BC_03-19_Smith

10
Brunswick
Local Government
CAMA
MINOR DEVELOPMENT
PERMIT
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"
03-19
Permit Number
Issued to Charles Smith, authorizing development in Estuarine Shoreline at 7193 Island View Place SW. Lot
43, Hideaway Estates Subdivision: Ocean Isle Beach NC 28469 requested in the permittee's application,
dated 08-Mar-04. This permit, issued on 23-Mar-04, 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.
Thispermit 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) [Single Family Residence/Open Uncovered Deck/Covered Deck] submitted on
08-Mar-04.
(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 dale. 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,
2007.
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.
7ukccaoj�
Local Permit Official (signature)
Connie Marlowe
CAMA Local Permit Official
PO Box 249
Bolivia NC 28422
Permittee (signal 6muired 9 condition Bove arply to permit)

Charles Smith
Minor Permit #03-19
23-Mar-04
(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.

CAMATERMIT NOTICE
Pu1!»ant 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 March 8, 2004, Charles Smith applied
for a CAMA minor development permit to
construct a single family residential/open
covered deck/covered deck at 7193 Is,
id View Place SW, Lot 43, Hideaway Es'
as Subdivision in Ocean Isle Beach, NC
the application may be inspected at the
!ow address. Public comments received
March 22, 2004 will be considered. Later
nments will be accepted and considered
to the time of permit decision. Project
difications may occur based on tbrther
riew and comments. Notice of the permit
:tsion in this matter will be provided up.
Connie Marlowe
CAMA Local Permit
Officer for Brunswick County
P.O. BOX 249
Bolivia, N.C. 28422
810.2532025
Mac 11
&UXTIJ
b3-Iq
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 sworn, 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):
March 11, 2004
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 11th day of March, 2004.
(Signature of person making affidavit)
Sworn to and subscribed before me this 11th day of
March, 2004. ,,oQ��FAy
Public)
My commission expires: December 29, 2004.

Locality&hLhStj�ck Ct7" _ Permit Number �
GENERAL INFORMATION
LAND OWNER
Namt Mr. Charles Smith
Address P.O. Box 18923
City
Raleigh
---
AUTHORIZED AGENT
Name Jessie &
State NC Zip27619 Phone919-510_888.0_ . .
ers Construction Co.
Address P.O. Box 5024
(."ity Ocean Isle ._ State NC 2469
LOCATION OF PROJECT 7193 Island View Place
(It not oceanfront, is waterbody natural or manmade?)
Phone [phone]
DESCRIPTION OF PROJECT Single -Family Dwelling / (,y.?-md g uilcotiT,rA
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
06 be filled in by the Local Permit Officer prior to completing application.) - —
Uecml Hazard Esuruine Shoreline ORW Sho a ni. i . ore
PROPOSED USE MAR 10 2004
--x-._ kesidemial —_ C'onuneric:rl/Industrial Other p(�1SION OF ENT
��ppC�EM
SQUARE OF BUILDING FOOTPRINT AND O' �Ip��IY'L`k IY)l;S OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the estuarine shoreline. of '>
0RW Nlwreline, or 30 feet of the public u'ust shoreline. I33a '44 FTT
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING Z sOy --
SQUARE FOOTAGE OF SITE
OT111"R PERMITS MAY BE REQUIRED
The activity yuu are planning may require
permits other than the CAMA minor
development permit. As a service we have
compiled a listing of the kinds uf'permits that
might be required. We Suggest you check
uver the list with your LPO to determine if
any ol'these apply to your project.
Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system ),
Burning, Electrical, Plumbing, Heatinf-and
Air Conditioning, InSUlttio❑ and Energy
Conservation, F1A Certification, Sand Dune.
Sediment Control, Subdivision Approval,
Mobile Home Park Approval, I Iighway
Connection, and others.

F.N f IAM r l
io-1-j121VIQ v

STATEMENT OF OWNERSHIP ,
I, the undersigned, an applicant for a CAMA minor development permit, begin either the owner of property in
an area of environmental concern 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 sig-
nificant interest in the real property described th Fein.his Tin a esr -an be described as follows: (check one)
laa ;* , eer Srn F1
an owner of record title, Title is vested in see Deed Book 2 10 Ey
page in the , ,, Jaunty Registry of Deeds.
I
an owner y virtue of inheritance. Applicant is an heir to the estate of
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. 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.
n.T.—n% (Address)
(1)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed developm pta a ay
be susceptible to erosion and/or flooding. I acknowledge that the local p t fifctprhg'J I I n the
particular hazard problems associated with this lot. This explanation was a e y recommen �h hs
concerning stablUzatlon and floodproofing techniques. .. MAR 1 0 2004 J
PERMISSION TO ENTER ON LAND �"
0
I furthermore certifythat 1 am authorized to grant and do in tact rant rrJjaa� � rcn
and his agents to enterIxl$1OF.
on the aforementioned lands In connection with evil rmatcon�related to this
permit application.
This application includes: general information (this form), a site drawing as described on the back of this ap-
plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 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 maybe issued. Deviation
from these details will constitute a violation of any permit. Any person developing in an AEC without a per-
mit is subject to civil, criminal and administrative action.
This the day of Aor*persQff
Land authorize act as his agent
forp rCAMA rmit application.

