NTBEX_13-11_ Wellman's

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C, Davis John E. Skvarla, III
Governor Director Secretary
February 11, 2013
Exemption Number — NTBEXI3-11
Welhnan's Construction, Inc.
Attn: David Wellman
PO Box 8
Holly Ridge, NC 28445
RE: EXEMPTED PROJECT (M[INOR) SINGLE FAMILY RESIDENCES ADJACENT TO OUTSTANDING
RESOURCE WATERS (ORW) WITHIN THE ESTUARINE SHORELINE AREA OF
ENVIRONMENTAL CONCERN (15A NCAC 07K .0208) and SINGLE FAMILY RESIDENCES WITHIN
THE HIGH HAZARD FLOOD AREA OF ENVIRONMENTAL CONCERN — (15A NCAC 07K .0213)
PROJECT LOCATION/ADDRESS — 8400 4 h Avenue, North Topsail Beach, North Carolina
Dear Mr. Wellman:
I have reviewed the information submitted to this office in your inquiry concerning the necessary filing of
an application for a minor development permit under the Coastal Area Management Act. After making a site inspection
on 2/7/2013, I have determined that the activity you propose is exempt from needing a minor development permit as long
as it remains consistent with your site drawing(s) dated 1/30/2013, and received by our office on 2/6/2013, and it also
meets the conditions specified below. If you plans should change and your project will no longer meet these conditions,
please contact me before proceeding.
SINGLE FAMILY RESIDENCES WITHIN THE ESTAARINE SHORELINE AREA OF ENVIRONMENTAL
CONCERN EXEMPTED
1. All development shall be located at least 40 feet of the mean high water mark or normal water level from
waters classified as ORW.
2. No ground disturbance or land disturbing activity shall occur within 40 feet of the mean high water mark
or normal water level from waters classified as ORW.
3. The development may not exceed a 25% built upon area within 575 feet of the mean high water mark or
normal water level of waters classified as ORW, and shall not include any stormwater collection system.
4. The development shall be consistent with all other applicable CAMA permit standards, North Carolina
Building Code standards, local ordinances and local land use plans in effect at the time the exemption is
granted.
SINGLE FAMILY RESIDENCES WITHIN THE HIGH HAZARD FLOOD AREA OF ENVIRONMENTAL
CONCERN EXEMPTED —
1. All single family residences, including associated infrastructure, accessory structures or structural
additions to an existing single family structure, constructed within the High Hazard Flood Area of
Environmental Concern are exempt from the CAMA Minor Permit requirements provided the
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net

Mr. Wellman
NTBEXI3-11
February 11, 2013
Page Two
development is consistent with all other applicable CAMA permit standards and local land use plans
and/or rules in effect at the time the exemption is granted including the following conditions and
limitations:
1. Development shall not be located within the Ocean Erodible or the Inlet Hazard AEC.
2. Any building shall be constructed on pilings and comply with the North Carolina Building Codes
and the local flood damage ordinances, as required by National Flood Insurance Program (NFIP).
3. The development does not require any permission, licensing, approval, certification, authorization
or approval from any state or federal agency.
4. A signed AEC hazard notice indicating that the property owner is aware of the special risks and
conditions associated with development in this area.
This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining any other State, Federal or Local
authorization. This exemption expires one (1) year from the date of the letter.
cerely,
J n Nail,LP
Cc: DCM — WIRO
Terrie Woodle, North Topsail Beach

Locality
T6
Ocean Hazard Estuarine Shoreline ORW Shoreline
GENERAL INFORMATION
LAND OWNER
Name (/
Address�Ilwol
City �
Email i 6—A Iol
AUTHORIZED AGENT
Name
Address
City
Email
(For official use only)
TV
13 -!
Permit Number Lw'^ 79;4
Public Trust Shoreline Other
State Zip&LqZne (910) 1,529- T�55�O
n A A _
State
Zip Phone
a
LOCATION OF PRO ECT: (Add s treeLnAame an or di ections to site. If not oceanfront, what is the name of the
adjacent waterbody.)T1�
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) TV_ 'L� AJUVe`c.J
SIZE OF LOT/PARCEL: square feet S H acres
PROPOSED USE: Residential 8r (Single-family ulti-family n ) Commercial/Industrial Other
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou are not sure which AEC applit
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE:7(pd square feet (include
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level bui
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACE: y 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 tq:A Ett t8 t r
Management Permit issj4ed,by the NC Division of Water Quality? DCM WILMINGTON, N(
YES N
nb��
If yes, list the tal built upon area/impervious surface allowed for your lot or parcel: FE�q re 49tl

