HomeMy WebLinkAboutBC 04-07 HelmsBrunswick OCT 13 2004 04-07
.lC� � 1Ce � �Y J!�
Local Government Permit Number
OF
COASTALIMAO AGEMENT 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"
Issued to Larry & Beverly Helms, authorizing development in Estuarine Shoreline at 3613 Van Buren Street
SW, River Bluff Estates Supply NC 28462 requested in the permittee's application, dated 21-Sep-04. This
permit, issued on 08-Oct-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) [Single Family Residence/Driveway/Open Uncovered Decks] submitted on
21212 S
(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 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,
cp2itl-,-C t I V M011,
Local Permit Official (signature)
Connie Marlowe
CAMA Local Permit Official
PO Box 249
Bolivia NC 28422
Pe ee (sig re requi ed if conditions above apply to permit)
Minor Permit #04-07
08-Oct-04
ECEIVE
OCT 1 3 2004
OF
COASTAL iMAONAGEMENT
(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.
AT, R Michael F. Easley, Governor
�G William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
-i
Alan W. Klimek, P.E. Director
goo. Division of Water Quality
October 1, 2004 .30 2.1f V 9
John F. Parker, Jr., Managing Member
OCT 13 2M4 I
Little Shallotte River, LLC DIVISION OF
1861 Holden Beach Road SW COASTAL MANAGEMENT
Supply, NC 28462
Subject: Stormwater Permit No. SW8 031212
River Bluff Estates
Low Density Subdivision Permit
Brunswick County
Dear Mr. Parker:
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for River Bluff Estates on September 28, 2004. Staff review of the plans and
specifications has determined that the project, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H.1000. We are forwarding Permit No. SW8 031212,
dated October 1, 2004, for the construction of the subject project.
This permit shall be effective from the date of issuance until rescinded and shall be subject to
the conditions and limitations as specified therein, and does not supercede any other agency
permit that may be required.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have
the right to request an adjudicatory hearing upon written request within thirty (30) days
following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands
are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact either Rhonda Hall or me at (910) 395-3900.
Sincerely,
Rick Shiver
Regional Supervisor
Surface Water Protection Section
RSS/rbh: S:\WQS\STORMWAT\PERMIT\031212.oct04
cc: J. Phillip Norris, P.E., Norris, Kuske, & Tunstall Consulting Engineers, Inc.
Brunswick County Inspections
Rhonda Hall
Wilmington Regional Office
Central Files
North Carolina Division of Water Quality 127 Cardinal Drive Extension Phone (910) 395-3900 Customer Servicet-877623-6746
Wilmington Regional Ofrice Wilmington, NC 28405-3845 FAX (919) 733-2496 Internet h2o.encstate.nc.us tCarolina
An Equal Opportunity/Aff rmative Action Employer — 50% Recycled/10% Post Consumer Paper
State Stormwater Management Systems
Permit No.SW8 031212
EE:vE
STATE OF NORTH CAROLINA nnrr aa
DEPARTMENT OF ENVIRONMENT AND NATURA SONCLS IM,
DIVISION OF WATER QUALITY DIVISION OF
COASTAL MANAGEMENT
STATE STORMWATER MANAGEMENT PERMIT
LOW DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
John F. Parker, Jr., Little Shallotte River, LLC
River Bluff Estates
Brunswick County
t FOR THE
construction, operation and maintenance of a 25% low density subdivision in
compliance with the provisions of 15A NCAC 2H A 000 (hereafter referred to as the
"stormwater rules and the approved stormwater management plans and
specifications, an other supporting data as attached and on file with and approved by
the Division of Water Quality and considered a part of this permit.
The Permit shall be effective from the date of issuance until rescinded and shall be
subject to the following specific conditions and limitations:
I. DESIGN STANDARDS
2.
3.
a
Each of the 14 lots is limited to a maximum of 5,142 square feet of built -upon
area, as indicated in the approved plans. CAMA regulations may reduce the
allowable, built -upon area for those lots within the AEC.
