SC_18-09_ Clark (2)

Issued by WiRO SC18-09
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal 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 David and Constance Clark authorizing development in the Estuarine Shoreline (AEC) at 111 Dorothy B.
Sox Drive in Surf City, Pender County as requested in the permittee's application, dated April 6, 2018, and received by
DCM on April 6, 2018. This permit, issued on April 19, 2018, is subject to compliance with the application and drawing
dated and received by DCM on April 6, 2018 (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: Installation of a swimming pool with associated decking, retaining wall and utilities.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on April 6, 2018.
(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.
RECEIVED
(Additional Permit Conditions on Page 2)
APR 262018
DCM WILMINGTON, NC
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 CAMA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December31,2021 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 apply to permit)

.
Name: David and Constance Clark
Minor Permit#SC18-09
Date: April 19, 2018
Page 2 of 2
(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 shall be located at least 30' landward of the normal high water line.
(7) This permit does not authorize the excavation or filling of any wetlands, even temporarily.
(8) Shall the plan of development exceed 30% impervious coverage within 75' of the normal high water line, the
applicant shall effectively demonstrate, through innovative construction and design that the amount of impervious
surfaces exceeding 30% impervious coverage within the 75' Coastal Shoreline AEC shall be managed and the AEC
protected. All proposed development and associated construction must be done in accordance with a credible
innovative design plan, sealed and sealed by a professional engineer.
(9) Upon completion of construction and prior to the issuance of a Certificate of Occupancy(CO), a letter of certification
must be received from the designer of the innovative system installed, certifying that the permitted system has been
installed in accordance with this permit, the approved plans and his design specifications. Any deviations from the
approved plans and specifications must be noted on the Certification and a permit modification may be required
prior to receiving a CO.
(10)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.
(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.
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.
1 n �i� U4U`f�
SIGNATURE.Y f DATE:
PERMITTEE
RECEIVED
APR 2 6 2018

l
6)
Locality / ��" Permit Number . C /t -06)
9
. Ocean Hazard ,,. Estuarine Shoreline t' ORW Shoreline Public Trust Shoreline Other
(For official use orC
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name Dc J4 :„,.0 i' 1nC U.1av
Address e) .X 1,
r _.._
.
City t r State Zip Phone 4, l ! 2"14.> C
Email CC(OVQ s fS ' I( L I Ct3U ,(DO '>) CC, `I31e 1-5 VQ�?zoo '; "
t _.�
AUTHORIZED AGENT
Name
Address
�. .._W
City J O t.. StateNK) Zip Phone _. :' _
Email w eSix_i_tysittal2Srboitiai 1 , czon
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
i1 'bo(oNnq 6 )( 1)r SwF Okkt I C, 2`
(c t p +- 501 €'L FYI i c u' sk.a I v\r4(c- , (.
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) __ 3 .
l vir 0.,E Mitualo t (Q,Wini i O . inuuct4 prow. o 1- On
SIZE OFLOT/PARCEL 221 ( 9 square feel ___O#S 2 _ acres
PROPOSED USE: Residential ►;,, (Single-family M Multi-family ❑ ) Commercial/Industrial ❑ Other
COMPLETE EITHER(l)OR(2) BELOW(Contact your Local Perini!Officer if yot are nor sure to/rich AEC uppl ex
to your properly):
(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)
6 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
Stortnwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(D" gg}.)
YES ..__ NO... �C E I V E D
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square to

