SC_20-51_ Spain

Issued by WiRO SC20-51
Surf City RECENED Permit NumbE
CAMA 1 9 202W
MINOR DEVELOPMENT
GTPERMITcm"L'Am „-
NORTH CAROLINA
Environmental Qua
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 Robby Spain authorizing development in the Estuarine Shoreline (AEC) at 6078 6th Street in Surf Cit
Onslow County as requested in the permittee's application, dated December 21, 2020, and received as complete t
DCM on December 22, 2020. This permit, issued on January 11, 2021, is subject to compliance with the applicatic
and drawing dated and received by DCM on December 22, 2020 (where consistent with the permit), all applicab
regulations and special conditions and notes set forth below. Any violation of these terms may subject the permittee to
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 dat(
received by DCM on December 22, 2020.
(2) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation ar
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 (91
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
December3l,2024 Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to `
another party without the written approval of the Division of Coastal P RMITTEE
Management.

_
Name: Robby Spain
Minor Permit#SC20-51
Date: January 11, 2021
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) This permit does not authorize the excavation or filling of any wetlands, even temporarily.
(8) 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.
(9) 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.
(10)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.
(11)Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, said r otherwio
disposed of to a third-party.
z
X
SIGNATURE: DATE:
PERMITTEE

Locality 01 O2.0) Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only) RECEIVED
GENERAL INFORMATION
PH, 2 2 2020
LAND OWNER-MAILING ADDRESS
Name 0 S 9 Q''r1 DCM WILMINGTON, NC
Address_103 3O`n n Deere V)1`'
City o\d 5 t'o State N C- Zip 1.-1 S1 Phone C11 --• C12.O t{42.'21
Email tubby 5 p a n 2,cx°, tiOnoo.._mow,
AUTHORIZED AGENT
1
Name PNOSS S. CCi-F1� New 1-�olc�ir, s LLC-
W�rc11�Uw, _-__�--�--
Address
2..ti 3 VIOo'tex c;\_.
City L` reQS''ga State N C - Zip2.g`i)41 Phone COD -Z(04—
Email new wykr,d\.,ct. .kno\d gw,u, 1 . Co 'Y,
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
(DO 1g Co"1-‘" Skr-Ce SucP G Nc� 2�3 4�tS
{
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
nev.l Ce,S 16 G./1'6 02l G or s+r u 0-1 Or,
SIZE OF LOT/PARCEL: 1 D23 square feet . Y15 acres
PROPOSED USE: Residential IY (Single-f unil 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 sp e)
itC2- 5f-f 1.
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR I3UILT
UPON SURFACESAW square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc. that arc 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 `it.
• - • ' •• • •. urface allowed for your lot or parcel: square feet.

OTHER PERMIT'S 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, Fleming and Air Conditioning, Insulation and Energy Conservation, I'IA
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 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 12)c4O6y S p Q)r
see Deed Book S 2'4 4 page 11 Z. in the Or S 10 W 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 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)
(I) 'enve,r �� 7acquel1ne 1-1o\l1tn, s x4t-, CoO�o (off' St reed'
(2) _... ��n , ��.Yin c fA�exa��_et_ Cd0.1(v (pk`' S fir, ei_
(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 _ l 5r day ol ,20 Z-
Landowner erson torized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information(this,jorm), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessm y a check for$100.00 made payable to the locality, an
any inlbrnurtion as nay be provided orally by the applicant. The details oldie application as described by these snares ar
incorporated without reference in any permit which may be issued. Deviation from these details will cons ' ft , •
any permit. Any person developing in an AEC without permit is subject to civil. c'rimincrl and achninistrative action.
DEC 2 2 2020

