NTB_15-35_Schwend

Issued by WiRO NTB15.35
North Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
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 Michael Schwend authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC)
at 1605 New River Inlet Road, in North Topsail Beach, Onslow County as requested in the permittee's application
package, dated December 17, 2015, and received by DCM on December 18, 2015. This permit, issued on January 11
2016, 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: Installation of a swimming pool with apron.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received by DCM on December 18, 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 re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] 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 dale. 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, 2019
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.
Jason Dail
CAMA OCAL PERMIT OFFICIA0 —L
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
_LMINGTON. NC
PERMITTEE JAN 25 2w
(Signature required if conditions above apply to permit)

Name: Michael Schwend
Minor Permit # NTB15.35
Date: January 11, 2016
Page 2
(5) 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 vegetate and stabilized (planted and
mulched) within 14 days of construction completion.
(6) Any proposed for grading within the 30' buffer from the Normal High Water level must be contoured to prevent
additional stornwater runoff to the adjacent marsh and/or canal. This area shall be immediately vegetatively
stabilized, and must remain in a vegetated state.
(7) No structures shall be located within the 30' Coastal Shoreline buffer, including but not limited to concrete slabs,
stepping stones, roof covers, accessory buildings, swimming pools, stormwater drains, pump houses, etc.
(8) The amount of impervious coverage within the 75' Area of Environmental Concern (AEC) is limited to 30%.
(9) 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: �i''i/ DATE: I Iq i
11
PERMITTEE
RECEIVED
DCM WILMINGTON, NC
JAN 2 5 2016

Coastal Management
ENVIRONMENTAL QUALITY
January 12, 2015
Mr. Michael Schwend
17027 State Hwy. B
Kirksville, MO 63501
Dear Mr. Schwend:
PAT MCCRORY
GolYrnor
DONALD R. VAN DER VAART
s«ma ry
BRAXTON DAVIS
DIR'dw.
Attached is CAMA Minor Development Permit NTB 15-35 for work to be done 1605 New River
Inlet Road, in North Topsail Beach. A copy has been sent to the town building inspections
department and to your agent, Wendy Purser.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Retain the orange copy for your files and 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 Inspections Dept.
W. Purser, Agent
Sincerely,
1�4L
haun K. Si-K i
mpson
Permit Support Techn clan
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Rive Ext., Wilmington, NC 28405
919 796 7215

AMA PERMIT
APPLIED FOR
PROJECT:
Beach, Onslow County.
APPLICANT:
Agent: Hampstead Pool & Spa [phone]
to in:
ew Rim
11TTT�
9 - -
ink
and
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
NC Div. of Coastal Management
127 Cardinal Dr. Ext.
Wiimington, NC 28405
_Jason Dail, Field Representative
910-796-7221

Locality_
LAND OWNER
Address 71 UZ /
city Kirksville
AUTHORIZED AGENT
Name
State NC zip 6350 1hone
1
d Pool,
Address 16647 US Hwy. 17
city Hampstead state NC
& Patio Inc.
660-341-8429
Zip 2844aoIle 910-270-1199
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 1605 New River Inle Rd. (canal)
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Install inground swimming pool
SIZEOFLOT/PARCEL: 11,790 square feet .27 acres
PROPOSED USE: Residential ® (Single-family Multi -family []) Commercial/Industrial Other []
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Per Officer if you are not sure which AEC op plies
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: 3463 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 X
If yes, list the total built upon area/impervious surface bbt ]btoparcel: square feet.
DEC 1 u VQ b
f>(-'NA V11 MMIN ON' OC

