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SC_20-41_ Cavenaugh
RECEIVED Issued by WiRO SEP 2 8 2020 SC20.41 Surf City 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 Davey Cavenaugh authorizing development in the Estuarine Shoreline (AEC) at 4067 4th Street, in Surf City, Onslow County as requested in the permittee's application, dated August 26, 2020, and received by DCM on August 27, 2020. This permit, issued on September 15, 2020, is subject to compliance with the application and drawing dated and received by DCM on August 27, 2020 (where consistent with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject the permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void. This permit authorizes: Proposed residential dwelling with driveway and parking area. (1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated received by DCM on August 27, 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 CAMA LOCAL PERMIT OFFICIAL this permit,require further written permit approval.All work must cease when this permit expires on: 127 Cardinal Drive Extension Wilmington, NC 28405-3845 December 31,2023 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 PFRMITTFF Name: Davey Cavenaugh Minor Permit#SC20-41 Date: September 15, 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) All development shall be located at least 30' landward of the normal/mean high water line. No impervious coverage/built upon area, including but not limited to the house (including eaves), foundation pad, covered decking, etc.shall extend into the 30-foot coastal shoreline buffer. (7) Shall the plan of development exceed 30% impervious coverage within 75' of the normal highwater line, the applicant shall effectively demonstrate, through innovative construction and design that the amount of impervious surfaces exceeding 30% impervious coverage within the 75'Coastal Shoreline AEC shall be managed and the AEC protected. All proposed development and associated construction must be done in accordance with a credible innovative design plan,sealed and sealed by a professional engineer. (8) Upon completion of construction and prior to the issuance of a Certificate of Occupancy(CO), a letter of certification must be received from the designer of the innovative system installed, certifying that the permitted system has been installed in accordance with this permit, the approved plans and his design specifications. Any deviations from the approved plans and specifications must be noted on the Certification and a permit modification may be required prior to receiving a CO. (9) All structures shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent with any of the following AEC standards, the more restrictive provision shall control. (10)This permit does not authorize the excavation or filling of wetlands or open water areas,even temporarily. (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: 'C J` A - DATE: K - Z y- Z5 PERMITTEE K C—orNAN "dv Locality Cv Permit Number — . Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other (For official use only) GENERAL INFORMATION LAND OWNER- MAILING ADDRESS Name O4U / CQtifna � —_-____-- Address 9-1 f0. DGi - �• — City_.t . [1gc"e _�. State NC. Zip_ A Phone l.c) �� � 1112 Email AUTHORIZED AGENT Name Address City State Zip Phone Email LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.) L)067 LJ/i', Stt , f SUrF C,1/ /Uc. n Yys • DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) C( 12— SIZE OF LOT/PARCEL: 7,D 1 3 square feet acres PROPOSED USE: Residential r21'.- (Single-family❑ Multi-family ❑ ) Commercial/Industrial ❑ Other ❑ COMPLETE EITHER(1)OR(2) BELOW(Contact your Local Permit Officer if you are not sure which AEC wiles to your property): (1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but excluding non-load-bearing attic space) (2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR 13UILT UPON SURFACES:2 square feet(includes the area of the foundation of all buildings,driveways,covered decks, concrete or masonry patios,etc. that arc within the applicable AEC.Attach your calculations with the project drawing.) o STATE STORM WATER MANAGEMENT PERMIT: Is the project located in an