TB_20-01_ Kibler (2)

Issued by WiRO TB20-01
Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
„4„.
PERMIT 10'
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 James and Virginia Kibler authorizing development in the Estuarine Shoreline (AEC) at 504 Evelyn Lane, in
Topsail Beach, Pender County as requested in the permittee's application, dated December 19, 2019, and received as
complete by DCM on December 20, 2019. This permit, issued on January 6, 2020, is subject to compliance with the
application and drawing dated and received by DCM on December 20, 2019 (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: Demolition of existing dwelling and construction of new.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on December 20, 2019.
(2) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit.
(3) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at (910)
766-7221 for a final inspection at completion of work.
(Additional Permit Conditions on Page 2)
Cl
This permit action may be appealed by the permittee or other qualified persons 73
within twenty (20)days of the issuing date. This permit must be on the project Zrl
site and accessible to the permit officer when the project is inspected for Jason Dail
compliance. Any maintenance work or project modification not covered under CA A LOCAL PERMIT OFFICIAL, Z this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension , 9
Wilmington, NC 28405-3845 o O M
December 31,2023 /' / Z a
In issuing this permit it is agreed that this project is consistent with the local Land t k !�/• L C')
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal ERMITTEE
.. __-.

' Name: James and Virginia Kibler
Minor Permit#TB20-01
Date: January 6, 2020
Page 2 of 3
(4) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and
mulched)within 14 days of construction completion.
(5) Any proposed for grading within the 30' Coastal Shoreline buffer (as measured from the Normal High Water level)
must be contoured to prevent additional stormwater runoff to the adjacent marsh and/or canal. This area shall be
immediately vegetated and stabilized and must remain in a vegetated state.
(6) With exception of a wooden walkway and 40 sq. ft. of uncovered, elevated drip through wood decking, all
development shall be located at least 30' landward of the normal/mean high water line. No impervious
coverage/built upon area, including but not limited to the house (including eaves), foundation pad, covered
decking, etc. shall extend into the 30-foot coastal shoreline buffer.
(7) This permit does not authorize the excavation or filling of any wetlands,even temporarily.
(8) Shall the plan of development exceed 30% impervious coverage within 75' of the normal highwater line, the
applicant shall effectively demonstrate, through innovative construction and design that the amount of impervious
surfaces exceeding 30% impervious coverage within the 75' Coastal Shoreline AEC shall be managed and the AEC
protected. All proposed development and associated construction must be done in accordance with a credible
innovative design plan,sealed and sealed by a professional engineer.
(9) Upon completion of construction and prior to the issuance of a Certificate of Occupancy(CO), a letter of certification
must be received from the designer of the innovative system installed, certifying that the permitted system has been
installed in accordance with this permit, the approved plans and his design specifications. Any deviations from the
approved plans and specifications must be noted on the Certification and a permit modification may be required
prior to receiving a CO.
(10)All structures shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards
of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood
Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent
with any of the following AEC standards, the more restrictive provision shall control.
(11)Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
0
D m
r
SIGNATURE: K- ur DATE & 00 a' o m
PERMITTEE o O M
z0

