SC_20-13_ Faircloth

Issued by WiRO SC20-13
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 Troy and Kathy Faircloth authorizing development in the Estuarine Shoreline (AEC) at 4021 4th Street, in
Surf City, Onslow County as requested in the permittee's application, dated March 10, 2020, and received by DCM on
March 16, 2020. This permit, issued on March 30, 2020, is subject to compliance with the application and drawing
dated and received by DCM on March 16, 2020 (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 March 10, 2020
(2) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit.
(3) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at(910)
766-7221 for a final inspection at completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20)days of the issuing date. This permit must be on the project co
site and accessible to the permit officer when the project is inspected for Jason Dail 111 `_
compliance. Any maintenance work or project modification not covered under CAMA LOCAL PERMIT OFFIC3AL Z
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extensit
Wilmington, NC 28405-384W Q -December 31,2023 1 p U
In issuing this permit it is agreed that this project is consistent with the local Land p J C CH-11
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal pPRAA TTFF

Name: Troy and Kathy Faircloth
Minor Permit#SC20-13
Date: March 30, 2020
Page 2 of 2
(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) This permit does not authorize any development beyond the confines of the permittee's property. The "lift/elevator"
referred to on "Now or Formerly Hill" property, as depicted on Boundary survey and preliminary plot plan for Troy
and Karen Faircloth, by Charles F. Riggs and Assoc., Inc., sealed on March 6, 2020, is NOT AUTHORIZED.
(6) 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.
(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) This permit does not authorize the excavation or filling of wetlands or open water areas, even temporarily.
(9) 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.
(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.
v i4. -I .020
SIGNATURE: )( 1 DATE: 9"11)-.)-02O
PERMITTEE
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Ci (1° ,, OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Permit NumberIA) ✓✓✓ 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
azard 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.
AL 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
IWNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Dy Grady Faircloth and wife,Kathy Hair Faircloth listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
6560 Bonnetsville Road Man lan owner or record title,Title is vested in Fee Simple see Deed Book 5087
on State NC Zip 28328 Phone [phone] page 484 in the Onslow County Registry of Deeds.
[e-mail]
Flan owner by virtue of inheritance.Applicant is an heir to the estate of ,
RIZED AGENT probate was in County.
harles F.Riggs&Associates,Inc. Fl1f other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
P.O.Box 1570 NOTIFICATION OF ADJACENT PROPERTY OWNERS:
ksonville 3ta1e 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.
[e-mail]
(Name) (Address)
(i) Mr.Randall L.Hill&Others,P.O.Box 605,Mount Olive,NC 28365
ION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
waterbody.)4021 4th Street,Surf City,Onslow County (2) Mr.and Mrs.John Jacob Lee,682 N.C.Highway 55,Dunn,NC 28334-8514
(3)
[PTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
.ig on Pilings with Decks Partially Enclosed below for Elevator,and All Physical
LOT/PARCEL: 7,293 square feet 0.167 acreslmprovements,as Shown on Map ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
SED USE:Residential Q (Single-family Q Multi-family:I) Commercial/Industrial❑ Other 0 may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
.ETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
roperty):
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
;AN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
tioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
3 non-load-bearing attic space) This the /°/N f day of///}�/
/LC/�LO 20
i,STAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
URFACES:1.106 square feet(includes the area of the rooPdrip line of all buildings,driveways,covered decks, dlid/t-f
or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or person authorized to ac s/her agent for purpose of filing a CAMA permit application
ITORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
sent Permit issued by the NC Division of Water Quality? This application includes:genetation
(this form),a site drawing as described on the hack of this application,the
NCI ✓ I ownership statement,the Ocea jEC Notice where necessary,a check for 5100.00 made payable to the locality,and
any information as may be p by the applicant.The details of the application as described by these sources are
t the total built upon area/impervious surface allowed for your lot or parcel: square feet. incorporated without reference any permit which may be issued.Deviation from these details will constitute a violation of
R EC E I �"r�' any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
t- 1�
M WILMINGTON, NC
MAR 1 6 2020

