SH_15-01_ Lewis

WiRO for the Town of Shallotte
Local Government /t ��.2— 20 2- 7,
t� 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"
SH 1 5-01
Permit Number
Issued to Akmand Tambra Lewis, authorizing development in the Public Trust Shoreline (AEC), located at
4918 Main Street, adjacent to the Shallotte River, in Shallotte, in Brunswick County, as requested in the
permittee's application, dated received June 22, 2015. This permit, issued on July 13, 2015, 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 the construction of a single story wood frame addition (approximately 720 sq. ft.) to an
existing building and associated landscaping.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on June 22, 2015.
(2) The proposed development qualifies for the Urban Waterfront requirements and use standards of
15A NCAC 07H .0209(g).
(3) 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.
(4) Any change or changes in the plans for development, construction, or land use activities will require a
re-evaluation and modification of this permit.
(5) 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 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 permit expires on;
Snider
ACTING CAMA LOCAL PERMIT OFFICIAL
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
RECEIVED
DCM WILMINGTON,
December 31, 2018
In issuing this permit it is agreed that this project is consistent with
the local Land Use Plan and all applicable ordinances: This permit
// PERMITTEE
(Sianatufe required if conditions above apply to permit)

Name: AlWd nd Tambra Lewis
Minor Permit # SH 15-01
Date: July 13, 2015
Page 2
(6) This permit does not authorize development within any wetlands or open water areas.
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must be
installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area has beer
properly stabilized with a vegetative cover.
(8) Prior to any development, silt fence shall be properly installed between all planned land disturbance and the adjacent
marsh and open water areas; the silt fence shall be properly maintained throughout the construction period. Silt fence
shall be installed such that it is properly toed -in to the soil.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
(10) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise dispose,
of to a third -party.
SIGNATURE: DATE:
Z7 Zoos
PEfTTEE
RECEIVED
DCM WILMINGTON
JUL 30 2015

Locality L-LICIil.: Permit Number t�
Ocean Hazard Estuarine Shoreline '✓ ORW Shoreline Public Trust Shoreline Other
For official use only)
GENERAL INFORMATION
LAND OWNER
Name: Alan C. & Tambra B. Lewis
Address: 421 Randall Street
City: Shallotte State: NC
AUTHORIZED AGENT
Name: East Coast En in�g_& Surveying, PC
Address: 4918 Main Street, PO Box 2469
City: Shallotte
Zip: 28470
State: NC Zip: 28459
Phone: [phone]
Phone: [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 4918 Main Street, Shallotte River
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) building addition
SIZE OF LOT/PARCEL: 10,362 square feet 0.24 acres
PROPOSED USE: Residential ❑ (Single-family ❑ Multi -family ❑) Commerical/Industrial ® Other ❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): N/A square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): N/A square feet (Calculations
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.)
Choose the AEC area that applies to your property:
(1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Watei
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
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. N/A square feet.
RECEIVED
DCM WILMINGTOI`

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit
As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with your LPO to
determine if any of these apply to your project. Zoning, 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.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC c
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 intere
can be described as: (check one)
0 an owner or record title, Title is vested in Fee Simple, see Deed Book 2669
page 1307 in the Brunswick 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 and 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 give
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1) Michael T. Cox P.O. Box 2439, Shallotte, NC 29459
(2) MAS Properties, LLC 131 Ocean Blvd West, Holden Beach, NC 28462
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 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 particular
hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilizatic
and floodproofing techniques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agent
to enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard 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 violatio:
of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
This the 19A day of Jpne, 2015
�Vvner or person authorized to act as his age:
purpose of filing a CAMA pTEj9#licatic
DCM WILMINGTON. Ni

A'4)
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory,
Governor
July 13, 2015
Alan and Tambra Lewis
421 Randall Street
Shallotte, NC 28470
Dear Mr. and Mrs. Lewis:
Donald R. van der Vaart
Secretary
Attached is CAMA Minor Development Permit # SH 15-01, for work to be done at 4918 Main Street, in
Shallotte, Brunswick County.
In order to validate this permit, please sign both copies of the permit as indicated for our records. Please retair
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.
Enclosures
Cc: WiRO files
Sincerely,
S au
n K. Simpson
Permit Support Techni n
N.C. Division of Coastal Management
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AMA PERMIT
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APPLICANT:
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Alan & Tambra Lewis
421 Randall Street
Shallotte, NC 28470
Agent: East Coast Engineering [phone]
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FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
NC Div. of Coastal Management
127 Cardinal Dr. Ext.
Wilmington, NC 28405
Holley Snider, Field Representative
910-796-7270

N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM
Date June 19. 2015
Name of Property Owner Applying for Permit: Alan C. & Tambra B. Lewis
Mailing Address: 4918 Main Street, Shallotte, NC 28470
I certify that I have authorized (agent) East Coast Engineering & Surveying, PC
(Christopher D. Stanley, PLS to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary regarding the Minor CAMA
Permit, at (my property located at) 4918 Main Street, Shallotte, NC 28470. This
certification is valid thru (date) December 31, 2015
Property Owner Signature
Date /S
DCM WILM NGT(
11 IAI n n __

