TB_13-08_ Tumblin

r
Issued by WiRO TB13-08
Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina,Department of Environment,
and Natural Resources 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 William and Ann Tumblin authorizing development in the Ocean Hazard (AEC) at 1111A N. Anderson
Blvd., in Topsail Beach, Pender County as requested in the permittee's application, dated May 14, 2013, and received
by DCM on June 3, 2013. This permit, issued on June 26, 2013, is subject to compliance with the application and site
drawing dated received June 3, 2013 (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 with amenities.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received on June 3,2013.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work.
-IECEIVED
OCM WILMINGTON, NC
(Additional Permit Conditions on Page 2)
JUL 1 6 2013
This permit action may be appealed by the permittee or other qualified persons 7-)
within twenty (20) days of the issuing date. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. This
permit must be on the project site and accessible to the permit officer when the
project is inspected for compliance. Any maintenance work or project Jason Dail
modification not covered under this permit, require further written permit CAW LOCAL PERMIT OFFICIAL
approval.All work must cease when this permit expires on:
127 Cardinal Drive Extension
December 31,2016 Wilmington, NC 28405-38
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

Name: William and Ann Tumblin
Minor Permit#TB13-08
Date: June 3,2013
Page 2
(5) With exception of the proposed structural access walkway, gazebo and uncovered deck, all other structure(s) must
be set back a minimum of 60 feet from the First Line of Stable Natural Vegetation (FLSNV), as determined by the
DCM,the LPO,or other assigned agent of the DCM.
(6) The permittee is required to contact the Local Permit Officer [phone], shortly before he plans to begin
construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline
change. Construction must begin within sixty (60) days of the determination or the measurement is void and must
be re-established.
(7) The accessway over the dunes must not exceed six feet in width and shall provide only pedestrian access to the
ocean beach. The accessway must be constructed so as to make negligible alterations to the frontal dunes. That
portion of the accessway crossing the frontal dune must be constructed on raised posts or pilings of five feet or less
in depth, so that wherever possible only the posts or pilings touch the frontal dunes without any alteration to the
dunes. In no case shall the dune be altered so as to significantly diminish its capacity as a protective barrier against
flooding and erosion.
(8) Any deck area located within 60 feet from the FLSNV shall not exceed a footprint of 500 sq. ft. and shall be
structurally independent of the residential or primary structure. The deck may be cosmetically attached, but shall
remain free standing as a single unit.
(9) Any structure constructed within the Ocean Hazard area 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) 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 vegetatatively stabilized (planted and
mulched)within 14 days of construction completion.
(11) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary
protective measures allowed under CRC rules.
(12) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a
side if square; and the first floor level of the sills and joists must meet the 100-year flood level elevation.
(13) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(14) Dune disturbances will be allowed only to the extent necessary for development and if the duneiltaai 4Mi P
not weakened or reduced. Disturbed dune areas will be immediately stabilized. DCM WILMINGTON, NC
II 11 1 6 9f13

Name: William and Ann Tumblin
Minor Permit#TB13-08
Date: June 3,2013
Page 3
(15) 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 vegetatively stabilized
(planted and mulched) within 14 days of construction completion. Any structure authorized by this permit
shall be relocated or dismantled when it becomes imminently threatened by changes in shoreline
configuration. The structure(s) shall be relocated or dismantled within two years of the time when it
becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be
relocated or dismantled at that time. This condition shall not affect the permit holder's right to seek
authorization of temporary protective measures allowed under CRC rules.
(16) Sand used to strengthen dunes must be brought in from an outside source and must be of the same
nature as the sand in the area, which it is to be placed. No sand is to be removed from the lot.
(17) Sand held in storage in any dune, other than frontal or primary dunes, may be moved laterally in order to
strengthen existing primary or frontal dunes if the work would enhance the protection to the proposed
development activity and the sand is immediately stabilized.
(18) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
a7/6l )�
SIGNATURE: DATE: 07/4
PERMITTEE
I ECEIVED
DCM WILMINGTON, NC
JUL 1 6 2013

