SB_15-14_Koppenheffer

Town of Sunset Beach SB 15-14
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Managemenr
Issued to Gary & Susan Koppenheffer, authorizing development in the Estuarine Shoreline (AEC) at 1004 East Canal
Drive, in the Town of Sunset Beach, as requested in the permittee's application, dated November 30th, 2015. This
permit, issued on December 17th, 2015, 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: Authorizes construction of a Single -Family home.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on November 300, 2015.
(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.
(3) Any change or changes in the plans for development, construction, or land use activities will require a reevaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at 910-579-0068 for a final inspection at
completion of work.
(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. This pemdt 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, 2018
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.
Richard Hathcock
CAMA LOCAL PERMIT OFFICIAL
700 Sunset Blvd. N.
Sunset Beach, NC 28468
PERMITTEE
(Signature required if conditions above apply to permit)
JAN 1 4 2016

Name: Gary & Susan Koppenheffer
Minor Permit # SB.15.14
Date: December 17w, 2015
Page 2
(5) The amount of impervious surface shall not exceed 30% of the.lot area within 75 feet of Normal High Water
(Estuarine Shoreline Area of Environmental Concern).
(6) Unless specifically allowed in 15A 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. No portion of the
roof overhang shall encroach into the 30 ft. buffer.
(7) 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 line of filter cloth must
be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area
has been properly stabilized with a vegetative cover.
(8) Any proposed for grading within the 30' buffer from the Normal High Water 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.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
(10)The landowner or permittee shall at all times provide the operation and maintenance necessary to assure
the permitted stormwater system functions at optimum efficiency. The landowner or permittee shall
maintain the permitted stormwater system for the life of the project.
SIGNATURE: DATE:
PERMITTEE

Locality _I c
Ocean Hazard Estuarine Shoreline ✓ ORW Shoreline _
(For official use only)
GENERAL INFORMATION
LAND OWNER
Permit Number - 17 ' I q
Public Trust Shoreline Other
City GtmmCJnS State J(� Zip;_PQ Phone 3� 1 (00615
AGENT
Name J r6but I � Guo,1414 Co / 54K4(� h�( a rd
Address I $ o 00_j
city N24 n l e 6�°ach State M�, Zipm"Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 160LI Eai CQruJ D
OF PROJECT: (List all proposed construction and land disturbance.) 'tj_�t-l5 e_- 10,e C 1<-
SIZE OF LOT/PARCEL: Ll y 9 `i square feet acres
PROPOSED USE: Residential [59 (Single-family ® Multi -family ❑ ) Commercial/Industrial 0 Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ijyou are not sure which AEC applies
to your property):
(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: 6S 8 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 to a State Stormwater
Management Permit issued by the NC Division of Water Quality?
YES_ NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
RECEIVED
DCM WILMINGTON, NC
DEC 0 7 2015

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 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)
Xan owner or record title, Title is vested in 6 iu (13 wick e0 U /13cf Deed Book 3 0 %
page in the 16 f 4 11S L,.) i c _ 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 & 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)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
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 30;` day ofkiltm et', 20 L-_X
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 back of this application, the
ownership statement, the Ocean Hazard AEC 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 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 administriRfieudEdDi.
DCM WILMINGTON, NC
DEC 0 7 2015

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December 10, 2015
Brunswick County NC GIS
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DCM WILMINGTON, NC
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GARY KOPPENHEFFER
1004 CANAL. DRIVE
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ACTUAL LOCATION MAY �i
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NOTES:
"INFORMATION FROM A SURVEY BY BOBS" 'LONG.
*DO NOT DRIVE VEHICLES OR PLACE HEAVY EQUIPMENT
OVER INFILTRATION TRENCHES.
"ALL SIDES 0 `HE INFILTRAPON TRENCI'ES I•hUST 3E
LINED MTH FILTER FABRIC.
SCALE: 1" = 20'
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30 LF FEE ZEE LAY SYSTEM
ACTUAL LOCATION MAY
VARY DLE TO SITE CONDITIONS
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RECEIVED
DCM WILMINGTON, NC
DEC 0 7 2015

