HB_09-032_Bromby

✓J JP,N-08-2010 15:17 From:THB PLAN&INSP 9108427003
To:3953964 P.2'3
Town of Holden Beach
Local Government
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State a NaN Gardiner, Deportment of EnvMpnmmt
and Natural Resa+r4s and the Coaetar Aeeourtes ConlmissUr" for development
in an area Of hatWrortment COn Pursuant to Section 113A•118 of the
Ganuval statuta& "Caestal ilea Nmraganhent'
20ON32
Permit Number
Issued to Crain and Anne Bromby, authorizing development in the Ocean Hazard Area (AEC) at 116 Marsh Walk, in
Holden Beach, Brun6 tic county, as requested in the permittee's application dated Sept, 15, 2009. This permit,
issued on October 13, 2009, is subject to compliance with the application and site drawing and the conditions of
this permit (where consistent with the permit), all applicable regulations and special Conditions and notes set forth
below, Any violation of these terms may subject permjttee to a fine, imprisonment or civil action, Dr may cause the
permit to be null and void. _ _
This Permit authorizes; Construction of a Single family residence, gravel driveway,
and retention ditches.
(1) All proposed development and associated construction most be done in accordance with the permitted
work plat drawings dated 911710g and signed by Edward Brunner.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State acid Federal
regulations, applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in tha plans for development, construction, or land use activilim wl8 require a re-
evaluation and modification of this permit,
(4) A copy of this permit shalt be posted or available on site, Contact this office at 910$42-6080 for a final
inspection at completion of work.
(5) The parking spaces shown on the site plan are a requirement of the ordinance and shall remain at all times.
This "I etlim may be appealeu by the pex6seo or opar qualified persons
Within Webb (20) days d the issuhg date. From he date of an appeal, any
"A Conducted under this Permit must cease min the appeal Is resdved. This
xn* rrusl be On we prpi"p File and accessible ho the permit d5cer when the
project Is Inspepad for canplarA. Any maruearroe work or project
rV00caaon not covered cadet this perrnh, peons fuser Coll w pa"t
Approval. AD work muss cease wthen this Derma ezpines on:
DECEMBER 31, 2012
In issuing #4 peal it Is agreed that this ptiod is cdaalstdn,vah he local Land
tlse Phan and all applicable ardnahces. This pemht may nd be nan*nhad to
aaoVer Parry "Out rile -*Wn approval Of dC iaWf n W Coastal
atanagemant
DCM WILMINGTON, NC
� IAN 2010
Rhonda Wooten
CAMA LOCAL PERMIT OFFICIAL
110 Rothschild
Haden Beach N 28462
PERMRTEE
151iinaki a required Ii rarrdltiond adore aptdv to permip

SRN-08-2010 15:17 From:THB PLAN&INSP 9108427003 To:3953964 P.3/3
Name: Craig & Anne Bromby
Minor Permit # 2009-032
Date: October 13, 2009
Page 2
(5) The permittee is required to coniact the Local Permit Officer 910-842.6060, shortly before he plans to
begin construction to arrange a setback measurement that will be effective for sixty (60) days barring
a major shoreline change. Construction must begin within sixty (60) days of the detennination or the
measurement Is void and must be redone.
(6) All buildings constructed within the ocean hazard area shall comply with the NC Building Code,
including the Coastal and Flood Plain Construction Standards of the N. C. Building Code, and the
Local Flood Damage Prevention Ordinance as required by the National Flood Insurance Program. If
any provisions of the building code or a flood damage prevention ordinance are inconsistent with
any of the following AEC standards, the more restrictive provision shall control.
(r) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter it round, or 6
Inches to a side it square; and the first floor level of the sills and Joists must meet the 100•year flood
level elevation.
(8) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation
under the structure.
(9)AII unconsolidated material resulting from associated grading and landscaping shall be retained on
site by effective sedimentation and erosion control measures. Disturbed areas shall be vegetatathrely
stabilized (planted and mulched) within 14 days of construction completion.
(10)Any structure authorized by this permit shall be relocated or dismantled when It becomes imminently
threatened by changes in shoreline configuration. The structure(s) shall be relocated or dicmAdled
couaose or sunswance. however, IT natural snorebne recovery or beach renourishment takes place
within two years of the time the structure becomes imminently threatened, so that the structure is no
longer imminently threatened, then it need not be relocated or dismantled at that time. This condition
shall not affect the permit holder's right to seek authorization or temporary protective measures
allowed under CRC rules.
i11 The retention ditches shall be inspected by the town of holden beach and by the engineer that
designed the system and a letter shall be submitted that was competed by the engineer verifying that
the system was Installed correctly.
(12) The concrete slab shall be at 9.5.
SIGNATURE: 4 DATE.
PERM EE
RECEIVED
DCM WILMINGTON, NC
JAN 0 8 2010

