SC16_16-09_ Holt

Issued by WiRO SC16-09
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
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 Jeff Holt authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC) at 9113
Ninth Street, in Surf City, Onslow County as requested in the permittee's application package, dated March 29, 2016,
and received by DCM on April 4, 2016. This permit, issued on April 19, 2016, 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 with amenities and utilities.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by DCM on April 4, 2016.
(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. This permit must be on the project Jason Dal
site and accessible to the permit officer when the project is inspected for CA A LOCAL PERMIT OFFICIAL
compliance. Any maintenance work or project modification not covered under
this permit,require further written permit approval.All work must cease when this RECEIVED 127 Cardinal Drive Extension
permit expires on: DCM WILMINGTON, NC Wilmington, NC 28405-3845
December31,2019 APR 2 7 2016AA-0,(1\tie (5
In issuingthis permit it is agreed that this project is consistent with the local Land X `�

Name: Jeff Holt
Minor Permit#SC16-09
Date: April 19, 2016
Page 2
(5) All buildings/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.
(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) 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 and/or canal. This area shall be immediately vegetatively
stabilized, and must remain in a vegetated state.
(8) No structures shall be located within 30' of the normal high water line, including but not limited to concrete slabs,
stepping stones, roof covers, accessory buildings, pump houses,etc.
(9) 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.
(10) If a court of competent jurisdiction determines that a party other than the permittee has legal title to any part of the
area approved for development under this permit, this permit shall be null and void as to the area the court
determines is not owned by the permittee. This condition shall take effect on the date such court judgment becomes
final. In such event, the permittee shall consult DCM prior to initiating or continuing any further development under
this permit
(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.
4-41 (1P - ci,.__D, /.....„(
SIGNATURE::X DATE:
E T E
RECEIVED
DCM WILMINGTON,NC
APR 2 7 2016

e'f
Locality 5j ,c
v C1' r Permit Numb'G/v —
Ocean Hazard Estuarine Shoreline X ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name 1-{-c-c M��t
Address .� 1 oj< 51
City-Pine. Lei\i.J( State L Zip 215(oZ Phone lP •( 25 ,9
Email \P-c- Cv,k ic- O W p(o66(As a n-e,A
AUTHORIZED AGENT
Name Ws-tun Lyo 1-PE I TL3
Address 214 US `--tIlr\ N
City 171\ i Ray_ State Zip2M4 7Phone Ito•321 • l9 l
Email vo S-tn WeS1D LJI. 03nr)
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
°1 113 c-11" S x City, NC- 21445
ok4j. lkl Onslow Count (Cancd) +� S
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) ii.Ip d Sl nje,
e
C�rn� h feSv d-ence ; see ,nuucred Piz -F16 iycvel dnve�G��
SIZE OF LOT/PARCEL: CI )(Q5 Lo square feet ,22 acres
PROPOSED USE: Residential (h. (Single-family VI 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 HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: NIA 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: 6069 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(Djj►►��t�
�)Tf1 ..,, ✓ DCM WILMINGTON,NC

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)
Van owner or record title,Title is vested in name of 1G1Uj SPA(e j She(,( {
see Deed Book 34 2 Z page 13 ( in the VY1S1 v(,) 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)
(1) LLU3.b,LL 115 9t" s- re-et, C;-41 N
(2) Sr tilq ►✓ICk(cick M4_C_c t,' 9111 ' N C-
(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 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 26:
I-rIn day of March , 20 (.0
Landowner o pers 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 administrativegg*ED
DCM WILMINGTON, NC

PAT MCCRORY
rimemnr
DONALD R. VAN DER VAART
Se,reran
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
Director
April 20, 2016
Mr. Jeff Holt
PO Box 518
Pine Level, NC 27568
Dear Mr. Holt:
Attached is CAMA Minor Development Permit# SC 16-09, for work to be done at 9113 Ninth
Street., in Surf City, Onslow County. A copy has been sent to the Town Inspections
Department, and to your agent, Weston Lyall.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Retain the orange 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,
Shaun K. Simpson
Permit Support Technician
Enclosures
Cc: WiRO file
SC Inspections Dept.
Weston Lyall, Agent
State of North Carolina I Environmental Quality Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

