SC_21-01_ Bennett (2)

RECEIVED
Issued by WiRO SC21-01
Surf City G 2'?- FEB 2 2 2021 Permit Number
/ a.o
3 tit) CAMA DCM WILMINGTON, NC
Pi MINOR DEVELOPMENT
PERMIT
NORTH CAROLINA
as authorized by the State of North Carolina, Department of Environmental Quality 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 Matt and Monica Bennett authorizing development in the Estuarine Shoreline (AECs) at 141 Atkinson Road,
Surf City, Pender County as requested in the permittee's application, dated January 5, 2021, and received complete by
DCM on January, 7, 2021. This permit, issued on January 28, 2021, is subject to compliance with the application and
drawing dated and received by DCM on January 7, 2021 (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: Installation of a swimming pool with landscaping and cabana.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing,
received by DCM on January 7, 2021.
(2) All construction shall conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit.
(4) 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 ason Dail
compliance. Any maintenance work or project modification not covered under AMA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December 31,2024 28405-384
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 RMITTE
Management.
(Sign tlyiB Wired if condit05,above apply to permit)

i
Name: Matt and Monica Bennett
Minor Permit#SC21-01
Date: January 28, 2021
Page 2 of 2
(5) This permit does not authorize the excavation or filling of any wetlands or open water area(s).
(6) 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.
(7) This permit does not authorize any development activities within 30 feet of the normal/mean high water line, with the
exception of 200 sq.ft. or less of slatted,wooden, elevated and unroofed decking.
(8) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
(9) All construction shall conform to the N.C. Building Code requirements and all other local, State and Federal
Regulations, applicable local ordinances and FEMA Flood Regulations.
iZIP 7
SIGNATURE: �� DATE: 72_0
PERMITTEE

n t�O t. ` OTHER PERMITS MAY BEc REQUIRED:The activity you are planning may require permits other than the CAMA
Locality 1 ` Pl2nd a r) Permit Number a 2 ! ! 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 Matt Bennett and w fe,Monica Bennett 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 207 North Sea Lily Court _
Elan owner or record title,Title is vested in Fee Simple ,see Deed Book 4668
CityHampstead State NC Zip28445 Phone [phone]
page 2158 in the Pender County Registry of Deeds.
Email [e-mail]
Han 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. I—if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address P.O.Box 1570 NOTIFICATION OF ADJACENT PROPERTY OWNERS:
City Jacksonville State NC Zip 28541 Phone [phone] I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
Email [e-mail]
(Name) (Address)
(I) Mr.Robert John Martin,36719 West Main Street,Purcellville,VA 20132
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.) 141 Atkinson Road,Surf City,Pender County (2) Peninsula at Topsail HOA,111 Augusta Court,Advance,NC 27006
(3)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Three-Story (4)
Dwelling on Pilings with Decks Over Concrete Slab Enclosed below for Storage,Entry&Garage
SIZE OF LOT/PARCEL: 10,569 square feet 0.243 acres with Pool and Decking with Pervious ACKNOWLEDGEMENTS:
Gravel Drive and All Proposed Improvements as Shown on Map I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
PROPOSED USE:Residential Q (Single-family Q Multi-family❑) Commercial/Industrial❑ 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,
(I) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: N/A square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
excluding non-load-bearing attic space) /
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the day of A/Aill 20�/
UPON SURFACES:1,077 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Letid / �i
Landowner or person authorized to act as hi r of for se of filing a CAMA permit application
STATE STORM WATER 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 infor / (this form),a site drawing as described on the back of this application,the
YES I-1 NCI I ownership statement,the Ocean Hazard ' Notice where necessary,a check for$100.00 made payable to the locality,and
1,330 any information as may be provided ora y by the applicant.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.
RECEIVED
JAN072021
DCM WILMINGTON Nr

