SC_21-24_ Gonzales (2)

RECEIVED
Issued by WiRO SC21.24
Surf City JUN 1 7 2021 Permit Number
CAMA 6.CM WILMINGTON, NC
MINOR DEVELOPMENT *gi
m �
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 Jose and Eileen Gonzales authorizing development in the Estuarine Shoreline (AEC) at 157 Atkinson Road
in Surf City, Pender County as requested in the permittee's application, dated May 18, 2021, and received as complete
by DCM on May 19, 2021. This permit, issued on June 7, 2021, is subject to compliance with the application and
drawing dated and received by DCM on May 19, 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 single family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on May 19,2021.
(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 Dai
compliance. Any maintenance work or project modification not covered under CAM 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
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
Management.

I
Name: Jose and Eileen Gonzales
Minor Permit#SC21-24
Date: June 7, 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) With exception of 200 sq. ft. or less of elevated, slatted, uncovered drip through wood decking, all other
development shall be located at least 30' landward of the normal/mean high water line. No impervious
coverage/built upon area, including but not limited to the house (including eaves), foundation pad, covered
decking, etc.shall extend into the 30-foot coastal shoreline buffer.
(7) This permit does not authorize the excavation or filling of any wetlands,even temporarily.
(8) Should the amount of impervious coverage located within 75' of the normal high water line exceed 30%, the
applicant shall effectively demonstrate (through innovative construction and design) that the amount of impervious
surfaces coverage in excess of the 30%limitation would be collected and managed,and the AEC protected.
(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: X
Ca �1
PERM ITTEE

plf-------
5il � S -
Y- (4
i 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,FIA
Ocean Hazard Estuarine Shoreline I( 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 Jose E.Gonzalez and wile,Eileen Caquias-Gonzalez 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 310 Lord Drive
Elan owner or record title,Title is vested in Fee Simple see Deed Book 4605
CityWilmington State NC Zip28411 Phone [phone]
page 2534 in the Fender County Registry of Deeds.
Email [e-mail] nan Ian 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. 1--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.and Mrs.Gregory H.Coiner,111 Augusta Court,Advance,NC 27006
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.) 157 Walter R.Atkinson Road,Topsail Beach,Fender County (2) Mr.and Mrs.Miltom E.Petty,4000 Birkdale Court,Elon College,NC 27244
(3)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Three-Story (4)
Dwelling on Pilings with Decks Over Concrete Slab Partially Enclosed below for Entry,Storage and
SIZE OF LOT/PARCEL: 5,988 square feet 0.137 acresParking with Pervious Drive and All ACKNOWLEDGEMENTS:
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 ✓❑ (Single-family ID Multi-family❑) Commercial/Industrial 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-
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):
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/'!I�'� ,20 vi
UPON SURFACES:1,018 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.) !! /J
Landowner or pers n au prized to ac as t > ._ t for purpose 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 info f is form),a site drawing as described on the back of this application,the
YES I I NCI l I ownership statement,the Ocean Haza• / t•tice where necessary,a check for$100.00 made payable to the locality,and
any information as may be provided o • the applicant.The details of the application as described by these sources are
If yes,list the total built upon area/impervious surface allimiljor your lot or parcel: square feet without reference in any• mit which may be issued.Deviation from these details will constitute a violation of
��TT . incorporated
CEI VE p any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
MAY 192021
DcM WILMix, NC

