BC_03-17_Cobb

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-116 of the
General Statues, "Coastal Area Management"
03-17
Permit Number
Issued to Annetta Cobb, authorizing development in Estuarine Shoreline at 1472 Magnolia Street, Shallotte
INC 28470 requested in the permittee's application, dated 13-Feb-04. This permit, issued on 05-Ayr-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.
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) [8' x 46' Open Uncovered neck] submitted on 13-Feb-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, constructio lend use activities will requirle a
re-evaluation and modification of this permit.
APR G 6 2004 Ll
Conditions continued on second page DIVISION OF
OASTAL MANAGEMENT
This permit action may be appealed by the pernittee 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,
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.
Local Permit Official (signature)
Connie Marlowe
CAMA Local Permit Official
PO Box 249
Bolivia NC 28422
above apply to permit)

Annette Cobb
Minor Permit #03-17
05-Apr-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.
J�vBDAPR 6 6 2004
DIVISION OF
COASTAL MANAGEMENT

Locality L3tk1',6u_);ck t-Utt+ / Permit Number 63-17
Ocean Hazard Estuarine Shoreliney ORW Shoreline Public Trust Shoreline _Other_
(For official use only)
GENERAL INFORMATION
[w;ROX6 R
Name A►. w s-ro 1 A CCoRi3
Address _'VS13 hiZEY AR-P-;9v ©i A (9'
City EAu le')A State
AUTHORIZED AGENT
N (.
Zip 1116 15 Phone 6' 0 L'
Name JAe. i<. 1<cm 4 Y . SC A'Po9T S-Sa W Ic,cs U0
Address 3 F 6 4 T6 J?5 iyF U' .
City SOVTA Pohl State NL Zip 1 461 Phones1605i ' &61
rX:4535 (M)
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of
theadjacentwaterbody?) 141'1, MAynroLIA ST. t UAU.OT-T15 n(C. vg416
(v1� ?T Zb 'fa L, on) f;AiZt41FQ. TO 0A CWViz .N To R orA MAe NWA')
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) ZE`a i 6Ec4 T 1 A L
i I/- S'itAA LvSS, iNuAllNh 2aoF p 1>a" -oPeO VF( 14 A sEFM1c—
US-M- A1,1, 22P1.Ac,lNv l b>yMo1,lSN6D AOV79F 4q SC-PTic- SySTS-m
SIZE OF LOT/PARCEL: I 1^4077 square feet 0. 40 acres
PROPOSED USE: Residential (Single-family Multi -family _) Commerical/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): � sq. ft.
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete r 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:
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 areas,:,rbject to a
State Stormwater Management Permit issued by the N.C. Division of Water Quality?
YES_ NOS
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. WA square feet.

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 list 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 a
person authorized to art 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)
ag owner or rec°� title. Title is vested in �C) Wb b see Deed Book 1 i7
page 31 in the YUJVI C4 County Registry of Deeds.
&an owner by virtue of inheritance. Applicant is an heir to the estate of '
probate was in'—cvvii Cn County.
_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.
(1)
(2)
(3)
(4)
(Name) (Address)
DA>4A ANM(LSOis, PO gO-c 51s6DC5AtJ ISlrc WAGiA t N, 'IX4601
hAVlbr.toS S. swu-P�,6�4 QVG_, biN-4 NL 'L 331,E
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 has explained to me the particular hazard problems associ-
ated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
niques.
PERMISSION TO ENTER ON LAND: s . ,
CC. ,
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his 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 Thisthed of FT-i5 UQtzy 20O'V
VFB 13 2004
Landowner or person authorized to act as his agent for purpose f filing a CAMA permit application.

TION
February 12, 2004
Mr & Mrs Dana Anderson
P.O. Box 5186
Ocean Isle Beach, NC 28469
Dear Dana & Bonnie:
3864 TOPSIDE DRIVE
SOUTHPORT
NORTH CAROLINA 28461
PHONE OR FAx:
910.454.8667
As you know, Annetta Cobb intends to build a new house on her property at 1472
Magnolia Street, Shallotte, NC. This letter is to inform you that we have applied for a
CAMA minor permit in furtherance of this project. I have enclosed a copy of the permit.
application and copy of the drawing of the proposed project. If you have any questions
regarding the project, please contact me at 910-454-8667.
If you have any comments on the 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.
Ms. Connie Marlowe
Administrative Assistant
P.O. Box 249
Bolivia, NC 28422
910-253-2034
Sincer y,
Jack H. Kemeny
cc: Connie Marlowe
Annetta Cobb
GENERAL CONTRACTOR LICENSE 4 39870
CERTIFIED MAIL,., RECUT
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02/12/2004
Total Postage 8 Fees
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HOME INSPECTOR LICENSE N 830