DocuSign Envelope ID:6C008B2F-444B-4D05-AF0A-AAB385436F98
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: R0\361 S plain
Mailing Address: \ 0 v -3-061 )cac ce. O r IVY
Gol d s I(JOro N 2_7520
Phone Number: l I ct — ci Z O-144`LS3
Email Address: C Cj`AIM 5 9 Gi n Z poi C@ y O,loU. G�►�l
I certify that I have authorized cl)bS T. Tr 4 NQ i W yhc1ia.wt
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 ." r esi dent)-o_I
at my property located at CoC i $ (n ' 5ficeej Succ Gtiy , NC-- 2RyL,+S
in 0h 564 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:
DocuSigned by:
` 4BCA2400B E54BA_ Signature
ROBBY SPAIN
Print or Type Name
Title
12/21/2p20 /
Date
RECEIVED
This certification is valid through I I DEC 2 2 2020
DCM WILMINGTO

i i, ROY COOPE
Z
Hnr,',',
K , f
t-'-i. 3,i ..
17, ".- d , ' MICHAEL S. REGA
BRAXTON DAVI
u
January 11, 2021
Robby Spain
103 John Deere Drive
Goldsboro, NC 27530
Dear Mr. Spain,
Attached is CAMA Minor Development Permit SC 20-51 for work to be done at 6078 6th Street in Surf
City, Onslow County. An electronic copy has been sent to the Surf City 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.
Si erely,
-zip 1
ke&h
Anita M.Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
SC Inspection Dept.
Ross J Trifoli/New Wyndham Holdings, LLC—Agent
State of North Carolina ( Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to Mir tr
`s
property located at 1 a.�i 5 (Name o roperty Owner)
,� .. j,-, (Address, Lot, Block, Road,etc.)
on 1W In ,,ps:-ec t�l�- `4 D• -tq 7 N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
Io�
ffff I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development mgustfill in description below or attach a site drawing)
f
NI vi
7 7f s? 1 .i�ikfFzfi
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
aI do not wish to waive the 15'setback requirement
(Property Owner Informati ) (Adj nt Przpr srer I ormation)
P.N-Z)--4 g_.-QA
Signature Si �re*f i / /10///:-
C cte- lc, a i fil
Ptifit or Type Name (( Print or Tee NameNA tAckek El1ZrI -(-o v} 70247 pccwdcf sl' s/ .. 4
Mailing Address J M T g Address.04"
City/State v
\iv i tmi� NV, �I�6 f�5 _ crty � - -Yg/7 R aiv-.Y4
Telephone umbel./email address Telephone Numbber/ ail ddress �'`
Date y 1196 --i510 * /< /6,U20j1 l0 o`z Date
"Valid for one calendar year after signature (Revised Aug. 2014)

