SC_19-42_ Peaslee

SC19-42
Issued by WiRO Permit Number
Surf City
CAMA
MINOR DEVELOPMENT rte:
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 Donna Peaslee authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC) at
122 Windjammer Drive, in Surf City, Pender County as requested in the permittee's application dated August 25, 2019,
and drawing dated May 8, 2015 and received by DCM on October 29, 2019. This permit, issued on November 15, 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: Removal of 12" CPP, re-grade swale and vegetatively stabilize.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by the Division of Coastal Management on October 29, 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 (910) 766-72221ECE final
VEinspection at
completion of work.
D
DEC 0 2 2019
(Additional Permit Conditions on Page 2) DCM WILMINGTON, NC
92 A-4
This permit action may be appealed by the permittee or other qualified persons Jason Dail
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 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 Wilmington, NC 28405-3845
permit expires on:
December 31,2022
In issuing this permit it is agreed that this project is consistent with the local Land
..,,rm;+ m.,,, n„+ ho trnneforrort to PPRMITTFF

Name: Donna Peaslee
Minor Permit#SC19-42
Date Issued: November 15, 2019
Page 2
(5) All unconsolidated material f-esuiting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion controlvmeasures. 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) This permit DOES NOT authorize any excavation and/or fill activities within any wetlands or open water
areas,even temporarily.
(8) No structures(including piping)shall be located within the 30' Coastal Shoreline buffer.
(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
14, 0 2 119
UG.mi vtri M[NGTON,NC
SIGNATURE: /4 ///i� DATE: P-1"--llk
PERMITTEE

91►4`1,4- m*+lk `i
Locality i.v4 f N' _,. , : .- ..- -. . _ : _ . 441 Permit N �G
�f
Number. - , /`
Ocean Hazard . Bstuarint?pll'oreiinc, _ ,- OIkW Shoreline _Public Trust Shoreline_ Other—
! (for official use only)
GENERAL INFORMATION
LAND OWNER- MAILING ADDRESS
Name Donn a P051e6
Address 12 ti W i nd V Yn rri v I)1 t v — —
City_..Surf 6.1- _._.._._ State NC, Zip 29145 Phone 9io2.32-9'dee, ...
Email C1 tc aft•nt F I ...—..,..... -. -____ r _ r�_- _�
AUTHORIZED AGENT Name R9 eh iile.Grn , {){,LL Soh ei Eeltil5
Address 1
_- -512 US w 17
City t-��ln ;t etc( State Nit- Zip 2W 3 Phone 9jQ-210-959)_..
Email ny4. e t'Scct ccrii�.CG wt�_ _.._ ._.._�
LOCATION OF PROJECI;,(Addreess,street name atnd/or directions to site;name of the adjacent waterbody,)
122 I,0itui arnnv,t- D - Surf 611 (LH- 'Pi raIt4 Core Subdl'utdi(w,) -- fink,' (hann<1
if
Nil So Sanik on -T ;<t'I (gan,4 ) 'Rile al Ea Cuilus� ��lire, llfi on Ulit/4ilit P .
DESCRIPTION OF PROJECT::(List ail proposed construction and land disturbance.) 'Re ft It teXlh}Inl 56 1lo►N
5tWu1 t ki ih to(4f-e ci. 0,4 imlotett 1)'f)Grk & pUrpohL of toilYl 5L{Y4a lAaf A ,
Alit drop irld G" CPP to f nvc w4t ( x►hi-frt,n -SWAG.
SIZE OF LOT/PARCEL: ,2 I)1,68 share feet _-0,49 i-- acres
PROPOSED USE: Residential 131 (Single-family[r Multi-family ❑ ) Commercial/Industrial C] Other ❑
COMPLETE EITHER(I)OR(2) BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(I) OCEANTIAZARX)ADCs: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)
U
(2) COASTAL SIIORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTIIER IMPERVIOUS OR I Ii f'
UPON SURFACES: 1756 square feet(includes the area oldie foundation of all buildings,driveways,coveret :Ss, o�
concrete or masonry patios,etc,that are within the applicable AEC.Attach your calculations with the project dt vtttg.)
N
1 W 2f N
STATE STORMWATER MANe4.GEIVIENT PERMIT: Is the project located in an area subject to a State c
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(I)EMLRid —1 ,_
YES NO ✓ C o
t. -

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 dome Park Approval,Highway 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)
1 an owner or record title,Title is vested in name of Dorm hra 41 cc 44 GI
see Deed 13ook 4G42 page 0596 in the pent r County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of
probate was in y 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 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) - hs.rili�, Silt
(I) Stitt Tlbcrt PO Doe 213 Sirdrripm, IVL low l2o UiK4'arhmtr Dr•
(2) Aavoti kAkiltr 239 mein pon,L Plau:)-}nm s}ras( N[ N443 — l24 Wi►,A',cm► _fir.
f' J
(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 inflict grant,permission 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 2q clay of Att .,20 19
Landowtvbr 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 cis may be provided orally by the applicant. The details of the application as described by these sources are
incoap orated without reference in any permit which may be isstredJ Deviation from these details twill constitute a violation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and aREO ly rrion.
nnT n n

ROY COOPER
y� GovernorA
4 MICHAEL S. REGAN
Secretary
NORTH CAROLINA BRAXTON DAVIS
Environmental()utility Director
November 20, 2019
Donna Peaslee
122 Windjammer Drive
Surf City, NC 28445
To Ms. Peaslee,
Attached is CAMA Minor Development Permit SC 19-42 for work to be done at 122 Windjammer Drive,
in Surf City, Pender County. An electronic copy has been sent to the Surf City Inspections Department
and to your Agent.
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and 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,
(.12.,
Ta t K. Pietila
Per it Support Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
SC Inspection Dept.
Sonya Edens—Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
010 10A 111 C

