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EX04-20 Pope
January 30, 2020 Mr. Dan Pope 834 Pope Road Clinton, NC 28328 RE: EXEMPTED PROJECT SINGLE FAMILY RESIDENCES WITHIN THE ESTUARINE SHORELINE AREA OF ENVIRONMENTAL CONCERN (15A NCAC 07K .0208). PROJECT LOCATION/ADDRESS – 6605 13th Avenue, North Topsail Beach Dear Mr. Pope, I have reviewed the information Wellmans Construction submitted to our office concerning the necessary filing of an application for a CAMA Minor Development Permit under the Coastal Area Management Act and have determined that the activity you propose of a single family residence is exempt from needing a CAMA Minor Development Permit as long as it remains consistent with your project drawing, dated December 4, 2019, and it also meets the conditions specified below. If your plans should change and your project will no longer meet these conditions, please contact me before proceeding. SINGLE FAMILY RESIDENCES WITHIN THE ESTAURINE SHORELINE AREA OF ENVIRONMENTAL CONCERN EXEMPTED 1. All development shall be located at least 40 feet landward of the normal high water level from waters classified as Outstanding Resource Waters (ORW). 2. No ground disturbance or land disturbing activity shall occur within 40 feet of the normal high water level of waters classified as ORW. 3. The development may not exceed a 25% built upon area within 575 feet of the normal high water level of waters classified as ORW. 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. 5. This exemption does not allow for any development within any wetlands or open water areas. Any proposal to modify or alter the development plan as proposed will require additional authorization from the Division of Coastal Management. EX04-20 Pope Page 2 This exemption does not eliminate your requirements to obtain any other State, Federal or Local authorization. Construction of the structure authorized by this exemption shall be completed by December 31 of the third year of the issuance date of this exemption. Sincerely, Brad Connell Brad Connell Environmental Specialist II, DCM cc: Roy Brownlow, DCM Kate Winzler, NTB Permitting Specialist Angie Edens, Wellmans Construction FM APPIACATION ``O, CAMA �;! Lam. Coastal Management DEVELOPMENT ENVIRONMENTAL QUALITY PERMIT In 1974, the North Carolina General Assembly passed the Coastal Area Management Act (CAMA) and set the stage for guiding development in fragile and productive areas that 'border the state's sounds and oceanfront. Along with requiring special care by those who build and develop, the General Assembly directed the Coastal Resources Commission (CRC) to implement dear regulations that minimize the burden on the applicant. This application for a minor development permit under CAMA is part of the Comnnission's effort to meet the spirit and intent of the General Assembly. It has been designed to be straightforward and require no more time or effort than necessary from the applicant. Please go over this folder with the Local Permit Officer (LPO) for the locality in which you plan to build to be certain that you understand what information he or she needs before you apply. Under CAMA regulations, the minor permit is to be issued within 25 days once a complete application is in hand. Often leas time is needed if the project is simple- The proem generally takes about IS days. You can speed the approval proem by making certain that your application is complete and signed, that your drawing meets the speethcations given inside and that your application fee is attached. Other permits are