PN16-08

/ : j
Issued by WiRO PN16-08
Pender County Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission for development in an area of environment
concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area
Management"
Issued to Robert Brooks authorizing development in the Estuarine Shoreline (ORW) Areas of Environmental Concern
(AECs) at Lot 29, Anna Court, in Hampstead, Pender County as requested in the permittee's application package,
dated May 25, 2016 and received by DCM on June 3, 2016. This permit, issued on June 20, 2016, is subject to
compliance with the application and site drawing (where consistent with the permit), all applicable regulations and
special conditions and notes set forth below. Any violation of these terms may subject permittee to a fine, imprisonment
or civil action, or may cause the permit to be null and void.
This permit authorizes: Residential home construction.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by the Division of Coastal Management on June 3, 2016.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20)days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for
compliance. Any maintenance work or project modification not covered under
this permit,require further written permit approval.All work must cease when this RECEIVED Jason Dail
permit expires on: DCM WIL MINGTON, N AMA LOCAL PERMIT OFFICIAL
December 31,2019 12 ar nal Drive Extension
JUN 2 7 2016 Wilmin on C 2 5-3845
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to ! <
another party without the written approval of the Division of Coastal
Management.
PERMITTEE
(Signature required if conditions above apply to permit)

({� - S n
,.
„:„. _..:,„.. .,,,,,,.. K"--:::;-4t-iltp#—..''-'-. - . .
r
>. 1 .yi
2�''• ac ¢r t e 1 1 J• 3 X 4+ (T? A is••
�-' ,
` " rti� tl�a•4`,'•f + X i ara IT-i+li,'t t + t• 4 �' r
L 4, •
)Ael7# :. i„y'.. y' >- .K'. r r4 F r, 'a't I.'��..}i)L' 6 4 ~ J , .
h,
.. - '-::,5'Y� s, - r•, "P''- DIY PI '
`' �' }.. i;;#tit i.a ki }) •4{ Y ,-•
:k�>,r
•
•
•
•
£� ___�..+. i +i�' r:'='� k ."''''s'' 'r � .I: iir's7w.' <`V.TrA 4 � �< 'c' # rj *,"'i6 $`."
P.'• y -
1.,
n a
1 1 i' .e— i . , .u. R y:a .1i , IY .Y,> 3 It w ,inn itz `�:e:at,.•7 w .c :4 t't3+x
� 1lt •
. t'r:F. Z' ¢
t u
P,
•
•
•
•
•
t
•
'+ ' ^"' •'°"" . -`. r t �+ 4 + +.'_r##; 44.4i `� + :i:" 't4''' ,; ., ' r b : yda as mayn1 ,Y yr + •rr- ,'r�',',w*
wiry^• 16 - 1
+ . : •.

Name: Robert Brooks
Minor Permit#PN16-08
Date: June 20, 2016
Page 2
(5) All buildings shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards
of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood
Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent
with any of the following AEC standards, the more restrictive provision shall control.
(6) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and
mulched)within 14 days of construction completion.
(7) Any proposed for grading within the 30' buffer from the Normal High Water level must be contoured to prevent
additional stormwater runoff to the adjacent marsh and/or canal. This area shall be immediately vegetatively
stabilized, and must remain in a vegetated state.
(8) No structures shall be located within the 30' Coastal Shoreline buffer, including but not limited to concrete slabs,
stepping stones, roof covers, accessory buildings, swimming pools, stormwater drains, pump houses, etc.
(9) The amount of impervious surface/coverage on this property shall not exceed 25% within 575 feet of the Normal
High Water line.
(10) This permit does not authorize the excavation or filling of any wetlands or open water areas.
(11) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
•
SIGNATURE: DATE:
PERMIT EE RECEIVED
DCM WILMINGTON, NC
JUN 27 2016

