PN_18-10_ Dowless

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Issued by WiRO PN18-10
Pender County Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Management
ENVIRONMENTAL 3 UALITY
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 Michael Dowless Sr. authorizing development in the Estuarine Shoreline (AEC) at 806 E. Nassau Drive, in
Hampstead, Pender County as requested in the permittee's application, dated May 23, 2018, and received by DCM on
May 31, 2018. This permit, issued on June 15, 2018, is subject to compliance with the application and drawing dated
and received by DCM on May 31, 2018 (where consistent with the permit), all applicable regulations and special
conditions and notes set forth below. Any violation of these terms may subject the permittee to a fine, imprisonment or
civil action, or may cause the permit to be null and void.
This permit authorizes: Proposed residential dwelling with driveway and parking areas.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on May 31,2018.
(2) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit.
(3) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at(910)
766-7221 for a final inspection at completion of work.
(Additional Permit Conditions on Page 2)
U
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 Jason Dail o O
compliance. Any maintenance work or project modification not covered under > N
this permit,require further written permit approval.All work must cease when this A LOCAL PERMIT OFFICIAL
permit expires on: 127 Cardinal Drive Extension w
December 31,2021 Wilmington, NC 28405-3845 ce§
In issuing this permit it is agreed that this project is consistent with the local Land ` irf4 4 a
r
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal PERMITTEE
Management.
(Signature required if conditions above apply to permit)

1 _ ,
Name: Michael Dowless, Sr.
Minor Permit#PN18-10
Date: June 15, 2018
Page 2 of 3
(4) 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.
(5) Any proposed for grading within the 30' Coastal Shoreline buffer (as measured 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 vegetated and stabilized, and must remain in a vegetated state.
(6) All development, unless specifically exempted in this permit, shall be located at least 30' landward of the normal
high water line.
(7) This permit does not authorize the excavation or filling of any wetlands, even temporarily.
(8) No impervious coverage/built upon area, including but not limited to the house (including eaves), foundation pad,
covered decking,etc.shall extend into the 30-foot coastal shoreline buffer.
(9) Shall the plan of development exceed 30% impervious coverage within 75' of the normal high water line, the
applicant shall effectively demonstrate, through innovative construction and design that the amount of impervious
surfaces exceeding 30% impervious coverage within the 75' Coastal Shoreline AEC shall be managed and the AEC
protected. All proposed development and associated construction must be done in accordance with a credible
innovative design plan, sealed and sealed by a professional engineer.
(10)Upon completion of construction and prior to the issuance of a Certificate of Occupancy(CO), a letter of certification
must be received from the designer of the innovative system installed, certifying that the permitted system has been
installed in accordance with this permit, the approved plans and his design specifications. Any deviations from the
approved plans and specifications must be noted on the Certification and a permit modification may be required
prior to receiving a CO.
(11)All structures 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.
(12)Pursuant to 15A NOAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
41-11-44
SIGNATURE4 / (' -— r DATE: x w /k
PERMITTEE a oo
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ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management
ENVIRONMENTAL QUALITY BRAXTON DAVIS
Director
June 18, 2018
Michael Dowless, Sr.
397 Lafayette Street
Wilmington, NC 28411
Dear Mr. Dowless:
Attached is CAMA Minor Development Permit PN 18-10 for work to be done at 806 E. Nassau Dr., in
Hampstead, Pender County. An electronic copy has been sent to the PN Co. Inspections Department
and to your agent.
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and return the white copy 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,
Alettz_v__
Shaun K.Simpson
Permit Support Technician
Enclosures
Cc:WiRO files
PN Inspections Dept.
CLB Custom Homes-Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

