BC_03-09_Fisherman's Village

FW-
run swick
Local Government
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State or North Carolina, uepartment of Environment
and Natural Resources and the Coastal Resources Commission for development
In an area of environment concern Pursuant to Section 113A-11H of the
General Statues, "Coastal Area Management"
03-09
Permit Number
Issued to Fisherma�lage, authorizing development in Estuarine Shoreline at 2810 Cindy Street sw Lot
330 Fisherman's village Subdivision Supply NC 28462 requested in the permittee's application, dated
12-Nov-03. This permit, issued on 02-Dec-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.
nispemrit 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 drawinga(s) [Single Family Residence/Open Uncovered Deck] submitted on 12-Nov-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 ebanges 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 actim may be appealed by the permittee or other
qualifred persons within twenty (20) days of the issuing date. From
tee Oslo of an appeal, any work conducted under this permit must
cease until the appeal is resolved.
This permit must be On the pmjed site and atceaaible to the pectic
officer when the project is inspected for compliance.
Any mainlename work of project modNlcaGon not covered under
this permit, require further "lion permit approval.
All work must cease when tins permit expires on December 31,
2006.
In issuing this permit it Is agreed that this project is consistent wilh
the local Land Use Plan and all applicable ordinances.
This permit may not be transfened to another party VIroul the
wri effen approval of the Division of Coastal Management.
9 3 2003 U
l�ly�n�ri v"
Local PermN Offidal (slgnaNre)
Connie Marlowe
CAMA Local Permit Mal
PO Box 249
Bolivia NC 28422
Per inee Mnalute &quired if oorditiodif above apply to permit)
DIVISION OF
COASTAL MANAGEMENT

�1
Fisherman's Village, Inc.
Minor Permit #03-09
02-Dec-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.
(OEH"
fC_: q 3 2003
DIVISION OF
COASTAL MANAGEMENT

CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b), Bruns-
wick County, a locality authorized to issue
LAMA permits in the areas of environ-
mental concern, hereby gives NOTICE that
on November 12.2003, Fisherman's Village
Inc: applied for a CAMA minor develop-
ment permit to construct a single family
residence/open uncovered deck at 2810
Cindy Street SW, Lot 330, Fisherman's Vil-
lage Subdivision, In Supply, NC 28462.
The application may be inspected at the
below address. Public comments received
by December 1, 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.
Connie Marlowe
CAMA Local Permit
Officer for Brunswick County
P.O. Box 249
Bolivia, N.C. 28422
910-253-2026
Nov 20
3UjkZ w'G<< QjC(I
03-69
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
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 swom 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):
November 20, 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.
This the 20th day of November, 2003.
..........................
(Signature of person making affidavit)
Sworn to and subscribed before me this 20th day of
November, 2003.
O NOTA.9),
- F :
(Notary Public) d' 1
Cc''
My commission expires: December 29, 2004.

Permit Number03`69
Locality
Ocean Hazard Estuarine Shoreline ORW Shoreline _Public Trust Shoreline _Ocher_
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name +Is t4l
City
AUTHORIZED AGENT
Address
City't
LOCATION OF PROJECT: (I
the adjacent waterbody?) __2 810
A
OF
State
sip. -
State
T Pox (211.1 #2-3,-9i8()(6
Zip 04109, Phone 910 -9 Z"64-6'
street name andlor,dlrectLons to
ITTL,t7 �bI{pu.cur K1 Vet
(List all proposed construction and land
,d .• 11.11 � L-l...r I.,.1_
Phoneqlt3-8e-eo*/5
3a
what is the name of
"v c cane 6 Q gTP,A-_ +- W Vu"_ i 71 Y 14 f br-)P k-A 1>eivt TM i
1U1
SIZE OF LOT/PARCEL: � �'� • squaze feet r S acres zu1�11
PROPOSED USE: Residential (Single-family _V_1 Multi -family _) C rJkYdWrM.?
Other pp DIVISION OF
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HA WTA1�h: *46"ENT
RONMENTAL CONCERN (AEC):
square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON S RWES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 3W� sq. ft.
(Calculations include 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.)
Choose the AEC area that applies to your property:
VIM within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a .
State Stormwater Management Permit issued by the N.C. Division of Water Quality?
YES_ NO i/
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel.
square to