J10N
February 12, 2004
Mr. David E. Daniel
609 South Sampson Avenue
Dunn, NC 28334
Dear Mr. Daniel:
3864 ToPSIOE DRIVE
SOUTHPORT
NORTH CAROLINA 28461
PHONE OR FAX:
910.454.8667
As you know, Annetta Cobb intends to build a new house on her property at 1472
Magnolia Street, Shallotte, NC. This letter is to inform you that we have applied for a
CAMA minor permit in furtherance of this project. I have enclosed a copy of the permit
application and copy of the drawing of the proposed project. If you have any questions
regarding the project, please contact me at 910-454-8667.
If you have any comments on the 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.
Ms. Connie Marlowe
Administrative Assistant
P.O. Box 249
Bolivia, NC 28422
910-253-2034
Jack H. Kement
cc: Connie Marlowe
Annetta Cobb ;a
GENERAL CONTRACTOR LICENSE N 39870
CERTIFIED
(Domestic Mail Oni.
For delivery informath
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$2.30
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HOME INSPECTOR LICENSE N830

File No.:_2003.062433
Type e
BRUNSWICK COUNTY HEALTH DEPARTMENT
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/Authorized Agent: COBB ANNETTA JONES Tax Parcel : 230GCO03
Lot: 98+99 Block: Section: Subdivision : SHADY REST
Residential : XX Water Supply: XX Public Private (well)
No. of units: 1 No. of bedrooms : 3 No. of occupants : 1
Commercial:
Type of busin
Number of employees:
Number of seats:
Size of septic tank :ZQO LTAR: 12 Q gpd/sq. ft`. / Drainfield sq. feet:
No. of Lines:—i _ Length ea.:�{Z Trench width.—*.
idth: * Bed : /� X.30�� DD/ sign Flow gpd: 36 0
Trench/ Bed bottom depth no deeper than: 1� inches / Pump tank volume: ) p p p (if applicable
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 all water lines.
X Keep 10 feet from any property lines (no less than 5 feet for lots recorded prior to 711177)
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 Wastewater
Construction Permit.
Approved for use of Alternative/Innovative Wastewater System (Specify)
Submit Wastewater plans to the Health Department for review/approval
If Septic System Uses Rock Aggregate/Approved Filter Fabric Covering Required .
X Septic Tank System must be installed per the Construction Authorization Permit.
Connect to Sewer when available
r Signature
ACTIONS OF BRUNSWICK COUNTY HI14LTH DEPARTMENT . REPI ENTATIVF-S 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 TOE 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.
VFPT/C TANKSSMALL RA FDANAPPROP6D EFFWENT FILTER d ACCESS DEVICES
IP0398
Updated 09/25/02

BRUNSWICK COUNTY HEALTH DEPARTMENT
FILE_ NO.:
2003062433
DATE REC.: 12/30103
P.I.N.:
ZONING:
2003046485
KEMENY JACK /SEAPORT REALTY
140.00
230GCO03
REC. FROM
05 T. PD.
TAX PARCEL
3864 TOPSIDE DR
SOUTHPORT
28461-
[phone]
ADDRESS
CITY
ST LP
PHONE
COBB ANNETTA JONES
/ SHADY REST
/ 98199 /
/
CURRENT PROPERTY OWNER
SUBDIVISION
LOT
OLK SEC
PROPERTY LOCATED. TOWNCITTAREA/ BRUNSWICK COUNTY
DIRECTIONS To PROPERTY HWY 17S TO LEFT ON HWY 130 TO RT ONHWY 179 TO LEFT ON VILLAGE POINT
/ AUTHORIZATION FOR WASTEWATER CONSTRUCTION PERMIT
NEW 1/ REVISION_ RELOCATION UPGRADE_ REPAIR_
Design Flow: Q gpd. Septic Tank Size: qQ 0 gal. Type:
No. Bedrooms No. occupants/employees� Max. Trench/Bed Bottom Depth: �$ inches
No. Lines: Length Each: 30 Bed Dimensions: Z5 K< 0
Fill Check: /4/r Approved: /A
to Authorized! Agent
Septic Tank shall have an
approved stnuent filter and
access devices as applicable.
Maintain all setback distances for
septic tank systems and wells.
All components of the septic
systems shall be located 100 feel
it possible but not less Iran 50
feet to an existing and future wells
on this parcel and adjacenl
Parcels.
PERMIT ISSUE DATE: / Permit expires 60 months from date of issue unless otherwise specified
Q 30 days from dale of issue
0 Other (date)
Authorized Agent Signature: Registration:
NOTES: PERMIT IS SUBJECT TO RFOOCATION IF SITE PLANS OR THE INTENDED USE CHANGES.
IMPROVEMENT PERMIT CONDITIONS MUST BE MET.
Wastewater System Installer: Date:
Comments: (tank info/barrier approved)
OPERATION PERMIT:
Date:
Actions of local heagh department representatives or the Slate engaged in the evaluation and determination of measures reduired tot effed compliance with the applicable laws and rules shall in no we
be taken as a wamanty that sewage treatment and disposal systems approved and permitted will function In a satisfactory manner to any given period of time. The Issuance of this peril does not
preclude the Pennines from complying with any and all slatules. rules and regulations a ordinances which may be knposed by other government agencies (local slate. and federal) which haw
junsdicton. -