The overall tract built -upon area percentage or lot sizes for the project must be
maintained at 25% per the requirements of Section .1005 of the stormwater
rules.
Approved plans and specifications for projects covered by this permit are
incorporated by reference and are enforceable parts of the permit.
Pr91jects covered by this permit will maintain a minimum 30 foot wide vegetative
buffer between all impervious areas and surface waters.
The only runoff conveyance systems allowed will be vegetated conveyances
such as swales with minimum side slopes of 3:1 (H:V) as defined in the
stormwater rules and approved by the Division.
All roof drains must terminate at least 30' from the mean high water mark.
F
Page 2 of 5
1i .�1�p i .! 1
:ram, �. = y
O OCT � 3 Zoo4 E C E H V Bt rmwater Management Systems
Permit No.SW8 031212
IL SCHEDULE OF COMPLI DIVISION OF
1. Swales and other veget!PIWEIR "6A 115616onstructed in their entirety,
vegetated, and be operational for their intended use prior to the construction of
any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the swales or other vegetated conveyances will be repaired immediately.
The permittee shall at all times provide the operation and maintenance
necessary to operate the permitted stormwater management systems at
optimum efficiency to include:
a. Inspections
b. Sediment removal.
C. Mowin.9, and revegetating of the side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and
specifications.
4. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below: 1.
a. Any revision to any of the items shown on the approved plans, including
the stormwater management system, design concept, built -upon area,
Mails, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, or selling of the project area.
f. Filling in, altering or piping any vegetative conveyance shown on the
approved plan.
5. The Director may determine that other revisions to the project should require a
modification to the permit.
6. The permittee shall submit all information requested by the Director or his
representative within the time frame specified in the written information request.
7. No pi ing shall be allowed except that minimum amount necessary to direct
runoff beneath an impervious surface such as a road and that minimum amount
needed under driveways to provide access to lots.
8. Unless specified elsewhere, permanent seeding requirements for the swales
must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. The permittee is responsible for verifying that the proposed built -upon area does
not exceed the allowable built -upon area. Once the lot transfer is complete, the
built -upon area may not be revised without approval from the Division of Water
Quality, and responsibility for meeting the built -upon area limit is transferred to
the individual property owner.
10. Within 30 days of completion of the project, the permittee must certify in writing
that the project's stormwater controls, and impervious surfaces have been
constructed within substantial intent of the approved plans and specifications.
Any deviation from the approved plans must be noted on the Certification.
Page 3 of 5
State Stormwater Management Systems
Permit No.SW8 031212
11. Deed restrictions are incorporated into this permit by referent ust be
recorded with the Office of the Register of Deeds prior to the I
Recorded deed restrictions must include, as a minimum, the f l�
statements related to stormwater management: T
a. The following covenants are intended to ensure ongo ompliahc)e�ndQ94
State Stormwater Management Permit Number SWS 121"pi 1 Tg
by the Division of Water Quality under NCAC 2H.100&OAS7-AL MANAGEMENT
b. The State of North Carolina is made a beneficiary of these covenants to
the extent necessary to maintain compliance with the Stormwater
Management Permit.
C. These covenants are to run with the land and be binding on all persons
and parties claiming under them.
d. The covenants pertaining to stormwater may not be altered or rescinded
without the express written consent of the State of North Carolina,
Division of Water Quality.
e. Alteration of the drainage as shown on the approved plans may not take
place without the concurrence of the Division of Water Quality.
The maximum built -upon area per lot is 5,142 square feet. This allotted
amount includes any built -upon area constructed within the lot property
boundaries, and that portion of the right-of-way between the front lot line
and the edge of the pavement. Built upon area includes, but is not limited
to structures, asphalt, concrete, gravel, brick, stone, slate, and coquina,
but does not include raised, open wood decking, or the water surface of
swimming pools.
g. Filling in or piping of any vegetative conveyances (ditches, swales, etc.)
associated with the development except for average driveway crossings,
is strictly prohibited by any persons.
h. Each lot will maintain a 30' wide vegetated buffer between all impervious
areas and surface waters.
i. All roof drains shall terminate at least 30' from the mean high water mark.
