SC_20-26_ Blair

Issued by WiRO SC20-26
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT r
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" g`a\ i
Issued to James and Sharon Seabornbuthorizing development in the Estuarine Shoreline (AEC) at 2701-D S. Shore
Drive, in Surf City, s ounty as requested in the permittee's application, dated May 28, 2020, and received as
complete by DCM or1- �2020. This permit, issued on June 19, 2020, is subject to compliance with the application
and drawing dated and received by DCM on June 3, 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: Construction of a single family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on June 3, 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)
U
O N
0
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This permit action may be appealed by the permittee or other qualified persons W Z c
within twenty(20)days of the issuing date. This permit must be on the project r'+
site and accessible to the permit officer when the project is inspected for Jason Dail (i J --I
compliance. Any maintenance work or project modification not covered under C MA LOCAL PERMIT OFFCCI
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension)
Wilmingto NC 28405-3845(
December 31,2023
In issuing this permit it is agreed that this project is consistent with the local Land C r-
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal E MIT EE

Name: James and Sharon Seaborn 9cU 12...
Minor Permit#SC20-26
Date: June 19, 2020
Page 2 of 3
(4) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and
mulched)within 14 days of construction completion.
(5) Any proposed for grading within the 30' Coastal Shoreline buffer (as measured from the Normal High Water level)
must be contoured to prevent additional stormwater runoff to the adjacent marsh and/or canal. This area shall be
immediately vegetated and stabilized and must remain in a vegetated state.
(6) All development shall be located at least 30' landward of the normallmean high water line. 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) Shall the plan of development exceed 30% impervious coverage within 75' of the normal highwater line, the
applicant shall effectively demonstrate, through innovative construction and design that the amount of impervious
surfaces exceeding 30% impervious coverage within the 75' Coastal Shoreline AEC shall be managed and the AEC
protected. All proposed development and associated construction must be done in accordance with a credible
innovative design plan, sealed and sealed by a professional engineer.
(8) 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.
(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.
AP —
SIGNATURE: i ' Ct DATE: ' ` ` -4 22o
PERMITTEE
4.----
RECEIVED
DCM WILMINGTON, NC
JUL 1 3 2020

Vv.- OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Locality Permit Number 56minor 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 James Seaborn Blair,Ill and wife,Sharon J.Blair 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 2701-D South Shore Drive
Man owner or record title,Title is vested in Fee Simple ,see Deed Book 2636
Surf City y State NC Zip 28445 Phone [phone] 203
page in the Pender County Registry of Deeds.
Email [e-mail]
Flan 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. Fif 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.and Mrs.Jeff James,2703 South Shore 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.)2701-D South Shore Drive,Surf City,Pender County (2) P .Jay B.Maready,1508 Military Cutoff Road,Suite 5-306,Wilmington,NC 28403
3)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
Dwelling on Pilings with Decks Over Concrete Slab Partially Enclosed below for Entry,Storage and
SIZE OF LOT/PARCEL: 11,968 square feet 0.275 acresGarage with Pervious Drive and All ACKNOWLEDGEMENTS:
Proposed Improvements as Shown I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
PROPOSED USE:Residential El (Single-family 0 Multi-family Q) Commercial/Industrial 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:N/A 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)
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT 1/P
This the ZBn� day of Ih ,20UPON SURFACES:2,039 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, (%//%'�concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or authorized to act as for u
person
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 inf is form),a site drawing as described on the back of this application,the
YES= NCI ✓ I ownership statement,the Ocean Haza % otice where necessary,a check for S100.00 made payable to the locality and
any information as may be provided, , the applicant.The details of the application as described by these souroes are
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet. incorporated without reference in any,• it 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
,r.7.( sfl ,; ,l MiNGTON, NC
1 la N 0 3 2020

