TB_20-22_ Stone (2)

RECEIVED
Issued by WiRO TB20-22
Topsail Beach SEP 2 8 2020 Permit Number
CAMA DCM WILMINGTON, NC
MINOR DEVELOPMENT
I tit:
PERMIT
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 Ken and Karen Stone authorizing development in the Estuarine Shoreline (AEC) at 105 Trout Avenue, in
Topsail Beach, Pender County as requested in the permittee's application, dated August 15, 2020, and received as
complete by DCM on August 26, 2020. This permit, issued on September 11, 2020, is subject to compliance with the
application and drawing dated and received by DCM on August 26, 2020 (where consistent with the permit), all
applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject the
permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Construction of a single family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on August 26, 2020.
(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)
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
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 LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 1 7 Cardinal Drive Extension
December 31,2023 Wilming on, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land K j
Use Plan and all applicable ordinances. This permit may not be transferred to —
another party without the written approval of the Division of Coastal PERMITTEE
Mananamant

Name: Ken and Karen Stone
Minor Permit#TB20-22
Date: September 11, 2020
Page 2 of 2
(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 an uncovered six-foot wide or less wooden stairwell, all other 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 3G-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°/o 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.
SIGNATURE: ' ` DATE: -sab
PERMITTEE

)-0
Locality lo$r/AA. �� % � Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name K,�` S To J RHO t 4-/2 J
Address 760 "1 e1¢c-rNt G►'LrA C T
City K<-72 N Sv r t--E State N (-- Zip aX `"Phone 1 7 y y g)Y-7
Email A"s ^e@ cn ray`"
AUTHORIZED AGENT
Name 7a`'t d2v SS cZ�- /curl)(2t7 804
Address O •.B 6 3 5
City 1-1-Am 00 5 Ted State Zip `43 Phone c 0 2 7 33 I -3
Email 1-6 @ 4,OM e C r oY✓,
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
C'oN5 ELT S/Iv6LE gar '-1 at-3 rDcrvcE o P nrc, &7-70 kf 9��tc5
SIZE OF LOT/PARCEL: 5`"'"l 3 square feet 6 ' /29 acres
PROPOSED USE: Residential [r (Single-family Er Multi-family ❑ ) Commercial/Industrial Other El
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 1 1(5 co square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground levj but
excluding non-load-bearing attic space) z
z-
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR Ill ' N_ca
UPON SURFACES: /10 C" square feet(includes the area of the foundation of all buildings,driveways,covered de#s,
concrete or masonry patios,etc. that are within the applicable AEC.Attach your calculations with the project drawi .)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(DEMLR)?
YES `Z NO S`$o �!