()TIICR 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'kink(or other sanitary waste
treatment system),Building,Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, HA
Certification,Sand Dune,Sediment Control, Subdivision Approval, Mobile I tome Park Approval,I lighway Connection,and
others.Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
z 1,the undersigned,an applicant for a CAMA minor development permit, being either the owner of property in an AFC 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)
I J an owner or record title,Title is vested in name of `4. 'I" (. l`�1anu_ C k1✓Ic
# see Deed Book 4 L3 a e . •
I — P g ';� j� in the Q-V _ County Registty of Deeds.
_____an owner by virtue of inheritance.Applicant is mum 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)
(I) ants alb 1 7913 CilibS5Si ( lD , ,u,u,ls Ck"c�,�tc,Ki C 21009
(2) %)N E____I l ( '-I 6V ti S c •r- , C
.i bfl, Np . 2W
"1 s-t ei-
(3) ti.ui (C22 Old I`t C e� � G z7s1
ACKNOWItDCEMENTS: `9iS__Tuv St-.
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 the the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
tion and floodpmofrng 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.
'Ibis the _._._.....,_. day of tV(1 I ,20 i t
Landowner or pers n authoriz d to act as his/her agent for purpose alfiling a CAMA permit application T.
This application includes:general information(lkls form), a site drawing as described on the back of this application, the
ownership statement, the Ocean flazcarl AEC Notice whew necessary, a clwckfor$100,00 made payable to the locality, and
any lnfw nration as amy be provided orally by the applicant. The delcrils of the application as described by these somaces um
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,criuminal and administrative action.
RECEIVED

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: -4;'1 a A 1,005i t1 # CI r V-
Mailing Address: It 1 ,bO
Phone Number: 41 b, 2 4 _k .
Email Address: C,C VI t o tWS birOArt.
WO ,rutt '� cc 1 5 n l u 1
I certify that I have authorized \ 0 Mil 3_,,k,p 11 i �, � S, L L C
,
A eo /Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1 bainin talc t t p t
i
"`1cc ,;gin i i, t1�
at my property located at I I i I . h, ` '
in Citii 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:
UtIv AtAn. Of*
Signature
aStatie9 C\cV-
Print or Type Name
1
Title
4 / ::� l
Date
This certification is valid through i SC.) f2-0iCt
RECEIVED
APR 0 6'2018

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management
ENVIRONMENTAL QUALITY BRAXTON DAVIS
Director
April 19, 2018
David &Constance Clark
111 Dorothy B.Sox Drive
Surf City, NC 28445
Dear Mr.& Mrs. Clark:
Attached is CAMA Minor Development Permit SC 18-09 for work to be done at 111 Dorothy B.Sox Dr., in
Surf City, Pender County. An electronic copy has been sent to the Surf City Inspections Department and
to your agent.
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and e;."P:g � y� �I�'r h � €sk of receipt in the enclosed, self-addressed
envelope.
... _ .. _ _ �i-�' 4` GIRBA•..sr n . mow',..
Thank you for your prompt attention to this matter.
Sincerely,
Shaun K. Simpson
Permit Support Technician
Enclosures
Cc:WiRO files
SC Inspections Dept.
Weston Lyall -Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

April 5, 2018
To: North Carolina Division of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 28405
Subject: 111 Dorothy B. Sox Dr, Surf City NC 28445
The purpose of this letter is to notify the North Carolina Division of Coastal Management of
the proposed installation of a pool with concrete decking and CMU retaining wall to be
constructed at 111 Dorothy B. Sox Dr, Surf City, Pender County. The property owners are
David&Constance Clark, who can be contacted at 410-274-5803. 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
a
ri
APR 0 5 2018

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that!own property adjacent to I5 i 1di L'i I CI t1U C Y V
fn
�1. (Name�s of PropertyOwner) O
property located at 1( ?: 11 LJr • (talk"
Address, Lot, Block,Road,etc.)
on )fti � Y of try ,in w t t ,N.C,
(Waterbody) (Town andtor County)
He has described to me as shown in the attached application and project drawing(s),the development he is
proposp:; tt location, and, I have no objections to his proposal.
. PPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
APR 052018

,.0. -os a ervice
CERTIFIED MAIL° RECEIPT
v Domestic Mail Only
r
For delivery information,visit our website at www.usps.com'.
r
RAI .e -
Certified Mail Fee $3.45 ( 0445
Extra Services&Fees(check box,add fee$5ac fate) 07
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Total Postage and Fees 04/0 5/20118
$ $3.95
Sent To
1-1Fj 4 i 7oN fdl
CD Street an6AM.No.,or D ffoilfo
✓' S
�(n ��a�A,,(!e 4h 4 L. Z 760 7

