SC_19-05_ Sasser

Issued by WiRO SC19-05
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
Ai i
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 Louis Alan Sasser authorizing development in the Estuarine Shoreline (AEC) at 3067 3ro Street, in Surf City,
Onslow County as requested in the permittee's application, dated February 7, 2019, and received by DCM on February
8, 2019. This permit, issued on February 27, 2019, is subject to compliance with the application and drawing dated and
received by DCM on February 8, 2019 (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: An addition to an existing residential dwelling
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on February 27, 2019.
(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. Contac office at (910)
766-7221 for a final inspection at completion of work. RECEIVED
this
(Additional Permit Conditions on Page 2)
DCM WILMINGTON, NC
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 CAMA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December 31,2022 Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land i/1i,�S t()C1. 14t/
Use Plan and all applicable ordinances. This permit may not be transferred to ' 'a-
another party without the written approval of the Division of Coastal PPRMITTFF

Name: Louis Alan Sasser
Minor Permit#SC19-05
Date: February 27, 2019
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) 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.
(8) 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.
(9) 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.
(10)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.
(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.
SIGNATURE: 4.-- 1 —t. � DATE: K1',3
PERMITTEE
RECEIVED

Locality Permit Number
. Ocean Hazard Estuarine Shoreline — ORW Shoreline Public Trust Shoreline Other
(For gfrclal use only)
GENERAL INFORMATION
LAND OWNER- MAILING ADDRESS
�y � ii
Name Louis pttQn S Sv,{
Address j j 34- S r
City c- G In4 State _...__ NC.- Zip Z +Phone 910%4 c•2 i t____
Email (a ityryti 610 itkrt-
AUTHORIZED AGENT
Name WaSt 1 L4cU t P(PLSl Pitt
Address _ } _ kjlatL.._.___!� dVt.1 Tl.,
1.
City A IU4tU ��tJI State la. Zip• icPhone .__.9 16. 2.9. .cop I_.._._.........
.�+�
Email__._� ,Q.�.0
? ..__...._.1.. .AFL___Q.AastoyNiqatt. com____
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
Y11YaCSt tAkadkl
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.)
ctddt h-01n C (1 w)Q canal cri Gti rasa-Una
SIZE OF LOT/PARCEL: 1 7 C) square feet uC) _ acres
PROPOSED USE: Residential Li (Single-family Multi-family (J ) Commercial/Industrial [] Other 0
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure;Mich AEC applies
to your property):
(1) OCEAN HAZARDAECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 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) 'OASTAL SHORELINE AECs: SIZE OF BUILDING FTD O'I'f 1[;R [MI BUILT
ON SURFACES: �Lf square feet(includes the area of the founOOdationPRINTAN of all buildings,drivewaysPERVIOUS,covered(leeks,
concrete or masonry patios,etc. that are within the applicable AEC.Attach your calculations with the project drawing.) o,
CeitiPocw,i Cm-4 ZSioS C.tCFal) '� 1,175-'SF (foal wI 1Y\ 1s # ) w
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stornnvater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(DEMLR)? W e -
YES ...._ NO_ 1/ W co
t�Vf+c �1Ct alp tnthI hiiiil nnnn o rnol:nmPry ini ..mirrnnn nnrw.n.I rn.•.......•I..1 nn.rLkl. ............hs

OTHER PERMITS MAY 13E: REQUIRE[):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, Cleating and Air Conditioning, Insulation and Energy Conservation, IAA
Certification, Sand Dune,Sediment Control,Subdivision Approval, Mobile I-fome Park Approval,I lighway Connection,and
others. Check with your Local Permit Officer for more 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
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 Xj Via) S .s w, --
see Deed Book %1Q13 page '1t,ot0 in the 0Nt)1N 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) (Address)
(I) aOs,u. d- Cafto V. La. f Po eoy ?D2 f(pt � N� 2�
(2) r tom$ Vtw s alvd . cltr1'12�3326
(4)
ACKNOWLEDGEMENTS:
i,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 1 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. 4
'Phis the day of WO. ,20 L i
6.
0,‘ i'141
Landowner or pc on autlorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information (this form), a site draining 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 infornralion as may be provided orally by the applicant. The details oldie application as described by these sources are
incorporated without reference in any permit which may be issued Deviation from these details will conslitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
RECEIVED

