HomeMy WebLinkAboutBC_19-29_ Maultsby (2)LF (p 3b ZZ
Brunswick County
Local Government
CAMA
MINOR DEVELOPMENT
PERMIT
74-mW
as authorized by the State of North Carolina, Department of Environmental Quality 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'
BC19-29
Permit Number
0
NORTH CAROLINA
Environmental Quality
Issued to Bobby and Michelle Maultsby authorizing development in the Estuarine Shore Area of Environmental Concern
(AEC) at 4421 Brantley Circle SW in Shallotte NC 28470 as requested in the permittee's application package, dated 16-
Dec-19, and received complete 16-Dec-19. This permit, issued on 30-Dec-19, 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:10'x24' Pool with pervious decking and 4' Fencing.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat drawings(s)
dated received on 30-Dec-19.
(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.
RECEIVED
(Additional Permit Conditions on Paget) DCM WILMINGTON, NC
DEC 272019
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, 2022
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.
Connie Marlowe
CAMA LOCAL PERMIT OFFICIAL
PO Box 249
Bolivia, NC 28422
PERMITTEE
(Signature required if conditions above apply to permit)
Name: Bobby and Michelle Maultsby
Minor Permit;# BC19-29
Date: 30-Dec-19
Page 2
(5) The amount of impervious service shall not exceed 30% of the lot area within 75 feet of Normal High Water
(Estuarine Shoreline Area of Environmental Concern); in this case 0 square feet (1921 square feet existing) 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.
SIGNATURE: DATE:
PERMITTEE
Locality r tll,Il svj ( co k Permit Number t✓'� ���
Ocean Hazard Estuarine Shoreline ORW Shoreline Publics Trust A� J Shoreline Other
(For official use only" )y J
GENERAL INFORMATION
LAND N R � P I � I /t y/`l� Ij� /7� / '
Name ��il/1 � N ( a (1, t 1'. k' ', a a
AUTHORIZED
Address
City
I " -- c"�J
State /vIc Zip A Phone
Ilia --� 1/1A J ChlWL& ( em
State
Zip Phone
qf0 0l,7-ClgcJ6
LOCATION OF PROJECT: Addre gf, strep n e and/o irectsio'n/s to srtse. If no�eanfront, what is the name of the
adjacent waterbodyJ c?� )'tltt IQ'I t(ll�
N'X it —r
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Ih�J °
SIZE OF LOT/PARCEL: square feet 38 acres
PROPOSED USE: Residential [a (Single-family [3' Multi -family Commercial/Industrial ❑ Other
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou 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 FOOTPRINTAND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 1g) / 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:
RECENED
DEC 17 Z019
DCM W►LM1NGTONr NC
square feet.
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) y aJ
_anownerorreccdtitle,Titleisw�"estedin/�N7��l�r�rt<���1P�aa�nl Deed Book I r 37��
page d in the � d5W i�t_t: County Registry of Deeds.
7�tiK4J
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) (/�� /( p (Address)
(1) s0.r� 't IJ0.iDarcLFJrL.�Cr J��'� /��fl:+ JZd. 1k(n3rc'5011(1.M( Q907-kAf"
(2) F14gc( 1014'S Foc 1 wx R�()5,. ,ac( 1f r� ov nnce S C 3, 9 5a )
(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 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.
0
This the ' 2 day of e-L , 20 1 1
or person authorizell to aet- kid ht r aont 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 $100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing in on AEC without permit is subject to civil, criminal and administrative action.
RECENED
DEC 17 Z019 a—J,, i i;
DCM WILMING-M", NC
G .e
o � [9 � • o 0
s
0
D • OY
f1130RESti+�LL*_� 0:11'•
i� 7. IF'}•
certlnea mall Fee
Ge
We Services•& Fees PWkW addlceas n feJ
❑ RelumReeelpl(haNeepo 'S
❑Return Recelpt(eiectronlc s ..�1�-00
Past.ik
❑ Cedifled Mal Restddod 04S +ti 6
' rn�
Here '
❑;Adult Slgnalure Re'qulc$d . g
.
❑Adua Signatwe Residded Delivery $
Postage " .55 .
