SC_21-02_ Cavenaugh (2)

Issued by WiRO SC21-02
Surf City f-n'YtA) Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT -2. Ir.
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 Matthew Cavenaugh authorizing development in the Estuarine Shoreline (AEC) at 3028 3rd Street, in Surf
City, Onslow County as requested in the permittee's application, dated January 12, 2021, and received by DCM on
January 20, 2021. This permit, issued on February 11, 2021, is subject to compliance with the application and drawing
dated and received by DCM on January 20, 2021 (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: Proposed residential dwelling with driveway and parking areas.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on January 20, 2021.
(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 C 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
December 31,2024
In issuing this permit it is agreed that this project is consistent with the local Land f'-
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
AAononnmcnt _. ...

Name: Matthew Cavenaugh
Minor Permit# SC21-02
Date: February 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) 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 wetlands or open water areas, even temporarily.
(8) Based on information provided with the application, 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 completed in accordance with the approved "Stormwater Plan", signed and sealed by Fountain
Taylor, Ill, on 11/18/2020.
(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, sold or otherwise
disposed of to a third-party.
SIGNATURE> DATE:
PERMITTEE

'n -J�-- 1 L1 Z OTHER PERMITS MAYBE � Han the CAMA
Locality6C t15tU W Permit Number REQUIRED:The activity you are planning may require permitppt
minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(644rllsanitary was .y
Ocean Hazard Estuarine Shoreline*. ORW Shoreline Public Trust Shoreline Other treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Co Mn,FIA
(For official use only) Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Hi nnection,am
others.Check with your Local Permit Officer for more information. --AA.14
\\'
GENERAL INFORMATION STATEMENT OF OWNERSHIP: OC)
LAND OWNER-MAILING ADDRESS I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
M 14 w Aye N . h person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the persor
Name A-
S listed as landowner on this application has a significant interest in the real property described therein.This interest can be
Address g 4 S S•t`S Cr e-t i described as:(check one) r)
City (A)l t10.1R.-� State (SIC- Zip ?t472Phone 9 10 a �y' .23� an owner or record title,Title is vested in name of Fie 4el tria l s.J 641'e kw ct 9 Al
Email see Deed Book i 1 page 2 t in the 0 vtS 101.t County Registry of Deeds.
AUTHORIZED AGENT an owner by virtue of inheritance.Applicant is an heir to the estate of
Name ."?‘Alb i t t 1 `i D Ae S ;probate was in County.
Address �c (30 3� _if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Ci (2\C�lc q) iPh 9to 3e9-4 NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
ty State r�C Zip one
I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
Email t'A o n e% b k: '& a'S - S rn is.t ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
Name) _ (Address)
LOCATION OF PROJECT (Address,street name and/or directions to site;name of the adjacent waterbodyJ (I) ,q.tN e C$ Ave t eve,k. 3 r (6 re
- �e.,..‘a Q t2 IQ+V1g1,e.it Z/SZ t
30.9- 3 "' s+,¢e4-k Sv.Iz4 C,{) a $Ny S (2)
(3) OtLAv, ken..c.43 P.0 0eX (.,1 C.-Mrs6.w PAC a8396
(4)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) 14p tJ L L ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
`.1- D'2ku e w maybe 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-
SIZE OF LOT/PARCEL: 1 4 b"( square feet acres tion and floodproofing techniques.
PROPOSED USE:Residential Rt (Single-family 0 Multi-family 0) Commercial/Industrial 0 Other 0 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
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer Vyou are not sure which AEC applies related to this permit application.
to your property):
This the 2- day of i� ,20.Z t
(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 55 G l J I7o S /
excluding non-load-bearing attic space) Landowner or person authorized to act as h. er agent for purpose a CAMA permit application
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This application includes:general information(this form),a site drawing as described on the back of this application,the
UPON SURFACES: square feet(includes the area of the foundation of all buildings,driveways,covered decks ownership statement,the Ocean Hazard AEC Notice where necessary,a check for$100.00 made payable to the locality,ant
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) anyinformation as maybeprovided orallythe applicant.The details of theapplication as described bythese sources are
.1 by pP
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without reference in any permit which may be issued.Deviation from these details will constitute a violation q,,
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)7 any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
YES ✓ NO
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: 2-6' square feet.

