TB_20-26_ Hultin (2)

_
RECEIVED
Issued by WiRO TB20-26
Topsail Beach NOV 0 9 2020 Permit Number
CAMA DCM WILMINGTON, NC
MINOR DEVELOPMENT
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 Pamela Hultin authorizing development in the Estuarine Shoreline (AEC) at 1012 Carolina Boulevard, in
Topsail Beach, Pender County as requested in the permittee's application, dated September 25, 2020, and received as
complete by DCM on September 30, 2020. This permit, issued on October 20, 2020, is subject to compliance with the
application and drawing dated and received by DCM on September 30, 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 September 30, 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 CAM LOCAL PERMIT OFFICIAL
this permit, require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December31,2023 Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to 1�
another party without the written approval of the Division of Coastal PERMITTEE
AA�n onomon4

• _ .
Name: Pamela Hultin
Minor Permit#TB20-26
Date: October 20, 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) 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) 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.
(9) 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 " `' 9Vtd DATE: J( /1!61-202D
PERMITTEE

!, I -71
� � Perinrit Number' OTHER PERMITS MAY BE REQUIRED,The activity you are planning may requite permits other than the CAMA
minor development permit,including,bur not limited to Dunking Water Well.Septic Tank(or other sarutary waste
Lazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other treatment system).Building,Electrical,Plumbing,Heating and Air Conditioning.Insulation and E nor v Conservation,FIA
(i•or cEftctal use on/) Certification.Sand Dune.Sediment Control.Subdivision Approval,Mobile Home Park Aptrrcwal,Highway Connectxm,and
others.Check with your Local Permit Officer for more information.
4ALIFOR:MIATION
STATEMENT OF OWNERSHIP:
OWNER-MAILING ADDRESS I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
r) / (�(% 4(1 I t j /1 person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person►t3a> �+�-utN�t�t pv�`I 1[ I ,/� listed as landowner on this application has a significant interest in the real property described therein.This interest can be
I/__ tits 1 ti et1AI NU l,I t, �p Q a ��( described as:(cheek ooe) �y �y,'
ClaYn �Y '^.,,statte;/� N( l zip2.•,v�4tl Phone CI tea r U�_`•CJ f;J4 r/ an owner or record title,Tide is vested in name of PCr r K-ta `I`''RW1 •,
tart a W 1' ,01 111 IFam i ILA•c}t l+ see Deed Book 41% t page 1401 in the iktrilikK County Registry of Deeds.
PRIZED AGE'vT an owner by virtue of inheritance.Applicant is an heir to the estate of
t 9 PLC
;probate watt in --,---- County.
r 24 (] 4 t(t7t,• A`t C 135 R 1 . ____if other interest,such as written contract or lease.expimn below or use a separate sheet do attach to this application.
11q f Itf/YJ lr State N C' 7.ip(.i 44 Phooe "(toi 1C'L.q-`4Q t a NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
--UII'-- e I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
_J_� Q t 1 Lug,5Arhaimall_ce. ACTUAL NOTICE to each of them concerning my introit to develop this property and to apply for a CAMA permit
rioN OF PROJECT:(Address,street name and'or directions to soe,name oldie adjacent waterbody.) (I) c'`,x P,p ` f -C'R C vy" - (Address] cove. /CIO
�I3(..
,�C Z'o 3 Z't
2 Co1Yl)ll if}a �1V fi!.�Tc +'! 'P acAV l {t-}L 2 -5" (2) a.r(�El. l th e.(�LJ i r� skill l t' 0 U21Mf1OX P tau../ 41NN c Z:7(o t 2
N° 1. 2t2,—2(e,31s$—ocou) ((4)_ -
t.PTION OF PROJECT:(List ail proposed construction and land disturbance.) --'ADi ACKNOWLEDGEMEN S:
re to r A on
^!t �u At� I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
yAA 1.� t� i �J may be susceptible to erosion ansEor flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
p/� lar hazard problems associated with this lot This explanation was accompanied by recommendations concerning stabilize
rF LOT/PARCEL: Q'10� gwurc feet dcp acres tion and feodprxrfing techniques.
)SED USE:Residential(r (Single-family lr tulti-family El Commercial lndu tr al 0 Other 0 I furthermore certify that i am authorized to grant,and do in fact pant.permission to Division of Coastal Management staff,
Me Local Permit Officer their agents to enter on the aforementioned lands in connection with evaluating information
LETE EITHER(1)OR(2)BELOW(Centred your Local Permit Officer(frog are not sere which AEC applies related to this permit appl' ti -
ProPell4): L
Thi,ihe .._..�.4 day of. 1 ,26L$
EAN HAZARD AECv TOTAL FLOOR AREA OF PROPOSED STRUCil!RE: square feet(includes
titioncd living space,parking elevated above ground level,non-conditioned space elevated above ground lend but
ig non-load-bearing attic space) Landowner or autl+ ized to act as luster agent for purpose of filing a CAMA permit applicaticm
ASTAL SHORELINE AWE SIZE OF BUILDING FOOTPRINT AND OTHER iMPLRVIULES OR BUILT This opplkatfon includes:general information(this pine),a site drawing as described on the hack etfthis appiication.the
iL.ERFACLS:ga square feet(includes the area of die foundation of all buildings,driveways,covered decks, ownership statement,the(k.xan Hamm!AEC Vatic:.where necessary a check Fit$l 00(Ni made payable to the ire alii)a and
or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing,f • any tnormation as may be provided orally bythe applicrnn. The derails of rhe application as described by these sources are
STOR,MWATER.MANAGEMENT PERMIT:Is the project located in an area subject to a State 'incorporated without reference in any penult which may he issued.Deviation fiom these derails will crrnrraute a violation of
ater Management Permit issued by tbt NC Division of Energy;Mineral and I.and Resources(DFMI.R)° ant permit.,4ny person developing in cur AEI('without permit is snbjeo ter cull,criminal and ur/mututmnve waiter.
_ NO Orp.C( )1(t in '15iAEc' RECElV
st the total built upon area/impenious surface allowed for your lot or pucel. square feel. �'t}fc t 1(1'l�ry 1 t,)� !� V'• (4 RECEIVED
S E P 3 0 2020
z DCM WILMINr_r.,r r .._

