TB_21-24_ Poole (2)

Issued by WiRO TB21-24
Topsail Beach Permit Number
CAMA
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 Thomas and Angie Poole authorizing development in the Estuarine Shoreline (AEC) at 2104 Shoreline
Drive, Topsail Beach Pender County as requested in the permittee's application, dated December 21, 2021, and
received by DCM on December 22, 2021. This permit, issued on January 11, 2022, is subject to compliance with the
application and drawing dated and received by DCM on December 22, 2021 (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:Addition to an existing 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 22, 2021 and Stormwater Plan dated January 10, 2022.
(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.
RECEIVED
(Additional Permit Conditions on Page 2) JAN 2 0 2022
DCM WILMINGTON, NC
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 MA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
Wilmington, NC 28405-3
December 31,2025
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 PERMITTEE
�Aononomnnf

+ 1 M
Name: Thomas and Angie Poole
Minor Permit#TB21-24
Date: January 11, 2022
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) 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 wetlands or open water areas, even temporarily.
(8) Based on information provided with the application, the applicant shall effectively demonstrate, through innovative
construction and design that 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 completed in accordance with the approved "Stormwater Plan", signed and sealed by Gilbert
Reece, with Reece Engineering, dated 1/10/2022.
(9) Upon completion of construction and prior to the issuance of a Certificate of Occupancy(CO), a letter of certification
must be received from the designer of the innovative system installed, certifying that the permitted system has been
installed in accordance with this permit, the approved plans and his design specifications. Any deviations from the
approved plans and specifications must be noted on the Certification and a permit modification may be required
prior to receiving a CO.
(10)All structures shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards
of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood
Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent
with any of the following AEC standards, the more restrictive provision shall control.
(11)Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATURE:' DATE: /—I61 20,20?
PERMITTEE

`--- OTHER PERMITS MAY BE REQUIRED:The activity
I ^^c _ - /) TES
21. ^2/f Q inn nee planning may Septic
requirea k( other than the CAMA
Locality lJ 1 JJ(.JL,�..Xs� Permit Number J �.? G`4' minor development permit,including,but nut limited to:Drinking Water Well,Soptic'i1eJe(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,HA
Ocean Hazard Estuarine Shoreline X 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 INFORMAT1QN STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant fur a CAMA minor development permit,being either the owner of property in an AEC or a
LANDOWNER person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Name Tfrortns Peal.and voile,An a Poole 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 2730 Blue Pond Road
IIt/ owner or record title,Title is vested in Fee Simple sox Deed Brack 3307
City Clayton State NC Zip z1s2o Phone [phone] page 306 in the Pertder County Registry of Deeds.
Email [e-mail]
- ---� -- -- 1 Ian owner by virtue of inheritance.Applicant is an heir to the estate of
AUTHORIZED AGENT probate was in County.
Name Charles F.Ries&Associates,Inc. I if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address F.O.Box 1570 NOTIFICATION OF ADJACENT PROPERTY OWNERS:
City Jacksonville State NC Zip 28641 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 fora CAMA permit.
Email [e-mail]
(Name) (Address)
(I) Mr.and Mrs.Matthew C.Hinchliff,459 Conrad Road,Lewisville,NC 27023
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the — --
2104 Shore Line Drive.Topsail Beach,Ponder County (2) Mr.and Mrs.Donald P.Lasa ,8501 Potobec Shores Road,Port Tobacco.MD 20677
adjacent waterbody.j Psu �
Tl O (4)DESCRIPTION OF PROJECT:(Lim all
proposed
conslructron and brad disturbance.) � v � (4).._
Addhion to an Existing{Dwellkxl and AN Proposed Improvements as Stow on Map
SILEOFLOT/PARCEL.: d613 squan:feet 0.129 acre,; ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned fur an area which
PROPOSED USE:Residential Q (Single-family pJ Multi-family D) Commercial/Industrial D Other 0 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 stabilize-
COMPLETE EITHER(I)OR(2)BELOW(Contact year Local Permit(Vicar if yea are not sate which AEC applies
[ion and flouJpnxsfing techniques.
to year property):
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
(I) OCEAN HAZARD AECa:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:N/A _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) �L
(2) COASTAL SHORELINE AECa:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This the day of+�— ,20 2i
UPON SURFACES:1,463 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.) — "'e
Landowner or pawnail
t as hLy: of ' a Age,permit application
SLATE STORM WATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stortnwater
managementP by the NC Division of Water Quality'? This application includes:general inlurmsaion(f 1 •,site thawing as described sun the back Willis application,the
YES) , NC.� ownership statement.the Ocean Hazard AEC mid necessary,o checklist-31 tMl.INl made payable N,the locality,and
ally lnforrnalioa as may be provided orally by! • - 47 ,The details of the application us described by these sources raw
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet. incorporated without reference in any permit be issued.Deviation flute these details will constitute a violation of
RECEIVEDany permit Any person developing in aft AEC without permit is subject to civil.criminal and administrative action,
DEC 2 2 2021
DCM WILMINGTON, NC

