SC_16-19_ Evans (2)

/ � 1
Issued by WiRO SC16-19
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Management
g ment
ENVIRONMENTAL QUALITY
as authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission for development in an area of environment
concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area
Management"
Issued to Robert Evans. authorizing development in the Ocean Hazard (AEC) at 1411 N. Shore Drive, in Surf City,
Pender County as requested in the permittee's application, dated July 25, 2016, and received by DCM on August 1,
2016. This permit, issued on August 8, 2016, is subject to compliance with the application and drawing dated and
received by DCM on August 1, 2016 (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: Driveway Installation.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on August 1,2016.
(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, 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
this permit,require further written permit approval,All work must cease when t ' RECEIVECCA A LOCAL PERMIT OFFICIAL
permit expires on: ACM WILPVIINGTON,IgCardinal Drive Extension
December 31,2019 AUG 2 5 201E Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal
Management. PERMITTEE
(Signature required if conditions above apply to permit)

Name: Robert Evans
Minor Permit#SC16-19
Date: August 8, 2016
Page 2 of 3
(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 vegetated and stabilized (planted and
mulched)within 14 days of construction completion.
(6) 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.
(7) Any structure(s) constructed within the Ocean Hazard area 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.
(8) All development shall be located a minimum distance landward of the 60' setback line which is measured from the
First Line of Stable Natural Vegetation (FLSNV).
(9) All buildings 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.
(10) 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: 14 DATE: 3^ Z?
PERMITTEE
RECEIVED
DCM WILMINGTON,NC
AUG 252016

Locality so! Permit Number vC /6 —/
. Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name I`l o be r Cv QYIS
Address 89 le 4 VJt'_S -CC' La-t-11,
City LQ,\"ulo( -1 - State C 0 Zip 80229 Phone — —
Email
AUTHORIZED AGENT
Name e—tri4.6- tC3-6(/terCi
Address vazz) /- cJ 5-0 _ -
City 1/;,./fie l State i e zioNyi phone(pey
Email e F tic4, hew-kw 3 7 a �,2-1
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.)
14'// N, 5Aere fir, :Sur-f C
�q
C
114/1) pie, eeee.w
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) iieri4,04zs 6K/ere4
dtir w ( - -i aii gride or rear c dam)
SIZE OF LOT/ ARCEL: `t 25O square feet acres
PROPOSED USE: Residential [✓r (Single-family Multi-family ❑ ) Commercial/Industrial❑ Other []
COMPLETE EITHER(1)OR(2) BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(I) OCEAN IIAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT ANI)OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc. that arc 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
Stemmata Management Permit issued by the NC Division of Energy, Mineral and Land Resourc s(DEMEI ?IVED
YES___._— NO J LCM WILMINGTON, NC
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: _aqua!!fbM•i i l fi

l
i
OTHER PERMITS MAY BE REQUIRED:The activity you arc planning may require permits other than the CAMA
minor development permit,including,but not limited to: Drinking Water Well,Septic Tank(or other sanitary waste
treatment system), Building, Electrical,Plumbing, Heating and Air Conditioning,Insulation and Energy Conservation,FIA
Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile I Ionic Park Approval,I lighway Connection,and
others.Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
an owner or record title,Title is vested in name of qo her- VQN Sa
see Deed 13ook i3V-7 page a 11 in the Per, r 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:
1 furthermore certify that the following persons arc owners of properties adjoining this property. i affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) 14 i 4 N o (Address)
a1
(I) DCA ViCA C_'31\e1A-2 611�3 tv. S6,ore_Dr) J1413 N • SL,ore_ Dv. Sur C�t�1 nlc- 2-g445
(2) ,Oioe &Ilr'-,arot ( Si,orc Dr) Qet uo cool c_r 54- Hope'e.11 JUhL d ,)Ny 12537
(3) . oberi• gr�,l5ers br) S1-1ar,r-)o,, L�. &cK1 MA' i tJC 20y —
(4) 1.iS\- ca (,fit (141L N Topsail or) 33o3 NL ill 03 H-wy4, A16.er+Son n�.- 2460 2
MRL,kflCC Cunn noJl,arrl (ILI10 .TopsiiI Or 322 -6v-ookshire Lako, Nu a8'-fo5
ACKNOWLEDGEMENTS:
i,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. i acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management stall,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the a;`? day of�d/c ,20/6,
OtieV41 - _.
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 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 derails oldie application as described by these waives are
incorporated without reference in any permit which may be issued. Deviation from these details►rill constitute a violation of
any permi!.Any person developing in an AEC without permit is subject to civil, criminal and adminisirtftlit awn.

PAT MCCRORY
DONALD R. VAN DER VAART
secreIcn '
BRAXTON DAVIS
Coastal Management niecwr
ENVIRONMENTAL QUALITY
August 8, 2016
Mr. Robert Evans
8964 West Liff Lane
Lakewood, CO 80227
Dear Mr. Evans:
Attached is CAMA Minor Development Permit#SC 16-19, for work to be done at 1411 N. Shore
Drive, in Surf City, Pender County. A copy of the permit has been sent to your agent and to the
Town's Inspections Department.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Please retain the orange 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,
Shaun K. Simpson
Permit Support Technicia
Enclosures
Cc: WiRO files
Town of Surf City Inspections Dept.
Derrick Benton, Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

, ciy NOT , 7
..
1 Al
CAMA PERMIT
APPLIED FOR
PROJECT: e e . a * M I _ _ _ - _ m a - • te
dr - , _ _ 4 ► • .. . . . - I _ • _ • to
th _ . - _ I I *
COMMENTS ACCEPTED THROUGH N/A
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Robert Evans NC Div. of Coastal Management
8964 West Liff Lane 127 Cardinal Dr. Extension
Lakewood, CO 80227 Wilmington, NC 28405
> ...:-- Jason Dail, Field Representative
910-796-7221
Agent: Derrick Benton [phone]

