Loading...
HomeMy WebLinkAboutSC_20-36_ SLA Surf Issued by WiRO SC20-36 Surf City SEP 0 4 2020 Permit Number CAMA DCM WILMINGTON, NC 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 16 (Pender Co. PIN 4245-44-4668-0000, 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) 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 CA LOCAL PERMIT OFFICIAL this permit,require further written permit approval.All work must cease when this permit expires on: 127 Cardinal Drive Extension Wil •.,•ton, C 405-3845 December31,2023 In issuing this permit it is agreed that this project is consistent with the local Landkg 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 S . 4 Name: SLA Surf City, LLC Minor Permit#SC20-36 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. SIGNATURE: Y`a4ll'el41/4) --- DATE: 1 ZG PERM ITTEE 3 OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA Locality Permit Number GAX... - 6 4121\i ) �I 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 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 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 City Fort Mill State Zip 29715 Phone (910)455-0e77 ownerOan or record title,Title is vested in Fee Simple ,see Deed Book 4�8 page in the Pender County Registry of Deeds. Email fbarberOme.com Ilan 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 (910)455-0877 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 riggsland@riggslandnc.com (Name) (Address) (l) 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 16,South Boca Bay Lane,Surf City,Pander County(Parcel#4245-44-4668-0000) (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: 37,904 square feet 0.870 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 E✓ (Single-family 0 Multi-family 0) Commercial/Industrial D Other 0 may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu- lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza- COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies lion 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: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 excluding non-load-bearing attic space) related to this permit application. /J 1.0 (2) COASTAL SHORELINE AECs:SiZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT ,./."4,4 /� This the L day of ,20 UPON SURFACES: 857 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, �f'�� 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_ r•4..se of filing a CAMA permit application STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stomrwater Management Permit issued by the NC Division of Water Quality? This application includes:general information( i o ,a site drawing as described on the hack of this application,the YES r1 NC, I ownership statement,the Ocean Hazard AEC No ce w ere necessary,a check for S100.00 made payable to the locality and any information as may be provided orally by the• licant.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:3,720 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 adfu cetr\E C) DCM WILMINC n t JUL 1 6 ,./U SITE DRAWING/APPLICATION CHECKLIST nake sure your site drawing includes the following information required for a CAMA minor development permit b cal Permit Officer will help you,if requested. r y 'CAL 11MENSIONS AO W P l LIGATION FOR A� .� �,Labelroads s` , CAMA MINOR z Label highways right-of-ways ��abel local setback lines DEVELOPMENT _I abel any and all structures and driveways currently existing on property _/Label adjacent waterbody :CALfeHARACTERISTICS > -.> PERMIT 4,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 wilt,*working in the ocean hazard area: border the state's sounds and oceanfront.Along with requiring special care by those who w and label dune ridges(include spot elevations)4,Dra 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. Identify and locate first line of stable vegetation(contact LPO for assistance) Draw and label erosion setback line(contact LPO for assistance) This application for a minor development permit under CAMA is part of the Draw and label topographical features(optional) Commission's effort to meet the spirit and intent of the General Assembly.It has been designed to be straightforward and require no more time or effort than necessary from If you will )'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 roo Draw and label landward limit of AEC or she needs before you apply. a /Draw and label all wetland lines(contact LPO for assistance) Draw and label the 30-foot buffer line .-1 Under CAMA regulations,the minor permit is to be issued within 25 days once a !G LOPMENT PLANS complete application is in hand.Often less time is needed if the project is simple.The process generally takes about 18 days.You can speed the approval process by making /braw and label all proposed structures certain that your application is complete and signed,that your drawing meets the 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 Show all areas to be disturbed are not CAMA-related,we urge you to check with the Local Permit Officer to determine Show landscaping which of these you may need.A list is included on page two of this folder. TO APPLICANT We appreciate your cooperation with the North Carolina Coastal Management Program ou: and your willingness to build in a way that protects the resources of our beautiful and • completed all blanks and/or indicated if not applicable? productive coast. • notified and listed adjacent property owners? • included your site drawing? Coastal Resources Commission • signed and dated the application? Division of Coastal Management • enclosed the$100.00 fee? cn • completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner) FOR STAFF USE n rri t- :.1 dice Posted_Final Inspection Fee Received m y pections g RECEIVE_r� o DCM WILMINGTO J; NC OD:0 'Action:Issued Exempted Denied _Appeal Deadline(20 days from permit action) DCM Form EB1952-2010/Rerised April 2010 