SCEX_13-01_ Wellman's

V
ATA
NCDEFR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
January 14,2013
Exemption Number—SCEX13-01
Wellman' Construction,Inc.
Attn:Angie Edens
PO Box 8
Holly Ridge,NC 28445
RE: EXEMPTED PROJECT(MINORS)SINGLE FAMILY RESIDENCES WITHIN THE HIGH HAZARD
FLOOD AREA OF ENVIRONMENTAL CONCERN—(15A NCAC 07K.0213)
PROJECT LOCATION/ADDRESS— 1903 S. Shore Drive, Surf City,NC
Dear Ms.Edens:
I have reviewed the information you submitted to our office concerning the necessary filing of an application for a
CAMA Minor Development Permit under the Coastal Area Management Act. After making a site inspection on
1/15/2013,I have determined that the activity you propose is exempt from needing a CAMA Minor Development Permit
as long as it remains consistent with your project drawings and paperwork,dated received 1/14/2013,and it also meets the
conditions specified below. If you plans should change and your project will no longer meet these conditions,please
contact me before proceeding.
SINGLE FAMILY RESIDENCES WITHIN THE HIGH HAZARD FLOOD AREA OF ENVIRONMENTAL
CONCERN EXEMPTED-All single family residences, including associated infrastructure,accessory structures or
structural additions to an existing single family structure,constructed within the High Hazard Flood Area of
Environmental Concern are exempt from the CAMA Minor Permit requirements provided the development is consistent
with all other applicable CAMA permit standards and local land use plans and/or rules in effect at the time the exemption
is granted including the following conditions and limitations:
1. Development shall not be located within the Ocean Erodible or the Inlet Hazard AEC.
2. Any building shall be constructed on pilings and comply with the North Carolina Building Codes and the
local flood damage ordinances,as required by National Flood Insurance Program(NFIP).
3. The development does not require any permission, licensing, approval,certification,authorization or
approval from any state or federal agency.
4. A signed AEC hazard notice indicating that the property owner is aware of the special risks and conditions
associated with development in this area.
This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining any other State,
Federal or Local authorization. This exemption expires one(1)year from the date of the letter.
•cerely,
J..on Dail, PO
Cc: DCM—WIRO
Dixon Ivey, Surf City

a.
p' '
,. .-..-,.-.:.:......::-.:-::::: '
`:l,ocalit t/' L r L Permit Number / 3--0 I
} 7
Ocean'Hazard .;:::.Estuarine Shoreline _ ORW Shoreline,., -__:,_Public Trust Shoreline Other. _�._._
..(Fot official use onl))
GENERAL INFORMATION
LAND OWNER 1 ,�
Name �...��� ml JJ LI )-\L-), `Q C .
Address P. (:) , (6,Th)( O
City `--1 c)\1(1 State C Zi� /'hone q(D J2Q ' �c m L
Email al\0.� 0 e n5 4 4J1& �au
mars . lY
AUTHORIZED AGENT
Name
Address
City State Zip Phone
Email
LOCATION OF PROJ CT: Address,street name and/or directions to site. If not oceanfront,what is the name of the
adjacent waterbody.) 1L1C) S ( \'(-
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.)SPP.., dx 1 V e y
SIZE OF LOT/PARCEL: square feet , 1 Li acres
PROPOSED USE: Residential ["(Single-fantily+F3vMulti-family ❑ ) Commercial/Industrial ❑ Other D
COMPLETE EITHER(I)OR(2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes
air conditioned living space,parking elevated above ground level, non-conditioned space elevated above ground level but
excluding non-load-hearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF 81111.DING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 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.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality?
YES NO
If list the total built area/im ervious surface allowed for your lot orparcel: square fc
yes, uponP' q
J ' 1 14 2013
"' ''.l1/l ily'ltm►ki"

OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the LAMA
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
Certification, Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others.Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
1,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
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
described as: (check one)
an owner or record title,Title is vested in aN .see Deed Book
page in the County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of ;
probate was in County.
if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that 1 have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(I) floctixt. H Gaga cc. .d 4 tcc v .S.S . . t_ .fir. .. S .Nc .4. /Y S .. .. . ... ...
2 r Dts P Ias c L 2:15v4
( ) �l br �h � I u �. � ��
(3) ME,tot,{-t— aibb Ploy Avn Gal burn kic ....a?5 v-f....
(4)
ACKNOWLEDGEMENTS: •
i,the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
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-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Pennit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the CI day of )(f(ZU,Q('O ( )
flui rli ON, FAIvniri.)
Landowner person authorized to act as his/h r agent f purpose of filing a CAMA permit application
This application includes:general information(this jiarni), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality.and
any information as may he provided orally by the applicant. The details((the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and cult t t trirclr(io t
JAN 1421112

