BC_17-20_ Boras (2)

LF 7 ZL
Brunswick County 7A'0n BC17-20
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
r
r:
PERMIT
Coastal Management
ENWRONMENTAL 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 Kenneth Boras, authorizing development in the Estuarine Shore Area of Environmental Concern (AEC) at 2544
Mariners Way SE in Southport NC 28461, as requested in the permittee's application package, dated 11-Jan-18 and
received complete 12-Jan-18. This permit, issued on 29-Jan-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: Retaining Wall, Stump Removal, Lanai Deck, Fill Dirt, and Grading.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 11-Jan-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 [phone] 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.
CW..'e-C k"vv'e,
Connie Marlowe
CAMA Local Permit Official
PO Box 249
Bolivia, 28422
PERMITTEE
(Signature required if conditions above apply to ermit)
A--s�C�iv�Ct
DCM WILMINGTON, NC
JAN 3�2018

Name: Kenneth Boras
Minor Permit # BC17-20
Date: 29-Jan-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 Concern), in this case 902.5 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 gradingwithin 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.
SIGNATURE:
PE//RMIT%TEES/�
DATE: / / a -� /r S-
i-,EC.F-!VED
DCIVI WILMINGTON, NC
JAN 3 0 201E

Brunswick County Planning Department
P.O. Box 249
Q4W,* 75 Courthouse Drive N.E., Bldg I
Bolivia, NC 28422
[phone]
VIA EMAIL
23-Jan-18
Kenneth Boras
3215 Huntersworth Way
Glenwood MD 21738
RE: NOTICE TO EXTEND TIME TO GRANT OR DENY CAMA MINOR
PERMIT APPLICATOIN BC17-20
Dear Mr. Boras:
Pursuant to NCGS 113A-121©, the undersigned hereby gives notice to the applicant that
for good cause, and in order to properly consider all information necessary to making a
decision on this permit application, the time period within which a final decision shall be
made has been extended an additional twenty-five (25) days.
If you have any questions concerning this action, please contact me at 910.253.2034.
Sincerely,
`G.""ie M.511fowe
DECEIVED
DGM WILMINGTON, NC
JAN 2 3 2018
Connie Marlowe, LPO
c: Sean Farrell, Wilmington Office
Michael Conard, Carolina Marine Construction, Inc. (Agent)
TELEPHONE [phone] • [phone] • FAX [phone]

kt
I
Brunswick County Economic Development and
Planning Department
P.O. Box 249
75 Courthouse Drive N.E., Bldg I
Bolivia NC 28422
VIA EMAIL
07-Dec-17
Kenneth Boras
3215 Huntersworth Way
Glenwood MD 21738
RE: Incomplete Application - Additional Information Requested
Project Address: 2544 Mariners Way SE, Southport NC 28461
Dear Mr. Boras:
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 legible detailed site plan as the current site plan is illegible.
2. Indicate the 75' AEC line and 30' buffer line from Normal High Water on the site plan.
3. Identify the Normal High Water line on the site plan.
4. Indicate all land disturbing activity within 75' AEC line and 30' buffer area and the square
footage of impervious coverage for each item (i.e., house, deck, porch, etc.) on the site plan.
5. Indicate on the application all items (i.e., deck, porch, retaining wall, etc.) within 75' AEC
lien under the description of project.
6. Indicate meter locations on site plan if the subject property will be served by public water
and sewer. If not, please provide an approved on -site wastewater system permit issued by
the Brunswick County Environmental Health Department and located of on -site well.
7. Please provide a copy of the letters sent to the adjacent property owners regarding the
proposed development.
8. Please indicate on the application if a State Stormwater Management Permit has been
issued for the subject property.
iEC:r1VED
DGIVI WILMINGTON, NC
JAN 0 9 2018
TELEPHONE [phone] • [phone] • FAX [phone]

Page 2
In accordance with the Department of Environmental Quality regulations, we note that a certain time
has passed while the application has remained in our office. Upon submission of a complete
application, a local decision will be made in 12 days, provided this period is not extended as provided
by law.
Please contact me a 910.253.2034 if you have any questions.
Respectfully submitted,
cuh t t WAhVQ
Connie Marlowe, LPO
Sean Farrell, Wilmington Field Representative
Michael Conard (Carolina Marine Construction), Agent
��EC�.�fVEC
DGivi WILMINGTON, NC
JAN 0 9 2018
TELEPHONE [phone] • [phone] • FAX [phone]

