SC_21-16_ SLA Surf (2)

Issued by WiRO RECEIVED SC21.16
Surf City Permit Number
JUN 1 4 2021
CAMA DCM WILMINGTON, N .�--►`
MINOR DEVELOPMENT t
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 24 (Pender Co. PIN
4245-44-0461-0000, South Boca Bay Lane, in Surf City, Pender County as requested in the permittee's application,
dated May 10, 2021, and received by DCM on May 10, 2021. This permit, issued on June 2, 2021, is subject to
compliance with the application and drawing dated and received by DCM on May 10, 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: 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 May 10,2021.
(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: 1 7 Cardinal Drive Extension
December 31,2024 Wilmington, NC 28405-3845
6)U//12
In issuing this permit it is agreed that this project is consistent with the local Land e
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal FERMI

r .
Name: SLA Surf City, LLC
Minor Permit#SC21.16
Date: June 2, 2021
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 DATE: !
PERMITTEE

OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Permit Number minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
rard 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.
J.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
WNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
.A 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)
164 Skipper Street
Flan owner or record title Title is vested in Fee Simple ,see Deed Book 4668
t Mill State SC Zip 29715 Phone [phone] page 2063 in the Pender _ County Registry of Deeds.
[e-mail]
Flan owner by virtue of inheritance.Applicant is an heir to the estate of
tIZED AGENT probate was in County.
iarles F. Riggs&Associates, Inc. of other interest,such as written contractor lease,explain below or use a separate sheet&attach to this application.
3. O. Box 1570
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
ksonville 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) Ms_Claire Baron, 139A South Boca Bay Lane, Surf City, NC 28445
ON OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
vaterbody.)Lot 24,South Boca Bay Lane,Surf City,Pender County(Parcel#4245-44-0461-0000) (2) Renaissance Asset Management,LLC,206 Causewy Drive,Unit 171,Wrightsville Beach,NC 28480
(3) — —
PTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
on Pilings with Decks Over Concrete Slab Partially Enclosed below for Storage with
LOT/PARCEL: 23,872 square feet 0.549 acres Pervious Drive and All Proposed ACKNOWLEDGEMENTS:
Improvements Shown on Map I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
iED USE:Residential M (Single-family El Multi-family 0) Commercial/Industrial Other El 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-
ETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
'openy):
AN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:N/A square feet(includes I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter onthe aforementioned lands in connection with evaluating information
ioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
I non-load-bearing attic space) ^
STAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the _ /V,/' day of ZOi
JRFACES:1,546 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
sr masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
Landowner or pe t authorized to act er agent for purpose of filing a CAMA permit application
iTORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
tent Permit issued by the NC Division of Water Quality? This application includes:general i ation(this,form),a site drawing as described on the hack of this application,the
] Nol I ownership statement,the Ocean He • AEC Notice where necessary a check for$100.00 made payable to the locality,and
any information as may he pravid.p. .rally by the applicant.the details of the applicationas described by these sources are
t the total built upon area/impervious surface allowed for your lot or parcel:3.720 square feet. incorporated without reference in my permit which may be issued.Deviation from these details will constitute a violation of
any permit.Anv person developing in an AEC without permit is subjertio civil,criminal and administrative action.
RECEWED
MAY 102021
[ACM WJLMINC-rs'nnl Mr%

_/ OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
G/
Permit Number �� minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
zard Estuarine Shoreline , ORW Shoreline Public Trost 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.
J.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
WNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
_A 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)
164 Skipper Street
t Mill SC 29715 [phone] ✓ an owner or record title Title is vested in Fee Simple ,see Deed Book 4668
State Zip Phone page 2063 in the Fender County Registry of Deeds.
[e-mail]
Elan owner by virtue of inheritance.Applicant is an heir to the estate of ,
1IZED AGENT probate was in County.
-lades F. Riggs&Associates, Inc. of other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
D. O. Box 1570
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
ksonville 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)
(I) Ms. Claire Baron, 139A South Boca Bay Lane, Surf City, NC 28445
DN OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
zaterbody.)Lot 24,South Boca Bay Lane,Surf City,Fender County(Parcel#4245-44-0461-0000) (2) Renaissance Asset Management,LLC,206 Causeway Drive,Unit 171,Wrightsville Beach,NC 28480
(3)
PTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
on Pilings with Decks Over Concrete Slab Partially Enclosed below for Storage with
LOT/PARCEL: 23,872 square feet 0.549 acres Pervious Drive and All Proposed ACKNOWLEDGEMENTS:
Improvements Shown on Map I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
ED USE:Residential Q (Single-family 0 Multi-family El) 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-
ETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
'o perty):
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
AN 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
toned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
non-load-bearing attic space) �/
STAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the 1Dr/� day of/7AL)/ ,20 gi
JRFACES:1,546 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, /
at masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or pedi/
to act• f s er agent for purpose of filing a CAMA permit application
TORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
ent Permit issued by the NC Division of Water Quality? This application includes:general i t. r tion(this form),a site drawing as described on the back of this application,the
] Nd ownership statement,the Ocean H' • •AEC Notice where necessary,a check for$100.00 made payable to the locality,and
any information as may be provid:• .rally by the applicant.The details of the application as described by these sources are
the total built upon area/impervious surface allowed for your lot or parcel:3,720 square feet, incorporated without reference in r y 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
MAY 102021
DCM WILMINGTON fur