41...14,a
y�� / 1OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
ity Permit Number2 I' v 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
i 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.
;RAL INFORMATION STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
OWNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Man Bennett and wife,Monica Bennett listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
ss 207 North Sea Lily Court • (� -
Hampstead State NC Zip28445 Phone [phone]a77 Flan owner or record title,Title is vested in Fee Simple ,see Deed Book 4668
page 2159 in the Pender County Registry of Deeds.
[e-mail]
Elan owner by virtue of inheritance.Applicant is an heir to the estate of ,
IORIZED AGENT probate was in County.
Charles F.Riggs&Associates,Inc. rif other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
is P.O.Box 1570 NOTIFICATION OF ADJACENT PROPERTY OWNERS:
acksonville State NC Zip 28541 Phone [phone] I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
[e-mail] (Name) (Address)
(1) Mr.Robert John Martin,36719 West Main Street,Purcellville,VA 20132
LTION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
nt waterbody.) 141 Atkinson Road,Surf City,Pender County (2) Peninsula at Topsail HOA,111 Augusta Court,Advance,NC 27006
(3)
RiPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Three-Story (4)
Iling on Pilings with Decks Over Concrete Slab Enclosed below for Storage,Entry&Garage
DF LOT/PARCEL: 10,569 square feet 0.243 acres with Pool and Decking with Pervious ACKNOWLEDGEMENTS:
Gravel Drive and All Proposed Improvements as Shown on Map 1,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
OSED USE:Residential Q (Single-family ID Multi-family❑) Commercial/Industrial 0 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-
PLETE EITHER(i)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC'applies tion and floodproofing techniques.
r property):
CEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: N/A square feet(includes (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
rditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
ling non-load-bearing attic space) rr
OASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUIC1' This the 6 day of Nld 20 ZI
1 SURFACES:1,077 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
/ :
:te or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner orperson authorized to act as {for se of filinga CAMApermit application
PP _
E STORM WATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
;ement Permit issued by the NC Division of Water Quality? This application includes:general infor / (this form),a site drawing as described on the back of this application.the
= NCI I ownership statement,the Ocean Hazard ' Notice where necessary,a check fir$1O0.00,made payable to the locality,and
1,330 any information as may be provided ora y by the applicant.The details of the applicatit(h as described by these sources are
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.
RECEIVED
..,".,I0 1i121
DCM WI LMINGTON. 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]
January 5, 2021
Peninsula at Topsail HOA
111 Augusta Court
Advance,NC 27006
Re: Matt Bennett and wife,Monica Bennett Submittal for Minor CAMA Permit
To whom it may concern:
On behalf of Matt Bennett and wife,Monica Bennett,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 141 Atkinson Road, Surf City,
Pender County,North Carolina. Matt Bennett and wife,Monica Bennett are planning to construct a three-
story dwelling on pilings with decks over a concrete slab enclosed below for storage,entry and garage
with pool and decking,a pervious gravel drive and all proposed improvements, as shown on map.We are
required to notify the adjoiners of this submittal. If you have objections,please contact Mr.Jason Dail in
a timely manner at(910)796-7221,[e-mail], or by mail at the Division of Coastal
Management,N.C. Department of Environmental Quality, 127 Cardinal Drive,Wilmington,NC 28405.
Respectfully,
n10/r—P-rr
James L. Riggs
RECEIVED
JAN 0 7 20?i
DCM 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]
January 5, 2021
Mr. Robert John Martin
36719 West Main Street
Purcellville,VA 20132
Re: Matt Bennett and wife, Monica Bennett Submittal for Minor CAMA Permit
Dear Mr. Martin:
On behalf of Matt Bennett and wife,Monica Bennett,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 141 Atkinson Road, Surf City,
Pender County,North Carolina. Matt Bennett and wife,Monica Bennett are planning to construct a three-
story dwelling on pilings with decks over a concrete slab enclosed below for storage,entry and garage
with pool and decking, a pervious gravel drive and all proposed improvements,as shown on map.We are
required to notify the adjoiners of this submittal. If you have objections,please contact Mr.Jason Dail in
a timely manner at(910)796-7221,[e-mail],or by mail at the Division of Coastal
Management,N.C. Department of Environmental Quality, 127 Cardinal Drive,Wilmington,NC 28405.
Respectfully,
')///1 ,41-7(707
James L. Riggs
RECEIVED
JAN 07 2021
'.L.. .will I116If'1 f KI s_ur.

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]
January 5, 2021
To: Mr. Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Matt Bennett and wife, Monica Bennett Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of Matt Bennett and wife, Monica Bennett, Charles F. Riggs &Associates, Inc.
submits for your review the enclosed application for a Minor CAMA permit for the property at
141 Atkinson Road, Surf City, Pender County, North Carolina.
Respectfully,
0(M/
James L. Riggs
RECEIVED
JAN 0 7 2021
DCM WILMINGTON, NC

Dail, Jason
From: Dail, Jason
Sent: Friday, July 30, 2021 2:14 PM
To: Mark Kuhlmann
Subject: RE: [External] Bennett pool
Thank you. Assume the blue line you have drawn indicates the footprint of the swimming pool itself? If so, can you
confirm that a good portion of the previous approved "pervious deck" will be eliminated under the new design?
Take care,
Jason
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]
INO '"Thicpt lung Comparin .
'E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
From: Mark Kuhlmann [mailto:[e-mail]]
Sent: Thursday,July 22, 2021 7:32 AM
To: Dail,Jason <[e-mail]>
Subject: [External] Bennett pool
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.<mailto:report.spam n,nc.gov>
Good morning Jason. Here are changes for the pool on Atkinson. Any questions just call . 843-602-0427. Thank you.