N i .�� '� O\ OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
11% Permit Number minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
izard 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.
4L 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
1WNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
mes N.Kibler and wife,Virginia W.Kibler listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
35 Rome Road Flan r lan owner or record title,Title is vested in Fee Simple see Deed Book 4688
a spring State GA Zip 30124 Phone [phone] pa$e 1469 in the Pender County Registry of Deeds.
[e-mail]
nun owner by virtue of inheritance.Applicant is an heir to the estate of •
RIZED AGENT probate was in County.
harles F.Riggs&Associates,Inc. of 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) Sarah T.Herring,LLC CIO Mr.Stephen M.Herring,P.O.Box 736,Clinton,NC 28329
ION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront.what is the name of the
waterbody.)504 Evelyn Lane,Topsail Beach,Pender County (2) Mr.William D.Whitsett,P.O.Box 251,Whltsett,NC 27377
(3)
:PTION OF PROJECT:(List all proposed constriction and land disturbance.) Demolition of Existing (4)
ig and Construction of Proposed Two-Story Dwelling on Pilings with Decks over Concrete
r LOT/PARCEL: 14,668.89 square feet 0.336 acres Slab Enclosed below for Entry,Storage ACKNOWLEDGEMENTS:
and Garage with Pervious Drive,and All Proposed Improvements,as Shown on Map I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
SED USE:Residential El (Single-family 0 Multi-family 0) Commercial/Industrial 0 Other El 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):
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:N/A square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
honed 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) ,/
kSTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT / This the //Qr/r day of O�e• 20 9
IIRFACES:4•304 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.) 1
Landowner or person authorized to act. ler agent for purpose of filing a CAMA permit application
iTORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
Went Permit issued by the NC Division of Water Quality? This application includes:general i .y•lion(this form),a site drawing as described on the back of this application,the
D NCI I ownership statement,the Ocean Haz. 'AEC Notice where necessary,a check for sl00.00 made payable 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
,t 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 i` j iu(action.
RECE V ct�
DCM WILMINGTON, NC
DEC. 2 0 2020

ROY COOPER
r�u . .-t Governor
f' MICHAEL S. REGAN
.— .. �. Secretary
..-.!s
BRAXTON DAVIS
Jirectur
January 6, 2020
James&Virginia Kibler
35 Rome Road
Cave Spring, GA 30124
Dear Mr. & Mrs. Kibler,
Attached is CAMA Minor Development Permit TB 20-01 for work to be done at 504 Evelyn Lane in
Topsail Beach, Pender County. An electronic copy has been sent to the Topsail Beach Inspections
Department and to your Agent.
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and return the white copy to us within 20 days of receipt in the enclosed, self-addressed
envelope
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely, CA\CI
U71•9\77)-1Lf2/ ..- --------
Tanya K. P.ietila
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
TB Inspection Dept.
Charles F. Riggs—Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
[e-mail]
December 19,2019
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: James N. Kibler and wife,Virginia W. Kibler Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of James N.Kibler and wife,Virginia W. Kibler,Charles F. Riggs&Associates,Inc.
submits for your review the enclosed application for a Minor CAMA permit for the property at 504
Evelyn Lane,Topsail Beach,Pender County,North Carolina.
Respectfully,
Th
Jamen 4s L. Riggs
RECEIVED
DCM WILMINGTON, NC
DEC 20 ^^20

CHARLES F. RIGGS &ASSOCIATES,INC.
Land Surveyors
Charles F.Riggs,Y.L.S.L-2981 Corporate License(C-730) James A.Lewis,PLS.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
Jacksonville,North Carolina 28540 Y.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
jameslewis iiggslandnc.com
AGENT AUTHORIZATION FORM
Date: December 12. 2019
Name of Property Owner Applying for Permit:
James N. Kibler and wife,Virginia W.Kibler
Mailing Address:
35 Rome Road
Cave Spring, GA 30124
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 construct the proposed dwelling, as shown on
attached map and located at 504 Evelyn Lane, Topsail Beach,Pender County,North Carolina, and I grant
permission to the Division of Coastal Management to access the property to mark/flag:
X The First Line of Stable Natural Vegetation
X The Coastal Wetlands
X The Normal High Water Line
This authorization is valid thru December 12,2020
414-- `' i� • Deem•-r 12 2019
Property Own r Signature Date
RECEIVED
DCM WILMINGTON, NC
DEC 2 0 2020