ITO
ROY COOPER '
Governor
DIONNE DELLI-GATTI
Secretary 44- 03,«
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
June 2, 2021
SLA Surf City, LLC
164 Skipper Street
Fort Mill, SC 29715
Dear Mr. Barber,
Attached is CAMA Minor Development Permit SC 21-16 for work to be done at Lot 24 PIN 4245-44-0461-
0000,South Boca Bay Lane 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 gold 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, i
loi)
Anita M.Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
SC Inspection Dept.
Charles F. Riggs&Associates, Inc.—Agent
.� w_ti�r.._..,•...,n,......-....e.....F c....:........e..r�I r.nIit, I nivicinn of C'nactal Mananrment

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]
May 10, 2021
Ms. Claire Baron
139A South Boca Bay Lane
Surf City,NC 28445
Re: SLA Surf City, LLC Submittal for Minor CAMA Permit
Dear Ms. Baron:
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 Lot 24, South Boca Bay
Lane, Surf City, Pender County,North Carolina. SLA Surf City, LLC is planning to construct a
two-story duplex on pilings with decks over a concrete slab partially enclosed below for entry
and storage with pervious drive and all proposed improvements, as shown on map. We are
required to notify the adjoiners of this submittal. If you have objections,please contact Mr. Jason
Dail in a timely manner at(910) 796-7221,[e-mail], or by mail at the Division of
Coastal Management,N.C. Department of Environmental Quality, 127 Cardinal Drive,
Wilmington,NC 28405.
Respectfully,
�I1
James L. Riggs
RECEIVED
MAY 1 0 2021

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]
May 10, 2021
Renaissance Asset Management, LLC
206 Causeway Drive, Unit 171
Wrightsville Beach,NC 28480
Re: SLA Surf City, LLC Submittal for Minor CAMA Permit
To whom it may concern:
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 Lot 24, South Boca Bay
Lane, Surf City, Pender County,North Carolina. SLA Surf City, LLC is planning to construct a
two-story duplex on pilings with decks over a concrete slab partially enclosed below for entry
and storage with pervious drive and all proposed improvements, as shown on map. We are
required to notify the adjoiners of this submittal. If you have objections,please contact Mr. Jason
Dail in a timely manner at(910) 796-7221,[e-mail], or by mail at the Division of
Coastal Management,N.C. Department of Environmental Quality, 127 Cardinal Drive,
Wilmington, NC 28405.
Respectfully,
114/47
.ames L. Riggs
RECEIVED
MAY 1 0 2021

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
January 22, 2021
Date
Name of Property Owner Applying for Permit:
SLA Surf City, LLC CIO 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, 2022
11-J, 111_, January 22, 2021
Property Owner Signature Date
RECEIVED
MAY 1 0 2021
_.... ..,.ir•TnAI KIr.

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 (Parcel 4245-44-0461-0000)
Date Lot Was Platted: June 2011
This notice is intended to make you, the applicant, aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area,which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the
development can be issued. vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance, and the
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations are designed to minimize, but not the LPO will inform you that you may begin work. Substantial
eliminate, property loss from hazards. By granting permits. the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be re-measured.Also,
the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement
Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPO
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. The structure(s) must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing,
imminently threatened, and in any case upon its collapse or permit renewal can be authorized. It is unlawful to continue
subsidence. work after permit expiration.
The best available information,as accepted by the Coastal For more information,contact:
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
located is feet per year.
Local Permit Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as much as Address
feet landward in a major storm.
The flood waters in a major storm are predicted to 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.
l✓• D�
Prope y Owner Signature Date
RECEIVED
FMJ dF OQ1

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. Budding Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
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 24,THE OAKS AT BOCA BAY
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d26'24"N Long.77d31'38"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) 584.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 4
c) Total net area of flood openings in A8.b 800.00 sq in
d) Engineered flood openings? ❑x Yes ❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage 0.00 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0.00 sq in
d) Engineered flood openings? ❑ Yes X No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2. County Name B3. State
TOWN OF SURF CITY 370186 PENDER COUNTY North Carolina
B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
3720424500 K 12-06-2019 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 P&Qgiv5iigected Area(OPA)? ❑ Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA
MAY 1 0 2021

