BC 04-03 Dale

Brunswick
Local Government
ECE 'AYE
SEP 2 6 200ii
DIVISION OF
COASTAL MANAGEMENT
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 :.13A-118 of the
General Statues, "Coastal Area Management"
04-03
Permit Number
Issued to lerry & Wilma Dale, authorizing development in Estuarine Shoreline at 1 ST3 Russell Hewett Road
5VV SUpp1y iVC 2S462 rP_Que:ited in the pe ri!Iiird S. apyliiatnin, dated r_' __uy__=% T'i 3 pet; .:1. sited or,
31-Aucl-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 v!elatior of these
terms may subject pennittee 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 landa'.isturbance and adjacent waters or
wetlands. In no case, shail erosion of disturbed areas result in deposition of this n aterial hito adjacent
waters or wetlands.
(2) All proposed development and associated construction must be done itl aci-cirdance with the permitted
work plat drawings(s) [Single Family Residence/Deck] submitted on^i.l_-Aug-04.
(3) All construction must conform to the N.C. Building Code r<.quircments and all other local, State and
Federal regulations,.applicabie 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,eontinued on second page
This permit action may be appealed by the permitteee-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 compiiance.
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 Ivlarlowe
CAMA Local Permit Official
PO Box 249
Bolivia NC 28422
permitt- ee (signature re<lwred it conditions above appit to pemll(I

Minor Permit #04-03
31-Aug-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 unlcss.dore so by the.Director-.
of the Division of Coastal Management.
(11) A building permit and zoning compliance must be obtained prior to any construction.
SEA202m
CCAS AL A"AGEMENT

Ub/11/2004 09:50 304799996552 MAR'LINTONNEEIEh,Ff7TAftY '1 NA(iE Ui
Cn
Locality BrIg ns'O'c CULLri� le _� / Permit N �
V�� p(04
Ocean HazardEstuarine Shoreline V ORW Shoreline _Public Trust Shoreline it
OtherT 0
(For official use only)
GENERAL INFORMATION lax 1parccld 30 At G 014
LAND OWNER
Name .) .r(�.{
Address _ k-L. ?
Airy State W J Zip 2-425'! Phone 3CE'a c�C�i
AUTHORIZEDAGENT 3V4. 199.fnS51(W)
Namr .1
Address P4, .l . LA
City 1 . rr C V n \-,.._ State LV ✓ zip1 r c ?
T Phone 3l �" 7� 1 ^L�� C
LOCATION OF PRC
the adjacent waterbody')
IRGISSe U llprt
(Address, sum tame
directions to site. If not oceanfront, what is the name of
115,13 F1(5se (l Newer+_ R.t,d, SVJ 5aff ly, A/ C_ -Q85r6�
1'ESCRE TION OF PROJECT: (List all Proposed wnsvnction and land disturbance.)
6e(if t:c.r% taut'z'w .c_
SIZE OF LOT/PARCEL, G� e X e'Kil t square &a 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 "�Uf. ne'
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): . eY9q, �vo a I Sr �- 'Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios. a
ac. that are within the applicable AEC. Attach your calculations with the project drawing.) udLk
Z:Athin
ae the AEC am that applies to yor property:ithin 75 feet of Normal High Water for die Estuarine Shoreline AEC�q 575 feet of Normal High Water For the Estuarine Shoreline AEC, adjacent to Ourstandi I
HVED
3esource Warers
;3) within 30 feet of the Public Trust Shoreline AEC AUG 3 20Uq
Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the Pmjcct located in an area subjec DIVISION OF
itatc Stormwater Manage ent Permit issued by the N.C. Division of Water Quality? OCASTAL 10ANAGEMENT
TES_ NO
1 yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.
RECEIVED
AUG 11 PPn