NOTICIF
CAMA PERMIT
APPLIED FOR
PROJEClPPII cant proposes to construct a single-
f. ' - • • _ _ • I _ -
• ► ► • • ,, •
•
Ill I Mi I i a I a a a� - - - • - , - ' , - - • ,
COMMENTS ACCEPTED THROUGH April 16, 2016
APPLICANT: FOR MORE DETAILS CONTACT
----N\ THE LOCAL PERMIT OFFICER BELOW:
Jeff Holt NC Div. of Coastal Management
PO Box 518 127 Cardinal Dr. Ext.
Pine Level, NC 27568 Wilmington, NC 28405
) ....% Jason Dail, Field Representative
gent• Weston L7a11��10�-3Z6 9a61
910-796-7221

March 29, 2015
To: North Carolina Division of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 28405
Subject: 9113 9th Street, Surf City NC 28445
The purpose of this letter is to notify the North Carolina Division of Coastal Management of
the proposed single-family residence to be built at 9113 9th Street, Surf City, Onslow County.
The property owners are Jeff& Sherri Holt, who can be contacted at(919) 625-9115. Please
see the enclosed CAMA Minor Permit Application as well as the preliminary plot plan for
the proposed dimensions and location of the project.
Thank you,
Weston Lyall, PE, PLS, PLLC
RECEIVED
ncro wu r,AIM( rrNi Mr

CURVE TABLE R/WSITE
Cl R=60.00' T=31.73' L=58.38' CB=S55.18'58'E CH=56.10'
C2 R=60.00' T=14.68' L=28,80' CB=S13'41'43'E CH=28.52'
yd'0Nili,, 11111 9�y�, coic�05,
p�‘N.
9TH STREET % � s `
60' RIGHT-OF-WAY �% #‘J6.
( IC4 0
VICINITY MAP: NTS
R/W
(oG)
�S 2 'AU<`''' 3
et 3 ,c' \/ CC 1> , QP�'ui �v
ASIR �4 S�tx �r \'
EIPD : WM 3 A Q- ��O\��O�<O
/ EI=i Q
'- l5
/ e O, c,It0 r----- IMPERVIOUS CALCULATIONS
/ OP v ' 1 LOT-9,656.9 SF (0.22 AC)
/ 2 P I _ (INCL. 12" ROOF OVERHANG) - 1,976 SF
/ Off- c -�Q(�, 10, +10_5' GRAVEL DRIVEWAY 0 SF
/ / ' `l�2 '(ZP 8' CDV. PORCH TOTAL- 1,976 SF
�/ � Dk' �� 'yti' I AREA IN 75'AEC: 659 SF
/ 'SI OQ O� 1 PROPOSED c&I (NOT INCL. UNCOVERED STAIRS)
O �O O m 1 RESIDENCE IMPERVIOUS COVERAGE:
/ G� +n 1 36'x32' a 1,976/9,656.9 - 20.4%
O O�� i
r.� ,�, P — --t—_ _._._..—_75' AEC ,�_
W
'CZ‘‘/
Cu al - NOTES -
1 36' . a
0
fi �
1 10' C[]V. PORCH 0 1. This plot plan is of an
- LEGEND - ` it = existing parcel of land.
SIR - 1/2" Set Iron Rod i 2. Subject to restrictive
EIR - Existing Iron Rod 1 4 LOT 70 covenants,easements of
EIP - Existing Iron Pipe i 0.22 AC record,zoning ordinance, &
D - Disturbed --I----'---- -_ __L_�
I 30' AEC underground utilities, if any.
CP Calculated Point 1
R/W- Right-of-Way 1 3. No title search by surveyor.
MBL- Minimum Building Line L--_1 20' MEL 4. References; MB 11, PG 3
WM -WATER METER i wM DB 3422, PG 731
EB- ELECTRIC BOX • BULKFIEAD •EB 5. Flood Zone-AE
Community Panel#370186 4245 K
V N34'57'03'ti/ 72.41' — 6. Zone-MHS-SURF CITY
I Setbacks:
Front- 15' RECEIVED
f vTfsTTAfr inTco 0 nnru Side-7.5' DCM WILMINGTON,NC

