SC_18-15_ Allen (2)

a .. r
Issued by WiRO SC18-15
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT „:„§
NORTH CAROLINA
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 Clarence J. Allen authorizing development in the Estuarine Shoreline (AEC) at 1035 1st Street, in Surf City,
Onslow County as requested in the permittee's application, dated July 17, 2018, and received by DCM on July 20, 2018.
This permit, issued on July 30, 2018, is subject to compliance with the application and drawing dated and received by
DCM on July 20, 2018 (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: Proposed residential dwelling with driveway and parking areas.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on July 20, 2018.
(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)
U
Z
This permit action may be appealed by the permittee or other qualified persons Q p
within twenty (20)days of the issuing date. This permit must be on the project
site and accessible to thepermit officer when the project is inspected for z
p Jason Dail w?
compliance. Any maintenance work or project modification not covered under
this permit, require further written permit approval.All work must cease when this C A LOCAL PERMIT OFFICIAL,�
permit expires on: • 127 Cardinal Drive Extension
Wilmington, NC 28405-3845 0
December31,2021 In issuing this permit it is agreed that this project is consistent with the local Land X �,a '�`v%� ditek(Use Plan and all applicable ordinances. This permit may not be transferred to �
another party without the written approval of the Division of Coastal PFRMITTFF

A
Name: Clarence J.Allen
Minor Permit#SC18-15
Date: July 30, 2018
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' Coastal Shoreline buffer(as measured 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) All development, unless specifically exempted in this permit, shall be located at least 30' landward of the normal
high water line.
(7) This permit does not authorize the excavation or filling of any wetlands, even temporarily.
(8) No impervious coverage/built upon area, including but not limited to the house (including eaves), foundation pad,
covered decking, etc. shall extend into the 30-foot coastal shoreline buffer.
(9) Shall the plan of development exceed 30% impervious coverage within 75' of the normal high water line, the
applicant shall effectively demonstrate, through innovative construction and design that the amount of impervious
surfaces exceeding 30% impervious coverage within the 75' Coastal Shoreline AEC shall be managed and the AEC
protected. All proposed development and associated construction must be done in accordance with a credible
innovative design plan,sealed and sealed by a professional engineer.
(10)Upon completion of construction and prior to the issuance of a Certificate of Occupancy(CO), a letter of certification
must be received from the designer of the innovative system installed, certifying that the permitted system has been
installed in accordance with this permit, the approved plans and his design specifications. Any deviations from the
approved plans and specifications must be noted on the Certification and a permit modification may be required
prior to receiving a CO.
(11)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.
(12)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:5( V� l/VI- DATE: c
PERMITTEE
RECEIVED
DCM WILMINGTON, NC
ri 11 )fl c

