PN_20-22_ Sloan

1 ,
Issued by WiRO RECEIVED PN20.22
Pender County Permit Number
CAMA JAN os 2021
MINOR DEVELOPMENT WILMINGTON, NC
JO!,
PERMIT
NORTH CAROLINA
as authorized by the State of North Carolina, Department of Environmental Quality 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 Gregory and Rhonda Sloan authorizing development in the Estuarine Shoreline (AECs) at 121 Mallard Drive
(Lot 9-D), in Hampstead, Pender County as requested in the permittee's application, dated December 10, 2020, and
received by DCM on December 16, 2020. This permit, issued on December 30, 2020, is subject to compliance with the
application and drawing dated and received by DCM on December 10, 2020 (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: Clearing,grading and landscaping.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing,
received by DCM on December 10, 2020.
(2) All construction shall 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, and/or land use activities will require re-evaluation and
modification of this permit.
(4) 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
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 CAMA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December 31,2023 Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land CO. Vt _ f ��
Use Plan and all applicable ordinances. This permit may not be transferred to 1 1i&
another party without the written approval of the Division of Coastal PERMITTEE
Management.
(Signature required if conditions above apply to permit)

Y
Name: Gregory and Rhonda Sloan
Minor Permit#PN20.22
Date: December 30, 2020
Page 2 of 2
(5) This permit does not authorize the excavation or filling of any wetlands or open water area(s).
(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) This permit authorizes only grading and land clearing within 30'of the normal high water line.
(8) This permit does not authorize the installation of any impervious coverage within 30' of the normal high water line.
This includes any brick,concrete,or other material that is not considered pervious.
(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.
(10) All construction shall conform to the N.C. Building Code requirements and all other local, State and Federal
Regulations,applicable local ordinances and FEMA Flood Regulations.
i.--C4/1"-- � c'
SIGNATURE �h Vtiti LC- 61U7'V ' DATE:)L11--4i2 02 1
PERMITTEE

ROY COOPER
r r
I r
7 • MICHAEL S. REGAN
BRAXTON DAVIS
December 30, 2020
Gregory& Rhonda Sloan
611 Park Drive
Hampstead, NC 28443
Dear Mr. & Mrs. Sloan,
Attached is CAMA Minor Development Permit PN 20-22 for work to be done at 121 Mallard Drive,
Hampstead in Pender County. An electronic copy has been sent to the Pender County Inspections
Department.
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.
jSin rely,
via) ft (1,0a2)13
Anita M. Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
PN Inspection Dept.
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

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)
V an owner or record title,Title is vested in name of 1 Q Iz Si,o Vfit ANDS P{-0/ ,1- SLO
see Deed Book L{-7 3 2. page S3 9 - in the PEAL D 1L. 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 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)
t! Sitwt -T 4eio cI1z,bDa_ CoV -T; tAl/cr$i4[41 1j1 ,46 Ze4-oS—
(2)
(3) + 1 C. �IiL1,
(4) 44711e S%L1t-d, AL 20+43
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.IC(Y 7/4 - ,,gy�pp 'n
This the l 0 day of fteW/20
hw 4 f�ij
Landowner or person authorized 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 back of this application, the
ownership slate/nent, the Ocean Hazard 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 runes are
incorporated without reference in any permit which may be issued. Deviation from these details will constrt�violation of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
DEL°16 2020
DCM,WILMINGTON, NC

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MALLARD DRIVE (60' R/W)
MALLARD BAY LOT 9-D
121 MALLARD DRIVE
G' G AND RHONDA SLOAN
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DCM WILMINGTON, NC
t i E 1 I S U L L IZTA N1 Ravisions
to MALLARD BAY SatchelFish Design Build
- " d.. d. LOT 9—D Custom home Builder-Greg BlomFounder
1.01! I a t f lam Boo.'wary Post Office Box 11000 (1
_
iJ _ I TBD MallardWilmington,North Carolina 28404
1Ltrd Drive 910.632.4691 6—
J ..a.rV.r.yamnpai on Hempstead,North Carolina 28443 [e-mail]