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,HA
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
g p [poses of applying for a CAMA minor development permit,certify that the person
Name Jose E.Gonzalez and wife,Eileen Caquias-Gonzalez listed as landowner on this application has a significant interest in the real property described therein.This interest can be
Address 310 Lord Drive described as:(check one)
City Wilmington State NCZip28411 Flan owner or record title,Title is vested in Fee Simple ,see Deed Book 4605
Phone [phone]J 2534
page 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:
City Jacksonville State NC Zip28541 I furthermore certifythat the following Phone [phone] 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)
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the (I) Mr.and Mrs.Gregory H.Coiner,111 Augusta Court,Advance,NC 27006
adjacent waterbody.) 157 Wafter R.Atkinson Road,Topsail Beach,Pender County (2) Mr.and Mrs.Miltom E.Petty,4000 Birkdale Court,Elon College,NC 27244
--- ------------------ --------------
(3)d ose Three-Story
--
— — —
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed y (4)
Dwelling on Pilings with Decks Over Concrete Slab Partially Enclosed below for Entry,Storage and
SIZE OF LOT/PARCEL: 5,988 - square feet 0.137 acres Parking with Pervious Drive and All ACKNOWLEDGEMENTS:
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 ✓0 (Single-family Q Multi-family O) Commercial/Industrial❑ Other p 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):
(1)OCEAN 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,
air conditioned livingspace,parkingelevated above the Local Permit Officer and their agents to enter on the aforementioned lands ill connection with evaluating information
P ground level,non-conditioned space elevated above ground level but related to thispermit application.excluding non-load-bearing attic space) pp'cation.
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the, day offy_,20��
UPON SURFACES:1,018 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, . /IF
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) -- r f
-
Landowner or person au rorized to ac as s' > a_ t for purpose 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 n is form),a site drawing as described on the back of this application,the
YESI I Nd i I ownership statement.the Ocean Haza I r lice where necessary a check jiir$100.00 made payable to the locality and
any information as may be provided or b the applicant.The details of the application as described by these sources are
If yes,list the total built upon area/impervious surface alliffiljor your lot or parcel: square feet. incorporated without reference in any p mit which may be issued.Deviation from these details will constitute a violation of
"CCFA I/pp any permit.Any person developing in an AEC without permit is subject to civil.criminal and administrative action.
MAY192
AGM wi�M!NG

- STATE
ROY COOPER r; t
Governor €d. „,,r 1 O J
JOHN NICHOLSON
Interim Secretary :, :
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
June 8, 2021
Jose & Eileen Gonzales
310 Lord Drive
Wilmington, NC 28411
Dear Mr. & Mrs. Gonzales,
Attached is CAMA Minor Development Permit SC 21-24 for work to be done at 157 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 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,
' ) 7‘)k
Anita M.Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
SC Inspection Dept.
Charles F. Riggs &Associates—Agent
I il:..:..:_....0/`......•..I\I ........•

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 18,2021
To: Mr. Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Jose E. Gonzalez and wife,Eileen Caquias-Gonzalez
Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of Jose E. Gonzalez and wife, Eileen Caquias-Gonzalez, Charles F. Riggs&Associates, Inc.
submits for your review the enclosed application for a Minor CAMA permit for the property at 157
Walter R. Atkinson Road, Surf City,Pender County,North Carolina.9pectfully,
ames L. Riggs
RECEIVED
MAY 19 2021
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 18,2021
Mr. and Mrs. Gregory H. Coiner
111 Augusta Court
Advance,NC 27006
Re: Jose E. Gonzalez and wife,Eileen Caquias-Gonzalez
Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Colner:
On behalf of Jose E. Gonzalez and wife,Eileen Caquias-Gonzalez, 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 157 Walter R.Atkinson
Road, Surf City, Pender County,North Carolina. Jose E. Gonzalez and wife, Eileen Caquias-Gonzalez are
planning to construct a three-story dwelling on pilings with decks over a concrete slab partially enclosed
below for entry, storage and parking 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.
Re tfully,
I
tames L. Riggs
RECEIVED
r^PY I. 9 7n21
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 18,2021
Mr. and Mrs. Miltom E. Petty
4000 Birkdale Court
Elon College,NC 27244
Re: Jose E. Gonzalez and wife,Eileen Caquias-Gonzalez
Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Petty:
On behalf of Jose E. Gonzalez and wife,Eileen Caquias-Gonzalez, 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 157 Walter R.Atkinson
Road, Surf City,Pender County,North Carolina. Jose E. Gonzalez and wife,Eileen Caquias-Gonzalez are
planning to construct a three-story dwelling on pilings with decks over a concrete slab partially enclosed
below for entry, storage and parking 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.
Re ctfully,
nad''''-'41-47-
James L. Riggs
RECEIVED
MAY 19 202
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]
[e-mail]
AGENT AUTHORIZATION FORM
Date: _September 3,2020
Name of Property Owner Applying for Permit:
_Jose E. Gonzalez and wife, Eileen Caquias-Gonzalez
Mailing Address:
310 Lord Drive
Wilmington,NC 28411
I certify that I have authorized 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 development, as
shown on attached map and located at 157 Walter R. Atkinson Road, Surf City, Pender County,North Carolina,
and I grant permission to the Division of Coastal Management to access the property to mark/flag:
X The First Line of Stable Natural Vegetation
X The Coastal Wetlands
X The Normal High Water Line
This authorization is valid thru September 3, 2021 RECEIVED
MAY 1 9 20(`
DCM WILMINGTON N ;
..) ferv?:ofR M9 Se s tember 3 2020
Property Owner Signature Date