sometimes required for development in the coastal area. While these are aot CAMA-related, we urge you to check with the Local Permit Officer to determine which of these you may need A list is included on page two of this folder. We appreciate your cooperation with the North Carolina Coastal Management Program and your willingness to build in a way that protects the resources of our beautiful and productive coast, JAN, 2 4 2020 C PT[-Y DCM Form EB1952-2015/Pmwd Coastal Resources Commission . Division of Coastal Management U5 H RECEIVED DCM rr WILMINGT ON, NC JAN 14 2020 z m 0y Elz _ a b b r X Locality Permit Number Ocean Hazard -- Estuarine Shoreline ORW Shoreline (For official use only) GENERAL INFORMATION LAND OWNER - MAILING ADDRESS Public Trust Shoreline_. Other City State Zi �� fin Zip.` _ i'hone t ` �U,. Email WTHORIZED AGENT LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.) DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance. i SIZE OF LOT/PARCEL: � square feet a '% acres PROPOSF:I) USE, Residential Single-family Multi -family ® ) Contmerciab'Industrial ® Other [l L'O-MFLETE V,FY ;ER (1) OR (2) BELOW (Contact your Local Permit Officer if yav are niri sasre which AEC appites to your propem'): (1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: _ ___'_ square feet ( includes air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but excluding non -load -bearing attic space) (2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER. IMPERVIOUS OR BUILT UPON SURFACES: ` square feet (includes the area of the foundation of all buildin};;, driveways, covered decks, concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations nitli the project drawing.) STATE STORMWATER MANAGEMENT PERMIT. Is the project located in an area subject to a State Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DE1vILR)? YES`_ NO If yes, list the total built upon area/impervious surface allowed for your lot or parcel: _ square. feet ��� i I3ER PER H'I'S MAY HE REQUIRED. The activity you are planing may require permits other titan the CAMA ninor development permit, including, but not limited to: Drinking Water Well, Septic rank (or other sanitary waste reatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA :erdfication, Sand Done, Sediment Control, Subdivision Approval, Mobile Home Park Approval, I-Lghway Connection, and tethers. Check with your Local Permit Officer for more information - STATEMENT OF OWNERSHIP: the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a person mithoriaed to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person I isted as landowner on this application has a significant interest in the real property described therein. This interest can be 3escribed as: (check one) ► - .: -. i. . •-- . � � it .. p yt.. � , ., an owner by vb, me. of inheritance. Applicant is an heir to the estate of probate was in County. otiwr interest, such as written contract or lease, explain below or use a separate sheet & attach to this application. i d0'a'MCATION OF ADJACENT RIPARIAN PROPERTY OWNERS: I fiuthermore certify that the following persons are owners of properties adjoining this property. I atTnm that I have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit rna. --N f A.uA..'k (1) (2) (3) (4) ACKNOWLEDGEMENTS: I. the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which eiay be susceptible to erosion and/or flooding.1 acknowledge that the Local Permit Officer has explained to me the particu. i er hazard problems associated with this lot This explanation was accompanied by recommendations