.
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor y
development permit. As a service we have compiled a list of the kinds of permits that might be required. We suggest you check over the list00
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.
z
STATEMENT OF OWNERSHIP:
ti
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a S
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person s
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
4
�an owner or recooA title. Tide is vested in�y8%�ECi /!11(rae. — �, seems Book /0
page JL7 in the X7/LZLA16[t11elL County Registry of D ee ds
_an owner by virtue of inheritance. Applicant is an heir to the estate of ,
probate was in County. (d
_if other interest, such as written contract 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.
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planor] tible to
erosion and/or flooding. I acknowledge that the local permit officer has explained t t rt azz b m associ-
ated with this lot. This explanation was accompanied by recommendations concern to i izanon and floodproo g ch-
niques. Nov 13 2003
PERMISSION TO ENTER ON LAND: DIVISION OF
I furthermore certify that I am authorized to grant and do in fact grant permission t� t7te IocaP ermitto icerr an i I agents to
enter on the aforementioned lands in connection with evaluating information related to this permit application
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 infor-
mation 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
This the 1�!L day of
,200
r
O
n
NOV 12 2003
Landowner or person au orrzed to act as his agent for purpose of filin aaCCAMA permit application.

BRUNSWICK COUNTY HEALTH DEPARTMENT ' 1993032750A
DATE REC.. P.I.N.: FILENO.: 2003044920
F & R DEV INC MELISSA LEE 140 231ABO16
REC. FROM AMT PD. M TAR PARCEL
1861 HOLDEN BEACH RD
ADDRESS
FISHERMANS VILLAGE I
CUSSElir PROPERLY OWNER
SUPPLY NC 2e462- (9110)1842-400
CiTY sT zip PHONE
/ FISHERMAN'S VILLAGE / 330 ! /
SUODM,ION LOT aLx SEC
-••LOCATED,• DIREMICMISTO..••a• Q r TISIDY
AU !• q,n • • Pn rbln TTIRN DT •. R00NFqWrCK
NEW —t— REVISION RELOCATION UPGRADE REPAIR —
Design now: _ .3Ga gpd. Septic tank size: J 0 gal. Type: —2X�c—
No. Bedrooms rAx-No. occupants4w*Wwes t Max. Trench/Bed Bottom Depth: 19 inches
No. Lines: ,sA� Length each dW Bed dMwnslons:
Fill Check: Approved:
Dele Aullmdred Agent
PERMIT ISSUE DATE: 7 4- 0 3 Permit expires 60 months tram date of Issue unless otherwise specified
0 30 days from date of issue
❑ Other (date)
AiAhprized Agent Signature: �[' J �- u Registration: 13fa 1
NOTES: PERMIT IS SUBJECT TO%Il6OCATION IF SITE PLANS OR THE INTENDED USE CHANGES.
IMPROVEMENT PERMIT CONDITIONS MUST BE MET
NOTES
t.8eptic Tank Shell
have an approved
afNwnt filter and
access devices as
applicable.
ZMaintain all set-
back distances for
Septic tank Sys-
tems and well.
a. Au components of
the s•P0e systems
shall be located
too pet R poeslble
but not lass than
50 feet to all
ulsting and future
we61 onthis parcel
and ad)scem par-
esis.
Wastewater Systeminstaller. __ UU/AJIAL MAtd EEMENT
Commentw (tank info/baff(er approved)
OPERATION PERMIT: Date:
Aelhmited Agtea slgneMe
Actions of local health department .epnnentativa, a the State enga"d in the evaluation and determination at rIM•eureb required to ease oompll•nce W M the
aPPlice6le laws and rubs shall in no wary be taken as a warranty that Sewage treatment and disposal Systems approved and parmitled will function tin a
eag]daf:tnN mfnnnr M YM ni.an bMM n<Ivnu iAs 1m.e.Y.a N 11Mis n«...Y AMY ...J ...«.I..N� Y.s or:wr V..- ......... •.G.. ...Yes �.... �...1 aN Nw.uu �.le�

File No.:
Type
BRUNSWICK COUNTY HEALTH DEPARTMENT
P.O. BOX 9 BOIJVIA, N.C. 29422 [phone]
IMPROVEMENT PERMIT
PERMIT Is SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE
Supporting documents such as the completed application form, site evaluation form, fill plan, etc. are oonsldered a
part of this Improvement Permit.
Owner/Authorized Agent : FISHERMAN'S VILLAGE ! Tax Parcel: 231AB019
Lot: 330 Block, Section: Subdivision: RSHERMAN'S VILLAGE
Residential: XX Water Supply. Public l_jD _ Private tymJq
No. of units : 7 No. of bedrooms: 3 No. of occupants : �¢_
Commercial b4 it No. of employees : No. of seats
Type of business:
Septic tank volume: 90e LTAR: , ►_ �- apolsq, it. DraiMfekl sq. feet: S o
No. of Lines: r-P - Length ea.: 30 ` Trench width:'` Bed, I J �r Design now - gpd: 340
Trench/ Bed bottom depth no deeper then: inches Pump tank volume:
(A applicable)
Conditions as marked below must be met. Any site modification conditions must be completed and approved prior
to issuance of an Authorization for Wastewater Construction and the installation of the wastewater system.
CL Keep 100 feet from all water supplies (minimum of 50 feet must be maintained).
X Keep 10 feet from all water lines.
X Keep 10 feet from any property tines (no less than 5 feet for kits recorded prior to 711 /77)
X Do not drive over, park, pave, or build any structure over the area for the septic tank system
and the repair area if applicable.
X Da not install the septic system during wet conditions-
X Maintain Gravity Flow for septic system.
X If Septic System Uses Rock Aggregate/Appmved Filler Fabric Covering Required
Drainage Maintenance Required.
Suitable Fill material must be installed exactly per the Health Department approved fig plan.
Fig check must be completed by the Health Dept. prior to issue of Authodzation for Wastewater conshuiclion.
Approved for use of Allemative/uinovalve Wastewater System (Specify)
Submit Wastewater plans to the Health Department for reviewtapproval
X Septic Tank System must be installed per the Construction A bon Permit,
to
IMPROVEMENT PERMIT DATE;
f�N� e� SI..i.ati rJ�
Actions of Brunswick County Health Department representatives engaged In the evaluation and determination of
measures required to effect compliance wah the applicable laws and rules shall in no way be taken as a warranty
that sewage treatment and disposal systems approved and permitted will function in a satisfactory manner for any
given period of time. Permit is subject to revocation if the site plan or plat whichever is applicable, or the intended
use changes.
The issuance of this permit does not preclude the Permihee from complying with any and all statutes, rubs,
regulations, or ordinances which may be imposed by other government agencies (local, state, and federal) which
have jurisdiction. ��jjIp�y;�I, ��II -
SEPTIC TANKS SHALL HAVE AN AP FI�U�Q ILTER AND ACgESS DEVICES
NOV 1 3 2003 have
Sepik finks 4hed
Nan en Aflier
Effluent fgtu &
DIVISION OF
COASTAL MANAGEMENT

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
12-Nov-03 Fisherman's Village Inc. applied for a CAMA minor development
permit to construct a Single Family Residence/Open Uncovered Deck at 2810
Cindy Street SW, Lot 330, Fisherman's Village Subdivision, in Supply NC 28462.
The application may be inspected at the address below. Public comments received
by 01-Dec-03 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 19-Nov-03
RH
E(UE `V J�
NOV 13003 2003
DIVISION OF
COASTAL MANAGEMENT

FISHERMAN'S VILLAGE INC.
3458 Holden Beach Road SW
Supply, NC 28462
Phone [phone]
October 14, 2003
Jack and Georgia Mical
PO Box 2881
Shallotte, NC 28459
Dear Adjoining Property Owners,
This letter is to inform you that I have applied for a CAMA permit on my property at 2810
Cyndy St. SW, Brunswick County, Supply, NC 28462. I have enclosed a copy of my permit
application and a copy of the drawing of my proposed project.
If you have any comments on my proposed project, please contact the Coastal
Representative listed below. No response within ten (10) days is the same as no objection
when you have been notified by Certified Mail.
Local Permit Officer
Connie Marlowe
PO Box 249
Bolivia, NC 28422
910-253-2034
910-253-2024fax
Sincerely,
John F. Parker, Sr.
For Fisherman's Village, Inc.
3458 Holden Beach Road SW
Supply, NC 28462
910-842-6415
Enclosures: (2)
1120/11,
KEEVE
NOV 13 2003
DIVISION OF
COASTAL MANAGEMENT

