SC_22-02_ Bland

SC22-02
Issued by WiRO Permit Number
Surf City
CAMA Y ,
MINOR DEVELOPMENT
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 Molly M Bland authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC) at
207-B N. Boca Bay Lane, in Surf City, Pender County as requested in the permittee's application dated January 10,
2022, and received by DCM on January 10, 2022. This permit, issued on January 24, 2022, is subject to compliance
with the application and site details (where consistent with the permit), all applicable regulations and special conditions
and notes set forth below. Any violation of these terms may subject permittee to a fine, imprisonment or civil action, or
may cause the permit to be null and void.
This permit authorizes: Landscaping and installation of a wooden stairway(with landing).
(1) All proposed development and associated construction must be done in accordance with the application package dated
received by the Division of Coastal Management on January 10, 2022.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] 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 Jason Dail
site and accessible to the permit officer when the project is inspected for CAMA Local Permit Officer
compliance. Any maintenance work or project modification not covered under 127 Cardinal Drive Extension
this permit,require further written permit approval.All work must cease when this
permit expires on: Wilmington, NC 28405-3845
December 31,2025
In issuing this permit it is agreed that this project is consistent with the local Land
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Name: Molly M Bland
Minor Permit#SC22-02
Date Issued: January 24, 2022
Page 2
(5) 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.
(6) Any proposed for grading within the 30' buffer from the Normal High Water level must be contoured to prevent
additional stormwater runoff to the adjacent marsh/open water area. This area shall be immediately stabilized
(vegetated), and must remain in a vegetated state.
(7) No impervious material (i.e. planters, paver stone(s), wooden blocks, concrete, composite material, etc.) shall be
located within thirty(30)-feet of the normal/mean high water line.
(8) This permit does not authorize the excavation or filling of any wetlands or open water areas, even temporarily.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATURE. DATE:
PERMITTEE

dS1` es,
b
it
ROY COOPER
Governor , "'
ELIZABETH S.BISER
Secretary *%wwvse
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
January 24, 2022
Michael O'Donnell
7900 Camostie Drive
Laurinburg, NC 28352
Dear Mr. O'Donnell:
This letter is in response to your correspondence,which was received by the N.C. Division
of Coastal Management on September 1, 2021, regarding your concerns about the proposed
development by the Molly M Bland, at property located at 207-B N. Boca Bay Lane, adjacent
to Topsail/Stump Sound, in Surf City, NC. The project consists of landscaping the sound
side portion of the property within the Estuarine Shoreline Area of Environmental Concern
(AEC). Based on consistency with the Rule requirements outlined in 15A NCAC 07H .0209
COASTAL SHORELINES(d) Use Standards, a permit has been issued to authorize the
development. I have enclosed a copy of the permit, as well as the relevant statutes.
If you wish to contest our decision to issue this permit,you may file a request for a Third
Party Appeal. The Chairman of the Coastal Resources Commission will consider each case
and determine whether to grant your request to file for a Contested Case Hearing. The
hearing request must be filed with the Director, Division of Coastal Management, in writing
and must be received within twenty (20) days of the permit decision. I have enclosed the
applicable forms and instructions that must be filed prior to that deadline. Please contact
me at 910-796-7221, if you have any questions, or if I can provide any additional
information.
Si cerely,
,:eJ son ai
ield Representative
cc: DCM—WIRO
Shelia Cox—Topsail of Surf City Inspections

SC22-02
Issued by WiRO Permit Number
Surf City
CAMA
MINOR DEVELOPMENT
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 Molly M Bland authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC) at
207-B N. Boca Bay Lane, in Surf City, Pender County as requested in the permittee's application dated January 10,
2022, and received by DCM on January 10, 2022. This permit, issued on January 24, 2022, is subject to compliance
with the application and site details (where consistent with the permit), all applicable regulations and special conditions
and notes set forth below. Any violation of these terms may subject permittee to a fine, imprisonment or civil action, or
may cause the permit to be null and void.
This permit authorizes: Landscaping and installation of a wooden stairway(with landing).
(1) All proposed development and associated construction must be done in accordance with the application package dated
received by the Division of Coastal Management on January 10, 2022.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] 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 Jason Dail
site and accessible to the permit officer when the project is inspected for CAMA Local Permit Officer
compliance. Any maintenance work or project modification not covered under 127 Cardinal Drive Extension
this permit,require further written permit approval.All work must cease when this
permit expires on: Wilmington, NC 28405-3845
December 31,2025
In issuing this permit it is agreed that this project is consistent with the local Land
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Name: Molly M Bland
Minor Permit#SC22.02
Date Issued: January 24, 2022
Page 2
(5) 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.
(6) Any proposed for grading within the 30' buffer from the Normal High Water level must be contoured to prevent
additional stormwater runoff to the adjacent marsh/open water area. This area shall be immediately stabilized
(vegetated), and must remain in a vegetated state.
(7) No impervious material (i.e. planters, paver stone(s), wooden blocks, concrete, composite material, etc.) shall be
located within thirty(30)-feet of the normal/mean high water line.
(8) This permit does not authorize the excavation or filling of any wetlands or open water areas, even temporarily.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATURE: DATE:
PERM ITTEE

