CasB_04-13_Miller

WiRO for Caswell Bch DCWB # 04- 13
Local Government JUN 18 2004 Permit Number
cEzvp
DIVISION OF LAMA
COASTAL MANAGEM ML
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"
Issued to Bert and Sonya Miller, authorizing development in an Ocean Hazard Area of Environmental Concern
AEC at 528 Caswell Beach Road, Caswell Beach In Brunswick County as requested in the permittee's
application, dated February 21, 2004. This permit, issued on June 11, 2064, 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 the construction of a single family residence at 528 Caswell Beach Road, Caswell Beach
(1) All proposed development and associated construction must be done in accordance with the revise
permitted work plat drawings(s) dated received June 10, 2004.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State an
Federal regulations. Contact the Town of Caswell Beach for applicable local ordinances and FEM
Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require
re-evaluation and modification of this permit.
Conditions continued on second page
This permit action may be appealed by the perittee or othe
qualified persons within twenty (20) days of the issuing date. Fro
the date of an appeal, any work conducted under this peril mus
cease until the appeal is resolved.
This permit must be on the project site and accessible to the peri
officer when the project is inspected for compliance.
Any maintenance work or project modification not covered undo
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 wit
the local Land Use Plan and all applicable ordinances.
This permit may not be transferred to another party without th
written approval of the Division of Coastal Management.
�4f I��'GGGL+4
Local Permit Official (signature)
CAMA Local Permit Official
Caroline Bellis
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Pe iftee
(Signature required if special conditi s bove apply to permit)

Bert and Sonya Miller
Minor Permit CWB # 04-13
June 11, 2004
Page Two
(4) No filling or other disturbance of any wetland area shall occur during site preparation or
project construction.
(5) A copy of this permit shall be posted or available on site. Contact this office for a final
inspection at completion of work. 910/395-3900.
(8) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned,
transferred, sold or otherwise disposed of to a third -party.
(7) Any structure shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled
within two years of the time when it becomes imminently threatened, and in any case upon
its collapse or subsidence. However, if natural shoreline recovery or beach renourishment
takes place within two years of the time the structure becomes imminently threatened so
that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek
authorization of temporary protective measures allowed under CRC Rules.
I & 4
'P(03,V ,°
Cogs �� /S/o
T MANA�FMFNT

,,
WiRO for Caswell Bch
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"
CWB # 04- 13
Permit Number
Issued to Bert and Sonya. Miller, authorizing development in an Ocean Hazard Area of Environmental Concern
AEC at 528 Caswell Beach Road, Caswell Beach In Brunswick County as requested in the permittee's
application, 'dated February 21, 2004. This permit, issued on June 11, 2004, 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 the construction of a single family residence at 528 Caswell Beach Road, Caswell Beach
(1) All proposed development and associated construction must be done in accordance with the revise
permitted work plat drawings(s) dated received June 10, 2004.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State an
Federal regulations. Contact the Town of Caswell Beach for applicable local ordinances and FEM
Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require
re-evaluation and modification of this permit.
Conditions continued on second page
This permit action may be appealed by the permittee or othe
qualified persons within twenty (20) days of the issuing date. Fro
the dale of an appeal, any work conducted under this permit mus
cease unfit the appeal is resolved.
This permit must be on the project site and accessible to the perm
officer when the project is Inspected for compliance.
Any maintenance work or project modification not covered unde
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 wit
the local Land Use Plan and all applicable ordinances.
This permit may not be transferred to another party without th
written approval of the Division of Coastal Management.
��/� I`�'GGC►!1Q
Local Permit Official (signature)
CAMA Local Permit Official
Caroline Bellis
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Penmittee
(Signature required if special conditions above apply to permit)

Bert and Sonya Miller
Minor Permit CWB 9 04-13
June 11, 2004
Page Two
(4) No filling or other disturbance of any wetland area shall occur during site preparation or
project construction.
(5) A copy of this permit shall be posted or available on site. Contact this office for a final
inspection at completion of work. 910/395-3900.
(8) Pursuant to 15A NCAC, Subchapter 710406(b), this permit may not be assigned,
transferred, sold or otherwise disposed of to a third -party.
(7) Any structure shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration.. The structure(s) shall be relocated or dismantled
within two years of the time when it becomes imminently threatened, and in any case upon
its collapse or subsidence. However, if natural shoreline recovery or beach renourishment
takes place within two years of the time the structure becomes imminently threatened so
that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek
authorization of temporary protective measures allowed under CRC Rules.
Signature Date

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
June 11, 2004,
Bert and Sonja Miller
4354 Polly Gully Court
Southport, NC 28461
Dear Mr. and Mrs. Miller:
Attached is CAMA Minor Development Permit # CWB 04-13 for work to be done at 528 Caswell
Beach Road in Caswell Beach, Brunswick County.
In order to validate this permit, please sign both copies of the permit on the first and second sheets as
indicated. Retain the original for your files and return a signed copy to us within 20 days of receipt, in the
enclosed, self-addressed envelope. This is not a valid permit until it is signed and returned to our office.
Your early attention to this matter would be appreciated.
Sincerely,
CaA.ac.:.�-
Caroline Bellis
Field Representative
Enclosures
cc: Jim Gregson
127 Cardinal Drive Extension, Wilmington, North Carolina 28406-3845
Phone: [phone]Fax:,910-350-2004I Internet: http://dcm2.enr.state.nc.us
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110 % Post Consumer Paper