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NOW OR FORMERLY �'
PENINSULA AT TOPSAIL
ceQ
D.B. 4611, P. 2511 o x
LOT A ' i
THE PENINSULA AT � .
TOPSAIL 0)0
M.B. 56, P. 39 u..
0
R/W
BOUNDARY & TOPOGRAPHIC SURVEY & PRELIMINARY PI
FOR
MATT BENNETT & WIFI
MONICA BENNETT
LOT 1 , PENINSULA AT TOPSAIL, M.B. 56, P. 3c.
TOPSAIL TOWNSHIP, PENDER COUNTY, NORTH CARC
MATT BENNETT & WIFE, MONICA BENNETT, OWNER; D.B. 4(
141 ATKINSON ROAD

ROY COOPER
. _ i (iovernur
MICHAEL S. REGAN
Secretary
^c.
BRAXTON DAVIS
Director
January 28, 2021
Matt& Monica Bennett
207 North Sea Lily Court
Hampstead, NC 28445
Dear Mr. & Mrs. Bennett,
Attached is CAMA Minor Development Permit SC 21-01 for work to be done at 141 Atkinson Road in Surf
City, Pender County. An electronic copy has been sent to the Surf City Inspections Department and your
Agent.
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and return the white copy to us within 20 days of receipt in the enclosed, self-addressed
envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
L .zfedi
Anita M.Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
SC Inspection Dept.
Charles F. Riggs &Associates—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 Rms.Pt S L-2.981 Corpor.tte 110:11SC(0730) lames A 1.cvos,PL S.L-4562
502 New Bridge Strom 502 New.linage Street Landfall Executive Suites
laclotuav01c,North("ambit.%:8540 PO Box 1570 1213 Culbrrih Drive
(910)455-087 Jacksomilk,North Caruhrta:8541 Wilmington,North Caroltna 28405
chulteriggsOngirilandoc c).‘in [phone] (910)681,7444
Jarnolomit ngplandne cttin
AGENT AUTHORIZATION FORM
Date: _May 19,2020
Name of Pmperty Owner Applying tor Permit:
tatt Bennctt and sviksItionica Bennett
Mailing Address:
207 North Sea 1 ily Court
Eaminicad.NC 28445
I certify that I have authorizal Charles F.Riggs&Associates,Inc.to act on my behalf',for the purpose
of applying for and obtaining all CAMA Permits necessary to install or construct proposed dwelling,as shown
on attached map and located at 141 Atkinson Road,Surf City,Pendcr County,North Carolina,and I grant
permission to the Division of Coastal Management to access the property to mark/flag:
The First Line of Stable Natural Vegetation
X The Coastal Wetlands
X The Normal High Water Line
RECEIVED
This authorization is valid thru May.
n 7 '
DCM ,„..,

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Matt Bennett and wife, Monica Bennett
Property Owner:
141 Atkinson Road, Surf City, Pender County
Property Address:
Date Lot Was Platted: April 2014
ibis notice is intended to make you ihe .ipplicant. aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with devetopment in this desel,pmcnt in areas subject to sudden and massive storms and
area,which is subject to natural hazards such as storms erosion erosion. Permits issued for devekipmcm in this area expire on
and currents. The rules of the Coastal Resources Commission December 3 I of the third year following the year in which the
require that you receive an 11.0 Hazard Notice and permit V,3, 11Ntleda Shortly before work begins on the project
acknowledge that notice ii writing before a permit for site,the I al 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 trquirement.
setbacks and dune alteration. are designed to minimize, but not the LPO will inform you that you may begin work. Substantial
eliminate. property loss from harards. By granting permits, the prowess 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 developmast and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
the ikselopment. Permits issued in the Ocean Hazard Area of storm ‘S ohio the 60-day period will necessitate re-measurement
Environmental Concern include the condition that structures be of the .eth.lck It s important that you check with the LPO
relocated or dismantled it they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. The structure(%) must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings lune heen placed and substantial progress is continuing.
imminently threatened, and in any case upon its collapse or permit renew i can be authorized. It is unlawful to continue
subsidence. work after permit expiration.
The best available information.as accepted by the Coa,tal For more inJormation,<wawa:
Resources Commission, indicates that the annual long-tenit
average ocean erosion rate fix the area where '.our prois,:ri), 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 muse 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 arc beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads.seawalls.revetments,groins,jetties Phone Number
and breakwaters arc prohibited, Temporary sand bags may he
authorized under certain conditions.
I he applicant must acknowledge this information and
reuuirements by signing this notice in the space below. Without
the pro sienaturu the application will not he complete.
JAN 7 /j.
DCM WI
. rope Ow Sigtio e Date
5/17
Revised May 2010