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to /—1 R g/A. j/t'1/‘/1 41* 's
(Name of Property Owner)
property located at T g
q�
Address,Lot, Block,Road,etc.) !/
on O�(I D t3141 , in f71,404r/1're,4 , N.C.
(Waterbody) (Town and/or County)
----W described to me as shown in the attached application and project drawings?.,the deMelopment
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
M AA2/4 G<-1( 61,,4 , --
Print or Type Name
Telephone Number
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Date
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RECEIVED
DEC 16 2020
DCM WILMINGTON, NC

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• Attach this card to the back of the mailpiece, Ili Rgeelved b (Pnn pd Name) ,.Date of D Iv
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
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■ Print your name and address on the reverse X I 0 Agent
so that we can return the card to you. -✓� ❑Addressee
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If YES,enter delivery address below: No
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RECEIVED
DEC 16 ZOZO
DCM WILMINGTON, NC
.

MALLARD DRIVE (60' R/W)
MALLARD BAY LOT 9-D
121 MALLARD DRIVE
GR G AND RHONDA SLOAN
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DCM WILMINGTON, NC
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LEGEND: I CERTIFYE THAT I HAVE SURVEYED AND MAPPED THE
A E SHOWN LANDS IN ACCORDANCE WITH THE
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MAP, DEED, NOT SURVEYED LII.E THE pIH MARY UILDING (IF APpLICAB_E PORTION
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DCM WILMINGTON, NC
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MICNAL. RAPP L WviFL 7P'f NA 7
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_too. PENDER PENDER COUNTY HEALTH DEPARTMENT
o`'` ENVIRONMENTAL HEALTH DIVISIONA
M 803 Walker Street,P.O.Box 1209
LfIJ Burgaw,NC 28425
Phone [phone] FAX [phone]
www.pendercountync.gov
,A.111.1.11/11i111L
North Coronas PtbIc Hidth
EveryOrere.Ere pry .:..r,n,
IMPROVEMENT PERMIT
Parcel PIN: 4213-25-6840-0000 Permit#:1P 18-203H
Application Date.08/07/18
Applicant: Michael L Rapp Owner Michael L.Rapp
Address: 201 Lane Dr. Address: 201 Lane Dr.
Elizabeth City,NC 27909 Elizabeth City,NC 27909
Phone: [phone] Phone.
Property Desc.: Mallard Bay Lot 9-D Lot Size(Acres):
Property Address: Mallard Dr Facility Type: Single Family Dwelling
Permit Type: Residential New Water Supply Public
JNTIAL SYSTEM JtEPAIR SYSTEN1
Design Flow: 480 GPD System Type. Peat Type A System Type: Exempt
No.of Bedrooms: 4 System Class:V System Class:
Site Classification:ps Useable Soil Depth.32n Useable Soil Depth.
LTAR:0.8 LIAR:
Conditions:
RECEIVED
DEC 16 2020
DCM WILMINGTON, NC
Refer to the attached site plan for specific information regarding location of the designated area. Soil and site descriptions are
located on file at Pender County Environmental Health. There may be other types of systems which are applicable to this site.
The permit and evaluation are valid only for the site as designated on the attached site plan. A Construction Authorization must
be issued prior to the issuance of the Building Permit and before any construction or system installation can commence
This permit is subject to revocation if the site plan,plat or intended use changes or if the site is altered Do not drive on or
otherwise disturb the designated soil area or this permit may be revoked.
ISSUED:Jan.10,2019 cLrL EXPIRES:Jan.10,2024
Registered Environmental Health Specialist