MINOR PERMIT
NEW APPLICATION
Applicant: „ Pct % SQrnoa► X., Her_
Field Representative:
Received: '3 —A
Check #:
Public Notice: Date Published
Comments 3 Q
Green Slips:
- ceass segZol.) �

JUN 1 r.
I. ✓¢mes F. Jr. certify th¢t this pl t w�.s dmwn under my su _
an actual su mad4 ,v, r, ray perm is (description: Bp r Uf
that the bou d s "'eEalvei z clew y icated as dm WAGE
Jbund in BoaI-1 f; that the ratio of pre as calculated is 1:10.000; that
this plat was preps or 'rr}}��ee��wi Sec. .1600" as amended. Witness my
original stignatuae, i1 Tloider and seal this 6th day of April. A.O., 2004.
COASTAL MANAGEMENT ---- PLS. No. L-2796
SURVEYOR------------- -----------------
NOTE: Revised 06-08-04 to show 404 Line, new proposed house, driveway
and septic configuration, and updated impervious calculation. D.B.
PRELIMINARY PLAT
NOT FOR RECORDATION
CONVEYANCES OR SALES
EIR _ _
- ---- 7j— — — —
el.a
I ,,
N CAR94 ''%
Im ,�.� �ES /•
E_
L • 2 ¢ ood
e `� ,•
N•N•••t�;
Gn EL
-492-
REFERENCE:
Lot-30, Blk-1,Sec. -C
Caswell Beach
C5
Map Bk-8,Pg-96-96A
Bruns. Co. Reg.
Gnd.EL
I:'TD_nvic# iron Cline m4.Ee'
Reputed 40' Utility Easement
--------------
IMPERVIOUS:
Lot=8,000 S.F.
30%=2,400 S.F.
S 68434' E 50.0'
LOT-30
8,000.0 S.F.
0.18 Acres
T Ruildu,E 9etbeck Line
, steps_
'I rlmr-
Res.=1,836 S.F.
Drive= 538 S.F.
Total=2,374 S.F.
01
[ RACOASTAL WATERWAY
r
G lr Llgh[huuse
SITE
INITY MAP
Not to Scale
Impervious
Area Does Not
Exceed 30%
— _ EIR — —
G50' )
I
I
1
B l o c k- 1
I
I &
Steps IO
CD
EXISTING EXISTING I"

COMAEAVOCE2 OH zv E2
6�J1 toil tsECodDVI ICA
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lee
RUUNR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Memorandum
To: Henry Wicker
FrorridEaroline Bellis
Re: 528 Caswell Beach Road
Date: April 13, 2004
Henry, this is the property down at Caswell Beach that may have 404 wetlands towards the back
of the lot. What we need to figure out is if they are indeed jurisdictional wetlands, will
construction of this house have any impacts/require any fill. We will be grateful for your input
and guidance. Thanks.
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] FAX: [phone] Intemet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Acton Employer-50% Recycled 110% Post Consumer Paper

Au -
WA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
March 18, 2004
Bert and Sonja Miller
4354 Polly Gully Court, SE
Southport, NC 28461
RE:CAMA Minor Permit Application — Lot 30 Caswell Beach Road
Dear Mr. and Mrs. MIller:
On 03/03/2004, we received your CAMA Minor Permit Application for the proposed
construction of a single family residence adjacent to the Atlantic Ocean at your property at Lot
30, 528 Caswell Beach Road in Caswell Beach, Brunswick County. However, as indicated in
the phone message I left for you earlier this week, your application lacks information necessary
for complete processing, and review of your application has been placed on hold.
Specifically, it is unclear whether federal wetlands that may be on the site would be
affected by the proposed development. Also, we will need a diagram showing a cross sectional
view of the proposed house showing the existing and proposed relative ground elevations. We
suggest that you contact Mr. Henry Wicker with the Corps of Engineers (910/251-3490)
regarding federal wetlands. Once we have received the necessary information, we can continue
with the review process. I will be in contact with you and or John Fazekas of Caswell Beach as
needed.
Sincerely,
Caroline Bellis
Field Representative
Cc: Jim Gregson, DCM
Doug Huggett, DCM
John Fazekas, Caswell Beach
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

