SC_19-35_ Rete's

Issued by WiRO SC19.35
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT ir
NORTH CAROLINA
as authorized by the State of North Carolina, Department of Environmental Quality 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 Rete's Retreat, LLC authorizing development in the Ocean Hazard AEC at 2019 N. Shore Drive, in Surf City,
Onslow County as requested in the permittee's application, dated October 4, 2019, and received by DCM on October 7,
2019. This permit, issued on October 23, 2019, is subject to compliance with the application and drawing dated and
received by DCM on October 7, 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 perrnittee to a fine, imprisonment or civil action,
or may cause the permit to be null and void.
This permit authorizes: Construction of a swimming pool (with associated decking/apron).
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing,
received by DCM on October 7, 2019.
(2) All construction shall conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development,construction, and/or land use activities will require re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at(910)
766-7221 for a final inspection at completion of work.
(Additional Permit Conditions on Pages 2 and 3)
This permit action may be appealed by the permittee or other qualified persons _f�
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 ELD REPRESENTATIVE
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
Wilmington, NC 28405-3845
December 31,2022
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal PERMITTEE
Management. (Sinnatura renuired if c.nnditions above cooly to oermit)

Name: Rete's Retreat, LLC
Minor Permit#SC19.35
Date: October 23,2019
Page 2 of 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 re-verified.
(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) 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.
(8) 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.
(9) All development shall be located a minimum distance of 60' landward of the First Line of Stable Natural Vegetation
(FLSNV).
(10) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
(11) If a court of competent jurisdiction determines that a party other than the permittee has legal rights to any part of the
area approved under this permit, this permit shall be null and void as to the area the court determines is not owned
by the permittee. This condition shall take effect on the date such court judgment becomes final. In such event, the
permittee shall consult DCM prior to initiating or continuing any further development under this permit.
SIGNATURE: DATE:
PERMITTEE

C ► ("i
�+ D5 G OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Locality (/ V /Y ' /) Permit Number minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
(/ treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
Ocean Hazard Estuarine Shoreline ORW Shoreline Public 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 Rete's Retreat,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 303 Cheryl Avenue
Flan owner or record title,Title is vested in Fee Simple ,see Deed Book 4449
City Durham State NC Zip 27712 Phone [phone] page 731 in the Onslow County Registry of Deeds.
Email [e-mail]
Elan owner by virtue of inheritance.Applicant is an heir to the estate of ,
AUTHORIZED AGENT probate was in County.
Name Charles F.Riggs&Associates,Inc. of other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address P.O.Box 1570 NOTIFICATION OF ADJACENT PROPERTY OWNERS:
City Jacksonville State NC _Zip 28541 Phone [phone] I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
Email [e-mail]
(Name) (Address)
(i) Mr.Robert F.Curtis,II,1135 South Topsail Drive,Surf City,NC 28445
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.)2019 North Shore Drive,Surf City,Onslow County (2) Mr.and Mrs.Joseph E.Fyrer,307 Eastbrook Drive,Charlottesville,VA 22901
(3) Mr.and Mrs.James Daniel Zweigart,821 Northbrook Drive,Raleigh,NC 27609
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Pool with (4)
Concrete Decking and Pool Equipment
SIZE OF LOT/PARCEL: 5,000 square feet 0.115 acres 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 El) Commercial/Industrial O Other ❑ may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
to your property):
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: 0 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) p
(2) COASTAL SHORELINE AECs:SiZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT , This the _day of e20 /7
UPON SURFACES: square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, ad 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 for purpose of filing a CAMA permit application
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality? This application includes:general inform, this form),a site drawing as described on the hack of this application,the
YES r1 NC( ✓ I ownership statement,the Ocean Hazard ! otice where necessary,a check for SI00.00 made payable to the locality,and
any information as may be provided orally by the applicant.The details of the application as described by these sources are
If yes,list the total built upon area/impervious surface allowed for your lot or parcel:_ square feet. incorporated without reference in any permit which may be issued.Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
RECEIVED
OCT © 72019
' t"tlI RAIN TON. NC

ROY COOPER
Governor
i
' r MICHAEL S. REGAN
Secretary
NORTH CAROLINA BRAXTON DAVIS
Environmental givatrni
Director
October 24, 2019
Rete's Retreat, LLC
303 Cheryl Avenue
Durham, NC 27712
To Whom it May Concern,
Attached is CAMA Minor Development Permit SC 19-35 for work to be done at 2019 North Shore Drive,
in Surf City, Onslow County. An electronic copy has been sent to the Surf City Inspections Department
and to your Agent.
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and 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.
merely,
, . ,
.nya K ••tila
• °ermitSupportTechnician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
SC Inspection Dept.
Charles Riggs—Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

