BC_03-08_Dutra

Brunswick
Local Government
03-08
Permit Number
a11((; ]�, v" CAMA
Nov 13 20 MINOR DEVELOPMENT
DIVISION OF PERMIT -�
COASTAL MANAGEMENT
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General Statues, "Coastal Area Management"
Issued to Viroinia Dutra, authorizing development in Estuarine Shoreline at 1699 Star Cross Road NW.
Shallotte NC 28470 requested in the permittee's application, dated 20-Oct-03. This permit, issued on 06-
Nov-03, 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
(1) A silt fence or natural buffer must be positioned between any land disturbance and adjacent waters or
wetlands. In no case, shall erosion of disturbed areas result in deposition of this material into adjacent
waters or wetlands.
(2) All proposed development and associated construction must be done in accordance with the permitted
work plat drawings(s) [Swimming Pool with deck and 20' x 28' addition to existing Single Family
Residence] submitted on 20-Oct-03.
(3) All construction must conform to the N.C. Building Code requirements and all other local, State and
Federal regulations, applicable local ordinances and FEMA Flood Regulations.
(4) Any change or changes in the plans for development, construction, or land use activities will require a
re-evaluation and modification of this permit.
Conditions continued on second page
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date. From
the date of an appeal, any work conducted under this permit must
cease until the appeal is resolved.
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,
2006.
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.
Local Permit Official (signature)
Connie Marlowe
CAMA Local Permit Official
PO Box 249
Bolivia NC 28422
41e,eignature required if conditions above apply to permit)

4 Virginia Dutra
Minor Permit #03-08
07-Nov-03
(5) All development projects, proposals, and designs shall limit the construction of
impervious surfaces and areas not allowing natural drainage to only so much as
is necessary to adequately service the major purpose or use for which the lot is to be
developed. Impervious surface areas shall not exceed 30% of the lot area within the
75 feet Area of Environmental Concern. However, no construction of a single-family
dwelling shall occur within 30 feet of normal water level.
(6) No impermeable surfaces shall be allowed over any functional part of the septic tank
system.
(7) All unconsolidated material resulting from associated grading and landscaping shall be
retained on site by effective sedimentation and erosion control measures.
(8) All disturbed areas shall be vegetatively planted and mulched within fourteen days
of construction completion.
(9) The first floor elevation must be in compliance with Federal Flood Insurance Rate
Map Elevations.
(10) Pursuant to 15 NCAC, Subchapter 7J.0406(b), this permit may not be assigned,
transferred, sold or otherwise disposed of to a third -party unless done so by the
Director of the Division of Coastal Management.
(11) A building permit and zoning compliance must be obtained prior to any construction.
NOV 1 3 2003
DIVISION OF
COASTAL MANAGEMENT

Locality
Permit Number
03-O$
GENERAL INFORMATION
LAND f%wNFR
Name
Addre:
Ta-V &cn.l 2a9LDXaa
City S kuA0 i e. State M , C. Zip ;L 9y % 0 Phone 9 10 - 7 TY- S/to
AG
Name
Address_I(ogq StAx- Cass Peo
City eta, l lc ii a State 0,L Zip c9% % O Phone 9/ o
LOCATION OF PROJECT I (A 9 S-fetr Cr'c S S
(If not oceanfront, is waterbody natural or manmade?) '!�;t o c e W n cre E c`-
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard V Estuarine Shoreline ORW Shoreline blic Trust Shoreline'' ther
PROPOSED USE 11
I OrT 9 1 ���
_�/ Residential Commerical/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the esfii4l a shoreline, or 575 feet of an
ORW shoreline, or 30 feet of the public trust shoreljne.�8 Iyth0 Sci C4-
21I 010 S
yrtrtaoS Aooirioru ao _ ¢ 1
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING Ey i57'hur, Rous I RTO S1-f4—
ev isr iNfo Swrb wroaf¢ y$bSy f,�o'
SQUARE FOOTAGE OF SITE L/ sS ><¢ y30 Ste.
OTHER PERMITS MAY BE REQUIRED:
The activity you are planning may require
permits other than the CAMA minor
development permit. As a service we have
compiled a listing of the kinds of permits that
might be required. We suggest you check
over the list with your LPO to determine if
any of these apply to your project.
Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
Burning, 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.

STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in
an AEC or aperson 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 k )i see Deed Book 4// Q/
paged in the fj r u n sw, �1\ County Registry of Deems
an owner by virtue of inheritance. Applicant is an heir to the estate
probate was in County.
if other. interest, such as written contact or lease, explain below or use a separate sheet and 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)
(1)
(2)
(3)
(4)
(Address)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 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 me the
particular hazard problems associated with this lot. This explanation was acmmpani aa��(( �y
concerning stabilization and floodproofing techniques. E
DO
PERMISSION TO ENTER ON LAND OCT 2 12003
I furthermore certify that I am authorized to grant and do in fact grant permission to the localrpennit,officer
and his agents to enter on the aforementioned lands in connection with evaluating in�c)Tlation related to this'=
permit application. MEN'T
This application includes: general information (this form), a site drawing as described on the back of this application,
the ownership statement, the AEC hazard 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.
This the J-1— day of QC1ro 6 er 20Qj_. n
RECEIVED 'n`0v
Lanowner or erson authorized to act as his agent
9 C T 2 0 2003 for purposes o iling a CAMA permit application.
v
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CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b), Brunswick County, a locality authorized to issue
CAMA permits in areas of environmental concern, hereby gives NOTICE that on
20-Oct-03 Virginia Dutra applied for a CAMA minor development permit to
construct a Swimming Pool with a Deck and a 20' x 28' addition to an existing
Single Family Residence at 1699 Star Cross Road NW, in Shallotte NC 28470.
The application may be inspected at the address below. Public comments received
by November 6, 2003 will be considered. Later comments will be accepted and
considered up to the time of permit decision. Project modifications may occur
based on further review and comments. Notice of the permit decision in this
matter will be provided upon written request.
Connie Marlowe
CAMA Local Permit Officer for
Brunswick County
PO Box 249
Bolivia, NC 28422
Phone [phone]
PLEASE PUBLISH ON October 22, 2003
CCT 2 1 2003
DIVISION OF
COASTAL MANAGEMENT

U.S.
Postal
Service,,
' CERTIFIED
MAIL,,,
RECEIPT
(Domestic
Mail
Only;
No insurance
Coverage
Provided)
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RE: CAALA Appheation Notification
Dear
WH + E 492, I A L
POstege $ 1
Certeled Fee $2.30 0459
Return (Endorsement
Fee $1.75 01 Poetreenc
Required) Here
ReSvicted Delivery Fee f 0.00 (Endorsement Required)
TOtal Postage & Fees I S $4.42 1 10/17/2003
This letter is to inform you that I have app:ied for a Minor CAMA Permit en my property
located at Lot h/,--U Block Sec on ; with a physical address of J Boll
,�py�,rets �Q Stir Jig tF�, _ , NC. CAIVLk rejubAonsmquire we to notify
you of my intentions i have enclosed a copy o I my peTmzt application end a copy of *.he
drawing of my proposed project
Ifou have any comments on my proposed F-oi.!a, please contact`
eonnle 1'1?a�lowt Qrun�w,oii�ountyL ntr�a �f qjD-.i`J3'a�o3y
Sincerely,
---
1�,99 ��ta��reasRd .S1irillU.0 a8y�o
G E C R4 VX
OCT 2 1 2003
DIVISION OF
COASTAL MANAGEMENT

Postal
rCERTIFIED
MAILm RECEIPT
D(omestic Mail Only, No Insurance
Colisrage PrOvIded)
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Retum Reciept Fee $1.75
(Endomemant Required)
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Restricted Delivery Fee MOO
(Endaraement Required)
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Total PosW9e8 Feea $ $4.42
10/17/2003
Date IeSML00*3
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RE: CAMA Appiieatiftr4o ieation
Dear P, u er
This letter is to inform you that I bw/e pp'lied for a Mini CAMAPwnftenmy Mpffty
located at Lot 3 Bloek 8ectiou ; with a physical address of r
NC. C"4-% reguleklm inquire me to notify
you of my intentions. I Iaave enclosed s copy of -my pemit applfcafion and a copy of the
drawing of my proposedpeoject.
lfygou have any comments on my proposed proiect, please conics
Connie'__ir`1AP le+ t-1 $Unswk&t, ousty�tnrt-�� ao-�S3 �o351
LJ ECEIVE
OCT 2 1 2003
DIVISION
COASTALfAGEMENJ

