SC_21-17_ SLA Surf (2)

4 -
Issued by WiRO RECEIVED SC21-17
Surf City Permit Number
JUN 1 4 2021
CAMA
MINOR DEVELOPItitihyLMINGTON, NC
-- ` :
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 25 (Pender Co. PIN
4245-44-0318-0000, 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 A 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
December31,2024
In issuing this permit it is agreed that this project is consistent with the local Land X l_v
a 71/
Use Plan and all applicable ordinances. This permit may not be transferred to ✓
another party without the written approval of the Division of Coastal PERMITTEE
Mananamant

Name: SLA Surf City, LLC
Minor Permit#SC21.17
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.
&iv '
11
SIGNATUR DATE: �(
PERMITTEE"

^ / illy OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
.2i1i{/(iJ rt /Permit Number Z I f minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
rtreatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
Lazard Estu6r ne 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.
AL INFORMATIONSTATEMENT 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
5LA Surf City, LLC • listed as landowner on this application has a significant interest in the real property described therein.This interest can be
164 Skipper Street described as:(check one)
)rt MITI $C 29715 [phone] I an owner or record title Title is vested in Fee Sim_le ,see Deed Book 4668
State ________ "Lip Phone page 2063 in the Pendef County Registry of Deeds.
[e-mail]
- Elan owner by virtue of inheritance.Applicant is an heir to the estate of ,
IRIZED AGENT probate was in County.
;harles F. Riggs&Associates, Inc. _ f7f other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
P. O. Box 1570 _ NOTIFICATION OF ADJACENT PROPERTY OWNERS:
cksonville NC 28541 [phone] I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
State Lip Phone 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
ION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
waterbody.)Lot 25,South Boca Bay Lane,Surf City,Pender County(Parcel#4245-44-0318-0000) (2) Renaissance Asset Management,LLC,206 Causeway Drive,Unit 171,Wrightsville Beach,NC 28480
(3)
IPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
K on Pilings with Decks Over Concrete Slab Partially Enclosed below for Storage with — ---
F LOT/PARCEL: 29,277 square feet 0.672 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
,SED USE:Residential 0 (Single-family Q Multi-family 0) Commercial/Industrial D Other o 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.
property):
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
EAN 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
itioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
g non-load-bearing attic space) ,J r�
ASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT this the /�j/I day of /�t� ,20 G f
IURFACES:1,800 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, ae:///°111: .
/
or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
Landowner or person authorized to act. er agent for purpose of filing a CAMA permit application
STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stotmwater
inert Permit issued by the NC Division of Water Quality? This application includes:general tion NhisJorm),a site drawing as described on the back of this application,the
D NCI I ownership statement,the Ocean /AEC Notice where necessary,a check for S/1N).00 made payable to the locality,and
3,720 any information as may be provi i rally by the applicant.The details u/the application as described by these sources are
st the total built upon area/impervious surface allowed for your lot or parcel: square feet. incorporated without reference in,n p J y permit which may be issued.Deviation fivm 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 1 0 2021
DCM WII-MIN(;T(m fir'

OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Locality 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,F1A
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
(For official use only) others.Check with your Local Permit Officer for more information.
GENERAL INFORMATION STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
LAND OWNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Name SLA Surf City,LLC listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
Address 164 Skipper Street 4668
Flan owner or record title Title is vested in Fee Simple ,see Deed Book
City Fort Mill State SC Zip 29715 Phone [phone] page 2063 in the Pender County Registry of Deeds.
Email [e-mail]
Flan owner by virtue of inheritance.Applicant is an heir to the estate of ,
AUTHORIZED AGENT probate was in County.
Name Charles F. Riggs&Associates, Inc. Elf 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:
pity 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) Ms. Claire Baron, 139A South Boca Bay Lane, Surf City, NC 28445
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.)Lot 25,South Boca Bay Lane,Surf City,Pender County(Parcel#4245-44-0318-0000) (2) Renaissance Asset Management,LLC,206 Causeway Drive,Unit 171,Wrightsville Beach,NC 28480
(3)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
Duplex on Pilings with Decks Over Concrete Slab Partially Enclosed below for Storage with
SIZE OF LOT/PARCEL: 29,277 square feet 0.672 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
PROPOSED USE:Residential Q (Single-family ID Multi-family 0) Commercial/Industrial❑ Other D may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
to your property):
N/AI furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 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)
This the t1 dayof y ,20 2i
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT ,/�
UPON SURFACES:1,800 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
ai
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
Landowner or person authorized to act er agent for purpose of filing a CAMA permit application
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater flarion
Management Permitl issued by the NC Division of Water Quality? This application includes:gener (this form),a site drawing as described on the back of this application,the
YES f— 1 NCI I ownership statement,the Ocean EC Notice where necessary,a check for$100.00 made payable to the locality,and
3,720 any information as may beproviray 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 n p f 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