PIN: 4213-25-6840-0000
Mallard Bay Lot 9, Sec D
Septic Proposal N
Scale: 1" = 50'
Benchmark=
MALLARD Center of Road
DRIVE at Property Line WRetawatar Trnatmont System_Design
=0.0" -4 Bedroom Home,450 gaUday flow rate
41/
-1000 gal septic tank-30"to 32"soil wetness condition, below
existing fill material
,, •2 30 initial-Type"A"Frnfln Prat Renfitter system
r, ;,'2 —0.8gaUday/sgftLTAR
Z —480/0.8=600 sq ft
,` - with 25% reduction=450 square feet
�a`� - 15'x30'bedarea
45.v. -center module(s)on 8"rock bed
oQ .+ -Install level with bed bottom 6"below existing fill
�� L`� material at X2 or 4'4"below the BenchMark.
d' -Place retaining wall around lower end of system if needed
CV f0 4 bL• O Repair.Fv mpt
j N See attached plat dated November 13, 1979
1
a
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r
RECEIVED
74' Approximate Normal High Water Line DEC 16 2020
DCM WILMINGTON, NC
RELATIVE ELEVATIONS SHOWN IN RED
SOK X#= SOIL PROFILE DESCRIPTIONS (SEE ATTACHED)
let,GU(�.y ELEVATE HOME AND SEPTIC TANK OR A PUMP
AND PUMP TANK WILL BE REQUIRED.
€04-alli .;13
(---
''''.. iir,.4,t!t� -Pa.� R.CO-11,:i r tiFAi..TH tM PT
M�40. f `f 7/ ENVIRONMENTAL HEALTH SUCTION
' ""q4,:j P.O BOX 1209
404 `. I PURGAW,NC 28425
�' cmo PERMIT#-fir/ 97 31
/--
PAGE or
I5iGNM . r DAT vs, /
NEEDHAM ENVIRONMENTAL, INC.

12-8-2020
Mr. Gordon W. Stewart
4810 Calder Court
Wilmington, North Carolina 28405
Dear Mr. Stewart,
This letter is to inform you that I have applied for a CAMA Minor permit on my
property at Mallard Bay Lot 9-D on Mallard Drive in Hampstead (Pender County,
NC). As required by CAMA regulations, I have enclosed a copy of my permit
application and project drawing 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 feel
free to contact me through any of the contact information below. If you wish to
file written comments or objections with the Pender County CAMA Minor Permit
Program, you may submit them to:
North Carolina Department of Natural Resources
Division of Coastal Management—Southern District—Wilmington Office
127 Cardinal Drive Extension
Wilmington; North Carolina 28405
Sincerely, RECEIVED
CYO—
DEC 16 2020
Greg Sloan (910-632-4691) DCM WILMINGTON, NC
Post Office Box 11000
Wilmington, North Carolina 28404

12-8-2020
Ms. Maria G. Migliara
108 Middle Point Road
Hampstead, North Carolina 28443
Dear Ms. Migliara,
This letter is to inform you that I have applied for a CAMA Minor permit on my
property at Mallard Bay Lot 9-D on Mallard Drive in Hampstead (Pender County,
NC). As required by CAMA regulations, I have enclosed a copy of my permit
application and project drawing 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 feel
free to contact me through any of the contact information below. If you wish to
file written comments or objections with the Pender County CAMA Minor Permit
Program, you may submit them to:
North Carolina Department of Natural Resources
Division of Coastal Management—Southern District—Wilmington Office
127 Cardinal Drive Extension
Wilmington; North Carolina 28405
Sincerely,
C4 "'''''.- RECEIVED
DEC 16 2020
Greg Sloan (910-632-4691)
Post Office Box 11000 DCM WILMINGTON, NC
Wilmington, North Carolina 28404

I. . •ostal Service"
CERTIFIED MAILS RECEIPT
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Account #: XXXXXXXXXXXX8374
Approval #
Transaction #: 276
Receipt #: 032737
•
RECEIVED
DEC 16 2020
DCM WILMINGTON, NC

