SC_17-17_ Ridgestone (2)

Issued by WiRO SC17-17
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Management
ENVIRONMENTAL QUALITY
as authorized by the State of North Carolina,Department of Environment,
and Natural Resources 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"
I Issued to Ridgestone Construction, LLC authorizing development in the Ocean Hazard Area (AEC) at 1212 S. Shore
Drive, in Surf City, Pender County as requested in the permittee's application package, dated October 31, 2017. This
permit, issued on November 17, 2017, is subject to compliance with the application and site drawing (where consistent
with the permit) dated and received by DCM on October 31, 2017, and all applicable regulations and special conditions
and notes set forth below. Any violation of these terms may subject permittee to a fine, imprisonment or civil action, or
may cause the permit to be null and void.
This permit authorizes: Demolition of an existing dwelling and reconstruction of a new dwelling with amenities.
(1) All proposed development and associated construction must be done in accordance with the permitted drawing dated and
received by DCM on October 31, 2017.
(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)
796-7221 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
compliance. Any maintenance work or project modification not covered under
this permit,require further written permit approval.All work must cease when this Jason Dail
permit expires on: CA A LOCAL PERMIT OFFICIAL
December 31,2020 127 Cardinal Drive Extension
In issuing this permit it is agreed that this project is consistent with the local Land W ington, IVED
Use Plan and all applicable ordinances. This permit may not be transferred to DCCMM WILMILMI GT NC
another party without the written approval of the Division of Coastal
Management.

Name: Ridgestone Construction, LLC
Minor Permit#SC17-17
Date: November 17, 2017
Page 2
(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) With exception of 500 sq. ft. or less of proposed decking, beach access walkway and 200 sq. ft. or less of
structurally detached covered gazebo, all other structure(s) must be set back a minimum of 60 feet from the First
Line of Stable Natural Vegetation (FLSNV), as determined by the DCM, the LPO, or another assigned agent of the
DCM.
(8) Any decking located within 60 feet from the FLSNV shall not exceed a combined footprint of 500 sq. ft. and shall be
structurally independent of the residential or primary structure. The deck(s) may be cosmetically attached, but shall
remain free standing as a single unit.
(9) 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.
(10) 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.
(11) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
(12) No development is authorized beyond (seaward of) the First Line of Stable Natural Vegetation (FLSNV), with
exception of the stairs for beach access.
RE�C�IVED
j v 4'Z°69m7,1,L�Dd(INGTON, NC

ief / OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Locality l S L'l,(y Permit Number SC 1 7— 1 4 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 K 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 Ridgestone Construction,LLC 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 2828 Brenfield Drive 4649
man owner or record title Title is vested in Fee Simple ,see Deed Book
City Raleigh Styes NC Zip 27606 phone [phone] page 2099 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. 1--If 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:
CityJacksonville 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)
(I) Mr.and Mrs.Anthony Dorazio,923 South Alamo Street,Suite 3,San Antonio,TX 78205
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.) 1212 South Shore Drive.Surf City.Pender County Oc /') (2) Mr.William R.Edwards,Jr.Heirs,P.O.Box 2451,Surf City,NC 28445
le VI
(3)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two Story (4)
Dwelling on Pilings with Decks Over Concrete Slab Partially Enclosed below for Entry and Storage
SIZE OF LOT/PARCEL: 1 1,3 3 1_square feet 0.260 acreswith 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 Q✓ (Single-family❑� Multi-family❑) Commercial/Industrial 0 Other 0 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 tion and floodproofing techniques.
to your property):
2,930 I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
This the day of_eCj ,20 L�7
UPON SURFACES: square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, di
// t/concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
Landowner or person authorized to act as hi/ _ent f urpose of filing a CAMA permit application
STATE STQAMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
a eme t�ernit issued by the NC Division of Water Quality? This application includes:general inform, (this form),a site drawing as described on the back of this application,the
dI ownership statement,the Ocean Hazard AEC Notice where necessary,a check for S100.00 made payable to the locality and
S any information as may be provided orally by the applicant.The details of the application as described by these sources are
If es list ffie t�l 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
K
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� m any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
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ROY COOPER
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MICHAEL S. REGAN
.)eC're larl•
Coastal Management
ENVIRONMENTAL QUALITY BRAXTON DAVIS
November 17, 2017
•
Ridgestone Construction, LLC
c/o Chris Majewski
2828 Brenfield Drive
Raleigh, NC 27606
Dear Mr. Majewski:
Attached is CAMA Minor Development Permit No. SC 17-17 for work to be done at 1212 S. Shore Dr.,
in Surf City, Pender County. An electronic copy has been sent to the Pender County Inspection
Department and to your agent.
To validate this permit, please sign both copies of the permit as indicated for our records.
Retain the orange copy for ycur files and sign both pages of the white copy and return to us within
20 days of receipt, in the enclosed, self-addressed envelope
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
Shaun K. Simpson
Permit Support Technician
Enclosures
Cc:WiRO files
PN Inspection Dept.
C. Riggs, Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 7Q6771S

