SC_20-31_ Petty

J
Issued by WiRO RECEIVED SC20-31
Surf City Permit Number
AUG 31 2020
CAMA
MINOR DEVELOPMENT"tll_ti,INGTON, NC
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 Milton and Deborah Petty authorizing development in the Estuarine Shoreline (AEC) at 155 Atkinson Road,
in Surf City, Pender County as requested in the permittee's application, dated July 1, 2020, and received as complete by
DCM on July 13, 2020. This permit, issued on August 3, 2020, is subject to compliance with the application and
drawing dated and received complete by DCM on July 13, 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 July 13, 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 C A LOCAL PERMIT OFFICIAL
this permit, require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December31,2023 Wi gton NC 4 -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

,
Name: Milton and Deborah Petty
Minor Permit#SC20-31
Date: August 3, 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) The permittee and/or the permittee's agent or contractor, shall contact the LPO at [phone], prior to
initiation of construction to arrange a normal or mean high water line measurement. Any development
activities authorized under this permit shall maintain a separation of thirty(30)feet from the normal or mean
high water line.
(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.
k S:3-S7
SIGNATURE: DATE:
PERMITTEE

6-1--ta. ,F� 9-0 OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
, Cow& �/ 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.
tAL 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
likom E.Petty and wife.Deborah C.Petty listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
203 Benjamin Court
s�gton State NC Zip zizts Phone (910)455-osn ✓Oan owner or record title,Title is vested in Fee Simple ,see Deed Book 4513
p page 282 in the County Registry of Deeds.
:[e-mail]
man owner by virtue of inheritance.Applicant is an heir to the estate of •
)RiZED AGENT probate was in County.
:harles F.Riggs&Associates,Inc. of 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:
cksonville 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)
(1) Mr.and Mrs.Jose E.Gonzalez,310 Lord Drive,Wilmington,NC 28411
'ION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
waterbody.)155 Atkinson Road,Surf City,Pender County (2) Mr.and Mrs.Chester C.Miller,Jr.,425 Meadowood Drive,Burlington,NC 27215
(3)
JPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
inq on Pilings with Decks Over Concrete Slab Enclosed below for Entry and Storage with
F LOT/PARCEL: 5,988 square feet 0.137 acres Pervious Drive&All Proposed ACKNOWLEDGEMENTS:
Improvements as Shown on Map I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
ISED USE:Residential Q (Single-family ID Multi-family 0) 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-
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,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
itioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
related to this permit application.
ig non-load-bearing attic space) di 1/ Itt /�/�
ASTAL SHORELINE AECs:SiZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the /�r day of�+J�i1 J,20"�+
SURFACES:1,015 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, /
or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or person authorized to act as his/her ag �/ se of filing a CAMA permit application
STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
meet Permit issued by the NC Division of Water Quality? This application includes:general information(t ),a site drawing as described on the hack of this application,the
D Na I ownership statement,the Ocean Hazard AEC Ni ,` ere necessary,a check for S100.00 made payable to the locality,and
1,330 any information as may be provided orally by t :a/ licant.The details of the application as described by these sources are
St the total Ltu�l�uc area/impervious sssurface allowed for your lot or parcel: square feet. incorporated without reference in any permit whic may be issued.Deviation from these details will constitute a violation of
1 C C any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
DCM WILMINGTON, NC
JUL 1 3 2020

SITE DRAWING/APPLICATION CHECKLIST yy
e make sure your site drawing includes the following information required for a CAMA minor development permit.
,ocal Permit Officer will help you,if requested. t.
SICAL DIMENSIONS 0 LpAST42 APPLICATION FOR
1Label CAMA MINOR z
=Label highways right-of-waysg: 0 ...i
Label local setback lines
Label any and all structures and driveways currently existing on property DEVELOPMENT
Label adjacent waterbody � p E 1\l�'1 I T
SICAL CHARACTERISTICS
/,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
If you will working in the ocean hazard area: border the state's sounds and oceanfront.Along with requiring special care by those who
Draw and label dune ridges(include spot elevations) build and develop,the General Assembly directed the Coastal Resources Commission
Draw and label toe of dunes (CRC)to implement clear regulations that minimize the burden on the applicant.
,jldentify 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 ty working in a coastal shoreline area: the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
Show 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 O
you apply.
w and label landward limit of AEC or she needs beforea A
Apraw and label all wetland lines(contact LPO for assistance) Yr.,
Draw and label the 30-foot buffer line Under CAMA regulations,the minor permit is to be issued within 25 days once a `•1
ELOPh�ENT 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
aw and label all proposed structures certain that your application is complete and signed,that your drawing meets the
Draw and label areas that will be disturbed and/or landscaped specifications given inside and that your application fee is attached.
Mote 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.
E 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?
• notified and listed adjacent property owners? productive coast.
• included your site drawing?
• signed and dated the application? Coastal Resources Commission
• enclosed the$100.00 fee? Division of Coastal Management
N
• completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner) 1 'ti
FOR STAFF USE .G r)
� r :.t
7otice Posted Final Inspection Fee Received y
tn�,
aspections k q
zm °
a-3c4
opof Actr�ts CEVAEICI Denied Appeal Deadline(20 days from permit action)
DCM Form EB1952-2010/Revised April 2010
2 CM tiVILMINGTON, NC
JUL 1 3 2020