a
b
-Ivr_
APPLICATION FOR y
11111:
CAMA MINOR z
DEVELOPMENT
Coastal Management
ENVIRONMENTAL QUALITY t.
PF RAIIIT l „r. c'
‘11 ia-, • •• t...
In 1974, the North Carolina General Assembly passed the Coastal Area Management Act ? ' '
(CAMA)and set the stage for guiding development in fragile and productive areas that b,
border the state's sounds and oceanfront.Along with requiring special care by those who _.;173 t>z)
build and develop, the General Assembly directed the Coastal Resources Commission -
(CRC)to implement clear regulations that minimize the burden on the applicant. (N f `l
N
41
This application for a minor development permit under CAMA is part of the
Commission's effort to meet the spirit and intent of the General Assembly.It has been
designed to be straightforward and require no more time or effort than necessary from t 1
the applicant.Please go over this folder with the Local Permit Officer(LPO) for the b'
locality in which you plan to build to be certain that you understand what information he r
O
or she needs before you apply. C")
a
r
Under CAMA regulations,the minor permit is to be issued within 25 days once a
complete application is in hand. Often less time is needed if the project is simple.The
process generally takes about 18 days.You can speed the approval process by making
certain that your application is complete and signed, that your drawing meets the ,V
specifications given inside and that your application fee is attached.
b
Other permits are sometimes required for development in the coastal area.While these
are not CAMA-related, we urge you to check with the Local Permit Officer to determine
which of these you may need.A list is included on page two of this folder. n
O
We appreciate your cooperation with the North Carolina Coastal Management Program A
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
il
Coastal Resources Commission fN
Division of Coastal Management
RECEIVED H
-Cn
DFC162020
r.iiK
DCM WILMINGTON, NC
zj
o ,H �
DCM Form EB1952-2015/Revised

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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
✓Label roads
✓Label highways right-of-ways
✓Label local setback lines
✓Label any and all structures and driveways currently existing on property(E)nPT'7 LOT)
✓Label adjacent waterbody
PHYSICAL CHARACTERISTICS
✓Draw and label normal high water line(contact LPO for assistance)
Draw location of on-site wastewater system
If you will be working in the ocean hazard area:
N(n Draw and label d e-ridges(include spot elevations)
414' Draw and lab oe of dunes
Identify locate first line of stable vegetation (contact LPO for assistance)
Dr and label erosion setback line (contact LPO for assistance)
raw and label topographical features(optional)
If you will bp.working in a coastal shoreline area:
Show the roof overhang as a dotted line around the structure
✓Draw and label landward limit of AEC
✓Draw and label all wetland lines(contact LPO for assistance)
Draw and label the 30-foot buffer line ?
DEVELOPMENT PLANS
✓Draw and label all proposed structures
Draw and label areas that will be disturbed and/or landscaped
TUP Note size of piling and depth to be placed in ground 'Z J 6 CE—�� Web f 7
,/Draw and label all areas to be paved or graveled S nay ln4/ry Gh /,A/E2X-
✓ Show all areas to be disturbed S'01!,$ k'a16/ .I av-•
'jib Show landscaping
NOTE TO APPLICANT RECEIVED
Have you:
• completed all blanks and/or indicated if not applicable? ✓ DEC 16 2020
• notified and listed adjacent prop rty owners?
• included your site drawing? V / DCM WILMINGTON, NC
• signed and dated the applicatioP? ✓ •
• enclosed the$100.00 fee? ✓ A.?
• completed an AEC Hazard Notice,if necessary? (Must be signed by the property owner) t ( •
_ — -
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received •
Site Ins
pections
Date of Action: Issued Exempted Denied 'Appeal Deadline(20 days from permit action)

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li:111 NC Division of Coastal Receipt 1 1 7„ 3 7 ABCD
Date: ' 20—
/.....ri
Received From: t -.) -'6' I 14,-
$
-TA
Permit No • i ,(--. -, Check No.:__,___4-t--- l
Applicant's Name: - ' I t,C71'4 c-i-e---- - - --- County. /f
'•• , - - — ,
(
Project Address:
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date:• -)
• '''
-4-- ---
Signature of Field Representative: Date:
...
RECEIVED
DEC 1 6 2020
DCM WILMINGTON, AC

