SC_12-14_ Johnson

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Issued by WiRO SC12-14
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina,Department of Environment,
and Natural Resources 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"
I Issued to David and Jill Johnson authorizing development in the Estuarine Shoreline Area of Environmental Concern
(AEC) at Lot 12 Boca Bay, in Surf City, Pender County as requested in the permittee's application package, dated
received August 2, 2012. This permit, issued on August 27, 2012, 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: Construction of a single family residence, including driveway and parking area.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received August 3, 2012.
(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 [phone] 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. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. This
permit must be on the project site and accessible to the permit officer when the
project is inspected for compliance. Any maintenance work or project Jason Dail
modification not covered under this permit, require further written permit CA LOCAL PERMIT OFFICIAL
approval.All work must cease when this permit expires on:
127 Cardinal Drive Extension
December 31,2015 W. .i ington, NC 28405-3845
AUG 302012
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 .•Ni GTG N A', '
Management. gio PER\�►
(Signature required if conditions above apply to permit)

Name: David and Jill Johnson
Minor Permit#SC12-14
Date: August 27, 2012
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 vegetate and stabilized (planted and
mulched)within 14 days of construction completion.
(6) The amount of impervious surface/coverage shall not exceed 30%within 75 feet of the Normal High Water line.
(7) 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. This area shall be immediately vegetatively stabilized, and must
remain in a vegetated state.
(8) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of Normal High Water.
(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.
SIGNATURE: A c,r41 4. DATE: /Mae__
RMIT
RECEIVED
AUG 3 0 2012
.t (:M Wf .MiNGTON, NC

Locality
Permit Number wit/ Li"
Ocean Hazard d'' Estuarine Shoreline )( ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name: David&Jill Johson
Address: 110 Raleigh Avenue
City: Surf City State:NC Zip: 28445 Phone: [phone]
AUTHORIZED AGENT
Name: Scott Sullivan
Address: PO Box 10091
City: Wilmington State: NC Zip: 28404 Phone: [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront,what is the name of the
adjacent waterbody.)Lot 12 Boca Bay Subdivision, Surf City,NC
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)New single family residence
SIZE OF LOT/PARCEL: 28597 square feet .656 acres
PROPOSED USE: Residential Single-family Multi-family 0) Commerical/Industrial 0 Other❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN(AEC): square feet(includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN(AEC): 3559 square feet(Calculations
includes the area of the roof/drip line of all buildings,driveways, covered decks,concrete or masonry patios,etc.that are
within the applicable AEC.)(Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC,adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project locatedn area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality? YES NO ❑
If yes, list the total built upon area/impervious surface allowed for your lot or parcel.3720 square feet.
R CE V E
AUG 0 3 2012
DCM WILMINGTON, NC

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OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA minor development permit.
As a service we have compiled a listing of the kinds of permits that might be required.We suggest you check over the list with your LPO to
determine if any of these apply to your project.Zoning,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.
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)
4A an owner or record title,Title is vested in David and Jill Johnson, see Deed Book 3977
page 62 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 and attach to this application.
NOTIFICATION OF ADJACENT 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)
(1)LJM Ventures 7225 Wrightsville Ave Wilmington,NC 28403
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 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 particular
hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabilization
and floodproofing techniques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents
to enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information(this form),a site drawing as described on the back of this application,the
ownership statement,the AEC hazard 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 sources are
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 admini ve,:tctio1p
kt vEL
This the 2 day f August,20 12
NA/
AUG 0 3 2012
—and'and'ow er or person authorized to act as his agent
..rpose of filing a CAMA permit application

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
August 27, 2012
Scott Sullivan
PO Box 10091
Wilmington, NC 28404
Dear Mr. Sullivan:
Attached is CAMA Minor Development Permit# SC 12-14 for work to be done for David and Jill Johnson at Lot
12, Boca Bay S/D in Surf City, Pender County.
In order to validate this permit, please sign both copies as indicated, for our records. Please retain the
gold copy for your files, 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,
Ar
Shau K. Simp •
Permit Support I -.hnician
Enclosures
cc: WiRO files
127 Cardinal Drive Ext.,Wilmington,NC 28405 NorthCarolina
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net /� t�yroh
An Equal Opportunity 1 Affirmative Action Employer Nit to al&

AFFIDAVIT OF PUBLICATION
+r�r
STATE OF NORTH CAROLINA Th` 1 je)"COUNTY OF NEW HANOVER ( tt, I T1
Pursuant to
I N R PERMIT
MI NOTICE
Before the undersigned,a Notary Public of Said County and State,
North Carolina Division of Coastal
Management,an agency authorized
to issue CAMA permits in areas of. Keith Raffone
environmental concern, hereby
gives NOTICE that on August 3,
2012,r
CAMA pe mitt construct sin- Who,being duly sworn or affirmed,according to the law,says that he/she is
gle-family dwelling at Lot #12,
Boca Bay S/D,'adjacent to Topsail
Sound, in Surf City, Pender County. Controller
The application may be inspected
at the address below. Public com-
ments received by August 24,
2012 will be considered. Later of THE STAR-NEWS, a corporation organized and doing business under the Laws of the State of
comments will be accepted and North Carolina,and publishinga newspaper known as STAR-NEWS in the Cityof Wilmington
considered up to the time of permit g
decision. Project modifications may
occur based on further review and CAMA MINOR PERMIT NOTICE Pursuant to NCGS 113A-119b,the North Carolina Division
comments. Notice of the permit
decision in this matter will be pro- of Coastal Management,an agency authorized to issue CAMA permits in areas of
vided upon written request.
Jason
Dail,Field Representative al Management environmental concern,hereby gives NOTICE that on August 3, 2012,David&Jill Johnson
Division of
127 Cardinal Drive Extension I applied
Wilmington,NC 28405-3845
Phone:[phone]�,
was inserted in the aforesaid newspaper in space,and on dates as follows:
8/9 lx
And at the time of such publication Star-News was a newspaper meeting all the requirements and
qualifications prescribed by Sec.No. 1-597 G.S.of N.C.
ill
141k.....
Title:Controller
S rn or affirmed
to,and subscribed before me this /-371A day„f``tt`µEji'trlgrrr,
8d�,A.D., oo[sL ,,.i.`�``jMQ,�s L. 0J C
r
In Tes • ony Whereof,I have hereunto set my hand and affixed my glTaial s 1, e day
year aforesaid. _p. _� r'
C - - efjC i
Notary]
My commission expires / day of ' ,20 /Z `rrf''rtfrcio ��tti�`�`�`
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by the Court that the said
publication was duly and properly made and that the summons has been duly and legally served on the defendant(s).
This day of ,
R r gf St1 eft yr Court
MAIL TO: i�/C V
DCM Vd!LM!NGTON, NC
AUG 162012

