TB_16-17_ Ennis (DENIAL)

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Coastal Management
ENVIRONMENTAL QUALITY BRAXTON DAVIS
Director
December 18,2016
CERTIFIED MAIL— 7011 0110 0000 3789 2389
RETURN RECEIPT REQUESTED
Sam and Ann Ennis
636 Bayshore Drive
Wilmington,NC 28411
RE: DENIAL OF CAMA MINOR DEVELOPMENT
PERMITAPPLICATION NUMBER- TB16-17
PROJECT ADDRESS- 1121 Ocean Boulevard, Topsail Beach,NC
Dear Mr. and Mrs. Ennis:
After reviewing your application in conjunction with the development standards required
by the Coastal Area Management Act (CAMA) and our locally adopted Land Use Plan and
Ordinances, it is my determination that no permit may be granted for the project which you have
proposed.
This decision is based on my findings that your request violates NCGS 113A-120(a)(8)
which requires that all applications be denied which are inconsistent with CAMA guidelines.
Specifically, the development for which you applied consisted of replacement of a structure
within the minimum development setback (measured 60 feet from the First Line of Stable
Natural Vegetation (FLSNV), or 30 times the shoreline erosion rate of 2 feet/year, whichever is
greater).
Your proposal is inconsistent with 15A NCAC 07J .0210 (1), which states:
"Replacement of structures damaged or destroyed by natural elements, fire or normal
deterioration is considered development and requires CAMA permits. Replacement of
structures shall be permitted if the replacements is consistent with CRC rules", and with 15A
NCAC 7H .0306(a)(5), which states that: "With the exception of those types of development
defined in 15A NCAC 07H .0309, no development, including any portion of a building or
structure, shall extend oceanward of the ocean hazard setback distance"
Should you wish to appeal my decision to the Coastal Resource Commission or request a
variance from the Commission, please contact me so I can provide you with the proper forms
and any other information you may require. The Division of Coastal Management in Morehead
City must receive appeal notices within twenty (20) days of the date of this letter in order to be
considered.
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Page Two
Sam and Ann Ennis
December 18, 2016 •
Respectfully yours,
/2L.j
on Dail,LPO
27 Cardinal Drive
Wilmington,NC 28405
cc: Kyle Brewer,Agent, Planning Director for Pender County, PO Box 519,Burgaw,NC 28425

Page Two
Sam and Ann Ennis
December 18,2016 •
Respectfully yours, '
‘/)''fz)1.,,(_,.p
on Dail,LPO
27 Cardinal Drive
Wilmington,NC 28405
• cc: Kyle Brewer,Agent,Planning Director for Pender County,PO Box 519,Burgaw,NC 28425

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NC DENR
Div. of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
„Ilfillil"l'111l'lllll'lllll,"II,III,1I►'Il11 tI„Illlll1lli

Dail, Jason
From: Dail,Jason (//2—/
Sent: Monday, December 05, 2016 1:56 PM
To: 'Chip Bartlett'
Cc: '[e-mail]'
Subject: RE: Pender County FMA Program- CAMA Permit App
Good afternoon gentlemen.A copy of deficiencies need to be submitted in order to complete the application packages
for the 4 retrofit lots in Topsail Beach.The deficiencies are noted by address below. Please call if you have any questions.
I will prepare processing on these, but please be aware I will not be able to make a permit decision until the items below
have been received by our office.
1121 Ocean Blvd.—Please provide a copy of the signed Ocean Hazard AEC Notice (copy attached).The owner of the
property will need to sign the form, not you as the agent. Also, on the site plan, please make note that the FLSNV was
flagged by DCM on 10/25/16, not"CB".
1105 Ocean Blvd.—Please clarify whether or not the proposed wood decking,to be located within the 60'ocean hazard
setback,would be covered as part of the retrofit?Also,the site plan (survey drawing)should show the existing
conditions as well as the proposed. Only the engineering plans show the inclusion of the proposed utility room.On this
one, I was under the impression the house was to be re-located closer to the street? Is this still the case? IF so,the
existing home should be shown on the site plan as well as the proposed re-location. On the site plan, please make note
that the FLSNV was flagged by DCM on 10/25/16, not"CB".
1802 Ocean Blvd.—Please provide a copy of the signed Ocean Hazard AEC Notice (copy attached).The owner of the
property will need to sign the form, not you as the agent.
1117 Ocean Blvd. - On the site plan, please make note that the FLSNV was flagged by DCM on 10/25/16, not"CB".
Feel free to email the remaining documentation to me as they are received and call if you have any questions.
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]
- Nothing Compares.. ..
E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.

