SB_20-04_ Palm

3 -30 -24)2,L
Issued by WiRO W SB 20-04
Sunset Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT :y
NORTH CAROLINA
as authorized by the State of North Carolina, Department of Environmental Quality hintronmenlalQtraGh
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 Anne Morales. Palm Cove Holdinas LLC. Beniamin & Cvndi Levine. Lona Leaf Pine LLC. Jill Marie
Runnion Rev Trust, Tatiana McCuen & Tatiana Properties LLC, authorizing development in the Inlet Hazard Area of
Environmental Concern (AECs) along Lots 1 2 3 4 5 and 10 Palm Cove East Main St., Sunset Beach Brunswick
County as requested in the permittee's application, dated April 16, 2020, and received by DCM on April 22, 2020. This
permit, issued on April 22, 2020, is subject to compliance with the application and drawing dated received by DCM on
April 16, 2020 (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: Backfill adjacent to sandbags to cover permitted sandbags on Lots 1,2,3,4,5 and 10 in Palm
Cove, East Main St., Sunset Beach, Brunswick County.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received by DCM on April 16, 2020.
(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)
796-7270 for a final inspection at completion of work.
(Additional Permit Conditions on Page
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 31.2023
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 Management.
Brendan Brock
FIELD REPRESENTATIVE
127 Cardinal Drive Extension
Wilmin tonr C 28405-3845
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Tim Jackson
Minor Permit # SB 20-04
Date: April 22, 2020
Page 2 of 2
(5) This CAMA permit authorizes a one-time sand deposition (via truck haul) event for sandbag backfill on Lots
1,2,3,4,5 and 10.
(6) No sand deposition or ground disturbing activities shall take place outside of Lots 1,2,3,4,5 and 10.
(7) This permit does not authorize the placement of material below the mean/normal high water line.
(8) Any equipment/machinery used for sand deposition purposes (i.e. front end loaded, dump truck, track hoe, etc.) shall
remain landward of the crest of the sand berm or erosion escarpment, whichever is most restrictive.
(9) Any fill material hauled to the site and deposited in the authorized location shall be consistent with native sands and
shall be free of debris and any other non -compatible material.
(10) This permit does not authorize any beach bulldozing activities.
(11) The sand deposition activities shall not exceed the lateral bounds of the permittee's property.
(12) The proposed sand deposition activities shall not significantly increase erosion on neighboring properties and shall
not have a significant adverse effect on important natural or cultural resources.
(13) Any and/or all debris in the immediate vicinity of the subject property, such as fallen sand fences, broken water lines,
lumber, tires, etc. shall be removed prior to the backfilling activity.
(14) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third -party.
(15) In issuing this authorization, the State and Federal Governments do not assume any liability for the following:
(a) Damages to other permitted or unpermitted activities or structures caused by the authorized activity; and
(b) Damage claims associated with any future modification, suspension, or revc,;ation of this authorization.
�1
SIGNATURE: DATE:
PERMITTEE _
4/22/2020

*ebpeID: 36AE4Y03-208G4738-B9A3.28428DAE1704
Permit Number
zRrd Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
1L INFORMATION
WNER - MAILING ADDRESS
.ots 1,2,3,4,5, and 10 Palm Cove
sunset Beach
21ZED AGENT
Tin Jackson
State NC Zip 28468 Phone [phone]
951 s Mcvherson church Road, 101
tyetteville
State NC Zip28303
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
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 PALM COVE PROPERTY OWNERS ASSOCIATION
see Deed Book page in the County Registry of Deeds
_an owner by virtue of inheritance. Applicant is an heir to the estate of
; probate was in
County.
_if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
Phone [phone] NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
1 furthermore certify that the following persons are owners of properties adjoining this property. I affirm that 1 have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
ON OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody. )
1,2,3,4,5, and 10 Palm Cove, east end of Sunset Beach at Jinks Creek Shoreline
PTION OF PROJECT: (List all proposed construction and land disturbance.)
:NSTALL BACK FILL ADJACENT TO SAND BAG REVETMENT
LOT/PARCEL: square feet e. 5 acres
IED USE: Residential F) (Single-family ❑ Multi -family ❑ ) Commercial/Industrial ❑ Other ❑
ETE EITHER (1) OR (2) BELOW (Contactyour Local Permit Officer ifyou are not sure which AEC applies
wperty):
AN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 14 ! square feet (includes
ioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
non -load -bearing attic space)
STAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
JRFACES: square feet (includes the area of the foundation of all buildings, driveways, covered decks,
)r masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
'TORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
er Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)7
NO
the total built upon area/impervious surface allowed for your lot or parcel: square fret.
(1)
(2)
(3)
(4)
(Name) (Address)
►reston Trible 640 Deer Field Fans Rd, Great Falls VA 22066
Ladane and Decarroll Williamson, 2 causeway, Ocean isle Beach, NC 28469
Howard Beach House, LLC 125 Chasterwood Ct, Mooresville, NC 28117-6720
David Tendler 32 Lytham Lane, Durham, NC 27707
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. 1 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 floodproofng 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 16 day of APRIL 20 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 Hazard AEC Notice where necessary, a check for $100.00 made payable to the locality, and
any Information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference In any permit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing In an AEC without permit is subject to civil, criminal and administrative action.
RECEIVED
APR 19 2o2n