J
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
August 7, 2012
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington, North Carolina 28402
Re: Johnson Minor Public Notice
Ellen: Please publish the attached Notice in the Thursday August 9, 2012 issue.
The State Office of Budget and Management requires an original Affidavit of Publication prior to
payment for newspaper advertising. Please send the original affidavit and invoice for payment to Shaun
Simpson at Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405, 910-796-
7226. Paying by Credit Card (number on file with Elsa Lawrence, Ref acct # 796-7215). Please send copy of
the credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me at our
Wilmington office.
Sincerely,
Shaun Simpson
Permit Support Technician
Enclosure
cc: File Copy
Michele Walker DCM
127 Cardinal Drive Ext.,Wilmington,NC 28405 One
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net NorthCa'�rolina
An Equal Opportunity Affirmative Action Employer Naturally ally

CAMA MINOR PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the North Carolina Division of Coastal Management, an
agency authorized to issue CAMA permits in areas of environmental concern, hereby gives NOTICE
that on August 3, 2012, David & Jill Johnson applied for a CAMA permit to construct single-family
dwelling at Lot #12, Boca Bay S/D, adjacent to Topsail Sound, in Surf City, Pender County. The
application may be inspected at the address below. Public comments received by August 24, 2012
will be considered. Later comments will be accepted and considered up to the time of permit
decision. Project modifications may occur based on further review and comments. Notice of the
permit decision in this matter will be provided upon written request.
Jason Dail
Field Representative
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]

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SULLIVAN
PO Box 10091
Wilmington, North Carolina 28404
phone [phone] fax [phone]
8 August,2012
L J M Ventures,LLC
7225 Wrightsville Avenue,Room
Wilmington,North Carolina 28403
Re: Lot 12,Boca Bay subdivision. Surf City,NC
To Whom it may concern:
This letter is to inform you that I have applied,as an authorized agent,for a CAMA Minor Permit on behalf
of David&Jill Johnson for the above referenced location.
I have enclosed a copy of the permit application and a copy of the drawing of the proposed project.
If you have any questions or comments on the proposed project,please contact me at the number listed
above.
If you wish to file written comments or objections with Pender County,you may submit them to:
Jason Dail
Field Representative for
NC Division of Coastal Management
127 Cardinal Drive.Extension
Wilmington,NC 28405
incerely,
IVA 141&.
kin Sul ,
thorized agent RECEIVED
AUG 0 3 2012
DCM WILMINGTON i4C

U. . - . . -ry - cm
CERTIFIED MAIL, RECEIPT
...I (Domestic Mail Only;No Insurance Coverage Provided)
U
For delivery information visit our website at www.usps.com
OfFiCAL USE
•
Postage $
certified Fee =IRV CEIVED
ILMINGIGN, NC
• Return Receipt Fee Here
• (Endorsement Required)
Restricted Delivery Fee
(Endorsement Required) Al G 0 3 2012
-9 Total Postage&Fees $
Sent To •
-R 11" \ 1111 tc3 LL,&
Street,r sAopxfvo.Apt.No.;
p viR16,41500 fist, 4,415
City,SittafiLZIAI truly) #21,44)

Certified Mail Provides:
• A mailing receipt
• A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
• Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail.
• Certified Mail is not available for any class of international mail.
• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fe
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof o
delivery.To obtain Return Receipt service,please complete and attach a Retun
Receipt(PS Form 3811)to the article and add applicable postage to cover thi
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fo
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee c
addressee's authorized agent.Advise the clerk or mark the mailpiece with th
endorsement"ResfrictedDelivery".
■ If a postmark on the Certified Mail receipt is desired,please present the arti
cle at the post office for postmarking. If a postmark on the Certified Ma
receipt is not needed,detach and affix label with postage and'mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

N() T11 ( 114174
CAN1A _ PERMIT
APPLIED FOR
PROJECT:
_ • • . 2 • see - • . fi
single-family dwelling at Lot #12, Boca Bay S/D,
• - - 11 • - - - - - er
County.
COMMENTS ACCEPTED THROUGH August 24, 2012
APPLICANT: FOR MORE DETAILS CONTACT
Scott Sullivan for 08J Johnson N b ?Wi� 4��
PO Box 10091 .1_27 Cardinal- Dr. Ext.
Surf City, NC 28404
91-0-796-72221

F SCOTT R. SULLIVAN 5457
DESIGN COMPANY 1
PHONE [phone] /3/
M
PO BOX 10091
4 19'-----
66-30/531
WILMINGTON,NC 28404 DATE 354
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