Locality 10?`I Wt \ t 4\44-CO JW\ Permit Number `
• Ocean Hazard k Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(for official use only)
GENERAL INFORMATION
LAND OWNER- MAILING� ADDRESS
A�1n
Name Seim y + ‘h FX\\5
------------- -------------Address (f3k9 IAiAN5te b\lve
City NM* State NC Zip 2 t\ Phone 9' 'a-3 424
Erna il�hymsam-3\4- 1\' LC
AUTHORIZED AGENT
Name K� gV4V0.- I IAAWAIN WAY' Pe et/ (c M\'4
Address ?0 DO( q6% ---City gvktielv State Nt/ ' Zip 26i0 Phone 910-256t-1202
EmailAlak e pncleecooill nc ov
LOCATION OF PROJECT: (Address,street name and/or directions to site; name of the adjacent waterbody.)
" OCkar 13tvd i& d f \cif , NV., - ccW1.(A'A / 4641�
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) evNiaIoh rekYhct 1-
e � t (A-ro vli-e, in Once itom FF o- \`k•1 Vo a FFf- (4- 1g, o
SIZE OF LOT/PARCEL: -4-G>{,?° square feet • 1U) 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):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE:129z_ 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 ANI)OTHER IMPERVIOUS OR I3UILT
UPON SURFACES: square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masomy patios,etc. that arc 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 Stair:ECEIVED
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land ResourcEICOMMINGTON, NC
YES NO NIA

OTHER PERMITS MAY BE REQUIRED:The activity you arc planning may require permits other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well,Septic Tank(or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, insulation and Energy Conservation, NIA
Certification, Sand Dune, Sediment Control,Subdivision Approval,Mobile Home Park Approval, I lighway Connection,and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
1, the undersigned,an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as: (check one)/an owner or record title,Title is vested in name of 3AM 4'`VA V4
see Deed Book litiALp page 5c71 in the Rem\eV- County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of
probate was in County.
if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons arc owners of properties adjoining this property. i affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address) 1-Okine,PA
(I) Sol OIty\ FI1'AY\doW 117_17 OCemh I vcI 5010 V)►10A0AeM! V104
(2) _ ArdrI TIVOCA1 U 11 NNem Nvd / -Ras KWe.%- Rd Kvchtnor,d 1A 23238
(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.
1 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 2 2 'u' day of All z_t,1;'20 _I C•
- y Ivl• Pvt.
Landowner or perso a ithorized 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
owne►ship statement, the Ocean llazatd AEC Notice where necessary; a cheek for$100.00 nwde payable to the locality and
any i»li)rniation 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 aI�IhWICNN,NC