12. The permittee shall submit a copy of the recorded deed restrictions which
indicates the approved built -upon area per lot within 30 days of the date of
recording.
13. If the permittee sets up an Architectural Review Committee (ARC) to review
plans for'compliance with the restrictions, the plans reviewed must include all
proposed built -upon area (BUA). Any approvals given by the ARC do not relieve
the lot owner of the responsibility to maintain compliance with the permitted BUA
limit.
14. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified'in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
15. Stormwater conveyances will be located in either dedicated right-of-way (public
or private), recorded common areas or recorded drainage easements. The final
plats for the project will be recorded showing all such required easements, in
accordance with the approved plans.
Page 4 of 5
agement Systems
D �t�tcne a it No SW 031212
III. GENERAL CONDITIONS OCT 13 2004
CU
DIVISION OF
1. Failure to abide by the conditions ai0bkiSitFAiL)rMA0tAAWfMEMis permit may
subject the Permittee to an enforcement action by the Division of Water Quality,
in accordance with North Carolina General Statutes 143-215.6A to 143-215.6C.
The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and reissuance, or
termination does not stay any permit condition.
4. The issuance of this permit does not Prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules, and regulations contained in Title 15A of the North
Carolina' Administrative Code, Subchapter 21-1.1000; and North Carolina General
Statute 143-215.1 et. al.
5. The permit is not transferable to any person or entity except after notice to and
approval by the Director. The Director may require modification or revocation and
reissuance of the permit to change the name and incorporate such other
requirements as may be necessary. A formal permit request must be submitted
to the Division of Water Quality accompanied by the appropriate fee,
documentation from both parties involved, and other supporting materials as may
be appropriate. The approval of this request will be considered on its merits, and
may or may not be approved.
6. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the permit transfer request. Transfers to third
parties by the permittee where the required documentation has not been
submitted to the Division does not relieve the permittee of responsibility for
transferring the permit.
7. 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. If
any of those permits result in revisions to the plans, a permit modification must
be submitted.
8. The permittee grants permission to DENR Staff to enter the property during
business`hours for the purposes of inspecting the stormwater management
system and it's components.
9. The permittee shall notify the Division of Water Quality of any name, ownership
or mailing address changes within 30 days.
Permit issued this the 18` day of October, 2004.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
i� c 4 t/ (. c
Alan ime�&,ctreor
Division of Water Quality
By Authority of the Environmental Management Commission
Page 5 of 5
A&K #04018
Date Rece'ved
Fee Paid
Permit Number
G'
Ci xl. 5-5%:
S a-1
State of North Carolina
Department of Environment and Natural Resoullj� q�
Division of Water Quality J� I
V ]ED
STORMWATER MANAGEMENT PERMIT APPLICA Ftfl$1GI j 3 M
This form may be photocopied for use as an origi
DIVISION OF
I. GENERAL INFORMATION COASTAL MANAGEMENT
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Little Shallotte River, LLC
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
John F. Parker, Jr., Managing Member
3. Mailing Address for person listed in item 2 above:
State: NC
Telephone Number: (910) 842-4003
Zip: 28462
4. Project Name (subdivision, facility, or establishment name — should be consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
River Bluff Estates
5. Location of Project (street address):
City:
6. Directions to project (from nearest major intersection):
County: Brunswick
From intersection of US 17 & NC 130, take NC 130 east to SR 1140 (Oxpen Rd.). Take SR 1140 to SR 1137
(Boons Neck Rd.), tum right on SR 1137 and follow to SR 1138 (Windy Point Rd.), turn right on SR 1138 and
follow to Russell Hewett Rd. Turn right onto Russell Hewett Rd. and follow to site.