!VC PAT MCCRORY
C;n,-emot.
DONALD R. VAN DER VAART
5'ecreiary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
Director
June 20, 2016
Mr. Robert Brooks
1532 Dellwood Drive
Raleigh, NC 27607
Dear Mr. Brooks:
Attached is CAMA Minor Development Permit# PN 16-08, for work to be done at Lot 29, Anna
Ct., in Hampstead, Pender County. A copy of the permit has been sent to the Pender County
Inspections Department.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Please retain the orange copy for your files and sign front and back of the white copy
then return to us within 20 days of receipt, in the enclosed, self-addressed envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sin rely,
1-ett.A.fic
Shaun K. Simpso
Permit Support Technici
Enclosures
Cc: WiRO files
Pender Co. Inspections Dept.
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

eld Ib -OY
Locality l/t" Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name be
i Addressj 32. De1wJOOJ ( •
City Roi`e.\S\1 _._._ State _ J`J .0 • Zip_ 2-7V57 Phone 9-19_--- 7 .2 Z CP C_
Email _ :T g iuw.� 0.440wx
AUTHORIZED AGENT �C �r "ry
Name W,A\ _ -weS - — --
Address !3 Pe 66 fe__ &Gck -
jCity I-klk✓'/3 act State /J.C- Zip /y3 Phone q 10 � � ( "0/73
Email-` CJJ; 11 Q2\i`efta a tag 1\ i Ce.%Pvt _ ^
LOCATION OF PROJECT:(Address,street name and/or directions to site; name of the adjacent waterbody.)
t aCt Awn�. c , eta psikc
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) .i et-N CCiwtS�YI+tL2
re(..t c A h ou5e__ - i VL d ecALS p cc-( , S�p 1--ic Sy /eft, 4-
tg . r�Ireuogy.
2 SIZE OF LOT/PARCEL: ►1 square feet • 5_6 acres
PROPOSED USE: Residential er (Single-family Multi-family ❑ ) Commercial/Industrial [] Other ❑
COMPLETE EITHER(1)OR(2) BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 503bsquare 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 drawl )
RECEIV�
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to QC3.t VILMINGTCN,NC
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(Driclim 2016
YES NO
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:
I,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)
" �
an owner or record title,Title is vested in name of `RcJae, ZCc
see Deed Book page tx- in the ?eoc(.p f 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 arc 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)
(I) iAtl\:avv\ Y��r,k<< l rvas Kok, INcY1 v k 61.
(2) -- o K inn p ( ______ _ 110 ..io l c ref *-0
(3) _
(4)
ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the Z S$day of fir,20 j
t 0 La►/AV)
owner or person authori ed to act as his/her agent for purpose of filing a CAMA permit application T~
This application includes:general information(this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean 1fazarrl AEC Notice where necessary a check for$100.00 made payable to the locality,and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incor/wrated iwithout rrfemnce in any permit which may be issued. Deviation firm these details will con lttk nation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and adnu)fllphbtft 'z1+c�liIth.CN' '�`
JUN 0 3 2016

7/.
ZONING
REQUIREMENTS
ZONE RP
FRONT 20' , .
SIDE 10' C AN - -~ � .
' '�-WATER SURFACE
-'� S25°33 o
„ 113.30
O
.... ....
_ _ I
1 30' CAMA,SETBACK _y—I-
-
I ,—
I,�� •
— 1
I NOTE: THIS PROPERTY IS LOCATED WITHIN 33.6�
THE 100 YR. FLOODPLAIN AS SHOWN ON FIRM I
COMMUNITY PANEL 3720 3291 00K. coOD PROPOSED
..1-.
7 DWELLING a6
�� �
Site Plan prepared
w ( al
by: # o o I o co
Approved by:e l�kcal... CD iiii�im CD o
Date: -' .1 ] cn
Permit#: \Le t 5 1 3to
DRIVE
LOT 29
AREAS
28770 Sif
,gip 1 ++
INFORMATION SHOWN ON THIS PLAN / No••••••momme
1 1
PROVIDED BY OTHERS AND IS NOT
THE RESULT OF A SURVEY BY
STROUD ENGINEERING.
I
J l
4
���� N35°22'0"E 90.00 — ———
c — 5- ZCo` '
°_ LOT 5
c>0 �`'1' SECTION 7
�ti��� DCM L.MRECM TON.NC
JUNWI 0 3 2016
ANNA
t SURVEY
CT. I MAP BOOK REFERENCE, 36 PAGE 47
I 1 PENDER COUNTY REGISTRY
I i
l 1 LEGEND
I i •EIP
EXISTING IRON
I i M EXISTING CONTROL MONUMENT

