SC_19-02_ Tolbert

SC19-02
Issued by WiRO Permit Number
Surf City
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 Scott Tolbert authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC) at
120 Windjammer Drive, in Surf City, Pender County as requested in the permittee's application dated January 28,
2019, and drawing dated January 16, 2019 and received by DCM on February 4, 2019. This permit, issued on February
27, 2019, is subject to compliance with the application and site drawing (where consistent with the permit), all applicable
regulations and special conditions and notes set forth below. Any violation of these terms may subject permittee to a
fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Construction of a vegetated swale.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated January 16, 2019 and received by the Division of Coastal Management on
February 4, 2019.
(2) 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.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work.
RECEIVED
MAR 0 8 2019
(Additional Permit Conditions on Page 2)
DCM WILMINGTON, NG
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 Jason Dail
site and accessible to the permit officer when the project is inspected for CAMA Local Permit Officer
compliance. Any maintenance work or project modification not covered under 127 Cardinal Drive Extension
this permit,require further written permit approval.All work must cease when this
permit expires on: Wilmington 28405- 845
December 31,2022
In issuing this permit it is agreed that this project is consistent with the local Land
I Ica Plan and all annlirahlo nrrlinanroc Thic Hermit may not he transferrers to DCDAAITTCC

Name: Scott Tolbert
Minor Permit#SC19-02
Date Issued: February 27, 2019
Page 2
(5) 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.
(6) 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 vegetatively
stabilized, and must remain in a vegetated state.
(7) No structures shall be located within the 30' Coastal Shoreline buffer.
(8) This permit does not authorize the excavation or filling of any wetlands or open water areas.
(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.
RECEIVED
MAR 0 8 2019
DCM WILMINGTON, NC
SIGNATURE: DATE:
1cc6- /
ERMITTEE

�� /�� �G ICI — o'�
Locality 7% "k\' Y V� Permit Number
Ocean Hazard Estuarine Shoreline A ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name 54oft bert
Address Po Box 213
City SfMdmAn State N& Zip 2g391 Phone 9Id - 11-19
Email S[ o I b(A-t Aol. (aYY►
AUTHORIZED AGENT
Name Es,(I nt[ri1� I�LL G — So mi t. EC 1'l 2
Address (G�-G u�J Hl^'9 (-7
City -}-ampscu-ol. State 1U_ • Zip 2243 Phone 9 " 21019c.99
Email rS«Nt,tieye i1► owl
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
IZo vtki Ammo- I)r1'VL- , Sow CI hj 5 PIia}r COVt cuttdivi'h(a IJ ChAnncl
Hw15o Swill or I6,1Ani1 , R, ii owls CuF146s Dr,) lef1 InhnAj i nor .pr.
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
Ca„i,h o(\ 'hi l l ow Silva I L ib t lo(a-Id ov cuLl 4 i . -Cr rN 1401i o Co ih v I'�►�j
�(fa[r? WA 'r
SIZE OF LOT/PARCEL: 19)1 G G square feet CA`L acres
PROPOSED USE: Residential [j (Single-family[i Multi-family ❑ ) Commercial/Industrial ❑ Other 0
COMPLETE EITHER(1) OR(2) BELOW(Contact your Local Permit Officer ifyou 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: I3C0 square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc. that are within the applicable AEC.Attach your calculations with the project draOit .)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State > (17.6
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(DEMLR).u Z
YES NO V m

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)
`/ an owner or record title,Title is vested in name of S(o l- —16(ifIe t
see Deed Book 3G 5 2 page o 3 I in the hP.Yld',r 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)— nuo U"") S,k
(I) Rob( Ioo —Thret Nttln RA Ritlitij14 , NC 21(,15 l►si wi 11Ammt- Dr.
(2) Dunn PEasl tt I2z I)riv. Surf (iI) ) N( V1f5 (k.
(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 day of Jn ,20 19
Landown or person authorized 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.fi•an 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

ROY COOPER
Governor
i
MICHAEL S. REGAN ,
Secretary
NORTHCAROLINA BRAXTON DAVIS
Environmental Quality Director
February 27, 2019
Scott Tolbert
PO Box 213
Stedman, NC 28391
Dear Mr.Tolbert,
Attached is CAMA Minor Development Permit SC 19-02 for work to be done at 120 Windjammer Drive,
in Surf City, Pender County. An electronic copy has been sent to the Pender County Inspections
Department and your Agent.
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and return the white copy to us within 20 days of receipt in the enclosed, self-addressed
envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
incerely,
IQ
anya . Pietila
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
Surf City Inspections Dept.
Sonya Edens—Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: • /e,/ �rZ'
Mailing Address: p „f/.3
c. 4e ►- _a.t1. ire . 6,t g39
Phone Number: (9iv Yv 9 — / 779
Email Address: �S'LGI`e,t'i�,er d of. c o An- Q2h2i(
�
I certify that I have authorized f6)F)1 hr l
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at /e20 L4)i nd Ja r►1»�99d.1ri,✓e) gu,.'(1 • )Argr
in -Peh.cier 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:
Signature
6-
eo711-
Print or Type Name
Title
/1 If 1r
Date
This certification is valid through 7 I / I /9 RECEIVED
FEB 04 2019