`� STATE
jpV N, o t3
�I
ROY COOPER 1
Governor u '
DIONNE DELLI-GATTI *.4..e.
Secretary
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 21-17 for work to be done at Lot 25 PIN 4245-44-0318-
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,
. "0/9,
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
North Carolina Department of Environmental Quality 1 Division of Coastal Management

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[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 25, Osprey Cove(Formerly The Oaks at Boca Bay)Parcel4245-44-
0318-0000.
espectfullyr104 -------J
James L. Riggs
RECEIVED
MAY 1 0 ?0?1
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]
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 25, 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.
spectfully,
l
James L. Riggs
RECEIVED
MAY 107n21
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]
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 25, 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,
9am
vytk,i-----F, ..
1�es L. Riggs
RECEIVED
MAY 1 0 7n?1
DCM WILMINGTON, NC

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
January 22, 2021
Date
Name of Property Owner Applying for Permit:
SLA Surf City, LLC C/O Mr. Freeman Barber
Mailing Address:
164 Skipper Street
Fort Mill, SC 29715
I certify that I have authorized (agent) Charles F. Riggs & Assoc. to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) proposed dwelling, as shown on map
at (my property located at) South Boca Bay Lane, Surf City, Pender County
and I grant permission to the Division of Coastal Management to access
the property to mark/flag the First Line of Stable Natural Vegetation, etc.
This certification is valid thru (date) January 22, 2022
114__.. January 22, 2021
Property Owner Signature Date
RECEIVED
Inv 1 0 7921
DCM WILMINGTON Nr'

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 4245-44-0318-0000)
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 be about
feet deep in this area. Locality
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls.revetments,groins,jetties Phone Number
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signature.the application will not be complete.
RECEIVED
L. kProp; y Owner Signature Date MAY 10 2021
DCM WILMINGTON, NC
Revised May 2010

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2022
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company,and(3) building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
SLA SURF CITY, LLC
A2. Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number
Box No.
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 25, 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.77d31'39"W Horizontal Datum: ❑ NAD 1927 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
61. NFIP Community Name&Community Number B2. County Name 63. State
TOWN OF SURF CITY 370186 PENDER COUNTY North Carolina
B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 69. 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 69: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:rS
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or OthtLete�'Area(OPA)? ❑ Yes ❑ No
Designation Date: ❑ CBRS ❑ OPA MAY 1 0
2021
mat. s/71�

ELEVATION CERTIFICATE OMB No. 1 Nob
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: ❑x Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations—Zones A1—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized: NC CORS Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 ❑x NAVD 1988 ❑Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor(including basement, crawlspace,or enclosure floor) 3.1 ❑x feet ❑ meters
b) Top of the next higher floor 15.0 ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑ meters
d) Attached garage(top of slab) N/A ❑ 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) 1.4 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 2.4 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support N/A ❑ feet ❑ meters
SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ❑x Yes LI No ❑Check here if attachments.
Certifier's Name License Number `� t i u l h i 1 r,r
JAMES A. LEWIS L-4562 \,,`��N C...AROr/'��,
Title Q` E S S/ ' l, '
PROJECT MANAGER w 0' O� O'li y
Company Name = 4 SC _
CHARLES F. RIGGS&ASSOCIATES, INC. _
Address
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502 NEW BRIDGE STREET . ,. i. .
City State ZIP Code I,�,1t) , • ,\`,
JACKSONVILLE North Carolina 28540 5./7/Zl
Signature Date Telephone Ext.
a/�4o 5. /,,,�� [phone] 41
Copy all pa s of this Elevation Certificate and all attachments for(1) unityt/orlri/m 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 VENTS ARE AittiplMMODEL
#1540-570) COVERING 200 SQ.FT. EACH.
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 EQUIPMENT A 'p H,J #18R01-34 25)