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GENERAL INFORMATION
LAND OWNER
Name: Craig A and Anne L. Bromby
Address: 3409 Lubbock Drive
City: Raleigh State: N—C Zip: 27612 Phone: [phone]
AUTHORIZED AGENT
Name: Charles Fox Homes, Ltd.
Address: 16 Causeway Drive
City: Ocean Isle State: NC Zip: 28469 Phone: 910,579.0908
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 116 Marsh Walk Holden Beach Lot 50, Plat Z131
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) single family residence
SIZE OF LOT/PARCEL: 4 2J&sgtrare teet _ acres
PROPOSED USP.1esidential x (Single-family x Multi -family [])
A
FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF '%
CONCERN (AEC): 2618 square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): n/a square feet (Calculi
includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
within the applicable AEC.)(Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
1 i W 75 feet of Normal High Water for the Estuarine Shoreline AEC
that are
( )wt n ee
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC, ad"" a tstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline ABC
Contact your Local Permit Officer' c C applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject a State Stormwater "
Management Permit issued by the NC Division of Water Quality? YBS� NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel. Rare feet.
RECEIVED
SEP 2 4 2009
DCM WILMINGTON, NC

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit.
As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with your LPO to
determine if any of these apply to your project. Zoning. Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Building,
Elecvical, 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.
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 Craig A. Bromby. et ux Anne L. Brombv, see Deed Book 2791
page 1091 in the Brunswick County Registry of Deeds.
❑ an owner by virtue of inheritance. Applicant is an heir to the estate of —;
probate was in —County.
❑ if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1) Jack & Carol Lohman 118 Marsh Walk. Holden Beach NC 28462
(2) Kathryn P. Garvin 114 N. Harvie Street, Richmond VA 23220
(3) Jimmy & Linda Henrickson 2709 Briarcreek Place Fayetteville NC 28304
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 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 particular
hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization
and floodproofing techniques.
TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents
to enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any
information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation
of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
This the 15th day of September, 2009
11d. / ---- &
Landowner or persoir4horized to act as his agent
for purpose of filing a CAMA permit application

AEC HAZARD NOVICE
Project Is In An. _Ocean Erodible Area V High Hazard Flood Area Inlet Hazard Area.
Date Lot Was Platted
This notice is intended to make you, the applicant, aware
of the special risks and conditions associated with
develripment in this area, which is subject to natural
hazardis such as storms, erosion and currents. The rules of
the Coastal_ Resources Commission require that you
receive an AEC Hazard Notice and admowledge that
notice in writing before a permit for development can be
issued.
The Commission's rules on building standards, oceanfront
setbacksand dune alteration are designed tominimize,but
not eliminate, property loss from hazards. BY panting
permits, the Coastal Resources Commission does not
guarantee the safety of the development and assumes no
liability for future damage to the development
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual ocean
ergsipp rate for the area where your property is located is
eet per year.
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 as30feet landward in a major storm.
e flood water; in a major s tarm are predicted to be about
feet deep in this area
Preferred .oceanfront protection measures are beach
nourishment and `relocation of threatened structures.
Hard erosion control structures such as bulkheads,
seawalls, revetments, groins, jetties and breakwaters are
prohibited. Temporarydevices, including sand bags, may
be allowed undercertam conditions.
This structure shall. be relocated or dismantled within two
years of becoming imminently threatened.
The applicant must acknowledge this information and
re
.guirements by signing this notice in the below space.
Without the proper signature, the application will not be
complete.
Applican` S nature
Date
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive
stornuand erosion Pennitsissued for developmentin this
area expire on December 31 of the third year following the
year m which the permit was issued. Shortly before work
begins on the project site, the Local Permit Officer will
determine the vegetation lute and setback distance at your
development can still meet the setback requirement, the
LPOwillinform you thatyyoumayy begin work. Itis impor-
tant that you check with the LPObefore the permit expires
for official approval to continue the work after the permit
has expired. Generally, if foundation pilings have been
placed and substantial progress is continuing, permit
renewal may not be necessary. If substantial progress has
not been made, the it must be renewed and a new
setback line established. It is unlawful to continue work
after permit expiration without this approval
For more information, contact:
Rhonda Wooten
Local Permit Officer
110 Rothschild Street
Address
Holden Beach, NC 28462
Locality
91D-842-6080
phone
RE, VIVED
NOV n 6 2009
DCM WILIWNGY(;�y, NC
Revised 11193

