PN_19-08_ Moore

•
•
Issued by WiRO 'PNi9 fI8--!
Pender County Permit Number
CAMA
MINOR DEVELOPMENT .
PERMIT .„. _
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 David and Bonnie Moore authorizing development in the Estuarine Shoreline (AEC) at Lot 12 Mallard Bay,
in Hampstead, Pender County as requested in the permittee's application, dated April 24, 2019, and received by DCM
on April 29, 2019. This permit, issued on May 10, 2019, is subject to compliance with the application and drawing dated
and received by DCM on April 29, 2019 (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: Construction of an 18'x 28' storage building/garage.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on April 29, 2019.
(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 perrnittee 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
compliance. Any maintenance work or project modification not covered under MA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December3l,2022 Wilmington, NC 28405-3845
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 PERMITTEE
Management.
(Signature required if conditions above apply to permit)

Name: David and Bonnie Moore
Minor Permit#PN19-08
Date: May 10, 2019
Page 2 of 2
(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 stomiwater 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:
PERMITTEE

,dtAxds2A,
7ttrkt4# 4'kT
Locality Permit Numbci.1....11111uer
. Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name Tay1 a of [c.LJvinie Moor--e.
Address` TO �D�(r �/Z)9
I
City Wanip ak-rod( State 1`t C- Zip 46403 n Phone "`)Qifi I1
Email n1001(ediC:heliptittl v1.1 lma i ( . C o w
AUTHORIZED AGENT JJ
Name -- --
Address _—_---_----
City State • Zip Phone _—
Email
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
LOA— MOM AYC1 Zay r VeAkitli
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) _
DiltotOOY 0(.1 h-d
SIZE OF LOT/PARCEL: 1 32o ft square feet acres
PROPOSED USE: Residential ❑ (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 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 C.)
UPON SURFACES: square feet(includes the area of the foundation of all buildings,driveways,covered decks, Z
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project di'ing.E
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State ra
Stornnwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)1 c� _
YES_ NO CC
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: ___ square feet. U

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
NORTH CAROLINA.
:7virormenrar Ot;ci BRAXTON DAVIS
Director
May 10, 2019
David & Bonnie Moore
PO Box 219
Hampstead, NC 28443
Dear Mr. and Mrs. Moore,
Attached is CAMA Minor Development Permit PN 19-08 for work to be done at Lot 12 Mallard Bay,
Hampstead in Pender County. An electronic copy has been sent to the Pender County Inspections
Department.
You have already signed and returned our official office copy. Please retain the enclosed orange copy for
your files.
Sincerely,
nya . ietila
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
PN Inspection Dept.
State of North Carolina Environmental Quality 1 Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