1, James F. Boney Jr. certify that this plat was drawn under my supervision from
an actual survey made under my supervision. (description: Book_SFZ_page REF );
that the boundaries not surveyed are clearly indicated as drawn from injbrmation
jbund in Book Ref; that the ratio of precision as calculated is 1:10,000; that
this plat was prepared in accordance with "Sec. .1600" as amended. Witness my
original signature, registration number and seat this 6th day of April, A.D., 2004.
SURVEYOR PLS. No. L-2796
Reputed 40' Utility Easement
IMPERVIOUS:
Lot=8,000 S.F.
30%=2,400 S.F.
Res.=1,836 S.F.
Drive= 900 S.F.
Total=2,736 S.F.
INTRACOASTAL WATERWAY
7
U
S
Oak
Gleod t�
Colf LlShtbouse
SITE
Casa Beach Rd
VICINITY MAP
Not to Scale
Overage=336 S.F./7.5
=44.8 C.F. Required
Gravel Drip Edge=(120'xO.5'x2')(.4)
=48 C.F. Provided
EIR
EIP
S 68*34'
E 50.0'
EIR
9.ry6'
EIR
- - (75')
E-9.S1
— — — — — — -
TOP
LOT-30
EI=4.59'
TOE
E-9.ea
I, PRELIMINARY PLAT
N
8,000.0 S.F.
I coo' NOT FOR RECORDATION
0.18 Acres
I
I' CONVEYANCES OR SALES'
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REFERENCE:
caaEl.
PROPOSED ie
l2
Cod EL
I
Lot-30,B1k-1,9ec.-C
-aryl
I
Caswell Beach
RESIDENCE
Map Bk-8,Pg-96-96A
Bruns. Co. Reg.
o
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,
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FN:BM130 (75) Lot-12 EIR (75') Lot-11 EtR (75) Lot 10 EtR
Boney Land Surveyors, Inc. PRELIMINARY SITE PLAN
4922 E Oak Island Dr —FOR—
Oak Island, NC 28465 BOB MI LLLE R
910-278-9415 528 Caswell Beach Road
DRAWN BY D•B- DATE_ 04=06 _04___—CASWELL BEACH—
J.B. ___ SCALE 1"-30' Smithville Township
BEACH —
CHECKED BY_— -_-_- -------- Brunswick Co., N.C.
3

6ELLIS
- 7-79-2-5<:� S
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1. James F. Boney Jr. certify that this plat was drawn under my supervision from
an actual survey made under my supervision (description: Book SEE ,page);
that the boundaries not surveyed are clearly indicated as drawn from information
found in Book Ref.; that the ratio of precision as calculated is 1:10.000; that
this plat was prepared in accordance with "Sec. .1800" as amended. Witness my
original signature, registration number and seal this 6th day of April, A.D., 2004.
SURVEYOR--------------- ---------------------------------------- PLS. No. L-2796
1\\�111111lot„�/
�:RO<i /' Reputed 40' Utility Easement
e� r FES 0 �f QO • '
i C E IMPERVIOUS:
.27 17 _ Lot=8,000 S.F.
30%=2,400 S.F.
'•. SUfl••: Res.=1,836 S.F.
%� S,•F•••••Nr��`,` Drive= 900 S.F.
BO Total=2,736 S.F.
//''�thn ullllll,
EIR :, EIP
S 68'34' E
ILC
1, PRELIMINARY PLAT
6,0(
I o' NOT FOR RECORDATION
0.b
1 OR SALES,
CONVEYANCES
11
Steps
I Gnd.El.
I,
M EI
REFERENCE: ca.'74!
I'
PRO
Lot-30,131k-1,Sec.-C
Caswell Beach
i
RES]
Map Bk-8,Pg-96-96A
m
Bruns. Co. Reg. o
i;'
ON
EIP-exist. iron pipe "
IRS -iron rod set
EIR-exist. iron rod Oad.El:
-4.52'
MIA: FIRM 04-02-91
370391-0002-D
Zone- AE 14
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SETBACKS:
30' Front
25' Rear
8' Sides
z
(May Vary)
Lot-32 °a r
I
I
I
EIR_ (
75 )
De
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As Per BCHD
497/48069
N
INTRACOASTAL WATERWAY
U
z
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ceswell Beach M.
INITY MAP
Not to Scale
Overage=336 S.F./7.5
=44.8 C.F. Required
Gravel Drip Edgeec (120'xO. 5'x2')(. 4)
=48 C.F. Provided
50.0' EIR
EIR
-------
-30 TOP RI=4.53' (50') I (5p')— — — —
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Lot-29 Lot-28
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o: o
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a Front of
l beach Rd.
E Bea
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TO I=0.
TOM El=E.48'
V 1
1
FN:BM130
(75') — — —
Lot-12 Lot-11
— — EIR (75') I EIR
Lot- 10
Boney
Land Surveyors, Inc.
PRELIMINARY SITE PLAN
4922 E Oak Island Dr
—FOR—
13013 MILLER
Oak
Island, NC 28465
910-278-9415
528 Caswell Beach Road
D•B______-
04-06
—CASWELL BEACH-
DRAWN BY
DATE_ _04 _
11 ,
Smithville Township
CHECKED RY___J_B____
3oAI.E__i = 30_______
Brunswick Co., N.C.

