TB_12-09_ Lavin

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Issued by WiRO TB12-09
Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina,Department of Environment,
and Natural Resources 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 Dave and Carol Lavin authorizing development in the Estuarine Shoreline Area of Environmental Concern
(AEC) at 2116 Shoreline Drive, in Topsail Beach, Pender County as requested in the permittee's application package,
dated received September 27, 2012. This permit, issued on October 19, 2012, is subject to compliance with the
application and site drawing (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: Expansion of an existing single-family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received September 27, 2012.
(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 9c..)
within twenty (20) days of the issuing date. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. This
permit must be on the project site and accessible to the permit officer when the
project is inspected for compliance. Any maintenance work or project Jason Dail
modification not covered under this permit, require further written permit_ �y
approval.All work must cease when this permit expires on: C Y ELAMA LOCAL PERMIT OFFICIAL
127 Cardinal Drive Extension
December 31,2015 OCT 2 9 2012 Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to /
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vire'
Name: Dave and Carol Lavin
Minor Permit#TB12-09
Date: October 19, 2012
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 vegetate and stabilized (planted and
mulched)within 14 days of construction completion.
(6) The amount of impervious surface/coverage shall not exceed 30% within 75 feet of the Normal High Water line. In
this case, all impervious coverage on the property shall be limited to less than 1,289 square feet.
(7) 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. This area shall be immediately vegetatively stabilized, and must
remain in a vegetated state.
(8) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of Normal High Water.
(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: eci- -`—() DATE: Od 7 v7 Z
PERMITTEE
; . . . L
OCT 2 9 2012

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GENERAL INFORMATION
LAND OWNER
Name A u C. A. C P►‘-'-L I--1-1v 14
Address 103 3c-/V/G T -
City ( 'A t2 V State. C Zip Z�5 I/ Phone !�!`! e-/�'/ /314_,
Email h, :,:4 t.i e i c1 t1 i)` 'c- b'A c,< 1 . G c.2.l ,i
AUTHORIZED AGENT
Name 111 r C.-i-� (t G L. v- L7 ti G�1�L%i, ,C
Address PC-3 8Q,X 4 e,7`I
City j"(Zt=G kT 1 state N(-. Zip06445- Phone c /G 445 /°4
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et et!�c k,, - dA,C.Cf�ytil cia. G('sr^v(
LOCATION OF PROJECT:(Address,strut name and/or directions to site.If not oceanfront,what is the name of the
adjacentwaterbody.) ,2 t t� I/L,5 r-(e t c,_i& ' Rom. Tc- �'c� c�g tf i5 Aki k. Niid%1;u c L)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) 1i a f L5 i c-l 3 ilN&kJ Cam.
c.(2._ loxt2cd,5.Il h'
SIZE OF LOT/PARCEL: C:t c(' square feet L'?/5 l`.7 acres vc,_.T �I+kfC
441 1-1'1.(nr---to etc 4s-1
PROPOSED USE:Residential (�T (Single-family rg Multi-family❑) Commercial/Industrial 0 Other 0 a
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer rtf you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES 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 Stormwater
Management Permi,issued by the NC Division of Water Quality?
YES NO !
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: /y k square feet.
RECEjVED
DCM WILMINGTON, NC
SEP 2 7 26i2

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:
I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
1 listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
L I
H an owner or record title,Title is vested in�,t (fv S e -t v�.x": 17 tL ,see Deed Book 'z
page ;. ( in the rfr_tiwi� 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 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) • A
(I) >r'3i=(.r1t-44 ✓tF' (t f :>2 l!✓ ,`_i F l'c�r clt /�' / A% �►=Yt !t ( Z Ali�l
ALL 4 ; Z :� y K�a , ��. L ,
(3) r
(4)
ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the L day of 5.:- ,20
Landowner or per(j/J1k%k.
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 checkfor$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 will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
R E C E I V E D
DCM WILMINGTON, NC
SEP272U112

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
October 23, 2012
Dave & Carol Lavin
103 Bervie Court
Cary, NC 27511
Dear Mr. & Mrs Lavin:
Attached is CAMA Minor Development Permit#TB12-08 for work to be done at 2116 Shoreline Drive,
in Topsail Beach, Pender County.
In order to validate this permit, please sign both copies as indicated, for our records. Please retain the
gold copy for your files, sign both pages of the white copy, and return 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.
Sinc--ly,
Shaun K. Si to
Permit Suppo echnician
Enclosures
cc: WiRO files
Michael C. Gallant, PE - ✓� e �--
127 Cardinal Drive Ext.,Wilmington.NC 28405 One
Phone:[phone]\FAX:[phone] Internet:www.nccoastalmanagement.net NO thCarolina

