TB_21-05_ Hupp (2)

Issued by WiRO RECEIVED TB21-05
Topsail Beach Permit Number
MAY 242021
CAMA
MINOR DEVELOPMENM WILMINGTON, NC ,.
PERMIT y ;
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 JD Hupp authorizing development in the Ocean Hazard Area of Environmental Concern (AEC) at 413 S.
Anderson Boulevard, Topsail Beach, Pender County as requested in the permittee's application package, dated
March 30, 2021, and received by DCM on April 14, 2021. This permit, issued on May 3, 2021, is subject to compliance
with the application and site drawing (where consistent with the permit) dated received on April 14, 2021, all applicable
regulations and special conditions and notes set forth below. Any violation of these terms may subject permittee to a
fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Construction of a dwelling with amenities (inc. uncovered decks and beach access walkway).
(1) All proposed development and associated construction must be done in accordance with the permitted work plat drawing
dated received by DCM on April 9, 2021 and April 14, 2021.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work.
(5) With exception of a beach access walkway, all other structures shall be set back a minimum of 60 feet from the first line of
stable natural vegetation (FLSNV) and static vegetation line (SVL), as determined by the DCM, the Local Permit Officer
(LPO), or another assigned agent of the DCM.
(Additional Permit Conditions on Page 2)
727.-1..e
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 A LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this 127 Cardinal Drive Extension
permit expires on:
Wilmington, 28405-3845
December 31,2024
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
another party without the written approval of the Division of Coastal

- •
RECEIVED
Name: JD Hupp
Minor Permit#TB21-05 MAY 2 4 ?'
Date: May 3, 2021
Page 2 DCM WILMINGTON
(6) The permittee is required to contact the LPO at [phone], shortly before he plans to begin construction to
arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline change.
Construction must begin within sixty(60)days of the determination or the measurement is void and must be redone.
(7) Any/all structures constructed within the Ocean Hazard area shall comply with the NC Building Code, including the
Coastal and Flood Plain Construction Standards of the N. C. Building Code, and the Local Flood Damage
Prevention Ordinance as required by the National Flood Insurance Program. If any provisions of the building code
or a flood damage prevention ordinance are inconsistent with any of the following Area of Environmental Concern
(AEC)standards,the more restrictive provision shall control.
(8) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and
mulched) within 14 days of construction completion. Any excess sand held in storage shall be re-distributed
throughout the site; However, no material shall be deposited any further seaward than the landward toe of
the frontal dune.
(9) This permit does not authorize the removal and/or transportation of sand from the subject property.
(10)The total floor area of the permitted dwelling shall not exceed 4,126 square feet, per the authorized application
package.
(11)All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a
side if square; and the first-floor level of the sills and joists must meet the 100-year flood level elevation.
(12)All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(13)Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary
protective measures allowed under Coastal Resources Commission(CRC) Rules.
(14)Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
�/

Locality e. Icu..Q. Q Permit Number f V Z-I'Q5
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name J l7 4,,P p
Address 4 13 W L j r w oc cl v e
city�,�1��, "rpy� Ne� �r-rt"5State 1 L. . Zip( 0004 Phone 2y —Co
Email e hLA.pq cavy •c.o rv.
AUTHORIZED AGENT
Name 1 ,. „) C-[ree,- e
Address t 7D3 Cta.ralwNa, Blvd
City i cq. & t [Jj`vq_c, State C. Zip 22.04'/5-Phone 7 L b
Email ra hd.�a�g J�t i(de,6 C OVY,
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront,what is the name of the
adjacent waterbody.) t- S.Air- 5 by)
egl Vd — J
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) (,DASirtAck Irt• me.
SIZE OF LOT/PARCEL: 3 W 3 Co 3 square feet • 7 e q acres
PROPOSED USE: Residential 0- (Single-family Er Multi-family ) Commercial/Industrial Other ❑
COMPLETE EITHER(1) OR(2) BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
Lf112_lQ
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 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.)
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?
YES NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: NA:I square feet.