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, Healing 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:
1, 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)
--Kan owner or record title, Title is vested in Michael & Mary Jo Schwend see Deed Book 4212 11203
Page 14918% the Onslow County Registry of Deeds.
_an owner by virtue of inheritance. Applicant is an beir to the estate of
probate was in Count
_if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OFADJACENT 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 conceming my intent to develop this property and to apply for a CAMA permit.
(1)
(2)
(3)
(4)
(NaII1e) (Address)
-fN MCATEER PO BOX 267 CRYSTAL RIVER FL 34423
JOHN NILSON 1489 LANDINGS RUN MT PLEASANT SC 29464
ACKNOWLEDGEMENT&
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 Roodproofimg 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 thaafpi It 'Idped lands in connection with evaluating information
related to this permit application.
DEC 18 2015
This the 17TH day of Decembplo 15
a.;tl..NIINGTON. tv
Laudowner 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 any permit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: Michael Schwend
Mailing address: 17027 State Hwy. 8
Kirksville, MO 63501
Phone Number: 660-341-8429
I certify that I have authorized Wendy Purser/ Hampstead Pool, Spa & Patio Inc.
Agent 1 Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of - inaround swimmino pool
at my property located at 1605 New River Inlet Rd.
in nnclow County.
This certification is valid through _ July 4, 2016
Date
(Property Owner Information)
Signature
Michael Schwend
Print or Type Name
property owner
Title
1211712015
Date
660-341-8429
Phone Number
[e-mail]
Email Address
DFC 18 ?� FQ
15
1 t M/NGTON
' NC

OCEAN HAZARD AEC NOTICE
Project Is in an: _ Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property owner: Michael Schwend
Property Address: 1605 New River Inlet Rd
Date Lot Was Platted:
This notice is intended to make you, the applicani, aware of the
special risks and conditions associated with development in this
area, which Lq 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 mies on building standards, oceanfiOnt
setbacks and dome alterations are designed to minimize, but flat
eliminate, property loss from hazards. By granting pemmils, 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 time condition that structures be
relocated or dismantled if they become imminently threatened
by changes in shoreline configuration. The stmclure(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 ocean erosion rate for the area where your property is
located is feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over die past 50 years.
Studies also indicate tint time shoreline could move as much as
_ feet landward in a major storm.
TIT Vood waters in a major storm we predicted to be about
IV 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, revelments, groins, jades
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge ibis information and
requirements by signhmg this notice in the space below. Without
the proper signature. the application will not be complete.
Property OwnerSfgnafure Date
SPECIAL NOTE: This hazard notice is requited for
development in areas subjcct to sudden and massive slomts and
erosion. Permits issued for development in this area ccpirc on
December 31 of time 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, aid 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 nmjor shoreline change as the result of a
storm within the 60Aay period will necessitate re -measurement
of the setback. It is important that you check with date LPO
before the permit expires for official apprpval to continue time
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 Injormarton, costae*
J'�-&� �! IL —
Local Awaill Oflker
NC DENR
Div. of Coastal Management
127 Cardinal Drive Ext,
Wilmington, NC 28405-3845
i9�a) 7 70 -2j- --1
Phonhl Number
©EC 18.2015
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N, NC:

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City, State, Zip Code
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Dear Adjacent Property:
This letter is to inform you that I, Michael Schwend
Property Owner
Permit on my property at 160_ 5 NRiver Inlet Rd. NTB
Property Address
aJ
have applied fora CAMA Minor
in ONSLOW
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawings) 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 910-210-1199
Applicant's Telephone
file written comments or objections with the
them to:
Sincerely,
Michael Schwend
Property Owner
17027 State Hwy. B
Mailing Address
Kirksville, MO 63501
City, State, Zip Code
,or by mail at the address listed below. If you wish to
NC DENR CAMA Minor Permit Program, you may submit
Jason Dail
Local Perrnif officer for North Topsail Beach
NCDENR/DCM
127 Cardinal Drive Extension
Wilmington, NC 28405
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This letter is to inform you [hall. Michael Schwend
have applied for a CAMA Minor
Prooery Owner
Permit on my property at 1605 New River Inlet Rd.
Property Address
in ONSLOW
County. As required by CAMA regulations,] 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 910-270-1199 i ,or by mail at the address listed below. If you wish to
Applicant's Telephone
ire written comments or objections with the NC DENR CAMA Minor Permit Program, you may submit them to:
Sincerely,
Michael Schwend
Property Owner
17027 State Hwy. 8
Mailing Address
Kirksville, MO 63501
City, State, Zip Code
Jason Dail
-c i Permu officer for North Topsail Beach
NCDENR/DCM
127 Cardinal Drive Extension
Wilmington, NC 28405
DEC 18 ?015saw
wrt; N ar0N, Nc