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1, James F. Boney Jr. certify that this plat was drawn under my supervision from — 8rrg,icoes- uTEErsx
an actual survey made under my supervision (description; Book SEE .page REF ); — that the boundaries not surveyed are clearly indicated as drawn from information A
found in Book Ref.; that the ratio of precision as calculated is 1:10,000; that S
this plat was prepared in accordance with "Sec. .1600" as amended. Witness my a
original signature, registration number and seal this 12th day of November. A.D., 2003. oah
Nlood P
SURVEYOR---___ -- ------------------ PLS. No. L-2798 1
Golf ldehthauae
Me
--------------------------------------- 1=--\ _"" CuwO Basch Nd
Reputed 40' Utility Esaeme F VICINITY MAP
lup .gyro IC•
Lot-8,000 S.F. Not to Scale
30R-2,400 S.F.
jfvjµw Aq Res.=I,B38 3.F.
Drive- 736 s.F.
Total-2,738 9. F.
W rage-336 s.F./7.6- 44.8 C.F. Required
J Gravel DrP Edge-(I20'x0.6'x2')(.4)-48 C.F. Provided
V�
EIR S 68e34 E SIR_ _
- ----------
5' SIR SIR (50') -- 50')
LOT-30
o 0.16 Acres I
I.� Building setback Line
�r Step a e'
I 11 -I I overed23.'7r [i 0 B I o c k— 1
I o
REFERENCE: g PROPOSED
Lot-30,BIk-1,Sec.-C
Caswell Beach RESIDENCE0
Map Bk-B,Pg-96-96A JA
t /
Bruns. Co. Reg. l 'IA
ON PILES bI<�
r
EIp-exist. iron pipe C] l 34' gi c� r.• lil'•1 Oi"
23.76Eat° co
IRS -iron rod set i' m _o nd i CO ;\1 DI\d�'
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8.
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FEMA: FIRM 04-02-91
370391-0002-D
Zone- AE 14 >y----------
-in 97.
Setbacks:
s, < Septic Area
30' Front I Q. As Per BCHD I
25' Rear CQ I o #97/48069
8' Sides z I I I
(May Vary) Lot-32 I Lot-29 I Lot-28
I I I
of
E(R— — — — (75 )— — — — — SIR I '!' 50.0, SIR (50.) I EIR �50—) — —
N 88°34' W-------
627' Along RW
To Pt. of Curve 2
10
(s0 e0- PKS _
-- — — — — — — — — Pam— Centerlin 66' RW�— . —
4a — o^.. —
Caswell B6ich. Road
FN. BML30 (75') Lot-12 EIR- - - - (75') Lot 11
Boney Land Surveyors, Inc
4922 E Oak Island Dr
Oak Island, NC 284-65
910-278-9415
DRAWN BY D• B__-- DATE__ 11-112 _03_---
CHECKED BY--J—B---_ scALE 1 3Q—_____
EIR— — — — — (75') LOt-10 I EIR
\
PRELIMINARY SITE PLAN
-FOR-
BOB MILLER
528 Caswell Beach Road
—CASWELL BEACH—
Smithville Township
Brunswick Co., N.C.
lam

State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Michael F. Easley, Governor
William G. Ross Jr., Secretary
FAX COVER SHEET
D$te: i��3�2oo�F TO: +aP.,ru tJtJtc-r
CO:
FAX #: 9 i 6 Zs l 4o2S
R�'MARKS• 5zs Ga
No. Of Pages:
From-2—IL
CO:
FAX#: [phone]
tl
127 Cardinal Drive Extend c", W8ol O 'pnN';ityAfllrm live Acton Empkytrs } Fu [phone]

* * * COMMUNICATION RESULT REPORT ( APR.13.2004
FILE MODE OPTION
-- -------------------------
792 MEMORY TX
REASON FOR ERROR
E-3) NONANSWERR LINE FAIL ,
ADDRESS (GROUP)
---------------
92514025
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TTI NCDENR WIRO
RESULT PAGE
---------- ----------OK P--- P.5/5
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State of Noah Caroline
Department of Enviropment and Natural ReaCmoB
WWjngton RegioTW OT= - .
w,ch l P. Ba lay, Governor
William G. Ross In, 8eeretuT
FA IX COVER SMTT
Date: i-A 4- No. Of pages: q,
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,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Memorandum
To: Henry Wicker
FromfWaroline Bellis
Re: 528 Caswell Beach Road
Date: April 13, 2004
Henry, this is the property down at Caswell Beach that may have 404 wetlands towards the back
of the lot. What we need to figure out is if they are indeed jurisdictional wetlands, will
construction of this house have any impacts/require any fill. We will be grateful for your input
and guidance. Thanks.
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

APPLICATION FOR
LAMA
MINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed
the Coastal Area Management Act and set the stage for
guiding development in the fragile and productive areas .
which border the state's sounds and oceanfront. Along
with requiring special care by those who build and
develop, the General Assembly directed the Coastal
Resources.Commission (CRC) to implement clear regula-
tions which minimize the burden on the.. applicant.
This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more
time or effort necessary from the -applicant Please go
over this folder with the Local Permit Officer (LPO) for
the locality in which you plan to build to be certain that
ydu understand what information he or she needs.
Under LAMA regulations, the minor permit is to be
issued within 25 days once a complete application is iri
hand. Often less�time is needed if the project is simple;.
The process generally takes about 18 days. You can
speed the approval process by making certain that your
application is complete and signed, that your drawing
meets the specifications given inside and that your
application fee is attached.
.Other permits are sometimes required for development
in the coastal area While these are not CAMA-related,
we urge you to check with the focal Permit Officer to
determine which of these you may need. A listing is
included on page 2 of this folder.
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management

Locality O W Q QLF CASU) C-(,L. �C to Permit Number
GENERAL INFORMATION
LAND OWNER
Name
Address
City!+ SZT
{�
State ��
Zip Z 9-4 (o (
` Cott
Phone Z
Z 7 -
5 :5 - 5 Z 7 Z
AUTHORIZED AGENT
Name o V b
Address
City
State Zip Phone
LOCATION OF PROJECT 30� t31. V- - I SC-C.. C
(If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECT / Z 9 Z SC3 F T-3 fMff:DQQ0" IRE51bFtJLG
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior t '\completing application.)
Ocean Hazard _ Estuarine Shoreline v ORW Shoreline PubljgTmst Shoreline — Other
PROPOSED USE
Residential Commerical/Industrial
er
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER B PERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the estuarine shoreline, or 575 feet of an
ORW shoreline, or 30 feet of the public trust shoreline. 2731.
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
SQUARE FOOTAGE OF SITE_
OTHER PERMITS MAY BE REQUIRED: Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
The activity you are planning may require Burning, Electrical, Plumbing, Heating and
permits other than the CAMA minor Air Conditioning, Insulation and Energy
development permit. As a service we have Conservation, FIA Certification, Sand Dune,
compiled a listing of the kinds of permits that Sediment Control, Subdivision Approval,
might be required. We suggest you check Mobile Home Park Approval, Highway
over the list with your LPO to determine if Connection, and others.
any of these apply to your project.

