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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 n bQc-�— �. i4d�•.S Applicant Name i` b �� Authorized Agent /�avS� vnyi�.ttrin ` Address l G (- . - �S - O(i ✓ Project Location (County): c� a-L��� ^� }�, ,I city :A State VA-- ZIP z q 1 StreetAddress/State Road/Lot #(s) s/Q f 2-2--S Phone # ) N 1 - ?-(Ve'7-- 41—33 (v Email to c-A-4- - Subdivision City 4 ✓',. "- ZIP 2- -7 S Affected ❑ CW [% W .PTA R4.fS S 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 o k, J �h c, �c u .. ! o.•!�{� r -- mil- /t ! /- 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 �.^.�. i'tVcV WIZ 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 (Scale: N 7"S ) /QtMA.O.n� t a Q Ja_ c•e t� S"'• � ' f FiJ �d t�M f r �o �� �s� �I—b-- �a?j o �.e �s . A DAmi ck w o• �F+�cyl)�d� i 1� � ,a6I din bti/SEA-- an�+ P/ac.e 1 J w' jP--r-ta,4 VI-1 0 r ❑ TAR/PAWNEUSE/BUFFER (circle one) ti ❑ See note on back regarding River Basin rules C� ❑ 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 � For dellLer,intern m fU CertiR2d Mall Fee Ln 5 ni Exi. flMaklfor, urld"-a*.WiYw ❑naWmRrU #MNbW0 r 9 ❑wvumllrrR""W"s $ Poslm ilk OHere O ❑ertKr/MilYrrrddMy s - p Postage `0 5 r-9 ToSal m S O Se I ru J/e04 _ s /ii!4 4-------------- - Ci tltlr .ZI�a4 0 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 � Far delivery Iniorrr rn ru Cartifwd MaA Fee L-n s M EMra Services & Fwjs ph. -A hoa. add tae a: apptpdxe) ❑ Nwtu , Re A pamw +Y) a _ r-3 ❑ Rehm R-40 hicnrtricl S _ Postmark E ❑ reMW MeM Resmmwd D*My S _ Hera O ❑Afk*bq tumReWred ti C3 ❑Acha som- ReMrkMd newt : O Pie .n T. r� TMat Postage WW Pon m p ` Tc r" s� , '° !1'l y t 9iY�------------------------ !o ON (.-_•r�.��es - �►�u- 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 O " n C 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. Preview you' Mail Track your Packages Sign up for FREE @ https://informeddelivery r1Sru.con All sales fin_ u, stamps aid postage. Refunc6 for qua,ar teed services only• .11kok-xnu for yotj' business. Tell us about vo(- experierw.e. Go to: https://postdiexpet-ionc:e.cori/P,)s w.. this mide with your mobile device; S ru 0 to m ru Ln ru a 0 0 0 0 rA m 0 ru 0 r, rq Fn 0 m m ru cn ru a 0 0 0 0 m 0 ru 0 r'- m 0 m rn ti u, ru a 0 0 0 0 m 0 ru O r- e QE 9 � ` {�4_j JUL 0 5 2022 1 -,A4_EC /7/05 a, q(oS kA d Mali F« ._ . s >iv Eixr.x.ras..rrd.�.prr Owrae.y+{.u.wrr {� - ❑O.YMWlrrlera GdYrF { - H�,,. � � pbaaarwr�orea{w,y { P wqe 1. .—ftft ea WFees ` n 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 �O 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 C.� �O 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 �0 Y 0 6 0 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