SC_20-21_ C Breeze

Issued by WiRO SC20-21
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
uitit
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 C Breeze Properties, LLC authorizing development in the Estuarine Shoreline (AEC) at 4083 4th Street, in
Surf City, Onslow County as requested in the permittee's application, dated May 18, 2020, and received by DCM on May
20, 2020. This permit, issued on June 10, 2020, is subject to compliance with the application and drawing dated and
received by DCM on May 20, 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 May 20, 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
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 AMA LOCAL PERMIT OFFICIAL
this permit, require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December 31,2023 Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land K
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
Mananamant

Name: C Breeze Properties, LLC
Minor Permit# SC20-21
Date: June 10, 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) 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) 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.
(7) This permit does not authorize the excavation or filling of wetlands or open water areas, even temporarily.
(8) Based on information provided with the application, 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: DATE: - ,
PERMITTEE

adlAV �-v� (01e/0-) C 2v—
G A OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
U 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
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.
4.L 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
OWNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Breeze Properties,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)
63 Vernon Court
5086
✓man owner or record title,Title is vested in Fee Simple see Deed Book
Now Spring State NC Zip 27592 Phone [phone] page 662 in the Onslow County Registry of Deeds.
[e-mail]
Flan owner by virtue of inheritance.Applicant is an heir to the estate of
DRIZED AGENT probate was in County.
Charles F.Riggs&Associates,Inc. 1--If other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
P.O.Box 1570 NOTIFICATION OF ADJACENT PROPERTY OWNERS:
eksonville 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.
[e-mail] (Name) (Address)
(I) Mr.and Mrs.William D.Grady,4079 4th Street,Surf City,NC 28445
PION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
t waterbody.)4083 4th Street,Surf City,Onslow County (2) Mr.William E.Uzzell,III,3047 3rd Street,Surf City,NC 28445
3
IIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
ing on Pilings with Decks Over Concrete Slab Partially Enclosed below for Entry,Storage and
IF LOT/PARCEL: 6,392 square feet 0.147 aeresGarage with Proposed Pervious Drive ACKNOWLEDGEMENTS:
&All Proposed Improvements as Shown I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
)SED USE:Residential❑� (Single-family❑r Multi-family�) Commercial/Industrial El 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-
LETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
property):
EAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: N/A square feet(includes I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
itioned livingspace,parkingelevated abovethe Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
ground level,non-conditioned space elevated above ground level but related to this permit application.
tg non-load-bearing attic space) ,�j� A
frhy
ASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the /�/T day of ,20 (+b
iURFACES:1,390 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, deej
or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
Landowner or person authorized to• f T': er age or purpose of filing a CAMA permit application
STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
ment Permit issued by the NC Division of Water Quality? This application includes:genera ation(this form),a site drawing as described on the back of this application,the
NCI t/ I ownership statement,the Ocean 'AEC Notice where necessary,a check for S100.00 made passible to the locality,and
st the total built upon area/imperviousany information as may be provided orally by the applicant.The details of the application as described by these sources are
po 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
MAY 2 0 2020
DCM WILMINGTON, NC

SITE DRAWING/APPLICATION CHECKLIST
make sure your site drawing includes the following information required for a CAMA minor development permit. ro
ocal Permit Officer will help you,if requested. t—
;ICALDDIIMENSIONS OECOAS74f APPLICATION FOR
babel roads , z
l�,abel highways right-of-ways CAMA MINOR
(label local setback lines
/I abel any and all structures and driveways currently existing on property - DEVELOPMENT
/Label adjacent waterbody
RCAL 9-IARACTERISTICS PERMIT
��Draw and label normal high water line(contact LPO for assistance) In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
Draw location of on-site wastewater system
(CAMA)and set the stage for guiding development in fragile and productive areas that
border the state's sounds and oceanfront.Along with requiring special care by those who
If you will working in the ocean hazard area:
w and label dune ridges(include spot elevations) build and develop,the General Assembly directed the Coastal Resources Commission
���w and label toe of dunes (CRC)to implement clear regulations that minimize the burden on the applicant.
//identify and locate first line of stable vegetation(contact LPO for assistance)
Draw and label erosion setback line(contact LPO for assistance) This application for a minor development permit under CAMA is part of the
/Draw 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 byWorking in a coastal shoreline area: the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
ow 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
1;Eraw and label landward limit of AEC or she needs before you apply. r)
aw and label all wetland lines(contact LPO for assistance)
w and label the 30-foot buffer line Under CAMA regulations,the minor permit is to be issued within 25 days once a "1
-G
ILOPMEN1'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
4w and label all proposed structures certain that your application is complete and signed,that your drawing meets the
w and label areas that will be disturbed and/or landscaped specifications given inside and that your application fee is attached.
ote size of piling and depth to be placed in ground
/Draw and label all areas to be paved or graveled Other permits are sometimes required for development in the coastal area.While these
how all areas to be disturbed are not CAMA-related,we urge you to check with the Local Permit Officer to determine
Show landscaping which of these you may need.A list is included on page two of this folder.
TO APPLICANT
We appreciate your cooperation with the North Carolina Coastal Management Program
you: and your willingness to build in a way that protects the resources of our beautiful and
• completed all blanks and/or indicated if not applicable?
productive coast.
• notified and listed adjacent property owners?
• included your site drawing?
Coastal Resources Commission
• signed and dated the application?
• enclosed the$100.00 fee? Division of Coastal Management
y
• completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner) m
FOR STAFF USE .n g
r
otice Posted Final Inspection Fee Received cn y
trt y
ispections
°
RECEIVED O151
ro y
0OzC.)
f Action:Issued Exempted Denied Appeal Deadline(20 days from permit action) '�
DCM Fomi EB1952-2010/Revised April 2010 MAY O 2�7(�2 Z
DCM WILMINGTON, NC

