HomeMy WebLinkAbout20021444 Ver 1_COMPLETE FILE_20020910?0F W ATF9 Michael F. Easley
QG Governor
O
Cl) 7 William G. Ross, Jr., Secretary
> =i Department of Environment and Natural Resources
(p 'C Alan W. Klimek, PE, Director
Division of Water Quality
November 8, 2002
DWQ Project #02-1444
Pamlico County
Page 1 of 2
Kenneth Wallace (owner)
105 Crows Nest Street
Oriental, NC 28571
Subject Property: Teach's Cove, 105 Crows Nest Street, Oriental
Green's Creek [03-04-10; 27-129-(1); SC NSW (nutrient sensitive)]
APPROVAL for the use of the "General" MAJOR VARIANCE; From the Neuse and Tar-Pamlico Riparian Buffer
Rules for the Construction of Residential Structures on Existing Lots within the Coastal Counties as defined by
the Coastal Area Management Act with ADDITIONAL CONDITIONS
Dear Mr. Wallace:
You have our approval, in accordance with the conditions listed below, to impact 480 square feet of the protected riparian
buffers for the purpose of constructing a screened porch and deck on an existing home and boardwalk to an existing dock
located at the subject property as described within your application dated September 4, 2002. This letter shall act as your
approval for the use of the "General" Major Variance; From the Neuse and Tar-Pamlico Riparian Buffer Rules for the
Construction of Residential Structures on Existing Lots within the Coastal Counties as defined by the Coastal Area
Management Act with ADDITIONAL CONDITIONS as approved by the Water Quality Committee (WQC) of the
Environmental Management Commission (EMC) on May 10, 2001. In addition, you should get any other required federal,
state or local permits before you proceed with your project including (but not limited to) Sediment and Erosion Control and
CAMA permits. This approval shall expire when the variance expires on April 11, 2006 unless it is renewed before that
time by the EMC.
This approval is only valid for the purpose and design that you described in your variance request. If you change your
project, you must notify us,and you may be required to send us a new request for approval. If the property is sold, the
new owner must be given a copy of this approval and is thereby responsible for complying with all conditions. For this
approval to be valid, you must follow the conditions listed below.
Conditions:
1. No impacts shall occur to Zone 1 of the protected riparian buffer except for the 6-foot wide boardwalk and
uses classified as "exempt" within the buffer rule.
2. All new stormwater drainage shall be directed to vegetated areas at non-erosive velocities prior to
entering the protected riparian buffers as identified within 15A NCAC 2B.0233(5). No new ditching or
piping of stormwater through the protected buffers is allowed.
If you do not accept any of the conditions of this approval, you may ask for and adjudicatory hearing. You must act within
60 days of the date that you receive this letter. To ask for a hearing, send a written petition that conforms to Chapter
1508 of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh,
NC 27699-6714. This approval and its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under the Neuse River Riparian Buffer Protection Rules
(15A NCAC 2B .0233 (9)(b)). Please call Mr. Bob Zarzecki at 919-733-9726 or Ms. Deborah Sawyer at 252-946-6481 if
you have any questions or, require copies of our rules or procedural materials.
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetiands/
Page 2 of 2
Sincerely,
r, DWQ
cc: Deborah Sawyer, DWQ Washington Regional Office
Tracey Wheeler, DCM Morehead City District Office, 151-B Hwy 24, Morehead City, NC 28557
File copy
Central Files
DWO021444
November 8, 2002
bz
01 comments
Subject: Re: 401 comments
Date: Thu, 10 Oct 2002 12:07:20 -0400
From: Bob Zarzecki <bob.zarzecki@ncmail.net>
Organization: Division of Water Quality; 401 Certification Unit
To: Tom Steffens <Tom.Steffens@ncmail.net>
CC: Cyndi Karoly <cyndi.karoly@ncmail.net>,
"Deborah Sawyer (WaRO)" <Deborah. Sawyer@ ncmail.net>
i
Tom: Thanks.
Deborah: I haven't': received comments on 021310 or 121278. I plan to place
these on hold as indicated in my email to you dated 10/02/02.
Cyndi: I'll write 021334 & 021263 today.