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UESER 1 L INFO RIIA'ftOY
LL'CD OIY NER _ NAILING AUDItBSS
Address �. l.�•_. {Lj).�, 5c_rllh�tG-C:� A
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AMIORIZED AGEvr
::area iil�i/e�l..�A,S,6 L.[l �Jq J__ •r��(�k�. ttG�1/1(, 1 eLI�Jt(•�ILr's ldtL _
—
Etaal) r�,�i��.�Y1.4:�4�L.$.OLIS�.�l4�}a�..C:�Y _:Ci(�I•-__.�_—_._
LOCATIOV OFFROJECT: ;AdJttas, street name aAdardrrectiOva to ann: na.•t:a of the aJja"wst asatarb Wy.l
UF.SCAII"fIONOEI'NOJf.LT.(List nil pr,;•naod w::s'1t:Oticn and :"rut J;sa: bhmx.: �lfty; t �����. �„
4_lnfh ._tiotadYwi lanw(r c{cc6�� ;rSfAll C�«r• 1 it I urn ;n�}rrll+ 1.
SIZI. OF LOTIPARCE4• _ _ ___sgwrcf.•ct ��I_ �-a
PROPOSED USE.: Raidert(We ISinglo•f:mi;y❑ hfuti•PomIly01 CdnmerciaL lndwstll� ninny
CO\IPI•Ef6 F.fTFIF71(!)OA(S)REIAA'(ConrgGpour LacafParmtr OQirer j(ymrarenotsure >1pItk,lp opptla
M your prq>mm{r):
(1) OCFAN HAZARD AECs:'roTA1, FLOOR ARE40FPROM)SED STRL`CTIRt& guar"fret riMudaa
air condai."ped Worg apue, pukingela•;aied abme Wouc te.el.00na.diti;uad spax elevated abyss gn+wsil Ibe7 b..'eyduding nott•lmd-reoring.tak spacer
(T) COAMLSHOREI,LNEAEC:SI7BOVErifLDC:GFOOTFR:Nr1L\D(1THBR WPER-.gOLSORBI;R,T
lPOly 6t.AFAC?SZQ��sgrure feet Ei:tciuda lye area of the tbrmdatwn of all M;i;:hsw. driveways, to•;a"d'inks,
aacrex a murnry patios. etc that arm is ithm fta appfcablaABC. Attach year ea!Ou'U Ens c i(h the Fri w! d-mm2 :
STATE STOR.NMATER MANAGEMN•T PERMIT: Is Ike pmjut IO:Ced in on area urb;ect oo a Stain
Storms 1Litagcmrn; Permit issued b, Ihm \C Disir�.•n �f Coe"„ it and sad Lard Rvea IDL.ti.R'.
If yq 1ist dye 1al bout inn ems i:rgray;Oms au: fan aL'ovnd fv yam: la a pvaei
spsue feC_
#�W-V46ussa3
OTM PEUNIFTS HAY RE REQUIRED: The actwiV you aro plann;ng m,, raquin lwmiu 011l r fun the C44A
minor dexelojmem P•-mtil, ilwIW rg, but A timiW to: 1)poking Aster Wall, Ssyru-Tmk,a od:a aaeitry outs
Imatmpd systemti Btrildiug, Electrical,Plumbing, Hating and Air ConJriamrg, Instpartom and Energy Coneamti:m. FL4
Gonfication, Sand DrmO. Snibnerd Cs:.haL Subdkarim Apprvvl, Mcbite Il.sne Pad: AtTrosai. Highway Connectice, and
niters. Chuck xnth your Level Pcrrot t OAica for more ihtarmatim.
SEAT 01ENT 0FO%VNMHir.
I, :ire umJs:rgattl• an. app±:ant for a C4kL4 miner deverpmmt pasml being "Ether 11a oaav of PIS W v in an ABC or a
pascn mrftorizcd to net as an "gam fa prop um of erpl)ing fcr a CA-%fA miner dx dOpr=r=i; artify that 2u pman
listed as lan6mner m ibis applicuim Ens a a:gm5eam intesest in the real lmopwy Jc,cribnf do". Thin inaeat car. be
dp/orbs; as: (chmL orc)
j[_mo"x of rceerd title, -title is saL;d in mine of Of'a(j ({C ranGPh ra%Ct<Y}r Jao.�VG�!^C M ax Dad llmk _Q 3. a 3 Page444 :e ito W_1yPe (:aunty R cs• cs lkrds.
�'
,an emra by sirttee of inhuitnec. App: eam is an heir to tF.c esla:e of
-- r mbotc as in ___..—_._.._Oa'as1Y•
^if Ether ictuast, axh as maten entrnet m lease, n*miil be;ow cc use a sepaa!e shut L adach to this applicat m
SOTHICATION OF ADJACIUNT RIPARIAN PAOPERTYOWNERS: \
I hutherm ne unify Uu( the tutor, .g perum are oxners ciprepare" adjoining 9u, proptay.1 Of m that 1 have groen
ACR'A LNOTICE W en:h of than a namning or, intern to de"rW thin Prcpart) and to aPPly Ire a CAMApemut.
('"tee) (Addrasl
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fzI_��St a1mFs_:a+r- ?0 8�_tta sa.fcYFL
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ACIONOWLEDGMENTS:
I, the m; ers+gnod, acknoale4ge tt:sr the land owrar is axarc tht dl" Propesad de•.miopmae a plsrmed fey an area rvhEch
trot' bo susceptible W er.�slan and v RJodneg_ : a:Imew!ed;" that Lrw!.ncal Pcroit DIF�er his etplatnod:e me the parher!-
;ar ht2ard pn*h'"m"saociated with the is Illure Flanafan seas ucompmiad byaamn;crjauone aaerriyp stsbi:iza-
ti'a and flomprO,frng techmq:.a
I fuMensy^n: eenif Iha: I L•n aWh s:rcd W tram, anJ do m hat grant, Ppm:ssien to Di,,isian of C,omW Neuaga n a•.ar5,
the i•om Patnit OUicu and Iwr units toemersin the afomrmslierod lar„la in coma :m aith nyalsat:nr informatirn
te:atod to &is perm:: appiicx+ien
Thin the _1 ..L.L day ,fj,#-1 +0 LY
LardEnsnx or pm
s.sl authorized I".." huaher rgern to, purpose Of hiiDg a CAhSlpernnt K"iaatio.^.
7htsaFylimdon indnlez mrrav7i�xr,:ogort lNn•�6nnA.rrru JAasiryr; w dsol6ad nn r!u Aaiyfthrt nfpJaYlmri tiro
uxra•nF p aa;u2:na rho lJ.can (fo crJAA•.1itar sEturr uxzuvs; ocMtJtu37lXar7h x:c:c p y,ry:e ro sly.' fuusrtA:.id
ufa rr .rmrro;mar rr»ry tr prtrv::nfoAdyeprire opplic el 77e drabsW#,-gp;.&*wj,m&•anrhedh, Jsae swrcct om
rurrlrnced t+ltAgrd refrxacsrn myfrrmJ 2A rrrgv ire e—i!kr"anrnfnnt lkrar L1.si1r.0 amsr/rW axnlarnrr uJ
orm;rravr..Anv perrm r�t¢f rfgrn an,rti('>w s;1 peranr is avN,nY M cYw1, oiaararl u++.1.� r+arrartr.r,Yren
RECEIVED
JAN 12 2010
nEOEIVED
DUM WILMINGTON, NC
JAN 1 9 201E