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:
SOUTH BOCA BAY LANE
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: Q 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 0 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 ❑meters
d) Attached garage(top of slab) N/A E feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building feet
(Describe type of equipment and location in Comments) 13.1 ❑ ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) 1.8 10 feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 2.6 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including
structural support N/A ❑ feet ❑ meters
SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code. Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑No ❑Check here if attachments.
Certifier's Name License
JAMES A. LEWIS L-4562 Number \\\OWN�CARO`/oi,
Title Q-.•' ESS/O ••.42'�
PROJECT MANAGER O O� 4' '."9
Company Name Z; & ��
CHARLES F. RIGGS&ASSOCIATES, INC. _ ^tii _
Address ti A..Gj
502 NEW BRIDGE STREET V.
City State ZIP Code rr
JACKSONVILLE North Carolina 28540 rr1 `\
s/7/71
Signature Date Telephone Ext.
ice. 4 .._..)A _ Of [phone] 41
, :2
Copy all p es of this Elevation Certificate and all attachments for ity 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 ENGINEERED WITHIN EACH ENCLOSURE. ENGINEERED VEITto€IT VENTS(MODEL
#1540-570)COVERING 200 SQ.FT. EACH. �G
PRELIMINARY FLOOD MAPS SHOW A CHANGE IN FLOOD ZONE TO VE (13), SURVEYOR RECOMMENDS PLACING THE
BOTTOM OF THE LOWEST HORIZONTAL STRUCTURAL MEMBER AND ELECTRICAL EQUIMAFfNI/JT 1U•Ci OR #1 HIGHER.G#18-01-34-24)

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]
May 10,2021
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 24, Osprey Cove(Formerly The Oaks at Boca Bay)Parcel4245-44-
0461-0000.
R spectfully,
James L. Riggs
RECEIVED
MAY 102021
DCM WILMINGTON, NC

U.S. Postal Service" U.S. Postal ServiceTM
CERTIFIED MAIL® RECEIPT CERTIFIED MAIL® RECEIPT
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RECEIVED
MAY 1 0 2021
DCM WILMINinTrim tors

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OTHER PERMITS MAY BE. N N a cn O a ��
1110
Permit Number minor development permit,inc 0 0 a Z T
treatment system),Building,El T D t3D pt 3
zard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other Certification,Sand Dune,Sedir 5 to N 3
(For official use only) others.Check with your Local I a j R
I h
STATEMENT OF OWNERS) 0
tL INFORMATION (I) >
0
I,the undersigned,an applicant tp �
W N ER person authorized to act as an a N 1t3 -
LA Surf City, LLC listed as landowner on this appl 6 \
described as:(check one) ID
Ai M w
164 Skipper Street _ _ <' " CD
Elan owner or record title Ti N N Ob
I Mill Sta1e SC Zip 29715 Phone [phone] page 2063 in the Pende \\ pt
[e-mail] Z
Elan owner by virtue of inhe n
HIED AGENT probate was in tD
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harles F. Riggs&Associates, Inc. n N t;7 R.
f other interest,such as O
2) N.
P. O. Box 1570 .c \ cn
NOTIFICATION OF ADJAC: 0 3 0
illsksonville Sta1e NC Zip 28541 phone [phone] I furthermore certify that the foil C 5'
ACTUAL NOTICE to each of � 0
[e-mail] (Name) o N (�
(I) Ms. Claire Baron, 1 a
w 0
ON OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the to [ �jID
vaterbody.)Lot 24,South Boca Bay Lane,Surf City,Pender County(Parcel#4245-44-0461-0000) (2) Renaissance Asset Ma N 6N-r
(3) - W W
PTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4) 0 ``
on Pilings with Decks Over Concrete Slab Partially Enclosed below for Storage with 0 CD E
LOT/PARCEL: 23,872 square feet 0.549 acres Pervious Drive and All Proposed ACKNOWLEDGEMENTS: 0 \ 0ty
Improvements Shown on Map I,the undersigned,acknowledge. -o (D. ly
iED USE:Residential Q (Single-family Q Multi-family 0) Commercial/Industrial 0 Other D may be susceptible to erosion an. ,C -5 (0
lar hazard problems associated w 3 'rt N
ETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and fioodproofing techniques tD 3
ropertv): 3•* (D
AN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:N/A square feet(includes I furthermore certify that I am out O
the Permit Officer and their p
ioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but relatedted to to this permit application. CD
1 non-load-bearing attic space) -
0 n DI,STAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUiLT to (2
JRFACES:1,546 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, oC) M n
or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) CD `.<. N
Landowner or pe .i authorized tc a Z F-''^
0
iTORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater W
This application includes:general
lent Permit issued by the NC Division of Water Quality? 0 0
D Nd I ownership statement.the Ocean H, h h \
3,720 any in/ormation as may be provideCD
C N
t the total built upon area/impervious surface allowed for your lot or parcel: square feet. incorporated without reference inZ \ � N)
any permit.Any person developing —1 Nii
- ` •`
RECEIVED 1 Nto
n
MAY 102021 > C
DCM WILMINGTnnI Mrs

NC Division of Coastal Management 13422 A B 0
Cashier's Official Receipt
Date: �• 20 ZI
air?!
Received From: 046 ``e.4 $ (r
Permit No.: J Check No.:
Applicant's Name: County:
(,(4....
Address: 1„,0 Z4.- 5 ,� 7 5:71--
Project
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date: 1
Signature of Field Representative: Date:

Date Date Check From Name of Vendor Check Check Permit Rct
Received Deposited Permit Holder Number amount Number/Comments
5/13/2021 Charles F Riggs SLA Surf City, LLC First 16908 $100.00 minor fee, Lot 24 S Boca Bay Ln, JD rct
Citizens Surf City PnCo 13422
Bank