ROY COOPER
Governor
ELIZABETH S.BISER
Secretary
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
January 11, 2022
Thomas&Angie Poole
273D Blue Pond Road
Clayton, NC 27520
Dear Mr. & Mrs. Poole,
Attached is CAMA Minor Development Permit TB 21-24 for work to be done at 2104 Shore Line Drive 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 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,
ji
Anita M.Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
TB Inspection Dept.
Charles F. Riggs&Associates, Inc. -Agent
n,nartment of Environmental Quality I Division of Coastal Management

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FOR GRAPHIC SCALE
THOMAS POOLE & WIFE,
HARLES F. RIGGS & ASSOCIATES, INC.(c-730) ANGIE POOLE
LAND SURVEYING-CONVENTIONAL A GLOBAL POSITIONING SYSTEMS, ,Lr•Mr IA
LAND PLANNING&COMPUTER MAPPING LOT 2.BLOCK 4,SIXTH SUBDIN510N OF NEW TOPSNL BEACH.Y.B.15.P.62
502 NEW RIDGE STREET LANDFALL EXECURVE SUM TOPSAiL TOWNSHIP.PENOER COUNTY.NORTH CAROLINA ACNAL FIELD SUE.,DATE.AUQ15T 21.2020
P.O.BOX 1570 1213 gNHRETN DAME 11-1C41A5 POOLE&AVE.ANGIE POOLE,OWNER;D.B.3307.P.306 YAPPING°ATE.FERRUARY 6.2021
JAEILSONNLLE NC 2W 5 -1570 Y6YNOTON,NC 21405 FIELD BOOK: 1 AR:—1,}_
To Fawn,MO)456-0677 7CLEPNOME:(Ito)611-7444 2104 SNORE LINE DRIVE
E-wl:,q5 h .scan PROJECT NUMBER: 20-07-20 I JIC

STORMWATER CONTROL CALCULATIONS
FOR 1.5"OF RAINFALL IN 24 HOURS.
ROOF AREA
TOTAL=APPROX.1944 SQ.FT.
VOLUME 1.5"RAIN IN 24 HOURS ON ROOF LOCATIONS OF DRAINBEDS MAY VARY
1944/8=243 CU.FT. LOCATIONS OF DOWNSPOUTS MAY VARY
BED VOLUME
243 CU.FT./40%VOID SPACE IN STONE=610 CU.FT. DOWNSPOUT 4"SOLID PIPE
BED SIZE r • 1
2 BED @ 3'D x 4'W x 26L=624 CU.FT. I i
624 CU.FT.PROVIDED 610 CU.FT.REQUIRED
1 1
I 1
DRAIN BED II
•
ROO AREA
19,4SF
6"PERF.PIPE rt \
�1� I
4 I -0"
i
SELECT FILL
6"DIA.HDPE LINE BED WITH FILTER
DRAINBED SECTION \ PERFORATED PIPE
FABRIC ALL SIDES
NOT TO SCALE
U
A=4'
/ e / B=2'
ASTM#4 STONE OR . C=3'-6"
#57 STONE / A / D=6"
L=26'
INSTALLATION NOTE:ROOF WATER COLLECTED BY GUTTERS AND RECEIVED
JOINED W/DRAIN FIELD AT BOTH ENDS AND BOTH SIDES
DOWN SPOUT DETAIL JAN 1 0 2022
4"DOWN SPOUT
ALLOW CORRUGATED PIPE P DCM1 1 l'ILM
TO OVERLAP DOWN 4"CORRUGATED PIPE „so I TON' NC
SPOUT %.a CAF? 4 ,
•
ALL DOWN SPOUTS 3
CONNECTEDTO4"
CORRUGATED PLASTIC PIPE11/1
\114:611 p.4G1101,7
REECE ENGINEERING AND DESIGN STORMWATER PLAN
422 NORTH SHORE DR Thomas Poole
SURF CITY,NC 28445
2104 SHORE LINE DRIVE Project number 21-117
TOPSAIL BEACH NC 28445 Date 1-10-22 C 1 00
phone:[phone] Drawn by OWR
email•n.urnnra/ rh.rtnr ncf r.�__.._.s... n.�.o r._-._ w_._�._�_�

DocuSign Envelope ID:35237BE3-CBDD-46AB-B896-8C5D5E09063A
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: January 10,2022
Name of Property Owner Applying for Permit:
Thomas Poole and wife Angie Poole
Mailing Address:
273D Blue Pond Road
Clayton, NC 27520
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 development,as
shown on attached map and located at 2104 Shore Line Drive, 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 January 10, 2023 .
FDocuSigned by:
M ebb�,t, January 10, 2022
` reBE6117,,751-40,_
Property Owner Signature Date

STORMWATER CONTROL CALCULATIONS
FOR 1.5"OF RAINFALL AN 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 __
1880/8=235 CU.FT. ,- 6"PERF.PIPE]
BED VOLUME I -7-\ 1--`--,
235 CU.FT:/40%VOID SPACE IN STONE= r-- A y 1 --1
589 CU-FT. `
il
BED SIZE j 1, li
2 BED Q3'Dx3'Wx33'L=594CU,FT.
594CU.FT.PROVIDED 589 CU.FT.
REQUIRED ,N. 3.p• 2-0" i
n
DRAIN BED I I
I
,--••••-• liamiimi --...4
4"PLASTIC PIPE '-- DOWN SPOUT
SELECT FILL
DRAINBED SECTION 6"DIA.HDPE LINE BED WITH FILTER
PERFORATED PIPE f FABRIC ALL SIDES
NOT TO SCALE x
0f ' ./
U o �� .0
.L' _ t i::. A=3'
IB=1'-6„
ASTM#4 STONE OR,r 8 C=3.-6"
#57 STONE T A — D=6"
• L= 33'
i
INSTALLATION NOTE ROOF WATER COLLECTED BY GUTTERS AND
JOINED WIDRAIN FIELD AT BOTH ENDS AND BOTH SIDES
DOWN SPOUT DETAIL
4'DOWN SPOUT
ALLOW CORRUGATED PIPE /
TO
SPOUTOVERLAP DOWN 4'CORRUGATED PIPE' OS
ALL DOWN SPOUTS -A $ 1. w
CONNECTED TO 4" _- `� ° I w
CORRUGATED PLASTIC PIPE �' O ON%
vit
ti 7e1... O
12/1/2020 2'46:3 ! 2020
REECE ENGINEERING JEFF JAMES STORMWATER PLAN
422 NORTH SHORE DR
SURF CITY, NC 28445 1020 CAROLINA BLVD project number 20-202
TOPSAIL BEACH,NC. I Date 12-1-20 + C 1 00
910.200.7616 Drawn by GWR I
Checked by Checker Scale As indicated
1

DocuSign Envelope ID:OF805778-9484-46A7-8212-8A5001A9DA71
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: December 17.2020
Name of Property Owner Applying for Permit:
Thomas Poole and wife, Angie Poole
Mailing Address:
273D Blue Pond Road
Clayton,NC 27520
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 development, as
shown on attached map and located at 2104 Shore Line Drive, 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 December 17,2021
RECEIVED
DEC 2 2 2021
DCM WILMINGTON, NC
t .bits POOtt- December 17,2020
Property Owner Signature Date!

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U.S. Postal Service-
CERTIFIED MAIL' RECEIPT
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CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
' Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
charlesriggs(ahiggslandnc.com [phone] [phone]
www.riggslandnc.com [e-mail]
December 21,2021
Mr. and Mrs. Matthew C. Hinchliff
459 Conrad Road
Lewisville,NC 27023
Re: Thomas Poole and wife, Angie Poole
Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Hinchliff:
On behalf of Thomas Poole and wife, Angie Poole,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 2104 Shore Line Drive,Topsail
Beach, Pender County,North Carolina. Thomas Poole and wife,Angie Poole are planning to construct a
two-story addition to an existing dwelling, 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.
Re .ectfully,
„� 1
mes L. Riggs fa
s
�04C.
ti�ti\
O-c�ti o�`'
G��
O

