76260D - Pritt

1(7: CAMA / ' DREDGE & FILL
GENERAL PERMIT
,New ' ❑Modification []Complete Reissue El Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Applicant Name b
Add re s!- 19 N.
City 5G StateW ZIP
Phone # 0 j�) pd3"DIN E-Mail
Authorized Agent rl I it,
❑ CW
^EW
XPTA ❑ ES ❑ PTS
Affected
AEC(s):
❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW:
yes %no
PNA
yes no
Type of Project/ Activity
Pier
Fixes
Flom
Fingi
Groi
Bulkl
Basir
Boat
Boat
Beac
Oth(
Shor
SAV
Mon
Phot
Wain
I . , iI
No. 76260 A B C O
Previous permit #
Date previous permit issued
Project Location: County
Street Address/ State Road/ Lot #(s)
U 035
Subdivision
Iz
Rules attached.
City ZIP Z�S
Phone # ( --j- River Basin 0
Adj. Wtr. Body IWNA t,S DF. $ . G . (nat /man /unkn)
Closest Maj. Wtr. Body S7 V ✓I^ P SO UNp
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avg distance offshoremax
distance offshore
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cubic yards
ramp
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dine Length
not sure yes
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A building permit may be required by: (/rs F ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
ent or Applicant Pr tens d Name
Signature ** Please read compliance statement on back of permit*
zoo
Application Fee(s) Check #
Printed Name
(/3.I•7C) tj• �'7U
Issuing Date Expiration Date