12! 12/2019
Total Postage and F e[a
O.85
Lfi�IVI;uira—
NY#d�pf ., � e
- - --
----— ---- -- --•-----------------
- �]�t��l ._!��xy�lszkrxFanxt�t�v��itr�
DearAdjacent Property: ( 1, tt I
This letter into inform you that I; It �� V 1 Q u / 6D eve applied for a CAMA Minor
pettyOwner
� .
Permit on my property atid
COUN opertyAddress
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 have, any questions or comments about my proposed project,
please contact me at 9 i d "� I. t' — �i.� ��, or by mail at the address listed below: Ifyou wish to
Applicant's Telephone
file written comments or objections with the Brunswick County CAMA Minor Permit Program, you may submit
.them to:
ConnieVarlowe
Brunswick County Planning Department-
PQBox 240
Bolivia NC 28422 .
Sin ly,
Propely 9wner
Mailing Addre. -
City, State, Zip Code
DECRECENED
17 2019
IDGM WILMINGTON, �
ru"
ni
r%-
' nJ
`�I C
Ad1aMtW;ropM Own, r o
M 'edd ss C
CI:
City, State, Zip Code
co
O'
r`
DearAdjacent Property:
f
•, a. o
FLQREtivt,-r ";xC ' 9:'D1'PUPDi. L
Il^i, ��° .i,•`�.�
Certified Mail Fee
U.?I�
I1,�it}
$
06
E%68 Services & idweS (ehackbmG edd fee o-- dp te)
01.1 m Racefpt(hapy) $.. T
❑ ReWm Redalpt(eledmntc) $ $0, fic.
Pa'Imedt '
0CaMiadttm7RaetddodeellvM $ Q. AG_
".Here
❑Adult SigoaWra RegWmd $
[]Adult Slgnalum Restrtdad Oegvery $
Postage
$
12l1212019
Total Postage and Fees
$6. 85.
'
$
0(j 5
__ ------------ - =---
u�trget ddl- o�8ox-No. -'"
e
-
�CAcL', �L' as S.tJt
---------- --- - -- -
,: �..;�� 1 ,�. t 1 11• •.�_
i.�k�--�.�M'�,.YA.c: y¢.�.R�l.._.-A_.i
This letter is to inform you that I,1�1�1 U . �' have applied for a CAMA Minor
roperty Owner
Permit on my property at ` �`� cin
COUNTY Pro*f 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 oryou may sign and
return the enclosed no objection form. Ify7ou have any questions or comments about my proposed project,
please contact me at I I C1 I I' l �� or by mail at the address listed below: Ifyou wish to
ApplicanPs Telephone
file written comments orobjections .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
RECEIVED
DEC 17 2019
[)CM WILMINGTON. NC
. II ll nn IIII (� �
I{II� IIIIIIIIIIIII��IIIv. IIIi1RIU�lIr bran PO cien f Delis page S of 2�
This Certitres that there are nb detinquard ad
4aloiem taxes, fees, ass ; essments or other .
HOW whrch the Bnurswk k' Cainty Tax
C0110Cter is Charged with pollee�' that are a n'r
)ten on: Parcel NumberYSI)'CrG1DS
as notated by the SnmswkdcCounty . — —
Assessor's Office. Thts is,not a certification �! iital F�/ t ;
that the parcel number matches the deed Ct $' Ck:': ash $
description. / ' : i3es1>ntl: C31h S Flnance -
.. �o 'Ifei� ePaY,wIFWtloc4+x4.�:;•a�•�odvaac..dfm .. I
Date (Asst}Taz r / el. Tax Spec• 13L"O" ft n byftrd
rr� '- =nr. W xcamol W r ."Lmd ormpkd.
ItEVeDOe Stamps: $ $20.00 arwWa N. Clemwns Register' of Deeds
Parcel No.24SABOOS 10-30-2015 15:49:31.000 . 8runsulck Cmmty, NC.
NC.REVENUE STAMP: $520.00 (p45a853)
This'Instrument prepared by: The Webster Law Firm, PC. Delinquent taxes, if any, -to •he
paid by the closing attorney to the county tax collector upon disbursement of closing
proceeds.'