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
charlesriggs aC,riggslandnc.com [phone] [phone]
www.riggslandnc.com [e-mail]
December 21,2021
Mr. and Mrs. Donald P. Lasage
8501 Potobac Shores Road
Port Tobacco,MD 20677
Re: Thomas Poole and wife,Angie Poole
Submittal for Minor CAMA Permit
Dear Mr. and Mrs. Lasage:
On behalf of Thomas Poole and wife, Angie Poole,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 2104 Shore Line Drive,Topsail
Beach, Pender County,North Carolina. Thomas Poole and wife,Angie Poole are planning to construct a
two-story addition to an existing dwelling,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.
Res tfuliy,
J s L. Riggs

SITE DRAWING/APPLICATION CHECKLIST
ase make sum your site drawing includes the following information required for a CAMA minor development permit. ty
e Local Permit Officer will help you,if requested, r
_jj ,N) APPLICATION FOR el
IYSICAL ENSION$' Ativd( � —I
I roads O
JIIlglrway9tyar+.t-r)f-NIIyp CAMA MINOR7
0..abal local setback lines v}
4!/ I any and ill structures and driveways auacntly ousting on property s DEVELOPMENT
Label adjacent waterbady
IYSICAL CHARACTERISTICS PERMIT
�ptaw and label normal high water line(contact LPO for assistance) In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
Er Draw location of on-site wastewater system (CAMA)and set the stage for guiding development In fragile and productive areas that
if you will wurkiog to tirooceaa 7iaxandana: border the state's sounds and oceanfront.Along with requiring special care by those who
icaaraw and label dune ridges(include spot elevation:) build and develop,the General Assembly directed the Coastal Resources Commission
and label toe ofdunes (CRC)to implement clear regulations that minimize the burden on the applicant.
to and locate drat line of stable segatation(contact LPO for
phew and libel erosion setback tine(contact LPO for assistant:0 This application for a minor development permit under CAMA Is part of the
Jl)tttw and label topographical features(optional) Commission's effort to meet the spirit and intent of the General Assembly.It has been
p 13 designed to be straightforward and require no more time or effort than necessary from
fT'1 If yr/l liil)e working in a coastal shoreline area: the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
n how the roofaverhaggas a dotted lire around the structure locality in which you plan to build to be certain that you understand what information he
b w and label landward limit a4AEC or she needs before you apply.
L� _grew and label all wetland tines(contact LPO for assistance) r.
aw and label die 3.0-fglt,bµfhr line Under CAMA regulations,the minor permit is to be issued within 25 days once■
ry
iYLWNT Plebcomplete application is in hand.Often less time is needed lithe project is simple.The
1 process generally takes about 18 days.You can speed the approval process by making
/taw and label all proposed structures certain that your application is complete and signed,that your drawing meets the
T w and libel areas that will be disturbed and/or landscaped specifications given inside and that your application fee is attached.
��,„�� sins alining and depth tube placed in ground
5 / and label all areas to be paved or graveled Other permits are sometimes required for development in the coastal area.While these
all areas tube dtsturbed are not CAMA-related,we urge you to check with the Local Permit Officer to determine
—Show landscaping which of these you may need.A list is included on page two of this folder.
►TE TO APPLICANT
We appreciate your cooperation with the North Carolina Coastal Management Program
ve you: and your willingness to build in a way that protects the resources of our beautiful and
• completed all blanks and/or indicated if not applicable? productive coast.
• notified and listed adjacent property owners?
• included your site drawing? Coastal Resources Commission
• signed and dated the application? Division of Coastal Management
• enclosed the S I00-00 fee? to
• completed on AEC Hazard Notice,if necessary?(Must be signed by the property owner)
FOR STAFF USE M r.A
eNotice -` 1Inspection Fee Received -i
y C e Inspections rn C
K�i
OPc'
El4n
tc of Action:Issued Exempted Denied Appeal Deadline(20 days from permit action) UCM Farm 011952-201 WKroaed Apnl 2010

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 22, 2021
To: Mr. Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Thomas Poole and wife, Angie Poole CAMA Application
2104 Shore Line Drive, Topsail Beach
Dear Mr. Dail:
Please see attached$100.00 check for the Thomas Poole and wife, Angie Poole CAMA
application that was e-mailed to you on December 22, 2021.
Respectfully,
PJame7L. iggs
RECEIVED
DEC 2 8 2021
DCM WILMINGTON, NC