SE-t�r\c_ 5 Y ST-E r
Soil Profile Description: -7,
0-15/20" Mixed fill material �Q
15/20-24" Very dark brown(10YR 2/2)loamy sand,granular, 0
very friable,non-expansive with shell hash present OG
24-60" Light yellowish brown(2.5Y 6/3)loamy sand,granular,
very friable,non-expansive with yellowish brown /
(10YR 5/8)mottles @ 54-60".
Soil wetness Condition:54-60" /
LTAR 1.0 /
/
40 O
10'4 �
A 1' 9' •,
... .
-L.
4
System Specifications:
4 bedroom home
480 gal/day
. LIAR 1.0
360 Sq. Ft. 25%Reduction system(reduction system)
120 Ln. Ft. 25%Reduction system(reduction system)
(3) 3'x 40' Nitrification trenches
Trench bottom depth 36" (12"original soil surface)
, r �
Repair: 360 Sq. Ft. 25%Deduction system(reduction system)
' :Li t, 120 Ln. Ft. 25%Reduction system (reduction system)
• ---i r' (3) 3'x 40' Nitrification trenches
Trench bottom depth 36" (12"original soil surface)
__-t_-
Ai,D SOIL s
v• �, �RD. G . ,A
- ' ' '
MIS
waters edge \.•' :�. U
rill
It
16 May 2016
NOTE: Adapted from design plan by Sullivan Design Company dated 4/25/16
Title: Hancock Custom Homes FIGURE:
Applied Resource Lot 29 Long Point Estates
Management, 17 C. JOB: SCALE: DATE: DRAWN BY: 1
Hampstead NC28443 16109 1"= 50' 5/3/16 GY
bCM�RECEIVED
f)Lhnnv®TC^, rN-.
.SUN 0 3 20$

Receipts for
Certified Mail
(Staple Here)
-a5-I(4'
Date \/
1)Ji \�Ci%pn Ic7 A2kktAvtAs
Adjacent Property Owner
ftc, A W k (
Mailing Address
Tkc.4 vA pc‘eaci N G. zt)y 4 S
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, 'ober4 g('C kS have applied for a CAMA Minor
Property Owner Permit on my property at Lc-) - ack VAS in 1-AG s ‘fad
Property Address City/Tbwn
in Pender 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 c hg 5-a 4- al(c\ct ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the CAMA Minor Permit Program,you may submit them to:
Jason Dail,DCM Field Representative
LPO,County of Pender
NC DEO/DCM
127 Cardinal Drive Ext.
Wilmington,NC 28405
R013e ri- 13s b i;S
Property Owner
b e i 1 w 0od Or-
Mailing Address
City,State,Zip Code
RECEIVED
DCM WILMINGTON. NC
JUN 0 3 2016

. - . . ervice
CERTIFIED MAIL® RECEIPT
Domestic Mail Only
1 For delivery information,visit our website at www.usps.comnv.
.. ,
• i• ' A' ''''' '"- ; .*'"'i L. '....J .
I Certified Mail
I F
3°
I
Ext a Services&Fees(check box,add fee 9,saPPffP' et\MM
1 --ttnitturn Receipt(hardcopy) $ -.ma I i ,...,
) 1171 Return Receipt(electronic) $ Postmark
1 ['Certified Mail Restricted Delivery $ Here,,„.,, is
] El Adult Signature Required $ JUN 0 1 eel 3 rc,
U Adult Signature Restricted Delivery$ Mt
3 Postage i/ 7
1
_ $ • 7- ANI
I Total Postage andnes
S 28I''A'
$ (0 , -/ /
1 Sent To
q 1.,13 11 1 i OM kfillko,I tA t4 a s
3 treet and Apt No.,or l'Af.,4x Nb. .../.
106 vt.cA-
City,State,iv tiA n c ji,edi Ale, zgylis