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: James N. Kibler and wife, Virginia W. Kibler
Address of Property: 504 Evelyn Lane, 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.nccoastalmanagement.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 pier, mooring pilings, breakwater, bo se, lift, or groin must be set
back a minimum distance of 1 my area of riparia ess unless waived by me. (If you
wish to waive the setback, you must i • • the priate blank below.)
I do wish to waive 5' setback re ment.
I d wish to waive the 15' setback requiremen
(Prope O Inf m i ) (Adjacent Property Owner Information)
Signature Signature
Charles F. Riggs, t or application
Print or Type Name Print or Type Name
P. O. Box 1570
Mailing Address Mailing Address
Jacksonville, NC 28541 RECEIVED
City/State/Zip City/State/Zip DCM WILMINGTON, NC
[phone] 2020
Telephone Number Telephone Number DEC
/ //8/11
Date Date
Revised 6/18/2012

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
[e-mail]
December 19,2019
Sarah T. Herring, LLC
C/O Mr. Stephen M. Herring
P.O. Box 736
Clinton,NC 28329
Re: James N. Kibler and wife,Virginia W. Kibler Submittal for Minor CAMA Permit
Dear Mr. Herring:
On behalf of James N. Kibler and wife, Virginia W. Kibler,Charles F. Riggs&Associates, Inc. is
submitting to the Division of Coastal Management,North Carolina Department of Environmental Quality
the enclosed application for a CAMA permit for the property located at 504 Evelyn Lane,Topsail Beach,
Pender County,North Carolina.James N. Kibler and wife,Virginia W. Kibler are planning to demolish
the existing dwelling and construct a two-story dwelling on pilings with decks over a concrete slab
enclosed below for entry, storage,and garage with a pervious drive,and all proposed improvements,as
shown on map. We are required to notify the adjoiners of this submittal.Please review the package and
sign,address and date the form provided and place a check and your initials 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. Department of Environmental
Quality, 127 Cardinal Drive, Wilmington,NC 28405 within 10 days of receipt of this notice.
tfully,
aG .f�
ames L. Riggs
Re
It.
RECEIVE°
0CM WILMINGTCN, NC
DEC 2 0 2020

U.S. Postal Service-
CERTIFIED MAIL® RECEIPT
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• For delivery information,visit our website at www.usps.comiv.
cLpffottyP4 8 29
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'5 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 Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
[e-mail]
December 19,2019
Mr. William D. Whitsett
P.O. Box 251
Whitsett,NC 27377
Re: James N. Kibler and wife,Virginia W. Kibler Submittal for Minor CAMA Permit
Dear Mr.Whitsett:
On behalf of James N. Kibler and wife, Virginia W. Kibler,Charles F. Riggs&Associates, Inc. is
submitting to the Division of Coastal Management,North Carolina Department of Environmental Quality
the enclosed application for a CAMA permit for the property located at 504 Evelyn Lane,Topsail Beach,
Pender County,North Carolina. James N. Kibler and wife,Virginia W. Kibler are planning to demolish
the existing dwelling and construct a two-story dwelling on pilings with decks over a concrete slab
enclosed below for entry,storage,and garage with a pervious drive,and all proposed improvements,as
shown on map.We are required to notify the adjoiners of this submittal.Please review the package and
sign,address and date the form provided and place a check and your initials 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. Department of Environmental
Quality, 127 Cardinal Drive, Wilmington,NC 28405 within 10 days of receipt of this notice.
Respectfully,
Ali6-7D--
ames L. Riggs
it
RECEIVED
DCM WILMINGTON, NC
DEC 20NA

1. . •osta ervice
CERTIFIED MAIL® RECEIPT
Domestic Mail Only
• For delivery information,visit our website at www.usps.com
wHITIETT, Nt P7177
L!
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✓ Certified Mail Fee
$ $3.50 ilfIil
0600
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Return Receipt(hardcopy) $ $11-U0
0 Return Receipt(electronic) $ 0 (JO Postmark
DCertlfied Mall Restricted Delivery $ 00 Here
Adult Signature Required $
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Adult Signature Restricted Delivery$
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r Total Postage and Fees 12/2u/2019
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fl Sent To rnc,
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Street and Apt.No.,or PO Box It7 0,
City,State,ZIP+4b jisk+5121.1 Nc (23 3 ?