OPEN DECK
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OPEN DECKIrLTi 8 7"
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FIRST FLOOR PLAN SECOND FLOOR PLAN THIRD FLOOR PLAN
SCALE::r=1'-0" SCALE:k.=I•-0, SCALE:}"=11-0•
RECEIVED
SQUARE FOOTAGE JAN 14 2013
CALCULATIONS
FIRST FLOOR:
• HEATED 616 50.FT.
• OPEN DECKS 336 S0.FT. C
I THE SOLE RESPONSIBILITY OF THE CONTRACTOR AND/OR BUILDER TO CONFORM TO • COvERED PORCHES...0 SO.FT.STANDARDS,PROVISIONS,REQUIREMENTS,METHODS OF CONSTRUCTION ANDUSES NOTICE I'.I.I \ \"I I()N 1
4ATERIALS PROVIDED IN BUILDINGS AND/OR STRUCTURES AS REQUIRED BY N.C. SECOND FLOOR: :
FORM BUILDING CODE,LOCAL AGENCIES AND IN ACCORDANCE WITH GOOD HEATED 774 SO.FT. THIS DRAWING APPLIES ONLY
•SNEERING PRACTICES.VERIFY ALL DIMENSIONS PRIOR TO C'OEISTRUCTIOEL • COSSERED PORCHES-0 SQ FT. �. TT)THE SITE SPECIFIED HEREIN. LINAN `STORY 17
ANY OTHER USF IS PROHIBITED.
mHER CONNER DRAFTING&DESIGN NOR ANY OF ITS SUB-CONTRACTORS IS NO PART IS TO BE.COPIED, " •T^�'.w-D-,,,°G
THIRD FLOOR: MODIFIED.REDRAWN OR USED P.O.BOA617
PONSIBLE FOR ANY PROBLEMS DUE TO TO HUMAN ERROR AND/OR OMISSIONS ON • HEATED 416 SO.FT. 'i'0s.NC.MN
OTHER THAN INDICATED HEREIN. WELMAN%CONSTRUCTION BF9 02012 CDD
SE DOCUMENTS.IT IS THE OWNER AND/OR CONTRACTORS RESPONSIBILITY TO • OPEN OVmS 166 SO.FT. PHONF:91O.3)I.
EMILY REVIEW THESE PLANS FOR ERRORS AND OMISSIONS PRIOR TO CONSTRUCTION. • COVERED PORCHES...O SO.FT. ANY VIOLATION WILL BE A SNEADS FERRY,NC 26460 1.1x:1103u.21e0 HELM
DIRECT COPYRIGHT 1;118I clfN5 490m006t.11100,021�� 211E
NY PROBLEMS ARE FOUND IN THE REVIEW PLEASE NOTIFY CONNER DRAFTING AND TOTAL HEATED 2.006 SD.FT. INIRINGEMENT AND IS SATTt 9f.A1}. DRAWN AY: PO ENAMF i
IGN PRIOR TO BEGINNING CONSTRUCTION SO ANY REVISIONS CAN BE MADE.02012 CDD CO` NSIDERED ILLEGAL USAGE A ouzo I vatil,r WO ,,,,.".,.,,,,,,.,>,.,y,k„„„•

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WATER FRONT ELEVATION MR.. STREET'FR(()��7T' V
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Mill lilt 1111111 JAN 14 2013
DCM WILMINGTON, NC
LEFT ELEVATION
S THE SOLE RESPONSIBILITY OP THE CONTRACTOR AND/OR BUILDER T'O CONFORM TO "-"'-4"1" V V
.STANDARDS,PROVISIONS,REQUIREMENTS,METHODS OF CONSTRUCTION AND USES NOTICE Ei.FNATIONS
FORM MATERIALS CODDE,
I BUILDINGS GES AND/OR STRUCTURES IACCORDANCE
AS REQUIRED Y NC THIS DRAWING APPLIES ONLY S Pl IMAN THREE-STORY[FORM BUILDING LOCALAGENCIES AND IN ACCORDANCE WITH GOOD
:SINEERING PRACTICES.VERIFY ALL DIMENSIONS PRIOR TO CONSTRUCTION. TO THE SITE SPECIFIED HEREIN, 2006S FT
ANY OTHER USE IS PROHIBITED.
R' SHEETCONNERITSIS
,PONSIRIF FOR ANY PROBLEMS DUE TO TO HUMAN ERROR AND/OR OMISSIONS ON RICHLAN'DS,NC..BUT.
:SE DOCUMENTS.IT IS THE OWNER AND/OR CONTRACTORS RESPONSIBILITY TO OTHER THAN INDICATED HEREIN. WSNEAANS CONSTRUCTION S. 04012 COD
PHONE:9I9]N$19 I
ISPULLY REVIEW THESE PLANS FOR ERRORS AND OMISSIONS PRIOR TO CONSTRUCTION. ANY VIOLATION WILL HE A SNEAtE FERRY,NC 2MW MX:91032SEo bHE
DIRECT COPYRIGHT DRMLC 9NNkJIAMAFTINGW.AlNw.TE100M I 1
NY PROBI EMS ARE FOUND IN THE REVIEW PLEASE NOTIFY CONNER DRAFTING AND INFRINGEMENT AND IS *AT, SCARF_ DRAWN RV: FlIHNAMF_ O
SIGN PRIOR TO BEGINNING CONSTRUCTION SO ANY REVISIONS CAN BE MADE 0 2012 CDD `CONSIDERED ILLEGAL USAGE.JL 11272.12 10011 9