A
East Coast Engineering & Surveying, P.C.
ENGINEERS•PLAN NERS•SURVEYORS
Certified Mail Receipt
June 19, 2015
Michael T. Cox
Post Office Box 2439
Shallotte, North Carolina 28459
Subject: East Coast Engineering & Surveying, PC
4918 Main Street — Minor CAMA
Shallotte, North Carolina
Dear Sirs:
Our firm is in the process of obtaining the necessary permits for the property located at 4918
Main Street in Shallotte. As part of this process, the Division of Coastal Management requires
that all adjacent riparian landowners be notified of the proposed development.
Enclosed is a copy of the Adjacent Riparian Property Owner Notification Form, and a drawing
we have prepared of the proposed building expansion.
If you have any questions regarding the enclosed information, please contact our office at your
convenience. Any comments regarding this proposed project should be directed to the Division
of Coastal Management at the address shown below.
NCDENR - Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
Sincerely,
Sabrina B. Babson
Enclosures:
PC: File: 0834 (Lewis - Main Street Office Expansion)
RECEIVED
DCM WILMINGTOr
II IN 2 9 gnm

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to Alan C. & Tambra B. Lewis Is
(Name of Property Owner)
property located at 4918 Main Street
(Address, Lot, Block, Road, etc.)
on Shallotte River in Shallotte N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: East Coast Engineering & SurveyinVailing Address: PO Box 2469
Agent's phone #: [phone] Shallotte, North Carolina 28459
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal,
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
See Attached Drawing
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. Contact information for DCM offices is
available at http://www.nccoastaimanaaement.netlweb/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
(Prope /Owner I ormation)
�r
Signafure
Alan C. Lewis
Print or Type Name
421 Randall Street
Mailing Address
Shallotte, NC 28470
City/State/Zip
910-443-2081 [e-mail]
Telephone Number/Email Address
(Riparian Property Owner Information)
Signature
Michael T. Cox
Print or Type Name
PCB Rox 2439
Mailing Address
City/State/Zip
Telephone Number/Email Address
June 18, 2015
Date
RECEIVES
Date CM WILMINGT(
(Revised: Aug. 2014)
JJN 22 ?nil

East Coast Engineering & Surveying, P.C.
ENGINEERS -PLAN NERS•SURVEYORS
Certified Mail Receipt
June 19, 2015
MAS Properties, LLC
131 Ocean Blvd. West
Supply, North Carolina 28462
Subject: East Coast Engineering & Surveying, PC
4918 Main Street — Minor CAMA
Shallotte, North Carolina
Dear Sirs:
Our firm is in the process of obtaining the necessary permits for the property located at 4918
Main Street in Shallotte. As part of this process, the Division of Coastal Management requires
that all adjacent riparian landowners be notified of the proposed development.
Enclosed is a copy of the Adjacent Riparian Property Owner Notification Form, and a drawing
we have prepared of the proposed building expansion.
If you have any questions regarding the enclosed information, please contact our office at your
convenience. Any comments regarding this proposed project should be directed to the Division
of Coastal Management at the address shown below.
NCDENR - Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
Sincerely,
Sabrina B. Babson
Enclosures:
PC: File: 0834 (Lewis - Main Street Office Expansion)
DCM RECEIVED NG O
If 1►1 A A _ _

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to Alan C. & Tambra B. Lewis 's
(Name of Property Owner)
property located at 4918 Main Street
(Address, Lot, Block, Road, etc.)
on Shallotte River , in
(Waterbody)
Agent's Name #
Shallotte , N.C.
(City/Town and/or County)
East Coast Engineering & SurveyinWailing Address: PO Box 2469
Agent's phone #: [phone]
Shallotte. North Carolina 28459
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
See Attached Drawing
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. Contact information for DCM offices is
available at http://www.nccoastaimanagement.netlweb/cm/staff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
(Prop rty Owner Information)
Sign ure F
JI
Alan C. Lewis
Print or Type Name
421 Randall Street
Mailing Address
Shallotte, NC 28470
City/State/Zip
910-443-2081 [e-mail]
Telephone Number/Email Address
June 18, 2015
(Riparian Property Owner Information)
Signature
MAS Properties, LLC
Print or Type Name
1�'All nrean Blvd We-,t
Mailing Address
City/State/Zip
Telephone Number/Email Address
RECEIVED
Date LIU WILMINGTON,
Date
(Revised: Aug. `20114 2 2015

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery Is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signto //� / ❑ Agent
X � ❑ Address
B. Received by (Printed Name) C. D to of elivi
b 19 m
D. Is delivery address different from item 1? 11 Yes
No
if
JUN 19
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�j C7n'3 �(`�rtffied Mail ❑Express Mail
❑ Registered ern Receipt for Merchant
❑Insured Mall ❑ C.O.D.
4. Restrictexf Delivery? (Extra Fee) ❑Yes
2. Article Number 7001 1940 0002 9395 3940
I
(rransfer from service label) 102595-02-M
PS Form 3811, February 2004 Domestic Return Receipt
■ Complete Items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to:
A. Signature
❑ Agent
X ❑ Addresse
ecely by ( Printed Name) C. Date of Deliver
(S6- 0:-1 c
D. Is delivery address different from ftemj_Lp Yes
If YES. enter deliuooi ed No
3. Servic :
.� ail ❑ Express Mail
1 � ❑ Registered --JD-Return Receipt for Marchand[.
v V Z5- Z U 3— ❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Artl cle Number 7001 1940 OOD2 9395 3933
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1
DCM RECEIVED
ON, NC
JUN 2 2 2niq