APPLICATION FOR
itdelts4`41)
CAMA MINOR z
DEVELOPMENT
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
!-C
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
H to
� n
ci) r y_
d
O y
I
I�I
10 2

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
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
Certification, Sand Dune, Sediment Control, Subdivision Approval,Mobile Home Park Approval,Highway Connection, and
others. Check with your Local Permit Officer for more 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
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as: (check one)
){ pan owner or record title,Title is vested in TDpSai Cr wH
e,,,a,R, T , see Deed Book `f 7 3 3
page 2007 in the Pe,de,,r County Registry of Deeds.
Q,t p► an owner by virtue of inheritance.Applicant is an heir to the estate of ;
probate was in County.
It IN if other interest, such as written contract or lease,explain below or use a separate sheet& attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
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.
(Name) (Address)
(1)11b5 t v -t o TrN 'e , �E 1Tg M btr;swort6 Layie Leeslowri VGA- Z01'7
(2)4/11 Wake,r t>o ve5-hrreA,t POl3ox 141 n+bn NC. 2.8329
(3)
(4)
ACKNOWLEDGEMENTS:
I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
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-
tion and floodproofing techniques.
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 this permit application.
This the at -, day of tillvrcL, , 20 '�►
Landowner or erson authorized to act as his/her agent for purpose of filing a CAMA pP
permit application
This application includes:general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and 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 "
ite o cc Posted Final Inspection _ Fee Received
Site Inspections p
9,.

STA] q
ROY COOPER •
Governor
DIONNE DELLI-GATTI
Secretary
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
May 3, 2021
J.D. Hupp
1413 West Lynwood Avenue
Arlington Heights, IL 60004
Dear Mr. Hupp,
Attached is CAMA Minor Development Permit TB 21-05 for work to be done at 413 South Anderson
Boulevard 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 gold copy for
your files, and return the white copy to us within 20 days of receipt in the enclosed, self-addressed
envelope
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
)) /
/466
Anita M. Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
TB Inspection Dept.
Randy Greene-Agent
�� r North Carolina Department of Environmental Ouality I nivicw.,nf nactni ,..,,..,..*

r - i
Certified Mail
(Staple Here)
3— 30 —2/
Date
brret 'trapr 1 ,rb -I'ee
Adjacent Property Owner
4+sQ, Klan,iSwof L,dy,e
Mailing Address
_►oe41,4), r v. . 201 75
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I. D to P P have applied for a CAMA Minor
Property Owner
Permit on my property at L• 13 S •A na er n n Topsail Beach,
Property Address
Pender County, As required by CAMA regulations, I have enclosed a copy of my permit application and
project drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at 22 -(032-0 2 2 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the CAMA Minor Permit Program, you may submit them to:
Jason Dail, DCM Field Representative
LPO,Town of Topsail Beach
NC DEQ/DCM
127 Cardinal Drive Ext.
Wilmington,NC 28405
-) Dt,NPP
Property Owner
04 f 3 Lynwcaod'Aye.
Mailing Address
!-4r[t .y-(-oar. Nets(nds I L- b aco 9. RECEIVED
City, State,Zip Code APR 1 4 2021
DCM
RECEIVED
APR 0 8 2021
DCM WILMINGTON, NC

I. . •os a ervice
CERTIFIED MAIL® RECEIPT
3 Domestic Mail Only
For delivery information,visit our website at www.usps.com".
1 ,
F Certified Mail Fee
360 ...........
3 4 __ ,01.BEAc,
3
E.ir Services&Fees(check box,add fas,apggre) oR ry Return Receipt(hardcopy) $ '
A\
3 Return Receipt(electronic) $ stmark
3 0 Certified Mail Restricted Delivery $ Here
0 Adult Signature Required $
0 Adult Signature Restricted Delivery$
3 Postage APR 0 5 202
0
0 $
3 Total Postage and Fees
' .Senj To i e
9 ya.1.9,(12 a ri2 ttedftrA4-1- 4/4_e_SAGHINI .
3 - trerynd kt.No.,eTfifbôxNo.
.
io evi_bil
tify,&4t4,1015+-4
kr-Ligt-424.i..q_c_ 2-- 6 1 9 , _

✓cr au UCLA n.au ace rwc FJI JVIYcl uIc wnvVrn ry vcncnw.
r A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
I A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
I Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
I A record of delivery(Including the recipient's retail associate.
signature)that is retained by the Postal Service' -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
'mportant Reminders: -Adult signature service,which requires the
I 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
r Certified Mail service is notavailable for requires the signee to be at least 21 years of agl
international mail, and provides delivery to the addressee specified
I 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
I 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.
'S Form 3800,April 2015(Reverse)PSN 7530-02-000-9047