AGENT AUTHORIZATION FOR CAcNIA PERMIT APPS ICA T IJfli
Marne of Property Owner Requesting PermiT, Lr
Mailing Address: '> i --I r, `r c; _ t • i �j: ram;
t:
? f 73 K
Email Andress:
I certify that i have autrlorved. 1 '1i f..:tfif.,.,._._.�.f�?r.��:i�tl 4.Gf �l:�,;. 'f?�'µ�.._ .it✓3r's t.i�t~
Agerr./ Con�for
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary forme foilowing proposed development. ^j, ,.�� -i c psi•? r,'w�� ,
�ii'i=� 't'•"h , 5i /�i''`-r :^V1.1: s.t'7Sc-.r c..f :''., rrl S. ?�i
at my proper, located a.-17
in %vr./>I . f County.
furthermore cer561 that t am authofi ed to grant, and do in fact grant permrssion to
Division of Coas 4f AWanagement sta; ; the Local Permit Oricer and thair agerts to enter
on the aforementioned lands in Connection rJith evaluating information refated to this
permit application.
Property Owner information:
5ionaturr _
J
r i
Phu; or Type Name
Title
7
Dan -
This certification is valid through _ f Z t 3 1 Y
I iE_tVED
DCAA WILMINGTON, NC
JAN 1 9 2018

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AREAS:
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m .wEs PtK+7fnT� sEr,T�. PiAT Nt
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NC
5_14' s
RECEIVED ► A N 1 J 2018
-IAN 1 Z 2019
roe..

