SC_17-16_ Sutton (2)

Issued by WiRO SC17-16
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastat Management
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 Marvin and Paula Sutton authorizing development in the Estuarine Shoreline (AEC) at 958 Broadway
Street, in Surf City, Onslow County as requested in the permittee's application, dated October 24, 2017, and received by
DCM on October 26, 2017. This permit, issued on November 15, 2017, is subject to compliance with the application
and drawing dated and received by DCM on October 26, 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: Residential home construction.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on October 26, 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
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 AMA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December3l,2020 Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land -
X ,j1�1 .
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. RECEIVED.
(Signature required if conditions Mil mptry,NC

i
Name: Marvin and Paula Sutton
Minor Permit#SC17-19
Date: November 15, 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 feet landward of the normal
high water line. In this case, only the proposed stairway/steps are 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) No impervious coverage/built upon area, including but not limited to the house (including eaves), foundation pad,
covered decking, etc. shall extend into the 30-foot coastal shoreline buffer.
(9) 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.
(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.
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: city— AAA, Idnj DATE: /1 " ig " /1
PERMITTEE
RECEIVED
nrRA%nisi ..i,,irsT,,., .._

Locality 51k," Ty Permit Number / 7 - /r
. Ocean Hazard Estuarine Shoreline .!C- ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name rrNARV eAJLA Sv TTor4
Address l(.0`1 S RIO t--1 -S`''T i o D - _
City L a Co�q (fie- State tJ — Zip Phone ta sa) StoO— `'l ►$3
Email g S ' T'ro►-) l tQ'1 S -e_ co/".0 t i- . ts0 r�
AUTHORIZED AGENT
Name V r v t VO LA. i?- i t w et Ho S
Address (AP k0 3 , 4 'i 11
City t A M4251-6 State r .1 • Zipa$`N3Phone ._ � t 0) S l - — i
Email e vv-C-•->.peuei/tis- C- . CCt7r%`--
LOCATION OF PROJECT: (Address,street name and/or directions to site; name of the adjacent walerhody.)
'' - <3 -C 4 , S t✓
(,,o r 0 r< —C[ C-A r"a (, A--r S v r_F
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) alit t P.'
j5 (moo e-OOn, a Ste'a__Lt KAvht. or, AL c r..i s vim) Pp tze4,I t s +
SIZE OF LOT/PARCEL: ‘a, 0(S square feet • 30 acres
PROPOSED USE: Residential (Single-familyMulti-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: 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: a0 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(DEMLR)?
YES NO R' RECEIVED

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 I-ionmc Park Approval,Highway Connection,and
others.Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
1,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 1 \4(Zv L .J + ef't rJ LA S 1-711)..t
see Deed Book i a4 page 1 aq in the 6 Pi S LO 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:
1 furthermore certify that the following persons are owners of properties adjoining this property. I affirm that 1 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) '17*L E -r t oC .A-114A °I ko (3e0A0444 Cr: S e-C
(2) eol.--' +- SietEtLIL DAFp q(00 Ric-0kDwK1-f 'ST". c-l—-
(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 day of_ c�cf 20 _LZ
1 VOl�
Land r perso ,uthori •d to act as his/her agent for purpose of filing a CAMA permit application
This application a es: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 oldie application as described by these somres 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.
RFfII\/Fr1

ROY COOPER
Governor
MICHAEL S. REGAN
Recrela,'.
Coastal Management
ENVIRONMENTAL DUALITY BRAXTON DAVIS
November 16, 2017
Melvin and Paula Sutton
1675 Roy Sutton Road
LaGrange, NC 28551
Dear Mr. & Mrs. Sutton:
Attached is CAMA Minor Development Permit No. SC 17-16 for work to be done at 958 Broadway St., in
Surf City,Onslow County. An electronic copy has been sent to the Onslow County Inspection
Department and to your agent.
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 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 Technician
Enclosures
Cc: WiRO files
ON Inspection Dept.
K.Vollrath,Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to(r t ,tp . pk vtt..+ Sv t%p•+ s
(Name of Property Owner)
property located at SS 60it-ss v),10-1 SK
Address, Lot, Block, Road,etc.)
on C-A0-1 , in SLAP C-1.T'v1 , N.C.
(Waterbody) (Town and/or 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)
41! 64/44/114bv-?1( /e--644-
Signature
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Print or Type Name
Telephone Number
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Date