NOTE: THIS PROPERTY IS LOCATED WITHIN
THE 100 YR. FLODOPLAIN AS SHOWN ON FIRM
COWINITY PANEL 3720 4202 004. SITE
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SEP27 •i0i9
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GRAPHIC SCALE: 1" a 20' i EXXSS INNGG CONTROLONIWCNT
MAP OF SURVEY
FOR
I. SL GKEIC HEREBY CERTIFY 0 A V I O 4 GAOL.. l•A V I N
THAT THIS MAP WAS DRAIN UNDER I ! CT ION LOT 8 -BLOCK 4
AND SUPERVISION FROM AN Ee �, :AO" SIXTH SUBDIVISION OF NEW TOPSAIL BEACH
UNDER MY DIRECTION AND �I ti,,� ft TOWN OF TOPSAIL BEACH
THE RATIO OF PRECISION,► a L.�.
IATITUOES AND OE ARTU Ste( 1:1Q,Ok-= TOPSAIL BEACH TOINSHIP PENDER COUNTY NORTH CAROLINA
/7 i SF_�L = DATE: 9/12/12 SCALE: 1'■20'
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WITNESS MY HAND AND _ �Q = MOOD ENCINIIRINO°P.A.
DAY OF _.._ _-4�G .( ,.SUII , ` S. aoe47
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Receipts for
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(Staple Here)
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Ma ALmr a sCi L� L 2 4 e U9
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, AAU``1) I'A t have applied for a CAMA Minor
Property Owner
Permit on my property at 2-t -C -r 0=(.5- 9/ PL5-44 )< e2 , in PN/ON
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 endosed no objection form.If you have any questions or comments about my proposed project,please
contact me at e/i 7 ` 0/ /1 ' ,or by mail at the address listed below. ff you wish to
Applicant's Telephone
file written comments or objections with the Topsail Beach CAMA Minor Permit Officer,you may submit
them to:
Jason Dail,Field Representative
Local Permit Officer for Topsail Beach
NC DENR Div of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 20405
910-796-7221
Sincerely,
tAU\b L_i�U i ei
Property Owner
Mailing Address
t- k (1- Z 5—I (
City,State,Zip Code
RECEIVED
DCM WILMINGTON, NC
SEP 27 202

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CERTIFIED MAIL., RECEIPT
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U For delivtry information visit our website at www.usps.com,
' '''
C IAL USE
Postage .
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Certified Fee $2.95 A. ri)b
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• R Receipt Fee 'fi WILMI
• (Endorsementsement Required) Pt1TON, NC
Restricted Delivery Fee MOO
] (Endorsement Required) .EP 2 7 2012
U Total Postage&Fees $
$6.60 09/20/2012
Sent z J rtki p
or PO Box No.
C' , ZIP+L64
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cle at the post office for postmarking. If a postmark on the Certified Ma
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
'S Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I Complete items 1,2,and 3.Also complete A. Si ature A/W
��item 4 if Restricted Delivery is desired. X ���litxi`— 0 Agent
I Print your name and address on the reverse ��VV"�� 0 Addressee
so that we can return the card to you. B.Aeceivby(Printed Name) C. Date of Delivery
I Attach this card to the back of the mailpiece, (�
or on the front if space permits. 1 (e "-
D. Is delivery address different from item 1? • Yes
Article Addressed to: If YES,enter deliverygc , yi;V IL]D
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Z rl� L e 1e ki C 3. Service Type
�1 f [ ertified Mall 0 Express Mail
0 Registered 0 Retum Receipt for Merchandise
Zq ,G1 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
'. Article Number 7009 2250 0003 8171 2230
(Transfer from service label)
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UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
USPS
Permit No.G10
• ySe^nder: Please print your name, address, and ZIP+4 in this box •
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to L"Ak-) i 1.- A U i tk1 's
(Name of Property Owner)
property located at 'Z. I l (� cJ t?.JE; 'j) , �� >f`-\
Address,Lot,Block,Road,etc.)
on A k6 ]- r.WL L ,in ' I a`?AtL ioz'1eit- ,N.C.
(Waterbody) (Topsail Beach,Pander County)
He has described to me as shown in the attached application and project drawing(s),the development he is
proposing at that location,and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
DCM WLMINGTON, NC
SEP272012

