HB_17-001_Wightman

2017.001
Town of Holden Beach Permit Number
Local Government
Iv
CAMA
MINOR DEVELOPMENT Coastaf.ltanuyemcm
TVVIR01�rMTA(GW:^Y
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 pursuant to Section 113A-11 B of the General Statutes, "Coastal Area Management"
Issued to David & Kelly WigI tman, authorizing development in the Inlet Hazard Area (AEC) at 1329 Ocean Boulevard
West , in Holden Beach NC 28462, as requested in the permittee's application, dated January 6, 2017. This permit,
u
issued on January 12, 2017, 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: ADD 10 FOOT OF HEATED SPACE TO THE EXISTING STRUCTURE ON THE STREET SIDE OF THE
HOUSE.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
dravrings(s) on dated 11.22-2000 vdth notes by RW dated 1-9-2007.
(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. All regulations in chapter 15A NCA 07H .0310 Use standard for
inlet hazard area shall be meet.
(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 910-842-6080 for a final inspection at
completion of work.
(Additional Permit Conditions on Paoe 21
This pertrat action may be appealed by the permittee or other qualified persons
witdrn twenty (20) lots of the issuing date. From the date of an appeal, any
rark cenducted under this permit must cease until the appeal is resolved. This
Pemdt must be on the project site and accessible to the pert officer when the
Project is inspected for compliance. Any maintenance work or project
modtaalion not covered under this permit, require further written permit
approval. All work must cease when this pert expires on:
DECEMBER 31, 20M
In issuing this pent his agreed that this project is consistent with tre local Land
Use Plan and all applicable ordinances. This pemdt may not be transferred to
Woothel party wtd*A the written approval of the Division of Coastal
CAMA LOCAL PERMIT OFFICIAL
110 Rothschild Street
Holden Beach NC 28462
ER ITTE
( gnature required if conditions above apply to permit)
RECEIVED
DOM WILMINGTON, NC
JAN 19 2017

Name: David & Kelly Wightman
Minor Permit # 2017-001
Date: January 12, 2017
Page 2
(5) This development is in the inlet hazard area shall be set back on a minimum of 60 feet from the first line of
stable natural vegetation, as determined by the DCM, the LPO, or other assigned agent of the DCM.
(6) The permittee is required to contact the Local Permit Officer 910 842 6080, 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 determination or the measurement is
void and must be redone.
(7) 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.
(8) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to
a side if square; and the first floor level of the sills and joists must meet the 100-year flood level elevation.
(9) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the
structure.
(10)Dune disturbances will not be allowed because the dune's protective value could be weakened or reduced.
Disturbed dune areas will be immediately stabilized.
(11)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 vegetatatively stabilized
(planted and mulched) within 14 days of construction completion.
(12)Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently
threatened by changes in shoreline configuration. The structures) shall be relocated or dismantled within two
However, if natural shoreline recovery or beach renourishment takes place within two years of the time 11 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 of temporary protective measures allowed under CRC rules.
(13) The parking shall meet the requirements of the town ordinance for the life of the structure.
(14) Only residential structures of four (4) units or less, or non-residential structures of less than 5,000 square feet
total floor area, shall be allowed,
RECEIVED
pCM WILMINGTON N-
i
SIGNATURE: DATE:
RMI E

GENERAL INFORMATION
LAND OWNER
Name
A=
City
Email ,2L)o.
5 State = 1 C Zip 7 73FJPhone _ 7I .3 — 3 73" /3& 9
4�- -713- 960/- D-,)aCO
Will i5-tower5 watson . com
AUTHORIZED AGENT
Name Ca'�—OL rla Cra rncn, rlc I�Oher�� /UO�F�r7 �re5lclenfi
Address �2375 Leorla.'- / kd,
City
State AIL Zip 28�/6 oZ Phone qJO- 942— &413
l La�i?L•r�et
LOCATION OF PROJECT: (Address, street najt,�na and/or directions to site.. I/f not oceanfront, what is the name of the
adjacentwaterbody.) /329 �GPR/) CJVU.�(/�� I Sf ! �IG�rt 1cGh, NC. aSY6
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance lgdA I QFk_ 7b --'Xal .
_-5-ra " fL S 1Ac--- Aso S--r iA1J6JV :' foot✓%Tfr-L/ .�
SIZE OF LOT/PARCEL: ?O1 i 13 square feet acres R,aCy
PROPOSED USE: Residential a (Single-family ta Multi -family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD ABCs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 33S0 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 FOO'
UPON SURFACES: Nl square feet (includes the area of the roo
concrete or masonry patios, etc. that are within the applicable AEC.
STATE STORMWATER MANAGEMENT PERMIT: Is the project
Management Permit issued by the NC Division of Water Quality?
R BUILT
al}��}ildin s, drivew vered decks,
cdigatio�/��i�the t drawing.)
YES ✓ NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: al 1194�ji&. NC
JAN 12 2op

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)
—an owner or record title, Title is vested in�Nt,i NLyl`t f�'���, see Deed. Book J
. page ( in the GVi I I (SUI ICi 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) ��g 9rCtc�Lc c. fro Jerovne Jac,�ri HOC,_ hu;ll�� (y�D a103U Cl3a raew)
(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 _>_ day of _ _ 20
X REEEtVE,D
�� lDrM WILmINGTON. NC
Landowne_r or peon authorized to act as his/her agent for purpose of filing a CAMA permit application I AN
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AECNotice 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
anypermit. Anyperson developing in an AEC withoutpermit is subject to civil, criminal and administrative action.

