HomeMy WebLinkAboutBC_18-03_ Rosebrock (2)f
Brunswick County
Local Government
CAMA
MINOR DEVELOPMENT
PERMIT
BC18.03
Permit Number
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 environmental
concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area Management"
Issued to Patricia Rosebrock, authorizing development in the Estuarine Shore Area of Environmental Concern (AEC) at
1560 Gurganus Road SW Shallotte NC 28470, as requested in the permittee's application package, dated 22-Feb-18 and
received complete 12-Mar-18. This permit, issued on 22-Mar-18, 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: 22' x 30' Addition.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 22-Feb-18.
(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, or land use activities will require a re-
evaluation and modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at (910) 253.2034 for a final
inspection at completion of work.
(Additional Permit Conditions on Page 2)
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. 2021
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.
C�ltitn,t.e Q.�
Connie Marlowe
CAMA Local Permit Official
PO Box 249
"BoliviC 28422
(Signature required if conditions above aly to permit)
MAR 2 3 20T
DCM WILMINGTON, NC
Name: Patricia Rosebrock
Minor Permit # BC18-03
Date: 22-Mar-18
Page 2
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of Normal High Water
(Estuarine Shoreline Area of Environmental Concem), in this case 660 square feet is authorized.
(6) 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. No portion of the
roof overhang shall encroach into the 30 foot buffer.
(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 been properly stabilized with a vegetative cover.
(8) Any proposed for grading within the 30' buffer from the Normal High Water level must be contoured to prevent
additional stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized and must
remain in a vegetated state.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
'1
SIGNATU "E:
PERMITTEE
RECEIVED
MAR 2 3 2018
IDCM WILMINGTON, NC
b, k / 1-- 0 -9
DATE REC: D211512DIB
ROSEBROCK PATRICIA JEAN
REC. FROM
1560 GURGANUS RD SW
ADDRESS
BRUNSWICK COUNTY HEALTH DEPARTMENT
FILE NO.:
$0.00
AMT. PAID
SHALLOTTE
CITY
2018073090 ZONING:
229MA009
TAX PARCEL
RECEIVED
MAR 12 7018
NC 28470-5417 4255310155
STATE ZIP CODE PHONE
ROSEBROCK PATRICIA JEAN
CURRENT PROPERTY OWNER LOT BLOCK SECTION
PROPERTY LOCATED TOWN/CITY/AREA: CO SUBDIVISION:
DIRECTIONS: 1560 GURGANUS RD SW 28470 t
HWY 17S TO HWY 179 TO GURGANUS RD
AUTFIORIZATION FOR WASTEWATER CONSTRUCTION PErwif I
NEW: REVISION: RELOCATION: t/ REPAIR:
Design Flow: 2tt o 9PId Septic Tank Size: &415fj i li, 940b gal Type:
No. Bedrooms: No, occupents/employees Max
Ak
Trench/Bed Bottom Depth: -/ �Xinchje--
No. Lines: _ Length Each: 2-5 Bed Dimensions: A
Fill Check A Approved:
ate Authorized Agent
❑ See the attached Site Plan for the wastewater system location
PERMIT ISSUE DATE: 3 j
Authorized Agent
NOTE PERMIT IS SUBJECT TO REVOCATIC101 IF SITE PLANS OR THE INT DED USE CHANGES. 2 j
t�Mglar'AtrJ ..,LG
tjf(ot�rl � RZ�t7�3D _ ADDtt' { 1 r
Flu _ _�tE' Gt�iNG, tn1rD_ _ _/i�?c . ; _ 4• - _ J
Waste Water System installer:
Comments: (tank info/ barrier approved)
Rock: Polystyrene Aggregate
OPERATION PERMIT -
Authorized Agent Signature
Chamber
1. Septic Tank shall have an approved
effluent filter and access devices as
applicable,
2. Maintain all setbacks distances for
septic tank systems and wells.
3. All components of the septic systems
shell be located 100 feet from well.
4. An 'Accepted' system may be used in l
the place of a "conventionar system.
Permit Expiration Date: j ! IL
Registration: f/
Date: j
Date:
Other.
Actions of local health department representitives or the State engaged in the evaluation and determination of "gym&Ilipto be
applicable laws and rules shall in no way be taken as a warranty that sewage treatment and dsposal systems MaxM a ml wi neon rn satisfactory
manner for any given period of time. This assurance of Us permit does not preclude the Permittee from comployirtg_ifkt�h��hte511���ti& ��roUetf
ordinances which may be imposed by other government aoencies ( local state. and federal) which have iurisdic Tt U Uf►t
per this application. However, maintenance aixVorropt
may be necessary at any giveixtime. _MINGTON, NC
MAR 1 2 2018
�X4 / �-_ 0 3
Brunswick County Planning Department
P.O. Box 249
75 Courthouse Drive N.E., Bldg I
Bolivia NC 28422
VIA EMAIL
22-Feb-18
Patricia Rosebrock
1560 Gurganus Road SW
Shallotte NC 28470
RE: Incomplete Application — Additional Information Requested
Project Address: 1560 Gurganus Road SW, Shallotte NC 28470
Dear Ms. Rosebrock:
We originally accepted your application under the impression that it was complete. On
subsequent review, I have discovered that additional information is needed to complete the
review process. Accordingly, I am requesting that you submit the following additional
information to this office:
1. Please provide a copy of the approved on -site wastewater system permit (septic permit).
Upon submission of a complete application, a local decision will be made in 12 days after the
approved on -site wastewater system permit (septic permit) has been received, provided this
period is not extended as provided by law.