Sep-27- 012 04.01 Fv USPS - Raleigh, `JC 919-501-9E22
Receipts for
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Ma ' din. c f t . ;a�
City,State,Zip Code
Deer Adjacent Properly:
The letter is to Inform you that 1, (D L A U.10 have applied for a CMtA Minor
Property Owner
Permit on rny property at W.. 1lic1►a.c4.10J(c Pi 470-1)�:� ,In Pt/UN
Property Address
County, As required by CAMA regulations,I have enclosed a copy of my permit application and project
drawing(s)as natifpetlon of my proposed project,No action is requinad from you or you may sign and return
the enclosed no objection Porn,if you have any questions or comments about my proposed project,pteebe
contact ma at / 4 i l !J
,or by ma►l at the address listed below tf you wish to
Applicant's Telephone
file written comments or objections with the Topsail each CAMA Minor Permit Officer,you may submit
them to;
Jason Dell,Field Representative
Local Permit°Pricer for Topsoil each
NC DENR Div of Coastal Heart amen
127 Cardinal Drive Extension
Wilmington,NC 20408
910-7964221
Slncarsiy,
Property Owner
C2G 34 -Utc:
Melling Address
c—AVQ-V Z q 5-t (
City,State,Zip Code
Z!IJZLtid3S
ON `NO_WNIWIIM WOO

Sep-27-2012 C4:01 P'f IJ3PS - Raleigh, `1C 919-501-9622
'ADJACENT RIPARIAN PROPERTY OWNER ST,ATEMENT
FOR CAMA MINOR PERMITS
I hemby certify that t own property edjscent to PAN-11 C) L oa11.5!
(Name of Property owner)
property tocatsd at 2 1(4w Ga.WC,t frd
Address,Lot,Block,Road,ate.)
ar► 3 1 -H A► Ne-L. ,In't A4C- es' C(} 1)4149de ,N.D.
(Wnterbody) (roped Beach,Penner County)
He has described to me as shown In the attached application and project dr awln9(a),the dc+aeicpmont he is
proposing at that location,and,I have no objections to his proposal.
,(APPLICATION AND 0%00 OF pRQPOSED DEVR.PPMENT ATTACHWCA
R,41,au r .kUstr
Signature ,
ciAo ri s ',An
Print or Type Name
Tele hone Number
Da
RECEIVED
DCM WILMINGTON, NC
SEP272012

•
Receipts for
Certified Mail
(Staple Here)
C1 c,/i
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EAR-�A►iti � k\
Adjacent Property Opwner /f
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City,State,Zip Code
•
Dear Adjacent Property:
This letter is to inform you that I, L- A ` FA have applied for a CAMA Minor
Property Owner
Permit on my property at .,2 y/k, Z-r vQC Jul 72P3' — 1�.A.-4k ir(/ON
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 ' ' t`1 4`1/ /; i k, ,or by mail at the address listed below. If you wish to
Applicant's Telephone
the written comments or objections with the Topsail Beach CAMA Minor Permit Officer,you may submit
them to:
Jason Dail,Field Representative
Local Permit Officer for Topsail Beach
NC DENR Div of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 20405
910-796-7221
Sincerely,
1 ,0 L 1t'+U 1 a,)
Property Owner
Mailing Address
c'_AO r NL j ( RECEIVED
City,State,Zip Code DCM WILMINGTON, NC
SEP272012

.. • . - r -
CERTIFIED MAIL RECEIPT
fl /Domestic.Mail Only;No Insurance Coverage Provided)
U For delivery information visit our website et www.usps.com
H . r Fr n 1 A L U S E
Postage $ $1.30 0¢� `
O Certified Fee $2,95 !rCEI�/ED
n I N WikMiNGTON
7 Return Receipt Fee $2.35 there
• (Endorsement Required) t
7 Restricted Delivery Fee ,S E P 2 )1 2
(Endorsement Required) $0,00 .
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City,State.ZIP+4

