HB_19-028_Keever

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Town of Holden Beach
Local Government 2019.028
Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment Quality
and the Coastal Resources Commission for development in an area of environment
concern pursuantto Section 113A•118 of the General Statutes, "Coastal Area Management"
Issued to Dorothy & James Keever author zing development in the Estuarine Shoreline at 126 Lumberton Street in
Holden Beach NC 28462, as requested in the permittee's application, dated July 8, 2019 This permit issued on July
18, 2019, is subject to compliance with the application and site drawing (where consistent with the permit), 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: REMOVE ALL DECKS AND REPLACE IN SAME FOOTPRINT, ADD ROFFED AREA OVER THE
EXISTING CONCRETE AREA. REMOVING CONCRETE WALKWAY BETWEEN HOUSE AND BULKHEAD.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings (survey) dated RECEIVED July 1 % 2019.
(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. A building permit is required prior to construction. A elevation
certificate is required prior to final inspection.
(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.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. This
permit must be on the project site and accessible to the permit officer when the
project is Inspected for compliance. Any maintenance work or project
modification not covered under this permit, require further written permit
approval. All work must cease when this permit expires on:
DECEMBER 31, 2022
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
Management.
Rhonda Wooten
CAMA LOCAL PERMIT OFFICIAL
110 Rothschild reet
Holdert-�eOINQ` 28462
PERMrEE
(Signature required if conditions above apply to permit)
RECEIVED
JUL 2 2 2019
DCM WILMINGTON, NC

Name: James & Dorothy Keever
Minor Permit # 2019.028
Date: July 18, 2019,
Page 2
(4) A copy of this permit shall be posted or available on site. Contact this office at 910-842-6080 for a final
inspection at completion of work.
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of
(Estuarine Shoreline Area of Environmental Concern), in this case the total impervious is 1010 square feet.
(6) Unless specifically allowed in 15 NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of normal high water level.
(7) This permit is being issued based on section 15A NCAC 07H .0209 (d)(10)(H).
(8) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by
effective sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier
(9) No grading is permitted within the 30' buffer from the normal high water. Any land disturbance must be
contoured to prevent additional stormwater runoff to the adjacent marsh. This area shall be immediately
vegetatively stabilized and must remain in a vegetated state.
(10)AII other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of
construction completion.
SIGNATURE.Jr— D E:
PE MITTEE
RECEIVED
JUL 2 2 niq
DCM WILMINGTON, NC

l�
LAND OWNER
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City > 14 k I O t rn State /Q C-- Zip Phone 7 �� 3 / S 0
AUTHORIZED
Name
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airy E2444e.J)1 LP State NC Zip s Phone )C)' " `7o2q'I
Email Ub C.Q14� KCam' riQe_))•LG✓n
LOCATION OF PROJECT: (Address, treat name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) C9 n a � A 1 a L ,, rvm 13e% iv n -s4
(errwJc £ �cp 1".e.
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) ��` ; PotJ\
alx e e�. Sfi �
SIZE OF LOT/PARCEL: � p I_ square feet acres
PROPOSED USE: Residential ® (Single-family 6, Multi -family ❑ ) Commercial/Industrial [] Other [-)
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer !f you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD ABCs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: -UA— 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 FOOTPRINTAND 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. Ag ch vour calcu atio with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the praje a Stormwater
Management Permit issued by the NC Division of Water Quality?
YES_ NO_)�_ JUL 11 2019 F
If yes, list the total built upon areatimpervious surface allowed for yo lot r parcel: uaarreEleeC�
TOWN Of HOLDEN BEACH' L 1 5 2019
DCM WILMINGTON, NC