ROY COOPER
yp Mnr, i.
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MICHAEL S. REGAN
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BRAXTON DAVIS
August 6, 2020
Miltom and Deborah Perry
203 Benjamin Court
Burlington, NC 27215
Dear Mr. and Mrs. Perry,
Attached is CAMA Minor Development Permit SC 20-31 for work to be done at 155 Atkinson Rd., 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 blue 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.
Si cerely,
(.
anya ietila
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

MILTOM E. PETTY RECEIVED
4000 BIRKDALE COURT
ELON, NC 27244 AUG 31 2020
0CM WILMINGTON, NC
August 25, 2020
NC Division of Environmental Quality
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405
Re: CAMA Minor Development Permit SC 20-31
Enclosed is the executed copy of the above referenced permit. Please accept this notice of change of
address of my permanent residence to:
4000 Birkdale Ct
Burlington, NC 27244
Advise if you need any additional information.
Thank you for your assistance.
tt B regal-.
l '-rr
v
Miltom E. Pe y

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]
July 1,2020
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Miltom E. Petty and wife,Deborah C. Petty Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of Miltom E. Petty and wife, Deborah C. Petty,Charles F. Riggs&Associates,Inc. submits
for your review the enclosed application for a Minor CAMA permit for the property at 155 Atkinson
Road, Surf City,Pender County,North Carolina.
Respectfully,
nunn
James L. Riggs
RdCM EC
N TED
ON, NC
JUL 1 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]
July 1, 2020
Mr.and Mrs.Jose E. Gonzalez
310 Lord Drive
Wilmington,NC 28411
Re: Miltom E. Petty and wife, Deborah C. Petty Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Gonzalez:
On behalf of Miltom E. Petty and wife, Deborah C. Petty,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 155 Atkinson Road, Surf City,
Pender County,North Carolina. Miltom E. Petty and wife, Deborah C. Petty are planning to construct a
two-story dwelling on pilings with decks over a concrete slab enclosed below for entry and storage with
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.
'espectfully, i
_ /cam—) ki
James L. Riggs
RECEIVED
DCM WILMINGTON, NC
J U L 1 3 2020

. . Postal ervice
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9 Sent To ryli A_leri(.3 GI:5147Q tez_
Street andApt.No.,or 15Ci beat,'0
Ytate,2115:a1/01he NC (7,1,4-0(

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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.

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors 1
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]
July 1, 2020
Mr. and Mrs.Chester C. Miller,Jr.
425 Meadowood Drive
Burlington,NC 27215
Re: Miltom E. Petty and wife, Deborah C. Petty Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Miller:
On behalf of Miltom E. Petty and wife, Deborah C. Petty,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 155 Atkinson Road, Surf City,
Pender County,North Carolina. Miltom E. Petty and wife, Deborah C. Petty are planning to construct a
two-story dwelling on pilings with decks over a concrete slab enclosed below for entry and storage with
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.
spectfully, //n/
Y /
t
ames L. Riggs
RECEIVED
DCM WILMINGTON, NC
JUL 1 3 2020

U. . Postal ervice '
CERTIFIED MAIL® RECEIPT
4 Domestic Mail Only
• For delivery information,visit our website at www.usps.comm
- BURMMINF Nf eQ115. A 1 11bonn
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3 0 Return Receipt(hardcopy) $ f v • _
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1 Sent To al f.,ct__ rn(3,gl,
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3_ Street andApt P No.,ore inj ti plpH AL.
City, tate,ZIP+SA 1 it2s—f-Dyl ,N C.. (77015

;edified Mail service provides the following benefits:
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
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 the
A record of delivery(Including the recipient's retail associate.
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
You may purchase Certified Mall service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mails service. -Adult signature restricted delivery service,whicl
I Certified Mail service is not available for requires the signee to be at least 21 years of ag
international mail. and provides delivery to the addressee specifier
I Insurance coverage Is not available for purchase by name,or to the addressee's authorized ages
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 i
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 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.