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: LUul S PI (35�Q -V
Mailing Address: Sao] 31(1-a ,
r ( LOU( i Pc-- - 44
Phone Number: 9(O 1 +Lc. 2(.019
Email Address: ta5MPS04 1 Cv1(}e' .fet
I certify that I have authorized (k)Q,S L,4 at( P2IPL , rU G ,
ent ontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Pftp_ O ti t.O - (I .11\ IC
a a(Dx , l 1Cs1- add,' tio)(t
at my property located at ? "0-& •SAAN4 (.1)L.( i LL 2 41--
in Or S vv 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:
-,410' acil' .- 5611.-
Signature
r
Print or Type Name
Title
'- i -7t ( 9
Date
This certification is valid through 2) I 31 / 2.01 `f RECEIVED
FEB 0 8 2O 9

ROY COOPER
Governor
�' r MICHAEL S. REGAN
s,,cielaty
NORTHCAROLINA BRAXTON DAVIS
Environmental ironmental Quality
!>irecror
February 27, 2019
Louis Alan Sasser
3067 3rd Street
Surf City, NC 28445
Dear Mr. Sasser,
Attached is CAMA Minor Development Permit SC 19-05 for work to be done at 3067 3rd Street, in Surf
City,Onslow County. An electronic copy has been sent to the Pender County Inspections Department
and your Agent.
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.
1ny
ncerely, D
R.,c,,......._
J�—
a PI tila
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
Surf City Inspections Dept.
Weston Lyall—Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

%ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Si. ; re
• Print your name and address on the reverse X '8"' 1 IS , /),D 0 Agent
so that we can return the card to you. - 0 Addressee
B. Received by(Pri ted Name) C. to of elyery
■ Attach this card to the back of the mailpiece, n,� R J- �E �� I I I Q!
or on the front if space permits. C/T
1. Article Addressed to: D. Is delivery address a tLrl from item 1 0 Yes
� If YES,enter w: 0 No
�1�
cPp 3P2 MAR 2 8 2019
( 1g1 kfli 4-' Z DCM WILMINGTnN, NC
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Tall Restricted Delivery Restricted Delivery
I (over$500) _
no C,..m' Q1 1 i i.,0111 G n -con nn nnn eneq rL,mnefir Return Rurninf

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR LAMA MINOR PERMITS
I hereby certify that 1 own property adjacent to t S 6t ao SaSw s
€ , c}(Name of Property Owner)
.-�,)(..0
property located at 7 ul_�,3'J t y
Address, Lot,Block,Road,etc.)
on V\t i�r L Stg( \VCI1C4 in Cry � stt.a►v N.G.
(Waterbody) 1 (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)
I '
SO/nature
Cfhe rcc Lee
Print or Type Name
Telephone Number
Date
RECEIVED
MAR 2 8 2019
DCM WILMINGTON, NC
76V
-2113(1.019

ti. ,..,,,_
„.0 WESTON -D
,-.0 ,i,
aIiiii
a sructural&Civil(n Irreering Land Surveying Serving 7g Eastern North Carolina STRUCTURAL ENGINEERING
CIVIL ENGINEERING
LAND SURVEYING
214 Highway 17 N. Suite 1
Holly Ridge,NC 28445
910-329-9961 Office
Firm License#P-0937 www.WestonLyall.net
February 7, 2019
To: North Carolina Division of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 28405
Subject: 3067 3rd St. Surf City,NC 28445
The purpose of this letter is to notify the North Carolina Division of Coastal Management of
the proposed single-family approx. 170 sf addition to be built at 3067 3rd Street, Surf City,
Onslow County. The property owner is Louis Alan Sasser,who can be contacted at(910)-
465-2619. Please see the enclosed CAMA Minor Permit Application as well as the
preliminary plot plan for the proposed dimensions and location of the project.
Thank you,
1 144.1,//
Weston Lyall, PE, PLS, PLLC
Pile Plans,Foundation Designs,Structural Designs,Structural Analysis,
Stormwater Designs,Commercial and Residential Properties RECEIVED
Subdivision Designs,Land Surveys,Plot Plans,Elevation Certificates
All Your Engineering and Surveying Needs
I i,.ncnd R....:..m.:../o, et, A Al &NC r_rn no n n i n

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you,if requested.
PHYSICAL DIMENSIONS
Label roads
WilliLabel highways right-of-ways
✓Label local setback lines
✓ Label any and all structures and driveways currently existing on property
✓ Label adjacent waterbody only UXGIS ( WWtev Y
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)e working in a coastal shoreline area:
J Show the roof overhang as a dotted line around the structure
✓ Draw and label landward limit of AEC
Nii-\ Draw and label all wetland lines(contact LPO for assistance)
V Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
I 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? RECEIVED
• included your site drawing?
• signed and dated the application? FEB 0 8 2019
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice,if necessary?(Must be signed by the property owti 0M WII.MINGTON, NC
'FOR'SjIAF 't75I, • k >--:,
Site Notice Posted l iiial Inspection IeeRecei'ed�
site Inspections
Date of Action fl,,.,;c>rI �h .;,, i t�r;;.II...,.. ,1r, a .. r.. �r�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to t,O 5 l ai t Sa'yty- 's
�' t (Name of Property Owner)
property located at .,.)(Q 1 c.� y ,
tt (( �(���A,ddress, Lot, Block,Road,/ etc.) /�
on \ oc s0( \ vr�U'l in Sv G (,✓r �5icw w-,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)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
FEB 0 8 2019