AGENT AUTHORIZATION FOR GAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: Michael Schwend
Mailing address: 17027 State Hwy. B
Kirksville, MO 63501
Phone Number: 660-341-8429
certify that I have authorized Wendy Purser/Hampstead Pool, Spa & Patio Inc.
Agent/Contractor
to act on my behalf, for the;purpose of applying and obtaining all LAMA permits
necessary for the proposed development of _inaround swimming ,coot
at my property located at 160& New River Inlet Rd.
in _- nnclow County.
This certification. is valid through July 4, 2016
Date
(Property Owner Information)
Signature,
Michael Sehivend
Print or Type Name
property owner
Title
1211712015
Date
660-341-8429
Phone Number
[e-mail]
Email Address

��P u uvHc
I CANAL
y, I
I
Ni1711'30_00'E _80_27'(REc.)
1 -PLOiIED PROM MO. 1 r. PC. 7g Z -�
ZONE VE .07 ACRE (PART OF CANAL)
ELEV.=12.0' I CANAL
(NAVD 88) N68'12128" E CANAL I WOODEN
HIGH WATERLINE11r 80.03'(MEA&) I 1rBULKHEAD
-� _I 1 WD00 PIfR /Ivuw 1 I n
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WOODEN BULKHEAD)
ARE4=0.27 ACRE
M UP TO HIGH WATER LINE to u7
11,790 SO. FT. Oi
(SY COORDINATES)
n �. C4AlA -
1• Proposed t'o• ZONE VE
Pool 30' ELEV.=13.0'
Proposed (NAVp 88)
,� Concrete
p
0
^
4'
OVERHEAD
<�
WOOD
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c6
W000 DECK
SHOWER
PAO
Y 8
3 a
46'
75' A.E.C.
ONE STORY VINYL
I w
e SIDING OWELUNC
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ON PILINGS OVER
CONCRETE
I0
OVERHEAD W60D DECK
OVER CONCRETE
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- ZONE VE
ELEV.-14.0' GRAVEL
--(NAVO 88)
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SETBACKS
R-10- -_._
ZONEDZONED
Front 20
Side 8'
X
Reor 10'
E ti E
R7W EIR S66'36'40"W 80.00'(MEASJ Ell
S66'47'00"W 80.00' (REC.) C
NCSR 1568
NEW RIVER INLET ROAD N o;
60' R/W (PUBLIC)
REFERENCES
D.B. 4212, PG. 149
D.B. 1203. PG. 861
M.B. 11. PG, 72
TAX PARCEL 779B-59
REVISED: 11-19-2015
(Added Proposer/ Concrete & Pool)
'`ra���ltd� b/799`rAi
POWER
POLE
(TIE
r E I V
Ocean Old New I
Y y fiiver Inlet Rd.
VICINITY SKETCH NO SCALEI(
NOTES
I. This survey is of on
existing parcel of land.
2. Subject to restrictive
covenants, deeds and/or
easements of record, zoning
ordinance, wetlands, areas of
environmental concern,
revisions, agreements, &
underground utilities, if any.
3. Na title search by surveyor.
4. This property is located in
Flood Zone VE (100-Year
Base Flood Elevations vary) per
FIRM 37204298001, Effective
Date: 11-03-2005.
5. Total Allowable Impervious Lot
Coverage 30% (11.790 x 0.30=
3,537 Sq. Ft.) Existing Impervious
Coverage = 2,648 Sq. Ft. (22.46%)
Proposed Additional Impervious
Coverage 815 Sq. Ft.
2,648 Sq. Ft. + 815 Sq. Ft. _
3,463 Sq. Ft. (29.37%)
6. Lot Area within 75' AEC = 6,002
Sq. Ft.
Allowable Impervious Coverage within
75' AEC = 30% (6,002 x 0.30 =
1,800 Sq. Ft.) Existing Impervious
Coverage within 75' AEC = 461 Sq.
Ft. Proposed Additional Impervious
Coverage within 75' AEC = 815 Sq.
Ft. 461 Sq. Ft. + 815 Sq. Ft. _
1,276 Sq. Ft. (21.26%)
LEGEND
CP=COMPUTED POINT
D.B.=DEED BOOK
EIP=EXISTING IRON PIPE
EIR=EXISTING IRON REBAR
EMN=EXISTING MAG NAIL
z IPSWPC=IRON PIPE SET WITH
O PLASTIC CAP
M.B.=MAP BOOK
3 M.B.L.=MINIMUM BUILDING LINE
< MNS=MAG NAIL SET
w�- R/W=RIGHT of WAY
H W REC.)=PER M.B. 11. PG. 72
w�� 0AS.)=FIELD MEASUREMENTS
B.F.E.=BASE FLOOD ELEVATION
ZWU W W
DEC 18 2015
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A
PHYSICAL SURVEY t0 B - S60`24'567W 265.61'
481 N.W. Bride Rd., Jacksonville, NC
'WXY 705An o /o1n)T?A_57nR
WAS DRAWN UNDER MY SUPERVISION FROM MICHAEL SCHWEND
AN ACTUAL SURVEY MADE BY ME FROM — AND WIFE —
INFORMATION FOUND in BOOKS REFERENCED