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 Suites
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 4,2019
To: Mr. Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Rete's Retreat,LLC Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of Rete's Retreat,LLC,Charles F. Riggs&Associates, Inc. submits for your review the
enclosed application for a Minor CAMA permit for the property at 2019 North Shore Drive, Surf City,
Onslow County,North Carolina.pectfully,
/ 0
James L.Riggs
RECEIVED
OU 01 C",9

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 Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
charlesriggs®riggslandnc.com [phone] [phone]
[e-mail]
riggslandnc.com
AGENT AUTHORIZATION FORM
jl
Date: August 30,2019
Name of Property Owner Applying for Permit:
Rete's Retreat,LLC(Charles and Kathie Wilkinson)
Mailing Address:
303 Cheryl Avenue
Durham,NC 27712
I certify that I have authorized Charles F.Riggs&Associates,Inc.to act on my behalf,for the purpose
of applying for and obtaining all CAMA Permits necessary to install or construct a pool with decking, as shown
on map and located at 2019 North Shore Drive, Surf City,Onslow County,and I grant permission to the
Division of Coastal Management to access the property to mark/flag:
X The First Line of Stable Natural Vegetation
The Coastal Wetlands
The Normal High Water Line
This authorization is valid thru August 30,2020
Pc LA-, c:TF�- n7/1
0,4--
t/t-h rJR -rY� August 30, 2019
Property Keo.3/44uiOwner Signature Da�ECEIVE[3 OCT 0 7 2019

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Rete's Retreat, LLC
Address of Property: 2019 North Shore Drive, Surf City, Onslow County
(Lot or Street#, Street or Road, City&County)
Agent's Name#: Charles F. Riggs & Assoc. Mailing Address: P. O. Box 1570
Agent's phone#: [phone] Jacksonville, NC 28541
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanagement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, , mooring pilings, breakwater, bo se, lift, or groin must be set
back a minimum distance of 1 my area of riparia cess unless waived by me. (If you
wish to waive the setback, you must i • ' I the opriate blank below.)
I do wish to waiv 15' setback re • ment.
of wish to waive the 15' setback requirement.
(Prope e Inf on) (Adjacent Property Owner Information)
Signature Signature
Charles F. Rigg , t 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 RECEIVED
[phone]
Telephone Number Telephone Number OCT 0 7 2019
/yodo? DCM WILMINGTON, NC
Date Date
Pnvicnr R/1P/71)19

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 Suites
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 4, 2019
Mr. Robert F. Curtis, II
1135 South Topsail Drive
Surf City,NC 28445
Re: Rete's Retreat, LLC Submittal for Minor CAMA Permit
Dear Mr. Curtis:
On behalf of Rete's Retreat, LLC,Charles F. Riggs& Associates, Inc. is submitting to the Division of
Coastal Management, North Carolina Department of Environmental Quality the enclosed application for a
CAMA permit for the property located at 2019 North Shore Drive, Surf City, Onslow County, North
Carolina. Rete's Retreat, LLC is planning to construct a pool with concrete decking and with pool
equipment. 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.
ectfully,
James L. Riggs
U.S. Postal Service'.
CERTIFIED MAIL RECEIPT
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PS Form 3800,A.ril 2015 "n"-^n='.,,'..- , __ ._ _ __ .

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 Suites
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 4,2019
Mr. and Mrs.Joseph E.Fyrer
307 Eastbrook Drive
Charlottesville,VA 22901
Re: Rete's Retreat,LLC Submittal for Minor CAMA Permit
Dear Mr.and Mrs.Fyrer:
On behalf of Rete's Retreat,LLC,Charles F.Riggs&Associates, Inc.is submitting to the Division of
Coastal Management,North Carolina Department of Environmental Quality the enclosed application for a
CAMA permit for the property located at 2019 North Shore Drive, Surf City, Onslow County,North
Carolina.Rete's Retreat,LLC is planning to construct a pool with concrete decking and with pool
equipment. 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,
James L. Riggs
U.S. Postal Service-
CERTIFIED MAIL° RECEIPT
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CHARLES F. RIGGS & ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
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 4, 2019
Mr. and Mrs. James Daniel Zweigart
821 Northbrook Drive
Raleigh,NC 27609
Re: Rete's Retreat, LLC Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Zweigart:
On behalf of Rete's Retreat, LLC,Charles F. Riggs& Associates, Inc. is submitting to the Division of
Coastal Management,North Carolina Department of Environmental Quality the enclosed application for a
CAMA permit for the property located at 2019 North Shore Drive, Surf City, Onslow County, North
Carolina. Rete's Retreat, LLC is planning to construct a pool with concrete decking and with pool
equipment. 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.
R ectfully,
James L. Riggs / /5-- .)
U.S. Postal Service'`'
CERTIFIED MAIL® RECEIPT
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PS Form 3800,April 2015 PSN 7san.no.nnn„n., _ ^

