TB_20-32_ Parker (2)

Issued by WiRO RECe‘ve® TB20.32
Topsail Beach -4 �� . ermit Number
�JPN 1 2\
CAMA . ,, Nc
MINOR DEVELOPMEN ► ocMA:0k
� Nj1�M1N
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 Charles and Majorie Parker authorizing development in the Estuarine Shoreline (AEC) at 1020 Carolina
Boulevard, in Topsail Beach, Pender County as requested in the permittee's application, dated November 17, 2020,
and received as complete by DCM on December 11, 2020. This permit, issued on December 30, 2020, is subject to
compliance with the application and drawing dated and received by DCM on December 11, 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 December 11, 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
December3l,2023 Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land (L�
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal PERM ITT

R a
Name: Charles and Majorie Parker
Minor Permit#TB20.32
Date: December 30, 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) This permit authorizes 1,205 sq. ft. of impervious coverage within the 75-foot Estuarine Shoreline Area of
Environment Concern (AEC).
(7) 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.
(8) The applicant shall install and maintain a stormwater collection and treatment system capable of controlling the
amount of impervious surfaces exceeding 30% impervious coverage within the 75' Coastal Shoreline AEC shall be
managed and the AEC protected. All proposed development and associated construction must be done in
accordance with the "Stormwater Plan (C100)", prepared on 12/1/20 by Reece Engineering, and received in our
office on December 11, 2020.
(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.
SIGNATUR r-A--- 7YICU/ ?aA-LiA-- DATE: I "1 I -20?"4
PERMITTE

. - T� �/ (� OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Locality N..1C Wes—(. `36 C .JT X l Permit Number T 3 2i :Cz 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
Ocean Hazard Estuarine ShorelineXO 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.
GENERAL 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
LAND OWNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Name Charles Todd Parker and wife,Marjorie Holmes Parker listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
Address 19 Williams Circle
City Lexington State NC Zip 27292 Phone (910)455d0877 Om ownerner or record title,Title is vested in Fee Simple ,see Deed Book 823
page in the Pender County Registry of Deeds.
Email [e-mail]
Flan owner by virtue of inheritance.Applicant is an heir to the estate of
AUTHORIZED AGENT probate was in County.
Name Charles F.Riggs&Associates,Inc. flf other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address P.O.Box 1570
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
City Jacksonville 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.
Email [e-mail]
(Name) (Address)
(I) Mr.and Mrs.Adelphos J.Burns,6401 Dresden Lane,Raleigh,NC 27612
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.) 1020 Carolina Boulevard,Topsail Beach,Pender County (2) Mr.and Mrs.Stuart S.Sanderson,1022 Carolina Boulevard,Topsail Beach,NC 28445
(3)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Proposed Two-Story (4)
Dwelling on Pilings with Decks Fully Enclosed below for Entry,Storage and Garage with Proposed
SIZE OF LOT/PARCEL: 8,863 square feet 0.203 acresPervious Gravel Drive&All Proposed ACKNOWLEDGEMENTS:
Improvements as Shown on Map I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
PROPOSED USE:Residential Q (Single-family Multi-family 0) 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-
COMPLETE EITHER(1)OR(2)BELOW(contact your Local Permit Officer if you are not sure which AEC applies tion and floodproofing techniques.
to your property):
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: tlit square feet(includes the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but related to this permit application.
excluding non-load-bearing attic space) '/// /�
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT /'4110
1 This the day of // ,20 �i 4
UPON SURFACES:1,205 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) Landowner or person authori r . t- era agent for gpurpose of filing a CAMA permit application
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality? This application include ,en a!'formation(this form),a site drawing as described on the back of this application,the
YES I I NOI ✓ I ownership statement,t /c ,n and AEC Notice where necessary,a check,for$100.00 made payable to the locality,and
any information as m ,rov',ed orally by the applicant.The details of the application as described by these sources are
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet. incorporated witho 'rent-in any permit which may be issued.Deviation from these details will constitute a violation of
REany permit.Any person s oping in an AEC without permit is subject to civil.criminal and administrative action.
CEIVED RECEIVED
NOV 18 2020 DEC 1 1 2020
DCM WILMINGTC,Nr NC DCM WiI_MiNr:Tr nor