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TOTAL IMPMYMS ALLOWED N TKS
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RECEIVED
BAN 11 7n1g
Note:
This regtwst is to consdiddo pefmll4
SW8 960523, SW8 940323, SW8 921PD8,
Srie 950807, SW8 920717, SW8 930214
and cdd a previously unpnrmilled oreo.
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® SINS 940523
SWB 94032.3
5W8 821208
® SW8 950807
51118 920717
SW8 930214
UNPER4I TIED
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D�:Jd11oA f'MR 1
RfNlNIa
FOR IlEO1.SATC9IT FEYCM
NOT FOR COt6iAUCT10N
SILAME L TAT _
Coastal Ladd DesWn.Pup
amp .. wr® feNAI
FST. JAMES PLANTATION
Poperiy Owners Aaaociatbn
9tormWPter PerrNt
Mo<$icationlCorooida4on
220-04 � 1

CARQLINA MARINE CONSTRUCTION, INC
6400-8 Carolina Beach Rd. 4212 Wilmington, NC 28412 910-793-4143
October 24, 2017
To: St. James Plantation
Re: 2554 Mariners Way
St. James Plantation
To Whom It May Concern:
We have been contracted by Jacqueline and Ken Boras to construct a retaining wall / bulkhead along
their'404 wetland line to prepare the property for the construction of their new home. We are also
proposing to construct a new recreational pier / dock. I have enclosed (2) packages for your review.
The first package details the proposed sizes and locations of house, wall and pier. We are applying for a
CAMA General Permit for the retaining wall, stationary pier, gazebo, sundeck, boatlift and 6' x 40'
floating dock. 1 have included a drawing showing their locations. The proposed pier will mimic the
existing pier to the west and will be placed in the center of the riparian corridor to ensure there is
adequate distance from both adjoining properties.
The second package enclosed is for the CAMA Major Permit. The Boras's own a larger vessel that will
require the south dock slips currently being proposed in the General Permit. One slip is necessary for
temporary mooring of the vessel and the other will be for safe storage on the boat lift.. The Major
Permit application is for the addition of (2) 6' x 24' docks on the east side of the gazebo / sundeck to be
used for mooring a smaller run -about style boat. It will also give the homeowners a place to swim, fish,
canoe and kayak.
I have attached surveys and drawings depicting everything that is enclosed. Please don't hesitate to call
anytime if you have any questions or would like to discuss further. My cell is 910-470-6610. You can
also contact Brooks Surgan at DEN / Coastal Management 910-796-7215 or email to
brooks.surgan@ ncdenr.gov.
Thank you,
Michael Conard
D00 \NItMINGTON, NC
J AN 19 20

CAROLINA MARINE CONSTRUCTION, INC
6400-8 Carolina Beach Rd. #212 Wilmington, NC 28412 91.0-793-4143
October 24, 2017
To: Mr. James Kronenthal
Re: 2554 Mariners Way
St. James Plantation
Mr. Kronenthal:
We have been contracted by Jacqueline and Ken Boras to construct a retaining wall / bulkhead along
their '404 wetland line to prepare the property for the construction of their new home. We are also
proposing to construct a new recreational pier / dock. I have enclosed (2) packages for your review.
The first package details the proposed sizes and locations of house, wall and pier. We are applying for a
CAMA General Permit for the retaining wall, stationary pier, gazebo, sundeck, boatlift and 6' x 40'
floating dock. I have included a drawing showing their locations. The proposed pier will mimic the
existing pier to the west and will be placed in the center of the riparian corridor to ensure there is
adequate distance from both adjoining properties.
The second package enclosed is for the CAMA Major Permit. The Boras's own a larger vessel that will
require the south dock slips currently being proposed in the General Permit. One slip is necessary for
temporary mooring of the vessel and the other will be for safe storage on the boat lift. The Major
Permit application is for the addition of (2) 6' x 24' docks on the east side of the gazebo / sundeck to be
used for mooring a smaller run -about style boat. it will also give the homeowners a place to swim, fish,
canoe and kayak.
I have attached surveys and drawings depicting everything that is enclosed. Please don't hesitate to call
anytime if you have any questions or would like to discuss further. My cell is 910-470-6610. You can
also contact Brooks Surgan at DENR / Coastal Management 910-796-7215 or email to
brooks.surean@ncdenr.g-ov.
Thank you,
Michael Conard
-�'Et ._"IVED
DUM WILMINGTON, NC
JAN 1 9 2018