ertittea Matt serv►ce prvv►wes me TOiIOWing benefits:
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present thi:
delivery. USPS®-postmarked Certified Mail receipt to tt
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service— Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,a
nportant Reminders: to the addressee's authorized agent.
-Adult signature service,which requires the
You may purchase Certified Mail service withq
First-Class Maile,First-Class Package Servicee, signeevailato at at least 21 years of age(not
or Priority Made service. available retail).
-Adult signature restricted delivery service,whic
Certified Mail service is not available for requires the signee to be at least 21 years of al
international mail. and provides delivery to the addressee specific
Insurance coverage is not available for purchase by name,or to the addressee's authorized agen
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear:ertain Priority Mail items. USPS postmark.If you would like a postmark on
'or an additional fee,and with a proper this Certified Mail receipt,please present your
indorsement on the mailpiece,you may request Certified Mail item at a Post Office—for
he following services: postmarking.If you don't need a
•Return receipt service,which provides a recordpostmark one this
of deliveryCertified label,a Mail receipt,ito detach the ce,ba apply portion
(including the recipient's signature). of this affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
c......ocnn . ..._._._ .__.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Rc.0 D t .C*. 's
�t n (Name of Property Owner)
property located at �`� ttn v & CA- - I Cl vv.p ittrd
(Address, Lot, Block, Road,etc.)
on 10,0 ( I , in Pender County, N.C.
( aterbody)
He/She has described to me as shown in the attached application and project drawing(s),the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
DCM WILMINGTON, NC
JUN 0 3 2016

Receipts for
Certified Mail
(Staple Here)
5 - S I (D
bale
ScS tph -}c v '
Adjacent Property Owner l
l'1 d_� �1J c-t S�1 R�i1 A-fr lam'
Mailing Address
City,State,Zip Code
Dear Adjacent Property: y�
This letter is to inform you that I, l� vo€r# ffDk
c have applied for a CAMA Minor
Property I3hc'A ��
Owner
Permit on my property at a-C1 C4-. ,in ��te(kW pc 1EGGd
Property Address City i T
in Pender 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 q lCj E ?.t-{ .2(019 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the CAMA Minor Permit Program,you may submit them to:
Jason Dail,DCM Field Representative
LPO,County of Pander
NC DEQ/DCM
127 Cardinal Drive Ext.
E� Wilmington,NC 28405
IQc" e r i Q r c
Property Owner r�,� 1 t�
De t DC cl c r.
Mailing Address
Rcrle��e�
City,State,Zip Code
RECEIVED
DCM VVILMINGTON. NC
JUN 0 3 2016

U.S. Postal Service'
CERTIFIED MAIL° RECEIPT
p Domestic Mail Only
n For delivery information,visit our website at www.usps.comr.
[a 4-n
4.
7 Certified Mail Fee
dM Fe(-)
Extra Services&Fees checkbox,add f s 'ate) C?r- 6C C
u �Aeturn Receipt(hardcopy) $ • O /7("1\,.
O ❑Return Receipt(electronic) $ '- Postmark ys ij
❑Certified Mail Restricted Delivery $ Here
] ❑Adult Signature Required $ I JUN
0
20t i
['Adult Signature Restricted Delivery$ 1
Postage: II
n
Total Postage and Fees
$ 6,• '/7 GSPS 2% A5
14111111
n Sent To
a e pi-, ICI-rn
Street and Apt No. or O Box No.
J i D. tN61: ihskex__Ac cr_iedA
Cify,State' 4tan in S 1'eQoi A16 Z21 q4 3

,ernneu maii service prowaes me ronowrng oenenis:
A receipt(this portion of the Certified Mail label). tor an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service" -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
nportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail°,First-Class Package Service°, available at retail).
or Priority Mail°service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of agi
international mail. and provides delivery to the addressee specified
Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office`"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to ) C)b r4 f r.) 1<S
(Name of Property Owner)
1 property located at ac9 !'j�'1 evA CI-, get nil p s'kq d ,
(Address,Lot, Block, Road,etc.)
on 1 l? S c1 j , in Pender County, N.C.
,(Waterbody)
He/She has described to me as shown in the attached application and project drawing(s), the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
CjCM WILMINGTON.NC
JUN 0 3 Mb