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anon ctoot.._°,nem-

April 5, J01@
To: Kay Jordan
9l5 Tower St.
Raleigh, N[27G07
Dear Kay Jordan,
We, David & Constance Clark, have applied for 8CAK;A Minor Permit 0n our property 3tll1
Dorothy B. Sox Dr. Surf City, NC 28445, in Pender County, This property is located
approximately 5U' away from the mean high vate[|ineOfthe |Dtracoa5t8/ V8terV~ay As
required by[AKA regulations, | have enclosed a copy nfDy permit application and proje
ct
d[aVing(8) as notification mfmy proposed project. NVaCtionis [8quiredfrOmyOu' o you may 3
ysignandreturMthe enclosed no objection form, |f you have any questions o[comments about
nyproposedpr 'eCt' pleasecontactneat410'274-58O3, O[bynGi|attheaddFe"s ''atcd6e|ov. |fyOuviSh1ofi|evrittenconDents0[V-jeCt|OnSv/ththe Local Government CAKA
Minor Program, you can submit them to:
Jason Dail
l27 Cardinal Drive Ext.
Wilmington, NC284OS
Sincerely,
David 0' Constance Clark
111 Dorothy 8. Sox Dr.
Surf City, N[28445
RECEIVED
4pR " ^ .��8?
�
� �

U. . - -
CERTIFIED MAIL® RECEIPT
n Domestic Mail Only
II For delivery information,visit our website at www.usps.com
CHAMLNHAO MOr275147', p;
4,40 01 '4,,0 k
Certified Mail Fee $3.45
0445
•' Extra Services&Fees(check box,add fee efillate) 07
O Return Receipt(hardCOpy) $ I
n
Return Receipt(electronic) $ $0.00 Postmark
n
j Certified Mall Restricted Delivery $ $0 00 Here
u Adult Signature Required $ $0.00
o Adult Signature Restricted Delivery$
3 Postage
r $
$0.50
A Total Postage and Fees 04/05/2018
$3.95
144/44. 0 l'e h
3 'Street and Apt,Alp.,%Fe:,Box Aro.
Shnir Pit`
Newratirammagin

6..er1.111ea man service proviues me ronowing oenenrs:
IA receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
I A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
r Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
r 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.
Important Reminders: -Adult signature service,which requires the
I 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
I Certified Mail service is notavailable for requires the signee to be at least 21 years of age
International mall. 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 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.If you would like a postmark on
r For an additional fee,and with a proper this Certified Mall 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.

April 5, 2018
To: Wallace Diehl
6007 Graystone Dr.
Chapel Hill, NC 27514
Dear Mr. Diehl,
We, David & Constance Clark, have applied for a CAMA Minor Permit on our property at 111
Dorothy B. Sox Dr. Surf City, NC 28445, in Pender County. This property is located
approximately 50' away from the mean high water line of the Intracoastal Waterway. 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 410-274-5803, or by mail at the address listed
below. If you wish to file written comments or objections with the Local Government CAMA
Minor Program, you can submit them to:
Jason Dail
127 Cardinal Drive Ext.
Wilmington, NC 28405
Sincerely,
David & Constance Clark
111 Dorothy B. Sox Dr.
Surf City, NC 28445
RECEIVED
APR 0 5 2018

1. . •os a ervice
CERTIFIED MAIL® hECEIPT
3 Domestic Mail Only
For delivery information,visit our website at www.usps.com`"�.
BELEWS CREEKr t�NC' 270 ;, E
3
Certified Mail Fee $3.45 C1445
7 $ �r�
Extra Services&Fees(check box,add fee y 4rb'Date) 07
❑Return Receipt(hardcopy) $ Pa
❑Return Receipt(electronic) $ $V_DU Postmark
❑Certified Mall Restricted Delivery $ $0 0 Fiore
3 0 Adult Signature Required $ $(.0(1
❑Adult Signature Restricted Delivery$ V4
Postage $0.50
Total Postage and Fees U4/115/?i i1
$ $3.95
Sent •
Tqq,, .
7 5`treet anc igj. o.,or F ffO-196.
7 f G ror� �r e I^
ciry,fara fE0$ Cree14, 0C. zn3r05

