NTB_16-36_Palladium by the Sea LLC

Issued by WiRO NTB16.36
N. Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Management
ENVMONMENTAL QUALITY
as authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission for development in an area of environment
concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area
Management"
Issued to Palladium by the Sea, LLC authorizing development in the Ocean Hazard (AEC) at 3658 Island Drive, in
North Topsail Beach, Onslow County as requested in the permittee's application, dated December 8, 2016. This permit,
issued on January 4, 2017, is subject to compliance with the application and drawing dated and received by DCM on
December 21, 2016 (where consistent with the permit), all applicable regulations and special conditions and notes set
forth below. Any violation of these terms may subject the permittee to a fine, imprisonment or civil action, or may cause
the permit to be null and void.
This permit authorizes: Construction of a residential dwelling with amenities.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing signed
and sealed by Stroud Engineering, P.A., on December 21, 2016, and received by DCM on December 21, 2016.
(2) All construction shall 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, and/or land use activities will require re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at (910)
766-7221 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 permit must be on the project
site and accessible to the permit officer when the project is inspected for
compliance. Any maintenance work or project modification not covered under
this permit, require further written permit approval. All work must cease when this
permit expires on:
December 31, 2020
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.
Ll�e,19�z
Jason Dail
CAMA LOCAL PERMIT OFFICIAL
127 Cardinal Drive Extension
WilminptorL NC 28405-3845
(Signature required if conditions
NC
JAN 11 2017

Name: Palladium by the Sea, LLC
Minor Permit # NTB16-36
Date: January 4, 2016
Page 2 of 2
(5) The permittee is required to contact the Local Permit Officer [phone], 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.
(6) Any structure(s) 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.
(7) 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.
(8) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(9) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetatively stabilized (planted and mulched)
within 14 days of construction completion.
(10) With exception of the proposed beach access walkway, gazebo, swimming pool and decking, all other development
shall be located a minimum distance of 120' landward of the the First Line of Stable Natural Vegetation (FLSNV).
(11) 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 dismantled within two years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline 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 of temporary
protective measures allowed under CRC rules.
(12) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third -party.
SIGNATURE: DATE:
PERMITTEE
RECEIVED
DCM WILMINGTON, NC
iHw 11 2017

T
1�
Coasta[Managernent
ENVIRONMENTAL OVALITY
January 3, 2016
Palladium by the Sea, LLC
c/o AWA Builders Inc.
13480 NC Hwy 50
Surf City, NC 28445
Dear Mr. Afify:
ROY COOPER
Gnvemor
BRAXTON DAVIS
Dowtn,
Attached is CAMA Minor Development Permit # NTB 16-36 for work to be done at 3658 Island
Dr., in North Topsail Beach, Onlsow County. An electronic copy of the permit has been sent to
the NTB Inspections Department.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Please retain the orange copy for your files, sign both pages of the white copy, and
return to us within 20 days of receipt, in the enclosed, self-addressed envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Enclosures
Cc: WiRO files
NTB Inspection Dept.
Sincerely, c�
Shaun K. Simpson
Permit Support Technician
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
919 796 7215

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APPLICANT:
Palladium by the Sea, LLC
13480 NC Hwy 50
Surf City, NIC 28445
"en : Mike Afify
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
NIC Div. 0f Coastal IVlanagement
12 arWroa r. x
WiBmirogton, IVC 2
Jason Dail, Friel epresero a ove
91®-