SITE DRAWING/APPLICATION CHECKLIST
a
make sure your site drawing includes the following information required for a CAMA minor development permit. .0
ro
seal Permit Officer will help you,if requested. t..
ICAL DIMENSIONS OF Lq/ APPLICATION FOR a
Abel roads
4344DN
CAMA MINOR z__label highways right-of-ways
/L,abel local setback lines
of'Llbel any and all structures and driveways currently existing on property DEVELOPMENT
...Cabe'adjacent waterbody
"CAL CHARACTERISTICS PERMIT
and label normal high water line(contact LPO for assistance) In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
ofOraw location of on-site wastewater system
(CAMA)and set the stage for guiding development in fragile and productive areas that
If you will ty.working in the ocean hazard area: border the slate's sounds and oceanfront.Along with requiring special care by those who
w and label dune ridges(include spot elevations) build and develop,the General Assembly directed the Coastal Resources Commission
t}�w and label toe of dunes (CRC)to implement clear regulations that minimize the burden on the applicant.
il'dentify and locate first line of stable vegetation(contact LPO for assistance)
;as:and label erosion setback line(contact LPO for assistance) This application for a minor development permit under CAMA is part of the
and label topographical features(optional) Commission's effort to meet the spirit and intent of the General Assembly.It has been
designed to be straightforward and require no more time or effort than necessary from
If you will working in a coastal shoreline area: the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
or .w the roof overhang as a dotted line around the structure locality in which you plan to build to be certain that you understand what information he r
11 .w and label landward limit of AEC or she needs before you apply.
I o w and label all wetland lines(contact LPO for assistance) Y..
ii aw and label the 30-foot buffer line Under CAMA regulations,the minor permit is to be issued within 25 days once a "I
LOPMENT PLANS complete application is in hand.Often less time is needed if the project is simple.The
process generally takes about 18 days.You can speed the approval process by making
w and label all proposed structures certain that your application is complete and signed,that your drawing meets the
Daraw and label areas that will be disturbed and/or landscaped specifications given inside and that your application fee is attached.
/pIto size of piling and depth to be placed in ground
raw and label all areas to be paved or graveled
how all areas to be disturbed Other permits are sometimes required for development in the coastal area.While these
how landscaping are not CAMA-related,we urge you to check with the Local Permit Officer to determine
which of these you may need.A list is included on page two of this folder.
TO APPLICANT
We appreciate your cooperation with the North Carolina Coastal Management Program
ou: and your willingness to build in a way that protects the resources of our beautiful and
• completed all blanks and/or indicated if not applicable?
productive coast.
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application? Coastal Resources Commission
• enclosed the$100.00 fee? Division of Coastal Management
con
• completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner) a tron
H
FOR STAFF USE A
rn r
stice Posted Final Inspection Fee Received 2 Cn 7,
spections l< C
z �l°..
c
o � �
f A d Denied Appeal Deadline(20 days from permit action) ❑
� "� DCM Form EB1952-2010/Revised April 2010 J
A WILMIINGTON, NC
MAR 1 6 2020

/0'..,.,. ".I� ROY COOPER
r ,
u, ;r,.1.
y MICHAEL S. REGAN
BRAXTON DAVIS
March 30, 2020
Troy and Kathy Faircloth
6560 Bonnetsville Road
Clinton, NC 28328
Dear Mr. & Mrs. Faircloth,
Attached is CAMA Minor Development Permit SC 20-13 for work to be done at 4021 4th Street 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 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,
-. Tanya K. ietila
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
SC Inspection Dept.
Charles F. Riggs—Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