9
I. PROPERTY IS IN A FLOOD HAZARD AREA
an
2. S,RVM BY US NG MAP BOOK 5, PACE 57
AND
W I QE
EXISTING PHYSICAL CONDITIONS
30.
3. THIS PROPERTY IS SLAWECT TO ANY AND ALL
PREP
EASEMENTS. COVENANTS. RESTRICTIONS,
RIOHT-OF-MYS OF RECORD, GOVERNENTAL
ORDINANCES AND/OR REOUIRDENTS WHICH
EXIST AND LIMIT THE USE OF THIS PROPERTY.
0
4. THIS SURVEY DOES NOT CERTIFY LEGAL TITLE
TO THE
S'i 11
LAND ITSELF, THE BOLMMIES
ROADS SSS110MI "OWN ARE PPI BL I OR MFIET►iR
PRIVATE, USER! Q THIS PLAT S/pULO (STAIN '
AN ACCURATE LEGAL
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TITLE OPINION AS TO
THE ABOVE REFERFIICED ITEMS.
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DALE LAND SURVEYING
"MTN CAROLINA end SOUTH CAROLINA
801 COPAS ROAD - SHALLOTTE, N.C. 28470
Phone: [phone] Fox: (010) 754-j0042
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f)
)THER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor
evelopment 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
,ith your LPO to determine if any of these apply to your project: Zoning, Drinking Water Well, Septic Tank (or other sanitary waste
'catmenr system), Burning, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification,
and Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway, Connection, and others.
;TATEMENT OF OWNERSHIP:
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
sted as landowner on this application has a significant interest in the real property described therein. This interest can be
escribed as: (check one) rnc4 6Oil k 5, Pa 5 L' S '7 09.3 `20 r-
owner or record title. Tide is vested in `1 e try htn CI nJ (t/t ba 18 , see Deed Book
age in the A r a 5 W t c� k Coynry Registry of Deeds. L 13 i P/a-f
TaSL Axrce,l * 30JVC61b
_an owner by virtue of inheritance. Applicant is an heir to the estate of
robate was in County.
_if other interest, such as written contract or lease, explain below or use a separate sheet
6- /s7
TOTIFICATION OF ADJACENT PROPERTY OWNERS: B AUG t 3.2004
DIVISION OF
furthermore certify that the following persons are owners of properties adjoining this 00* ffl �gtMAJN¢S(BftW?*T
CTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
�Nc �
(Name)
Cara l4 n
OR DEVELOPERS
(Address)
OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
4
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0
acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to
onion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associ-
ed with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
.ques.
'ERMISSION TO ENTER ON
Furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
iter on the aforementioned lands in connection with evaluating information related to this permit application.
his application includes: general information (this form), a site drawing as described on the back of this application, the
vnership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor-
.ation as may be provided orally by the applicant. The details of the application as described by these sources are incorporated
ithouc reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any
arson developing in an AEC without permit is subject to civil, criminal and administrative action.
RECEIVED
This the 3 0 day of Tu n P 20 d
AUG 112004 1Al'. o _ 41 - o

BRUNSWICK COUNTY HEALTH DEPARTMENT
FILE NO.: 2004063624
DATE REC.: 6/21/2004 P.I.N.: ZONING: 2004049189
DALE JERRY AND WILMA 75.00 230NCO16
REC.FROM AMT.PD. TAX PARCEL
RT 2 BOX 10 MARLINTON WV 24954- [phone]
ADDRESS CITY ST ZIP PHONE
DALE JERRY LEWIS ET WILMA / / 13 / /
CURRENT PROPERTY OWNER SUBDIVISION LOT BLK SEC
PROPERTY LOCATED, TOWWCITY/AREAr BRUNSWICKCOUNTY
DIRECTIONS TO PROPERTY HWY 17S TO LEFT ON MT PISGAH RD TO RT ON BOONESNECK RD TO LAST RD ON R
AUTHORIZATION FOR WASTEWATER CONSTRUCTION PERMIT
NEW_ REVISION_ RELOCATION r/ UPGRADE_ REPAIR
Design Flow: . Vw) gpd. Septic Tank Size: 90Q gal. Type:
No. Bedrooms No. occupants/employees Max. Trench/Bed Bottom Depth:s MEhes
r / �J
No. Lines: Length Each: Bed Dimensions: U
Fill Check: ,.j LA Approved: IV LA
-� ale— v Autfti.d Agent
1 Septic Tank shall have an
' approved effluent filter and
access devices as applicable.
2. Maintain all setback distances for
septic tank systems and wells.
B All components of Me septic
systems shall be located 100 feel
if possible but not less than 50
feel to all existing and future wells
on this parcel and adjacent
parcels.
PERMIT ISSUE DATE:Permit expires 60 months from date of issue unless otherwis specified
30 days from date of issue Q Other
�J
Authorized Agent Registration:
NOTES: PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGES.
IMPROVEMENT PERMIT CONDITIONS MUST BE MET.
lit
Q o,
We77n -
i
Wastewater System Installdh
Comments: (tank info/barrier approved)
OPERATION PERMIT:
AUG 1 3 2004
DIVISION OF 6-
COASTAL MANAGEMENT'
Date:
Actions of local health department representativesror the State engaged in the evaluation and determination of measures required to effect compliance with the applicable laws and roles shall in no we
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. The Issuance of this permit does not
Preclude the Perrhmee from complying with any and all statutes, rules and regulations or ordinances which may be imposed by other government agencies Focal state, and federal) which have
jurisdiction.

