SC_18-19_ Pelon (2)

Issued by WIRO SC18-19
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
NORTH CAROLINA
as authorized by the State of North Carolina,Department of Environmental Quality Env ron nenu+l 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 Pelon Properties,LLC do Bill Pelon authorizing development in the Ocean Hazard (AECs)at 1122 North Shore
Drive, in Surf City, Pender County as requested in the permittee's application, dated August 18, 2018, and received by DCM
on August 20, 2018. This permit, issued on September 4, 2018, is subject to compliance with the application and drawing
dated received by DCM on August 20, 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: Construction of a beach access walkway,deck and gazebo.
(1) All proposed development and associated construction must be done in accordance with the permitted drawing(s), dated
received by DCM on August 20,2018.
(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)796-
7221 for a final inspection at completion of work.
E.i;EIVED I
(Additional Permit Conditions on Page 2) NOV 1 4 2018
�t ti�'� ' T• N•
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
Wilmington, NC 28405-3845
December 31,2021
In issuing this permit it agreed that this project is consistent with the local Land .�
Use Plan and all applicable ordinances. This permit not be transferred to
may
another party without the written approval of the Division of Coastal PERMITTEE
Management. (Signature required if conditions above apply to permit)

Name: Pelon Properties, LLC do Bill Pelon
Minor Permit#SC18-19
Date: September 4,2018
Page 2 of 2
(4) The permittee is required to contact the Local Permit Officer [phone], shortly before he plans to begin
construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline
change. Construction must begin within sixty(60)days of the determination or the measurement is void and must
be redone.
(5) Any structure(s) constructed within the Ocean Hazard area shall comply with the NC Building Code, including the
Coastal and Flood Plain Construction Standards of the N. C. Building Code, and the Local Flood Damage
Prevention Ordinance as required by the National Flood Insurance Program. If any provisions of the building code
or a flood damage prevention ordinance are inconsistent with any of the following AEC standards, the more
restrictive provision shall control.
(6) The authorized gazebo shall be a free-standing structure and shall not be structurally connected to the
authorized deck.
(7) This permit does not authorize the removal of sand or vegetation from/on/in the frontal dune, with exception of that
necessary for piling installation.
(8) With exception of the beach access walkway, 500 sq. ft. or less of elevated uncovered decking and 200 sq. ft
gazebo, all other structure(s)must be set back a minimum of 60 feet from the First Line of Stable Natural Vegetation
(FLSNV), as determined by the DCM,the LPO,or another assigned agent of the DCM.
(9) 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.
(10) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary '
protective measures allowed under CRC rules.
(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.
HECC1VbD
NOV 1 4 2018
(� DC WILF�- GTON, NC
SIGNATURE:
�Q UAl E. �t'N
PERMITTEE nn/ � .1- Arelffil

Locality
U k, 67-y Permit Numbers ` — I
/
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name ?e-A O`t1 \ e peey, 1 12S L L C (W.a. pelor\
Address 9.0. Q o , 9 0 0 ++
City Hai' pSTe-&.cL State I U, Co Zip2 Dt'f�1 Phone I 0 - 5-3 8- I +cc
Email l..0 d P 2V0r ® O, O , CO OA
AUTHORIZED AGENT
Name
Address
City State • Zip Phone
•
Email
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
115.11, 1\) 1 Soy e)VC t`ve. SV.IV CTt /1U.C. MgitS
Oce0, riceor\1 ATla,nTt.c. 0 cear clr 1). Sinore`pr clAteczT\ cars-etnTt-u
C{R p &s be.
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 2 p 0 Sc F T c a V e r e 1
' 1GeL .ebc,, Coo SQ PT: & %MOS To Oee0"
SIZE OF LOT/PARCEL: (O 19 square feet Oe 13 3 acres
PROPOSED USE: Residential ❑ (Single-family❑ Multi-family ❑ ) Commercial/Industrial ❑ Other Ft.
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: 7O0square 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 drawin )
z
STATE STORM WATER MANAGEMENT PERMIT: Is the project located in an area subject to a State o o
JPt Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)? >t9
YES NO }
•c__-- i _�.,__ ._._ �__a. _.___ _»__i:.Y�..»..:..........»F.....,tl,....e�l C.........•l..t.,.r,.�rnal• en>»rn raa -J

