HomeMy WebLinkAbout86617A - Adams, Robert He(- ',' ,' i � ,l
O`°"'k [416AMA AREDGE & FILL �._.J
ti(�(! A B C D
G E RAL PERMIT Pry permit
Datea pprrevious permit issued
ew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by tth!�tate of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 1 1 t' « "4' -1- � Z'❑ Rules attached. Nef-G'eneral Permit Rules available at the following link: www.dpg.nc.Qov/CAMArules
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Applicant Name i` b
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Authorized Agent /�avS� vnyi�.ttrin
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Address l G (- . - �S - O(i ✓
Project Location (County): c� a-L���
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city :A State VA-- ZIP z
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StreetAddress/State Road/Lot #(s) s/Q
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Phone # ) N 1 - ?-(Ve'7--
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Subdivision
City 4 ✓',. "-
ZIP 2- -7 S
Affected ❑ CW [% W .PTA R4.fS
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Adj. Wtr. Body �� "` J" c
5 �'-� ^-� (nat/man/unk)
AEC(s): OEA ❑ IHA ❑ uW ❑ SPIMA
❑ PWS
Closest Mai. Wtr. Body
\❑
ORW: yes/PNA: yes/ io
Type of Project/ Activity - t / i a
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o.•!�{� r -- mil-
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/- 5�J3-(.21 4 S r i m;
Shoreline Length t 33 P/C -
Access Length
Pier(dock)length X '
Fixed Platform(s) /
Floating Platform(s)
Finger pier(s)
/2' X / 2 —
�_ �a-/►'l rice •$ a �.^.�.
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l 1-4-fa I---(
Total Platform area 2 S Z X 7 K Sdo7 +{
Gr ' th/p
Bulkhea iprap length lCtt b
ce offshore
Breakwater/Sill
Max distance/ length iZ '
Basin, channel
Cubic yards
Boat ramp r
y
Boathouse oatI- rc e Z
Z
Beach Bulldozing
Other
SAV observed: yes
Moratorium n/a s no
Site Photos: no
Riparian Waiver Attached: yes ern
A building permit/zoning permit may be required by:
Permit Conditions
1 AM AWARE OF
Y4 )ZIt AC //
Agent or App*a
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❑ TAR/PAWNEUSE/BUFFER (circle one) ti
❑ See note on back regarding River Basin rules
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❑ See additional notes/conditions on back
STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
, oys
nt PRINTED Name
Signature "Please read compliance statement on back of permit*'
t�ls (9
Application Fee(s) Chec M/Money Order
Permit Officer's PRINTED Name
Si ure
Issu�i tgate Expiration Date
June 23, 2022
Date
Kevin J. Mara
Adjacent Property Owner
TIRna�t
Mailing Address
(`h;r 1actar NR 0117 x
City, State, Zip Code
Dear Adjacent Property:
RECEIVED
J U L 0 5 2022
®CM -EC;
This letter is to inform you that I, Robert H. Adams
Property Owner
Permit on my property at 40336 Williams Road_, Avon N
Property Address
41 Domes tic 41811 C
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have applied for a CAMA Minor / (General)
in Dare
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 2 52-261-82 5 3 or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
Local Permit Officer for Dare County
Sincerely,
House En.,,gineerint„ P.C.
Property Owner
PO Box 466
Mailing Address
Kitty Hawk. NC 27949
City, State, Zip Code
RECEIVED
1 U L 0 5 2022
June 23, 2022 DCM—P—X
Date
Todd and Michell Bane
Adjacent Property Owner
14030 MarhelstoLeLzn
Mili g Address
ifton. VA 20124-
City, State, Zip Code
Dear Adjacent Property:
Domestic h9ai! G
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This letter is to inform you that 1, Robert H. Adams have applied for a CAMA Minor i (General)
Property Owner
Permit on my property at 403 36 Williams Road Avon NC _. in Dare
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. Nc 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 252-261-8253 or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
Local Permit Officer for Dare Count``
Sincerely,
House Enf;ineerin�„ P.0
Property Owner
PO Box 466
Mailing Address
KiitXHawk NC 27949
City, State, Zip Code
RECEIVED
1 U L 0 5 2022
DCM-EC
June 23, 2022
Date
Karen A. Fleming
Adjacent Property Owner
nn rz,N%
Mailing Address
Avon NC ?701
City, State, Zip Code
Dear Adjacent Property'
This letter is to inform you that I.