Gtht I HILL) MAILTm KLGEIF
(Domestic Mall Only; No In;tmr. - Covera
Jerry and Wilma Dale
Rt. 2, Box 10
Marlinton, WV 24954
July 13, 2004
Mr. Jimmy Little
8960A Providence Colony Dr.
Charlotte, NC 28277
Dear Mr. Little,
S
CHARLOTTE KC 28277,
-
-0 Postage $
S Certified Fee $2.30 0954
O
Return Redept Fee Postmark
(Endorsement Required) $1.75 Mere
O Restricted Delivery Fee
a (Endorsement Required)
S
ru Total Postage s Fees $ $4.42 07/13/2004
ru
Sent To
o n.n.y L; ale
or PCeox No._ ' g 960...
-a PrQ I)I [.lP ,pp C (Avrtbn
City, State, ZIP+4 w ar 10'R Nc- 7
PS Far. 3800, June 2002 see Reverse for Instructions
I am writing to inform you that we have applied for a CAMA permit to build
a home on our property which borders your property on Boones Neck
Road. Our lot is number 13, parcel 16.
We are required by law to inform you that we are beginning the building
process by applying with CAMA.
Please find enclosed a copy of the house plan and a coy of the completed
CAMA application.
If you have any questions concerning this information, you may contact us
at 304-799-6508.j //%%VV �j �j�(p
1L'd lV 1L'd 11 �Y E
Sincerely,
AUG 1 3,2004
DIVISION OF
Wilma Dale COASTAL MANAGEMENT
United States Postal Service Today's Date / Sender's Name
Sorry We Missed YoulWeVoDeliverforYou 7--;3'Oy iif,.(LYJ�C
,.__ ,_ _.. Avallahle for Pick-uo After
— Post Office (See back)
Date:
Letter
For Delivery: (Enter total number ofirems
_
delivered by servke type)
_ Large
For Notice Lee: (Check apPNcable Nam)
envelope,
magez e,
cetabg, etc:
— Express Mall (we wN —
Registered
Parcel
rmempftudewsronthe
Insured
neat deeverydey unless —
Restricted
youNstruamepost
Receipt
_
Delivery
a ro holOM.)
�°B
for Me
— Perishable
_foriverchendlse
— Cenilied
Delivery
Item
_ Recorded —
Confirmation
Other.
Delivery
Signature
_
— Firm Bill _
Confirmation
Li Final Notice: Article Wit
be returned to sender on
PS Form 3849, November 1999
at time of
0

Jerry and Wilma Dale
Rt. 2, Box 10,
Marlinton, WV 24954
IULK I II -MU IVIAILTM
KLULIF
I
(Domestic Mall Only;
No Insurance
Coverage Provide,
For delivery Information
visit our wet,�Y.ebZ"iirww.usps.com®
.
certified Fee
cl
Jul 13 2004 O Restricted Delivery Fee 50.00
Y rR (Endorsement Required)
S
rD Total Postage & Fees $ $4.42 07/13/2004
Mr. Davis Marion ru
132 Riverside Dr. E3 sent To
Da V-,S -Ytar 'on
Supply, NC 28462 N Slreei,APf.fJo__------------------------------------------------------------------------
or PO Box No. 13 a Ri-Jefs'i ci E' .Dr.
----- -----
City, Stafo,
Dear Mr. Marion,
We have met you on your property on Boones Neck and spoke this
spring about having my lot brush hogged.
I am writing to you to inform you that by the Coastal Area
Management Act, we are required to inform you that we plan to build
a home on our property that borders your property. Our lot number
is 13 in parcel 16.
Please find a copy of the drawing of the proposed home and a copy
of the completed CAMA application.
If you have any questions, you may contact us at 304-799-6508.
Sincerely, ER(j EH V E
AUG 1 3 2004
Wilma Dale DIVISION OF
COASTAL MANAGEMENT
Is Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
is 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:
fDavC S ffior-"O v1
13 P- Rt"u'�-rsl de "Dr.
Sueel� I NC
Dg46a
A. Signature
D. Is delivery ad
If YES, enter
C. Date
below:
Yes
3. Service Type
Certified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandi
❑ Insured Mail ❑ G.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7002 2410 0004 8584 7309
(Transfer from service label)
PS Form 3811, August 2001 - Domestic Return Receipt' •102595-02-M-1
` ' '

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
I I-Aug-04 Jerry & Wilma Dale applied for a CAMA minor development permit to
construct a Single Family Residence/Deck at 1873 Russell Hewett Road SW, in
Shallotte NC 28470. The application may be inspected at the address below.
Public comments received by 30-Jul-04 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 18-Aug-04
ECIS
AUG 113i2004 I
COASTAL I�MANAGEMENT

CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b),
mnswick County, a locality author -
ad to issue CAMA permits in the
eas of environmental concern,
reby gives NOTICE that on August
2004, Jerry and Wilma Dale, ap.
led for a CAMA minor develop -
ant permit to construct a single
mily residence/deck at 1873 Russell
!wett Road SW, in Shallotte, NC
The application may be insp
the below address. Public
ants received by August 30,
11 be considered. later comp
B be accepted and considered
e time of permit decision. Pr
odilications may occur base
a permit decision in this ma
be provided upon written
Officer for Brunswick Cou
P.O. Box
�jVWA_314)1cv
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 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):
August 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 August, 2004.
b��............
(Signature of person making affidavit)
to and subscribed before me this 19th day of
1st, 2004.
NOTg9p 7
y
4rrn n r unpr (Notary Public)
My commission expires: December 29, 2004.
3