Brunswick County NC GIS
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November 14, 2015
PIN: 105413148218 PARCELID: 256NE00301 OWNER: KOPPENHEFFER GARY J ETUX KOPPENHEFFER SUSAN W
1 = 40 Feet ADDRESSI: ADDRESS2:4330 LAVALE COURT CITY: CLEMMONS STATE: NC ZIPCODE: 27012
N PARCELDESC: L-P/O 6&7 PLAT 10158 CANAL DR DEEDDATE: 10/13/2015 DEEDBOOK: 3697 DEEDPAGE: 0544 PLATBOOK: null
wE PLATPAGE: null PLATDATE: ACRES: null TOWNSHIP: SHALLOTTE DEFERREDVAL:0
LANDVAL: 185000 OTHERVAL:0 HOMEVAL: 0 TOTALVAL: 185000 FIRECODEID: 16 FIRECODENAME: Sunset Beach
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EVERETT G, RAHAPlQ P.E.
159 BRUNSWICK AVE EAST
HOLDEN BEACH, NC 26462
(919; 622-7•176
GRAY &E"ti-'P PEN aG=,;° FER
1004 EAST CAMIAL DRIVE
SUNSET EAP H, N.C.
'g'O"9` _LOT AREA
4499 SQ FT -
HOUSE AND DECKS (INC. EAt%E) .........................1555 SQ. FT.
15S8 so, ft x 1,511 12 = 195 cu ft of stornnwater containment
required.
® Utilize gutters and downspouts draining to an EEE ZEE LAY drain
systern.
® Capacity of EEE ZEE LAY systen. = 3.75 cu ft / ft.
Length of system required = 195 cu it / 3.75 cu ft / ft = 52.0 ft.
Round up to 60 ft.
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RECEIVED
DCM WILMINGTON, NC
DEC 0 7 Z015

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date ll/ 3�1 ate; s
Name of Property Owner Applying for Permit:
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Mailing Address:
143.3c 1_ao(a)e Cou14
C )em wo.ns , lJ C
I certify that I have authorized (agent) J2 fix? d /Piz) (O I t to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)1v ,
at (my property located at) I DOta �ct�'f CC1 rlc 1Jl-
This certification is valid thru (date) i /3.4) /2,c%) L
Property Owner Signature
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RECEIVED
DCM WILMINGTON, NC
DEC 0 7 2015

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Dear Adjacent Property:
This letter is to inform you that I, (�OW �� PP�nl ,���l have applied for a CAMA Minor
Property Owner
Permit on my property at M09 ZQSf 14Cncj /J l• in u�rtlfl5i.uie�
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 objection form. If you have any questions or comments about my proposed
project, please contact me at 5 , or by mail at the address listed below. If you
Applicant's Telephone
Wish to file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit
Program, you may submit them to:
Sunset Beach CAMA Officer
700 Sunset Blvd N
Sunset Beach, NC 28468
Sincerely,
C0-v 4 />QPen heir
Prope O er /�
4 3u Lool C 0�71
Mailing Address
('%"rY11Y1Gr15, NL cell%:2
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
DEC 0 7 2015

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Dear Adjacent Property:
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This letter is to inform you that I, h 4—T f P' ✓\ )VF(( have applied for a CAMA Minor
Property Owner n
Permit on my property at lUCy Ca/XCU 6 j. in
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 objection form. If you have any questions or comments about my proposed
project, please contact me at33&t ,)6 -L&U7 . or by mail at the address listed below. If yoc
Applicant's Telephone
Wish to file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit
Program, you may submit them to:
Sunset Beach CAMA Officer
700 Sunset Blvd N
Sunset Beach, NC 28468
Sincerely,
&�(y kc—,-O e,�h-L--,F7rr
Prop yrte Owner
33�� Laval La.-}
Mailing Address
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City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
DEC 9 7 2015