STATEMENT OF OWNERSHIP
C
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in
an AEC or a erson 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)
d an owner or record title, Title is vested in 9ep-T a'5b u� a 114-M ea see Deed Book
page 7.30 in theCounty egistry or Deeds.
an owner by 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.
— r
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) (Address) I 's.
(1)
(2)
(3)
(4)
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 hermit offiQer has explained to me the
partin,tar hazard problems associated with this lot. This explanation wa3 accompanied by recommendations
concerning stabzation and floodproofing techni
F
IVAI
PERMISSION TO ENTER ON LAND G� I furthermore certify that I am authorized to grant anc( c}�f�tt grant permission to the local permit officer
and his agents to enter on the aforementioned lands ' nnection 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 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 day of -I-i<B. 2004_,
MAC .
Lan owner or -person authorized to act as his agent
for purposes of filing a CAMA permit application.

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor develop-
mentt Permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you,
PHYSICAL DIMENSIONS
!/ label roads
_k label highways right of ways
k label local setback lines
r/ label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
draw and label mean high water mark
draw location of on -site wastewater system
If you will be working in the ocean hazard area:
draw and label dune ridges (note height)
draw and label toe of dune
_ identify and locate first line of stable vegetation
_ draw and label setback line under CAMA
draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
draw and label landward limit of AEC
describe terrain (slope)
DEVELOPMENT PLANS
draw and label areas that will be disturbed
if a house is to be placed on lot, describe location of house
note size of piling and depth to be placed in ground
draw and label all areas to be paved or graveled
describe composition of surface
note and list fully all trees and vegetation to be removed or relocated
show landscaping
NOTE TO APPLICANT
Have you:
*completed all blanks and / or indicated if not applicable?
*notified and listed adjacent property owners?
*included your site drawing?
*signed both application and statement of ownership?
*enclosed the $100.00 fee?
*completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
V���/ 11.E
MAR Q 3 2004 V
DIVISIONnO -MENT
IM11.
Date of Action: Issued Exempted Denied Appeal Deadline (2.0 days)

AEC HAZARD NOTICE
Project Is In An: Ocean Erodible Area —High Hazard Flood Area _ Inlet Hazard Area
Date Lot Was Platted: _//-/Z -o
This notice is intended to make you, the applicant, aware
of the special risks and conditions associated with
development in this area, which is subject to natural
hazards such as storms, erosion and currents. The rules of
the Coastal Resources Commission require that you
receive an AEC Hazard Notice and acknowledge that
notice in writing before a permit for development can be
issued.
The Commission's rules on building s tandards, oceanfront
setbacks and dune alteration are designed to minimize, bu t
not eliminate, property loss from hazardsBy anting
permits, the Coastal Resources Commission does not
guarantee the safety of the development and assumes no
liability for future damage to the development.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual ocean
erosion rate for the area where your property is located is
4 feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as
much as g 7o feet landward in a major storm.
The flood waters in a majorstorm azepredicted to be about
/ 3 feet deep in this area.
Preferred oceanfront protection measures are beach
nourishment and relocation of threatened structures.
Hard erosion control structures such as bulkheads,
seawalls, revetments, groins, jetties and breakwaters are
prohibited. Temporary devices, including sand bags, may
De allowed under certain conditions.
This structure shall be relocated or dismantled within two
years of becoming imminently threatened.
The applicant must acknowledge this information and
requirements by signing this notice in the below space.
Without the proper signature, the application will not be
complete.
�� M,A�,
APPhcant s Signature
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive
storms and erosion. Permits issued for developmentin this
area expire on December 31 of the third year following the
Year in which the permit was issued. Shortly before work
begins on the project site, the Local Permit Officer will
determine the vegetation line and setback distance at your
site If thepropertyhas seen little change and the proposed
development can still meet the setback requirement, the
LPO will inform you that you may begin work: It is impor-
tantthat you check with the LPObefore thetexpires
for official approval to continue the work after the permit
has expired. Generally, if foundation pilings have been
placed and substantial progress is continuing, permit
renewal may not be necessary. If substantial progress has
not been made the permit must be renewed and a new
setback line established. It is unlawful to continue work
after permit expiration without this approval.
For more information, contact:
Local Permit Officer
7-7 l�Q rdZjn 1yr_
Address / -
_
Locality
W o - 395- 39bo
Phone
IV
n 200q
fw1AR 3
DIVISIO F MENT
CO�'STA►- MAN
AGE
Revised 111,93

