PN_18-17_ Williams

Issued by WiRO PN18-17
Pender County Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT vr
NORTH CAROLINA
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 environment
concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area
Management"
Issued to John and Allison Williams authorizing development in the Estuarine Shoreline (AEC) at 1255 Mallard Bay
Road, in Hampstead, Pender County as requested in the permittee's application, dated October 30, 2018, and received
by DCM on November 13, 2018. This permit, issued on November 27, 2018, is subject to compliance with the
application and drawing dated and received by DCM on November 13, 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: Addition(6'x 47')to an existing single-family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on November 13, 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)
This permit action may be appealed by the permittee or other qualified persons Z
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 Dail0 0 o0
compliance. Any maintenance work or project modification not covered under CA A LOCAL PERMIT OFFICIAL I>itiN
this permit,require further written permit approval.All work must cease when this Z
permit expires on: 127 Cardinal Drive Extension v- c'
Wilmington, NC 28405-3845 _' C'
December31,2021 J/ LU
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 PERMITTEE
Management.
(Signature required if conditions above apply to permit)

•
Name: John and Allison Williams
Minor Permit# PN18-17
Date: November 27, 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) This permit does not authorize the excavation or filling of any wetlands, even temporarily.
(7) 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.
(8) 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.
(9) 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.
(10)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.
(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: K
PERM ITTEE
RECEIVED
DCM WILMINGTON,NC
DEC 0 3 2018

,\/\/inviAl9eArA- 1 VN\ \q _____
Locality Permit Number
. Ocean Hazard Estuarine Shoreline r \ ORW Shoreline Public Trust Shoreline Other
(For official use only)
• GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name `, d '% a;1 c _._ (J✓ . < 1-,4-k
Address / 2- 5-5— P14 d ' Eery/
(2 c+
City State N. C, ZikZ(r Y3 Phone 9( 9 - 2, ? 0 - ? 6 o
Email
AUTHORIZED AGENT
Name 5" (1 '
Address i (5-- 3 f ' v e ,
City64' - ram •.�J 1 State N. G, Zi 8Y of Phone ' l -- ( ? - c)7 q
Email �I� , ((6/4.
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.)
CLA(1((6 g. g44 ‘• it":"1 Ai-4/1(4^'), ?
e`+1�. �'(•f� 7 tt eff.,_` eL? 0 4- . ei 6 L.- fft !/ n
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) 1 t. d e -. T
Ca J+` e t•
4 � Q
SIZE OF I.OT/PARCEL:IC U LJ _ square feet ! acres
PROPOSED USE: Residential [f (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 properly):
(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,driveways,covered decks, 0
concrete or masonry patios,etc.that arc within the applicable AEC.Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State >
Stormwatcr Management Permit issued by the NC Division of Energy, Mineral and Land Resources(DEMLR)?
YES NO w-1 '~
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet. 2 2
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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-iome Park Approval, i lighway Connection,and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
1,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 k,� °'�i'` c'r
4 <f o L. _\(( C4 `'�'`J• ,
see Deed Book page in the 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. 1 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)
f7
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(I) t Jc \L 'l 'f�r. •
(2) / a 43 'e- . � • ) ckJ L .'
(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 stalk',
the Local Permit Oilicer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the 7 J day ofOff,'104'- -20 j ,
•
j: et 17.'
Landowner or person authorized to act as his/her agent or purpose bf filing a CAMA 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 Haza►d 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 solaces ant
incorporated without reference in any permit which may be issued. Deviation from these details will cons►itute a violation of
any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
RECEIVED
DCM WILM NGTON, NC
NOV 13 2018

4•4:4::: RA!114 411111:411
k•-'44*\)111:4911 .4* *tk

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Jahn V\R 14 Arn S
Mailing Address: IZSS Y\461llard &Y R0k
Harnes+ead NC. Zgyy5
Phone Number: °I 1O - .1 "7-7 " 4 8 g3
Email Address: JT W;I I i'arnS1aSS , gmai I • 60m
I certify that I have authorized Ed N; I J ,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: SC e-e n e e o ec G, t
ad - o,)
at my property located at I 2-SC [V\Ol ‘--60L1 Rd , t-t am e s��a v N C 2,�4 LtS
in 1)ey,deX County. I
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:
Signature
Johnhl1'II ►'amS
Print or Type Name
?roper 1-y own'e
Title
/0 d1 2016
Date
This certification is valid through t o I O / I Zn f

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to John ¶ A11;sorN V\l: It i a m S
(Name of Property Owner)
property located at i255 Maltprc t3(3`-YRCA ) l4avnpSJ-ead n1G Zg J43
(Address, Lot, Block, Road,etc.)
on M i c c l e C.re, . , 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)
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Print r Type Nanie
Telephone Number
Id-{— 2�j1 6
Date
RECEIVED
DCM WILMINGTON,NC
;v;i 13 2018

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Sohn W;I l ,a rns 's
(Name of Property Owner)
property located at l 255' Mallard Say Rdj 14 DSkcad NC- 2 gL4 t
(Address, Lot, Block, Road,etc.)
on M►Mle , in Pender County, N.C.
(Waterbody)
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.
j'APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHEDI
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Print or Type Name
Ira —2`7a — 3% (,o
Telephone Number
Hy/ (Z-CIS
Date
RECEIVED
DCM WILMINGTON, NC
NOV 1 3 2018

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Date Date Check From Name of Vendor Check Check Permit Rd. #
Received Deposited Permit Holder Number amount Number/Comments
11/15/2018 Proper Building John and Allison First 2958 $100.00 minor fee, 1255 Mallard Bay JD rct.7362
Group, Inc Williams Citizens Road, Hampstead PnCo
Bank