National Flood Insurance Program
Pool V-Zone Certification
Michael 8 Mary Jo Schwend v
Structure Address or Other Description
1605 New River Inlet Road
�,Y VVVC
North Topsail Beach NC 28460
Section 1: Flood Insurance Rate Map (FIRM) Information
Note: to be obtained from ann.n t. ciaenc
3720429800
VE
This form is not a substitute for an Elevation Certificate Elevations should be rounded to the nearest tenth of a
ti feet (NGVD)
2. Base Flood Elevation............................................................................. 14 feet (NGVD)
3. Elevation of Lowest Adjacent Grade......................................................... 4.9 feet (NGVD)
4. Approximate Depth of Anticipated ScoudErosion........................................ 1.6 feet
5. Scour/Erosion Elevation ............... ...Meet (NGVD)
_-.-... -.. -- l �� �— a ee, unca oy a registered engineer or architect
1 certify that I have developed or reviewed the structural design, plans and specifications for construction
and the design and methods of construction of the swimming pool and installation are in accordance with
accepted standards of practice for meeting the following provisions:
a) The "Free of obstructions" requirements as defined in 44CFR Section 60.3
b) The pool and associated pool decks, walkways, and buildings are structurally independent of the dwelling
and its foundation.
c) The pool is constructed of frangible material as recommended by FEMA.
d) The pool is placed and installed to resist flotation and lateral movement due to the effects of the wind and
water loads acting simultaneously. Water loading values used are those associated with the base flood
including wave action. 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_
• err
Name of Certifier
W. Reece
022659
18?41S
�IIf�`ryGTCh NC

—�
4" CONCRETE W/ 6'X6" -10110
\
WWF OR FIBER MESH (6FT
/ �•
CONTROL JOINT SPACING
MAX, NO REINFORCEMENT
ACROSS JOINTS)
MIN.
9"
SLOPED 14"
PE I'
EXPOSED FIBERGLASS
IN
(OPTIONS)
CUTAWAY;i.I
I jI
BRICK PAVER
SET COPING IN ( ; • '
v_ +: _a rr
NOVAGARD, SILICON TILE
THINSET W/ t )
- "
ADHESIVE (OPTIONAL)
LATEX ADDITIVE
3" THICK COMPACTED
SAND/GRAVEL
6'
BRICK COPING
SAND/GRAVEL
(OPTION C)
10"
FIBERGLASS POOL SHELL
CROSS SECTION
(OPTION A)
PROVIDE HYDROSTATIC RELIEF ANY TYPE CONTROL JOINT IS ALLOWED AS
VALVE AT DEEPEST POINT IN POOL WEAKENED PLANE7i3 OPdGDVAL THICKNI
SAW CUT AFTER 4 TO 12 HOURS OF CURE
WOOD DECKING OPTIONAL TIME PER SPECIFICATIONS THIS DRAWING.
f'ED
DEC 1 8 2015
1'4 W"MINGTON; N(
AT JOINTS OR FIBER MESH
SAW CUT CONTROL JOINT
HAMPSTEAD POOL & SP
REECE
ENGINEERING AND DESIGN
c
NORTH TOPSAIL BEACH, NC
40TOPSAIL
TmENORTH
POOL INSTALLATION
�F raw.
SURF CITY, NC. 28445VE
�
DETAIL
PHONE:[phone]
*rrrr1111stl
DATE:
SCALE:
DRAWN BY:
FILENAME:
SHEET:
12-15-15
1 1/4" = T-0"
GWR
15-219
1 OF 1