Brief Legal Description: Lot 5, Brantley Pointe, Brantley Island Planned Unit
Development.
NORTH CAROLINA WARRANTY DEED
THIS DEED, made this yfday of October 2015, byand between
GRANTOR GRANTEE
JOHN CALHOUN PROPERTIES, LLC, BOBBY N. MAULTSBY and wife,.
a North Carolina Limited'Liability MICEiELLE IL MAULTSBY
Company
PO Box 626
2900-18 Raeford Road Riegelwood, NC 28456
Fayetteville,NC 28303
i
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.
WITNESSETH:
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, subject to the reservations and restrictions hereinafter stated, all that
certain lot or parcel of land, situated in Shallotte Township, Brunswick County, North Carolina,
and more particularly described as follows:
Being all of Lot of Brantley Pointe as delineated and described on a plat of survey
entitled "Brantley Island Planned Unit Development" prepared by Michael J. Lawrence,
PLS, dated July 30, M0.2 and recorded in Map Book 26 at page 386 of the Brunswick
County, North Carolina Registry.
Together with a perpetual non-exclusive easement for ingress, egress and regressand
upon those'roadways as described in aneasement in favor of and for the benefit of Purvis
Therrell Properties,'LLC; a North Carolina Limited Liability Company, said easement
being'recorded in Deed Book 1943, Page 409 of the Brunswick County, North Carolina
Registry.
RECEIVED
Subject to the Master Declaration of Protective Covenants. Restrictions, Easements,
Charges and Liens for Brantley Pointe recorded in Deed Book 1855, Page 624,
Brunswick County, North Carolina Registry. DEC 7 1 ZO�g
For back reference see Book 2577; Page 40, Brunswick County Registry.
DCM WILMINGTON, NC
��Q��i����i ���������� 83104dt0' 8, 2 i . .
The above, described lot or parcel of land is also known and identified as Brunswick
CountyTax Parcel No. 245AB005.
Pursuant to N.C.GS. Section 105-317.2, the mailing address of the Grantor and Grantee
j are stated above. The property conveyed hereby does not include the primary residence of
the Grantor.
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, subject to the reservations'and
restrictions set out herein.
And the Grantor covenants with the Grantee, that Grantor is seized ofthe premises in fee
simple, has the.right to convey the same in feesimple, -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, except for the exceptions herein stated Title to.the property
hereinabove described is subject to the applicable restrictions and easements of record,
applicable zoning and land use laws, ordinances and regulations and 2015 ad.valorem taxes.. '
IN TESTIMONY WHEREOF, the Grantor has caused this-instrunient to'be signed in.its
company name by its duly authorized officer the day and year fast above written.. ;
JOHN CALHOUN PROPERTIES, LLC, . .
a North Carolina Limited Liability Company
By. (5cal)
Jjn S. Calhoun, Sole Member/Manager
STATE OF NORTH CAROL
INA
COUNTY OF�E;P�h [l
This the "day of October, in the year 2015,,personally appeared before me John S Calhoun,
Member/Manager of John Calhoun Properties, LLC, a North Carolina Limited' Liability Company,
who being duly sworn and.personally known to me or I have sea satisfactory evidence of above named
Orson by state or federal photograph identification , says that he is the duly authorized
Manager of John. Calhoun Properties, LLC; a'No " b Carolina Limited Liability Company and that
he signed the foregoing instrument on behalf of said company, and that he acknowledged the said writing
to be the act and deed of said company..herein.stated.
Witness my hand and official seal or stamp this day of October 2015
�1tt11111N/I//� /
.` V`Z' �!� Notary Public
NOTARY
_ PUBLIC °= IS,2 Notary Public printed or typed name
; % .
My commission expires: a
/bqutttttt RECEIVE®
DEC 17: 2W
-_ __-- pCM WILMINGTO . 0e1O
Brummick CowstyHealthservices
L_
.
.25 Courthouse Drive N.E. , Post Office fox 9.
