HomeMy WebLinkAboutPN16-09 V
Issued by WiRO PN 16-09
For Pender Co. Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Management
ENVIRONMENTAL QUALITY
as authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission for development in an area of
environmental concern pursuant to Section 113A-118 of the General Statutes,
"Coastal Area Management"
Issued to Chet H. and Michelle Willis authorizing development in the Estuarine Shoreline (ORW)Areas of Environmental
Concern (AECs) at Lot 13, Long Point Estates, in Hampstead, Pender County as requested in the permittee's application
package, dated June 16, 2016 and received by DCM on June 20, 2016. This permit, issued on July 5, 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: Placement of fill material on-site as well as grading.
(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 20, 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 (910) 766-7221 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 4oAii�
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 RECEIVED Jason Dail
compliance. Any maintenance work or project modification not covered under .M WILI,AINGTC Ak ng CAMA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this'
1. 2016 12 -Cardinal Drive Extension
permit expires on: ,UL ington,pc 284 5-3-
December 31,2019 .;1 . _+-
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 PERMITTEE
another party without the written approval of the Division of Coastal (Signature required if conditions above apply to permit)
Management.
Chet and Michelle Willis
Minor Permit#PN16-09
July 5,2016
Page 2
(5) 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.
(6) 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.
(7) 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.
(8) This permit does not authorize the excavation or filling of any wetlands or open water areas.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
i
' - 44 L diU_____ —1-- —7 - / G
SIGNATURE) DATE:X
PERMITTEE
RECEIVED
DCI1il WI!MINGTON, NC
JUL 11 2016
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
BRAXTON DAVIS
Coastal Management D,rector
ENVIRONMENTAL QUALITY
July 6, 2016
Chet & Michelle Willis
6123 Exeter Place
Wilmington, NC 28403
Dear Mr. & Mrs. Willis:
Attached is CAMA Minor Development Permit PN 16-09 for work to be done at Lot 13, Long
Point Estates, in Hampstead, Pender County. An electronic copy 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. Retain the orange copy for your files and sign both pages of the white copy and 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.
Sincerely,
Shaun K. Simpson
Permit Support Technician
Enclosures
cc: WiRO files
PN Co. Inspections Dept.
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215
NO 'i' ICE
„ (,)
CAIVIA PERMIT
APPLIED FOR
PROJECT: • - - - - • - • I •
finish grade approx. 1-ft higher than the existing
eleva " . - : - : •
- , . : . - - anal
off the AIWW, in Hampstead, Pender County
COMMENTS ACCEPTED N/A
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Chet & Michelle Willis NC Div. of Coastal Management
6123 Exeter P1. 127 Cardinal Dr. Extension
Wilmington, NC 28403 Wilmington, NC 28405
Jason Dail, Field Representative
910-796-7266
CAA1A
3 \ y
90,
Locality 0154-6L A if it7,09
Permit Number
. Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(P'or qfficial use only)
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
flame Chet H. Willis, Michelle W. Willis
Address 6123 Exeter Place
City Wilmington — _ State W NC Zip 28403 Phone 910.262.2438
Ismail cwillis a@ec.rr.com
AUTHORIZED AGENT
Name N/A
Address
City State Zip Phone
Email
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.)
Lot 13, Long Point Estates, Hampstead, NC. Beside Washington Acres Road _
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) Apply fill material to the approximate
area of future construction as depicted on attached drawing. Finish grade to be approx. 1' higher than current high point.
SIZE OF LOT/PARCEL: 20000 square feet acres
PROPOSED USE: Residential [3 (Single-family(i Multi-family 0 ) Commercial/Industrial[] Other 0
COMPLETE EITHER(I)OR(2)BELOW(Contact your Local Permit Officer Ifyou 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: square feet(includes the area of the foundation of all buildings,drivewmAcoE ,
concrete or masonry patios,etc. that are within the applicable AEC.Attach your calculations with tl 'tv �11g9N NC
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a Stay eN 2 0 2016
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)?
YES NO x
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: o 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 Weil,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.Cheek with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
f,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)
x an owner or record title,Title is vested in name of Chet H.Willis et al
see Deed Book 48 page 142 in the Pender 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:
f 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)
(I) Brian D.Forehand P.O.Box 10793,Wilmington,NC 28404
(2) Josheph F.Kimel 1703 Washington Acres Road,Hampstead,NC 28443
(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 16 day of June ,20 16
WiA
Lan owner or person authorized to act as his/her agent for purpose of filing a LAMA permit application
This application includes:general information(this form),a site drawing as described on the back of this application, the
ownership statement, the Ocean liazanzAEC Notice where necessary,a check for$100.00 stack 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 my
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and adrn' ' action.