Please contact me at 910.253.2034 if you have any questions.
Respectfully submitted,
�ioKaie /L%�rve
Connie Marlowe, LPO
C: Sean Farrell, Wilmington Field Representative
RECEIVED
XiVi WILMINGTON, NC
FEB 2 2 2018
TELEPHONE (910) 253.2025 • (800) 621.0609 • FAX (910) 253.2437
Locality����
Permit Number
Ocean
GENERAL INFORMATION
LAND OWNER
Name
Address H5 too +2 G A v Lz l°v S UJ
City AA� e State PJC_ Zip Z'j!�4-7r)Phone q >-�i -C, S5
Email e- 0-1 + D rv,Sr7 . C c r»
AUTHORIZED AGENT
Name
Address
City _
Email
State
Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacentwaterbody.) t'4tt..vL-c%-)&A _ 15(.,0 6OZ.64,,bsicS i?-.> S
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) A;2 x34> h p>.t , 0'2 ;`! 0
���-�PS� Ltw� t7�srvrzz�.r.�C.0
SIZE OF LOT/PARCEL: /�Z , 13S square feet , 3S acres
PROPOSED USE: Residential (K (Single-family [a Multi -family E] ) Commercial/Industrial F-1 Other
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Perirut Officer if you are not sure which AEC applies
to yourproperty):
(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 BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: [1P,3j; 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 X
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: sgFtere fe02 p
RECEiUEC3 vvit_N4iNuTON, NC
FEB 2 2 2018
FEB 2 2 2018 .
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:
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
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
__4an owner or record title, Title is vested in *'A v 2 r c , A l�t�S E INZo c i<_5ee Deed Book -> 35
page Oct IS in the $ xjS%.J r 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 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)
(1) 1 c{Z �y� -rta Ji.: i2b s,.v c>J??( ,UC= 23'4&oz
(2) 131-7 5 A—EL,wlE Zi> 1 A-.2na0Ja+T +ve +C'?
(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.
I furthennore 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 2-0 4-4- day of �i;� , 20 _0
Landowner or 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! �;e -4ocqJV, od
any information as may be provided orally by the applicant. The details of the application as describe4 *(#1"gSrM NC
incorporated without reference in any permit which may be issued Deviation from these details will constitute a vWadon of
any permit. Any person developing in an AEC without permit is subject to civil, ccrimina d administrat�uEaC�- t. 2018
RE
FEB 2 2 2018
ml Z l 633
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k day e.+3 SUOa4
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.� ��•y�rc� Sn4 rn2��d ��
i
-7/;?iolry
Rate•I
Adjacent Property Owner
i "t �za
Mailii q Address
SaPPt� �C �8'tto"L
City, State, Zip Code
Dear Adjacent Property:
Receipts for
Certified Mail
(Staple Here)
This letter is to inform you that I, iPNI(z \ e � a �GSG *31c4x-r— have applied for a CAMA Minor
Property Owner
Permit on my property at (5(,o 12,-.> &,� a in
COUNTY Property Address
Brunswick 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 meat `i7,5-53r — 0t5,5 or by mail at the address listed below. Ifyou wish to
Applicant's Telephone
file written comments orobjections with the Brunswick County CAMA Minor Permit Program, you maysubmit
them to:
Connie Marlowe
Brunswick County Planning Department
PO Box 249
Bolivia NC 28422
Sincerely,
Property Owner
E0 SL.J
Mailing Address
S t-kA" 0—T
City, State, Zip Code
PEC AVED
CCM WILMINGTON, NC
FEB 2 2 2018
'z
Date
Adjacent Property Owner
1 3 t —f
MailingAddress
s.,tZe40aoJ, . ,hJC. 2KS40
City, State, Zip Code
DearAdjacent Property:
Receipts for
Certified Mail
(Staple Here)
This letter is to inform you that I, r I C-1 A —;2�,:r ,#Cex.,kbave applied for a CAMA Minor
Property Owner
Permit on my property at I Spa (50eC A— is L0 SOAL y Cic_., [It-, in
COUNTY Property Address
Brunswick 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. Ifyou have any questions or comments about my proposed project,
please contact me at �> "�'' I , or by mail at the address listed below. Ifyou wish to
Applicanfs Telephone
file written comments or objections with the Brunswick County CAMA Minor Permit Program, you may submit
them to:
Connie Marlowe
Brunswick County Planning Department
PO Box 249
Bolivia NC 28422
Sincerely,
1�-IG 1 A
Property Owner
I.S' C o 6 J,eG . j t,lS 120 arm. L'J
Mailing Address
41A Li— art 0, JO C. -Z&47 0 R EC r. ; V E C:
City, State, Zip Code DCI+rI WILMINGTON, NC
FEB 2 2 2018
--- --� - SHALLOTTE
209 sMITH
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SHALLOTTE
NC
28470-4732
3669920459
02/20/2018 _(800) 275 =8777 - 1.35 -PM -
______ Sale Final
Product Oty Price
Description
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{Domestic?