perties adjoining this property -I al
11
relop this property and to apply-foi
(Address)
-L Try;)-
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 mote 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 signifieadt interest in thezeal property described therein. This i iterestcan be
described as: (check one)
an owner or reco title, Tittle is vested m�cr mew .i }1c�Fo1 h�/ - V/ ,see Deed Book y i a
page /)")I in the L% County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of _
probate was in County.
>f other interest, such as written contract or lesse�ex;.i in below or use a geparafe sheet & attach to 0
i ,;NOTIFICATION OF ADJACENT.PROPERTY0OY{yMERS.;
I furthermore certify "that the following persoiisare optmeys of p
ACCIlAL NOTICE "to each of them conciiramg my intent to: d
(Name)
c ,�I)Zure� 1i 00-melc.S 1/aifetttaQ$'i
n
T
ti
(4)
ACKNOWLEDGEMENTS-,
T Tthe undersigned, acknowledge that the land owner is aware that the proposed development is planned for en area which
may be susceptible to erosion and/or flooding I atiktiowledge that the Local Permit Officer has eitplamed to ine the paiticu-
lar hazard problems associated with this lot This explanation was accompanied by recommendatiofis conceft' ins stabiliia=
tion and floodptvofing techniques.
I fuitherroare certify that I am authorized to grant, -and do in fact grant permission to Division of Coastal Ivianagemept staff,
the Local Permit Officer and their agents to enter bn the afoiementioned lands in connection with evaluating information
iglated to this permit application: l' ! .
Thic flip (i Ao„ ..F r r .. 1 V on
This application inclrides: general information (this form), asits drawing as described on the back of this application, the
ownership statement, the Ocean RazatdAECNOtiae'where necessary, a checkfor $100.00 madepaydble to the locality, and
any information as may be provided orally by the applicant. The details of the application as (lee sources are
incorporated without reference in anypermit 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 a CiirifT" fiction.
DCM WILMINGTON; NC

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit:
Mailing address:
n
Phone Number: 3 3 (o LjLjd , 3 h b
I certify that I have authorized �I: l 11
r 1(1 1 C: / +f ( UQI C1J ; 6Sn 54 • LLC
Agent /Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of jry ✓YN (ithc' (e (0) c c k
i
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at my Property located at
In I l f'c c r1 I.y i k c p County. l
This certification is valid through )IF /,�Va0
Data
(Property Owner Information)
D!-vie/
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Phone Number _
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Email Address
RECEIVED
JUL 15 2019
DCM WILMINGTON, NC

AE-ZONE
Application
Town of Holden Beach
Date: � ; � i ; `';
Floodplain Development Permit Application
Permit
Location of
Type of Development:
Residential Construction: Y\ Nonresidential Construction.
Addition: Renovation: Other(specify): i ir: '�
Other Development Activities: -
Clearing:_ _ Fill: Grading:— Excavation:
Size of Development:
FIRM Data: Map Panel #: /; .,; , Suffix: k Map Panel Date:
Flood Zone: t) t. (enter zone letters NOT y/n)
Development Standards Data:
1. Base flood elevation (BFE)per FIRM at development site is la '
using NAVD 88.
2. Regulatory flood elevation at or above which the lowest floor (including basement) and which
all utilities to include, butte limit to, all heating, air conditioning and electrical equipment must
be installed and constructed (at or above base flood elevation -L 1 1 (NGVD29)
(NAVD 88)
3. Will garage(rf applicable)be used for any purpose other than Parking vehicles, building access,
or storage? T I r1 _ If yes, then the garage must be used in determining the lowest floor
elevation.
4. Total are of openings required are a minimum of two openings having a net area of not less than
one square inch for every square foot of enclosed area below base floor elevation.
'The bottom of all required openings must be no higher than 12" above GRADE.
'The vents must be installed in at least two walls of the enclosure.
Garage doors cannot be used to satisfy this requirement.
5. Please initial that you have been advised that flood insu nce rates increase dramatically for
Enclosures beyond the threshold of 299 sq. ft.
Applicant acknowledgment: I the undersigned, un
permit it contingent upon the above information bderstand that the Issuance of a flopdplain development
have been or shall be provided as required. I alseing correct and that the plans and supporting data
o understand that prior to occupancy of the sture
ruct
neer or
being permitted, an elevation certificate signed by a professional engiregistered (and surveyor
in relation to mean sea level (MSL).
must be on Hie with the Town of Holden Beach Building Department indication the °as built" elevations
Print name of Property Owner:
Print Name of Agent:
Signature of Applicant & Date
Signature of Agent and date
4Addss & hone #
Address 8, phone #
a , — — RECEIVED
L 1 5 201'
DCM WILMINGTON, INC