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,FIA
Certification,Sand Dune, Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as: (check one)Van
n owner or record title,Title is vested in name of CQ I 0 2 r 0 e vti el L. LC
see Deed BookAW teo k ,3 page $Co in the
��,� 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 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) Dciu E t 1`?so,& '1 Og U.)00asvAck ,CT_ �4we &.C, �.� 6 0 ck (U o N,S�o r e)
(2) Stizawae vev,ttvnet—rtr lot8 01 c� Qc.r v's �d Lou.tsu,\l .,Ky tlo2o9 (10, 4 N.Shore)
(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 1 Sik day of A tA, a i120 t Q
4.) PaLt.\. m Pei,,e4
Lt,C_
Landowner or person authorized to act as his/her agent for purpose of filing a CA y
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 mation 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 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.
RECEIVED
DCM WILMINGTON,NC

•
ROY COOPER
Governor
O
•
r MICHAEL S. REGAN
Secretary
NORTH CAROL:NA BRAXTON DAVIS
Environmental Quality
Director
September 4, 2018
Pelon Properties, LLC
c/o Bill Pelon
PO Box 700
Hampstead, NC 28443
Dear Mr. Pelon:
Attached is CAMA Minor Development Permit SC 18-19 for work to be done at 1122 North Shore Drive,
in Surf City, Pender County. An electronic copy has been sent to the Pender County Inspections
Department.
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.
Sinc ely,
Shaun K.Simpson
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
PN Co. Inspection Dept.
State of North Carolina I Environmental Quality Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

i z
/\ __1
/_)7-/
A/.. ii-t-te___ c)oc__Q(4--/ -
___ 1c.)
u�
z
....____j C.)
I
u u C
I
n O 1
u u
n o
u ;i u m u
1
X* n n IV
7 >\ 9 5.er b CI 0
5'd ee'Q R, .11
d a a
i
(
S CT 6 q'Lk It( c u I'. 1.
n w o cy
1.ecot+.tke.A. TeT
r1 �2 S% e-S
to 3c-*lv44.K_ g`SeT6oc.K fAowT

0 " 0CM WiLmIrq
( ui
—
i
\ !
v?ibee44.,T;( -13
:
i
A' g i aig- EutoetTe.6
<,T.
tif li Ej e v iTec Du,Ne_
,o;.
IC:7 a
1 '' 7 6,,,. J CI e I)410 S Li . tx..11.)es. '-1
cigar eisTek L.
I -... I/ '
0 , 44" lk--M - r"
.2 r
12s)ti r E . 13
re :sr B.* '...
i..._ --t.
4..4-0_4 RtivA‘re..A. kit) ,
to.shre_ 114."1
1)e c K i C3oLc-K : , ii
„co o scl FT
fro 11.4;
I c.... ; x
Etc 4......9 ...,),
_,.: ,e_geft4441S 5 '‘'.1 ./...,-
10.
IV S /.10V‘e1:)° rStrZte, 1 .
- ros
,
i' : - 1- C-,.,..41 2 COO - I 6 i).7 -
E 80 •
1
'
. I Pii,or.05
..k-
r
„..... t;•-• 44.• i :5` t14$
r f
1 : ie,..„..$____).14•;:. . - .... apt . •-:,,,- k.7/2----
• i
KT •
I f,
..v
sl "4 jeF c, Tv,„1,.._.._.........._.. ...... _.,...to.... ......._..v‘)...0._47.,..:.i.. ...... ....4,04kE
<--------; .-- -- - --- -- Co -- • . • . . ..)
A-CCCE4-5 .4....7,,.., MC)V:\11•14. S\note., D (1/4 ...4e,";. .'" -19
De\i/
0 pQrArt e 5 /. LL
1.1 cz-