Dail, Jason
From: SatchelFish Design Build <[e-mail]>
Sent: Wednesday, December 16, 2020 9:12 AM
To: Dail,Jason
Cc: Daniel Adams
Subject: [External] RE: CAMA Minor permit application
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Repgrt Spam.
Good morning,Jason. I appreciate your call,feedback and guidance this morning. The reduction of the size of the
independent deck near the waters edge to 200sf is acknowledged and I will modify our site plan accordingly. We will
most likely change to a 16'wide by 12' deep deck which puts it at 192sf. Please let me know if you need any additional
information. Thank you for your help. Have a good one.
Greg
Greg Sloan, Founder
SatchelFish Design Build
Custom Home Builder
Post Office Box 11000
Wilmington, North Carolina 28404
910-632-4691
[e-mail]
www.satchelfishdesignbuild.com
From: Dail,Jason
Sent: Wednesday, December 16, 2020 8:15 AM
To: SatchelFish Design Build
Cc: Daniel Adams
Subject: CAMA Minor permit application
Good morning Mr. Sloan,
As discussed by telephone this morning,the site plan submitted with your CAMA minor permit application depicts a
residential dwelling beyond (inland of) our 75' Area of Environmental Concern (AEC). Therefore, no CAMA minor permit
would be required for the construction of the dwelling. However, it is my understanding, you intend to clear and grade
the property (part of which will occur within the 75' AEC) and construct an elevated uncovered wood deck within the 30'
Coastal Shoreline buffer. Based on this information, a CAMA minor permit would be required for development within
the AEC.
Please note the independent deck shown near the waters edge (measuring approximately 43' x 12') is in excess of what
can be permitted within the 30' buffer. In order to remain complaint with Rules of the Coastal Resources RQmmisgion,
the decking would need to be reduced so as to not exceed a total square footage of 200 sq. ft.
DEC 16 ,>
DCM Wi .MiNG`i'Liv, �L

If you would please acknowledge this reduction is acceptable (within allowable limits), I will make change the site plan to
reference and condition any permits as such.
If you have any questions, or need additional information, please feel free to call.
Take care,
Jason
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]
IC ""Not Pry Campar,..
'E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
RECEIVED
DEC 16 2020
DCM WILMINGTON, NC
2

Locality Permit Number
. Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only) RECEIVED
GENERAL INFORMATION DEC 1 6 2020
LAND OWNER-MAILING ADDRESS 1 A DC!�� ?n/I►_lt INGTON, NC
Name 6 et 0 la ki / a g tekti4 if( SL O
Address to i I Pam- e- J)j- I fE t n,�,[� (� / �f,, a
City tiIiti/,PcT,,► L State AI e- Zip277`t'TJ Phone ,)r6!2— ' 7
/
Email ?hI l: cd—Z -t r ,sn & /G,ds V I L ). Co pi
AUTHORIZED AGENT �+
Name CnE( S L o ✓1 Nf-40,in SL a,fAt
Address .cr(Yf�l efeMir
City State Zip Phone
Email
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
filikaAto g y for 9- rgh mM . -A DgIv5)
kftinpsim-D 1 �.
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) CL togull:b. 5 garrhplicy 1.1-orvit" 1I
S�zT-t�ir7 od r L 1fr Rio i.�ty
A
SIZE OF LOT/PARCEL: / square feet V . 38 acres
PROPOSED USE:Residential Lld" (Single-family[Multi-family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER(1)OR(2) BELOW(Contact your Local Permit Officer ifyou are not sure which AEC applies
to your property): 1
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: N!l 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: OD square 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 drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)?
YES NO ►�
If yes, list the total built upon area/impervious surface allowed for your lot or parcel:_ /N/i square feet.

lil NC Division of Coastal Management
Cashier's Official Receipt 11737 A B Ci
Date: ) f 6 20
Received From: ( �'`�A� MO
$
Permit No.: ,/t, Check No.:
Applicant's Name: I A -� County:
Project Address: ci —p 11461(14A_I-- pi ,
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date:
Signature of Field Representative: Date:

Date Date Check From Name of Vendor Check Check Permit Rct. #
Received Deposited Permit Holder Number amount Number/Comments
12/18/2020 Rhonda K Sloan Gregory and Wells 2494 $100.00 minor fee, Lot 9-D Mallard Bay Rd, JD rct.
Rhonda Sloan Fargo Hampstead PnCo 11737