SH_15-02_ Simmons

WiRO for the Town of Shallotte SH 1 5-02
Local Government "ZCf. Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT �~
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management"
Issued to Jeff Simmons, authorizing development in the Public Trust Shoreline (AEC), located at 4812 Main
Street, adjacent to the Shallotte River, in Shallotte, in Brunswick County, as requested in the permittee's
application, dated received J.gly 15, 2015. This permit, issued on July 23, 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 addition of a handicap access ramp (approximately 503 sq. ft.) to an existing building.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on July 15, 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:
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
ACTING CAMA LOCAL PERMIT NFFICIAL
127 Cardinal Drive Exten ' n
Wilmington, NC 28405-3845
RECEIV
✓� DCM WILMINC
IC302
PERMITTEE
/Qinnnh vo r—dr-4 if--ifinnc nhnvo onnly fn normiA

Name: Jeff Simmons
Minor Permit # SH 15-02
Date: July 23, 2015
Page 2
(6) This permit does not authorize development within any wetlands or open water areas.
(7) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing,
all development/construction shall be located a distance of 30 feet landward of Normal High Water.
(8) 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 bees
properly stabilized with a vegetative cover.
(9) 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.
(10) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
(11) 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: 2,
ER TEE
RECEIVED
DCM WILMINGTON,
JUL 30 2015

Locality % �SIA ,V -7-1� _ Permit Number
Ocean Hazard Estuarine Shoreline �ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER _
Name
-A ��r s I rY► w� pr.� s
Address FO
City !Sh nc L Ve- State Zip 27/51 Phone 07/0 1 S-'/0 — PC;
Email e m,41�i c
AUTHORIZED AGENT
Name
Address PO 1:3o X 7
City S`j /411 1fc- State Zip 289f1 Phone
Email
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 4/J>/'2 17J,¢�.y
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL:
square feet // S 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 applie,
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (include
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet (includes the area of the roof/drip line of all buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality?
YES NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

�k APPLICATION FOR
CAMAMINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA) and set the stage for guiding development in fragile and productive areas that
border the state's sounds and oceanfront. Along with requiring special care by those who
build and develop, the General Assembly directed the Coastal Resources Commission
(CRC) to implement clear regulations that minimize the burden on the applicant.
This application for a minor development permit under CAMA is part of the
Commission's effort to meet the spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant. Please go over this folder with the Local Permit Officer (LPO) for the
locality in which you plan to build to be certain that you understand what information he
or she needs before you apply.
Under CAMA regulations, the minor permit is to be issued within 25 days once a
complete application is in hand. Often less time is needed if the project is simple. The
process generally takes about 18 days. You can speed the approval process by making
certain that your application is complete and signed, that your drawing meets the
specifications given inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area. While these
are not CAMA-related, we urge you to check with the Local Permit Officer to determine
which of these you may need. A list is included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission
Division of Coastal Management
U

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, ai
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the persc
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 i vested in f' �tt�y $kjO , see Deed Book
page in the ��rytNyra� County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in
County.
if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I fiuthermore 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)
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
(Address)
c» Divisidv
N4
I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the y day of , 20 % '�
person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean HazardAECNotice where necessary, a checkfor $100.00 madepayable to the locality, ar,
any information as may be provided orally by the applicant. The details of the application as described by these sources ar
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation I
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

SITE DRAWING/APPLICATION CHECKLIST
ase make sure your site drawing includes the following information required for a CAMA minor development permit.
Local Permit Officer will help you, if requested.
YSICAL DIMENSIONS
Label roads
Label highways right-of-ways
Label local setback lines
Label any and all structures and driveways currently existing on property
Label adjacent waterbody
YSICAL CHARACTERISTICS
Draw and label normal high water line (contact LPO for assistance)
Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (include spot elevations)
Draw and label toe of dunes
Identify and locate first line of stable vegetation (contact LPO for assistance)
Draw and label erosion setback line (contact LPO for assistance)
Draw and label topographical features (optional)
If you will be working in a coastal shoreline area:
Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
Draw and label all wetland lines (contact LPO for assistance)
Draw and label the 30-foot buffer line
VELOPMENT PLANS
Draw and label all proposed structures
Draw and label areas that will be disturbed and/or landscaped
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
Show all areas to be disturbed
Show landscaping
,TE TO APPLICANT
ie you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
Notice Posted
;Inspections
FOR STAFF US '°'
.n WN
_ _ Final Inspection Fee Received