1-Z /7-0/
AEC HAZARD NOTICE
Project Is1n.An: Ocean Erodible Area _High Hazard Flood Area Zinlet Hazard Area
Property Owner n2y d 1-Ke�(� R)R4hi-meZn
Date Lot Was Platted: - - - 075
This noticeis intended tomake yon, the, applicant, aware of the
specialrisla andconditioas associated with development in this
area, whicb issubject to natural hazards such as storms, erosion
aad etrnents. The rules of the Coastal Besouices On
require thatyoureceiveanAECHazandAticaandacimo lkge
that notice iti writing before a permit inrdevelopment can be
issued
rules on building
teretions are desizo
the
changes in shoreline configuration Tlro sfmt
relocated or dismantled within two (2j:yea'
imminently threatened, andinany case"upor
-:'subsidence.: - -
Thebestavadable,aofaatnandn'.as accepted
RmsvuiccfCsa s}iu" caps that 9tc az
oceanfront
ize, but not
xrmits, the
he safety of
damage to
iid Area of
nrctures be
matened by
s). must be
or
eve_mgemttaRale ftirfthe area when= your, property is
na"Y
Ioc�terfis 'feet�ee'}':ear _ .
The rate was established by careful analysis ofaerialphotogWhs
of thecoasdide'.taken over the past 5D years.• -
Stii ie also indicate that the slioreliae could move as much as
f. r,1x5+, >-t Ickti t5&d-, . �c asp a
Call Brunswick County GIS for
this information! 910-.
This shall be completed.
me m ms area eapueon December 31 ofthe
the year in which the permit was issued.
begins on the project site, the Local Permit
Gcted m derctmine the vegetation line and
since the time ofpermitissuancc, and thelaoposgddevelopment
can still meet the sethackregotremeat, Bie*will iuformyou
that you maybeginwork. Substantial progress on the project
must 6e made -within 60 days of this.setback deteimmatioo, or
shoreline change as the, resultofastormwiddlitk60dayperiod
will necessitate remeasuremew of the setback 1t it important
ihatyoucbeckwiththe LPObefore thepemu[eapt**official
approval to continue the work alter.tbe p`cp=lies1._ ejrp¢ed
Generally, if foundation pilings havebtzpp]aredaodtathstantial
progress is continuing, permttienewal sett be apdtovzefl..It is
unlawful to continuework after permit on.
For more krormadon, contact•
_Local.PwmlfO/ficer
=N OF HM
OLDEN EISA - _
Address P71V I111N6 1 7tt8P>=e'tt0lN3 --
110 AOTHSc*QLDSTREET
. HOLDEN 9EACH, K04MW .
t laadwatd in a major swirn. Locality
T'he od waters ig am ajor storm arc predicted to be about , g Q
feetdeeI MAWS arca.. PhorteNumber. -. �-
-
Pmftned oeeanfrootproucnonlnG3Snres all beach nourishment
and.5elocation of: teried;strudnics. Band erasto`n cool: .
strurt`oeisttchasbtrlhe�s seawalls,tevetinents,g[oinsjetties
and tiraki iat= ace prohibited: Temporary• sandbags may be
autundec.rztteiiica�itovs. -- --
'llxspPit�itttostadaowlr�g�tfns mfotmafionandregairemeak _
by, sign g, _1goo pe m the space below. ylithout the proper
signat�agt6 ip�'t t3u'wiuuoNlerom ct,
RECEIVED
DCV WILMINGTON, NC
JAN 1.2 2017

