TB_19-04_ Johnson

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Issued by WiRO TB19-04
Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
dap
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 Earl and Shelly Johnson authorizing development in the Ocean Hazard Area of Environmental Concern
(AEC) at 1803 Ocean Boulevard, Topsail Beach, Pender County as requested in the permittee's application package,
dated January 23, 2019, and received by DCM on February 4, 2019. This permit, issued on February 18, 2019, is
subject to compliance with the application and site drawing (where consistent with the permit) dated sealed and revised
on December 18, 2018, all applicable regulations and special conditions and notes set forth below. Any violation of these
terms may subject permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Construction of a dwelling with amenities(including retaining wall, uncovered decks, beach
access walkway, and gazebo).
(1) All proposed development and associated construction must be done in accordance with the permitted work plat drawing
d3sealed by Charles F. Riggs on December 18, 2018 and dated revised on December 18, 2018. The authorized work plat
was received by the Division of Coastal Management on February 4, 2019.
(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.
(5) With exception of a beach access walkway, 500 sq. ft. or less of structurally independent decking and gazebo, all other
structures shall be set back a minimum of 60 feet from the first line of stable natural vegetation (FLSNV) and static
vegetation line(SVL), as determined by the DCM, the Local Permit Officer(LPO), or another assigned agent of the DCM.
(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 0 �'
site and accessible to the permit officer when the project is inspected for J Dail LJ1 0
compliance. Any maintenance work or project modification not covered under CAMA LO PERMIT OFFICIAL > cc
this permit,require further written permit approval.All work must cease when this 127 Car inal Drive Extension W cv
permit expires on: Wilmington, NC 28405-3845 W w
IA—
December 31,2022
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 PE ITT
another party without the written approval of the Division of Coastal
Management. (Signature equired if conditions above apply to permit)

Name: Earl and Shelly Johnson
Minor Permit#TB 19-04
Date: February 18, 2019
Page 2
(6) The permittee is required to contact the LPO at [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 redone.
(7) Any/all structures 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 Area of Environmental Concern
(AEC)standards,the more restrictive provision shall control.
(8) 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. Any excess sand held in storage shall be re-distributed
throughout the site; However, no material shall be deposited any further seaward than the landward toe of
the frontal dune.
(9) This permit does not authorize the removal and/or transportation of sand from the subject property.
(10)Any deck(s) located within 60 feet from the FLSNV shall not exceed a combined footprint of 500 sq.ft. and shall be
structurally independent of the residential or primary structure. The deck(s) may be cosmetically attached but shall
remain free standing as a single structure(i.e. structurally independent).
(11)The total floor area of the permitted dwelling shall not exceed 1,088 square feet, per the authorized workplan
drawings.
(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)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 Coastal Resources Commission (CRC) Rules.
(15)Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
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I f►�`'�/""""`"'"____bin ' 1 / 1 ' �4 OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Permit Number v 11 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
:azard ' 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.
AL 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
all Johnson,Jr.and wife,Shelly A.Johnson listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
720 Lake Boone Trail Man v n owner or record title,Title is vested in Fee Simple see Deed Book 542
sigh State NC Zip 27607 Phone [phone] page 108 in the Pender County Registry of Deeds.
[e-mail]
Flan owner by virtue of inheritance.Applicant is an heir to the estate of ,
IRIZED AGENT probate was in County.
Thanes F.Riggs&Associates,Inc. flf 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) Mr.and Mrs.Mario Cilio,1509 W Willow Lane,Mt.Prospect,IL 60056
'ION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
waterbody.)1f103 Ocean Boulevard,Town of Topsail Beach,Pender County (2) Mr.C.C.Wilkins,P.O.Box 10067,Goldsboro,NC 27532
(3)
.IPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Three Story (4)
Ng on Pilings with Decks Enclosed below for Garage and Entry with Retaining Wall,Silt Fence
F LOT/PARCEL: 8,247 square feet 0.189 acres Wood Walk,Gazebo,and Drive ACi(NOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
1SED USE:Residential Q (Single-family❑ Multi-family 0) Commercial/Industrial 0 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-
LETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies lion 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:1,408 square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
itioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
ig non-load-bearing attic space) JrW /9
es
ASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the �0 day of f ,20_
IURFACES: 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 authorizedhi gent for purpose of filing a CAMA permit application
STORMWATER 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 info (this form),a site drawing as described on the hack of this application,the
D Nil t/ I ownership statement,the Ocean Haza Notice where necessary,a check for S100.00 made pawrble to the locality and
any information as may be provided orally by the 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 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 administrative action.
RECEIVED
VEH 0 d. L .J