b
b
APPLICATION FOR
CAMA MINOR
Coastal Management DEVELOPMENT
ENVIRONMENTAL QUALITY
PERMIT
In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA)and set the stage for guiding development in fragile and productive areas that
border the state's sounds and oceanfront.Along with requiring special care by those who
build and develop,the General Assembly directed the Coastal Resources Commission
(CRC)to implement clear regulations that minimize the burden on the applicant.
This application for a minor development permit under CAMA is part of the
Commission's effort to meet the spirit and intent of the General Assembly.It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant. Please go over this folder with the Local Permit Officer(LPO)for the
locality in which you plan to build to be certain that you understand what information he
O
or she needs before you apply.
Under CAMA regulations,the minor permit is to be issued within 25 days once a
complete application is in hand.Often less time is needed if the project is simple.The
process generally takes about 18 days.You can speed the approval process by making
certain that your application is complete and signed,that your drawing meets the
specifications given inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area.While these
are not CAMA-related,we urge you to check with the Local Permit Officer to determine
which of these you may need.A list is included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission
Division of Coastal Management
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ER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
r development permit, including,but not limited to: Drinking Water Well, Septic Tank(or other sanitary waste
vent system), Building, Electrical,Plumbing,Heating and Air Conditioning, Insulation and Energy Conservation,FIA
ication, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection,and
3. Check with your Local Permit Officer for more information.
rEMENT OF OWNERSHIP:
undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
n authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
as landowner on this application has a significant interest in the real property described therein. This interest can be
abed as: (check one)
to owner or record title,Title is vested in name of kc-"i`le-r1-' l ro-4
eed Book P-3`3 ( page 37-- in the pC�D�Y2- County Registry of Deeds.
in owner by virtue of inheritance.Applicant is an heir to the estate of
; probate was in County.
f other interest, such as written contract or lease,explain below or use a separate sheet&attach to this application.
IFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
iermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
UAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
A5oDJ r-i,a-KA tOa T20 - A Jt Tap-5 a(c.- 8e--)4cc-i
7300 coN -AiJNt 25,`f TU 55,-ro ce 't2( Arc -7 To 2
NOWLEDGEMENTS:
undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
►e susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
zard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
nd floodproofing techniques.
rermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
)cal Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
i to this permit application.
-;. RE
This the S day of 6 A ,20 ZO ACM WiLm iV oN
AUG 2 6 2020
►wner orzed to act as his/her agent for purpose of filing a CAMA permit application
application includes:general information (this form), a site drawing as described on the back of this application, the
ship statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and
formation as may be provided orally by the applicant. The details of the application as described by these sources are
)orated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
emit.Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
Label roads
Label highways right-of-ways
Label local setback lines
Label any and all structures and driveways currently existing on property
Label adjacent waterbody
PHYSICAL CHARACTERISTICS
Draw and label normal high water line(contact LPO for assistance)
Draw location of on-site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges(include spot elevations)
Draw and label toe of dunes
Identify and locate first line of stable vegetation(contact LPO for assistance)
Draw and label erosion setback line(contact LPO for assistance)
Draw and label topographical features(optional)
If you will be working in a coastal shoreline area:
Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
Draw and label all wetland lines(contact LPO for assistance)
Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
Draw and label all proposed structures
Draw and label areas that will be disturbed and/or landscaped
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
Show all areas to be disturbed
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application?
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice, if necessary?(Must be signed by the property owner)
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted Denied Appeal Deadline(20 days from permit action)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Kenneth W. Stone
Name of Property Owner Requesting Permit:
Mailing Address: 7609 CO(0-te)2 f A C
CC�2vLsv y
Phone Number: � 1 ` q 9777
Email Address: [e-mail]
I certify that I have authorized 7 �" s 5Cu. /F�71)2� ]�t`�S
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /�
N) S 1 r 6 L A4 1 1 Lam-( ges f 0,- CC Cyr/ //L("A 460/ 5'rI
\hiaLp
at my property located at '6 % Avg. 7 P5A-rc 8 ez4e N nc u S
in P �2 County.
/ furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
fj&ArAlfri.d , '46
Signature
Kenneth W. Stone
Print or Type Name
Title
08 / 15 / 2020
Date
This certification is valid through
RECEIVED
0CM WILMINGTON, NC
A U G 2 6 2020

ROY COOPER
�, Governor
a`/
MICHAEL S. REGAN
Secretary
NORTH CAROLINA
Environmental Oualiry
September 16, 2020 BRAXTON DAVISt
or
Ken and Karen Stone
7609 Calmeria Court
Kernersville, NC 27284
Dear Mr. and Mrs.Stone,
Attached is CAMA Minor Development Permit TB 20-22 for work to be done at 105 Trout Ave. 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 blue 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.
Sinc=rely,
L — anya( tila
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
TB Inspection Dept.
Tom Russell—Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
010 10L/11 c