A'T
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory,
Governor
July 23, 2015
Mr. Jeff Simmons
PO Box 7
Shallotte, NC 28459
Dear Mr. Simmons:
Donald R. van der Vaart
Secretary
Attached is CAMA Minor Development Permit # SH 15-02, for work to be done at 4912 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
retain the orange copy for your files and sign front and back of the white copy then return to us within 20
days of receipt, in the enclosed, self-addressed envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Enclosures
Cc: WiRO files
Sincerely,
Shaun K. Simpson
Permit Support Technician
N.C. Division of Coastal Management
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7/21/2015
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MARIETTA, GA 30068
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CAMA PERMIT
APPLIED FOR
PROJEAp���cant proposes to add a handica,
a A N
ac
St., adj
Brunswick Coun y.
COMMENTS ACCEPTED T'hIROlICaFi _sluly 19 2015
APPLICANT:
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
NC Div. of Coastal Management
127 Cardinal Dr. Ext.
Wilmington, NC 28405
Tara MacPherson, Field Specialist
910-796-7425

SHALLOTTE POSTAL STORE
SHALLOTTE, North Carolina
284704732
361395; '59-0096
07/08/2015 (800)2 8777 11:41:39 AM
Sales Receipt
Product Sale Unit Final
Description Qty Price Price
Envelope 1 $0.49
$0.4�
6"X9"
MARIETTA GA 30068-2363
$0.4'
Zone-4
First -Class Mail Letter
1.00 oz.
Expected Delivery: Fri
07/10/15
00 Certified Mail
$3.45
USPS Certified Mail #:
70150640000528144326
Return Receipt
$2.80
Label 0:
9590940100245071232793
Issue Postage:
$f 74
Envelope 1 $0.49 $0.49
6"X9"
WILMINGTON NC 28401-8883 $0.49
Zone-1
First -Class Mail Letter
1.00 oz.
Expected Delivery: Fri 07/10/15
00 Certified Mail $3.45
USPS Certified Mail #:
70150640000528144302
Return Receipt $2.80
Label #:
-� 9590940100245071232786
Issue Postage:
Total:
Paid by:
Debit Card
Account #:
Approval #:
Transaction #
23903230423
/Receipt#:
$6 74
$14.46
$14.46
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140
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Date
Received
Date
Deposi
ted
Check From (Name)
Name of Permit Holder
Vendor
Check
Number
Check
amount
Permit Number/Comments
Refund/Re
6/22/2015 6/23/15
VR Properties, LLC
Robert Huckabee NewBridge Bank
542
$600.00
GP 64675D @$200
GP 64676D @$400
Robert Huckabee
Jarrell & Patricia Brown Wells Fargo Bank
6/22/2015
6/23/15
Money order for Brandon Grimes
59147268345
$200.00
GP 64703D
6/23/2015
6/29/15
Lighthouse Marine Construction Inc
Joe Mark Rose
B of A
5430
$200.00
GP 65040D
6/23/2015
6/29/15
Maritime Coastal Construction LLC
Doug Terry
CresCom Bank
2116
$200.00
GP for 115 South Shore Dr. OIB
6/25/2015
6/29/15
Hunters Appartments LLC
same
TrustAtlantic Bank
5659
$100.00
transfer fee, MP 64-08
6/25/2015
6129115
Marion or Eula Howard
same
The Little Bank
3265
$200.00