51jt
C
Locality Permit Nun4Fkr OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
X. minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,insulation and Energy Conservation.FIA
(For official use only) Certification,Sand Dune.Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others.Check with your Local Permit Officer for more information.
GENERAL INFORMATION STATEMENT OF OWNERSHIP:
LAND OWNER-MAILING ADDRESS 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
Name <Lei r e l< e- 64/1.ph, listed as landowner on this application has a significant interest in the real property described therein.This interest can be
Address 3 �.5 Pa t-k C.h /C of /� described as:(check one)
City r°u.r Oaks State /1 e Zip Q 7�Z ishone 'lip-3('' '/C'O Van owner or record title,Title is vested in name of G/4NG rt tG 7uh 10 t- 4/1eh s-Ada-My 6oe4a;
Email S rs/04 b el y 2 e "p a N r►t a!(L a on-) see Deed Book page 31 in the oil S/D t t County Registry of Deeds.
AUTHORIZED AGENT _an owner by virtue of inheritance.Applicant is an heir to the estate of
;probate was in County.
Name
if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address.-- -
City State Zi Phone NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
—'- — — P --'— I furthermore certifythat the followingpersons are owners of properties adjoiningthisproperty.I affirm that I have given
P P
Email ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Nme) (Address) J
LOCATION OF PROJECT':(Address,/street name and/or directions to site;name of the adjacent waterbody.) (l) h4v Dar-Jc n 30lp 7/n.6 e r /aIC t oe e/r'4"4 t h 4
10 1� STI^is-f e-e-� StchP Ci ly /IL •2*4/Y" (2) /V)ar -Ty ndof Qyolo �;lltums`ary �r w/LS is /1c
on S ,o coL�4.o .N, —f /y (4)( )
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
/v L.t m L o rI S-f ru G r.O h 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-
SiZE OF LOT/PARCEL: square feet acres tion and floodproofing techniques.
PROPOSED USE:Residential dr- (Single-family Multi-family❑) Commercial/Industrial 0 Other 0 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 infonnation
COMPLETE EITHER(I)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies related to this permit application.
to your property):
IP
(I) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes �/ C ,/� This the day of�4 Y ,20
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level btu (,ig e.c.et,.S. s /Y// h CC.944.4^4 �- /9i/.. I
excluding non-load-bearing attic space) Landowner orperson authorized to act as his/her agent for purpose of filinga CAMA g p ppermit application
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This application includes:general information(this farm),a.site drawing as described on the back of this application,the
UPON SURFACES://2()square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that arc within the applicable AEC.Attach your calculations with the project drawing.) ownership.statement,the Ocean Hazard AEC Notice when necessary.a check for S100.00 made payable to the locality;and
any information as may he provided orally by the applicant.The details of the application as described by these sources are
STATE STOR,MWATER MANAGEMENT PERMIT:is the project located in an area subject to a State incorporated without reference in any permit which may be issued.Deviation from these details will constitute a violation of
St01111,!Va9r Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)? any permit.Anr person developing in an AEC without permit is subject to civil.criminal and administrative action.
YES t NO RECEIVED
(I'm list the total built upon area:impervious surface allowed for your lot or parcel: square feet. DCM WILMINGTON, NC
JUL 2 0 2018

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
NORTH CAROLINA BRAXTON DAVIS
Environmental Cttaiin Director
July 30, 2018
Clarence J. Allen
325 Parker Road
Four Oaks, NC 27524
Dear Mr. Allen:
Attached.is CAMA Minor Development Permit SC 18-15 for work to be done at 1035 1st St., in Surf City,
Pender County. An electronic copy has been sent to the Surf City Inspections Department.
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and return the white copy 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
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
SC Inspection Dept.
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

