SC_12-30_ Cosans

Issued by WiRO SC12-30
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'
Issued to Ernest Cosans authorizing development in Ocean Hazard Area of Environmental Concern (AEC) at 416
North Shore Drive, in Surf City, Pender County as requested in the permittee's application, dated December 7, 2012.
This permit, issued on January 22, 2013, 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: Deck and walkway expansion.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received on December 19, 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 C , Jason Dail
modification not covered under this permit, require further written permit CAMA LOCAL PERMIT OFFICIAL
approval.All work must cease when this permit expires on:
JAN 2 8 2013 127 Cardinal Drive Extension
December31,2016 W. ington, C 28405-3845
lL itMIN TON.
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 f Ftn— 4,5
another party without the written approval of the Division of Coastal
Management. PERMITTEE
(Signature required if conditions above apply to permit)

Name: Ernest Cosans
Minor Permit#SC12-30
Date: January 22, 2013
Page 2
(5) The permittee is required to contact the Local Permit Officer [phone], shortly before he plans to begin
construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline
change. Construction must begin within sixty (60) days of the determination or the measurement is void and must
be redone.
(6) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary
protective measures allowed under CRC rules.
(7) This permit does not authorize any expansion, enlargement or other alterations to the existing residence, unless
specifically noted in the application and/or on the work plan drawings. Any proposal to modify the existing dwelling
will require additional authorization.
(8) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
Ir 'ECE/VED
JAN 2 8 2013
IGTON, NC
SIGNATURE: 1'2'/ -' (fie 7i �"1'�S DATE: 5'
PERMITTEE

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GENERAL INFORMATION
LAND OWNER
Name F 1?��S- �5 A A-5
Address14 Cc I`(. 5
City.K,(L/F- G IT">' State. zip S -4.1p 6-4C' ? 4 3'G
Email e•ki G65 A t-ZS j wi
AUTHORIZED AGENT Name LC-LAA C C.- G. AC.e_IA 0• 1-
Address cc?( 4cv5
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City State W C ZapZT-KicPltone CC) '46 /G` .G .
Email 11 L l^( 1 lAt L e y 01 (eo •
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.) A i 6'4 i'G G c(2:14
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) &XPANSC.0
SIZE OF LOT/PARCEL: -� ! `'C square feet - -�- acres
PROPOSED USE: Residential 40 (Single-family LI Multi-family 0) Commercial/Industrial 0 Other [�
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer If you are not sure which AEC applies
to your property):
(I) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 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: square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that are within the applicable ABC.Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State Stormwater
Management Per7iLissued by the NC Division of Water Quality?
YES NO
DIf yes,list the total built upon area/impervious surface allowed for your lot or parcel: � square feet. ,{
ULL 1 9 2012
DC" chip �l""e:`ToN; 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,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,PIA
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)
an owner or record title,Title is vested in 'l � )-=, kt( r 6�%<' ,see Deed Book 3
page --1'- in the 17cf OuDC — 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 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)
(I) /l y c5i�r'rr ) ? )' /27/ ,3vi�4a�w t�C Z84z5-
(2) Egelit,I J°YAW-NI �'� VAtoc s' k-t A%.-, ,A 117 / s-T 57c z.ls-
(3) C7(1-C4- Wag., . NC. Z� ,'
(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 -y day of'P f,acto 1
Lando 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 statement, 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 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 administrative action.

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A'A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, Ill
Governor Director Secretary
January 22, 2013
Michael C. Gallant, PE
PO Box 4039
Surf City, Nc 28445
Dear Mr. Gallant:
Attached is CAMA Minor Development Permit# SC 12-30 for work to be done for Ernest Cosans at 416
N. Shore Drive, in Surf City, Pender County.
In order to validate this permit, please sign both copies of the permit as indicated for our records.
Please retain the gold copy for your files and sign front and back of the white copy then 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,
/1-7VU% •
• Shaun K. Simpso I
Permit Support Technician
Enclosures
cc: WiRO files
One
127 Cardinal Drive Ext.,Wilmington,NC 28405 North Carolina
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net Naturally
An Equal Opportunity\Affirmative Action Employer

AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA // , . �a �� ,/ �z/p fj
COUNTY OF NEW HANOVER / /ft,�Coy
eijSG-2.-�/f/J
CAMA MINOR PERMIT NOTICE Before the undersigned,a Notary Public of Said County and State,
Pursuant to NCGS 113A-119(b),the '
North Carolina Division of Coastal
Management,an agency authorized Anita Thomas
to issue CAMA permits in areas of
environmental concern, hereby
gives NOTICE that on December 19, Who,beingdulysworn or affirmed,accordingto the law,says that he/she is
2012, the following applied for
CAMA permits for projects adjacent
to the Atlantic Ocean:Jonathan So-
chin & Nancy K. Frantz propose to Publisher's Assistant
replace driveway, haul in beach-
compatible sand, and repair stairs
at 2364 New River Inlet Rd., in North Topsail Beach, Onslow Co of THE STAR-NEWS, a corporation organized and doing business under the Laws of the State of
.
and Ernest Cosans proposes to ex- North Carolina,and publishinga newspaper known as STAR-NEWS in the Cityof Wilmington
pand the existing deck at 416 N. g
Shore Drive, in Surf City, Pender CAMA MINOR PERMIT NOTICE Pursuant to NCGS 113A-119b the North Carolina Division
' County The application may be in-
spected at the address below. Pub- ofCoastal Management,an agency authorized to issue CAMApermits in areas
lic comments received by January g g y of
20, 2013 will be considered. Later environmental concern, hereby gives NOTICE that on December 19,2012, the following
comments will be accepted and
considered up to the time of permit applied for
decision. Project modifications may
occur based on further review and
comments.Notice of the permit de-
cision in this matter will be pro-
vided upon written request.
Jason Dail,Field Representative
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 28405-3845 was inserted in the aforesaid newspaper in space,and on dates as follows:
Phone:[phone]
-- 1/5 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.
apt;,& J-1?-,0144aA--
Title:Publisher's, ssistant
Sworn or affirmed to,and subscribed before me this day of
lazi_UkaiA.D., �Q 43 op�s�►uuwrhg r
NNNNNN\ 1.-. �0, r�,
In Testimo Whereof,I have hereunto set my hand and affixed mx,� al seal,t italafwnd
year aforesaid. �<0 - ,V:',M1 J
z_ '`'`'
o� ''' : ,Notary�u§lic
My commission expires ) Z.1-- day of ,20 17 �''14'p, _ „CV.% �`�
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 ,
Clerk of Superior Court
MAIL TO: ..__
[ACM WILMINGTON, NC
JAN 152013

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
January 3, 2013
Advertising @starnewsonline.com
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington, North Carolina 28402
Re: Minor Public Notice Combo for:
• Sochin&Frantz in Onslow Co.
• Comm in Pender Co.
Kyle/Heather: Please publish the attached Notice in the Saturday,January 5, 2013 issue.
The State Office of Budget and Management requires an original Affidavit of Publication prior to
payment for newspaper advertising. Please send the original invoice and a copy of the affidavit 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 a
fax 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 j
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 NortthCa�rolliina
An Equal Opportunity\Affirmative Action Employer Natural a+`�

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 December 19, 2012, the following applied for CAMA permits for projects adjacent to the
Atlantic Ocean: Jonathan Sochin & Nancy K. Frantz propose to replace driveway, haul in beach-
compatible sand, and repair stairs at 2364 New River Inlet Rd., in North Topsail Beach, Onslow Co.
and Ernest Cosans proposes to expand the existing deck at 416 N. Shore Drive, in Surf City, Pender
County. The application may be inspected at the address below. Public comments received by
January 20, 2013 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]

NO 'I' It1F
� J
CAMA PERMIT
APPLIED FOR
PROJECT: A CC :' - ' - -
. - - - -
. . . W
• - • . . - . • . ► i . - I - . . the
Atlantic Ocean , in Surf City, Pender County.
COMMENTS ACCEPTED THROUGH January 5, 2013
APPLICANT FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Michael C. Gallant, PE NC Div. of Coastal Management
PO Box 4039 127 Cardinal Dr. Ext.
Surf City, NC 28445 Wilmington, NC 28405
Jason Dail, Field Representative
910-796-7215
For: Ernest Cosans

ATA
inffirt
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C.Davis Dee Freeman
Governor Director Secretary
• AGENT AUTHORIZATION FORM
Date: l2 1//Z
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
14-4 sai+/s 44 K/f dic L Cf 6 A cco w l f .
Owner's Mailf Address: Agent's Mailing Add
/6 ,rig �;: /21. ?G acx 6 ma's 2
� , ./—7'/ Ak "L.,(2� c 17- 7 , Ai(
7 Y44 C 03443
Phone Number(5-90 514 8°CC., Phone Number(Y/G 1 4 4, /°46
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
LcK Cn PA 6v,5 (0 A( i \A1 L/. 'lA y
For my property located at 4/6 L ,<1( J)
This certification is thru(date) / 2 // /) .
X i, / 2/7 ,2 d / Z
P party Owner Signature Date
127 Cardinal Drive Ext.,Wilmington,NC 28405 1NC11e Carolina
Plane:910-796-72151 FAX:[phone] Internet wows talmanagement.net ra!!U
An Et*OpPaMmih 1 Affinne toeActlon Empbyer U