Certified Mail
(Staple Here)
3-30 -2. 1
Date
Write - OD g vP6•{ E1i•4
Adjacent Property Owner
fling Address
C�l�n o�. tilt P83�q
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, T.D H 1A.pp have applied for a CAMA Minor
Property owner
Permit on my property at ' I j, ft-n et e„r5 8 to in Topsail Beach,
Property Address
Pender County. As required by CAMA regulations,I have enclosed a copy of my permit application and
project drawing(s)as notification of my proposed project.No action is required from you or you may sign and return
the enclosed no objection form.If you have any questions or comments about my proposed project,please
contact me at 2-4`67 35.-- 422.0 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the CAMA Minor Permit Program,you may submit them to:
Jason Dail,DCM Field Representative
LPO,Town of Topsail Beach
NC DEQ/DCM
127 Cardinal Drive Ext.
Wilmington,NC 28405
.i h HUPP
Property Owner
13 Lytnvv 0od .Ave RECEIVED
Mailing Address
pgkes 12-• tiv DDO 4 APR 1 4 2021
City, State,Zip Code
DCM WIL MINCTCNI, t`°C
RECEIVED
APR 08 ? ?1
DCM WILIo!;\: ; ;

. . •os a ervice
CERTIFIED MAIL° RECEIPT
I Domestic Mail Only
For delivery information,visit our website at www.usps.comOD.
L
64 °es�uCy',co
Certified Mail Fee
Extra Services&Fees(check box,add f te) C.
❑Return Receipt(hardcopy) $
3 ❑Return Receipt(electronic) $ Postmark
3 ❑Certified Mail Restricted Delivery $ I APR U i�ere^O^�
❑Adult Signature Required $ JJ L LL
❑Adult Signature Restricted Delivery$
3 Postage
Total Postage and Fees 1
$ 7,f/r/ /44.1ACHNG2
To
Omar► o ' c Jr_li / -e-
` i ,Sta kP 4 1rfli�u. 1CI A L is
L ees hut- VO4 2-0!7S---

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 assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
USPS®-postmarked Certified Mail receipt to the
delivery.
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.
mportant Reminders: -Adult signature service,which requires the
I 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,whlcl
I Certified Mail service Is not available for requires the signee to be at least 21 years of of
International mall. and provides delivery to the addressee speclflei
I Insurance coverage Is not available for purchase by name,or to the addressee's authorized agen
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
certain Priority Mail items. LISPS 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 mailplece,you may request Certified Mall item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on thi:
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portioi
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.
'S Form 3800.Anil 2015 IRentemal PAN 7c111.02.IXNL4r147

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:
TOMMY RICHARD STROUPE.JR.AND WIFE, CHRISTINA D. STROUPE
A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
413 SOUTH ANDERSON BOULEVARD
City State ZIP Code
TOPSAIL BEACH North Carolina 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 7, BLOCK L,TOPSAIL INLET TERRACE
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d22'11"N Long.77d37'25'W Horizontal Datum: ❑ NAD 1927 El 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) 299.00 sq ft
b) Number of permanent flood openings in the crawlspace or endosure(s)within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0.00 sq in
d) Engineered flood openings? ❑Yes No
A9. For a building with an attached garage:
a) Square footage of attached garage 0.00 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0.00 sq in
d) Engineered flood openings? [_]Yes [x] No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1 NFIP Community Name&Community Number B2.County Name B3 State
TOWN OF TOPSAIL BEACH 370187 PENDER North Carolina
B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
3720421200 J 02-16-2007 02-16-2007 VE 15'
1 _
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:
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
�rrt s/z /eoo
e
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Pa 1 of 6