f tun/fD
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ADDRESS: 8123 EXF'I'k'ii1 PI ACE DRAWN'GAO
PHONE VVILMINOTON,NC 28403
APPROVED'GAG
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Receipts for
Certified Mail
(Staple Here)
06/16/2016
Date
Joseph F.Kimel
Adjacent Property Owner
1703 Washington Acres Road
Mailing Address
Hampstead NC 28443
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Chet H.Willis have applied for a CAMA Minor
Property Owner
Permit on my property at Lot 13,Long Point Estates ,in Hampstead
Property Address City/Town
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 910.262.2438 ,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 DEQ/DCM
127 Cardinal Drive Ext.
Wilmington,NC 28405
Chet H.Willis
Property Owner
6123 Exeter Place
Mailing Address
Wilmington,NC 28403
City,State,Zip Code
RECEIVED
DCM WILE/MG-ION, NC
JUN 2 0 2016
U. . . , - 'r -
CERTIFIED MAIL° RECEIPT
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A Certified Mail receipt(this portion of the mailpiece;include applicable postage to
Certified Mail label). cover the return receipt service fee;and
i A unique identifier for your mailpiece. endorse the mailpiece"Return Receipt
I Electronic verification of delivery or attempted Requested,"or see a retail associate for
delivery. assistance.For an electronic return receipt,
I A record of delivery(including the recipient's see a retail associate for assistance.To
signature)that is retained by the Postal �rpolive alicat�return receipt,present
Service®for a specified period. " thiedSPS -postrit i'ked'Certifie l Mail
mporfanf !Mors: receipt to the retail associate,who will
provide a duplicate return receipt for no
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Service ,or Priority Mail service. : _, ,- delivery to the addressee specified by name
I Certified Mail service is not available for i or to the addressee's authorized agent.
international mail. - Include applicable postage to cover the
Insurance coverage is notavailable for '' restricted delivery fee and endorse the
purchase with Certified Mail service.However, ' mailpiece"Restricted Delivery,"or see a
the purchase of Certified Mail service does not retail associate for assistance.
change the insurance coverage automatically •To ensure that your ertified Mail receipt is
included with certain Priority Mail items. accepted as legs)pPoof of mailing,it should
1 For an addkieeit fee,.yoU,may request the bear a LISPS postmark.If you would like a
following services: postmark(gips Certified Mail receipt,please
-Return receipt service,which provides you present your Certified Mail item at a Post
with a record of delivery(including the Office'"for postmarking.If you don't need a
recipient's signature).You can request a postmark on this Certified Mail receipt,detach
hardcopy return receipt or an electronic the barcoded portion of this label,affix it to thf
version.For a hardcopy return receipt, mailpiece,apply appropriate postage,and
complete PS Form 3811,Domestic Return deposit the mailpiece.
Receipt;attach PS Form 3811 to your 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 Chet H.Willis
(Name of Property Owner)
property located at Lot 13,Long Point Estates,Hampstead,NC
(Address, Lot, Block, Road,etc.)
on Trib.,Mill Creek , 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
Joseph F.Kimel
Print or Type Name
Telephone Number
Date
RECEIVED
DClt4 WILMINGTCN, NC
JUN 2 0 2016
.
Receipts for
Certified Mail
(Staple Here)
06/16/2016
Date
Brian D.Forehand
Adjacent Property Owner
P.O.Box 10793
Mailing Address
Wtlmmgton,NC 28404
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Chet H.Willis have applied for a CAMA Minor
Property Owner
Permit on my property at Lot 13,Long Point Estates ,in Hampstead
Property Address City/Town
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 910.262.2438 ,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 DEQ/DCM
127 Cardinal Drive Ext.
Wilmington,NC 28405
Chet H.Willis
Property Owner
6123 Exeter Place
Mailing Address
Wilmington,NC 28403
City,State,Zip Code
DCM t4RECFIVEU
JUN 2 0 2016
c0 Domestic Mail •n V Wepsite at
information,visit out
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I hereby certify that I own property adjacent to Chet H.Willis 3aoo,jute 2p14
ps Form S
(Name of Property Owner)
property located at Lot 13,Long Point Estates,Hampstead,NC
(Address,Lot, Block, Road,etc.)
on Trib.,Mill Creek , 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 ATTACHED1
Signature
Brian D.Forehand
Print or Type Name
Telephone Number
Date
RECEIVED
DCM\ IlL_r,nlNGTCN,MC
JUN 20 2016
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Chet H.Willis
(Name of Property Owner)
property located at Lot 13, Long Point Estates,Hampstead,NC
(Address, Lot, Block, Road,etc.)
on Trib.,Mill Creek , 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)
Sig ure
J eph F.Kimel
Print or Type Name
`710 1) 3f 33i
Telephone Number
RECEIVED
DCM WILMINGTCN,NC
JUN292016
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DENR CAMA Daily Check Log for WIRO
Date
Date Deposite! Check Receipt or
Received d I Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Reallocated
6/20/2016 IChet H Willis same BB&T 4248I $100.001minorfee,Lot 13,Long Point Estates,Pender 'JD rd.2314D
DENR CAMA Daily Check Log for WIRO
Date
Date Deposite Check Receipt or
Received d Check From(Name) I Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Reallocated
6/20/2016 (Chet H Willis same BB&T 4248 $100.00 minor fee,Lot 13,Long Point Estates,Pender JD rct.2314D