OCEAN HAZARD AEC NOTICE
Project is in an: x Ocean Erodible Area . High Hazard Flood Area Inlet Hazard Area
Property Owner: i (.;:cS °� J
•
Property Address: 4 i L- . S H`=(4 E �j v r� L i i Y
Date Lot Was Platted:
This notice is intended to make you,the applicant, aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area, which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the
development can be issued. vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance,and the
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations are designed to minimize, but not the LPO will inform you that you may begin work. Substantial
eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be re-measured.Also,
the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement
Environmental Concern include th'e condition that structures be of the setback. It is important that you check with the LPO
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. The structure(s) must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing,
imminently threatened, and in any case upon its collapse or permit renewal can be authorized. It is unlawful to continue
subsidence. work after permit expiration.
The best available information,as accepted by the Coastal For more Information,contact:
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is J)IJ R /L
located is feet per year.
Local Permit Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
NC DENR
Studies also indicate that the shoreline could move as much as
feet landward in a major storm. Div. of Coastal Management
127 Cardinal Drive Ext.
The flood waters in a major storm are predicted to be about Wilmington, NC 28405-3845
feet deep in this area.
Preferred oceanfront protection measures are beach nourishment 9/e) ?,p6
and relocation of threatened structures. Hard erosion control 7 7
structures such as bulkheads,seawalls,revetments,groins,jetties Phon Number
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signature,the plication will not be complete.
Property Ow er Signature Date
Revised May 2010

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_ .. _

i
C.cc R/W 6, j
Q�
a VP,' z---
AD z
ce
SITE z
SH DR VE -J.
_, SHORE DRIVE 3
V ATLANTIC OCEAN
60' PUBLIC R/W
VICINITY MAP: NTS
S53°40'25'W 149.91 EIR S53'40'25'W SIRB S53°40'25'W O EIR
1/ 50.00 49,89 R/W
EIR 5,0
r - - ' 12.2
(U
O
(U
''',--5.2
o
LOT 9 0
8308 SF
MB 3, PG 45 w
0 O
o V-
a 0
M (U
tD
(•)
14.0 to
`D 5.0
O. 8.8 BRENDA JOY SMITH
HARRY 0 SNELSON .1- -t 3a.s-rt
DB 964, PG 280 Cuo DB 3511, PG 130
o 'o
z Iv
1
34.5
3 6' DECK ��
7.2
SIR. SIR NOTES
co 1. This plot plan is of an
Uj .. existing parcel of land.
LEGEND: (" COCO 2. Subject to restrictive
covenants,easements of
.1/2'SET IRON ROD,SIR - __L__ IL
I record,zoning ordinance,&
0-EXSTING IRON ROD,EIR CAMA LINE Underground utilities,if any.
0-EXISTING IRON PIPE.EP
P-PINCHED PIPE 3. No title search by surveyor.
D-PIPE OR ROD DISTURBED
0-NO POINT SET 4. References;MB 3,PO 45
EP-EDGE OF PAVEMENT
EPK-EGSTING PKNAIL 5. Flood Zone-VE
CC-CONTROL CORNER Community Panel#370186 4245K
AB-ABOVE GROUND
BG-BELOW GROUND 8. Zone-R-5-SURF CITY
C/L-CENTER UNE Setbacks:
RAN-RIGHT OF WAY APPROXIMATE Front-7.5'Ocean Front
RWM•RIGHT OF WAY MOMUMENT Side-7.5'
PP-POWEAMWTY POLE HIGH WATER LINE Rear-21Y
NORTH CAROUNA ATLANTIC OCEAN
ONSLOW COUNTY
I,WESTON LYALL,CERTIFY THAT THIS PLAT WAS DRAWN kk AA
UNDER MY SUPERVISION AND FROM AN ACTUAL SURVEYtl i l
BUT PER DEED BOOK 2022 PAGE 98;THAT THIS PLAT WAS 30 1 30 �
NOT PREPARED IN ACCORDANCE WITH G.S.47-30 AS
AMENDED.WITNESS MY ORIGINAL SIGNATURE, GRAPHIC SCALE
REGISTRATION NUMBER AND SEAL THIS♦Tt1 DAY OF MARCH,A.D.2010. %%%%1%1/11/1144. SURVEY FOR 9 2012
..',cN CARO ••,
••+ ice.
0,,o Ess/°,V,yz. E J COSANS
, SEAL 1 3 LOT 9 N SHORE DRIVE
L-4438 ,I 3 SURF CITY 81
i °tiy1,p pry`. SCALE:1,_3O SURF CITY,NC MARCH 22 20t4
Grp 3 u ' TON 1-,;P�r
WESTON LYALL, PE, PLS, PLLC
WESTON LYALL 214 HIGHWAY 17N SURE 1
REGISTRATION NUMBER L4438 HOLLY RIDGE,NC 28445
PHONE:[phone] FIRM LICENSE#P-0937
STRUCTURAL&CIVIL ENGINEERING&LAND SURVEYING