. ,
RECEIVED
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
SEP 3 0 2020
DCM WILMINGTON, NC
Name of Property Owner Requesting Pemlit. 1)wk.AAa int ITIO
Mailing Address: 14k0 YVVNitttl(\ bay.
rkg,
Phone Number: 919-819-5504
Email Address: [e-mail]
I certify that I have authorized PLC
( en)Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: vtlyi -two-srbiel
roActinu Niniu f4viitut ) ôipirton
at my property located at 01 2- ev&you fl , ?bid.-Tcp&z)i e).12,,za
in renclkif County.
I 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 the
permit application.
Property Owner Information:
-ermAtou-
Signature
Pamela Hultin
Print or Type Name
NIVAQY
Title
9 z4 zo
Date
This certification is valid through I I I .g(

`. * `' ROY COOPER
OP
MICHAEL S. REGAN
Secretary
BRAXTON DAVIS
sc ar
October 27, 2020
Pamela Hultin
146 Whitetail Deer Lane
Garner, NC 27529
Dear Ms. Hultin,
Attached is CAMA Minor Development Permit TB 20-26 for work to be done at 1012 Carolina Blvd 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.
Sipcerely,
id ,,, ,jkli)filf ,
-- A/Zati
a M.Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
TB Inspection Dept.
Weston Lyall -Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