I HEREBY CERTIFY THAT
SURVEVIS A TRUE AND
OF LAND SURVEYED AND
AND IS IN ACCORDANCE
PRACTICE FOR LAND SUF
LOT
64
OCEAN 60'
F___�
I EXISTING I
HOUSE
L�j
HOLDEN BEACH WEST
SUBDIVISION
MAP CABINET J, PAGE 340
I LOT
FIRST LINE OF 63
VEGETATION SEPT. 1999I
I
7
,IE LINE:
(C(OMMENCING AT MONUMENT "HB 24", (N.C. GRID COORDINATES:
% A MICROWAVE TOWER NORTH OF OCEAN)'ISLE BEACHH A FICHT
N 40'23'34"W; THENCE S 59.15.54-W 251.71 FEET TO ERB "A";
THENCE N GS
ARE ORIENTED T00 N.C. GRID9NORTH, ERBFEETTHAD, 1927. ALL BDISTIANCES
ARE HORIZONTAL GROUND- DISTANCES.
NOTES:
*LOT 62 APPEARS TO BE IN FLOOD HAZARD
ZONE 'VE", BASE ELEV. - 23 FEET.
"AT THE TIME OF SURVEY THE HOUSE ON
LOT 62 APPEARED TO BE TWO LIVING LEVELS
ON PILINGS WITH NO GROUND LEVEL ENCLOSURES.
THE HOUSE APPEARED TO BE APPROXIMATELY
100% COMPLETE.
*THE GRAVEL DRIVES ON LOT 62 WERE NOT LOCATED.
K
EG
a 0 eg
., j 8 •�
EXISTING
HOUSE
3
w
T 0 `;I
w OEOK
20,71
HOLDEN BEACH WEST
SUBDIVISION
MAP CABINET J, PAGE 339
1
ERB ZONE VE
(EL 21)
FT.
FIRST LINE OF
..
�(�`M
VEGETATION FEB.
1999 I
v
J
_e
46.66'
S 88.43'41' W' N
87'32'22 W'
• 5
'
N8T3 S3"W
CURVE TABLE
CURVE RADIUS LENGTH TANGENT CHORD
BEARING
DELTA
AT TIC
OCFA 1
Cl 605.85 64.88
C2 605.85 61.72
32.47 64.85
30.88 61.69
N81.27-10"E
N75'28'00'E
06'08'09"
05'50'11",(�,—q—a017
1
C 2001
BRUNSY
40 0
40
80
SCALE I" - 40'
FEET
VIGNITY MAP
NOT TO SCALE `
LEGEND:
a�
EIP O
EXISTING IRON PIPE (FOUND)
q�
NRBO
NEWR
NEW RE -OAR (SET)
✓//1
qsr
ERB0
EXISTING RE -BAR (FOUND)
4
CM n
CONCRETE MONUMENT
WA W
PK O
PK NAIL
IALLO7TE HOLDEN BEACH ELL
R/R0
RAIL ROAD SPIKE
RIVER NC
G.
CENTERLINE
SALICORNI _
ET ❑
ELECTRICAL TRANSFORMER
.
ES 0
...
ELECTRICAL BOX
ATLANTIC! OCEAN VIEW
OCEAN SITE -
BLVD, WEST.
t
BRUNSWICK
SURVEYING, INC
Thomas W. Morgan, P.L.S
1027 Sabbath Home Rd. , SW
Supply, North Caroline 28462 (910'
ZONE VE 1�
(EL 23) 1 \
1
LOT 1
61
1
1
INGTON, NC
2 2017
L — -
SURVEYING. INC.
Plat Of Survey For
MICHAEL HOBBS
MADE FROM LOT 82. (1329 OCEAN VIEW BLVD. WEST), HOLDEN BEACH
WEST SUBOMSION, (MAP CABINET J. PAGE 339), HOLDEN BEACH,
NORTH CAROLINA AND EXISTING PHYSICAL EVIDENCE.
LOCKWOOD FOLLY I RLINSWICK NORTH CAROLINA 11-22_00
FIELD BOOK 423-41 J FILE NO. OD045-62 I JOB NO. 00-045

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: -Wv 1> w1 bl"W
Mailing address: 132-9 QGOR�J�,1J��1J�j,t�'r1�7-DEyi3 }ln/L 2,MZ
C/O ,-4Ebvnu%,fji-V�73LT)3YL
Phone Number: r) 3. 3-1-S . 'i S j6 Ot
I certify that I have authorized _ CaTO lInG C'a i ISi YIQr7 , 17-yi L
Agent / Contractor
to act on my behalf. for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of My imgi OEN LC
at my property located at V2M a-eC^I V
in t`j`&r4" wIU. - County.
This certification is valid through I'Ll,3111
Date
(Property Owner Information)
Signb3tire '0
Print or Type Name
S<\J"P,-`^I�T3�C-+�•+PrtrkTci 1-tArA*C,
Trtle
i 2A'S`\ �n RECEIvEr
Date i�cM WILMt""
Phone Number
��1� . w� f�-Fjlf ate► a Wl w15'fo W E►'�SwA'rS o�► . Co,� a 2
Emarl Address /
DCMWILMINGTON "I (UM
JAN 12 2017

U.S. Postal
Service
TM
CERTIFIED
MAIL°
RECEIPT
n6omestic Mail
Only
Ana BN ces B Feea (Cf.Y"J bh and M grir-gram)
❑ Return RecelDt(he OPy) a
U � l'
❑ Return Re ipt (de nlc) _ •
❑C Med Melt Re rlob Dell a a %fi -Ill :
Posanatk
Have
❑Adult algnetu,. Re,Il a $ n
❑ Adult Signature Rea dWD tl a
ostage q0 4�
12+`C!ZI2;i1E
'ote1 Postage and _
Property- mar
Receipts for
Certified Mail
(Staple Here)
have applied for a CAMA Minor
Permit on my property at in Brunswick
County
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 meat 9/0 - &Y-7- 0 q 13 or by mail at the address listed below. I( you wish to
Vqe�,c fhSTelephone
file written comments or objections with the Town of Holden Beach 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,
r �i Ovzl .
Property caner A jk=,r-- ^rT
Mailing Address
-?375 L eoac d � Sir/
City, State, Zip Code
5"ppl9, %vG asy�
OCM RECV
WILMINGEON. NO
JAN 12 ZIw