Robert H. Adams
Property Owner
' Domestic Mail C
� Foi•delivery intotn
r1J CertHWO Mall Foe
Ln s
n-1 Exva Services 8 Few KJrwtr Aox, �xr ree a �•1
❑Am,x r— wpwwu-p" $ -
QO CmiRMA Mall Po,Wriwed 13.1 v 5
Co rJ�aa ,rub x. nri s
❑ Adult lil p t— A"t-lal Ooluary 5
p Postage
-° $
rf Total Postage anti Fees
m
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F -- -Z------ ----------- -----------
CI " BBt Alltl M NO.. M % M%/.
N
Posemak
Here
have applied for a CAMA Minor / (General)
Permit on my property at 40336 Williams Road, Avon NC in Dare
Property Address
County. As required by LAMA 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 252-261-5253 or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program. you may submit
them toy
Local Permit Officer for Dare County
Sincerely,
I louse Ent ineet-liw. P.0
Property Owner
PO Box 460
Mailing Address
Kitty Hawk, NC 27949
City, State, Zip Code
■,,,Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
o07D �Pit/!O/�/•G%ilL
l yo341, 0 Wt �'VN� CT
IIIIIIIII�I IIIIIII I IIII II II I II II
9590 9402 6361 0296 8654 73
2. Article Number (Transfer from service label)
/VZO S/b0 OOD/ ZSZ3 )TOP
PS Form 3811. July 2020 PSN 7530-02-000-9053
A. Signature
x M ,
Addresse
C. Date pf Deliver
7 S
D. Is delivery address different from Item 1? 11 Yes
If YES, enter delivery address below: ❑ No
RECEIVED
JUL 12 2022
3. Service Type
❑Ad
liv❑ Ad t�c ry
❑ Ce daI l
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Insured Mail
❑ Insured Mail Restricted Delivery
t--,tsnrn
❑ Priority Mail Express®
❑ Registered MailT
❑ Registered Mail Restrict
Delivery
❑ Signature Confirmation*
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipl
USPS TRACKING #
3 L.
9590 9402 6361 0296 8654 73
United States
Postal Service
-%yeti
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
HOUSE ENGINEERING, P.C.
P.O. BOX 466
KITTY HAWK, NC 27949
111diiiiii,J 11i1 stj:}1�`Wt#th:l}dhIE}ij`;lhfti��* }
■ Complete items 1, 2, and 3. A Signature
■ Print your name and address on the revue X Agent
so that we can return the card to you. ❑ Addresse
■ Attach this card to the back of the mailpiece, B. Received by (Printed Name) C. Date f Deliver
or on the front if space permits. _ 5-
Article Addressed to:
K EviW /11e24
IIIIII'll'lllllll I I IIII'I IIIII III III
9590 9402 6361 0296 8654 66
2. Article Number (Transfer from service label)
roLo 3160 dov/ z7z? 80
PS Form 3811. July 2020 PSN 7530-02-000-9053
Fell
1UL 12 2022
1? ❑ Yes
❑ No
3. Service Type ❑ Priority Mail Express®
❑ Adult Signature
❑ Registered MallT'"
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restrict
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Signature Confirmation'
❑ Collect on Delivery
❑Signature ConfirmatldA'
❑ Collect on Delivery Restricted Delivery
Restricted Delivery
❑ Insured Mail
❑ Insured Mail Restricted Delivery
Domestic Return Recelol
USPS TRACKING #
First -Class Mail
cc) Postage & Fees Paid
LISPS
Permit No. G-10
9590 9402 6361 0296 8654 66
United States
Postal Service
HOUSE ENGINEERING, P.C.
P.O. BOX 466
KITTY HAWK, NC 27949
II1111ilullllil1IfyiJill III I]IIIIIIIlLIII it'll l),1111111,i111
�UNME-0 V
PMTAL SEAR
KITTY HAWK
3841 N CROATAN IIHY
KITTY HAWK, NC 27949-9238
(800)275-8777
O6/30/2022
11:45 AM
Product Oty Unit
Price
Price
--. __ _. _.--.__---_-__-_--
First-Class Mail@ 1
$1.36
Large Envelope
Clifton, VA 20124
Weight: 0 lb 1.60 oz
Estimated Delivery Date
rue 07/05/2022
Certified Mail@
$3.75
Tracking #:
70203160000125238031
Return Receipt
$3•05
Tracking #:
9590 9402 6361 0296 8654 73
Total
$8.16
First -Class Mail@ 1
$1.36
Large Envelope
Chichester, NH n3258
Weight: 0 lb 1.60 oz
Estimated Delivery Date
Tue 07/05/2022
Certified Mail®
$3.75
Tracking N.