When you build along the oceanfront you take a calculated
risk. Natural forces of water and wind collide with tons of
force, even on calm days.
Man-made structures cannot be guaranteed to survive the
force of a hurricane. Long-term erosion (or barrier island
migration) may take from two to ten feet of the beach each
year and, sooner or later, will threaten oceanfront struc-
tures. These are the facts of life for oceanfront property
owners.
The Coastal Resources Commission (CRC) has adopted
rules for building along the oceanfront. The rules are in-
tended to risk to life and 1)
and to limit public and pd an r ate 1 sses om s orrms and
long-term erosion. These rules lessen but do not eliminate
the element of risk in oceanfront development.
As you consider building along the oceanfront, the CRC
wants you to understand the rules and the risks. With this
knowledge you can make a more informed decision about
where and how to build in the coastal area.
The Rules
When you build along the oceanfront, coastal manage-
ment rules require that the structure be sited to fit safely
into the beach environment.
Structures along the oceanfront must be behind the frontal
dune, landward of the crest of the primary dune and set
back from the first line of natural stable vegetation a dis-
tance equal to 30 times the annual erosion rate (a minimum
of 60feet). Largestructures (multi-famttyresidentialstruc-
tures greater than 5,000 square feet and non-residential
structures greater than 5,000 square feet) must be set back
from the first line of natural stable vegetation a distance
equal to 60 times the annual erosion rate or 120 feet,
' SETBACK' 5_ _ E I - FIRST LINE OF
60 x ANNUAL, 30 x ANNUAL I1O STABLE
oft [AVERAGE [ A-VE—RAGE— I VEGETATION
41 EROSION EROSION
tl I RATE RATE,,,�,'�' y,I
41 I 11111/ T�
(LARGE I )SMALL
STRUCTURES) I STRUCTURES)
BEFORE YOU BUILD
Setting Back for Safety: A Guide to Wise Development Along the Oceanfront
whichever is greater. If the erosion rate is greater than 3.5
feet/year, the setback is 30 times the erosion rate plus 105
feet.
The Reasons
The beachfront is an ever -changing landform. The beach
and the dunes are natural "shock absorbers", tao the
beatingBs of the winds and waves andtimes tphrotectin the inland
erosion rate,,yyloub acve a go30 or od chance of annual
enjoying
-term
life of to structure. At first, it seems very inviting tohbuild
Your dream house as close to the beach as possible, but in
five years you could find the dream has become a
nightmare as high tides and storm tides threaten your
investment.
The Exception
The Coastal Resources Commission recognized that these
rules, initially passed in June of 1979, might prove a
hardslripforsomeproperty owners. Therefore, theyestab-
lished an exception for lots which cannot meet the setback
reuu'ement.Theexceptionallowsbuildingsinfrontofthe
setback line if the following conditions apply-
(1) the lot must have been platted as of June 1,1979, and
notcapableof beingenlarged bycombining with adjoining
land under the samon thee ownershipp, (2) devessible bpment must be
as far than 60cfeet landward of the egetationmlineno ,((3)less
no
development can take place on the frontal dune (4) special
cOnstructionstanda onpiling are foota
must be met and(5sall other CCAMA, state and locgal
regulations must be met.
The exception is not available in the Inlet Hazard Area.
To determine eligibility for the exception, the Local Permit
Officer will make these measurements and observations:
required setback from vegetation line
exception setback (maximum feasible)
rear property line setback
max. allowable square footage on lowest floor
lot area as calculated from vegetation line
pilfngth needed to extend 4 feet below MSL
b1AR (, ,1 4
PRE -PERMIT STRUCTURE; INADEQU$�TB
PERMITTED COAS
LL � AGEME�
STRUCTURE; PRE -STORM BEACH PROFILE
ADEQUATE
SETBACK POST -STORM BEACH PROFILE
ONE YEAR AFTER STORM/BEACH REBUILDING
After the storm, the house on the dune will be gone. The other house has a much better chance of survival.

4��e /,Fs Arle,i
File No.:_1997.048069A
BRUNSWICK COUNTY HEALTH DEPARTMENT Type
P.O. BOX 9 BOLIVIA, N.C. 28422 [phone]
PERMIT IS SUBJECT TO REVOCATION IF IMPROVEMENT
SITE PLA S OR THE NITENDED USE CHANGE
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 : STARNES WALTER BYRON ET GEORGIA F Tax Parcel
Lot 30 Block: 1 Section: C Subdivision: _ CASWELL RFARu
No. of units: 1
Commercial:
Type of busin
No. of bedrooms : 3 No. of occupants: 6
Number of employees:
Number of seats:
Size of septic tank : 00 LTAR: �
(�gPd/sq, fL Df infield sq. feet: Selo
No. of Lines:_ Length ea.: �J�e Trench width: / S S X3(, r
Bed . /' Dpsign Flow gpd: 36o
Trench/ Bed bottom than: deeper depth no dee 1 L* r T
P P inches Pump tank volume: N 19.(if applicable)
�frGCSwc6,
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 Do not drive over,
X Keep 10 feet from any property lines (no less than 5 feet for lots recorded prior to 7/1/77) �� 11
park, pave, or build any structure over the area for the and the repair area if applicableseptic tank system
.
X Do not install the septic system during wet conditions.
X Maintain Gravity Flow for septic system. MAR
Drainage Maintenance Required.
Suitable Fill material must be installed exactly per the Health Department approv I IQtV
Fill check must be completed by the Health Dept "Fill check plan.
Construction Permit. P Prior to Issre(t�l)1�r hon for Wastewater
Approved for use of Altemative/Innovative Wastewater System (Specify) 4F/ : w w S- $ S 1 = N� v,17I P
_ Submit Wastewater plans to the Health Department for review/approval y Biw.wr
_ If Septic System Uses Rock Aggregate/Approved Filter Fabric Covering Required
X Se tic Tank S stem must be installetl er the Construction Authorization Pertni
Conned to Sewer when available.
IMPROVEMENT PERMIT DATE: 11PT ZOO pr{ EXPIRATION DATE/ )-'r-2v8 �
ature
ACTIONS OF BRUNSWICK COUNTY HEALTH DEPARTMENT' BEPRrI,SENT TINES 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 PERMrTTED WILL
FUNCITON IN A SATISFACTORY MANNER FOR ANY GIVEN PERIOD OF TIME. PERMIT IS SUBJECT V REVOCATI
PLAN OR PLAT WHICHEVER IS APPLICABLE, OR THE INTENDED USE CHANGES. ON IF THR SITE
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 govemment agencies (local, state, and federal) which
have jurisdiction.
IP0398 SEMCTANBS.SOALLOAPDArVAPPROV DE'%FLI/A' A7'F/L7Gr1.FACC/LSSPFr/CEV
Updated 09/25/02