DIRECTIONS TO PROPERTY
REC.: 8/29/2003
1 CHARLES
/PO BOX 18923
ADDRESS
/ SMITH CHARLES D ET MILDRED
CURRENT PROPERTY OWNER
BRUNSWICK COUNTY HEALTH DEPARTMENT
P.I.N.:
RALEIGH
FILE NO.: 1995041911A
ZONING: 2003045022
140.00 2423BO57
AMT.PD. TAX PARCEL
NC 27619- [phone]
Cry ST ZIP PHONE
I HIDEWAY ESTATES I I l
SUBDIVISION LOT old( SEC
PROPERTyLocATED.TowwclTruREv BRUNSWICKCOUNTY
no Tn I FFT nN OAK ST RIGHT AT. DEAD END LOTION LEFT
AUTHORIZATION FOR WASTEWATER CONSTRUCTION PERMIT N
NEW _ REVISION RELOCATION UPGRADE_ REPAIR_
Design Flow: �g gpd. Septic Tank Size: / DDO gal. Type: 77'e
No. Bedrooms No. occupants/employees09 Max. Trench/Bed Bohm Depth: P3 Inches
No. Lines: 8 ,LeengthEach: 30Bed Dimensions: �7y ,3
Fill Check: /v A Approved: Al1,4
Dater"anbaa
AOa d
Septic Tank shop have an
1 • approved effluent filter and
access devices as applicable.
y Maintain ad selbaa distaoas for
septic tank systems and wells.
3. All components of the septic
systems shall be located 100 feet
If possible but not less Iran 50
feet Ill all existing and future wells
on this parcel and adjacent
parcels.
PERMIT ISSUE DATE: 9 U Permit expires 60 months from date of issue unless otherwise specified 22
Q 30 days from date of issue
Q.Other (date)
Authorized Agent Signature: / C w 17 Registration:
NOTES: PERMIT IS SUBJECT TOR OCATION IF SITE PLANS OR THE INTENDED USE CHANGES.
IkADDf)%/GMFNT PERMIT CONDITIONS MUST BE MET.
Date:
Wastewater System installer:
Comments: (tank Info/barrier approved)
OPERATION PERMIT: Date:
AuOodaed Agent Signature
Atlbns of local health depmenad reprasantaUvez or the Stale engaged n thv avaluaUan and tlelerrnlnspon of measures required to eHeU canDparoe with the applicable laws and rules shad In no we
manner IW any given period d
be taken as a warranty that sewage treatment and disposal systems approved and permitted will function Ine sad0an o it Ume. The kanw o1 this Permit have rwl
su
prZude the PerMpea from complying with any and all statutes, rules end regulations or ordinanoea welch may be Imposed by other government agencies (kcal slate, and federeq which raw

File No.:_1995.041911A.REVISION
�
BRUNSWICK COUNTY HEALTH DEPARTMENT Type �
P.O. BOX 9 BOLIVIA, N.C. 28422 [phone]
IMPROVEMENT PERMIT
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE
An Authorization for Wastewater Construction must be attached to the Improvement Permit before any other
permit can 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 this Improvement Permit.
Owner/Authodzed Agent: SMITH CHARLES D ET MILDRED T Tax Parcel: 24238057
Lot: Block: Section: Subdivision: HIDEWAY ESTATES
Residential : XX Water Supply: XX Public Private (well)
No. of units: 1 No. of bedrooms: 4 No. of occupants : 2
Commercial:
Type of business:_
of employees :
Number of seats:. —
Size of septic tank : 000 LTAR: /, t7 apd/sq. it. Dreinfield sq. feet %PO
No. of Lines:_ Length ea.: � Trench width: Bed : M )"A O �Design Flow gpd: 11430
Trench/ Bed bottom depth no deeper than: _I Inches Pump tank volume(if applicable) W�
If applicable, the following conditions must be met prior to issuance, of an Authorization for Wastewater
Construction and prior to wastewater system installation.
X Keep 100 feet from all water supplies (minimum of 50 feet must be maintained).
X Keep 10 feet from'ali water lines .
X Keep 10 feet from any property lines (no less than 5 feet for lots recorded prior to 7/1177)
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 Do not Install the septic system during wet conditions.
X Maintain Gravity Flow for septic system.
Drainage Maintenance Required. _
Suitable Fill material must be installed exactly per the Health Department approved fill plan. Fill check plan.
Fill check must be completed by the Health Dept. prior to issue of Authorization for Wastewa a
Construction Permit
Approved for use of Altemativa/Innovative Wastewater System (Specify) !�
Submit Wastewater plans to the Health Department for review/approval
If Septic System Uses Rock Aggregate/Approved Filter Fabric Covering Requi
X Septic Tank System must be Installed per the Construction Authorization Permit. `Qy
Connect to Sewer when available. MAR
\v \SOON O AMENS
IMPROVEMENT PERMIT DATE: EXPIRATION PATE: MPS
ACTIONS OF BRUNSWICK COUNTY HEALTH DEPARTMENT REPRSLSF.NTAITVES ENGAGED IN THE EVALUATION AND
DETERMINATION OF MEASURES REQUIRED TO EFFECT COMPLIANCE WITH 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 Permittee from complying with any and all statutes, rules,
regulations, or ordinances which may be Imposed by other government agencies (local, state, and federal) which
have jurisdiction.
.SDPTTC TANLLSSOALL HA FDANAPPROYTiD DFFLUr4A7'F/LTF8 R ACCNVS BEVICrV
IP039e
Updated 09/25/02