/ ` DEED4060, PACE 900
�/ ` LO1S 23 AND •
24, ©LACK 3 .
U
YYIWAU D, PE1AN MAP ROOK 3, PA�3E 811 Z
�� •
�, DEED BOOK 4662. PACE 03 \
cw Cliir) . . \ LOPS•25 AND 26, BLOCK 3 . LOP . .
r \ MAP.BOOK 3, PACE AO
Afk"
. , ik \ • v
444 -Ir \ Q11911NO 20' 9EACN AL:cF:�39
' o ,�. `�� PER 1AAP 9oOK 3. PAttE e6 �` U
o4 4 •"1 Lt•�� tr �S
° \� `,, G�?eGY \
,, ,y .„,„,,,,;;,\ 0, �
a0 ./\4.
...ti \
v.
5 PAGE 1630 y `ti / \ d
4. BLOCK 4 I7(i(i�
3� PN3E 08yr. /� .... .....0.188 4S . ,f .
'$ o i► :
` +
BOUNDARY SURVEY & •
fi, PREL
IMINARY
MINARY PLOT PLAN FOR: •
v .r. .m- ,.... .. ti-:e
-t Y.rw.w v✓•«n..+�.,+:11N.-�' yrw,wns.. +'sl.eY. YI!1"Wf • : .•� _4 _- •.xny:w:..I„r e+k••.•..tiwn •.+..Ha. .+e.wV.+.!.w.rs .h 4.n.."i.µ...s . . : r
a « .ow' - .. - pzzoj ri'oP4wrz:�
/'��
.. _. . .. ..._...- . .In . ._�..... Imo',}Q ..'
' ` �.� �.�... RENT OWNER: PYLON Ai�OPER11 Sr,.4�.C, " ..
P.O. BOX 700 HAMPSTEAD, NC' 28443
' ATLANTIC OCEAN
,.;�',� � � `INDIVIDUAL TRACT ON NORTH SHORE DRIVE
iIIION ,,, `,�. .. .,,,„.,• .... . ' . TOWN OF SURF CITY
—'-^ TOPSAIL TOWNSHIP, PENDER COUNTY, N.C,
.D 1963 DATE: AUCUST 13, 2018
SYSTEM. SC :' 1': .. 0'
4cEe : .54
4014467 r f F.r. r✓les 8URPtPI pc
P.O.:SOX'778, 8EULAW.LE, N.C. 28518•
c..pip lteg w flu_Nil N$TOM C . PHONE: [phone] FAX: [phone]

` •r. . . '21'W LQTS 26 ANDib::RLOGt 3 \ . .
MAi' b00K 3, FACE 86
/ • • �
� ,r \
4 •
,r ♦ :. p.;#0*. . ' 01 0 _
i� �/ W Z
•
.e
itt14 • / . ./-:- .00A. . di;;;' .... .• - r .. •% <11t) 80 . .\. •' .-. • • ..- -.. . .... \ - C) • .' ;
14° Z , .....: die'/1. % \ 'ch .. . -'• .. . t)tk). '. . .... . A . . . . .. . . . . . , a. . .
•
/ ! �` '$10
,i� IN \ . i��•
DAND ELLYSON \• '� \ i
r'' DEED BOOK 4665, PAGE 1630 4. ,`,r`�
L0 BOOK 3;'PAOE�s G.474a.0... f 1f 'S
, � .
•• (:k BOUNDAR T
14
LIM NA
....-,.,.. .:;.v. .., ..., . .4,.. .. - • ;• :,r_..... wa h— .. ....... ....- . ...... '. ..r+,,,.,L .. . to rr.....+.n .aw...,>. ....M.:, .v.. VS...n»r%:: :.,....":;:.
.b:... . ..-.;1,.,... ...-..._ ..._N: _. i
if :..... ... .•'.`''!''. , ,
.,'�r Av OiI • INDIYI
T) THE: pROPENIY SHOWN HEREON IS LOCATED ENTIRELY NRTiIN • �,'r' '' 1�' N '" •mow•
A SPECIAL 100 YEAR FLOOD HAZARD AREA ACCORDING
TO FL000 INSURANCE RATE MAP NO. 3720424500K •
` """' TOPSAI
DATED FEBRVARY 16,•2007,
2) ALL N.C. DAT OWN HEREON IS H d,.ON NM!al103 DATE:. ' AUGUST
ARID
2011 ADJUSTMENt.USING THE NCGS RTK NETWORK--SYSTEM. SCALE: 1".00.20'
3) ALL DISTANCES SHOWN HEREON ARE N.C. GRID DISTANOEB .
UNLESS OTTIER4ASE NOTED. li.dor.
4) COMBINED GRD'FACTOR. 0.01)997004
8) THIS PROPERTY 1S ZONED.R2O. • • • C- o. matt.eu:..nou N t ON. t_-,�`� 'PHOv
� 1.0
rLE usertLe.o)II • EMAIL I
. >s rw.a r001.05u