Locality4 Permit Number 5 C., 2:2—'6
Ocean Hazard Estuarine Shoreline . ORW Shoreline Public Trust Shoreline. Other
(For official use only) RECEIVED
GENERAL INFORMATION JAN10, 2022
LAND OWNER-MAILING ADDRESS
'/_ m!. Bkikd DCM WILMINGTON, NC
Address..oad78.._..._ V.L. : .z cq_fay..Ln, . __.
City 54 r'f C'L y State NC. _ Zi4 S y s Phone .-q l9 &0 y......._ .7?
Email—Ym bfanclevoneil Lom — --.-... .
AUTHORIZED AGENT j, G
Name 0 (- S t'_ a rot r f -
, Y;r6Y
Address 30 3 -.,ff Wt•1 .10 W. 1._.----... ..
City1610—e001 — State LAIC. Zilad311/3 Phone . WO Aa70 9 7o
Email 4 rila" Q..._-no rn'1 s qc slats •coo/
LOCATION OF PROJECT: (Address,street name and/or directions to site; name ol'the adjacent waterbody.)
d173_ � Surf Gi <y — it5%_____ol___
DESCRt Imo, ' OF PROJECT: (I.ist all proposed construction and land disturbance.) __an �ri/ioU S
1
?CiVQ. r t / d i (and Sapi "5 /
SIZE OF LOT/PARCEL: 3_75a� square feet 0 CiP acres
PROPOSED USE: Residential.© (Single-family Multi-family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EI'I'IIER(I)OR(2) BELOW(Contact your Local Permit Weer lip',are not cure which AEC applies
to your property):
(I) OCEAN IIAZARD AECs:'TOTAL FLOOR AREA OF PROPOSED STRUCTURE: NM 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:01 square feet(includes the arca 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 STORM WATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Managemen Permit issued by the NC Division of Energy, Mineral and Land Resources(DEMLR)?
YES .,..__- NO

OTHER PERMITS MAY BE REQUIRED:The activity you arc planning may require permits other than the CAMA
minor development permit,including,but not limited to: Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,HA
Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval;Highway Connection,and
others.Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP: -.
1,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
an owner or record title,Title is vested in name of V'
113 1h./�•
see Deed Book D 10 page a�C a in fifeel4 te_V" 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) �� 3 5.�
(1)Al CNa-1 C ronr4e.41 -7cl d C-avnvs�ieDr, 1 La?Lar"/"r6,rrc�
(2) Sara Oar-AGTv J, 9107 A All eoca_.5a y Lin ,� S 1Z_s::. •
v�
(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 t this permit application.
+i^
This the 1 0 day of-10 h ,20 t g
_a idowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information(this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazanrl AEC Notice where necessary,a check for$100.00 made payable to the locality, and
any information as nnay be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued.Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil,criminal and adnuaf \n.
JAN 10, 2022

CAMA THIRD PARTY DCM FORM 5
HEARING REQUEST FORM DCM FILE No:
PETITIONER'S NAME
COUNTY WHERE THE DEVELOPMENT IS PROPOSED
PLEASE TAKE NOTE that the undersigned, a person affected by the decision of(check one):
a Local Permit Officer acting on a CAMA Minor Development Permit application; or
the Division of Coastal Management acting on a CAMA Permit application
hereby requests permission from the Coastal Resources Commission(CRC) to file an appeal pursuant
to N.C.G.S. § 113A-121.1(b)and 15A N.C.A.C. 07J .0301. (Please attach a copy of the permit. If you
cannot obtain a copy of the permit,please provide the name of the permittee, the project location, and
the permit number.) Requests are reviewed and determined by the chairman of the CRC to determine
whether a hearing should be granted. 15A N.C.A.C. 07J .0301(b). Approval of a Third Party Hearing
Request allows a petitioner to file a contested case petition with the Office of Administrative Hearings
within twenty(20)days of receipt of the CRC's Order. N.C.G.S. § 113A-121.1(b). Denial of a Third
Party Hearing Request is a final agency decision which may be appealed to Superior Court under
N.C.G.S. § 113A-121.1(b) and Chapter 150B, Article 4.
For this application to be complete, the Petitioner must address each of the three factors listed below.
The CRC's chairman's decision to grant a hearing will be based on whether the Petitioner:
(1) Has alleged that the decision is contrary to a statute or rule [N.C.G.S. § 113A-121.1(b)(1)];
(Please cite the statute or regulation allegedly violated by the permit decision.)
(2) Is directly affected by the decision [N.C.G.S. § 113A-121.1(b)(2)]; and
(Please describe how you are directly affected by the permit decision. Persons directly
affected by a decision often include, but are not limited to, owners of real property in the
vicinity of the proposed development who can show that it is likely to have a significant
adverse effect on the value and enjoyment of their property, or persons who can
demonstrate a history of substantial use of public resources in the area directly affected
by the development.)
(3) Has alleged facts or made legal arguments that demonstrate that the request for the
hearing is not frivolous [N.C.G.S. § 113A-121.1(b)(3)]. (Summarize the evidence and
arguments you would present at a hearing in support of your appeal explaining why the permit
was improperly issued.)
Please answer these questions on a separate piece of paper and attach it to this form.