- Bob
Tom Steffens wrote:
> Cyndi -Bob,
> The following 4011s, CAMA etc comments have been entered into file maker
> pro. Some of them are older and have already been issued, The rest are
> good to go. Call or W
> Thanks,
> toms
> Proj # Name Rew Date type Rec-Reg Comments
>
> 02-1536 Weyerhauser h2o intake structure mod 10-Oct CAMA Maj 19-Sep
> Issue n/c
> 02-1587 Whittaker Point Properties 10-Oct CAMA Maj 27-Sep Issue n/c
> 02-1483 Jack t. Branch 10-Oct CAMA Maj 17-Sep issue n/c
> 02-0252 Castpa llc 10-Oct CAMA Maj 17-Sep Issue n/c
> 02-1426 Billy Radford 10-Oct CAMA Maj 29-Aug Issue n/c
> war ?? * EPA-raj--4:22Qefl'l-e
> 02-1441 Roger Hendrickson 10-Oct 401 6-Sep Issue n/c
> 02-1272 Donald & Catherine Glaser 10-Oct 401 13-Aug Issue n/c
> 02-1273 Andrew & Michelle Holzwarth 10-Oct 401 13-Sep Issue n/c
> esn 10-Oct Iss
> 02-1232 NCDOT -NC55 10-Oct CAMA Maj 6-Sep Issue n/c
> 02-1511 Kristie Wilhelmi 10-Oct CAMA Maj 11-Sep issue n/c
> 02-1450 Eugene Flynn 10-Oct CAMA Maj 10-Sep issue n/c
> 02-1594 Oriental West Porperties 10-Oct CAMA Maj 1-Oct Issue n/c
> 02-1157 Foy Shaw 10-Oct CAMA Maj 6-Sep Issue n/c take off HOLD
> 01-1893 C&S Realty- Warren Judge 10-Oct 401 27-Aug Issue n/c take off
> HOLD
> 02-1437 KDH Retail Investors 10-Oct CAMA Maj 16-Aug Issue n/c
> ? =?'> ; g- z^?e?z-#3e??--?Pcfi?+?b?-1 CL .-r r? n-ra Nra??4t?g--P9s'a?-n-r?e•
> ?? -z-? ., ? ? ar • ? ?-?-E?-9s ? E??P?? rst j tea, ,??-T - --
> 02-1490 Ronald Alan & Mildrefd Brown 10-Oct CAMA Maj 4-Sep Issue n/c
> /}?..-L1.QQ Knr r? rr7 G1?g.? t .(' Antic ?- n ? !1 !1 ^ J 9 a 1If7i-
> n/c
> ,??a n„h1;=?r_e-s-Cc?m?4e? •. F -- -Aug Issue
> n/c
> 02-1581 Robert Hornung 10-Oct GenMaj Var 31-Jul Issue n/c
> 02-1344 Windovez? Waves llc 10-Oct CAMA Maj 23-Aug Issue n/c
> 02-1452 Cheryllynn LeRoy 10-Oct 401 9-Sep DENY- Applicant has room to
> build w/o impacts& has wrong impact calculations in application
> 02-1444 Hkenneth Wallace 10-Oct GenMaj Var 10-Sep HOLD- Applicant needs
> to submit plot clearly indicating house location and overlays of propery
> boundries
10/14/02 9:46 AM
MEMORANDUM
TO: John Dorney Regional Contact:
Non-Discharge Branch WQ Supervisor:
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name
Kenneth Wallace County Pamlico
Project Number 02 1444
Recvd From APP
Received Date 9/10/02 ! Recvd By Region
Project Type
residential
County2
Region Washington
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland. Stream Class Acres Feet ? - - Mi-
Type Type Impact Score Index Prim. Supp. Basin Req. Req. ?, ' -
NBR Buffers O Y _0N 27-129-(1) sc NSW 30,410. 0.01 F_-
____
s Wetland Rating Sheet Attached? O Y O N Did you request more info? O Y O N
Have Project Changes/Conditions Been Discussed With Applicant? 0 Y 0 N
s Mitigation required? O Y ON Recommendation: O issue O ISSue/Coed O Deny
Provided by Region: Latitude (ddmmss) Longitude (ddmmss)
Comments:
HOLD - applicant needs to submit clear plot plan w/overl;ay of house and clearly show impacted
area.
;c: Regional Office
Central Office Page Number 1
Mitigation Wetland
MitigationType Type Acres Feet
Dater
To: ?RRO
?FR
aRO
?WiRO
?WSRO
?ARO
Steve Mitchell
Ken Averitte
Deborah Sawyer
Joanne Steenhuis
Jennifer Frye
Mike Parker
Triage Check List
Pro1 ject Name ' /
DWQ Project Number Q'2 ly
County parr Il`
?MRO Pete Colwell Ct-17-1?'
i
From Telephone (919) 733 `
The file attached is being forwarded to you for your evaluation. Please call if you need
assistance.
i
? Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USGW topo maps ._,
? Minimizationlavoidance is
uffer Rules (Neuse, ar-Pam' Catawba; Randleman)
?l?tf?v
Jo-fi?
it n Ditching - - - -- -- -
?Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
Cumulative impact concerns "
a
Comments *
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o
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?