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CERTIFIED MAIL° RECEIPT
Domestic Mail Only
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3 0 Certified Mail Restricted Delivery $ $0.00 Here
3 ❑Adult Signature Required $ $0 a 000
❑Adult Signature Restricted Delivery$
Postage $1.40
` Total Postage and F gs 10/25/2017
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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 recipient's retail associate.
signature)that is retained by the Postal Service" -Restricted delivery service,which provides
fora 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 Maile,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail service Is notavallable fA requires the signee to be at least 21 years of age
International mail. and provides delivery to the addressee specified
Insurance coverage Is notavallable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mall 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 Mall items. lisps 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 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;Fnrtn 3800_Anril'N115/Finv,l i GCN 75tIn-119-wLGn4,

Receipts for
Certified Mail
(Staple Here)
at
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Adjacent Property Owner
15�5 cm) Be4rr.fiLi_ Lei .
kA„0 Address 4 pa,t, 15'1 b
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, i\AR►-'rJ a' Pit h To,-' have applied for a CAMA Minor
Property Owner
Permit on my property at CI`-5 % B�A D -k`- S S'4.+Re_ G-rtt in Pend ns ow
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 600) 5('a-—IDC' — ,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,
rtiR�v,osi t QRv LI
Property Owner
Mailing Address
YAA L a 8ttc.(3
City, State,Zip Code
RECEIVED

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CERTIFIED MAIL° RECEIPT
Domestic Mail Only
n• For delivery information,visit our website at www.usps.comµ.
cogs, ttC 27521
n Certified Mail Fee
.'� $7
•J5 0443
$ 11 6
Extra Services&Fees(check box,add fee$f 1 b Ip$1a l (I
El Return Receipt(hardcopy) $ U. l)
❑Return Receipt(electronic) $ $U_Uu Postmark
❑Certified Mail Restricted Delivery $ $fl.00 Here
❑Adult Signature Required $ $f1•off .
❑Adult Signature Restricted Delivery$
� Postage $1 .19
U Total Postage and Fees 10/25/2 i1 7
$ $4._c t4
11 Sent To Ea Lo�,�AM'
Street and1Q No., t Box Noa(PC0
City,State.ZIP+45 S �� �� a
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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
i 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
I You may purchase Certified Mall 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 notavailable for requires the signee to be at least 21 years of agl
International mail. and provides delivery to the addressee specified
I 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 cliange 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.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 Mall receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mallpiece,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.
anon s_a,,�.o_•___,o�.,

Receipts for
Certified Mail
(Staple Here)
Date
Adjacent Property Owner
a� a4 lc
MC�OA TSs a�5a l
City, State,Zip Mode
Dear Adjacent Property:
This letter is to inform you that I, L4 'T °WI-A -Frb j have applied for a CAMA Minor
Property Owner
Permit on my property at_a S$ k p4.4.)A1/4 1 A'�� G L 1`-1 , in Pend v 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 bk.())51 1 - O5Q ,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,
It%_Q v(hS -� (20kJ A `�l''i r-"
Property Owner
Mailing Address
City, State,Zip Code
RECEIVED
DCM WILMINGTON, NC