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:
413 SOUTH ANDERSON 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 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 AT 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 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) 9.1 ❑x feet ❑ meters
b) Top of the next higher floor _ 20.1 ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 18.1 x❑ feet ❑ meters
d) Attached garage(top of slab) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 18.1 0 feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 8.3 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 8.7 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A feet ❑ meters
structural support
SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information on this Certificate represents my best efforts to interpret the data available. l 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? El Yes ❑No ❑Check here if attachments.
Certifier's Name
Number
JAMESA. LEWIS L 562 \\NON CAR0 '/.,�
Title
Q`
PROJECT MANAGER Z :�OF ..
Company Name = ' Q' SEAL
CHARLES F. RIGGS&ASSOCIATES, INC. r L-4562
•
Address 9'1%
502 NEW BRIDGE STREET % SUS\
City State ZIP Code fr;i A. \N.
JACKSONVILLE North Carolina 28540 ' i6/1Z, ta
Signature Date Telephone Ext. J
I Z$ z.z,[phone] 41
Copy all p es of this Elevation Certificate and all attachments for(1 com unity official, (2)insurance agent/company, and(3)building owner.
Comments(including type of equipment and location, per C2(e), if applicable)
PROPOSED DWELLING IS TWO STORY ON PILINGS, PARTIALLY ENCLOSED BELOW. THE TOWN OF TOPSAIL BEACH ADDS A
3 0' FREEBOARD TO THE BASE FLOOD ELEVATION. THEREFORE THE ELEVATION OF THE BOTTOM OF THE LOWEST
HORIZONTAL STRUCTURAL MEMBER MUST HAVE AN ELEVATION OF ATLEAST 15.0' +3.0'= 18.0'(PROPOSED BOTTOM OF
BAND= 18.1')
(CFRA#20-05-14-413)
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6

�� Hea , d� $ENDER COUNTY HEALTH DEPARTMENT
Z; �,hli
ENVIRONMENTAL HEALTH DIVISION
C'r [In`3 803 Walker Street,P.O.Box 1209
`� Burgaw,NC 28425
Phone [phone] FAX [phone]
Ain't . .tttvu.n www.pendercountvnc.gov
Worth Carolina Public Health
Everywfien.Everyday.Everybody.
.WASTEWATER SYSTEM CONSTRUCTION AUTHORIZATION
Parcel PIN: 4212-58-3404-0000 Permit#: EHCA-01121-2021
Application Date:02/12/21 Associated IP#: EHIP-01023-2021
Applicant: Randy Greene Owner:James Hupp
Address: 1703 Carolina Blvd. Address: 1413 Lynwood Ave.
Topsail Beach,NC 28445 Arlington Heights,IL.60004
Phone: [phone] Phone:[phone]
Property Address: 413 S Anderson Blvd. Lot Size(Acres):
Property Description: Topsail Inlet Terrace Lot 7 Facility Type:Single Family Dwelling
Permit Type: Residential New Water Supply: Public
INITIAL,SYSTEM REPAIR SYSTEM
Design Flow: 600 GPD System Type:Conventional Bed System Type:Conventional Bed
No.of Bedrooms:5 System Class:IIa System Class: IIa
Septic Tank:1250 GAL Nitrification:15'x 50'Bed Nitrification:Is'x 50'Bed
Pump Tank: N/A Max Trench Depth:24" Max Trench Depth:•24,,
Horiz Trench Separation: Bed Horiz Trench Separation: Bed
Conditions/Comments:
I-NOT DESIGNED FOR GARBAGE DISPOSAL
RECEIVED RECEIVED
APR 1 4 2021 APR 0 8 71 1
pc!..1 ''!i! t.lipJC i ON, L. DCM WILMINC.TO i,
REFER TO THE ATTACHED SITE PLAN SHOWING THE SYSTEM AND FACILITY LOCATIONS AND OTHER SYSTEM SPECIFICATIONS.
THIS AUTHORIZATION SHALL BECOME INVALID AND MAY BE REVOKED IF THE INFORMATION SUBMITTED ON THE APPLICATION
OR SITE PLAN IS INCORRECT,FALISIFIED,OR CHANGES OR IF THE SITE IS ALTERED OR IF THE SYSTEM INSTALLATION IS NOT
COMPLETED BEFORE THE EXPIRATION DATE. THE SYSTEM SHALL BE INSTALLED IN ACCORDANCE WITH:
-NORTH CAROLINA DMINISTR TINE CODE TI ISA 19Ot
-APPLICABLE SYSTEM APPR9VALS,
- 'N /
� TB DEP VT POLICIES.
ISSUED:Mar.08,2021 J, J/?.t .6-- EXPIRES:Mar.08.2026
Registered Environmental Health Specialist