70203160000125238024
Return Rereipt
$3•05
Tracking #:
9590 9402 6361 0296 8654 66
Total _
$8.16
First -Class Mdil@ 1
$1.36
Large Envelope
Avon. NC 27915
Weight:-0 lb 1.60 oz
Estimated Delivery [late
Sat 07/02/2022
Certified Mail$
$3.75
Tracking #:
702Q3160000125238086
Return Receipt
$3.05
Trarking #:
9590 9402 t361 0296 8654 59
Total
$8.16
Grand Total: $24.48
Credit Card Remitted $24.48
Card Name: MasterCard
Account #: XXXXXXXXXXXX2735
Approval #: 01417J
Transaction #: 216
AID: A00000ntX)41010 Chip
AL: MASTERCARD
PIN: Not Required
xxxx:xxxxsxxxxxxxxx:xxx:xzxxxxxxxxxxxxxxxx
Every household in the U.S. is now
eligible to receive a third set
of 8 free test kits.
Go to w+w.covidtests.gov
xxzzxxxxzxxxxxxxxxxxxxxxxx:xxtxxrxxxxxxxxx
Text your tracking number to 28777 (2USPS)
to get the latest status. Standard Message
and Data rates may apply. You may also
visit www.usps.com LISPS Tracking or call
1-800-222-1811.
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or call 1-800-410-7420.
Permit Number
Ocean Hazard Estuarine Shoreline OR\V Shoreline >�l�te�.�er
(For o fficia/ use onl V t
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
1 U L 0 5 2022
Name Robert H Adams
Address 196 Brookside Drive
City Dry Fork state VA zip 24549 Fie 8 -
Email riinc@hotmail.com
hotmall.com
AUTHORIZED AGENT
Name House Engineering, P.C.
Address PO Box 466
City Kity Hawk state NC zip 27949 Phone 252-261-8253
Email fick@houseengineering.net
houseengineering.net
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent tsaterbody.)
40336 Williams Road, Avon NC 27915
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) $ajSShQtTL0�14d_p1aCe�n
new foundation. Construct new decks and porch at the home. Install new bulkhead, pier and dock and
boat lift
SiZE OF LOT/PARCEL: 21,474 square feet .— acres
PROPOSED IiSE: Residential {r (Single-family Multi -family Q ) Commercial/Industrial ❑ Other l]
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local permit Officer ifyou are Fiat sure which AEC applies
to your propery,):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: N/A 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: 3198 square feet (includes the area of the foundation 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 PER1HT- Is the project located in an area subject to a State
Storm%ater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES_ NOI/
if yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
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:
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)
Zan owner or record title, Title is vested in name of Robert H. Adams
see Deed Book 2592 page 0844 in the Dare 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 RIPARIAN PROPERTY OWNERS:
1 furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1)
(2)
(4)
ACKNOWLEDGEMENTS:
h 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 gnat, and do in fact grant, permission to Division of Coastal Management staff,
thwbscMrPazmit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.Adk" P
r This the 29th day of June .20 22.
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drawing as described on the ck Of is applic(tion, the
ownership slatentent, the Ocean Hecard AL• C' Notice where necessaty, a check for $16W0.00 ntalpmrhb to the I aline, and
arm information as mat, be provided orally by the applicant. The details ofthe application as dribedr these sources are
incorporated without reference in arm pernti! which nrav be issued. Deviation firom these details will corjslintge a violation of
apty permit. Attt, person developing in an AEC' without permit is subject to civil, crimhrol and or rinistr+ive halo".
t
i
RECEIVED
U.S. DEPARTMENT OF HOMELAND SECURITY rExpirationtate
B No0-0008
Federal Emergency Management Agency MAY 6 2022 : November 30, 2022
National Flood Insurance Program
ELEVATION CE E
Important: Follow the instru n ge
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:
Robert H. Adams
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number:
Box No.
40336 Williams Rd. (SSP FILE:2210270)
City State ZIP Code
Avon North Carolina 27915
A3. Property Description (Lot and Block Numbers, Tax Parcel Number.. Legal Description, etc.)