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 Pen -nit 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)
[:]an owner or record title, Title is vested in , see Deed Book
page in the County Registry of Deeds.
nan owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
'Esf 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)
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
(Address)
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 C— day of, 20 J3
Landowner or person 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 bffk� ij 6on, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check or $100.00 ri�Iq�gyty 1P�Q��/ �7Q� /��n and
f Ul./I,Jr i'u���'�i14 1 V{V,�l�
any information as may be provided orally by the applicant. The details of the application as escri ec� iy t ese sources are
incorporated without reference in any permit which may be issued. Deviation from these details ufigi�or#tifufA43 iolation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

pGOcIGG tO� Goo IT IS THE SOLE RESPONSIBILITY OF THE CONTRACTOR TO THOROUGHLY REVIEI
PLANS FOUND HEREIN PRIOR TO CONSTRUCTION. ANY DISCREPANCIES SHOULD
WELLMAN'S CONSTRUCTION
BROUGHT TO THE DESIGNERS ATTENTION PRIOR TO CONSTRUCTION SO ADEQI
SNEADS FERRY, NC 28460 REVISIONS CAN BE MADE.
SHEETINDEX:
TITLE SHEET
PG.I -ELEVATIONS
PG. 2 - FLOOR PLAN
STRUCTURAL NOTES
AWKwPRAw.'!PS ARE. MiLDYFRFA
BE'TTfET11 THESE BDA WTA'� AFID TIH I:ORDI CARpJ.vA
REs1oENTNL WIDE zma EnmaN (NPRLry RFRexxlAro A!
z.� E�nw vu�l�l� o�imuF vons���
J. THN SJRUCN0.t rvaT BE LOCATED m ArvYAIIOD
rAPlE. ICIGH N AEARD AH D ARSA, OR OCEAN NAURD 20NE.
A. MtDSODS,PROCFDV ES ANO SFq!!ENCES OF COMTRVLTK
u0.ixveJms:'ar sxDwN oN IJuaE DRA WrN(s
F. au wEvwws ANo Do(xs vw..:sWzroR ExcEbD THE
DESIGN PRfSSIME REW YtEMENTS 9PFOFIFA O+CODB.
<. CONTMAIDR m �' F O S' THAT WIn IIEM MEETN I—H Nt
ESCAPE ASD RESLT!E cHENING REVUIREMENTs IN EAIH
SLEEPH:GHOOM AND L:tllTrvFNtHAnON PEGUINFGNEMS
IRJBiI ERE{@ NNIRABIERO01.1.
FRAMING N(=:
1. .. ALL WOOD RHR®F.RS,.— THAN L411) SAW. BE
J. ALLW040L a TO BE IN sTRIET A¢oROANCF WITH THE
Tpk SN.NED BBV THE T¢Rnl55s-Mi•Yl'YMM3sP �N ARE TO BE
P0.0F6SIOI:AL ENONEE0.IJCENSFA B: THS3: AIE Q FOR.
CAMNrii LL) INFO 1NE STA:£M xTBCH i1cE PLANABEl•10
PROFl w BRACMG AND BLO(XING FOR HM:iI wTND
F AC AU M NRDANCF wDH CODE
Y, AU SNRAttOVL 4HALL HE APh A{IED STRUCTURAL P.Wfli
AL PONI LOAOi FBO.IHEAM.O MIHLCOLL .ETC
APE TO BL BLOCKED FROM ME rolNi LOAB THROUGH THE
FLOOR CAVOAS AND T{MOUGH WALL CAYT3DD BELOW TO
DATw.N. ACONTNLnRULo.ADPATNUSNOJAa:
—DR H—IRG, M. MUST BE BULLT INTU THE STRU(nAIE.
I I. EVFAY TRUS AFTER 4HAi18E NnlvECTm IOTNE
JEIOR HAND) WITH TIIE 3PMCILLA
NL`R THT—nE. ST0.L'C-DOOHEATHIJIHNALLRLN