Gooty Hea/th%�
PENDER COUNTY HEALTH DEPARTMENT
`, ENVIRONMENTAL HEALTH DIVISION
om'' u-` . 803 Walker Street,P.O.Box 1209
Burgaw,NC 28425
Phone [phone] FAX [phone]
•••
i / .www.pendercountvnc.gov
North crab,.Public Health
Ewyorwra.Everyday.Everybody.
IMPROVEMENT PERMIT
Parcel PIN:4212-58-3404-0000 Permit#: EHIP-01023-2021
Application Date: 02/12/21
Applicant: Randy Greene Owner: James Hupp
Address: 1703 Carolina Blvd. Address: 1413 Lynwood Ave.
Topsail Beach,NC 28445 Arlington Heights.IL.60004
Phone: [phone] Phone: [phone]
Property Desc.: Topsail Inlet Terrace Lot 7 Lot Size(Acres):
Property Address: 413 S Anderson Blvd. Facility Type: Single Family Dwelling
Permit Type: Residential New Water Supply: public
INTIAL SYSTEM REPAIR SYSTEM
Design Flow: 600 GPD System Type: Conventional Bed System Type:Conventional Bed
No.of Bedrooms: 5 System Class:IIa System Class:Ila
Site Classification:s Useable Soil Depth: Useable Soil Depth:
LIAR:1.2 LTAR: 1.2
Conditions:
RF_CE!\.QED
APR 1 4 202.1
APR 0 8 2021
LiCki V/,(
Refer to the attached site plan for specific information regarding location of the designated area. Soil and site descriptions are
located on file at Pender County Environmental Health. There may be other types of systems which are applicable to this site.
The permit and evaluation are valid only for the site as designated on the attached site plan. A Construction Authorization must
be issued prior to the issuance of the Building Permit and before any construction or system installation can commence.
This permit is subject to revocation if the site plan,plat,or intended use changes or if the site is altered.Do not drive on or
otherwise disturb the designated soil area or this permit may be revoked.
i!ISSUED:Mar.08,2021 � .�/•
EXPIRES:Mar.08,2026
Registered Environmental Health Specialist

/ '// / // I - -_ _ _- _ 7
Y
, '1
_, t
-0- 5-7
1
t
,
t.�' i1 3� 17-rf
r
m ! N
>.c
0,0 ! ti t 303
Driveway Material and Surface ; o m
selected by Owner within •—,—+o a I. a. ' m ,-..:-
a)
Impervious Area Allowance. — ) o n ' -o_
m m
o m E o `m k
CO a3 <L 0 Z m _-
o
to
If site storm water system is required, ! ate. ii -
ii can be located in on either side of �• i l the driveway/side setback area. - , Z\\ ..IN.3.
1cv i
16'Driveway Connector is to serve i �� . /
as sidewalk area for stairs and j k ah�. p)� w
allow for changing directions when le i )0 V vd
backingyor out of gar ge areas.uses
Surveyor confirm size and radiuses j
to allow for comfortable travel. , \�
s
c
i-
First Ron Pla a
In
J 1�1•�111�. 1...I jI
u■■■I ! .Q
ligimust - _Limn — gi ; vi
ItiEN k•'..:ct 1
1
i.w11:
Ground Floor Slab Elevation is ` i — -I ..
to be 11'Above MSL as a ( j I I I( j L y �{i
starting point for plans. 1 fd�st1' j p ❑ -- U _ 1
i
fi'__PI ( Ai__ tl
4,7 iie " •-:' ' 1 VAMINMINVINI. '''''"°•••11
rt-i
�e �
L
•
I.Oil
, Ia `,41„
`s...�.»I�j n
sting Retaining Wall to Be Removed. :11111(1111I -`` L L - _�
tamed sand is to flow naturally along 1 ((t 0_o„ r 7
grade. WI11IIh1II I j 1 _
0 0
Site House as dose to the rear ! `t_e 1
dable area line as practical,allowing t
pr the stair from first floor to ground ,
or without needing a retaining wall.