area subject to a State > Stormwatcr anagement Permit issued by the NC Division of Energy, Mineral and Land Resources(1)EMLR)?W g YES NO 0 OTHER PERMITS MAY IWE: REQUIRED:The activity you arc planning may require permits other than the CAMA 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, HA Certification,Sand Dune, Sediment Control, Subdivision Approval, Mobile I Ionic Park Approval, i lighway Connection,and others. Check with your Local Permit Officer for more 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 person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person listed as landowner on this application has a significant interest in the real property described therein. This interest can be described as: (check one),Zan owner or record title,Title is vested in name of Au", (c see Deed Book l 7 7 page 17 7 in the County Registry of Deeds. an owner by virtue of inheritance.Applicant is an heir to the estate of ; probate was in County. if other interest,such as written contract or lease,explain below or use a separate sheet& attach to this application. NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS: I furthermore certify that the following persons arc 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. (Name) (Address) (I) V ai ricC f74rkcr tio6°( P.; c :fy 2$445 (2) _tea �_>i's — 2" 2__ c d- CAI Jac. 2332.1 (3) — -- --_ (4) -- -- - --- -- ACKNOWLEDGEMENTS: i,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which 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- tion and floodproofing techniques. 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 related to this permit application. This the 141 U , __ day of_-_2 ,20 Z o — -- -- —-- „. Landowner or erson authorize to act as his/her agent for purpose of filing a CAMA permit application This application includes:general it formation(this form), a site drawing as described on the back of this application, the owners/rip statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and any infornation as may be provided orally by the applicant. The details of the application as described by these sources are incorporated unit/tout inference in any permit which may be issued Deviation from these details►rilkesrgigeMiIallon of any permit. Any person developing in an AEC without permit is subject to civil, criminal and agity440,1y4twoORON, NC Hilt_ 9 7 911911 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: C lue t 406,14Uy/ Mailing Address: 9'I J-qc/, Ale Ad, wcIlict t/VC a3t-/ C11 Phone Number: cJ/O- 289 — IIi3 Email Address: dciueyGciveilaoSi, g lci170., coAl I certify that I have authorized , Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: HOuSe, at my property located at 1106 7 Lift) Sf-ri,cf ,SQ,f C;-I-y , in 0nslo w County. 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 related to this permit application. Property Owner Information: Signature ask/ C' /G.6 4054 Print or Type Name 0vv rr- Title 8 I 2(0 l 2.d Date RECEIVED DCM WILMINGTON, NC This certification is valid through / / AUG 2 7 2020 ROY COOPER Governor MICHAEL S. REGAN Secretary NORTHCAROLINA BRAXTON DAVIS Environmental Quality Director September 17, 2020 Davey Cavenaugh 449 Jack Dale Road Wallace, NC 28466 Dear Mr. Cavenaugh, Attached is CAMA Minor Development Permit SC 20-41 for work to be done at 4067 4th Street,Surf City, Onslow County. An electronic copy has been sent to the Surf City Inspections Department. 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. 7 Sincerely, .1/ anya Pietila Permit Support Technician N.C. Division of Coastal Management Enclosures Cc:WiRO files SC Inspection Dept. State of North Carolina I Environmental Quality I Coastal Management 127 Cardinal Drive Ext.,Wilmington,NC 28405 I.JOHNNY J.WWAYS,PROFESSIONAL LAND SURVEYOR.CERTIFY THAT THIS NAP WAS PREPARED UNDER NY SUPERNSON FRCS( TU AN ACTUAL SURFACE CALCULATIONS: SURREY MADE UNDER MY SUPERVISION COMPLEIED ON 05/06/2019 FROM REFERENCES AS SHOWN HEREON;THAT BOUNDAFIES NOT SURVEYED ME NOTED AS SUCH MO PLOTTED FROM REFERENCES AS SHORN HEREOIM THAT TIE ORS PORTION OF 1195 SURVEY WAS TOTAL AREA OF LOT LANDWARD SIDE OF SITE PERFORMED 10 A CLASS A SURVEY AS DEFINED BY TILE 21.CHAPTER