Planning & Community Development
PENDER COUNTY, North Carolina
`ooar o� 805 S. Walker St. Planning and Zoning
Burgaw, NC 28425 910-259-1202
4,
Zoning/Development Permit Page# 1
�F
heNosi` CERTIFICATION OF ZONING, SUBDIVISION, SPECIAL USES. SOIL EROSION and EXEMPTIONS
CA Approved : N/A Zoning Determination Only
Tax Geo Pin#: 32910644970000 Zoning Permit Date: 05262016
Tax. Rec. # : 45300 Permit/Receipt# : 161512
User ID : LK12
* Permitted Use Description of Work: Code Violation N
Single Family Residence
NOTE: Use Must be listed in the Pender County Zoning Ordinance's Table of Permitted Uses'.
Description of Work :
Residential-60 x 40 SFR w/att garage&covered porches&decks
Type of Structure/Use : RESIDENTIAL SINGLE FAMILY
Structure Height Limit : 35 Feet
Mfg. Home Mfg. Date : 0/00/00 Existing Structure On Site: Yes- No- 1
Site Address: Str.#&Name: ANNA CT.(LOT29) City: HAMPSTEAD
Property Name: BROOKS ROBERT
Owner: Str#/Name: 1532 DELLWOOD DR
City, State,Zip: RALEIGH NC 27607 Telephone:
Applicant: Relation : POTENTIAL BUYER
Name: REEVES WILLIAM
Contact: HANCOCK CUSTOM HOMES LLC
Str#/Name: PEEBLE BEACH RD 130
City,State,Zip: HAMPSTEAD NC Telephone: [phone]
Subdivision LONG POINT ESTATES Section: Lot: 29
Name: Plat Bk.&Page#: Deed Bk.&Pg: 4478 / 5 Township: TOPSAIL
Section A:Zoning Determinations
Zone Dist : RP Req. Setbacks: Front: 30 Rear: 25 Side: 10
Minimum Lot Size: 15000 Flood Zone#: AE BFE: Panel#:
The Proposed Activity is allowed by the Pender County Zoning Ordinance.The Type Permit noted above is issued subject to the
Project complying with the determinations and conditions herein and the information contained in the application submitted by the
applicant. When Zoning Determinations are issued a Final Zoning Permit must be obtained prior to the beginning of site
construction.
Determination Made By: LK Date : 5/26/16 CBRA: Yes- No- 0/00/00
Section B: Conditions of Permit Required: Completed:
Subject To Compliance With All Local, 1
State And Federal Regulations.
Compliance With The Site Plan And 1
Application Submitted For This Permit.
Compliance With The Set Backs Noted. 1
6 Building Inspector May Verify Setbacks. 1
Environmental Health Approval 1
Required prior to final Zoning Permit.
Capacity Fees. 1
All electrical&mechanical work 1 RECEIVED
must be above BFE. DCM MINGTCN,NC
V�iIL
CAMA Permit required prior to final Zoning 1
Permit and/or Building Permit. JUN 0 3 2016
Other Conditions 1
CAMA
Proof of Potable Water
Benchmark set

Planning & Community Development
PENDER COUNTY, North Carolina
GOVNTY 0,46 805 S. Walker St. Planning and Zoning
Burgaw, NC 28425 910-259-1202
. 4 *
Zoning/Development Permit Page# 2
pFNOEP CERTIFICATION OF ZONING, SUBDIVISION, SPECIAL USES, SOIL EROSION and EXEMPTIONS
Zoning Determination Only
Tax Geo Pin#: 32910644970000 Zoning Permit Date: 05262016
Tax. Rec. # : 45300 Permit#: 161512
User ID : LK12
Code Violation : N
6 Fourteen(14)days after Footing Inspection or setup on site.
Site Directions:
Anna Ct; (Lot 29)
Zoning Det. By : LK Date : 5/26/16 Zoning Fee : 25.00 Check#: 1401
Final Zoning By : Date : 0/00/00 Total Zoning Fee : 25.00 Check# :
* Fee is Non-Refundable
Zoning Notes :
-Before final zoning, verification of water supplier must be submitted if the lot is will not be serviced by a private well.
Environmental Health approvals required prior to final zoning ( Construction Authorization )
Prior to final zoning; Floodplain review& Floodplain permit to be issued by Megan Ohare
CAMA pemit to be issued; contact Jason Dail 796 7221
ermit valid for twelve(12)months from date of Issuance
al fe
ppiicant Signature Date
RECEIVED
DCM WILMINGTON,NC
JUN 0 3 2016