.eritrieu mail service pm/vices we muumuu ueneuw:
A receipt(this portion of the Certified Mall label). for an electronic return receipt,see a retail
I A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
I Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mall 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.
mportant 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 Mails,First-Class Package Service°, available at retail).
or Priority Mail°service. -Adult signature restricted delivery service,whict
Certified Mall service is notavailable 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 a
certain Priority Mail items. LISPS postmark.If you would like a postmark on
r For an additional fee,and with a proper this Certified Mat 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.
RAOrl n.,Al 0111C/1:Lasearn,ocu 7can_no_rmn_one,

April 5, 2018
To: Charles Watson
7673 Crossing Ridge Dr.
Belews Creek, NC 27009
Dear Mr. Watson,
We, David & Constance Clark, have applied for a CAMA Minor Permit on our property at 111
Dorothy B. Sox Dr. Surf City, NC 28445, in Pender County. This property is located
approximately 50' away from the mean high water line of the Intracoastal Waterway. 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 410-274-5803, or by mail at the address listed
below. If you wish to file written comments or objections with the Local Government CAMA
Minor Program, you can submit them to:
Jason Dail
127 Cardinal Drive Ext.
Wilmington, NC 28405
Sincerely,
David & Constance Clark
111 Dorothy B. Sox Dr.
Surf City, NC 28445
RECEIVED
APR 052018

., - . . - , -
CERTIFIED MAIL° RECEIPT
9 Domestic Mail Only
For delivery information,visit our website at www.usps.com
CHlict/7,14E
3 Certified Mail Fee $3.45 q�, 0445
n $ fil 07
Extra Services&Fees(check box,add fee te)
❑Return Receipt(hardcopy) $
? ❑Return Receipt(electronic) $ $0-00 Postmark
] ❑Certified Mall Restricted Delivery $ $•0.00 Here
0 Adult Signature Required $ 70.r,jy
❑Adult Signature Restricted Delivery$ V V
3 Postage $0.50
] Total Postage and Fees 04/05/2018
s $3.95
Sent O iB�f S _pus e
] Stre tandA t.No.,or $ Nyqi
Ca %Zt I!'1'R /Iy fI i affrewfmningsge
C.

,eruniCu man survive prvvnuw5 ulv IVIIVwIIIy Ycncuw.
A receipt(this portion of the Certified Mall 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
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
wetted Reminders: -Adult signature service,which requires the
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 Mall*service. -Adult signature restricted delivery service,which
Certified Mail service Is not available for requires the signee to be at least 21 years of agi
international mall. and provides delivery to the addressee specified
l Insurance coverage Is notavailable 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 Mall 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
1 For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailplece,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 mailplece,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 mailplece; IMPORTANT.Save this receipt for your records.

April 5, 2018
To: Robert Sprouse
6212 Old NC 86
Chapel Hill, NC 27516
Dear Mr. Sprouse,
We, David & Constance Clark, have applied for a CAMA Minor Permit on our property at 111
Dorothy B. Sox Dr. Surf City, NC 28445, in Pender County. This property is located
approximately 50' away from the mean high water line of the Intracoastal Waterway. 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 410-274-5803, or by mail at the address listed
below. If you wish to file written comments or objections with the Local Government CAMA
Minor Program, you can submit them to:
Jason Dail
127 Cardinal Drive Ext.
Wilmington, NC 28405
Sincerely,
David & Constance Clark
111 Dorothy B. Sox Dr.
Surf City, NC 28445
RECEIVED
APR 0 5 2018

b RIPARIAN PROPERTY OWNER STATEMENT
FOR LAMA MINOR PERMITS
thszebyoatilitethattsown,propoy adjacent trs
l.lka d C��151d(1___��__��,�ril
(Name of Property Owner)
prbpetty gat 1 t l � r. &bun
Address, Lot,Block,Road,etc.)
.on I 11Cl�� �J�,� i
.in fi
tetsY) (Town
and/or County} -----`
He has described to me as shown in the attached application and project drawing(s),the development he is
propOsir)gat that tocn,and. !have no objections to his proposal
APPLI TION W G OF PROPOSED DEVELOPMENT ATTACHE
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
APR 052018