D.B. 2592, Pg. 844; Dare Co. Parcel: 014707000/PIN: 053908993244
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5_ Latitude/Longitude: Lat. 35-20-46.90 Long. -75-30-49.50 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A& Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 5
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) N/A sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b N/A sq in
d) Engineered flood openings? ❑ Yes 0 No
A9. For a building with an attached garage:
a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade NIA
c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑ Yes ❑x No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
Dare County 375348
Dare
North Carolina
134. Map/Panel
B5. Suffix
B6. FIRM Index
67, FIRM Panel
B8. Flood
B9. Base Flood Elevation(s)
Number
Date
Effective/
Zone(s)
(Zone AO, use Base Flood Depth)
Revised Date
3730 0539 00
K
06-19-2020
06-19-2020
AE
4.0'
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATE
OMB No 1660-0008
Exoiration Date November 30 2022
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt.; Unit, Suite, andior Bldg. No ) or P O. Route and Box No.
Policy Number:
40336 Williams Rd. (SSP FILE 2210270)
City State ZIP Code
Company NAIC Number
Avon North Carolina 27915
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1 Budding elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction` ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2 Elevations — Zones Al—A30. AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE,
AR/Ai—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.
Benchmark Utilized: Mail Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 V NAVD 1988 ❑ Other/Source
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace. or enclosure floor)
7.7 ❑x feet ❑ meters
b) Top of the next higher floor
8.0 feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only)
N/A x❑ feet ❑ meters
d) Attached garage (top of slab)
N/A x❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
x feet
7,7 ❑ meters
(Describe type of equipment and location in Comments)
f} Lowest adjacent (finished) grade next to building (LAG)
1.9 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG)
3.7 x❑ feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
1.9 ❑ feet ❑ meters
structural support _
SECTION D — SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer. or architect authorized by law to certify elevation information.
i certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
statement may be punishable by fine or imprisonment under 18 U. S. Code. Section 1001
Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ❑ No
❑ Check here if attachments
Certifier's Name License Number
Manson Ray Meekins L-2592
kkA CAF?t��'�'>;
Title
,
O.'QFProfessional
Land Surveyor
S a' �
4r +
Company Name
Seaboard Surveying & Planning, Inc. C-1536
Address
103F West Wood Hill Dr.: P.O. Box 58
Nut`{.
City State ZIP Code
Nags Head North Carolina 27959
�'°• ry,aTxta`
Signature / Date Telephone
Ext
05-13-2022 (252) 480-9998
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner
Comments (including type of equipment and location, per C2(e), if applicable)
Municipality R.F.P.E.. 8.0' at this location, C2e refers to water heater
FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6
I=I FveTinN rFRTIFICATF
OMB No 1660-0008
Expiration Date November 30, 2022
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
40336 Williams Rd. (SSP FILE:2210270)
City State ZIP Code
Company NAIC Number
Avon North Carolina 27915
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE). complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request.
complete Sections A. Band 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,
crawispace. or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG
b) Top of bottom floor (including basement,
crawlspace. or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG
E2 For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions)
the next higher floor (elevation C2.b in
the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG
E4 Top of platform of machinery and/or equipment
servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5 Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A. B. and E for Zone A (without a FEMA-issued or
community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments
FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of b
ELEVATION CERTIFICATE
OMB No 1660-0008
Expiration Date: November 30 2022
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:
40336 Williams Rd (SSP FILE:2210270)
City State ZIP Code
Company NAIC Number
Avon North Carolina 27915
SECTION G — COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
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 that has been signed and sealed by a licensed surveyor,
engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.)
G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE)
or Zone AO.
G3 ❑ The following information (items G4—G10) is provided for 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 Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
G10. Community's design flood elevation: ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and location per C2(e). if applicable)
❑ Check here if attachments. II'i
FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 4 of 6
r ,
BUILDING PHOTOGRAPHS OMB No.1660-0008
'ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022
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:
40336 Williams Rd. (SSP FILE:2210270)
City State ZIP Code Company NAIC Number
Avon North Carolina 27915
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"; and, 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.
:�.OM
I Photo One Caption Front 04/25/2022 Clear Photo One I
Photo Two
Photo Two Caption Rear 04/25/2022
FEMA Form 086-0-33 (12119) Replaces all previous editions.
--Clear Ptwto Two
Form Page 5 of 6
O
C�
C
Land Trans r #646-22
Land Transfer U1400.00
Stamps $880.00
This instrument 4trepared by:
W. Jay Wheless
PO Box 500
Manteo, NC 27954
File: 22-088 �(
Recorded. 02/16/2022 04.29:55 PM
BY: NICOLE GRANGE Deeds
Cheryl L. House, Reamer
Dare County, NC
NC Excise Tax. $880.00
Fee Amt $26.00 Land Transfer Fee: $4,400.00
eoaK 2592 PAGF �4 (4)
m.iss.r 111111111111111
Mail after recording to:
Wheless & Wheless, PLLC
PO Box 500
Manteo, NC 27954
If checked, the property includes the primary residence of at least one of the Grantors (NC GS § 105-317.2).