� ;„ ;_ ROY COOPER,
w
t
` .
q#4
MICHAEL S. REGAN
)ecrelars
BRAXTON DAVIS
1)Irecior
February 11, 2021
Matthew Cavenaugh
845 Sills Creek Road
Willard, NC 28478
Dear Mr. Cavenaugh,
Attached is CAMA Minor Development Permit SC 21-02 for work to be done at 3028 3rd 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 gold 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.
Sincerely,
7j
/ i at(t- 1 ' - ---
Anita M.Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
SC Inspection Dept.
Russell Jones—Agent
State of North Carolina 1 Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

\ 4 /
STORMWATER CONTROL CALCULATIONS
FOR 1.5" OF RAINFALL IN 24 HOURS. 3RD ST
Ir
3RD ST SUE o Z
SOT AREA W
7,481 SQ. FT. '�J � S 8
ROOFED AREA 1ST sT g 2ND ST F
2,220 SQ. FT �\NA-v 1ST sr v, g z
DRIVEWAY AREA (PERVIOUS STONE) • ONSLOW COUNTY Z
760 SQ. FT. (On Lot) BROADWAY
PENDER COUNTY
N/A AREA (CONCRETE) VICINITY MAP NO SCALE
TOTAL IMPERVIOUS AREA
2,220 SQ. FT./ 7,481 SQ. FT. = 0.297= 30X CEIVE©
VOLUME 1.5" RAIN IN 24 HOURS ON ROOF .
1,514/8 = 277.5 CU. FT.
BED VOLUME CANAL 30 2 0 202
277.5 CU. FT./40X VOID SPACE IN STONE = 693.75 CU. FT. DOCK
BED SIZE S 47 ILMINGT�'NC
2 BEDS - 4'W x 2'D x 451 = 720 CU. FT. BULKH ,�!!� �, W
720 CU. FT. PROVIDED 694 CU. FT. REQUIRED sr1
DRAINBED SECTION A-c L
NOT TO SCALE 0•24•
C-2-A. — ———
o-4• r
SELECT LThCTX..15' I _ — ._
•DIA HOP PIPE CAMA LINE- I -_----
S,�a o.
.IS44;c7r• ' BED 14�fN . COVERED PORCH
itc.
4 0 4E 0'
¢ PROPOSED STRUCTURE
DOWN SPOUT DETAIL ,Do»,SPOUT ; -- — — --iir Arp my
ALLOW CORRUGATED PIPE
TO OVERLAP 0001 SPOUT ___ CMUGMED 6 y
== I
c- a Imo. a
ALL O SPOUTS -__
CCONNECTED GATED PL TO ASTIC PPE = I_ a
IIIIIIlIIIllilllil�- 1
STORMWATER NOTES: ,tr► L_-r -L�4-! r
• ALL GUTTERS TO BE PIPED TO �C' ►WM IR�iiG
DRAINBED PER DETAIL O 0 \R
0
FiQ
• BED SIZE(S) AND LOCATIONS MAY BE N
MANIPULATED IN THE FIELD TO AVOID
OBSTICLES AS NEEDED. INSTALLED BED / 1
VOLUMES NEED TO MATCH lb I." EOP
CALCULATIONS PROVIDED ON THIS
PLAN 3rd STREET (60' PUBLIC R/W)
• CONTRACTOR TO PROVIDE
CALCULATIONS AS NEEDED IF INSTALL
VARYS FROM THIS PLAN.
SURVEY DATA PROVIDED BY:
ROBERT H. GOSL.EE & ASSOCIATES, PA of 30' LA' 90�
LAND SURVEYORS - LAND PLANNERS
317 E. MURRAY ST. /P.P. BOX 133 MI = MINNIIIMII —
WALLACE.NC.28465 MN En MI
FOUNTAIN TAYLOR III, P.E.
�
2135 Kinston Highway
� �%. � `
3028 3RD. ST. Richlands, NC 28574 2 SEAL
SURF CITY, NC PHONE:[phone] 17699
FAX: [phone]I Q•
DRAWN BY: tiTAIN SP '
CONNER DRAFTING & DESIGN 11/18/20
STORM WATER PLAN 101 N. WILMINGTON ST.
RICHLANDS, NC. 28574 SHEET:
Dunnjr- o1n 194.9R7Q 1 (IF 1