STORMWATER CONTROL CALCULATIONS 9TH STREET
FOR 1,5"OF RAINFALL IN 24 HOURS 60' RIGHT-OF-WAY >Wa cR
TOTAL DRIVEWAY IMPERVIOUS= 0 SF
TOTAL HOUSE IMPERVIOUS = 1.976 SF `g, Mom.;,._.;
TOTAL IMPERVIOUS = 1,976 SF
I 'VOLf' COV. PORCH
fiiaM;:
UME1.5" RAININ24HOURS B jC & �� RESIDENCe"8
1,976 SF/8= 247.0 CF DRARINBED , PROPOSED ORARINBED
/ EESDENCE
BED VOLUME I V-36'x32'
247.0 CF/40% VOID SPACE IN STONE = 617.5 CF // =
/ / 6��
/ , ,
BED SIZE .., 10 PORCH. ; : 5
(2) 2.25'D x 3'W x 48'L= 324 CF EACH d �rr/rrrr�
648 CF PROVIDED I H
617.5 CF REQUIRED I
/ zti LOT 70
1 ,1:1I 0.22 AC
NOTE: STORMWATER TO BE COLLECTED BY GUTTER / I
FROM ROOF WATER ON DWELLING, ROUTE TO DRAIN / 1
BED AT NEAREST POINT. PROVIDE SOLID PIPE UNDER L I 2o, MBl J
ANY DRIVEWAY CROSS-OVER AREAS I
A=3' • BULK EAD
DRAINBED SECTION B=1'-.9'6"
C=z N3{5,o3`� 70.,, .2
NOT TO SCALE D=6" DOWN SPOUT DETAIL
L=48'TOTAL 3" DOWN SPOUT
6" DIA. HDPE ALLOW CORRUGATED
PERFORATED PIPE PIPE TO OVERLAP CORRUGATED
; ^ DOWN SPOUT 6" PIPE
Y'''`'� • r` `, LINE BED WITH ALL DOWN SPOUTS -__
r",, , CONNECTED TO 6 =_
�' �.te" :. FILTER FABRIC _
• CORRUGATED _
PLASTIC PIPE
A.
#57 STONE BED `
WESTON LYALL, P.E. .�4�� tiWitfis''°e'90
`' ii S, r
WESTON LYALL, PE, PLS, PLLC ti' _ ��`'
HOLT RESIDENCE 214 HIGHWAY 17 N. SUITE 1 �' .� :
9113 9TH STREET '
HOLLY RIDGE, NC 28445 , �� _
SURF CITY, NC 910-329-9961 FIRM# P-0937 r 1
1 `,‘ ,v v t
STRUCTURAL ENGINEERING '', ; 7- \-;w°k'�,
STORMWATER PLAN CIVIL ENGINEERING •,i,,;►,,1%
LAND SURVEYING SHEET:
1 OF 1
DATE: I SCALE: DRAWN BY: FILEIR D
2/8/2016 NOT TO SCALE WFS , , ,T rNlFF n A/r

— — R/W
CURVE TABLE SITE
Cl R=60.00' T=31.73' L=58.38' CB=S55'18'58'E CH=56.10' .
C2 R=60.00' T=14.68' L=28.80' CB=S13'41'43'E CH=28.52'
1.
otio,�, `�, 9TH STREET -4 ,.. S ,s� `o. �
60' RIGHT-OF-WAY ‘. 4641'
¢S4EQ
0iTf0p0Se_d �X g VICINITY ° NTS
�I'QGed plleS R/W
i _paced S' belt , (0�
O�V erctG�2 o f •4 . �� �Q �2�
W
cY 3Q QG�Z Q P VQ'
w \. tad`' QP
q> "SIR cDie c,Q Co3� �•�,,
• EIPD C WM Q Q�Q\ �Q�QQ`-
Cl. c��c.�QCv��Q�
/ i EI i
/ �`�
sZ' .(j g�no' -- ry IMPERVIOUS CALCULATIONS
J <3' U �<, j � LOT-9,656.9 SF (0.22 AC)
v S 2 ‹Z 1 (INCL. 12"ROOF OVERHANG) - 1,976 SF
v�� �� V�, i_- ' _ .___ - - - - 0,5 GRAVEL DRIVEWAY-0-SF
�`v O / I 8' COV. PORCH
�1k1 c �v D•� QP 1 TOTAL- 1,976 SF
V 4� Ol, �.. �"y' + I I
v i
,� QQ Q�- iu AREA INN AEC: 659 R
/ PROPOSED cn (NOT INCL. UNCOVERED STAIRS)
/
�~� 4) w i RESIDENCE IMPERVIOUS COVERAGE:
Z�c /` �. �f+ y- 36'x32' 0 1,976/9,656.9 = 20.4%
c, �' __-75' AEC
Q ' -4 I i
P�foQoeci A i
land ins M �+ 36' o - NOTES -
` '"� iu r:I i 10' COV. PORCH , U, o
- LEGEND - afr�S ` ,' .,- - - . __ ^ g 1. This plot plan is of an
N existing parcel of land.
SIR - 1/2"Set Iron Rod + ; 2. Subject to restrictive
EIR Existing Iron Rod I a
I LOT 70 covenants,easements of
EIP - Existing Iron Pipe I Int 0.22 AC record,zoning ordinance, &
D Disturbed ___r`-30' AEC ___L underground utilities, if any.
ICP - Calculated Point
R/W- Right-of-Way it 3. No title search by surveyor.
MBL- Minimum Building Line L ..j 20' MBL J 4. References; MB 11, PG 3
WM -WATER METER wM - DB 3422, PG 731
EB- ELECTRIC BOX ■ BULK!'-LEAD :EB 5. Flood Zone-AE
Community Panel#370186 4245 K
�R` N34'57'03'W 72.41' e- 6. Zone-MHS-SURF CITY
t\1�,1 L to cGc+e� Setbacks:
Front- 15' RECEIVED
(a' hull(h r-r rr.i crr-c, 4 nnrr: ►� Side-7,5' DCM WILMINGTON, NC