v
z
z
UJI—
LL_
U•
w—I
JOSMT 1 NSJJAM2,PRR10'0NN.(ANDDJR1CKO CRIST MAT ,A4/ • CC
INS MAP WAS PROWS IIII0E8 MY SuP211112011 21101I
SAKI MADE 11110ER MT R0LRMSg11 W 400101 0 ON� �P~'10
FROM ROOWICS AS RION/INAE0IR MAT 001A10ARIO NOT
SUNK=M1 N01E0 AS SUCM N17 ROTIEO P11ON NO A= / f -Y //��
AS MOM NOKI IR VAT DE CP5►011110M CI TMS WNKT SAS / V
PEM00111 TO A CLAM A SKIM AS 0E11Nm IT SRC 21.CAIMIER
1.221 01 SIDI A PM1003�1 CNAI ACCURACY OF RO ILL IEm MAY �}1 // •� �[
CPS FUMY WAS PERi0N=USW A CAILSOT1 MIN NOYCR AND/OR \ /
A YNMOi D000 ROVGI MAT ILL CD00RA105 MC NOD)ON N.C. /
MO NORM(MAO IOU 20N AOJUSMM OCORK WOKS MAT no \ / g ,,;,.Y.n+•[
CONSEN710N PORTION OI TN4 KINKY HAS A RAW OF MOM /
N Vass of I:10.000 MO I5 ALSO 11214010,411 10 A 0,438 A \ / _
RAIKY AS MINED eY WILE 21,OIM7U 54,SOCIION.1407 of 1( / /
ill N.C.AOMMS18AOK COOS;AMO MAT MS MAP IA! \ \ / / — NARANM OCCM
N.GroA 09TR.Wl1M*0 wM not:t OIAPIN SLISW K iN[ C''4. / ,, / VICINITY SKETCH
4.44 brio gg\���Idud'' °o� \ \ / / / (HOT 10 scut)
1010�J1 'ma's'
Ru."Iro :'O82M r)' \ '4\ V
/
\
\ �% \ Pv., //
:(r 1317o�e i /
\
\ an. \ki.41?3UN1 4 ;Y
'' li1 ' \ .0 / / \
i111 \
GRID 11ES AND COORINNATF$ iil
k / /
NORTH
EIP N0.102 - N .253.160113 ) / \ \
EAST.0I0,365.343 / // \ \ P
E14 NO 103 - NORM.203,124,250 // // i- 1 / \\ w2Awc 03101051511 \ ..
EAST.2,4M,300.479 /
/ pq2\ \ CUD WON A050.PAGE SOO \
/ ' A�'y,1 // \\ oEm Ia MONPOONPACE 53 \ wM P 300K S.TS 21 ANO IP,IGE' SO ost] \
/ s.•w• 5 \
REF!RF.„..„ ......
/ / \\ 1'A.M.000�G J POOL I 3 \
// bp' 8 ' `M3 k fYA \\\ \\ \\
