SC_20-44_ Colner

.
Issued by WiRO RECEIVED SC20-44
Surf City Permit Number
OCT 2 2 2020
CAMA
MINOR DEVELOPRtfMINGTON, NC
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 Gregory Coiner authorizing development in the Estuarine Shoreline (AEC) at 159 Atkinson Road, in Surf
City, Pender County as requested in the permittee's application, dated July 23, 2020, and received as complete by DCM
on July 27, 2020. This permit, issued on October 7, 2020, is subject to compliance with the application and drawing
dated and received by DCM on July 27, 2020 and October 6, 2020 (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 site drawing dated
received by DCM on October 6, 2020.
(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 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
December31,2023
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,nnnmm PERMITTEE—
AA �n$

Name: Gregory Coiner
Minor Permit#SC20-44
Date: October 7, 2020
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 shall be located at least 30' landward of the normal/mean high water line. No impervious
coverage/built upon area, including but not limited to the house (including eaves), foundation pad, covered
decking, etc. shall extend into the 30-foot coastal shoreline buffer.
(7) Shall the plan of development exceed 30% impervious coverage within 75' of the normal highwater line, the
applicant shall effectively demonstrate, through innovative construction and design that the amount of impervious
surfaces exceeding 30% impervious coverage within the 75' Coastal Shoreline AEC shall be managed and the AEC
protected. All proposed development and associated construction must be done in accordance with a credible
innovative design plan, sealed and sealed by a professional engineer.
(8) Upon completion of construction and prior to the issuance of a Certificate of Occupancy(CO), a letter of certification
must be received from the designer of the innovative system installed, certifying that the permitted system has been
installed in accordance with this permit, the approved plans and his design specifications. Any deviations from the
approved plans and specifications must be noted on the Certification and a permit modification may be required
prior to receiving a CO.
(9) 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.
(10)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: i^
PERMITTEE

c..)1v8i(,
°j)(k ��o-4(1
Locality
Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name kr t(rje -
Address I)14 j &"•
City Me-e,, State l Zip 1:70:2( Phone (3%) '14G " 314-.,.
Email G{Go'1yj.Gr CO�IIjlioa•Got'V1
AUTHORIZED AGENTr / g_
Name >M 414(1/areel A-IA
Address P.C. feY 7244
City W;)14I y) State i\ C! Zip 28414, Phone (q/0)711— 5
Email nik4 illiR12) e IolaLel.Gall✓)
LOCATION OF PROJECT: (Address. street name and/or directions to site; name of the adjacent waterbody.)
5O( a4-y, KC, 764415
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 14244 i4
` ri r.e.4 riles, -f rt'kze. pre.viev5 ho-us.t. de. ye
SIZE OF LOT/PARCEL: !I 6163 square feet Bpi. acres
PROPOSED USE: Residential lg. (Single-family f Multi-family 0 ) Commercial/Industrial El Other
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:1j$O 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 drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(DEMLR)? t`\"
YES NO V c
(flies list the tntal built nnnn area/imnervinnc cnrface allnwed fnr vnnr Int nr parcel• cnnare feet')