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No.
42.9' N 55.18'36" E
139.92'
-- 7.5' SIDE SETBACK _------
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PROPOSED 5.0' X 34.0'
UNCOVERED DECK
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_----------7 S' SIDE SET&1CK --------------------J
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S 55.18'36" W 140.02'
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I, JOHNNY J. WILLIAMS, PROFESSIONAL LAND SURVEYOR, CERTIFY THAT
THIS MAP WAS PREPARED UNDER MY SUPERVISION FROM AN ACTUAL
SURVEY MADE UNDER MY SUPERVISION COMPLETED ON OB/OB/2019
FROM REFERENCES AS SHOWN HEREON; THAT BOUNDARIES NOT
SURVEYED ARE NOTED AS SUCH AND PLOTTED FROM REFERENCES 3
AS SHOWN HEREON; THAT THE CPS PORTION OF THIS SURVEY WAS q\ • \�
PERFORMED TO A CLASS A SURY AS DEFINED BY TITLE 21, CHAPTER
56. SECTION .1603 OF THE N.C.VEADMINISTRATIVE CODE USING A RTK
NETWORK WITH A POSTIONAL ACCURACY OF 0.00 U.S. FEET; THAT THIS \ tlAa
OPS SURVEY WAS PERFORMED USING A C`\
AM -SON BR%6 ROVER AND/OR ]e!'�
A CARLSON BRX6+ ROVER; THAT ALL COORDINATES ARE BASED ON N.C. \
CRUD NORTH (HAD 1983 201/ ADJUSTMENT MODEL): THAT THE / ii\ \ \ \
CONVENTIONAL PORTIONON OF THIS SURVEY HAS AS A A RATIO OF PRECISION �` ►\ y$$$777
IN EXCESS OF 1; IO,000 AND IS ALSO PERFORMED A CUSS A
SURVEY AS DEFINED BY TITLE 21, CHAPTER 58, SEC 00 IBM Of4 \
ll N.C. ADMINISTRATIVE CODE
/ \�'• \ 01/30/2020 52VICII
,Qeo 4T 8 / � �1s \ i
JOHrj M1 S P.LS, L-3170 _ SEAL
L-3170
auRN p�..' \
SURFACE CALCULATIONS:
TOTAL AREA OF LOT - 7.735 SO. FEET
HOUSE PORCH FOOTPRINT AREA UNDER
COVER ROOF - 2.124 SO. FEET (27.4R)
CONIC. PAD AREA - 732 SO. FEET (9.4X)
TOTAL 81PERNOUS SURFACE -
2.856 90. FEET (36.95)
TOTAL AREA OF DECKS, STEPS, ETC. - 730 SO. FEET
TOTAL AREA OF DRIVEWAY - 455 SO. FEET
6 j1Z
/ DEED BOON 513. PACE BO1 `{•
\ / LOT 11, BLOCK b, SECTION {
\ / MAP BOOK 11. PAGE 30 ' j � `'},}}};���{{{ \ • N V
\ IW9PO4FD SA' Y YI.9' ' y' \ \]AffaY HAA,: ' ' silk \
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�S:
i) THE PROPERTY SHOWN HEREON IS LOCATED ENTIRELY WIN
A SPECIAL 100 YEAR FLOOD HAZARD AREA ACCORDING
TO FLOOD INSURANCE RATE MAP NO. 3720424500K
GATED FEBRUARY 16. 2007.
�) ALL N.C. (RID DATA SHOWN HEREON IS BASED ON HAD 1983
201
1 ADJUSTMENT USING THE NCGS RTK NETWORK SYSTEM.
t J6) ALL DISTANCES SHOWN HEREON ARE N.C. GRID DISTANCES
�UN``�L�ESS OTHERWISE NOTED.
{) 1181NED GRID FACTOR - 0.-.70-
51
UTILITY LINES SHOWN HEREON MAY HAVE EASEMENTS
�AANN76 RIGHTS OF ENTRANCE AND MAINTENANCE ASSOCIATED
THEM.
�6) PROPERTY IS ZONED MHS AND WILL BE SUBJECT TO
RESTRICTION$ IN THE TOWN OF SURF CITY LAND USE
7r INANCES. THE TOWN OF SURF CITY SHOULD BE CONTACTED
.� DETAILS ON RESTRICTIONS PRIOR TO LOT IMPROVDMENTS.
SE RESTRICTIONS MAY INCLUDE. BUT NOT BE LIMITED TO,
TRACKS. HEIGHT RESTRICTIONS, IMPERVIOUS SURFACE
RE..REMENTS, ETC. ADDITIONAL RESTRICTIONS MAY APPLY IF
' I, RE ARE RESTRICTIVE COVENANTS ASSOCIATED WITH IS
R�f�ydD�P.�ERTY. SURVEYOR HAS NOT PERFORMED RESEARCH TO
-yc .'NE IF RESTRICTIVE COVENANTS APPLY.
LEGEND:
UP - EXISTING IRON PIPE
EPK - EXISTING P.K. NAIL
ISS - IRON STAKE SET
AG - TOP ABOVE GROUND SURFACE
BG - TOP BELOW GROUND SURFACE
R/W' - RIGHT-OF-WAY
f - CENTERUNE
E - PROPERTY LINE
NCGS - NORTH CAROLINA GEODETIC
SURVEY
- E- - OVERHEAD UTILITY LINE
-FUTILITY POLE
2 - WATER METER
O' - TELEPHONE BOX
---- - LINE NOT SURVEYED
YY4�
/ \ k
K. Pon= \
28, PAGE 153 /
40. SECTION 4 / \
11. PAGE 30 /
/
/
/
/
/ BOUNDARY SURVEY &
PRELIMINARY PLOT PLAN FOR:
CUSTOff BUILT HOffPS OF
TIIL7 CAROLINAS, LLC
GRID TIES AND COORDINATES:
REFERENCES:
CURRENT OWNER: CUSTOM BUILT HOMES OF THE CAROUNAS, LLC
EIP No. 119 - NORTH - 257,D05.759
DEED BOOK 5061, PAGE 802
22019 US 17, HAMPSTEAD. NC 28443
EAST - 2,447,243.881
OLD SETTLERS BEACH
LOT 10, BLOCK 40. SECTION 4
INDIVIDUAL TRACT ON N.C.S.R. 1611 (6TH STREET)
MAR BOOK 11. PAGE 30
TOWN OF SURF CITY
ASS No. 120 -NORTH:-Zµ�.0.51 69
EAST
STUMP SOUND TOWNSHIP, ONSLOW COUNTY, N.C.
1
DATE: AUGUST S. 2019
SCALE: 1' - 20'
✓VA%WY r HILL/" LANAI SDRVA7ZAV P.0 j
P.O. Box 778, BEULANLLE, N.C. 28518
PHONE: 91G-298-8272 FAX: [phone]
ros n1c xavrouals
EMAIL : JINLLIAMSOJWSURVEY.COM FIRM NO. C-2532

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RECEIVED
DCM WILMINGTON, NC
FEB 2 1 2020

