TB_20-17_ Wilt/Richards (2)

( Ori117
Issued by WiRO TB20-17
Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT 4' r
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 Katheryn Wilt and Theresa Richards authorizing development in the Ocean Hazard Area of Environmental
Concern (AEC) at 1003 N.Anderson Blvd., Topsail Beach, Pender County as requested in the permittee's application
package, dated May 19, 2020, and received by DCM on May 20, 2020. This permit, issued on June 10, 2020, is subject
to compliance with the application and site drawing (where consistent with the permit) dated sealed on May 19, 2020, 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 (inc. uncovered deck(s), gazebo and beach access
walkway).
(1) All proposed development and associated construction must be done in accordance with the permitted work plat drawing
sealed by Charles F. Riggs on May 19, 2020. The authorized work plat was received by the Division of Coastal
Management on May 20, 2020.
(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, 200 sq. ft. gazebo and 500 sq. ft. or lessFt
of structurally independent
decking, all other structures shall be set back a minimum of 60 feet from the able natural vegetation
(FLSNV) or static vegetation line (SVL) (whichever is most restrictive) C; e • V iPDCMjhe Local
G
Permit Officer(LPO), or another assigned agent of the DCM. ON, NC
JUN 2 6 2020 0
o
(Additional Permit Conditions on Page ] o
72 Wz 7Ite
This permit action may be appealed by the permittee or other qualified persons J Z
within twenty (20) days of the issuing date. This permit must be on the project Jason Dail
site and accessible to the permit officer when the project is inspected for C A LOCAL PERMIT OFFIC L.
compliance. Any maintenance work or project modification not covered under
this permit,require further written permit approval.All work must cease when this 127 C rdinal Drive Extension 0
permit expires on: Wilmi gt n, NC 28405, 384
December31,2023
k 0.4- e,_ . ri, _., Di /
In issi,inn this permit it is agreed that this oroiect is consistent with the local Land

r
Name: Katheryn Wilt and Theresa Richards
Minor Permit#TB 20-17
Date: June 10, 2020
Page 2
(6) The permittee is required to contact the LPO at(910)796-7221, shortly before he/she 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.
(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 and also independent of the 200 sq. ft. gazebo. 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 3,458 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.
RECEIVED RE VED
DCM WILMINGTOI[D,OWIL GTON, NC
JUN 2 6 2020 JUN 2020
i ? 1 I r A .1 - _n '7 Z 7 in 7 /—_

7
‘ c169,,kk tt CV `g Jo - '/r OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Permit Number minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
yard 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.
L 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 g purposes of applying for a CAMA minor development permit,certify that the person
thryn Anne R.Wilt and Teresa Love Richards listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
192 Birch Drive
idleswatt owner or record title,Title is vested in Fee Simple see Deed Book 3502
State KY Zip40383 Phone [phone]
page 29 in the Pender County Registry of Deeds.
•[e-mail]
Flan owner by virtue of inheritance.Applicant is an heir to the estate of _ ,
RIZED AGENT probate was in County.
lades F.Riggs&Associates,Inc. f1f 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)
(1) Queens Grant Homeowners,924 North Anderson Boulevard,Topsail Beach,NC 28445
ON OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
vaterbody.)1003 North Anderson Boulevard,Topsail Beach,Pender County(Tract B,D.B.3502,P.29) (2) Mr.and Mrs.R.Mclver Watson,84 Pitt Street,Charleston,SC 29403
(3)
PTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Three-Story (4)
ig on Pilings with Decks over Concrete Slab Enclosed below for Entry,Storage and Garage
'LOT/PARCEL: 12,387 square feet 0.284 acreswith Pervious Drive and All Proposed ACKNOWLEDGEMENTS:
Improvments I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
LED USE:Residential El (Single-family I] Multi-family 1:1) Commercial/industrial❑ Other ❑ 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.
wetly):
I furthermore certify that I am authorized to grant,and do in fact grant,pemtission to Division of Coastal Management staff,
AN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:3,458 square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
ioned 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) / Al
STAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUiLT This the /q77 day of I'r/l ,20 10
JRFACES:NA square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
11.
)r masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
Landowner or person authori ,s his/her agent for purpose of filing a CAMA permit application
ITORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
Lent Permit issued by the NC Division of Water Quality? This application includes:g formation(this form),a site drawing as described on the back of this application,the
3 Nd �/ ownership statement,the Oc: aril AEC Notice where necessary,a check for$100.00 made payable to the locality and
any information as may be p • d orally by the applicant.The details of the application as described by these sources are
:the total built upon area/impervious surface allowed for your lot or parcel: square feet. incorporated without referenc 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 a dilrrarhplrction.
RE VGv
MAY 2 0 2020
DCM\ LMINGTGN, NC