ArfA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, Ill
Governor Director Secretary
June 26, 2013
William &Ann Tumblin
1007 W. Lady Diana Ct.
Jacksonville, NC 28541
Dear Mr. & Mrs. Tumblin:
Attached is CAMA Minor Development Permit TB 13-08 for work to be done at 1111A Anderson Blvd.,
in Topsail Beach, Pender County.
In order to validate this permit, please sign both copies of the permit as indicated for our records.
Please retain the gold copy for your files and sign both pages of the white copy then return 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,
f Shaun K. Simpso
Permit Support Technician )
Enclosures
cc: WIRO files
127 Cardinal Drive Ext.,Wilmington,NC 28405
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net

�B/� OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
`T� L Permit Number0 minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
zard Estuarine Shoreline ORW Shoreline Public 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.
LJ,INFORMATION STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
WNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Iiam C.Tumblin and wife,Ann W.Tumblin listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
1007 West Lady Diana Court 4215
Flan owner or record title,Title is vested in Fee Simple ,see Deed Book
State Nc Zip 27502 Phone [phone] page 267 in the Pender County Registry of Deeds.
[e-mail]
Elan owner by virtue of inheritance.Applicant is an heir to the estate of ,
RAZED AGENT probate was in County.
lades F.Riggs&Associates,Inc. ff 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:
ksonville State NC Zip 28541 Phone [phone] I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
[e-mail] (Name) (Address)
(I) Ms.Margaret Colin Deas,366 W 11th Street,Apt.PHC,New York,NY 10014
ON OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
eaterbody.)1111A North Anderson Boulevard (2) Frank Williams Revocable Trust,P.O.Box 276,Matthews,NC 28106
(3)
PTION OF PROJEc (List all proposed constructi n d I d disturbance.) Proposed Dwelling with (4)
P e:•0 0 4 C' IJ awJGrytt, Di' r GtVs.Do P4c. 6..p•
r LOT/PARCEL: 10,987 square feet 0.252 acres ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
3ED USE:Residential ✓l (Single-family❑ Multi-family El) Commercial/Industrial❑ Other D may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
ETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
roperty): j 000
�j' I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
;AN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
tioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
non-load-bearing attic space) //�� //
LSTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the /T,� day of/%O� ,20�3
URFACES: square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, &di" �1
or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or person author .to , I er agen r purpose of filing a CAMA permit application
3TORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
sent Permit issued by the NC Division of Water Quality? This application includes:g••er, • on(this form),a site drawing as described on the back of this application,the
] Nci ✓ I ownership statement,the(ice, • C Notice where necessary,a check for$100.00 made payable to the locality,and
any information as may be provide• • • y by the applicant.The details of the application as described by these sources are
1 the total built upon area/impervious surface allowed for your lot or parcel: square feet. 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 civhrttacriltItelp action.
DCM WILMINGTON, NC
JUN 0 3 2013

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: bJm `�• f Vm1,�1n
Property Address: 11 11A- /" ` Aide-e;sort t61v d
Date Lot Was Platted:
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 i • \ �.,
average ocean erosion rate for the area where your property is JftS0 I)4 i v
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 AddreNC DIV. OF COASTAL MANAGEMENT
feet landward in a major storm.
127 CARDINAL DR. EXT.
The flood waters in a major storm are predicted to be about
feet deep in this area. Localit
Preferred oceanfront protection measures are beach nourishment C.�' 10 . - i
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signature. h application will not b complete.
V/1 -.5//17/b_3
RECEIVED
Property wner Signature Date
DCM WILMINGTON, NC
j U N 2013 evised May 2010