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
• Division of Coastal Management
Beverly Eaves Perdue Braxton C.Davis Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: 2.—,— '2.021
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
gip. 43,1t.
Pp Rau,el � CT ceer e
Owner's Mailing Address: qq ,nn Agent's Mailing Address:
t q- 13__W_•__L�„ ziazi Aue 1703 eat'o\‘' - eL_ at>Jd .
AsiLA- Exit 1-t e c kt s t Dee..clt( $Pae tit r 11 C &4 4 c
l.__ (o oda •
Phone Number(2-211— 011* Phone Number(Q IDS (01 I 7/.0 4
i certify that I have authorized the agent listed above to act on my behalf,for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following(activity):
a�nsd-r/4,-+ lv,osle rnt t-f°tine
RECEIVED
For my property located at
APR 1 4 2021
DCf 1; t'JILM;NG n::' „
This certification is valid thru(date)
•
rope Own: Signature Date RECEIVED
APR 0 8 2021
DCM WILMINGTON, N!C
:27 Cau to t� rxt Wilmington,NC 29405
-ix ne:910-79-72151 FAX:S I D-395-39M Internet www.ncooastatrnanagenentret 1 orthCarolma

_ TOWN OF TOPSAIL BEACH
ZONING PERMIT
I TOWN OF
TOPSAIL
4\-
820 S ANDERSON BLVD TOPSAIL BEACH,NC 28445
'NogEpCHN Phone:[phone] FAX:[phone]
1
DATE ISSUED: 02/05/2021 PERMIT#:2021-113330
DISTRICT TAX MAP PARCEL#
LOCATION: 413 S ANDERSON BLVD 4212-58-3404-0000
413 S ANDERSON BLVD LOT ZONING DISTRICT
OWNER: JOHN&KRIN HUPP
TOTAL VALUATION
CONTRACTOR: 6726 $ 0
G&G BUILDERS
PO BOX 3311 TOTAL SQ FT
TOPSAIL BEACH,NC 28445 0.00
PHONE: [phone] HEATED/UNHEATED
0.00 0.00
TYPE CONSTRUCTION: ZONING PERMIT FOR SEPTIC OCCUPANCY GROUP: OTHER
FEE CODE FEE
OTHER TYPE PERMITS/OTHERS-ZONING PERMIT 30.00
TOTAL PAID: 30.00 **PAID IN FULL** TOTAL AMOUNT: 30.00
REMARKS: ZONING REVIEW FOR SEPTIC
I hereby certify that all information above is true and correct. That all work under this permit shall comply to all Town
ordinances, State and Federal laws pertaining thereto, whether specified or not, and in accordance with any plans
submitted or required to be submitted regulating building codes and building construction in the Town of Topsail Beach,
NC. I further agree to remove all construction debris from the site when completed. And that I am the owner or
authorized by the owner to do the work described in this permit.
Permit shall be void if construction authorized by permit shall not have been commenced within six (6) months after the
date of issuance thereof, or if after commencement of construction, the work shall be discontinued for a period of
twelve (12) months, work shall not be resumed until permit has been renewed
All final inspections are mandatory before occupancy. All work shall be performed by a licensed contractor in this
state. It is unlawful and illegal to occupy any building before final inspection and a certification of occupany has been
issued. All fees are non-refundable after 60 days.
(SIGNATURE F CONTRACTOR/OWNER) (D TE)
frtAl:tet r -/ec
(ISSUED BY) DATE)

1
1
OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner:
I Property Address:
Date Lot Was Platted:
This notice is intended to make you,the applicant,aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area,which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this area expire on
i and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the -
require that you receive an AEC Hazard Notice and permit was Issued. Shortly before work begins on the project
I acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the
development can be issued. vegetation line and setback distance at your site.If the property
has seen little change since the time of permit issuance,and the
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations are designed to minimize,but not the LPO will inform you that you may begin work.Substantial
eliminate, property loss from hazards. By granting permits,the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be re-measured.Also, _
the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement
Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPO
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration.The structure(s)must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing,
imminently threatened, and in any case upon its collapse or permit renewal can be authorized. It is unlawful to continue
subsidence. work after permit expiration.
The best avails))le information,as accepted by the Coastal For more Information,contact:
Resources Commission, indicates that the annual long-term
average oLe to erosion rate for the area where your property is \/off R-I L-
located is!�� feet per year.
Local Permit Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
NC DENR
• n', also indicate that the shoreline could move as much as
'to ' feet landward in a major storm. Div. of Coastal Management
127 Cardinal Drive Ext.
1 The flood waters in a major storm are predicted to be about Wilmington, NC 28405-3845
feet deep in this area.
Preferred oceanfront protection measures are beach nourishment 9i _�� /
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls,revetments,groins,jetties Phon Number
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and RECEIVED
requirements by signing this notice in the space below.Without RECEIVED
the proper signature,the application will not be complete.
APR 1 4 2021 APR 0 8 2021
7/1//7.../ �py�
Pro y0 lerSign. we Date DC J WILMING i-ON,4�C WILM IN GTON, NC
Revised May 2010

Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name J h ►a.i o
Address [ 4 (3 i\,,v cod A Il e
City,A.,A 1,,91-pv4 k- i€ '- SState TL-. Zip(Q0004 Phone ".2N -(032"' 022a
Email j ex,n.e h k 'Cd W •C.O rv. /
AUTHORIZED AGENT
Name Res, fee -e
Address t 70 S Cra.rbl'i14 a Blvd
City i eq & t 6eq.Gh State C Zip 2.014 5-Phone (I/ (0 t4 7 Z b
Email C v►d-'vgej. 'u ilde,6r\c . Cdvr
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not Oceanfront,what is the name of the
adjacent waterbody.) t-j ,nd/r"pyt egi VC
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) ebiAs me 4 F. Ir omit
SIZE OF LOT/PARCEL: 3`13 Co 3 square feet • 7 e ci acres
PROPOSED USE: Residential (Single-family E..Multi-family El ) Commercial/Industrial 121 Other ❑
COMPLETE EITHER(1) OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property): l /
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 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.)
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?
YES NO
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: N,R square feet.

lvl: ulvlslon oT coastal management 1 3 4 0 4 A B Cam'
Cashier's Official Receipt ,r L� /�
Date: ` 20L
( (\A
Received From: k $
Permit No.: Check No. ..41/2_p____
.:
Applicant's Name: � � , County:T'P(j'
Project Address:
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applican . Date:
(z4
Signature of Field Representative: Date:
r
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.
(Name) (Address)
(1)21IS `t;-c t o Tru ? , I+t 50 M orriswor-h.L4ve Leelowrr9 VA- tot
(2)4f1 Water 1,05 a.nves- itA, ' r LSD sox 619 O'tin-l-bn MC 1632.9
(3)
(4)
ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
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-
tion and floodproofing techniques.
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 this permit application.
This the 80-¢1-1 day of W4(G1n ,20 'l t
4
Landowner or erson authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name J
Address 1 4 13 w I-y V\W OOCI v e
City k,-k�v �ov - et1trrt'SState 1 L- . Zip(aODUl j Phone 5.2L —!o32- 02.2a
Email j p"r.r-e to k C a W C O tv- %
AUTHORIZED AGENT
Name t" ev,,c1, C reP_►-�P
Address t7DS Carr a1tiv4ca. Blvd
Cityi t k t geach State tAC Zip 24944 5—Phone ti/D`fo tel "' `L b 14
Email (-av►cliC go,10u.i(de), C. . Cdvr,
LOCATION OF PROJECT: (Address, street name and/or directions to site.If not Oceanfront,what is the name of the
adjacent waterbody.) 4-t" S.A(stle r5&In egtVel
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) CplA$ ^&ttn 14 orn"
SIZE OF LOT/PARCEL: '3`l 3!o 3 square feet • 7eci acres
PROPOSED USE: Residential ®" (Single-family E..Multi-family ) Commercial/Industrial Other ❑
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:'square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 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.)
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?
YES NO
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: 'V JR square feet.

NV ulvlslon or uoastai Management 13404 A B C�
Cashier's Official Receipt
Date: 20*
Received From: v t`�A $ Lek
-17p 4 (
Permit No.:
Check No.:
Applicant's Name: ) b� Y%} County: ' p
fAi , ,
4k )Project Address:
f
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applican . Date:
Signature of Field Representative: Date:
r
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.
(Name) (Address)
(1)4-115 �vman�j r'ope‘-ii-N ee l �-f- 15 tilaftriswor}lr La.ie Lee vi Vs`A- zo►'7S-
(2)gIl / 4€ ( Do/ T.vwe5-ieAnt r PD13ox 61 ctin+brt !QC /832,9
(3)
(4)
ACKNOWLEDGEMENTS:
I,the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
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-
tion and floodproofing techniques.
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 this permit application.
This the 20 t'.-, day of rv1juc€Lt ,20 1..1
Landowner or erson authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