Nov 04 09 11:09a JT HOLDEN 8427984 p.7
BEFORE YOU BUILD
Setting Back for Safety: A Guide to Wise Development Along the Omanfront
When you build along the otconfmnt, you tare a calculated risk
Mmural Faccs of water and wind eotlidu with tolls of force, even
an calm days.
Man-made structures cannot be guaradteed to survive the force of a
hurricane. Long-term erosion (or bonier island migration) may
We from two to ter feet of the beach each year, and, sooner or
lairr, will threaten oceanfrnm structures. These are the then of life
for oceanfront property owners.
Tile Coastal Resources Commission (CRC) has adopted rules far
building along the ocea*ont. The rules are intended to avoid an
umcetottabls risk to life and property, and to limit public mid
privite tosses from storm and long-term erosion. Thee rules
Itaen but do not eliraimue the element of risk in acenufrout
development
As you r msidcr building ulnas the oceanfront, the CRC wants you
be understand the rules and the risks. With this knowledge, you
can make a more informed decision about where and how to build
in lhe'eoastal area.
The Rules
When you build al(Wng,the oceanfront, coastal management rules
require that the arraeturb be sited to fit szfdy into the beach
environment.
Structures along tine oceanfront, less than 5.000 square feet in size,
must be lieliind-tlie frontal -dune, -landward of the d6st of this
primary dune, and set back from die first line of stable nawtal
vegetation a distance equal to 30 times the annual erasion rate (n
minimum of 60 feet). The setback calculation inoroasts as the size
of the structure increases 115A NCAC 7)4,0306(a)C2)I, For
example: A structure between 3,000 and t UP square feet would
require a setback from the first line ofstabic , natural vegetation to
e distance equal to 60limes the annual erosion rate (a minimum or
120 feel). 'the firadnz-cd b7t6=k wn6nues to "Ickease vft oitglt
struetnre sins greater than 100.000 square feet.
• � rt
/tidtelTTEe • _
ttc,RtlCfvttic�n r
The Reasons
The beaubfiont is no ever -changing Iufdfomt. Tho beach and the
dunes are mtural "shock absorbers," taking the beating of the wind
and waves and protection the inland areas. By incaeporatiag
building setbacks into the regulations, you have a good ehanec of
anioy4 the m life of the structure. At firat, it seems very
inviting ro build your dream hot= as close to the beach as
possible, bir in five yows you could find the dream has become a
lt:ghunafeas high tides and storm tides threaten your investment.
The Fscepfinn
The Coastal Resources Commission recognized that these talus.
initially passed in lulu 1979, ntigbt prove a hardship for'some
property.awnas. Therefore, they established an exeeptiOn fix lots
that cannot melt th'e setback requirement. The excaptioo allows
buildings in bont of the current setback. if the following cnnditinm
apply.
(1) the lot most hovo been platted as of June 1, 1979. and is not
oapnble of being enlarged by combining with adjoining Itind
under the same ownership;
(2) development inost be onnstruc%t4 as far back on the property,
as possible and in no case less than 60 feet landward of the
vegetation line;
t3) x development to toke place an the frontal dune;
(4) si eeial wustntetioa standards on piling depth and squote
rootage must be met and
(5) all oche LAMA, sate and local regulations run' he met
The exeeatioo is not availahle in the Inlet Hazard Area.
To detetntine eligIbtl)ry (orthc exception the Local Permit Officer
will Make them mensuremenis and observations:
required setback from vegetatioa lino
exception setback (maximum feasible)
rest property line setback
—max. allowsbtesquare footage on lowest floor
___, piling length needed to extend 4 feet below 14SL
Alter the atorm, the house on the dune will be gone. The other house has a much Winer chance o1 survival.