A 'A
�_��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director , `� Secretary
June 6, 2013 �U
Advertising @ stamewsonline.com
2 Pages
uLi
Star Newse,
j
Legal Advertisement Section \i\j)\ U
Post Office Box 840 P� k
Wilmington,North Carolina 28402 CP .W6 /
Re: Minor Public Notice Combo for: k j r-',
• Town of Holden Beach in Brunswick Co. �� C
• Tumblin in Pender Co.
Kyle/Heather: Pleasepublish the attached Notice in the Monday, June 10, 2013 issue.
Y
The State Office of Budget and Management requires an original Affidavit of Publication prior to
payment for newspaper advertising. Please send the original invoice and a copy of the affidavit for payment to
Shaun Simpson at Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405,
910-796-7226. Paying by Credit Card(number on file with Elsa Lawrence, Ref acct#796-7215). Please send a
fax of the credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me at our
Wilmington office.
Sincerely,
Shaun Simpson _
Permit Support Technici ;
Enclosure
cc: WiRO Copy
Doug Huggett—MHC DCM
Michele Walker- DCM
127 Cardinal Drive Ext.,Wilmington,NC 28405 On� -,,,,,,��;, „

CAMA MINOR PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the North Carolina Division of Coastal Management, an
agency authorized to issue CAMA permits in areas of environmental concern, hereby gives NOTICE
that the following applied for CAMA permits in Areas of Environmental Concern: On June 3,
2013, the Town of Holden Beach proposed to fill and grade between the Holden Beach water
tower and the AIWW, at 126 Rothschild St., adjacent to the AIWW, in Holden Beach, Brunswick
Co., and on June 4, 2013, William & Ann Tumblin proposed to construct a single-family
dwelling at 111A N. Anderson Blvd., adjacent to the Atlantic Ocean, in Topsail Beach, Pender
County. The applications may be inspected at the address below. Public comments received by
June 25, 2013 will be considered. Later comments will be accepted and considered up to the time of
permit decision. Project modifications may occur based on further review and comments. Notice of
the permit decision in this matter will be provided upon written request.
Holley Snider/ BR Co.
Jason Dail / PN Co.
Field Representatives
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]

s p../,- . /'/2— z/,
AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA
' COUNTY OF NEW HANOVER
CAMA MINOR PERMIT NOTICE Before the undersigned,a Notary Public of Said County and State, ,
Pursuant to NCGS 113A-119(b),the
North Carolina Division of Coastal
Management,an agency authorized Anita Thomas
to issue CAMA permits in areas of
environmental concern, hereby
ives I pled for CAMA permitsA NOTICE
AMAfollowing
of Who,being duly sworn or affirmed,according to the law,says that he/she is
Environmental Concern: On June 3,
2013, the Town of Holden Beach Publisher's Assistant
proposed to fill and grade between
the Holden Beach water tower and
the AIWW,at 126 Rothschild St.,ad-
jacent to the AIWW, in Holden of THE STAR-NEWS, a corporation organized and doing business under the Laws of the State of
Beach, Brunswick Co., and on June
4, 2013, William & Ann Tumblin North Carolina,and publishing a newspaper known as STAR-NEWS in the City of Wilmington
proposed to construct a single-
family dwelling at 111A N. Ander- CAMA MINOR PERMIT NOTICE Pursuant to NCGS 113A-119b the North Carolina Division
son Blvd., adjacent to the Atlantic
Ocean, in Topsail Beach, Pender of Coastal Management,an agency authorized to issue CAMA permits in areas of
County.The applications may be in-
spected at the address below. Pub- environmental concern,hereby gives NOTICE that the following applied for CAMA permits in
lic comments received by June 25, Areas
2013 will be considered. Later
comments will be accepted and
considered up to the time of permit
decision. Project modifications may
occur based on further review and
comments. Notice of the permit de-
cision in this matter will be pro-
vided upon written request.
Holley PN
Jason Dail)PN Snider/ Co.Co. was inserted in the aforesaid newspaper er in space,and on dates as follows:
Field Representatives
Division of Coastal Management
127 Cardinal Drive Extension 6/10 lx
Wilmington,NC 28405-3845
Phone:[phone]
And at the time of such publication Star-News was a newspaper meeting all the requirements and
qualifications prescribed by Sec.No. 1-597 G.S.of N.C.
1 `��-G` Title:Publisher's Assistant
orn or affirmed to,and subscribed before me this /0 day of
. ,A.D., 6 13
estimony Whereof,I have hereunto set my hand and affixed my officia_ i .r�;. ..
year aforesaid. h2MILQ - s. 4
zszitk 6 . 4z. p?A p y cot
t ry Publ c I
My commission expires l `�[+D't day of ,20 Kb \s.. PUMP 4
/IS
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by the Court that'
publication was duly and properly made and that the summons has been duly and legally served on the defendant(s).
This day of ,
Clerk of Superior Court
MAIL TO: RECla_PJ;ED
0CM. WILMI'iGTON; NC
.JUN132613