•
ROY COOPER
i
MICHAEL S. REGAN
Secretary
NORTH CAROLINA
Environmental Onalit
BRAXTON DAVIS
Director
June 12, 2020
Kathryn Wilt&Teresa Richards
192 Birch Drive
Versailles, KY 20383
Dear Kathryn &Teresa,
Attached is CAMA Minor Development Permit TB 20-18&TB 20-17 for work to be done at 1001& 1003
North Anderson 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 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,
Tany K. Pietila
---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
010 701.791 i

DocuSign Envelope ID:D59526FB-7BB9-4AC3-B55E-52B2F4F21FFF
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
charlesriggsCriggslandnc.com [phone] [phone]
[e-mail]
AGENT AUTHORIZATION FORM
Date: July 23, 2019
Name of Property Owner Applying for Permit:
Kathryn Anne R. Wilt and Teresa Love Richards
Mailing Address:
192 Birch Drive
Versailles, KY 40383
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 the attached map and located at 1001 North Anderson 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
RECEIVED
This authorization is valid thru July 23,2020 MAY 2 0 2020
DCM WILMINGTON, NC
rDocuSigned by: DocuSigned by
,""4, d_GAR, �ic�nund� �6(A,Vtiv, Qln..lnt, Pl
1AeOA1S,«Co 1�Y,[OGUo44p July 23, 2019
Property Owner Signature Date

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
www.riggslandnc.com [e-mail]
May 19, 2020
To: Mr. Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Kathryn Anne R. Wilt and Teresa Love Richards
Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of Kathryn Anne R. Wilt and Teresa Love Richards, Charles F. Riggs & Associates,
Inc. submits for your review the enclosed application for a Minor CAMA permit for the property
at 1003 North Anderson Boulevard, Topsail Beach, Pender County,North Carolina.
Respectfully,
James L. Riggs
RECEIVED
MAY 2 0 20?0
DCM WILMINGTON, NC

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
www.riggslandnc.com [e-mail]
May 19, 2020
Queens Grant Homeowners RECEIVED
924 North Anderson Boulevard
Topsail Beach, NC 28445 MAY 2 0 2020
Re: Kathryn Anne R. Wilt and Teresa Love Richards
Submittal for Minor CAMA Permit DCM WILMINGTON, NC
To whom it may concern:
On behalf of Kathryn Anne R. Wilt and Teresa Love Richards, 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
1003 North Anderson Boulevard, Topsail Beach, Pender County, North Carolina. Kathryn Anne
R. Wilt and Teresa Love Richards are planning to construct a three-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. We are required to notify the adjoiners of this submittal.
If you have objections, please contact Mr. Jason Dail in a timely manner at(910) 796-7221,
[e-mail], or by mail at the Division of Coastal Management, N.C. Department of
Environmental Quality, 127 Cardinal Drive, Wilmington,NC 28405.
Respectfully,
James L. Riggs

U. . Postal ervice
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CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
www.riggslandnc.com [e-mail]
May 19, 2020
RECEIVED
Mr. and Mrs. R. McIver Watson
84 Pitt Street MAY 2 p 2020
Charleston, SC 29403
DCM WILMINGTON NC
Re: Kathryn Anne R. Wilt and Teresa Love Richards
Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Watson:
On behalf of Kathryn Anne R. Wilt and Teresa Love Richards, 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
1003 North Anderson Boulevard, Topsail Beach, Pender County,North Carolina. Kathryn Anne
R. Wilt and Teresa Love Richards are planning to construct a three-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. We are required to notify the adjoiners of this submittal.
If you have objections, please contact Mr. Jason Dail in a timely manner at [phone],
[e-mail], or by mail at the Division of Coastal Management,N.C. Department of
Environmental Quality, 127 Cardinal Drive, Wilmington, NC 28405.
Respectfully,
riktO
James L. Riggs