®WON 4667.PAGE 2155 / p�I��S ,'I.„ $ s• }•'�/ S.. roe \\ poi MAP WOM 2,Pm srr MACH A IA \ \
2.BEAM
8LOCN 4 // ....
Y // Cn ', 5�: \\ \\ \
MAP WON 3,PAGE 00 .(•4 y
// ✓' //' // �I*: , 1 n aT� \\ \\
/ / SS\ \
/ / \.40
\ •�. \\
V DAM 111311011
$ \
// 10� �0G''DEED BOOK NO.PAGE � S/��� O.19BACRJSS t
/ NAP W*N 1 PAD[M
/ f 40
/ ' '' na7 BOUNDARY SURVEY &
PRELIMINARY PLOT PLAN FOR:
i. A FELON PROPA'RT1A'AS, Z.W.
rr„J;
• F _A— ""_ CURRENT OWNER: PELON PROPERTIES.LLC.
', JdtP �- P.O.BOX 700 IUMPSTEAD,NC 28443
7. 4.+
giStai ✓ ATLANTIC OCEAN INDIVIDUAL TRACT ON NORTH SHORE DRIVE
BP•EN51MM IRON PIPE I)SC PROPTRTI WORN HLRCON IS LOCA1EO IX11RE1T AMP y4Y' "_,„ TOWN OF SURF CITY
E15-COSMO 001 VANE A SPECU0 100 YEAR ILOW MALABO MA AC0001110
DAP.ERSTMO MAO NAN. TO FLOMO INSURANCE RA7[MN,NO.372042490= TOPSAIL TOWNSHIP, PENDER COUNTY, N.C.
1s:.I07N STANC OCT DAME)FEBRUARY 10.2007.
A0-Top A5040 MONO MIRPACE '^^^
DO.TOP KU M'OROUND SMIAC 2)ALL NO 010 OA0A RNBN IRRt01 15 BASED M MAD 1503 �..... DATE: AUGUST 13,2018 1E
R/ .NOR-W-WAY 2011 AOJU5IYENT URN*De NCRS ROT NE11/061 119314. SCALE: 1..20' I a
! .PROPERTY LMC 2)KA 00TAN000 SHOWN 18120N Mt KZ OPO gOTANCO
PEGS.NORTH CA 01044 CWC1C VME59 CROONS NOI1,
SMKY YYY�Y' lDB.VNY✓• I/LL/JI/16'L,f,VO SUR{'BYIJtC, pC..44 AA
+-.-.-.0iO4HEA*LOAM IRIE I)COMM WO PA0T01. 00SS07204 P.O.BOX 778,BEULAVILLE,N.C.28518 �..sq
•-Mnun PqE 5)1N5 MOPERTT I5 2080 R20, -NMACAIRYI 00_m:.-.s,PW a PHONE: [phone] FAX:[phone] I�,IJJ''!!JJ
• mA� J'M� EMAIL: LUAMSRJWSURVEY.COM FIRM NO.C-2532