Jcl uncU mmr acr VKrc FAVvrYCO LING wuvwury alcrlclrtO.
A receipt(this portion of the Certified Mall label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service— -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
rnportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail°,First-Class Package Service•, available at retail).
or Priority Mail°service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of agi
international mall. and provides delivery to the addressee specified
Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,It should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office"for
the following services: postmarking.If you don't need a postmark on this
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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.
'n vnnn'AR00.n,,,ii oni rwe,.<.<ei PQM 75nn0srvtone7

OCEAN HAZARD AEC NOTICE
Project is•in an: Ocean erotfbte Area High Hazard Flood Area Inlet Hazard Area
Property Owner: James N.Kibler and wife, Virginia W. Kibler
property Address:
604 Evelyn Lane,Topsail Beach, Pander County
Date L;ottWas PlattOdi August 1964
This notice is intended to make.you,the appiieattt,nwatx'gf the SPECIAL NOTE; This. hazard notice- is required for
special rists.and.;conditiOnt'aSSOchtted with dt vatetttinein let this dovetopinent in ar asstibjcet to.suddeal and massive storms and
urea;which B subject t4'natural.hirair is uoh is storms,erosion erosion, Permits issued for development in this area expire on
.anti ettrreiits.the rtlles.or the Coastal tttsi itrces Commission ()mintier 31 of the third year following the year in which the
require that you retrelve. :an• AEC .Hs,aril Notice and permit was issued, Shortly before work begins on the project
acknowledge that notice .in wilting :before a permit for site,theta*Permit Officer niust be contacted:to.determine the
development Can be issued: vegetation,line and setback distattce:at your$Ite,if the property
has seen little change since.the time of permit Issuance,and tite
The Commission's rules on building standards, oceanitont proposed development can still meet the setback•rcduiroment,
setl►aeks and June alterations are designed to miniinize,but.not the(.PO will inform you that yen may begin tsork, Substantial.
eiitttittato,property loss front hazards:.13y granting permits,the progress on the project•must be made within.60 days of this
Coastal Resources-Commission does not•guarantee the Safety 01 setback determination,or the setback must be re-measured,Also,
tbe,development.and etSumes•no hatnllly'for'tlttiirts d►mage to the occurrence Of a_mtjor shoreline ch:tnga as the result of a
•
the development, Per►rifts:issued.in die:4eetm Hazard Area of storm Within the 604day period'Will necessitate re-measurement
Environmental Concern;include the-cbnditlop that'structures.he of the setback.it is important that you cheek-with the LPO
relocated or dismantled if they bceoutoimminently:threatened .belbie the permit expires fox of taut approval.tc continue the
by ehnnges'in shoreline configttration.The sirtleture(s)driest be work after, the permit has expired Ocn erally; if foundation
Telocated or dismantled within 040 (x). yents 9f bec'oming pilings.have been placed and substantial:progress:is continuing,
imminently threatened, end jn-iuiy case upen its collapse•or permit renewal can be authorized. it:is unlaw[ni to condone
subsidence, work alter permit expiration,
fire best available information,as accepted by the Coastal Trot more btforutallnrr,curt[uc1.
Resources Commission, indicates. that the annual 'long•ternt
average ocean erosion rate for the•area where your property is
located IS-feet i>er:year.
Loco)Permit Officer
The rate was established by twilit -analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as ntstch ns *OW
(bet landward.in tnajor"storm.
I1ie flood waters in a major steam:are predicted to be about =-- . . . . . ..J. . �-- - .
feet deep iri this area, Looality
Preferred oeeanihont protection measures are beach nourishute.nt.
and relouthotl of threatened structures. herd erosion ontroi
"structures select as.bullheads;seawalls,revetments,,groins,jetties P11one Number
and breakwaters are prohibited, Temporary sand bags may.he
authorized under eettitinenttditions.
flie applicant must acknowledge this information and.
requirements by signing. notice-1n the space below. Without
the filiVer sigriatuurre,the appiicatios.wilt.not be'conipleto.
12_0,Jc?
leaerfy Omar Signature Data
RECEIVED
DCM WiI.MINGTON, NC RevisetiMay2010
•
DEC 2 0 2020