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[.AGE
AlC
G'ry, SI re. ZIPi4

Identify
Page 1 of 2
o U Parcel Boundary
0 0 BROMBY CRAIG A ETUX ANNE L
245EA00151
Parcel Number
245EA00151
Account Number
51163710
PIN
109507675873
Owner
BROMBY CRAIG A ETUX ANNE L EP
Owner Address 1
Owner Address 2
3409 LUBBOCK DRIVE
City
RALEIGH
State
NC
Zip
27612
Legal Description
L-50 DAVIS HENIFORD PLAT Z/31
Parcel Street Number
Parcel Street
Street Type
Street Dir
Subdivision
Deed Book
2791
Deed Page
1096
Deed Date
5/15/2008
Plat Book
Plat Page
Plat Date
Land Value
$297,500
Building Value
$0
Other Value
$0
Deferred Value
$0
Total Taxable Value
$297,500
Heated Sq Ft
Year Built
Bedrooms
Full Baths
Stories
Ext. Wall 1
Ext. Wall
Neighborhood
5005
Municipality
HOLDEN BEACH
Fire Tax District
TRI-BEACH
LOCKWOOD FOLLY
,Township
Acreage
Sale Price 1$235,000

US pEPARTMENTOFHOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 16600008 '"
Federal Emergency Management Agency Expires March4l, 2012�
National Flood Insurance Program Important: Read the instructions on pages 1-9. - -'
SECTION A- PROPERTY INFORMATIONlnsnceCorrjaO tJfse�
Building Owner's Name Craig and Anne Bromby -'rPottcylNY(irff#er`t`=*•"i'"``f,.. `Jf
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. at@$ip"yIG�Nd beY�,'*xt;
116 Marsh Walk
City Holden Beach State NC ZIP Code 28462
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 50 - Davis Heniford Subdivision - Holden Beach - Tax Parcel Number 245EA001.51
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 33.90710N Long. 78.3522WV Horizontal Datum: ❑ NAb tg27 '®.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 6
As. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) NIA sq ft a) Square footage of attached garage N/A sq it
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 within 1.0 foo0above adjacentgrade
c) Total net area of flood openings in A8.b _ sq in c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes , ❑ No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. Stale
Town of Holden Beach - 375352 1 Brunswick County North Carolina
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Pel
B8. Flood
B9. Base Flood Elevation(s) (Zone
3720199500
J
Date
Effective/RevisedanDate
Zone(s)
AO, use base flood depth)
10/16/2008
06/02/06
VE
16.0'
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 69: ❑ NGVD 1929 E NAVD 1988 ❑ Other (Describe)
E Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E No
Designation Date _ ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. 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, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item AT Use the same datum as the BFE.
Benchmark. Utilized Private Vertical Datum NAVD 1988
Conversion/Comments None
Check the measurement used.
a)
Top of bottom floor (including basement, crawlspace, or enclosure floor) 8.0
E feet
❑ meters (Puerto Rico only)
b)
Top of the next higher floor
18.3
E feet
❑ meters (Puerto Rico only)
c)
Bottom of the lowest horizontal structuralmember(V Zones only)
16.1
E feet
❑ meters (Puerto Rico only)
d)
Attached garage (top of slab)
8.0
E feet
❑ meters (Puerto Rico only)
e)
Lowest elevation of machinery or equipment servicing the building
16.1
E feet
❑ meters (Puerto Rico only)
(Describe type of equipment and location in Comments)
f)
Lowest adjacent (finished) grade next to building (LAG)
7.5
E feet
❑ meters (Puerto Rico only)
g)
Highest adjacent (finished) grade next to building (HAG)
7.9
E feet
❑ meters (Puerto Rico only)
h)
Lowest adjacent grade at lowest elevation of deck or stairs, Including
8.0
E feet
❑ meters (Puerto Rico only)
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 eleven
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.
E Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? E Yes ❑ No
State
Mar 09
See reverse side for continuation.
all previous editions

IMPORTANT: In these spaces, copy the corresponding information from Section A. &Fot(Ih`sd agce�EorjpanyUsets)
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. )apo Icy�Numtie
116 Marsh Walk
City Holden Beach Slate NC ZIP Code 28462 p6ompany NAICl !gfter
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner.
Comments 1. Vertical control established by GPS observations using N.C. Geodetic RTK Network
2. Elevations in Section C are proposed and are to be verified during and after construction.
Check here if attachments
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 tosupport a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E1-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 _ _ ❑ feel ❑ 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 _ _ ❑ feel ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (lop 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 owner's 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's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Dale Telephone
❑ Check here if attachments
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 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.
G4. Permit Number I G5. Date Permit Issued I 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
Signature 1 Date
❑-CB'e'c'k'h'ere.if•attachm ents
❑ UA o....., 01_aa nn�r no Renlacea all nravinua eriifinnc