CHARLES F. RIGGS &ASSOCIATES, INC.
Land Surveyors
Charles F.Riggs,P.L.S.L-2981 Corporate License(C-730) James A.Lewis,P.L.S.L-4562
502 New Bridge Street 502 New Bridge Street Landfall Executive Suites
Jacksonville,North Carolina 28540 P.O.Box 1570 1213 Culbreth Drive
[phone] Jacksonville,North Carolina 28541 Wilmington,North Carolina 28405
[e-mail] [phone] [phone]
www.riggslandnc.com [e-mail]
December 21, 2021
To: Mr.Jason Dail
Division of Coastal Management
North Carolina Department of Environmental Quality
127 Cardinal Drive
Wilmington,North Carolina 28405
Re: Thomas Poole and wife, Angie Poole Submittal for Minor CAMA Permit
Dear Mr. Dail:
On behalf of Thomas Poole and wife,Angie Poole,Charles F. Riggs&Associates, Inc. submits for
your review the enclosed application for a Minor CAMA permit for the property at 2104 Shore Line
Drive,Topsail Beach, Pender County,North Carolina.
Respectfully,
ames L. Riggs
RECEIVED
DEC 2 2 2021
pCM WIL a t4GTON,NC

DocuSign Envelope ID:0F80577B-9484-46A7-B212-8A5001A9DA71
OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Thomas Poole and wife, Angie Poole
2104 Shore Line Drive, Topsail Beach, Pender County
Property Address:
Date Lot Was Platted:
June 1977
his notice is intended to make you. the applicant. aware of the SPECIAL NOTE: This hazard notice i5 required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area. which is subject to natural hazards such as storms. erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard \mice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site, the Local Permit Officer must he 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 lass from hazards.. By granting permits. the progress on the project must he made within 60 days of this
Coastal Resources Commission does not guarantee the safety of setback determination.or the setback must he re-measured..Also.
the development and assumes no liability fir 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-measuremem
Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPO
relocated or dismantled it'they become imminently threatened before the permit expires for official approval to continue the
by chanties in shoreline configuration. The structure(s) must be work after the permit has expired. Generally. if foundation
relocated or dismantled within two (21 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 he authorized. It is unlawful to continue
subsidence. work after permit expiration.-
The best available inthrmation,as accepted by the Coastal For more information,contact:
Resources Commission. indicates that the annual long-term
average ocean erosion rate for the area where your property is
located is _ feet per year.
Local Permit Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken Over the past 50 years.
Studies also indicate that the shoreline could move as much as Address
feet landward in a major storm.
The flood waters in a major storm are predicted to he about
feet deep in this area. Locality
Prelerred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads.seawalls,revetments.grisins. jetties Phone Number
and breakwaters are prohibited. Temporary sand bags may he
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without RECEIVED
the proper signature,the application will not he complete.
.�-� "� DEC 2 2 ?Q2(ttoataS pub. 12/18/2020
Property Owner Signature Date ow
was NGTON'NC
Revised May 2010

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency 'Expiration Date:November 30,2022
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
THOMAS POOLE AND WIFE,ANGIE POOLE
A2. Budding Street Address(including Apt.,Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No. p y
2104 SHORE LINE DRIVE
City State ZIP Code
TOPSAIL BEACH North Carolina 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description, etc.)
LOT 2,BLOCK 4, SIXTH SUBDIVISION OF NEW TOPSAIL BEACH
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.34d21'04"N Long.77d39'0T'W Horizontal Datum: ❑ NAD 1927 0 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 encosure(s):
a) Square footage of crawlspace or enclosure(s) 1515,00 sq ft
b) Number of permanent Rood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 8
c) Total net area of flood openings in A8.b 1600.00 sq in
d) Engineered flood openings? E Yes X 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 x0 No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2.County Name 83. State
TOWN OF TOPSAIL BEACH 370187 PENDER North Carolina
B4.Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9.Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth)
Revised Date
3720420200 J 12-06-2019 02-16-2007 AE 11'
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 NAVE/ 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or ORrwCE Area(OPA)? ❑ Yes ENo
Designation Date: E CBRS ❑ OPA t� lr
DEC 2 2 2011 7 rzfigizaci
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6

