SC_21-27_ Miskew (2)

Issued by WiRO RECEIVED SC21-27
Surf City Permit Number
SEP 17 .2021
CAMA
MINOR DEVELOPME '° WILMINGTON, NC
PERMIT � Y
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 Douglas and Tracy Miskew authorizing development in the Estuarine Shoreline (AEC) at 163 Atkinson
Road, in Surf City, Pender County as requested in the permittee's application, dated July 2, 2021, and received by DCM
on July 19, 2021. This permit, issued on July 29, 2021, is subject to compliance with the application and drawing dated
and received by DCM on July 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: Proposed residential dwelling with driveway and uncovered decking.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on July, 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 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
December 31,2024 Wil on, NC 28 0 -3845
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
AAananamont

Name: Douglas and Tracy Miskew
Minor Permit#SC21-27
Date: July 29,2021
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, uncovered, slatted drip through wood decking, all
development shall be located at least 30' landward of the normal/mean high water line. No impervious
coverage/built upon area, including but not limited to the house (including eaves), foundation pad, covered
decking,etc.shall extend into the 30-foot coastal shoreline buffer.
(7) Shall the plan of development exceed 30% impervious coverage within 75' of the normal highwater line, the
applicant shall effectively demonstrate, through innovative construction and design that the amount of impervious
surfaces exceeding 30%impervious coverage within the 75' Coastal Shoreline AEC shall be managed and the AEC
protected. All proposed development and associated construction must be done in accordance with a credible
innovative design plan,sealed and sealed by a professional engineer.
(8) Upon completion of construction and prior to the issuance of a Certificate of Occupancy(CO), a letter of certification
must be received from the designer of the innovative system installed, certifying that the permitted system has been
installed in accordance with this permit, the approved plans and his design specifications. Any deviations from the
approved plans and specifications must be noted on the Certification and a permit modification may be required
prior to receiving a CO.
(9) All structures shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards
of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood
Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent
with any of the following AEC standards,the more restrictive provision shall control.
(10)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 c05/2-1
PERMITTEE

/� , S/� OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
(�( t_L2__UJ Permit Number milli ( Z� 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
iazard 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.
tAL 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
OWNER person authorized to act as an agent for purposes of applying for CAMA minor development permit,certify that the person
iouglas P.Miskew and wife,Tracy J.Miskew listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
105 Crystlewood Court
nisvtlle Elan owner or record title,Title is vested in Fee Simple ,see Deed Book 4563
State NC Zip 27560 Phone [phone] 56 in the Pender
page County Registry of Deeds.
imiskewegmail.com
Flan owner by virtue of inheritance.Applicant is an heir to the estate of
)RIZED AGENT probate was in County.
Tharles F.Riggs&Associates,Inc. rif 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 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) Mr.Gregory T.Badway,101-A Coral Drive,Wrightsville Beach,NC 28480
ION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
waterbody.)163 Atkinson Road,Surf City,Pender County (2) Mr.and Mrs.Matthew C.Schlefelbein,333 Seashore Drive,North Topsail Beach,NC 28460
(3)
IPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Three-Story (4)
Dwelling&Loft on Pilings with Decks Over Concrete Slab Enclosed below for Entry&Storage
FF LOT/PARCEL: 5,988 square feet 0.137 acreswith Raised Wood Drives and All ACKNOWLEDGEMENTS:
Proposed Improvements Shown on Map I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
ISED USE:Residential Q (Single-family Q Multi-family❑) Commercial/Industrial❑ Other I=1 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 stabilize-
LETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer ifyou 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
Moiled living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
ig non-load-bearing attic space) 1,
ASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT41111" 11111111.1.
/ This the day off 20
iURFACES:1,116 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) �'
Landowner or person authorized to act a v'r or purpose of filing a CAMA permit application
STORM WATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
ment Permit issued by the NC Division of Water Quality? This application includes:general i rma on(t :form),a site drawing as described on the back of this application,the
Nd I ownership statement,the Ocean H%,rd A C No e where necessary,a check for$100.00 made payable to the locality,and
1,330 any information as may be provid•I ora by t applicant.The details of 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• . rmi hich may be issued.Deviation from these details will constitute a violation of
any permit.Any person developing in EC without permit is subject to civil,criminal and administrative action.
RECEIVED
JUL 1 9 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]
July 2,2021
To: Mr. Jason Dail c E I E
I)
Division of Coastal Management
North Carolina Department of Environmental Quality JUL 1 9 2021
127 Cardinal Drive
Wilmington,North Carolina 28405 ift
Re: Douglas P.Miskew and wife, Tracy J. Miskew
Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of Douglas P. Miskew and wife,Tracy J. Miskew, Charles F. Riggs&Associates, Inc.
submits for your review the enclosed application for a Minor CAMA permit for the property at 163
Atkinson Road, Surf City,Pender County,North Carolina. Please use our$100 credit towards this
application.
Respectfully,
ii--_—_,
g„.,? �1es L. Riggs
RECEIVED
JUL 1 9 2021
f[`M to/Il nAininTnkI Ale%