ROY COOPER
1411111
Nikt-1121#, , MICHAEL S. REGAN
BRAXTON DAVIS
December 30, 2020
Charles& Marjorie Parker
19 Williams Circle
Lexington, NC 27292
Dear Mr. & Mrs. Parker,
Attached is CAMA Minor Development Permit TB 20-32 for work to be done at 1020 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.
Sin rely,
)4( ( 0/ 0
Anita M. Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
TB Inspection Dept.
Charles F. Riggs &Associates-Agent
State of North Carolina I Environmental Quality i Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
www.riggslandnc.com [e-mail]
December 10,2020
To: Mr. Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Charles Todd Parker and wife,Marjorie Holmes Parker
Submittal for Minor CAMA Permit
Dear Mr. Dail:
On November 19,2020,you returned this application for a Minor CAMA permit,due to lack of
stormwater plan. We are returning this to you with the stormwater map attached for Charles Todd Parker
and wife,Marjorie Holmes Parker and their property at 1020 Carolina Boulevard,Topsail Beach,Pender
County,North Carolina.
espectfully,
,/-_
�l �)`�'
i`
James L. Riggs
RECEIVED
DEC 11 2920
DCM WILMINGTON, NC

Charles Riggs
From: Dail, Jason <[e-mail]>
Sent: Thursday, November 19, 2020 11:57 AM
To: Charles Riggs
Cc: James Riggs; [e-mail]
Subject: RE: [External] RE: CAMA Minor permit application - Additional information requested -
Charles and Marjorie Parker - 1020 Carolina Blvd., Topsail Beach
Thank you. Yes, I observed the rectangle located on the drawing and identified as"proposed engineered stormwater
plan"; however, that is not sufficient for permit review. I will need a copy of the engineers stormwater plan prior to
accepting the application package as complete.
I will be in the office later this afternoon and can discuss if necessary.
Jason
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]
*E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
From:Charles Riggs [mailto:[e-mail]]
Sent:Thursday, November 19, 2020 11:49 AM
To: Dail,Jason <[e-mail]>
Cc:James Riggs<[e-mail]>; [e-mail]
Subject: [External] RE: CAMA Minor permit application -Additional information requested -Charles and Marjorie Parker
- 1020 Carolina Blvd.,Topsail Beach
External email.Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
[e-mail]
Jason
I appreciate your email, however, I have shown the approximate location of the proposed
engineered stormwater plan, which would handle the percentage over the 30%.
RECEIVED
DEC 112]

It is my understanding the signed and sealed engineered stormwater plan does not need to be
prepared prior to issuance of the Minor CAMA Permit, but can be listed as a condition of the
Minor CAMA Permit.
Respectfully,
Charles F. Riggs, P.L.S. L-2981
Charles F. Riggs & Associates, Inc. (C-0730)
502 New Bridge Street
P.O. Box 1570
Jacksonville, North Carolina 28541
Email: [e-mail]
Office: [phone]
Cell: [phone]
RECEIVED
From: Dail,Jason DEC 1 1 2920
Sent:Thursday, November 19, 2020 11:24 AM
To: Charles Riggs<[e-mail]> DCM WILMINGTON, NC
Cc:James Riggs<[e-mail]>; [e-mail]
Subject: CAMA Minor permit application -Additional information requested -Charles and Marjorie Parker- 1020
Carolina Blvd.,Topsail Beach
RE: INCOMPLETE APPLICATION—Charles and Marjorie Parker-ADDITIONAL INFORMATION REQUIRED
APPLICATION NUMBER—N/A
PROJECT ADDRESS— 1020 Carolina Blvd.,Topsail Beach, NC
Mr. and Mrs. Parker,
The Division of Coastal Management's Wilmington Regional office received a CAMA Minor Permit application from you
on November 18, 2020, requesting approval for development activities at 1020 Carolina Blvd.,Topsail Beach, Pender
Co., NC. In reviewing your application, we have discovered that additional information is needed to complete the review
process.Accordingly, I am requesting that you submit the following additional information to this office:
The site plan drawings/survey submitted with the application package depicts a development plan that exceeds the 30% built upon
allowance for development projects located within the Estuarine Shoreline Area of Environmental Concern (AEC).
According to 15A NCAC 07H.0209(d)(2)-Specific Use Standards for ORW Coastal Shorelines-"All development projects,proposals,
and designs shall limit the construction of impervious surfaces and areas not allowing natural drainage to only so much as
is necessary to service the primary purpose or use for which the lot is to be developed. Impervious surfaces shall not
exceed 30 percent of the AEC area of the lot, unless the applicant can demonstrate, through innovative design, that the

protection provided by the design would be equal to or exceed the protection by the 30 percent limitation." As a result
of your proposal, a stormwater design plan would be required as part of the CAMA minor permit application.
In accordance with the Department of Environment and Natural Resources regulations, we note that the application, as
received in our office on November 18, 2020, is incomplete for processing. Upon resubmission of a complete
application, to include an engineered stormwater design plan capable of meeting the criteria outlined in 15A NCAC 07H
.0209 (d)(2), a local decision will be made in 25 days, provided this period is not extended as provided by law. Please
contact me at 910-796-7221 if you have any questions. I am returning your application package in full due to the
significance of the discrepancies.
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]
*E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
RECEIVED
DEC 1 1 2'T 1