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TARS MAP WAS PREPARED LRDER YY SUPERVISION FROM AN ACTUAL w'
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X -OVERHEAD UTILITY LINE -...� J. `,/
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XUTUTY POE 444 LOT IA,BLOCK 49
FB•WATER METER �` " MAP BOOK 10.PAGE N /
O.TELEPHONE BOx WWT ND
�o b. // BOUNDARY SURVEY Hx
PRELIMINARY PLOT PLAN FOR:
/
I)THE PROPERTY SHORNHEREON IS LOCATED ENTIRELY NTT. / 1YANNty'TX F. STONA'
T SFLOOD 100 YEAR FLOOD RHAZARD 372A 2 830J CANAL �- \ / AND WIFE. KAREN AG STONF,
TO R000 NSURANQ RATE YAP N0.}]Z04Z0200J \
DATED FEBRUARY 16.2007. /
2)ALL N.C.GRID DATA SHOWN HEREON IS BASED ON HAD 1963 _
2011 ADJUSTMENT VSNG THE NCGS Kill NETWORK SYSTEM. �� / CURRENT OWNER: KENNETH W. STONE AND WIFE KAREN M. STONE
U.
3)ALL DI SIDRN TH STANCES EREON ARE N.C.GRID MINCES / \\ /
I E55 OTHERWISE NOTED. ` 7609 CALMERIA COURT, KERNERSVILLE, NC 27284
A)COYBMED GRID FACTOR. 0.99999481 SURFACE CALCULATIONS: // IZEFERENCERS', INDIVIDUAL TRACT ON TROUT AVENUE
5)ALL uTRJTY LINES SHORN HEREON MAY HAVE EASEMENTS DEED BOOK 2391 PAGE 32 TOWN OF TOPSAIL BEACH
AND RIGHTS OF ENTRANCE AND MAINTENANCE ASSOOATED TOTAL LOT AREA-5.640 SO.FEET ` NEAR TOPSAIL BEACH TOPSAIL TOWNSHIP, PENDER COUNTY, N.C.
RN THEM.
AREA OF COVERED HOUSE FOOTPRINT. LOT 13.BLOCK 49
6)TARS PROPERTY IS ZONED R-3 AND WILL BE SUUB.LCT TO 1,106 SO.FEET(19.62 RF'ERHCJS) MAP BOOK 10,PAGE 24 DATE' DULY 29. 2020 C�
ALL RESTRICTIONS P.THE TORN OF TOPSAIL MEACN LAND USE TOTAL RIPERMOIA AREA 1.106 50.FEET(19.61F)
ALL RESCES THE TORN OF TOPSAIL BEACH SHWLD BE CONTACTEDRN 4202-61-4679-0000 SCALE: 1" 20
FOR DETAILS ON RESTRICTKINS PRICK TO LOT PIPROYENENTS.
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SETBACKS IHE1GNT RESTRICTIONS,IMPERWOUS SURFACE OF Ig05E/MOILp6R•FOOTPRINTS- 139 S0.FEET JOHNNY J. r/LLIANS LAND SURYSY/AC. P.C.
REDNIREMENTS.ETC.ADDITIONAL RESTRICTIONS MAY APPLY IF
TNEREE ARE RESTRICTIVE COVENANTS ASSOCIATED METH THIS AREA OF DECKS.STEPS.ETC..606 SO FEET silP.O. BOX 778. BEULANLLE, N.C. 28518
PROPERTY.SURVEYOR HAS NOT PERFORMED RESEARCH TOC-w6KT:fKXC MUIR_MO-Mail PHONE: [phone] FAX: [phone]
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Ke-rJ g /u
Address of Property: <as T k ' /40 7oe5//rL Q P5 Y�S—
(Lot or Street#, Street or Road, City&County)
/2cr-r'V2c !LOd" 5
Agent's Name#: 7 4-s-�� / A-'/v¢€ /-14'"«`vlailing Address: P• ' e o), co 2 S
Agent's phone#: 9"(3 a3 r 3cy-r.. (-/144n/,5 +'o t,c 2--3`lL1 3
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 http://www.nccoastalmanapement.net/web/cm/staff-Listing 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, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
(Prope wner Information) (Riparian Property Owner Information)
.Cit.',iature Signature
Kenneth W. Stone 7°O D Co""i-A.i ,ru I
Print or Type Name Print or Type Name
-?6t)y (0( i'1v'2 1 ,R C 7` 2S tLf 1-v55c-7b rn-Ac'
Mailing Address Mailing Address
l'(<-c Q./\& 5 v i L-C- /vC a-7ae y />V r X NL D -y
City/State/Zip City/State/Zip
-r H`? 7(1`f 9"7 `f 1
Telephone Number/Email Address Telephone Number/Email Address
8/15/2020 ov/I S/7-0
Date Date
(Revised Aug„2014)
A-1cGEIVED
DCM WILMINGTON, NC
AUG 262020