THIS PRELIMINARY PLOT PLAN IS SUBJECT
TO BOTH REVIEW So APPROVAL BY THE
LOCAL JURISDICTION. 0,
LINE TABLE
4.M.e 7) a LINE # LENGTH DIRECTION o`43 SITE St, T•
A CpNp� `'I-
IP
• a? L1 5.57' N28'23'43"W �
L2 13.92' S63'56'50"W
0
CANAL �� wp'� 2�°
REVISION: N G•
NIA
3/6/2020 - UPDATED TITLE SOURCE
AND OWNER'S NAME APPROXIMATE MEAN HIGH
WATER UNE VICINITY SKETCH
NOT TO SCALE
NMP N27'43'53"W NMP
_ CV II 48.78'
ADJOINERS ` J EXISTING WOOD] ADJOINERS
WOOD BULKHEAD NMeL1 ' BULKHEAD WOOD WALKWAY
V (BULKHEAD CAP LIES 0.53' OVER
(OFFl1NE) R_____IN DISREPAIR)_ _ PROPERTY UNE
BOAT RAMP ADJOINERS
�O - PROPOSED c LANDSCAPING
(IN DISREPAIR) CO_ Y f COV. DECK to IDES 0.49' OVER
O = -�- — —PROPERTY UNE
CV PROPOSED v�-f11.1. -
I- COV. DE _
29.5' —
NOW OR FORMERLY 30' CAMA ,-' NOW OR FORMERLY
HILL BUFFEhi 0 11.5' o ,-
D.B. 2256, P. 180 0o 0D LEE
LOT 3, BLOCK 42, SECTION III ,c D.B. 3837, P. 201
295
OLD SETTLERS BEACH iInQ 8 rn LOT 5, BLOCK 42, SECTION III
PROPOSED Ix OLD SETTLERS BEACH
M.B. 11, P. 32 DWEWNG u
< M.B. 11, P. 32
(n o ' Iw O
NN �_p-NOE
LIFT/Fi FVATOR--- I _ s- PROPOSED DWELLING WTHOUT EAVES R. 1970 Sq.Ft.
PROPOSED PERVIOUS DRIVE = 0 SgFt.
7i— _ I p PROPOSED TOTAL IMPERVIOUS SURFACE= 1970 Sq.Ft.
LOT AREA: TOTAL LOT AREA = 7293 Sa.Ft
75' AEC / J , PROPOSED IMPERVIOUS AREA = 27.0%
7293 Sq.Ft. -UNE�41.1/4-71- Y� -` I z
0.167 ACRES W z - I` ,-_.__, a(^y yOE
Z PROPOSED DWELLING WITHIN 75 AEC R. 1106 Sq.Ft
o17.5' .-- PROPOSED PERVIOUS DRIVE WITHIN 75'AEC = 0 Sq.Ft
NOTE ¢a = TOTAL IMPERVIOUS SURFACE ITHIN 75' AEC R. 1106 Sq.Ft.
BENCHMARK: SMN I _ r" 1 TOTAL LOT AREA NI1HW 75'AEC - 4379 Sart
ELEVATION 3.50' III
` _ PROPOSED IMPERVIOUS AREA WITHIN 75' AEC - 25.3%
VERTICAL DATUM: NAVD 88 ''C;
VERTICAL DATUM OBTAINED WITH TOPCON n -,- v .� " PROPOSED
GRS USING N.C. GEODETIC CONTINUOUS ,., 15 M.B.L PROPOSED COV. DECK
OPERATING REFERENCE STATIONS 0�.(ZONING) PERVIOUS
DRIVE
R/W O.*S28'4 ,4'59"E 55.00'g'D FIP 540 45ky E N28'56'53"W 54.94' yea R/W
EIPPD m ,
S28'45'00"E 55.00' EIP
(P
TS O C,r OO
1 GI 12' O (1i
4a_ Oo o to U:
0 SMN IN C/L OF ASPHALT ? -P Oo o EDGE OF ASPHALT
INTERSECTION OF CANAL r.
STREET & 4T1-1 STREETrn
M ,, ^ S28'58'15"E S28'31'21"E 55.91'
n SMN`�V 197.03' SUN AN
NOTE 4TH STREET BENCHMARK
,:i PROPOSED DWEWNG IS TWO STORY 60' R/W (ASPHALT — PUBLIC)3.50' (NAVD88)
o ON PILINGS, PARTIALLY ENCLOSED
NO BELOW FOR ELEVATOR. ��p
N
RESTRICTIVE COVENANT CC - CONTROL CORNER
ci
,`s.., TAX ID TITLE SOURCE SETBACKS ECU = EXISTING CONCRETE MONUMENT (FOUNDXCONTROL CORNER)
801-261 EIP = EXISTING IRON PIPE (FOUND)
a D.B. 5087, P. 484 FRONT = 30' EIR = EXISTING IRON ROD (FOUND)
2 SIDE = 8' E11N — EXISTING MAGNETIC NAIL (FOUND)CONTROL CORNER)
1 REFERENCES OWNERS EPIC = EXISTING PARKER-KALON NAIL (FOUNDS(CONTROL CORNER)
_ D.B. 740, P. 529 TROY FAIRCLOTH & WIFE, ZONED MHS ERRS = EXISTING RAILROAD SPIKE (FOUND)
o D.B. 5087, P. 484 KATHY FAIRCLOTH MBL = MINIMUM BUILDING LINE
M.B. 11, P. 32 ZONING SETBACKS NMP = NON MONUMENTED POINT
• FRONT = 15' R/W = RIGHT OF WAY
i THIS IS TO CERTIFY THAT THE SUBJECT PROPERTY IS REAR = 30' SCM = SET CONCRETE MONUMENT (CONTROL CORNER)
LOCATED IN FLOOD ZONE 'VC' (EL 11') WHICH SIDE =7.5' SIP = SET IRON PIPE
, IS A SPECIAL FLOOD HAZARD AREA AS SIR = SET IRON ROD