a
Domestic
COr Y r +_ Ic
ru
Date
P
(1331 08W)
ru
�
CertlFled Mail Fee t;
$
Car! o5+-
iYJ,
Ex a emlces& eee lcekhw. mereegpygapl
AdjacentP arty at
N
❑R�mRe�ptm�=npy, $
y GT LQ�
G
❑ReWm Receipt (electronic) $
-�
Postmark
Q
❑CetlMM Mell Res HO.d Delivery $ E� - i n l
Here
Mails Add'yy�y
r
�
Q
❑multsignleumReuire $ s_ rnrn
` ! J�0/e �/ e-}.l-jam
-I
61;2
❑P It signMure Raetricted DeMery $
! �i-�.54r L
G
Postage
¢ ' �'
City, State, Zip Code
'�
rr
Total Paetege a"-
Jar
O
—0 Sent To
r9
Dear Adjacent Property:
M1 Sheet ene fV.�oiPCNEW----..--------------'
This letter is to inform you that I, l �f �ri -V� i
Property Gwner A"
Permit on my property at 13.29 58W.,41&—n .l ka!J'l in Brunswick
County
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 91Q - 5q �2 - 641 3 or by mail at the address listed below. If you wish to
119e''+- Applieenft Telephone
file written comments or objections with the Town of Holden Beach 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, , `
i20�IV�u CENz4
Property 0wner1A je )*
C _4ZrOI i'ki 614T51"6&70 MOC
Mailing Address
.2375 L(nui)al-d RY 56✓
City, State, Zip Code
Nc e"'811& a
RECEIVED
()CM WILMINGTON
JAN 12 Nl?

1-'q-(1»
U.S. DEPARTMENT OF HOMELAND SECURITY OMB No 16604XM
Federal Emergency Management Agency Expiration Data. 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 Owner's Name
Policy Number:
David & Kelly Wightman
A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number.
Box No.
1329 Ocean Blvd. West
City State ZIP Code
Holden Beach North Carolina 28462
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Desa etc.)
I = 62 & 62A, Holden Beach West Subdivision, (Map Cabinet J. Page 339). PID #245GA038
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc) Residential
A5. L.atitudeAongitude, Lat 33`54'09.T Long.-78"22'21.7" Horizontal Datum: ❑ NAD 1927 x❑ MAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 5
A8. For a building with a rxawispace or endosure(s):
a) Square footage of crawlspace or endosure(s) 0 sq ft
b) Number of permanent flood openings in the aaNspace or enclosure(s) within 1A foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in
d) Engineered flood openings? ❑ Yes ❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage 0 sq It
b) Number of permanent flood openings in time attached garage within 1.0 foot above adLacent 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
Bi. NFIP Community Name & Community Number
62. County Name
B& State
Holden Beach 375352
Brunswick
North Carolina
B4. Map/Panel
B5. Suffa
B6. FIRM Index
87. FIRM Panel
B8. Flood Zone(s)
B9. Base Flood Elevation(s)
Number
Date
Effedivel
(Zone AO, use Base
Revised Data
Flood Depth)
3720109500
J
06/02/2006
06102/2003
VE
18.0
B10. Indicate the source of the Base Flood Elevation (BEE) data or base flood depth entered in Item Bg
❑ FIS Profile Q FIRM ❑ Community Determined ❑ O#w/Source:
B11. Indicate elevation datum used for BEE in ftem B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otlterwise �t �iA}2 (E] Yes ❑x No
D
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6

