Loading...
HomeMy WebLinkAboutTB_16-10_ Scott Issued by WiRO TB16-010 Topsail Beach Permit Number CAMA MINOR DEVELOPMENT PERMIT Coastal,Management 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 Lincoln and Renee Scott authorizing development in the Ocean Hazard (AEC) at 446 N. Anderson Blvd., in 1 Topsail Beach, Pender County as requested in the permittee's application, dated August 1, 2016. This permit, issued on August 16,2016, is subject to compliance with the application and drawing dated and received by DCM on August 3, 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: Clearing and grading of lot. (1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated received by DCM on August 3,2016. (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 Jason Dail compliance. Any maintenance work or project modification not covered under AMA LOCAL PERMIT OFFICIAL this permit,require further written permit approval.All work must cease when this permit expires on: 127 Cardinal Drive Extension Wilmington, NC 28405-3845 December31,2019 In issuing this permit it is agreed that this project is consistent with the local Land ,X Use Plan and all applicable ordinances. This permit may not be transferred to another party without the written approval of the Division of Coastal PERMITTEE DECEIVED Management. (Signature required if conditions NM'hkiti:I(ferTfiiiN, NC Name: Lincoln and Renee Scott Minor Permit#TB16-10 Date: August 16, 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 vegetated and stabilized (planted and mulched)within 14 days of construction completion. (6) Any structure(s) constructed within the Ocean Hazard area 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. (7) Any and/or all development shall be located a minimum distance landward of the 60'setback line which is measured from the First Line of Stable Natural Vegetation (FLSNV). (8) 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: X /26/2(4:=• PERMITTEE RECEIVED DCM WILMINGTON,NC • I 0 I eepfcei... Locality ,/ Permit Number Ocean Hazard )- Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other..... (For official use only) GENERAL INFORMATION LAND OWNER-MAILING ADDRESS NameC`A(It ' tC . £ ILPe 3entt Adder 407 Cityst_LYI ( State J IC Zip.2E45 Phone Q I q-3(00- (0 764 Email v-noi s ct) LX�''K n .corn AUTHORIZED AGENT Name Ol Q Address©---a04 Co S City Y+' State NC. Zip a Phone k n-. ; Zg -3-4R-G Email C(de e'rnha.r rrIct k .C.CM LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.) 1}(o r cn (P vd. Tqa .Q-?each, &1C 0+5 DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance) LC* Galix�e J Ni e eruW L $ SIZE OF LOT/PARCEL: square feet acres PROPOSED USE:Residential II (Single-family CI 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): (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 1UU1LDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON SURFACES: square feet(includes the area 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.)}v L� STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater/Managemcnt Permit issued by the NC Division of Energy,Miacral and Land Resources(DEMLR)? 3 2016 vFc NO -✓ i f f OTHER PERMITS MAY 1W REQUIRED:The activity you arc planning may require permits other than the CAMA ;f 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,htA Certification,Sand Dune,Sediment Control,Subdivision Approval i others.Check with your Local Permit Officer for more info m tore.Mobile Florae Park Approval,Highway Connection,and 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) r lX an owner or record title,Title is vested in name of ].r ' see Deed Hook p�'t"t:�•: lS, `}C-�-�- 'y( 10 page.(r�y o. .in the Pe: ' �� �� County Registry of Deeds. • an owner by virtue of inheritance.Applicant is an heir to the estate of f ;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 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) ,��- t jtS:i 0 cr z---s.;P 11 .