I. . •os a ervice
CERTIFIED MAIL® RECEIPT
Domestic Mail Only
r
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•
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Ke `g /E
Address of Property: (as T'�`' ' A 73e5/1rL Qc--Ae 14 NC- P Y`cS—
(Lot or Street#, Street or Road, City&County)
F<r'vriE 11 t C�
Agent's Name#: 7 , s�� / -'1' vlailing Address: P••p ' e ct` C 3 S
Agent's phone#: q`3 a-3 2e‘:-Z, 6-{ra✓.,/}5 AO fti c-- `IL/3
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 athttp://www.nccoastalmanagement.net web/cm/staff-listinq 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, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Prope wner Information) (Riparian Property Owner Information)
Signature Signature
Kenneth W. Stone 77% Y''J M.4 (2-r4
Print or Type Name Print or Type Name
?609 (4 /32 Tn Rut
Mailing Address Mailing Address
r`ta- .s v t re)P;,9 i\JC �L
City/State/Zip City/State/Zip
gt�j �ci`f 97 `0
Telephone Number/Email Address Telephone Number/Email Address
8/15/2020 5 (t /ZD
Date Date
(Revised Aug. 2014)
RECEIVED
DCM WILMINGTON, NC

I. . •os a ervice
CERTIFIED MAIL° RECEIPT
r Domestic Mail Only
tl
-q For delivery information,visit our website at wwwwiuspS.com .
LI
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Certified Mail Fee $,.cr 0443
r $ r, fir' �EAD 04
n Extra Services&Fees(check bar add fee
❑Return Receipt(hardcopy)
r ❑Return Receipt(electronic) $ tfj al
0 0 Certified Mall Restricted Delivery $ ji 11.0; . nO ere
❑Adult Signature Required $ .t )IE Y
❑Adult Signature Restricted Delivery$ -'- 'y
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Street and Apt No.,or Pt)Box No.
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7O '5All, E3a4(1-f- NC, d 4(f

.erartea man service proviaes me renewing oenertis:
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistancc4o receive aeplicate
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.
nportant 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®,Rrst-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail senfi Is notavailable for requires the signee to be at least 21 years of age
Intemational mail: and provides delivery to the addressee specified
Insurance coverage s"not available for purchase by name,or to the addressee's authorized agent
with Certified Mall service.However,the purchase (not available at retail).
of Certified Mail service does rot 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 Mall receipt,please present your
endorsement on the mailpiece,you may request Certified Mall Item at a Post Office"'for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipients 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.

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
Kenneth W. Stone and Karen M. Stone
A2. Budding Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and
Box No. Company NAIL Number:
105 Trout Avenue
City State ZIP Code
Topsail Beach North Carolina 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
Pender County tax parcel number: 4202-81-4679-0000
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude: Lat.34-21_05.6 Long.77-38-47.8 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 5
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) N/A sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in
d) Engineered flood openings? ❑Yes X No
A9. For a building with an attached garage:
a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑Yes No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number 62.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
3720420200 J 12-06-2019 02-16-2007 AE 13.0
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: \1I I/It//
�.�`a i- AR0�10,
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(04;7•
Designation Date: ❑ CBRS ❑ OPA ¢ SEAL r•
.
L-3170 0•�
/ItMt fQTONJ FEMA Form 086-0-33(12/19) Replaces all previous editions. ; ( isiir \sicuclo
AI IC 9 r 9n9n