BULKHEAD ]000 50 FEET 56,SECTOR.1503 OF THE N.C.ADMINISTRATIVE CODE USING A RTK NETWORK RAN A POSITIONAL ACCURACY OF 0.09 U.S FEET;THAT THIS AREA OF LOT WITHIN 75'CAMS AEC UNE -+c'OP5 SURVEY WAS PERFORMED USING A CARLSONI B X8 ROVER AND/OR LANDWARD ODE OF BULKHEAD-4,101 SQ.FEET A TCNBRE 5600 ROVER;THAT AU.COCRICPI RC. TOTAL AREA OF ROOT OIFRIVNG-2.004 54.FEET(26.61L) GRID NORTH(TAD 1983 2011 ADJUSTMENTTMENT ATES ARE BASED ffCI012 MODEL);THAT THE ��Ra CONVENTIONAL PORTON OF THIS SURVEY HAS A RATIO OF PRECISION TOTAL IMPERVIOUS SURFACE-2,004 SO.FEET(28.6X) IN EXCESS CF 1:10.000 AND IS ALSO PERFORMED TO A CLASS A \ SURVEY AS DEFINED BY TILE 21,CHAPTER 56,Kam1803 OF ,› \ • THE N.C.ADMINISTRATIVE DE;MD THAT TiS YAP WAS AREA OF ROOF 35 SQ. WITHIN 75'CAMS PREPARED IN ACCORDANCE WITH TILE 21,CNAPiai 0L1600 611E \ AEC LINE=I,WS 50.FEET N.GAADYINISINATRE CODE H \ TOTAL AREA OF DECKS,STEPS.ETC.-112 50.FEET '.H(-A^104,. VICINITY SKETCH OB/O]/202p , �{698R04,/ \ \ \ AREA OF DECKS,STEPS,ETC WTE11N 75'CANA (NOT TO SCALE) 2:� 'E7.`9 x AEC UNE-112 50.FEET N ANSI,P.LS.L-3170 .a SEAL �' \4'� \ ..f L-3170�.` _ $�.. ,ct TOTAL AREA OF DRNEWAY-689 SO.FEET '1 \46� ,N \ AREA OF DRIVEWAY*THIN 75'CAMS AIM 11, \ UNE-0 SO.FEET „ \moo \ C1 \ 0 DEED 8001(4349.PAGE Tat ' IA' ® m \ x \ {�l Q O LOT 26 OfTit W NAP BOOK 11,PAGE 32 RAPROPOSED \ Q \ \ \ C— RIM ` ir. RR, • '. le ‘.Ia. .c.. !'• p $ \ `75 \ Q A4, A...""...,A,„ .--..,----...%.d..,., a "- \ 'r IA 7N CC 2 s- 0 ' \ \\ 0 V v q 0 \ r Kn \ R. \' \Ye, \ \ `�\ \MOPE ff E \t \ \ 0.1Of SCR. ' ,\ :' 4 \'Q1. \ \ ` 3'"" \\ \ •\ sagN2 a R TONY KEITH BRENER \ DEED BOOK 4623.PAGE 612 \ u \ LOT 26 1�tlN �TP'�5 NAP BOOK 11,PAGE 32 ?% v�r \ BOUNDARY SURVEY & \ PRELIMINARY PLOT PLAN FOR: BAVA'Y D CAV NAUCII AND WIFE. SUE ANN CAVANAUGHH LEGEND: NMI GRID TIES AND COORDINATES' REFERENCES; 1)THE PROPERTY SHOWN HEREON IS LOCATED ENTIRELY MT/IN OS NO. 2 - NORTH- DEED BOOK 4]]9,PACE 317 CURRENT OWNER: DAVEY W. CAVENAUGFI AND WIFE, SUE ANN CAVENAUGH E1P.EXISTING IRON PIPE ASP ROPE 1CX7 YEAR FHER0 N IS O 257,324.058 EIS EXISTING IRON STAKE AREA,ZONE RE.ACCORDING EAST-2,446,350.293 449 JACK DALE ROAD, WALLACE, NC 28466 EOM-EXISTNG MAC NAIL TO FL000 INSURANCE RATE MAP NO.3]20424500K DATED OLD SETTLERS BEACH MSS-IRON STNM SET FEBRUARY 18,2007. LOT 27,BLOCKt2.SECTION 3 AG-TOP ABOVE GROUND SURFACE 2)ALL OR RAP BOOK 11,PAGE 32 INDIVIDUAL TRACT ON N.C.S.R. 1604 (4TH STREET) BC-TOP BELOW GROUND SURFACE N.C.GRID DATA SHORN HEREON IS BASED ON NAD 1993 OP NO.100 - NTH-257,589.159 R/W-RIGHT-OF-WAY 21117 ADJUSTMENT USINGFMCS THE GS R7N NETWORK SYSTEM. EAST.2,4t6,379.377 TOWN OF SURF CITY I =CENTERUNE 3)ALL DISTANCES SHOWN HEREON ARE N.C.GRID DISTANCES STUMP SOUND TOWNSHIP, ONSLOW COUNTY, N.C. E -PROPERTY LINE UNLESS OTHERWISE NOTED. FMCS-NORTH CARCLINA OEOOETC SURVEY 4)COMBINED GRID FACTOR-ORQ61EA0 UTLIn UNE 0.9999899E La E__. DATE: MAY 8, 2019 �( — J UTRUTY POLE 5)ALL UTLUn LINES SHORN HEREON MAY HAVE EASEMENTS SCALE: 1-- 20' 8-WATER METER AND RIGHTS OF ENTRANCE AND MAINTENANCE ASSOCIATED ID-FIRE HYDRANT MTH THEM. -TELEPHONE Box 8)THIS PROPERTY IS ZONED w s. n✓OHNNY✓. OX 778,I(S LdArD SORY171AC, P.C.54 WATER VALVE t,,/Y �1 P.O. BOX BEULANLLE, N.C. 28518 8VE C-PPOLCP GROOM.OM?_O.-MUM PHONE: 910-298-8272 FAX: 910-298-2310 'IRRIGATION CONTROL VALVE REPRO 00/04/2020-A0Of0 KW KMSE MAN-FUR Tim R.KAIO20WN EMAIL: JINWAMSWWA)RVEY.COM FIRM NO. C-2532 OCEAN HAZARD AEC NOTICE Project is in an: Q'cean Erodible Area High Hazard Flood Area Inlet Hazard Area Property Owner: Ptoe Cci,Wing aft_ Property Address* 10 t�h Sftct:1' p Y s Date Lot Was Platted: 8' 3' 2d 2c' 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 J Q 13 4-i (___ 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. N.C. Dept. of Environmental Quality Studies also indicate that the shoreline could move as much as Division of Coastal Management feet landward in a major storm. 