GP for 209 E. Howard Dr. Jacksonville
6/25/2015
6/29/15
Allied Marine Contractors, LLC
Betsy Boddie
B of A
2085
$200.00
GP 64681 D
6/25/2015
6/29/15
Anglers Marine NC
Crawford/Hamilton
BB &T
4380
$200.00
GP 64683D
6/26/2015
6/29/15
F and S Marine Contractors Inc.
Marco Vialpando
PNC Bank
4603
$200.00
GP for 28 Pelican Drive, WB, NHCo
6/29/2015
7/2/15
Hidden Coast Adventure Company LLC
Ons. Co. Parks and Rec, Rick Perry
First Citizens Bank
721
$100.00
minor fee, NTB 15-21, Ons. Co.
6/29/2015
7/2/15
Joseph or Lara Milligan
Dellinger
NewBridge Bank
6180
$200.00
GP 64706D
6/29/2015
7/2/15
Ricky Hewett Construction
Reaves, Rowell, Corbett
Branch Banking and Trust Co
4681
$200.00
GP 64707D
6/29/2015 7/2/15 Grandview Holdings, LLC
6/30/2015 7/2/15 F and S Marine Contractors Inc.
6/30/2015 7/2/15 Ricky J Lanier
6/30/2015 7/2/15 ISnow Marine Construction & Dredging Inc.
Begin using receipt books for all ch . "
7/1 /2015 7/2/15 Town of Oak Island
Grand View
TD Bank
1116
$100.00
renewal fee, MP 87-07
Earl Worsley
PNC Bank
4611
$200.00
GP for 440 Causeway Dr., WB
Billy Butler
LG Federal Credit Union
1028
$200.00
GP 63281 D, Coats rct. 0201 D
GP 64719D
mod fee, MP 152-07
GP 64709D, Dail rct. 0327D
GP 64710D, Dail rot 0328D
John or Jannice Lee
BB &T
2937
$200.00
same
BB &T
59736
$100.00
7/1/2015t7/2/15
Allied Marine Contractors, LLC
Hays Lambert
B of A
2146
$200.00
7/1/2015
Marsha L. Jenkins
money order for J. Cassidy
same
BB &T
1045
$200.00
7/1/2015
Michael Schwend
North Amer. Banking Co
347408878
$200.00
GP 64708D, Dail rct. 0326D
7/1/2015
William or Melissa Sherrod
same
State Employees Credit Union
2425
$200.00
GP 63282D, Coats rct. 0202D
7/3/2015
Empire Real Estate Services, Inc
Richard Murray
B ofA
1095
$100.00
mod fee, MP 53-14, Hay rct. 0451 D
7/7/2015
Steven T or Robin G. Farmer
Doug Shoffner
BB &T
7168
$200.00
GP 64686D
7/7/2015
7/7/15
Richard West
Eugene Wade
Wells Fargo Bank
1415
$200.00
GP 64689D
7f7/2015
7f7/15
Maritime Coastal Construction LLC
John Billings
CresCom Bank
2005
$200.00
GP 64693D
7f7/2015
717/15
Marsha L. Jenkins
Lori D'Avello
BB &T
1046
$200.00
GP for 18 West Ridge, Surf City
7f7/2015
7/7/15
Carolina Bluewater Construction, Inc.
Jerry Norton
BB &T
9410
$200.00
GP 64690D
7f7/2015
7f7/15
Ocean's Edge Ventures LLC
Moore
BB &T
6485
$200.00
$200.00
GP 64687D
7/7/2015
7/7/15
Duncan Marine Contractors, Inc.
Ted and Lana W rineberer
Branch Banking and Trust Co
6016
GP 6471 BD
7f7/2015
James W and Donna M Jones
Steve Arnold
PNC Bank
1961
$200.00
GP 64721 D
7/8/2015
Ronald or Jennifer Stirrat
same
PNC Bank
1287
$100.00
renewal fee, MP 65-11
7/8/2015
Carolina Biuewater Construction, Inc.
?
BB &T
9411
$200.00
GP for 115 Via Soundside, OIB
7/8/2015
Carolina Beach Land holdings LLC
same/Matt Murphy
Coming Federal Credit Union
2008
$200.00
NOV 15-10D, Carolina Bch. NHCo
it 7/8/2015
CESROK, LLC
?
BNC Bank
2143
$100.00
minor fee, SH 15-01, BrCo
I