concerning stabiliza- tiott and floodpiaofi;ag techniques. i ttthexmol e e:ertify that I am to grant and do in fad grant, permission to Division of C'oasta! Management stet/ I.,ecal Permit orcer :�. to enter on the aforementioned lands in connection with evaluating infortation F l ated to this permit: appisaio. This the day �11,�20� Landowner or person autJ�or�Zed to act as his/her agent for purpose of filing a CAMA pertttit application Imb This appfica n iudrdes: general information (this form), a site drawing as describes ort the 6 tick of flits applcatiom the ownership statement, the Ocean Hazard AEC Notice where necessary; a checkfor 100 00 made payable to the locality, and any p or wan os may be provided orally by the applicant The details of the application as described by these sources are incorporated without reference in any permit which may be issued Deviation from these detail r will cow ituie a violati i �� yeti t arty permit. Anyperson developing in an AEC without permit is subject to civil, criminal and aa%niwstrative action. Doer-opmi) crI ,- Additional names: Wendy Burns & Trustees 3204 Pleasant Plains Rd, Apex NC 27502-9090 Jeremy & Katherine LeBlanc 544 Wanderview Ln Holly Springs NC 27504 hFCElI OtF,,'r. I JAN Sl, % Io n IPCC(iM-1 lMIJIFOP, C� ff` Additional names: Wendy Burns & Trustees 3204 Pleasant Plains Rd, Apex INC 27502-9090 Jeremy & Katherine LeBlanc 544 Wanderview Ln Holly Springs NC 27504 ECE;VEf JW 2 4 I'VO 41-MT) CIITY to �t� aG Adj e. Pro Qwn r Maili gA fires City, State, State ode `7 Dear Adjacent Property: r] ra 0 or 0 M1 $3.50 I 0445 cr, nn 1 08 ❑Re m Recelpt Mledmnic) $ Cn nn Postmark ❑ Cediged Mail Reatddad Delivery $ Gam— Here ❑ Atluit slpnatureNOW $ ❑MUlt signature 138 Hoed Delivery $ lostage Ntal Postage and Fees 01 /13/2020 $4.65 This letter is to inform you that 1, 1k t i n_1 Pj:" - -- have applied for a CAMA Minor Property Owner Permit on my property at k 0 t o C r7!i��� in ONSLOW Property Address County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawiog(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 Applicant's Telephone ,or by mail at the address listed below if you wish to file written comments or objections with the NC DENR CAMA Minor Permit Program, you may submit them to: Jason Dail Local Permit Officer for North Topsail Beach NCDENRIDCM 127 Cardinal Drive Extension Wilmington, NC 28405 Sincerely, Property Owner i�N 2 QPeL kL Mailing Address CVn�i t,�O- City, State, Zip Code DGbi�r-41416 aD I�AT,1 U.S. Postal Service'm CERTIFIED MAIL° RECEIPT Domestic Mail Only - - For delivery information, visit our website at wwwusps.comr'. O mm a - -0 certified Mail Fee $3.5n c N $ G44.1 or F mServices&Fees rchwkGw,addree ern/ GS ❑RsWrn RwelafhM1 c pry) $ ,q O ❑ Return Recelpt(.1wronlc) $ $0-00 Postmark C3 ❑0etrff tlMellRmtrc dDellvery $ $0 0 Here Date ' r3 Oklultftnatute Requlretl $ ❑Atlult$IgnaWre 00.68 Reatdc De11,, O Pema9e P er r('y,�.. "I' $ JI O Total Postage and Fees 01/13f2020 �t $ 84.65 SCal I Err[ __________________________ 1f� � M1 sf l APr lrrc� !jxlNXiICX �tF City. Stake. Zip Code ___ Dear Adjacent Property: This letter is to inform you that 1. lei have applied for a LAMA Mirror P el�ty�Cmm� Pmnit on my property at - j p L o �y Jb e, _ in ONSLOW Property Address County. As required by LAMA reguiapans, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed pmject, No action Is required from you or you may sign and return '. Y. �i1 1IY :.Y C. 1. ♦ 1 ':"I♦ 4 • f♦. A :.1 ♦♦♦1•«i 1 i•�f 1.• H: .+ -1 � ' � i♦ ♦ .tl. :.. •::.♦. 1.