Date Date Check From Name of Vendor Check Check Permit Rc
Received Deposited Permit Holder Number amount Number/Comments
4/15/2021 Randall Greene JD Hupp First 1683 $100.00 minor fee, 413 S. Anderson Blvd, JD rc
Citizens Topsail Beach PnCo 134C
Bank

LL POINTS NON
JAG WITHOUT EAVES -2998 SN.Ft. OW C.S S • I 0 �NOTED�I
RFTE DRIVE -3433 SaFt
.IMPERVIOUS SURFACE -34363 Wit.
IVIOUS AREA -18.7S 0/0
-11114N111 .N
Igo wS w t eaue6 O.O.3
STATIC FLSNV ��
NORTHING: 22&571.09'
I S
4 EASING: 2415542.24'
',
RECEIVED
I
<I V APR 0 S 2021
I j i�tI it
JD/OCM 2D
I
II FLOOD ZONE-VE- S. F
R. 11u (ELEVATKIN:15+31 gl b;; RCM ZONE: DCP� WiLMlhv -TON, NC
d 1 j I ROOD ZONE:-vlr (ELEVAl10N:18'+31 I .
(ELEVATION:18'+3')
FLOOD ZONE:NE- 1Py1 A y
(ELEVATION: 14'+S') �I 111 1 g G w' 1 all AI
j' <I :0 ii NII . ;�
�'\ I R. ) 1.1o1 .9 i WOOD PIC 4' .Z m lli
WOOD PICKET I _ I PI
OFFFEN�PROPER UES TY 60'
UNE I II (CAMA SETBACK) IL
II I 1 11 I I
I .
I.
53810.00'E .4.89.91'
63.00 r?{ 2108_ I 13.68' ❑ECM I 1 FLSNY • 289.5Y
i.9'X �4--3.52' I I 10/16/2020
63' 8' I / 1/�JAO/DCM I I C)
11'31( I O ATLANTIC
7.6'
9.1' s' \ X19.z X1 I. I r OCEAN
ze'
Sm 7.7' 1 1 4 11 I I LOT 7 3
PROPOSED �I' 1 I 34363 Sq.Ft. N
3 I
4 2 &a' WALK 111111II
DWELLING R g8 oX EX§, ' �+ 4' I I 0.789 ACRES
¢� o$ek )(1&1 i7.Y 7 1 (V
X '7.D'
8.4 's ' '��,.6• I tI I 1413 I o
�I yR
10' 25' m III 1 X 1&9' I C I
11.8
FLSHV I
54 9' 1C,7.z'XzD.z' X1�a` I120 •
44i , 93.18' )( 4' 13.0•X2.72'^11 10.120 I yl' mat I
290.87
Dp • N38'10.00-W 491.89'
3 WOOD PICKET
I .
I II I II
II I
II I ik
<
I I1 =
1 I ZONED R-1
7 IN-SOMC SS
STATIC SETBACK) FRONT-7.5'• LEOEaD
( 1 6/2020 REAR -SIDE -60 CC CONTROL CORNER
II y1D�y EN USING CONCRETE NONIIENT(FOUNOXCONTRCI CORNER)
EIP COSTING IRON PIPE(FOUND)
DR COSTING IRON ROD(FOUND)
JAMES D.HUPP AND WIFE. EMN EXISTING MAGNETIC NAIL(FOUNDXCONTROL CORNEA)
I
KRIN E HUPP EPK 08STNG PARKER-KMON NAL(FOUNDXCONTROL CORNER)
STATIC FlSNV
ERRS-DOSING RNLROAD SPIKE(FOUND)
I NORTHING:22B16&}7 n11 NMPMFIL MIOIMUM BURRING UNE
EATING:2415174.96' NMP NON MONUNENIED POINT
__URGE R/W RIGHT OF WAY
D.B.`4733.P.2007 SCM SET CONCRETE MONUMENT(CONTROL CORNER)
SIP SET IRON PIPE
SIR SET IRON ROD
MAP 8 SIAN SET MAGNETIC NAIL(CONTROL CORNER)
4212-58-3404-0000 SPK SET PARKER-KALON NAIL(CONTROL CORNER)
Q -CENTERLINE
Iffil-WATER METER
BEIGES `d-POWER POLE
D.B.4888.P.241 M -POWER UNE
D.B.4889,P.1014 ®-EASING R 900 ELEVATIOND.B.4733,P.2007 X1
N.B.5,P.11
GRAPHIC SCALE
20 ee