:edified Mail Provides:
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mportant Reminders:
Certified Mail may ONLY be combined with First-Class Mail®or Priority Mailq
Certified Mail is not available for any class of international mail.
I NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fol
valuables,please consider Insured or Registered Mail.
I For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
I For an additional fee, delivery may be restricted to the addressee of
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
I If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mai
receipt is not needed,detach and affix label with postage and mail.
MPORTANT:Save this receipt and present it when making an inquiry.
'S Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Sire
item 4 if Restricted Delivery is desired. X / 5� / •
❑Agent
Print your name and address on the reverse ���JJI
■ ■ Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Qa=of livery
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, RECEIVED
DCM WILMINGTON, N
Z.I. 13 5lAc-ie,ctiPt5 SFR 2 7 2012
•
h f I v C 3. ce Tcede Express Mall
0 Registered 0 Return Receipt for Merchandise
�l �r� 0 Insured Mail CI C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
>. Article Number 7009 2250 0003 8171 2216
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to 41)4v t t] L- i iV s
(Name of Property Owner)
property located at 2 ( ) c-I2 'L(
Address,Lot,Block,Road,etc.)
on C t�y�►Ull Z ,in— -i'']c,ArL , N.C.
(Waterbody) (Topsail Beach,Pender County)
He has described to me as shown in the attached application and project drawing(s),the development he is
proposing at that location,and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
DCM WILMINGTON, NC
SEP272612

ArA
Reofft
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: `% l 9 /�Z
Name of Property Owner Applying for Permit: Name of Authoriized Agent for this pr ect:
✓i`� 0 Gil r.L' 4-1 !L t're.14 rt&%c:- C. (7/4(-4.A itii V
i
Owner's Mailing Address: Agent's Mailing Address:
/�',3 r3L;fz.1r c- L ; rc /,L,X 4 -i
C A iLyi Al C F c,, /7 ; A/C
_73 / l Z27'4e/s"
Phone Number(%fj) �!4'/ Phone Number((1 w) 4 L' /c' 4 w
I certify that I have authorized the agent listed above to act on my behalf,for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following(activity):
A/ 44a ic'1/�J�•l'wjT�v/L'
For my property located at ,.Z.// tle-/2'C / ) '.'i3i-, h k- ft
This certification is valid thru(date) JL h- •�c; ,�c / ' .
Corot Lavin, 09/19/2012
Property Owner Signature Date
RECEIVED
DCM WILMINGTON, NC
SEP 2 7 2612
127 Cardin'Drive Ext.,lh 1 nington,NC 28405 One
Phone:[phone] t FAX:[phone] Internet:www.nccoastaImanagement.net NprthCarolina
An Egon:0,wwriy alterative Aeicn Employer ,Naturally

• o
•
Michael C. Gallant PE, PA
Engineering/Consulting/Design
Jason Dail
Field Representative
NC Division of Coastal Management
127 Cardinal drive Extension
Wilmington, NC 28405
Re: CAMA Minor Permit-2116 Shoreline dr,Topsail Beach, NC, Lavin Residence
September 27, 2012
Dear Jason,
Please find enclosed the following documents:
• A check for$100 for the minor permit fee.
• A completed application.
• A completed Agent Authorization Form.
• A copy of the adjoiner's notification and proof of delivery(2 adjoiners).
• Two copies of the plans for the permit.
• A copy of the most recent survey.
• A copy of the most recent elevation certificate.
As we have discusse3d previously,this plan does not propose any additional impervious footprint. The
applicants wish to add additional space to the second floor of the structure.
If you have any questions please feel free to call me at 910.448.1046.
Sincerely,
I
' LLQ
Michael C. Gallant, PE
[e-mail]
tel [phone]