ELEVATION CERTIFICATE OMB No, 1660-0008
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:
105 Trout Avenue
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: ❑x Construction Drawings* Li 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: NCGS RTK network Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 ❑x 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) 18.1 ❑x feet ❑ meters
b) Top of the next higher floor N/A ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑x feet ❑meters
d) Attached garage(top of slab) N/A ❑x feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) 16.1 feet ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) 4.1 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building (HAG) 5.1 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support 4.6 ❑x feet ❑ meters
SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer,or architect authorized by law to certify elevation 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? Ed Yes Li No ❑Check here if attachments.
Certifiers Name License Number
Johnny J.Williams L-3170 \��0I11I////�
Title \\\ H 1,A R 0z
Professional Land Surveyor � ,
rid
Company Name t0 '9
Johnny J. Williams Land Surveying, P.C. _ •cL S
r,
Address = •�" L- O�X.
4 `
P.O. Box 778 •
City State ZIP Code -% ,I, j� \.>\\
Beulaville North Carolina 28518 // I N II 41\°
S utur Date Telephone Ext.
o +e.'t a j )Z 07-29-2020 [phone] n/a
C y I p ges of this Elevation Certificate 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)
RECEIVED
DCM WILMINGTON, NC
FEMA Form 086-0-33(12/19) Replaces all previous editions. AUG 2 5 2020 Form Page 2 of 6

ELEVATION CERTIFICATE OMB No. 1660-0008
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:
105 Trout Avenue
City State ZIP Code Company NAIC Number
Topsail Beach North Carolina 28445
SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, B,and C. For Items El—E4, use natural grade,if available. Check the measurement used. In Puerto Rico only,
enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade(HAG)and the lowest adjacent grade(LAG).
a) Top of bottom floor(including basement,
crawlspace, or enclosure)is ._ ❑feet ❑meters ❑above or ❑below the HAG.
b) Top of bottom floor(including basement,
crawlspace, or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 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 ❑feet ❑meters ❑above or ❑below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? ❑ 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 or Owner's Authorized Representative's Name
Johnny J.Williams
Address City State ZIP Code
P.O. Box 778 Beulaville North Carolina 28518
Signature Date Telephone
[phone]
Comments
RECEIVED
DCM WILMINGTON, NC
AUG 2 g 2020
❑Check here if attachments.
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 3 of 6

ELEVATION CERTIFICATE OMB No. 1660
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:
105 Trout Avenue
City State ZIP Code Company NAIC Number
Topsail Beach North Carolina 28445
SECTION G—COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement
used in Items G8—G10. In Puerto Rico only,enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer,or architect who is authorized by law to certify elevation information.(Indicate the source and date of the elevation
data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO.
G3. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ 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(including type of equipment and location,per C2(e), if applicable)
RECEIVED
DCM WILMINGTON, NC
AUG 2s2020
❑ Check here if attachments.
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 4 of 6

BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. 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
105 Trout Avenue
City State ZIP Code Company NAIC Number
Topsail Beach North Carolina 28445
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View"and "Rear View"; and, if required, "Right Side View"and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
Photo One
Pholo One
Photo One Caption Clear Photo One
Photo Two
RECEIVED
DCM WILMINGTON, NC
AUG 2 6 2020
Photo Two
Photo Two Caption Clear Photo Two
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 5 of 6

BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page 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:
105 Trout Avenue
City State ZIP Code Company NAIC Number
Topsail Beach North Carolina 28445
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo Three
Photo Three
Photo Three Caption Clear Photo Three
Photo Four
RWILMECEIVED
DCM INGTON, NC
AUG 262020
Photo Four
Photo Four Caption Clear Photo Four
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 6 of 6

li:11-1 NC Division of Coastal Management 116 2 8 A B
Cashier's Official Receipt
e , u 21)
Date: 20
Received From: TO M A U4 ' l�/6;-(--tvi-- 4(-1-A---- $ / O D ,_____,
I
Permit No.: i" Check No.: 13i(
Applicant's Name: (EN �r f Alf r 5-b .,. County:
4 .
Project Address: L 6 c Tc 1/� ( /6 ��'
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date:Fyt26.___1,2.
Signature of Field Representative: Date:

ate Date Check From Name of Vendor Check Check Permit Rct. #
eived Deposited Permit Holder Number amount Number/Comments
'2020 Melissa A. Russell ken and karen State 1349 $100.00 minor fee, 105 Trout Ave,Topsail JD rct.
stone Employees Beach PnCo 11628
CU