--1-. c�1e t r-rr-, k i.C_. Z 7/,'- ° 2 ' �� t / 5 j { ) \cLciC ; lcw`t« 't c ,. CCL...��- ES i -\ t I i C a r3)_f F -;� 7 `c .� , i`:�� �.�^t.-k� l,ac-. i,��.,-r . .,!:`.�•.;. �;=�c_.�i i -- I ACKNOWLEDGEMENTS: ( I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which i may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu- i far hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza- f tion and floodproofing techniques. i 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 .C3 I ,,20 iG% `--ice;. :- �--, ,. - - ---....�__ Landowner or person author et ti ct as hirer agent for purpose of filing � g p po g 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 oldie application as described by these sorrrves are incorporated without reference in any permit rnhich may be issued. Deviation firm these details will constitute a violation of any permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative aclion. 0CM WlLM!NGTc ,q,' AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit 1.,Ltt tk F e Cr Mailing Address: .cLr q i is 7P44- Phone Number: ct}C _3L,L_ '` 5 Email Address: I certify that I have authorized eta e. ► Zei C'�i BL Ludo r; �+ • , - Agent!Contractor _1 to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Oat- Ctecit c = V��c�--�--1 Loi- 5 _.) at my property located at 4%l0 (. Onclei( )u 1()vim Lehrd , 631'5 in Ptk.deic County. 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. Property Owner Information: Signature 1- LK rot r7 Cott Print or Type Name Title O i r0G%4 Date RECEIVED DCM WI!I•AINGTCN. Kir AUG 032f1F This certification is valid through I I PAT MCCRORY Governor r;a DONALD R. VAN DER VAART Secretary BRAXTON DAVIS Coastal Management Director ENVIRONMENTAL QUALITY August 16, 2016 Lincoln & Renee Scott 4089 4th Street Surf City, NC 28445 Dear Mr. & Mrs. Scott: Attached is CAMA Minor Development Permit# TB 16-10, for work to be done at 446 N. Anderson Blvd., in Topsail Beach, Pender County. A copy of the permit has been sent to the Town's Inspections Department and to your agent. 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, sign both pages 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, Shaun K. Simpson Permit Support Technicia Enclosures cc: WiRO files Town of Topsail Beach Inspections Dept. Old Anchor Building Co., Agent State of North Carolina I Environmental Quality I Coastal Management 127 Cardinal Drive Ext.,Wilmington,NC 28405 • N() T1 (117 r\i\/ cAmA PERMIT APPLIED FOR PROJECT: To clear and grade Lot 5, 446 N. Anderson • . • - • - - - Topsail Beach, Pender County COMMENTS ACCEPTED APPLICANT FOR MORE DETAILS CONTACT Lincoln & Renee Scott THE LOCAL of PERMIT OFFICER BELOW: NC Div. Coastal Management 4089 4th Street 127 Cardinal Drive Ext. Surf City, NC 28445 Wilmingtnn, NC 28405 Jason Dail, Field Representative Agent: Olde Anchor Building Co. (910) 328-3779 910-796-7227 • OCEAN HAZARD AEC NOTICE Project is in an: Ocean Erodible Area , High Hazard Flood Area inlet Hazard Area • , Property Owner: Property Address:'14 Co k i- t-1 1CIC;(C.,tt t Cr). a. ,, 'r 4 Y Date Lot Was Platted: This notice is intended to make you, the applicant, aware of the SPECIAL NOTE: This hazard notice is required for special risks and conditions associated with development in this development in areas subject to sudden and massive storms and area,which is subject to natural hazards such as storms, erosion erosion. Permits issued for development in this arca expire on and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the development can be issued. vegetation line and setback distance at your site. If the property has seen little change since the time of permit issuance,and the The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement, setbacks and dune alterations are designed to minimize,but not the LPO will inform you that you may begin work. Substantial eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be re-measured.Also, the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement Environmental Concern