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]
March 11, 2020
To: Mr. Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Troy Grady Faircloth and wife, Kathy Hair Faircloth
Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of Troy Grady Faircloth and wife,Kathy Hair Faircloth,Charles F.Riggs&Associates,Inc.
submits for your review the enclosed application for a Minor CAMA permit for the property at 4021 4th
Street, Surf City, Onslow County,North Carolina.
Respectfully,
i/g47/)/
James L. Riggs
REGEIVE.D
GCM\NILMhNGTON, NC
MAR 1 6 2020

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-298I Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive 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]
March 11,2020
Mr.and Mrs.John Jacob Lee
682 N.C. Highway 55
Dunn,NC 28334-8514
Re: Troy Grady Faircloth and wife, Kathy Hair Faircloth
Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Lee:
On behalf of Troy Grady Faircloth and wife, Kathy Hair Faircloth,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 4021 4th Street, Surf City,
Onslow County,North Carolina. Troy Grady Faircloth and wife,Kathy Hair Faircloth are planning to
construct a two-story dwelling on pilings with decks partially enclosed below for an elevator,and all
proposed physical improvements,as shown on map. We are required to notify the adjoiners of this
submittal. If you have objections, please contact Mr.Jason Dail in a timely manner at(910)796-7221,
[e-mail],or by mail at the Division of Coastal Management,N.C. Department of
Environmental Quality, 127 Cardinal Drive, Wilmington,NC 28405.
Respectfully,
1/,frte --) / -------')
iJames L. Riggs
RECEIVED
DCM WILMINGTON, NC
MAR 1 6 2020

. . a os a ervice
CERTIFIED MAIL° RECEIPT
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rGIl1IICU 1111411 JCI VIIie IJIUv1UCJ 111C 1U11UW1119 UCIIC111 .
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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]
March 11, 2020
Mr. Randall L. Hill&Others
P.O. Box 605
Mount Olive,NC 28365
Re: Troy Grady Faircloth and wife, Kathy Hair Faircloth
Submittal for Minor CAMA Permit
Dear Mr. Hill:
On behalf of Troy Grady Faircloth and wife, Kathy Hair Faircloth,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 4021 4th Street, Surf City,
Onslow County,North Carolina. Troy Grady Faircloth and wife, Kathy Hair Faircloth are planning to
construct a two-story dwelling on pilings with decks partially enclosed below for an elevator,and all
proposed physical improvements,as shown on map. We are required to notify the adjoiners of this
submittal. If you have objections, please contact Mr. Jason Dail in a timely manner at(910)796-7221,
[e-mail],or by mail at the Division of Coastal Management,N.C. Department of
Environmental Quality, 127 Cardinal Drive, Wilmington, NC 28405.
espectfully,
1 2110X-4—)
James L. Riggs
RECEIVED
DCM WILMINGTON, NC
MAR 1 6 2020