127 Cardinal Drive Extension The flood waters in a major storm are predicted to be about Wilmington, NC 28405-3845 feet deep in this area. Preferred oceanfront protection measures are beach nourishment 9/0 — WC — �� I 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 0CM WILMINGTON, NC AUG 2 7 2020 Property Owner Signature Date t k l • R ceipfs for Certified Mail (Staple Here) DatVD� �o Tonv�i' nebmt, d�e.acr Ad'ac nt Property Owner �V10 Kc entr Rd, Mailing Address (,1\ni•on Mc, 2312$ City, State,Zip Code Dear Adjacent Property: ;;�� This letter is to inform you that I, 'Clue have applied for a CAMA Minor Property Owner Permit on my property at -{pCzn `{1�.S-�r - ��r�' L � f , in Pender/Onslow Property Address 1v County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s)as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my proposed project, please contact me at ( •Z-i -1\l 3 _,or by mail at the address listed below. If you wish to Applicant's Telephone file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit them to: Jason Dail, Field Representative NC Division of Coastal Management Town of Surf City Local Permit Program 127 Cardinal Drive Extension Wilmington, NC 28405 Sincerely,` Property Owner (�wner Mailing Address ALe.Q, City, State,Zip Code RECEIVED DCM WILMINGTON, NC • AUG 2 7 2020 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at Address, Lot, Block, Road, etc.) on , in , N.C. (Waterbody) (Town and/or County) He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, I have no objections to his proposal. (APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) Signature Print or Type Name Telephone Number Date . •osta ervice CERTIFIED MAIL® RECEI'T n Domestic Mail- irtv • D " For delvEr;'nfor7aticr, ...;;;*our website at www.usps.com-. n , _., A q 1 0 C a R4 %.,,, t—o, L. Li .F. , U• Certified Mail Fee ' -- 0466 ,... $0.00 $ 05 3 Extra Services&Fees(check box,add fee aisfaxiaite) El Return Receipt(hardcopy) $ $0.Of) U 3 0 Return Receipt(electronic) $ $0.rui Postmark • 0 Ctified Mail Restricted Delivery $ a A.. Here er 3 0 Adult Signature Required $ 711.1.0.1 0 Adult Signature Restylgred Delivery$ 3 Postage D as 08/26/2020 Total Postage and Aka 1 0 3 $ 3 Sent To____ 3 Street angAot.fik,oe r *-. ..1qOPP \ e-eiNe."(c2-c • City,Stale Z I P+44 (-- . 4it'YZ ..;ernrlea Ivan service proviaes the Tonowtng oenemlts: A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail I A unique identifier for your mailice. associate for assistance.To receive a duplicate I Electronic verificatpn of delivery or attempted return receipt fiL no additional fee,present this delivery. URPS®-piled 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 'niportant Reminders: -Adult signature service,which requires the r You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. -Adult signature restricted delivery service,which r Certified Mail service is notavailable for requires the signee to be at least 21 years of agi intemational mail. and provides delivery to the addressee specified r Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mall service does not change the •To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on r For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion 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. I.JOHNNY J.MWAMS,PROFESSIONAL LAND SURVEYOR,CERTIFY THAT THIS MAP WAS PREPARED UNDER MY SUPERVISION FROM AN ACTUAL SURFACE CALCULATIONS: SURVEY MADE UNDER NY 9UPERVI90N COMPLETED ON 05/08/2019 $ FROM REFERENCES AS SHOWN HEREON; THAT BOUNDARIES NOT 10 37 y VE SURYED ARE NOTED AS SUCH MD PLOTTED FROM REFERENCES IOTA.AREA OF LOT LNIDWARD SIDE OF SITE AS SHOWN HEREON; THAT THE GPS PORTION OF THIS SURVEY WAS PERFORMED TO A CUSS A SURVEY AS DEFINED BY TITLE 21,CHAPTER BULKHEAD-7,000 50 FEET 56,SECTION.1603 OF THE N.C.ADMINISTRAIT E CODE USING A RM NETWAM MM A POSITIONAL ACCURACY OF 0.09 U.S.FEET;THAT IRS AREA OF SIDE WITHIN 75'GIIA AEC UNE CPS SURVEY WAS PERFORMED USING A CARLSON BRXB ROVER AND/OR LNOWARD OF BUUOIEAD-4.101 SO.FEET A IRYBLE Saco ROVER:THAT ALL ADJUSTMENT AYES ARE BASED ON N.C. TOTAL AREA OF ROOF OVERHANG-2.004 50.FEET(28.6X) g+A ? ^ ROD NORTH CONVENTIONAL PO TION 2011 AO,IUSTMEN T A A R2 MODEL): TINE TOTAL IMPERVIOUS SURFACE-2,004 SD.FEET(28.5X) 9 I,e 2206( T (AG 1063 CIF THIS SURVEY HAS A RATIO OF P THAT:. IN EXCESS aF 1:10.000 AND R ALSO PERFORMED TO A CLASS A • SURVEY AS DEFINED BY TITI.E 21,CHAPTER 56.SECTION.1603 OF \ ,y THE N.C.ADMINISTRATIVE CODE;AND THAT MS MAP WAS ,( ``7 AREA OF ROOF OVERHANG WORN 75'C MA PREPARED IN ACCORDANCE VAIN nTIE 21,GRAFTER 881600 Cr 71E \ \ AEC UNE- 1.035 50.FEET N.C.ADMINISTRATIVE CODE. , \ \ SN' R TOTAL AREA OF OEd6.STEPS.ETC.