SC_18-18_ Surf (2)

Issued by WiRO SC18-18
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
y� W
PERMIT
NORTH CAROLINA
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 Town of Surf City authorizing development in the Estuarine Shoreline (AEC) at 270 Little Kinston Road, in
Surf City, Pender County as requested in the permittee's application, dated August 21, 2018, and received by DCM on
July 22, 2018. This permit, issued on September 4, 2018, is subject to compliance with the application and drawing
dated and received by DCM on August 22, 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: replacement and relocation of a stormwater culvert.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on August 22, 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.
(Additional Permit Conditions on Page 2) RECEIVED
OCT 0 5 2018
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
December 31,2021 Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land �C
Use Plan and all applicable ordinances. This permit may not be transferred to A
another party without the written approval of the Division of Coastal PFRMITTFF

Name: Town of Surf City
Minor Permit#SC18-18
Date: September 4, 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' Coastal Shoreline buffer (as measured 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.
(7) This permit does not authorize the excavation or filling of any wetlands or open water areas,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) The permittee shall obtain any easements, rights-of-entry or other statements of permission from the property
owners prior to undertaking any development on property not owned by the permittee, prior to beginning work.
(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.
SIGNATURE: Alk31-(1-1
DATE: 2(-
PERM ITTEE
RECEIVED
OCT 0 5 2018
DCM WILMINGTON, NC

LocalityT62v4F l2f jCtZ!' -/6 ( Permit NumberLv/ /V
. Ocean Hazard Estuarine Shoreline V ORW Shoreline Public Trust Shoreline Other
(For Oficial use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name 616//1Ci(2._�� G�Tr
Address.�FOECDX o7 4' 7
City 4Z-F e / Ty State Ai Zip Z W hone 71� _3 23-4l S(
Email a 1 PJ ?—kw 4c 5 or-Pc / 1 Y -
AUTHORIZED AGENT /
Name �k eltAlrt: C� Ac>Ji,
Address {'10 gdx ��ii -- —
City(v it C LT State 14 C • Zip2M4` -Phone f/� 7�9 e-/G 4
Email S II cA 1M� /�t "► .
LOCATION OF PROJECT: (Address,street name and/or directions to site; name of the adjacent waterbody.)
k/ivsrc-/-1 /ZO. / A14e A 12lCt--fT F L-r
G �� !G v`Jl Z'-�ZiL6 ,ham 1241�c,7G ! la' /S 45( T 4'11 Olt �G
,$'4tt/l Gvt2cJCc
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
124-4cCi 4- RC2c.-cko iecbt-, �� CC?cl5�l i �f�Z� I,- i Ct2 G L tJL=aeT
SIZE OF LOT/PARCEL: 6. �• _ acres
PROPOSED USE: Residential 0 (Single-family 0 Multi-family ❑ ) Commercial/Industrial❑ Other 0
COMPLETE EITHER(1)OR(2) BELOW(contact your Local Permit Officer ifyou are not sure► hich AEC applies
to your property):
(I) 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: a square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or ma onW ryy patios,etc.that arc within the applicable AEC.Attach your calculations with di?proje z ct drawing.)
STATE STORM WATER MANAGEMENT PERMIT: Is the project located in an area subject to a State a o
Stormwater Mana ement Pennit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)? >0
YES NO tit
^�
n N7.17

1
OTHER PERMIT'S MAY BE REQUIREi):The activity you arc planning may require permits other than the CAMA
minor development permit,including,but not limited to: Drinking Water Wcll,Septic Tank(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 !Ionic Park Approval, i lighway 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) ,
an owner or record title,Title is vested in name of__
see Deed Book page in the P County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of
probate was in —__—�—County.
X- 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 my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(I) Awt 7o LI TV1^6- ev5T--c-tti , 5vR C �T7 �.Lc zG44r _
(2) .�5.4!D rat e�y (�1fS �g� LJI�tLe kt 7c-1.) 2ID1 v12eCtT-7 �\C 4 5
(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,) ••)emission 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 I day of ,20 14
Landowner or pens n auth rized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information(this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued Deviation flout these details frill constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
RECEIVED
DCM WILMINGTON,N.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: A-•{/kz"—/
7ty M f
Mailing Address:
�
PO gc,y 2 c42-F -7-> k- 2. 41
Phone Number: l� 2� `" 4/,;1
Email Address: dG Q-i-c-wyucf�ve cr7 -Cowl
I certify that I have authorized PA (CLk (24 /2_1A u.T PS
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: L/TTL ( /L f 0-52 6 °(-' IIQ
at my property located at Z L- ( I t Le IuS i G4J ZD-
in 4 A, VL County.
1 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:
ALLI-vt 4C&L
Sigrature
L7 L47S
Print or Type Name
Title
yr c I 2( I (S
Date
This certification is valid through }I / 1 I 7Cl Gf RECEIVED
DCM WILMINGTON, NC
j ,,>

ROY COOPER
Governor
-
T MICHAEL S. REGAN
Secretary
NORTH CAROL;N, BRAXTON DAVIS
;avironmentae _
- Director
September 4, 2018
Town of Surf City
c/o Ashley Loftis
PO Box 2475
Surf City, NC 28445
Dear Ms. Loftis:
Attached is CAMA Minor Development Permit SC 18-18 for work to be done at 270 Little Kinston Road
in Surf City, Pender County. An electronic copy has been sent to the Pender County 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 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.
Si erely,
/esity::
Shaun K.Simpson
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
PN Co. Inspection Dept.
M. Gallant-Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