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rG11.111GV I1/1011 OCIVILM I.JIVVIUCD 111C IVIIVVYIII9 UCIICIIl.7:
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signature)that is retained by the Postal Service Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
mportant Reminders: -Adult signature service,which requires the
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or Priority Mail®service. -Adult signature restricted delivery service,whict
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of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mall item at a Post Office'"for
the following services: postmarking.if you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mallpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mallpiece; IMPORTANT.Save this receipt for your records.
,o ..Ranh e..nn,c.o.._,OCkl M,.,..,ti..-,

CHARLES F. RIGGS&ASSOCIATES,INC.
Land Surveyors
Chata F.Riggs,P.L.S.I;2981 Corporate License(C-730) Jr.rnus A.Lewis,P.L.S.L-45622
502 New Bridge Sircer 502 New Bridge Strut Landfall Executive Suites
Jacksonville.North Carolina 28540 Y.U.Box 1570 E213 Culbre.t Drive
(9101455-0877 Jackaorville,North Carolina 28541 Wilmington,North Carolina 28105
charlesri,'utg5ri:r ggs:anitec,com (9101455-0877
tSIU)GtII?3S4
jamcslewis griP3sland;:ucoin
AGENT AUTHORIZATION FORM
Date: _February 25, 2020
Name of Property Owner Applying for Permit:
boy Grady Faircloth and wife, Kathy Hair Faircioth (Contract to Purchase)
Mailing Address:
r ne�su f��.f}ioaCA-
L:L cr id ly ),83 2`b
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 construct proposed dwelling,as shown on
attached map and located at 4021 4'h Street,Surf City,Onslow County,North Carolina,and 1 grant permission
to the Division of Coastal Management to access the property to mark/flag:
X 1"he First Line of Stable Natural Vegetation
X_The Coastal Wetlands
X The Normal High Water Line
This authorization is valid thru February 25,2021
' LLELLA a.c.f r rc1 CI+h February 25.2020
Property Owner Signature Date
RECEIVED
DCM W'ILMING I ON, NC
MAR 1 6 2020

OCEAN HAZARD AEC NOTICE
Project is in an. Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Troy Grady Faircloth and wife. Kathy Hair Fairclotri(Contract to Purchase)
Property Address! 4021 4th Street, Surf City, Onslow County
Date Lot Was Platted: February 1969
This notice is interned to make you.the applicant aware of n1e SPECIAL NOTE: This hazard notice is required for
special risks and conditions also;tared with development in this devutnpmcn:in area,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 arca expire an
and currents, The rules of the Coastal Resources Commission teecember 31 of the third year following the year in whicn the
require that yuu 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 youu site. if the property
has seen liflte change eirace the time of permit lenience,and the
The i:ommiss ion's rules on building standards, oceanfront proposed develupment can still meet the setback requirement
setbacks and dune alterations are designed in 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 mire be made within 60 days of this
Coastal llesowces Commission dces not guarantee the safety of setback determination.or the setback must be re-measured.Also,
the development and assumes no liability far 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 uoim within the bo-day period will necessitate re-measurement
Feoironmental Concern include the condition that structures be of the setback. It is important that you check with the LPL)
relocated or dismantled if they become imminently threatened before the permu expires for official approval to continue the
by changes in shoreline configuration. The structure(s) must be work after the pcmtit has expired. (ieneralty, if luundatior
reioxated cr dismantled within two 42) years of becoming pilings have been placed and substantial prowess is coreinuing,,
imminently threatened, and in any Ca,e iapou its oellapse or permit renews) can oc authorized. It is unlawful to cuntinuc
sebsidence. work after permit expiration,
The hest ac'aiiable information,as accepted by the Coastal For more information.contact:
Resources Commission, indicate, that the annual lnng-norm
average ocean erosion rate for the area where your property is
Located is feet per year.
Loceh'Permit Officor
the rate was established by carctitl analysis of aerial
photographs:at the coastline taken over the past 30 years
Studies asp indicate that the shoreline cauld move as much es ActatI S
feet landward in a major storm.
The flood waters in a major storm are predicted to t'e about
feet deep in th:s arca, Locality
Preened oceanfront protection measures are each Dow!aliment
and relocation of threatened structures. hard erosion cwatroI
structures such as bulkheads,seawalls.revetments,`-rains.jetties Phone Nomber
and breakwaters are prohibited. Temporary sand bps may he
authorized under.crtain 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.
]`iC s a l f 66+-h d I o3 5,a-.C?-l�
Property Owner Sayrrsturc Date
Retied Miry 2010
RECEIVED
DCM WILMINGTON, NC
MAR 1 6 2020