-112 50.FEET a °41. VICINITY SKETCH Oe/07 0 �26;:�FE88Ip'TI. \ \ \ AREA OF DECKS,STEPS,ETC WITHIN 75'COMA (NOT TO SOME) '9 AFC UNE- 112 SO.FEET N AMS,P.LS,L-3170 _ Q .SAL�; \4*, `7 \ L3170 _ , n TOTAL AREA OF DRIVEWAY-669 50.FEET �, ...r w' ; \',.1' \ N \ AREA OF DRIVEWAY WITHIN 75'COMA AEC 8 . ` \ a \ "p \ LINE-0 SO.FEET Q \� � \ D \ O o \ \ a > I__ N \ � ` \ TOY PARKERP a # 7 �. DEED BOOK 4349,PAGE]Bt 'I/O' ® m -� \ 4334 L LOT 28 \ 8 MAP BOON 11,PAGE 32 •enrolOSED 6 \ H rP� CD ` . s CC 0 • 0 • s \ \ ,uW nro l 61 E \ :� �\ \V L \ 5/8-. \ �� 1i ,,. \ y1., 04 III1f`� \ \Ss-, \ \ 4 m W \ C \ MI.TOW 21 t TONY KETM BREWER \ DEED BOOK 4823,PAGE 812 \ '.u' \ LOT 26 eL„TOMAP BOOK 11,PAGE 32 11 F9RIION OF 1Dr_NK .- .-- emu`` G" "� \ BOUNDARY SURVEY & \ PRELIMINARY PLOT PLAN FOR: DAVA'')' A'. CAVANAUCH AND EWE, SUE ANN CAVA'NAUCW LEGEND: NOTF$' GRID TIES AND COORDINATES: REFERENCES' 1 THE PROPERTY SHOWN HEREON IS LOCATED ENTIRELY MORNDEEP BOOK 4779,PACE 377 CURRENT OWNER: DAVEY W. CAVENAUGH AND WIFE, SUE ANN CAVENAUGH EIP EASING IRON PIPE ) A SPECIAL tOD TEAR R000 HAZARD AREA.ZONE W.ACCORDING EIS NO. 2 - NORM-257,524.059449 JACK DALE ROAD, WALLACE, NC 28466 EIS-EASING IRON STAKE TO ROOD INSURANCE RATE MAP NO.372042e5CCK DATED EAST 2,446,350.293 OLD SETTLERS BEACH EMN-FASTING NAG NAIL FEBRUARY 16.2007. LOT 27,BLOCK 42.SECTION 3 ISS-IRRH STAKE SET AG-TW ABOVE GROUND SURFACE MAP BOOK 11,PACE 32 INDIVIDUAL TRACT ON N.C.S.R. 1604 (4TH STREET) BG=TOP ABOVE GROUND SURFACE 2)AIL N.C.ROD DATA SHOWN HEREON IS BASED ON NAP 1963 EP NO.100 - NORTH-257,559.159 R/W-BRIT-OF-WAY 2011 ADJUSTMENT USING THE NCGS RTCNETWORK STSfEAI. EAST-2,446,319.377 TOWN OF SURF CITY =CEENNTE�RTN UNE 3)ALL DISTANCES SHOW!HEREON ARE N.C.GRID DISTANCES STUMP SOUND TOWNSHIP, ONSLOW COUNTY, N.C. NCGS-NORM CARCUNA GEODETIC UNLESS OTHERWISE NOTED. SURVEY 4)COMBINED AND FACTOR- 0.99926294 DATE: MAY 8, 2019 -Hs t-oVONEAD UTILITY uNE SCALE: I'- 20' o-UTILITY POLE 5)ALL UTIUTY UNES SHOWN HEREON MAY HAVE EASEMENTS O-WATER METER AND RIGHTS OF ENTRANCE AND MAINTENANCE ASSOCIATED ••-FlRE NTORANT WITH MEN. ✓OHNNY✓. NIZZIAk'8 LAD SLIMY/AC, P.C.©-TEA BOX e)THIS PROPERTY IS ZONED MKS P.O. BOX 778, BEULAVILLE,N.C. 26518 WATERTER VALVE L1E I/ -IRRIGATION CONTROL VALVEV-RWOEO 5AW1Aua.WV'_MIS-' M, L1 , PHONE: 910-298-8272 FAX: 910-298-2310 REMOLD 0e/05/2020-MOO NEW MOUS PUA-wi REMOLD GG NOM IS.11 ION EMAIL: JWILLIAMSOJWSURVEY.COM F1RM NO. C-2532 • ' , Receipts for '' ' • Certified Mail (Staple Here) Date Pakf;c-(_ Pea Kt,r Adjacent Property Owner `lo(°I 9 Sfi,t�1 Mailing Address Syr City N(, 2,445 City, State,Zip Code Dear Adjacent Property: This letter is to inform you that I, l e Qv� A��u� have applied for a CAMA Minor 'Property Owner Permit on my property at(-{CAJan Lt."'5- - �",r� �. (• ,in Pender/Onslow Property Address County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s)as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my proposed project, please contact me at -\1U) • 5L'. \\ ,or by mail at the address listed below. If you wish to Applicant's Telephone file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit them to: Jason Dail, Field Representative NC Division of Coastal Management Town of Surf City Local Permit Program 127 Cardinal Drive Extension Wilmington, NC 28405 Sincerely, (� 1 Property Owner Mailing Address Wc,\\au, , N•C. ��e� City, State,Zip Code RECEIVED DCM WILMINGTON, NC AUG 2 7 2020 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to ,s (Name of Property Owner) property located at Address, Lot, Block, Road, etc.) on , in , N.C. (Waterbody) (Town and/or County) He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, I have no objections to his proposal. (APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) Signature Print or Type Name Telephone Number Date I. . 