(iii) Development shall not cause irreversible damage to documented archeological
resources including shipwrecks identified by the Department-of Cultural Resources
and unique geological features that require protection from uncontrolled or
incompatible development as identified by the Division of Energy, Mineral, and.
Land Resources pursuant to G.S. 113A-113(b)(4)(g);
(iv) Development activities shall be timed to avoid significant adverse impacts on the life
cycles of estuarine or ocean resources,or wildlife;
(v) Development or operation of a wind energy facility shall not jeopardize the use of
the surrounding waters for navigation or for other public trust rights in public trust
areas or estuarine waters;and
(vi) Development or operation of a wind energy facility shall not interfere with air
navigation routes, air traffic control areas, military training routes or special use
airspace and shall comply with standards adopted by the Federal Aviation
Administration and codified under 14 CFR Part 77.13.
(C) Permit Conditions. Permits for wind energy facilities may be conditioned on the applicant
amending the proposal to include measures necessary to insure compliance with the standards
for development set out in this Rule. Permit conditions may include monitoring to ensure
compliance with all applicable development standards;and
(D) Public Benefits Exception. Projects that conflict with these standards, but provide a public
benefit,may be approved pursuant to the standards set out in Subparagraph(a)(3)of this Rule.
History Note: Authority G.S. 113A-107(b); 113A-108; 113A-113(b); 113A-124;
Eff September 9, 1977;
Amended Eff. February 1, 1996;April 1, 1993;February 1, 1993;November 30, 1992;
RRC Objection due to ambiguity Eff. March 21, 1996;
Amended Eff August 1, 2012 (see S.L. 2012-143, s.1.(f)); February 1, 2011;August 1, 2010; June 1,
2010;August 1, 1998;May 1, 1996;
Readopted Eff.July 1, 2020.
0,44 NCAC 0711.0209 COASTAL SHORELINES,
(a) Description.The Coastal Shorelines category includes estuarine shorelines and public trust shorelines.
(1) Estuarine shorelines AEC are those non-ocean shorelines extending from the normal high water level
or normal water level along the estuarine waters, estuaries, sounds, bays, fresh and brackish waters,
and public trust areas as set forth in an agreement adopted by the Wildlife Resources Commission and
the Department of Environmental Quality [described in.Rule .0206(a)of this Section] for a distance of
75 feet landward. For those estuarine shorelines immediately contiguous to waters classified as
Outstanding Resource Waters (ORW) by the Environmental Management Commission (EMC), the
estuarine shoreline AEC shall extend to 575 feet landward from the normal high water level or normal
water level, unless the Coastal Resources Commission establishes the boundary at a greater or lesser
extent following required public hearing(s)within the affected county or counties.
(2) Public trust shorelines AEC are those non-ocean shorelines immediately contiguous to public trust
areas, as defined in Rule 07H .0207(a) of this Section, located inland of the dividing line between
coastal fishing waters and inland fishing waters as set forth in that agreement and extending 30 feet
landward of the normal high water level or normal water level.
(b) Significance.Development within coastal shorelines influences the quality of estuarine and ocean life and is subject
to the damaging processes of shore front erosion and flooding. The coastal shorelines and wetlands contained within
them serve as barriers against flood damage and control erosion between the estuary and the uplands. Coastal shorelines
are the intersection of the upland and aquatic elements of the estuarine and ocean system, often integrating influences
from both the land and the sea in wetland areas. Some of these wetlands are among the most productive natural
environments of North Carolina and they support the functions of and habitat for many valuable commercial and sport
fisheries of the coastal area. Many land-based activities influence the quality and productivity of estuarine waters. Some
important features of the coastal shoreline include wetlands, flood plains, bluff shorelines, mud and sand flats, forested
shorelines and other important habitat areas for fish and wildlife.
(c) Management Objective. All shoreline development shall be compatible with the dynamic nature of coastal shorelines
as well as the values and the management objectives of the estuarine and ocean system.Other objectives are to conserve
and manage the important natural features of the estuarine and ocean system so as to safeguard and perpetuate their
biological, social, aesthetic, and economic values; to coordinate and establish a management system capable of
conserving and utilizing these shorelines so as to maximize their benefits to the estuarine and ocean system and the
people of North Carolina.
(d) Use Standards. Acceptable uses shall be those consistent with the management objectives in Paragraph (c) of this
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permit applicant to avoid or minimize adverse impacts of development to estuarine and coastal systems through the
planning and design of the development project.Development shall comply with the following standards:
(1) All development projects, proposals, and designs shall preserve natural barriers to erosion, including
peat marshland, resistant clay shorelines, and cypress-gum protective fringe areas adjacent to
vulnerable shorelines.
(2) All development projects, proposals, and designs shall limit the construction of impervious surfaces
and areas not allowing natural drainage to only so much as is necessary to service the primary purpose
or use for which the lot is to be developed.Impervious surfaces shall not exceed 30 percent of the AEC
area of the lot, unless the applicant can demonstrate, through innovative design, that the protection
provided by the design would be equal to or exceed the protection by the 30 percent limitation.
Redevelopment of areas exceeding the 30 percent impervious surface limitation shall be permitted if
impervious areas are not increased and the applicant designs the project to comply with the rule to the
maximum extent feasible.
(3) All development projects,proposals,and designs shall comply with the following mandatory standards
of the North Carolina Sedimentation Pollution Control Act of 1973:
(A) All development projects, proposals, and designs shall provide for a buffer zone along the
margin of the estuarine water that is sufficient to confine visible siltation within 25 percent of
the buffer zone nearest the land disturbing development.
(B) No development project proposal or design shall propose an angle for graded slopes or fill
that is greater than an angle that can be retained by vegetative cover or other erosion-control
devices or structures.
(C) All development projects,proposals, and designs that involve uncovering more than one acre
of land shall plant a ground cover sufficient to restrain erosion within 30 working days of
completion of the grading; unless the project involves clearing land for the purpose of
forming a reservoir later to be inundated.
(4) Development shall not have a significant adverse impact on estuarine and ocean resources. Significant
adverse impacts include development that would directly or indirectly impair water quality increase
shoreline erosion, alter coastal wetlands or Submerged Aquatic Vegetation (SAV), deposit spoils
waterward of normal water level or normal high water,or cause degradation of shellfish beds.
(5) Development shall not interfere with existing public rights of access to,or use of, navigable waters or
public resources.
(6) No public facility shall be permitted if such a facility is likely to require public expenditures for
maintenance and continued use, unless it can be shown that the public purpose served by the facility
outweighs the required public expenditures for construction,maintenance,and continued use.
(7) Development shall not cause irreversible damage to valuable, historic architectural or archaeological
resources as documented by the local historic commission or the North Carolina Department of Natural'
and Cultural Resources.
(8) Established common-law and statutory public rights of access to the public trust lands and waters in
estuarine areas shall not be eliminated or restricted. Development shall not encroach upon public
accessways nor shall it limit the use of the accessways.
(9) Within the AECs for shorelines contiguous to waters classified as ORW by the EMC, no CAMA
permit shall be approved for any project that would be inconsistent with rules adopted by the CRC,
EMC or MFC for estuarine waters, public trust areas, or coastal wetlands. For development activities
not covered by specific use standards, no permit shall be issued if the activity would, based on site-
specific information,degrade the water quality or outstanding resource values.
(10) Within the Coastal Shorelines category (estuarine and public trust shoreline AECs), new development
shall be located a distance of 30 feet landward of the normal water level or normal high water level,
with the exception of the following:
(A) Water-dependent uses as described in Rule 07H.0208(a)(1)of this Section;
(B) Pile-supported signs(in accordance with local regulations);
(C) Post-or pile-supported fences;
(D) Elevated, slatted, wooden boardwalks exclusively for pedestrian use and six feet in width or
less.The boardwalk may be greater than six feet in width if it is to serve a public use or need;
(E) Crab Shedders,if uncovered with elevated trays and no associated impervious surfaces except
those necessary to protect the pump;
(F) Decks/Observation Decks limited to slatted, wooden, elevated and unroofed decks that shall
not singularly or collectively exceed 200 square feet;
(G) Grading, excavation and landscaping with no wetland fill except when required by a
permitted shoreline stabilization project. Projects shall not increase stormwater runoff to
adjacent estuarine and public trust waters;
(H) Development over existing impervious surfaces,provided that the existing impervious surface
is not increased:

(I) Where application of the buffer requirement would preclude placement of a residential
structure with a footprint of 1,200 square feet or less on lots,parcels and tracts platted prior to
June 1, 1999, development shall be permitted within the buffer as required in Subparagraph
(d)(10)of this Rule,providing the following criteria are met:
(i) Development shall minimize the impacts to the buffer and reduce runoff by limiting
land disturbance to only so much as is necessary to construct and provide access to
the residence and to allow installation or connection of utilities, such as water and
sewer;and
(ii) The residential structure development shall be located a distance landward of the
normal high water or normal water level equal to 20 percent of the greatest depth of
the lot. Existing structures that encroach into the applicable buffer area may be
replaced or repaired consistent with the criteria set out in 15A NCAC 07J.0201 and
.0211;and
(J) Where application of the buffer requirement set out in Subparagraph (d)(10) of this Rule
would preclude placement of a residential structure on an undeveloped lot platted prior to
June 1, 1999 that are 5,000 square feet or less that does not require an on-site septic system,or
on an undeveloped lot that is 7,500 square feet or less that requires an on-site septic system,
development shall be permitted within the buffer if all the following criteria are met:
(i) The lot on which the proposed residential structure is to be located, is located
between:
(I) Two existing waterfront residential structures,both of which are within 100 feet of the center
of the lot and at least one of which encroaches into the buffer;or
(II) An existing waterfront residential structure that encroaches into the buffer and a road, canal,
or other open body of water,both of which are within 100 feet of the center of the lot;
(ii) Development of the lot shall minimize the impacts to the buffer and reduce runoff by
limiting land disturbance to only so much as is necessary to construct and provide
access to the residence and to allow installation or connection of utilities;
(iii) Placement of the residential structure and pervious decking shall be aligned no
further into the buffer than the existing residential structures and existing pervious
decking on adjoining lots;
(iv) The first one and one-half inches of rainfall from all impervious surfaces on the lot
shall be collected and contained on-site in accordance with the design standards for
stormwater management for coastal counties as specified in 15A NCAC 02H .1005.
The stormwater management system shall be designed by an individual who meets
applicable State occupational licensing requirements for the type of system proposed
and approved during the permit application process. If the residential structure
encroaches into the buffer,then no other impervious surfaces shall be allowed within
the buffer;and
(v) The lots shall not be adjacent to waters designated as approved or conditionally
approved shellfish waters by the Shellfish Sanitation Section of the Division of
Marine Fisheries of the Department of Environmental Quality.
(e) The buffer requirements in Paragraph (d) of this Rule shall not apply to Coastal Shorelines where the EMC has
adopted rules that contain buffer standards.
(f) Specific Use Standards for ORW Coastal Shorelines.
(1) Within the AEC for estuarine and public trust shorelines contiguous to waters classified as ORW by
the EMC,all development projects,proposals,and designs shall limit the built upon area in the AEC to
no more than 25 percent or any lower site specific percentage as adopted by the EMC as necessary to
protect the exceptional water quality and outstanding resource values of the ORW,and shall:
(A) provide a buffer zone of at least 30 feet from the normal high water line or normal water line;
and
(B) otherwise be consistent with the use standards set out in Paragraph(d)of this Rule.
(2) Single-family residential lots that would not be buildable under the low-density standards defined in
Subparagraph(f)(1)of this Rule may be developed for single-family residential purposes so long as the
development complies with those standards to the maximum extent possible.
(g) Urban Waterfronts.
(1) Description. Urban Waterfronts are waterfront areas, not adjacent to ORW, in the Coastal Shorelines
category that lie within the corporate limits of any municipality duly chartered within the 20 coastal
counties of the state. In determining whether an area is an urban waterfront,the following criteria shall
be met:
(A) the area lies wholly within the corporate limits of a municipality;and
(B) the area has a central business district or similar commercial zoning classification where there
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management, roads, police and fire protection, or in an area with an industrial or similar
zoning classification adjacent to a central business district.
(2) Significance.Urban waterfronts are recognized as having cultural,historical and economic significance
for many coastal municipalities. Maritime traditions and longstanding development patterns make
these areas suitable for maintaining or promoting dense development along the shore. With proper
planning and stormwater management, these areas may continue to preserve local historical and
aesthetic values while enhancing the economy.
(3) Management Objectives. To provide for the continued cultural, historical, aesthetic and economic
benefits of urban waterfronts.Activities such as in-fill development,reuse and redevelopment facilitate
efficient use of already urbanized areas and reduce development pressure on surrounding areas, in an
effort to minimize the adverse cumulative environmental effects on estuarine and ocean systems.
While recognizing that opportunities to preserve buffers are limited in highly developed urban areas,
they are encouraged where practical.
(4) Use Standards:
(A) The buffer requirement pursuant to Subparagraph (d)(10) of this Rule shall not apply to
development within Urban Waterfronts that meets the following standards:
(i) The development shall be consistent with the locally adopted land use plan;
(ii) Impervious surfaces shall not exceed 30 percent of the AEC area of the lot.
Impervious surfaces may exceed 30 percent if the applicant can demonstrate,through
a stormwater management system design, that the protection provided by the design
would be equal to or exceed the protection by the 30 percent limitation. The
stormwater management system shall be designed by an individual who meets any
North Carolina occupational licensing requirements for the type of system proposed
and approved during the permit application process. Redevelopment of areas
exceeding the 30 percent impervious surface limitation shall be permitted if
impervious areas are not increased and the applicant designs the project to comply
with the intent of the rule to the maximum extent feasible;and
(iii) The development shall meet all state stormwater management requirements as
required by the EMC;
(B) Non-water dependent uses over estuarine waters, public trust waters and coastal wetlands
shall be allowed only within Urban Waterfronts as set out below.
(i) Existing structures over coastal wetlands,estuarine waters or public trust areas may
be used for commercial non-water dependent purposes. Commercial, non-water
dependent uses shall be limited to restaurants and retail services. Residential uses,
lodging and new parking areas shall be prohibited.
(ii) For the purposes of this Rule, existing enclosed structures may be replaced or
expanded vertically provided that vertical expansion does not exceed the original
footprint of the structure, is limited to one additional story over the life of the
structure,and is consistent with local requirements or limitations.
(iii) New structures built for non-water dependent purposes are limited to pile-supported,
single-story,unenclosed decks and boardwalks,and shall meet the following criteria:
(I) shall provide for enhanced public access to the shoreline;
(II) may be roofed, but shall not be enclosed by partitions, plastic sheeting,
screening,netting,lattice or solid walls of any kind;
(III) shall require no filling of coastal wetlands, estuarine waters or public trust
areas;
(IV) shall not extend more than 20 feet waterward of the normal high water level
or normal water level;
(V) shall be elevated at least three feet over the wetland substrate as measured -
from the bottom of the decking;
(VI) shall have no more than six feet of any dimension extending over coastal
wetlands;
(VII) shall not interfere with access to any riparian property and shall have a
minimum setback of 15 feet between any part of the structure and the
adjacent property owners' areas of riparian access. The line of division of
areas of riparian access shall be established by drawing a line along the
channel or deep water in front of the properties, then drawing a line
perpendicular to the line of the channel so that it intersects with the shore at
the point the upland property line meets the water's edge. The minimum
setback provided in the rule may be waived by the written agreement of the
adjacent riparian owner(s) or when two adjoining riparian owners are co-
annlicants. Should the adiacent nronertv be sold before construction of the