Receipts for
Certified Mail
2 1—(9 (Staple Here)
ate a Ga. u1,vivUL l.9-Q-
Ad centEroperty Owner
2u I!X)k Tito -
ilmseicat o1/43c „2:_rs_4s—
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, t.) 1TlaY a Y-17 have applied for a CAMA Minor
Property Owner
Permit on my property at • i,kff-Lih 1 2 S3C,
�Q � g ,in Pender9(Qnaiow-',
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 "I t 0.4rJ '2L l 9
� ,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
Mailing Address
City, State,Zip Code
RECEIVED
FEB 0 8 2019

. is a ervice
CERYIFIED MAIL® RECEIPT
Domestic Mail Only
• For delivery information,visit our website at www.usps.comw.
KN t rwe5f5 LU 6
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['Certified Mall Restricted Delivery $ $0.U0 Here
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Total Postage and Fees 02/08/201 Q
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Sent To
street and Apt.No.,or PC)Box No.
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Receipts for
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0-1-1 C\ (Staple Here)
Date
Per rnub
Adacent.Proo rty
►c�s Crier
1 o twQk- blVa
Ma ' Address
iAttil PC, 2$ Zt
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that 1, 1 I S �f[ & �
• have applied for a CAMA Minor
Property Owner
Permit on my property at � j'=" , I1L -'� in Penile :,, •
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 ci1(.4(,219
_——,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Sun 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
Mailing Address
City,State,Zip Code
RECEIVED
1=EB08Z019

I. . •osta ervice
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Sent To
I Street and Apt No.,or Pb Box Ni,.
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xj
a ,zz
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to LoWS Ptt Y1 SaS i s
(Name of Property Owner)
property located at .(; � sS
�r r c ( (��DA,Address, Lot,Block,Road,etc.)
on ‘V Vt l`O)Jk(3L \\13\ v�U0 in Stty1 (Vui O 1L> ` L - . N.C.
(Waterbody) (Town andlor County)
He has described to me as shown to 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)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
d 08 %019
11/%1A IA/II AAIKir Tr1A1 Alt"

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:
LOUIS ALAN SASSER
A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg, No.)or P.O. Route and
Box No. Company NAIC Number:
3067 3RD STREET
City State
ZIP Code
Surf City
North Carolina 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
PIN#424511579237
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude: Lat.34-26-51.56 Long.-77-31-15.22 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) 100 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 384 sq in
d) Engineered flood openings? ❑Yes n 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 0 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
K Revised Date Flood Depth)
3720424500
02/16/2007 02/16/2007 VE 11
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile El FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes 0 No
Designation Date: ❑ CBRS ❑ OPA RECEIVED

ELEVATION CERTIFICATE OMB No. 1660-0008
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:
3067 3RD 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: 0 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/A0.
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized: Vertical Datum:Geoid 12A VRS RTK GPS
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) 3. 5 0 feet ❑ meters
b) Top of the next higher floor 13. 2 0 feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 11. 5 0 feet ❑meters
d) Attached garage(top of slab) N/A, 0 feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 9. 8 0 feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 3. 3 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 3. 5 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. 0 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
Weston Lyall L-4438
Title
EaFr'(J
��, arsailiarrri
Owner/PLS �+``� (', #1s•
04 C�N.c.es /4
Company Name
. 0 .r o`Pla q'•.9
Weston Lyall, PE, PLS, PLLC �1'
Address M AIMS
oj
214HY17N �o9n �,W
let. ��G 'FA'''v`e
City State ZIP Code '�"•``, S ot.,4�
Holly Ridge North Carolina 28445 �'i7(��°3��e�`ea
Signature Date Telephone
Ad / j/ 01/17/2019 [phone]
Copy all pages of this Elvation Certifica to and all attachments for(1)community official, (2)insurance agent/company, and(3)buildingowner.
y
Comments(including type of equipment and location, per C2(e), if applicable)
This elevation certificate is preliminary for a proposed addition.
Section A7&A8:The existing enclosure and flood vents are shown
Section B8& B9:The flood zone shall change to VE-13 per preliminary FEMA flood maps.
Section C2 e:The elevation of the existing wood stand for the AC Unit RECEIVED
rrn n n