I.JOHNNY J.%%WARS,PROFESSIONAL LAND SURVEYOR,CERTIFY THAT -
11NS MAP WAS PREPARED UNDER MY SUPERVISOR FROM AN ACTUAL
SURVEY MADE UNDER MY SUPERVISON COMPLETED ON 07/15/2020 `'(H,r,„A,R1111 4
FROM REFERENCES AS SHOWN HERECN; THAT BOUNDARIES NOT `�pfEailO '�'':
SURVEYED ARE NOTED AS SUCH AND PLOTTED FROM REFERENCES ?a4 a ,
AS SHOWN HEREON: THAT THE OAS PORTION OF THIS SURVEY WAS _ BEAL
PERFORMED TO A CLASS A SURVEY AS TERMED BY 1111E 21,CHAPTER ; L-317O +,.�
NE SECTION.1603 POSITIONAL TOE N.C.CURACYIOF 0. CURE USMG A ATK '. �g �s-
NES YM A ERFOR USING
OF SON U.S.FEET;THAT TOTS VF' /i
GPS SURVEY WAS PERFORMED URNG A CARLSON BRJA ROVER AND/OR �,Y�Y,6L,,_6VR..' �
A CARLSON BR%64 ROVER;THAT ALL COORDINATES ARE BASED ON N.C. '/a',.;"T'a.0,,,,,,
GRID NORTH(NAD 1983 2011 ADJUSTMENT 0E01012 MODEL): MAT THE ,tUt
•
CONVENTIONAL PORTION OF THIS SURVEY HAS A RA110 OF PREOSON 7 \
IN EXCESS OF B0 AND IS ALSO PERFORMED TO A CLASS A ......-
SURVEY AS DEFINED BY TITLE 21,CHAPTER 56,SECTOR.1603 OF
THE N.C.ADMINISTRATIVE CODE. 7 \
I 0 ✓ 12/22/2020 ^1D \ VICINITY SKETCH
JIDHH Y W SP.LS.L-3170 / © (NOT TO SCALE)
\} ../.../ r,,RACE ,,'
\ E N�s V. — CANAL
\ DOMFB M.HBIL/mFORM,JR .,
DEED BOOK 2074,PAGE 395 PEWTER f�' \`,
\ � NG o
LOT 33 X..."
'
MAP BOOK 11,PAGE 30 i, * ' '\Q 1 \s A
'F.\ # ititi-r, '
`\ HM PROPOSEDd 'R f'`
\\ � `'
IT
9.
\ rIIA .'%J.Dyi.: \\`` • �.!' u 0.175 dCRA'S \ FA
\ \smxcD ;' Yy+s a:a \', �. LAO+' \ (0.166 ACRES LANDWARD \
,4 . ' SIDE OF BULKHEAD) \
`Y. \ :0 ,, o.Ty« \ o.��aR \
b \g\ •`Ip $ �% ` \fin WIM.Mc uwE /
LEGEND: \ \ /ems \+ �\� b. /V \
EIP-EXISTING IRON PIPE \ s,000
F \: JOHN E.436 2WUEN \
EIS-EXISTING IRON STAKE / ,- DEED BOOK 4362.PACE 726
EPK-EXISTING P.K.NAIL S• ,e, NosP
ISS MNS IRON STARE SET \\ x ; /u. LOT 31 �� \\ �N `NOIONIWIIM WOG
MNS NAG NAIL SET BAP BOOK 11,PAGE 30
NP-NONMONUMENTED POINT
AG-TOP ABOVE GROUND SURFACE II3
6B/56-RIGHT-OF-GROUND SURFACE \ / \ /t I WIW\ 7/ \\ g 7
CENTERLINE \ O Z 0 Z V
I -PROPERTY UNE \ \ ,� N
NCGS-NORTH CAROLINA GEODETIC \ k SURVEY
--- -UNE NOT SURVEYED \ / T •� g\ /
N f -OVERHEAD UTILITYO UNE ^,
o-UTILITY POE \ I o\
WATER ./ \ \ -"T.TELEPHONE BOX , ©3A13O3a
\ \
fk BOUNDARY SURVEY &
\ '_°- '® \R. PRELIMINARY PLOT PLAN FOR:
NOTES' \ \ N - ROBBY SPAIN
1)ME PROPERTY SHOWN HEREON IS LOCATED W1MIN \ 'W
A SPECIAL 10U YEAR FLOOD HAZARD AREA ACCORDING \ X, \ AND WIFE. LYNN SPAIN
D FLOOD INSURANCE RATE MAP N0.372042450CI(
GATED FEBRUARY 18,2007. 'y\ X
2)ALL N.C.GRID DATA SHOWN HEREON IS BASED ON NAD 1963
2011 ADJUSTMENT USING THE NEW RIG NETWORK SYSTEM.
CURRENT OWNER: ROBBY SPAIN AND WIFE, LYNN SPAIN
3)ALL DISTANCES SHOWN HEREON ARE N.C.GRID DISTANCES 103 JOHN DEERE LANE, GOLDSBORO, NC 27530
UNLESS OTHERWISENOTED. GRID TIES AND COORDINATES: REFERENCES.
4)COMBINED GRID FACTOR- 0.99996992 SURFACE CALCULATIONS: DEED BOOK 5244,PAGE 172
EIP NO.108 - NORTH-258,035.393 INDIVIDUAL TRACT ON N.C.S.R. 1611 (6TH STREET)
5)ALL UTILITY LINES SHOWN HEREON MAY HAVE EASEMENTS TOTAL LOT AREA-7,346 SO.FEET EAST-2.446.605.592 OLD SETTLERS BEACH TOWN OF SURF CITY
LANDWARD SLOE OF BULKHEAD
AND RIGHTS OF ENTRANCE AND MAINTENANCE ASSOCIATED LOT 32,BLOCK 39,SECTION 4
WITH THEM. AREA OF COVERED HOUSE FOOTPRINT- MAP BOOK 11,PAGE 30 STUMP SOUND TOWNSHIP, ONSLOW COUNTY, N.C.
6)THIS PROPERTY IS ZONED MRS AND WILL BE SUBJECT TO 1.693 SO.FEET(25.6%IMPERVIOUS) EIP Na 109 - NORTH-258,080.480 TAX PARCEL NO.00'5041
ALL RESTRICTIONS IN THE TOWN OF SURF CITY LAND USE EAST-2,N6,575.056 DATE: I =
ORDINANCES.THE TOWN OF SURF CITY SHOULD BE CONTACTED TOTAL IMPERVIOUS AREA ET 1.693 SQ.FEET(25AW) 1-= 2 9, 2020'
FOR DETAILS ON RESTRICTIONS PRIOR TO LOT IMPROVEMENTS. SCALE. 1- O
THESE RESTRICTIONS MAY INCLUDE,BUT NOT BE UNITED TO.
SETBACKS,HEIGHT RESTRICTIONS,IMPERVIOUS SURFACE TOTAL AREA OF LOT WITHIN THE 75'
REOUIREMENTS,ETC.ADDITIONAL RESTRICTIONS MAY APPLY IF CANN AEC UNE-4,110 SQ.FEET ,/OBJYJYY Z HIILGGUIS LIVID SURPA7IAC, PC
THERE ARE RESTRICTIVE COVENANTS ASSOCIATED WITH THIS P.O. BOX 778, BEULAVILLE, N.C. 28518
PROPERTY.SURVEYOR HAS NOT PERFORMED RESEARCH TO AREA OF COVERED HOUSE FOOTPRINT WITHIN
DETERMINE IF RESTRICTIVE COVENANTS APPLY. THE 75'GNU AEC UNE-925 SO.FEET C-PROACT:NAND RE_WINO-WIN PHONE: [phone] FAX: [phone]
REARED 12/21/20-AMAP NOR AN 22.5%IMPERVIOUS INSIDE 75'CAN AEC RE n°LTDS , EMAIL JWILLIAMSOJWSURVEY.CDM FIRM NO.C-2532
ROOM TO/IN/NO-ROM.,MYW TOWARD MGM C'PC