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you,if requested.
PHYSICAVIMENSIONS DOE f 4/ APPLICATION FOR
1�Labelroads CAMA MINOR
//abbe:highways right-of-ways o II IN'
(Label local setback lines DEVELOPMENT
�abel any and all structures and driveways currently existing on property
Label adjacent waterbody
PHYSICAL/CHARACTERISTICS PERMIT
( Draw and label normal high water line(contact LPO for assistance)
Draw location of on-site wastewater system In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA)and set the stage for guiding development in fragile and productive areas that
If you will,*working in the ocean hazard area: the state's sounds and oceanfront.Along with requiring special care by those who
build and develop,the General Assembly directed the Coastal Resources Commission
!/Draw and label dune ridges(include spot elevations)
ardDiraw 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)
ed.-Identify
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 working in a coastal shoreline area: the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
how 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
aw and label landward limit of AEC or she needs before you apply.
aw and label all wetland lines(contact LPO for assistance)
Draw and label the 30-foot buffer line Under CAMA regulations,the minor permit is to be issued within 25 days once a
DEVELOPMENT 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
/Draw and label all proposed structures certain that your application is complete and signed,that your drawing meets the
4/ aw 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
aw 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.
NOTE TO APPLICANT
We appreciate your cooperation with the North Carolina Coastal Management Program
Have 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? Division of Coastal Management
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner)
FOR STAFF USE C
tri in
Site Notice Posted Final Inspection Fee Received
Site Inspections r
0
❑C
Date of Action:Issued Exempted Denied Appeal Deadline(20 days from permit action) DCM Form E81952-2010 Revised April 2010
..;r=!VED
',IAIGTON, NC
JUN 0 3 2020

ROY COOPER
Governor
MICHAEL S. REGAN
1l' Secretary
NORTHCAROLINA BRAXTON DAVIS
Environmental Oual itv I)!rector
June 26, 2020
James and Sharon Blair
2701-D South Shore Drive
Surf City, NC 28445
Dear Mr. & Mrs. Blair
Attached is CAMA Minor Development Permit SC 20-26 for work to be done at 2701-D South Shore
Drive,Surf City, Pender 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.
:rely,
anya K. -tila
Permit Support Technician
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]
www.riggslandnc.com [e-mail]
May 28,2020
Mr. and Mrs. Jeff James
2703 South Shore Drive
Surf City,NC 28445
Re: James Seaborn Blair, III and wife, Sharon J. Blair
Submittal for Minor CAMA Permit
Dear Mr. and Mrs. James:
On behalf of James Seaborn Blair, III and wife, Sharon J. Blair, 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
2701-D South Shore Drive, Surf City, Pender County,North Carolina. James Seaborn Blair, III
and wife, Sharon J. Blair are 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.
ectfully,
„.__.17-qr7
ames L. Riggs
RECEIVED
DCM WII-MINIICT� I NC
JUN 0 3 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 28, 2020
Mr. Jay B. Maready
1508 Military Cutoff Road, Suite S-306
Wilmington, NC 28403
Re: James Seaborn Blair, III and wife, Sharon J. Blair
Submittal for Minor CAMA Permit
Dear Mr. Maready:
On behalf of James Seaborn Blair, III and wife, Sharon J. Blair, 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
2701-D South Shore Drive, Surf City, Pender County,North Carolina. James Seaborn Blair, III
and wife, Sharon J. Blair are 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,
q9 /7
James L. Riggs
RECEIVED
DCM WILMINGTON, NC
J U N 0 3 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]
[e-mail]
AGENT AUTHORIZATION FORM
Date: February 26, 2020
Name of Property Owner Applying for Permit:
James Seaborn Blair, 111 and wife, Sharon J. Blair
Mailing Address:
2701-D South Shore Drive
Surf City, NC 28445
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 construction,as
shown on attached map and located at 2701-D South Shore Drive,Surf City, Fender County,North Carolina,
and I grant permission to the Division of Coastal Management to access the property to mark/flag:
The First Line of Stable Natural Vegetation
X The Coastal Wetlands
X The Normal High Water Line
This authorization is valid thru February 26,2021
�--�— 047 Februa 26 2020
Property Owner Si to Date
RECEIVED
DCM WILMINGTON, NC
JUN 0 3 2020

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: James Seaborn Blair. Ill and wife, Sharon J .Blair
Property Address:
2701-D South Shore Drive
Date Lot Was Platted: July 1952
This notice is intended to make you,the applicant,aware of the SPECIAL NOTE: this hazard notice is required for
special ricks 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 AFC Hazard `otice and permit was issued. Shortly before work begins on the project
,ickn,iwtedgc that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the
L.pmcnt 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
i he t rnmission's rules on building standards. oceanfront proposed development can stilt meet the setback requirement.
setbacks and dune alterations arc designed to minimize, but not the LP() 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 he of the setback. It is important that you check with the LP()
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. The structurets)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 anal>sic of aerial
photographs of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could rave as much as Address
, feet landward in a major storm.
I he 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,th pplication will not be complete.
► 2-Z G-ZOZO
Property Owr t Date 2.24,,-7,0,7,0
RECELvED
DCMF /tbAttON, NC
.l U N 0 3 2020