ROY COOPER
Governor
v° MICHAEL S. REGAN
Secretary
NORTH CAROLINA BRAXTON DAVIS
Environmental Quality
Director
February 19, 2019
Earl and Shelly Johnson
720 Lake Boone Trail
Raleigh, NC 27607
Dear Mr.Johnson,
Attached is CAMA Minor Development Permit TB 19-04 for work to be done at 1803 Ocean Boulevard, in
Topsail Beach, Pender County. An electronic copy has been sent to the Topsail Beach Inspections
Department and your Agent
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and 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,
Tanya K. Pietila
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
TB Inspection Dept.
Charles Riggs—Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

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 Suite 217
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
E-MAIL:[e-mail] [e-mail]
January 23, 2019
To: Mr. Jason Dail
Division of Coastal Management
North Carolina Department of Environment and Natural Resources
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Earl Johnson,Jr. and wife, Shelly A. Johnson Minor CAMA Application
Dear Mr. Dail:
On behalf of Earl Johnson, Jr. and wife, Shelly A. Johnson, Charles F. Riggs &Associates,
Inc. submits for your review the enclosed Minor CAMA Application for the property on Ocean
Boulevard, Town of Topsail Beach, Topsail Township, Pender County,North Carolina.
Res ectfully,
James L. Riggs
RECEIVED
FEB 0 4 2019

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 griggslandnc.com [phone] [phone]
jameslewis a;riggslandnc.com
AGENT AUTHORIZATION FORM
Date: January 21, 2019
Name of Property Owner Applying for Permit:
Earl Johnson, Jr. and wife, Shelly A Johnson
Mailing Address:
720 Lake Boone Trail
Raleigh,NC 27607
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 the proposed dwelling, as
shown on map, located at Ocean Boulevard, Topsail Beach, Pender County, 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
The Coastal Wetlands
The Normal High Water Line
This authorization is valid thru January 21. 2020
x-x04
Earl Johnson jr, Shelly A. Johnson
RECEIVED
FEB 0 4 .()!d

Earl Johnson. Jr. , Shelly A
Johnson January 21. 2019
Pro erty Owner Signature Date
6- . ?dA41--4.9-A-,
RECEIVED
FEB 0 44 OH

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Earl Johnson, Jr. and wife, Shelly A. Johnson
Address of Property: 1803 Ocean Boulevard, Topsail Beach, Pender County
(Lot or Street#, Street or Road, City & County)
Agent's Name#: Charles F. Riggs & Assoc. Mailing Address: P. O. Box 1570
Agent's phone#: [phone] Jacksonville, NC 28541
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanaqement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pie , k, mooring pilings, breakwater, boatho , ift, or groin must be set
back a minimum distance of 1 my area of riparian s unless waived by me. (If you
wish to waive the setback, you must ini • e a nate blank below.)
I do wish to waiv 15' setback require
not wish to waive the 15' setback requirement.
(Property r/Inf mation (Adjacent Property Owner Information)
Signature Signature
Charles F. Riggs, a ent r application
Print or Type Name Print or Type Name
P. O. Box 1570
Mailing Address Mailing Address
Jacksonville, NC 28541
City/State/Zip City/State/Zip
[phone] RECEIVED
Telephone Number Telephone Number
rE9 04 , 'it7
t 3/9
Date Date
Rp,C,,/NAINGTON. NC