07/08/2019
Date
James V & Pamela S Wrenn
Adjacent Property Owner
408 Maverick Trail Dr
Mailing Address
King, NC 27021
City, State, Zip Code
Dear Adjacent Property Owner:
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This letter is to inform you that I James R Keever have applied for a CAMA
Property Owner
Minor Permit on my property at 126 Lumberton St in Brunswick County.
Property Address
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 _336 442 3150 _or by mail at the address
Applicants Telephone
listed below. If you wish to file written comments or objections with the LOCAL GOVERNMENT CAMA
Minor Permit Program, you may submit them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
James R Keever
Property Owner
408 Seminole Ln
Mailing Address
High Point, NC 27265
City, State, Zip Code
RECEIVED
JUL 15 2019
DCM WILMINGTON, NC

07/08/2019
Date
P L II & Frances White
Adjacent Property Owner
1823 Chestnut Dr
Mailing Address
High Point NC 27262
City, State, Zip Code
Dear Adjacent Property Owner:
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$ $7.0iJ
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This letter is to inform you that I James R Keever have applied for a CAMA
Property Owner
Minor Permit on my property at 226 Lumberton St in Brunswick County.
Property Address
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 _336 442 3150 _or by mail at the address
Applicants Telephone
listed below. If you wish to file written comments or objections with the LOCAL GOVERN MENT CAMA
Minor Permit Program, you may submit them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
James R Keever
Property Owner
408 Seminole Ln
Mailing Address
High Point, NC 27265
City, State, Zip Code
RECEIVED
JUL 15 2019
0
Posbn,
Hare
07/08/20i
DCM WILMINGTON, NC

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49.94'
LUM13ERTON STREET
50' RIGHT-OF-WAY
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SEr,ENED
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1 5 2019
DCM WILMINGTON, NC

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30. 2018
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 agenUoompany, and (3) building owner.
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
Policy Number:
James Keever
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
p yan Com NAIC Number:
Box No.
126 Lumberton
City State ZIP Code
Holden Beach North Carolina 28462
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 262, Holden Beach Harbor, (Map Book 7, Page 22). PID #232PG003
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitudell-ongitude: Let 33°54'50.3" Long.-78'17'25.5" 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.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 90 sq It
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in
d) Engineered flood openings? ❑ Yes 0 No
A9. For a building with an attached garage:
a) Square footage of attached garage 0 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 sq in
d) Engineered flood openings? ❑ Yes ❑ No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1, NFIP Community Name 8 Community Number
B2. County Name
B3. State
Holden Beach 375352
Brunswick "Independent City"
North Carolina
134. Map/Panel
B5. Suffix
86. FIRM Index
B7. FIRM Panel
B8. Flood Zone(s)
B9. Base Flood Elevation(s)
Number
Date
Effective/
Zone AD, use Base
Revised Date
Flood Depth)
3720201600
K
08/2812018
08/28/2018
AE
12.0
610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 89: ❑ 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: ❑ C9RS ❑ OPA RECEIVED
FEMA Form 086.0-33 (7115) Replaces all previous editions. �AnIPG-b44 63f 6
DCM WILMINGTON, NC

ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
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:
126 Lumberton
City State ZIP Code
Company NAIC Number
Holden Beach North Carolina 28462
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x 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, VI-V30, V (w th BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH, ARiAO.
Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: GPS-NCVRS Vertical Datum: NAVO 1988
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVO 1929 0 NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 5.7 ❑x feet ❑ meters
b) Top of the next higher floor 13.5 0 feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) 11 8 0 feet ❑ meters
d) Attached garage (top of slab) N/A. 21 feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 13. 3 x❑ feet ❑ meters
(Describe type of equipment and location in Comments)
t) Lowest adjacent (finished) grade next to building (LAG) 4.2 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 4.3 [x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4.3 ❑x 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. 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? 0 Yes []No ❑ Check here if attachments.
Certifiers Name License Number
Gary L. Gurganus L-3474
````` "CHI CAO /11,
. i
��QP0F ESS1ri^✓ �j"
Title
Professional Land Surveyor
``
_ Pla v�1 y
Company Name
Gary Gurganus Land Surveying
Se FAt _
74
9iry�-lore
Address
2011 Elk Lane Suite 5
�. it U
City State ZIP Code
Supply North Carolina 28462
g�4
Signatu a Date Telephone
lJ O) 233-7805
C - 8 - (91
Copy all pages lif this Elevation enificate
and all attachments for (1) community official, (2) insurance agenticompany, and (3) building owner.
Comments (including type of egOpment and location, per C2(e), if applicable)
At time of survey the house on IVot 262 appeared to be one living level on pilings with a ground level enclosure. The elevation on C2e is
the HVAC unit The house appeared to be 100% complete. Based on tax records the house on lot 262 was built in 1971 and is
Pre -FIRM. The initial flood zone for lot 262 was Zone All EL 14 based on FIRM H&I-04 panel date 04-10-76. This FIRM was based on
NGVD 1929. The conversion from NGVD 29 to NAVD 88 is -1.07 feet for this location.
RECEIVED
FEMA Form 086-0-33 (7116)
Replaces all previous editions.
u U-FatmT40 2 of 6
DCM WILMINGTON, NC

ELEVATION CERTIFICATE
OMB No. 1660.0008
Expiration Dates November.,in 9n1a
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:
126 Lumberton
City State ZIP Code
Company NAIC Number
Holden Beach North Carolina 28462
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,
enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑below the HAG.
b) Top of bottom floor (Including basement,
crawlspace, or enclosure) is ❑ feet ❑meters ❑above or ❑below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions),
the next higher floor (elevation C2.b in
the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is ❑feet ❑ meters ❑ above or ❑below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or 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, B, and E are correct to the best of my knowledge.
Property Owner or Owners Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
RECEIVED
UL 1 5 Z0ic
❑ Chec I pbkC
FEMA Form 086-0-33 (7115) Replaces all previous editions. V Form Page 3 of 6

ELEVATION CERTIFICATE
OMB No. 1660.0008
Fvnimtinn note: November am 201 a
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:
126 Lumberton
City State ZIP Code
Company NAIL Number
Holden Beach North Carolina 28462
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement
used in Items G8-G10. In Puerto Rico only, enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.)
G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE)
or Zone AO.
G3. ❑ The following information (Items G4-G10) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement)