•
a te46
ROY COOPER
Governor • or_
ELIZABETH S.BISER � .
Secretary
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
July 29, 2021
Douglas&Tracy Miskew
105 Crystlewood Court
Morrisville, NC 27560
Dear Mr. & Mrs. Miskew,
Attached is CAMA Minor Development Permit SC 21-27 for work to be done at 163 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,
(2,yitrict)4-it0e6.6
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

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]
July 2,2021
Mr. Gregory T. Badway
101-A Coral Drive
Wrightsville Beach,NC 28480
Re: Douglas P. Miskew and wife Tracy J. Miskew
Submittal for Minor CAMA Permit
Dear Mr. Badway:
On behalf of Douglas P. Miskew and wife Tracy J.Miskew,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 163 Atkinson Road, Surf City,
Pender County,North Carolina. Douglas P.Miskew and wife Tracy J.Miskew are planning to construct a
three-story vinyl dwelling and loft on pilings with decks over a concrete slab enclosed below for entry
and storage with raised wood drives 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,
nitd/7/1
ames L. Riggs
RECEIVED
JUL 1 9 2021
DMA Wu an inirrrnkI Ain

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]
July 2, 2021
Mr. and Mrs. Matthew C. Schiefelbein
333 Seashore Drive
North Topsail Beach,NC 28460
Re: Douglas P. Miskew and wife,Tracy J. Miskew
Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Scheifelbein:
On behalf of Douglas P. Miskew and wife Tracy J. Miskew,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 163 Atkinson Road, Surf City,
Pender County,North Carolina. Douglas P.Miskew and wife Tracy J.Miskew are planning to construct a
three-story vinyl dwelling and loft on pilings with decks over a concrete slab enclosed below for entry
and storage with raised wood drives 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.
R ectfully,
� l
(rmes L. Riggs
RECEIVED
JUL 1 9 202"
nr.M WII MINGTON. 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
charlesriggs ci riggslandnc.com [phone] [phone]
jameslewi seriggslandnc.com
AGENT AUTHORIZATION FORM
Date: May 12,2021
Name of Property Owner Applying for Permit:
Douglas P. Miskew and wife. Tracy J. Miskew
Mailing Address:
105 Crystlewood Court
Morrisville.NC 27560
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 dwelling,as shown
on attached map and located at 163 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_ May 12,2022
r
Ma 12 2021
Property caner Si ature Date
RECEIVED
JUL 1 9 2021

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Douglas P. Miskew and wife,Tracy J.Miskew
Property Address: 163 Atkinson Road, Surf City, Pender County
Date Lot Was Platted: April 2014
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.jellies 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.
,•i 5(01zl RECEIVED
Pm erty,a wner ign re Date J U L 19 2021
DCM vell•MIMayG1ERN, NC

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:
DOUGLAS P. MISKEW&WIFE,TRACY J. MISKEW
A2. BuxBuddin Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number:
163 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 16,THE PENINSULA AT TOPSAIL
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d24'55"N Long.77d34'13"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) 259.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 2
c) Total net area of flood openings in A8.b 400.00 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
81. NFIP Community Name&Community Number B2. County Name B3. State
TOWN OF SURF CITY 370186 PENDER COUNTY North Carolina
B4. Map/Panel B5. Suffix 1 B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth)
Revised Date
3720423400 J 12-06-2019 02-16-2007 AE 8.0'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other/Source:
811. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 x❑ NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othery RIElea(OPA)? ❑ Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA
JUL 19