Locality �I�7� I%i�JOI/ I)Pq' Permit Number
Ocean Hazard Y Esharine Shoreline_ ORW Shoreline _Public Trust Shoreline_ Other_
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name Palladlum by the See LLC
Address 13480 NC Hwy 50
City surf City State NC Zip 25445 Phone [phone]
Email meafifyQpmeil.com
AUTHORIZEDAGENT
Name Michael Afiry-AAA Bulldees Inc
Address 13480 NC Hwy 50
City Surf City State NC Zi 28445
p_Phone [phone]
Email mmafifvftRm til.com
LOCATION OF PROJECT: (Address street n s a�and/oWr,�trections to site. If not oceanfront, what is the none of the
adjacent "arbody.) Mange Ocean f 1b ag5 fAairK fie , AJ7-h
DESCRIPTION OF PROJECT. (List all proposed construction and land disturbance.) New Residential Home
SIZE OF LOT/PARCEL: 34019 square feet •78 acres
PROPOSED USE: Residential m (Single-family 0 Multi -family [] ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Coutacl your Local Parnit Officer 7fyou are ual sure nvblcbAECapplies
to your properly):
(1) OCEAN HAZARD AECs: TOTAL FLOORAREA OF PROPOSED STRUCTURE:7855 square fee (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: 4682 square feet (includes the area of the roof/drip line of all buildings, driveways, covered decks
concrete or masonry patios, etc. ghat 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 Stomnwatcr
Management Permit issued by the NC Division of Water Quality?
YES= NC
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
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OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CANI�
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waffi(0
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Corse F- FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Cc One, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
1, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an or a
person authorized to am as an agent for purposes of applying for a LAMA minor development permit, certify that perso
listed as landowner on this application has a significant interest in the real property described therein. This interest& be
described as: (check one)
✓❑an owner or record title, Title is vested in , see Deed Book 2498
page 7 in the Onelow County Registry of Deeds.
0an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
Qf otter interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furhenUlore certify that the following persons are owners of properties adjoining this property. I affirm that 1 have given
ACFUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(1)
(2)
(3)
(4)
Jane
(Address)
Anne Stevens 1130 Pembroke Jones Rd
NC 28405
ACKNOWLEDGEMENTS:
4 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. ) acknowledge that the Local Permit Officer has explained to the the Political.
let hazard problems associated with this lot. This explanation was accompanied by recommendations canceming stabiliza-
tion and floodproofing techniques.
1 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 8 day of Daeamanar 20 18
a CAMA permit application
This application includes: general information (this fora), a.rhe drowing as described on the hack of this application, the
ownership statenhent, the Ocean Hazard AEC Notice where ne"mar)< a checkfor S100.00 made payrble to tire localitn and
any information as maybe provided omilvby the applicant. fire delaits ofthe applimtion art described by tbere.roumes are
mcnrpornled without afermrce in any perm!/ which may be issued Deviallon fmhn these details will constitute a violation of
anypermit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

NOTE:
THIS PROPERTY LIES WITHIN THE SPECIAL
FLOOD HAZARD AREA AS SHOWN ON FEMA MAP
3720 4266 00 J.
N/F
WILLIAM E. STEVENS
AIR DEED BOOK 4118 PAGE 390
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DRAWING NO.1 W:/HASTER/ PW-1274
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LOT AREA 34019 SF t i
ALLOWED IMP 10205 SF I i
PROPOSED INP 4682 SF I i
PERCENT IMP 14% I i
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OWNER:
DESIGNED,
ADDRESS:
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NCDEE R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis
Governor Director
AGENT AUTHORIZATION FORM
Date:
Name of Property Owner Applying for Permit:
Owner's Mailing Address:
Phone Number f9/v ) 3Z9— 98/ 1
Dee Freeman
Secretary
Name of Authorized Agent for this project:
Agent's Mailing Address:
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Phone Number
I certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtainin11g all CAMA Permits necessary to install or construct the following (activity):
For my property located at 7(oS8 15I. J JP, A->rg , 29Y6-0
This certification is valid thr/u (date) ZVJ S
Property Owner Signature Date
127 Cardinal Drive Ext., wllmington, NC 28405
Phone: [phone] FAX: [phone] Intemet: www.nccoastalmanagement.net
An Equal Oppaaurily 1 Aff mallve Action Employer
RECEIVED
DCM WILMINGTON, INC
One
NordiCat olina
AWA07lly

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: ttL� Sear LLC
Property Address: .� 05-9 fl&IAAJ I- k6/k M9 -tl I RR e k A)C L Fc/l o
Date Lot Was Platted:
This notice is intended to make you, the applicant, aware of the
special risks and conditions associated with development in this
area, which is subject to natural hazards such as storms, erosion
and currents. The rules of the Coastal Resources Commission
require that you receive an AEC Hazard Notice and
acknowledge that notice in writing before a permit for
development can be issued.
The Commission's rules on building standards, oceanfront
setbacks and dune alterations are designed to minimize, but not
eliminate, property loss from hazards. By granting permits, the
Coastal Resources Commission does not guarantee the safety of
the development and assumes no liability for future damage to
the development. Permits issued in the Ocean Hazard Area of
Environmental Concern include the condition that structures be
relocated or dismantled if they become imminently threatened
by changes in shoreline configuration. The structure(s) must be
relocated or dismantled within two (2) years of becoming
imminently threatened, and in any case upon its collapse or
subsidence.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual long-term
average oceap�erosion rate for the area where your property is
located is r� feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
S?StySlslalso indicate that the shoreline could move as much as
-V feet landward in a major storm.
/] h7,*od waters in a major storm are predicted to be about
L " 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. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signature, the application will not be complete.
j /Z1Y/Zoi c,
Property Owner Sijfnatw6 Date
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive storms and
erosion. Permits issued for development in this area expire on
December 31 of the third year following the year in which the
permit was issued Shortly before work begins on the project
site, the Local Permit Officer must be contacted to determine the
vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance, and the
proposed development can still meet the setback requirement,
the LPO will inform you that you may begin work. Substantial
progress on the project must be made within 60 days of this
setback determination, or the setback must be re -measured. Also,
the occurrence of a major shoreline change as the result of a
storm within the 60-day period will necessitate re -measurement
of the setback. It is important that you check with the LPO
before 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 can be authorized. It is unlawful to continue
work after permit expiration.
For more Informadon, contact.
Jhdoa hH-I L.
Local Permit Officer
NC DENR
Div. of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
1916) "6--7JJ--/
Phone Number
RECEIVED
DCM WILMINGTON, NC
Revised May 2010

