HomeMy WebLinkAboutSC_19-43_ Heidenis •
Issued by WiRO SC19:43
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
I
PERMIT
NORTH CAROLINA
as authorized by the State of North Carolina, Department of Environmental Quality 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 Deborah Allred Heidenis authorizing development in the Ocean Hazard (AECs) at 2311 N. Shore Drive, in Surf
City, Pender County as requested in the permittee's application, dated November 7, 2019, and received by DCM on
November 12, 2019. This permit, issued on December 2, 2019, is subject to compliance with the application and drawing
dated received by DCM on November 12, 2019, (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 single family residence
(1) All proposed development and associated construction must be done in accordance with the permitted drawing, dated received
by DCM on November 12, 2019.
(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.
(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
ste and accessible to the permit officer when the project is inspected for Jason Dail
compliance. Any maintenance work or project modification not covered under CA A 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
December31,2022
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: Deborah Allred Heidenis •
Minor Permit#SC19-43
Date: December 2, 2019
Page 2 of 2
(4) The permittee is required to contact the Local Permit Officer (910) 796-7221, shortly before he/she 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) All development shall be located a minimum distance of 60' landward of the First Line of Stable Natural Vegetation
(FLSNV).
(7) 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.
(8) 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.
(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.
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.
SIGNATURE: DATE:
PERMITTEE
��
OvA,
( (/ t -1-F
locality in
v / Permit Number
\)(
Ocean I lazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline._ Other
(For official use only)
GENERAL INFORMATION
LAND OWNER- MAII,INC ADDRESS
Name O e ho c-& A Fl-e; d'eN ' S
Address cY3 1 1. 50 v}V\ S h0(t Or 1/e
City S V r C State I v Zip)r.N.5 Phone F C ((j - cf.-7 U - d 4 o;a
Email
AUTHORIZED AGENT
Name ,TO ti N Ny S. u3., 11 ; a t-n
Address Po cox
City Beulavi Ile State SIC • Zip dR51k Phone TgI6
Email I1 ; e jwSv"'ei, , co
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
a 3 11 So o4, S lz\0 1`e Pr't.v-2 Sur G i A-kJ NC 3 8 9 Ll 5
I .
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 1\.)4. \Q M P,
SIZE OF LOT/PARCEL: G , G square feet 0 t /4/4/acres
PROPOSED USE: Residential Ela (Single-family Multi-family ) Commercial/Industrial [J Other
COMPLETE EITHER(I)OR(2) BELOW(Contact your Local Permit Officer i/wuc are not sure which AEC applies
to your property):
(I) OCEAN IIAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: j- 312 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 Oil IER IMPERVIOUS OR l3FJIFI'
UPON SURFACES: square feet(includes the area of the foundation ofall buildings,driveways,covered decks,
concrete or masonry patios,etc. that arc within the applicable AEC.Attach your calculations with the project drawing.)
STATE STORM WATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Manager cnt Permit issued by the NC Division of Energy, Mineral and Land Resources(DEMLR)?
YES NO ti RECEIVED
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
OTHER PERMITS MAY BE REQUIRED:The activity you arc 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, Pleating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification,Sand Dune, Sediment Control, Subdivision Approval, Mobile I tome Park Approval, i lighway 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 AFC 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)
iV` _an owner or record title,Title is vested in name of De bo r e,`N n 11 re1G P-e.; de ry S
see Deed Book 4--/6 5.rj page , . y y in the Pt No -e.t; 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 arc owners of properties adjoining this properly. 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) oiv.-d 0), is; Ng 376 5Vr Tue-w-er f� 1R`) Piher4soN NC aS'S08
(2) QC , f9. 60N P o Box ya85 Sur NC, agY /5
(3) AImpjo, LIMt\-Ll rAvverShi pO (3oX 7'/ ? Lv IYh; �osv NG�&yob'
(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 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 7/h day of November20 19
Landowner 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 hack of this a/p/plication, the
ownership statement, the Ocean Hazard AEC Notice where necessary; a check for$100.00 mule payable to the locality, and
any'in/urination as may be provided orally by the applicant. The details oldie 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
ntnv 1 9 ')nyo
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: p p 'bp r o,ln ' \1\ c e d !-1 r°; c)t?N ;S
Mailing Address: ).3 t \ 5o i --- S hor-e D r` i �-
Phone Number: g G G -9
Email Address:
I certify that I have authorized )---O h r � `\ (k) \\c Ck
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: N,'-P_ J --\o^M�.
at my property located at (22 115o J r\ Sharp Dr V-e S u rFC i-y Ak
in -Q 6� ( County.