include the condition that structures be of the setback. it is important that you check with the LPO relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the by changes in shoreline configuration. The structure(s) must be work after the permit has expired. Generally, if foundation relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing, imminently threatened, and in any case upon its collapse or permit renewal can be authorized. it is unlawful to continue subsidence. work after permit expiration. The best available information,as accepted by the Coastal For more information,contact: Resources Commission, indicates that the annual long-term average ocean erosion rate for the area where your property is A-, (.-.- located is feet per year. Local Permit Officer The rate was established by careful analysis of aerial photographs of the coastline taken over the past 50 years. N.C. Dept. of Environmental Quality Studies also indicate that the shoreline could move as much as Division of Coastal Management feet landward in a major storm. 127 Cardinal Drive Extension Wilmington, NC 28405-3845 The flood waters in a major storm are predicted to be about feet deep in this area. Preferred oceanfront protection measures are beach nourishment q1.0 - 9 - and relocation of threatened structures. Hard erosion control structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number and breakwaters are prohibited. Temporary sand bags may be authorized under certain conditions. The applicant must acknowledge this information and requirements by signing this notice in the space below.Without !RECEIVED the proper signature,the application will not be complete. IJCM VItI. i4lN(, Civ. Iv AUG 03 201E Property Owner Signature Date Revised May 2010 U Z �" Z fal�it' NO YNt'•ORMERLY 1--I Lij� ^C� KM � , P.S2 CD C'�: BENCHMARK:BIN •00' YY ELEVATIdt SW IIW L CY: AtAnr�L DATA:NAw sa I vamCAL ear ormot EO 4,TH new,ate '1 HFELIM/NARYPLAY ~ 1 j "Matra. • U C EFRICE SSTTATIONS CONTINUOUS ovERntDID n NOYFO'RECOI'l7AYION, I ll a.UP. S t._D eeE-0NI,VYANC.ES Ole S4LE5r . ill f f ;l rr I IIf NOW OR FORMERLY II TOWN OF TOPSAIL BEACH ,@ i .,gyp '`{ N56.43'48'E +�f� D.B.2875.P. 1 1 6 /' p+- TN1 TUT 014E SUBJECT PROPERTY B!DCA1ED �, Z.76' ' II 15 Y11 TOWN 6PEaAL ruxo Num,M[A AS come"By tHE mo FLOCO ZONE FL000 ZONE '''E` EW OR ND•07Y*MIDI EMERGENCY MAMA DAENT AGENCY,AND THE NATIONAL FLOOD (ELEVATION-13.0'+J) -� NOW OR FORMERLY my v Sava INSURANCE PROGRAM, CONMUNitt PANG M1M8ER i i' , TOWN OF TOPSAIL BEACH 370101 rnwxa.TDDJ.FTBPIIMr 1e.7r10L , W.21' D.B. 2608, P. 78 _. R,�� I 1,I ,, r 1 ; .•.r __^arn_sa'a ra• t:00' ea W.Ndb I Y7 I! ,�"` i l MAI.M.P.37 ,r.X .�FIRr t,.11' Mof ULE STANCW/AME NOPo20NT.. �' �7 ;,4, BEPnc EASFYDVr•` ' •-•_• NOW OR FORMERLY • 11? 1 1'"` arm BASEMENT`.._., T Uik�'£B55on�*0E�NOTED KNOX,at al d J ` NEW LOT 2 I swim, I I LOT.2 e 5 D.B. 4448,P.52 -1",/ 1,: 17689 Sq•Ft. ' �, _ 0.177 ACRES a71 X •,_-` i wpmRSIIRACN3 try 1 i'r_ .4„R»FI n q) � yam _ I PRONT_2d 1I 2 i -+•� REM 16' i2ureWw a Mtn :wwy •.�11(( 47,0 ,'. 910E .0• womr m:asavaosuns:Wei FLOOD ZONE "VE" l/� '� . F Xar swan MraAaS ABA .MAI (ELEVATIONN••14.0+3') 'I / I t �t3 TYO air i 1 I I LOT 5 SCOTT 6 I/ I„ I La' rwNoa �� ID' SWrr B.LINcwl ' j/ .B iT.4' 1!�' g +tne.nncr I./':i' ' . .• COMM ott21 ''/r SEPTIC EASEMENT NO ORFORMERLY D.B.eaa,P.$o ,/,‘,' PROPOSED IN 8 Y.B.44 P.37 DE.4446,P. 52 at al *•ID '/4 Xw P DERwOusRIW 4us 2s s�eF o00o CAT z) Sp KM— p No888'L ea S g Xro► 3Y I. "'I an f0670.P.WIT /+ MOWN 4A 600E 0.B•9773.P.WO ^_ 7SL.ZBZfl'--^ P. S4T4341'W 5802 _ _._ .. _.., E]RM D.e.444e.P.B2 NODS NCKWENT'PUN 13' c -___.., Ty O.B.40/p,P.U. NORMANS 23E349.30' �L_�C. N.B.4B,P.37 EASRNO:1422375.84' 1 • FOO1a''.- Y.R.6B.P.IDS DA7UM:MAD G1(20113 7 J ,\', I / Y.&BB,P.70 COMBINED FA 0.60008040 R , BBPTIC EASEMENT •\ ' ,, 9.B.481 P.37 �� _.,�`•\-___ _ cc .CONTROL CCRNER }__—-—_ ., --.�-...