OCE
AN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area inlet Hazard Area
�
Property Owner: ti l (�Uri lal (I( f 1 ILP I.(ell.)r -e,n 0 •
Property Address:- 1ai 0 & %101 0 •
` I
Date Lot Was Platted: .�S(l�t tq?
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 Jitdo0/1/41 Mill-/..
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.
NC DENR
Studies also indicate that the shoreline could move as much as Div. of Coastal Management
feet landward hi a major storm. g
127 Cardinal Drive Ext.
The flood waters in a major storm are predicted to be about Wilmington, NC 28405-3845
feet deep in this area.
Preferred oceanfront protection measures are beach nourishment / _ l
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls,revetments,groins,jetties Phon(94
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 C�a
the proper signature,the application will not be complete. RE E D
Cci,up JAN 14 2013
Property Owner Signature Date DCM W?1"trilNT®
N, NC
Revised May 2010

IMPERVIOUS CALCULATIONS
6248.6 SQ. FT. IN LOT ,,z)
768.0 SQ. FT. HOUSE `oti° S OAK DR
714.9 SQ. FT. 24' DRIVE
rri
192.0 SQ. FT. COVERED DECK G� D
90.0 SQ. FT. EAVES crn oZ
1764.9 SQ. FT. PROPOSED IMPERVIOUS SITE
NO 2
PROPOSED IMPERVIOUS=28.2% (0.282) S SHORE DR
•
OWNER BY CONTRACT ATI ANTIC OCEAN
POLE x g CONSTRUCTION ADJOINERS STONE
Holly Ridge, NC 28445 LOT 1 VICINITY MAP NO SCALE
910-279-3545 LINED LANDSCAPING
PB 22, PG 104 ENCROACHES
N 48'37'38" E
50.00'
N 48'33'17" E S 48'37'38" W --E)
0-
50.10' FIP SIS 49.54' FIS
FIS (BENT) U)
20' MBL N
0.14 AC r
LOTS 3&4 � 44.7' 48 s' j CA
BLOCK D
PB 6, PG 38
rn
Z — 13.1' Yo , 13.0' --
OPENOPEN
T 2 I
BLLOCK D v '' t PROPosEo B.0
LOLOCK D W I
PB 6, PG 38 0 3 STORY ,w, . PB 6, PG 38 e:
_1AUBREY PLAN o . 0 I
M m (1):
* In QQ M
COAL „ N FLOOD ZONE "SHADED X"
SMN IN PP AT -- 13 2' f DEC�t40. a 13.0' --
12.00' MSL NGVD 88
24'FLOOD HAZARD i DR I
DRIVE
BOUNDARY LINE /' 24•6'= MgL 3e 0' ,
FLOOD ZONE "AE"
OHEL
FIS —E—E—E— E— _—E—E—E—E—E—E—E—E—E—E—E\.
-e- 50.00' -A SIS 50.25'
N 48'12'55" E S 49'47'51" W BE)S.7.
CONCRE1 E. WALK 8 OS 4S',
0,54 W
� -`-- EDGE OF PAVEMENT
--... ,.., 4
S. SHORE DRIVE (60' PUBLIC R/W) c z—
NC 50
f*I LT,
OO
D-
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Z CO-'
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SETBACK INFORMATION
ZONED: R-5 - SURF CITY FRONT SETBACK: 15' FMN AT C/L INTERSECTION
SIDE SETBACK: 12.5' (3 STORIES) OF NC 50 (S SHORE DRIVE
MAXIMUM HEIGHT: 48' -
REAR SETBACK: 20' ATLANTIC AND SHORE 4nE;EIVEL)
FLOOD INFORMATION I OCEAN
. . nM'1

