SC_20-33_ SLA Surf

4
RECEIVED
Issued by WiRO SC20-33
•
Surf City SEP 0 4 2020 Permit Number
CAMA ACM WILMINGTON, NL
MINOR DEVELOPMENT
PERMIT
NORTH CAROLINA
Environmental Quality
as authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission for development in an area of environment
concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area
Management"
Issued to SLA Surf City, LLC authorizing development in the Estuarine Shoreline (AEC) at Lot 13 (Pender Co. PIN
4245-44-6725-0000, South Boca Bay Lane, in Surf City, Pender County as requested in the permittee's application,
dated June 24, 2020, and received by DCM on July 16, 2020. This permit, issued on August 3, 2020, is subject to
compliance with the application and drawing dated and received by DCM on July 16, 2020 (where consistent with the
permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may
subject the permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Construction of a duplex with decking and parking area(s).
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on July 16, 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)
7Th z
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 CAMA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
ington, NC 8405-3845
December31,2023
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal PERMITTEE
Mananamant

t
Name: SLA Surf City, LLC
Minor Permit#SC20-33
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) 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 any wetlands or open water areas, even temporarily.
(8) Shall the plan of development exceed 30% impervious coverage within 75' of the normal high water 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.
(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.
2-/Vr
SIGNATURE: DATE:
PERMITTEE

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OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the C
Locality Permit Number ✓ minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary was r
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treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservtlin,S4
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Tnist Shoreline Other Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Co d =
(For official use only) others.Check with your Local Permit Officer for more information. L�
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GENERAL INFORMATION STATEMENT OF OWNERSHIP: 0
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 SLA Surf City,LLC listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
Address 164 Skipper Street
✓}an owner or record title,Title is vested in Fee Simple ,see Deed Book 4668
City Fort MIA State sC Zip 29715 Phone [phone] 2063
page in the Ponder 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. of other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address P.O.Box 1570
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
City Jacksonville State NC Zip 28541 Phone [phone] I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
Email [e-mail]
(Name) (Address)
(1) Mr.David R.Johnson,985 Johnson Nursery Road,Willard,NC 28478
LOCATION OF PROJECT:(Address,street name and/or directions to site.if not oceanfront,what is the name of the
adjacent waterbody.)Lot 13.South Boca Bay Lane,Surl City,Pander County(Parcel#4245-44-6725-0000) (2) Mr.Matthew D.Suggs,135 South Boca Bay Lane,Unit B,Surf City,NC 28445
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (3)4)
Duplex on Pilings with Decks Over Concrete Slab Enclosed below for Storage with Pervious Drives
SIZE OF LOT/PARCEL: 30,524 square feet 0.701 acres and All Proposed Improvements as ACKNOWLEDGEMENTS:
Shown on Map I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
PROPOSED USE:Residential Q (Single-family 0 Multi-family(]) 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 floodprooflng 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:NA 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) ����j/, I,-.f
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the 'VP day of A�^'�,20
UPON SURFACES: 203 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, Or
IT
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or person authorized to act as his/her a �, se 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 information(t • ),a site drawing as described on the back of this application,the
YES rl NCI I ownership statement,the Ocean Hazard AEC N. here necessary,a check for$100.00 made payable to the locality and
3,720 any information as may be provided orally by th. plicant.The details of the application as described by these sources are
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet. incorporated without reference in any permit which may be issued.Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.

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SITE DRAWING/APPLICATION CHECKLIST o
Please make sure your site drawing includes the following information required for a CAMA minor development permit. t I t j
The Local Permit Officer will help you,if requested. W
PHYSICAL DIMENSIONS t)E COMM/ APPLICATION W
/Label roads CAMA MINOR)
of Label highways right-of-ways
Label local setback lines
'Label any and all structures and driveways currently existing on property - DEVELOPMENT
Label adjacent waterbody
PHYSICAL CHARACTERISTICS 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
If you will working in the ocean hazard area: border the state's sounds and oceanfront.Along with requiring special care by those who
aw and label dune ridges(include spot elevations) build and develop,the General Assembly directed the Coastal Resources Commission
!!!!llJ raw and label toe of dunes (CRC)to implement clear regulations that minimize the burden on the applicant.
.I/dentify 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 yE 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
;)raw and label landward limit of AEC or she needs before you apply.
',Draw 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
aw 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.
4tote size of piling and depth to be placed in ground
raw 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) -y
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received 2
tr
Site Inspections
Orts
C
2
Date of Action:Issued Exempted Denied Appeal Deadline(20 days from permit action) DCM Form eetvsz-zoiontevisea April 2010