ima2314671116%1111111E..MI
DocuSign Envelope ID:6C008B2F-444B-4D05-AF0A-AAB385436F98
1
1 OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: RabA0Ai S 2n,in
•
Property Address: (oo1 $ Co' St r,cei ` Sorbs Gi V3 t Nc L%44 S'
Date Lot Was Platted:
This notice is intended to make you, the applicant, aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area, which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the
development can be issued. vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance,and the
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations are designed to minimize,but not the LPO will inform you that you may begin work. Substantial
eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of thi
Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be re-measured.Also
the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of .
the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measureme
Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPt
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue t
by changes in shoreline configuration. The structure(s) must be work after the permit has expired. Generally, if foundati.
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuin
imminently threatened, and in any case upon its collapse or permit renewal can be authorized. It is unlawful to contin
subsidence. work after permit expiration.
The best available information,as accepted by the Coastal For more Information,contact:
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is \i , f)-/ L
located is feet per year.
Local Permit Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
N.C. Dept. of Environmental Quality
Studies also indicate that the shoreline could move as much as Division of Coastal Management
feet landward in a major storm. 127 Cardinal Drive Extension
The flood waters in a major storm are predicted to be about Wilmington, NC 28405-3845
feet deep in this area.
Preferred oceanfront protection measures are beach nourishment /O — W�— —7y� 2'
and relocation of threatened structures. Hard erosion control 9
structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and RECEIV
requirements by signing this notice in the space below. Without
the proper signature,the application will not be complete.
l_--DocuSigned by: DEC 2 2
L 0-1515q SPaiN
400AP40013cCMDA.. DCM WIU!"tu,
Property Owner Signature Date

