SC 18-20 Surf

Issued by WiRO SC18.20
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
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 517 Roland Ave, in Surf City,
Pender County as requested in the permittee's application, dated August 3, 2018, and received by DCM on September
27, 2018. This permit, issued on October 11, 2018, is subject to compliance with the application and drawing dated and
received by DCM on September 27, 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 an ADA access path/boardwalk at Soundside Park.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on September 27, 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)
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 LAMA 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
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: Town of Surf City
Minor Permit#SC18.20
Date: October 11,2018
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) All structures shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards
of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood
Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent
with any of the following AEC standards, the more restrictive provision shall control.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATURE: DATE:
PERM ITTEE

Locality 3"0 Permit Numbe v 20 OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
Y minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
Ocean Hazard Estuarine Shoreline x• ORW Shoreline Public Trust Shoreline Other treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
(For official use only) Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others.Check with your Local Permit Officer for more information.
GENERAL INFORMATION STATEMENT OF OWNERSHIP:
LAND OWNER-MAILING ADDRESS I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
r • person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Name ►p W 1t1 O T S v Yn C t \ listed as landowner on this application has a significant interest in the real property described therein.This interest can be
Address 2 14 N, New R i ve r J/r described as:(check one) /�
City v rf CAI'y State N C. Zip2 44 Phone q(O 32$ 4 3 i `J an owner or record title Title is vested in name of - �_
in
it `
see Deed Book i-4"1't page the County Registry of Deeds.
Email Cvvievv,t♦ elawhofsurfclty.c..ow+
AUTHORIZEDj.y A�G�ENTj� �� _an owner by virtue of inheritance.Applicant is an heir to the estate of
Name e _,t J r"'lei n ;Probate was in County.
Addre c„ J7 t ^S �} r n if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
City s� t.4 State Zip Phoni?'1 ID s.g 3 �} -y 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
Email ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.) (��.�(Name)���. (Address)
(1)Q,1�1 ' TIICLjxe.i,ifc, ;/6,A21215,
. SC.Mts I+1II M 'Vsin, . .�
SokdAcI5ide po.vki�l7 ?owl avvct Ave,, 5(,rf C}.1 i NC z 4145 (2)L J1i( NJ.44riie_ech � I— $
Y+ 16 ad jcicevi+ 4o We .SCW. (4)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) PX,V I h3 a/IN,Y 1,_ ACKNOWLEDGEMENTS:
A F-t �Y�V1I� Y Ff 1/kq l � �00.Y�y�)Q� i,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
J 1 T o h 17T Y{ may be susceptible to erosion and/or-flooding.
00ding.I acknowledge that the Local Permit Officer has explained to me the particu-
5e 5 b.c { v K cv, 1p{'. lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
SIZE OF LOT/PAR EL• square feet OZ acres Lion and fioodproofing techniques.
PROPOSED USE:Residential❑ (Single-family 0 Multi-family El) CommerciaVIndustrial 0 Other A 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
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies related to this permit application.
to your property): N
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:(1 Psquare feet(includes , / This th�= day ,20 1j j[�
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but t'
excluding non-load-bearing attic space) ` di t '� i we- on
Landowner or pers. r on .t. : as s/he ._ t for pi I,se• t• • • 3 ' .,
(2) COASTAL SHORELINE AECs:SiZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
This application includes:general information(this form),a site drawing as = ; 'r ,is application,the
UPON SURFACES:3.t54quare feet(includes the area of the foundation of all buildings,driveways,covered decks, (_)i r r��
ownership statement,the Ocean Hazard AEC Notice where necessary,a c ..r r m• the locality,and
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) �'l.�\�+ l
any information as may be provided orally by the applicant.The details.V, ,ication• - •• t . e sources are
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without reference in any permit which may be issued. t .m these Yut• •violation of
Stormwater ent Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)? any permit.Any person developing in an AEC without permit is subjec 1 • r aC ,n.
YES NO
Ifyes,list the total built upon area/imperviousRECEIVE .
po surface allowed for your lot or parcel: square feet.
DCM WiLMINGTON,'F . ,
SEP 272018

•
SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit. �*
The Local Permit Officer will help you,if requested.
IhrIC
PHYSICAL DIMENSIONS APPLICATION FOR
Label roads CAMA MINOR
Label highways right-of-ways
Label locany setback
structures
ctu DEVELOPMENT
nes
Label any and all structures and driveways currently existing on property
Coastal Management
Label adjacent waterbody 9
ENVIRONMENTAL QUALITY ��/�
PHYSICAL CHARACTERISTICS PERMIT
Draw and label normal high water line(contact LPO for assistance) In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
Draw location of on-site wastewater system
(CAMA)and set the stage for guiding development in fragile and productive areas that
If you will be working in the ocean hazard area: border the state's sounds and oceanfront.Along with requiring special care by those who
Draw and label dune ridges(include spot elevations) build and develop,the General Assembly directed the Coastal Resources Commission
Draw and label toe of dunes (CRC)to implement clear regulations that minimize the burden on the applicant.
Identify and locate first line of stable vegetation(contact LPO for assistance)
Draw and label erosion setback line(contact LPO for assistance) This application for a minor development permit under CAMA is part of the
Draw and label topographical features(optional) Commission's effort to meet the spirit and intent of the General Assembly.It has been
designed to be straightforward and require no more time or effort than necessary from
If you will be working in a coastal shoreline area: the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
Show the roof overhang as a dotted line around the structure locality in which you plan to build to be certain that you understand what information he
Draw and label landward limit of AEC or she needs before you apply.
Draw and label all wetland lines(contact LPO for assistance)
Draw and label the 30-foot buffer line Under CAMA regulations,the minor permit is to be issued within 25 days once a
DEVELOPMENT PLANS complete application is in hand.Often less time is needed if the project is simple.The
process generally takes about 18 days.You can speed the approval process by making
Draw and label all proposed structures certain that your application is complete and signed,that your drawing meets the
Draw and label areas that will be disturbed and/or landscaped specifications given inside and that your application fee is attached.
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled Other permits are sometimes required for development in the coastal area.While these
Show all areas to be disturbed are not CAMA-related,we urge you to check with the Local Permit Officer to determine
Show landscaping which of these you may need.A list is included on page two of this folder.
NOTE TO APPLICANT
We appreciate your cooperation with the North Carolina Coastal Management Program
Have you: and your willingness to build in a way that protects the resources of our beautiful and
• completed all blanks and/or indicated if not applicable? productive coast.
• notified and listed adjacent property owners?
• included your site drawing?
Coastal Resources Commission
• signed and dated the application? Division of Coastal Management
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner)
FOR STAFF USE < e
Site Notice Posted Final Inspection Fee ReceivedLJ
e
Site Inspections cr
on
❑E
Date of Action:Issued Exempted Denied Appeal Deadline(20 days from permit action) DCM Form EB I 952-2015/Revised