U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008
Federal Emergency Management Agency Expires March 31,2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION ttal insurance company " ;
Al. Building Owner's Name DAVID&CAROL LAVIN 'Policy Number
A2. Building Street Address(including Apt,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAICNumber �
2116 SHORE LINE DRIVE
City TOWN OF TOPSAIL BEACH State NC ZIP Code 28445
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 8,BLOCK 4,SIXTH SUBDIVISION OF NEW TOPSAIL BEACH
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude:Let.34,3507 Long.77.6528 Horizontal Datum: 0 NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 103 sq ft a) Square footage of attached garage N/A sq ft •
b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A i
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? 0 Yes ❑ No d) Engineered flood openings? 0 Yes 0 No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name B3.State
TOWN OF TOPSAIL BEACH 370187 PENDER NC
B4.Map/Panel Number B5,Suffix B6.FIRM Index 67.FIRM Panel B8.Flood 69.Base Flood Elevation(s)(Zone
3720 4202 00 J Date Effective/Revised Date Zone(s) AO,use base flood depth)
2/16/07 2/16/07 AE 11.0
1310. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89.
❑ FIS Profile FIRM ❑ Community Determined 0 Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVO 1988 0 Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction' ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item Al. Use the same datum as the BFE.
Benchmark Utilized Vertical Datum
Conversion/Comments
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor)5.8 ®feet 0 meters(Puerto Rico only)
b) Top of the next higher floor 14.4 ®feet 0 meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. 0 feet 0 meters(Puerto Rico only)D E I V E D
d) Attached garage(top of slab) N/A. ❑feet 0 meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 12.1 ®feet 0 meters(Puerto Rico only)LM I NGTON, NC
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 5.2 IS feet 0 meters(Puerto Rico onlyP 2 7 2012
g) Highest adjacent(finished)grade next to building(HAG) 5.2 ®feet ❑meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs,including 5.7 ®feet 0 meters(Puerto Rico only)
structural support
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information. /certify that the information on this Certificate represents my best efforts to interpret the data available.) �,iytitiittll/�
understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code, Section 1001.0 viz qZt C� f��;f��
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a `b f /? `�
licensed land surveyor'? ® Yes 0 No \;i `Ix ��,0,
Certifiers Name G ANDERSON GREENE License Number L-3370 L •
-
�"
Title SURVEY MANAGER Company Name STROUD ENGINEERING,PA =�)=r- C-337p
oi
Address 102-D CINEMA DRIVE City WILMINGTON State NC ZIP Code 28403 'p/�'i��UR .���`.
Signature Date 9/13/12 Telephone [phone] ��, """"`o�`\�ik
(fit,._-- S.- - , OM CI.
f'�14111111111ttiOIC, �`
Pr AAA Form R1-11 Mar no See reverse side for continuation. Replaces all previous editions

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IMPORTANT: In these spaces,copy the corresponding information from Section A. Fo-lrsurarZosalrppenj!Uses= "'-`
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. AItf1b0 "`
2116 SHORE LINE DRIVE
City TOWN OF TOPSAIL BEACHState NC ZIP Code 28445 ta0:: p113 Y `. '
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community.gfE blip .):insurance agent/company,and(3)building owner.
Comments BUILDING ELEVATED ON PILES,SAMLLrSt)RE UN $iVAC ON ELEVATED PLATFORM
Signature at__ r =`y �d7Q = Date 9/13/12
�Gw-- • �-- --'r-�-;`mot J,-(t ❑ Check here if attachments
SECTION E-BUILDING ELEVATION INF 0)0LIB%l or REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1-E6t4 tfk. te•is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Items El-E4,use natural grade,if available. Check t4t
fill measurement used. In Puerto Rico only,enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawispace,or enclosure)is 0 feet ❑meters 0 above or 0 below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters 0 above or 0 below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet 0 meters 0 above or ❑below the HAG.
E3. Attached garage(top of slab)is ❑feet 0 meters ❑above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet 0 meters 0 above or 0 below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A,B,and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
•
0 Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
•
•
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),
and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. •
G1.0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation information, (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.0 The following information(Items G4-G9)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building: 0 feet 0 meters(PR)Datum RECEIVED
G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet 0 meters(PR)Datum
M W i LM I GTC7N, NC
G10.Community's design flood elevation ❑feet 0 meters(PR)Datum
Local Official's Name Title g FP 2- 7 if i")
Community Name Telephone
Signature Date
Comments
❑Check here if attachments
FEMA Form 81-31,Mar 09 Replaces ail previous editions

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See Instructions for Item A6.
For Insurance Company Use:
Budding Street Address(including Apt.,Unit,Suite,and/or Bldg. No)or P.O. Route and Box No. Policy Number
2116 SHORE LINE DRIVE
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If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
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Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
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CAMA MINOR PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the North Carolina Division of Coastal Management, an
agency authorized to issue CAMA permits in areas of environmental concern, hereby gives NOTICE
that on September 27, 2012 Dave & Carol Lavin applied for a CAMA permit to construct a top floor
addition to the existing dwelling at 2116 Shoreline Dr., adjacent to Banks Channel, in Topsail Beach,
Pender County. The application may be inspected at the address below. Public comments received
by October 19, 2012 will be considered. Later comments will be accepted and considered up to the
time of permit decision. Project modifications may occur based on further review and comments.
Notice of the permit decision in this matter will be provided upon written request.
Jason Dail
Field Representative
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]