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RECEIVED
OCM Vt'I►MINGTCN, NC
AUG 01 2016
5 0

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: i:tfa
1,7
Property Address: !Y// A) (5I7Q/-e So C./
ek/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 the 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 ` / D, -i
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.
N.C. Dept. of Environmental Quality
Studies also indicate that the shoreline could move as much as Division of Coastal Management
feet landward in a major storm. 127 Cardinal Drive Extension
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 (�
and relocation of threatened structures. Hard erosion control / /0 — . — 1-"e,1
structures such as bulkheads,seawalls,revetments,groins,jetties Phone 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 application will not be complete.
RECDCM W L MINiVEl7 QICN, NC
Property Owner Signature Date AUG 01 2016
Revised May 2010

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: . ni-,.pr--1- E ,s
Mailing Address: /y// i(.J Slier P A;
,5 i -1-^ t i`' out._ 01-i ci--
Phone Number: (7ao) 4/v? = 9c? 6 c�
Email Address:
I certify that I have authorized OPr/`l4`� e.��
C ,
A e� ontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: per"il,oa e iv,,re7
ciri/e,/4)411
at my property located at A// Nflt t `:ia✓'e Di, 5c (_ fy ,
in P�°���,C County. `d
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
'416P,-+ r,A.----
Signature
TZe.,6 E �v;9,=t,5
Print or Type Name
Title
07Ia3- I /
Date
This certification is valid through / / RECEIVEDbCM W
AUG 0 Y 2016

. . •osta ervice
CERTIFIED MAIL® RECEIPT
• Domestic Mail Oily
For delivery information,visit our website at www.usps.como.
HO FM,Mr28445
Postage3.c 1 Ii445
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Certified Fee $I I
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Total Postage&Fees 08/01/2016
$3.
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or PO Box No.. i v> 3 A

Receipts for
Certified Mail
_a5---/ (Staple Here)
bate
A jacent Property net
Mailing Ad ress
S u F se k/ NC l'S1
City,State,Zip Codts—
Dear Adjacent Property:
This letter is to inform you that I, J Les- t f4 r have applied for a CAMA Minor
Property Owner
Permit on my property at // S4or' 4, 5y-f G, A-/E',in Pender/Onslow
Property Address r!
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 ('1162 o//7 c000r by mail at the address listed below. If you wish to
plicant'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
Sind
Property Owner
/ y// ,ht,v 4!
Mailing Address
City,State,Zip Code
RECEIVED
J
/14! eTCN, NC.
AUG 01 2016

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Pet E,•t- 2` -„y.
property located at
's
(Name of Property Owner)
jylr Al 7-k L t
i Address, Lot,Block,Road,etc.)
on �r/ w l-r-c in ;SC�.�4' `
(Waterbody) Cr N.C.
(Town andlor Co )
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
REC
bCM l IL R n GTC►+4, NC
AUG 01 2016

I. . •osta ervuce
CERTIFIED MAIL® RECEIPT
✓ Domestic Mail Only
For delivery information,visit our website at www.usps.com®.
HOlitY Wei tICe18445 P e
O $3 0445
T1 Postage MIMI 07
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Postmark
J Return Receipt Fee
Here
(Endorsement Required)
• Restricted Delivery Fee
(Endorsement Required)
$1.3 MEM
r• Total Postage&Fees 1.18/U1 - •
$3.
n Sent To. 4 b,
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tret&Apt.No.,
or PO Box No. /1/4 3 /12 5)-- r
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CA State,ZIPfr4 1.7 oz24/4/5_,_

Receipts for
Certified Mail
(Staple Here)
Kak
Property eo/f efie,
Adjacent
j ce t Owner
yi3 .S -e Wiz,
City, State,Zip Coder
Dear Adjacent Property: \\
This letter is to inform you that I, h�ru-i- Cav e ws have applied fora CAMA Minor
Property Owner
Permit on my property at P{// X), 5hDre ,DQ seirF 4 yP ,in Pender/Onslow
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 6/0) y/7w ,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,
f.W
Property Owner
/yi/ sue-e
Mailing Address
City, State,Zip Code RECEIVED
DCM WlLF.n!Nir?irr,�, N
AUG 01 ?iM

b
FWDAPPLICATION FOR y
CAMA MINOR z
Coastal Management DEVELOPMENT
ENVIRONMENTAL QUALITY
PERMIT
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
border the state's sounds and oceanfront.Along with requiring special care by those who
build and develop,the General Assembly directed the Coastal Resources Commission
(CRC) to implement clear regulations that minimize the burden on the applicant.
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 strai htforward and require no more time or effort than necessary from
the applicant.flee go over this folder with the Local Permit Officer(LPO)for the
locality in which you plan to build to be certain that you understand what information he r"
or she needs be ore you apply.
A
Y
t'
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 -C
process gen'er lly takes about 18 days.You can speed the approval process by making
certain that y ur application is complete and signed,that your drawing meets the
specificatio ` given Inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area.While these '`r
are not CAMA-related,we urge you to check with the Local Permit Officer to determine
47'‘ ::
which of these you may need.A list is included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
RECEIVED Coastal Resources Commission
Division of Coastal Management
AUG o 1 2016
H
RECEIVED cn
tt��l ,~
DCM WILMINGTON, NC
ID cn t[ri
AHI 0 i ?QiF z C7
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DCM Form EB1952-2015/Revised

AMA Daily Check Log for WIRO
Date
Deposite Check Receipt or
•ed d Check From(Name) i Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Reallocated
016i Derrick Benton Robert Evans State Employees CU 1117 $100 00'minorfee 1411 N.Shore Dr SC Pender IJD rct.2507D