Receipts for
•
Certified Mail
(Staple Here)
•
Da
/,//=e_e y c' S ‘LCiZ..SC:�'l>
Adjacent Property Owner i
M,111�9 ', 2�.
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I,4.f } have applied for a CAMA Minor
Property Owner
Permit on my property at
l ill: .l i2t' � 2‘obC'f (r7/ ,in PenderlOnslow
Property Address
County. As required by CAMA regulations,I have enclosed a copy of my permit application and project
drawing(s)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
contact me at '`7 a°—‘/`l _D U ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dal,Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington,NC 28405
Sincerely,
-. �/ 7/
Property Owner
4/6 AJ
Mailing Address
City,State,Zip Code

Receipts for
Certified Mail
(Staple Here)
_ c.l J/am r t l (
cd c7 nt`P Tpert chc-!1-t toLA-0 A l 1 7 ,lc,( S 66—‘41 5 S i C z/ 5`
Mailing Address
City,State,Zip Code
Dear Adjacent Property,
This letter is to inform you that I, -.1L '- ?A Ai' have applied for a CAMA Minor
Property Owner
Permit on my property at lit C' fkj E`' ,irtiertOnelow
Property Address •
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project.No action is required from you or you may sign and return
the enclosed no objectionti form.If you have any questions or comments about my proposed project,please
contact me at ' T``' ()' ' ' ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to;
Jason Dail,Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington,NC 28405
Sincerely,
Property Owner
Matting Address
4r T`j L C. z`7i44
City,State,Zip Code .
RECEIVED
DEC 19 2012
0CM Vi Lt lie' s CA NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to !1 j
(Name of Property Owner)
property located at /4 I( N( . -G
Address,Lot,Block,Road,etc.)
on , , i � .mot-G �t "- , in t:f-- C. ( r , N.C.
(Waterbody) (Town andlor County)
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)
Signature
Print or Type Name
Telephone Number
Date

SENDER: COMPLETE THIS SECTION. COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete ignature
item 4 if Restricted Delivery is desired. ❑Agent
• Print your name and address on the reverse A 0 Addressee
so that we can return the card to you.
• Attach this card to the back of the mailpiece, ?..teceived‘kCed
Name) C. Dateof Delivery
or on the front if space permits. ��
D. Is deity address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
�t� 3. Service Type
1r ; ❑Certified Mail ❑Express Mail
l `2 0 Registered 0 Return Receipt for Merchandise
e l 2 C ❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7 010 1870 0003 6340 4761
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete Items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse x G' -�� - 0 Agent
so that we can return the card to you. < ❑Addressee
■ Attach this card to the back of the mailpiece, B. Received by(�_ n Date of Delivery
or on the front if space permits. /��t/c-E C .:I
1. Article Addressed to: D. Is delivery address different from Item 1 .3 YA3
If YES,enter delivery,address below: No
gJ (TOz �..
z___/...., Kt ,,� ) � T\y uo
l`G ( -i-1 ' 3. Service Type Aak
�� 2( � ❑Certified Mail ❑Express Mail
,� J ❑Registered 0 Retum Receipt for Merchandise
6 Kazyws, c2G W` 2q(,C,f ❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service/abe/) 7010 1870 0003 6340 4778
PS Form 3811,February 2004 Domestic Return Receipt
102595-02-M-1540