fix. Governor
MICHAEL S. REGAN
Secretary
BRAXTON DAVIS
Director
October 16, 2018
Town of Surf City
214 N. New River Drive
Surf City, NC 28445
Dear Mr. Merritt:
Attached is CAMA Minor Development Permit SC 18-20 for work to be done at 517 Roland Ave, 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.
•erelvl
ya �'ieti a
permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
PN Co. Inspection Dept.
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

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Proposed ADA Accesses from Parking Lot to boardwalk in
Soundside Park

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Dear Adjacent Property:
This letter is to inform you that I, -4l Or 4 have applied for a CAMA Minor
Property Owner
Permit on my property at 519 ) C 2rr AV'e ,in COUNTY
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 atC1 i o. • ' ,or by mail at the address listed below, If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program,you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE,ZIP CODE
Sincerely,
t
Property Owne
fling Address
'/ IY.C.
City,gthte,Zip Vde
3ECf ; /ED
DCbi WILMINGTON, NC
SEP 272018

►ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signature
• Print your name and address on the reverse X ❑Agent
so that we can return the card to you. Ckeh---- ❑Addressee
■ Attach this card to the back of the mailpiece, B. 9ecei ed by( inte Nagle) C. Date of Delivery
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If YES, t ny.am
Causey Real Estate DCM WILMINGTON, NC
3925 Scotts Hill Loop SEP 2 7 2018
Wilmington, NC 28411 .
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PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt

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2t12 Postage&Fees Paid
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PO Box 2475
Surf City, NC 28445
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A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
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delivery. USPS®-postmarked Certified Mail receipt to the
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mportant Reminders: -Adult signature service,which requires the
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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
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
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
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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.
:A Fnnn 3A00_And!'n15 PAN 7cnn-moan-Qna7

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Or-- E C1.41
_J (Name of Property Owner)
property located at 1 1 +'XJ1,9 (z,�' 1' J -.
Address, Lot, Block, Road,, etc.)
on A-+h d C ��CUD , in �CX'{ i lr'CA r C.a. , 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
DCM Wll MINGTON, NC
SEP 2 7 2018

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Dear Adjacent Property:
This letter is to inform you that I, J Yl ern,)r-T e* have applied for a CAMA Minor
Property Owner
Permit on my property at 51'f r�,�1 oV ul '� ,in COUNTY
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 ata1G. 3 j•L}-V c-' ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program,you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY,STATE,ZIP CODE
Sincerely,
Property Owne r��////L
�l�J ON7''7S
iling Address
j)fre
City,St ,Zip Co

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to -f j. (') or C 's
(Name of Property Owner)
property located at 5 P)olcuxt f\�
Address, Lot, Block, Road,� etc.)
on AtIC,t.YT6C- �'� �1 , in ->r- }LJ(jT 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

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-etas"giat North Myrtle Beach, SC 29598

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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
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 beat 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
'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.
e c..,.,,mRnn n...n om a roe„ere,oem-7con.no.imen.7

SENDER: COMPLETE THIS SECTION COMPLETE I •;SECTION ON DFU!'EPV
• Complete items 1,2,and 3. A. Signat 1 'z.-
• Print your name and address on the reverse ' ' ❑'A'
so that we can return the card to you. X lilll�`�. ❑Ac1 se(
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1. Article Addressed to: D. Is•-livery address diff- -nt from item 1? ❑ -'°
If YES,enter delivery a.. - - below: 0 No
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Laniado Properties = • R E C t:r I V w___.
PO Box 1008 DCM WILMINGTON, NC
North Myrtle Beach, SC 29598
SEI,' 272018
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❑Insured Mail 0 Signature Confirmation
7 017 0190 0000 3001 5983 0 Insured Mail Restricted Delivery Restricted Delivery
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PS Form 3811,April 2015 PSN 7530-02-000-9053 Domeitic Return Receipt

UNITED STATES- c'SEE First-Class Mail
r . ,, Postage&Fees Paid
USPS
a'ts .1V,; r • t Permit No. G-10
PM 1.;!
• Sender: Please print your name, address, and ZIP+4® in this box*
Town of Surf City
PO Box 2475
Surf City, NC 28445
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lived Deposited Permit Holder Number amount Number/Comments
2018 Town of Surf City Town of Surf City First 76510 $100.00 minor fee, 517 Roland Ave, JD rct. 6951
Citizens Surf City PnCo
Bank