DocuSign Envelope ID:6C008B2F-444B-4D05-AFOA-AAB385436F98
t
Receipts for
Codified Mail
(Staple Here)
12-I8-LoZo
Date .t - L r t r �g 1
C)erw -JGcquet;ne_ �ok n95Wor ` UNnS oT � (p*'lSlc.¢R.lL
Adjacent Property Owner
Cocci S o\c c PAM �a
Mailing Address
\nI Q H C c t 1 N c lit 6(.
City, State,Zip Code
Dear Adjacent Property: 1
This letter is to inform you that I, �c�k010\,, S 9a i n have applied for a CAMA Minor
Property Owner
Permit on my property at (Dp-19) (p, 1.4' Skrcel S c c' C;.\ MC.7.`644Sn PenderlOnslow
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 Q1A" 9Z0 44Z-S ,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
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CERTIFIED MAIL° RECEIPT
Domestic Mail Only
3 For delivery information,visit our website at www.usps.com'.
7 Certified Mail Fee _ _
3 Extra Services&Fees(check box,add fee i
❑Return Receipt(nardcopy) $ •)-Ioeoe
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j ❑Certified Mail Restricted Delivery $ $0•01- ��
❑Adult Signature Required $
❑Adult Signature Restricted Delivery$
7 Postage -1&dyid`�'
t Total Postage and Fees 12/22/2020
$ , , _
3 Sent To
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3 street and Apt.No.,or Pb Box No.
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Ateceipt(this portion of the Certified Mail label). for an electronic rejpm receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To recelle 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 agi
International mail. and provides delivery to the addressee specified
Insurance coverage Is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt Is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.
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DocuSign Envelope ID:6C008B2F-444B-4D05-AF0A-AAB385436F98
Receipts for
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Adjacent Property Owner
(c 0-up #4" S t reel-
Mailing Address
SVC.c Ci*�1 t4c. 2.8`44c
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, `1 erbk0y S pain have applied for a CAMA Minor
Property Owner
Permit on my property at (9018 (okt' S'k rte.+ SW(' Ci}� i1•IG 2-g`t9S,in PenderIOnslow
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 k " ° 20"-t44 ,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
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Mailing Address
60k 6000toNC 'L153o
City,State,Zip Code
RECEJV:
DEC 2 2
DCM WILMING

CERTIFIED MAIL® RECEIPT
U Domestic Mail Only
U
3 For delivery information,visit our website at www.usps.comv.
3 r:ei314,4 E
Certified Mail Fee
3 Extra Services&Fees(check box,add fee epptiate) (
El Return Receipt(hardcopy) $ • e
D Return Receipt(electronic) $ C!ii postmark
3 D Certified Mail Restricted Delivery $ $0 00 Here
D Adult Signature Required $ Si)
E]Adult Signature Restricted Delivery$
VVt'
3 Postage
SO.70
$ 12/22/2020
Total Postage and Fees
U I 7. 0
$
3 Sent To
U
3 Threat and Apt.No.,or Pr tkiiefk.
City,.tate,Z1P+4.