J U L 1 6 2020 ROY COOPER 002. (iOYCniOr I '0 � MICHAEL S. REGAN Secretary BRAXTON DAVIS 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. Sincerely, - Tanya Uietila Permit Support Technician N.C. Division of Coastal Management Enclosures Cc:WiRO files SC Inspection Dept. Charles F. Riggs—Agent State of North Carolina Environmental Quality I Coastal Management 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 (910)455-0877 Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405 charlesriggs@riggslandnc.com (910)455-0877 (910)681-7444 www.riggslandnc.com jameslewis@riggslandnc.com June 25, 2020 To: Mr. Jason Dail Division of Coastal Management North Carolina Department of Environmental Quality 127 Cardinal Drive Wilmington,North Carolina 28405 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 16, The Oaks at Boca Bay, Parcel 4245-44-4668-0000). Respectfully, Charles �� '81 RECEIVED DCM WILMINGTON, NC JUL 1 6 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 (910)455-0877 Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405 charlesriggs@riggslandnc.com (910)455-0877 (910)681-7444 www.riggslandnc.com jameslewis@riggslandnc.com 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 16,The Oaks at Boca Bay, Parcel 4245-44-4668-0000). 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, jason.dail@ncdenr.gov, or by mail at the Division of Coastal Management,N.C. Department of Environmental Quality, 127 Cardinal Drive, Wilmington,NC 28405. Respectfully, Charles F. ' _Is, .S. L-2981 RECEIVED DCM WILMINGTON, NC JUL 1 6 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 (910)455-0877 Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405 charlesriggs@riggslandnc.com (910)455-0877 (910)681-7444 www.riggslandnc.com jameslewis@riggslandnc.com 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 16, The Oaks at Boca Bay, Parcel 4245-44-4668-0000). 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, jason.dail@ncdenr.gov, or by mail at the Division of Coastal Management,N.C. Department of Environmental Quality, 127 Cardinal Drive, Wilmington,NC 28405. Respectfully, Z41 ,11, Charles F. 1,ggs P. '.S. L-2981 x RECEIVED DCM WILMINGTON, NC J U L 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 I his 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 he 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 4). )/L-\_, - ig(1_,. k 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. 131 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 16,THE OAKS AT BOCA BAY A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.34d26'27"N Long.77d31'34"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? ID 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 WILMINGTGNtii.e 6,/zlijo20 FFM4 Fnrm nna_n''n')ilo\ nnnn 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: 131 SOUTH BOCA BAY LANE 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) 3.1 x❑ feet ❑ meters b) Top of the next higher floor 15.0 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet LI meters d) Attached garage(top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building feet 1 (Describe type of equipment and location in Comments) 13. ❑ ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) 1.6 ❑x feet D meters g) Highest adjacent(finished)grade next to building(HAG) 2.4 ❑x feet LI 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 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. Certifiers Name License Number \���tiitti�v t DAMES A. LEWIS L-4562 \`��`,�N CARp/0 PROJECTtle 1. TI MANAGER Q�''FfcSS/ /,L'� Company Name Q i.�Q ti9 $EAL ,.'y CHARLES F. RIGGS&ASSOCIATES, INC. - rJ 4 , — Address Y+ O. 502 NEW BRIDGE STREET City State ZIP Code / 6JACKSONVILLE North Carolina 28540 ,/rrrry iii7\'‘ elqSignature Date Telephone Ext. 4jyye� A c � /ZoZd (910)455-0877 41 Copy all p es of this Elevation Certificate and all attachments for mmunity official,(2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location,per C2(e),if applicable) PROPOSED DWELLING IS TWO STORY DULPEX ON PILINGS, PARTIALLY ENCLOSED BELOW. SURVEYOR RECOMMENDS 4 ENGINEERED WITHIN EACH ENCLOSURE.ENGINEERED VENTS ARE SMART VENTS(MO #1540-570)COVERING 200 SOFT.EACH. At: '.-'- ����` PRELIMINARY FLOOD MAPS SHOW A CHANGE IN FLOOD ZONE TO VE(13),SURVEYOR RECOMME L goivid'1'I-IETON, BOTTOM OF THE LOWEST HORIZONTAL STRUCTURAL MEMBER AND ELECTRICAL EQUIPMENT AT°13:0'O HI`GTONg.2� FEMA Form 086-0-33(12/19) Replaces all nrevious editions_ ' Form Paae 2 of 6 U.S. Postal Service"" CERTIFIED MAIL® RECEIPT f-u Domestic Mail Only 43 For delivery information.visit our website at www.usps.com". J3 H0 ' C 78445 Lo �J ,CertiiedMallFee CC 116(II! .ti1.l 'extra Services&Fees(Warkbat,add feeS r-R ) 1 c C3 ❑Ran=AeodPtPadoops) $ i_, !i O ❑R•turn Raeapt(.I.cbarso) f $G uG Postmark p Gassed RaamctadDellvery f $I4,00 Here ❑Adult Signature Required * $0.�_00 ❑Adult Signaturo Deliveryf l• Restricted Delivery _ D Postage w $2.60 mTotal Postage and Fees _ [17/1`/2i)2l1 $9.00 Sent nr. VA� �• 5xt45 c- Ze4+S PS Form 3800,April 2015 PSN,5ao-02-o00-9t4' See Reverse for Instructions U.S. Postal Service /$-Ol CERTIFIED MAIL® R E- ' /3- m I Domestic Mail Only rn:: Ln rl Extra Services&Fees(Areas bat add he SS aPprerxiW) ❑Ratan Receipt Ow:loopy) 41)0'llt c3 ❑Ran.n Receipt(wcaonic) 900•ii Posunark O ❑Caramel Mall Restricted DMwrY pc•j t$ Hero 0 ❑Aden S ereitu a Required )(T t1 S ['Adultstgn.tt.e t'weicted Delivery s� - Pose 43 0090 '2$ m Total Postage and Fees m s 12LtygZ )N 'GJd11IM a Sent To p.)g DA41 R• eJD}I/fs2 "auaetae..i Aire REAP 8478 PS Form 3800,April 2015 PSN 7530.02.000-8047 See Reverse for Instructions RECEI\'ED DCM WILMINGTON, N JUL 1 6 2020 ►ate Date Check From Name of Vendor Check Check Permit Rct. # 7eived Deposited Permit Holder Number amount Number/Comments /2020 Charles F Riggs SLA Surf City LLC FCB 16556 $100.00 minor fee, Lot 16 Boca Bay Ln, Surf JD rct. City PNCO 10808 J