U.S. DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
NunoeuL Food lxm pmonin
13M-3
Al, Building Owner§ Name
A
:d1L
, ",'4 L-
ELEVATION CERTIFICATE
IMPORTANT: FOflOw the instructions on pages 1-9.
SECTION A-PRnP_1 r��.......___.
iWE /L441?YTo
OMB No
ti18-6g0-000
ron Date- Jury 31 2015
A4.
A5.
. i .o, r rer, -7 z. T.OX . iA2tr _-------
euiklIngUse(e.g.,Residenlal sientiahAddition, 7-79B—S9
� :1 ACCess°ry, i 1
Latitude/Longitude: Lat. `� C3. 3 S •'
etc.) 1: -NTt 1 L
A6.
A).
Attach at least 2 photographs of a bullf dim t'he Certificate nsbeing Setl to obtain . insurance.
Builtling Diagram Number 4, Horizontal Datum; ❑ NAO 1927 B'MAO 1983
AB.
For a building with a crawispace or enciosum(s):
a) Square footage of crawispace or enclosure(s)
A9. For a building with an attached garage:
b) Number of permanent flood openings in the crawispace
or enclosums) within 1.0 foot above adjacent grade
--� sq Ita) Square footage of attached garage
Z b) Number of permanent flood
N A it
c) Total net area of flood openings in A8,b
openiIq
( within 1.0 foot above adjacent ngs in
grade
the arts ed garage
d) Engineered flood o min s?.
Pe g ❑Yes [No
sq In c) Total net area of flood g
5C� r•itye,..f openin sin A9.b
S
NlA
.
V. OAII � tl) Engineered flood openin o
so in
SECTION B - FLOOD
RATE MAP (FIRM) INFORMATION
gs. ❑Yes ONO Af/n
1orwgiL IsegcH s7av-lab --- ��.ISL_o/� 83.State
84. Map/pawl Number 85. Sulfix 86. FIRM Index Dale BT. FIRM Panel Effective/ 68. Flood Zonate) B9. Base F000 Elevan on(s) 37 Zo ¢29 8 Do T Zot� Revisetl Date AD, use base flood depth)
BSD.Indicate the source of the Base Flood Elevation (BFE) data or baI depth enm�d tin Rqm gg: V E 14.0 FEET
❑ FIE Profile Ejf RM ❑ Community Determined ❑ Gdrer/Source:
B11. Indicate elevation datum Used for BFE in Item B9: ❑ NGVD 1929
VD 1988 ❑ Other/Source: rV 812. ie rite building located in a Coastal Samar Resources System (CBRS) area or Otherwise Protected Area (OPA)4 ❑ Yes o
Designation Date: ___/ --s V-/ _ Q CBRS Q Dpq fJ,A
SECTION C - BUILDING
vi. building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction• 'A new Elevation CertRkate will be required when construction of the building is cold let.
construction
D.
C2. Elevations- Zones Al-A30, AE, AH, A (with BFq,,'VE, V1-V30, V (with BFEj, AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items
C2.a-h below according to the building diagram specified in Item AT. In Puerto Rloo only, enter meters.
Benchmark Utilized!_ nl f_G S l �7'� �,'� Vertical Datum: t'm yp �8
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 B<AVD 198E _A,__
Datum used for building elevations must be the same as that used for the BFE. ❑Other/Spume:
Ill Top of bottom floor (including basement, crawJspace, or enclosure floor)
, +_
Check the measurement used.
L'! feet ❑ meters
b) Top of the next higher floor
[a%et
❑meters
c) Bottom of the lowest horizontal structural member (V Zones Dory) ('77
Z
[3eet
Q meters
d) Attached garage (top of slab)l �( A.
Q feel
❑meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and ).all. In Comments) 11
El
Q meters
n Lowest adjacent (finished) grade next to building (LAO) 'Q +c .
9
[9—feet
❑ meters
9) Highest adjacent (finished) grace next to building (HAG) V� G. 1 .
h) Lowest adjacent
3
[.]'feet
arleet
Q meters
grade at lowest elevation of deck or stairs, including \tl!_� .
❑ meters
structural support
JCG nUn U -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification Is to be signed and sealed by a land surveyw, engineer, or architect authorized by law to certify elevation
information. I certify that the information on this Certificate represents my test efforts to interpret the data available.
ZI u rstand that any false statement may be punisimbie by line or imprisonment under 18 U.S. Code, Section 1002
JleCk here If comments are provided on back of form. Were latitude and longitude in SSq�ction A provided by a
[Check here if attachments. licensed land surveyor, E3Yes ❑ No
u Ulllrsrrmne Oi4✓e2 -7-- L.IICSTsn/ 'LCenaeNumber /--358E 1
Mgre53 / V rV
r . U. DM.0,4C XCIAO J a4—a.�WilyLL I J[a[i (` C. ' Z {a STn
FEMA Form 086-033 (Revised 7/12)
See reverse side for continuation.
DEC 18 2015
i } Bose I
Replaces all previous editions.
- - . .Al KlrTnm NC