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Dear Adjacent Property:
This letter is to inform you that I, 74 U.J 1'.4 LTc_ have applied for a CAMA Minor
Property Owner
Permit on my property at 3GSV lst.,J D- AA I? . N` M fgs in PendedOnslow
PropertyAddress '
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 Ity - 3 41- 4919 or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program, you may submit
them to:
Jason Dad, Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
Property Owner
13'/8o Nc sa
Mailing Address
-!kw-( 6;4w NC e-OlIx
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC

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Date
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Adjacent Property Owner
113o Fe., I k S RA
Mailing Address Y
City, State, Zip Code
Dear Adjacent Property:
W1LHI1dGTQNr NC 2340`
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This letter is to inform you that 1, - f4ltwJ:��. h* tr.$ Set.0 LL(- have applied for a CAMA Minor
Property Owner
Permit on my property at ?LS4 )sl., J D� ,V rg i ,V L 2Sy4D in PenderlOnslow
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 ?/0 -379 - 1171 F1 or by mail at the address listed below. If you wish to
Applicants Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program, you may submit
them to:
Jason Dal, Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
,4 n 'R 9*4
Property Owner
13yio AC /L.. X fa
Mailing Address Ir
L yq-r RECEIVED
City, State, Zi Code 0CM WILMINGTON, NC

ELEVATION CERTIFICATE
OMB Control Number. 1660.0006
Expiration: 11f30201s
3658 ISLAND DRIVE NORTH TOPSAIL NC 28460
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 mi*
that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be
punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A
❑ Check here if attachments. provided by a licensed land surveyo0
CYes CNo
Certfiers Name License Number
G ANDERSON GREENE LJ370 .� �.r• �•"•• �"•'
Title Company Name _ Q�LACE Zyi7i n
SURVEY MANAGER STROUD ENGINEERING, PA
Address City State Zip Code
102-D CINEMA DRIVE WLMINGTON NC 28403 ?�'•., S(�_ ��
Signature ,l _ Date Telephone
•o� QQUU(( /W/��`//�— Dac 7, z01s +1 (910) alsons
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agemfcompar y, and (3) building owner.
Commends (including type of equipment and location, per C2(e), H applicable)'
BUILDING ELEVATED ON PILES. ENCLOSURE FOR ENTRANCE FOYER ONLY. EQUIPMENT TO BE ELEVATED 2' ABOVE BFE.
RESIDENTIAL ELEVATOR BESIDE ENCLOSURE.
SEgL
%9iG •?�3URVi;IOQ'ZQ;r
Signature a1!.••. Dater OB ro
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WRHO T BFE)
For Zones AD and A (without BFE), complete Items E1 -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.
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 Qnduding basement, crawlspace, _ below the HAG.
or enclosure)is Cheat Cme[ers ❑ above or ❑
b) Top of bottom floor (including basement, crawlspace, - C)h et C meters ❑ above or ❑ below the LAG.
or enclosure) is
E2. For Building Diagrams 6 -9 with permanent flood openings provided in Section A Items B and/or 9 (see pages 8 -9 of instructions), the next
higher floor (elevation C2.1b in the diagrams) of the building is - _ Cfeet C meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is - _ Cleat C meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and /or equipment
servicing the building is _ - _ Cfeet C 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 communitys floodplain
management ordinance? CYes C No C Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FFMA4ssued or
community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owners Authorized Representative's Name:
Address City State ZIP Code
Signature Date Telephone
Comments
LJG iECCJVE
MWILMINGTpV C
DEC 16 _,016
❑ Check here if attachments.
FFMA Fnrn rWR 'A r11151 RcMarvc all nmvin,,a MM ,z Pace 4 of 15

DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
ELEVATION CERTIFICATE OMB Control Number. 1660-DO08
IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 9-16 Expiration: 11/302018
py all pages of this Elevation Certificate and all attachments for (1) community official, (2) Insurance agent/compaM, and (3) building owner.
SECTION A - PROPERTY INFORMATION
FORM INSURANCE COMPANY USE
Al. Building Owners Name
A'N'A CONTRUCTION
Policy Number.
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC
Box No.
Number.
3658 ISLAND DRIVE
City NORTH TOPSAIL
State NC
Zip Code 28460
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, at,—)
DEED BOOK 2498 PAGE 7 -TAX PIN 426610369996
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)RESMEMWL
A5. Lattlude/Longitude: Lat. 34A7376N Long. 77.46060W Horizontal Datum: C MAO 1927 G NAD 1983
AS. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 6
A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or endosure(s)225 sq ft a) Square footage of attached garage 0 sq ft
b) Number of permanent flood openings in the 0 b) Number of permanent flood openings
crawlspace or enclosure(s) within t.D foot in the attached garage within 1.0 foot 0
above adjacent grade above adjacent grade
c) Total net area of flood openings in AB.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? CYes O No d) Engineered flood openings? CYes C No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Na
Nam
�" State
NC
TOWN OF NORTH TOPSAIL BEACH 370466
ONSLOW
B4. Map/Panel Numberj
B6. Sufroc
B6. FIRM Index Date
B7. FIRM Panel Effective/
B8. Flood Zone(s)
B9. Base Flood Elevation(s)
3720 4266 00
J
Revised Deta
(Zone AO, use base flood
Nov 3, 2DD6
Nov 3, 2DD5
depth
14.0
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in hem 69:
CFISProfile @FIRM OCommunity Determined COtherlSource:
B11. Indicate elevation datum used for BFE in hem B9: Q NGVD 1929 @ NAVD 1988 OOther/Source:
B1211. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? OYes @ No
D4gnafion Date: OCBRS OOPA
SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: @ Construction Drawings• 0Building Under Construction` C Finished Construction
C2. Elevations - Zones Al - A30, AE, AH, A (with BFE), VE, V1 - V30, V (with BFE), AR, ARIA, AR/AE, AR/Al - A30, AR/AH, AR/AO.
Complete Items C2.a -h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
A new Elevation Certificate will be required when construction of the building is complete.
Benchmark Utilized: REPUBLIC Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below. O NGVD 1929 @ NAVD 1988
C 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 (nduding basement, crawlspace, or enclosure floor) 11 - 4 Oa feet O meters
b) Top of the next higher floor 19 - 6 @feet O meters
c) Bottom of the lowest horizontal structural member (V Zones only) 17 - 1 @feet O meters
d) Attached garage (top of slab) WA - Olset Ometers
e) Lowest elevation of machinery or equipment servicing the building
17 - 1 @feet C meters
(Describe type of equipment and location in Comments)
1) Lowest adjacent (finished) grade next to building (LAG) 7 - 8 @feet C meters
g) Highest adjacent (finished) grade next to building (HAG) 9 - 1 Ofeet O meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support 8 - 0 (j)feet Cmeters
FFf4A Fnrm n tr.(l m r7M.ri1 R.I.. all r.in,. wrft ion. Pace 3 of 15

Dail, Jason
From: Dail, Jason
Sent: Monday, December 19, 2016 2:01 PM
To: 'Michael A'
Cc: Jimmy Canady; Jimmy Canady [e-mail])
Subject: RE: CAMA minor permit application - 3658Island Drive - Additional information
required for processing
Michael,
I spoke to Debra Wilson (DCM district manager here in Wilmington) about this and she concluded the ledger to be a
structural component of the deck, tying the two together as "structurally dependent". Let me know when you can get
revised plans over to me showing complete independence of the deck/dwelling and I will put this in process.
Thanks,
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone: [phone], Fax: [phone]
Jason. Dail @ncdenr. go v
KTI. Nothing Compares -
E-mail correspondence to and from this address
may be subject to the North Carolina public
Records Law and may be disclosed to third parties.
From: Michael A [mailto:[e-mail]
Sent: Friday, December 16, 2016 3:28 PM
To: Dail, Jason <[e-mail]>
Subject: Re: CAMA minor permit application - 3658 Island Drive - Additional information required for processing
Jason,
Thanks for the heads up. Please refer to the bubbled area on page S 1 of the structural plans for the piling
locations and the notes on page S2 regarding the attachment (or lack there of) of the "CAMA" deck. The way
Mr. Gallant designed the CAMA deck was to provide a row of pilings on one end of the rear deck supporting
the deck joist, and the other end of the joist would rest on a ledger attached to the deck band with the joist
having "no significant attachment to the deck band", therefore in the event of a storm if the pilings on one end
of the deck were washed away or blown away, the other end would simply fall to from the ledger and away
from the home completely with zero damage to the home. I think the idea behind this design was so that the