•
)THER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
iinor development permit, including, but not limited to: Drinking Water Well,Septic Tank(or other sanitary waste
reatment system),Building,Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
'ertification, Sand Dune, Sediment Control,Subdivision Approval, Mobile Home Park Approval, Highway Connection,and
ethers. Check with your Local Permit Officer for more information.
ITATEMENT OF OWNERSHIP:
.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
isted as landowner on this application has a significant interest in the real property described therein.This interest can be
escribed as:(check one)
V an owner or record title,Title is vested in name of ar' 60014 17 L.a Ono A G�L,'t[,(--ee Deed Book 5JZ-- page 1'1! in till feA4er 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.
r!OTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
1CTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
•
(Name) (Address
I) Ivra6614 G.z,�,re' ��in 141 A cin6rh 'shrFGi-�y, NG 2P1416
2) Jox 644zilet 197 Midirsm �1Jr Ati Uligi
3)
4)
1CKNOWLEDGEMENTS:
, the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
nay be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
ar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
ion and floodproofing techniques.
furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
he Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
elated to this permit application.
This the X5 day of'jai ,20 20
,andowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
rhis application includes:general information (this form), a site drawing as described on the back of this application, the
>wnership statement, the Ocean Hazard AEC Notice where necessary, a check for 5100.00 made payable to the locality, and
my information as may be provided orally by the applicant. The details of the application as described by these sources are
ncorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
my permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 61rt r/ MA
Mailing Address: I ft A tit (147
)174\iqn6e4Jed t7AX0
Phone Number: [3i) 1t' 511Z
Email Address: I Co'tric.r o.cam
I certify that I have authorized tit i1el,1 hi.t'`+'11+'rA A-IA—
Agent/Contractor
to act on my behalf, for the purpose of applying for and ��obtaining all CAMA permits
necessary for the following proposed development: (VLW
at my property located at 1971 /16Y1 , vt- Jc 23
in /2GMeA 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:
CAA)
i nature
CPriint or Type Name
RECEIVED
Title JUL 2 7 2020
�J / l, IZoZa
Date DCM WILMINGTON, NC

U.S. Postal Serv" "'
CERTIFIED MAIL RECEIPT
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City, State,ZIP Code M1 �;� ere, Il '
PS Form 3800,April 2015 PSN,safe-Era-ono-t'41 See Reverse for instructions
•
Dee'Adjacent Property:
alJI '
This letter is to inform you that I, 14.J41 ' have applied for a CAMA Minor
�111� Property Owner
kf k
Permit on my property at 141 at on v 4t'0' t,I ki ayi5 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 gn an t return
the enclosed no objection form.If you have any questions or comments about my proposed project,please
contact me at ('r )2'1 1 '3445 ,or by mail at the address listed below. If you wish to
Apphcant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program,you may submit
them to: '
I1. L.Ar art 1 -'
14!t*
Nokia-4 iOlkatA/A-
itiev-Mg
•
Mailing Address
2g406
City,State,Zip Code
RECEIVES
JUL 2-7 2020
DCM WILMiNG T ON, NC

U.S. Postal Servira"
CERTIFIED MAIL' RECEIPT
a- Domestic Vail Only
1:U
rl For rf« risite at www.usps.comtr
,
Certified Mob Fee . *rs� i{rl iCp
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r. •� L.If/�t� [;jnd9t Signature ResMomd0r3
} p Postage • $1.60
.-jacen co Total Postageatx!F 07/2if 202�_t
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Mau�'ig�ddt s a- sent To ,��
1e411arYdt.114� 27006 -- -- _�' C'_4W11Cxl+l z..
City,State,Zip Code r* ` + `'r.__.__
City,ttre te, A,N,t 04. ts) n
PS Form 3800,April 2015 FSry?5Ar.o2-044-9047 See Reverse for Instructiat's
Dew Adjacent Property: }, k
This letter is to inform you that I, M14•IaI"4f3/L have applied for a CAMA Minor
Property
A�, Owner After—
Permit on my property at PI AT11diori ZI., 4 G ,W& ism' ,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 anti return
the enclosed no objection form. If you have any questions or comments about my proposed project,please
contact me at ('r )211-3646 ,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: ViVi e e f } t
Heitl4r,toc.14-
11-1 C.ir4sar! h' p. .
*: �e, t�5
Sincerely,
'
hoer . '11 ,1A-
Property Owner
AA/—1211
Marling Address
4;1M; , nlc> 2E4106
City,State,Zip Code
RECEIVED
JUL 21 2020
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to 6009kory L t'1t r 's
(Name of
Property Owner)
property located at 1 1Y1*'v rfej 4ur'FO i4 y,, G 26+1 5 ,
j Address,Lot, Block, Road,etc.)
on 1VrtVtai 'A(1 . 6114: y , in F t.' 66U1�7"�j , 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
JUL 2.7 2020
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
✓ Label roads
Label highways right-of-ways
>/ Label local setback lines
V Label any and all structures and driveways currently existing on property
V Label adjacent waterbody
PHYSICAL CHARACTERISTICS
Draw and label normal high water line(contact LPO for assistance)
Draw location of on-site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges(include spot elevations)
Draw and label toe of dunes
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:
Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
Draw and label all wetland lines(contact LPO for assistance)
tr 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
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
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing'? vVO
• signed and dated the application? RSC'
• enclosed the$100.00 fee? Vfl-0
• completed an AEC Hazard Notice, if necessary?(Must be signed by the property owner) G
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)