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
El Label roads
x❑ Label highways right-of-ways
RlLabel local setback lines
0 Label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
(]Draw and label mean high water mark
❑ Draw location of on -site wastewater system (None — served by Town Sewer)
If you will be working in the ocean hazard area:
❑ Draw and label dune ridges (note height)
❑ Draw and label toe of dune
❑ Identify 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
0 Draw and label areas that will be disturbed
x❑ If a house is to be placed on lot, describe location of house (office expansion)
❑ Note size of piling and depth to be placed in ground
❑ Draw 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
❑ 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
NECURE—
DCM WILMINGTC
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)

AhMIL
East Coast Engineering & Surveying, P.C.
ENGINEERS•PLAN NERS•SURVEYORS
June 19, 2015
Ms. Holley Snider
Division of Coastal Management
NC Department of Environment and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405-3845
Subject: Alan C. & Tambra B. Lewis
4918 Main Street, Shallotte
Minor CAMA Permit Application
Dear Ms. Snider:
On behalf of our Clients, please find enclosed a proposed Minor CAMA submittal for 4918 Main Street,
Shallotte, within Brunswick County. The submittal package includes the following:
1. One (1) original of the CAMA Minor Development Permit Application;
2. Two (2) copies of our design plan, on 24" x 36" sheet;
3. Two (2) copies of our design plan, on I I" x 17" sheet;
4. An Agent Authorization Form authorizing East Coast Engineering & Surveying, PC to act on
property owners behalf;
5. Copies of the June 18, 2015 letters to Michael T. Cox and MAS Properties, LLC, notifying the
adjacent riparian property owners of the proposed development;
6. Copies of the USPS Certified Mail Receipts for Michael T. Cox & MAS Properties, LLC; and
7. Check #1418 in the amount of $100 to cover the required application fee.
If you have any question or require any additional information, please contact our office.
Sincerely,
Sabrina B. Babson
Engineering Assistant
Enclosures
PC: Alan C. & Tambra B. Lewis, Clients
File: 0834 (Lewis —Main Street Office)
RECEIVED
DCM WILMINGTON
JUN 2 2 2015

Received I ted
Check From (Name) Name of Permit Holder
Vendor I
Number amount
Permit Number/Comments Refund/Re,
6/18/2015
Willie Clarence Richardson Jerry and Lisa Sroka
Michael Gerke
Clements Marine Construction Smith
Smith
BB &T
6036 $400.00
GP 64678D @$200
GP 64639D Q$200
GP 64679D @$600
GP 64680D @$600
6/22/ 0015
First Citizens Bank
3826 $1,200.00
6/22/2015
Radiant Investment Inc.
Harry L. Kraly
Crescent State Bank
4380 $100.00
renewal fee, MP 97-08
6/22/2015
Dennis or Beverly Morgan
same
High Point Bank and Trust
56ol $200.00
1419 $100.00
GP for 124 Charlotte St., Holden Beach
6/22/2015
East Coast Engineering & Surveying, P.C.
Alan & Tambra Lewis
First Bank
minor fee, 4918 Main St., Shallotte
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SA 15
-61

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NOTES:
L ADJOD1ING DEED REFERENCES BASED ON INFORMATION FOUND
IN THE BRUNS WICK COUNTY TAX OFFICE
2. ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES; ALL
BEARINGS ARE BASED ON NC GRBT.
3. ACCORDING IO FEMA MAP NYMIONOW, THIS PARCEL APPEARS
TO BE LOCATED IN FLOOD ZONE -AE (EL 10r.
4. AREA BY COORDINATES.
/
5. THIS PARCEL 19 LOCATED WITHIN THIN JURISDICTION OF THE
/
TOWN OF SHALLOTIB, NC.
6. CURRENT TOWN OF SNALLOTTE ZONING: HE
/
SETBACKS: FROM YARD =T
SIDE YARD = 10
/
BEAR YARD- 20
7. BRUNSWICK COUNTY TAX PARCEL NUMBER: 1970005
S. AREA SUMMARY:
10,362 SQ. FEET
024 ACRES
10. DEED AND MAP REFERENCES:
DEED BOOK 277, PAGE 903
DEED BOOK 760. PAGE 19
MAP CABINET T, PAGE 223
DEED BOOK 413. PAGE 65
DEED BOOK 234, PAGE 207
OWNE[WEVELOPEP
ALAN C. LEWIS AND
TAMBRA B. LEWIS
421 SHALLOTTE, NC 29470
205
'top /
/ MAS PROPERTIES
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