$olivia, North, Carolina 28422-0.009
caao y'4y�rH`�`�~ trOrth Corolma
... PuWia ll"Ith
910-353-2250 1-8884A-, 29
David M Stanley. X MPH T. Cris Harrelson, AMA,, REVS
FAecudve Director Health and human Services Health Services Director
12-9-2015
Bobby & Michelle Maultsby
P_0 277
Reigelwood, NC 28456
Re: BCHD # 02-58878
Brantley Island SlD lot 5 Parcel # 245AB.005
4421 Brantley Circle SW.
Dear -Mr. & Ms. Maultsby;
An Improvements permit for a subsurface wastewater system (Type IVA (Lpp) with a Type V
pretreatment repair area) to serve a one unit four bedroom residence was'issued 3-20-2007 for
the above:reference property. This permit would have expired 3-20-2012: This permit expiration.
was extended until 3-20-2016.by act of the NC Legislature. This permit is hereby revoked.
You may appeal this action by written notice to the NC Office of Administrative Hearings, P:
0. Drawer 27447, Raleigh, NC 27611-7447. Notice must be made within thirty days of the date
of this letter. If you have questions or concern, contact this office for further information..
An application for revisions to the original permit was received by this office. The application
included changes in the project to be served, changes for the subsurface,wastewater system, a
floor plan and'a survey showing mean high water, The proposed changes for this project were
found acceptable. A revised permit numbered BCHS # 02=58878A was issued effective 12-2-
2015. This permit includes changes in the .proposed subsurface wastewater system (Type HA
conventional) and hi the home to be served. The changes for the home were fora one unit three
bedroom, priyate single family residence. Please note that the date of expiration retrains 3-
20-201:5.
Sincerely
Bruce Withrow, RS
Environmental Health Program Specialist
CC: Roland Paterson
• • DEC
DATE REV' 02K612007 BRUNSWICK COUNTY HEALTH.SERV)CES FILE NO.:' 2002058878A:
ZONING:- 2007062472.
MAULTSBY BOBBY N S MICHELLE K . (041 0.00) ; • MAIMS' %
REC. FROM AMT. PA TAX PARCEL.
P O BOX 277, RMSELWOOD ;NC 20460 2106179986
'ADDRESS .. .. -. .. .. O .. ..
. .. CIiY STATE •'ZIP CODE PHONE.,
MAULTSBY BOBBY N & MICHELLE K 5
CURRMPROPERTr6WNER. LOT BLOCK _ SECTION.
PROPERTY LOCATED TOWNICITYIAREA BRUNSWICK COUNTY SUBDPASION: BRANTLEY ISLAND
DIRECTIONS: 4421 BRANTLEY CIRCLE SW BRICKLANDING RD TO DEVANE RI) TO BRA'kTLEY CIRCLE
AUTHO T ASTEWATER CONSTRUCTION.PERMIT.; NOTES,
NEZN: X RELOCATION: REPAIR:'
Design Flow: 9pd Sapdo.TanksUe qjZ. 7 1.:40c Tank shall have an apprMvW
9 , effluent filter and access devices as.
appilCable..
No. Bedrooms: No aecupanwamptoyees Max 2. Maintain ell setbacks distances for
ae sic tank
1 P systems and wells.
3. All components of the septic systems.
Troneh113ed Bottom Dep1k %�i ..'.T Inches shall be located 100 feel from well.
No. Liner., Length Eebri:..(� �( ` Bed Dilnendans:.
4. An'Aceeptersystem'may be used In
8i®place orb I'donveriftna.1" system
Fiil Check: Approved
Data .. Authoftil
PERMIT ISSUE OATS:i—.�i!% Permit Expiation Date: 3.,70 ,1.2
;
Authorized Agent ley
- RegislratlDrm
NOTE:. PERMIT LS SUBJECT TO EVOCATION IF SRE PANS OR TNE.'", ,ENDED=EG".
i�1, I'�•.' .l.i;�neu3$'1.�7►3'
.+tr4►gl L,. i
Waste Water System Installer. Date:
Coinments:"(tank irtfo/ barrier approved)
Rack: Polystyrene Aggregate Chamber Other.
OPERATION PERMIT
. AyetaicedApanlSiylehue .