ROY COOPER
Govemor
I tit MICHAEL S. REGAN
Secretary
NORTHCAROLINA BRAXTON DAVIS
Environmental Quality Director
October 9, 2020
Gregory Coiner
111 Augusta Court
Advance, NC 27006
Dear Mr. Coiner,
Attached is CAMA Minor Development Permit SC 20-44 for work to be done at 159 Atkinson Road, 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 blue 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.
ncerely,
Ta . Pietila
Per - Support Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
SC Inspection Dept.
Matthew Willard-Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

NO7ES
1. THIS PLOT PLAN IS OF AN DUSTING PARCEL OF LAND. SITE
2. SUBJECT TO RESTRICTIVE COVENANTS,EASEMENTS OF RECORD,ZONING \\
ORDNANCE.A UNDERGROUND UTILITIES,F ANY. ' lb go
3. NO TTTLE SEARCH 8Y SURVEYOR.
4. REFERENCES:DB 4432,PG 171;MB 56,PG 39.
5.FLOOD ZONE-AE-8(EFFECTIVE 2-18-07) e
NC F1RM COMMUNITY PANEL 0372-423400-J 4F'
ATLANTIC OCEAN
6. ZONE-R-8-SURF CITY: FRONT-1S SIDE-7.5 REAR-20'
VICINITY MAP: NTS
7. AREA BY COORDINATE METHOD — — — — RAN
8.FIELD DATA COLLECTED 8-1-20
CONTROL CORNER ATKINSON RD
N•24505926 (25'RAN)
E=2431249.10EPK S38.36'1SE 49.97 rim_ _EPIC RIW_ EPK
4 838'34'41*E 49.98' ' EXIST s'wALk,,' S38'22'30'E 50.23' �°
EPK ...y .. s,L .•f:
Alf
• .k .' ._..- PROPOSED
•.� :. �L
�•.�.5' •,18'i11BL.•• . � 27'CONCRETE
I 2T� , DRIVEWAY
'' `t'3'CANTILEVERS•`
12 01 JOSE GONZALEZ
MATTE EW m _J A8, g
SCHIEFELBEIN � '. .:,1,�....� DB 4806,PG 2534
DB 4568,PG 140 5' PROPOSED
9.1 r, E PROPOSED
' E 3-STORY 3 BUILDING 0.17 FROM
' . RESIDENCE / 30'CAMA LINE
b
2: CANTILEVER ` N CONTROL CORNER
14' .25
Es2431230.34
..,.....-_.a.. EIR�---1 �_4A . . . ..« LEGEND:
'
f, f RM10011Y >b IR SIR-EXISTING IRON ROD
h I(' •-I 'E 1 1 i1 1 11 U EPK.EXISTING PK NAIL
LI 1111 1 n EPP-EXISTING PLASTIC PIPE
DCM WILNiiNGTON NC g d N CP-COMPUTED POINT
TT�^A' 1A,ry W to LOT 14 2 MBL.MINIMUM BUILDING LINE
��Ir7��Ki.1 V�!]!� p 0.14 AC. En
RNV-RIGHT OF OIAY
ally RVl1tl'YY;'R'1WRi n Y PP-EXISTING PONERPOLE
•
1 .- g WI-EXISTING MANHOLE
_ EP-EDGE OF PAVEMENT
MHWL JAD 7-26.20
RECEIVE PROPERTY LINES SURVEYED
L
ib'
C E COASTAL.id 3DDR PROPERTY LINES NOT SURVEYED
------- �EPP
/ �, d
try gt L 20 PROPERTY DESCRIPTION
MBL
OWNER:1 R AUG US CO CTLNER
OCT ► 6 2O2o
ADVANCE,NC 27006
so a
DB 4432,PG 171
IA MB 56,PG 39