AEC HAZARD NOTICE
Project Is In An: V Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: Ann a n ol Sa YYZ Ert n 15
. e� ) t� CoZ '4 4E
Property Address: I i 2 � � C ea h �j� V S O D SGI 11
Date Lot Was Platted: f
This notice is intended to make you,the applicant,aware of the SPECIAL NOTE:This hazard notice is required for development
special risks and conditions associated with development in this in areas subject to sudden and massive storms and erosion.Permits
area,which is subject to natural hazards such as storms,erosion issued for development in this area expire on December 31 of the
and currents. The rules of the Coastal.Resources Commission third year following the year in which the permit was issued.
require that you receive an AEC Hazard Notice and acknowledge Shortly before work begins on the project site,the Local Permit
that notice in writing before a permit for development can be Officer must be contacted to determine the vegetation line and
issued. setback distance at your site.If the property has seen little change
since the time of permit issuance,and the proposed development
The Commission's rules on building standards, oceanfront can still meet the setback requirement,the LPO will inform you
setbacks and dune alterations are designed to minimize,but not that you may begin work. Substantial progress on the project
eliminate,property loss from hazards.By granting permits,the must be made within 60 days of this setback determination, or
Coastal Resources Commission does not guarantee the safety of the setback must be remeasured.Also,the occurrence of a major
the development and assumes no liability for future damage to shoreline change as the result of a storm within the 60-day period
the development. Permits issued in the Ocean Hazard Area of will necessitate remeasurement of the setback. It is important
Environmental Concern include the condition that structures be that you check with the I,PO before the permit expires for official
relocated or dismantled if they become imminently threatened by approval to continue the work after the permit has expired.
changes in shoreline configuration. The structure(s) must be Generally,if foundation pilings have been placed and substantial
relocated or dismantled within two (2) years of becoming progress is continuing,permit renewal can be authorized.It is
imminently threatened, and in any case upon its collapse or unlawful to continue work after permit expiration.
subsidence.
The best available information, as accepted by the Coastal For more information,contact:
Resources C mission, indicates that the annual long-term ' •
�6l�l, >��1� ' Dvl
average oc a sion rate for the area where your property is i
located is feet per year. Local Permit Officer ,�j,VM'u,�
•
The rate was established by careful analysis of aerial photographs 12.1 ( y 1 1 DYN e E r �'�V `i-o5
of the coastline taken over the past 50 years. Address
also indicate that the shoreline could move as much as � e(Co
27 0 ��` feet landward in a major storm. Locality Thypod waters in a major storm are predicted to be about (c\ b}144) 722
71' feet deep in this area. Phone Number
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls,revetments,groins,jetties
and breakwaters are prohibited.Temporary sand bags may be
authorized under certain conditions. Ft covED
DCM W11-014615"AI, NC
The applicant must acknowledge this information and requirements by signing this notice in the space below. Without the proper DEC 0 6 2016
signature,the application will not be complete.
5fruhA:s 1-cp 1I/
Applicant Signature Date
Revised 2/07

NOTICF
CAMA PERMIT
APPL
I FOR
To eleva e wig re rofit the existing
PRO ECT: , ����,
sr _ . - -
Atlantic . Ocean, in Topsail Beach, Pender
County
THOUGH N/A E TS
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Sam Ann Ennis NC Div. of Coastal Management
636 Bayshore Drive 127 Cardinal Dr. Extension
Wilmington, NC 28411 )‹.--Th- Wilmington, NC 28405
Jason Dail, Field Representative
Agent: Kyle Breuer [phone] 910-796-7221

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Pender County Flood Mitigation Project (FMA)
Sam & Ann Ennis
1121 Ocean Blvd, Topsail Beach
Base Flood Elevation: 15'
Lowest Adjacent Grade: 4.9'
Existing Finished Floor Elevation (FFE): 14.1'
RECEIVED
Target Post Elevation Finished Floor Elevation (FFE): 18.0' DCM WILMINGTON,NC
NOV 3 0 2016