'osta ervice . CERTIFIED MAIL° RECEP'T ` DomestiCll4oilOniy n For delivery information,visit our website at www.usps.com"'. " r ., , , r N :,, g U Certified Mail Fee $3�5c �, �1466 $ $II,IiIi 05 Extra Services&Fees(check box,add fee a te) U El Return Receipt(bardcopy) $ $Q,(I I ❑ReturnReceipt(electronic) $ l Postmark ❑Certified Mall Restricted Delivery $ so.on ifi Here 7 0 Adult Signature Required $ $1).U0 ❑Adult Signature Restricted Delivery$ 3 Postage $0.55 0 D $ U3/2o/2020 Total Postage and is 1 0 $ o Sent r ` • R �Gt�trtc.2 PGf Ker 3 .1treet and t 7ffo.,or Istillox 1fh. bity,State,ZI i , . C,kv q-C- .31M(V ✓ertmea mall service proviues we Tailowing uenein ; A receipt(this portion of the Certified Mall label). for an electronic return receipt,see a retail A unique identifier for your iece. associate for assistance.To receive a duplicate Electronic verification of deli or attempted return receipt for no additional fee,present this delivery. USPS®-poetmarkediGergfied 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 Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. -Adult signature restricted delivery service,which Certified Mail service is notavailable for requires the signee to be at least 21 years of agi International mail. and provides delivery to the addressee specified I Insurance coverage is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on For an additional fee,and with a proper this Certified Mall 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 portion 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. 100 I.JOHNNY J.MWAMS,PROFESSIONAL LAND SURVEYOR.CERTIFY THAT THIS MAP WAS PREPARED UNDER MY SUPERVISION FROM AN ACTUAL SURFACE CALCULATIONS: SURVEY MADE UNDER MY SUPERMSCN CTAPLETED ON 05/05/2019 FROM REFERENCES AS SHORN HEREON;THAT BOUNDARIES NOT 001 SURVEYED ARE NOTED AS SUCH AND PLOTTED FROM REFERENCES TOTAL AREA OF LOT LANDWARD SIDE OF SITE AS SHORN HEREON: THAT TIE CPS PORTION OF THIS SURVEY WAS PERFORMED TO A CLASS A SURVEY AS DINED BY WILE 21,CHAPTER OULKNEAD-7,OW SD.FEET CONED 56,RCTIOI.1603 OF THE N.C.ADMINISTRATIVE CODE URNS A Rix AREA OF LOT WITHIN 75'CAMA AEC UNE NET1VCRK WITH A P09TIDIAL ACCURACY OF 0.09 U.S.FEET;THAT THIS LANDWARD SIDE OF BULKHEAD-4,101 S0.FEET A T SURVEY WAS OVEER; MED AU.0 A CARLSONATEAREB ASEDR ON TOTAL AREA OF ROOF OVERHANG.2,004 SO.FEET(26.610 �' A S SURE 36W ROVER;THAT COORDINATES ARE BASED OA N.C. GRID NORTH(NAD 1983 2011 ADJUSTMENT GECD12 MCOEL);THAT THE CONVENIIGIAL PORTION OF THIS SURVEY HAS A RATIO OF PRECISION TOTAL IMPERVIOUS SURFACE-2,004 SO.FEET(28.6S) xF.2" IN EXCESS OF 1:10.000 AND IS ALSO PERFORMED TO A CLASS A \ SURVEY AS DERIVED BY TI1LE 21.CHAPTER 56,anal OF 7, \ • 114E N.C.ADMINISTRATIVE OE;AND TIAT TlS MAP WAS \ AREA OF OOVERHANG WITHIN]S CNAA W PREPARED IN ACWRDANCE WITH 111LE 21,CHARTER 56.1600 OF THE AEC UNE•1,035 SO.FEET S N.C.ADMINISTRATIVE CODE. ,,,,,, , \ \ TOTAL AREA OF DECKS,STEPS,ETC..112 SO.FEET N CARo•,, VICINITY SKETCH 08/07/2020 :20 of ESS,D 6j9,' \ \ \ AREA A UNE-112 STEPS,SO. WITHIN 75'CAMA (NOT TO SCALE) N AXIS,P.LS.,L-3170 :q SEAL \\.'SA \ \ TOTAL AREA OF DRIVEWAY.669 SO.FEET v L-3170 Qt� .N \ AREA OF DRIVEWAY WITHIN 75'CAMA AEC 43 .1`P ,,,1' /?!A, \ "43 \ UNE.0 SO.FEET ,10 \a \ c \ 0®BOOK RIP S PAGE 78t /0. g m \\ •� \ 7x Ca \ b LOT MAP BOOK 11 6 PAGE 32 Vy1p 4*. .. �E.G \ v" \\L o. \ \• I ... b� . Iliko., \ ,E, T,IG \ \ . 'it"' • \� \ \\ \ IT`\ . ,TOrIKAU \ \ „- �. ,, . . ,s %s \ y y ,T \ ^p / ® o.>s>ACRES °+ ��,q� \ \ .:\**, ,ci '•.6 s s .''-4- Cf4, S '\ \ D21 06 450 e eQ ri -" igi*, `\ sa w ar E ,pM KERN MOVER \\ MBE ..\ D®BED(4623,PACE 612 \ ZI'+ ,.IX LOT 26 AAA0 CANAL V- �3i,r,r MAP BOOK II,PAGE 32 '� rag ---I n 'wro\ i:. RVEY & ti 0 m v \ PRELIM NARYDARY UPLOT PLAN FOR: o Z \\ Z DAVEY A'. CAVE'NAUCII AND WIFE. SUE ANN CAVA'NAUCH I EGEND: S: GRID TIES AND COORDINATES REFERENCES; CURRENT OWNER: DAVEY W. CAVENAUGH AND WIFE, SUE ANN CAVENAUGH 1)THE PROPERLY SHOWN HEREON IS LOCATED COMELY WITHIN EIS NO. 2 - NORTH-257,524.059 DEED BOOK 4779,PAGE 3T7 449 JACK DALE ROAD, WALLACE, NC 28466 EIP-EXISTING IKON PIPE A SPECIAL 100 YEAR FLAW HAZARD AREA,ZDIE 1E,ACCORDING EAST-2,446,350.293 EIS-EXISTING!RCN STAKE OLD SETTLERS BEACH TO FLOW INSURANCE RATE MAP NO.3720424NX%DATED ICI IREOpNSSTAGKE SET A NAIL FEBRUARY 18 2007. YIP LOT BOOK 111, 42, 32°N 3 INDIVIDUAL TRACT ON N.C.S.R. 1604 (4TH STREET) AG-TOP ABOVE GROUND SURFACE 2)ALL N.C.GRID DATA