ROY COOPER
Governor
1i V MICHAEL S. REGAN
i1t Secretary
NORTH CAROLINA BRAXTON DAVIS
Environmental Quality Director
August 6, 2020
SLA Surf City, LLC
c/o F. Barber
164 Skipper Street
Fort Mill, SC 29715
Dear Mr. Barber,
Attached are CAMA Minor Development Permits SC 20-33, SC 20-34,SC 20-35,SC 20-36 for work to be
done at Lots 13, 14, 15& 16 on S. Boca Bay Lane in Surf City, Pender County. Electronic copies have
been sent to the Surf City Inspections Department and to your Agent.
To validate these permits, please sign both copies(of all four(4) permits)as indicated for our records.
Retain the orange copies for your files, and return the white copies to us within 20 days of receipt in the
enclosed, self-addressed envelope.
These are not valid permits until signed and returned to our office.
Thank you for your prompt attention to this matter.
Si.cerely,
V(46)1
Tanya ietila
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
SC Inspection Dept.
Charles F. Riggs—Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

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]
June 25,2020
To: Mr. Jason Dail
Division of Coastal Management RECEIVED
North Carolina Department of Environmental Quality
127 Cardinal Drive JUL 16 2020
Wilmington,North Carolina 28405 NCDEQ
WILMINGTON RO
Re: SLA Surf City, LLC Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of SLA Surf City, LLC, Charles F. Riggs& Associates, Inc. submits for your review the
enclosed application for a Minor CAMA permit for the property at South Boca Bay Lane, Surf City,
Pender County,North Carolina(Lot 13, The Oaks at Boca Bay, Parcel 4245-44-6725-0000).
Respectfully,
Charl . . Riggs P.L .W981
/ gg .S
ugo
RECEIVE,
DCM WILMINGTON, NC
JUL 16 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]
June 25,2020
Mr. David R. Johnson
985 Johnson Nursery Road
Willard,NC 28478
Re: SLA Surf City,LLC Submittal for Minor CAMA Permit
Dear Mr. Johnson:
On behalf of SLA Surf City, 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 South Boca Bay Lane, Surf City, Pender County,North
Carolina(Lot 13, The Oaks at Boca Bay, Parcel 4245-44-6725-0000). SLA Surf City, LLC is planning
to construct a two-story duplex on pilings with decks over concrete slab enclosed below for entry,
storage with pervious drive. 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,
4
Charles r. ig„ .L.S. L-2981
RECEIVED
0CM WILMINGTON, NC

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]
June 25, 2020
Mr. Matthew D. Suggs
135 South Boca Bay Lane, Unit B
Surf City,NC 28445
Re: SLA Surf City, LLC Submittal for Minor CAMA Permit
Dear Mr. Suggs:
On behalf of SLA Surf City,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 South Boca Bay Lane, Surf City, Pender County,North
Carolina(Lot 13, The Oaks at Boca Bay, Parcel 4245-44-6725-0000). SLA Surf City, LLC is planning
to construct a two-story dwelling on pilings with decks over concrete slab enclosed below for entry,
storage and garage with pervious drive. We are required to notify the adjoiners of this
submittal. If you have objections,please contact Mr. Jason Dail in a timely manner at(910) 796-7221,
[e-mail], or by mail at the Division of Coastal Management,N.C. Department of
Environmental Quality, 127 Cardinal Drive, Wilmington,NC 28405.
Respectfully,
;-•.1,
1
Charles F ' 'ggs, ' :. L-2981
RECEIVED
DCM WILMINGTON, NC
JUL 1 6 2020

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: SLA Surf City, LLC
Property Address: South Boca Bay Lane, Surf City, Pender County
Date Lot Was Platted: June 2011
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.
Prope y Owner Signature Date
RECEIVED
DCM WILMINGTON, NC Revised May 2010
JUL 1 6 2020