U.S. Postal Service
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delivery. LISPS®-postmarked Certified Mail receipt to the
I 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
important Reminders: -Adult signature service,which requires the
I You may purchase Certified Mall service with signee to be at least 21 years of age(not
First-Class Maily,First-Class Package Service®, available at retail).
or Priority Mail®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 agi
international mall. and provides delivery to the addressee specified
Insurance coverage Is notavallable 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
I For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailplece,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
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electronic version.For a hardcopy return receipt,
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Receipt attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Kathryn Anne R. Wilt and Teresa Love Richards
Property Address: 1003 North Anderson Boulevard, Topsail Beach, Pender County
Date Lot Was Platted: September 1951
[his notice is intended to make you. the applicant,aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area.which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the
development can be issued. vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance, and the
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations are designed to minimize, but not the LPO will inform you that you may begin work. Substantial
eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be re-measured.Also,
the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement
Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPO
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. The structure(s) must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing,
imminently threatened, and in any case upon its collapse or permit renewal can be authorized. It is unlawful to continue
subsidence. work after permit expiration.
The best available information,as accepted by the Coastal For more information,contact:
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
located is feet per year.
Local Permit Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as much as Address
feet landward in a major storm.
The flood waters in a major storm are predicted to be about
feet deep in this area. Locality
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
RECEIVED
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. MAY 2 0 2020
DCM WILMI►4GTON, NC
Properly Owner Signature Date
Revised May 2010

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30,2022
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
KATHRYN ANNE R.WILT AND THERESA LOVE RICHARDS
A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg.No.)or P.O. Route and Company NAIC Number:
Box No.
1001 NORTH ANDERSON BOULEVARD
City State ZIP Code
TOPSAIL BEACH North Carolina 28445
A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
TRACT A(DEED BOOK 3502, PAGE 29 OF THE PENDER COUNTY REGISTRY)
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d22'46"N Long.77d36'42"W Horizontal Datum: ❑ NAD 1927 x0 NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 722.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0.00 sq in
d) Engineered flood openings? ❑Yes No
A9. For a building with an attached garage:
a) Square footage of attached garage 0.00 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0.00 sq in
d) Engineered flood openings? Li Yes j No RECEIVED
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION MAY 2 0 2070
B1.NFIP Community Name&Community Number 82. County Name B3. State
TOWN OF TOPSAIL BEACH 370187 PENDER DCMU416tON, NC
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
3720421300 J 02-16-2007 02-16-2007 VE 14'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69:
❑FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA
11.010
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OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date:November 30,2022
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
1001 NORTH ANDERSON BOULEVARD
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,crawlspace,or enclosure floor) _ 14.0 x❑ feet ❑ meters
b) Top of the next higher floor 24.0 0 feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 22.0 0 feet ❑meters
d) Attached garage(top of slab) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 17.1 0 feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 11.6 0 feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 18.3 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A ❑ feet ❑ 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 maybe 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? I Yes ❑No ❑Check here if attachments.
Certifier's Name License Number
JAMES A. LEWIS L-4562 ``\`‘�KN oto,G.ARO',/,,
Title '' .ESS/••' ��
PROJECT MANAGER O Q ' Oti'•.2
Company Name _ Z,a� 9r..'•
CHARLES F. RIGGS&ASSOCIATES,INC. — SEAL —
r L-4562 tr
Address Y,y ! O,
502 NEW BRIDGE STREET dif ... 6
City State ZIP Code � i., ��`
JACKSONVILLE North Carolina 28540 �ir� t l l i t i Og`yzo/zo '
Signatur Date Telephone Ext. ((jj
L=w 5H� )� [phone] 41
Copy all ges of this Elevation Certificate and all attachments for( )c munity official,(2)insurance agent/company, and(3)building owner.
Comments(including type of equipment and location,per C2(e),if applicable)
PROPOSED DWELLING IS THREE STORY ON PILINGS, PARTIALLY ENCLOSED BELOW. THE TOWN OF TOPSAIL BEACH
ADDS A 3.0'FREEBOARD TO THE BASE FLOOD ELEVATION. THEREFORE THE ELEVATION OF THE LOWEST HORIZONTAL
STRUCTURAL MEMBER AND THE LOWEST ELEVATION OF MACHINERY OR EQUIPMENT SERVICING THE BUILDING MUST
HAVE AN ELEVATION OF ATLEAST 14.0'+3.0'= 17.0'(PROPOSED BOTTOM OF BAND=22.0'; BOTTOM OF MACHINERY= 17.1')
RECEIVED
(CFRA#19-05-18)
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NC Division of Coastal Management
Cashier's Official Receipt 1018 6 A B
Date: 20 _
11
14
Received From: $ O
Permit No.: Check N
..e.Aiv
Applicant's Name: 11 If T-0,14.0, /"��`b` -� County:
1643 N , AIA-Lk-9> frLt ' (
Project Address: f
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant. Date:
5_7(tty_79
Signature of Field Representative: Date:

Date Date Check From Name of Vendor Check Check Permit Rc
Received Deposited Permit Holder Number amount Number/Comments
5/26/2020 5/26/2020 Charles Riggs and Kathryn Wilt & First 16493 $100.00 minor fee, 1003 N Anderson, JD rc
Associates Teresa Richards Citizens Topsail Beach PnCo 1018
Bank