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Receipts for
Certified Mail
(Staple Here)
S 2i 19
Datre
%LAI -fo1LuXf
Ad' cenf,Property Owner
Vo 15,9 r 111i
Ma',f Address hf.L 28 39)
City, State,Zip Code
Dear Adjacent Property: r�
This letter is to inform you that I, ()°Mti A reahIw have applied for a CAMA Minor
Property Owner
Permit on my property at 1t'- Wi114jAMottX n1it- , i •ende 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 - -' - 98ee ,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,
Property Owner
122 Wi"ijJAMmt,r or.
Mailing Address
Surf (I 1 ) NL 23445
City, State,Zip lode
RECEIVED
OCT % �i rJ y
DCM WILMINGTON, NC

1 • - 1 TM
CERTIFIED MAILTM RECEIPT
n (Domestic Mail Only;No Insurance Coverage Provided)
• For delivery information visit our website at www.usps.com
T ' VIAL. USE
PostaYe _jEIVED
0443
0
Certified Fee
L
Return Receipt Fee �) 9 PostmarkM (Endorsement Required) 2 01 Tere
Restricted Delivery Fee
• (Endorsement Required)
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M• Total Postage&Fees 4 . .
L $6. ..
▪ Sen o
▪ --• gtT t.
olbt
• or PO Box No. ld &)c 213
cry,sraaeithian , IYC 2e391

:edified Mail Provides:
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nportant Reminders:
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r NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
I For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
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a duplicate return receipt,a USPSs postmark on your Certified Mail receipt is
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I For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
I If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
MPORTANT:Save this receipt and present it when making an inquiry.
'S Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to L)o„h1' I (G4 i`j 's
(Name of Property Owner)
property located at 122 ��/�IA►11iMU I)Y
Address, Lot, Block, Road, etc.)/
on 'NIA VL 160141 , in SO( (I/rII I'n1 , 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)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
OCT 2 9 �'0�
DCM WILMINGTON, NC

Receipts for
Certified Mail
(Staple Here)
$111119
Date
Aaron keLIc.r
Adjacent Property Owner
�L1,9 MAW— VonA P Ili tt,
Mailin Addr ss
City, State,Zip Code
Dear Adjacent Property: ',
This letter is to inform you that I, ''ll V�'hh" RP if I have applied for a CAMA Minor
Property Owner
Permit on my property at 112- WIl411:14 him u ��rtve. ,in Pender/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 — 232- 9$8g ,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,D nn4 I n
+hIZH
Property Owner
l22 lAiisA rMrnu' Pr.
Mailing Address
Surf Cif) , tit 2d'h4S
City, State,Zip Code RECEIVED
OCT 29Z019
DCM WILMINGTON, NC

1. . •os a erviceTM
CERTIFIED AIIAIL,M RECEIPT
t
(Domestic Mail Only;No Insurance Coverage Provided)
For delivery information visit our website at www.usps.com
Mr T 4
$_. 0447
Postage EIVED I f
Certified Fee 111.11311
U
Return Receipt Fee t " Postmark
(Endorsement Required) = to C 2 9 Z 0�9e
Restricted Delivery Fee
m (Endorsement Required)
Total Postage&Fees DCM 'T M I �O.JJ.L;v
$
—I Sent To
-aA4ron kal1lrrSt n'
or PO,Apt.N. ^39 M A rt ( / I W
t or PO Box No. L Po
Gay,State,1 a4mp�-ftacl , NIL 28113

certified Mail Provides:
A mailing receipt
I A unique identifier for your mailpiece
I A record of delivery kept by the Postal Service for two years
mportant Reminders:
I Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®
Certified Mail is not available for any class of international mail.
• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
• For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
I If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
MPORTANT:Save this receipt and present it when making an inquiry.
'S Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to I)0►1)1H 11(0121/3 's
(Name of Property Owner)
property located at I�-1— 1,1/I411J ifhvmtr Ong_
Address, Lot, Block, Road, etc.)
on c6A C-k s tub , in 7UY� trl �fHL� , N.C.
(Waterbody) (Town an 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
OCT 29209
CCM WILMINGTON, NC

Li*
•L\441
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:.,.....,,,... ' AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
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Name of Property Owner Requesting Permit:
...,
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Mailing Address:
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Phone Number: 9 1 n - 2-.; ..' -
.44. •
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Email Address:
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r
I certify that I have authorized V--ia(--- --t3,%•-•'' vs'''' r ,
Agent i Contractor
1 to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
t,.3
•--33,..:.3-- , '-3*.e• .• C c-- (2_, i_
at my property located at 1 -2,-)_.. \i.),(,,.'\ •.4)1..cb, i* -,-r '
I '
-411147: in cc C\c\e,_C County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
f$evt
ti4 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.
II.
Property Owner Information:
,,, ,•",-,,,;,„, ]
Signature
•
, AN)c,m\r„,, \A.
Print or Type Nemo RECEIVED
Title OCT 29 2019
/ i ,. .0 /'7 . -.,-:•;,,,''-z,
Date DCM WILMINGTON, NC
,
il_ 1,1
This certification is valid through i— / •' /
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Date Date Check From Name of Vendor Check Check Permit Rct,
Received Deposited Permit Holder Number amount Number/Comments
10/29/2019 RSC Engineering, Donna Peaslee TC Bank 6788 $100.00 minor fee, 122 Windjammer, Surf JD rct.
PLC City PnCo 9063