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CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 502 NEW BRIDGE STREET Wilmington Office:
James A.Lewis,P.L.S.L-4562 P.O.Box 1570 101 Scotts Hill Loop Road
Kenneth E.Johnson, P.L.S.L-4925 JACKSONVILLE,NORTH CAROLINA 28541 Wilmington,N.C. 28411
Corporate License(C-730) TELEPHONE: (910) 455-0877 [phone]
FACSIMILE: (910) 455-9033
E-MAIL:[e-mail]
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to William C.Tumblin and wife,Ann W.Tumblin at 1111A
North Anderson Boulevard,Topsail Township,Pender County,North Carolina. William C.Tumblin and
wife,Ann W.Tumblin are proposing to construct a dwelling with covered and uncovered decks,walkway,
gazebo,and steps,as illustrated on the enclosed plans.This residence will be provided water service from
the Town of Topsail Beach.All areas of environmental concern have been evaluated by the North Carolina
Division of Coastal Management and these areas have been identified on the enclosed plans.
The State of North Carolina Division of Coastal Management does not require a response,however the
State does consider no response to be no objection. If you do wish to respond or if you have objections,
please state them in the space below and return this form in the addressed, stamped envelope provided to
Charles F. Riggs&Associates,P.O. Box 1570,Jacksonville,NC 28541.
Please check the appropriate space for your response.
( ) I have objections to the proposal.
RECEIVED
( ) I have no objections to the proposal. DCM WILMINGTON, NC
JUN 0 3 2013
Signature Date
Print or Type Name
Telephone Number

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Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
r For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
r If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mall
receipt is not needed,detach and affix label with postage and mall.
MPORTANT:Save this receipt and present it when making an inquiry.
nternet access to delivery information is not available on mail
Iddressed to APOs and FPos.

U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31, 2015
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name WILLIAM C.TUMBLIN&WIFE,ANN W.TUMBLIN Policy Number:
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number:
1111A NORTH ANDERSON BOULEVARD
City TOPSAIL BEACH State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 6,ELIZABETH W.PARSLEY SUBDIVISION
A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude:Lat.34d22'42"N Long.77d36'45'W Horizontal Datum: ❑ NAD 1927 0 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) N/A sq ft a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes EI 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
TOWN OF TOPSAIL BEACH 370187 PENDER NORTH CAROLINA
B4. Map/Panel Number B5.Suffix B6. FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
3720421300 J 02/16/07 Effective/Revised Date Zone(s) AO,use base flood depth)
02/16/07 VE 14.0'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
El FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ® No
Designation Date: El CBRS El OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: 0 Construction Drawings* ❑ Building Under Construction* El 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:NCCORS Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 ® 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) 22.0 ®feet ❑meters
b)Top of the next higher floor 31.0 0 feet 0 meters
c) Bottom of the lowest horizontal structural member(V Zones only) 2 a E CE IV E r feet ❑meters
d)Attached garage(top of slab) DM WILMINGTON=1 ❑meters
e) Lowest elevation of machinery or equipment servicing the building 15.1 ®feet ❑meters
(Describe type of equipment and location in Comments) 0 3 2013
f) Lowest adjacent(finished)grade next to building(LAG) 11.ZJUN 0 feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 18.0 ®feet ❑meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N.A ❑feet ❑meters
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation , sN�Nssss,
information./certify that the information on this Certificate represents my best efforts to interpret the data available. ss C •s
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. �s�P'(H ;?1TO�
® Check here if comments are provided ciC‘ysskAfi�. Were latitude and longitude in Section A provided by a g���O.Q0*ES9 SZ
❑ Check here if attachments. `,i'‘ H CAA licensed land surveyor? 0 Yes ❑ No "Q '.• '
Certifier's Name JAMES A. LEWIS , ). OB• E ~-'L L License Number L 4562 S - •
4.C• L
Title PROJECT MANAGER a ARLES F.RIGGS&ASSOCIATES, INC.
= CHL
Address 502 NEW BRIDGE STIEET; LC KSOIi/ILLj State NC ZIP Code 28540 .`/,9�'--V s ""G>,�
�. o. n.ro �J TPlenhone (910t455-0877 -1e40:19EO"Y. =2

