SC_17-11_ Warren (2)

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Issued by WiRO SC17-11
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Management
EN v;RONMENTA�
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 Steve Warren authorizing development in the Estuarine Shoreline (AEC) at 4095 4th Street, in Surf City,
Pender County as requested in the permittee's application, dated August 22, 2017, and received by DCM on August 22,
2017. This permit, issued on August 31, 2017, is subject to compliance with the application and drawing dated and
received by DCM on August 22, 2017 (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: Roof expansion (over deck)and pergola.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on August 22, 2017.
(2) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit.
(3) 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 6r
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 C A LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December 31,2020 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 PERMITTEE
Management.
(Signature required if conditions above 414c361t9'9 kiit)

Name: Steve Warren
Minor Permit#SC17-11
Date: August 31, 2017
Page 2 of 3
(4) 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.
(5) 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 vegetated and
stabilized, and must remain in a vegetated state.
(6) All development, unless specifically exempted in this permit, shall be located at least 30' landward of the normal
high water line. In this case, only the proposed 6' x 24' uncovered pergola is permitted within 30 feet of the normal
high water line
(7) This permit does not authorize the excavation or filling of any wetlands, even temporarily.
(8) All 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.
(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.
NOTE: 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.
SIGNATURE:V DATE:
PERMITTEE
RECEIVED
DCM WII MINnT( m MC'

,l� �
Locality V "''" g Permit Numbcr$C /7--I I
Ocean I lazard _ Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER- MAILIN(', I ) hSS,:
��"�I S Name` Hr. NCH'.r en
AddressL1og5 Cut-A( -h 5-rr +
City Sur C i+ci State IV C._ Zip Phone n 10 — ci leLf — a q R-1-
l:mail..7 W$o so* "Air awls
.
AUTHORIZED AGENT
Name 64tf cq,/b,.00-,
Address- 24,( f ,son 4
City /1o)t4 l'State liPhonc '� gs3
���,/
Email_ /€,/iYOh `dr//�t, Cj/'� "l•
(04"
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of-the adjacent waterbody.)
IP 45 Asif& f 51/4e1/ 41
__ _____. 5±/LAtli2 Irl/t.--e-tk__,
DESCRIPTION OF PROJECT: (List:ill proposed construction and land disturbance.)
Atibar --- -
SrIZE OF LOT/PARCEL: square test c . acres �2
PROPOSED USE: Residential r51/ (Single-family Ei Multi-tinnily[] ) Commercial/Industrial[] Other
COMPLETE FATHER(I)OR(2) IWI.O1V(Contact your local Permit Officer if you are not sure which
to your proper(!):
(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 AND OTl ILR IMPERVIOUS OR RUII:I.
UPON SURFACES:; square feet(includes the area of the foundation of all buildings,driveways,covered decks,
` concrete or masonry pa nos,etc. that arc within the applicable AEC.Attach your calculations with the project drawing.)
1 STATE STORMWA'I'ER MANAGEMENT PERMIT: Is the project located in an area subjects Et ,ED
i Stormwatcr Management Permit issued by the NC Division of Energy, Mineral and Land Rive met4wa
YES NO„ IViiiV(a)ON, NC
1 lives.list the total built upon area/impervious surface allowed for your lot or parcel:. AUGscr�ii4e

(Mit ( PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
minot`development permit,including,but not limited to: Drinking Water Well,Septic Tank(or other sanitary waste
treatment system), Building,Electrical,Plumbing, Ideating and Air Conditionring, insulation and Energy Conservation,FlA
Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile I lome Park Approval,I lighway Connection,and
others.('heck 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 fora('AMA 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 Ey��/ �1'Ee� � � Ill 1v frra�?k£ 6_ / -4
30E-Deed Book /etel page_Kr in the-d lvtd 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 arc owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning n intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(I) — -
(2) . -- - -
(3)
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 2�_.__..__. day of ,414. ,20 /!7
Landowner or person 'r "� -------- -----
authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general injnrmalion(this-form), a site drawing as described on the/iaek of/his applyalinll, Ilse
ou'11e1:Sllip siulemenl, the Ocean Hazard AEC Notice where ilecessary, a check far S100.001uade parable to the locality. and
ant'lnjal7nation(IS may be provided orally by the applicant. The details oldie application as described by these souives are
i►zcor crated without l ejerence lit ant'permit which may be issued. /)el'lalion from these details will constitute a Violation llf
air'permit.Any person developing in an AEC without per►nit is subject to civil, criminal a (I udl)1ru Ywlii'G'�rl�i)►11]
DCNI WILMINGTON, NC
AUG 222O17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
1 � Cil' r
Name of Property Owner Requesting Permit: �1 Ir► v,VI iC1
Mailing Address: (..0 A 5 Li J rCCt
Sure C
I.
Phone Number: n O` "lu l`'1' - Qco4
Email Address: Su)Icvot0®y,d . co,,,t
I certify that I have authorized Zit') tib f)
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in Oh f10G4,/ County.
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:
Signature/
Print or Type Name
pc✓wlFr►
Title
Date S lEC -.WED
DCM WILMINGTON, NC
AUG 2 2 2011
This certification is valid through I I