CONnNU0u3tY OVFATHE DIX:tlIE 1p PLATE(OR tlAND) AIL
TO
ON ,ENGWH.MJ ~AT
THERE a <\TITMIOU3 LOAD PA TH FIE— THE ROOF' ro THE
"OwTNN: CAPA.LE OF R6uSTmG tPLB-r FORCES
'.3 LSO_ ALL. NFwDFAS SNAIL INC TIIUCPFDN
ACC(A3BANLERTTHCOOE
YLsmsTRJcr TION ANa
J WFIA THE MANITACTURT.RY PECOMMEwIATgN4. SPECIAL
ATr¢+na+ls DrRErrFA ro THe nuNUFArnaL
MYAIRF-Mt OT FUR FASTtiuWG IOGkTNFF .-.
MFMRERS, NOtt'N!NG AwJ,W f!JTIMG OF MERSBPR'.
CONNECDON 0.EQMiFAHIc13 AND SMSBRAf 9FARNG
nEOLTRtTut.TS.
3NURNFtAeA TRUSSES 9x.ALL tlG UESN:NED.
AFwBRIUT[O L
PLAtE I.NSDnTPEIT DRAWTUAIt�M. XV53MANUFACIURER
SHALLPROSTDESL—ATIiNO4IHwT OTRLTYLNDICATE
BRACNGS ERNDIOCATIONSSMM)L ART
M.MNincNRER NAB-E ANY OC�tTrNRv' REGARowG LDAD
POR+IS. REARroM3.ETC_TISEN TEUSSDESK.: RSHALL
caNrAc'r n Nmnss!oNAL ENCH+EFx RFARsr.RED I NORTx
ISCTRL8SE SHW.HIN STGNIDTOBF.H!ONE![IFANJRWAWS
OULY�-BEN�NM 11—SWVF�4VTIAAOIM"�11
NNNTS UN INTERRIR 111-LOAD BE— w'ALLS.
FcwnonnoN.Mores'.
I�Y4R: pA.7TnS SHALL BE{R OT+ LTIfAATiJRBED SOIl ¢TTH A
MI !MALLOwwPLE BEAMNc:c'APM'TIZLAm PY.
FgNDAnON 6 HEARMG ON FTLL Sgt3.FRC MSTBE
3. HAT.ABLIL —Al FlL_CUMP.UTFD TO A MM.OF 9S%
sTwxnARDPROcnw. [e-mail] SMLcmw.{cnoNronE
vFAADABY FOONONEFA
1. BA TIR FLATS AWAY
AFIOn' SHALL BE GA{DBD SO TINT
wAtER FLOWS A•NAl' FROM F0.'NWTWH. ANIniAN A WN. B"
TEAR BEME@+1HE ExTGPH GASJE FIEVATION ANDTHE
1DWAST WOODMEMBER N THE
SN¢XTLT3B
{.@V(RETEFpl PATIOS OR OTHER ANC1— TOM
MAIN NGS
SN.W.BEP0.�DFD N A S{IAMJE N%)R PAOM THE MAIN
SD lK LEE
ND DEER LA II pv a MA PGCY
VAFU[ BARRIDl5NAL1 BE PTACID BENEATH CONCRETE
supwry— a
a. BOTToms aF FDOTmos TO BE BE!.GW FRosn.Ne. tMM. Iz
7. MaaDZIODT-1'HALL BFCYNTINU(ncr LA — AT
C�INCREf ,
1. ALL nNEREre.,.,..L INYE A McuA'MmMPRFsv1YE
ST0.Ew.rN Of JAw KI wT mpwvs
PROVIpE wEAJHFR PMJTM'TN!N {PEER 3. EACH IM0.IF REWIRFA.
J. ALL AFINFgICNGSREI BARS SNALLBECMDEaOAND BC
PLDOF DMfIU'. MAIMAINAMIN. q'J•tLFM COVER WHEN
TYTE6k%N)sED TO WEATHER OR SOIL CIJiAR WVgI
w�v ec
{. ¢.{PnJCABIA. WEIAEp xsRE FABRIC I W'. w.i.1 SMALL BE 6%a
(Rs —'ALENT DF-tiNiNATKK!.
J. CD!ICRETE SLABgNLPADE COrv'IAOL ]DINTS SHALL BE
CIXi3TRUCTTO IN ILOH AWAY TO MINMZE @A@rvO, BIIT
N FRO USE SAALL RNNT'11 SP MAT:NTE0.VwL5GREATER
1B IN ANY INRE(TION. p:N SMInT WLITKK. NANIY
WALLS
WHERE n'ew JpNE snNO CONCRETE TOUAS OR
OME0.. 1- COM NNFMSASgtlYEwAY'. PAT10S.
3TD(R.NN
ALL 1p
NJ""'
WRAGE FLOOR HL
SLOPE TOWARDS GARAGE 000R OPETENG
A AC(nMAv E0.TTAll cwRAAROODAUYBERiAOFA
i DODA EN HDOOD HAB!TAULB AReA N OODE0. iOMEE1
INRE.tlIOLD REty.11REMErvr' BEI IJ¢'IY<rin,INF.(MN: IS PTR
WELLMAN'S THREE STORY
2006 S Q. FT.
STREET FRONT ELEVATION
A
A
S
W
V
W
AOc)F E I V E D
NMTDCM 1NILMINGTON, NC
FEB 06t13
CONNER DRAFTING & DESIGN
101 N. WILhIINGTON ST.
RICHLANDS, NC 28574
PH. 910.324.2879 FAX.[phone]
EMAIL CONNER [e-mail]'1

