %v�-�S/f��ic/ State /?C Zip 4hone q/ '5" — 9S y
Email c vhNklJ IL --Vlor 4 / a -Orr.
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.)
qD D.7 94 s)L SAP / y rn /i -
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.)
Zu,r7� ? ,gw hrile
SIZE OF LOT/PARCEL: fiIir square feet i/ acres
PROPOSED USE: Residential Single-family❑ Multi-family ❑) Commercial/Industrial Other �
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer lfyou are not sure which AEC applies
{ to your property):
, (1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: /704'square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Managem nt Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)?
YES NO I RECEIVED
Tr..__ ,:.. bnPF/.Y.u,..,�.,u rn,•.,n,,r lAt nr n,arnnt• annnr tllOM WILMINGTON,N

C. ,it'61_
OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
minor development permit,including,but not limited to: Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building, Electrical,Plumbing,Heating and Air Conditioning,insulation and Energy Conservation,F1A
Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others.Cheek with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
1, the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
an owner or record title,Title is vested in name of lfiv/9 1'D 'Peer---
see Deed Book 4/9 page in the ���h County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of —_
probate was in County
if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name)/ a 3 J Ad ") )Jut O
(2) 1 Qr f�tQt /_ ,Sfotic / ab0 Li f*lt. C rep/ C/iurc. /-Gd -
(3) C Q 1.1 4
(4) c 1� � 6
ACKNOWLEDGEMENTS:
1,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
_ This the / day of du n� ,20 1
Lan wner or p son auth zed to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information(this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may he 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.
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: E 2t. W/
Mailing Address: 207 t�jt`/V(Verj
1/Za 4/4r f /VC z.c,6 S
Phone Number: jF/9 5 8
Email Address: 3,4enne#®vf/di1) ' / -C��(
I certify that I have authorized Jo A h h Por n r
age Agat/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits/
necessary for the following proposed development: ak�'4d q /7 g c✓ Armor e
a f 9f/a 7 q1 ��` 5kr- C, ere air ek,i Sk,,tZ �!!� s
at my property located at 'D27 /71 4 S? t-X s�7 ('' ,
in 1/06, County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
ba/.A7 J
Signature
��Oi7 o0 t' �l e i a J . 6E, '1E77--
Print or Type Name
Title
,o l lZJ/7
Date
This certification is valid through / /
RECEIVED ‘-
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CERTIFIED MAIL® RECEIPT
n Domestic Mail Only
`O For delivery information,visit our website at www.usps.com°.
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n $ NSLI ��
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n ❑Certified Mail Restricted Delivery $ H
❑Adult Signature Required $
['Adult Signature Restricted Delivery
Postage N 11201?
n $ $0.49 06/12/2017
_R Total Postage and Fees •
$ $6.59
Sent To al
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Jew-Lulea mau service premie;we Tanawing cenems:
I A receipt(this portion of the Certified Mall label). for an electronic return receipt,see a retail
I 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
I A record of delivery(Including the recipient's retail associate.
signature)that is retained by the Postal Service" Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
'mportant Reminders: -Adult signature service,which requires the
I You may purchase Certified Mail service with signee to beat least 21 years of age(not
First-Class Main,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 age
international mail. - and provides delivery to the addressee specified
I Insurance coverage Is notavallable for purdmse 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 yeu would like a postmark on
I 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.

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Receipts for
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(Staple Hem)
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Add Property Owner,
�Ma��4 Mil< prsrddc °C 4 i,�
Age4Addin WC
City,SA,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, rc�tir Asi4Alr g07 have applied for a CAMA Minor
�1Property Owner
Permit on my property at 9,0,E) g/To 5)4 ai.d. tic ,in ONSLOW
Property Address
•
County. As required by CAMA regulations,I have enclosed a copy of my pennit application and project
drawing(s)as notification of my proposed project.No action is required from you or you may sign and return
the enclosed no form.If you have any Questions or comments about my proposed project,please
contact me at War- G$8 tea►S
co j ,or by rail at the address!Wed bebw. If you wish to
Applicant's Telephone
file written comments or objections with the NC DENR CAMA Mina Permit Program,you may submit
them to:
Jason Dell
Local Permit Other for North Topsail Beach
NCDENR/DCM
127 Cardinal Drive Extension
Wilmington,NC 28405
Sincerely,
skiff
Property ®rd Cir�r
918) ,4eime f de/
Mailing Address
,6 ie 07e• AK3'
City,State,Zip Code
RECEIVED
DCM WILMINGTON, NC