DocuSign Envelope ID B1 EAB315-BC19-4845-94AF-8E0211 DC6OBD
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: July 1, 2020
Name of Property Owner Applying for Permit:
Miltom E. Petty and wife, Deborah C.Petty
Mailing Address:
203 Benjamin Court
Burlington,NC 27215
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 155 Atkinson Road, Surf City, Pender 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
X The Coastal Wetlands
X The Normal High Water Line
This authorization is valid thru July 1,2021
Patti July 1, 2020
Property Owner Signature Date
RECEIVED
DCM WILMINGTON, NC
J U L 1 3 2020

DocuSign Envelope ID:B1EAB315-BC19-4845-94AF-8E0211DC6OBD
OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Miltom E. Petty and wife, Deborah C. Petty
Property Address: 155 Atkinson Road, Surf City, Pender County
Date Lot Was Platted: April 2014
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. RECEIVED
DCM Wil MIN(TON, NC
pa
1141 f ti 7/3/2020
JUL 1 3 2020
Property Owner Signature Date
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:
MILTOM E. PETTY AND WIFE,DEBORAH C.PETTY
A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg.No.)or P.O.Route and Company NAIC Number:
Box No.
155 ATKINSON ROAD
City State ZIP Code
SURF CITY North Carolina 28445
A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 12,THE PENINSULA AT TOPSAIL
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d24'52"N Long.77d34'12"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 encosure(s) 1015.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 6
c) Total net area of flood openings in A8.b 1200.00 sq in
d) Engineered flood openings? ❑x Yes ❑ 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 B8.Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
3720423400 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 Otherwirq c KV¢!_'A)? ❑ Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA DCM WILMINGTON, NC
J U L 1 3 21]70 7/a/wo-to
FEMA Form 086-0-33(12/19) Replaces all previous editions. 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:
155 ATKINSON ROAD
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: ❑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 0 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) _ 6.5 0 feet ❑ meters
b) Top of the next higher floor 17.2 ❑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(Describe type of equipment and location in Comments) 11.1 ❑ ❑feet meters
f) Lowest adjacent(finished)grade next to building (LAG) 3.9 0 feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 4.2 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including feet meters
structural support N/A ❑ ❑
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 \\ \i i i r i i v v ry
JAMES A. LEWIS L-4562 \\`.\\N CA,t"i,,,�
Title FESS/ .2��2
PROJECT MANAGER . ,. •Q-O • .y
Company Name •
SEAL =
CHARLES F. RIGGS&ASSOCIATES, INC. - : r L-4562 . _
Address Z, O
502 NEW BRIDGE STREETCity State ZIP
y SU
JACKSONVILLE North Carolina 285 Oode �iL I i i 1\1,
71 / 1-o20
Signature Date Telephone Ext.
./I LEA -7///�j.0 [phone] 41
Copy all p es of this Elevation Certificate and all attachments for 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 THREE STORY ON PILINGS, ENCLOSED BELOW.
SURVEYOR RECOMMENDS 6 ENGINEERED WITHIN EACH ENCLOSURE. ENGINEERED VENTS ARE SMART VENTS(MODEL
#1540-570)COVERING 200 SQ.FT. EACH.
PRELIMINARY FLOOD MAPS SHOW A CHANGE IN FLOOD ZONE TO AE(11), SURVE UC0MMNDS PLACING THE
BOTTOM OF THE ELECTRICAL EQUIPMENT AT 11.1'OR HIGHER. [ACM WILMIN '-r r` . NC
� t1 (CFRA#20-06-17)
FEMA Form 086-0-33(12/19) Replaces all previous editions. JUL 1 3 2 20 Form Page 2 of 6

late Date Check From Name of Vendor Check Check Permit Rct. #
.eived Deposited Permit Holder Number amount Number/Comments
/2020 7/16/2020 Charles F Riggs& Milton and Deb FCB 16549 $100.00 minor fee, 155 Atkinson Rd, Surf JD rct.
Associates, Inc. Petty City PnCo 10803