tr
3m
[phone] / 763-1312 / 457-5281
File No. _ % 91 r70
BRUNSWICK COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH DIVISION
PO BOX 9, BOLIVIA, NC 28422
FILL PLAN FOR WASTEWATER SYSTEM
in 3O= cases Your Propertyion cane modified is order m insmtell a conventional or modified conventional septic tank system. A
commonly accepted Site Modification is the use of fill.
Fill is a specific amount of soil (sand to sandy loam) placed in an area designated for the septic system to overcome limitations
of the soil and site due to shallow soils, shallow seasonal high water tables, restrictive soil horizons and other soli characteristics. Fill can
be placed on a site to raise the area for the nitrification drain lines so the suitable shallow soils can be utilized. The area end depth of the
fill will vary due to the limiting soil condition.
The following fill plan is for your proposed site and may be subjected to revision if the information ebanges on your
Improvement Permit
Fill Plan for
1 i Snc. C , C..o� •gea d
Fill Proposal by �f � ✓U ' ? f Date _ ����Zpo y
Design Flow/day 3 6go ct' , ( Topt view (not toscale)
A
pphcahonrate /. o e
Total depth of filli'- 30
Total area of -fill P S X
I. System and
Buffer zone q6 r d' 251
2. Length of
Side slope s r — • S' t
41 Twws-,9s-f
S..Ms✓a.7`rw` BrwsL+ic/t d¢.l-wv-F,%L
f � tC 9ePw`
�\\1I�" �A "- Totalwidth
FillProcedure: - � \ M
1. Prior to installation of fill, remove vegetation.and mot mat and disk fill area
2, After the addition of 4' to 6" of sand or loamy sand fill, disk fill Site again to provide a min of fill and natural soil to a depth of 6"
below the natural ground surface.
3. Add enough additional sand or loamy sand fill to achieve a depth of 1
P loam
xy o in system installation and buffer zone area. This area
Totalincludepth
side slopes shall be covered with an additional 6" of sandy loam to loamy topsoil to establish vegetative ground cover.
Total depth of till is (ig=zµ`�. .
4. Construct a 1:9 side slope as shown from the top edge of thell ta fipered. down to the natual ground surface.
5. Achieve level grade along long asis of fdL
6. The fill system shall be shaped to shed surface water.
7. Call for re -inspection by Health Depattutent
8. After installation of the sewage system, the fill area shall be reshaped to shed vegetative ground cover. surface water and seeded with grass to establish
Notes: Home site may need to be modified to insure gravity Clow to System. the fill. Any setbacks required ere measured from the outer edge of
EHS Signature
This signature affirms that the fill as described above has been checked Date
and approved by the above Environmental Health Specialist
"**"" SEE FILL PLAN SKETCH ***•*
FILL PAD MUST BE INSTALLED IN AREA DESIGNATED pY HEALTH DEFT
Page 1 of 7-

Date: /— 8- win Dewavne wo q RS. BCHD File #: /9_ y_ .?o �,pQ 69R Da
tl/ Fill Proposal Site Plan
(This is Not a Permit!!!)
Scale: Not To Scaleill
Type system.- 9, (Y" LwwV-9S—!
iiaa✓ ) 1rn �+ S h �T/ # of bedrooms 3
360 gpd design daily flow.
LTAR: /.O gpd/ft2.
00 gallonseptictank.
Drainfield - .r'fa Ry.
L o+ =W 30 "� lines 36' long 3' on center,
in a J S _' X 3( ' bed using distribution. —, 2,..,e✓oJ4we pp
eo,.n.rw,g.
Maximum trench depth =18" below 1?0,t- ^' - F'e
the added fill surface. jy, -
Required added fill depth = WL 36 n,
Required fill cap area =58•S' X 35= W'
Conditions:
1 1.) Read Fill plan very carefully!!!!!
SS•S'K ss-L-W I-) Properly prepare approved septic
l�ako� 0 {%r system location for required fill to
be added.
f, u a 3.) Landscaping of site by addition of
P fill onlylll
l in exact location
4.) Level suurface of fill. Slope side as
30 m'" "14 required. Call for fill check when
tplt, ready.
inl 5.) Raise plumbing of house to allow
sufficient gravity flow to new tank
location. If gravity flow cannot be
aachieved, then s pump tank will be
So# Pave I efi required. All pump plans must be
y8 •rN sy&#" I pre -approved by the Health Dept.
1asdta,l c 6.) No driving over system!!!
7.) Keep -all setbacks as shown.
of 12 S 1 i Z r befK 8.) Keep>10, from any water line.
9.) Keep 50' to 100' from any well
S� 10.) Speed levelers or equivalent
C+r,,a4"W&qa, required inD-Boa.
xl�
An Authorization to Construct Permit will be issuedlafter,the fill has been placed nA S
site and approved. Call for a fill check when ready.
- NOTICE- '� f
+'
34iPLETIONS/OPERATION P'ERw`�'
P,LL BE ISSUED AT SUCH TIPsE '
AS' THE AREA OF THESEWACE plvjgjONOF
COASTAL MA AGEMENT
41 IS PROPERLY PROTECTS=% N
+;a VEHICULAR TRAFFIC