£ n
b
:;
v5? Asa r
c ?tpc?,?
a.+cd oF?4.+?.- Y?w,n?r-? r
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Triage Check List
Date:
Date:-
RRO Steve Mitchell Project Name 6rl
To: MR
?FR Ken Averitte . DWQ Project Number ?f2 f?
1JaRO Deborah Sawyer County pa," ?I C C'
?WiRO Joanne Steenhuis
i
?WSRO Jennifer Frye
?ARO Mike Parker
?MRO Pete Colwell
From: Telephone (919) 733- ?77f-
The file attached is being forwarded to you for your evaluation. Please call if you need
assistance.
? Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USGW topo maps
? Minimization/avoidance is
uffer Rules (Neuse, ar-Pam• ,Catawba; Randleman) V4
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is, the application consistent with pre-application meetings?
-. M rl ecerved
i
Request #
State of North Carolina
Department of Environment and
Division of Water Natural
Quality Resources ?.
«General?? X214.4 4 ti }
From to Major Variance S P/ 0
use and Tar-P Applicatio , o 2002
on existing lots within t amltco Rlpanan Buffer F
(Asapproved coastal co Protectiort !ramy
u
by the Water unties as de - Rules for n residenna
Quality Committee of .fined by the Coaster roN
vironmental
rea Mana
the En ' Management CAonirr gementAct
nunission on 5/9/2001
Please identify which Ri ar'
A pan Area Protection
?• Neuse River Basin Rule applies.-
Protection : Nutrient Sensitive
and Maintenance of waters ManageMent
Riparian Areas Rule (15q N CAC Tar-Pa gy
mlico River Basin: Nutrient Se 0233)
9Y ?rotection and Maintenance of Ri a Waters
NCAC ,0259) of Ri Management
parian Areas Rule 05A
NOTE;
To constitute ''-'----
must be a Complete appllcat/on
provided lnconl ,all of the information
original and two' co plate applications re
guested in this form
any attachments' pies Of the completed « will be returned to the
app/lcant• The
Service Center must be sent to the D genera/ Variance A
Raleigh, NC 27699-16.510 WQ 407/{?retlands pplication Form and
submittal. This for , 919-733- Certification U
m may be photoco fe 1786 to co nit, 7650 Mail
Part 7; p d for use nsfitute a complete
General Information as an original,
(Please include attach ments.if the room provided is insuff'
1 Applicant's na ?clent•).
Me (the corporation, individual, etc, ?W?o Owns the
2. Print Own property,):
?t
Name: Si g
ning Offic
Title:
Street address
City, State
Z,-p-.
D
,
Telephone:
Fax: aSa )
3• Contact person who can a.
Name:
Telephone:
Fax:
Email:
"General" Variance Applicatio
Version 1: May 2001n Form
i
(person legally responsible for the Property and its
compliance)
S-y-
'U ate/
-cam
'er questions about the proposed
i:
?v project:
aF
U1
f 4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
5. Project Location: '. -
Street address:'
City, State, zip::. .
County: Y. .
Latitude/longitude:
fi:` Directions to site from neareat-'rriajor intersection (Also; attach an 8'/2 x 11 copy of the portion
of the
.US.GS topo raphic.map indicating the location of the site): , . _ . _
JC4
b.C Q' ' I YI' A1" _ .. v
7. Stream to be impacted by the proposed activity:
Strearri name (for unnamed streams label as "UT" to the nearest named stream):
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B
.0315 (Neese) or'.031 s (Tar-Pamlico)]:
.8. Which of the following permits/approvals will be required or have been received already for
-- this project?
Required:. Received: Date received: Permit Type:
CAMA Major
CAMA Minor
401 Certification/404 Permit
On-site Wastewater Permit
Active Connection to Sanitary Sewer System
NPDES Permit (including stormwater)
Non-discharge Permit
Water Supply Watershed Variance
Others (specify)
i
Part 2: Proposed Activity
(Please include attachments if the room provided is insufficient.)
1. Description of proposed activity [Also, please attach a map of sufficient detail (such as a plat
map or site plan) to accurately delineate the boundaries of the land to be utilized in carrying
out the activity, the location and dimension of any disturbance in the riparian buffers
associated with the activity, and the extent of riparian buffers on the land. Include the area
of buffer ir7tpact in ft2*.:
2. State reasons why this plan for the proposed activity cannot be practically accomplished,
reduced or reconfigured to better minimize or eliminate disturbance to the riparian buffers:
"General" Variance Application Form, page 2
Version 1: May 2001
3.
