SCEX_15-17_ Smith (2)

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North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
October 20, 2015
Exemption Number—SCEX15-17
Jeffrey G. Smith, Sr.
1819 N. Shore Drive
Surf City, NC 28445
RE: EXEMPTED PROJECT(MINOR) EXEMPTION
ACCESSORY USE/STRUCTURE-(15A NCAC 7K.0209)—Exemption#SCEX15-17
1819 N. Shore Drive, Surf City, NC
AREA OF ENVIRONMENTAL CONCERN—Ocean Hazard AEC
Dear Mr. Smith:
I have reviewed the information submitted to this office in your inquiry concerning the necessary filing of an application for a minor
development permit under the Coastal Area Management Act. Based on the information provided, I have determined that the activity
you propose is exempt from needing a minor development permit as long as it remains consistent with your site drawing dated received
by DCM on October 14, 2015 and meets the conditions specified below. If your plans should change and your project will no longer
meet these conditions, please contact me before proceeding.
Accessory Uses
1. The development specifically authorizes the work detailed in the site plan dated received by the Division of Coastal
Management on 10/14/15,to include a deck addition at the subject residence. No other development activities are authorized
under this exemption.Additional development will require re-evaluation by the Division of Coastal Management.
2. The development must not involve removal, damage, or destruction of threatened or endangered animal or plant species.
3. The development must not alter naturally or artificially created surface drainage channels.
4. The development must not alter the land form or vegetation of a frontal dune.
5. The development must be consistent with all applicable use standards and local land use plans in effect at the time the
exemption is granted.
6. The proposed development shall remain consistent with the attached work plan drawings.
7. This permit does not authorize expansion of the existing structure.
8. This exemption does not authorize the creation of any habitable living space.
9. The proposed deck shall be structurally independent of the existing residential dwelling.
This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining any other State, Federal or Local
authorization. This exemption expires 90 days from the date of the letter.
Sincerely,, e-
• / Ai , .
Jason Dail, LPO
1Cc: DCM—WIRO
Steve Padgett, Surf City Inspections

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GENERAL INFORMATION
LAND OWNER Name s3-**C -C-0
r G /4 ,�/Y7 4- fi',
Y
Address /g/9 ArfA 'c j.-.
City 5 d c Z6,r State ibiG Zip A4N.S Phone
Email
AUTHORIZED AGENT ,(
Name �/- At'� ( ,i��t 7.
Address / �g0 .? 2 f6 - ,-7(�/ig
City 5c". 7 G f/ State /Ve Zip 4'17(k. Phone '/ 72% — 7,g//�
Email ///'/, (19 d'774 ;` • Gl," ,
LOCATION OF PROJECT: (Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.) /f/f ..e. 5 'c '% /
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) , �{°r/ 044
SIZE OF LOT/PARCEL: square feet . I6' acres
PROPOSED USE: Residential 1 1 (Single-family 0 Multi-family❑ ) Commercial/Industrial 0 Other El
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(I) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 51/0 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: .6 square feet(includes the area of the roof/drip line 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 Stonnwater
Management Permit issued by the NC Division of Water Quality?
YES NO X =
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: ialuFrAf9q.j V E D
DCMvl WILMINGTON, NC
0 C T 1 4 2015

OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
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)
V an owner or record title,Title is vested in ,see Deed Book /2 Z
page ,2 O in the (,is lc County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of
probate was in p,:, County.
if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address) •
(i) Ai �^ � �� (I . /82/ 077 �, / (1, i/y �l)�
(2) VYl ar t'set Z ev-ci y QJL
(3) g4y.41 G``�o0) 9 s�,-� s�, C, N�-
(4) k 4 /.'t frre /g ZU e ( 6
ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the day of ,20
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information(this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and
any information as may 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 wi( pastitute a viclatu?n of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and adiui s action, U
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OCT 1 4 2015

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Simpson, Shaun
From: Michael A <[e-mail]>
Sent: Wednesday, October 14, 2015 8:17 AM
To: Simpson, Shaun
Subject: Fwd: Here is the package for the Minor Exemption 1819 Shore Dr Surf City
Attachments: CAMA Minor package 1819.pdf
Shaun,
Please see information for the Deck to be built at 1814 Shore Dr Surf City. We filled out the first pages of the
CAMA minor permit for the information purposes in case it was needed. The 3D attached shows the existing
deck and the new deck tied together on the lower deck FYI. Thanks for all of your help.
Sincerely,
Michael Afify
Forwarded message
From: Michael A <mmafifygmail.com>
Date: Mon, Oct 12, 2015 at 9:06 AM
Subject: Here is the package for the Minor Exemption 1819 Shore Dr Surf City
To: "Dail, Jason" <jason.dail c ncdenr.gov>
Jason,
Here is package we discussed last week.
Thanks,
Mike
Michael Afify
A'n'A Builder's Inc.
w: 910.329.9819
c: 919.210.9474
e: mmafify(a�gmail.com
REGE ""t10
Michael Afify DCM AJfl_MOiNGTON, NC
A'n'A Builder's Inc.
w: 910.329.9819 O C T 1 4 2015
c: 919.210.9474
e: mmafifygmail.com