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Jose E. Gonzalez and wife, Eileen Caquias-Gonzalez
157 Walter R.Atkinson Road, Surf City, Pender County
Property Address:
Date Lot Was Platted: April 2014
Fhis 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 RECEIVE.'
requirements by signing this notice in the space below. Without
the proper signature,the application will not be complete. MAY 19 202
..)agAlg* M9 9/7/2020 DCM WILMING7 `•'
Property Owner Signature Date
Revised May 2010

U.S. DEPARTMENT OF HOMELAND SECURITY !OMB No. 1660-0008
Federal Emergency Management Agency i 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:
JOSE E. GONZALEZ&WIFE, EILEEN CAQUTAS-GONZALEZ
A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
157 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 13,THE PENINSULA AT TOPSAIL
A4. Building Use(e.g., Residential, Non-Residential, Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d24'52"N Long.77d34'12"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) 154.00 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
Bl. 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 87. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
3720423400 J 12-06-2019 02-16-2007 AE 8.0'
RECEIVED
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: M w 0 77
^1
❑ FIS Profile x❑ FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Sot M WILMINGTON, NC
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA

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:
157 ATKINSON ROAD
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) 5.5 ❑x feet ❑ meters
b) Top of the next higher floor 19.2 ❑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) 11.1 ❑ ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) 3.7 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building (HAG) 4.2 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support N/A ❑ feet E 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.
1 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 ❑No ❑Check here if attachments.
Certifier's Name License Number
JAMES A. LEWIS L-4562 ���````N"CAR ///''
Title
PROJECT MANAGER O.' SS/�' L
Company Name • 4 r CHARLES F. RIGGS&ASSOCIATES, INC. - .L
Address 502 NEW BRIDGE STREET •'L�ef''-�°.
SU't"••
City State ZIP Code • •
JACKSONVILLE North Carolina 28540 ��ir�S A., \- \\•
/r3/7/
Signature Date Telephone Ext.
a/PN."l42 5 / f/ [phone] 41 RECFI\/FP
Copy all p es of this Elevation Certificate 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) MA`f _
PROPOSED DWELLING IS THREE STORY ON PILINGS, PARTIALLY ENCLOSED BELOW.
PROPOSED DWELLING HAS TWO ENCLOSURES, EACH ENCLOSURE SHALL HAVE TWO FLOG N EACH
ENCLOSURE.SURVEYOR RECOMMENDS ENGINEERED FLOOD VENTS (SMART VENT,MODEL 1 I`'
PRELIMINARY FLOOD MAPS SHOW A CHANGE IN FLOOD ZONE TO AE(11), SURVEYOR RECOMMENDS PLACING THE
BOTTOM OF ELECTRICAL EQUIPMENT OR MACHINERY AT 11.0'OR HIGHER.

I. . •osta ervice
CERTIFIED MAIL® RECEIPT
3 Domestic Mail Only
3 For delivery information,visit our website at www usps com
"I yAlf)Clit, Ct
' Certified Mail Fee $3.60 0600
$1.Ec; 06
Extra Services&Fees(check box,add fee asiffmte)
D Return Receipt(hardcopy) $
0 Return Receipt(electronic) $ $1.1.00 Postmark
I ,--,
Certified Mail Restricted Delivery $ II.11lj Here
u Adult Signature Required $ CIO
0 Adult Signature Restricted Delivery$
I Postage $0.75
05/18/2021
Total Postage and Ffir 20
; Sent Toryi r. m COIQ ---
't treetanclApt.No.,or PO Efoiockt coaFf
Csfy,State,21.14-0A4_
vance hie- al-Do