SURVEY'RSFERISNCE: L6GSND:
VICINITY MAPN.?S)
LOT SECTION 3, OLD SETTLERS BEACH o OR FatRa
//FOUN�D IRON�
DEED BOOK 11 AT PAGE 31 OR(IRON PPE UN N •
ONSLOW COUNTY REGISTRYos fVUNQ IRON STD
IRS(IRON ROD SET)
a ads .ACRE MONUMENT SET) yy�
NO28'k EOM VOUM)CORD MOM)
1. FEMA FLOOD MAP INFORMATION.: ® NCOS GRID MONUMENT
ONSLOW COUNTY FLOOD INSURANCE RATE MAP: a v ERRS((ER 666/roum RR SRK-J s?
MAP No: 3720424500 K FLOOD ZONE: VE RRss f E)
MAP EFFECTIVE DATE 02/16/2007 mc rK Mow(pr ae AUG Ma
2. CORNERS ARE MARKED AS NOTED ON MAP. E1*(arsfl'G/iVtNi Pw lat) •fy
3. ALL BEARINGS ARE MAGNETIC NORTH U � � AXLE)4. ALL DISTANCES ARE HORIZONTAL FIELD MEASUREMENTS.
5. AREA COMPUTED BY THE COORDINATE METHOD.
— EASEMrM U E
PALM TREE AREA COMPUTATIONS
CANAL
LOT AREA =7481 SF
sia 7 MYRTLE BUSH LOT ZONED MHS
,2t` SHRUB BUSH SETBACKS REQUIRED
3 'g PERVIOUS CONC FRONT = 15'
WASHED GRAVEL SIDE YARD = 7.5'
DOCK REAR YARD = 20'
S '47 58� 55�08 CAMA LINE 30' FROM HWL
BU�KH A� r IMPERVIOUS AREA
��( ROOF TOP EAI� = 2220 SF
TOTAL LOT AREA = 7481 SF
u�. TOTAL IMPERVIOUS AREA - 29.7%
N N IMPERVIOUS AREA WITHIN 75'AEC = 1216 SF
rsvi_----------1 LOT AREA WITHIN 75'AEC = 4099 SF
% IMPERVIOUS WITHIN 75'AEC = 29.7%
CAMA LINE-----xi J----------- -----
------ 7 9'
COVERED
PORCH E
2 =I.
BRYAN KENNEDY 0+2+8 -•
JAMES E BROCK, Jr.
1 STORY _
LOT 8 a FRAME U LOT 6
Li . o
RESIDENCE f a
rq ON PILES f 7" 4—— 75' AEC LINE
ff v a
2 f
7.8'--- - m
fg r 3I0 ()eV VI eV'Co (' o
�.!
ct
4-7 — 3 1t Ili °3- N 28'45'OO'W 330.00 6:'4SOO1 55..'
O
3 14 3+2 SOP RE.004ED
In
-—33 Srd T?EET (60' PUBLIC R/W)- - - - - 3 0 2 0 2O 21
PROPOSED SITE PLAN FOR �G?Qnl,► C
FL0 YD MA TTHEW CA VENA UGH
LOT 7 - AN EXTENSION TO SECTION 3 - OLD SUTLERS BEACH (MB 11, PG 31)
STUMP SOUND TOWNSHIP - ONSLOW COUNTY - NORTH CAROLINA
SCALE: 1" = 30 OCTOBER 29, 2020
I, Manley D. Carr, PLS, certify that this plat was drawn under my supervision from an
actual field survey made under my supervision from information as noted hereon;
that the boundaries not Surveyed ore clearly indicated as dashed lines; that the ratio
of precision as calculated us 1:10,000+ and r +4111r k*I/tp the best of my knowledge
and 'f Witness ri i I Signature, iweCMq [tnd Seal
thi day of , AD, Z 6,�•,,,
O OFgSS/0,�,•. 9 "� MANLEY 0. CARR, PLS
_:c 9�'• ROBERT H. GOSLEE & ASSOCIATES, PA
n/ D. Con, PLS SEAL 7.--
- LAND SURVEYORS — LAND PLANNERS
- L-2580 317 E MURRAY ST. /P.O. BOX 133
NC icense No. L-2580 — 0ct.: WALLACE, NORTH CAROLINA 28466
an n gn 144_...,.K ;.c2--iin NC CORPORATE LICENSE No. C-1167