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This letter is to inform you that I, Caw ko en') `,, r�l have applied for a CAMA Minor
f Property Owner
Permit on my property at lb"L f45fPancj D/- in 6/r4r7surck
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 objection form. If you have any questions or comments about my proposed
project, please contact me at 3 306 /. b0645 or by mail at the address listed below. If you
Applicant's Telephone
Wish to file written comments or objections with the LOCAL GOVERNMENT LAMA Minor Permit
Program, you may submit them to:
Sunset Beach LAMA Officer
700 Sunset Blvd N
Sunset Beach, NC 28468
Sincerely,
('�kfy k&PPe,-,her
Property Owner
936, Lau<zle (4L,/fi
Mailing Address
C�IIrnrnGnS.:V( .�17U1a
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
DEC 0 7 Z015

U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Imurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2016
SECTION A - PROPERTY INFORMATION FOR INSURANb& �HAPel�t1 t)S€"
-Al. Building Owner's Name GaryKdppenheffer Policy Number,. -
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company-NA1CN(tthbi:Y:
1004 East Canal Drive
City Sunset Beach State NO ZIP Code 28468
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Tax Parcel No. 256NE00301
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 33.87066 Long.-78.49999 Horizontal Datum: ❑ NAD 1927 ® NAD 1983
AS. 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): 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 NIA sq fit
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 fool above adjacent grade WA
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N A 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. State
Town of Sunset Beach - 375359 Brunswick North Carolina
B4. Map/Panel Number 85. Suffix 66. FIRM Index Date B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone
3720105400 J 10/16/08 Effective/Revised Date Zone(s) AO, use base flood depth)
06102/2006 VE 17.0'
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 1:59.
❑ PIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
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)
C1. Building elevations are based on: ® Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones At-A30, AE, AH, A (with BFE), VE, Vi-V30, V (with BFE), AR, ARIA, ARIAE, AR/Al-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: NCRTN Vertical Datum: NAVO 1988
Indicate elevation datum used for the elevations in hems a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 8.0 ® feet ❑ meters
b) Top of the next higher floor 20.0 ® feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) 18.0 ® feet ❑ meters
d) Attached garage (top of slab) WA._ ❑ feel ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 18.0 ® feet ❑ meters
(Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (IAG) 7.8 ® feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 8.0 ® feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support WA._ ❑ feet ❑ meters
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.
® Check here If comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here If attachments. licensed land surveyor? ® Yes ❑ No
Certifier's Name Samuel T. Inman License Number L-2778
Title Prof. Land Surveyor Company Name B.M. Long & Associates
Address P.O.t6x 1117 , _ , City Shallotte state Nc ur UW13 co9on RP( PAVC
Telephone (910)
PO'. to CApp *'oo,
'•; •BFE$$/0'•0. 7
¢Q
SEAL �t
r L-2778 Ir_
OURN5'••?
9 r
��.•�FL T. tN ��.•:
FEMA Form 086-0-33 (7112) See reverse side for continuation. places all previous editions.

rmrum i nN i : in mere spaces, copy the corresponding information from Section A. FOR INSUPMC
Building Street Address (including Apt.. Unit, Suite. and/or Bklg. No.) or P.O. Route and Box No. PolicyNutntfec
1004 Fast Canal Drive
City Sunset Beach State NC ZIP Code 28468 1 Comnanv,NAICif
.._...... .
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.
Uomments 1. Vertical control established by GPS observe
F000dplain Mapping Website. 3. Elevations in section C are
Signature
I the N.C. Geodetic RTN. 2. Latitude and Longitude were
and are to be verified during and after construction.
Date 11/19/15
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 EI-E5. If the Certificate is intended to support 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.
Et. 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 Spefinn r.
ace, r 1UN t• — t KUrt_K I OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, S, 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 Owners or Owner's Authorized Representative's Name
Address City State ZIP Code
, 'y„p'°" Date --
Telephone
Check here If attachments
SECTION G - COMMUNITY INFORMATION
mnaai wno is aumorizee oy 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 items) and sign below. Check the measurement used in Items G8-G10. In Puerto Rico only, enter meters.
Gt. ❑ 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-G7o) is provided for community floodplain management purposes.
G4. Pernit Number G5. Date Permit Issued G6. Date Certificate Of COmoliance/Onrunanev tscnpA
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
Title
Community Name
Telephone
Signature
Date
Comments
Check here if attachments.
RECEIVED
DCM WILMINGTON, NC
FEMA Form 086-0-33 (7/12) DEC 0 7 2g15 Replaces all previous editions.