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]
November 17, 2020
Mr. and Mrs. Adelphos J. Burns
6401 Dresden Lane
Raleigh,NC 27612
Re: Charles Todd Parker and wife,Marjorie Holmes Parker
Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Burns:
On behalf of Charles Todd Parker and wife,Marjorie Holmes Parker, 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 1020 Carolina Boulevard,
Topsail Beach,Pender County,North Carolina. Charles Todd Parker and wife,Marjorie Holmes Parker
are planning to construct a two-story dwelling on pilings with decks fully enclosed below for entry,
storage and garage with pervious gravel drive and all proposed improvements,as shown on map.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.
pectfully,
Orni(V< ' MkI
ames L. Riggs
RECEIVED
DEC 11 2020
DCM WILMINGTON, NC
RECEIVED
NOV 1 8 2020

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complete PS Form 3811,Domestic Return
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Form 3800.Ann!sou/RAVA.cAI ocu 7G,I1 nn ,.,..,

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]
November 17,2020
Mr. and Mrs. Stuart S. Sanderson
1022 Carolina Boulevard
Topsail Beach,NC 28445
Re: Charles Todd Parker and wife,Marjorie Holmes Parker
Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Sanderson:
On behalf of Charles Todd Parker and wife,Marjorie Holmes Parker,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 1020 Carolina Boulevard,
Topsail Beach,Pender County,North Carolina. Charles Todd Parker and wife, Marjorie Holmes Parker
are planning to construct a two-story dwelling on pilings with decks fully enclosed below for entry,
storage and garage with pervious gravel drive and all proposed improvements,as shown on map. 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
RECEIVED
DEC 11 2020
DCM WILMINGTON, NC
RECEIVED
NOV 1 8 2020

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delivery. USPS®-postmarked Certified Mail receipt to the
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signature)that is retained by the Postal Service"' -Restricted delivery service,which provides
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or Priority Mail®service. -Adult signature restricted delivery service,which
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with Certified Mail service.However,the purchase (not available at retail).
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certain Priority Mail items. LISPS postmark If you would like a postmark on
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DocuSign Envelope ID:7BA6D74D-680A-4AEB-8F5B-351922EEB871
CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
[e-mail]
AGENT AUTHORIZATION FORM
Date: November 17, 2020
Name of Property Owner Applying for Permit:
Charles Todd Parker and wife,Marjorie Holmes Parker
Mailing Address:
19 Williams Circle
Lexington,NC 27292
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 proposed dwelling,as shown
on attached map and located at 1020 Carolina Boulevard,Topsail Beach, Pender County,North Carolina, and I
grant permission to the Division of Coastal Management to access the property to mark/flag:
X The First Line of Stable Natural Vegetation
X The Coastal Wetlands
X The Normal High Water Line
This authorization is valid thru November 17, 2021
RECEIVED
DEC 11 2020
DCM WILMINGTON, NC
at..*4t,S Th,4 PAtx November 17, 2020
Property Owner Signature Date
RECEIVED
NOV 1 8 2020

•
STORMWATER CONTROL CALCULATIONS
FOR 1.5"OF RAINFALL IN 24 HOURS.
LOCATION OF DOWNSPOUTS AND
ROOF AREA DRAIN BEDS MAY VARY
TOTAL=APPROX. 1880 SQ.FT.
VOLUME 1.5"RAIN IN 24 HOURS ON ROOF ° a
1880/8=235 CU.FT. 6"PERF.PIPE
BED VOLUME T�♦ /�
235 CU.FT./40%VOID SPACE IN STONE_ �� �� 1 —
589 CU.FT. -
BED SIZE
2 BED @ 3'D x 3'W x 33'L=594CU.FT. /If
594CU.FT.PROVIDED 589 CU.FT.
REQUIRED 3_p Area 3—a
18:�
h h
ch :�
t
DRAIN BED
•
I
4"PLASTIC PIPE DOWN SPOUT
SELECT FILL
6DRAINBED SECTION P"ERRFFDIA RATE LINE BED WITH FILTER
PORATED PIPE % FABRIC ALL SIDES
NOT TO SCALE •
c.) 0 .r
fi
__ A=3'
B=1'-6"
ASTM#4 STONE OR B C=3'-6"
#57 STONE A • D=6"
L= 33'
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REECE ENGINEERING STORMWATER PLAN
422 NORTH SHORE DR ; JEFF JAMES
SURF CITY, NC 28445 1020 CAROLINA BLVD Project number 20-202
TOPSAIL BEACH,NC. Date 12-1-20 C 1 00
910.200.7616 Drawn by GWR