- 1 We written continents or objections with the NC DENR LAMA Minor Permit Program, you may sarbrrit ahem 10: 1AN A a V—t Jason Dail Local Pen it Otficerfor North Topsail Bah NCDENR/DCM 127 Cardinal Drive Extension Wihnhoon, NC M405 Property Owned Main ,Address � City, State, Zip Code JAN 21 4 2020 Dicafii-wo-Ilui CTy P•CERT ..©RECEIPT i M1Domestic a WI p o I Certifled Mail Fee ru $ 53.50 0445 Er EwaServices& eesphec ,,eddke are) ❑ Return Recolpt(hudcopy)) $ 08 Q ❑ Return Recelpt(eleoronioa $ •r5 fib Oostmark O ❑Certifletl Mall Peetdc1etl Delivery $ 0Adult&I9nalure PHere Requlrad $ O OM.1$I9net..Ra OndOelNery$ r3 Poa age V 1` � $1.1` r {1'°eJ AddfPSS 0 Total Portage and Fees (11 /1 .�i/21J2C1 $ $4.65 CRY, State: Zip Code `f` o— sent To -- -- -- --------------- p Street �n o., Box Ny: �;' a;'-----' - •- --a- G`-ity St ya.--- ----r'----.5 SSWQa Dear Adjacent Property: l 1/ This letter Is to inform you that 1. nn Ulm ibmham ap ied fo; ;a c'AMA Minor Pre arty ON�nerr.Q} i� , ` Pemnd on my property at... -_ l.J��L' y/'t� ----� to ONSLOW ProperlyAddreaa County- As required by CAMA mgulat7ors. I haw enclosed a copy of my pemdt aplorrftn and projcect drawing{s) as IwtificabOO of 91 proposed project No action is reqursd iron YOU ar you mrri etgn and return the encicrJ no ot>n corm. If you have any qu stiwns or cormfents about rrty pd Fznyt, please contact rle at Q—q - 3 f€ yun vdsh to Applicant's Telephone Written cmmnlenLs or objections w th the NC DENR CAMA Minor Permit Prngwn. yor n ay subml tl'aem to: Jason Dad Local Pemit Officer for North Tot" r�aa h NCDENR/DCM 127 Cadnaf Drive Extelasm WskmOon. NC 2M R[r t(C 'wIL ,N '�I JAR, 2 4 /OZO DG,B 1-4� i "jcl 6�11Ty r . Postal Service'" RTIFIED MAIL° RECEIPTestic Mail Onlydelivery information, visirourwebsiYi�r f Certlaea all Fee 33.5U 0445 v $ tal n8 n' EM ServlcesS Feee(checkaox, add As. ❑geWrn RBCBIcopy) kn rIn Postmark O �petum Receipt (eleNanlc) $ 0 Here 0 ❑CenMletl Mall gesNcletl 0ellvery $ 0 �Aault 310estureRequiretl $—� yt}-�ty— C3 �AWit Si00elum Rswlcted OOW $ Postage o $1.15 01/13/2020 �Total Postage and I$4a 65 s l nt To �`,-, I...�r,� 1 C3 Sire-ia7 W. Mo.;p�.t.'�g o r- _�--•.-ln...lraaav-S,c---------- ! p• PSForm 3800, April 2015 PSN 7630 02 000-9047 //"� owrw • r, -d County- As required by LAMA mgutabot$s, t have erxbW a copy of my pewit appkawrl aiW proW drawfng(s) as rwfificalion of my proPoeed plated No adfan 19 required hum you ar ycu my sign: and return ft enclosed no objector form N you have aW questionson or cworts about my proposfW protect, pew canted meat q t0 " :52!9 t -�5 5/P,or by ma@ at the address lisW below. ti you wish to Applicants Teaspkm them to: or objections with the NC DENR CAMA Mawr Permit Pmgran. you mmy submt Jason Day Local Pewit Officer for North tow.0 €Haan NCDENR/DCM 127 Carchaf Drive Extension Wit ngton, NC 2ti405 1 , MAN ..a ` 111M • JA010 h l l-i lfmjilu) cry y Postal CERTIFIED MAILO RECEIPT r Domestic a AP n[CIAL USE C,nfied Met Fee 83.5.rD 0445 08 ru N -Q" E1dra Servlcea&Fees (chackea4 add (ee rp ere) ❑RsWm ReceiptQ�ardcop» $ '\y 0 .2t� O �Ra ,Recelpt(ele mM.) $ Rfi rirl Pommerk Hem at �� � f- I� O ❑Cenlfletl Mell ReaWd Delivery $ t— 0e00 QAdult$IgnaWre Regvlred $ ..] 1.$ ❑pdutt 5lgnaWreReaMcted Delivery$ Adjacent to er 1 o l� r- Posisge $1.15 r-i1113/2C(2f-i �a1tIn0 A��__55 (,.i'iPgliefC� ►�e. a,saz - ��o c'-� � Totel Poeiege entl Fees $ $4.65 City, State, Zip Code e a p sent, U n -------- ----I-------------- $ii$,erend,pt,�f��69a�z.