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1, 2, and 3. Also complete A. Sign re
item 4 if Restricted Delivery is desired. Q ❑ Agent
■ Print your name and address on the reverse X ❑ Addressee
so that we Can (turn the card to you. g q�;ved by (Printed Neme) C). Dete of Dallvery
■ Attach this card to the back of the mailpiece, !d/�
or on the front if space permits. 6
1, Article Addressed to.
J tc aNy 0�o&q i&. &A,
A
S%71-E 1
D. Is delivery address different from Item 1? U Yes
If YES, enter delivery address below:
Qiro-
3. S Type
Mled Mail ❑ ss Mail
❑ Registered m Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (t7dra Fee) ❑ Yes
2. Article Number ry�
((rens/er from service h7W y00Z 004,0 OCM 05 6-4,93 &0
PS Form 3811, August 2001 Domestic Return Receipt 102595-01-M-25os
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece
or on the front if space permits.
1. Article Addressed to:
A Sign
X ❑ Agent
[ij ❑ Addressee
B. Received by ( Printed Name) C, Date of Delivery
D. Is delivery address different from item 1?
If YES, enter delivery address below:
3. S Type
RCsrtfied Mail ❑ press Mail
❑ Registered dL ReNm Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Ex&a Fee) ❑ Yes
2. Article Number %Wz Q
()•tans/er from service 1 '/
PS Form 3811. August 2001 Domestic Return Receipt 102595-01-K2509
pIVIS1ON O EMENT
coP's 'u M

FISHERMAN'S VILLAGE INC.
3458 Holden Beach Road SW
Supply, NC 28462
Phone [phone]
October 14, 2003
Jerry and Pauline Benton
2804 Cyndy St. SW
Supply, NC 28462
Dear Adjoining Property Owners,
This letter is to inform you that I have applied for a CAMA permit on my property at 2810
Cyndy St. SW, Brunswick County, Supply, NC 28462. I have enclosed a copy of my permit
application and a copy of the drawing of my proposed project.
If you have any comments on my proposed project, please contact the Coastal
Representative listed below. No response within ten (10) days is the same as no objection
when you have been notified by Certified Mail.
Local Permit Officer
Connie Marlowe
PO Box 249
Bolivia, NC 28422
910-253-2034
910-253-2024fax
Sincerely,
hn F. aP" rker, Sr.
For Fisherman's Village, Inc.
3458 Holden Beach Road SW
Supply, NC 28462
910-842-6415
Enclosures: (2)
JFP1bb
OASDAI. MAMA eMENT
C

SENDER: COMPLETE THIS SECTION
a Complete Items 1, 2, and 3. Also complete 7RmvW
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
qf- NE 4MI ON
A204, euNYY 8-r. 60
,3u_ppk-q , Na a94&Z
` If , / ❑ Agent
Name) I C.
D. Is delivery access different from item 1? EJ Yea
If YES, enter delivery address below: ►Jr`ro
3. Serv' Type
ert�ed Mail
❑ Esc ress Mail
❑ Registered
etum Receipt for Merchandise
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (6rtrs Fee) ❑ Yes
2. Article Number �/�Mn�/60Z �-t
(Transfer from service fabell) /Ogl:,0 QX3 54,83 g6R4
PS Form 3811, August 2001 Domestic Return Receipt 102596-01-M-2sog
0003 5683 8983
QENDER: COMPLETE ` SECTION I IDEL I Vh r?Y
■ Complete items 1, 2, and 3. Also complete A nature
item 4 if Restricted Delivery is desired. ❑ Agent
■ Print your name and address on the reverse �1 ❑ Addis
so that we can return the card to you. B. Received by ( Printed Name) C. Date of Deli
■ Attach this card to the back of the mailpiece, t
or on the front if space permits.
1. Article Addressed to: pp
Sg2�2y alt7c��dtb.iNE /for
D. Is delivery address different from Item
If YES, enter delivery address below:
3. Type
�S-e,rv/ice
L ,15'e-ified Mall
O Ex s Mail
❑ Registered
et. Receipt for Merchandise
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery?
(Extra Fee) ❑ Yes
2. Article Number
mnsfer from service label)
PS Form 3811, August 2001 Domestic Return Receipt 1025e5 01-M-2509
D
NOV 13 2003
p1\11MAN DEMENT
COASTAL

Nov 12 03 09:31a beverly bolas 9108428713 p.2
ram► "�-1,,_

Nov 07 03 12:41p beverly bolas
9108428713 p.2
,> /
,� 13 2003
�vv _
p,v1S`�N Gem
GoPgiP� MP

07 03 12:41p
beverly bolas
9108428713
p.3
a �i�/ /�6,
SI,qS
NOV 13 ZM3
� pIVIS10NAGEMENT
COASTAL M /
i�-