July 9, 2018
Ms. Suzanne Bergmeister
1018 Old Canyons Lane
Louisville, KY 40207
Dear Ms. Bergmeister:
This letter is to inform you that I, William D. Pelon, have applied for a CAMA Minor Permit on
my property at 1122 North Shore Drive, Surf City NC in Pender County.
As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawings 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 910-538-2455, or by mail at the address listed below. if
you wish to file written comments or objections with the Local Government CAMA Minor
Permit Program, you may submit them to:
N. C. Division of Coastal Management
Jason Dail
127 Cardinal Drive Extension
Wilmington NC 28405
Sincerely,
V ,;w,,Q- 02.0..e.-k-
William D. Pelon
P. O. Box 700
Hampstead NC 28443
RECEIVED
DCM WILMINGrON, NC

1. . •os a ervice
CERTIFIED MAIL° RECEIPT
0 Domestic Mail Only
For delivery information,visit our website at www.usps.com
LOUISVILLE: K ' 40207E
Certified Mail Fee V
$ $3.45 7 Z 0445
1 Extra Services&Fees(check box,add fee 1e3ppr6pr7ate) Z 07
0 Return Receipt(hardcopy) $ $lj_IJl J Q
❑Return (Receipt(electronic) $ $I1,00 7 Postmark
. I] ❑Certified Mail Restricted Delivery $ &citl Z .Here
❑Adult Signature Required $ l AM1 L4.)'—
] ❑Adult Signature Restricted Delivery$ $f�•Lrl1 U
W--I
3 Postage S
$ $0.71 GGG000
aTotal Postage and Fees /18/2�11 8
$ $6.91 c;
Sent To
- c5-LL_ut t AtE. EQ( m l_,5__TE(-
3 Street an{l Apt ,or PQ ox A A W ^ r-d
City,Stalf,ZIP+4t D 11!' J! 1K1
OL�ISU1L-LE Jj 4-DA01

+eranea mall service proviues me renewing aenems:
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. 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.
mportant 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 deliyery service,which
I Certified Mail service is not available for requires the signee to be at least 21 years of agr
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
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.

July 9, 2018
Mr. David Ellyson
4708 Woodsmith Court
Raleigh NC 27609
Dear Mr Ellyson:
This letter is to inform you that I,William D. Pelon,have applied for a CAMA Minor Permit on
my property at 1122 North Shore Drive, Surf City NC in Pender County.
As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawings 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 910-538-2455, or by mail at the address listed below. If
you wish to file written comments or objections with the Local Government CAMA Minor
Permit Program, you may submit them to:
N. C. Division of Coastal Management
Jason Dail
127 Cardinal Drive Extension
Wilmington NC 28405
Sincerely,
WeLAAM\CD. 021102
William D. Pelon
P. O. Box 700
Hampstead NC 28443
RECEIVED
DCM WILMINGTON, NC

I. . •os a ervice
CERTIFIED MAIL® RECEIPT
r Dart7bstic Mail Only
For delivery information,visit our website at www.usps.com®.
RALEIGH, NC 410
' PAI— U %->‘°' ii--
Certified Mail Fee 0
3 $ $3.45 z 0445
1 Extra Services&Fees(check box,add fee$.;5p1570a5 te) z 07
0 Return Receipt(hardcopy) $ Su i_lU a 0 •
0 Return Receipt(electronic) $ $0.00 Lu 170sirnoirk
3
3 0 Certified Mail Restricted Delivery $
3 El Adult Signature Required $ g-
$0.00
E Adult Signature Restricted Delivery$ Lu----
C--) -- ---'1
ill:1-3
3 Postage
$0.71
Total Postage and Fees 08/18/2018
3 0
$ $6.91
Sent T
i °I PA V1D b 1 I q_b_ani
3.. Street an lei N(3,g PO Ba:51 0 0 ci .4.1 0,+
cdx,s ii ._elaiitlimmusiallialimmim

set uneu mac service pruvtues me runuwing uenenis:
I A 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
Electronic verification of delivery or attempted . return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified MairecEipt 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
I You may purchase Certified Mail service with signee to beat 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,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 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
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.
's Form 3800.onus 2m s ra ,s„i PSN 7mx5.e2-rui1-0n47

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
(wd peloin)
hereby certify that I own property adjacent to Pe\OV\VP0 f ev 1 t e-S I L I_ C. 's
�) (Name of Property Owner)
property located at 1120 ' \/ S h o e_ t) r 1 V
Address, Lot, Block,Road,etc.)
on 1 I 11 0.v\t c , in S V�'S CAT /Pe �e1` , N.C.
(Waterbody) (Town and/or Conty)
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
novicX. 5kIYgdrl
Print or Type Name
Telephone Number
Date
RECEIVED
DCM WILMINGTON, NC