60ENT AUTHORIZATION FOR G�4iViA PERIirtIT' APPLICATION
Name of Property Owner Requesting Permit: tS�VY: 'L:Ot ; :L 0\ I'
Mailing Address:
krerIVO&T uh.
Email Address: L)b t C iZ 06' Aa-- IL--b /V\ _
I certify that I have authorize
r✓L} h c�� 5�°r't / contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: %rJA�ru:�
` ��� v11- S
at my property located at "-G 2- a L �
County,
l furthermore certify that 1 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:
W FYI
IMANJOIR
This certification is valid through l l� t.....i.u�
�iECEIV'Ea
ApRlb„,:�
AGM vVIL +INGT0' NC

DocuSign Envelope lU 2E53488C-443F-4298-B22D-BB4541A3E8B4
AGENT AUTHORtZATiON FOR CAMA PERMR APPLICATION
Name of Property Owner Requesting Permit. Ann Morales
Mailing Address: 209 Pollock St
New Bern, NC 28560-4942
Phone Number:
Email Address:
I certify that I have authorized Tim Jackson ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in Rn jnSwirk County.
Install sand baps alon
84181
l furthermore certify that 1 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 evaluafing information related to this
permit application.
Property Owner Information:
D—Signed by:
50CA7c931F3546B. Signature
Ann Morales
Print or Type Name
Owner
2/5/2020
I !
Date
Tit/e
This certification is valid through 121 31/ 1 2020

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J A A Q l 4 C(,))UAJZ0/d t` TV-06,
Mailing Address: SD; A/,-J A, . ruZ�S �404C A �c _
Phone Number:
Email Address:
I certify that I have authorized
' Agent / Contractor
t Ta* _i�Sa�O
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at mil v\Nvr, & ✓e,_ -7� A gg g ,
in-b2L)mSwA County.
I furthermore certify that 1 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:
1.
ASignature
11 At,,, 0 L
Print or Type Name
Title
Date
This certification is valid through 11- / 3k /�
RE�E�v�a
APR 16 2;�
w1�N11NG�ON' NC
p�M

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Name of Property Owner Requesting Permit
Mailing Address: " 04 6A-1
1/1ZR 5 - 95
Phone Number:
Email Address:
I certify that I have authorized 11?2 U�C``Sy�
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
a; ,t
at my property located at
in� Ntjis jc�. County.
I furthermore certify that / 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:
( al�� .1
�Signature
"A P{�1i7
Pfint or Type Name
TI»e
Date
This certification is valid through i�f 3� !_'1A2.ECEIVD
1
��M�►ILN!INGTON, NC