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:
CHARLES TODD PARKER&WIFE,MARJORIE HOLMES PARKER
A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number
Box No.
1020 CAROLINA BOULEVARD
City State ZIP Code
TOPSAIL BEACH North Carolina 28445
A3. Property Description(Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 10, BLOCK 19, NEW TOPSAIL BEACH
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d21'48"N Long.77d38'03"W Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 1296.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 7
c) Total net area of flood openings in A8.b 1400.00 sq in
d) Engineered flood openings? x❑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? [j Yes ❑x No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2.County Name B3. State
TOWN OF TOPSAIL BEACH 370187 PENDER North Carolina
B4. Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
3720421200 J 12-06-2019 02-16-2007 AE 10'
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: i1 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 RECEIVED RECEIVED
Nov 1 s 2020 �'�
ccvAA r rr,,naa_rLza/10/10\ RPnlarc all nravintas[xiitinnS Form _ 1iot1620?0

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:
1020 CAROLINA BOULEVARD
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 AIA30,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 Z 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) 5.1 x❑ feet ❑ meters
b) Top of the next higher floor 14.5 0 feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters
d) Attached garage(top of slab) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building feet
(Describe type of equipment and location in Comments) 13.1 ❑ ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) 4.8 x❑ feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 4.8 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet ❑ meters
structural support N/A
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? ❑x Yes ❑No ❑Check here if attachments.
Certifiers Name License Number ``o l i t i l l r r,
JAMES A. LEWIS L-4562 ��\\\\, CAROi,,.i/
Title :ON:fi_ ''LESS/c'•�/Z';
PROJECT MANAGER �;�O �(, y
Company Name = ' Q SEAL 9'' =
CHARLES F. RIGGS&ASSOCIATES, INC. = LtJ� —
Address .4 O�
502 NEW BRIDGE STREET SU +:
City State ZIP Code 'r,� , S A �\
JACKSONVILLE North Carolina 28540 ./i t i i i i I,����/��
Signature i Date Telephone Ext. /
a/!ll c /f//(/rZy� [phone] 41
Co alles of this Elevation Certi cate and all attachments for 1 communityofficial,(2)insurance agent/company, and(3)building owner.
Copy pO
Comments(including type of equipment and location,per C2(e),if applicable)
PROPOSED DWELLING IS TWO STORY ON PILINGS, ENCLOSED BELOW. THE TOWN OF TOPSAIL BEACH ADDS A 3.0'
FREEBOARD TO THE BASE FLOOD ELEVATION. THEREFORE THE ELEVATION OF THE FIRST FINISH FLOOR AND THE
LOWEST ELEVATION OF MACHINERY OR EQUIPMENT SERVICING THE BUILDING MUST HAVE AN ELEVATION OF ATLEAST
10.0'+3.0'= 13.0'(PROPOSED FINISH FLOOR=14.5';MACHINErjj`gUJr•I EINE=13.1')RECEIVED
flFl 1 1 20?0 NOV 18 ?'; , (CFRA#20-02-08)
G'C\•A C.......nOC n 40 MOH CI\ Ronlaroc m11 nrovinue arlifinnc Form Page 2 of 6

NC Division of Coastal Management 11736 A B
T� / I �D
Cashier's Official Receipt
Date: '"20
Received From: $
Permit No.: Q , Check No.:
Applicant's Name: �`- County:
(.) 6/)
Project Address: � �'--
Please retain receipt for your records as
proof of payment for permit issued.
Signature of Agent or Applicant: /l ' Date: ' tr, L
,67
Signature of Field Representative: Date:

Date Date Check From Name of Vendor Check Check Permit Rct
Received Deposited Permit Holder Number amount Number/Comments
12/10/2020 Charles F. Riggs Charles Parker FCB 16679 $100.00 minor fee, 1020 Carolina Blvd, JD rct
and Associates Inc. Topsail Beach PnCo 1173E