ELEVATION CERTIFICATE OMB No. 1660-0008
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:
163 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 15.5 ❑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
(Describe type of equipment and location in Comments) 11.1 ❑x feet ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) 3.3 x❑ feet ❑ meters
g) Highest adjacent(finished)grade next to building (HAG) 3.9 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? N Yes ❑No ❑Check here if attachments.
Certifiers Name License Number
JAMES A. LEWIS L-4562 <<i i i i i i i
Title .�`\�\'�N �A RO',',
PROJECT MANAGERdo SSf ' �/
/,.....
.,.,, a c el,Company Name :4 y '•�
CHARLES F. RIGGS&ASSOCIATES, INC. _ g a: _
Address — ..< •' 4-
502 NEW BRIDGE STREET .4 5 J 4 . v
�4 al'• .
City State ZIP Code ', , /,•� \\
JACKSONVILLE North Carolina 28540 ''i,��0+AI i` i, J�
Signatur Date Telephone Ext. `7
114,e4-4g. s1�;izi [phone] 41
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)
PROPOSED DWELLING IS THREE STORY ON PILINGS, PARTIALLY ENCLOSED BELOW.
SURVEYOR RECOMMENDS 2 ENGINEERED WITHIN THE ENCLOSURE. ENGINEERED VENTS ARE SMART VENTS(MODEL
#1540-570)COVERING 200 SQ.FT. EACH. RECEIVED
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. II I !I 2 f 211
(CFRA#21-01-18)

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or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail service is notavailable for requires the signee to beat least 21 years of age
international mail, and provides delivery to the addressee specified
Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically Included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.

1. . 'os a ervice
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
For delivery information,visit our website at www.usps.com'.
SmiaE i r v r t `I'2346
Certified Mail Fee
Extra Services&Fees(check box,add fee Epp'S te) 15
❑Return Receipt(hardcopy) $ l'.,Ill I
3 ❑Return Receipt(electronic) $ CIO Postmark
❑Certified Mail Restricted Delivery $ 00 Here
❑Adult Signature Required $ $0
.i t1 I
❑Adult Signature Restricted Delivery$
3 Postage
$ $jl.7!
1 Total Postage and Fees 017i 16/2021
] $7.20
S
— $erI(A4' m 1I(C. ei-) Sclia ct 60;4
Street andApt.No.,or State p 1Jp. S2^S Vld � V�
City, / i____ ✓J.� React,
(A q/n
G()
, $ ?sit I 2C� C S

,erUrleu IYIAII servIGO pruvraes Ule iurruwrny ueneuII ;
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
A record of delivery(including the recipient's retail associate.
signature)that Is retained by the Postal Service" -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
mportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,whict
Certified Mail service is not available for requires the signee to beat least 21 years of ag
international mail. and provides delivery to the addressee specified
Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear
certain Priority Mail items. USPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.

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
Locality treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Tnist Shoreline Other otherscCheckSand pure,Localed Permi
t Officer ntr 1, ufobdnosieonn Approval,-Mobile
p rov l,Mobile Home Park Approval,Highway Connection,and
(For official use only)
STATEMENT OF OWNERSHIP:
GENERAL INFORMATION 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
listed as landowner on this application has a significant interest in the real property described therein.This interest can'be
Name Douglas P.Mlskew and wife,Tracy J.Miskew _ —-. - - --- described as:(check one)
Address 105 Crystlewood Court 4563
an owner or record title,Title is vested in Fee Semple see Deed Book
City Morrisviie State NC Zip 27560 Phone [phone] page 56 in the Pender County Registry of Deeds.
Email [e-mail] Flan owner by virtue of inheritance.Applicant is an heir to the estate of
probate was in County.
AUTHORIZED AGENT
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:
p 28541 Phone [phone] I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
City Jacksonville State NC Zi 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)
(1) Mr.Gregory T.Badway,101-A Coral Drive,Wrightsville Beach,NC 28480
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the (2) Mr.and Mrs. C.Schiefelbeirt,333 Seashore Drive,North Topsail Beach,NC 28460
adjacent waterbody.)163 Atkinson Road,Surf City,Pender County
(3)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Three-Story (4)
Vinyl Dwelling&Loft on Pilings with Decks Over Concrete Slab Enclosed below for Entry&Storage
SiZE OF LOT/PARCEL: 5,988 square feet 0.137 acreswith Raised Wood Drives and All ACKNOWLEDGEMENTS:
Proposed 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 0 (Single-family Q✓ Multi-family 0) Commercial/Industrial D 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 stabilize-
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,
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: N/A square feet(includes the Local Permit Officer and their agents to entet'ilAhe 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) 20 Z�
i7iig the day of
(2) COASTAL SHORELINE AECS:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILTaeglAigliP i
UPON SURFACES:1,116 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.) Landowner or person authorized to act ate'" purpose of filing a CAMA permit application
•STATE STORM WATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater 5 `
This application includes:general i ,rma on(th:farm),a site drawing as described on the back of this application,the
Management Permit issued by the NC Division of Water Quality? ownership statement,the Ocean H.1,rd A C No a where necessary,a check for$100.00 nitride payable to the locality,ana
YES r1 NCI
I any information as may be provid.fora by t applicant.The details of the applicatioffas described by these sources are
if yes,list the total built upon area/impervious surface allowed for your lot or parcel: 1,330 square feet. incorporated without reference in., .ermi hich'may be issued.Deviation from these details will constitute a violation o)
any permit.Any person developing in• EC without permit is subject to civil,criminal and administrative action.
RECEIVED
JUL 1 9 2021