1
OIlIE R PERMITS MAY RE REQUIRED:The activity you arc 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, Beating and Air Conditioning, Insulation and Energy Conservation, I'IA
Certification, Sand Dune,Sediment Control, Subdivision Approval, Mobile I tome 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)
Xan owner or record title,Title is vested in name of Paw ctv(L( e 11 bore
see Deed I3ook 1 t3c 1 page I � in the 17(v1C(e✓ 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)
(l) 1"TilAS Met W4-6-r C I b nfl ei;tc lent T C r (Zay 11 RA. Horse Shoe N C zis-1 l-1 2-
(2) LMcor1, /VMS1revtC) l 0101 -h1a(1 t gay ZDad 1-ravw�Sie fNCni-PAS
(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 stall,
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 clay of Al9it 20 a
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
0
This application includes:general information (this form), a site drawing as described on the back of this application, the
(Iltaie7ship statement, the Ocean//azard AEC Notice where necessar,j a check for$100.00 made parable to the loCility, 'j' p
am,inlbrrrution as mat'be p►ovided orally by the applicant. The details of the application as described by these sNces
incor/orate(!without reference in any permit which may be issued. Deviation Jilm these details will constitute a te7 atioravf
any peru7it. Any person developing in an AEC without permit is subject to civil, criminal a77(/administrative actio►E cr
CC <z
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ) VVl ctiaa l l' 1'7oor
e-
Mailing Address: PO box 21 q
Phone Number: g )0 LQ 11 3 2 3
Email Address: ‘V1bDyeG11Strlbofin1 IWO ( , COn4
I certify that I have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in 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:
MP'
Signature
" :(1 vfri -.e &Pi ?we
Print or Type Name
Title
2U 12lq
Date
Q O z
LLI 0
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This certification is valid through I I w
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i.
I,VERNON DEREK DANFORD,CERTIFY THAT THIS PROPERTY WAS SURVEYED AND - 14
,
YAP DRAWN UNDER MY SUPERVISION:DESCRIPTION AS SHOWN ON THE FACE OF 8 NOS RAT; !
RATIO OF PRECISION AS CALCULATED BY COMPUTER IS 1:10,030t; g ct.
THAT THE BOUND/RES NOT SURVEYED ARE SHOWN BY BROKEN ODES PLOTTED N 'Pp
FROM INFORMATION REFERENCED;THAT THIS PLAT WAS PREPARED IN
ACCORDANCE WITH'THE STANDARDS OF PRACTICE FOR LAID SURVEYING IN
NORTH CAROLNA';WITNESS MY ORIGINAL SIGNATURE,LICENSURE NUMBER
AND SFAIiIHE _DAY OF A.D.2019. VV E
DOCKING IMPROVEMENTS 'qi
SHOWN
�`\,0 j1CARO,',, N.C.PLS No.L-4528 WERE
BY THIS 6 s�''�/18/18 4 0
II' MI
s.`y�� P
��r,7 :''E55! FLaTING N451 35�E
S E A L = L 75.01 MEAN HIGH WATER LINE
CA RMAP
BOAT PILINGS_ / FACE OF BULKHEAD - eq
•
Lc z
365.;..7
-452L: ` F ter _tom .- "P LOCATION MAP
/w' - - —",,,"nniy.46111V\s / ■ ^ ru! E= 2 a52,5o6e4 NOT TO SC.ai E
YIOOD DOCK
PS .1 WOOD/WT/4
N. 235,369.39 BULKHEAD
4., E. 2,412,483.42
.4_......50'CIMA BJ
4'
1<
4
EFFECTIVE FLOOD LIE
ZONE Al(ELB)
zz `--15FE
NOTES 01 N I 2DNE X
1. THIS LOT IS LOCATED N ZONES X u!
o N
AND AE(EL8)PER FATS ON o lA4 0
FIRM MAP NUMBER 3720421300 J
DATED: FEBRUARY 16,2007. ;c� 1
2. THIS LOT S SUBJECT TO ALL 'Y I w N
EASEMENTS,RESTPoCI OF6,OR O ro '" N I
COMMITS OF RECORD. cSi'\\ \ 7/
3. THIS SURVEY WAS PREPARED 9 a 4s� I
WITHOUT THE BENEFIT OF A TIRE g ,�,
REPORT,WHICH WY REVEALSi" I N I
ADDITIONAL CONVEYANCES,EASEMENTS I �"ti e`y o
OR RIGHT OF WAYS NOT SHOWN I o
4. "BEST FTT IpOE.L'UTILIZED BASED
3 VACANT I
UPON THE PREPONDERANCE OF
EVDENCE FOUND. PORCH I
5. ELEVATIONS BASED ON 88 DATUM.
6. BENCHNNIK ELEVATIONS AND NC GRID I 5 I
COORDINATES DETERIIN D USING
TOPCON HYPER CT GPS UNIT 1 2 STORY WOOD
UTILIZING THE NC VRS STSI W. FRAME M ELLING
10.4, I
7. ZONE=RP MALLARD BAY RD. I ON DER
UNNDER 11 I I CON51RUC11S4
MALLARD BAY
SECTION C I
13 18•$ PORCH MB. 10 PC. 83
IMALLARD BAY to
SECTION C q 0
I MB. 10 PG. 83L_ -- JI)� N. 235,207.94
E= 2,412,719.02
/
I S46'38'35N1
75.00
R.
54538'35�`N EIEBAR ! _ tN
El'
548'38'35�W 75.00_ SITE BENCHMARK
150.00� LL F 546'38�35�W r
R/W
�'MT BOA
3/4• T— MAG NAIL
T
0
.— E- 2,412,729.34
ROAD NAVD 88 DATUM
NAV
.22
MALLARD BAY
60' PUBLIC R/W
SURVEY FOR
DAVID MOORE & Wife, BONNIE MOORE ACRES U
ACREAGE INCLUDES AREA Z
LOT 12 SECTION C MALLARD BAY WITHIN DREDGED BOAT SLIPS.
PARCEL ID: 4213-25-5279-0000 DEED BOOK 4659 PAGE 148 MAP BOOK 10 PAGE 83 Q r'
TOPSAIL TOWNSHIP PENDER COUNTY NORTH CAROUNA W C.-.1
I-
Z
LEGEND APRIL 3, 2019 UJ Gs-1
DANFORD '°°- °"`6!
o - +PIPE FOUND(EP) CCC 8
wn loNgc9aM9D SBL.SET BACK LIVE(NNNUY) 40 0 20 40 80 LL ,
&ASSOCIATES am
-CENTERLINEa
LAND SURVEYING.P.C. n�b,E B,91)99�9�9 milC
®-NON PIPE SET(PS) G
Fwr.UC.C.2,97 R/W.RIGHT OF WAY 1 INCH = 40 FEET V
,PJ=NON-YONUYENTED PONT(NIP)
Field Book NH36-30 Q DANFORD & ASSOCIATES LAND SURVEYING, PC 0
Land Projects\MALLARD BAY SEC C LOT 12 -MOORE\dwg\MALLARD BAY SEC C LOT 12 FOUNDATION.dwg