ELEVATION CERTIFICATE
MORd•il lTlfT
RILtIY-" t:+i =n.+' 1 413
B TANT: in these spaces, Dopy itae correspondIPSirrfmmation Exam Seafrarr A.
FOR N4StfRANCE CO ANY USE
Bidding Street Address (including Apt. Unit Suite anr8or Bldg. No.) or P.O. Route and Box No_
Pofrcy Number.
1329 Ocean Blvd -'Nest
City S 23P Code
CWq%amq NAC Nis
Holden Beads North Carolina 28462
SECTION C—BUHXiNG ELEVATION WORUATIOH (SURVEY REQU RFf3)
Cl- Building e?a alions are haled on: C z ; Su tinder C c re c csssh Coxtstrr�v on
*Anew Elevation Certificate will be required when co sh tibon of the bumdstg is compFele.
C2 Elevations —Zones Al-A30, AE, AH. A (with BFE), VE, V't V30: V (YAh BFE), AR. ARIA, AWiE- AR1A1--h.30, ARIAH, ARfAO_
Comps items C2a-t beiaw aamdurg to the biddmg diagram sped in ; AZ In Poem Rico Gray, enter rrmmrs
Benchmark Uhl ad: GPS-NCVRS Vertcaloatu�. SAVO1988
Indicate elevation datum used for the elevations in items a) ti+m_rgh h) below-
0 NGVD 19M N NAVD 1,968 F1 C�TsSoa
Darren used for buitdtrtg eler>ar.:s must be #z sang as jkg used for the BFE
Check the measaaaar:nt used.
a) Top of button Roar (including basement, aa;.ispace, or e.rrciasere Boor) 25 4
rLxj feet Q meters
b) Top ofitmnmdhigher tioor 352
Q fi.-el: rnetters
c) Bottom of the lowest horizontal skocitual member (V Zones only) 23 2
feet Q metes
d} Attached garage (top of stab) WA
fed meters
e) Levast Eevo".zon of machinery or eaen-praeret sevlcmg to bu 9 23- t3
'©feet[] metes
(Descn-be type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to budding (LAG) 9 8
© feet ❑ meters
g) Kghest ar r'.t (f )ode tuft to ly (HAG) 9- 9
led I
h) Lowest adjacent grade at lowast elevation of deck or stair, including 9_ s
tBat meters
structural support
SECTION D—SURVEYMENGRIEMORA IECTCERTIFI!CATION
This certification is to be signed and sealed by a land survey r engineer. or architect atehortzed by tm/v to certify eievaton trrFarrna*sore
I certify that the information on this Certicate represents my best efforts to interpret rile data available. I understand that any false
statement may be punishable by fine or imprison_rster_r!LmT 18 U.S. Code, Sentiori 1001.
Were lafihxieand kn_*LdeinSection Ap d ty a Soxnad lendsAveYW? IgYes ONO
Q,checkhereit �.
Cerfifier's Name License Number
Gary L Gurgannus L-3474
ft
ot;tlllrrr
,
C
Q.�n...:4R0
Tile
Ti
Professional land SurveM
�i�� i
Q. �O'Qf)FEssjo~''`�yii
r ;face tiTj; 7
Company Name
Gary Gurganus Land Swveymg
p•< H4
Z •,9 Q.'
�i�9Y,oSYRIJCity
Address
3105 Holden Beach Road
`,z��{Edit
StAe Zip code
Supply NamCarob= 28462
Sig Date Telephone
12-21-1(0 MG)233-7605
Copy all WV4 of this - Certificate and all attachments far (1) camps2lr official, (2) smuence
ag ndco tpany. and (3) i>tsTdsy arner.
Comments (including type of hqxpment and locobi , per C2(e), ifappira>is)
At time Gf survey the house on !ors 62 & 62A appeared to be two fivirg Wiels on pTum *Aft no ground level endosure& The elevafn
on C2e is the HVAC uniL The house appeared to be 1 cmTWk!E--
RECEIVED
()CM WILMINGTON, NC
JAN 12 2017
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 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 No,
Policy Number.
1329 Ocean Blvd. West
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 (WITFIOUT 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 E1-E4, use natural grade, if available. Check the measurement used in Puerto Rico only,
enter meters.
E1. 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,
crawispace, 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 E] below the HAG.
E3. Attached garage (top of slab) is ❑ feet E] meters ❑above or E] below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is []feet []meters ❑ above or ❑ wcrw the HAG.
i
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 O'NNER'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 Owner's Authorized Representative's Name
Address City State Z1P Code
Signature Date Telephone
Comments
RECEIVED
DCM WILMINGTON, NC
aN 12 2017
❑ Check here if attachments
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 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 No.
Policy Number.
1329 Ocean Blvd. West
City State ZIP Code
Company NAIC Number
Holden Beach North Carolina 28462
SECTION G-COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordnance 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 tot 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 Seddon E for a building located in Zone A (wiUxxA a FEMA4ssued or commurAyy4ssued BFEI
or Zone AO.
G3. ❑ The following information (Items G4-G10) is provided or 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 Dim
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
G10. Communitys design flood elevation: ❑ feet ❑ meters Dim
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and location, per C2(e), if applicable)
RECEIVED
DCM WILMINGTON, NC
.i AN 1 k 211 i'
❑ Check here if attadrmenfs.
FEMA Form 086-0-33 (7/15) 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.
1329 Ocean Blvd. West
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` arid, 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.
G—
i=
Fy+y
a
�:Q Cl1C
Photo One Caption Front View 12-08-16
'i
;I '=
IIlI;Ifll�lli �; � igllllll - �
I
(IB€pt�.11l�l�r
RE
= CM WILE
h I//,A1
H �
Pwb Taw
Photo Two Caption Rear View 12-08-16
DVED
NGTON,
1207
FEMA Forth 086.0-33 (7115) Replaces all previous editions. Forth Page 5 of 6