Y
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property: C„'4� f�, 1, ) _
(Lot or Street #, Street or Road, City & County)
Agent's Name #: _ —De nN-N Mailing Address: c2R-e /g l /,L /%/✓
Agent's phone #:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
L 1�f1-/� I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement,
I do not wish to waive the 15' setback requirement.
(Pr Owner Information)
Signature
2d Y) n i e- R
Print or Type Name
Mailing Address
.�an-� /J s�e a� /l�� � ���•3
City/Stat ,(Zip
��Z) - g�d 3 -
Telephone Number
Date
(Adjacent Property Owner Information)
C
Signatu
Print or Type Name
U 13 (i 64)
Mailing Address
City/State/` io '
T679phone Number
2- ~ /t `44 RECEIVE®
Date DON! WIL.M►INGTON, NC
Revised 611812012
FEB 2 1 2020

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 6 n,� ; e 40,, �Ll is
// (Name of Property owner)
property located at �6 33 4 61,e
9 (Address, Lot, Block, Road, etc.)
on nlla/ , in r , �'-; , N.C.
(Waterbody) (City/T wn and/or County)
The a plicant has described to me, as shown below, the development proposed at the above location.
L %I
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop y Owner Information) (Adjacent Property Owner Information)
&X-94-- ,
S' nature Signature
�6 n n i L 1N/'iTT
Print or Type Name Print or Type Name
Mailing Address Mailing Address
s NG v78� 3
C/i�/Stat Zip City/State/Zip
Telephone Number Telephone Number
,,;� ._6� -"5�0
Date Date
(nevi yctRAIGTON,V E D
NC
FEB 2 1 2020

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner:
Address of Property: D 3 3i'
(Lot or Street #, Street or Road, City & County) /I
Agent's Name #: i yl Mailing Address: 4:;Z70%U d:5
Agent's phone #: /D - *63- a %3/
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
they are p posing. A description or drawing, with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (if you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Proper Offer Information)
Signature —
Print or Type Name
asoi9 z)5" /7�
Mailing Address
m sadNc a 113
City/Stat /Zip
q/o Vd 3 U
Telephone Number
Date
(Adjacent Property Owner Information)
Signature
1ocl
Print or Type Name
5 vS (44-Pf— N44,q -e-
Maili Address
i g ►� f-0yiNCB
City/State/Zip
q
l0 -.A 3 )-, • D '7
Telephone Number
RECEIVED
a Z� �, G DCM WILMINGTON, NC
Date
Revised 6/18/2AJB 2 1 2020

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
.//
property located at (Name of Property caner)
_ �0 0.33 � � ��"ee
(Address, Lot, Block, oad, etc.)
on _ (//"dna f , in �' N.C.
(Waterbody) (City1T wn andlor County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement..
I do not wish to waive the 15' setback requirement.
(Problarty Owner Information) (Adjacent
/Property Owner Information)
SignatureA16
n ure
ann�w ;�� �Cr-/—
Print or Type Name Apri or T n+e
a Addre /VC d �443 ` r��c�rnr`ss
city to om w ribLIS
t7 2i (� 6 aC
city
7a3- �3/ 3�. -0 77/
Teleph ne Number T one�llu % r U G
a�� A a
Date Date
F=1EGEIVED
(Revises# ;WMINCTON, NC
FEB 2 1 2020

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 1 d 10n i e- 1971-hL
Mailing Address: 2,23 %Y 2S X4u4i /%/✓
Phone Number: 911 /D - SD -3 - D r/ 3/
ctOhn��1a57�in � mvdtt a.r-s-ia�l s5. Ce»'�
Email Address: T r✓)v s s s ,
certify that I have authorized U onna Yin
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 8 LJJ, /'/ Jo C k 5rj
at my property located at 6 ,'�33 &4 6kes
in LJn6/,o ul County.
1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Propert Owner Information:
Signature
�DnniG �!'�TT
Print or Type Name
b11)Y) e ✓
Title
Date
5'
RECEIVED
DCM WILMINuTON, NC
This certification is valid through FEB 2 1 2020

i

Date Received
Date
Check F ame
Name oI Parmlt Holder
Vendor
Check Number
Check
ount
Pemrlt Numher/C—ts
Receipt or Rerund/Reallocaled
Columnl
CON-2
Cok ml
Cok-M
Columns
Cghmn O
Coka 7
Columns
COIW 9
3/102020
3/102020
HS Construction LLC
Jelfa Liv' Trust /Gavin Jena
B88T
2477
S 400.00
GP #76271 D
GP #76260D
BB rcl. 10903
3/10202C
3/102020
Custom BuiM Homes of the Carolinas LLC
Donnie Pritt
First Citizens
1099
200.00
JD rel 10383