___¢ Easaxo C10 EFE YaxwEKr(F8AC)(cwma CORNER B' SOP •�0158NO IRON PIPE(FOUND) / BDICNMARK ERR -E09TN0 IRON R00(FOUND) \ , I ETAN-EIDSRNO MAGNETIC HML(FOUNOxc0117ROL CORNER) .,\ /+ ; NORTH ANDERSON BOULEVARD - NC HIGHWAY 50 IM AMP: y JI PONT / CLAIMED 60'R/W(ASPHALT-PUBLIC) a/W-Row'of SAY e \ t , H -SET RON ROD iR A ' ®-RAM METER R R/w-- •— ...-- �- �- — wain nm wrsrars OAR' _ �_ -FRE HYDRANT I RAY RAW —R/Y1 DQ.MITI VALK -SANITARY SERER MMMCAS g '� P, L/M/NA41'FLAr 1 I -CLEAR WT tNOTPc ' CO 2A770N, I -TcanoNE PEDESTAL t .1CONVEYANCES OR SALESE J LOT 4 insY191oN PEDESTAL l FIRM OPTIC CABLE MARKER M.B.45,P.37 CIF y®3 LOT i isl°ON �fA1Er g, PPaL[ M.B. 4S, P. 37 ___,A,____ ELECTRIC 7RANSFORYER g a eoa AKW rAmar sa P.n ATLANTIC OCEANFawn ultE xi,.EJOSTINO SPOT ELEVATION BOUNDARY SURVEY AND PRELIMINARY PLOT PLAN GRAPHIC SCALE CHARLES F. RIGGS & ASSOCIATES, INC.(c-780) FOR • Ea .. Lid tiiiiiiil LAND SURVEYING - CONVENTIONAL & MODAL POSITIONING SYSTEMS,LAND PLANNING et COMPUTER MAPPING t 1�z) NEW LOT 2 LOTS 2 4 ►men.NO a 502 NEW BRIDGE STREET LANDFALL FYFFiIDVE SUITE Z171+L1�COla1\ D. SCOTT 5, POLLOCK. TOWNSEND vs. POPE et al, M.B. 56, P. 106 ACTUAL FIELD SURVEY DATE: MAY 27, 201 P.O.BOK 167E 12t3 CULBRE7H DRIVE TOPSAIL TOWNSHIP, VENDER COUNTY, NORTH CAROLINA MAPPING DATE: LINE 23, 2016 J TELEPHONE: N.C. 285-087 70 N1213 C ON,N.C. RIVE$ TELEPHONE: (910) 455-0877 TELEPHONE: (O10)88t-7444 LINCOLN B. SCOTT,OWNER, D.B. 4610, P. 636 flELO BOOK. 684 PAGE: _EL li E-MAIL: rigpdandOFlg$nI0nCnc.com 448 NORTH ANDERSON BOULEVARD 7:�earmL!(35I: E:11.. ARG of Topsail Lots 2&5 Septic Proposal Scale: 1" = 40' • • • MORTH 1,4— ON gLV � LOTS 2&5 Wastewater Treatment System m.t>f�.cvs do �•k;. l —One,4 bedroom home on Lot 2 '�9e ` -.:1,,`Y_ i LC'•di Sim q` * —One,3 bedroom home on Lot 5 "4 2 r •. N, 3' f 840 gal/day flow rate ..fir...• i -15b0 gal septic tank 30' 60 �` -- - -1500 gal pump tank 5 27'a 48' 4 BEDROOM —System placed in existing septic easement, shown u 3 BEDROOM " HOME 17' i j�'.9GSGD m �' F SY EM FAR m Initial&Repair-Type A Peat Biofiiter System � a�++ 3& --1.2 gal/day/sq ft LTAR 4 a INITIAL G�1 �°R"�� ` —840 gal/day/ 1.2 gal/day/sqft LTAR=700 sqft u? t "a P F 1 —with 25%reduction=525 sqft : r REPAIR _ • 14'x3$'bedarea 38' 1 _ —center module(s)on 8"rock bed - • swag —Install with bed bottom 12"below the existing ground LOT 5°° "s`-`SN LOT 2 } okat surface at the lowest elevation in the initial area 1i9� 1_sc?„- —Install with bed bottom 6"below the existing ground gyve + surface at the lowest elevation in the repair area 10'WIDE SEPTIC EASEMENT PENDER COUNTY HEALTH DEPT. ENVIRONMENTAL HEALTH SECTION r P.O.BOX 1209 BURGAW,NC 28425 . I SOIL SPERMIT# 13 6`�f . Gr,FPiGB OF (, �e.vG ✓ 3ATE3 .i i. • '�;'` RECEIVED St,a DI WIL r.1INGTn , NI- ., . 40y' 256 . 4., AU G 0 3 2016 N Receipts for Certified Mail (Staple Here) ate i i(: i'.t I i'fir`n , Adjacent Property Owner Mailing Address \ t I , r-)rx A!C t Lam 4ci City,State,Zip Code Dear Adjacent Property: This letter is to inform you that I, AL k i( (Ct have applied fora LAMA Minor Property Owner Permit on my property at Li C - \1 • 5 ,in Topsail Beach, Property Address Pender 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 tha odosed no obieclion fornl.if you have any questions or comments about my proposed protect,please f C contact me at `t l c- J�'�'�� � f�-' ,or by mail at the address listed below. If you wish to Applicant's Telephone file written comments or objections with the CAMA Minor Permit Program,you may submit them to: Jason Dail,DCM Field Representative LPO,Town of Topsail Beach NCDEQIDCM 127 Cardinal Drive Ext. Wilmington,NC 28405 Property Owner Marling Address City,State,Zip Code RECEIVED DCM WILMINGTON. NC AUG 0 3 2016 1. . -osta ervice CERTIFIED MAIL® RECEIPT CI Domestic Mail Only M For delivery information,visit our website at www.usps.com WILD . N N t i i L Certified Mail Fee $3.30 0482 13 Extra Services&Fees(check box,add fee p1ffate) 02 0 Return Receipt(hardcopy) $ 1 ..