Note: The V Zone design certificate is not a substitute for the NFIP Elevation Cerfif sate (see Fed Sheet No. I A. Lonst Floor
clevadon), which is required to certify as -built elevations needed for flood insurance rating.
V ZONE DESIGN CERTIFICATE
Name Gary K000enheffer Policy Number (Insurance Co.
Building Address of Other Description 1004 East Canal Drive
Permit No. 375359 City Sunset Beach State NC Zip Code 28488
SECTION 1: Flood Insurance Rate Map (FIRM) Information
Community No. 375359 Map/ Parwl No.37Z010540D Suffix J F[RM Dazc 0602-2006 FIRM 7,orre(s) VE
SECTION 11: Elevation Information Used for Design
(NOTE: This section documents the elevaboWdepths used or specified in the design — it does not document surveyed elevations and is not
equivalent to the as -built elevations required to be submitted during or after construction.)
i. FIRM Base Flood Elevation (BFE)
17.0
feet'
2. Community's Design Flood Elevation (DFE)
1&0
feet*
3. Elevation of the Bottom of Lowest Horizontal Structure Member
18.0
feet'
4. Elevation of Lowest Adjacent Grade
7.8
feet*
5. Depth of Anticipated Scour/Erosion used for Foundation Design .... .. .... ...........................
.... ...... 1.8
feet
6. Embedment Depth of Pilings of Foundation Below Lowest At iacent Grade _
110.0
feet
• Indicate elevation datum used in 1-4: 13NGVD29 X NAVD88 13Other
SECTION III: V Zone Design Certification Statement
I certify that (1) 1 have developed or reviewed the structural design, plans, and specifications for construction of the above -referenced building
and (2) that the design and methods of construction specified to be used are in accordance with accepted standards of practice"' for meeting
the following provisions:
• The bottom of the lowest horizontal structural member of the lowest floor (excluding piles and columns) is elevated to or above the SFE.
• The pile and column foundation and structure attached thereto is anchored to resist flotation, collapse, and lateral movement due to the
effects of the wind and water loads acting simultaneously on all building components. Water loading values used are those associated with
the base flood". Wind loading values used are those required by the applicable State or local building code. The potential for scour and
erosion at the foundation has been anticipated for conditions associated with the base flood, including wave action.
SECTION IV: Breakaway Wall Design Certification Statement
(NOTE. This section must be certified by a registered engineer orarchitect when breakaway walls are designed to have a resistance of more than
20 psi (0. 96 kMn2) determined using allowable stress design)
I certify that: (1) 1 have developed or reviewed the structural design, plans, and specifications for construction of breakaway walls to be
constructed under the above -referenced building and (2) that the design and methods of construction specified to be used are in accordance
with accepted standards of practice for meeting the following provisions:
• Breakaway wall collapse shall result from a water load less than that which would occur during the base flood'.
• The elevated portion of the building and supporting foundation system shall not be subject to collapse, displacement, or other structural
damage due to the effects of wind and water loads acting simultaneously on all building components (see Section III).
SECTION V: Certification and Seat
This certification is to be signed and sealed by a registered professional engineer or architect authorized by law to certify
structural designs. I certify the V Zone Design Certification Statement (Section III) and the Breakaway Wall Design
Certification Statement (Section IV).
Place Seal Here
Certifier's Name Deborah Keith Fish License Number 028283
Title Engineer Company Name
Address 136 Sailfish Street
City Holden Beach State NC Zip Code 28462 _
Signature f"00111 %A11L Date 11-25-2015 Telephone [phone]
RECEIVED
DCM WILMINGTON, NC
,It ,,, rl rrrl/
-t1 CAgOI ,,,
%
SEAL
028283
•�D
DEC 0 7 2015