I. . - • - -rvice
o CERTIFIED MAIL® RECEIPT
- Domestic Mail Only
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For delivery information,visit our website at www.usps.com®.
m CLOTONT NC27520
Certified Nail lee f s.35 A� 0349
R'1 Extra Services 8 Fees(check box,add fee gppp A V J�V�� 01
ru ❑Return Receipt(hardcopy) $ V <�.,
O ill Return Receipt(electronic) $ tmaly,}
O ❑Certified Mail Restricted Delivery $ He (i^
0 ❑Adult Signature Required $
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❑Adult Signature Restricted Delivery$ �/,A
0 Postage U r
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jCrl111CY Milli berVIGC F7wwV,UC5 UIC IU11VW1lI9 UCIICIIL,:
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
I 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
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. deltvely to the addressee specified by name,or
to the addressee's authorized agent.
'mportant Reminders: -Adult signature service,which requires the
I You may purchase Certified Mail service with signee to heat leak 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
I 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
r 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.

br
Receipts for
Certified Mail
(Staple Here)
Da e J
/r// . */rt444L4 5-A2
AdjaceC Owner
1'2iD /i h' c,,s4 gpp
M ill g Add ss
e fin /Ili
City,Ste,Zlp Code
Dear Adjacent Property:
This letter is to inform you that I, . r-04A A!Are have applied for a CAMA Minor
Property Owner
Permit on my property at gio?) 41. S f gieff. 6. fj C ,in ONSLOW
Property Address Cl
County. As required by CAMA regulations,I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project.No action is required from you or you may sign and return
the enclosed no objection form.If you have any questions or comments about my proposed project,please
SQO-
contact me at 71T- !t ' e 5 Q j ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the NC DENR CAMA Minor Permit Program,you may submit
them to:
Jason Dail
Local Permit Officer for North Topsail Beach
NCDENRIDCM
127 Cardinal Drive Extension
Wilmington,NC 28405
Sincerely,
_Arden eIrrr a/t
Property Owner
Mailing Address
71771 nc 3D
City,State,Zip Code
RECEIv/EL
DCM WILMINGTON, NC

IA)(
SITE DRAWING/APPLICAT.ION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor deve opment permit.
The Local Permit Officer will help you,if requested.
PHYSICAL DIMENSIONS
✓Label roads
'i el highways right-of-ways
abel local setback lines
--- �abel any and all structures and driveways currently existing on property
1Labe1 adjacent waterbody
PHYSICAL CHARACTERISTICS
✓Draw and label normal high water line(contact LPO for assistance)
Draw location of on-site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges(include spot elevations)
Draw and label toe of dunes
Identify and locate first line of stable vegetation(contact LPO for assistance)
Draw and label erosion setback line(contact LPO for assistance)
Draw and label topographical features(optional)
If you will be rking in a coastal shoreline area:
w the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
,_,D3raw and label all wetland lines(contact LPO for assistance)
Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
Draw and label all proposed structures
Draw and label areas that will be disturbed and/or landscaped
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
Show all areas to be disturbed
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application?
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner)
FOR STAFF USE
Site Notice Posted _______ Final Inspection Fee Received
Site Inspections
Date ofAction: Issued ____ Exempted �__ _ Denied Appeal Deadline(20 days from vennit�

•
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•
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U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency OMB No. 1660-00ov
National Flood Insurance Program Expiration Date: November 30, 2018
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 Owners Name
Gordon Bennett Policy Number:
A2. Budding Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Company NAIL Number:
9027 9th Street
City — — -
Surf City State ZIP Code
North Carolina 28445
A3. Property Description(Lot and Block Numbers, Tax Parcel Number, Legal Description,etc.) v
Onlsow County tax parcel number 803-24
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude: Lat.34-26-53.3 Long.77-30-50.1 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) 250 sq
ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 4
c) Total net area of flood openings in A8.b 864 sq in
d) Engineered flood openings? ❑ Yes EI 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
c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes ❑ No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1. NFIP Community Name&Community Number B2. County Name
Town of Surf City 370186 No. State
Onslow North Carolina
B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel 1-B8. Flood Zone(s) B9. Base Flood Elevation(s)
Number Date Effective/
Revised Date (Zond DAO, use Base
3720424500 K 02/16/2007 02/16/2007 VE Flood Depth)
11.0
810, Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined [] Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 C NAVD 1988 f l Other/Source .\ tF GARO4/////'i,,
��De:• ESS%®•
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Ara'a-ItAr Yes No-
Designation Date: _- •Q. StAL :
_ - ❑
•r CBRS ❑ OPA
L-3170
()P

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:
9027 9th Street
City State ZIP Code Company NAIC Number
Surf City North Carolina 28445
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. 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 BEE),AR,AR/A, AR/AE,AR/A1-A30,AR/AH,AR/AO.
Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized: NCGS RTK network Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 l" 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) — 3. 3 ❑x feet ❑ meters
b) Top of the next higher floor 3 8 ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) _ 12. 1 X feet ❑ meters
d) Attached garage(top of slab) n/a. [x] feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 12.1 X feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 1 6 [i feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 2. 7 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 1. 3 ❑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? Ci Yes CI No ❑Check here if attachments.
Certifiers Namey__ License Number \\�,�11I l ti lil!///
Johnny J.Williams L-3170 \�� •GARo,//ii��
Q' •�EgSip •/
Title \�O ••
Professional Land Surveyor ,� ••�O
Company Name _A— a ' r 70 �;
Johnny J.Williams Land Surveying, P.G. • e I O "-
p� ;
Address _ — -- — — %vO �'bl5l!
P.O. Box 778 ✓/� 'Y J � I,�1y• 1 `•
City State ZIP Code //f 1I1 II 1"
Beulaville North Carolina 28518
Sig ure Date Telephone
2s ) 05/09/2017 [phone]
Copy I age 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)
Lot is vacant at this time
RECEIVED

ROY COOPER
.a
MICHAEL S. REGAN
Coastal Management
ENVIRONMENTAL OUALITV
BRAXTON DAVIS
June 30, 2017
Gordon and Selena Bennett
287 Bennett Road
Mt. Olive, NC 28305
Dear Mr. & Mrs. Bennett:
Attached is CAMA Minor Development Permit#SC 17-06 for work to be done at 9027 9th
Street, in Surf City, Pender County. An electronic copy of the permit has been sent to the Surf
City Inspections Department and to your agent.
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.
Johnny Taylor, Inc. -Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

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d.... NOT / CIF
, CAMA PERMIT
v)
APPLIED FOR
PROJETTo construct a single-family dwelling
at = : = ' - -
-
S . , • , r 0 - • r r Olintlif
COMMENTS ACCEPTED THROUGH N/A
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Gordon & Selena Bennett NC Div. of Coastal Management
287 Bennett Road 127 Cardinal Dr. Extension
Mt. Olive, NC 28305 Wilmington, NC 28405
> .....% Jason Dail, Field Representative
Agent: Johnny Taylor, Inc. [phone] 910-796-7221
SC17-06

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, i 1 Surf City, NC 388 John Green Smith Rood
I ii.. A 1 Kinston, NC 28504 Phone: [phone]
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Gordon & Selena Bennett Gillette's Crafting Service
I F s ' A Surf City, NC 388 John Green Smith Road RP IVED
9 ii Kinston, NC 28504 Phone: [phone]
� ` ��� V F1 FV4TIt�!J� If � � gCh1`V I_�GTON, NC

Date Date Check From Name of Permit Vendor Check Check Permit Number NOTES
Received Deposited (Name) Holder Number amount
6/15/2017 Johnny Taylor Inc. Gordon and Selena BB&T 9692 $100.00 minor, 9027 9th St., SD rct. 4210D
Bennett SC OnsCo