U.S. Postal Service ,... U.S;-•sfig a. erviceTM
CERTIFIED MAIL® RECEIPT ''. CERTIFIED MAIL® RECEIP
co .-4 Domestic Mail Only Domestic Mail Only
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PS Form 3800,April 2015 PSN 7530-02-000 4047 See Reverse for Instructions PS Form 3800,April 2015 PSN 7530-02 000 9047 See Reverse for Instructions
RECEIVED
MAY 1 0 2021
nr.M WII MINGTON. NC

U? cp.3 � > CD 73
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7 7 CD d 3 N
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OTHER PERMITS MAY a a Q .0 O a v"
Permit Number minor development permit, _ > a Z a
iv 2
treatment system),Building, tp In cn
szard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other Certification,Sand Dune,Si !Z O
4 (For official use only) others.Check with your Lot II
(D ,
AL INFORMATION STATEMENT OFOWNEI N
D
OWNER I,the undersigned,an applic O
person authorized to act as a ,7. 5' if) `
iLA Surf City, LLC listed as landowner on this a Et j N
rn
described as:(check one) ;-« co
164 Skipper Street Pm
MIII SC 29715 910 455 0877 Flan owner or recor title pt
Stale Zip Phone ( j page 2063 in the rerxi,-
ii �'
)[e-mail] / Z
Elan owner by virtue of it ' N `r 1 0
RIZED AGENT probate was in -O' v
harles F. Riggs&Associates, Inc. f—if other interest,such a: 66 n G
N.
P. O. Box 1570 NOTIFICATION OF ADJ, C ) 0
:ksonville State NC Zip 28541 phone [phone] I furthermore certify that the (�
. =
�[e-mail] ACTUAL NOTICE to each Ft;
CH O
(Name) O
(I) Ms. Claire Baron -- °- O
ION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the CD iy
waterbody.)Lot 25,South Boca Bay Lane,Surf City,Pender County(Parcel#4245-44-0318-0000) (2) Renaissance Asset I /n (_) Cl)
h
(3) O i11 w
PTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4) O
on Pilings with Decks Over Concrete Slab Partially Enclosed below for Storage with o DJ Z
CD ID
•LOT/PARCEL: 29,277 square feet 0.672 acres Pervious Drive and All Proposed ACKNOWLEDGEMENTf 0
Improvements Shown on Map I,the undersigned,acknowle CD \ CD. p)
IED USE':Residential Q (Single-family Q Multi-family❑) Commercial/Industrial❑ Other may be susceptible to erosion 3 `� (CD
�VN ,rt CD
lar hazarddH problems assechni O 3
ETE EITHER(I)OR(2)BELOW(Contact your Local Permit Officer ij you are not sure which AEC applies lion and Hoodpruofing techni �
AN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:N/A square feet(includes I furthermore certify that I ar N.
the Local Permit Officer and CD
Toned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit applical CD
non-load-bearing attic space)
. y g
STAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT tyii C N 0 1,800 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, CD Z w
tr masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Q Z cD
Landowner or person authori A. P.
I'
TORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater D 0 CO
ent Permit issued by the NC Division of Water Quality? This application includes:g. CD
] NUI ownership statement,the Oci (D rs,O . N
3 2 any in/'urination us may be pi
the total built upon area/impervious surface allowed for your lot or parcel:_7 0 square feet. incorporated withoutreJerero f .)
any permit.Any person develf NI
RECEIVEEt 1 " 4\ a CZ
IV
MAY10 2021 N i
DCM WILMINGTON, NC

Iiiii NC Division of Coastal Management 13421 A B
Cashier's Official Receipt q1.9
Date: 5' l 20 Z/
Received From: (444)4
S
ZW .---
Permit No.: ,` Check No.:
Applicant's Name: 6W çVL ?f
` V( County:
Project Address: 1/14-- 2s-- 5,.. tr-7,‘e, Aat( 5)/-f- ,e(t -
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date P__
Signature of Field Representative: Date: I

ate Date Check From Name of Vendor Check Check Permit Rct. #
eived Deposited Permit Holder Number amount Number/Comments
'2021 Charles F Riggs SLA Surf City, LLC First 16909 $100.00 minor fee, Lot 25 S Boca Bay, Surf JD rct.
Citizens City PnCo 13421
Bank