SHORN HEREON IS BASED ON NAD 1983 EIP NO.100 - NOON-257,569.159 BC-TOP BELOW GROUND SURFACE 2011 ADJUSTMENT USING THE NCGS RTK NETWORK SYSTEM. EAST-2,446,319.377 TOWN OF SURF CITY R/W-RIGHT-OF-WAY 9 -CENTERLINE 3)ALL DISTANCES SHOWN HEREON ARE N.C.GW DISTANCES STUMP SOUND TOWNSHIP, ONSLOW COUNTY, N.C. I -PROPERTY LINE UNLESS OTHERWISE NOTED. NWS-NORTH CAROUNA GEODETIC SURVEY 4)COMBINED GRID FACTOR- 0.99996994 DATE: MAY 8, 2019 =q -9--4-6--OVERHEAD MUTT UNE SCALE: 1'= 20' •.UTTUTY POE 5)ALL UTILITY UNES SHOWN HEREON MAY HAVE EASEMENTS N-WATER METER AND RIGHTS OF EWTRANQ AND MAINTENANCE ASSOCIATED -PRE HYDRANT IWTN THEM. ✓OHA'A7.1 F/LLlAIIS LAND SURVEY:1M P.C. ©-TELEPHONE BOX 8)THIS PROPERTY IS ZONED MUD. P.O. BOX 778, BEULAMLLE, N.C. 28518 ,,,-AWATER VALVE o-IR wwax 9EL11 oAH .RAHCOMT_o -roam �/� PHONE: 910-298-8272 FAX: 910-298-2310 �P v T.IRRIGATION CONTRA VALVE CIE kW awAO2. Rews1l oe/ae/x.To-Room KW MULE RAN-PVT AS AM CA9A2OH. EMAIL: JWILUAMSOJWSURVEY.COM FIRM NO. C-2532 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency OMB No. 1660: Nov National Flood Insurance Program Expiration Date: November 30,2022 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 Davey W. Cavenaugh and Sue Ann Cavenaugh Policy Number: A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIL Number: 4067 4th Street City State Surf City ZIP Code North Carolina 28445 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.) Onslow County tax parcel number: 800-74 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude: Lat.34-26-54.4 Long.77-31-10.5 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) 128.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A8.b 410.00 sq in d) Engineered flood openings? ❑' Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑Yes ❑x No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3. State Town of Surf City 370186 Onslow 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 Revised Date ( ) (Zone AO, use Base Flood Depth) 3720424500 K 06-19-2020 02-16-2007 VE 11.0 L F > r) B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item B9: W z! ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: V _ W � B11. Indicate elevation datum used for BFE in Item 69: ElNGVD 1929 ❑x NAVD 1988 ❑ Other/Source: \skOttik E�l B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area (Qi?F 'A❑Yes 10 Designation Date: ❑ CBRS ❑ OPA SEAL E a J L-3170 : FEMA Form 086-0-33(12/19) Replaces all previous editions. "3'11se:_ , -,'_?.��,. OMB No. 1660 ELEVATION CERTIFICATE Expiration Date:: November 30,2022 IMPORTANT: In these spaces,copy the corresponding information from Section A. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O.Route and Box No. Poollicy NumbeR r: COMPANY USE 4067 4th Street City State ZIP Code Company NAIC Number Surf City North Carolina 28445 SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones A1—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: NCGS RTK network 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) 3.5 0 feet ❑ meters b) Top of the next higher floor 13.8 0 feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) 12.0 0 feet ❑meters d) Attached garage(top of slab) N/A ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 11.1 0 feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) 2.3 0 feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 2.9 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 2.2 0 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. l 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? Ei Yes ❑No ❑Check here if attachments. Certifier's Name License Number Johnny J.Williams L-3170 Title 0"CA fff../�' Professional Land Surveyor •loli,�/ Company Name Ci v'"a`: �Qj'. � Johnny J.Williams Land Surveying, P.C. °°- /' Address •� 317d P.O. Box778 .�, er City �� .