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Ridgestone Construction,LLC
Property Address: 1212 South Shore Drive,Surf City, Pender County
Date Lot Was Platted: March 1935
I his notice is intended to make )ou, the applicant.aware of the SPECIAL NOTE: 1 his hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area,which is subject to natural hazards such as stones,erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard !Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the
development can be issued vegetation line and setback distance at your site It the property
has seen little change since the time of permit issuance,and the
Me Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations arc designed to minimize, but not the LPO will inform you that you may begin work. Substantial
eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be re-measured.Also.
the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
the devehipment. Permits issued in the Ocean Ilazard Area of storm within the 60-day period will necessitate re-measurement
Ltis ironmental Concern include the condition that structures he 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 structurets)must he work after the permit has expired. Generally, if foundation
relocated or dismantled within two t2) 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 Fur more information,contact
Resources Commission, indicates that the annual long-tens
average ocean erosion rate for the area where your property is
located is feet per year
Local Permit Officer
1 he 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.
I he flood waters in a major storm arc predicted to be about _.._._._
feet deep in this area. Locality
Preferred oceanfront protection measures arc beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads.seawalls,revetments.groins,jetties Phone Number
and breakwaters art prohibited. temporary sand bags may be
authorized under certain conditions.
the applicant must acknowledge this information and
requirements by signing this notice 'n the space below Vv ithout
the proper signature.the applicatio will not he complete.
1 �
/
Property Owner Signal Date
Revised May 2010
RECEIVED
DCM WILMINGTON, NC

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
June 29, 2017
Date
Name of Property Owner Applying for Permit:
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) 1212 South Shore Drive, Surf City, Pender County
and I grant permission to the Division of Coastal Management to access
the property to mark/flag the First Line of Stable Natural Vegetation, etc.
This certification is valid thru(date) June 29, 2018
June 29, 2017
Property Owner Signature Date
RECEIVED
DCM WILMIINGTON, NC

I. . Dos a ervice
CERTIFIED MAIL® RECEIPT 1—vp
Domestic Mail Only , Ai
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delivery. USPS®-postmarked Certified Mail receipt to the
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insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. LISPS postmark.If you would like a postmark on
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endorsement on the mailpiece,you may request Certified Mail item at a Post Office"for
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of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
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electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic 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-298I Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 212
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]
October 31, 2017
Mr. William R. Edwards, Jr. Heirs
P. O. Box 2451
Surf City,NC 28445
Re: Ridgestone Construction, LLC Submittal for Minor CAMA Permit
To whom it may concern:
On behalf of Ridgestone Construction, LLC, Charles F. Riggs& Associates, Inc. is
submitting to the Division of Coastal Management, North Carolina Dept. of Environmental
Quality the enclosed application for a CAMA permit for the property located at 1212 South
Shore Drive, Surf City, Pender County, North Carolina. Ridgestone Construction, LLC is
planning to construct a two-story dwelling on pilings with decks over concrete slab partially
enclosed below for entry and storage with pervious drive. 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.
Re ectfully,
amen L. Riggs
DCM WILMINGTCN Kin