Aar ws of local health department repreyentitives or the Stale engaged in " :evaluation and determination of maest res required to 6Recl eomplianee vdlh the
applicable laws and rules shall in no way be taken as a warranty that sewage treatment and dispoeel.aysleme epproued and'peretltled will runafon in a sagafaetory
manner for any 9iven period of ilme. This lasurance of ds permit does not preclude the Permitiee from compioying with arty and all bteluee, tides and regulations or
ordinances whichdnay beimposed by other govemment agencies (local state, and federal) which have'jurisdicdcrx
'Type:
File No.: 2002058878A REVISION'
BRUNSWICK COUNTY.HEALTH SERVICES
Post0ffit a Box 9" 'BOLIVIA, NC'28422 . (910) 253.2150;
IMPROVEMENT PERMIT
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE .
An Authorizafiori for.. Wastewater. Construction must be attached to'the Imnrovgment Permit before arty
other oermtt cart be issued and before a wastewater system can`be installed
Supporting documents such as the completed application form, -site evaluation form, fill plan; etc. are considered
a part of.the Improvement Permit.
Owner's. Name: MAULTSBY 817BBY N & MICHELLE K Tait Parcel.2455AB005
Lots: r Block,— Sec_ SUBDIVISION . BRANTLEY POINTS
Residential: X . Water Supply: Private (well) Pubiic X
No. of units:..1. No. of bedrooms 3 No. of occupants 6
.Cornmerdal% f` P pe of businessNo. of Employees: _;,/� � zd id
Slze'of septic tank: LTAR Q gpolsq.fh Orainfieid sit:feet: �.� : R
No, of Llnes: 2 Length eV � Trench width -Be' : Design'Flow god:
Trenc Bed Otto depth no per than:' Z inches .:Pump lank volume: /
. CI1i ( jp .J . (if applicable)
If applicable, the following conditions must 6e met prior o issuance of an Authorization for Wastewater
Coneth"on and'prior to wastewater system instsllatlori
X_ Keep 100 feet'from all water supplies (minimum of SO.feet must be maintained).
X Keep 10.feet from all Waterlines.
X " . Keep .10 feet.from any property lines (no less than 5 feet for lots recorded prior to 711 /77)
X Do not drive.over, paik; pave, or bulld any structure over the area for the septic lank system and the repair
:area if applicable:
X. Do not install the septic system during wet conditions.
2X Maintain Gravity Flow for septic system.
Drainage; Maintenance Required. .
Suitable:Fll material must be installed exactly per the Health Services Department approved fill plan.
Fill check must be completed by'the Heath Services prior to issue of Authorization for '
Wastewater ConstrucUon Permit:
Approved for use of Alternative/Innovative Wastewater System (Specify)
Submit Wastewater plans to the Health Services for review/approval
X if Septic System, Uses Rock AggregalelApproved Filter Fabric Covering Requ red t
Septic Tank System must be installed per the Constriction Authorization PermiL
X • An "accepted' system'maybe used in the place of'a "conventional" system.
X The construction authorization cannot be Issued until final storm water plans are received from the
applicant. The appiieantds responsible for notifying the health services department 0 any changes are made to
the storm water plan and, if 50, what those changes are. A letter from the engineer responsible for the st
water plan with the engineer's seal identifying the changes shall satisfy this requirement.., l�
IMPROVEMENT PERMIT'ISSUANCE DATE: r 'eZ tV EXPIRATION
This penult expires 60'months from the date of issuance unless otherwise sp cifled Q !
'Permit Not Valid Unless Stoned by Authorized Agents
Signature
Actions of Brunswick County Health. Services rapresentatives engaged In the eivaluellon'and daterminatlon or measures required to
effect compliance with the appileable laws and rules shill In no way bo !oken an a warranty that sewmga•treatment and dlapo�al systems
approved and prirmitted will functlon In a vatislactory manner for any given period of tlmo. Permit Is subject to revocation R the site
plan or. plat'wtilahevorls ap'plicabie; or tho Intended dao'ehangee.
The issuance arthin permit does riot preclude the Peknittes Min complying with any and all statute*, rules, regulation, or ordinances which may '
be imposed by othor go4emment agendas (beat, state, and redemI) which have jurlsdictlon.
SEPTIC TANKs ` HM A D E Ul CCESS IC
Updated 01l081Z003 �w
DEC 17 2019
n
.._ �..__ �� ,.. — . r �.pCM• W ILMINGTON, NC
„IGIC .,
�cK ca��,Brunswick County Health Services .