4. •• Please ro ?hT ro lcc?0 ?itro?'aT Gi ?,i?cm4M + p vide an explanation of the following: - -
(i) The practical difficulties or hardships that would result from the strict application of this
Rule.
C?
(3) If economic hardship is the major consideration, then include a specific explanation of the
economic hardships and the proportion of the hardship to the entire value of the project.
I
Part 3: Deed Restrictions
By your signature in Part 5 of this application, you certify that all structural stormwater best
management practices required by this variance shall be located in recorded stormwater
easements, that the easements will run with the land, that the easements cannot be changed or
deleted without concurrence from the State, and that the easements will be recorded prior to the
sale of any lot.!
Part 4: Agent Authorization
i
If you wish to designate submittal authority to another individual or firm so that they may provide
information on', your behalf, please complete this section:
Designated agent (individual or firm):
Mailing address: 199.> S6,
City, State, Zip: 's I=,62
Telephone: X5'2-- a
"General" Variance Application Form, page 3
Version 1: May 2001
Description of any best management practices to be used to control impacts associated with
the proposed activity (i.e., control of runoff.from impervious surfaces to provide diffuse flow,
re-planting vegetation or enhancement of existing vegetation, etc.):
r, .. _. -../ , , r
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
Fax:
Email:
Part 5: Applicant's Certification-,
L,, c,,,t tO`c (print or type name of.person
listed in Part l,! Item 2), certify that the information included on this permit application form is
correct, that the project will be constructed in conformance with the approved plans and that the
deed restrictions in accordance with Part 5 of this form will be recorded with all required permit
conditions..
Signature:
Date:
Title:
NC Division of Water Quality (DWQ)
401 Wetlands Certification Unit
2321 Crabtree Blvd. (LOCATION)
1650 Mail Service Center (MAILING ADDRESS)
Raleigh, NC 27699-1650
(919) 733-9726 (phone)
Kttp://h2o.enr.state.no.uslncwetiands/
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
6508 Falls of the Neuse Road, Suite 120
Raleigh, North Carolina 27615
General Number: (919) 876-8441
hitp://www.saw.usace.army.miVwetiands/regtour.htm
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
Post Office Box 1000
Washington, North Carolina 27889-1000
General Number: (252) 975-1616
http://mvw.saw.usace.army.miVwetiands/regtour.htm
i
Washington District Office
Division of Coastal Management
943 Washington Square Mall
Washington, NC 27889
phone: 252/9466481
Morehead City District Office
Division of Coastal Management
151-B Highway 24
Morehead City, NC 28557
phone: 252'80872808
I
i
"General" Variance Application Form, page 4
Version 1: May 2001
?I
" General" MAJOR VARIANCE
From the Neuse and Tar-Pamlico Riparian Buffer Protection Rules for residential
structure's on existing lots within the coastal counties as defined by the Coastal Area
Management Act that meet the conditions stated below.
This "general" major variance from the Riparian Buffer Protection Rules in the Neuse
(15A NCAC 2B .0233) and Tar-Pamlico (15A NCAC 2B.0259) River Basins is hereby issued by
the NC Environmental Management Commission (EMC) for impacts to the protected buffers as
long as the conditions prescribed below'are met.
The. applicant must submit to Division of Water Quality (DWQ) three copies of the DWQ
"General" Major Variance Application Form that describes how the following conditions of this
variance will be met. If these conditions can not be met, an individual Major or Minor Variance
from the Buffer Rules may be sought from the EMC. This "General" Major Variance shall expire
on April 11, 2006 unless it is renewed before that time by the EMC.
I
Conditions:
1. The residential lot must be located within one of the coastal counties as defined
j by the Coastal Area Management Act (CAMA). .
2. Applicants must show that they have met the requirements for a variance as
specified in the buffer rules in "VARIANCES" [15A NCAC 2B .0233 9 a i -
iii and 15A NCAC 2B .0259(9)(a)(i)-(iii)] for the specific river basin where the
impacts will occur.
3. Applicants must show that the residential lot has been platted and recorded prior
to August 1, 2000.
4, Construction is for residential buildings and related structures such as garages,
I decks, porches, attached commercial buildings, driveways and sheds.
51 Substantial expenditures and contractual obligations must have occurred in good
faith prior to the August 1, 2000. Substantial expenditures and obligations must
have been made in reasonable reliance upon governmental permits and/or
i
approvals (such as 401 Water Quality Certifications, CAMA permits, active
j connection to an existing sanitary sewer system or local on-site wastewater
system approvals). Supportive written documentation must be submitted to the
DWQ for review.