0
0 N, — CANAL —
N�sA� r WOODEN BULKHEAD IS CA
91 OF PROPERTY LINE &
,per MEAN HIGH WATER UNE
N 30'13'30" W 28'16'S3" w
CP 2,L0 33_,2r • 1• 4 21.57' CP 1.88
11-17'7�lilii \ �aa. 2.05 CP 1,85 1.44EIP• �0 --
" '8 LOT 11 Li
VICINITY MAP - NOT TO SCALE fix 2,511 BLOCK 46 01,E
, 6,119.47 SQ.FT. r N
2.69 0.14 ACRES to LEGEND
•
EIS 24'_RE E BETBAQI — Z LIP - EXISTING IRON PIPE
I EIS - EXISTING IRON STAKE
SIS - SET IRON STAKE
/� 30'-0"
TOTAL: ECM - EXISTING CONCRETE MONUMENT
eR
M EPK - EXISTING PK NAIL
Q/yagL
CyMA _� _ , �— _MBL - MINIMUM BUILDING UNE
PG.31•
BUFFER
30'
R/W - RIGHT OF WAY
EOP - EDGE OF PAVEMENT
CONC.- CONCRETE
O COVERED WM - WATER METER
PORCH PP - POWER POLE
O W ST - SEPTIC TANK
Vi PT - PUMP TANK
NOW OR FORMERLY p-I 30 x 2 49 2,50 x -E- - OVERHEAD ELECTRICAL LINES
ANTHONY E. DARDEN & WIFE, ,--.- M -X- - FENCE
LESLIE W. DARDEN 0 Fr, Ln N g' - CENTERLINE
'tD D8:4506, PG:411 Z
LOT10 0= 1;i W
BLOCK 46 NOW OR FORMERLY
OLD SETTLERS BEACH SECTION 3 W Q MARK BRIAN TYNDALL & WIFE,
MB:11, PC:37 m DEBORAH EASTW00D TYNDALL
W- 4 DWELLING ,. DB:4619, PG:913
LOT
\` IU 0Z d PROPOSED 3 CO BLOCK?46
OLD SETTLERS BEACH SECTION 3
W r" < 3.21 MB:11, PC:31
w'II5 7430UNd FLOOR -- 75' AEC
0_1n ENCLOSURE
f 6'
ZONING: MHS
12' 6' 12' - SETBACKS:
P
12.21' 12.2' FRONT: 15'
lb
SIDE: 7.5'
E REAR: 20'
15' MBL 15' MBL CAMA SETBACK: 30'
o --PRO SED — L o _ 407G LOT COVERAGE
ui PERVIOUS it;
N CONCRETE N
DRIVE
R/W
E EIS L E 3.19 --R--_--E €.-- a R/W
3.17 r 3.3g.
s 291O'O6" E 54.2 3' 3'10 EIP
550.0' TO PC OF R/W x 3.38 x 3.34
OF CANAL STREET 3 NOTE:
(PER REF. PLAT) ^ WATER AND SEWER SERVICES
10 TO USE EXISTING WATER METER
i-k ,28 AND SEWER CONNECTION
o1 PROVIDED BY TOWN.
N I III347), . x 3.36
3.39
S 28'50'10" E
I 383.80'
CE
- - - - 1 3.75 _ S 29'06'51" E 85.89' - EPK �
EPK- 3.74 Y FIRST STREET 3,69 + 3.69,/ EPK
- 60' R/W (PUBUC) -
NOTE: x 3.52 �3 48 3.61
THIS PROPERTY IS LOCATED IN FLOOD
ZONE VE PER FEMA MAP 3720424500K,
PANEL 3701136-42451< DATED 2/16/2007
WITH AN ELEVATION OF 11.0. LOT COVERAGE ALLOWED: 2,447.79 SQ.FT. (40%)
LOT COVERAGE PROPOSED: 1,620.00 SQ.FT. (26.5%)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to 4-la re n c e S 4/I,.A, 's
(Name of Property Owner)
property located at /d c?s /s4 S-/re-( -S4 i c/Q C) )i ,
Address,Lot,Block,Road,etc.)
on cs-lice mi, SDceiryc/ ,in 0AS,k)'a Go tih/Y , N.C.
(Waterbody) (Town andfor County)
He has described to me as shown in the attached application and project drawing(s),the development he is
proposing at that location,and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
-/
Print or T Nadie
Tele Number
Date
RECEIVED
DCM WILMINGTON, NC
JUL 2 0 2018

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to ./Qrck c e- J. ,4/( h 's
(Name of Property Owner)
property located at /D 3S- 1.51 Sari
Address,Lot,Block,Road,etc.)
on Slu.n►p facenq' ,in ' bllsJo w Gotih,�y ,N.C.
(Waterbody) (Town and/or County) /
He has described to me as shown in the attached application and project drawing(s),the development he is
proposing at that location,and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signatibre
/1 vk !JA11
Print or Type Name
-$y8-2
Telephone Number
Date
RECEIVED
DCM WILMINGTON, NC

Receipts for
Certified Mail
(Staple Here)
Date
/7'7a+-k 7ynIa (
Adjacent Property Owner
Mailing ress
4)`/S o,,, 11 L 21 (_
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, 6 /a r c h e e J ✓//ch have applied for a CAMA Minor
Property Owner
Permit on my property at /D 3 c /Sf 6 �Hcc-/ Scc w/ Cr�� n G ,in Pende-•nslow
Property Address
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
contact me at 7/ ?— 364-- 061) ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dail,Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington,NC 28405
Sincerely,
Property Owner
2.2 s Po hk z.4
Mailing Address
City,State,Zip Code
RECEIVED
DCM WILMINGTON, NC
Jl/i. 2 0 2018

Receipts for
Certified Mail
(Staple Here)
(,— (L-rp
Date
Hoyt Alarclen
Adjacent Pr rty OwnerL // [[ //��
O(9 1(ft 4qer14Ar Li
Mailir�q/ddr As, 4 24 3 P� ih an L.
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, C rc.n c t- S 411 e s. have applied for a CAMA Minor
Property Owner
Permit on my property at /0.3 S /Sf S-i'r e e Sc.r g CI y ,in Pender nslow
Property Address
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
contact me at grrel— 361 `tL 6 7 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dail,Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington,NC 28406
Sincerely,
/ ,4L
Property Owner
225 flj
Mailing Address
racer Oe /lS i)S'-2 `f
City,State,Zip Code
RECEIVED
DCM WILMINGTON, NC
JUL 2 0 2018