Receipts for
Certified Mail
(Staple Here)
-
-2� l-a-AU
ate
LLB b, LL
Adjacent Property Owner
�Ool NLi�1�WG��( 2t0
Mail't�g Ai ress C (�PY
��v,�,etd, NL `►5��
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, J� C have applied for a CAMA Minor
G}{ Property Owner
Permit on my property at` l 113 1 5 ee-il 5o(-c C,I j, N �-- ,in s0/...;
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 67119 'LPZ7 'ci l( ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program,you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE,ZIP CODE
Sincerely,
e-c-c 4'1olt
Property Owner
&x 51
Mailing Address
ink Leu2l, Mc 215Lc6
City, State,Zip Code
RECEIVED
DCM WILMINGTON,NC

U. . Postal Service '
CERTIFIED MAIL® clECEIPT
O Domestic Mail Only
r
• For delivery information,visit our website at www.usps.com
S " it" tf 1275i,74 /9 e; E
g4...
1..1 Certified Mail Fee $3.4, 0445
Extra Services&Fees(check box,add fee I• 0, te) 08
0 Return Receipt(hardcopy) $ ..1 1
,_,
3 u Return Receipt(electronic) $ 110.00 Postmark
3 0 Certified Mall Restricted Delivery $ $O_go Here
3 0 Adult Signature Required $ VIM
[]Adult Signature Restricted Delivery$
3 Postage
n $0.49
✓ $i Total Postage and FfeyS 03/29/2016
$6.94
s
n Sent To
q
3 gtreet and Apt.No.,or Pb Box No.
City,State,ZIP+44

JCI 1111CV 1111011 DUI 11I14C FJ1 UVIU120 LIM wIwmr Iy LJCI IGI 110.
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery onattempted 6 return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service- -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
rnportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail°,First-Class Package Service°, available at retail).
or Priority Mail°service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of agr
international mail. • and provides delivery to the addressee specified
Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the ' ■To ensure that your Certified Mail receipt Is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.1f'yoU would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
F,.,m nano n...,i or..to...,o0u,F„t 0 ,

Receipts for
Certified Mail
(Staple Here)
3-Z9-201 LP
Date
f\flTh n1/4-1 5rnf+h +MArCICi Mc,Cc6 n
Ad1'acent P,{operty Owner
VC, l3os
Mailing Addres�s
l_GtSt ,send,NL 2101 C P Y
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, J ec-C have applied for a CAMA Minor
2 Property Owner
Permit on my property at `13 ee1, va-c Cik'- 1 1C , in COUNTY
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
I
contact me at ��" (DZ:/•C 1`rj ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program,you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE,ZIP CODE
Sincerely,
TY �-\cIt
Property Owner
Mailing Address
Pkn.e. Levi , C Zf15L98'
City, State,Zip Code
RECEIVED
DCM WILMINGTON,NC