R]GtR ELEVATION
WATERPRONT ELEVATION
r•,.. x.' • i"
IT IS THE SOLE RESPONSIB11M OF THE CONTRACTOR AND/OR BUILDER TO CONFORM TO
ALL STANDARDS, PROVISIONS, REQUIREMENTS, METHODS OF CONSTRUCTION AND USES
OF MATERIALS PROVIDED IN BUILDINGS AND/OR STRUCTURES AS REQUIRED BY N.C.
LNIFOR.M BUILDING CODE, LOCAL AGENCIES AND IN ACCORDANCE WITH GOOD
ENGINEERING PRACTICES. VERIFY ALL DIMENSIONS PRIOR TO CONSTRUCTION.
NEITHER CONNER DRAFTING k DESIGN NOR ANY OF ITS SUB -CONTRACTORS IS
RESPONSIBLE FOR ANY PROBLEMS DUE TO TO HUMAN ERROR AND/OR OMISSIONS ON
THESE DOCUMENTS. IT IS THE OWNER AND /OR CONTRACTORS RESPONSIBILITY TO
CAREFULLY REVIEW THESE PLANS FOR ERRORS AND OMISSIONS PRIOR TO CONSTRUCTION.
IF ANY PROBLEMS ARE FOUND IN THE REVIEW PLEASE NOTIFY CONNER DRAFTING AND
DESIGN PRIOR TO BEGINNING CONSTRUCTION SO ANY REVISIONS CAN BE MADE. ® 2012 CDD
NOTICE
THIS DRAAT.NG APPLIES ONLI'
TO THE SITE SPECIFIED HERE]I
ANY OTHFR USF IS PROHIBITFD
NO PART IS TO BF. COPIED.
MODIFIED, REDRARN OR USED
>THFR THAN INDICATED HPRFIN.
ANY VIOLATION WILL BE A
DIRECT COPYRIGHT
TNPRINGEMPNT AND IS
CONSIDERED ILLTGAL USAGE.
STREET FRONT ELEVATION
scvs xr-�o
RECENED
DCM WILMINGTON, NC
FEB 06I.i
ELEVATIONS .fit
R'PLLM AN THAYFREE. STORY / ' 7 I2
w . V
11 LI.LIL N' CONSTRUCTION BUCHL1NW.-
PkHJNI!:91Y]N�N
SNIiADS FERRY,NC RLWO tvC 91UiE6]�80