-. 4% .
WESTON LYALL1 .,L.
1
•
, Structural&Civil Engineering Land Surveying Serving Eastern North Carolina ••s
� m,,,
STRUCTURAL ENGINEERING
CIVIL ENGINEERING
LAND SURVEYING
214 Highway 17 N. Suite I
Holly Ridge,NC 28445
910-329-9961 Office
Firm License#P-0937 www.WestonLyall.net
September 24, 2020
To: North Carolina Division of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 28405
Subject: 1012 Carolina Blvd, Topsail Beach,NC 28445
The purpose of this letter is to notify the North Carolina Division of Coastal Management of
the proposed single-family residence to be built at 1012 Carolina Blvd. (PIN#4212-26-3158-
0000), Topsail Beach, Pender County. The property owner is Pamela Hultin, who can be
contacted at(919) 819-5504. Please see the enclosed CAMA Minor Permit Application as
well as the preliminary plot plan for the proposed dimensions and location of the project.
Thank you,
Weston Lyall, PE, PLS, PLLC
RECEIVED
SEP 3 0 2020
DCM WILMINGTON, NC
Pile Plans,Foundation Designs,Structural Designs,Structural Analysis,
Stormwater Designs,Commercial and Residential Properties
Subdivision Designs,Land Surveys,Plot Plans,Elevation Certificates
All Your Engineering and Surveying Needs
Licensed Engineer in NC.SC.VA.AL.MS

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration DtLs:.l�tuuemhec30, 2022
National Flood Insurance Program ttttt�ll..tt��VV��UU
ELEVATION CERTIFICATE SEP 3 0 2020
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/cpiwtEM( moNtr.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
HULTIN, PAMELA
A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number
Box No.
1012 CAROLINA BLVD
City State ZIP Code
Topsail Beach North Carolina 28445
A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.)
PIN# 4212-26-3158-0000
A4. Building Use (e.g., Residential, Non-Residential,Addition,Accessory, etc.) Residential
A5. Latitude/Longitude: Lat.34-21-49 Long.-77-38-01 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 enclosure(s) 647.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 6
c) Total net area of flood openings in A8.b 768.00 sq in
d) Engineered flood openings? D Yes ❑x No
A9. For a building with an attached garage:
a) Square footage of attached garage sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade
c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? ❑ Yes ❑ No
SECTION B—FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name&Community Number 82. 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
B10. Indicate the source of the Base Flood Elevation (BEE) 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:
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

ELEVATION CERTIFICATE OMB No. Date' November Date: 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:
1012 CAROLINA BLVD
City State ZIP Code —Company NAIC Number
Topsail Beach North Carolina 28445
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑x Construction Drawings* ❑Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2, Elevations—Zones Al A30,AE,AH,A(with BFE),VE, V1—V30,V(with BFE), AR,AR/A,AR/AE,AR/A1—A30,AR/
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meth . t I V E D
Benchmark Utilized: Vertical Datum: GEIOD 12B VRS RIK GPS
Indicate elevation datum used for the elevations in items a)through h)below. S EP 3 0 2020
❑ NGVD 1929 ❑x NAVD 1988 ❑Other/Source:
Datum used for building elevations must be the same as that used for the BFE. DCM WILMINGTON, NC
Check the measuement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 7.0 ❑ feet ❑ meters
b) Top of the next higher floor 17.6 ❑x feet 0 meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A Ej feet ❑meters
d) Attached garage(top of slab) N/A 0 feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) 17.6 0 feet ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) 6.5 LJ feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 6.7 feet
❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support ❑ 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. /understand flirt 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? 0 Yes ❑No ❑Check here if attachments.
Certifier's Name License Number
Weston Lyall L-4438
Title •tor smogs.
Owner/PLS ARp%�$
Company Name 20�!c� •` -� „
Weston Lyall, PE, PLS, PLLC (vi
Address +•
214 HWY 17 N tc'
1.4 City State ZIP Code '•�,���,,��,,,,, ����'�p.�`�� f .
Holly Ridge North Carolina 28445 �'''++i{f�+++s•+ It
Signature Date Telephone �Ext.
if/
4 09-24-2020 [phone]
Copy all pages of this Elevation Ce 'ficate 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)
This elevation certificate is preliminary only for a proposed residence. Elevations noted are per construction drawings.
Section A8:The estimated enclosure area is determined from preliminary construction drawings. Flood vent openings are assumed to be
8"x16". Final calculations are determined with the finished construction elevation certificate.
Sections B8&B9:Noted is the effective flood zone.The flood zone shall change to AE 13 per preliminary FEMA maps.
Section C2 e:The proposed'elevation of wood stand for NC Unit. Final elevation to be determined with finished construction certificate,