NORTH CAROLINA
NEW POWER COUNTY
L I..SCAR BADGE,CERTIFY THAT THIS PLAN WAS DRAWN LIMIER MY It 1'\
SUPERVISION FINN All ACTUAL SLOWLY NAVE UNDER MY SUPERVISION,
DESCRIPTION RECORDED IN DEED BOOK 1292 PAGE 2074 4.
OR
PLOTTED FPDN INFORMATION REFERENCED,THAT THIS PLAT WAS NOT
PREPARED IN ACCORDANCE WITH GS.47-30 AS WENDED.WITNESS 0 WY 50
NY ORIGINAL SIF2ATURE,REGISTRATION MB®ER N1D SEAL THIS
9TH DAY Or 2T____ .4k SURF CITY
A0.,20-__t6__. ,
L.SCOTT BAGGIE,P.L.S. ---._-...-_._ 4
REGISTRATION NUMBER L-3430 05 O
/M1,,,t �' i SITE
VICINITY MAP ."" --t
LEGEND
�}�
I N/IF-RIGHT OF WAY
O IPF- IRON PIPE FOUND
w \ 1
j,., A° PRS-MACRTSC NAIL SET
• COMPUTED POINT
X 17.0' DUNE RIDGE SPOT ELEVATION
N.
ij'9 .
tia6�1 0
VV ,C
50 N87'27'23'E 01 \
47,32' 0
1`)' \
BENCH MARK (PKS) .4 \ 1
ELEVATION = 4.50' NA6D66 �B 4 \
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WV
w�
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RECEIVED ? °o --'� `; !� \ v� N
DCM WILMINGTON, NC '' ,, ��i
�,1 x 17. 'CO---_, A
DE 1 06 2016 Ft,WWAS TOTAL AREA �f���oON
,E�Q(� 7,000 sq. ft.
v i i.�1 *I , - d> 0.16 acres 4 cMN\ °CAA
IIC
OK t S PILE
tkilA }
14
NOTE: 1 SURVEY/� FOR CAMA PERMIT i
SUBJECT PROPERTY REFERENCED AT DDEED BOOK 1292 PAGE t 1 2 �fX f l b. �1 vd I
2074&MAP BOOK 3 PAGE 72. ///���� ))) GGG.......
LOT 11 AND HALF OF LOT 10 - BLOCK 22 - NEW TOPSAIL REACH
THIS SURVEY IS OF AN EXISTING PARCEL OF PROPERTY TOPSAIL TWP. - PENDER COUNTY - NORTH CAROLINA
AND DOES NOT CREATE A SUBDIVISION. NOVEMBER 9, 2016 JOB No.0307-2016
THIS PROPERTY IS LOCATED MiTHIN A FLOOD HAZARD AREA; SCALE'!' 20' i
ZONE WE. BASE FLOOD ELEVATION 15'; PER FEMA FIRM PRDOESSTAE IMO DCWIWRFNT CONSM.TNITE PILL -----.._
MAP PANAL NUMBER 3720421200 J/DATED 2/16/07. io PI BEER OW
AREA IS COMPUTED BY COORDINATES. 707-111111 0 10 20 40 60'
EL CRRys11/P Nv4

NORTH CAROLINA
NEV PENDER COUNTY
I,L.SCOTT BAGGIE,CERTIFY THAT THIS PLAN VAS DRAWN UNDER MY It. 4^
SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER MY SUPERVISION, �4L
DESCRIPTION RECORDED IN DEED BOOK 1292 PAGE 2074
PLOTTED FROM INFORMATION REFERENCED,THAT THIS PLAT VAS NOT
PREPARED IN ACCORDANCE WITH C.S.47-30 AS AMENDED.VITNESS ,`O W1'SO
MY ORIGINAL SIGNATURE,REGISTRATION NUMBER AND SEAL THIS 'L
9TH DAY OF OCT. ,A.D.,20 16
SURF CITY
L.SCOTT BAGGIE,PLS. Z` �q
REGISTRATION NUMBER L-3450 - 4 0
/:
_�.. _,` SITE
VICINITY MAP
LEGEND
1 R/M- RIGHT OF MAY
O IPF-IRON PIPE FOUND
PKS - MAGNTIC NAIL SET
• COMPUTED POINT
X 1 7.0' DUNE RIDGE SPOT ELEVATION
3
v,0 a ''' -3c)*
wc ...----T, •ss
® 50 N87°27'23'E
47,32' 0 \
'(.3. \
BENCH MARK (PKS) oOn d a \\ \
ELEVATION = 4.50' NAVDBB
ZZ c
Z \ GCS a \
\ -9L \ \
9 t: 1
> O .9
g a //l�$ 0
(..., \
e��G r F
ti,S,��s�� '$� Qo
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5(> � gt
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CP
..›
cp
' N) \>' / /�' D�/\�
r x 1 ... /ova C�
v / q. ,1��o
9t/ /TOTAL AREA
\y 7,00016acres ft. o� ON
rel., 0.16 4:::: !
h` � SRO
/ 0°
NOTE: .cTIRVFY FOR CAMA PERMIT
SUBJECT PROPERTY REFERENCED AT DDEED BOOK 1292 PAGE 'STAG
2074 & MAP BOOK 3 PAGE 72. 1121 OCEAN BLVD. WED
LOT 11 AND HALF OF LOT 10 - BLOCK 22 - NEW TOP I
THIS SURVEY IS OF AN EXISTING PARCEL OF PROPERTYINGTON,NC
AND DOES NOT CREATE A SUBDIVISION. TOPSAIL TER. 9, PENDER016COUNTY - NORTH -A
NOVEMBER 2016 JOB No.0307-2016
THIS PROPERTY IS LOCATED WITHIN A FLOOD HAZARD AREA; SCALE I"=20'LA 901
ZONE VE, BASE FLOOD ELEVATION 15; PER FEMA FIRM PROGRESSIVE LAND DEVELOPMENT CONSULTANTS,PLLC