Receipts for
Certified Mail
(Staple Here)
Ilt I19
Date
12 Alt k} NorH-i
Adjacent Property Owner
1004 1hr<c No+al Ind
N iling Address
Qulr i 1 , Nt 21615
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Sc u�t �o�ht r{ have applied for a CAMA Minor
Property Owner
Permit on my property at 110 W "a i a mm, r i)rivz , inende/Onslow
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at 910- 309- 1119 ,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,
cta h To IN(rt
Property Owner
PO 2-13
Mailing Address
S1t11411An NC 2Y39j
City, State,Zip Code
RECEIVED
FEB 04 2019

U.S. Postal Service'
CERTIFIED MAlP RECEIPT
u Domestic Mail Only
q• For delivery information,visit our website at www.usps.com''.
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a Certified Mail Fee '$S..`,!1 044
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Extra Services&Fees(check box,edd fee 44'ppgrrpite)
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Receipts for
Certified Mail
(Staple Here)
12tt 119
De
Don►1u Pea,,Itt
Adjacent Property Owner
ITi L,l)I4lc,t 1 LY I)MIv�
Mailing 14ddress
Sur C�} NL 2e445
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, S«�f T°)tit have applied for a CAMA Minor
Property Owner
Permit on my property at t2-0 W+'ac,mcr OvivZ P, inende Onslow
P imroperty 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 9 10- 309 - I/19 ,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,
ctJtt T. Ilotrt
Property Owner
Po I3,ix '213
Mailing Address
I mu NI 2'8 39 )
City, State,Zip Code
RECEIVED
n d ^nIc

U. . •osta ervuceTM
CERTIFIED MAIL,. RECEIPT
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u (Domestic Mail Only;No Insurance Coverage Provided)
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' T$9 CP 2.SUBJECT TO RESTRICTIVE COVENANTS,EASEMENTS OF
R `10 RECORD,ZONING ORDINANCE,&UNDERGROUND UTILITIES,
C \ IF ANY. 07
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3.NO TITLE SEARCH BY SURVEYOR.
n \ 4.REFERENCES:DB 3652 PG 31;MB 40,PG 116 1'
9C)(` 4. m \ 5.FLOOD ZONE:AE(EL 8)
` w oD NCFIRM MAP#3720-422400-J, W
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b \ EFFECTIVE DATE 2/16/2007
6.ZONE:SURF CITY R-5
-.4 \ SETBACKS:FRONT-15',
8 �, \ SIDE-7.5',REAR-20'CORNER SIDE-10'
\ M
y \ - LEGEND- e
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I EIP-Existing Iron Pipe
1 Jq7� EIR-Existing Iron Rod _m
p J c' EIPD-Existing Iron Disturbed W c-
, T ro pb5tbf CjhG Ipf, /� CP-Calculated Point > cP
z / h R/W-Right-of-Way
4, Sw�mle. Ireit(td -4 g y W c
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ra 1 M, f , MB-Map Book W
II
I �,k PG-Page
I q �� h W` ��O FH-Existing Fire Hydrant
�� mm��Il �' ,p EOP-Existing Edge of Pavement
o Nosy} Cov15-k tit Nip- G� EB-Existing Electrical Box
ll iv 2):
Iv WM-Existing Water Meter
�" in PP-Existing Powerpole
E 103 W Property Line Surveyed r
T -Property Line Not Surveyed
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' DECK.::.::i:: IMPERVIOUS CALCULATIONS:
,12.4' 12.7' c�. , :
ii
9 ^ ' ._.f 5' v,
iv
LOT AREA-19,020 SF(0.44 AC) #
`. .1::� nj EXISTING BUILDING-1,960 SF
11
:: :.•::.:....:..:......• EXISTING DRIVEWAY-0 SF
N` EXISTING w TOTAL IMPERVIOUS COVERAGE:1,960 SF 1
:RESIDENCE: (10.3%) l
i:: :? IMPERVIOUS SURFACE WITHIN AEC=0 SF
b •......fl'POFtCrt'>:::: 12.8' i
12.3' PROPERTY DESCRIPTION:
;Pd
DONNA :I:'.':::': m
V PEASLEE et al
° DB 4E62,PG 596 a::: : :'i•' OWNER:SCOTT TOLBERT et al
:1'-
6. m ROBERT NORTH
P.O.BOX 213ii
i EXISTING : _ DB 3641,PG 29t STEDMAN,NC 2839i
GRAVEL : y
5:':DRIV PROPERTY ADDRESS:
N41°31'44"JV . • •.. 120 WINDJAMMER DR i
L•1• rs' SURF CITY.NC 28445
0.48' �.� '�QC:`:. TOTAL AREA:0.44 AC. li
EIP S45`23'19"4V EIPOy„' .1 4
65.53' R/W p CH,,, �� .::.. DEED BOOK 3652,PAGE 31
N

Date Date Check From Name of Vendor Check Check Permit Rct.
Received Deposited Permit Holder Number amount Number/Comments
2/6/2019 RSC Engineering, Scott Tolbert TD Bank 6676 $100.00 minor fee, JD rct.7
PLLC 120 Windjammer Dr,Surf City
PNCo