■ 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:
Mr. Charles Kirkman
5803 Hagen Stone Park Rd.
Pleasant Garden, N.C. 27313
Z
w
U- L1
O
Z7
O_Q
U)
7 J
C N
Q
2. Article Number (Copy hom service latre!) 7099 3400 0008 7644 2256 "O
U
PS Form 3811, July 1999 Domestic Return Receipt 102595-00401-6522
Return
■ 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 mallpiece,
or on the front if space permits.
1. Article Addressed to:
Mr. Donald Ostman
445 Knaust Rd.
St. Peters, MO 63376
A. Received by (Please Print lear/y) B. � �
ate Delivery
� 2z tU 4
Agent
X // %/ ❑
i/ Addressee
D. isD. delivery atl0�erera from Item 1? ❑ Yesfrom Item 1? ❑ Yes
If YES, enter delivery address below: M No
3. Service Type �-+s
jl Certified Mail ❑ Express Mail
❑ Registered Id Return Receipt for Merchandise tX—
❑ Insured Mall ❑ C.O.D. Z
4. Restricted Delivery? (Exhe Fee) ❑ ym _ �-
A. Received by (Please Pn'nt Cleedy) I B. Date of Delivery
Signatuft�difff;nt
isdeliveryadd
Agent
Addressee
Ir
Yes
If YES,
No
OP
3. Service Type y6
Certred Mail
❑ Registered fRetum eceipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? pit Fee) ❑ Yes
2. Article Number (Copy from service labep 7099 3400 0008 7644 2249
PS Form 3811, JUIy 19g9 Domestic Return Receipt 102595-WM-0952

1, James F. Bony Jr. certify that this plat was drawn under my supervision from — g�g,,�gru, uxessAx
an actual survey made under my supervision (description: Book SEE .pvge REF ); — — — — — that the boundaries not surveyed are clearly indicated as drawn from injbrmation R
jbund in Book Ref.; that the ratio of precision as calculated is 1:10,000; that
this plat was prepared in accordance with "Sec. .1600" as amended. Witness my i
original signature, registration number and seal this 12th day of November. A.D., 2003. oak
��m rSURVEYOR_________ _--- _---- ____ PLS. No. L-2996 -
aeN ugatmuae
sere
------------------------------------------------------ c...eu e..ab RA
40' Utility Esaement VICINITY MAP
I1(pF`_RVIOIIc'
=6,000 S.F.s.FNot to Scale
R m=1.836 S.F.
r.�µ y1 K17eQ. Rea.=1,898 S.F.
Drive-S.F.
Total-2,736738 S.F. I
Overage=336 S.F./7.6= 44.8 C.F. Required
v Gravel Drip Edge-(120'x0.5'x2')(.4)-48 C.F. Provided
`
ir%
EIR
` `- - _
S 68'3¢
E
EIR
50.0'
LOT-30
8,000.0 S.F.
I�
0.18 Acres
l ulldiay 8etbaek ❑ne
Steps
6.
r�r
['
-1
Covered23.76'
v
REFERENCE:
Lot- 30, Blk-1,Sec. -C
Caswell Beach
Map Bk-8,Pg-96-96A
Bruns. Co. Reg.
FE-exist. iron pipe
IRS -iron rod set
E -exist. iron rod
FEMA FIRM 04-02-91
370391-0002-D
Zone- AE 14
Setbacks:
30' Front
25' Rear
8' Sides
(May Vary)
Lot-32
i
PROPOSED
RESIDENCE
is
ON PILES
C
�- 29.75
m covered
PorohJ
8'I o Deck 9kF
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,Te,
P:
3
sY
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a
Septic Area
As Per BCHD
.
#97/48069
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- �- - - - ( - - EIR 50.0'
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Caswell B6ich Road
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FN:BU130 LOt-12 LOX 11 R, Lot-10
Boney Land Surveyors, Inc PRELIMINARY SITE PLAN
4922 E Oak Island Dr —FOR—
Oak Island, NC 28465 BOB M I LLE R
%_ 910-278-9415 528 Caswell Beach Road
DRAWN BY D.B• ' DATF 11-12-03
CHECKED BY J. B.
1"=30'
—CAS WELL
Smithville
Brunswick
BEACH —
Township
Co., N. C.

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