the new owner waiving the minimum setback and submit it to the
permitting agency prior to initiating any development;
(VIII) shall be consistent with the US Army Corps of Engineers setbacks along
federally authorized waterways;
(IX) shall have no significant adverse impacts on fishery resources,water quality
or adjacent wetlands and there shall be no.alternative that would avoid
wetlands. Significant adverse impacts include the development that would
impair water quality standards, increase shoreline erosion, alter coastal
wetlands or Submerged Aquatic Vegetation (SAV), deposit spoils
waterward of normal water level or normal high water level, or cause
degradation of shellfish beds;
(X) shall not degrade waters classified as SA or High Quality Waters or ORW
as defined by the EMC;
(XI) shall not degrade Critical Habitat Areas or Primary Nursery Areas as
defined by the NC Marine Fisheries Commission;and
(XII) shall not pose a threat to navigation.
History Note: Authority G.S. 113A-107(b); 113A-108;113A-113(b); 113A-124;
Eff. September 1, 1977;
Amended Eff April 1, 2001; August 1, 2000; August 3, 1992; December 1, 1991; May 1, 1990;
October 1, 1989;
Temporary Amendment Eff. October 15,2001 (exempt from 270 day requirement-S.L 2000-142);
Temporary Amendment Eff. February 15, 2002(exempt from 270 day requirement-S.L. 2001-494);
Amended Eff April 1, 2019;March 1, 2010;April 1, 2008;August 1, 2002;
Readopted Eff July 1, 2020.