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date:November 30,2018
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company.and(3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
Pelon Properties. LLC
A2. Building Street Address(including Apt.. Unit. Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number
Box No.
1122 North Shore Drive
City State ZIP Code
Surf City North Carolina 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
Pender County tax parcel number: 4245-43-3079-0000
A4. Building Use(e.g., Residential, Non-Residential,Addition.Accessory.etc.) Accessory structure
A5. Latitude/Longitude: Lat.34-26-11.3 Long.77-31-34.8 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number Nip
A8. For a building with a crawlspace or enclosure(s)
a) Square footage of crawlspace or enclosure(s) 0 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in
d) Engineered flood openings? ❑ Yes No
A9. For a building with an attached garage:
a) Square footage of attached garage 0 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings' ❑Yes No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number j B2. County Name I B3. State
Town of Surf City 370186 i Pender North Carolina
B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s)
Number Date Effective/ j (Zone AO, use Base
Revised Date Food Depth)
3720424500 K 02/16/2007 02/16/2007 VE 15.0
1 �
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 '� NAVD 1988 ❑ Other/Source,\"\ t\\ CARO�
4k 'FeSS10•• ti',�-
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected ALA2i ? ❑ Yew.. .�i
9 L ❑ •r- L 31 0 T•
14s4;:;41:2-.
Designation Date: �BRS OPA
. n ft� 1oii? a "1 of
rr. n c.....,, oc ���» o ro u n J c� Rnlne all nravins Priitins ��.

OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30,2018
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
1122 North Shore Drive
City State ZIP Code Company NAIC Number
Surf City North Carolina 28445
SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: X Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations—Zones A1—A30,AE,AH,A(with BFE).VE.V1—V30,V(with BFE),AR,AR/A.ARIAE,ARIA1—A30,AR/AH,AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized: NCGS RTK network Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 ❑x NAVD 1988 ❑Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor(including basement,crawispace, or enclosure floor) nfa. X feet ❑ meters
b) Top of the next higher floor nfa. ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) nfa. X feet ❑meters
d) Attached garage(top of slab) nfa. E feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 14. 1 ❑x feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 7. 6 Q feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 11. 2 (] feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 7. 6 X feet ❑ meters
structural support
SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law to certify elevation information.
1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? I Yes E No ❑Check here if attachments.
Certifier's Name License Number
Johnny J.Williams L-3170 tt111i4Rff
Title \\�\\ H GARQ/i///
Professional Land Surveyor .-'p •' �ES S/ '• %-
4 iy�.
F Cry. p
Company Name �•�O Place y• _
Johnny J.Williams Land Surveying,P.C. = ' 4 %5>iL r'
Address 9 t�IJ O t
P.O. Box 778 a,40• D•S '4Vt'Q4�'�
City State ZIP Code J-\�\`�\\\�
Beulaville North Carolina 28518 �1 11111110\
Si ure Date Telephone
Ue Ii rIC 08/13/2018 [phone]
Co I p es of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
y .
Comments(including type of equipment and location,per C2(e), if applicable)
The proposed accessory structure is a deck that has no enclosures. It does have electrical wiring. RECEIVED
DCM WILMINGTON, NC
C2e-The lowest equioment will be the electrical box
Woninroe on nrcvini,e oriirinns Form Page 2 of 6