DCM WILIUlI/�GrON t- — — --a e--- — PAREA.0.1 C20,o Dodo
CP N38'36'151W 50.00' CP IMPERVIOUS CALCULATIONS:
DAMES BAITS LOT AREA-5.980 SF(0 14 AC)
DB 4713,PG 892 PROPOSED BUILDING-1,262 SF
PROPOSED DRIVEWAY/WALK-272 SF
NORTH CAROLIN11 EXISTING SIDEWALK-248 SF
POSER COUNTY TOTAL IMPERVIOUS COVERAGE'1,780 SF
I,WESTON LYALL,CERTFY THAT THIS PLAT WAS DRAWN (PERCENT IMPERVIOUS-29,8%)
UNDER NY SUPERVISION FROM AN ACTUAL SURVEY MADE
UNDER NY SUPERVISION(MAP DOOM 54 PAGE 39)AND THE 20 10 0 20 40
FOLLOWING INFORMATION WAS USED TO PERFORM THE
SURVEY: CLASS OF SURVEY:DI POSITIONAL ACCURACY:500 GRAPHIC SCALE IN FEET
RMS;TYPE OF GPS FIELD PROCEDURE:YRSRTKOPE;DATUM:
NADS3-2007,NAVDSSI 0E100 MODEL:0E010 oat COMBINEDPOOLE/M A Y ROB MAN NOR
GRID FACTOR:0.999979450T UNITS:US* i4 ET.
%`,,.`� A7►,y STERLING CUSTOM
TNc
,,,0 QOFE8q 0,� CONSTRUCTION
Q is.A5 ON RM.LOT 14.TIRI PDNMDULA AT TOPSAIL
< <±'l(tflo E SEAt r TOLE&Toal�NNW,MAMA COUNTY,NC
.r 1-'4438 EGNa r x �auo
14'( a,,, � '.,Sfi�s;;rt+ ;°f� f� WESTON LYALL, PE, PLS, PLLC
UPTON L ALL ° bN L' P'.'I III
Y�NNC

RECEIVED
M. W. Williard, Architect, PLLC
P.O. Box 7224 J U L 2 7 20 C
Wilmington, NC 28406
[phone]
[e-mail] DCM WILMINGTON, NC
July 23, 2020
Division of Coastal Management
Attn: Mr. Jason Dail
127 Cardinal Dr. Exn.
Wilmington, NC 28405
RE: Coiner Residence CAMA Application
Dear Mr. Steffey,
Please see the attached CAMA minor application for the Coiner Residence located at
159 Atkinson Rd., Surf City, NC 28445. Attached are following documents and
drawings:
• $100 check (application fee), sent via mail on 7-23-20
• CAMA Submittal package
Thanks,
71/17A/4,164"10)
Matthew W. Williard, AIA
M.W. Williard, Architect, PLLC

M. W. Williard, Architect, PLLC
P.O. Box 7224
Wilmington, NC 28406
[phone]
[e-mail]
July 23, 2020
Division of Coastal Management
Attn: Mr. Jason Dail
127 Cardinal Dr. Exn.
Wilmington, NC 28405
RE: Coiner Residence CAMA Application
Dear Mr. Steffey,
Please see the attached CAMA minor application for the Coiner Residence located at
159 Atkinson Rd., Surf City, NC 28445. Attached are following documents and
drawings:
• $100 check (application fee), sent via mail on 7-23-20
• CAMA submittal package
Thanks,
-N
•
Matthew W. Williard, AIA
M.W. Williard, Architect, PLLC
RECEIVED
JUL 2 7 Ala
DCM WILMINGTON, NC