Delinquent Taxes, if any, are to be paid by the closing attorney to the County Tax Collector upon disbursement of closing
proceeds. j
PARCEL #014707000
NORTH CAR�LINA GENERAL WARRANTY DEED
THIS DEED made this 141 day oqebruary, 2022 by and between
GRANTOR 1
ALYCE M. WERNER, Individually,Y�
(unmarried) and as Executor of the
Estate of SONIETA JOY MORRISON 0
306 North Grand Street
Lewistown, PA 17044
GRANTEE
ROBERT H. ADAMS
196 Brookside Drive
Fork, VA 24549
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall
include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for valuable consideration aid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, btogain, sell and convey unto the Grantee in
fee simple, all that certain lot or parcel of land situated in K ha eet Township, Avon, Dare County,
North Carolina and more particularly described as follows:`
SEE EXHIBIT "A" ATTACHED HERETO AND INCO ORATED HEREIN BY
REFERENCE.
0
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the property herein described was originally acquired by Arthur F. Morrison and wife, Sonieta Joy
rrison in Book 1245, Page 721, Dare County Registry. Arthur F. Morrison died Mav 16, 2011 and
o 'eta Joy Morrison died testate on March 13, 2021 a resident of Pennsylvania. Sonieta's Last Will and
T 9"tment is filed in Estate File #21-E-332, Dare County Clerk of Superior Court, North Carolina.
Sonufm devised this property to Alyce M. Werner.
TO H AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances
thereto belo ing to the Grantee in fee simple.
And the GrIQ r covenants with the Grantee that Grantor is seized of the premises in fee simple, has the
right to cony a Isame in fee simple, that the title is marketable and free and clear of all encumbrances,
and that Grant warrant and defend the title against the lawful claims of all persons whomsoever
except for the ex ons hereinafter stated.
Title to the prope hereinabove described is subject to easements, covenants, declarations and
restrictions of record and conveyed subject to the ad valorem taxes for the year 2022 and subsequent
years.
IN WITNESS WHEREe Grantors have hereunto set their hands and seals the day and year first
above written.
O
ESTATE OF SONIET J Y MO ON
BY: (SEAL)
Alyce erne , Executor and Individually
STATE OF NORTH CAROLINA
COUNTY OF DARE d
O
1, //-J l o(a , lk'-Cu e I , a NotQ ublic of the State and County aforesaid, do certify that
Alyce M. Werner, Executor of the Estate o onieta Joy Morrison and individually, personally
appeared before me this day and acknowledged th ecution of the foregoing instrument.
Witness my hand and official stamp or seal, this It"'day February, 2022.
MY CO�SSION EXPIRES: ✓ c
Z Z gErfARY PUBLIC
'el
� (Notary Seal) 'f o �
4�
d
O
1
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EXHIBIT "A"
(-All that certain lot or parcel of land together with the buildings and improvements thereon, lying
being in the Village of Avon, in Kinnekeet Township, Dare County, North Carolina, adjoining
apds now or formerly owned by FAJ Industries, and others, and bounded as follows:
BEGIMING at an existing iron pipe situated in and marking the North edge or right of way of a
15-foo adway casement granted and described in the deed from B.D. Williams et ux to Weldy
C. Smai t" dated October 11,1980, and recorded in Book 304, page 301, Dare County Registry,
said iron pog and point of beginning being also in and marking the Southwest comer of the tract
or parcel o ;*now or formerly belonging to FAJ Industries, running thence from the beginning
point along orth margin or right of way of said 15-foot easement North 84 deg. 12 min. 30
sec. West 27.40=-t to an iron pipe; thence South 5 deg. 43 min. 30 sec. West 7 feet to an iron
pipe in the North(Awgin or right of way of an 8-foot walkway easement; thence along the North
margin or right of way of said 8-foot walkway easement North 84 deg. 12 min. 30 sec. West 89.83
feet to an iron pipe; thence continuing along the North margin or right of way of said 8-foot
walkway easement No 84 deg. 12 min. 30 sec. West 46 feet, more or less, to Pamlico Sound;
thence along Pamlico d following the various courses and meanderings thereof in a general
Northerly direction to a en bulkhead in the South edge of the mouth of a canal, said point
being 142.96 feet on a cou"orth 8 deg. 14 min. 12 sec. East from the terminal point of the next
preceding call; thence along s�M bulkhead and the South edge of the aforesaid canal South 82 deg.
