TB_16-02_ Lewis

Issued by WiRO TB16-02
Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
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 Mark and Debra Lewis authorizing development in the Estuarine Shoreline (AEC) at 822 Carolina Blvd., in
Topsail Beach, Pender County as requested in the permittee's application, dated January 7, 2016. This permit, issued
on January 20, 2016, is subject to compliance with the application and drawing dated and received by DCM on January
7, 2016 (where consistent with the permit), all applicable regulations and special conditions and notes set forth below.
Any violation of these terms may subject the permittee to a fine, imprisonment or civil action, or may cause the permit to
be null and void.
This permit authorizes: Construction of a utility building over existing impervious coverage.
(1) All proposed development and associated construction must be done in accordance with the permitted drawing received
by DCM on January 7, 2016.
(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, and/or land use activities will require re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at (910)
766-7221 for a final inspection at completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for
compliance. Any maintenance work or project modification not covered under
this permit,require further written permit approval.All work must cease when this Jason Dail
permit expires on:
C MA LOCAL PERMIT OFFICIAL 0
December31,2019 127 Cardinal Drive Extension
In issuing this permit it is agreed that this project is consistent with the local Land Wilmington, NC 28405-3845 r—m
tsD
Use Plan and all applicable ordinances. This permit may not be transferred to m
another party without the written approval of the Division of Coastal 9114(4/C. J `" 0
Management.
Q n

Name: Mark and Debra Lewis
Minor Permit#TB16-02
Date: January 20, 2016
Page 2 of 3
(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 vegetatively 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 and/or canal. This area shall be immediately vegetatively
stabilized, and must remain in a vegetated state.
(7) With exception of the development activities authorized under this permit, no additional development may take place
within 30-feet of the normal or mean high water boundary.
(8) All buildings shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards
of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood
Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent
with any of the following AEC standards, the more restrictive provision shall control.
(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: 71/144 DATE: / 2 3 / /
PERMITTEE
RECEIVED
DCM WILMINGTON,NC

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Locality
Ocean Hazard Estuarine Shoreline X ORW Shoreline Public Trust Shoreline
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GENERAL INFORMATION
LAND OWNER
Name PL k d s
Address I Z pi, Vi co, f t,
City S�cµJs 1 f y State W Zip 2"4° Phone q/°- s1° 5-2 4r
Email JOT-Z51477 ¢ tit L..
AUTHORIZED AGENT
Name J cAso I IL,'no
Address yYy Jok^ Eve'c.lj /J°
City State It,L Zip 2 Y y 6 u Phone £/°- 31 f' Z c 3�
Email J (1 T S 1 S 1 177 e_ ,jco . c.,
LOCATION OF PROJECT: (Addlress,street name and/or directions to site. If not oceanfront,what is the name of the
adjacent waterbody.) ffZ 6.„j, /3/,1 4/7 X ii"'l 5 .�
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) G e " o` is e
SIZE OF LOT/PARCEL: square feet 0 0 't acres
PROPOSED USE: Residential ❑ (Single-family❑ Multi-family ❑ ) Commercial/Industrial[✓"Other ❑
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
FIECEIVED
(1) OCEAN HAZARD AECs: TOTAL FLOCKIVIaankliWilteio§ED STRUCTURE: square feet(includes
air conditioned living space,parking elevated above rRu Ijev j eon-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: /h 0 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 Permit 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: square feet.

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
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 , see Deed Book
page in the 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)
(1) r,/1 Si i- /MF „� l7� K.- ive 27511
(2) /i1,.L ��r u���f /? E, f!" ?2 1 `i -r p,_:•/ /T«.L , l'c Z r Y Y I
(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 ert al:1E iifehaiihtioned lands in connection with evaluating information
related to this permit application. DCM WILMINGTON, NC
JAN 0 7 2016 This the day of , ,20
?MAAR "'`
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 will constitute a violation of
any permit.Any person developing in an AEC without permit is subiect to civil, criminal and administrative action.