FIRST FLOOR PLAN
SCALE: }" = I'-0•
IT IS THE SOLE RESPONSIBILITY OF THE CONTRACTOR AND/OR BUDDER TO CONFORM TO
ALL STANDARDS, PROVISIONS, REQUIREMENTS, DIETHODS OF CONSTRUCTION AND USES
OF MATERIALS PROVIDED IN BUILDINGS AND/OR STRUCTLI ES AS REQUIRED BY NC -
UNIFORM BUILDING CODE, LOC LL AGENCIES AND IN ACCORDANCE WITH GOOD
FNGINEFRING PRACTICES VERIFY ALL DIMENSIONS PRIOR TO CONSTRUCTION.
NEITHER CONNER DRAFTING & DESIGN NOR ANY OF ITS SUBCONTRACTORS IS
RESPONSIBLE FOR ANTPROBLEMS DUE TO TO HUMAN ERROR AND/OR OMISSIONS ON
THESE DOCUMENTS. IT IS THE OWNER AND/OR CONTRACTORS RESPONSIBILITY TO
CAREFULLY REVIEW THESE PLANS FOR ERRORS AND OMISSIONS PRIOR TO CONSTRUCTION.
IF ANY PROBLEMS ARE FOUND IN THE REVIEW PLEASE NOTIFY CONNER DRAFTING AND
DESIGN PRIOR TO BEGINNING CONSTRUCTION SO ANY REVISIONS CAN BE MADE. 02012 CDD
OPFN DECK
z.•-0'.sa'
KITCHEN
IR-0 aII�L' O
SW
D KING
Iff�—,o^ 90
DING ROOT
23'i" a IS'+Y
p.�O I 4.1i1.•
2f 0'
OPEN DECK
SECOND FLOOR PLAN
SCALE: }" = 1'-0"
SQUARE FOOTAGE
CALCULATIONS
FIRST FLOOR:
• HEATED .................._......816
SO. FT.
• OPEN DECK S.................
336 SO. FT.
• COVERED PORCHES..O SQ FT.
NOTICE
SECOND FLOOR:
• HE A TED--
771 SO. FT.
THIS DRAWING APPLIES ONL3'
• OPEN OEIXS_.._.........336
SQ FT.
TO THE SITE SPECITIED HEREIN.
• COVERED PORCHES...0 50. FT.
ANYOTHFR USF. IS PROHIBITED
THIRD FLOOR:
NO PART IS TO BE COPIED,
• HEATED..._ ................ .....416
SO. FT.
MODIFIED. RFDRiWN OR USED
OTHER THAN INDICATED HEREIN.
• OPEN DEO(S.................
168 SO. FT.
ANY VIOLATION WILL. BE A
• COVERED PORCHES...O
SO, FT.
DLREC'ICOPYTUGHT
TOTAL HEATED ........................
2.006 SO. FT.
INIRINGEMCNT AND IS
CONSIDERED ILLEGAL USAGE
WMINGTON, NC
FEB 0 6 iu 13
ELEVATIONS y� �)
WELL YAN THRF.F—FTORY 1
2W6 SQ. LT. V V
cona.r;n awtw.a .r vcaeN
P.O. BOY 41+
•XED.MAN5 CONSTRL'1.TION Mf.MunD3, nt_+ast�
PHONP: 9103I1.LM
SNEAUS FERILI, NC 2B06D PAY m63U.l1BU
awe coHNeRylAnrrR.cgw xx1.a

Building Photographs
See Instructions for Item A6.
Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P O. Route and Box No. Policy Number
7908 7 Avenue _
City State _ Company NAIC Number
ZIP Code
North Topsail Beach NC 28460
U.S. PostE
U.S. Postal 5ervlcerr,, CERTIFI
CERTIFIED MAIL,,, RECEIPT' (Domestic Ma
L
Domestic Mail Only; No Insurance Coverage Provided)
or delivery Information visit our website at www.usps.com7v
For delivery infi
O
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Ln Postage
$
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Certified Fee
C3
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$3.10
O Return Receipt Fee
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¢$ I I III I
A \hlli
NGTON"�RIC
(Endorsement
[�
Restricted Delivery Fee
(Endorsement Required)
0 , 00
1
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$ � 56
Ln Total Postage & Fees
"U/Or
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Sent To --------------------•--I
0
Street, Ap . No.; I ,% /�
or PO Box No. LW) --Tea
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PS Form 3800, August 200E
Postal
CERTIFIED MAILT.
RECEIPT
(Domestic Mail Only;
No Insurance Coverage P rovided)
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$
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Postage
IILp ING 1 I TON, N`tNC
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Certified Fee
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Retum Receipt Fee
(Endorsement Required)
D O
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Restricted Delivery Fee
(Endorsement Required)
F I], Ill/
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Total Postage & Fees
`1 6
'`nr,_1_ n__1� �_ urns.----
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Vsentma�
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pt No.;
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Certified Fee
Return Receipt Fee
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Restricted Delivery Fee
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(Endorsement Required)
17 -
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Total Postage & Fees
$
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2013
02 /05/?i11?
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PS Form 3800, August 2006 See Reverse for Instructions
RECEIVED
DCM WILMINGTON, NC
FEB 0 6 2613
Lot is vac