ROY COOPER
Governor
! r",r-
MICHAEL S. REGAN
1 Secretary
NORTH CAROLINA BRAXTON DAVIS
Environmental Quality Director
June 12, 2020
C Breeze Properties, LLC
63 Vernon Court
Willow Spring, NC 27592
To Whom It May Concern,
Attached are CAMA Minor Development Permits SC 20-20&SC 20-21 for work to be done at 4081 4th
Street&4083 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 these permits, 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.
These are not a valid permits until they are signed and returned to our office.
Thank you for your prompt attention to this matter.
0 Sincerely,
anya K. 'etila
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
SC Inspection Dept.
Charles F. Riggs—Agent
State of North Carolina 1 Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
MO IOA 901 4

CHARLES F. RIGGS& ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.LS.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 PO.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
charlesnggsdnggslandnc.com (910)455-01177 [phone]
Jameslowis&riggsl andnc.com
AGENT AUTHORIZATION FORM
Date: _Apri 24,2020
Name of Property Owner Applying for Permit:
_C Breeze Properties,LLC C/O Mr.Toffy Carroll
Mailing Address:
63 Vernon Court
_ Willow Spring,NC 27592
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 proposed dwelling,as shown
on attached map and located at 4083 4a Street,Surf City,Onslow County,North Carolina,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 ARn124,2021
RECEIVED
MAY 2 0 7070
DCM WILMINGTON, NC
,2020_

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]
www.riggslandnc.com [e-mail]
May 18, 2020
To: Mr. Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: C Breeze Properties, LLC Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of C Breeze Properties, LLC, Charles F. Riggs&Associates, Inc. submits for your
review the enclosed application for a Minor CAMA permit for the property at 4083 4th Street,
Surf City, Onslow County,North Carolina.
Respectfully,
James L. Riggs
RECEIVED
MAY 2 0 ?70

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James Aj 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]
www.riggslandnc.com [e-mail]
May 18, 2020
Mr. and Mrs. William D. Grady
4079 4th Street
Surf City, NC 28445
Re: C Breeze Properties, LLC Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Grady:
On behalf of C Breeze Properties, 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 4083 4th Street, Surf City,
Onslow County, North Carolina. C Breeze Properties, LLC is planning to construct a two-story
dwelling on pilings with decks over a concrete slab partially enclosed below for entry, storage
and garage with a pervious drive and all proposed 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,
James L. Riggs
RECEIVED
MAY 2 0 20 0

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]
www.riggslandnc.com [e-mail]
May 18, 2020
Mr. William E. Uzzell, III
3047 3rd Street
Surf City, NC 28445
Re: C Breeze Properties, LLC Submittal for Minor CAMA Permit
Dear Mr. Uzzell:
On behalf of C Breeze Properties, 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 4083 4th Street, Surf City,
Onslow County, North Carolina. C Breeze Properties, LLC is planning to construct a two-story
dwelling on pilings with decks over a concrete slab partially enclosed below for entry, storage
and garage with a pervious drive and all proposed 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,
James L. Riggs
RECEIVED
MAY 2 0 ?ono
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RECEIVED
MAY 2 0 2020
DCM WILMINGTON, NC

OCEAN HAZARD AEC NOTICE
Project Is In an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: C Breeze Properties, LLC
Property Address:
4083 4th Street,Surf City,Onslow County
Date Lot Was Platted: February 1969
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 structure(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 ocean erosion 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.
Studies also indicate that the shoreline could move as much as Address
feet landward in a major storm.
The flood waters in a major storm are predicted to be about
feet 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 are 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.
DECEIVED
Prope caner re Date MAY 2 0 2020
DCM WILMINGTON, NC
Revised May 2010

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30,2022
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:
C. BREEZE PROPERTIES, LLC
A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number
4083 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 35, BLOCK 42,SECTION III,OLD SETTLERS BEACH
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d26'58"N Long.77d31'14"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 crawispace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 1328.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0.00 sq in
d) Engineered flood openings? ❑Yes 0 No
A9. For a building with an attached garage:
a) Square footage of attached garage 0.00 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0.00 sq in
d) Engineered flood openings? ❑Yes ❑x No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2. County Name B3. State
TOWN OF SURF CITY 370186 ONSLOW COUNTY 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 11.0'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile [j 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
�►rt 4/Z8/tozo
FFAAA Fr rm nRR41-1A r17/1G1 Replaces all previous editions. MAY 9 (I 7fl7fl Form Page 1 of 6

OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date:November 30,2022
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:
4083 4TH STREET
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: 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/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) 3.0 0 feet ❑ meters
b) Top of the next higher floor 15.0 0 feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 13.0 ❑x feet ❑meters
d) Attached garage(top of slab) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 13.0 0 feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building (LAG) 2.3 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 2.3 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A ❑ 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? LI Yes ❑No El Check here if attachments.
Certifiers Name License Number \�,lt i t r r i r rrrr
JAMES A. LEWIS L-4562 Title `\\ONN CARo//"
ESS/
PROJECT MANAGER `�\O. OF O '. '
ti9
Company Name = ' a' SEAL r
CHARLES F. RIGGS&ASSOCIATES, INC. 7. ;,r L-4562 ct..j =
Address 1. . r O
502 NEW BRIDGE STREET dr. ti� R
JACKSONVILLE NoCity rate ZIP th Carolina 28540ode //iirF$ Ar `• \\ �
Signature `=�; Date Telephone Ext.
X 4,./i? o [phone] 41
Copy all p ges of this Elevation Certificate and all attachments fo (1) ommunity 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 FLOOD ZONE TO VE(13),SURVEYOR RECOMMENDS PLACING THE
BOTTOM OF THE LOWEST HORIZONTAL STRUCTURAL MEMBER AND ELECTRICAL EQUIPMENT AT 13.0'OR HIGHER.
RECEIVED
FFMA Form 086-0-33(12/191 Replaces all previous editions. ,,A,, _ „ „___ Form Page 2 of 6

LOCATIONS OF DRAINBEDS MAY VARY
STORMWATER CONTROL CALCULATIONS LOCATIONS OF DOWNSPOUTS MAY VARY
FOR 1.5"OF RAINFALL IN 24 HOURS.
ROOF AREA DOWNSPOUT —,
TOTAL=APPROX. 1904 SQ.FT.
VOLUME 1.5"RAIN IN 24 HOURS ON ROOF r —1
1904/8=238 CU.FT. i
BED VOLUME
238 CU.FT./40%VOID SPACE IN STONE=595 CU.FT. \ j
BED SIZE 11 I
2 BED @ 2'D x 4'W x 38'L=608 CU.FT.
608 CU.FT.PROVIDED 595 CU.FT.REQUIRED
Roofed Area
b 1904SF q
DRAIN BED : -- II
6"PERF.PIPE
4"PIPE
i i
i ./.\\ 1
SELECT FILL
DRAINBED SECTION 6"DIA.HDPE LINE BED WITH FILTER
PERFORATED PIPE FABRIC ALL SIDES
NOT TO SCALE •L L-__
1
`\ ,,,,,,,,,., di vo /
I, A=4'
B B=1'-4"
ASTM#4 STONE OR • C=2'-6"
#57 STONE .. A / D=6"
-\__\ L= 38'
INSTALLATION NOTE:ROOF WATER COLLECTED BY GUTTERS AND
JOINED W/DRAIN FIELD AT BOTH ENDS AND BOTH SIDES
DOWN SPOUT DETAIL
4"DOWN SPOUT
ALLOW CORRUGATED PIPE
TO OVERLAP DOWN 4"CORRUGATED PIPE
SPOUT
1E5 ,,ttHN/II/y s
ALL DOWN SPOUTS ��� ,`` N CAhjO��4�4k
CONNECTED TO 4" �. b� :
CORRUGATED PLASTIC PIPE ? _
IIIIIIIIIIIIIIIIII� wo�N �w RECEIVED
6FRT w.iikv 2o2o MAY 2 0 2020
5/8/2020 10:03:28 A �������,
REECE ENGINEERING AND DESIGN STORMWATER DCM WILMINGTON,
422 NORTH SHORE DR KENT ALBERTSON
SURF CITY NC
4083 4TH STREET Project number 20-128
SURF CITY, NC Date 4-2-2020 C 1 00
phone:[phone] Drawn by Author
email:[e-mail] Checked by Checker Scale As indicated

lil:111 NC Division of Coastal Management
Cashier's Official Receipt 1018 8 AB
5- ' 2, 2t
Date: 20
Received From: ( ?14sT (if-5 I
66
Permit No.: / ` Check No.: 1Id 'I'I1
��
Applicant's Name: CI fftyl--1{-1M"" C-�LL C unty: PA -CIO IA
Project Address: C 4-1(z\- / Cc
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date: 2,6
j_,71
/
Signature of Field Representative: Date: �/(

)ate Date Check From Name of Vendor Check Check Permit Rct. #
ceived Deposited Permit Holder Number amount Number/Comments
5/2020 5/26/2020 Charles Riggs and C Breeze FCB 16491 $100.00 minor fee,4083 4th St, Surf City JD rct.
Associates Properties, LLC OnCo 10188