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:
Clarence Junior Allen and wife Kathy Godwin Allen
A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
1035 1st Street
City State ZIP Code
Surf City North Carolina 28445
A3. Property Description(Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 11 Block 46 Old Settlers Beach Section 3 (MB:11 PG:31, FB:849 PG:61)
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) Residential
A5. Latitude/Longitude: Lat.N/A Long.N/A 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) 46 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 2
c) Total net area of flood openings in A8.b 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 Onslow 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
B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item B9:
❑ FIS Profile FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 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
RECEIVED
Designation Date: ❑ CBRS ❑ OPA DCM WILMINGTON, NC

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:
1035 1st 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,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: GPS Carson RTK Vertical Datum: 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) 4. 4 ❑x feet ❑ meters
b) Top of the next higher floor 14. 0 ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 12. 4 ❑x feet ❑meters
d) Attached garage(top of slab) 4. 2 ❑x feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 11. 5 ❑x feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 2. 5 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 3. 2 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including _ 2. 5 ❑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? ❑x Yes ❑No ❑Check here if attachments.
Certifier's Name License Number
John L. Pierce L-2596 y`V,.\A CAR° if,.
Title ,'+ IO ,/� �®
Surveyor ` :'4� 4�9
Company Name Place
John L. Pierce&Associates ^� o Seal •
w e 000
He�e2b96
Address �. p�' Ce•
405 Johnson Blvd d i o��� u �•..\O/
1. c. O SR
City State ZIP Code "',., .''•e„„. • ,C)
Jacksonville North Carolina 28540 - �„.:
As�rf`d,, v�,,�
Signature Date Telephone
07/09/2018 [phone]
Copy all pages of this n C rtificate 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)
Town of Surf City, proposed one story on pilings with proposed enclosure and smart vents.
RECEIVED
DCM WILMINGTON, NC

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. 1 Policy Number:
1035 1st Street
City State ZIP Code Company NAIC Number
Surf City North Carolina 28445
SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,
enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade(HAG)and the lowest adjacent grade(LAG).
a) Top of bottom floor(including basement,
crawlspace, or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG.
b) Top of bottom floor(including basement,
crawlspace, or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions),
the next higher floor(elevation C2.b in
the diagrams)of the building is ❑feet ['meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab) is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is . __ Elfeet ❑meters ❑above or ['below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or
community-issued BFE)or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
RECEIVED
DCM WILMINGTON, NC
UL 2 0 2018
❑Check here if attachments.

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:
1035 1st Street
City State ZIP Code Company NAIC Number
Surf City North Carolina 28445
SECTION G—COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement
used in Items G8—G10. In Puerto Rico only, enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.)
G2 ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO.
G3. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)
of the building: ❑ feet ❑ meters Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet ❑ meters Datum
•
G10. Community's design flood elevation: ❑ feet [' meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments(including type of equipment and location, per C2(e), if applicable)
•
RECEIVED
DCM WILMINGTON, NC
JUL 20 2018
❑ Check here if attachments.

BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. 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:
1035 1st Street
City State ZIP Code Company NAIC Number
Surf City North Carolina 28445
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View"and"Rear View"; and, if required, "Right Side View" and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
Photo One
Photo One
Photo One Caption
Photo Two
RECEIVED
DCM WILMINGTON, NC
JUL 2 0 2018
Photo Two
Photo Two Caption

BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page 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:
1035 1st Street
City State ZIP Code Company NAIC Number
Surf City North Carolina 28445
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo One
Photo One
Photo One Caption
Photo Two
RECEIVED
DCM WILMINGTON, NC
'1 i%'
Photo Two
Photo Two Caption

Date Date Check From Name of Vendor Check Check ' Permit Rct. i
Received Deposited Permit Holder Number amount Number/Comments
7/24/2018 Junior Allen Clarence Allen KS Bank 1098 $100.00 minor fee, 1035 1st Street, JD rct. 677
Surf City ONCo