•',l' ❑Return Receipt(electronic) $ Sri.00 Postmark ['Certified Mail Restricted Delivery $ $u.00 Here m ❑Adult Signature Required $ $(_I I)I} F ElAdutt Signature Restricted Delivery$ RECEIVED $ostageri $1.15 DCM W I_MINGTCN,NC Total Postage and Fees l s �0X/.01/2016 �� $ i CUM State,z Sent To r-R 1 a , B a le C'� s teesaptoX . City, IP. p k� ` ' C..• \(\h t 1mLrcr SIC. 08463 ,.erunea rviaii service proviaes me renewing oenents: I A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail I A unique identifier for your mailpiece. associate for assistance.To receive a duplicate I Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. LISPS®-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 fora specified period. delivery to the addressee specified by name,or to the addressee's authorized agent mportant 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 I Certified Mail service is notavailable for requires the signee to be at least 21 years of agr 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 ' •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. LISPS 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.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. � M Receipts for Certified Mail (Staple Here) 041_G1 (c, Date Adjacent Property_Mailing Address City,Stan?;dip Code � �' ' •� Dear Adjacent Property: This letter is to inform you that I, 24-1�r 1_tL ` X �� have applied for a CAMA Minor r� Property Owner Permit on my property at emu j t ;mot f�;—„� \t i `t L..- �, < <1, iJ• z in Topsail Beach, Property Address Pender 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 fofm.if you have any questions oc comments about my proposed project,please contact me at I!' ,or by mail at the address listed below. If you wish to Applicant's Telephone file written comments or objections with the CAMA Minor Permit Program,you may submit them to: Jason Dail,DCM Field Representative LPO,Town of Topsail Beach NC DEQ I DCM 127 Cardinal Drive Ext. \; Wilmington,NC 28405 -74 Property Owner P1 . FX Mailing Address City,State,Zip Code RECEIVED DCM WILMINGTCN, NC AUG 0 3 2016 . . •os a ervice CERTIFIED MAIL® RECEIPT 7 Domestic Mail Only • For delivery information,visit our website at www.usps.comx. RA Rr NC 2764)8 7 k d U Certified Mail Fee $3.30 0482 a Extra Services&Fees(check box,add fee '1o:f ate) 02 El Return Receipt(hardcopy) $ RECEIVED 0 Return Receipt(electronic) $ ,, ll �-,\A III ON,NC Li Certified Mail Restricted Delivery *kJ.(. 1 i here ❑Adult Signature Required $ $0.00 +( ❑Adutt Signature Restricted Delivery$ )�1111 A n 7 fl 1 D Postage $1.15 1 Total Postage and Fes G8/�Il 2111 b n $ $4.45 fl Sent To-c - --t_ • L1-eJncts k�,oi. 1 Street and t.Aro or PC'Box No. br to z(e t n h NC. c51o38 .eranea man service provtaes me ronowing oeneTits: A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail I A unique identifier for your mailpiece. 4ssociate 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 mportant Reminders: -Adult signature service,which requires the I You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mello,First-Class Package Service•, available at retail). or Priority Mail®service. -Adult signature restricted delivery service,which Certified Mail service is notavallable for requires the signee to be at least 21 years of agi International mail. and provides delivery to the addressee specified I 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 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. .......