6.! The lot must be buildable, without wetland impacts except for driveways and/or
utility crossings and any impact to the buffer shall be minimized to the maximum
extent practical.
7.1 Where impacts to the buffer will occur, the impact should be minimized to the
greatest extent practicable as determined by DWQ staff.
8. Any on-site wastewater treatment must not be located within 50 feet of a surface
water as specified in "ZONES OF THE RIPARIAN BUFFER" [15A NCAC 2B
.0233(4) and 15A NCAC 2B .0259(4)] of the buffer rules. The only exceptions
i include any pretreatment systems meeting the Treatment Standard 1 as found in
15A NCAC 18A .1969 Innovative System Approval regulated by the NC
Division of Environmental Health, On-site Wastewater Section.
9. j On-site stormwater management controls must be shown on the application and
storm water. runoff must be directed away from the adjacent surface water and/or
coast wetland as determined sufficient by DWQ staff; measures such as rain
gardens, bio-retention areas, veetative filter strips and planting of trees or shrubs
alone bulkheads and/or property'-"
to maximize pollutant removal may be
required as determined by DWQ staff. If the applicant is required to obtain a
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE
R2 Important: Read the instructions on pages 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
JILDING OWNER'S NAME
;enneth and Marlene Wallace Foiicy Number
UILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR PO ROUTE AND BOX No. Company NA1C. Number'
05 Crows Nest Street
ITY STATE ZIP CODE
Iriental NC 28571
ROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
amlico Co. Tax ID # 1081-5-22
JILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.)
esidential
kTITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ? GPS (Type):
0- - or ? NAD 1927 ? NAD 1983 ? USGS Quad Map [I SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Other:
hlFlp r:r)MMI INITV MARM D rneun-1- •.. .. .... -- --. -..-
Iv{/IVIDCR
awn of Oriental 370279 Md. UUUNI Y NAME
Pamlico B:
34. MAP AND PANEL
NUMBER
135. SUFFIX 66. FIRM INDEX
87. FIRM PANEL N
B8. FLOOD
370279 0001 DATE
B Dec 4
1985 EFFECTIVE/REVISED DATE
D ZONE(S)
, ec 4, 1985 A5
1- i-f- ae _ J "_ ?_-
3. STATE
orth Carolina
139. BASE FLOOD ELEVATION(S)
(Zone AO, use depth of flooding)
11- U! LIM DdSC Moa clevatlon (BFE) data or base flood depth entered in B9. 8
? FIS Profile ® FIRM ? Community Determined ? Other (Describe):
.Indicate the elevation datum used for the BFE in 89: ® NGVD 1929 ? NAVD 1988 ? Other (Describe):
Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ? Yes ® No
Designation Date ------
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Building elevations are based on: ? Construction Drawings* ? Building Under Construction' )
N new Elevation Certificate will, be required when construction of the building is complete. ER Finished Construction
building Diagram Number 6 (Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
Devations - Zones Al-A30, AE,! AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO
'omplete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from
he datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
:alculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion.
)atum NGVD 1929 Conversion/Comments
:levation reference mark used Does the elevation reference mark used appear on the FIRM? Z Yes 3 a) Top of bottom floor (including basement or enclosure) CAI?rJ 3.5 ft. [I NO,?""tr?rrrz
3-b)-Top-of-next-higher-f eer--=.-.--.-_..__.___ ft. )%_
11.5 ?.,..,....???t2 '.
3 c) Bottom of lowest horizontal structural. member (V zones only) ??.?OFESS/pti•?'9
7 d) Attached garage (top of slab)_ ft. q{
I e) Lowest elevation of machinery and/or equipment servicing the building ===ft. _ S cAL _
I f) Lowest adjacent grade (LAG)
2 8 ft; r L- 3302
9
1 g) Highest adjacent grade (HAG) 3.2 ft. -L
I h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0 .`e•2O S'UR`l,%
I i) Total area of all permanent openings (flood vents) in C3h 0 s in. ?'?. RRY R• t{ 0
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
ify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available,
erstand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001.
'IFIER'S NAME: Jerry R. Ryan,, PLS LICENSE NUMBER: L-3302
Professional Land Surveyor COMPANY NAME: Atlantic Survey & Design, PA.
ESS: PO Box 770 New Bern, NC 28563-0770
\TURE DATE TELEPHONE
06/05101 (252) 633-6649
=orm 8,f-31,
REPLACES ALL PREVIOUS EDITIONS
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