611P6
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT
PERMIT NOTICE
Pursuant to NCGS 113A-119(b),
Town of Holden Beach, a locality
authorized to issue CAMA permits
in Areas of Environmental concern,
to construct a single family residence,
gravel drive and retention ditches at
116 Marsh Walk.
The application may be inspected at
the below address. Public comments
received by October 9, 2009, will be
considered. Later comments will be
accepted and considered up to the
time of permit decision. Project mod-
ifications may occur based on further
review and comments. Notice of the
permit decision in this matter will be
provided upon written request.
Rhonda Wooten
Local CAMA Permit Officer
110 Rothschild Street
Holden Beach, NC 28462
[phone]
—Seat. 24
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State,
duly commissioned, qualified, and authorized by law to administer
oaths, personally appeared
Scott R. Harrell
who, being first duly sworn, deposes and says: that he is
Publisher
(Owner, partner, publisher, or other officer or employee
authorized to make this affidavit)
of The Brunswick Beacon, a newspaper published, issued, and en-
tered as periodical mail in the Town of Shallotte in the said County
and State; that he is authorized to make this affidavit and sworn state-
ment; that the notice or other legal advertisement, a true copy of
which is attached hereto, was published in The Brunswick Beacon
on the following date(s):
September 24, 2009
and that the said newspaper in which such notice, paper document
or legal advertisement was published, was at the time of each and
every such publication, a newspaper meeting all the requirements
and qualifications of Section 1-597 of the General Statutes of North
Carolina and was a qualified newspaper within the meaning of Sec-
tion 1-597 of the General Statutes of North Carolina.
This the 24th day of September, 2009.
(SigXr
ature person making affidavit)
Sworn to and subscribed before me this 24th day of Septem-
ber, 2009.
° � (Notary Public) CEIVED
My commission expires: December 29, 2009. NOV n 6 2009
C'CM WILMINGTON, NC

1, Samuel T. Inman, Professional Land Surveyor, certify
that the ratio of precision Is 11 10,000 +1 and meets the
minimum standards of prnctl S%\fW2I[S41d#p�urveying In
North Carolina. \\
Nltnesis my hand and sea l,\ty4n valf"of /lygust, 2009.
16.29'
N
P
8.39' X
7.76'
I
o �
x
7.i
o'
0
r L-2778
9
"FL t T. tN • �,.
v
0
0
Ex. House
F%120
Concrete Slab
Elev.=9.0'
Lot 49
LOCATION MAP
'Z'x3'x 3�•5'
DRAIrI T25Nd+
Eau+ SIaE
N 820633"
1
41.81' _B I
1. 'Cantilever ProPoSL-D
Pp� ireplace'60 Stall I O
PR2 Can ri I F m �o proposed Se r II o
2- a A� Story m
'A �a ve (TYp• � F I
oA V L�1' Eo
02
pkRi'-s'Z
°pqf K N I Al .9k. 20.1
NO SCALE
of 36
9711/ 05
0
w -
0
Lot 35
Vacant'
m
X&94'
8.99,
30.70' 8.96'
S 82'05'49" W
Electrical I
Transformer
rx.Lot 34
oncrete Slob I
Elev.=9.6'
Lot 51
©
Cable Television
OTelephone
Pedestal
Fire Hydrant
®
water Meter
LEGEND :
- Existing Iron or Iron Pipe
-o- New Iron Pipe Set
-o- Existing Corner (Type Noted)
REFERENCE :
Deed Book 2791, Page 1096
Map Cabinet Z, Page 31
NOTES
1. Area By Coordinates
2. Femo Flood Map identifies parcel
as being in Firm Zone VE 16'. Community
Panel 375352 1995 J. 6/2/06.
3, Tax Parcel No.: 245FA001.51
Total Lot Area = 4978.5 Sq. i Ft. I
Proposed Impervious Area for House = 1486.0 Sq. Ft.
Total Proposed Impervious Area = 1486.0 Sq. Ft. = 29.8%
Vertical
Datum:
NAVD_1988.
Survey Of
Lot 50 -
Davis
Heniford Subdivision - Holden Beach
"Craig
&
Anne
Bromby 99
Shollotte Township Brunswick County, N.C.
0' 20' 40' 60'
Graphic Scale - Feel
Scale 1' - 20' August 18. -2009
Rev. September 9, 2009
p=y M. LON4, P1, 5., & A550LIAIE5
ALM, N.L. 28459
(910 7
5
C 9I0> 54-
A-63C70
[phone] Fax
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