��"— DENR CAMA Daily Check Log for WIRO Date Date Deposite Check Receii Received d Check From(Name) Name of Permit Holder Vendor , Check Number amount Permit Number/Comments Refund/Re: 8/3/20161 Olde Anchor Building Company Inc 'Lincoln&Renee Scott Coastal Bank&Trust 1314 $100.00 I minor fee,446 N.Anderson Blvd,TB,Pender IJD rct.2509( Issued by WiRO TB16-10-Modified Topsail Beach Permit Number CAMA MINOR DEVELOPMENT PERMIT Coastal Management 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 Lincoln and Renee Scott authorizing development in the Ocean Hazard (AEC) at 446 N. Anderson Blvd. (Lot 5), in Topsail Beach, Pender County as requested in the permittee's modification, dated received October 11, 2017. This permit, modified on October 11, 2017, is subject to compliance with the application and drawing dated and received by DCM on October 11, 2017 (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 residential dwelling. (1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated received by DCM on October 11, 2017. (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 C� within twenty (20)days of the issuing date. This permit must be on the project site and accessible to the permit officer when the project is inspected for Jason ail compliance. Any maintenance work or project modification not covered under MA LOCAL PERMIT OFFICIAL this permit,require further written permit approval.All work must cease when this permit expires on: 127 Cardinal Drive Extension December 31,2019 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 another party without the written approval of the Division of Coastal PERMITTEE Management. (Signature required if conditions above apply tci.permit)__ Name: Lincoln and Renee Scott Minor Permit#TB16-10 - Modified Date: October 11, 2017 Page 2 of 2 (5) The permittee is required to contact the Local Permit Officer (910) 796-7221, shortly before he plans to begin construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline change. Construction must begin within sixty (60) days of the determination or the measurement is void and must be redone. (6) Any structure(s) constructed within the Ocean Hazard area 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. (7) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a side if square; and the first-floor level of the sills and joists must meet the 100-year flood level elevation. (8) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure. (9) 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. (10) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural shoreline recovery or beach renourishment takes place within two years of the time the structure becomes imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary protective measures allowed under CRC rules. (11) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise disposed of to a third-party. SIGNATURE. DATE: 14T 1 -7 if-7 PERMITTEE RECEIVED DCM WILMINGTON,NC ROY COOPER Governor MICHAEL S. REGAN Secretary Coastal Management ENVIRONMENTAL QUALITY BRAXTON DAVIS Director October 11, 2017 Lincoln & Renee Scott 4089 4th Street Surf City, NC 28445 Dear Mr. & Mrs. Scott: Attached is Modified CAMA Minor Development Permit No.TB 16-10 for work to be done at 446 N. Anderson Blvd, in Topsail Beach, Pender County. An electronic copy has been sent to the Surf City Inspection Department and to your agent. To validate this permit, please sign both copies of the permit as indicated for our records. Retain the orange copy for your files and 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. Sincerely, Shaun K.Simpson Permit Support Technician Enclosures Cc:WiRO files SC Inspection Dept. Olde Anchor Building Co. -Agent State of North Carolina I Environmental Quality I Coastal Management 127 Cardinal Drive Ext.,Wilmington,NC 28405 NOW OR FORMERLY THIS PRELIMINARY PLOT PLAN IS SUBJECT TO BOTH BEN TON. et al - I 1 IV e1CTICR Eam• REVIEW&APPROVAL BY THE LOCAL JURISDICTION. 40' sq I,JAWS A I FlMS PROFESSONAL LAND SURVEYOR, D.B. 4446, P. 52 • TMn�E OM,, NOW OR FORMERLY T • DO HEREBY CERTIFY THAT I HAVE SURVEYED NE P.IN PROPERTY AS SHOWN HEREON IN ACCORDANCE WITH „A we. TOWN P.+ TOWN OF TOPSAIL BEACH THE STANDARDS OF PRACTICE FOR LAND SURVEYING I D.B.2875,P. 1 N56'43'48'E Ni S18 IN NORTH AS CAL THAT THE RATIO OF 2 75• N56'43'4B'E {. PREtl90N AS CALCULATED BY LATITUDES AND 15.11' { // FLOOD ZONE"VC' EIP, RLY �..�;... (ELEVATION-13.0'+3') q EWfmA '5'1 TE 49.21' 06 TOWN OF TOPSAIL DB.2808 P.E BEACH7 / OR'ny' __- 'an NW4r EIR ,y S57T5 77'W 68.79. 