ovaOF
5u9 Town of Surf City f
214 N. New River Dr. Surf City, N.C. 28445
Phone: [phone] • Fax: [phone] •
www.townofsurfcity.corn [e-mail]
Permit Number: Date: S A O /1 f
Project Address: k \ l? /O . J ho h 4z..D r, s u,r &,C
Property Owner: 9Z1 O h, c)st 01 e Y'Tt es 1 L C..
Property Owner Mailing Address: 11,01 M S i n v-e V)r S u e C IT‘e✓ C
Property Owner Telephone Number: l -5 3 Sr s Email Address:W4 iot\Oh ®0.0[. C OI'►3
Project Information un bk.; Vt.a 61 VoT QAMA 9.evtewecc 4- p Mil— epfje.d Foe.
Dwelling Type: 0 One/Two F Fa iilly� 0 Town Homes 0 Manufactured Home
Bedrooms#of: /"�!-fi Lawn Irrigation Wes No
r
Description of Project: 5 ' W a\t< w A-y To 13C'AG1 ! t 0 A.110 G sa.2 e,b p
atcc1 Soo S9 FT © e�"K‘N 0.11_ t,onSTrucTe& t Nde +e,NkaR
o`W\t ri
Building Contractor
Contractor: `J%\i C QA OY\ Phone:C tO 5-.3 -2 t{SS
Address: s cr„p t 'e IJ V`
City: S U.A' C" C"s`� State: IV , C Zip:
NC License#: Contact/Agent: Cell: 9 10 3-31 LIS S"
Email Address: W & pv.Xo >t~ ciD Q0 1. C.0 I'r\ (where inspection results will be emailed to)
Project Cost Including Subcontractors: $ , 9 4 0 0
Lien Agent-Required for Projects that Value$30,000.00 and Above.
Lien Agent Company:
Physical Address:
City: State: Zip:
Mailing Address:
City: State: Zip:
Phone: Fax:
Email Address:
RECEIVED
RESIDENTIAL APPLICATION Page 1 of2 DCM WILMINGTON, NC

Electrical Contractor
Contractor: Ctev
E fear
Address: lo q O NG Kw 1,10 E,
City: }{a.M "Ve.o..c3.` ` State: A./ C. Zip: 2s 4 Li 3
Phone:¶0 cgw O o'h q NC License#: 21 l 6 O Email Address: gca-f j C..& ElecTrt4<,
L Lc.e_o r11
Plumbing Contractor
Contractor: T h t-To vt 'P I Lx.wt L vt q
Address: 3l 6 U R UinSO � i)1o4
City: C f art i • State: N.0 Zip: , '
Phone: q l 9 - 0- lig33 NC License#: Z2.i52 Email Address:
Mechanical Contractor
Contractor:
Address:
City: State: Zip:
Phone: NC License#: Email Address:
Gas Contractor
Contractor:
Address:
City: State: Zip:
Phone: NC License#: Email Address:
Insulation Contractor
Contractor:
Address:
City: State: Zip:
Phone: NC License#: Email Address:
Date: S 12�� / l r t
Signature of Applicant/Agent: 9 „Q+ n1, 1- LLC_ £01)g Qgv�Q M .Q.t �
Printed Name of Applicant/Agent: Ulf_ p Pe� p (Q.1,oro ? or,QATI�S LA.c_
To be calculated by Community Development Department:
Area Square Footage
Heated Space: Elevator 1Yes "No
Unheated Space: (Garage, Storage, Deck, Etc) Fireplace/Gas Yes No
Total Square Footage of Structure: Lawn/Irrigation Sprinkler
Habitable Impact Fees: $ ,,Yes rNo
RECEIVED
DCM WILMINGTON, NC
RESIDENTIAL APPLICATION Page 2 of 2

Date Date Check From Name of Vendor Check Check Permit Rct. A
Received Deposited Permit Holder Number amount Number/Comments
8/20/2018 William and Lee Bill Pelon First 5367 $100.00 minor fee, 1122 N.Shore JD rct. 6941
Pelon National Drive, Surf City PNCo
Bank

Date Date Check From Name of Vendor Check Check Permit Rct. I
Received Deposited Permit Holder Number amount Number/Comments
8/20/2018 William and Lee Bill Pelon First 5367 $100.00 minor fee, 1122 N.Shore JD rct. 694
Pelon National Drive, Surf City PNCo
Bank