iiir
Pr - y thent'r Signature 4
Date
RECEIVED
J; :: 0
DCM WILMINGTON, iNIC

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:
MATT BENNETT AND WFE, MONICA BENNETT
A2. Budding Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
141 ATKINSON ROAD
City State ZIP Code
SURF CITY North Carolina 28445
A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.)
LOT 1,THE PENINSULA AT TOPSAIL
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d24'49"N Long.77d34'09"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) 980.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 5
c) Total net area of flood openings in A8.b 1000.00 sq in
d) Engineered flood openings? ❑Yes ❑x 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 63. State
TOWN OF SURF CITY 370186 PENDER COUNTY North Carolina
B4. Map/Panel 85. Suffix B6. FIRM Index B7. FIRM Panel B8.Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
3720423400 J 02-16-2007 02-16-2007 AE 8.0'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile x0 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)? LI Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA RECEIVED
JAN 0 7 2O?' T�2 sizoi rogo

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:
141 ATKINSON ROAD
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) 5.5 ❑x feet ❑ meters
b) Top of the next higher floor 15.5 ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet 0 meters
d) Attached garage(top of slab) N/A 0 feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 10.1 feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 4.0 x❑ feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 4.3 x❑ feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet ❑ meters
structural support N/A
SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? E Yes ❑No ❑Check here if attachments.
Certifiers Name License Number
JAMES A. LEWIS L-4562 `���t‘v tC A i r rrrr/
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PROJECT MANAGER Z .'- 0 .'..,
Company Name = a SEAL r
CHARLES F. RIGGS&ASSOCIATES, INC. — • L-4562
Address . 0�•
502 NEW BRIDGE STREET O SrC.,.'
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City State ZIP Code ',' \- ‘`\
JACKSONVILLE North Carolina 28540 rri,S.
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Signature � Date (910)Telephone [phone] 41rt
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Copy all p es of this Elevation Ce icate and all attachments for!(1)community official,(2)insurance agent/company,and(3)building owner.
Comments(including type of equipment and location, per C2(e),if applicable)
PROPOSED DWELLING IS THREE STORY ON PILINGS,ENCLOSED BELOW.
SURVEYOR RECOMMENDS 5 ENGINEERED FLOOD EVENTS WITHIN THE ENCLOSURE. ENGINEERED VENTS ARE SMART
VENTS(MODEL#1540-570)COVERING 200 SQ.FT. EACH.
PRELIMINARY FLOOD MAPS SHOW A CHANGE IN FLOOD ZONE TO AE(10), SURVEYOR If idiVI bib-I-PLACING THE FIRST
FINISH FLOOR AND ELECTRICAL EQUIPMENT AT 10.0'OR HIGHER.
lAN 0 7 202t (CFRA#18-07-34)
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ill. Iii:INIali NC Division of Coastal Management
Cashier's Official Receipt 117 4 5 A B
Date: / .� 1 / 20 71
Received From: ! • ` f ► ►&c%ii1 C a-- P214k-44- e-- ! 0 0
$ i
Permit No.: k) ��G
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Applicant's Name: /� ''t&# Vh1UlAtaL/ 214,1A2 76
County:
Project Address: 41 iy :
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Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant:
Date:
/ , ,:—
Signature of Field Representative: ��
Date:

Date Date Check From Name of Vendor Check Check Permit Rct. #
ceived Deposited Permit Holder Number amount Number/Comments
3/2021 Charles F. Riggs Matt and Monica FCB 16759 $100.00 minor fee, 141 Atkinson Rd, Surf JD rct.
and Associates Inc. Bennett City PnCo 11745