,erulteu man acrr...c F...................-..---•-•a--
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
retail associate.
A record of delivery(including the recipient's Restricted delivery service,which provides
signature)that is retained by the Postal Service' delivery to the addressee specified by name,or
for a specified period. to the addressee's authorized agent.
'portant Reminders: -Adult signature service,which requires the
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or Priority Mail®service. -Adult signature restricted delivery service,whist
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international mail. and provides delivery to the addressee specifies
Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mall service.However,the purchase (not available at retail).
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insurance coverage automatically included with accepted as legal proof of mailing,it should bear i
certain Priority Mail items. USPS postmark.If you would like a postmark on
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endorsement on the mailpiece,you may request Certified Mail item at a Post Office"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portior
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
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electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTARC Save this receipt for your records.

tQ to 3. a m mlEirli
- 7017 0530 0000 3745 7001
OTHER PERMITS MAY BE F O o y g v>, m i; 6 m❑❑❑❑❑F� I. p n C
a a o a aw
Permit Number minor development permit,inclu 71 D m y v m@ a z a z rn m rn N
treatment system),Building,Elel tD 3 m n m �c, a n 'o w
Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other Certification,Sand Dune,Sedimi Q ( m m d m g N _ ,
(For official use only) others.Check with your Local Pt X O a 4 m n o a n O
MAT1sN STATEMENTOFOWNERSH. (13 6 ' -o to ill mit yI,the undersigned,an applicant fl a a ti o Q •r► ._$ S ' 7. t O 0 s
person authorized to act as an ag; h C). tp $ 3 �P Q c -
- � o � � ;
-z and wile,Eileen Ca•uias-Gonzalez listed as landowner on this applic ,w.. to ,� m
described as:(check one) i CUD) ' (, « a " I '^ 4 D
ive m C CJ e
✓ 0) N f�
Slate Nc Zip28411 Phone [phone] an owner or record title, R7 8 p c _ ; O
2534
------ -- page in the Pender �b
� c .► _ail.com 8 �� rn
Flan owner by virtue of inheri to
ENT probate was in I
'O rn
Riggs&Associates,Inc. o13
rif other interest,such as wri {)7
9
t 1570 0 < ►-+
NOTIFICATION OFADJAC CO =y v
State NC Zip 28541 Phone [phone] I furthermore certify that the foil `D t. h\J m B
ACTUAL NOTICE to each oft n Q •
?riggslandnc.com o N -rt :a. ,_, _
(Name) 1 a c
(1) Mr.and Mrs.Gregory H Co g - --f-
ROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the — m o
) 157 Walter R.Atkinson Road,Topsail Beach,Pender County (2) Mr.and Mrs.Miltom E.Pe cn U
(3) 3 `7 1 w
F PROJECT:(List all proposed construction and land disturbance.) Proposed Three-Story (4) O _
ings with Decks Over Concrete Slab Partially Enclosed below for Entry,Storage and o fD
tCEL: 5,988 square feet 0.137 acresParkingwith Pervious Drive and All '" n ACKNOWLEDGEMENTS: DCD
0 Proposed Improvements as Shown on Map I,the undersigned,acknowledge ID
Residential Ei (Single-family Q✓ Multi-family❑) Commercial/industrial D Other
❑ may be susceptible to erosion an 3
lar hazard problems associated w (D
IER(I)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
tion and floodproofing technique �
Okj.s...„Ais...._
I furthermore certify that I am au -O
1RD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:N/A square feet(includes the Local Permit Officer and thei d)
g space,parking elevated above ground level,non-conditioned space elevated above 3
bearing attic space) p ground level but permitpp
related to this application.
O ? VD
DRELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT p
1,018 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, COD _' X w
patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing)
>? Z tp
Landowner or person au iorized O
.TER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater 0 0 JD
issued by the NC Division of Water Quality? This application includes:goner ,w.
rD (D
D ownership statement,the Ocean CA
any information as may be provicf CT
uilt upon area impervious surface all��or your lot or parcel: square feet. incorporated without reference �
C��Vt) MI
permit.Any person developinJ --4)
•
--I-9 Q
ACM Wi II\J
, , rr
i

Date Date Check From Name of Vendor Check Check Permit Rct,
Received Deposited Permit Holder Number amount Number/Comments
5/20/2021 Charles F. Riggs Jose Gonzales First 16938 $100.00 minor fee, 157 Atkinson Rd,Surf JD rct.
Citizens City PnCo 14136
Bank