ELEVATION CERTIFICATE, page 2
IMPORTANT: In these spaces, copy the corresponding Information from section A.
Building Street Atltlress (including Apt., Unit, Suite, and/or Bldg. No.) or PG. Route and Box
No2TN TP.SAIL_ OAS omre , X, DO code .7n4-4,Q
SECTION D SURVEYOR, ENGINEER, OR ARCHITECT 'EERTIFICATION (CONTINUED)
Copy both sides of this Elevation Cefihcate Tor(l) community official, (2) insurance egent/compahy, and (3) budding owner. Commen
n { NRTO" OPeN1&r(ai !Ad 9^j4� 5VME A9Z_ /z"x ICo.w. LAvvvte ccn/�yt�r' ,vr 3S
O CN A►tEA riz:'X !{0 8rx Z' 3 Z rnl X o 3S !d-1 .S� tit Z
�Lobl' MA c{lfrlltY / S r
OF f/✓Aft UN di/-ocayLrP ©rf 14
Signature ...�}z %.pj? t�%p %/%SI%L
7—DiBUtC.xjlNt
Date
SECTION E BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIREDI FORlZONE
For Zones AO and A {without BFE), comAO AND ZONE A ( WITHOUT BFE)
plate Items El-E5. If me Certificate is Intended to support a LOMA or LOMR-F inquest,
For Items El-E4, use natural grade, if available.
complete
Check the measurement used. In Puerto Rico only, enter meters.
El- Provide elevation information for the fallowing
Sections A. e,antl C.
' and check the appropriate grade (HAG) and the lowest adjacent grade (LAG). bones to show whether the elevation Is above or below me highest adjacent
a) Top of bottom floor (including basement, craMspace, or enclosure) is Meet ❑
_ meters ❑ above or
. h) Top of bottom floor (including basement, craMspace, or enclosure) is feet ❑meters
'
O below the HAG.
-- ❑above or
E2. For Building Diagrams" With Permanent flood openings provided In Section A Items 8 and/or 9
❑below the LAG.
(see pages 8-9 of Instructions),
the next higher floor (elevation C2.b in the diagrams) of the building is
E3. Attached garage (top of slab) is --- O feet ❑ meters O above or
0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is O feet O meters O above or
• ❑ feet ❑
O below the HAG.
- meters ❑ above or
E5. Zone AO an If no flood de
M depth number w available, Is the top or the bottom floor elevated in
❑ below the HAG.
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
CERTIFICATION
oProperty owner _,
Zone AO must sign here. The statements in owner's authorized rep Sections A, B, and E fbf'Zona A (without a FEMAaedssuor comrmmnyassuetl BFE) or
nSections resentative who compA, B, and E are correct to the best of myknowledge.
Property Owner Or OwneYs Authorized Representative§ Name
Address
Chy State ZIP Code
SlBnatule __ Da2e Telephone
O Check here If attachments.
SECTION Q - COMMUNITY INFORMATION (OPTIONAL)
tt+e lacor aTec�ai wha rs authurized by law or ordmance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),: and
G Of this Elevation Certificate. Complete the appiicableitem(s) and sign below, Check the measurement used in Items G8-G10. in Puerto Rico Only, enter meters.
G1. O 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. O A community official completed Section E for a building located In Zone A (without a FEMmssued or community -issued BFE) or Zone AD.
G3. O The following information (Items G4-GIO) Is provided for community floodplain management purposes.
G7. This Permit has been Issued for: ❑ New Construcuon ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: _ , _ ❑ feet O meters Datum--
G9. BFE or (in Zone AO) depth of flooding at the building site: _ , _ ❑ feet O meters Datum
GSO.Community's design flood elevation: �._ ❑feet ❑meters Datum
Local
Community Name DEC
pn 1G - Telephone
signature "ZUIJ Date
Comments
❑ Check here if attachments.
FEMA Form 086-033 (Revlsed 7/12) Replaces all previous editions.