Layer List
Operational Layers
Brunswick County GIs Layers
2012 Orthoimagery
2010 Orthoimagery
H
■
Brunswick County UIS Data \,'iewer-
1329 OCEAN BOULEVARE X Q
Parcels:245GA038
Property Tax Cards
2016 Tax Card
2015 Tax Card
Parcel Information
Parcel ID: 245GA038
Parcel PIN: 109509064106
Calc. Acreage: 0.48
Zoning: R1
Legal Description
L-62&62A HOLDEN BEACH WEST PL
J/339&23/458
Cromer Information
Owner Name:
WIGHTMAN DAVID ETUX
WIGHTMAN KELLY
Mailing Address:
58 LAURELHURST CIR
Zoom to
33.903-78.373 Degrees

STORMWATER PLAN
1 5' . 36" EZ
FLOW
INFILTRATION
BED
nYP. - 5EE
DETAII-)
1 329 OCEAN BOULEVARD WEST
HOLDEN BEACH, NORTH CAROLINA
FOR
CAROLINA CRAFTSMAN
Ocean Doulevard West
GO' PUbI c P.\W
GUTTER DOWNSPOUT /I
CLEANOUT CONNECTION
I
(TYP. - SEE DETAIU
EXISTING
DRIVE
(NOT COVERED
BY TH 15 P[ AN)
LXI.`511NG
HOUSE
(NOT COVERED
BY TI115 PLAN)
5 1 5 5F OF ROOF AUDITION
AREA SHALL BE GUTTERED
FOR 5TORMWATER
COLLECTION, WITH RUNOFF
CONVEYED TO INFILTRATION
BEDS.
ATLANTIC OCEAN
GENEP LNOI E5 4 MAINTENANCE
ALL LOT DIMENSIONS. SURVEY DATA, F FIOT PLAN PROVIDED BY
CONTRACTOR/CLIENT. SURVEY BY BRUNSWICK SURVEYING INC,
TITLED "PLAT OF SURVEY FOR MICHAEL HOB65", DATFD NOVEMBER
22, 2000. HOUSE PLANS BY SULLIVAN DF51GN COMPANY, DATED
DECEMBER 21, 201 G. TITLED "ADDITION TO THE WIGHTMAN
RESIDENCE'.
THI5 5TORMWATER PLAN WAS DEVELOPED TO SATISFY THE INTENT
OF THE TOWN STORMWATER MANAGEMENT ORDINANCES.
HOWEVER, COMPASS POINTE ENGINEERING DOES NOT CERTIFY THE
SITE SOILS AND 5EA50NAL HIGH WATER TABLE (5HWT)
CIIARACTERI5TIC5 TO SATISFY OTHER ORDINANCE STANDARD5.
OWNER/CONTRACTOR RESPONSIBLE FOR VERIFICATON OF
SUITABLE 501L5 FOR INFILTRATION AND 5HWT LOCATION TO
MAINTAIN 2' SEPARATION FROM BOTTOM OF INFILTRATION
TRENCHES IN ACCORDANCE WITH REQUIREMENTS. IF SOILS
SCIENTIST OR GEOTECHNICAL ENGINEERING DATA DO NOT CONE `,M
SUITABILITY, CONTACT ENGINEER FOR PLAN REVISIONS.
EZ FLOW DRAINAGE SYSTEMS ARE FOR USE IN NON -TRAFFIC AKEA'i
ONLY.
INFILTRATION 5Y5TEM5 MAY BE LOCATED IN ALTERNATE LOCATIONS
ON THE LOT AS DESIRED, EXCEPT WITHIN RESTRICTED SETBACKS,
EASEMENTS. OR OTHER PROHIBITED AREAS, AS LONG AS RUNOFF
FROM ROOF AREA 15 DISTRIBUTED PER PLAN.
BOTTOM OF INFILTRATION SYSTEM SHALL MAINTAIN LEVEL GRADE-.
CONTRACTOR RESPONSIBLE FOR VERIFICATION.
PROPOSED ROOF ADDITION AREA SHALL BE DRAINED WITI1
GUTTERS AND DOWNSPOUTS, AND BE DIRECTED TO INFILTRATION
SYSTEM PER PLAN.
IF INFILTRATION SYSTEM FAIL5, IT 511ALL BE: REMOVED. REPAIRED,
AND/OR REPLACED AS NEEDED TO RESTORE DE51GNLD OPERATION.
THE USE OF BUNDLED EXPANDED POLY5TYRENE SYNTHETIC
AGGREGATE UNITS IS PROP05ED TO CREATE STORAGE VOLUME
FOR 5TORMWATER RUNOFF SUITABLE FOR COMPLIANCE WITH TOWN
ORDINANCE REQUIREMENT5. PROPERTY OWNER AND CONTRACTOR
ACCEPT FULL RE5PON51DII ITY FOR USE AND MAINTENANCE Of TI115
PRODUCT. COMPASS POINTE ENGINEERING DOES NOT GUARANTEE
THE INTEGRITY OP THI5 PRODUCT, BUT OFFERS ITS USE AT THE
OWNER'S DISCRETION BA5ED ON PEA50NABLE DATA PROVIDED SY
THE MANUFACTURER. REFERENCES: INTERNATIONAL A55OCIATION
OF PLUMBING, AND MECFIANICAL OFFICIALS (IAPMO) STANDARD
IAPMO IGC-27G-2010; CERTIFICATION OF EZFLOW UNDER T1115
5TANDARD;"PERFORMANCE OF CHAMBER AND EZ 1203H SY5TT_M5
COMPARED TO CONVENTIONAL GRAVEL SEPTIC TANK 51'5TEM5 IN
NORTH CAROUNA°. PUDL151IED BY UEBLER, BERKOWI f2, BEU`iHER,
AVERY, OGLE, ARRINGTON, AND GRIMES.
CONSTRUCTION 6 FINAI IN5FECTION REQUIRED FOR ENGINEERING
CERI IFICATION.
OWNER/CONTRACTOR RESPONSIBLE FOR ALL COMPLIANCE WITH
ALL OTHER ORDINANCE SECTIONS, INCLUDING BUT NOT LIMITED TO
TH05E FOR VEGETATION AND TREE MANAGEMENT,
Compass Pointe Engineering, PA
Beamon'5 Place
504 1-3 Main Street
Shallotte, NC 25470
NC Board of Engineers License # C-2G56
Date: 1/311 7
Scale: I" = 30'
Drawn By: TMM
Page: I of 2
RECEIVED
DCM WILMINGTON, NC
JAN 12 2017