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"Nikti`I‘ . NW\
,.^, t91111
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Jp Topsail
,aN Bea c;
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4.4• ` •CEAr BLVD, HOL
gt
44141/4,
40001144'
/ ..,
'011- ' 4\ ,0PIN: 4212-14-7763-0000 Sale Price: $525,000 Acres:0.24 P e n d e r County
OA ner: ENNIS SAM G et al Sale Date: 2016-03-11 Land Value:$445,500
r m 636 BAYSHORE DR Plat: 00030072 Building Value: $60,643
K m Account No: 970045 Total value: $506,143 1:663
WILMINGTON,NC 28411 0 0.005 0.01 0.02 mi
Z< Township: TOPSAIL Deferred Value:$0 I r e r , ' ' , ' , ' ,
I/� Ref: 4616/307 Subdivision: NEW TOPSAIL BEACH Exempt Amount: 0 0.0075 0.015 0.03 km
1 $•-
7- Tax Codes: GO1 C54 R40 PCL Class:R 1 inch = 55 feet N
P operty Heated Sq Feet:1292 'i��,'
address: 1121 OCEAN BLVD WJ—j�E
NInvamhar 91 7(11R

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 60 IS AY EVI6 IS
Mailing Address: C,.Q 36P sore-- Dr► btv
tI � rvlinz`f an / Iw � a234I
Phone Number: "1 1 0 �J J 2 (3 '2 '
Email Address: e-h6. I5 ?Iv-) ri314g w1ai i . c rn
I certify that I have authorized k,11e- DYeAJCi } WO" CO . fiAl V*-0-"
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining
all CAMA permits
necessary for the following proposed development: EA&41 11 o Ml home
-V1twoucil,\ *‘% PeiAtkpy£o . opt MtkiofkA PrtiYaM
at my property located at l 1 I C Cep,. HIV ) v p i 1 3eoc-i 1, , 1V C
in
Palc1 r 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
Anv, Erin / 5
Print or Type Name
0u) n-eit-
Title
1 (40
Date
This certification is valid through ' / l / 241— RECEIVED
DCM WILMINGTON,NC
NOV 3 0 2016

Receipts for
Certified Mail
(Staple Here)
34- LC
Datec kAYY f
Adjacent Property Owner
Mailing Address L, `vt v PA
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, `�� � ����1!- have applied for a CAMA Minor
Property Owner
Permit on myproperty11 Z1 \� ?a\va at ,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 form. If you have any questions or comments about my proposed project, please
contact me at 9tC'N ` V2 ,or by mail at the address listed below. If you wish to
Applicant's Telephone (} 0
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/DCM
127 Cardinal Drive Ext.
Wilmington, NC 28405
Property Owner
U271,0 't\'\sh®re. 1Yr
Mailing Address
Iv1v11AC\11tn 161 ZS4v\
City, State,Zip Code
RECEIVED
DCM WILMINGTON, NC
NOV 3 0 2016

CD
CA ARTICLE NUMBER c -
' '
9414 8118 9956 4471 2394 94 FEES
(p O
Total Postage
ARTICLEtg Postage per
cu
.-. Certified FeeP�ece $2.50
Jonathan B ADDRESS TO: 3.30
506 Bridgeview Dr ow
RECEIVED 9e&Fees: ss 80
I � ACM WiLMirvGroN, NC
ifa\R PA BM-1379
n CDPos\mark
�p Here '^