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or mlho front t —if Lpm-permits.
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Brunswick County, NC Register of Deeds page 1 of 2
Brenda M. Clennxons
Register of Deeds
06-26-2013 15:12:42.602
Brunsutek County, NC
NCti7 . REVENUE M: $920.00
(#353612)
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GENERAL WARRANTY DEED
Brief Description: Lot 24, Section 4, Plat4-R2, St James Plantation
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Prepared by: lohnson & Moore, PA, SSQ5 E Oak Island Drive, Suite 2, Oak Wand, NC 28465
This instrument was prepared by Johnson & Moore, PA, licensed North Carolina attorneys.
Delinquent taxes, if any, to be paid by the closing attorney to the Brunswick County Tax
Collector upon disbursement of dosing proceeds.
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK Parcel Identifier No.: 235EB014
THIS DEED made this 241h day of June, 2013, by and between Dole L. HUBBARD AND
Waal GINA HUBBARD (hereinafter referred to as "Grantor," whether singular or plural) with a
malting address of 10840 Bay Hill Club Drive Charlotte, NC 28277 and KE4NETH W. BORAS
AND win, JACQUSLII+'7E L MARLEm-BoRAs (hereinafter referred to as "Grantee," whether
singular or plural) with a mailing address of 3215 Hunters211h Way, Glenwood, MD 21738. The
designation Grantor and Grantee as used herein shall include said parties, their heirs,
successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as
required by context.
WITNFSSETH, 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 that certain lot or parcel of land situated in the
Town of St. James, Lockwood Folly Township, Brunswick County, North Carolina and more
particularly described as follows:
All of Lot 24, in Section "4% Plat 4-R2, St James Plantation, as
shown on a plat thereof recorded in Map Cabinet W, Page 303,
office of the Register of Deeds of Brunswick County, North
Carolina.
This Property does not include the primary residence of a Grantor.
VELD
DUM WIL MINGTON, NC
JAN 1 9 2018

illilflillitllillillil litlllii�lli�i �4� ?�� s �-�,
arurrsuick County, NC Register of Deeds page 2 of 2
PROP
The property herei nabove described was acquired by Grantor by instrument recorded m
Book 1958, Page 361 of the Brunswick County Registry.
A map showing the above -described property is recorded in Map Cabinet W, Page 303
of the Brunswick County Registry.
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.
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, other than the following exceptions.
Restrictions found in Book 839, Page 453 and Book 862, Page 971, as amended and
supplemented, Brunswick County Register of Deeds.
Easements and Restrictions of record.
2013 and subsequent year ad valorem taxes, not currently due and payable.
IN 1WTTNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and
year first above written. �a-�'-,-
;14�x _(SEAL}
DON L. iium
.A fAut �aL'G (SEAL)
GINA HUBB"M
STATEOF Oo2'tk Cat lNe�
COUNTY OF d tC 4—t- E Mr Q Z-C—
I certify that the following person(s) personally appeared before me this day, each
acknowledging to me that be or she signed the foregoing documcnt DON L. HUBBARD AND wim,
GINA HuRBARD
This -1-1 day of I N E 2013.
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No 4ritublic
My C66imission Expires Z 3 2 o f
nE :NED
DGM WILiV INGTON" N
JAN 19 2019