0,31
ROY COOPER
Governor
ELIZABETH S.BISER
Secretary
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
January 24, 2022
Molly Bland
207E North Boca Bay Lane
Surf City, NC 28445
Dear Ms. Bland,
Attached is CAMA Minor Development Permit SC 22-02 for work to be done at 207E North Boca Bay
Lane Surf City, Pender 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,
t 'AiLeb6
Anita M.Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WIRO files
SC Inspection Dept.
North State Gardens—Agent

Illif
July 20, 2021
Michael O'Donnell
7900 Camostie Dr.
Laurinburg, NC 28352
Dear Mr. O'Donnell,
This letter is to notify you as an adjacent riparian landowner to 207E N. Boca Bay Ln.,
Surf City, NC of plans to install pervious paver patio, stairs to rear deck,and plantings around
patio (see attached landscape plan). This project requires a CAMA permit.
Should you have no objections to this proposal, please check the statement below, sign
and date the blanks below the statement and return this letter to: Matthew Erwin, North State
Gardens, Inc., 303 NC Hwy 210 W, Hampstead, NC 28443 OR email to
[e-mail] as soon as possible.
Should you have objections to this proposal, please send your written comments to
CAMA, Local Permit Officer, New Hanover County Inspections Dept., Zoning Division, 230
Market Place Drive,Suite 110, Wilmington, NC 28403. Comments will be considered up until
the time of issuance of the permit.
If you have any questions or need more information, please feel free to call me at 910-
279-2564.
Sincerely,
Bryan Padgett
North State Gardens, Inc.
I have no objection to the project as presently proposed.
' I have objections to the project as presently proposed and have enclosed corn ents.
Signature j"2/11)-6- ,
Date -n/ l /Z - t

To Whom It May Concern,
I oppose the proposed plans for multiple reasons. First and foremost,the proposed
plans would alter the natural beauty of the saltmarsh.Second,the plans lack specific
measurements and elevation, making it very difficult to assess the amount of area affected.
Third,the proposed plantings would obstruct the view of the saltmarsh and the ICW from the
west side of my property. Fourth,the plans for the drainage easement ditch lack elevation.The
proposed plantings on the ditch (if in raised beds)would alter the natural flow of water
promoting more flooding on my property in the event of a hurricane or excessive rain. Fifth, !
believe the proposed stairs would directly affect the saltmarsh grasses and fiddler crab colonies
behind the house.
So in conclusion there are multiple reasons as to why these plans are a bad idea and I would
oppose any attempt to implement them.
Sincerely,
J
izz
Michael P. O'Donnell qe