of the building: ❑ feet ❑ meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
G10. Community's design flood elevation: ❑ feet ❑ meters Datum
Local Official's Name Tide
Community Name Telephone
Signature Date
Comments (including type of equipment and location, per C2(e), if applicable)
RECEIVED
UL 15 2019
DCM WILMINGTON,
❑ Check here if attachments.
FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 4 of 6

BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30. 2018
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:
126 Lumberton
City State ZIP Code
Company NAIC Number
Holden Beach North Carolina 28462
If using the Elevation Certificate to obtain NFIP Flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View' and "Rear View'; and, if required, "Right Side View' and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
.^N
7wsi-
c�
s.s
......... 6* Ar;,
Oholoen�
Photo One Caption Front View 05-16-19
pz,-y'f�
)
IVED' -i
Ghalo Tvo
Photo Two Caption Rear View 0&16.19
FEMA Form 086-0-33 (7t15) Replaces all previous editions. Form ge 5 of 6
DCM WLLMINGTON, NC

IIII IIII IIIIII II IIIII IIIII III III II III 84131 P01i1 amo4: 0a oWof
Brunswick Courtly, NC Rag(star of Deeds page 1 of 3
Brenda M. Cl emaans Reglsler of Deeds
12-19-2018 15:46:08.000 0runsulck County, NC
NC REVENUE STAMP: $4500.00 (0612995)
goluryy __ Gar, Type
3 Tn.. O_f _ Aav ire.
Ck R LLdS ^ash $
Cash $ FneMa
d ibnwan Mdoeumem are illegible due to condition
0: omyuiel.
rinwwnunt contains seals Veri ..ad try ongioal
:msnent that cannot be •sproduced or copied
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $ 460.00
Parcel Identifier No. 232PGO03 Verified by County on the _ day of , 20
By: —
Mail/Box to: Richard F. Green, Attorney at Law, 2998 Holden Beach Road, SW, Holden Beach, NC 28462
This instrument was prepared by: Richard F. Green. Attorney at few. FLU NO. 18.21297
Brief description for the index: LOT 262, HOIDEN BEACH EAST CANALA
THIS DEED made this 14th day of December _ 2018 by and between
EISIE R. TRCOMER, w
798 LAMMS ROAD
CARrHAGE, NC 28327
d
JAMES R. KEEVER and wife,
DOROTHY W. KEEVER
409 SEMINOLE LANE
HIGH POINT, NC 27265
This property _is _is not a
Grants primary residence
Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g
corporation or partnership.
The designation Grantor and Grantee as used herein shall include said patties, their hews, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid bythe Grantee, the receiptofwhich is herebyacknowledgeA, has and
by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, still that certain lot or parcel of land situated in the
City of HOIDEN BEACH LOCKWOOD FOLLY Township, Brunswick County, North Carolina
and more particularly described as follows:
See Attached
The property hereinabove, described was acquired by Grantor by instrument recorded in Book 329 page 543
All or a portion of the property herein conveyed _ includes or _ does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Plat Book 7 page 22
NC Berast xzedan Farm No.3 O 1976. R,nirM O 111noto
RioW by Ap =nt with the NC Ber Arwdaim
RECEIVED
JUL 15 2015
DCM WILMINGTON, NC

IIIIIIIIIIIIIIIIIIIilllllllllllllllll aai31P0772m;oa=oapao
BrunsWck County, NC Register of Uaeds page 2 eof 3
TO HAVE AND TO HOLD the aforesaid lot or pa ocl of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple.
And the Grantorcovenams with the Grantee, that Gra wr is seized of the premises in fee simple, has the right to convey the same in fee
simple, that tide is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever, other than the following exceptions: All easements, rights of way, restrictions,
and reservations of record.
"This instrument prepared by: Richard F. Green, a Licensed North Carolina attorney. Delinquent taxes, if any, to be paid by
the closing attorney to the County tax collector upon disbursement of closing proceeds."