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:
TROY GRADY FAIRCLOTH AND KATHY HAIR FAIRCLOTH
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Company NAIC Number:
Box No.
4021 4TH STREET
City State ZIP Code
SURF CITY North Carolina 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 4,BLOCK 42, SECTION III,OLD SETTLERS BEACH
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d26'44"N Long.77d31'02"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) 28.00 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 EJ No
A9. For a building with an attached garage:
a) Square footage of attached garage 0.00 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0.00 sq in
d) Engineered flood openings? ❑Yes ❑x No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number 62. County Name B3. State
TOWN OF SURF CITY 370186 PENDER North Carolina
84,Map/Panel B5. Suffix B6. FIRM Index 67. 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 11.0'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA RECEIVED
DCM WILMINGTON, N(' 44, 1..4181 0
FFItAA I .,,,,,11QR_ri 4 i7n�\ --

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:
4021 4TH STREET
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑x Construction Drawings* ❑Building Under Construction* ❑ Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations—Zones A1—A30,AE,AH,A(with BFE),VE,V1—V30,V(with 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, crawispace,or enclosure floor) 4.00 x❑ feet ❑ meters
b) Top of the next higher floor 15.10 ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 13.10 ❑x feet ❑meters
d) Attached garage(top of slab) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building feet
(Describe type of equipment and location in Comments) 13.10 ❑ ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) 2.90 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 2.90 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support N/A ❑ 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? ❑x Yes ❑No ❑Check here if attachments.
Certifier's Name License Number
JAMES A. LEWIS L-4562 �`‘``,N'ICAR 11
Title \.., �'(,, ........ 0./ '7i
PROJECT MANAGER : O .' 0.S8/
Company Name •_'4Q�?SEA yy %7
CHARLES F.RIGGS&ASSOCIATES, INC. -
Address = L ` '2 OQ'
502 NEW BRIDGE STREET ti
City State ZIP
JACKSONVILLE North Carolina 285 O ode �'��'///, A"IiiIks8 .I 1` `�
/moo
Signature Date Telephone Ext.
2I/4 Q I�_O [phone] 41
Copy all ges of this Elevation ertificate and all attachments for(1)cb�/mmunity official, (2)insurance agent/company,and(3)building owner.
Comments(including type of equipment and location,per C2(e),if applicable)
PROPOSED DWELLING IS TWO STORY ON PILINGS,PARTIALLY ENCLOSED BELOW.
PRELIMINARY FLOOD MAPS SHOW A CHANGE IN BASE FLOOD ELEVATION FROM 11.0'TO 13.0',THEREFORE THE
SURVEYOR RECOMMENDS BUILDING TO THE PRELIMINARY BASE FLOOD ELEVATION.
RECEIVED
DCM WILMINGTON, NC
FFMA Form MR-11-33(7/151 Ronhr•oc.II nro,G,,,c oriair,no .. .r, . 0 rinrin Form Pane 7 of R

I . 1114 .!:10:1. NC Division of Coastal Management 10 3 9 2
Cashier's Official Receipt A B C `D
Date: ( 20 7L
R.* 0 0
Received From: $
Permit No.: Check No.: Z
Applicant's Name:
ITT ( 6k , ^V() ,, County: 6/1/Li
1 i
Project Address:
( ' �S vc
1 '(--) (tc---1A/\
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date: ( 'LO
7—
Signature of Field Representative: Date:

Date Date Check From Name of Vendor Check Check Permit Rct,
Received Deposited Permit Holder Number amount Number/Comments
3/17/2020 3/17/2020 Charles F Riggs& Troy& Kathy First 16421 $100.00 minor fee,4021 4th St,Surf City JD rct.
Associates, Inc. Faircloth Citizens ONCo 10392
Bank