I.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008
ederal Emergency Management Agency Expires March 31,2012
lational Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name Policy Number
Wellman Construction Company
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number
1903 South Shore Drive
City State ZIP Code
Surf City NC 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lots 38.4 Block D MB 6 pg 38
A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.)Residential
A5. Latitude/Longitude:Lat.34"24'23.70" Long.TT'34'31.67" Horizontal Datum: 0 NAD 1927 IS 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 5
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a)Square footage of '
crawlspace or enclosure(s) NIA sq ft a) Square footage of attached garage NONE sq ft
b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of food openings in A9.b 0 sq in
d) Engineered flood openings? 0 Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name B3.State
370186 Surf City Onslow NC
B4.Map/Panel Number B5.Suffix 86.FIRM Index 87.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
3720422400 K Date Effective/Revised Date Zone(s) AO,use base flood depth)
Feb.18,200T November 3"1,2005 "Shaded X" n/a
310. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
0 FIS Profile ® FIRM 0 Community Determined 0 Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 0 Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ® No
Designation Date 0 CBRS 0 OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ® Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction
°A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AN,AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized NCGS"TOWER RM 1" Vertical Datum NAVD88
Conversion/Comments NONE
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 12.00 ®feet 0 meters(Puerto Rico only)
b) Top of the next higher floor WA ®feet 0 meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ®feet 0 meters(Puerto Rico only)
d) Attached garage(top of slab) NIA ®feet 0 meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 12.00 ®feet ❑meters(Puerto Rico only)
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 9.3 ®feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 12.4 ®feet D meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs,including 10.2 ®feet 0 meters(Puerto Rico only)
structural support
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. ,.•.'';;a', . r-
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code.Section 1001.
0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �`�.•, c •
licensed land surveyor? �:,...Yes. a, =
Certifier's Name License Number ; - f,,. '•..'�G_�Y'- _
Gairy I.Candy L-2904 r--Z/�7_
Company Name JAN 1 4 2013 .Title -, ..: .-.
Professional Land Surveyor Gairy Canady Surveying - _ :;,
State ZIP Code
Address i:.._�: ._ kW. a r 1

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
1903 S Shore Drive
City State ZIP Code Oampany.NAIC Number
Surf City NC 28445
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner.
Comments
//7
Sig ature Date
❑ Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, -
and C. For Items El-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG). '
a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters 0 above or❑below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 feet ❑meters 0 above or 0 below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see ages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑meters 0 above or [j below the HAG.
E3. Attached garage(top of slab)is ❑feet 0 meters ❑above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is 0 feet ❑meters ❑above or 0 below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes 0 No ❑ Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A,B,and E are correct to the best of my knowledge.
Properly Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),
and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9.
G1.0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.❑ The following information(Items G4-G9)is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for. 0 New Construction 0 Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet 0 meters(PR)Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet 0 meters(PR)Datum
G10.Community's design flood elevation 0 feet ❑meters(PR)Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
-.N i 4 2013

Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address(including Apt,Unit, Suite, and/or Bldg. No.)or P.O.Route and Box No. Policy Number •
1903 S Shore Drive
City State ZIPCode Carboy NAICNumber
Surf City NC 28445 -'
Lot Is vacant
RECEIVED
Lot is vacant AN 1
4 2013
Draw ►.,.6

COMM/
APPLICATION FOR
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CAMA MINOR
DEVELOPMENT
PERMIT
In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA)and set the stage for guiding development in fragile and productive areas that %►
border the state's sounds and oceanfront.Along with requiring special care by those who
build and develop,the General Assembly directed the Coastal Resources Commission
(CRC)to implement clear regulations that minimize the burden on the applicant.
►.
This application for a minor development permit under CAMA is part of the
Commission's effort to meet the spirit and intent of the General Assembly.It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
locality in which you plan to build to be certain that you understand what information he
or she needs before you apply.
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Under CAMA regulations,the minor permit is to be issued within 25 days once a
complete application is in hand. Often less time is needed if the project is simple.The
process generally takes about 18 days.You can speed the approval process by making
certain that your application is complete and signed,that your drawing meets the
specifications given inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area.While these
are not CAMA-related,we urge you to check with the Local Permit Officer to determine
which of these you may need.A list is included on page two of this folder.
We appreciate cooperation with the North Carolina Coastal Management Program
PP your P
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission 11111,
Division of Coastal Management
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JAN 14 2013 ❑0 2�
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DOA Form Eli1952-201(1/Revised April2()IU 1VIINGTON. Nr

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WELLMAN'S CONSTRUCTION, INC. BB&T 8832
P. O. BOX 8 BRANCH BANKING AND TRUST COMPANY
HOLLY RIDGE,NC 28445 1-800-BANK BBT BBT.com
910-329-4356 66-112/531
1/9/2013
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PAY TO THE NCDENR
ORDER OF **50.00
Fifty and 00/100*************************************************************************************************************,. ,qq
DOLLARS L'J
NCDENR
127 Cardinal Drive Ext. s.
Wilmington NC 28405
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