National Flood Insurance Program
V-Zone Certification RECEIVED
Property Information For Insurance Company Use
Name Policy Number JAN 2 0 7r
Floyd Matthew Cavenaugh
Structure Address or Other Description I
3028 3rd St. IJCM W
City State Zip Code
Surf City NC 28445
SECTION I: FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Note:To be obtained from FIRMs in effect at the time of the certification
1. Community Number 2. Panel Number 3. Suffix 4. Date of FIRM Index 5. FIRM Zone
Surf City 370186 3720424500 K 06-19-2020 VE
SECTION II: ELEVATION INFORMATION
Note: This form is not a substitute for an Elevation Certificate. Elevations should be rounded to nearest tenth of a foot.
1. Elevation of the Bottom of Lowest Horizontal Structure Member 13.1 feet(NAVD 88)
2. Regulatory Flood Protection Elevation(RFPE) 13.0 feet(NAVD 88)
3. Elevation of Lowest Adjacent Grade 2.5 feet(NAVD 88)
4. Approximate Depth of Anticipated Scour/Erosion Used for Foundation Design 1.33 feet(NAVD 88)
5. Embedment Depth of Pilings or Foundation Below Lowest Adjacent Grade 8.0 feet(NAVD 88)
SECTION III: V-ZONE CERTIFICATION STATEMENT
Note: This section must be certified by a registered professional engineer or architect. Initial all that apply.
X I certify that I have developed or reviewed the structural design,plans and specifications for construction and that the methods of
construction to be used are in accordance with accepted standards of practice for meeting the following provisions:
X a)The bottom of the lowest horizontal structure member of the lowest floor(excluding the pilings or columns)is elevated to or
above the Regulatory Flood Protection Elevation;and,
X b)The pile or column foundation and structure attached thereto is anchored to resist flotation,collapse and lateral movement
due to the effects of the wind and water loads acting simultaneously on all building components, including grade beams and
bracing, if applicable.Water loading values used are those associated with the base flood including wave action. Wind
loading values used are those required by the applicable State or local building code.The potential for scour and erosion at the
foundation has been anticipated for conditions associated with the flood, including wave action.
SECTION IV: AREAS BELOW THE LOWEST FLOOR
Note: This section must be certified by a registered professional engineer or architect. Initial all that apply.
I certify that I have developed or reviewed the structural design,plans and specifications for construction and that the design and
methods of construction to be used for the breakaway walls are in accordance with accepted standards of practice for meeting
the following provisions:
X a)All areas below the lowest floor are free of obstruction(including open lattice work,insect screening,bracing and grade beams
as allowed in accordance with FEMA Technical Bulletin 5 and ASCE 24);or
b)Breakaway walls are constructed in accordance with prescriptive design in FEMA Technical Bulletin 9:Breakaway Walls;or
X c)Breakaway walls shall collapse from water load less than that which would occur during the base flood without causing
collapse,displacement,or other structural damage to the elevated portion of the building or supporting foundation system.
SECTION V: SAND DUNES AND MANGROVE STANDS
Note: This section must be certified by a registered professional engineer or architect.Initial all that apply.
In accordance with 44 CFR 60.3(e)(7)and Paragraph G103.7 of the North Carolina Building Code,the construction:
X a)Does not alter sand dunes or mangrove stands;or
b)Alters sand dunes or mangrove stands but does not increase potential flood damage.
SECTION VI: SEPTIC TANKS
Note: This section must be certified by a registered professional engineer or architect.Initial all that apply.
X a)There is not a septic tank serving the building;or
In accordance with 44 CFR 60.3(a)(3)and(6),Section G701.1 of the North Carolina Building Code,and ASCE 24-14 7.3 and
9.7,the sanitary sewer system:
b)Is designed and adequately anchored to prevent flotation,collapse,or lateral movement resulting from hydrostatic and
hydrodynamic loads,including 150%of the effect of buoyancy and is designed to minimize or eliminate infiltration of flood waters
into the systems and discharges from the systems into flood waters;or
c)Is located to avoid impairment to them or contamination from them during flooding.