I. . "os a ervice
CERTIFIED MAIL® RECEIPT
3 Domestic Mail Only
• For delivery information,visit our website at www.usps.com°.
EASTIBFRD noi rola
3
J Certified Mail Fee
$3.45 0445
a
os
Extra Services&Fees(check box,add fee an23041h(te)
Return Receipt(hardcopy) $ $U-U0
Return Receipt(electronic) $ $0 00 Postmark
30 Certified Mall Restricted Delivery $ $0.00 Here
3 0 Adult Signature Required
$0.00D Aduk Signature Restricted Delivery$
] Postage
$0.49
Total Postage and Fees 03/29/2016
$1
$3.94
Sent To
3 Street andApt No.,or Pb Box N.
City,State,ZIP+44

/GI LIII64 IVIQII 0G11VIL.G 1./IVVIYGO 1111G IVIIVAII IV WWI 1G11W.
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipients retail associate.
signature)that is retained by the Postal Service'" -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
nportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mailu,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of ag
international mail. and provides delivery to the addressee specified
Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the . ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear s
certain Priority Mail items. USPS postmark If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipients signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.

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
N/4 Label highways right-of-ways
Label local setback lines
✓ Label any and all structures and driveways currently existing on property
Label adjacent waterbody OW A L,/ GPI
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:
Draw and label dune ridges(include spot elevations)
Draw and label toe of dunes
Identify and locate first line of stable vegetation(contact LPO for assistance)
Draw and label erosion setback line(contact LPO for assistance)
Draw and label topographical features(optional)
If you will be working in a coastal shoreline area:
✓ Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
t4/A 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
Note size of piling and depth to be placed in ground
/Draw and label all areas to be paved or graveled
✓Show all areas to be disturbed
./Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application?
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner)
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections RCEIVED
DCM W EMIINGTON.NCB
APR 0 4 2016