.�.....�... `r.... .. .'a.. ..a...a.
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 yiiification of delivery or attempted return receipt for no eltiitional fee,present this
delivery. USPSiD-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.
roportant 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 Services, available at retail).
or Priority Mails 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 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.
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Nlic 621 Elt'1 " 's
(Name o�Property Owner)
property located at \ P
(Address, Lot, Block, Road,etc.)
onTc. Ce1) , in .4,,r. Sk� i�l� ONV-E1-43 , N.C.
(Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
ty�an.
`�. I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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WAIVER SECTION
! understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property ner Informa ion) (A erty Owner Information)
Si afore Sz
eru,p
Print or Type Name P ' t r Type*erne
02OI D N A eR.(2 V e
Mailing Address t iljin Ad ess
v\ttal,t�l h NC- a,13405 , /c 2 ?607
2 City/Staf /O City
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Telephone Number/email address Telephone Number/ ail address
` `/
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: /)7iG, ik'7J 'L 1.x.f--t
Mailing Address: 2D/ D /'U kc i2 /Ivey,
l»77` /✓6 2 P 9O -
Phone Number: 9/O 00 /i '
Email Address:
I certify that I have authorized C.A, I)OoLi l (idA,1
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development D Dc k.
at my property located at / Z 9 ,fa U 4)6 V'I
in ? troth'-- 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:
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rgnature
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Print or Type Name
MAx V\4?1-
Title
1 I I 1 r I .O,
Date
This certification is valid through I I

Dail, Jason
From: Dail, Jason
Sent: Tuesday, December 22, 2020 1:58 PM
To: Ross Trifoli
Cc: [e-mail]
Subject: 6078 6th street - CAMA Permit application package - additional information requested
Good afternoon,
I have received a permit application package for the subject address; however, the application package lacks sufficient
information for processing.
Specifically,on the first page of the application package, under Section 2) "Coastal Shoreline AECs",you note there is
approximately 1,893 sq. ft. of impervious coverage proposed within 75' of the normal high water line (this is the AEC).
Based on the survey, it appears there is approximately 4,083 sq. ft. of land area within the 75' AEC, with approximately
1,893 sq. ft. of impervious coverage. This would result in a 46%impervious calculation within the 75' AEC, which is in
excess of the allowable limit of 30% (or 1,224 sq. ft.).
Please either revise the plan of development to meet the 30% impervious limitation or provide an engineer's
stormwater collection and treatment system capable of capturing any stormwater runoff in excess of the 30% limitation.
In accordance with the Department of Environment and Natural Resources regulations,we note that the application, as
received in our office on December 22, 2020, is incomplete for processing. Upon resubmission of a complete
application, a local decision will be made in 25 days, provided this period is not extended as provided by law. Please
contact me at 910-796-7221 if you have any questions.
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
Jason.Dail @ncdenr.gov
0 ~Nothe q Canpres .
*E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
1

1
Locality .›C ;6 (a' �.QJ Permit Number SI
. Ocean Hazard Estuarine Shoreline y ORW Shoreline Public Trust Shoreline Other
(For official nse only) RECEIVED
GENERAL INFORMATION
L' -.H:; 22 2020
LAND OWNER- n'IAH,ING ADDRESS
Name g OVby S9a' DCM WILMINGTO 1,
Address \ 03 3� ,n 'Deice p r'c
City �\d S t'o State N c- Zip 1-1S1P Phone 1 X- C12 d t-{'t2` i
Email robse co,in 2Q 3 ® CIA100. C..7Mn
AUTHORIZED AGENT
Name FOSS S. Tt't'rvt; New Wlv cCh,t vi \-4old1115S ) LI- .
Address 2-Lk c.3 \4 coves- 'R
City IA GM 954-e a c) State N c. Zip2a`W3 Phone Q10 -2.&4- GDIS 1
Email r1e114w1hak,0..v.NVN \aiv,96 gly%a+k • Co
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent vaterbody.)
C0018 Coy" SA-r-ctk Sc.c G � N C• 2`3tit-1
DESCRIPTION OF PROJECT: (List all proposed construction and lam- •- '

liill NC Division of Coastal Management
Cashier's Official Receipt 11742
ABC,�
/ UGC)
Date: 20
Received From: f2 fZ $
Permit No.: �" Check No.:
Applicant's Name: F i /' County:
Q /
Project Address: - .(
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date:
Signature of Field Representative: Date:

ware ware
Received Deposited Permit Holder
12/30/2020 New Life Building Robby Spain FCB 3782 $100.00 Minor Fee, 6078 6th St, Surf City JD rct.
Company LLC OnCo 11742