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
January 22, 2020
Date
Name of Property Owner Applying for Permit:
SLA Surf City, LLC C/O Mr. Freeman Barber
Mailing Address:
164 Skipper Street
Fort Mill, SC 29715
I certify that I have authorized (agent)Charles F. Riggs & Assoc. to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) proposed dwelling, as shown on map
at(my property located at) South Boca Bay Lane, Surf City, Pender County
and I grant permission to the Division of Coastal Management to access
the property to mark/flag the First Line of Stable Natural Vegetation, etc.
This certification is valid thru (date) January 22, 2021
114__.. January 22, 2020
Property Owner Signature Date
RECEIVED
DCM WILMINGTON, NC
J U L 1 6 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:
SLA SURF CITY,LLC
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Company NAIC Number:
Box No.
125 SOUTH BOCA BAY LANE
City State ZIP Code
SURF CITY North Carolina 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 13,THE OAKS AT BOCA BAY
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d26'28"N Long.77d31'32"W Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 448.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 4
c) Total net area of flood openings in A8.b 800.00 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
3720424500 K 02-16-2007 02-16-2007 AE 11.0'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA RECEIVED
DCM WILMINGTOyfri !v`Z9izazo
FFMA Fnrm r1RR-n-3R(19/1Ql -

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:
125 SOUTH BOCA BAY LANE
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 El 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(induding basement,crawlspace,or enclosure floor) 3.1 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) N/A ❑ feet ❑meters
d) Attached garage(top of slab) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the) building 13.1 El feet [] meters
(Describe type of equipment
guiament and location in Comments
f) Lowest adjacent(finished)grade next to building(LAG) 1.8 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 2.8 x❑ feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including
structural support N/A ❑ feet ❑ meters
SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law to certify elevation information.
I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? El Yes ❑No ❑Check here if attachments.
Certifier's Name License Number
JAMES A. LEWIS L-4562 ‘‘��tttCA(if�ri/�
Title ."`.�N .....!.o f '%
PROJECT MANAGER 0...cF6SS/Oti �.
Company Name =2,:Q 9r
CHARLES F.RIGGS&ASSOCIATES, INC. - SEAL _
Address - < L-4�2 e•'
gy :
502 NEW BRIDGE STREET S
City State ZIP Code '//� S `��
JACKSONVILLE i
North Carolina 28540 � ir((i i i i t t �
Signature (lZ4f
g Date Telephone Ext.
zeilz7erzo [phone] 41
Copy all p es of Elevation Certificate and all attachments for(1) munitycorfiofficial, (2)insurance agent/company,
g Ucompany,and(3)building owner.
Comments(including type of equipment and location,per C2(e),if applicable)
PROPOSED DWELLING IS TWO STORY DULPEX ON PILINGS, PARTIALLY ENCLOSED BELOW.
SURVEYOR RECOMMENDS 4 ENGINEERED WITHIN EACH ENCLOSURE.ENGINEERED VENTS ARE SMART VENTS(MODEL
#1540-570)COVERING 200 SQ.FT.EACH.
AECEIVFD
PRELIMINARY FLOOD MAPS SHOW A CHANGE IN FLOOD ZONE TO VE(13),SURVEYOR FEC.OM S P wi T
BOTTOM OF THE LOWEST HORIZONTAL STRUCTURAL MEMBER AND ELECTRICAL EQUI T`A i .'d H^TtniHE
FFMA Fnrm ORR-CI-AA(12/1 M Replaces all previous editions. .IUL 1 6 2O orm Page 2 of 6

U.S. Postal Service"
CERTIFIED MAIL® RECEIPT
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p ❑Atkin Signature Required $ so.00
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m `Total Postage and Fees i i7/1 5/2020
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PS Form 3800,April 2015 PSN,030-02-000'9047 See Reverse for Instructions
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CERTIFIED MAIL® RECE1• /-t
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Extra SmMces&Pees(check bee.add roe as apprp data)
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PS Form 3800,April 2015 PSN 7530-02-00o-9047 See Reverse for Instructions
RECEIVED
DCM WILMINGTON, NC
JUL 1 6 2020

Date Date Check From Name of Vendor Check Check Permit Rct
Received Deposited Permit Holder Number amount Number/Comments
7/20/2020 Charles F Riggs and SLA Surf City LLC FCB 16554 $100.00 minor fee, Lot 13 Boca Bay Ln, Surf JD rct
Associates, Inc. City PNCO 1080`
Fr,