Parcel Report
SUBJECT PARCEL: 23DGCO03
Parcel Information
Parcel Data
FieldAddress: 1472 SW MAGNOLIA ST
Parcel: 230GCO03
ACCOUNT NO: 61604760
Parcel Desc: L-98&99 SHADY REST PLAT MB3/9
Deed Book:1470
Deed _Page: 0931
City_Id_No
City_Name
Imp1_Use_Name: SINGLE FAMILY RESIDENTIAL
Imp2_Modal_Name: SFR CONSTRUCTION
Street No:1472
Street Name: MAGNOLIA
Street Type: ST
Street Dir: SW
Street Bld
Street_Zip: 28470
Owner Information
Taxpayer Name: COBB ANNETTA JONES
Address Line
Address Line_2: PO BOX 53427
City:FAYETTEVILLE
State: NC
Zip_Code: 28305
Sales Data
Sale Book: 1470
Sale Page: 0931
Sale Month: 06
Sale Year: 2001
Sale lnst: WD
Sale Qual: U
Sale Imp: I
Sale —Price: 57500
Structure Data
Lots —Acres —Type: L
Lot Acres Size:2
Actual Area:713
Eff Area: 713
Rep_Cost New: 32156
REPORT DATE: 02-13-2004
Image Attributes
Image Entry Dale: 01-16-2002
Primary Image: Yes
Notes
History: No
Vacant: No
Not Accessible: No
Construction: No
Quest: No
Fnliage: No
UnreoordedStructure: No
NMR: No
NTR: No
CorrectedAddr. No
CorrectedNbr. No
UnverifiedAddr: No
Unassignlmage: No
MobileHome: No
Intersection: No
Abandoned: No
Waste: No
QualityReview: No
BestView: No
People: No
DupeMap: No
Nolmage: No
NoOrtho: No
NoFootPrint: No
PolygonCheck: No
NOPhoto: No
Parcel Information Cont...
No Bedrooms: 2 BEDROOMS
Bath Rest Rms: 1
Fireplace: 1 STY SINGL
No Stories: 1.0 STORIES
AirCond_Type: NONE
Heat_Type: BASEBRD OR SPACE
Heating Type: OILI WOOD/COAL
Int Floor 1 Name: PINE OR SOFT WOODS
PLYWOOD PANEL
DRYWALUSHEETROCK
'HALT OR COMPOST
ie: GABLE OR HIP
WOOD ON SHEAT OR P
Built: 1952
TIC 1952
713
857
Name: SHALLOTTE POINT
Units: 00
Land_Type:00
Stru Frame: 00
Cell Insul: 00
Rooms Per:00
Comm Wall: 00
Wall _Hgt: 00
Appraisal Information
R Land Val: 104000
R Deferred Val:0
R Other Val: 550
R Home Val: 17710
R Total Val: 122260

CAMA PERMIT NOTICE
Pursuant to NCGS 11aA-119(b), Bruns.
wick County, a locality authorized to issue
CAMA permits in the areas of environ.
mental concern, hereby gives NOTICE that
on February 13, 2004, Annetta Cobb applied
for a CAMA minor development permit to
construct an open uncovered deck at 1472
Magnolia Street, Shady Rest Subdivision
in Shallotte, NC 28470.
The application may be inspected at the
below address. Public comments received
by February 26, 2004 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
CAMA Local Perr
Officer for Brunswick Cow
P.O. Box:
Bolivia, N.C. 28,.
910.263-21
Feb.
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 authorizer] 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 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):
February 19, 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 19th day of February, 2004.
14 ��� ...............
(Signature of person making affidavit)
Sworn to and subscribed before me this 19th day of
February, 20
'� ,+�IVAY BqE
O NOTAgY
MAR j�
D\\J NAGVti ... (Notary Public) 2s i 8� .
CpAST commission expires: December 29, 2004. co\ � o�°

27-Feb-04
Jack Kemeny
Seaport Services Corporation
3864 Topside Drive
Southport NC 28461
Brunswick County Planning
P.O. Box 249
20 Referendum Drive N.E.
Bolivia, North Carolina 28422
VIA
ooy
MP�n'S of 00,
GO PS, PL M
RE: NOTICE TO EXTEND TIME TO GRANT OR DENY CAMA PERMIT
(MINOR) PERMIT #03-17 (Annetta Cobb)
Dear Mr. Kemeny:
Pursuant to NCGS 113A-121(b), the undersigned hereby gives notice to the applicant that
for a 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 any additional twenty-five (25) days.
�ncerely,
Connie Marlowe
Local Permit Officer
c: Ed Brooks, NC DENR
TELEPHONE [phone] [phone] • FAX [phone]

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