SECTION VII: UNDERGROUND FUEL TANKS
Note: This section must be certified by a registered professional engineer or architect.Initial all that apply.
X a)There is not an underground fuel tank serving the building;or
In accordance with 44 CFR 60.3(a)(3)(iv)and ASCE 24-14 Section 9.7,the fuel tank(s)servicing the structure:
b)Is designed and adequately anchored to prevent flotation, collapse,or lateral movement resulting from hydrostatic and
hydrodynamic loads,including 150%of the effect of buoyancy,is designed to minimize or eliminate infiltration of flood waters
into the systems and discharges from the systems into flood waters,and calculated flood-related loads take into account the
eroded ground elevation.
SECTION VIII: ABOVE GROUND FUEL TANKS
Note: This section must be certified by a registered professional engineer or architect. Initial all that apply.
X a)There is not an above ground fuel tank serving the building;or
In accordance with 44 CFR 60.3(a)(3)(iv)and ASCE 24-14 Section 9.7,the fuel tank(s)servicing the structure:
b)Is elevated to or above the Regulatory Flood Protection Elevation on a detached platform with a foundation that meets the
requirements of Section III,or
c) Is underneath or attached to a building and is elevated in accordance with ASCE 24-14 Table4-1.
SECTION IX: SWIMMING POOLS
Note: This section must be certified by a registered professional engineer or architect.Initial all that apply.
X a)There is not a swimming pool or hot tub located on the subject property;or
In accordance with the North Carolina State Building Code Section G801.5,the North Carolina Residential Building Code
Section AV103.3,and ASCE 24 9.6.2,the swimming pool/hot tub is:
b): Located and designed to be structurally independent of buildings and structures;or
c)Located in or on elevated floors or roofs that are at or above the Regulatory Flood Protection Elevation;
and
d) Is elevated so that the lowest horizontal structural member is at or above the Regulatory Flood Protection Elevation;or
e)Is designed and constructed to break away during design flood conditions without producing debris capable of causing
significant damage to any structure;or
f)Is designed and constructed to remain in the ground during design flood conditions without obstructing flow that results in
damage to any structure.
SECTION X: FILL
Note: This section must be certified by a registered professional engineer or architect.Initial all that apply.
X a)No fill has been placed on the site;or
X b)Any fill placed on the site is at less than a 5:1 (20%)slope and is similar to natural soils in the area;or
a)Is at a greater than 5:1 (20%)slope but will not cause or worsen wave runup or wave reflection capable of damaging adjacent
buildings.
SECTION XI: EROSION CONTROL STRUCTURES
Note:This section must be certified by a registered professional engineer or architect.Initial all that apply.
Bulkheads,seawalls,retaining walls, revetments,and similar structures are considered erosion control structures.
X a)No erosion control structures have been placed on the site;or
JAN 2 b)Erosion control structures are located at least 30'from any structures;or
c)Erosion control structures are not located beneath any structures and will not cause or worsen wave runty\ r wave reflection
capable of damaging adjacent buildings.
SECTION V: CERTIFICATION
Name of Certifier Title
Fountain Taylor Ill, P.E. Professional Engineer
Firm Name License Number ` 117Y'.♦
Fountain Taylor Ill,P.E. 17699
Street Address Phone Number and Email
2135 Kinston Hwy. 910 358-0648 SEAL.
) 17699
City ' State Zip Code •�`
Richland NC 28574 /N. it`
Signatur Q Date