- �
Locality
btk-/ Permit Number
. PO I10
✓1"
. Ocean Hazard Estuarine Shoreline g ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name Michael Dowless Sr.
Address 397 Lafayette St.
City Wilmington State NC Zip 28411 Phone [phone]
—
{ [e-mail]
Email 9m
AUTHORIZED AGENT
Name CLB Custom Homes, Inc. / Chris Barnes (President)_
Address 679 Captain Beam Blvd. •
City Hampstead State NC • Zip28443 ('hone 910 279-3158
[e-mail]
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.)
Lot 2A,2B,3A & 3B Nassau Drive
806 E. Nassau Rd.
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Build a 1 story__3___
bedroom home on pilings with concrete drive and landscaping.
SIZE OF LOT/PARCEL: 25,677 square feet 0.59 acres
PROPOSED USE: Residential x� (Single-family® Multi-family ) Commercial/Industrial Other (]
COMPLETE EITHER(I)OR(2)BELOW(Contact your Local Permit Officer if are not sure which AEC applies
to your property):
(1) OCEAN IIAZARD 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:1,907square feet(includes the arca 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 STORM WATER MANAGEMENT PERMIT: Is the project located in an arca subject to a State
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)?
YES__ NO x
If es,list the total built upon surface allowed foryour lot or parcel: s ua RECEIVED
Y p area/impervious1 q ro�•WILMINGTON, NC

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, HA
Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile I Iomc Park Approval,I lighway 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)
x an owner or record title,Title is vested in name of' Michael W. Dowless Sr.
see Deed Book 4607 page 538 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:
I 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) Robert Thacker Jr. 802 E. Nassau Rd. Hampstead, NC 28443
(2) Carroll Noone 44 Meadowbrook Ln. New Egypt, NJ 08533
(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 23 day of_May ,20 18
Lan ner or person au orized 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 hack of this application, the
ownership statement, the Ocean hazard AEC Notice inhere 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 sou►res are
incorporated without reference in any permit which may be issued. Deviation.finnr these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
RECEIVED
DCM WILMINGTON, NC
0

PLOT PLAN
Note: Any and all developmental restrictions (Federal. State. Local. P.O.A.,
H.O.A., Deed, Etc.) must be verified with the parties responsible for enforcing
those restrictions prior to any design or construction. o.
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9 Areas:
AEC •10,384 s.f.
House =1,907 s.f.
N Coverage _18.4%
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f4. o Fl•.. Zone AE-
-0 N 64'22'00" E 100.20'
CO a0(e. E. N SS4tt 4Z.
as E. Nassau Drive
( 60' R/W )
Scale: 1"= 40'
1—
40' 201 0' 40'
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PLOT PLAN
Note: Any and all developmental restrictions (Federal, State, Local, P.O.A.,
H.O.A., Deed, Etc.) must be verified with the parties responsible for enforcing
those restrictions prior to any design or construction.
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Site
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BQb,• VICINITY MAP N.T.S.
s/ ‘-'7.•A9. �i' Areas:
AEC -10,364 s.f.
House —1,907 s.f.
Coverage —18.4%
Marsh
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/ Proposed , to co
, I Dwel ing ` 1 ;)
21 27.6' `�� 17.6' N
- e , �,_ I Z
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•� 0 N 64'22'00" E 100.20' g1
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E o E. Nassau Drive MAy 31 2018
( 60r R/w ) oN,hCi
pcNI VVIOI GT
40' 20' 0' 40'
PLOT PLAN FOR: This mop has been drawn from
information as stated in the �,111",,,,,,,
CLB Custom Homes CA
references dares noted and all and `•V:..... ••R0,,/
E. Nassau Drive improvementsproposed ;� o :•'•Essi ••• y-;
Lots 2—A, 2—B, 3—A, 3—B, Block 7 are for planning purposes only. :?;�,oF Oti••••>s
Snug Harbor, Section 1 No actual field survey has been E ;4 SEAL �r1
To sail Pender NC performed. 'Preliminary, not for SEA
p Township, County, recordation, conveyances, or les.; `.a L-4099
Dote: May 29, 2018 -,,'Aq SUR`i'�.�k:
44
Survey Reference: Paul D. Talbot, P.L.S. L-4099 �'' .ii„jf"` �``
Deed Book 4607 Page 538
Map Book fi Page 4Z Talbot Land Surveying, P.C.
This property is located 170 Lafayette Street
within a Special Flood Hozord Areo. Wilmington, North Carolina 28411 il
Firm License C-2722 1
Project #: JL 1. Map Name: 1814.dwq Drafter. all Phone: [phone] Fax: [phone]