DocuSign Envelope ID: 2AF8763F-4D5C-4EBC-846A-EF12A6B82FOF
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Longleaf Pi
Mailing Address: 115 N 3rd St ,;tp inn
Washington, NC 284014076
Phone Number:
Email Address:
I certify that I have authorized Tim Jackson
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Install sand bags along
Fact Main St Palm rQVZ SUbrrlVlSntl
at my property located at Lot 4 Palm Cove Plat 84/81
in Rn i memArkCounty.
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 Me aforementioned lands in connection with evaluating information related to this
permit application.
C��t�flwrter :nfortnation:
F 4F 9FB3B9696E1 E
Signature
Bobby W. Harrelson
Print or Type Name
Mgr
2/6/2020 Tiffe
1 1
Date
This certification is valid through 12f 31 / 1 2020
i
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sece'Ve"
APR1���
nCM
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DocuSign Envelope ID: 30ClCA5B-E881-4736-BO14-DDF30672E6E4
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
McCuen Tatiana P and
Tatiana Properties, LLC
205 Tuscaroa Rd
Carthage, NC 28327-8985
I certify that I have authorized Tim Jackson ,
Agent ! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Install sand bags along
Fact Mngn Ct Palm Q) gyhfiivjcnn i t" 1- -)
at my property located at
in RrunGwink County.
Lot 10 Palm Cove Plat 84/81
l furthermore certify that ! 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 Infomlation:
Docu Signed by:
Signature
Tatiana McCuen
Print or Type Name
GM
7-die
2/6/-m-)n 1--1
Date
This certification is valid through! 31 / 1
2020 '��CE►VED
,
pCM WILMINGTON, 6C

5/11/2020 Mail - Brock, Brendan O - Outlook
OpaaSgn Envelope 10 6A11 tO0pd15pC.a9X)441A-DF 15030MA111
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I Hereby certify that I own property adjacent to . _ _LOT 10 __-_____'s
(Nowe of Property Owner)
property located at _VACANT LOT EAST OF LOT 10 PALM COVE SU1301051ON EAST MA(N ST.
SONSF_T BEACH 28468 — Address, Lot, Mock, Road, etc.)
On J(NIKS . in _. ___... e SUNSET 0FACH . ,,; ('
(Waterbody) (Town and/or County)
He has described to wee as shown in the attached application and project drawing(S)L tide
development he is proposing at that location, and i have no objections to his proposal

DocuSign Envelope ID: 016D1B64-2A87-4B85-BF8F-E6AD927433F5
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Lots 1,2,3,4,5
property located at
on JINKS
N.C.
(Waterbody)
(Name of Property Owner)
1823 EAST MAIN ST. SUNSET BEACH 28468
Address, Lot, Block, Road, etc.)
, in SUNSET BEACH
(Town and/or County)
I
He has described to me as shown in the attached application and project drawing(s), the development he is
proposing at that location, and, I have no objections to his proposal.
APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED
--- DocuSfgned by:
Pyt 6y' finu�
I0 ff fflP&C245B
Preston Trible
Print or Type Name
703 930 3529
Telephone Number
4/21/2020
Date

DocuSign Envelope ID: 9D7961 FE-F961-4107-887C-CB6FBF1 041 F4
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Lot 10 's
(Name of Property Owner)
property located at 1846 EAST MAIN (LOT 9) ST. SUNSET BEACH 28468
( Address, Lot, Block, Road, etc.)
on JINKS in SUNSET BEACH N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
CDocuftvwd by:
UJ
Signature
David Tendler
print or Type Name
919-812-6645
Telephone Number
4/20/2020
Date

DocuSign Envelope ID: D7467BE8-3DFD-451E-1317A-FAFB7C80B4A7
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
hereby certify that I own property adjacent to LOTS 1,2,3,4,5 s
(Name of Property Owner)
property located at LOT 6 PALM COVE SUBDIVISION EAST MAIN ST. SUNSET BEACH 28468_,
Address, Lot, Block, Road, etc.)
on JINKS in SUNSET BEACH N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
FC `
OocuSpnedVb\y:
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-------------
Slgnature
KC HOWARD Executor
Print or Type Name
828 308 7492
4T,10m Number
Date

5/11 /2020
Mail - Brock, Brendan O - Outlook
3
5*111
Ladane
Okay. I will call at 2pm
Message
Today 4:58 PM
I plan to be able to get
your form back to you so
this action will contribute
to maintaining our justified
Road to the Williamson
Property and the East
East.
With offices in "secured"
modes the
Form you seek will not
•i1 LTE c t
Delivered

5/11 /2020
involved.
LaDane
Mail - Brock, Brendan O - Outlook
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Name or Pa it Holder
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Cheek Number
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Permit Number/Comment
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5/13f2020
B & B Coastal Construction Corp. Lots 1 2 3 4 5 and 10 Palm Cove Wells Faro Bank 5214 $ 100.00 minor fee same as permit applicant, Sunset Beach BrCo BB rct. 10867