C .1
BAN
GENERAL CONTRACTOR 2 0 l^;
COMMERCIAL RESIDENTIAL
O
CM pvl`MIN�To
R. Jones Builders, INC. N Nc
PO Box 738
Richlands, NC 28574
rjonesbuildersk4gmail.com
Bryan Kennedy
PO Box 67
Warsaw, NC 28398
Mr. Kennedy,
I am writing this letter to inform you that we are going to be
building a new home on the lot adjacent to your property. I am
applying for a Cama Permit and am required to inform you by
letter.
Thank you and look forward to being a good neighbor.
Contractor:
Russell Jones
R. Jones Builders, Inc.
Home Owner: Floyd Matthew Cavenaugh

1. . 'osta ervice
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-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.
S Form 3800.Anril 9n15/R.,,,,nnl PSN 7550.19.000-0047

1146 WIM11,11
Vara'
OPri!‘"124
GENERAL CONTRACTOR 40
cORIAL REsrrAL.
iecif iitsiAtr J,Ini
R. Jones Builders, INC. 02021
C4,1 Le_
PO Box 738 rvicAimic
Richlands, NC 28574 ivc
rjonesbuildersUgmail.corn
James Earl Brock Jr.
108 Paula Dr
Angier, NC 27501
Mr. Brock,
I am writing this letter to inform you that we are going to be
building a new home on the lot adjacent to your property. I am
applying for a Cama Permit and am required to inform you by
letter.
Thank you and look forward to being a good neighbor.
Contractor:
Russell Jones
R. Jones Builders, Inc.
Home Owner: Floyd Matthew Cavenaugh

U.S. Postal ervice
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
9 For delivery information,visit our website at www.usps.com'"'.
Anr q ' .
Certified Mail Fee $3�cc i0574
l $ [[JJ [[JJ��JJ
- Extra Services&Fees(check box,add fee rwpppriiylgte) !14
❑Return Receipt(hardcopy) $ U VUVU
❑Return Receipt(electronic) $ $O.000 Postmark
3 ❑Certified Mall Restricted Delivery $ $G__CIO Here
3 ❑Adutt Signature Required $ $0.00
❑Adult Signature Restricted Delivery$
3 Postage $0.55
Total Postage and Rifts 11/1` 2U�1
- Sent
j Attie s f Pe IPl A tc
3- b`tree/O r 614l C l(
City,St4e,ZIP+4i
/1e9i Pt /T c a7saI

A receipt(this portion of the Certified Mail label). for an electronic return reckit,seg a retail
A unique identifier for your mailpiece. associate for assistance.To recent
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
rnportant Reminders: -Adult signature service,which requires the
1 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,whicl
I Certified Mail service is notavailable for requires the signee to be at least 21 years of ag
international mail. and provides delivery to the addressee specifier
Insurance coverage Is notavailable 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 e
certain Priority Mail items. USPS postmark.If you would like a postmark on
I 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.
A Fnrm nano_Anril 9n15/Ravnneal PAN 7FAf110.000 9na7