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
Label roads
Label highways right-of-ways
Label local setback lines
Label any and all structures and driveways currently existing on property
Label adjacent waterbody
PHYSICAL CHARACTERISTICS
Draw and label normal high water line (contact LPO for assistance)
Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
_ Draw and label dune ridges (include spot elevations)
Draw and label toe of dunes
Identify and locate first line of stable vegetation (contact LPO for assistance)
Draw and label erosion setback line (contact LPO for assistance)
_ Draw and label topographical features (optional)
If you will be working in a coastal shoreline area:
Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
Draw and label all wetland lines (contact LPO for assistance)
Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
Draw and label all proposed structures
_Draw and label areas that will be disturbed and/or landscaped
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
Show all areas to be disturbed
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted Denied Appeal Deadline (20 days from pen -nit action)

1. Samuel T. Inman certify that this plat was drawn under my supervision from
an actual survey made under my supervision (deed description recorded in Book
1787 . Page 1115 . etc.) (other) see references; that the boundaries not surveyed
are clearly indicated as drawn from information found as noted hereon; that
the ratio of precision as calculated is 1:7500+; that this plat was prepared in
accordonces with G.S. 47-30 as amended. Witness my original signature. license
number and seal this 17th day of November. A.D., 2015.
PRELIMINARY — NOT FOR CONVEYANCE OR RECORDATION
Surveyor
License Number L-2778
W
a rATIaN MIR
„ se d
E.A go
DOLIP . Street
ic
50, RBI —
pubt
s.o'
➢BM-49AG Whin set
in Centerline of Pamweeent
Elev.=6.44' (NAVD '88)
PILLb6c
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�e
Ca nal D ri`e
CII
h
1910 6�6'
17
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\4
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c ,
6 0' Tie ur`e
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60 00 5.9'
ern
N 79•00 00" E
1 A
4499.3 Sq. Ft.
ty
o
a'
N Rock Dave o
v
o n
u:
Go
J
o Y
Z
25' SBL r^ P/0 of Lot
om
1, Dec
1� tq 1 greened
12 rJ o
0
-o ern X7.5' o
o ,rr
o LIP e
propp5d
a.r �
o
House N a
a, o
W.
5 SgL �
8.0'
a 60
7.7' � S 79000W
�
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Lot � Lot
n
g
0
2
R o
2
Total Lot Area = 4499.3 Sq. Ft.
0
Lot 5 Proposed Impertious Area for bourse w/Eave = 1557.6 Sag. Ft_
a
Proposed Impervious Area for Rock Drive to ROW = 832.0' Sq. Ft.
s
Total Proposed Impervious Area = 2389.6 Sq. Ft. = 53.1%
LEGEND :
t Existing Iron or Iron Pipe
tY New Iron Pipe Set
s— Existing Comer (Type Noted)
REFERENCE '
Deed Book 1787• Page 1115
Plot Plan and Boundary Survey Df
P/0 Lots 6 & 7 — Block 11 — Revision of Eastern Portion of Sunset Beach
"Gary Ko p p e nh e f f e r"
Shallotte Township Brunswick County. N.C.
Nap Cabinet 10• Page 58
0 20 40 60
NOTES :
Graphic Scale — Feet
1. Area By Coordinates
Scale 1• 40' tlovwrrlbwr 17. 2015
2. Fenno Flood Map identifies parcel
as being in Firm Zone VE 17'. Community
12, - . - '_j,
Panel 375359 1054 J. 6/2/06.
' H RECEIVED
-Tit,
a 1" DCM /yILM!NGTQI
3. Tax Parcel No.: 256NE00301
°I� ?rq +.h
4. Latitude: 33.87066 N Longitude:—78.49999 W
1 rq 5i'}+i'ac
v:,. ItE i•I 7.LE t'•H<:.1t:k:'.
NC