CHARLES F. RIGGS & ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-298I Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suite 217
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
E-MAIL:[e-mail] [e-mail]
January 23, 2019
Mr.and Mrs. Mario Cilio
1509 W Willow Lane
Mt. Prospect, IL 60056
Re: Earl Johnson,Jr. and wife, Shelly A.Johnson Minor CAMA Application
Dear Mr.and Mrs. Cilio:
On behalf of Earl Johnson,Jr. and wife, Shelly A.Johnson,Charles F. Riggs&Associates, Inc. is
submitting to the Diision of Coastal Management,North Carolina Department of Environment and
Natural Resources the enclosed Minor CAMA application for the property located at 1803 Ocean
Boulevard,Town of Topsail Beach,Topsail Township, Pender County, North Carolina. Earl Johnson,Jr.
and wife, Shelly A. Johnson are planning to construct a three-story dwelling on pilings with decks
enclosed below for garage and entry with a retaining wall,silt fence, wood walk, gazebo,and drive. We
are required to notify the adjoiners of this CAMA application. Please review the package and sign the
form provided,placing a check beside whether you have objections or no objections to this. If you have
no objections, please return the form to us in the self-addressed stamped envelope provided. If you have
objections, please send the form along with your comments to Mr.Jason Dail, Division of Coastal
Management,N.C. Dept.of Environmental Quality, 127 Cardinal Drive, Wilmington,NC 28405 within
10 days of receipt of this notice.
Rectfully,
James L. Riggs
RECEIVED
FEB 0.4 2019
KIR

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'S Form 3800.April 2015(Reverse)PSN 7530-02-000-9047

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 Suite 217
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
E-MAIL:[e-mail] [e-mail]
January 23,2019
Mr.C.C. Wilkins
P.O. Box 10067
Goldsboro,NC 27532
Re: Earl Johnson,Jr. and wife, Shelly A.Johnson Minor CAMA Application
Dear Mr. Wilkins:
On behalf of Earl Johnson,Jr.and wife, Shelly A.Johnson,Charles F. Riggs& Associates, Inc. is
submitting to the Diision of Coastal Management,North Carolina Department of Environment and
Natural Resources the enclosed Minor CAMA application for the property located at 1803 Ocean
Boulevard,Town of Topsail Beach,Topsail Township, Pender County, North Carolina. Earl Johnson,Jr.
and wife, Shelly A. Johnson are planning to construct a three-story dwelling on pilings with decks
enclosed below for garage and entry with a retaining wall,silt fence, wood walk,gazebo, and drive. We
are required to notify the adjoiners of this CAMA application. Please review the package and sign the
form provided, placing a check beside whether you have objections or no objections to this. If you have
no objections, please return the form to us in the self-addressed stamped envelope provided. If you have
objections,please send the form along with your comments to Mr.Jason Dail, Division of Coastal
Management,N.C. Dept. of Environmental Quality, 127 Cardinal Drive, Wilmington,NC 28405 within
10 days of receipt of this notice.
Res ectfully,
James L. Riggs
:EB 0.4 2°!B
W1004 gt IED
DOA
F0B04
DCM WILMINGTON,NC

U. . Postal Service
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for a specified period. ',delivery to He addressegpeFdiea by,name,or
• 'to the addressee's authorl2ed'agent.
mportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mall service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service., • „ available at retail).
or Priority Mailm service. -Adult signature restricted delivery service,which
I Certified Mail service is not available for - requires the signee to be at least 21 years of age
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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.
:a Fnnn 3800_Anti!,m s Irlavor<oi ccu 7can.ro-nnn-oru7