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Locality '� �/ �% / 1�"' Permit Number
Ocean Hazard Estuarine Shoreline ><' ORW Shoreline Public Trust Shoreline Other
r _ 1 (Yor gfficial use only)
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
Name_
Address
JG� U
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMPW Q
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
N
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation,
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connectioh 4n?—
r-�
others. Check with your Local Permit Officer for more information. `
4.4
STATEMENT OF OWNERSHIP:
1, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC br a ,�
7
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person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the perso v
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
State �_ Zip At7W Phone (W0✓ a � Z Y `'4 C� y n owner or record title, Title is vested in name of I t VkS KgAn>�. W epoc JAc1 o l ttpe-
City G tZ, W'Led
�� see Deed Book �o13 pagep/n Q4% in the '`�nr).l Sr:v ICW. County Registry of Deeds.
kC5
Email i� C�o!1^r S c�
AUTHORIZED AGENT J) n
Name i i i, ei a /s / l .cirao r it ai �i/�GLif 1,vC l O A — t k _
Address ~'l&-'r !a
City i&ht ' State _� Zip P9W)Phone o �d -6 61 D
Email /t WA.;, A.;, Ma>Llr'wlc C_r, n Sti~iJr �Tvvr r"+w) C_Lr �l'_ ti
_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 are owners of properties adjoining this property, 1 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.
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.) (1)
(3)
(4)
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) _
C4n4-n� 3 75-1 oP Z t —'t ({�p-,k-+, rCl
SIZE OF LOT/PARCEL: square feet acres
PROPOSED USE: Residential Z (Single-family Multi -family o) Commercial/Industrial Other
COMPLETE EITHER (1) OR (2) BELOW (Contact yourLocal Permit Officer ifyou are not sure whiA AEC applies
to your property):
(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 FOOTPRiNTAND OTHER IMPERVIOUS OR BUILT
UPON SURFACES4,20quare feet (includes the area of the foundation 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
Storrpwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES_ NO
IS yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
(Name) (Address)
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-
lion and floodproofing techniques.
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.
This the -79-- day of t(Jys/ , 201Z
authorized to act as his/her ageKYbr purpose of filing a CAMA permit application
This application Includes: general information (thisform), a site drawing as described on the back ofthis application; the
ownership statement, the Ocean HararrlAEC Notice where necessary, a check for $100.00 made payable to the locality, and
arty information as may be provided orally by the applicant The details othee application as described by these soumcs are
incorporated without reference in any permit which may be issued Devialion frrom these details will constitute a violation of
any permit Any person developing in an AA(7 without permit is .subject to civil, criminal and administrative action.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 1/c c lam^ �t ^trYS
Mailing Address:
f1.J�oo ►�/i;� �/7.3fr
Phone Number: p I y_� i� Y
Email Address: /
I certify that I have authorized �'�r;,G v% %�y`/ �Grd�i �L�l/i Lv'Ni • `n�
Agent! Contmtor
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
inCounty.
t 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.
fig -nature
Print or Type Name
C-)Ct%i7 r' (—
Title
t( G L% t L L
Date
This certification is valid through 1 Z t 3: t l i"
hECC . iVED
GCN1 WILMINGTON, NC
NOV 2 12017

7016 0910 0001 1905 1670
7016 0910 0001 1905 1663
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■ Complete items 1, 2, and 3.
A. Signature
�9 Agent
■ Print your name and address on the reverse
X
❑ Addressee
so that we can return the card to you.
B. Received by (Printed Name)
C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
L '
D. Is addressdifferent from'item 17 ❑ Yes
1. Article Addressed to:
ertxe% delivery address
below: ❑ No
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Delivery
9590 9402 2982 7094 7623 61
❑ Certified Mall®
❑ Certified Mail Restricted Delivery
O ReturnReceipt for
ndise
Number (transfer from service label)
❑ Collect on Delivery
❑ Signature ConfinnationTM
❑ Collect on Delivery Restricted Delivery Ei signature Confirmation
j Mail
2. Article
7016 0910 0001 1905 1670
60Ma I Restricted Delivery
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
REC _{VED
DCM WILMINGTON, NC
NOV 2 12017

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Date
Date
Check From
Name of
Vendor
Check
Check
Permit Number
NOTES
Received
Deposit
(Name)
Permit Holder
Number
amount
ed
11/21/2017
Carolina
Kenneth Boras
First
1238
$100.00
minor fee, 2544
SS rct.
Marine
Bank
Mariner's Way, St.
5084D
Dredging,
James, Southport BrCo
Inc./Mike
Conard