DENR CAMA Daily Check Log for WIRO ,
Date
Date Deposite Check Receipt or
Received d Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Reallocated
3/17/2016 3/21/2016 Brian Forehand&Mollie Garrett Bnan Forehand 'South State Bank 2001 $2,000.00 express fee,2103 Washington Ac.Rd.Hamp/PNJD rot 1746D
3/172016 3/21/2016 Teri Pippin/Pippin Marine Construction LLC Gary Lynch Wells Fargo 3694 $400.00 GP 66369D RM rct.1482D
3/182016 3212016 John&Mary Richardson same B of A 4741 $200.00 GP 66367D SF rct.1626D
3/18/2016 3/21/2016 Peter Mueller Edward Hathaway B of A 5025 $200.00 GP 66346D JD rct.17450
3/1t12016 3/21/2016 Brently 8 Sherrie Turner same Wells Fargo 6740403431 $100.00 minor fee,Lot 4 Chestnut St.at NTB Ons JD rct.1747D
3/18/2016'3/212016 JRW/RDW Inc Louise Mengel First Bank 1026 $400.00 GP 66365D SF rot.1625D
3212016 3242016 Charles Walters,Jr. same BB 8T 8125 $250.00 major fee,9197 Schuyler Drive,Calabash BrCo SF rct.1628D
3/21/2016 3/242016 F 8 S Marine Contractors Inc Richard&Laura Fisher PNC Bank 5239 $200.00 GP 66372D RM rct 1483D
3212016 3/24/2016 F&S Marine Contractors Inc Dennis Farrell PNC Bank 5194 $450.00 GP 66371D(g$600 RM rd.1483D
3/21/2016 3242016 F&S Marine Contractors Inc Dennis Farrell PNC Bank 5198 $150.00 _RM rd.1483D
3/22/2016 3/24/2016 Town of Carolina Beach same BB 8T 66194 $100.00 minor fee,CB 16-03 RM rct.1484D
323/2016 3242016 Mike Gallant/ANA Builders Inc Mo Afify TD Bank 7823 $100.00 minro fee,9 Hunter Heath NTH Ons JD rd.1749D
3/23/2016 3/24/2016 Richard or Erica Penny same USAA Federal Savings Bank 782 8200.00 GP 66370D JD rot.1748D
323/2016 3/24/2016 Antinori Construction Inc _ Ed Ball B of A 4163 $200.00 GP 66307D JD rct.1754D
3242016 329/2016 Proper Building Group Inc Ed Hill _ First Citizens Bank 1829 $100.00 minor fee,Lot 4 Majestic Oaks,Hampstead PN JD rd.1580D
3/24/2016 3292016 Bradford Stevens same NC SECU 1037 $200.00 GP 64727D SF rct.1631D
3/24/2016 3/29/2016 Rhonda Wooten/Town of Holden Beach same BB 8T 28499 $400.00 GP 66360D SF rd.1629D
3/25/2016 3292016 Mike Conard/Coastal Marine Construction Inc Michael McDaniel First Bank 10169 $200.00 GP 66380D JD rot.1750D
3252016 3/29/2016 Chris Connaway/Connaway Marine Construction Georgia Rasmussen B of A 1223 $200.00 GP 66381D HS rd.1521D
3/28/2016 3/292016 Rock Solid Construction Linda Piccirillo CresCom Bank 1527 $200.00 GP 663830 SF rd.1633D
3/28/2016 329/2016 Adam Knierim/Maritech LLC 1Steven Matthews B of A 2142 8250.00 major fee,223 Florida Ave,CB NHCo Ea$400 RM rot.1485D
328/2016 3/292016 Adam Knierim/Maritech LLC _ Steven Matthews B of A 2143 $150.00 major fee,223 Florida Ave,CB NHCo fa$400 RM rd.1485D
328/2016 3/29/2016 Brandon Grimes/money order 'Eric Cassidy Wells Fargo 17-335655485 $200.00 GP 66391 D JD rd.1576D
3/28/2016 3/29/2016 Jerry Ennett/Antinori Construction Inc Chris Barnhill B of A 4165 $200.00 GP 66297D JD rot.1755D
329/2016 Jimmy North/Coastal Marine Piers Bulkheads LLC Gene Hodges Wells Fargo 20793 $400.00'GP 66393D 0$200 RM rd.1486D
Sterling Kenan GP 66392D 0$200
3292016 Mark Clements/Clements Marine Construction Channel Walk&Shore Line HOA First Citizens Bank 4061 $250 00 major fee,199 Driftwood Court,WB NHCo RM rct.1487D -__ -
3/30/2016 Nicholas Nixon III same BB&T 4462 $400.00 major fee,115&125 Hollis Lane,Wilm NHCo 'RM rct.1489D
3/30/2016 Donnie Reid/Reid 8 Cook Builders LLC John&Jan Best B of A 1628 $100 00 minor fee,409 S.Anderson Blvd.,TB PN JD rot.1577D
3/30/2016 Jerry Ennett/Antinori Construction Inc Will Russell B of A 4164 $200.00GP 66298D JD rd.1756D
3/302016 Chris Gibson/TI Coastal Services Mallard Bey HOA Coming Federal Credit Union 755 $400.00 GP 66395D JD rot.15790
3/30/2016 Jerome&Joy Kay Timothy D.Cates Branch Banking and Trust 5219 $200.00 GP 66396D JD rot.1578D
3/31/2016 Erich Olsen/Olsen Associates,Inc Village of BHI,Inc. Wells Fargo 2218 $400.00 major fee,Row Boat Row,BHI BrCo HS rel.1523D
3/31/2016 April and D.Page Wilson same Bank of Oak Ridge 3207 $200.00 GP 66382D SF rct 1632D
3/31/2016 S.QuaintanceCarolina Bluewater Construction Boyd&Becky Gasque BB&T 9458 $200.00 GP 66387D SF rct 16340
3/31/2016 Mike Conard/Coastal Marine Construction Inc James Thompson First Bank 30047406 $200.00 GP 66512D RM rd.1490D
3/31/2016 Greg Holden/Holden Docks&Bulkheads 'Mark Hurley CresCom Bank 2521 $400.00 GP 66390D SF rd.1638D
4/12016 Mark Clements/Clements Marine Construction Channel Walk&Shore Une HOA First Citizens Bank 4068 $150 00 major fee,199 Driftwood Court,WB NHCo0$400 RM rd.1491D
4/1/2016 Catherine&Michael Barone same USAA Federal Savings Bank 4093 $200.001GP 66397D JD rd.1581D
4/1/2016 Stephen Conway/Southeastern Coastal Const Co David&Patricia Johnson First Federal 9819 $200.00 GP 66513D RM rd.1492D
4/4/2016 Mark Coley/Carolina Decocrete LLC Mark Coley BB&T 1977 $200.00 GP 66385D RM rct.1636D
4/42016 David Purser/LPM Revenue Share LLC Rick and Kelly Eamhardt BB 8T 1391' $200.00 GP 65116D HS rd.1522D
4/4/2016 Wiliam and Paula Wright/Weston Lyall Jeff Halt USAA Federal Savings Bank 1467 $100.00 minor fee,9113 Ninth St.Surf City Ons JD rd.1582D