1..a_a.•r•III• vLINIn NAIL., NaycL
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:
1111A NORTH ANDERSON BOULEVARD
City TOPSAIL BEACH State NC ZIP Code 28445 Company NAIC Number:
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 PROPOSED DWELLING IS TWO STORY ON PILING FOUNDATION,OPEN BELOW. THE TOWN OF TOPSAIL BEACH ADDS A 1.0'
FREEBOARD TO THE BASE FLOOD ELEVATION,THEREFORE THE ELEVATION OF THE BOTTOM OF THE LOWEST HORIZONTAL STRUCTURAL
MEMBER MUST HAVE AN ELEVATION OF ATLEAST 14.0'+ 1.0'= 15.0'(PROPOSED BOTTOM OF BAND=20.0')
Signature ���ta's •'*$S• V� to
/ QQ��OE /O•'• 15'.
SECTION E—BUILDING ELEVATION INFQRMATIO V N TSZEQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
a ��tt�es�nn •
For Zones AO and A(without BFE),complete Items 1—Et thk4562te is iptenr d to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Items El—E4,use natural grade, if availa .Clv hhe measur it usQti. In Puerto Rico only,enter meters.
El. Provide elevation information for the following an i�rrk--_� rr�•G 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,crawlspae& nr�s ��` ❑feet El meters El above or❑below the HAG.
b)Top of bottom floor(including basement,crawlspace,or•��V AMA is 0 feet 0 meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is _ ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is . ❑feet 0 meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is . ❑feet 0 meters ❑above or❑ 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? 0 Yes ❑ 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.
Property 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—G10. In Puerto Rico only,enter meters.
G1. ❑ 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—G10)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 ❑meters Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: . 0 feet ❑meters Datum
G10. Community's design flood elevation: . ❑feet 0 meters Datum
RECEIVED
Local official's Name Title DCM WILMINGTON, NC
Community Name Telephone
Signature Date JUN 0 3 2013
Comments
❑Check here if attachments.

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 51143
Name of Property Owner Applying for Permit:
m t. iji Iliiwl C. —1:014,10 I K.
Mailing Address:
/ 00 -7 WeS# Lady .Ui ahe, ( attrf
f p e,< N.C . c275.o,
I certify that I have authorized (agent)CJ#y rte.5 -2 117 s4.«- e,,- to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity)Pioyose.t�Wet1 t 0 At pze C7, "te_4'1414,
at(my property located at) ! I I i,f Ai 04 /68WIDA 'gblA ccr l .
This certification is valid thru (date) 0 5 �¢ .
/./ ,/,(\. 1
/ _)1. tA - 5.7/174//3
Property Owner Signature Date
RECEIVED
DCM WILMINGTON, NC
JUN 03 2013

CHARLES F. RIGGS & ASSOCIATES INC.
12956
502 NEW BRIDGE ST 15-3/540 w
PO BOX 1570 890 J
} JACKSONVILLE,NC 28541 DATE 05/'4Ji3 1
[phone]
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