�No:�[ Dear Adjacent Property: This letter is to inform you that i, �aW)L ..t -� LV VVI R)Qe-,have applied for a CAMA Minor Pr erty Owner Permit on my property at. D5 ' -4- t 1-k\fie _ ___: in ONSLOW Property Address County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no oblection form. If you have any questions or comments about my proposed project, please contact me at n tv - -t35 LOAr by mail at the address listed below. If you wish to pplicant's Telephone file written comments or objections with the NC DENR CAMA Minor Permit Program, you may submit them to: Jason Dail Local Permit Officer for North Topsail Beach NCOENRIDCM 12-1 Cardinal Drive Extension Wilmington, NC 28405 Sincerely, Property Owner M ' ing Address inn ov, �) L City, State, Zip Code r r gr1EoVF5ria Postal CERTIFIED MAILO RECEIPT p Domestic fi4ail , niv a E3 . . , CerdNed Mall F $3. J(I na a 0445 Cr EXtMSeNices&Fees (tlreckbaKetldlee ❑Rstvm gemlPt(naNcop� ete). 08 0 $ ,r ❑ReturnRecelPt(aectmnlo) $ an Oil ❑caffed Mell Re ,Aed Nlf.q b ery ftt Postmark p 0Adu1t Signetum Requlmd 0Adu1t81gnetum Reahickdgellvery Here p Postage ri p rote) Postage and eea 84.65 tli/i3/2C121r �N L $ Cr Sent To StiepRgn_y '1.77o.,c O r- ()yexlU-------------- oCJ rV�ne ---------------------------------- ii10 r n C' Dear Adjacent Properly_ This letter is to inform you that I, r� RM have applied for a LAMA Mirror PerkOw1ne,,r, !� Permit on my property at L Q(4 in ONSLOW Properly Address County. As required by CAM regulakM I have encbsed a copy of my permit appkution and Project dravdug(s) as notiiicabon of my proposed project. No adios is required from you or you rosy sign and return the eta obj . form�you arty questions or comments about my mposed project, piece cwwcore a 1 35C�or by mad at ft address listed bohrw. ff you wish to Applicants Telephone file written comments or objections with the NC DENR CAMA Minor Penn t Program, you may suhrrpt them to: Jason Dad Local Permit Officer for North Topsall Beach NCOENRlDCM 12T Cardinal Drive Extension Wilmington, NC 2tf40i5 1�C111t1u 4 � wl Tope Property 3(A �QPC Melling Address Ua. w N) . City, StaW, Zip Cafe 'r3r�=CCyfe 9'��I� a" JAIR 2 4 2020 c al jeddHD CITY 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 agent/company, and (3) building owner, SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE AL Building Owners Name Policy Number: Wellman Construction Company A2. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Company NAIL Number: Box No. 660513th Avenue city state ZIP Cade North Topsail Beach North Carolina 28460 .__._,..... .... _...__....__.__.._. A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, eta) Lot 3 BLOCK B MB 3 Pg 89 Ad. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitudekongitude: Lat.34-2"2.29" Long.-77-28-26.20" Horizontal Datum: [] NAD I927 ® 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 _ 5 A8. For a building with a crawispace or enclosure(s): a) Square footage of crawispaca or enclosure(s) 0 sq it b) Number, of permanent flood openings in the crawlapace or anelosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A6.b 0 aq in d) Enginoorod flood openings? © Yes Q No A9. For a building with an attached garage: a) Square footage of attached garage 0 sq it b) Number of permanent stood 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 8—FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name E Community Number 02. County Name B3. State North Topsail Beach 370466 Onslow . North Carolina B4 Map/panel B5. Suffix B6. FIRM Index 87. FIRM Panel BB. Flood Zone(s) B9. Base Flood Elevation(s) Nurnber Date Effective! ((Zone AO, use Base Revised Date friood Depth) 3720425600 J 02/1612007 11/03/2005 VE 13' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: L-] FIS Profile CxJ FIRM I-1 Community Determined [] Other/Source; 811. Indicate elevation datum used for BFE in item 89: ❑ NGVD 1929 Ex] NAVD 1988 [] Other/Source: B12. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? j ] Yes ( No Designation Date: ❑ CBRS © OPA FEMA Form 086-{W3 (7/15) Replaces all previous editions. Farm Page 1 of 6 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 Na. � Policy Number: 660613th Avenue City state ZIP Cade--- 7�o-Wpany NAICC Numbar - North Topsail Beach North Carolina 28460 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: o Construction Drawings* J] 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, AN, A (with BFE), VE, VI--V30, V (with BFE), AR, ARIA, ARIAS, ARIA1-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: NCGS "PUBLIC" _ _ Vertical Datum: NAVD 88 _ Indicate elevation datum used for the elevations In Items a) through h) below. rl NOVO 1929 J:X] NAVD 1988 [j Other/Source: Datum used for building elevations fnust be the some as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 17,0 Z feet ❑ meters b) 'fop of the next higher floor Wit 0 feet EJ meters c) Bottom of the lowest horizontal structural member (V Zones only) _ ...YS. .___ © feet ❑ meters d) Attached garage (top of slab) n/a. ____......,_.-. x© feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 1 �. ® feet n meters (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) _ ?. 3.__. -„... D feet [] meters g) Highest adjacent (finished) grade next to building (HAG) ... 8.4 CX,J feet ❑ meters h) Lowest adjacent. grade at lowest elevation of deck or stairs, including .! _._.— ® feet [-_] meters structural support SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTWICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I codify that the information on this Certificate represents my bost efforts to interpret the data available. ! understand that any false statomentmajLbe-punisbabia-b)Lftne-orimprisonmentundai�T8-11 5-Code, Section-7Dp1 Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑ No ❑ Check here if attachments. ------ .„v0.LL License Number —Cortiiiers Name Glairy Canady L-2904 itlitUtil7.f Title NC Professional land Surveyor R" {,`,• Company Name Gairy Canady Surveying .rF{e (g{K:^^ _ AdchW 2780 Kinston Highway f//l;flftflo -City State ZIP Cod© Richlands North Carolina 28674 Signature _ — Date Telephone 12/04/2010 (910) 324.4616 Copy all pages of this Elevation Certificate and all attachments for(l) community official, (2) Insurance ogenticompany, and (3) building. owner. Comments (including type of equipment and location, per C2(e), if applicable) Preliminary Flood Maps for site shown entire dot in Flood zone AE 12. .CDO@9G J') MI FEMA Form 086.0-33 (7116) Replaces all previous editions. Form Page 2 of 6 6),(n 6t, 4A IH!D (:°Ii TY d LEFTSIOE 311B'=1'A• �MNB 9E wl Xnmf f FRONT VIEW eesev F=—.ea Are. Sr.&e Orov 6uBdn d"NCRRp°jk L Name LBn LamnenU� 4,4 W, ots t009F OPWNO FIOGQ 6LAB 6TORAOE B188F 14FLODR t8T FL00R iPl SF CECN t6TFLOpR _ i«SF CECK t6T FL000. B188F BNp FLOOR 2NO FLOOR iB]8F PECK 2NO FLOOR 1M 8F DECK 3NO FLOOR pFAWINO MpF% BNEFTM akTDEUEVA RaNaION BLOB A ORBB PLONOFLEVATION9 FLOO KMSNMTIO A aid L— --FL— PIAN A 9P,f �C. MMINNDATION FNAMINQ PUNS A REARVIEW 1ifi'^1'A" C wnw. numfee.nmw NV300 OI1NVllV w n D O.`^ �pWpM z h 4 0 G Q Q LP p�J Q� , = o = oz�z 3 in w N_ M H e m ¢SZO em MI m W r Z m ^ y U�D W y /0� d. N a�7 W 2J0 ONVI 5 yu1� oza 0zCD TIC n C o man. 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