ELEVATION CERTIFICATE OMB No. 1 Nob
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:
3067 3RD 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 ❑feet ❑meters ❑above or ❑below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or
community-issued BFE)or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
RECEIVED
08 r ,
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:
3067 3RD 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) ❑feet El meters Datum
of the building:
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet 0 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
FEB 0 8 11O.-1
DCM WILMINGTON, NC

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:
3067 3RD 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.
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Photo One
Photo One Caption Front View(Road Side) p
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Photo Two

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:
3067 3RD 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.
Orr
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Photo One
Photo One Caption Rear View
Photo Two
RECEIVED
FEB 0 8
Photo Two ne'M WILMINGTON, NC

-NOTES-
I iiTUNIP SOUND /
i.THIS SURVEY 15 OF AN EXISTING PARCEL OF LAND
2.SUBJECT TO RESTRICTIVE COVENANTS,
EASEMENTS OF RECORD,ZONING ORDINANCE,&UNDERGROUND UTILITIES,IF ANY.
3.NO TITLE SEARCH BY SURVEYOR.
4. REFERENCES:MB 11,PG 31; DB 1613,PG 986
5.FLOOD ZONE: VE 11 (EFFECTIVE)
-1)4,
COMMUNITY PANEL#3720-424500-K,EFFECTIVE DATE 2-16-07
6.ZONE:SURF CITY MHS
SETBACKS PER TOWN:FRONT-15,SIDE-7.5',REAR 20'
7.MAXIMUM BUILDING HEIGHT:48'0"
IMPERVIOUS CALCULATIONS. lo 01, c,1**
LOT AREA-7,700 SF(0.18 AC)
f34
EXISTING RESIDENCE&PORCHES-1,368 SF
EXISTING CONCRETE DRIVEWAY-1,077 SF VICINITY MAP(Nrs)
PROPOSED ADDITION-140 SF
TOTAL IMPERVIOUS COVERAGE:2,585 SF(33.6%)
MAX.ALLOWABLE(PER TOWN):3,080 SF(40.0%)
PORTION OF PROPERTY IN 75 AEC;4,643(0.11 AC)
EXISTING STRUCTURE WITHIN 75'AEC:1,035 SF -LEGEND-
PROPOSED ADDITION WITHIN 75'AEC:140 SF
SIR-1/2"Set Iron Rod
TOTAL IMPERVIOUS COVERAGE:1,175 SF(25.3%)
EIP-Existing Iron Pipe
(WITHIN 75'AEC)
_ MAX.ALLOWABLE W/O STORMwATER:1,393 SF so%
EIR-Existing iron Rod
CP-Calculated Point
R/W-Right-of-Way
3RD STREET DB-Deed Book
(60'R/W)
MB-Map Book
EIR S3435.58E 55.26' EIP PG-Page
I 44 _. _ . ..
--- EOP-Existing Edge of Pavement
PP-Existing Powerpole
WM-Existing Water Meter
15'MBL MBL-Minimum Building Line
Ztr)
EXISTING
-Property Line Surveyed
CONCRETE `zt ---•-- •-• ---- -Property Line Not Surveyed
DRIVEWAY
,
24'
JACKIE LYNN&
=
(3? 75'AEc ARKIEL MCLAMB,
CATHERINE LEE d - -,.-=,-..--- — -- — ---, -,-. -
o TRUSTEE
DB 957,PG 647 v•
-- PORCH I 0 DB 1625,PG 592
_1 •
m m 4
12' -0.
N2 2 ',-
no
to 1:0 in >
EXISTING
Fs, - RESIDENCE v)
0
PROPOSED Lf.3
z cn
ADDITION 7.6k___ 36, II.0
to
50x280" l I 1 k \ 1 \ I (i)
SHOWN
EXIST.wcxx)DECK
HATCHED. ..„... _
ADDITION 0'-a-ACIA SETBACK6:40046
LOCATED±8.7' 3 EXISTING
FROM CAMABULKHEAD RECEIVED
SETBACK ZY--.)
I 1 r"--11
N34°36`02"W 55.00' PROPERTY INRRWINI!LMINGTON, NC
CP .-I I_
DOCK] P
OVVNER:ALAN&DEBBIE SASSER
ADDRESS: 3067 3RD STREET
SURF CITY,NC 28445
CANAL PHYSICAL PROPERTY ADDRESS:
3067 3RD STREET
SURF CITY,NC 28445
AatA.

Date Date Check From Name of Vendor Check Check Permit Rct.
Received Deposited Permit Holder Number amount Number/Comments
2/11/2019 Weston Lyall PE PLS Louis Allen Sasser Coastal 1899 $100.00 minor fee,3067 3rd Street, JD rct.7
PLLC Bank& Surf City OnCo
Trust
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411.
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