Certified Mail Receipt T1e label in this position on the reverse side Of
FEES S OUlIQ
this messagel y rQlpt OC MI mailpiece.
i;a �g�;„;,za...�,. :°ht`" m�
a,,,nRecoilF.. zn If you need a record of this mailing,present this '
a umaenooteEssro: TodFtea.£F...: mn
m oarve yadvress: receipt with the mailpiece for acceptance at
A Jane Recipient our local post office to be postmarked when
123 Main Street y
g - Anytown,CA 12345 vumvn, you send your Certified Mail(optional). -
v Here
The postmarked receipt is your proof of mailing
for all tracking purposes.If you do not need a
receipt,simply discard this label.

Receipts for
Certified Mail
(Staple Here)
Date tV1 Vekr\I Xt111
Adjacent Property Owner
1 Z -tvti RW3t- KtS
Mailing Addressmcna Z 2.
City, State,Zip Code
Dear Adjacent Property:
tkkThis letter is to inform you that I, � `��� 1�11�� have applied for a CAMA Minor
Property Owner
Permit on my property at Ottyky‘ FAVi • t0 I\‘ 1)2(th7 ,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 form. If you have any questions or comments about my proposed project, please
contact me at Q lf.' .2r 4- 1 )2— ,or by mail at the address listed below. If you wish to
Applicant's Telephone (Mom)
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/DCM
127 Cardinal Drive Ext.
Wilmington, NC 28405
Property Owner
Mailing Address
\S IAWsett ri &' Z 4-11
City, State, Zip Code
RECEIVED
DCM WILMINGTON,NC
NOV 3 0 2016

7. Garage/Carport Post-Elevation Retrofit Notes:
A. Slab Restoration: After pile installation, add compacted fill and concrete as needed to restore the slab.
B. Driveway/Sidewalk Restoration: Restore driveway to pre-elevation condition.
C. Relocate existing receptacles and light switches in new ground level storage room (one light with a light
switch) to provide convenient access (at least one foot above BFE).
D. Miscellaneous Notes:Remove the existing ground level storage room walls and construct a 9'x 12'storage
room with breakaway walls as shown on attached drawings.
RECEIVED
DCM WILMINGTON, NC
NOV 3 0 201b
Individual Unit Scope of Work Paee 7 of 2 (ncrfr 1171 nroan Rlvrl Tnn<ail Roark

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The drawing may be simple and not necessarily to scale.The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
Label roads
Label highways right-of-ways
Label local setback lines
Label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
NIA ❑ Draw and label mean high water mark
IJ IA n Draw location of on-site wastewater system
If you will e working in the ocean hazard area:
Draw and label dune ridges(note height)
raw and label toe of dune
entify and locate first line of stable vegetation
Draw and label setback line under CAMA
❑ Draw and label topographical features(optional)
If you will be working in an estuarine shoreline area:
❑Draw and label landward limit of AEC
❑ Describe terrain(slope)
DEVELOPMENT PLANS
[� raw and label areas that will be disturbed
DIf a house is to be placed on lot,describe location of house
Note size of piling and depth to be placed in ground (glee P iv
11rDraw and label all areas to be paved or graveled
❑ Describe composition of surface
❑Note and list fully all trees and vegetation to be removed or relocated
O Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed both application and statement of ownership?
• enclosed the$100.00 fee?
• completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted . Final Inspection Fee Received
Site Inspections
RECEIVED
DCM WILMINGTON,NC
Date of Action: Issued Exempted Denied Anneal Deadline(20 davgA-,,, o n ,)n,c

Payment Proccessing Confirmation
Date Received 12/2/2016
Check From (Name) Pender County
Name of Permit Holder Sam & Ann Ennis
Vendor Bank of America
Check Number 298607
Check amount $100.00
Multiple Permits No
Major/Minor Minor
Permit Number/Comments Minor Fee, 1121 Ocean Blvd, TB, Pender
Receipt or Refund/Reallocated JD/3412D

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