A/7A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
October 1, 2012
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington, North Carolina 28402
Re: Lavin Minor Public Notice
Kyle/Heather: Please publish the attached Notice in the Thursday, October 4, 2012 issue.
The State Office of Budget and Management requires an original Affidavit of Publication prior to
payment for newspaper advertising. Please send the original invoice and a copy of the affidavit for payment to
Shaun Simpson at Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405,
910-796-7226. Paying by Credit Card (number on file with Elsa Lawrence, Ref acct# 796-7215). Please send a
fax of the credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me at our
Wilmington office.
Sincerely,
Shaun Simpson
Permit Support Technician
Enclosure
cc: File Copy
Michele Walker- DCM
127 Cardinal Drive Ext.,Wilmington, NC 28405 ,One., ,,

Applicant proposes to construct a top floor
addition to the existing dwelling at 2116 Shoreline
Dr., adjacent to Banks Channel, in Topsail Beach,
Pender County.
October 19, 2012
Michael C. Gallant, PE NC Div. of Coastal Management
PO Box 4039 127 Cardinal Dr. Ext.
Surf City, NC 28445 Wilmington, NC 28405
Jason Dail, Field Representative
For: Dave & Carol Lavin 910-796-7221

AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER /f, )
CAMAMINOR PERMIT NOTICE Before the undersigned, a Notary Public of Said County and State,
Pursuant_te NCGS 113A-119(b), the
North Carolina Division of Coastal
Management,an agency authorized
to issue CAMA permits in areas of Keith Raffone
environmental concern, hereby
gives NOTICE that on September
27,.2012 Dave & Carol Lavin ap- Who,being duly sworn or affirmed, according to the law,says that he/she is
plied for a CAMA permit to con-
struct a floor addition to the ex-
isting dwelling at 2116 Shoreline
Dr., adjacent to Banks Channel, Ni Controller
Topsail Beach, Pender County. T
application may be inspected at t
address below. Public comment of THE STAR-NEWS, a corporation organized i and doingbusiness under the Laws of the State of
received by October 19, 2012 will
be considered. Later comments will North Carolina,and publishing a newspaper known as STAR-NEWS in the City of Wilmington
be accepted and considered up to
the time of permit decision. Protect
modifications may occur based on CAMA MINOR PERMIT NOTICE Pursuant to NCGS 113A-119b,the North Carolina Division
further reviewhe and comments. hs of Coastal Management,an agency authorized to issue CAMA permits in areas of
No-
tice of the permit decision in this
matter will be provided upon writ- environmental concern, herebygives NOTICE that on September 27,2012 Dave& Carol Lavin
ten request. p
Jason Dail,Field Representative applied
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 28405-3845
Phone:[phone]
was inserted in the aforesaid newspaper in space,and on dates as follows:
10/4 lx
And at the time of such publication Star-News was a newspaper meeting all the requirements and
qualifications prescribed by Sec.No. 1-597 G.S.of N.C.
Title: Controller
ewo n r affirmed to,an su scribed before me this E day of tytuuunuirrrrrr.
A.D., o2CJ� \>` t? L. 0100,
In Testimony Whereof,I have hereunto set my hand and affixed my o seal,the day aft'%
year aforesaid. _ NOTAfr
V -61-71/Y14 . A��q IC ri
"Worary Pub
My commission expires I Z}� day of L. ,20 (7 '44r°r1/ERittitt ICQ �`'
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by the Court that the said
publication was duly and properly made and that the summons has been duly and legally served on the defendant(s).
This day of
Clerk of Superior Court
MAIL TO:

DAVID LAVIN & CAROL LAVIN 66-7549/2531 1042
103 BERVIE COURT 919-481-1316
CARY, NC 27511 44.DATE 19 2 / 2
POARYTRO C i N $ 410
0 yvd rc d cam4,-(0 LLA R S
p
j COASTAL
fede9l Raleigh
union 1 R`). J PP3
PO BOX 58429 Raleigh NC 27658 V `
MEMO 0 C\YVA V. . Q..si iVll -� '�'C.,--- --�--------
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yos ( /0 —/ ( Z--