I,JOHNNY J.111WAMS.PROFESSIONAL LAND SURVEYOR,CERTIFY THAT
MIS MAP WAS PREPARED UNDER MY SUPERVISION FROM AN ACTUAL
SURVEY MADE UNDER MY SUPERVISION COMPLETED ON 08/31/2017
FROM REFERENCES AS SHOWN HEREON;THAT BOUNDARIES NOT
SURVEYED ARE NOTED AS SUCH AND PLOTTED FROM REFERENCES
AS SHOWN HEREON; THAT THIS CPS SURVEY WAS PERFORMED TO �1/� �;:r )
SECOND ORDER CLASS D FGCC SPECIFICATIONS; THAT GPS FIELD "
PROCEDURES AND COORDINATES HERE OBTAINED BY RCOS RID -- -- G.
NETWORK ADJUSTMENTS; MAT THIS GPS SURVEY WAS PERFORMED �"?` / '
USWG TRIMBLE SURVEY GRADE CPS UNITS; THAT AU.COORDINATES ..0 �• ..
ARE BASED ON N.C.GRID NORM(NAD 1983 2007 ADJUSTMENT); ./ _�' Y
AS CONVENTIONALTHAT ALLDATAMOBTTADOBAIS�ARE IN GPO MET H DES ASTMHELC AS �^ l '�'' �F
SURF 5iM'1'n
SURVEY AS DEFINED BY TITLE: CHAPTER 56,SECTION.1600 OF
TI#N.C.ADMINISTRATIVE CODE:AND MAT THIS MAP WAS ..��� •Y' 1
PREPARED IN ACCORDANCE WITH TITLE 21.CHAPTER 56,OF THE N.C. N - Is?
�� .+ors�c
ADMINISTRATIVE CODE. 'J' 0.277 ACRI'S
5I11111111,,,.. VICINITY SKETCH
(1 C..^tgF.F.^• (NOT TO SCALE)
s.
JOIINlIY J.f 1MWAM5,P.LS,L-3170 / ^P i \
P .W\l�V.� / I S ' C
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ROOMTODD WOODARD it
\
DEED BOOK 1761,PAGE 488 I. /4 Y I \
s.. I G\ ; $ 3MAP BOOK 11,PAGE 31 _ \ s-
\ g I B \b\ // \ E
\ ■ 4\ , E \i,,II DELBERT LCCKAMY \
SURFACE CALCULATIONS: \ Oi 20,BLOCK 47 \
-SIB ; MAP BOON 11,PAGE 31
\ ` 4 A
TOTAL AREA OF LOT.12.065 50.FEET \ 11
I �Aq, / \
AREA OF LOT WITHIN 75'COMA AEC LINE \ ,'� I PF / \
.8,357 SO.FEET ; / \
TOTAL AREA OF COVERED BUILDING.1,792 50.FEET(14.8%) 1 .eR�5 /
AREA OF COVERED BUILDING WITHIN 75'CANA \ 1 1110w.Y /I // \
AEC UNE.928 S0.FEET \ 11 / \
TOTAL AREA OF DECKS.STEPS,ETC..770 S0.FEET II / \
AREA OF DECKS,STEPS,ETC WITHIN 75'CAMA \ - i/
AEC UNE.735 SO.FEET \ SITE BENCHMARK 1SETBA OHT / \
NAIL IN UTILITY POLE CK /
AREATOTAL OF DRIVEWAY.1.597 SO.FEET \ ELEVATION 12.0'
AREA OF DRIVEWAY WITHIN 75'CAMA AEC ,. /
UNE.0 SO.FEET — sa Os
` M
/` CHORO. \ / /
N 83'23'26'W 28.52' / /
/ ( FIC.II.P.rE311)"" /
LEGEND; •: /
EOP.EXISTNG IRON PIPE i /
EIS.FASTING IRON STARE
ISS.IRON STAKE SET \ 7
AG.TOP ABOVE GROUND SURFACE / k \ 7
/
BG.TOP BELOW GROUND SURFACE ,
R/W.RIGHT-OF-WAY
t .CENTERLINE / \ 7
t .PROPERTY UNE
HOGS.NORTH CAROUNA GEODETIC F //
SURVEY
UTILITY POLEAD UTILITY UNE 7
'Y. C,., IC I /
N %W. 1.7/
P.
GRID 11ES AND COORDINATES: \ ±a \�c� //
EIS NO.3 - NORTH.256,532.328
(CONTROL CORNER) EAST.2,445,558.146 \ .
••+} 7
\ �`S. \\SSA' \ //
MSS NO.502N NORM 256.670.648 \ % T' \ 7/
(CONTROL CORNER) EAST.2,445,809.473
elk
\ •P.A \ 7/
\ \ \ /
BOUNDARY SURVEY AND - \ \ V
PRELIMINARY PLOT PLAN FOR: \
PAULA C. SUTTON �, \\
AND MARVIN E. SUTTON
CURRENT OWNER: PAULA C. SUTTON AND MARVIN E.SUTTON \ \ NOTE%
1)THE PROPERTY SHOWN HEREON IS LOCATED WITHIN
A SPECIAL 1C0 YEAR FLOOD HAZARD AREA ACCORDING
INDIVIDUAL TRACT ON N.C.S.R. 1612 (BROADWAY) TO FL000 INSURANCE RATE MAP NO.3720424500K
TOWN OF SURF CITY REFERENCES' DATED FEBRUARY 16,2007.
STUMP SOUND TOWNSHIP, ONSLOW COUNTY, N.C. DEED BOOK 4424,PACE 129 2)ALL N.C.GRID DATA SHOWN HEREON IS BASED ON NAD 1983
2011 ADJUSTMENT USING THE NCGS RM NETWORK SYSTEM.
LOT 21,BLOCK 47 3)ALL DISTANCES SHOWN HEREON ARE N.C.GRID DISTANCES
DATE AUGUST 31, 2017 7 e EKTENSKIH TO SECTION 3
SCALE: 1'. 20' OLD SETLLERS BEACH UNLESS OTHERWISE NOTED.
MAP BOOK 11,PAGE 31 4)COMBINED GRID FACTOR. 0.0999707565
JOHNNY✓. Y/ILLIAN5'LAND SNRIWINC, P.C. 5)ALL UTILITY LINES SHOWN HEREON MAY HAVE EASEMENTS
P.O. BOX 778, BEULAVILLE,N.C.28518 R1 AND RIGHTS OF ENTRANCE AND MAWIENANCE A55MIATED
YAM THEM.
PHONE: [phone] FAX: [phone] C-PROArn wnuw.mA_ 17-81.Mo..Y
1 �.,.. ,,.. .._........_._..__.. __ _ ____ nu u.v..,nuwn 6)PROPERTY IS LURRENnv]num MAR