RECE(\IED
SITE DRAWING/APPLICATION CHECKLIST JAN 2 C
make sure your site drawing includes the following information required for a CAMA minor development permit. b
Deal Permit Officer will help you,if requested. r_^
DCM WI!_MI;\' 4PPLICATION FOR
,ICAL DIMENSIONS al
Label roads CAMA MINOR O
3 Label highways right-of-ways z
✓ Label local setbacklines DEVELOPMENT
/ Label any anddallllstructures and driveways currently existing on property
✓ Label adjacent waterbody Coastal Management
ENVIRONMENTAL QUALITY
1CAL CHARACTERISTICS PERMIT
Draw and label normal high water line(contact LPO for assistance) In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
42- Draw location of on-site wastewater system
(CAMA)and set the stage for guiding development in fragile and productive areas that
If you will be working in the ocean hazard area: border the state's sounds and oceanfront.Along with requiring special care by those who
Draw and label dune ridges(include spot elevations) build and develop,the General Assembly directed the Coastal Resources Commission
Draw and label toe of dunes (CRC)to implement clear regulations that minimize the burden on the applicant.
Identify and locate first line of stable vegetation(contact LPO for assistance)
Draw and label erosion setback line(contact LPO for assistance) This application for a minor development permit under CAMA is part of the
Draw and label topographical features(optional) 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
If you will be working in a coastal shoreline area: the applicant.Please go over this folder with the Local Permit Officer(LPO)for the
Show the roof overhang as a dotted line around the structure locality in which you plan to build to be certain that you understand what information he
Draw and label landward limit of AEC or she needs before you apply.
Draw and label all wetland lines(contact LPO for assistance) r•
Draw and label the 30-foot buffer line Under CAMA regulations,the minor permit is to be issued within 25 days once a
;LOPMENT PLANS 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
✓ Draw and label all proposed structures certain that your application is complete and signed,that your drawing meets the
st Draw and label areas that will be disturbed and/or landscaped specifications given inside and that your application fee is attached.
Note size of piling and depth to be placed in ground
'"" Draw and label all areas to be paved or graveled Other permits are sometimes required for development in the coastal area.While these
Show all areas to be disturbed are not CAMA-related,we urge you to check with the Local Permit Officer to determine
Show landscaping which of these you may need.A list is included on page two of this folder.
TO APPLICANT
We appreciate your cooperation with the North Carolina Coastal Management Program
you: and your willingness to build in a way that protects the resources of our beautiful and
• completed all blanks and/or indicated if not applicable? productive coast.
• notified and listed adjacent property owners?
• included your site drawing? Coastal Resources Commission
• signed and dated the application? Division of Coastal Management
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice,if necessary?(Must be signed by the property owner) > m
FOR STAFF USE m
otice Posted Final Inspection Fee Received LJ ,73
Ispections
Xm
zt7
-3
El n
,£Action:Issued Exempted Denied Appeal Deadline(20 days from permit action) DCM Form EB1952-2015 Revised J

a« ' CC)i ci fD•
tu
. Permit Number OTHER PERMITS MAY BE; D
minor development permit,inci o D a 11110
Vj O •.n •f
lazard Estuarine Shoreline ORW Shoreline• Public Trust Shoreline Other _ treatment system),Building,Eli '" -'' a(713 Z a
Certification,Sand Dune,Sedid T n at 3
t, (For official use only) tp to 3
others.Check with your Local i a.
91
tAL INFORMATION X O
STATEMENT OF OWNERS). 4.-,-:"
DW NER-MAILING ADDRESS I,the undersigned,an applicant! N .D ✓
person authorized to act as an al y
ll4 to A-ka w C A Ye h A uts h listed as landowner on this appl n' - _
described as:(cheek one) 0) - la.) a)
cn
t itek e-e/. State MC.- Zip ? ('7 hone 'A l0 2 e4-k- ,239,1 at owner or record title,Ti Fr '""
see Deed Book W 11' ` t1 C
)RIZED AGENT T _an owner by virtue of inhei .C3
Z
�u'Sy411 2ID'Ne� 1 � n
if other interest,such as wi 0
P,cl 6c4- 73� — o `- n <
State VA Zip (S'S7 honeNOTIFICATIONOFADJAGi ' -
�ielnl�n � `�P qiO3$W �(PGt`� 0 ��
' `�t � I furthermore certify that the fob � �1v�, � � O
V\t V�+• S Q 5 Vh c ACTUAL NOTICE to each of �:5_ (p.
\ -1 O
'ION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.) (1) gyv�ti GYL Q (� I. f O n
'4"
28 '3 r` 5+ter�� S.,.va c.+) �'' 4 S (2) N '
(4) O — _
y ' O 7
IPTION OF PROJECT:(List all proposed construction and land disturbance.) Ad L.S t. ACKNOWLEDGEMENTS: O /"•\ D K
I,the undersigned,acknowledgj -p ` n =
D(L\u i W tM1' •may be susceptible to erosion ai . CD
B J •
tar hazard problems associated I 3 7\, r-r
FCO
LOT/PARCEL: 1.4 ?-1 square feet acres Lion and floodproofing technigt; CD
D
/SED USE:Residential 14 (Single-family 0 Multi-family❑) Cornmercialllndustrial 0 Other 0 I furthermore certify that I am,I 0
the Local Permit Officer and tiff .--r
LETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies related to this permit applicatic 0
property): ] C"~
4 n n <A
EAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes 0 D-
cn
itioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but e2S5 e.r!f J UMo 4 C ((1-3 Cu
ig non-load-bearing attic space) Landowner or person authorize a- -/ Z
ASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
SURFACES: square feet(includes the area of the foundation of all buildings,driveways,covered decks, This application Includes:geni
ownership statement,the Ocea .�+ �'
or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) to (D %% . C`_.:
any information as may be pm l (Q
STORM WATER MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without reference! 7 ---1 Y,
,ater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)•1 any permit.Any person develop f; V
/ NO N: ,
ist the total built upon area/impervious surface allowed for your lot or parcel: IX 1L square feet. ��IJJ!"" o CO
!� fJç\-_i
i