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
St nature
Ot6 °r f i1 J-1,EIOeNIf
Print or Type Name
Title
[v I IL( l I9
Date
RECEIVED
This certification is valid through I I 11
NOV 1 2 2019
DCM WII RAIAI(_TflAl ton
ROY COOPER
1 Governor
MICHAEL S. REGAN
10,
Secretary
NORTH CAROLINA BRAXTON DAVIS
Environmental Quality
lhreclor
December 4, 2019
Deborah Allred Heidenis
PO Box 778
Beulaville, NC 28518
Dear Deborah,
Attached is CAMA Minor Development Permit SC 19-43 for work to be done at 2311 South Shore Drive,
in Surf City, Pender County. An electronic copy has been sent to the Surf City Inspections Department
and to you 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.
Si erely,
LcLa .
nya . Pietila
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
SC Inspection Dept.
Johnny J.Williams—Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
Receipts for
Certified Mail
I I __l_ I I _ (Staple Here)
Date
CV\a(-6 tv , K N9
Adjacent Property Owner Pine)
3`76) 5-e+1,\ YI r er ine)
mgirodre s co) 1`1 C g 50 8
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, D e rtA.,h 1. )leer) )-19 6eit/i§ave applied fora CAMA Minor
Property Owner
Permit on my property at,)311 S. 5).,o re Oc i ve 5 v r CI'�i /O C. ,i ender 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 q l 0'a l ' g 01. a ,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,
Del a rc' . 1g'\C /7 e lid f.av c
Property Owner
cDO coy
Mailing Address
Rf\J\Gv► Ile NC aSSlg
City,State,Zip Code
RECEIVED
NOV 122019
DCM WILMINGTON, NC
U. . Posta ervice
CERTIFIED MAIL® RECEIPT
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:ertified Mail service provides the following benefits:
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 additionartee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service' Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent
nportant Reminders: -Adult signature service,which requires the
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or Priority Mails service. -Adult signature restricted delivery service,which
Certified Mall service is notavallable for requires the signee to be at least 21 years of agi
International mall. and provides delivery to the addressee specified
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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
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endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for
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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 Refum
Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to D e toor0..N A l\rff' 1 e e ;'S,s
(Name of Property Owner)property located at 3 \ 5, She e or,.; 'k C\i SU r-F C ; ,
Address, Lot, Block,Road,etc.)
on N ,in sc) i
(Waterbody) � ^`� � � , N.C.
(W y) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s),the development he is
proposing at that location,and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
NOV 12 2019
rtnRA U►u RAIM( Tnki mr•
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• Receipts for
Certified Mail
(Staple Here)
Date
/ J►r 4 d ppa- t i���gn� eo) Pars fv e rSh P
A(�a0 n r1 Y— `/b 3
Mail Address
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, OP,b6l'&I\ 1 11r Ae;Of iv;C have applied fora CAMA Minor
Property Owner
Permit on my property ata3/I S,Sh6re Or Cur-Ct'19 NC ,i Pendellanslow
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 !I 0` '7e?- c-7 . ,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' ho(se.3/\`1;•11c eed N-e;be Ni S
Property Owner
PG (30x
Mailing Address
r3V)1 av/1)e IUC a-gS l8
City,State,Zip Code
RECEIVED
NOV 1 2 2019
1. . •os a ervice
CERTIFIED MAIL® RECEIPT
Domestic Mail Only
O For delivery information,visit our website at www.usps.com .
Wilifttr,ii RCA 2541.4S ;:t rz
Certified Mail Fee
, -
Extra Services&Fees(check box,add fee rstopfgflate)
II Return Receipt(hardcopy)
,—,
Li Return Receipt(electronic) $ Posbnaik
Certified Mail Restricted Delivery $ Here
Adult Signature Required $ Ci
Adult Signature Restricted Delivery$
3 Postage ,
n
u $ 11/08/2019
u Total Postage and Fops
O Sent To
3 -8treet and Apt.No.,or Po Box Aro.
City,State,ZIP+44
;ertitlea Mail service provides me following oenents:
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. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate. _
signature)that is retained by the Postal Service' -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
nportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of age
International mail. and provides delivery to the addressee specified
Insurance coverage Is 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 fern 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.