�•rQ � •,��,�. State ZIP Code ;4' •.. • • N\ •> Beulaville North Carolina 28518 f14N'� \\\ ,.Sgnaturr Date Telephone Ext. 41 e 1.3 j 1-4 08-03-2020 (910)298-8272 n/a Cop all ,ages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company, and(3)building owner. i Comments(including type of equipment and location, per C2(e), if applicable) C2e-This elevation is based on Surf City having a 0.0'free board requirement to be verified prior to construction IVED DCM WILMINGTON, NC p l i r 2 7 2020 FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6 National Flood Insurance Program V-Zone Certification Property Information For Insurance Company Use Name of Structure Owner Policy Number Davey and Sue Cavenaugh Structure Address or Other Description 4067 4th Street Surf City State NC Zip 28445 SECTION I: FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Note: To be obtained from appropriate FIRMs 1.Community Number 2. Panel Number 3. Suffix 4. Date of FIRM Index 5. FIRM Zone 370186 3720424500 K 06/19/2020 VE SECTION II: ELEVATION INFORMATION Note: This form is not a substitute for an Elevation Certificate. Elevations should be rounded to nearest tenth of a foot. 1. Elevation of the Bottom of Lowest Horizontal Structure Member 12.0 feet 2. Base Flood Elevation 11.0 feet 3. Elevation of Lowest Adjacent Grade 2.3 feet 4. Approximate Depth of Anticipated Scour/Erosion used for Foundation Design 1.0 feet 5. Embedment Depth of Pilings or Foundation Below Lowest Adjacent Grade 8.0 feet 6. Datum Used I NGVD '29 X NAVD '88 Other SECTION III: FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Note: This section must be certified by a registered professional engineer or architect. I certify that I have developed or reviewed the structural design, plans and specifications for construction and that the methods of construction to be used are in accordance with accepted standards of practice for meeting the following provisions: a.)The bottom of the lowest horizontal structure member of the lowest floor(excluding the pilings or columns) is elevated to or above the BFE; and b.)The pile or column foundation and structure attached thereto is anchored to resist flotation, collapse and lateral movement due to the effects of the wind and water loads acting simultaneously on all building components. Water loading values used are those associated with the base flood including wave action. Wind loading values used are those required by the applicable State or local building code. The potential for scour and erosion at the foundation has been anticipated for conditions associated with the flood, including wave action. SECTION IV: FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Note: This section must be certified by a registered professional engineer or architect. I certify that I have developed or reviewed the structural design, plans and specifications for construction and that the methods of construction to be used for the breakaway walls are in accordance with accepted standards of practice for meeting the following provisions: a.) Breakaway collapse shall result from water load less than that which would occur during the base flood; and, b.) The elevated portion of the building and supporting foundation system shall not be subject to collapse, displacement, or other structural damage due to the effects of wind and water loads acting simultaneously on all building components (wind and water loading values defined in Section III). SECTION V: CERTIFICATION (Check: Section III_ X and/or Section IV X ) Name of Certifier Title Joshua E. Outlaw Engineer Firm Name �.,,,"""""',,,,,, License Number The Adams Company, Inc. .o`''� k C A•RO,,,',� 037471 Vr Street Address a Q-�OF€55%? c,t� Phone Number 708 Abner Phillips Rd. ;2 '9 �: ( 910 ) 293-2770 City SEAL State Zip Code Warsaw 037471 NC 28398 Signature i ? ? Date N.C. Division of Emergency Manag l ,q E OJ,,, 05/92 u'i'" uuisiIS ,,, i:11-1 NC Division of Coastal Management Cashier's Official Receipt 116 3 0 A B '� g; ? 10 Date: 20 Received From: t�� $ 9 0 Fm-el /7s-2„ � l Permit No.: l;f4fliik, Check No.: ('I '`Applicant's Name: CoWnty: p&J` 0 uV 2(��� t - Project Address: ( 6-67 Please retain receipt for your records as proof of payment for permit issued. Signature of Agent or Applica Date: f24.7_96 Signature of Field Representative: Date: Date Date Check From Name of Vendor Check Check Permit Rci Received Deposited Permit Holder Number amount Number/Comments 9/3/2020 Davey Cavanaugh same United 1252 $100.00 minor fee,4067 4th St, Surf City JD rc1 Electric, LLC Community ONCO 11631 Bank