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Receipts for
Certified Mail
(Staple Here)
1 ,5/al
Da e
yy Ghat Donnell
Adja�en�t�operty Owner
7 C4py►o j-f e. Dr,
Mailing Addre s ,,/_ A so 3 52
L G2t.�Q-+rl�u e Cr 7V
City, State,Zip Code) ;
Dear Adjacent Property:
M .111This letter is to inform you that I, d l 1 6 ` l v`01 have applied for a CAMA Minor
Property how-
Owner
Permit on my property at �.o 1 13 11,�"° o w- c4, L_1 ,in Pender/Onslow
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project,please
contact me at (119" 67,d L .or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dail,Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
� Lami
Property Owner
dp1,6 W. boat Oct L .
Mailing Address r f
51)
City, State,Zip Code
RECEIVED
JAN 10, LUG;'
ACM WILMINGTO :, NC

CERTIFIED MAIL° RECEIPT
Domestic Mail Only
▪ For delivery information,visit our website at www.usps.com®.
Larnblker MC 28352
r Certified Mail Fee
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] Extra Services&Fees(check box,add fee aai {'v te) 04
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] ❑Certified Mail Restricted Delivery $ $0 00 Here
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Adult Signature Restricted Delivery$ V
] Postage
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u Total Postage and Fees 01/06/2022
$ $8.56
Sent To
• Street and Apt.No.,or PO Box Aro.
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delivery. USPS®-postmarked Certified Mail receipt to the
I 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 addresseeppecifie)i by name,or
to the addressee's authorized agent
mportant Reminders: -Adult signature service,which requires the
I You may purchase Certified Mall service with signee to beat 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,whict
I Certified Mail service is not available for requires the signee to be at least 21 years of agl
International mail. and provides delivery to the addressee specified
I 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 ri 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
I For an additional fee,and with a proper this Certified Mall 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.

1. . -os a ervice
CERTIFIED MAIL° RECEIPT
O Domestic Mail Only
rl• For delivery information,visit our website at www.usps.com'.
• Lauri n buts g. "NC 25312
• Certified Mail Fee
� $3.7` t�443
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▪ ❑Return Receipt(electronic) $ $0_00 Postmark
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3 ❑Adult Signature Required $ $0.00
3 ❑Adult Signature Restricted Delivery$ 7 r.J V V
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Street and Apt.No.,orPOfftiiefo.
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I A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
i?1 unique identifier foiyour mailpiece. associate for assistance.To receive a duplicate
i Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
I 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 beat least 21 years of age(not
First-Class Mails,First-Class Package Services, available at retain.
or Priority Mails service. -Adult signature restricted delivery service,which
1 Certified Mail service is not available for requires the signee to be at least 21 years of agE
international mall. and provides delivery to the addressee specified
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 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 Mall 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.

Receipts for
Certified Mail
(Staple Here)
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'CP
Scora,, Zorn L r I
Adjacent Property 0 ner
Ao.TA / &az. $ yLn
\ nrecrs444
AiL,
City, State,Zip Cdde
Dear Adjacent Property: nn
This letter is to inform you that I, 1 r ) I f y • 'Big"' have applied for a CAMA Minor
Property/ Owner {�
Permit on my property at .o- /1V° bow- 1 GI y LII ,in Pender/Onslow
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project,please
contact me at 6119 (p d q - '4 07 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dail,Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington,NC 28405
Sincerely,
4/1t111 B lard
Property Owner
901.) W. boat. (3a..y .
Mailing Address
51,1 it f t-i-r1 , rNIL 2 2 �S
City, State,Zip Code RECEIVED
JAN 1 0. 2022
DCM WILMINGTON, NC

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CERTIFIED MAIL® RECEIPT
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r
U For delivery information,visit our website at www.usps.conf
• HolesId3pk28445*-
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Certified Mail Fee
$3.75 0443
n $ 08
3 Extra Services&Fees(check box,add fee ,,r5, ate)
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• 0 Return Receipt(electronic) $ $0-00 Postmark
3 0 Certified Mail Restricted Delivery $ $O Ill) Here
3 p Adult Signature Required
$ $0.00
• 0 Adult Signature Restricted Delivery$
• Postage
$0.58
n $r Total Postage and Fees 01/05/2022
$7.38
• Sent To
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street and Apt.No.,or PO Box No.
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A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
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Electron verification 9,1 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 Mall 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 notavailable for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
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 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 Mall 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 Fnnn 3RoO_a ai 0015 fwuwrenI DON,R¢nno.nrvtonn

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: MO Ily M. l3IR�/
Mailing Address: ao17 /i 'p ay I'a _
Su a C-i-(j, NC a 8 I'f5
Phone Number: (14141) (0 0 t f - t1074L
Email Address: m,Mk la �_ OtYta t I. GONV)
I certify that I have authorized NO O(44 s+' e- 6 m(de
Agent/Contractor
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 5Ct !'/D, Sic(IYf j
laild6 Cfeirrg
at my property located at nit W. Boca. Fay L arle 1 u r f, Zi '1 y
in Tp gir County. J
t furthermore certify that l 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:
C ignature
noio/ . 16t
flit or Type Name
67Y'o PN ©u)✓1 , trN
Title
071 Q 7/ 9 RECEIVED
Date
JAIN6 10; 2LL'2
KM WILMINGTON, NC
This certification is valid through / /