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CP =WM= RECEIVED
N JUL 272020
DCM WILMINGTON, NC
SITE PLAN: COLNER RESIDENCE M. W. Williard, Architect, PLLC
159 ATKINSON RD., SURF CITY, NC 28445 P.O. Box 7224,Wilmington, NC 28406
SCALE: 1/16" = 1'-0" [phone]
[e-mail]

air >wK Coiner Residence
it 159 Atkinson Rd. Nim w w;iiiarthitect 0
,j Surf City,NC 28445
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RECEIVED
JUL 21 2020
DC .M V.11�;`oN 3T®N, NC

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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
f hereby certify that I own property adjacent to k 'J 's
1 _(�, (Name of Property Owner)
property located at 1 /44ln 1 U�' GA; G 26
Addretc)
on I reess,Lot,Stock,Road,
1��LL�Ac t 1 L ( r1G N.G.
I� l�`V+�C�y in
(Waterbody) (Town and/or Cou )
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.
tAPPL1CAT1ON AND D WING F PROPO ED D VFI 0PMENT ATTA H D)
Signatur
rJ(Print oror Type Name
qt
Telephone Number
'r/D,3/-2/b •
`::late
I
7,,

Receipts for
Certified Mail
(Staple Here)
bate
Own_Nfin O
Maili g ddrlss LCt"
l-4uaY�e-,Nr. 2 006
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, 1\14 have applied for a CAMA Minor
1 Property Owner
Permit on my property at I AT k1A n P4., '4Or4 Oi4'`f,14c, 121415 ,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 at (14 21 7' 366,5 ,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: " •
"Q�Vtyi�1 iF fiI-a 1 ttuproiv1
,kip 174;1
IjZ 7 r4s�a 2 1.
Sincerely, 1` " ' 4e t�5
141riiitati V141411,04c.1,
Property Owner,
pa. 120( 722`/
Mailing Address
)41Y>7; ,,
City, State,Zip Code
RECEIVED
SEP 11 Z0Z0
DCM WILMINCTON, Nt

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Go r'Y (viper
'
/-
(Name of Property Owner)
property located at 1 �In f J,, 40r7_!--y, Z6+4 5 • ,
Address, Lot, Block, Road,etc.)
on I WhOteaseANI k44 ,/ , in Per coo/'r/ , N.C.
(Waterbody) (Town and/or Coon )
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
tit-Tr _S)0/'//ak2iLkil
Print or Type Name
gfC1J3 .. q&6r
Telephone Number
?Id.3/ZA
Date
RECEIVED
SEP 11 2020
DCM WILMINGTON, NC

APPLICATION FOR
CAMA MINOR z
Coastal Management DEVELOPMENT
ENVIRONMENTAL QUALITY
PERMIT
In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA)and set the stage for guiding development in fragile and productive areas that
border the state's sounds and oceanfront.Along with requiring special care by those who
build and develop,the General Assembly directed the Coastal Resources Commission
(CRC)to implement clear regulations that minimize the burden on the applicant.
This application for a minor development permit under CAMA is part of the
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
the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
locality in which you plan to build to be certain that you understand what information he
O
or she needs before you apply. n
•
r
Under CAMA regulations,the minor permit is to be issued within 25 days once a -3
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
certain that your application is complete and signed,that your drawing meets the
specifications given inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area.While these •
are not CAMA-related,we urge you to check with the Local Permit Officer to determine
which of these you may need.A list is included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission
Division of Coastal Management
00
cn m `n
r» c
X rn
m
O `s) �
SEP 1 1 2o10 o
zc

Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
RECEIVED
GENERAL INFORMATION •
SEP 1 1 2020
LAND OWNER-MAILING ADDRESS
Name k1'G 447incr DCPR 'R`, ° : n--_-v NC
Address /II "t(f L 1t 1 �;
City f 1ht}1Ce i State „ Zip 17076 Phone (S54) 1146
Email Gi G.0l11.4 f' ro yt?li.ia.G
AUTHORIZED AGENT +
Name ✓��� . - '�1'IIiat"Gh Mk
Address P.O. Eby 1124
City W;)miy. = ' " State IVO Zip 23/04 Phone (q1D),Z'17- y 5
Email rilkAi1`I Rl 6 IGIv Ik/.44=rAv
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.)
151 A- ;4 ?.) -5tr C4-y, 40 16445 •
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 11 7.>" 1
iAtcazi
r . __
froievel i' Piles, -fi► rzpk/-6 pre heruste 412,44,114
SIZE OF LOT/PARCEL: 1i"16 3 square feet a Ist acres
PROPOSED USE: Residential e' (Single-family Vf Multi-family ❑ ) Commercial/Industrial❑ Other 0
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:t$O 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 drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)?
YES NO

•
THER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
nor development permit, including,but not limited to:Drinking Water Well, Septic Tank(or other sanitary waste
atment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
'rtification, Sand Dune, Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
ters. Check with your Local Permit Officer for more information.
iATEMENT OF OWNERSHIP:
the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
rson authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
ted as landowner on this application has a significant interest in the real property described therein.This interest can be
scribed as:(check one)
•
e"an owner or record title,Title is vested in name of Zogarry • 617 Ira V rl v A 4 ier
Deed Book -• page ill in tht €.A4g4 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.
)TIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
urthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
:TUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
•
(Name) (Address
l%itailitiNI G.x�,;e1b161n I J Atici,n .'G;4y, NG ZPiLlt5
Jox .GvN reflat 157 Aiksition OrPGi4y AY) 2�ys15
►
:KNOWLEDGEMENTS:
the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
ty be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
•hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
�n and floodproofing techniques.
urthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
fated to this permit application.
This the 2-5 day of‘)O!y ,20 20
.
ndowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
Us application includes:general information(this form), a site drawing as described on the back of this application, the
mership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and
y information as may be provided orally by the applicant. The details of the application as described by these sources are
7orporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
y permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative action P

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 •
✓ Label roads
Label highways right-of-ways
if Label local setback lines
_/ Label any and all structures and driveways currently existing on property
✓ Label adjacent waterbody
PHYSICAL CHARACTERISTICS
✓ Draw and label normal high water line(contact LPO for assistance)
Draw location of on-site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges(include spot elevations)
Draw and label toe of dunes
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:
✓ Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
Draw and label all wetland lines(contact LPO for assistance)
{/. 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
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
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners? RECEIVED
• included your site drawing?
• signed and dated the application?
SEP 11 2ueJ
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner)DCM Wll_MihdCTON NC
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
!Iota of Art;,,,,•iec„aA PviarnntPA Denied Anneal Deadline(20 days from nermit action)

NC Division of Coastal Management A B C
Cashier's Official Receipt 116 4 3
Date: '7 / 20 Zc�
Att9Vl E it1'44.tt tri k 6 0 ___- .
Received From: $
Permit No.: 1 0Check No.:
Applicant's Name: or I'e ( County:
Project Address: 1 51 141*—i, riAni - fl i 4 �--
41
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date: 9,
—
1/f r � e Signature of Field Representative: Date:

ite Date Check From Name of Vendor Check Check Permit Rct. #
,ived Deposited Permit Holder Number amount Number/Comments
?020 M W Williard Gregory Coiner FCB 1286 $100.00 minor fee, 159 Atkinson Rd, Surf JD rct.
Architect PLLC City PnCo 11643