1 \/ /,�A' ill THIS IS TO CERTIFY THAT NE SUBJECT PROPERTY IS LOCATED Rr I , --�bry,2=p,� VIONIl Y SKETCH EVE IN FLOOD ZONE 'VE' WHICH IS A ' q _ SPECIAL FL000 HAZARD AREA AS DETERMINED BY NE FEDERAL A SEPTIC EASEMENT • EMERGENCY MANAGEMENT AGENCY,AND NE NATIONAL FLOOD LOTS 1&4 5IS t` �075 ZSkIST_ INSURANCE PROGRAM. COMMUNITY PANEL NUMBER Y.B.45,P.37 !RF . 370187 3720422300.1 FEBRUARY fe.2007 5�rrp t� �f� AU.INSTANCES ARE HORIZONTAL NOW OR FORMERLY - / 8 y' NEW LOT 5 FIEID uEASIREMERTs o I I. . 0.134 ACRES I 5851 Ft. I KNOX, et al D.B. 4446, P. 52 I r I _ AU.POINTS NON MONUYdTED D __—MOYw n.n'___ m f ter!our U UNLESS OTHERWISE NOTED oI tlneAR 3;' a„ m a !O N E.ID N.t s W FRONT M SERR.-KS. (149 ZONED R-4 FLOOD ZONE*VE� n I LOT 2 I`V II I N FRONT=20' (ELEVATION••14.0'+3') I , ,a NO >� y REAR -15' N. RECEIVED aP�m I c SIDE -5' SEPTIC EASEMENT Ia /ir-1— LOTS.o L , .3. I I ur GIBERS 4/ DCM WILMINGTON, NC MB 45 P 37�T ,§ Ii .. I. I NOW OR FORMERLY uNCON B.sco T �' BLACK,et al A' •l me. 21' O.B. 4446, P. 52lim r_011lO 0 C T 1 11011 �® D e.b10.P.638 MPS 1 .W OR IIMm'2.t P I $ .. .. N p -.• MM E o RA/ I•�� RnV- M It M S48'O6'56'W�79.76' / P.E 5kT43r41-WN,56.0Y bg. NCGS MONUMENT'PEN 15' o 'NORTHING:235349.28' f / 8' EASTING 2422375.64' m¢Of ONO., DATUM:HAD 83(2011) Uk ✓/ SEPTIC EASEMENT 42�]61I5-H{9-0000(LOT 5) COMBINED FACTOR: 0.499999049 i LOTS 1!4 �� / Y.FL 45,P.37 6EE BENCHMARK:OM �' ELEVATION:9.71' EIR D.B.2875.P.1 VERTICAL DATUM:NA ) -_-_- - _ -_- -__ F- VD 89 _ r+. - ---- "EMN D.B.3773.P.330 - VERTICAL DATUM OBTAINED WITH TOPCON GAS / J BENCHMARK D.B.44M.P.52 URNG N.C.GEODETIC CONTINUOUS OPERATING /i! D.B.4410,P.638 REFERENCE STATIONS 1 Y.B.45,P.37 NORTH ANDERSON BOULEVARD - NC HIGHWAY 50 Y.B.58,P.108 i / /kE CLAIMED 60'R/W(ASPHALT-PUBUC) M.B.58,P.79 IFGFND CC -CONTROL CORNER wmoe-E ta.ar d 4 wTenn tame /W EMI-EOSTNG CONCRETE MONUMENT(FOIND%CONTROL CORNER) �� RAI R EIP -EXISTING IRON PIPE(FOUND) PROPOSED O'AEILNG -1230 Sgil I r nl DR -EIOSTNG IRON ROC(FOUND)AIL )( CORNER) e et TY MAY PROPDSED CHIVE 0 S..FR .aj ERN-EISTING MAGNETIC NAIL FOUND CONTROL PROPOSED TOTAL.PERVIOUS SURFACE-1238 SR.FL S i f NAP-MINIMUM BUILDING LINE NAP-NON MONUMENTEO PONT d • RAM-RIGHT OF WAY PROPOSED SPFAM0U4 AREA -21.1S 11 SR =SET IRON ROD A % -CENTERLINE LOT 4 ®-WATER METER M.B.45,P. 37 �',(-FIRE HYDRANT K LOT 1 -WATER VALVE g NOTE HV C PAD(2.7')AND REAR DEC((2.2')UE WITHIN '- M.B. 45,P. 37 ®-SANITARY SEWER MANHOLE SEPTIC EASEMENT AS SHOWN. ®=CLEAN OUT ®-TELEPHONE PEDESTAL ®-TELEVISOR PEDESTAL J PPELIM/N,4Ry PLAT ` ®=FIBER OPTIC CABLE MARKER Nor FOP l?ECOYI2A77ON •a.-POWER POE • PE • ,GONMYANC.ES OP SALESE ®'ELECTRIC NTRANSORMER CHARLES F. RIGGS & ASSOCIATES, INC.(C-78O) )(,A'-"SING SPOT ELEVATION w = BOUNDARY SURVEY & PRELIMINARY PLOT PLAN GRAPHIC SCALE LAND SURVEYING - CONVENTIONAL & GLOBAL POSITIONING SYSTEMS, 1AA LAND PLANNING & COMPUTER MAPPING FOR 502 NEW BRIDGE STREET LANDFALL EXECUTIVE SUITE 212 LINCOLN D. SCOTT (d ) P.O. BOX 1570 1213 CULBRE7H DRIVE L inch-20 ft JACKSONVILLE,N.C. 2 8541-1 570 WILIAINGTON,N.C. 28405 NEW LOT 5, EXEMPT PLAT FOR LINCOLN B. SCOTT &TELEPHONE: (910)455-0877 TELEPHONE: (910)set-TEES = WIFE RENEE SCOTT, M.B. 68, P. 79 ACTUAL FIELD SURVEY DATE: N/A i E-MAIL: FlggelandOFIggslandnc.com TOPSAIL TOWNSHIP, PENDER COUNTY, NORTH CAROLINA MAPPING DATE: OCTOBER 10, 2017 u OfmT FIELD BOOK: 886 PAGE: 60 LINCOLN B. SCOTT, OWNER, D.B. 4610, P. 636 —_ - 446 NORTH ANDERSON BOULEVARD PROJECT NUMBER: 17-OB-21 �"n""'�""'"°'W'1A`A`— ATLANTIC OCEAN CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFiCATION/WAIVER FORM Name of Property Owner: Lincoln & Renee Scott Address of Property: 446 N Anderson Blvd Topsail Beach. Pender (Lot or Street#, Street or Road, City&County) Agent's Name#: Olde Anchor Building Inc. Mailing Address: PO BOX 2165 Surf City NC 28445 Agent's phone#: 910-328-3779 Agent's email: oldeanchor(�embargmail.com I hereby certify that I own property adjacent to the above referenced property_ The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing,with dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215_ No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understa a pier, dock, mooring pilings, breakwater use, lift, or groin must be set back a minimum dis of 15'from my area of r an access unless waived by me. (If you wish to waive the setback, you initi a appropriate blank below.) I do wish aive the 15' setback r irment. do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) tel VII 0 c',11(2:(t,t(-4-1:1--q&-t- it#114, 41/ Signature Signature Lincoln Scott Black Mona Faye G rX Print or Type Name Print or Type Name 4089 4th st. 5553 Oleander Dr Mailing Address Mailing Address Surf City, NC 28445 Wilmington, NC 28401 City/State/Zip City/State/Zip C 919-360-6754 / y 0 7 y "Z 2 Telephone Number Telephone Number r'1 Date Date Revised 6/18/2012 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWA1VER FORM Name of Property Owner Lincoln & Renee Scott Address of Property: N Anderson Blvd Topsail Beach,Pender (Lot or Street#, Street or Road, City&County) Agent's Name#: Olde Anchor Building Inc. Mailing Address: PO BOX 2165 Surf City NC 28445 Agent's phone#: 910-328-3779 Agent's email: oldeanchoreembargmaii.com I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are,proposing. A description or drawing,with dimensions, must be provided with this letter. I have no objections to this proposal. —I have objections to this proposal. If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910)796-7215 No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15'setback requirement. I do not wish to waive the 15'setback requirement. (Pro er ormation . (Adjacent Property Owner Information) Signature/Agent Signature Lincoln Scott Charles Ferrer Print or Type Name Print or Type Name 4089 4th st. 2555 Manor Creek Court Mailing Address Mailing Address Surf City, NC 28445 Cummings, GA 30041 City/State/Zip City/State/Zip 919-360-6754 678-591-0352 Telephone Number Telephone Number c� - z I -� /uji1 17 t -14/ Date Date Revised 6/182012 ~—` CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIINAIVER FORM Name of Property Owner: Lincoln & Renee Scott Address of Property: 446 NAnderson Blvd Topsail Beach_Pender (Lot or Street#, Street or Road, City& County) Agents Name#: Olde Anchor Building_inc. Mailing Address: PO BOX 2165 Surf City NC 28445 Agents phone#: 910-328-3779 Agent's email: oldeanchor(c7embargmail.com I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. i —T have no objections to this proposal. I have objections to this proposal_ If you have objections to what is being proposed,you must notify the Division of Coastal Managemont pal)in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-72215. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION i understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If you ti wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the -15'setback requirement - `- I do not wish to waive the 15'setback requirement_ (Property Owner Information) (Apija 8)rPrdpertyOwner information) Signature Signature Lincoln Scott Town of Topsail Beach Print or Type Name Print or Type Name 4089 4th st. 820 S Anderson Blvd Mailing Address Mailing Address Surf City, NC 28445 Topsail Beach NC 28445 City/State/Zip City/State/Zip 919-360-6754 ( I C-) 3 z - s� Telephone Number Telephonle Number Date Date Revised 6/18/2012 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Lincoln & Renee Scott Mailing Address: 4089 4th St Surf City, NC 28445 Phone Number: 919-360-6754 Email Address: scottmortages©yahoo.com I certify that I have authorized Olde Anchor Building Co., Inc. Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Single Famiy Dwelling/VVood Structure 2 Story at my property located at 446 N Anderson Blvd.Topsail Beach, NC 28445 in Pender County. 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. Property Owner Information: Signature Lincoln Scott Print or Type Name Owner Title l l X2/1 Date This certification is valid through / 1