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:
1012 CAROLINA BLVD
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
Address City State ZIP Code
Signature Date Telephone
Comments
RECEIVED
S E P 3 0 2020
DCM WILMINGTON, NC

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:
1012 CAROLINA BLVD
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
SEP 3 0 2020
DCM WILMINGTON, NC

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:
1012 CAROLINA BLVD
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
.................................
Photo One Caption Clear Photo One
RECEIVED
SEP 3 0 2020
DCM WILMINGTON, NC
Photo Two

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:
1012 CAROLINA BLVD
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 Caption Clear Photo Three
RECEIVED
S E P 3 0 2020
DCM WILMINGTON, NC
Photo Four

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to pantie; ttU , 's
property located at 1AS>ti ,lyu (Name of Property Owner)
012. C
`�t (Address, Lot, Block Road, etcJ
on tnwist Y�t� » Na.i . in 1i` t eotilt_ co • N.C.
( aterbody) (City/Town andior County)
The applicant has described to me, as shown below, the development proposed at the above
location,
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
rat fill In description beicnir or attach a site drawing)
RECEIVED
•
SEP 3 0 2020
DCM WILMING.TQN, NC
WAIVER SECTION
I understand that a pier, dock, mooring pilings. boat ramp, breakwater, boathouse, lift, or groin
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
(Property Owner Information) (Adjacent Property Owner Information)
Sirme a Huttin Signature"' t L' eXeSilI 11 H
�me 1" rr
P ` or Type Name Print or Type Na, e
Ati wtttzik Thtur Ln • ti r Cove
At ilk*Andress Andress
City/Stara/Zip City/Stale-Op
lig. Nei.SS'5#-
Telephone Number/email address Telephone Number I email address
—24-2)
Dare lkrte
(Revised Aug
*Valid for one calendar year after signature" 2014)

I. . •os a ervice
CERTIFIED MAIL® RECEIPT ci-wie
li id
,• Domestic Mail Only — "- • " --- ei
0
U For delivery information,visit°time:mite al .aaps.come.
C i ntorrr NC -.'42
q , ,
Li Certified Mail Fee
n
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Extra o &Fees(check box,add fee 1 frierriate) n vV
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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®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail service is not avallable for requires the signee to be at least 21 years of age
International mail. and provides delivery to the addressee specified
Insurance coverage is notavailable 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
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
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.
F,.....fistful s..a,'ma,a., ,.,DCu,F,CM

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to P404-113 tiV
(Name of Property Owner)
property located at 1012. 61va.
(Address, Lot, Block Road, e
on tnyoushat viavyy4,9 in au- co . N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location,
I have no objection to this proposal,
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(hidividue/proposing development must fill in description below or attach a site drawing)
RECEIVED.
SEP 3 0 2OLO
WAIVER SECTION DCM WILMINGTON:NC
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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
(Property Owner Information) (Adjacent Property Owner Information)
Signature ,cigitriture*
Pamela Hultin rielaraareN CoheneN P142nSkifn
Prir#or Type Name Print or Type Name
146 WV tait bar (41 • no() Lennox t&
A43.11mo Address el z9 M Add adura rm,s P-oilir-1, 2101,2- A
City/State/Zip City/Stetjrp
lig• 519
Telephone Number/email address Telephone Number/email address
A-VE2i).
Mae age*
(Revised Aug 2014)
*Valid for one calendar year after signature'

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❑Adult Signature Restricted Delivery$ <
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fel LIuICu man uerviue prwv.um'nu IVlluwnl9 uanetIIS:
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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®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail service is notavallable for requires the signee to be at least 21 years of age
International mail. 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 mallpiece,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 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 mailplece; IMPORTANT.Save this receipt for your records.