Pagel of 3
JESSIE & MYERS
Construction Company , Inc.
Date: March 4, 2004
Mrs Margaret Lyles
2309 Elmford Way
Raleigh NC 27608
CAMA NOTIFICATION
LOCATION: Part of Tract B, 7193 ISLAND VIEW PLACE
Dear Mrs. Lyles:
This letter is to inform you that I have applied for a CAMA permit on my property located at 7193
Island View Place, in Ocean Isle, North Carolina. CAMA regulations require me to notify you of
my intentions.
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 Ronald Jessie of Jessie &
Myers Construction Company, P.O. Box 5024, Ocean Isle Beach, NC 28469.
Sincerely,
/j/ G✓1
Ron Jessi
, A
MaR of N�
O\v\ MP PG'�M�
GO NS P�-
P O Rnv 9M4 * (bran TOP Reach * Nr * 9Rd(.Q * Phnnr l9101-575-ZO(.2 * Fnv l91f11-575An(,9

Page I of 3
JESSIE & MYERS
Construction Company, Inc.
Date: March 4, 2004
Mr. Joseph Lassiter
7199 Island View Place
Ocean Isle Beach, NC 28469
CAMA NOTIFICATION
LOCATION: Part of Tract B, 7193 ISLAND VIEW PLACE
Dear Mr. Lassiter,
This letter is to inform you that I have applied for a CAMA permit on my property located at 7193
Island View Place, in Ocean Isle, North Carolina. CAMA regulations require me to notify you of
my intentions.
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 Ronald Jessie of Jessie &
Myers Construction Company, P.O. Box 5024, Ocean Isle Beach, NC 28469.
Sincer
on Je e
GO INS" PL M
P n Rnr 504 t Arran We Rrarh + N(` • 9Rd69 • Phnnr l910)_S75-1061 *Fay (9101-575-1069

U.S. Postal
Service
f1JCERTIFIED MAIL RECEIPT
m! (Domestic mail only;
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rru O REIGIFIG 761C i A L U S El
rn
}q Postage $ $0.37 0470
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O Cerdned Fee
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Q Return RecelPt Fee Hare
(Endorsement Required) 1. 1
cC) Restricted Delivery Fee
p (EndorsementRoquired) 52.67 03JOE/?004
rL Total Postage & Fees $
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� Bpt ° Ms. Margaret Lyles
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po orNo.;
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` Mr. Joseph Lassiter
Streel ApI No.{
otpo B°x Na 7199 Island View P
Ocean Isle NC 28469
:01 It

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
08-Mar-04 Charles Smith applied for a CAMA minor development permit to
construct a Single Family Residential/Open Uncovered Deck/Covered Deck at
7193 Island View Place SW, Lot 43, Hideaway Estates Subdivision, in Ocean Isle
Beach NC 28469. The application may be inspected at the address below. Public
comments received by March 22, 2004 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 March 10, 2004

13.6
EL. CENTER OF
, di a
- �V ld O . k
TBM
\ lot 42
MARLEE ACRES
SUBDIDVISION
[P
EIP o
1/oo�V�KH�
VQTES: / / / \N�RPIcll P\
PROPERTY IS IN A FLOOD HAZARD AREA qC-IV
MAP OF SURVEY FOR
CHARLES AND MILLIE SMITH
=O� QOFESSIOryq�
q OF
�-1250 * LOT 43
su � MAP BOOK/G iLPAGE1! iY2
�qN JAN K. DALE
N.C. REG. NO. L-1250
K. DALE PLS 891 COPAS RD. - SHALLOTTE, N.C.
V.C. REG. NO. L-1250 910-754-4477
-3
i
6SION OF MANAGEMs v r
SCALE
1" - 40'
TOWNSHIP
SHALLOTTE
COUNTY
BRUNSWICK
STATE
N.C.
TOWN
DATE
01/22/04
FIELD BOOK
1 133
DRAWN BY
I JKD
DWG. NO. I99/SPR