deck would complete fall apart instead of an individual structure with pilings 2' apart that could be used as a
battering ram during a storm.
Thanks,
Mike
On Fri, Dec 16, 2016 at 2:02 PM, Dail, Jason <[e-mail]> wrote:
Mike,
Thanks for the additional information. While this is useful, I see no indication on the site plans you submitted of the
deck being structurally independent of the residence. I will need detailed drawings showing piling placement separating
the deck from the residence.
Send it to me when you can.
jason
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127Cardinal Drive Ext.
Wilmington, NC 28405
Phone: [phone], Fax:
Jason. Dail @ncdenr. gov
Nothing Compares-,..,._

E-mall correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
From: Michael A [mailto:[e-mail]
Sent: Friday, December 16, 2016 10:51 AM
To: Dail, Jason <[e-mail]>
Subject: Re: CAMA minor permit application - 3658 Island Drive - Additional information required for processing
Jason,
Please see requested info below. If there is anything else needed please don't hesitate to ask and I. will send it
immediatedly.
Thanks,
Mike
On Fri, Dec 16, 2016 at 9:32 AM, Dail, Jason <jason.daiI ncdenr.gov> wrote:
Good morning Michael. Please see the below email concerning your recent submittal for a CAMA minor
permit.
RE: INCOMPLETE APPLICATION — Palladium by the Sea, LLC - ADDITIONAL INFORMATION
REQUIRED
APPLICATION NUMBER — N/A
PROJECT ADDRESS — 3658 Island Drive, North Topsail Beach
Dear Mr. Afify:
The Division of Coastal Management's Wilmington Regional office received a CAMA Minor Permit
application from you on December 12, 2016, requesting approval for development activities at 3658 Island
Drive, North Topsail Beach, NC. In reviewing your application, we have discovered that additional
information is needed to complete the review process. Accordingly, I am requesting that you submit the
following additional information to this office:

1) On your site plan drawing, please show the location of the First Line of Stable Natural
Vegetation (FLSNV) as located and determined by DCM staff on 11/15/16. Please extrapolate this
line (FLSNV) across the lateral boundaries of the property in alignment with the two wooded
stakes labeled "FLSNV DCM JAD 11/15/16"
2) On the site plan, please describe all proposed structures, specifically those located
between the 60' and 120' CAMA development/setback line. Specifically, please LABEL all
structures (i.e. decking, eaves, walkways, etc.) and note whether they are covered or uncovered.
3) Please note that any structure(s) associated with the dwelling shall be "structurally
independent" of the dwelling. This includes any decks, walkways, cabanas, etc. that approximate
the 120' setback line. In addition, please provide a detailed drawing showing all structural
separation(s) of decking, walkways, etc. in the vicinity of the 120' setback line. Also, please note
that no covered decking shall be located within 120' of the FLSNV. In short, the "two -level deck"
shown on the site plan will need to be structurally independent of the dwelling and you'll need to
submit a new detailed plan demonstrating this.
4) You have provided an "Ocean Hazard AEC Notice" signed by yourself. Please note that
the property owner is required to sign this form. If you are not the owner or managing member of
the property, please have the owner/managing member sign and date a new form and send that in
with the remaining information.
5) Please provide an elevation certificate for the property.
The application package is being returned in its entirety. Once you provide the requested information
mentioned above, we will process your application.
In accordance with the Department of Environment and Natural Resources regulations, we note that the
application, as submitted on December 12, 2016, is incomplete for processing. Upon resubmission of a
complete application, a local decision will be made in 25 days, provided this period is not extended as
provided by law. Please contact me at 910-796-7221 if you have any questions.
Jason Dail
Field Representative
NC Department of Environmental Quality
NCDivision of Coastal Management

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