5TORMWATER PLAN
1 329 OCEAN BOULEVARD WEST
HOLDEN BEACH. NORTH CAROLINA
FOR
CAROLINA CRAFTSMAN
15'x 3G"EZ
ROW
INFILTRATION
DED
(TYP. - SEE
DETAIL)
Ocean Boulevard West
GO' Public R\W
GUTTER DOWNSPOUT
(TYP. - SEE DE
EX15TING
DRIVE
(NOT COVERED
BY T1115 i'I AN)
EXI51 INC
HOUSE
(NOT COVERED
BY TI115 PLAN)
515 5F OF ROOF ADDITION
AREA SHALL BE GUTTERED
FOR 5TORMWATER
COLLECTION, WITH RUNOFF
CONVEYED TO INFILTRATION
DED5.
ATLANTIC OCEAN
GENERAL NOTES MAINTENANCE.
ALL LOT DIMENSIONS, SURVEY DATA, e PLOT PLAN PROVIDED BY
CONTRACTOR/CLIENT. SURVEY BY BRUNSWICK SURVEYING INC,
TITLED'PLAT OF SURVEY FOR MICHAEL HOBBS', DATED NOVEMBC,:
22, 2000. HOUSE PLANS BY SULLIVAN DE51GN COMPANY, DATED
DECEMBER 21 , PO G. TITLED "ADDITION TO THE WIGFITMAN
RESIDENCE".
THIS STORMWATER PLAN WAS DEVELOPED TO 5AT15PY THE INT ENT
OF THE TOWN 5TORMWATER MANAGEMENT ORDINANCES.
HOWEVER, COMPA55 POINTE ENGINEERING OOE5 NOT CERTIFY THE
SITE SOIL5 AND 5EA50NAL HIGH WATER TABLE (5HW )
CHARACTERISTICS TO SATISFY OTHER ORDINANCE STANDARDS.
OWNERICONTRACTOR RESPONSIBLE FOR VFRIFICATION Of
SUITABLE 501L5 FOR INFILTRATION AND 5HWT LOCATION 'Cl
MAINTAIN 2' 5EP.APATION FROM BOTTOM OF INFILTRATION
TRENCHES IN ACCORDANCE WITH REQUIREMENTS. IF 5011.5
SCIENTIST OR GEOTECHNICAL ENGINEERING DATA DO NOT CONFIRM
5UITA6411Y. CONTACT ENGINEER FOR PLAN REVISIONS.
EZ FLOW DRAINAGE 5Y5TEM5 ARE FOR USE IN NON -TRAFFIC AREAS
ONLY.
INFILTRATION SYSTEMS MAY BE LOCATED IN ALTERNATE LOCATIONS
ON THE LOT AS DESIRED, EXCEPT WITHIN RESTRICTED SETBACKS,
EASEMENTS, OR OTHER PROHIBITED AREAS. AS LONG AS RUNOFF
FROM ROOF AREA 15 D15TRI13UTED PER PLAN.
BOTTOM OF INFILTRATION SYSTEM SHALL MAINTAIN LEVEL GRADE.
CONTRACTOR RESPONSIBLE FOR VERIFICATION.
PROPOSED ROOF ADDITION AREA SHALL BE DRAINED WITH
GUTTERS AND DOWNSPOUTS. AND BE DIRECTED TO INFILTRATION
SYSTEM PER PLAN.
IF INFILTRATION SYSTEM FAIL5, IT SHALL BE REMOVED, REPAIRED,
AND/OR REPLACED AS NEEDED TO RESTORE DESIGNED OPERATION.
THE USE OF BUNDLED EXPANDED POLYSTYRENE SYNTHETIC
AGGREGATE UNITS 15 PPOF05ED TO CREATE STORAGE VOLUME
FOR 5TORMWATER RUNOFF SUITABLE FOR COMPLIANCE WITH TOWN
ORDINANCE REQUIREMENTS. PROPERTY OWNER AND CONTRACTOR
ACCEPT FULL RESPONSIBILITY FOR USE AND MAINTENANCE Of TH15
PRODUCT. COMPA55 POINTE ENGINEERING DOES NOT GUARANTEE
THE INTEGP.ITY OF THIS PRODUCT, BUT OFFERS IT5 USE AT THE
OWNERS DISCRETION BASED ON REASONABLE DATA PROVIDED BY
THE MANUFACTURER. REFERENCE5: INTERNATIONAL ASSOCIATION
OF PLUMBING AND MECHANICAL OFFICIAI.5 (IAPMO) STANDARD
IAPMO IGC-27G-201 O: CERTIFICATION OF EZFLOW UNDER T05
STANDARD: "PERFORMANCE OF CHAMBER AND EZ I'203H SYSTEMS
COMPARED TO CONVENTIONAL GRAVEL SEPTIC TANK 5Y5TEM5 IN
NORTH CAROUNA', PUBLISHED BY UEDLER, BERKOWI R, BEU5HER,
AVERY, OGLE, ARRINGTON, AND GRIMES.
CONSTRUCTION t FINAL INSPECTION REQUIRED FOR ENGINFERING
CERTIFICATION.
OWNEWCONTPACTOR RESPONSIBLE FOR ALL COMPLIANCE WITH
ALL OTHER ORDINANCE SECTIONS, INCLUDING BUT NOT LIMITED TO
TH05E FOR VEGETATION AND TREE MANAGEMENT.
Compass Pointe Engineering, PA
17
Beamon'5 Place Date: " = 3o'
504 1-3 Main Street Scale: s
5hallotte, NC 25470 Drawn By: TNIM
NC Board of Engmeer5 License # C-2G5G Page: of 2
RECEIVED
DCM WILMIING ON, NC
JAN 12 2017