1.THIS SURVEY IS OF AN EXISTING PARCEL OF LAND. SITE4>
2.SUBJECT TO RESTRICTIVE COVENANTS,EASEMENTS OF
RECORD.ZONING ORDINANCE,&UNDERGROUND UTILITIES, No 0/ so
IF ANY.
4V /
3.NO TITLE SEARCH BY SURVEYOR.
4.REFERENCES;DB 4717,PG 2409;MB 3,PG 72 -\
5.FLOOD ZONE:AE(EL 10&11) ATLANTIC OCEAN
NCFIRM MAP#3720-421200-J,EFFECTIVE DATE 2/16/2007
6.ZONE:TOPSAIL BEACH R-2
....
SETBACKS:FRONT-7.5',
SIDE-5',REAR-33
lz
7.FLOOD ZONES SCALED FROM GIS
8.SEPTIC DESIGN BY OTHERS VICINITY MAP (NTS)
9.FIELD DATA COLLECTED 9-21-20
ATLANTIC
EITRACOASTAL
WATERWAY
N53‘3025•E
N53.40,,,.5.... -LEGEND-
.284;` ci'
.99' 4)3817NQll SIR-1/2"Set Iron Rod
ii-ru"1„joie40 ..,„_ . EIP-Existing Iron Pipe
...,.. ._ .__
EIR-Existing Iron Rod
COMM.CORNER EIPD-Existing Iron Disturbed
N=226238.42 ECM-Existing Concrete Monument
6.241224020 CP-Calculated Point
RIW-Right-of-Way
DB-Deed Book
r-- ------742~.- _
*Ike--_ ---, MB-Map Book
——I PG-Page
,4 FH-Existing Fire Hydrant
: k
a EOP-Existing Edge of Pavement
-
EB-Existing Electrical Box
(IR / TEL-Existing Telephone Pedestal
. 1(7. . .CEFED POACH LP-Existing Lightpole
Property Line Surveyed
•• •.....:• •-• •..:. •••• . ...._ _............._-Property Une Not Surveyed
4-: •‘::VAEC.
I ' •-•'• PROPOSED -'76:4--- MICHAEL CHESTNUT RECEIVED
OS 4532,PG 36 ia :,.;,. :.FIWENCE 5: a' 08 4949,PG 2739
. . . . , . . ..
... ... . '.. ' ". • :, P SEP 3 0 2020
DCM WILMINGTON, NC
IMPERVIOUS CALCULATIONS:
LOT AREA-8,906 SF(0.20 AC)
lire,: PROPOSED BUILDING-2,286 SF
1 PROPOSED DRIVEWAY-0 SF
TOTAL IMPERVIOUS COVERAGE:2,286 SF
it N
1 1 1 I 1 1 PERCENT IMPERVIOUS(251%)
PORTION OF LOT IN AEC-3,799 SF
PROPOSED BUILDING IN AEC-973 SF
IMPERVIOUS%IN AEC-25.6%
FLOOD ZONE AE.11
i.- 7.5'MX j
i50.05*
'--. '134-2"0/117W- 49.iiiir a 844.53'41V1 ill :, _ ___ PROPERTY DESCRIPTION:
CONTROL CORNER OWNER:PAMELA HULTIN
N.229147.613
Ex2412421:15 ADDRESS: 146 WHITETAIL DEER LANE
GRANTSBORO,NC 28529
TOTAL AREA:0.20 AC.
DEED BOOK 4717 PAGE 2409

)ate Date Check From Name of Vendor Check Check Permit Rct. #
:eived Deposited Permit Holder Number amount Number/Comments
/2020 Weston Lyall PE Pamela Hultin Coastal 2222 $100.00 minor fee, 1012 Carolina Blvd, JD rct
PLS PLLC Bank and Topsail Beach PnCo 11647
Trust