ROY COOPER
Governor
tad
MICHAEL S. REGAN
1 Secretary
Coastal Management
ENVIRONMENTAL IJALITV
BRAXTON DAVIS
Director
August 31, 2017
Steve Warren
4095 Fourth Street
Surf City, NC 28445
Dear Mr. Warren:
Attached is CAMA Minor Development Permit#SC 17-11 for work to be done at 4095 Fourth
Street, in Surf City, Onslow County. An electronic copy of the permit has been sent to the Surf
City Inspections Department and to your agent.
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. Simplon
Permit Support Technician
Enclosures
Cc: WiRO files
NTB Inspection Dept.
Luis Callison -Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

NO'l' ICE
(),c) CAMA PERMIT
PROJECT! 0 construct an arbo
r over an
e " � • • ec at 4095 Fourth 'St., ad acent to
Stump Sound " J
in Surf "
City, Onslow County
COMMENTS ACCEPTED THROUGH
NtA
APPLICANT: FOR MORE DETAILS A
THE LOCAL PERMIT OFFICERCONT CTB ELOW
:
Steve Warren
4095 Fourth Street NC Div. of Coastal Management
rjement
Surf City, NC 28445 127 Cardinal Dr. Ext_
Wilmington, NC 28405
Luis Callison [phone] Jason Dail, Field Representative
SC 17-11 910-796-7425

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RECEIVED lAz
AUG 2 2 2017
DCM WILMINGTON, NC 1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to S ,Q u-Q 4 akSLA
U3CON AA. 's
r? ✓� CC ((Name of Property Owner)
property located at �D(I `t e1� t Stl.JL- ei.... 40)C zx(14-1
l Address, Lot, Block, Road, etc.)
on q S1 O-C1.J'OOeN i n _,W C'k.bA( TI715 6.0 1.Ll(3..1 , N C
1r (Waterbody) (Town and/br County) 1
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)
.Qlt Z. k r l.'yt lSL\
Si n ture rr11
Se,aN 3 , C. � N+e,r
Print or Type Name
°i19 - 11'0 -y32.g
Telephone Number
t "/G --.9df,
Date
E ECTIVED
DCM WILMINGTON, NC
AUG 2 2 2017

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to S 0.2f1C1 (j_ctvl �il\1C0)VA's
iice�`` (Name of Property Owner)
,
property located at �i V q D 1 , S �‘. � L lS L115
Address,3� �4 a Lot, Block, Road, etc.) ''--
on ' S� Co.Nl , in SLA_ � D) S��C ) et U41( , N C.
Waterbody) (Town andlot County) 1
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)
•7 6274V‘e,
if(ture
r ohm 061 8�//OI
Print or Type Name j�
�9`. oe-C/6 93
Telephone Number
• 7/: /02/-)
Date
RECT VED
DCM WILMINGTON, NC
AUG 222017

Receipts for
Certified Mail
(Staple Here)
13 -I
Dale
w x r c n
Adjacent Properly wner
aihn A dress
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Vr I4)It((tr have applied for a CAMA Minor
Property Owner
Permit on my properly atLl(f � W t'Yl ��-fp's'� 1' ,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 Oa) CAULI 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,
tr 1►�Chitin
Py Owner
110 Irk, 3f
Mailing Address
St. c ,--f �!G
City, State,Zip Code
F;EC'IVED
DCM WILMINGTON, NC
AUG 222017

Receipts for
Certified Mail
(Staple Here)
3
DateW n11C
ydjac 4 Pro-t rtyx�1Owner
3'1 �rty
it ng� dre rt , c
City,State,Zip Code)
Dear Adjacent Property. .�I r , 11
This letter is to inform you that I, 5 v -I LeJ r iif' have applied for a CAMA Minor
Property Owner
(1 GG
Permit on my property at y�`1 J �� �� Strr t C.1"r y , 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 uestions or comments about my proposed project, please
gio q�o � au9
contact me at ,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
yo93 y �ti�
Mailing Address `n
City, State,Zip Code
IEC_ ;VED
DGivl WILMINGTON, NC
AUG 2 2 2017

Date Date Check From Name of Permit Vendor Check Check Permit Number NOTES
Received Deposited (Name) Holder Number amount
B/22/2017 Steve Warren same NC 4157 $100.00 minor fee, 4095 4th JD rct.
SECU St. SC OnsCo 4732D