5TORMWATER PLAN
1 329 OCEAN BOULEVARD WEST
HOLDEN BEACH, NORTH CAROLINA
FOR
CAROLINA CRAFT5MAN
CALCULATIONS:
IMPERVIOUS AKEA5:
Lot 51ze: 20,713 5F
Existing Impervious Area Not Including Roof Overhang: 1 ,379 51' (G.7%)
Existing Impervious Area Including Roof Overhang: 1,554 5F ('7.5%)
Proposed Impervious Roof Addition Area Not Including Overhang: 447 51'
Proposed Impervious Roof Addition Area Including Overhang: 5 1 G 5F
Total Impervious Area Not Including Overhang: 1 ,82G 5F (8.8%)
Total Impervious Area Inciudmcg Overhang: 2,070 51' (10.0%)
1x rrolrt
MUD 4. OR G' I
(TNN R TO UOUI (,
V SAI
C
:XUIM
rORT1(
501
RFO
W70M 5UNW; CM rN05 OF
WNCU NOT USF01
ROOF COLLECTION:
Trench Capac ver Linear Ft 5' x_3( x 24" Trench
EZ Flow 1 203H (I .GO CF/LF Ea.)
I .GO x 2 = 3.20 CIF Per Linear Ft (As Proposed)
Roof Area Addition = 5 1 G 51'
Storage Volume: 5 1 G 51' x 1.5 Inch = G4.5 CF
Reclulred Trench Length = G4.5 / 3,20 = 20.1 Feet
Use Two (2) Trenches - (I 5' x 3G" x 24")
5LGTION VIM
NATIVF 5011 _
RACKFNI
-_—___1
III
uMrnsTl�/Rl Pco 90
SECTION A -A
NUN VKWrk Gt OTrx"
,A RR: (5rfr: A ,,r0
m2m UV 9:n1`$. rN�,
TOP AND 11OTTOM
G MIN. AT TNIL AA91
_- RICOMMUIU G' IZ
II !4V(:Iril.R
[z I NXI H I. NRr
O TRY I MGM
sill
_— cz I J.^3 r FNCIvr :RLNCY
I Mr I (CONNECT TO
n00M5POU"/ CUM01IT
-- rFR rn4A.; MAY U:ir TO^
OR NOTIOM BUNOIP: I AV
.N05 OF WNp.L 401
U5"n)
EZ FLOW DRAINAGE BUNDLE
INFILTRATION BED
1TTs
aOIENIII F FIITCR FAMC f3 C:
M) (M FADF5. FNU5. WTTOM, ANU
TOP (OVFRW' G' WN. At BRrARSi
DOWNSP, OUT / CLEANOUT CONNECTION
NTS
Compass Pointe Englneerincj, PA
Beamon'5 Place Date: u3/n
504 1-3 Main Street
Scale: NOI TO5cnte
5hallotte, NC 28470 Drawn By: TMM
NC Board of Encyncer5 License # C-2G5G Page: 2 of 2
OCM WEMING ON, NC
3ANI%7V