Date Date Check From Name of Vendor Check Check Permit Rct.
Received Deposited Permit Holder Number amount Number/Comments
4//2018 Weston Lyall PE PLS David and Coastal 1673 $100.00 minor fee/111 Dorothy B. JD rct. 589
C' I PLLC Constance Clark Bank& Sox Drive, Surf City PnC0
Trust

IPERTY IS SUBJECT TO RESTRICTIVE COVENANTS,
S OF RECORD,ZONING ORDINANCE,AND ;..EXISTING
UTILITIES,IF ANY. D00K
•
9
SEARCH BY SURVEYOR. O �2
COORDINATE METHOD. �c�OJ� �0�07,
31ECT PROPERTY IS IN ZONE AE FLOOD HAZARD AREA. •
TOPSAIL 'q 6) SITE
TY PANEL#370186 4223J. SOUND• �O Q<9,I, F G��
EFERENCES:PLAT BOOK 39,PAGE 36; �(h� ATLI
K 2793,PAGE 301. �c��
-10 SURF CITY
NT:25' AapROX,MAtENw� VICINITY MA
E: 20
R:20' CP S63°1 '{
E(FOR 3RD STORY EXCEEDING 250 SF): 12.5' to co o • 90.97 EIP
/� 1? A
e- TA ii NT � -�_
pp���` ECM 3Q•CgMq .. X N O I' 1a PRIVATE WALKWAY ACCESS
V 4, SE A EASEMENT PER
Q u r — AC-::N1 v MB 48 PG 109
•'`' �. Co EIR I 10'PRIVATE WALKWAY
I T I ACCESS EASEMENT PER
M839PG36S
::> I MB50PG1TOSE
-< ABANDONED
PROPOSED t35'0'x16'0'POOL
CHARLES WATSON WITH CONCRETE DECKING AND
RETAINING WALL(RET.WALL
DB 978 PG 228 91, SHOWN HATCHED.)REFER TO
I Z I ENGINEERED PLANS FOR
PROPOSED 8'WIDE 12. �' C \ RETAINING WALL
STAIRS AND �� SPECIFICATIONS.PROPOSED
LANDINGS PER RETAINING WALL 39.1'FROM
FROM
OWNER
STAIRS i14.5' �" _� I PROPERTY LINE.
PROPERTY 14.5 .. 8'DECK 0
LINE.
,;EXISTING`:4 Qa1 JORDAN KAY
..)::::.RESIDENCE: .. s DB 4617 PG 1280
.,` '
o
m 2 I5 38,:' . . g7l,'
_ — — — — —
S47°14'37"W 9.95'
°D PERVIOUS o N48°43'47"E 77.05'(TIE)
CALCULATIONS: NI WELL EIR
CONC.c. -� i
�I .RAMPS �� I•. Z EIRI
22,609(0.52 AC) m I f'.,•. I
SIDENCE-1,224 SF I I • G'
RVIOUS CONCRETE DRIVEWAY-0 SFWALKWAY
PRIVATE WALY
u1
I 15'
IL
rING IMPERVIOUS COVERAGE:1.224 SF(5.4='0) I ACCES EASEMENTPR
I MB 48 PG 109
CONCRETE POOL DECKING-1160 SF I o I N"' •CP C
RETAINING WALL-70 SF CP rti
RVIOUS(EXISTING&PROPOSED):2,454 SF(10.9%, I I
VIOUS ALLOWABLE:9,044 SF(40%)
Z I
OF SURF CITY) I ` w
F PROPERTY LOCATED WITHIN 75'AEC:6,797 SF eo I W I
:RVIOUS WITHIN 75'AEC:866 SF(12.7%) •4
m I v I 25 PRIVATE ROAD
� - _ - EASEMENT PER
L - — — O Ms 50 PG 01 TO BE
EIR-Existing Iron Rod CHARLES WATSON -4 25'MBL I ABANDONED
EIP-Existing Iron Pipe DB 1229 PG 168
ECM-Existing Concrete Monument
SIR-Set Iron Rod
CP-Calculated Point / EIP
EI
PP-Existing Powerpole _ S46°46'12"W 87.87 I/
_... , >I , 0 I DB 4645 PG 848