41,1%
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H.Gregson Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: xiCilag ( , —r
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
Owner's Mailing Address: Agent's Mailing Address:
llo`tS i�v"l Sv'r'fDa (a-D . t401..vlo3 rtwt-x t�
V-4 (P r-hrib is G s5 t K M n s; p .ems 'a-(4- 43
Phone Number PC)) StpU — LEkS3 Phone Number(co) StD -
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):
c\Y�vI 5 R R-od r+-N. S (o L sc i •.. �t J-� pnc�c� r>�,a 4
ev✓e.) , Is v_c-pLA- A SO b Si• (..4 (Ail ram. "1titA((-€IL
(my property located) at ctS`e kk 5r- C.-` 'r'•`C
This certification is valid thru (date) t'es a`� �B •
Property Owner Signature Date
RECEIVED
One DCM WILMINGTON,N
197 farriinal Drive Ext..Wilminaton.NC 28405

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„pg„ ,„), ,,,
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,, A
-,,(, CAMA PERMIT
_,
_.„ APPLIED FOR
. ,,. Tocconstruct a single-familydwelling
at 9 : = • - • A w ei 0 0 A a • 4! I I I -
ma Onslow County.
COMMENTS ACCEPTED THROUGH N/A
APPLICANT: FOR MORE DETAILS CONTACT
T HE LOCH MICER BELQW:
Marvin & Paula Sutton N C Div. of �oasPER talT FFIanagemen
1675 Roy Sutton Road 127 Cardinal Dr. Extension
LaGrange, NC 28551 Wilmington, NC 28405
Jason Dail, Field Representative
Agent: Kenny Vollrath [phone] 910-796-7221

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Date Date Check From Name of Vendor Check Check Permit Number NOTES
Received Depos (Name) Permit Holder Number amount
ited
10/26/2017 Kenneth Marvin & Paula NC 1762 $100.00 minor fee, 958 JD rct,
Vollrath Sutton SECU Broadway, SC OnsCo 5071E