ELEVATION CERTIFICATE OMB No. 166
Expiration Date:e: N 8
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.
2104 SHORE LINE DRIVE
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: ❑ 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,ARIA,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 CCRS Vertical Datum:NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 [ 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) 6.1 ❑x feet [] meters
b) Top of the next higher floor 16.1 [ feet E 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
(Describe type of equipment and location in Comments) 14.1 ❑x feet meters
f) Lowest adjacent(finished)grade next to building(LAG) 4.9 0 feet it meters
g) Highest adjacent(finished)grade next to building(HAG) 5.4 ❑x 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 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? NI Yes ❑No ❑Check here if attachments.
Certifier's Name License Number \`\`�"m i m i r r rrir,
JAMESA. LEWIS L-4562 �� N CAR Li/
Title SQ' mGSS/
PROJECT MANAGER _
�OF O y
Company Name a SEAL r _
CHARLES F. RIGGS&ASSOCIATES, INC. : f L-4562
Address '•p�LO 0
502 NEW BRIDGE STREET -9 SU'J
City State ZIP Code . '�~
JACKSONVIL_LE North Carolina 28540 �r�
Zsae
Signat Date Telephone Ext.
G ( io/ZQZp [phone] 41
Copy all of this Elevation Certificate and all attachments for(1 co munity official,(2)insurance agent/company and(3)building owner.
Comments(including type of equipment and location, per C2(e),if applicable)
PROPOSED DWELLING IS TWO STORY ON PILINGS, PARTIALLY ENCLOSED BELOW. THE TOWN OF TOPSAIL BEACH ADDS A
3.0'FREEBOARD TO THE BASE FLOOD ELEVATION. THEREFORE TH ��k.�++\� ����e��THE FIRST FINISH FLOOR AND THE
LOWEST ELEVATION OF MACHINERY OR EQUIPMENT SERVICING TlW7ii}FL91�J13101DST HAVE AN ELEVATION OF ATLEAST
11.0'+3.0'=14.0'(PROPOSED FINISH FLOOR= 16.1')
DEC 2 2 2021
(CFRA#20-07-29)
FEMA Form 086-0-33(12/19) Replaces all preeekkAillsAINGTON, NC Form Page 2 of 6

OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Loealit� Pere*Millibar minor development permit,including,but nut limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,HA
Ocean Hazard Estuarine Sbaeline ORW,Shoreline Public That Shoreline _ Other Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
(P'oroficlal 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 Thomas Poole and wile,Angie pools 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 273D Blue Pond Road
CityClayton State ac Zip7752a Phone [phone] [✓ an owner or record title,Title is vested in Fee Simple set peed Book
3307
_ page 306 in the Pander County Registry of Deeds.
---
Email carolinacoastcontractIng@gmahl,com
Elan owner by virtue of inheritance.Applicant is an heir to the estate of
AUTHORIZED AGENT probate was in County.
Name Charles F.Rlegggs&Associates,Inc. J—If other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address F.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)
()) Mr.and Mrs.Matthew C.Hinchliff,459 Conrad Road,Lewisville,NC 27023
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the ..
adjacent waterbody.)2104 Shore Line Drive.Topsail Beach,Pander County (2) Mr.and We.Donald P.Lasage,5501 Petobac Shores Road,Port Tobacco,MD 20677
(3) _
DESCRIPTION OF PROJECT:(List all _
PropoFadt:gasiructknMndlandce.);, � "�QCy (4) .___.
Addition to an Eldstintt linta'and All Proposed Improve Ills as S��i' _.__. ...._.,.
55 i�afAilp!
SIZE OF LOT/PARCEL: ,013? square feet 0.129 acres ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
PROPOSED USE:Residential❑✓ (Single-family 0 Multi-family D) Commercial/Industrial n Other U 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.'l'his explanation was accompanied by recommendations concerning stabiliza-
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which ABC applies Lion and floodpruufing techniques.
rip 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:N/A square feet(includes the Local Permit Officer and their agents to enter un 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 O111ER IMPERVIOUS OR BUILT this the 1,1 day uf+""— ,20 2tl
UPON SURFACES:1.463 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.) f "'� 'er person le act as iti alp• , ✓ ,t>t of fl' g a AMA permit application
STATE STORM WATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stortnwater
Marta P` by the NC Division of Water Quality? - This application includes:general ialurmation ll .site thawing as described wt the back of this application.the
YES N ownership statemml.ME Ocean Hazard AEC Ne necessary,a citrckfar 5/ti.00 merle payable to the locality,,and
any Information as may be provided orally by i The details of the application as described by these sources are
If yes,list the total built upon arca/impervious surface allowed for your lot or parcel: square feet. incorporated without reference In one permit n#11., • p he issued.Deviation front these details will constitute a violation of
RECEIVEDany permit.Any person developing in an AEC without permit is subject to civil.criminal and administrative acllan.
DEC 2 2 2021
DCM WILMINGTON, NC