5 min. 12 sec. East 56.37 feet a point in the bulkhead; thence along the Southeast side of said
canal and along the said bulkhea(North 42 deg. 36 min. East 29.98 feet to a point in the bulkhead;
thence continuing along the S616 edge of said canal following the various courses and
meanderings thereof in a general SQih erly direction to a point, which is 14.49 feet on a course
South 64 deg. 48 min. 26 sec. East`*from the terminal point of the next preceding call; thence
continuing along the South edge of sai anal, following the various courses and meanderings
thereof in a general Easterly direction t e point of intersection thereof by the West line of the
lands now or formerly owned by FAJ Ind 'es, said point being 82.94 feet on a course South 75
deg. 46 min. 27 sec. East from the terminal t of the next preceding call; thence along the West
line of the FAJ Industries property South 10 759 min. 30 sec. West 27 feet, more or less, to an
existing iron pipe; thence continuing along the k&Di st line of FAJ Industries South 10 deg. 59 min.
30 sec. West 114.35 feet to the iron pipe at the p itt1of beginning.
Together with and there is also conveyed hereby as an appurtenance to the lands and premises
hereinabove described a nonexclusive perpetual easement of right of way for the purpose of egress,
ingress and regress to and along the lands and premises h inabove described from the West end
of the aforesaid public road known as the Landing R Pamlico Sound, said Landing Road
being an extension of State Road No. 1225, said right and ment to be used in common by the
owners of the lands hereinabove described and those to who a right may be conveyed therein.
The lands and premises over, upon, across and along which easement is given and granted
being more particularly described as follows:
6
O
Cz�
11,10
BEGINNING at an iron pipe situated in and on the South margin of the public road known as the
Landing Road, said Landing Road being an extension of N.C. State Road No. 1225, at the point
�'of intersection thereof by the West line of the lands now or formerly owned by Helen Scarborough
(ond also sometimes known as the Richard I Scarborough property, said point being the Northwest
V6mer of the Scarborough property and also being 417.28 feet South 88 deg. S6 min. 45 sec. West
the South edge of the pavement at the end of the pavement of said State Road No. 1225,
ruuW�g thence from the beginning point along the Northwest line of the lands now or formerly
owned Weldy C. Smail et ux South 48 deg. 2 min. 30 sec. West 150 feet to an iron pipe in and
markihoe Smail West comer; thence North 84 deg. 12 min. 30 sec. West to and along the Earnest
A. Coo Sr. et als North line 264.30 feet, more or less, to Pamlico Sound; thence along Pamlico
Sound fo g the various courses and meanderings thereof in a general Northerly direction to
the point of,' rsection thereof by the South line of the lands hereinabove described, said point
being 8.01 f n a course North 8 deg. 10 min. 14 sec. East from the terminal point of the next
preceding call;,I�ence along the South line of the lands hereinabove described South 84 deg. 12
min. 30 sec. Ea*4 feet, more or less, to an iron pipe; thence continuing along the South line of
the lands hereinabove described South 84 deg. 12 min. 30 sec. East 89.83 feet to an iron pipe;
thence North 5 deg..43 min. 30 sec. East 7 feet to an iron pipe; thence South 84 deg. 12 min. 30
sec. East 120.66 feet to,,an iron pipe; thence North 48 deg. 2 min. 30 sec. East 148.96 feet to an
iron pipe; thence No deg. 56 min. 45 sec. East 5.59 feet to an iron pipe at the West end of
the aforesaid Public I oacrRown as the Landing Road; thence along the West end of the aforesaid
Landing Road due South�*t to the iron pipe at the point of beginning.
`(�
16
0
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Y
0
6
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40336 Williams Rd, Avon, 07•
40336 Williams Rd, Avon, 07'
40336 Williams Rd, Avon, 07• 40336 Williams Rd, Avon, 07•
40336 Williams Rd, Avon, 07'
s 1
ft
40336 Williams Rd, Avon, 07'
40336 Williams Rd, Avon, 07'
40336 Williams Rd, Avon, 07•
40336 Williams Rd, Avon, 07• 40336 Williams Rd, Avon, 071
40336 Williams Rd, Avon, 071 40336 Williams Rd, Avon, 071 40336 Williams Rd, Avon, 071 40336 Williams Rd, Avon, 071 40336 Williams Rd, Avon, 071
JSALVO -
LEGEND NOTES:
EXI'PINCH P� 1. THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE
EX 3/5' REBAR 04SCLOSEDBY A FULL AND ACCURATE TITLE SEARCH. 0 - 1/Y' REBAR SET 2. AREA BY COORDINATE COMPUTATION 21,474 S.F.