(SUPPLY, NC 28462)
(Weight:0 Lb 0:80 02)
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(g@USPS Certified Mail #)
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First -Class
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(Domestic)
(FAIRMONT, NC 283401
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(Approval #: )
(Transaction 4:274)
(Receipt #-0170041
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WARRANTY DEED
STATE OF NORTH CAROLINA Parcel # 229MAOW
COUNTY OF BRUNSWICK Revenue Stamps $ 338.00
THIS DEED, made this ZL day of July, 2017, by and between William D. gain (unmarried),
whose address is 1690 Gores Landing Road, Ocean Isle, NC 28469, hereinafter, whether one or more, referred
to as "GRANTOR," and Patricia Jean Rosebrock (unmarried), whose address is 1560 Gurganus Road SW,
Shallotte, NC 28470, hereinafter, whether one or more, referred to as "GRANTEE':
WITNESSETH:
THAT the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple,
all of that certain lot or parcel of land situated in Brunswick County, North Carolina, and more particularly
described as follows:
See Exhibit A attached hereto and incorporated herein by reference.
For back reference see Book 3772 at Page 756 of the Brunswick County Registry.
This property ✓ does does not include the primary residence of Grantor.
Delinquent taxes, if any, to be paid by the closing attorney to the Brunswick County
Tax Collector upon disbursement of closing proceeds.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land, and all privileges and appurtenances
thereto belonging, to the Grantee in fee simple .
Prepared by: Michael R. Isenberg, Attorney at Law (Rossebrock 17-18792)
P10 Box 11028, Southport, NC 28461
REC-L NED
DUKA WILMINGTON, NC
FEB 222018
1ii11i1ui1� pJ11iin0� o La'2017
, PRW
AND the Grantor covenants with the Grantee that Grantor is seized of the premises in fee simple,
has the right to convey the same in fee simple; that title is marketable and free and clear of all encumbrances, and
that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever, SUBJECT,
HOWEVER, to the following:
Title to the property hereinabove described is subject to the following exceptions: Easements,
right"f--way and restrictions of record; and ad valorem taxes for the current year and subsequent years.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, the day and year first
above written.
0�, — — --- (SEAS-)
William D. Cain
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
I, Cindy L. Millikan, a Notary Public in and for the State and County aforesaid, do hereby certify that
William D. Cain personally appeared before me this day and acknowledged the due and voluntary execution of
the foregoing instrument for the purposes therein set forth.
Witness my hand and notarial seal, this the �n day of July, 2017.
� ,• yys
. N�AR7}• : Cindy L. Uhlc n _, Notary Public
m p G V= My commission expires. 1/2t2022
C0*'\'
2
L VED
DGm WILMINGTON, NC
FEB 2 2 2018
rumwll IilllIlillr a�„; ;'an
Exhibit A
BEGINNING at a stake in the southwestern owner of the lot of William Gurganus and wife
conveyed to Ted Rozier by deed dated December 14, 1965, which is recorded in the Brunswick
County Registry, said stake also being located S 31 degrees 58 minutes 11 seconds W 74.56 feet
from an axle located in the eastern line of SR 1151; run thence from said beginning point S 61
degrees 16 minutes 12 seconds E 130.18 feet to an iron stake; thence continue S 61 degrees 16
minutes 12 seconds E 70.45 feet to the run of Mill Slough; run thence with Mill Slough S 68
degrees 28 minutes 29 seconds W 84.86 feet to a point; thence continue with Mill Slough S 49
degrees 52 minutes 34 seconds W 58.04 feet to a point; run thence N 51 degrees 47 minutes 41
seconds W 57.83 feet to a point; thence continue N 51 degrees 47 minutes 41 seconds W 77.83
feet to an iron rod in the eastern line of SR 1151; run thence with the eastern line of SR 1151 N
33 degrees 39 minutes 17 seconds E 97.40 feet to an iron stake, the point of beginning, all
according to a Survey for Patricia Jean Rosebmck by Island Surveyors, Luc. PA. dated July 12,
2017. This being the same property conveyed to William D. Cain by deed recorded in Book
3772 at Page 756 of the Brunswick County Registry.
OCiO WILMINGTON, NC
FEB 222018