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as o day and year d have written.
�• (SEAL)
(Entity Name) Print/rype Name: EISIE R T
PnnVlype Name &
( et)
Print/type Name:
Eyr.(SEAL)
PrinVrype Name & Title: Print/Type Name:
By. (SEAL)
PrinuType Name & Tide: Print/Type Nome:
State of North Carolina - County gr Ai j or'•
1, the undersigned Notary Public of the County and State aforesaid, certify that ELSIE
eclo� Ql��tu�" ution oft elate oin tmtm tfor the a Personally appeared before menus day and
`^� d g g' �rpen p rpusesthereinexpressed. Wimessmylondand Notarialstampor
'M4 ',.y'� ll`�L
Byre No an, 'rS
dry Co ��Expia -� Not btic
�Bfl�xoSeal �xTc � *IsP,,INdar TyrON,,
amm-o}r „ - I— t" County or City of
,�p� ersigned Notary Public of the County or City of and State aforesaid, certify that
personally came before toe this day and acknowledged that _he is the
°t a North Cmelina or
corpomtionAimited liability company/general partnershipAirnited partnership (strike through the inapplicable), and that by authority
duly given and as the act of such entity, _he signed the foregoing instrument in its name on its behalf as its act and deed. Witness
my had and Notarial stamp or seal, this _ day of , Zp_
My Commission Expires:
(Affix Seal)
Notary Public
Notary's Printed or Typed Name
State of -County or City of
I, the undersigned Notary Public of the County orCity of and State aforesaid, certltyt1nu
witness my hand and Notarial stamp or seal, this _day of , yq_
My Commission Expires:
(Affix Sea]) Notary Public
Notary's Printed or Typed Name
NC By Asuaiadon F. No. a 0 IT6. ReHsed O 1/12ma
P tad by Apeewent aiN wr NC Bar Auocmnon
RECEIVED
JUL 15 Hig
DCM WILMINGTON, NC

IIIIIIIIIIIIII IIIIIIIIIIillllllllllll s4t31 P9113 ;5-:s;oa'm�
I rUnsslek County. NC R•ylst•r of p;•d;' s VROP
ATTACHMENT a690 a. 3 3 of 3
BEING ALL OF CANAL LOT NUMBER TWO HUNDRED SIXTY-TWO (262), ON CANAL "A" AND LUMBERTON
STREET, ACCORDING TO A SURVEY OF THE CANAL DEVELOPMENT OF HOLDEN BEACH REALTY
CORPORATION BY GERRIT C. GREER. RLS, A MAP OF WHICH IS DULY RECORDED IN MAP BOOK 7 AT PAGE
22, RECORDS OF BRUNSWICK COUNTY, SAID LOTS HAVING THE METES, BOUNDS AND LOCATION AS
SHOWN ON SAID MAP.
IT IS UNDERSTOOD ANDAGREED THAT THIS DEED OF CONVEYANCE IS MADE SUBJECT TO THE
RESERVATIONS AND RESTRICTIONS AS SET OUT IN A DEED RECORDED IN BOOK 228 AT PAGE 31.
RECORDS OF BRUNSW ICK COUNTY.
I&Zl BT
1M LUMBERTON STREET, HOLDEN BEACH, NC 2NU
RECEIVED
JUL 15 ?019
DCM WILMINGTON, NC

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MAP CABINET 7,PAGE 22
N 8600'43" E
78.57'
NOTES:
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I LOT 260 *LOT 262 IS IN FLOOD HAZARD ZONE "AE", BASE
ELEVATION 12 FEET BASED ON FIRM 3720201600 K.
I INDEX DATE 08-28-18.
I *THE HOUSE ON LOT 262 APPEARED TO BE ONE LIVING
LEVEL ON PILINGS WITH A GROUND LEVEL ENCLOSURE.
1 *THE HOUSE APPEARED TO BE 100% COMPLETE.
1 *EXISTING IMPERVIOUS: HOUSE: 807 SQ. FT.
CONCRETE WALKWAY: 210 SQ. FT.
*HORIZONTAL LOCATIONS ARE REFERENCED TO NAD 1983
I (NSRS 2011) USING NCGS VRS WITH A SPECTRA PRECISION
SP80 ON 05-16-19.
1 *THIS SURVEY IS SUBJECT TO ANY INFORMATION FOUND
WITH THE BENEFIT OF A TITLE SEARCH.
0 20 40
SCALE 1" = 20'
HIGH POINT
ST.
EIP
0
EXISTING IRON PIPE (FOUND)
ERB
0
EXISTING RE -BAR (FOUND)
EAI
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EXISTING ANGLE IRON (FOUND)
NIP
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NEW IRON PIPE (SET)
EB
❑
ELECTRICAL BOX
CATV ❑
CABLE TELEVISION
TP
❑
TELEPHONE PEDESTAL
TB
O
TELEPHONE BOX
—X—X—
FENCE
GLE
GROUND LEVEL ENCLOSURE
GARY GURGANUS
LAND SURVEYING
GARY L. GURGANUS, P.L.S
2011 ELK ROAD -SUITE 5
Supply, North Carolina 28462 [phone]
SURVEY FOR
JAMES KEEVER
MADE FROM LOT 262 (126 LUMBERTON STREET).
HOLDEN BEACH HARBOR SUBDIVISION, (MAP BOOK 7,
PAGE 22), HOLDEN BEACH, NORTH CAROLINA
CAROLINA AND EXISTING PHYSICAL EVIDENCE
LOCKWOOD FOLLY TOWNSHIP BRUNSWICK COUNTY NC 1 05/16/19
FIELD BOOK; 031-069 FILE NO. 19041 JOB NO. 19041