11`�Afc ¢
/6o5 n/r/-i /lrvcrC ,,vLEr !�J
EACH /v:C 2S 40
DIAGRAM 3
DIAGRAM 4
All split-level buildings that are slabronngr♦ade, either All split-levetype ( p•r l buildings (other than slab-o
detached or row type (e.g., townhouses); with a without garage
detached or row t e e, nwtith h or ether
attached garage. attached townhouses); wor without
.
Distinguishing Feeture - The bottom floor (excluding garage) is at
or above ground level (grade) on at least 1 side.-
C2.a
HIGHER
FLOORS
GRADE
NEXT HIGHER
FLOOR
C2.b
DIAGRAM 5
All buildings elevated on piers, posts, plies, columns,
or parallel shear walls. No obstructions below the
elevated floor.
Distinguishing Feature- For all zones, the area below the
elevated floor is open, with no obstruction to flow of floodwaters
(open lattice work and/or Insect Screening Is permissible).
C2b
NEXT HIGHER
i FLOOR
C2.8
ELEVATED
FLOOR
GRADE
q
,u8 � 121i�y
C2'f-il eri ing grace) C2.0 {For J [ones anlY)
Distinguishing Feature - The bottom floor (basement or
underground garage) is below ground level (grade) on all sides.`
C2.a
GRADE \ C FLOORS
NEXT HIGHER
FLOOR
C2.f-h
:(C2.b
DIAGRAM a
All buildings elevated on p ers, posts, piles, columns,
or parallel shear walls with full or partial enclosure
below the elevated floor.
Distinguishing Feature - For all zones, the area below the
elevated floor is enclosed, either partially or fully. In A Zones,
the partially or fully enclosed area below the elevated floor is
with or without openings— present In the walls of the enclosure.
Indicate Information about enclosure size and openings in Section
A - Property Information,
t
1 NEXT HIGHER
r FLOOR i
C2.a C2.b
ELEVATED
FLOOR
GRADE AB.a-c
etermine
enclosure size 8
_ op_enirgs, /any.
r7rot
C27—hC (For V zon oly)
• A floor that is below ground level (grade) on all 41s is pp S r�dy nos used living
garage, workshop, etc. I-V r L�VI �i� if the floor id flg purposes, or as an office,
" An -opening" is a permanent opening that allows for the free passage of water automatically In both directions without human intervention.
Under the NFIP, a minimum of 2 openings Is required for enclosures or crawispaces. The openings shall provide a total net area of not less
than 1 square Inch for every square foot of area enclosed, excluding any bars, louvers, or other covers of the opening. Alternatively, an
Individual Engneered Flood Openings Certification or an Evaluation Report Issued by the International Code Council Evaluation Service (ICC
ES) must be submitted to document that the design of the openings will allow for the automatic equalization of hydrostatic flood forces on
exterior wells. A window, a door, or a garage door is not considered an opening; openings may be Installed In doors. Openings shall be on at
least 2 sides of the enclosed area. If a building has more than 1 enclosed area, each area must have openings to allow floodwater to directly
enter. The bottom of the openings must be no higher than 1.0 foot above the higher of the exterior or Interior grade or floor immediately below
the opening. For more guidance on openings, see NAP Technical Bulletin 1.
NFIP Elevatton Certificate Instructions - Page 8