3. F.I.R.M. ZONE:'AE' (B.F.E.:4.0•xR.F.P.E.: 8.7)
PAMUEX. 4- X 4- CONC. MON. 4. PIN NO.. 01 053908 99 32SOUN❑ CALCULATED POINT 5. RECORDED REFERENCE: PC B, SL 257: 0.8. 259Z PQ H4
EX MAC NAIL B. MINIMUM BUILDING LINES (MBL), IF SID%" HEREON. ARE PER ITIE
ATLANTIC - NAG NAIL SET IN BHO. CURRENT LOCAL ZONING REGULATIONS OTHER SETBACKS
STEOCEAN EX. T-1E EN PIPE ARDOR R CONS IONSRUC MAY APPLY ANp MUST BE VERIf1ED
PRIOR TO CIX45TRUCTION.
7. ELEVATIONS (HAVO 1985}PHONE PEDESTAL HIGH GROUND O BUILDING - 3.7'
GAT.V. LOW GROUND O BUILDING - 1.9'
UTILITY POI E FIRST FLOOR - 7.55'
GUYWARE FIRST FLOOR (EAST PART OF BLDG) -7.99'
FIRE HYDRANT B. EXISTING LOT COVERAGE 4,500 SF. (20.92L)
LOT COVERAGE IN C.A.M.A. A.E.C.: 3,198 S.F./17,215 S.F. (/LOV
ELECT. TRANS. 9. DARE CWNTY ZONING 'R-iA'
AC -ABOVE GRADE P.C.BSL 287 /0. PROPOSED LOT AREA (WITH PROP. BULKHEAD): 21.754 SF.
BO -BELOW GRADE 11.PROPOSED LOT COVERAGE5.530 SF./21,754 SF. (25.5V
N PL - PROPERTY LINE PROPOSED LOT COYG. IN C.AM.A. AEC.: 3,345 S.F./17,407 SF. (19.2M
VICINITY MAP NTS p4 -WATER VALVE
0 - BENCHMARK
W ICI PAMLICO SOUND
`PROP. PILINGS
�X (BOAT LIFT)-�-
-_ -_ PUTTED LINE (NOT SURVl xm
(P.C. B, SL 287)
-PROPOSED BULKHEAD-�-
RETURN AT PL L5 PROPOSED ��-
_ W00D/NNY' BULKHEAD
1.6
WOOD SULKHEAp L3 L7
EXST- WOW BULKHEAD L8
EK/ST. 10' MBL BR[gpI
A IN n � - - - -••-I - - � I o ._...
BULKHEAD
EAST PROP. 30' C.&WA I m -'�' REPAIRS AS
1A• 9U A.M.A ^ r, s��-� _-___ _ _BUFFER W/ PROP. SHO I p I NEEDED (1)
_. 3A
FFER , .ate _
N05'47'30'E 2.9 X PRE e ' �?
I 105.21'(T1E) r PORCH
I 5AV E
PRIVATE
WAl1CA/T. l5• f 7E( 40.0
(P.C. E. SL 545)
(P.C. a. 9L. 257) �_ CONQE'IE I PROP. 75' C.A.M.A N V >
ST AEC W/PROP. SHO -�-
I I. I 7' W / Z
N I PUhII�jpM
LIS
0
KAREN A./FLEMMINGIT=a
MARY T. FLEMMING RPILING OPE/
(PC B, SL 287) Z I i i- I I Q
(D.B. 2253, PG 84) ON ESMT.) / 1 \ E aSTINc I
1 SWRY W/ir L17
I
UMELUNG 1
L Y B9 " ON PILINGS 1 \ '�-
L2 / 30.5' PROP. V \
3 STAIRS
__ 10
123
9x PC 10• Mom, sHEO
- - IF.F.E. 8.1-P O ��..