cn In v > -o 33
D CD CD
c3 �. 3 m
w w —
MD
� ca 4 ( 'f �� Permit Number ( OTHER PERMITS MAY BEC
y w z R.
, sI Z
'fiU\ �/ minor development permit,snot O O O- pj P. -n
¢ard Estuarine Shoreline X. ORW Shoreline Public Trust Shoreline Other treatment system),Building,Eli D Z O
Certification,Sand Dune,Sedin 71 N tp to toa
,. (For official use only) others.Check with your Local I ff. tD y 3
m
kL INFORMATION XI
STATEMENT OF OWNERS' CD 00
W, NER-MAILING ADDRESS 1,the undersigned,an applicant N -6
fill A}�I t-1 C"rem A h person authorized to act as an al m p 'El ` )�
S listed as landowner on this appl n V�+
described as: one) Co w w O
$4r St lls Crc-n k m
t��CLtR State NIC Zip a�47�hone (0 *"Li- +�7J� _an owner or record title,Ti t•'D aha'
see Deed Book 1--.... d ,
7
,...
an owner by virtue of inhe; ' N Z
RIZED AGENT 1 co
TP`' (3e s �3� _if other interest,such as un O
y,,v l G he State N C Zip '(Phone 9 t i 3 8 9'K fel
NOTIFICATION OFADJAC ( cn SD (l
\ I furthermore certify that the foi g �- -� z- 0
''l u v1 e s b v.' Ct srS e _s vh a s( ACTUAL NOTICE to each of m t� (D
1Name) Op _ e0
ON OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.) (i) ,....1 Alike Cc'Yt y I O n
O
Fr 3 r` s+le.e t.A- 5;..wt.-C e,+) 9 rtAy S (2) m
09
(3)_ O n -11
Avt if -a --- , (�
(4) o a1 _
PTION OF PROJECT:(List all proposed construction and land disturbance.) •-kO1n S ACKNOWLEDGEMENTS: O H
1,the undersigned,acknowledg -'R- 1,.) may be susceptible to erosion CO
`l
.1 lar hazard problems associated) B
'LOT/PARCEL: 1 � square feet acres tion and floodproofing technigti j ,.t (D
4 a)
;ED USE:Residential i(J (Single-family 0 Multi-family 0) Commercial/Industrial 0 Other I furthermore certify that I am q
the Local Permit Officer and tlti V r
ETE EITHER(I)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies related to this permit applicatiei 3 4-
roperty): 1
ril n n to
AN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes to
Co C r o
ioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but g5 e l( J U4ti. S' C w
I non-load-bearing attic space) Landowner or person authorize Q Z N
0 1
STAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT :• r
This application includes:gent D
URFACES: square feet(includes the area of the foundation of all buildings,driveways,covered decks, w w -. t�
or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) ownership statement,the Ocea N m -any information as may be pm .-.--. C)
ITORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without referenced - 7 .- \"
ter Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)? any permit.Any person develop j )"'t 1 �-
e" NO c" a �J(
t the total built upon area/impervioµs surface allowed for your lot or parcel: 2 2 3-e> square feet. '�"" e
IN@I

Date Date Check From Name of Vendor Check Check Permit Rct.
Received Deposited Permit Holder Number amount Number/Comments
1/25/2021 1/26/2021 R.Jones Builders, Matthew Union Bank 11753 $100.00 minor fee, 3028 3rd Street,Surf JD rct.
Inc. Cavenaugh City OnCo 13607