PAT MCCRORY
l;uenua
DONALD R. VAN DER VAART
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
I hrectoi
January 21, 2016
Mark & Debra Lewis
112 McVicar Street
Sneads Ferry, NC 28460
Dear Mr. & Mrs. Lewis:
Attached is CAMA Minor Development Permit#TB16-02, for work to be done at 822 Carolina
Blvd., in Topsail Beach, Pender County. A copy of the permit has been sent to your agent and
to the Town's Inspections Department.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Please retain the orange copy for your files and sign front and back of the white copy
then 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.
Sincerely,
r
/6
Shaun K. Simpson
Permit Support Tec .cian
Enclosures
Cc: WiRO files
Town of Surf City Inspections Dept.
Jason Thompson, Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

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. LOT 6 - DCM WILMINGTON, NC
CAROLINA BOULEVARD
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Dear Adjacent Property:
IViA, Lc "r have a lied for a CAMA Minor
This letter is to inform you that I, pp
Property Owner
Permit on my property at r22 1,- - l'1"k Ti` 1 �"`1 , in COUNTY
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 qlu - J j ��t ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program,you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE,ZIP CODE
Sincerely,
�li1H� Le-v RECEIVED
Property Owner DCM WILMINGTON, NC
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Mailing Address
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City,State,Zip Code

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Dear Adjacent Property:
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Property Owner
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Property Address
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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 'a ' ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program,you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE,ZIP CODE
Sincerely,
Mwr Le.-v. >
Property Owner RECEIVED
Nt., V; r DCM WILMINGTON, NC
Mailing Address y`� JAN 0 7 2016
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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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Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that Is retained by the Postal Service" -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent
roportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mall 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 feros. USPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.Fora hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.