I. . 'os a ervice
CERTIFIED MAIL° RECEIPT
• Domestic Mail Only
.
U For delivery information,visit our website at www.usps.com''.
t HOWY IttDief #14,18447- I I 4 C.'
D Certified Mail Fee $3.45 0482
1 Extra Services&Fees(check box,add fez.. f y 3,p7q te) 02
❑Return Receipt(hardcopy) $ V•lr n
❑Return Receipt(electronic) $ $In_00 Postmark
['Certified Mail Restricted Delivery $ #O.00n Here 7)
❑Adult Signature Required $ $( �V r=m
❑Adult Signature Restricted Delivery$ g m
r Postage $1.42 zo<
Totalosage an$
Ci8/21/2t�18 -I 0
-R Pt d Fees 6.62 z
SB1j V(17$ E‘A D Z
'4r�Apt. 44--•
a:G C.(4�L6 H tt5T410 gY
itrc tr.( e Lt enggs

/GI auto nwn nuwa NIii IVuu OV a IV WWI Uri I Ie.7.
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. .PS®-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.
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 Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of 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 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
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.
c u..,.,AAM e..ai ecu 7c•2nsn_ en.,7

Receipts for
Certified Mail
(Staple Here)
ent Properiy.Owner
✓
M2 AddressL l 'rf C.j t Ihng 7
�y5
City,State,Zip Code
Dear Adjacent Property: (-/
This letter is to inform you that I,� 14t,e y -'C-1(5 have applied for a CAMA Minor
'Tl�v'IJPg-F?a► —GlT
Permit on my property at 2`t'G t- 11L. k (2-0_ , in PenderlOnslow
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 z"i 4 /3 1 ,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,
�5 i7 7Gw,U
Property Owner
4)c 3)c 24
Mailing Address
5L.Z v.1 44
City,State,Zip Code
RECEIVED
DCM WILMINGTON. NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to T(�(-2-'Jy or=Sip G ) T-! 's
(Name of Property Owner)
property located at Z FU G-I f( L t;-- / (t 5ic4,J RD
Address, Lot, Block, Road,etc.)
on T G (.) , in S L 4-!%C 1r `" , N.C.
(Waterbody) (Town andlor 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)
Sig ature
Print or Type Name
Telephone Number
Date
RECEIVED
DCM WILMINGTON. NC

I. . 'os a ervice
CERTIFIED MAIL° RECEIPT
` Domestic Mail Only N
U For delivery information,visit our website at www.usps.com
m Certified Mail Fee $3.45 0482
71 Extra Services&Fees(check box add fee tty; r
�r e) 02 n
❑Return Receipt(hardcopy) $ 1, ll
0 Return Receipt(electronic) $ 2in�x_0W Postmark s
['Certified Mail Restdcted Delivery $ 0. 00A Here *p
j ❑Adult Signature Required $ $Q.,lQ I_n
❑Adult Signature Restricted Delivery$ a.C
Postage $1.42 (,Zj
j ri
Total Postage and F �18/21/2018 O C
$7.62 z
$
r "4.lPri° ,STDv
Ciry ary IF&4 �r t.1 ),..3`/T J z 4

�Gl anrGY wren ad vra,G Nr VvruMO LIMG IVOVvrlrr ry YGI'GRIM&
I 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 deliveryoi.tlempted return receipt for no additional fee,present this
delivery. J LISPS®-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
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 not available for requires the signee to be at least 21 years of age
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 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 Mail items. LISPS postmark.If you would like a postmark on
I 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.
e e.....,mnnn e..a,on.c io.....,...e,oc.,ec•311 n?nm._eneo

I
Receipts for
Certified Mail
(Staple Here)
�at'r/. &Z —uCa 0,5
�ld'acent Property Owner
e. 120
M ing�Address ` yk_/ j� . 44)--
City,� State,Zip Code
Dear Adjacent Property: /� wN G G� r f
This letter is to inform you that I,Act y L I77`? have applied for a CAMA Minor
Property Owner
Permit on my property at 2 ( _ l in,e- /' (w- T O" iz O ,i Pend:rlOnslow
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 `U 3 2 d6 3( ,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,
t(4,a-71 Ls r- 7,5, ���fr et= (TY
roperty Owner
P__ g-r_)Y 2475--
Mailing Address
5 c )g
City,State,Zip Code
RECEIVED
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at 2" L) f LLB ) t 0.6 j G
Address, Lot, Block, Road,etc.)
onti.l , in Jv(2 , 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)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
DCM WILMINGTON, NC

Date Date Check From Name of Vendor Check Check Permit Rct. b
Received Deposited Permit Holder Number amount Number/Comments
8/21/2018 Michael Gallant, Pe, Town of Surf City First 3002 $100.00 minor fee, 270 Little JD rct.694:
PA Citizens Kinston Rd, Surf City PnCo
Bank

Date Date Check From Name of Vendor Check Check Permit Rct. i
Received Deposited Permit Holder Number amount Number/Comments
8/21/2018 Michael Gallant, Pe, Town of Surf City First 3002 $100.00 minor fee, 270 Little JD rct. 694
PA Citizens Kinston Rd,Surf City PnCo
Bank