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30,2018
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
DOC KIBLER
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
504 EVELYN LANE
City State ZIP Code
TOPSAIL BEACH North Carolina 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
NORTHERN ONE-HALF OF LOT 7 AND A PORTION OF LOT 8,SECTION 4(REVISED)TOPSAIL INLET TERRACE
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d22'18"N Long.77d37'34"W Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or endosure(s) 299.00 sq ft
b) Number of permanent flood openings in the crawlspace or endosure(s)within 1.0 foot above adjacent grade 2
c) Total net area of flood openings in A8.b 400.00 sq in
d) Engineered flood openings? D Yes I=1 No
A9. For a building with an attached garage:
a) Square footage of attached garage 0.00 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0.00 sq in
d) Engineered flood openings? ❑Yes ❑x No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2.County Name B3. State
TOWN OF TOPSAIL BEACH 370187 PENDER North Carolina
B4.Map/Panel B5.Suffix B6. FIRM Index B7.FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth)
Revised Date
3720421200 J 02-16-2007 02-16-2007 AE 10.0'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile ❑x FIRM ❑Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:``,
FG tad
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or OthslAr r(9 \)? ❑ Yes x❑ No
Designation Date: ❑ CBRS ❑ OPA DGI'
r tints► n:n9NGT0
DEC 2 0 2020 Tp1! izighq

OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date:November 30,2018
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:
504 EVELYN LANE
City State ZIP Code Company NAIC Number
TOPSAIL BEACH North Carolina 28445
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: 0 Construction Drawings* ❑Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations—Zones A1—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized: NC CORS Vertical Datum:NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 0 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,crawispace,or enclosure floor) 5.00 j feet ❑ meters
b) Top of the next higher floor 15.00 ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters
d) Attached garage(top of slab) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 13.10 ❑x feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 4.70 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 4.90 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A 0feet ❑ meters
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. I understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? Ei Yes ❑No ❑Check here if attachments.
Certifier's Name License Number
JAMES A. LEWIS L-4662 `,�N 'C i i70-
iii,
Title
PROJECT MANAGER �� f../. /11,‘./ //',,_.,
0��`•. s
Company Name 2.4� 1> •
SEAL 9r ' '
CHARLES F.RIGGS&ASSOCIATES, INC. = •
r L-4562
Address ..'�,y O -
502 NEW BRIDGE STREET :/1',9'' o Sr rQ�j -
CityState ZIP Code // 7 ��
JACKSONVILLE North Carolina 28540 �rrirs A''j11�}zhzig
Signatur9es7 Date Telephone Ext.
i1N*0 1 �,�� [phone] 41
Copy all pf this Elevation ertifi .:e and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner.
Comments(including type of equipment and location,per C2(e),if applicable)
PROPOSED DWELLING IS TWO STORY ON PILINGS,PARTIALLY ENCLOSED BELOW. THE TOWN OF TOPSAIL BEACH ADDS A
3.0'FREEBOARD TO THE BASE FLOOD ELEVATION. THEREFORE THE ELEVATION OF THE FIRST FINISH FLOOR AND THE
LOWEST ELEVATION OF MACHINERY OR EQUIPMENT SERVICING THE BUILDING�e V EyATION OF ATLEAST
10.0'+3.0'= 13.0'(PROPOSED FINISH FLOOR=15.0') DCM WILMINGTON, NC
DEC 2o2020

Date Date Check From Name of Vendor Check Check Permit Rct.
Received Deposited Permit Holder Number amount Number/Comments
12/31/2019 Charles F Riggs& James&Virginia First 16322 $100.00 minor fee,504 Evelyn Lane, JD rct.
Associates, Inc. Kibler Citizens Topsail Beach PnCo 9450
Bank