•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to oebor-CIV \\C J N-P 6U i S 's
(Name of Property Owner)
property located at r)3 I S s S h.Q t o Or i U e Su 4-C C' `_&J N C
}�] Address, Lot,Block,Road,etc.)
on r� 't I • N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s),the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
NOV 12 M1q
, r -
Receipts for
Certified Mail
(Staple Here)
lJnCi
D/Q C K ►~l. BON
A0au n{'J X L/`5g5
M fling Addrn N. 7 C VP/5
City,State,Zip Code
Dear Adjacent Property: lI
This letter is to inform you that I, De he rah �11c-e'd fit?i fk'w. have applied for a CAMA Minor
Property Owner
Permit on my property at, 3)) .5. S PC c'e Dr 5 v 2 S u c C i C, ,i Fen le/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 q)0`Aq- D.-7 a ,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,
( 1 r-G,V\ ptm-e6 )--.-estc) cvr 5
Property Owner
P o Y)oX 11
Mailing Address
( eu)aviIie NCgSq
City,State,Zip Code
RECEIVED
NOV 12 7019
1. . •osta ervice
CERTIFIED MAIL° RECEIPT
• Domestic Mail Only
O Forr delivery information,visit our( website at www.usps.comu.
HO vF
s8 u } ._'e'4-s.,
3 Certified Mail Fee 3.50 0692
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$ $n pil 33
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❑Return Receipt(hardcopy) $ '
7 ❑Return Receipt(electronic) $ 11.1I1! Postmark
7 ❑Certified Mail Restricted Delivery $ +[( Vu Here
7 ❑Adult Signature Required $ 5O•1�{i
0 Adult Signature Restricted Delivery$
7 Postage $I_I U.711
u $ 11/08/2(11 9
u Total Postage and F
1_i11
$
a Sent To
7 -Street and Apt.No.,or Pb Box No,
City,state,ZIP+44
:ertitiea Mall service proviaes the toiiowing neneTlts:
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 additiobalfee,presenfthis
delivery. LISPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service" -Restricted delivery service,which provides
fora specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
nportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mall service with signee to be at least 21 years of age(not
First-Class Mail°,First-Class Package Services, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to beat least 21 years of age
international mall. 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.
• j r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to[)P, )(1'Ah MI rt& Pei c'e iV t S 's
(Name of Property Owner)
property located at 23 ) 1, S. Sh F
ore Ori V e Sur NC
Address, Lot,Block, Road,etc.)
on I\A , in Q-ei.1Ue
N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s),the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
NOV 12 2019
DCM WILMINGTON, NC
• • 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.
PHYSICAL DIMENSIONS
v Label roads
V Label highways right-of-ways
✓. Label local setback lines
/Label any and all structures and driveways currently existing on property
V Label adjacent waterbody
PHYSICAL CHARACTERISTICS
V ,Draw and label normal high water line(contact LPO for assistance)
VDraw location of on-site wastewater system
If you will be working in the ocean hazard area:
/V J Draw and label dune ridges(include spot elevations)
(� Draw and label toe of dunes
Y Identify and locate first line of stable vegetation(contact LPO for assistance)
Draw and label erosion setback line(contact LPO for assistance)
!�) Draw and label topographical features (optional)
If you will be working in a coastal shoreline area:
N IA Show the roof overhang as a dotted line around the structure
JJ fl Draw and label landward limit of AEC
NP Draw and label all wetland lines(contact LPO for assistance)
NA Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
Draw and label all proposed structures
�/ Draw and label areas that will be disturbed and/or landscaped
V Note size of piling and depth to be placed in ground
✓ Draw and label all areas to be paved or graveled
✓ Show all areas to be disturbed
I-p, Show landscaping
NOTE TO APPLICANT
•
Have you:
• completed all blanks and/or indicated if not applicable? RECEIVED
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application? NOV 12 2019
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice, if necessary?(Must be signed by the property owner) DCM WILMINGTON, NC
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received --
"Site Inspections
Date of Action: Issued Exempted ; Denied ; Appeal Deadline(20 days from permit action)
Date Date Check From Name of Vendor Check Check Permit Rct.
Received Deposited Permit Holder Number amount Number/Comments
11/13/2019 Johnny J Williams Deborah Allred First 203652 $100.00 minor fee, 2311 S Shore Drive, JD rct.
Land Surveying, PC Heidenis Citizens Surf City PnCo 9073
Bank