J0uNTy0
PENDER COUNTY PLANNING AND COMMUNITY DEVELOPMENT
* APPLICATION TYPE: ZONING DETERMINATION(RESIDENTIAL ONLY)
*I (PLEASE PRINT CLEARLY&ANSWER ALL QUESTIONS)
A SITE PLAN DRAWN TO A MINIMUN SCALE OF I"=60' MUST ACCOMPANY WITH APPLICATION
pF N p eP Permit#
Applicant Name: +lcox.k Cd,�, y Apt ,C L� Date: "Zg--/Co.
Applicant's Address: 130 Pei bie AeikciA Rc1 . Phone: CVO a79-OI73
City/State/Zip code: /4.41,6,p c leer( NC- 29443
NOTE: IF APPLICANT IS NOT THE OWNER OF THE LAND, WILL NEED LETTER FROM OWNER ACKNOWLEDGING
PERMISSION OR OFFER TO PURCHASE TO MAKE APPLICATION FOR THE SUBJECT PROPERTY.
Tax Identification No. 32. q/p(pyq 97 pcavO
Map Book&Page# Deed Book&Page#
Project Location Directions: t y I-7 ' (1) O n ( a sti tin,k„ Ac res nci, () on T lIi eS
® on hoc a.
Owner's Name: gc)bpr' - dr3r0C ks Phone: 0 A 5 z y 2(4 5
Owner's Address: /S3? ice./juDoccy City: Rcr/e ( State:
AR', Zip: Z76a7
Project Contact Person: G(),'1 ) ee.,eCeS Phone: //6"271-Ol?
Proposed Constructio art..ddition/Accessory/Renovation/Repair/Other (Circle/Highlight One)
Description of Work: Res Jt*.4;u [ — S> 14.2 j (kal i1 y Building Height yZ (Not to exceed 35')
ZONING DISTRICT: to
PROPOSED SETBACKS: is 3 F 3 �I. LS 3 3 r RS ,53•°R
Property located within 75' of stream or other body of water? YES �410
Property located within 1000' of a water body or stream classified as outstanding resource water? YES ✓NO
Are there any platted restrictions on the site/lot? YES NO
ANY MFG. HOMES OR OTHER STRUCTURES ON PROPERTY OR ADJACENT PROPERTIES UNDER THE
SAME OWNERSHIP? EXPLAIN: /j/.7-4.'c
PROPERTY ACCESS: ACCESS EASEMENT ON PROPERTY:YES_NO ✓ ABUTS RD 30' WIDE: YES10
RECORDED EASEMENT(Date of created lot):YES NO 4.,210'(Before'03)
30'(From 11/17/03-7/1/10) 45'After7/1/10
If any information provided by the applicant is found to be incorrect the permit is subject to revocation. A vested right is
established upon issuance of a fmal zoning permit. A vested right does not relieve the applicant or owner from compliance
with all provisions of the current Pender County Zoning Ordinance.
Water Source: County/Community System/Private well/ Other (Circle/Highlight One)
Sewer Source: Co my/Co unity System/�rry e sept Other (► (Circle/Highlight One)
Signature: Date: 5-- .7 `(G
(FOR OFFICE USE ONLY)
*IS PROPERTY LOCATED IN FLOODPLAIN?B/NO CAMA PERMIT REQUIRED YE /NO
PROPERTY IN AEC 41,./NO ANY PROTECTED WETLANDS UCM 1* St)
WI
TECHNICIAN'S INITIALS/DATE: 5 - 2(p - 1 ( JUN 0 3 201h
*PROPERTY LOCATED IN A SPECIAL FLOOD HAZARD AREA WILL REQUIRE ADDITIONAL INFORMATION.*

t
CASH S 6 � Q7 r� .
o RECEIPT Dat
Received From ,
(SD r�� Address
«. >.N '"y,
ai=Z Dollars t.%�,-$
I R ft For C 6`J 8
C O N
c N co h
Uo 2 ACCOUNT HOW PAID / ^^��/
2 > ACCOUNT •
O — CASH I
m
v a..W AMT.PAID Gv CHEC •,
BALANCE MONEY ORDER IIIinBy
DUE CREDITCARD❑
(7/6.
��eCe ; i -fir S� 4 ;C _AP9f'Cc^ficM
RECEIVED
0CM WILMINGTON,NC
JUN 0 3 201E

\-P
N() TI (, 17
CAMA PERMIT
APPLIED FOR
Applicant proposes to construct a
PROJECT:
sin • - ••
r " W •
I A Itaw wal
ww
adjacent-te-Herne-Creek-and-the-AIWIA6iri
Hampstead, Pender County.
c cow M zACCF,PTIF-_D r[q ROUGH N/A
APPLICANT FOR MORE DETAILS CONTACT
Robert Brooks
1532 Dellwood Dr.
THENC Div.L C AoLf PCEoR aMs1 Tt FNIF al CnEaRgBeEmL0eWn t
127 Cardinal Dr. Extension
Raleigh, NC 27607 Wilmington, NC 28405
Jason Dail, Field Representative
910-796-7266
Agent: Will Reeves [phone]