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:
JAMES SEABORN BLAIR, Ill &WIFE,SHARON J.BLAIR
A2. Budding Street Address(induding Apt., Unit, Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number:
2701-D SOUTH SHORE DRIVE
City State ZIP Code
SURF CITY North Carolina 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
NEW LOT 10 AND TRACT Z
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d23'54"N Long.77d35'19"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 1A
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or encosure(s) 176.00 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 J 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 PENDER COUNTY North Carolina
B4.Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel 88. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth)
Revised Date
3720422300 J 02-16-2007 02-16-2007 AE 8.0'
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,git, slquav
tfl)f Form Pane 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:
2701-D SOUTH 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: ❑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,crawlspace,or enclosure floor) 11.0 ❑x feet ❑ meters
b) Top of the next higher floor 22.0 ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters
d) Attached garage(top of slab) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 11.0 ❑x feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 4.4 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 22.0 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A feet
structural support ❑ 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 maybe 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 ` r r r r i r rrr/
JAMES A. LEWIS L-4562 ,.�`�' CA/3O,/i/�
Title .` Q- .• • �2.
ESS� / ;
PROJECT MANAGER 0...Q 0y
Company Name ' 4 SEAL r
CHARLES F. RIGGS&ASSOCIATES,INC. _ t.-45$e2 c =
Address 0-.'
502 NEW BRIDGE STREET :?
SA A.
JACKSONVILLE North Carolina 285 City State ZIP 0ode i���'O r Arr r`
7 Zo2a
Signature Date Telephone
Ext.
Q/JZI.� . J C\ - $/z7�2are [phone] 41
Copy all ges of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments(including type of equipment and location,per C2(e),if applicable)
PROPOSED DWELLING IS THREE STORY ON CONCRETE SLAB AND CRAWLSPACE FOUNDATION
RECEIVED
DCM WILMINGTON, NC
Form Page 2 of 6
(CFRA#20-01-32)
JUN 0 3 2020
FFMA Fnrm nAA-(-71(17/191 Replaces all previous editions.

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 28,2020
To: Mr. Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: James Seaborn Blair, III and wife, Sharon J. Blair
Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of James Seaborn Blair, III and wife, Sharon J. Blair, Charles F. Riggs&Associates,
Inc. submits for your review the enclosed application for a Minor CAMA permit for the property
at 2701-D South Shore Drive, Surf City, Pender County,North Carolina.
Respectfully,
X6/ lr' ---)
fa
James L. Riggs
RECEIVED
DCM WILMINGTON, NC
J U N 0 3 2020

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signature)that is retained by the Postal Service" -Restricted delivery service,which provides
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*errant Reminders: -Adutt signature service,which requires the
You may purchase Certified Mali service with signee to be at least 21 years of age(not
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or Priority Mail®service. -Adult signature restricted delivery service,which
[Certified Mail service is not available for requires the signee to be at least 21 years of agi
international mail. and provides delivery to the addressee specified
!Insurance coverage is not avallable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
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
r For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for
the following services: postmarking.If you don't need a postmark on this
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of delivery(including the recipient's signature). of this label,affix it to the mailpiece,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 mailpiece; IMPORTANT.Save this receipt for your records.

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I A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to till
I A record of delivery(Including the recipient's retail associate.
signature)that is retained by the Postal Service- -Restricted delivery service,which provides
fora specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
'mportant Reminders: -Adult signature service,which requires the
I You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,whicl
I Certified Mail service is notavailable for requires the signee to be at least 21 years of at
international mail. and provides delivery to the addressee specifier
r Insurance coverage is not available for purchase by name,or to the addressee's authorized agen
with Certified Mail service.However,the purchase (not available at retail).
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
certain Priority Mail items. USPS postmark.If you would like a postmark on
I For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail 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 portior
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,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 mailpiece; IMPORTANT.Save this receipt for your records.
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ill-IN NC Division of Coastal Management 1019 7 A B
Cashier's Official Receipt
Date: 1,1 , (b 20 z0
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Received From: CAA"--/e $
Permit No.: ��/�� AAA_ jt, Check No.:
Applicant's Name: /2'a" /-( County:
Project Address:
70 D q., cr./1,1-u_ 7).__ -
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date:
(0 1
Signature of Field Representative: Date:

►ate Date Check From Name of Vendor Check Check Permit Rct. #
:eived Deposited Permit Holder Number amount Number/Comments
/2020 Charles F. Riggs Seaborne Blair III FCB 16498 $100.00 minor fee, 2701-D S Shore Dr, Surf JD rct.
and Associates Inc. City PnCo 10197