S 1059'30= w 129.98' T
I RU91 L 1
<I,; .4i �IBRRBEO)L22 -�...
m
\Eli
al R' V085ERVEII
1 SHORELINE
(04/25/22)
I Q
\ 1. -1 cn 1rc KEVIN J. MARA
m� PARCEL NO.0286340DO LINE TABLE
D.B. 1933, PG. 142 /
�'�c I•��T * \ 1 '4 '. i a I Z ( ) E LINE LENGTH BEARING
\ 4t i w .. 1 J f1 Lt 27.48 N l 'w
y1 s I, MANS(XI RA' MF.iJIW"s. CERIEY'HAT THIS PLAT MAS DRAWN UNDER ! L2 7.00 SOS'43' 'W
\roJ ! 1 y I MY SJPERN40N 1" AN ACILAL. SURVEY MADE LAKIER MY SIPFRRWSON
\. (OEFD DESCRIPTION RECORDED N SDOK-_�- PACE 844 }. L3 TIE 1.N13'14•E
THAT THE BOUNDARIES NOT SURVT.YEO ARE WMATEO AS DRAW4 FROM 44 TIE 7.95 N 28'8'0 'W
L I §L5T�I,E 0.52 N 31 a' S'
(DEED HES ATN) OF
PRFCVOECWU N BCAL PAD. ___). 37.52 NIG•31'03'
Y - THAT THE RpTO x PRECSION 45 CTW. STANDARDS
IS 1/10,000/; MAT THIS
N/F .My W '�' 4 �V PLAT MEETS THE REOMREAENTS OF 1Nf. SiN1DA1�5 OF RtACMF FOR 37.73 N10'OB'48'
TODD D. BANES J �.I /ND ]+ Hp M CARD INA (1, N 551N 0) 4Z45 N0952'Ot'E
a4' �+ MIS ___13T1L__ DAY CF ._____ __- 20&2 4.43 N0916'45'MICHELLE G. BANE > I 1359 S857Y09PARCEL I eY F fqJ• 14.15 1'4 ' 4'(PC E, SL 548) N •� IQ '1fA RVEYOR I.-259<' I 723 N3918' 9'(D.B. 2390, PG. 818) L24 P 15,32 N42.51'17E
(TIE) )S % •.. ��y�'J E L14 TIE 23.20 4,74 SI9�.E 32.75 S7E 11.6 N11'q'
/ Y ` •�j•/4, �` L1B TIE 31OB 129'
- L19 TIE 7.70 3777,E
qp S �� LZO TIE 7.70 S751Y B'
INTX 9 E. PL OF �� �� '1�1� -- L21 TIE 15.05 3 1 'W
/ 40305 WILLIAMS RD. �� �' •\� L22 TIE 0.17 -4'
/ R 40315 TAWAMS RD. �` L2} TIE 2290 12W
V .I -W
L25ApLHon4ury4jA4, REV. 07/13/22: SHED STAIR/D=/BOAT LIFT �` '? n SOO N 0•
tN CAR REV. 08/07/22: STE PLAN/PROP DECKS/BHD/PIER . .
,.•••..•,•,..•••.., / ��'. PHYSICAL SURVEY FOR
R OBER T H. ADAMS
SEAL
c `•.
L-2592 - e 40336 IIILLI"S ROAD (PARCEL NO. 014707000) - AVON
KINNAKEET TOWNSHIP - DARE COUNTY - NORTH CAROLINA
.5;�
RAY.. C,'4�,.` 3a m 0 30 SEA�aRD moniiiiii SUR7E llm & PL"mpu, IIL�G C-1536
W'FWisrom
AA.4F44'4„ 1 inch = 30 It 103F W. WOOD HILL DR., P.O. BOX 58, NAGS HEAD. NC 27959
OFFICE: (252) 480-9998 FAX: (252) 480-0571
LE 2210270 SURVEYED:04 25 22 XPLATTED:W 12 22 MJ
RECEIVED
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION J U N 2 2 2022
Name of Property Owner Requesting Permit:
,
Mailing Address: rd r:
Phone Number: 1/3 % 1 2 4, Z 2
Email Address: r- 11 i r ,y 1, d
I certify that I have authorized House Engineering, P.C. ,
Agent / Contractor
to act on my behalf, for the purpose of!applying for and obtaining all CAMA permits
necessary for the following proposed development: Raise house and place on new foundation
Construct new decks and porch at the hoiile. Install new bulkhead, pier and dock
at my property located at 40336 Williams Road Avon NC 27915 ,
in Dare
County.
l furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, ithe Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type !Name
Title
s/ /j�la0,�2a
Date
This certification is valid through 6 / 09 / 2023
Revised Mar. 2016