DENR CAMA Daily Check Log for WIRO
Date
Date Deposite Check Receipt or
Received d Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Reallocated
6/3/2016 Hancock Custom Homes LLC Robert Brooks TD Bank 1406 $100.00 minor fee Lot 29 Anna Ct,Hampstead,Pender JD rct.2305D

DENR CAMA Daily Check Log for WIRO
Date
Date Deposite Check Receipt or
Received d Check From(Name) Name of Permit Holder _ Vendor _Check Number amount Permit Number/Comments Refund/Reallocated
6/3/2016 'Hancock Custom Homes LLC Robert Brooks TD Bank 1406 $100.00 minor fee Lot 29 Anna Ct,Hampstead,Pender JD rct.2305D

lil NC Division of Coastal Management 2 3 Q 5 A B
Cashier's Official Receipt
Date: 03
20 J!6.
I 1) : (/ /64' .
Received From: $
Permit No.: ) J/ --(—
Applicant's / / Check No.: �y
��, / -4. ... ! 2 � County: / . L,�' vt A
Name: r �� �, `�
Project7--(- I--
Address: 9 H �'
/
Please retain receipt for your records as proof of payment for permit issued.
G
/Signature of Agent or Applicant: - Date:
Signature of Field Representative: JX � Date:

ZONING
REQUIREMENTS
ZONE RP
FRONT 20' AL ''�� �_
A�
SIDE 10'
WATER SURFACE -
t S25° 3 0
LA 113.3° o
- try M
I
- I 30' CAMg,SETBACK _1_I_
I I
_,iIII
K 33.6� >
NOTE: THIS PROPERTY IS LOCATED WITHIN
THE 100 YR. FLOODPLAIN AS SHOWN ON FIRM
COMMUNITY PANEL 3720 3291 00K. PROPOSED I CD
06 DWELLING I 06
0 I`- , 131 .7 I 2
T nn?E RL)I J RCA Y 0
-7-3 r4I W
oM S °D c� F^ 4
'DIZ N ' Z ionn_ w C' I � U ' ° o
cp
03(o --1 in
ci DRIVE i N
3 LOT 2!
NREk
28770
N I
N
INFORMATION SHOWN ON THIS PLAN
PROVIDED BY OTHERS AND IS NOT Cr,
THE RESULT OF A SURVEY BY
STROUD ENGINEERING. I
1 1
_ s J
I
0(. N35° 22'0"E 90.00
\
��� LOT 5
��o ��u SECTION 7
"4
r— — 0
$''O
ANNA., SURVEY REFERENCE
cr. 1 MAP BOOK 36 PAGE 47
i PENDER COUNTY REGISTRY
I 1
1 LEGEND
1 EIP EXISTING IRON PIPE
I 1 • PROPERTY
EXISTING
CORNER CONTROL MONUMENT
I 1 1 DDrI IUIMARY PI nT PI AM

4110 -Torsofri
Please feJ- 4Y1tg, kile,A) r /ov meted
akty4tA,113 Gcckb-1mia1.
Tho4ik You
IAJ,'I/ Reeuee
9io l Q/73
Will reeves 7a. ®9n14,'1 . c,
RECEIVED
DCM Wll MINcTCR lyr.
JUN os 2n1s

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ko tric(4 erg kc ,
Mailing Address: De J i t., o d I e-
1 Cth25�. MC : d-7&c
Phone Number: 5/ W 2tv iq
f—r G::YY1
Email Address: P(uk i I91,1 (&) 3-
I certify that I have authorized 40/1/ RE'e1. eS — (110) 27 1 - O -3
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ,Co f Act 41 C1
Lo✓1j Po1�1 �'s. y}es' — nips le„S , A Lc,
at my property located at 4,1- 29 4—ova
in i er& f County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
(1 r-411
ADC K9:21
Signature
L- .; TT
Print or Type Name
ride
lc
1 , 12CJ RECEIVED
Date DCM WILMINGTON, NC
JUN 03 2016
This certification is valid through I I I