•
U� i3ARTMENTOFHOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Procram Important Read the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION Vonurance CompanUseAl. Building Owners Name EJ COSANS olicyNumber
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Compailumber
416 N.SHORE DRIVE
City SURF CITY State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat. Long. Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 1250 sq ft a) Square footage of attached garage 0 sq ft
b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? El Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2.County Name 83.State 1
TOWN OF SURF CITY 370186 PENDER NC
B4. Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
3720424500 K Date Effective/Revised Date Zone(s) AO,use base flood depth)
11/3/05 2/16/07 VE 14.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.
® FIS Profile ❑ FIRM ❑ Community Determined ❑ Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones A1-A30,AE,AN,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized N/A Vertical Datum N/A
Conversion/Comments NAVD88 GEOID 03,VRS RTK GPS
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor)15.6 ®feet ❑meters(Puerto Rico only)
b) Top of the next higher floor 19.9 ®feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) 18.3 ❑feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) N.A ®feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 19.9 ®feet ❑meters(Puerto Rico only)
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 15.6 ®feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 17.2 ®feet ❑meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N.A ❑feet ❑meters(Puerto Rico only)
structural support
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information. /certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ,,,0`01.1111p00,,,_
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a `��••�'�N CAOO,f/�/o`oo
licensed land surveyor? ❑ Yes ® No ON,
Certifier's Name WESTON LYALL License Number L-4438
o
Title OWNER Company Name WESTON LYALL, PE,PLS ' • - 3k� Q
2. O e
Address 214 HWY 17 SUITE 1 City HOLLY RIDGE State NC ZIP Code 28445 �'eo •°'y�SURD •04"�
Signature ) / 4V
Date 3/23/12 Telephone [phone]a'B."'BB,,nsT0Ne- npTFEMA Form 81-31, Mar 09 4,R See reverse side for continuation. Replaces all previous editions

1
- (MP.OF+.TAN : In these spaces, copy the corresponding information from Section A. NOti tii'aace Company Use:
Building Stre t Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. PWcy Niiiiitier
416 N.SHO DRIVE e:
City SURF C TY State NC ZIP Code 28445 a'Company.NAIC Number
1 SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sidbs of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner.
Comments C2e. IS THE WOOD STAND THE A/C UNIT IS RESTING ON.
THE OCEAN SIDE DOES NOT HAVE AN ENCLOSURE.THE REAR WALL(STREET SIDE)AND PORTIONS OF THE SIDE WALLS OF THE RESIDENCE
HAVE 1/4"HARDY BOARD AS A PERIMETER SKIRTING. THE HARDY BOARD FOR THE PERIME i ER WALLS IS CONSIDERED A BREAK-AWAY
WALL.
THIS CERTIF CATE IS RE FROM 3/14/12
Signature /Z Date 3/23/12
�tq ❑ Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AC)and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Items El-E4, use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters.
El. Provide levation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade( AG)and the lowest adjacent grade(LAG).
a)Top f bottom floor(including basement,crawispace,or enclosure)is 0 feet ❑meters ❑above or 0 below the HAG.
b)Top bottom floor(including basement,crawlspace,or enclosure)is ❑feet El meters ❑above or❑ below the LAG.
E2. For Buil ing Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevati n C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is . ❑feet ❑meters ❑ above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is . ❑feet ❑meters ❑above or❑below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes El No ❑ Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO m fist sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Ownetr's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),
and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9.
Gl. ❑ The in'ormation in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is autl-orized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3. ❑ The fo lowing information(Items G4-G9)is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
i
G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement
G8. Elevation o'as-built lowest floor(including basement)of the building: . El feet ❑meters(PR)Datum
G9_ BFE or(in Zone AO)depth of flooding at the building site: . ❑feet ❑meters(PR)Datum
G10.Community's design flood elevation ❑feet ❑meters(PR)Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑Check here if attachments
FEMA Form 81I 31, Mar 09 Replaces all previous editions

• 0
•
Michael C. Gallant PE, PA
Engineering/Consulting/Design
Jason Dail
Field Representative
NC Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405
Re:CAMA Minor Permit-416 North Shore Dr.,Surf City, NC, Cosans Residence
December 14,2012
Dear Jason,
Please find enclosed the following documents:
• A check for$100 for the minor permit fee.
• A completed application.
• A completed Agent Authorization Form.
• A completed AEC Hazard Form
• A copy of the adjoiner's notification and proof of delivery(2 adjoiners).
• Two copies of the plans for the permit.
• A copy of the most recent survey.
• A copy of the most recent elevation certificate.
This application requests additional deck area in the 60' set back. This deck area will be unattached to
the existing structure. No increase in impervious surfaces is proposed in this application.
If you have any questions please feel free to call me at 910.448.1046.
Sincerely,
(Ai
Michael C. Gallant, PE
[e-mail]
tel [phone]
P.O. Box 4039
Surf City, NC 28445

ERNEST J COSANS 321
VIRGINIA M COSANS
PO BOX 701 60.1/313
149 MONTANESCA-LAf3E 1,--- /q 7 e t C�/Z 310
MT POCONO,PA 18344-0701 Date
Pay to the d' '
,Oder of NC l)I / " `R 1 $ / `�
Dollars e' o::9L'en
MO..
Q PN CBANK
PNC Ban.,N.A. 030 c_! _�
Northeast PA
(
Noland Clarke