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner:
Rete's Retreat,LLC
Property Address: 2019 North Sore Drive,Surf City, Onslow County
Date Lot Was Platted: December 2003
This notice is intended to make you,the applicant,aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area,which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this 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. If the property
has seen little change since the time of permit issuance, and the
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations are 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 development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement
Environmental Concern include the condition that structures be 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 stntcture(s) must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) 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 For more information,contact:
Resources Commission, indicates that the annual long-term
average ocea on rate for the area where your property is
located is feet per year.
Local Permit Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
BQid'ialso indicate that the shoreline could move as much as Address
//lV�'' feet landward in a major storm.
�waters in a major storm are predicted to be about
eet deep in this area. Locality
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number
and breakwaters arc prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without •
the proper signature,the application will not be complete.
/27 :s' 477- "i L/ . RECEIVED
C j 4,e f t.... /j//4......_-_:_ All 4,-)4 1 6,1--
19
Property Owner Signature Date q 1 / O C T 0 7 '-9
✓� "Jo^'/' DCM WILMINGTON, NC
J Revised May 2010

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2018
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company, and (3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
RETE'S RETREAT, LLC
A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.) or P.O. Route and Company NAIC Number
Box No.
2019 NORTH 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 B, REVISION OF LOT 9, BLOCK 25, SECTION 4, OLD SETTLERS BEACH
A4. Building Use (e.g., Residential, Non-Residential,Addition, Accessory, etc.) ACCESSORY
A5. Latitude/Longitude: Lat.34d27'19"N Long.77d30'42"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) 320.00 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 ❑x 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 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
3720424500 K 02-16-2007 02-16-2007 VE 14.0'
REeEIVED
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: OCT C' 7 21114
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA

OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
2019 NORTH 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: 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 Al—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) 9.30 0 feet ❑ meters
b) Top of the next higher floor 20.20 0 feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 18.00 0 feet ❑meters
d) Attached garage(top of slab) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 14.60 0 feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building (LAG) 8.20 0 feet ❑ meters
g) Highest adjacent(finished)grade next to building (HAG) 9.00 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support 8.20 0 feet ❑ meters
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? El Yes ❑No ❑Check here if attachments.
Certifier's Name License Number
JAMES A. LEWIS L-4562 \\No yk �.CAROi,/,
Title ``O.
S ‘�y
PROJECT MANAGER ,�f� S/ /''
Company Name : Q r _
CHARLES F. RIGGS&ASSOCIATES, INC. - _
ff -
Address ti4,�'1 O '
502 NEW BRIDGE STREET S�r
City State ZIP Code ,',, $ A. V ���` �
JACKSONVILLE North Carolina 28540 ��/i i l I I I I k 0)0>/ 1.
Signature Date Telephone Ext.
4lyl� 4 G�%� /0/#//7 [phone] 41
Copyall es of this Elevation Certificate and all attachments for(1)corfimunity official, (2)insurance agent/company, and(3)building owner.
ges
(including type of equipment and location, per C2(e), if applicable)
THE PURPOSE OF THIS ELEVATION CERTIFICATE IS FOR THE EQUIPMENT OF A PROPOSED POOL. POOL EQUIPMENT TO
BE PLACED ON AN EXTENSION OF THE EXISTING HVAC STAND. STAND ELEVATION = 17.1' vt_i, LA._
EXISTING DWELLING IS TWO STORY ON PILINGS, PARTIALLY ENCLOSED BELOW. OCT 0 7 2019
BOTTOM OF BAND= 18.0'; BOTTOM OF METER BOX= 14.6'; BOTTOM OF HEAT PUMP= 17.1'