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Locality Permit Number
Ocean Hazard I?stuarinc Shoreline ORW Shoreline Public Trust Shoreline_ Other
(For official use only) RECEIVED
GENERAL INFORMATION -
_.101"10. 2022
LAND OWNER-MAILING ADDRESS
Name
Matti
/ti ril•. Bf.Q_NOr DCM WILMINGTON, NC
Address p2078_,...._N.1JD.CC(.-liG7 tn. . .
City 5 RCPC'f 1 State NC. _ Zi4$lit s Phone 9/9 (p O y.." f '7d ....
L
l:mai l_A(--— ----..__ - -- (1.:_ c_m .. --------
AUTHORIZED AGENT ,[� G
Name AID r4 S LoCfC QlrolR."s _
Address 30 3 liwl Q t0 W• 07r,
City State YV L__._... .. . Zilat28 (T3 Phone 9/v Ai70 q 70
Email -rtd) e. nor '1s' 'Zgarderi .cowl
LOCATION OF PROJECT: (Address,street name and/or directions to site; name olthe adjacent waterbody.)
adz B N. ger_a 56trf G 1- f lJoi d dv___,L4_
DESCRIP'I'IOr OF PROJECT: (I.ist all proposed construction and land disturbance.) (,�t rt, F. �.rV 14 U S
f 'PFag 4 i a (av'td tk(J� r5 '
SIZE OF LOT/PARCEL: 3 l5aa - . . square feet acres
PROPOSED USE: Residential 2 (Single-family Multi-family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EFI'IIER(I)OR(2) BELOW(Contact your Local Permit Officer if you are not sure► hiclt AEC applies
to,your property):
(I) OCEAN IIAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: AP 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 I;UII:I'
UPON SURFACES:IM square feet(includes the arch 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
Stormwatcr Managemen Permit issued by the NC Division of Energy, Mineral and Land Resources(I)EMLR)?
YES_ ....__ NO

Dail, Jason
From: KATHLEEN SUMNER <[e-mail]>
Sent: Wednesday, September 1, 2021 6:41 AM
To: Dail,Jason;Jennifer O'Donnell Michael &
Subject: [External] North Boca bay lane
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam
Molly Bland submitted a request to CAMA for a patio and steps
Michael O'Donnell wanted to make sure that you understood he was the adjoining property owner and
strenuously objected as evidenced by the attached pictures this is a water storm run off area. These are recent
pictures just from the rain in that area and if something is built there he does not want his house flooded or
damaged. There are more pictures. She just built an extremely large pier on the property and a deck on the
beach. There is no objection to a patio under the house and extending out back like her neighbors did but the
grassy area is for storm drainage fir which there is plenty of need

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Kathleen G. Sumner
PO Box 250
Hampstead,NC 28443
336.601.4116
Sent from my IPhone

Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline_ Other
(l or official are on4y) RECEIVED
GENERAL INFORMATION
- JAiN-1 Q. 2022
LAND OWNER- MAILING ADDRESS
9r/ In^• �IQdd CCM WILMINGTON, NC
Name (14 C�'1
Address a o 7e . ._/1/.Av cq_- G Ln.
City V P C ' y State NC _ Zi4gilt/5 Phone .qf9 6,o7 - 5b7a?
I.mail_aim blande_ar ig1 `_-C om
AUTHORIZED AGENT
Name NO r S 4-0tft Gard e"s
,'AW'--
Address 3o3 liwt a 10 W• / _
City _FIe—C4 - State 1/V L Zit 8773 Phone 91 v -al_7o-_ . y 70
Imail. -b ry Q.. no r 5 "e-Gardlens .GOw/
LOCATION OF PROJECT: (Address,street name and/or directions to site; name or the adjacent waterbody.)
D LYls G Surf CA 1 vi ui
7 � w � Boy y
DESCRIPTION` OF PROJECT: (List all proposed construction and land disturbance.) • l7`' re . . ort�.►n4f .S _..
ii°1 NC Division of Coastal Management 6115
1 5 A B
Cashier's Official Receipt
C°13
Date:
l . /' 2o2v
Received From: ti . 5 41-(--- 17------644C114A1 $ /P 6"----
77/9Check No.:---/)- `
Permit No.:
l
Applicant's Name: �' e44, ,Project Address:
6 a gri
County:
I (1--T--
Please retain receipt for your records as proof of payment for permit issued.
Date/ r,v
Signature of Agent or ApplicaK---Th
/b .

Date Date Check From Name of Vendor Check Check Permit Rc
Received Deposited Permit Holder Number amount Number/Comments
1/11/2022 North State Molly Bland TD Bank 60087 $100.00 minor fee, 207B N Boca Bay Ln, JD rc
Gardens, Inc. Surf City PnCo 1611