DENR CAMA Daily Check Log for WIRO
Date
Date Deposits Check Receipt
•
Received d Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Refund/Realli
12/17/2015 12/21/15 Maritech,LLC Marc Noel B of A 2131 $400.00 GP 66236D RM rct.0395D
12/17/2015 12/21/15 Lighthouse Marine Construction Jack MacKnoll B of A 5671 _$200.00 GP 66210D JD rct.1160D
12/17/2015 12/21/15 David or Nancy Taylor David Taylor Wells Fargo Bank 2090 i $100.00 minor fee,3627 Island Dr NTB Ons JD rot.1552D
12/17/2015 12/21/15 Pippin Marine Construction LLC Richard Woodbury Wells Fargo Bank 3599 $200.00 GP 66237D RM rct.0396D
12/21/2015 9/25/02 Oyster Bay Homeowners Assoc Thomas McCurley for Oyster Bay HOA First Bank 999 $100.00 renewal fee,41-89 RM rct.0397D
12/21/2015 12/21/15 American Marine Construction Jim Nelson First Citizens Bank 86080 $200.00 GP 66188D TM rct.0409D
12/21/2015 12/21/15 Peggy Roberts Ralph Gibson Branch Banking&Trust 1499 $400.00 GP 66238D JD rct.1553D
12/21/2015 12/21/15 Overbeck Marine Construction Inc NC Baptist Assembly,Fort Caswell SunTrust 4540 $100.00 mod fee,MP 35-10 TM rct.0444D
12/21/2015 12/21/15 Town of Ocean Isle Beach same Branch Banking&Trust 70607 $200.00 GP 66178D HS rd.1288D
12/21/2015 12/21/15 Backwater Marine Construction Inc Warren and Kelley Miller BB&T 2193 $200.00 GP 66179D HS rct.1289D
12/21/2015 12/22/15 New Hanover County General Account Layton Bedsole for same BB&T 331294 $100.00 renewal fee,151-01 RM rct.0398D
12/21/2015 12/22/15 Hampstead Pool Spa&Patio,Inc Michael Schwend First Federal 5510 $100.00 minor fee,1605 New River Inlet Rd NTB Ons JD rct.15540
12/22/2015 12/22/15 Bradley Creek Boatominium Inc Laurie Baldwin for same First Citizens Bank 1461 $100.00 renewal fee,MP 106-75 RM rd.0399D
12/22/2015 12/22/15 Bald Head Island Ltd Bruce Marek for Deep Point Marina First Citizens Bank 1530 $100.00 mod fee,MP 91-96 TM rd.0446D
12/22/2015 12/22/15 Bald Head Island Ltd Bruce Marek for same First Citizens Bank 1531 $100.00 mod fee,MP 191-86 TM rct.0445D
12/22/2015 12/22/15 Richardson Construction Steve and Sandy Dellinger BB&T 6198 $400.00 GP 66227D HS rd.1290D
12/22/2015 12/22/15 Coastal Dredging LLC Craig Youndt BB&T 4394 $600.00 GP 66239D JD rd.1555D
12/28/2015 12/29/15 Allied Marine Contractors LLC Kenan Brock B of A 8052 $250.00 major fee,1182 B.N.Anderson Blvd TB PN JD rd.1556D
12/28/2015 12/29/15 Coastal Marine Piers and Bulkheads LLC Southside Dock Assoc.-Larry Mahl Wells Fargo Bank 20606 $200.00 GP 66240D RM rot.0400D
12/28/2015 12/29/15 Connaway Marine Construction Mike Hamilton B of A 1150 $200.00 GP 66117D JD rot.1161D
12/28/2015 12/29/15 Allied Marine Contractors LLC Bill Cherry B of A 8051 5200.00 GP 66207D JD rd.1162D
12/28/2015 12/29/15 Charles Riggs&Assoc. George&Christine Allison First Citizens Bank 14357 $100.00 minor fee,119 S.Permuda Wynd NTB Ons JD rct.1557D
12/28/2015 12/29/15 Susan Ballard Susan&Rex Ballard and others B of A 1141 $100.00 minor fee,emergency sand push NTB Ons JD rct.1558D
12/30/2015 SeaScape at Holden Plantation,LLC same First Citizens Bank 1071 $100.00 mod fee,MP 05-01 HS rct.1294D
12/30/2015 VCC,INC same-Brian Murdock BB&T 3662 $400.00 GP 66228D&GP 66229D ea.@$200 HS rct 1291 D
12/30/2015 Ronald or Clarice Holden same First Bank 1368 $200.00 GP 66230D HS rct.1293D
1/4/2016 Todd or Kelly Surratt same First Bank 7758 $100.00 transfer fee,MP 66-15 BrCo SF rd.1601 D
1/4/2016 Goodrich Architecture,PA David Carr First Citizens Bank 7987 $100.00 minor fee,603 Maritime Way,TB Pender JD rd.1559D
1/5/2016 Otter Creek Landing Yacht Club Loretta Whelan,agent for Otter Creek First Citizens Bank 4364 $100.00 renewal fee,MP 7-11 RM rd.14510
1/5/2016 Clements Marine Construction Inc Steve Dutton First Citizens Bank 3985 $400.00 GP 66253D JD rd.1560D
1/5/2016 James or Marie Hardee same BB&T 5472 $100.00 renewal fee,MP 66-12 JD rd.1561D
1/5/2016 Masonboro Landing Homeowners same BB&T 379 $100.00 renewal fee,MP 109-09 RM rd.14520
1/5/2016 Money order from Brandon Grimes John Eubanks BOKF,NA R206357380449 $200.00 GP 66254D JD rd.1562D
1/7/2016 Richardson Construction Doug Garrison BB&T 6220 $600.00 GP 66234D @$200 HS rd.1297D
Richard McCain GP 66233D @$400 HS rat 1298D
1/7/2016 TRA COM Services,Steven Farmer John Kauffman BB&T 4752 $400.00 GP 66231D @$200 HS rd.1295D
Williams Family,Deborah Sheehan GP 66232D @$200 HS rct 1296D
1/7/2016 Mark Lewis Crew Boats Inc DBA Old Town Marina Jason Thompson PNC Bank 2174 $100.00 minor fee,822 Carolina Blvd,TB PN JD rct 1563D