Q OR•
LOT 10 t9�
M.B. 9, P. 71 sT
(1. SITE
No EIP N53'36'43"E 50.00' EIR No�M
� ) a�i ) ATLANTIC OCEAN
Ir "
6' PRIVACY FENCE �40' PRCI'PoriED� 10.3•
w ao ) VICINITY SKETCH
NOT TO SCALE
,60
pi o,_ P A T10
CO )
0 I - PROP9 -� 0 A
r �O CONCRETE DEOgNG '°i I ) 6' PRIVACY FENCE
) Ip
COVERED ,....-- RESTS 0.4' UPON LOT A
DECK tO I
0
N ) IT 13.5' 12.5'
I` PROPOSED I O
LOT 9, REVISED I 6 �; Poo ► rn
M.B. 45, P. 158 N ) o I n ENCLOSURE EQUIPMENT- 4.6• Q1
d- 4' 4.4' BELOW
Z �i
I13.5' J HVAC�I rn U' LOT A
NOTE 05 EXISTING DWELLJNG WITHOUT EAVES = 1310 Solt O °T b I STAND aI in M.B. 45, P. 158
N 4.4' UNCOVERED
EXISTING BRICK PATIO = 154 Sq.Ft I �� DECK 01
Do
FASTING CONCRFTE DRIVE = 674 S 1 ft O
EXISTING TOTAL IMPERVIOUS SURFACE = 2088 Sq.Ft ai inI �'
TOTAL LOT AREA = 5000 Sq,Ft I
EXISTING IMPERVIOUS AREA = 41.7X 14.5' 26' N 9.7'
I COVERED NOTE
DECK 00 DWELLING IS TWO STORY VINYL ON
NOTE �-' I PILINGS OVER CONCRETE SLAB
EXISTING DWELLING WITHOUT EAVES = 1310 Sq.Ft PARTIALLY ENCLOSED BELOW
PROPOSED POOL DECKING& COPING = 371 Sq.Ft — 2�' MBL cv
EXSTING CONCRETE DRIVE = 624 Sq.Ft y0 -T-� r
PROPOSED TOTAL IMPERVIOUS SURFACE = 2305 Sglt. �� AMA 60' SMALL
TOTAL LOT AREA = 5000 Solt N STRUCTURE $E r7 3' PICKET FENCE
PROPOSED IMPERVIOUS AREA = 46.1X SET —RESTS UPON LOT A
R/W — POWER WATER CONCRETE
PDLE EIR METER DRIVE S72'00'56'W
TELEVISION ` y, I„:, 0.68'
TELEPHONE NM
PEDESTALS 3 S53'36'43„W 50.80' ' DIST --
�; EIR R/W
O N
ED N c(O tJNES
OF N 1 POD ,
ASPH�r Z 0 CO ? C/L INTERSECTION OF
• N 9th STREET &
Z\V NORTH SHORE DRIVE
_ SM e --.i► EDGE OF ASPHALT
,Nn — S54'3 .o5'W
2s.Ba' SMN
NORTH SHORE EMN S53 45'32'W 25.52' S5413'24.W
DRIVE 79.24'
60' R/W (ASPHALT— EPK
N PUBLIC) FLSNV
o LOT B FLSNV� FIRST LINE OF STABLE JAD/DCM
TAX ID 5000 Sq.Ft. JAO/OCM NATURAL VEGETg770N IL/03/19
o 804-37 0.115 ACRES 10/03/19
0 LEGEND
o RFFERENCES OWNERS JITLE SOURCE ZONED R5 CC = CONTROL CORNER
c D.B. 3244• P. 260 RETE S RETREAT LLC D.B. 4449, P. 731 ZONING SETBACKS ECM = EXISTING CONCRETE MONUMENT (FOUND)(CONTROL CORNER)
"' D.B. 4449, P. 731 FRONT = 15' EIP = EXISTING IRON PIPE (FOUND)
I M.B. 45, P. 158 REAR = 20' EIR = EXISTING IRON ROD (FOUND)
cp
SIDE = 7.5' EMN = EXISTING MAGNETIC NAIL (FOUND)(CONTROL CORNER)
al v EPK = EXISTING PARKER-KALON NAIL (FOUND)(CONTROL CORNER)
i TNIS IS TO CERTIFY THAT THE SUBJECT PROPERTY IS PLAT SETBACKS MBL = MINIMUM BUILDING UNE
.__. _ ... ....,... „..,.-•tir• lc!—, n',_i'\twin., COMIT ... on' NUP — NON 1AONIIMFNTFD POINT

ii!:IN: NC Division of Coastal Management
Cashier's Official Receipt 8 5 7 4 A B fll
Date: 720 /
afiri
Received From: le4
$
Permit No.: Check No.: Z
Applicant's Name: ,Y s A-r-tor,
1,( ._____ County:
Project Address: /� c410-,---1 5/71—
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applica Date: (37 „„7„7.7/1°
Signature of Field Representative: Date:

pate Date Check From Name of Vendor Check Check Permit Rct. #
:calved Deposited Permit Holder Number amount Number/Comments
I/2019 Charles F Riggs& Ann Debnam First 16242 $100.00 minor fee, 2019 N Shore Drive, JD rct.
Associates, Inc. Citizens Surf City OnCo 8574
Bank

ate Date Check From Name of Vendor Check Check Permit Rct. #
eived Deposited Permit Holder Number amount Number/Comments
(2019 Charles F Riggs& Ann Debnam First 16242 $100.00 minor fee, 2019 N Shore Drive, JD rct.
Associates, Inc. Citizens Surf City OnCo 8574
Bank