I. os a ervice 7--013.- .X.
CERTIFIED MAIL° RECEIPT.
Domestic Mail Only
▪ For delivery information,visit our website at www.usps.
ri ' '— 7- ',,'; '''..,' `; ,:=,, 1 , ' S i.. 17
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Extra Services&Fees(check box,add fee )
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.eranea mail service proviaes me Touowing oenents:
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
I Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. LISPS®-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. delivery to the addressee specified by name,or
to the addressee's authorized agent.
rnportant Reminders: -Adult signature service,which requires the
I 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
I Certified Mail service is notavailable for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
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. LISPS 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 212
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]
October 31, 2017
Mr. and Mrs. Anthony Dorazio
923 South Alamo Street, Suite 3
San Antonio, TX 78205
Re: Ridgestone Construction, LLC Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Dorazio:
On behalf of Ridgestone Construction, LLC, Charles F. Riggs& Associates, Inc. is
submitting to the Division of Coastal Management, North Carolina Dept. of Environmental
Quality the enclosed application for a CAMA permit for the property located at 1212 South
Shore Drive, Surf City, Pender County,North Carolina. Ridgestone Construction, LLC is
planning to construct a two-story dwelling on pilings with decks over concrete slab partially
enclosed below for entry and storage with pervious drive. 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.
Respe tfully,
.mes L. Riggs
RECEIVED
DCM WILMINGTON, NC

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Ridsgestone Construction, LLC
Address of Property: 1212 South Shore Drive, 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.nccoastalmanagementnet/contact dcm.htm or by calling 1-888-4RCOAST. No
res onse 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, boathous , or groin must be set
back a minimum distance of 15 y area of riparian ac nless waived by me. (If you
wish to waive the setback, you must ini i a late blank below.)
I do wish to wai e 15' setback requireme .
o not wish to waive the 15' setback requirement.
(Propert er ation) (Adjacent Property Owner Information)
Signature Signature
Charles F. R ent for application
Print or Type Name Print or Type Name
P. O. Box 1570
Mailing Address Mailing Address
Jacksonville, NC 28541
City/State/Zip City/State/Zip
[phone]
Telephone Number Telephone Number
/d13. 7
Date Date RRr IX P

t - "I
H., Nto, r : ,4, ,
, 1
iiii. , , ,,, i,
1 AIL i 440
1 CAMA PERMIT
. .
) _ APPLIED FOR
_,„,c,
PROJE #pp/icant proposes construct single-
familya
at 1212 S. Shore Drive,
dwelling adjacent to the Atlantic Ocean, in Surf City-
Pender County
COMMENTS ACCEPTED THROUGH N/A
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
e Construction, LLC NC Div_ of Coastal Management
Ridgeston 127 Cardinal Dr. Ext.
2828 Brenfield Drive NC 28405
Raleigh, NC Z/606 >,- Wilmington,
Jason Dail, Field Representative
Agent: Charles Riggs [phone]
910-796-7221
SC 17-17

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
A1. Building Owner's Name Policy Number:
RIDGESTONE CONSTRUCTION , LLC
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
1212 SOUTH SHORE DRIVE
City State ZIP Code
SURF CITY North Carolina 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT NO.3 OF LLOYD LUMBER COMPANY LAND AND A PORTION OF LOT NO.4 OF J.W.SIDBURY EST. PER D.B.608, P. 190
A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d24'56"N Long.77d33'41"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) 306.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0.00 sq in
d) Engineered flood openings? ❑Yes 0 No
A9. For a building with an attached garage:
a) Square footage of attached garage 0.00 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 0.00 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 B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
3720423400 J 02-16-2007 02-16-2007 VE 14.0'
B10. 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 ❑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
0
CSEKE
M6111 NC
CCRA A C....../10C !1 ')') /7/I c\ Cnrm D7no 'I of C:

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:
1212 SOUTH SHORE DRIVE
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 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 ❑x 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) 6.00 ❑x feet ❑ meters
b) Top of the next higher floor 16.10 x❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 14.10 ❑x feet ❑meters
d) Attached garage(top of slab) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building feet
(Describe type of equipment and location in Comments) 14.10 ❑ ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) 4.70 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building (HAG) 5.10 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet ❑ meters
structural support N/A
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.
1 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.
Certifiers Name License Number
JAMES A.LEWIS L-4562 \\������iCA ��izz/
Title \N`N��,........•O0 /i
PROJECT MANAGER : 0••'0* , off•p ..
Company Name - 2:Q� SEAL 7r
CHARLES F. RIGGS&ASSOCIATES, INC. = L-4562
Address
'-I, gip.
502 NEW BRIDGE STREET �v O yRv
City JACKSONVILLE North ZIP Carolina 28540 Code "i/,S a. �.(G```•\
IIII /736/iy
Signature ` Date Telephone Ext.
? ` 15.-- /0 /3_'/77 [phone] 41
Copy all ges of this Elevation Certificate and all attachments for(17/cor�ii/munity official,(2)insurance agent/company, and(3)building owner.
Comments(including type of equipment and location,per C2(e), if applicable)
DWELLING IS PROPOSED TWO STORY ON PILINGS, PARTIALLY ENCLOSED BELOW.
GGnnA G.,r..,naa n_''/7/1 A\ r.,.•.,F`n c?4 dg-r .nf Fi

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Win" I,'II 17-0037-10

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17-0037-10

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 212
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]
October 31, 2017
To: Mr. Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Ridgestone Construction, LLC Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of Ridgestone Construction, LLC, Charles F. Riggs &Associates, Inc. submits for
your review the enclosed application for a Minor CAMA permit for the property at 1212 South
Shore Drive, Surf City, Pender County,North Carolina.
R pectfully,
li
James L. Riggs
RECEIVED
DCM WILMINGTON, NC

SITE DRAWING/APPLICATION CHECKLIST
make sure your site drawing includes the following information required for a CAMA minor development permit.
real Permit Officer will help you,if requested. rr_,
ICAL DIMENSIONS QA(p / ny APPLICATION FOR ^
� 1
Label roads CAMA MINOR °
/Label highways right-of-ways c z
/Label locany setback
nes DEVELOPMENT
1 Label any and all structures and driveways currently existing on property �'
/Label adjacent waterbody
ICAL CHARACTERISTICS PERMIT
7 Draw 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 (CAMA)and set the stage for guiding development in fragile and productive areas that
If you will be working in the ocean hazard area: border the state's sounds and oceanfront.Along with requiring special care by those who
/ Draw 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)
/Draw and label erosion setback line(contact LPO for assistance) This application for a minor development permit under CAMA is part of the
jl3raw 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 be 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 p
/Draw and label landward limit of AEC or she needs before you apply.
/Draw and label all wetland lines(contact LPO for assistance) r
/Draw and label the 30-foot buffer line Under CAMA regulations,the minor permit is to be issued within 25 days once a
;LOPMENT 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
/Draw and label all proposed structures certain that your application is complete and signed,that your drawing meets the
/Draw and label areas that will be disturbed and/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
—7 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.
C TO APPLICANT
We appreciate your cooperation with the North Carolina Coastal Management Program
(ou: 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? v)
• completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner) tin
FOR STAFF USE n
t�r r :.l
Mice Posted Final Inspection Fee Received t2n
c%
ra�spections k til
P�
t31 -t `4
• ❑z O
jfl
lion:Issued Exempted Denied Appeal Deadline(20 days from permit action) '
l DCM Form EB1952-2010/Revised April 2010
10

Date Date Check From Name of Vendor Check Check Permit Number NOTE.!
Received Depos (Name) Permit Holder Number amount
ited
11/6/2017 Charles Riggs Ridgestone First 15344 $100.00 minor fee, 1212 S. JD rct
& Assoc. Construction Citizens Stone Drive, Surf City 5074E
LLC Bank PnCo