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Michael Dowless Sr.
Mailing Address: 39'7 Lek.�e.,/e- e_s.�
Wilmington, NC 28411
Phone Number:
910 512-9741
Email Address: [e-mail]
I certify that I have authorized CLB Custom Homes/ Chris Barnes (President) ,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Build single story 3 bedroom
1 single family home on pi,Ings with concrete driveway
at my property located at 806 E. Nassau Rd. ,
in . ' County.
I 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.
Property Owner Information:
1g— �.
Signature
t
It Michael Dowless Sr.
Print or Type Name
J
Owner
t Title
5 f 23 f 2018
4 Date
I
This certification is valid through 5 / " t 2019
RECEIVED
DCM WILMINGTON. NC
MAY 31 2018

v
t
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
hereby certify that I own property adjacent to Michael Dow iess Sr. 's
(Name of Property Owner)
property located at 806 E. Nassa 11 Rd.
(Address,Lot,Block,Road,etc.)
on ntracoasta l Waterway ,in Pender County,N C.
(Watsrbody)
He 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)
•
n ure
Tr- �
Print or Name
Telephone Num r
Date
RECEIVED
OCM WIL MINGTON, NC
MAY 31 2018

May 2918 10:42a Xxxxr000tlocx 666-666-6666 p.1
05/29/2018 12:29 Seacoast Skin Surgery (FAX)910 256 7999 P.002/002
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
hereby certify that I own property adjacent to Michael Daigle sS . s
(Name of Property Owner) .
property tooaledet 806 E. Nassau Rd.
(Addnw,Lot,Block,Road,etc.)
on Intracoastal Waterway In PanderCounty,N.C.
(Waterbody)
Ha/She has described to me as shown in the attached application and prcjec1 drawng(s),the development he Is
propos',8 at;hat Location,and,I have no objections to hie proposal.
(APPLICATION AND DRAWING Of PROPOSED DEVELOPMENT ATTACHED)
Cakhe
Print or Type Name /�
�3 �2S2c
Tel a Number
Data
4
RECEIVED
DCM 1NILMINGTON, NC
''ii

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you,if requested.
PHYSICAL DIMENSIONS
x Label roads
x _Label highways right-of-ways
x Label local setback lines
x Label any and all structures and driveways currently existing on property
x Label adjacent waterbody
PHYSICAL CHARACTERISTICS
x Draw and label normal high water line(contact LPO for assistance)
x Draw location of on-site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges(include spot elevations)
Draw and label toe of dunes
Identify and locate first line of stable vegetation(contact LPO for assistance)
Draw and label erosion setback line(contact LPO for assistance)
Draw and label topographical features(optional)
If you will be working in a coastal shoreline area:
x Show the roof overhang as a dotted line around the structure
x Draw and label landward limit of AEC
x Draw and label all wetland lines(contact LPO for assistance)
x Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
x Draw and label all proposed structures
x Draw and label areas that will be disturbed and/or landscaped
x Note size of piling and depth to be placed in ground
x Draw and label all areas to be paved or graveled
x Show all areas to be disturbed
x Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application?
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice, if necessary?(Must be signed by the property owner)
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
•
Date of Action:Issued Exempted Denied Appeal Deadline(20 days from permit aft
fCM\ J! ni NGTONN N'r

Date Date Check From Name of Vendor Check Check Permit Rct. #
Received Deposited Permit Holder Number amount Number/Comments
5/31/2018 CLB Custom Homes Mike Dowless South State 6250 $100.00 minor fee,806 E Nassau JD rct.6271
Inc. Bank Drive, Hampstead PNCo