U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-9.
OMB No. 1660-0008
Expires March 31, 2012
SECTION A - PROPERTY INFORMATION I For Insurance Company Use:
Al. Building Owner's Name I Policy Number ,
Thomas W. Nelson and Lorraine B. Nelson
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number
8400th Avenue
City State ZIP Code
North Topsail Beach NC 28460
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Tax Parcel ID 811-35, Lot 249 Sea Haven Beach MB 3 pg 46
A4. Building Use (e.g., Residential, Non -Residential, Addition. Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 34' 28' 12.31" Long. 77° 28' 05.60" Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 5
A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage. a) Square footage of
crawlspace or enclosure(s) n/a sq ft a) Square footage of attached garage NONE sq ft
b) No. of permanent flood openings in the crawlspace or b) No, of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade n/a within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b n/a sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes E No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name 8 Community Number B2. County Name B3. State
370466 North Topsail Beach I Onslow NC
B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8- Flood B9. Base Flood Elevation(s) (Zone
3720426600 J Date Effective/Revised Date Zone(s) AO, use base flood depth)
Feb. 16, 2007 November 3'tl, 2005 "VE" 13.0'
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile E FIRM ❑ Community Determined ❑ Other (Describe)
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on. E Construction Drawings' ❑ Building Under Construction'
❑ Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH,
AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized NCGS "PUBLIC"
Vertical Datum NAVD88
Conversion/Comments NONE
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 17.00 ® feet
❑ meters (Puerto Rico only)
b) Top of the next higher floor n/a ® feet
❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) n/a E feet
❑ meters (Puerto Rico only)
d) Attached garage (top of slab) N/A ® feet
❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 15.00 E feet
❑ meters (Puerto Rico only)
(Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (LAG) 3.6 ® feet
❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) 4.8 ® feet
❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4.2 ® feet
❑ meters (Puerto Rico only)
structural support
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation
information. 1 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 iQoiflz) IV LL�� - r•
El
Check here if comments are provided on back of form. Were latitude and longitude in Sectipn l�T t,�•,; �•;., ,'.
licensed land surveyor? E Ytss` `
License Number
Title Company Name
Professional Land Surveyor Gairy Canadv Surveying
Address City State ZIP Code
;J

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
8400 4`h Avenue
City State ZIP Code Company NAIC Number
North Topsail Beach NC 28460
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comment
f tl)
Signat Date
❑ Check here if attachment,
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1-E5- If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C- For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
Ell. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG) -
a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5, Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE)
or Zone AO must sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachmei
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in items G8 and G9.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO.
G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes.
IG4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum
Local Official's Name
Title
Community Name Telephone REGEIVEID
DGM WILMINGTON, NC
Signature Date �
n 6 ,u13
Comments

IMPERVIOUS CALCULATIONS
PROPOSED HOUSE AREA----------768.0 SQ. FT.
PROPOSED HOUSE OVERHANG AREA -- -90.0 SO. FT.
PROPOSED DRIVEWAY STRIPS AREA----160.8 SQ. FT.
FRONT COVERED DECK AREA--------192.0 SQ. FT.
TOTAL AREA IN TRACT------------5039.0 SQ. FT.
TOTAL IMPERVIOUS AFTER COMPLETION --- 1210.8 SQ. FT.
% OF IMPERVIOUS COVERAGE --------- 24% (0.240)
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SETBACK INFORMATION
ZONED: MHR - NTB
FRONT SETBACK: 20'
SIDE SETBACK: 8'
SIDE STREET SETBACK: 15'
REAR SETBACK: 10'
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LINE TABLE
L1 N83'09'46"E 23.65'
R/W
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