25 Courthouse Drive N.E.
P.U. Box 9'
. �'v;;yCA .. .-Bolivia,-North Carolina 28421-0009
Phone # 910 253-2150 Toll Free # 1488428-4429
SL 2009AO6 — An. Act, to Extend Cerinin Government Approvals Affecting The
Development of Real Property Within The
SL 2009-406, SENATE BILL 831- **REVISED** .SL 2010-177 HOUSE BELL 683
This impacts wastewater system permits Issued by this offiee.
BCHD # 2002058818a Date of Review: 12/9/2&5
Month Day Year
New Expiration Date .
.. 5015BY 4- MICFIELLE MAM55Y
..
-
us
TOMPKIN%. .
.
LANQ
a ..
.. . . .
LOT 5
BRANTLEY BLAND
13Q9 RIVER BEND DRIVE '
SHALlCIT2, NORTH CARDIJNi 28470
TwP 5RUN5WICKCDUNTY. N.C. .
(910)579.9505 :. .
O 15 ?O Go
�CJ�� rR eun
rue
i
NOA
• �C �
N 63oA�i Y-•,��r��c;
to
W a
eit
s.
cp
W
NiRroL
��
1.
W
•.
(o'Orr-, 94
5irk ���
�/•• 56
N `c'jf,"` wY�kr.✓L
� _ . � _6 y�y9� .. P�(�C+�
� 3Y•' F��
W
oPg�P
cz . P IL
nnD SUR= cr.RT n
oar :Cntc= 40
�og°1
comftm rim ewe•
us• aR _ .71 .2G
MAP PRE
WN0 ►oT s.Dw�
RECEIVED
DEC 17 2019
OCM WILMINGTON, NC
^c -_,YS; :kL 'Qjr'i:6 5E= A 'PE ? 4;a C= Tr._
STANDARDS OF PRACHCE FOR LAND SUPJEYING IN NORTH CAROLINA (21 NCAC 56. 1600).
THIS 4TH DAY OF 01 0,�''''
PRDFESMW LAND SU&TOR �QQ0
S��L
1,9 12 OF IMPERVIOUS I/
AREA WRFW 75' A.E.C.
(24% OF A.E.C. .AREA)
i
of J 11
�G� JR9 i
i
SAM & BARBARA BAKER
DB 2765, PACE 638
LOT 4
75' AEC LINE
NOTES:
WEB ON FEMA FLODD MAP 372010B500K,
. �S
THIS PARCEL APPEARS TO HE LOCATED d
FLOOD ZONE SEE MAP'. C<'.�'
of _
THIS PARCEL IS SUBJECT 70 ALL RECORDED\
AND UNRECORDED EkMI NTS WHICH MAY
OR MAY NOT BE SHOWN ON THIS SURVEY,
Q
FOR ADDRIONAL TIE LINE. SEE MAP CABM
26, PAGE 385.
AR`A BY COOMME WIPN.
Ktr
/u., 5
am AZE
(16.455 SF)
i•7at
Mmrwaill
d/
SR114:
SR1155
S�
NCiW YAP
ND SCaIlK
' LEM
-'c€?
' SOL
D�HON
i ff-VF
0
M ME JBm FIRM
RS
O
1/r NEVA SE
BG
•
Px WLFIRM
GOY
®
CI E- W P®60L
Re
m
lupin E PMBIX
EB
9
BMW Box
AM
MEA OF BMEMENML
wsBm1
R/IB
IELiIf aF w
1.0' mu
irym)
FLOYD BOYS FARM LP
DB 207Z PAGE 826
LOT 6
30' CAMA
SEDNCK ,
A
WOOD
BULKHEAD
\_BOUNDARY LINE BASED ON
W,L° CA57 u 26. PAGE 386
+i
REF- BC. K 37D4, PAGE 757 i&X HIGH iiA-,UZ 35 L
aEs�-- z.n, ' � W, SCENE®
S1; ^1r_ 4C SM / WATERWAY
"wwltf, 17 NIT
11
DCM WILMINGTbW' "o