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to fKK lC�7 /�d 1\•2 - 's
�f n// �n (Name
of Property Owner)
property located at /05 / I'`/ (6/9?i g iy i?c -a
(Address, Lot, Block, Road,etc.)
on , 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
a2,12✓/44/ -
Print or Type Name
Qlo 4 s /664
Telephone Number
RESE u Date
FS
-tkitpint
RECEIVED
MAY 06 2019
DCM WILMINGTON,NC

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$ :
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0 Return Receipt(hardcopy) $ 4 1;A L
❑Return Receipt(electronic) $ $1.l.I.) ' --"Postmark
❑Certified Mall Restricted Delivery $ $U 0`I Here
❑Adult Signature Required $ $1 j z)lt! 9
1❑Adult Signature Restricted Delivery$ �`
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r A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
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DC c...,.,2Rnn e...n omc Mow:weal acu,son.n,-nnn.onnl

DOCKING IMPROVEMENTS
SHOWN
WERE LOCATED 5/16/18
NOT BY THIS SURVEY.
FLOATING N4510135"E
CANALCONC. DOCK 75.01 MEAN HIGH WATER LINE
BOAT PILINGS ., "1" FADE OF BUEKHEAD
RAMP
MHW
5 DOCK
-- ---.., ii, o NIP
1•
.ter^"' i c
© m ��-- ..r..�' IPS
NMP „�'" ,I<Jt�. 1 N= 235,433.60
'v' E_
^, . 2,412,505.94
WOQ0 DOCK
PS
N= 235,369.39 1 WOOD/METAL
E= 2,412,463.42 BULKHEAD ELAN).
CAS VAPkx
ILI till
EFfECTNE FLOOD LNE
tejt
ZONE AE (EL8) ____+
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��J�9` 45—� N RECEIVED
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`DCM WILMINGTON, NC

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12 feet,with a 6 foot overhang, side facing the canal 12 feet, 6 foot overhang, single door,facing Mallard Bay Road or back of house
16 feet,Back facing Lot 11 (wooded)with no overhang 16 feet,Double entry,facing 1051 Mallard Bay,6 foot over hang

lis14-1s: NC Division of Coastal Management 8 218 ABC
Cashier's Official Receipt
Date: 7 ' 29
20 /I
Received From: -i 1`./ OfV6t:I‘g $ /00
Permit No.: AT A)y Check No.: 327!-'
-DMApplicant's Name: 'D 'i 1' o N t o 6 County. J2N►iEre--1
Project Address: VA t (2 ' - F,1 / f-frbvc 1 51 ` � IV C-
l
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: C/'"`-- 1(1V Date:?roCit..4
Signature of Field Representatives Date:
I

Date Date Check From Name of 1 Vendor Check Check Permit Rct. #
Received Deposited Permit Holder Number amount Number/Comments
5/1/2019 David and Bonnie David and Bonnie Alliance 3272 $100.00 minor fee, Lot 12, Mallard Bay, JD rct.
Moore Moore Credit Hampstead PnCo 8218
Union