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SAMPLE ONLY (consult an attorney -at -law before using form)
Brunswick County --Register of Deeds
Robert J. Robinson
Inst #182265 Book 184413age 920
10/17/2003 04: 54: 45pn Rec# 1(g,(
(5 a
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
This INSTRUMENT OF COMBINATION,
Da f o be V 20 0 �3. Whereas �
makers of this instrument, wish to combine two tracts
required by the
RET
TOTAL�RE�
REC# _CK AMT _., CK�
",ASH
— REF ---- BY
INSTRUMENT OF COMBINATION
OF BRUNSWICK is made this the o day of
4 ,the
into one for purposes expressed herein
THAT WIi) REAS, the maker of the INSTRUMENT OF COMBINATION own certain properties, parcels, or tracts of land
in LLD �/� Township, all of which was duly recorded in the Brunswick County Register of Deeds office in
Book (s) G Page(s) _0 (� .
WHEREAS, for the purpose of complying with the Brunswick County Zoning requirements only, said owner wishes to
combine the above -mentioned tracts of land to meet the requirements of all applicable provisions thereof.
Thereby, upon execution and recordation of this INSTRUMENT OF COMBINATION, the above -mentioned tracts of land
for purposes of meeting the requirements of the County may be combined and hereafter may be described as follows:
LofZItZZ Vr//Aqe 6rre_eAJ P(j.f"/51y7e1G1z cUgLDOvU
aa9L t� oZl - Giese. pAv�e� u>;ll be COWb;NPc4 .4s Z2�rL DOZZ
o1agL .D 0 LZ 1
IN WITNESS WHEREOF, this is a limited special purpose instrument for the purposes specified above and is not a
conveyance of ownership in any way, the makers have hereunto set their hand and seal, the day and year first above written for the
purpose expressed.
SEAL
SEAL /
STATE OF NORTH CAROLINA vv
COUNTY OF BRUNSWICK
I, A Notary Public of said County and State, do hereby certify that
personally appeared before me this day and acknowledged the execution of tM foregoing instrument. Witness my hand and official
seal or stamp, this {kjL�j day of e" tALO^> 20 .
tiOTAgy
'UBLIC
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STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
The Foregoing (or annexed) Certificate(s)of
BRENDA D JOHNSON
• �*
offRf"�R
Notary(ies) Public is (are) Certified to be Correct.
This Instrument was filed for Registration on this 17th Day of October 2003
in the Book and page shown on the First Page hereof. 11••�

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OCT 2 1 2003
DIVISION OF

CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b), Bruns-
wick County, a locality authorized to issue
CAMA permits in the areas of environ-
mental concern, hereby gives NOTICE that
on October 20, 2003, Virginia Dutra applied
for a CAMA minor development permit to
construct a swimming pool with a deck
and a 20'x28' addition to an existing single
family residence at 1699 Star Cross Road
NW, in Shallotte, NC 28470.
- The application may be inspected at the
below address. Public comments received
by November 6, 2003 will be considered.
Later comments will be accepted and con-
sidered up to the time of permit decision.
Project modifications may occur based on
further review and comments. Notice of
the permit decision in this matter will be
provided upon written request.
CAMA Local Per
Officer for Brunswick Cou
P.O. Box
Bolivia, N.C. 2I
vo 0 % TV
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
0-3-0
grlct
121,tt
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State,
duly commissioned, qualified, and authorized by law to administer
oaths, personally appeared
Scott R. Harrell
who, being first duly swom, deposes and says: that he is
Publisher
(Owner, partner, publisher, or other officer or employee
authorized to make this affidavit)
of The Brunswick Beacon, a newspaper published, issued, and en-
tered as periodical mail in the Town of Shallotte in the said County
and State; that he is authorized to make this affidavit and sworn state-
ment; that the notice or other legal advertisement, a true copy of
which is attached hereto, was published in The Brunswick Beacon on
the following date(s):
October 23, 2003
and that the said newspaper in which such notice, paper document or
legal advertisement was published, was at the time of each and every
such publication, a newspaper meeting all the requirements and qual-
ifications of Section 1-597 of the General Statutes of North Carolina
and was a qualified newspaper within the meaning of Section 1-597
of the General Statutes of North Carolina.
D1V`S�pNq rMENT
cop,
This the 23rd day of October, 2003.
cam, J2 4
................................................
(Signature of person making affidavit)
Swom to and subscribed before me this 23rd day of
October, 2003.
Y $q�
OTA
(Notary Public) i y_ * +- �L113 .
My commission expires: December 29, 2004.
2.