cn v� 3 -a m m
Ell to p .a
tD — 3 co
3 3 D = Z a
a O
MIE
O
_� • OTHER PERMITS MAY BE RI �1 Si, a Z O
i�Os�titllHlplltlr minor development permit,includ —• co N 3
N
3
treatment system),Building,Elect Q y fD
Haztyd ''El esiaiShce011ne ORW;S1ofiliBe Publle111nMtSRolblitm' Other. Certification,Sand Dune,Sedimet 73 = "
(Fo,offielalWe0116) others.Check with your Local Per
;RAL INFORMATION —\
S'1'A'fEMENTOFOWNERSHI cfn D
�_
g
I,the undersigned,an applicant fo CD
OWNER person authorized to act as an o ei "'F n O
Thomas Pale and iaao.Angie Pole ---_ listed as landowner on this appliia (D
described as:(check one) N --
�
is 273D Blue Pond Road
Ian owner or record title,Title O
:iayton State NC -__ Zip 2752o Phone [phone] __.,_. page 306 in the Pander
fD •
[e-mail] Q _ t
I Ian owner by virtue of inherits CD• Ay
iORIZED AGENT probate was in --____ -O `� I
Charles F.Riggs&Associates,Inc. I if other interest,such as writs Tr. I
NssP.O.Box 1570 —_ NOTIFICATION OFADJACEI furthermore certify that the follIacksonville State NC Lip 28541 Phone [phone] C)------------- ACTUAL NOTIC.E to each of t}[e-mail] ( ) a
Name aO1
(t) Mr_and Mrs.Matthewo rnATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of tlx (t) Mrand Mrs.Donald P.Las yant waterbody.)2104 Shore Line Drive.Topsail Beach.Pender County (3) V �1 i
CRIPTIONOF PROJECT:(1.'tataUPtgtuiadtwettuctbpWA-kind d)sturbance.) Proposed Two.Story (4) 00
Non to an Ext 6tlina and AN Proposed Imprasements as Shown on Mart — 33
613' ,�„n, 01 Z9
OFLOT/PARCtLI feat acres ACKNOWLEDGEMENTS: 0 I
I,the undersigned,acknowledge t 'D (p
POSED USE:Residential 0 (Single-family Elrl Multi-family❑) Commercial/Industrial❑ Other u may he susceptible to erosion and `G
lar hazard problems associated wi 3 C
IPLETE EITHER(1)OR(2)BELOW(Contact year Local Permit Officer if you are not sore which AEC applies lion and floodproofing techniques j
—
it property): •
I furthermore certify that I am out 3 r..�
ICEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:N/A square feet(includes the Local Permit Officer and their '
nditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
related to this permit application. at
ding non-load-bearing attic space) 3 '• )
'+ C) 0 GA
'OASTALSHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT y' O -
V SURFACES:1,463 square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks, Cl) j n 0
C
eta or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) N 'C X - .w•.
Landowner or person 0_ Z N I--r
FE STORM WATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater O
This application includes:gamer I-'
,lg t P by the NC Division of Water Quality? 0 0 ` �� t
l t N ownership statement,the Ocean 1 rt h �1 r` � 1 I-—
ant'In%,-tali rn as may he pravic (D fD-ri V De N ("—
t,list the total built upon area impervious surface allowed for your lot or parcel: square feet. incorporated without reference it
RECEIVEDany perred.Any person develapir ^ _
\v
DEC 2 2 2021 N
DCM WILMINGTON, NC

Date Date Check From Name of Vendor Check Check Permit Rd
Received Deposited Permit Holder Number amount Number/Comments
1/3/2022 Charles F Riggs& Thomas&Angie First 17221 $100.00 minor fee, 2104 Shoreline Dr, JD rci
Assoc, Inc. Poole Citizens Topsail Beach PNCo 1610,
Bank