Date I
Received
Deposi
ted
Check From (Name)
Name of Permit Holder
Vendor
Check
Number
Check
amount
Permit NumbeNComments
Refund/Re
6/23/15
VR Properties, LLC _
Robert Huckabee NewBridge Bank
Robert Huckabee
Jerrell & Patricia Brown Wells Fargo Bank
Joe Mark Rose B ofA
Doug TerryCresCom Bank
542
$600.00
GP 64675D (d$200
GP 64676D (d$400
6/23/15
Money order for Brandon Grimes
59147268345
$200.00
GP 64703D
F6/23/201516/29/15
Lighthouse Marine Construction Inc
5430
$200.00
GP 65040D
6/29/15
Maritime Coastal Construction LLC
2116
$200.00
GP for 115 South Shore Dr. OIB
6/29/15 Hunters Appartments LLC same TrustAtlantic Bank
6/29/15 Marion or Eula Howard same The Little Bank
6/29/15 Allied Marine Contractors, LLC Betsy Boddie B of A
6/29/15 Anglers Marine NC Crawford/Hamilton BB &T
6/29/15 F and S Marine Contractors Inc. Marco Vialpando PNC Bank
7/2115 Hidden Coast Adventure Company LLC Ons. Co. Parks and Rec, Rick Perry First Citizens Bank
7/2/15 Joseph or Lara Milligan Dellinger NewBridge Bank
7/2115 Ricky Hewett Construction Reaves, Rowell, Corbett Branch Banking and Trust Co
7/2/15 Grandview Holdings, LLC Grand View TD Bank
7/2/15 F and S Marine Contractors Inc. Earl Worsley PNC Bank
7/2115 Ricky J Lanier Billy Butler LG Federal Credit Union
7/2/l5' Snow Marine Construction & Dredging Inc. John or Jannice Lee IBB&T
Begin using., oppipt books for all checks � ..:
7/2/15 Town of Oak Island same BB &T
7/2/15 Allied Marine Contractors, LLC Hays Lambert B of A
7/2/15 Marsha L. Jenkins same BB &T
7/2115 money order for J. Cassidy Michael Schwend North Amer. Banking Co
5659
$100.00
transfer fee, MP 64-08
6/25/201
3265
$200.00
GP for 209 E. Howard Dr. Jacksonville
6/25/2015
2085
$200.00
GP 64681 D
6/25/2015
4380
$200.00
GP 64683D
6/26/ 0015
4603
$200.00
GP for 28 Pelican Drive, WB, NHCo
6/29/2015
721
$100.00
minor fee, NTB 15-21, Ons. Co.
6/29/2015
6180
$200.00
GP 64706D
6/29/2015
4681
$200.00
GP 64707D
6/29/2015
1116
$100.00
renewal fee, MP 87-07
6/30/2015
4611
$200.00
GP for 440 Causeway Dr., WB
6/30/2015
1028
$200.00
GP 63281 D, Coats rct. 0201 D
6/30/2015
7/1/2015
2937
$200.00
GP 64719D
59736
$100.00 mod fee MP 152-07
$200.00 GP 64709D, Dail rct. 0327D
7/1/2015
2146
7/1/2015
1045
$200.00 GP 647101), Dail rct. 0328D
7/1/2015
347408878
$200.00 GP 647081), Dail rct. 0326D
7/1/2015
7/2/15
William or Melissa Sherrod
same
State Employees Credit Union
2425
$200.00 GP 63282D, Coats rat. 0202D
7/3/2015
71`7/15
Empire Real Estate Services, Inc
Richard Murray
B of A
1095
$100.00 mod fee, MP 53-14, Hay rat. 0451 D
7/7/2015
7/7/15
Steven T or Robin G. Farmer
Doug Shoffner
BB &T
7168
$200.00 GP 64686D
7f7/2015
7/7/15
Richard West
Eugene Wade
Wells Fargo Bank
1415
$200.00 GP 64689D
$200.00 GP 64693D
7f7/2015
7f7115
Maritime Coastal Construction LLC
John Billings
CresCom Bank
2005
7f7/2015
71`7/15
Marsha L. Jenkins
Lori D'Avello
BB &T
1046
$200.00
GP for 18 West Ridge, Surf City
W7/2015
7f7/15
Carolina Bluewater Construction, Inc.
Jerry Norton
BB &T
9410
$200.00
GP 64690D
7f7/2015
717/15
Ocean's Edge Ventures LLC
Moore
BB &T
6485
$200.00
GP 64687D
7f7/2015
7f7/15
Duncan Marine Contractors, Inc.
Ted and Lana Winneberer
Branch Banking and Trust Co
5016
$200.00
GP 64718D
7f7/2015
James W and Donna M Jones
Steve Arnold
PNC Bank
1961
$200.00
GP 64721 D
7/8/2015
Ronald or Jennifer Stirrat
same
PNC Bank
1287
$100.00
renewal fee, MP 65-11
7/8/2015
Carolina Bluewater Construction, Inc.
?
BB &T
9411
$200.00
GP for 115 Via Soundside, OIB
7/8/2015
Carolina Beach Land holdings LLC
sarri Murphy
Coming Federal Credit Union
2008
$200.00
NOV 15-10D, Carolina Bch. NHCo
7/8/2015
CESROK, LLC
?
BNC Bank
2143
$100.00
minorfee, SH 15-01, BrCo