OCEAN HAZARD AEC NOTICE
Project is in an: XOcean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Earl Johnson, Jr. and wife, Shelly A.Johnson
Ocean Boulevard, Topsail Beach
Property Address:
Date Lot Was Platted: January 1968
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 `otice 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 he 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 oce rosion 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.
• !so indicate that the shoreline could move as much as Address
feet landward in a major storm.
j,,,,i;...12_,Dod waters in a major storm are predicted to be about
feet deep in this area. Locality
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads.seawalls.revetments,groins.jetties Phone Number
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signature.the application will not be complete.
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/attite
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Pr eriv Owner Date RECEIVED
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F R 0 4 2019 Reused May 2010
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U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
,Vairona/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 EARL JOHNSON JR.,AND WIFE,SHELLY A.JOHNSON PolicyNumber
•
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Pkmiber.
OCEAN BOULEVARD
City TOPSAIL BEACH State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 2,BLOCK 48,FIFTH SECTION OF NEW TOPSAIL BEACH
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat.34d21'03"N Long. 77d38'46'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
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) 780 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 Q sq in c) Total net area of flood openings in A9.b Q sq in
d) Engineered flood openings? ❑ 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 63.State
TOWN OF TOPSAIL BEACH 370187 PENDER NORTH CAROLINA
64.Map/Panel Number • B5.Suffix B6. FIRM Index Date B7. FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone
3720420200 J 02/16/07 Effective/Revised Date Zone(s) AO,use base flood depth)
. 1 i 02/16/07 VE 15.0' --
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date: ❑ CBRS ❑ 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/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 ® NAVD 1988 ❑Other/Source:
Datum used for building elevations must be the same as that used for the BFE. e.
Check the measurement used. 2
a>Top of bottom floor(including basement. crawlspace,or enclosure floor) $.0 ®feet ❑meters ;
b)Top of the next higher floor 2Q.1 ®feet ❑meters W E
c) Bottom of the lowest horizontal structural member(V Zones only) 18.1 ®feet ❑meters > - ed)Attached garage(top of slab) N.A 0 feet ElW meters e
e) Lowest elevation of machinery or equipment servicing the building 18.1 0 feet ❑meters (, .11
(Describe type of equipment and location in Comments) U.1 _
f) Lowest adjacent(finished)grade next to building(LAG) 5.5 ®feet ❑meters CC
g)Highest adjacent(finished)grade next to building(HAG) 12.Q ®feet 0 meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ❑feet 0 meters C
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information. l certify that the information on this Certificate represents my best efforts to interpret the data available `,,��r'��isrry
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ‘0'.cN CAg0��1,,",�
® Check here if comments are provided on b�Qj i �fr,,, Were latitude and longitude in Section A provided by a �.`OP. •F O•,</ 0,
❑ Check here if attachments. �•` -( A ARQ�lipgnsed land surveyor? ® Yes ❑ No 2,•.QO le
Certifiers Name JAMES A.LEWIS,PLS �. QOFE93/0� -r License Number L-4562 VeS SEAL
�,y�
Title PROJECT MANAGER _ Compsr{larne Cl LrS F.RIGGS&ASSOCIATES,INC. t�Li$Cf�1ll.. 9c ^�Address 502 NEW BRIDGE STREET: ;City IVILL = State NC ZIP Code 28540 ✓ •• p -•'
,� s�Rv
Signature /f ;_ •t7a�Q S ; Telephone [phone] '.,�'1FS'ii A ,�
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w�.V'+••v•• vu•I I. •vfl•v, royG
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.
OCEAN 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 THREE STORY ON PILINGS, ENCLOSED BELOW. THE TOWN OF TOPSAIL BEACH ADDS A 3.0'FREEBOARD
TO THE BASE FLOOD ELEVATION DURING CONSTRUCTION THEREFORE THE BOTTOM OF THE LOWEST HORIZONTAL STRUCTURAL MEMBER
MUST HAVE AN ELEVATION OF AT LEAST 15.0'+3.0'=18.0'(PROPOSED FIRST FINISH FLOOR= 18.1')
7C44,1.4. %%• -0•••\ CA45--
Signature O•• FESS/Ot
. fr1
SECTION E—BUILDING ELEVATION INFORMATION(AMFY NOT RSQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1 l5.It Certfiica't�is atidectto support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Items El—E4, use natural grade,if available.Lhee measure )•useditn Puerto Rico only,enter meters.
El. Provide elevation information for the following and cIydilfJhe 'to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG). es, F %•.`
a)Top of bottom floor(including basement,crawlspace,o�er�4 ),A0 ❑feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑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 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 ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is 0 feet ❑meters 0 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' 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 GB-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. ❑ 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.
I. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for 0 New Construction ❑ 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. ❑feet ❑meters Datum
G10.Community's design flood elevation: ❑feet ❑meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
RECEIVED ❑Check here if attachments.

Date Date Check From Name of Vendor Check Check Permit Rct.
Received Deposited Permit Holder Number amount Number/Comments
2/6/2019 Charles F Riggs & Earl Jr and Shelly First 15971 $100.00 minor fee, 1803 Ocean JD rct. 7;
Associates Inc A Johnson Citizens Boulevard, Topsail Beach
Bank PNCo