-0 > TI 33 ED
tj > 3 -o tom°
m w w
z
Da
OTHER PERMITS MA O O a ,.,to 0 71
ty Permit Number minor development permial Z O
treatment system),Buildir 11 > rn Iv 3
Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other Certification,Sand Dune, a 3 Ss?
SR
others.Check with your L ,.
(For official use only) CD O
STATEMENT OF OWN CD 1 r
JAL INFORMATION N �D
I,the undersigned,an appl m -o
I OWNER person authorized to act as j O �'�
Douglas P.!Askew and wile,Tracy J.Miskew _ listed as landowner on this ,4. y �Q
described as:(check one) R' -! co
;s 105 Crystlewood Court tD Q
nan owner or record tit 0.
«ra`^ State NC Zip 27560 Phone [phone] page 56 in the Por de I1t j'
Z
[e-mail] cD
Dan owner by virtue ofl ,1 e0D n
IORIZED AGENT probate was in `(
la a
b.
r•Charltis F.Riggs&Associates,Inc. �f other interest,sucht O "Illi 1 a;-.1 w N•
s P.O.Box 1570
NOTIFICATION OFA C Ai% = O
acksonville State NC Zip 28541 Phone [phone] I furthermore certify that r C O
ACTUAL NOTICE to ell C) —w
[e-mail] 0
(Name) a
Q
(I) Mr.Gregory T.Baa CD O
TION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the �"
nt waterbody.)163 Atkinson Road,Surf City,Pander County (2) Mr.and Mrs.Matthew Co _- r n a(3) 1
A
'RiPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Three-Story (4) O
I Dwelling&Loft on Pilings with Decks Over Concrete Slab Enclosed below for Entry&Storage M
OF LOT/PARCEL: 5,988 square feet 0.137 acreswith Raised Wood Drives and All ACKNOWLEDGEMEN1 0 0
Proposed Improvements Shown on Map I,the undersigned,acknowl w o• >y
OSED USE:Residential Q (Single-family 0 Multi-family 0) Commercial/Industrial D Other 'G 'd CO
❑ may be susceptible to erosij 3 Plik r+
lar hazard problems asocial ip
'LETE EITHER(I)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies 7
property): tion and floodproofing techi O
1. r • \
i furthermore certify that I a ��
�EAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: N/A square feet(includes '0
ditioned livingspace,parkingelevated above q the Local Permit Officer ail '� tp
p ground level,non-conditioned space elevated above ground level but related to this permit applies r`
ing non-load-bearing attic space) Pp
n C) &1•
)ASTAL SHORELINE AECa:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
SURFACES:1,116 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, N n v
to or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) a z
m
Landowner or son author 0
3 STORM WATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
e..._ i. . 0=0
ement Permit issued by the NC Division of Water Quality? This application includes:g e paj r�� )--a
NCi I ownership statement,the Oe tip
1,330 any information as may be p
list the total built upon area impervious surface allowed for your lot or parcel: square feet. incorporated without referei `--...
any permit.Any person deve
N.
RECEIVED
i 1
--"; 1
JUL 1. 9 Z021
i
DCM WILMINGTON, NC 4 � 0id0` ,�:v� tt,=
t k .x ,,,,zl

Date Date Check From Name of Vendor Check Check Permit Rct.
Received Deposited Permit Holder Number amount Number/Comments
7/20/2021 Charles Riggs and Douglas Miskew CREDIT ON prey chk $- Minor fee, 163 Atkinson Rd, Surf JD rct.
Associates ACCOUNT #16430 City, PnCo 10177
(5/12/20) (preyf
Antho
Ricciar