7. Latitude: 330 55' 22"
Longitude: 780 21' 38"
of project
8. Contact person who can answer questions about the project:
Name: Phil Norris, P.E. Telephone Number: (910) 343-9653
[L PERMIT INFORMATION
I. Specify whether project is (check one): X New Renewal Modification
Form SWU-101 Version 3.99 Page 1 of 4
2. If this application is being submitted as the result of a renewal or modi o� AIAZ e pt
e
Existing permit number N/A And its issue dat kno n) N/
3. Specify the type of project (check one): [
DIVISION OF
X Low Density High Density Redevelop WAt%.T1"ANAGbNgNT
4. Additional Project Requirements (check applicable blanks):
_ CAMA Major X Sedimentation/Erosion Control _ 404/401 Permit NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJECT INFORMATION
I In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
Swales
2. Stormwater runoff from this project drains to the
3. Total Project Area: 11.32 AC
5. How many drainage areas does the project have?
Lumber River Basin.
4. Project Built Upon Area: 25 %
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below.
d)3asIn Inormat, _.K.
..
.rama .a�x3,
Receiving Stream Name
LIT Shallotte River
Receiving Stream Class
SA
Drainage Area
11.32 AC / 492,995.33 SF
Existing Impervious * Area
0
Proposed Impervious* Area
2.829 AC / 123,248.75 SF
% Impervious* Area (total)
25%
Tm ervious*,Sri�fa'ce airea� „-
rye , *Drama` aArea t `-
"Ai t�Fer
�:< .. ',Driima �e �'dM2 a,
On -site Buildings 14X \ y--'�
1.65 AC / 74N"3 SF
On -site Streets
1.18 AC / 51,258.82 SF
On -site Parkin
0
On -site Sidewalks
0
Other on -site
0
Off -site
0
Total: 2.829 AC / 123,248.75 SF I
Total:
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas
sidewalks, gravel areas, etc.
Form SWU-101 Version 3.99 Page 2 of 4
7. How was the off site impervious area listed above derived? NIA
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a
table listing each lot number, size and the allowable built -upon area for each lot must be provided as an
attachment.
I. The following covenants are intended to ensure ongoing compliance with state stormwater management permit
number as issued by the Division of Water Quality. These covenants may
not be changed or deleted without the consent ofthe State.
5\yam s(
2. No more than 6 44-1- q 3ky- at1 square feet ofany lot shall be covered by structures or impervious materials.
Impervious materials include asphalt, gravel, concrete, brick, stone, slate or similar material but do not include
wood decking or the water surface of swimming pools.
3. Swales shall not be filled in, piped, or altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification
prior to construction.
5. Allpermitted rungfffrom outparcels or future development shall be directed into the permitted stormwater control
system.' These connections to the stormwater control system shall be performed in a manner that maintains the
integrity and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, that the covenants will be binding on all parties and persons
claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for
each BMP specified for this project. Contact the Stormwater and General Permits Unit at (919) 733-5083 for
the status and availability of these forms.
Form SWU-102
Form SWU-103
Form SWU-104
Form SWU-105
Form SWU-106
Form SWU-107
Form SWU-108
Form SWU-109
Wet Detention Basin Supplement
Infiltration Basin Supplement
Low Density Supplement
Curb Outlet System Supplement
Off -Site System Supplement
Underground Infiltration Trench Supplement
Neuse River Basin Supplement
Innovative Best Management Practice Supplement
OOT 3
CpgS q/ /S `�wt
41,
NqQFMj�7NT
Form SWU-101 Version 3.99 Page 3 of 4
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DWQ Regional Office.
Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
• Original and one copy of the Stormwater Management Permit Application Form
• One copy of the applicable supplement form(s) for each BMP
• Permit application processing fee of $420 (payable to NCDENR)
• Detailed narrative description of stormwater treatment / management
• Two copies of plans and specifications, including:
- Development / Project name
- Engineer and firm
- Revision number & date ULI I i J 004
- Mean high water line DIVISION OF
- Dimensioned property/ project boundary COASTAL MANAGEMENT
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated ,
- Vegetated buffers (where required)
- Legend
- North arrow
- Scale
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
J. Phillip Norris, P.E.
Designated agent (individual or firm): Andrew & Kuske Consulting Engineers, Inc.
Mailing Address: 902 Market
City: Wilmington State: NC
Phone: (910) 343-9653
VIII. APPLICANT'S CERTIFICATION
Fax: (910) 343-9604
Zip: 28401
I, (print or type name ofperson listed in General Information, item 2) John F. Parker, Jr., Managing Member ,
Certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions and
protective covenants will be recorded, and that the proposed project complies with the requirements of 15A NCAC
2H.1000.
Signature:
Date: �/00 y
Form SWU-101 Version 3.99 Page 4 of 4
A&K #04018
Permit No.'�) �'Z �
State of North Carolina (to be provided by DWQ)
Department of Environment and Natural Resources
Division of Water Quality ��
STORMWATER MANAGEMENT PERMIT APPLICA FO&4 13 2M4
LOW DENSITY SUPPLEMENT DiVISlONAGEMENT
This form may be photocopied for use as an originalCOASTAL M A
A low density project is one that meets the appropriate criteria for built upon area and transports stormwater
runoff primarily through vegetated conveyances. Low density projects should not have a discrete stormwater
collection system as defined by 15A NCAC 2H .1002(18). Low density requirements and density factors can be
found in 15A NCAC 2H .1005 through .1007.
I. PROJECT INFORMATION
Project Name: River Bluff Estates
Contact Person: Ricky Parker Phone Number: (910) 842-4003
Number of Lots: 14 Allowable Built Upon Area Per Lot*: 5,142 SF
* If lot sizes are not uniform, attach a table indicating the number of lots, lit sizes and allowable built
upon area for each lot. The attachment must include the project name, phase, page numbers and provide
area subtotals and totals.
II. BUILT UPON AREA
See the Stormwater Management Permit Application for specific language that must be recorded in the deed
restrictions for all subdivisions.
For uniform lot sizes, complete the following calculation in the space provided below where:
• SA Site Area — the total project area above Mean High Water. Wetlands may be excluded when the
development results in high density pockets.
• DF Density Factor— the appropriate percent built upon area divided by 100.
• RA Road Area — the total impervious surface occupied by roadways.
• OA Other Area —the total area of impervious surfaces such as clubhouses, tennis courts, sidewalks, etc.
• No. Lots — the total number of lots in the subdivision.
• BUA/Lot — the computed allowable built upon area for each lot including driveways and impervious surfaces
located between the front lot line and the edge of pavement.
RECEIVED
Form SWU-104 Version 3.99 Pagel of 2 DWQ
PRUJ 3
(SA x DF) — RA — OA = BUA
No. Lots Lot
Calculation:
H. REQUERED ITEMS CHECKLIST
Initial.in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below.
&ZAN
A 30 foot vegetative buffer is provided adjacent to surface waters. Projects in the Neuse
River Basin may require additional buffers.
Deed restriction language as required on form SWU-101 shall be recorded as a restrictive
covenant. A copy of the recorded document shall be provided to DWQ within 30 days of
platting and prior to sale of any lots.
Built upon area calculations are provided for the overall project and all lots
Project conforms to low density requirements within the ORW AEC (if applicable).
LISA NCAC 2H .1007 (2)(b)]
RECEIVED
SEP 2 8 2004
DWQ
ENT
Form SWU-104 Version 3.99 Page 2 of 2
CAMA PERMIT NOTICE
Pursuant to NC 113A-119(b),
Brunswick County, a locality author
ized to issue CAMA permits in the
areas of environmental concern,
hereby gives NOTICE that on
September 21, 2004, Larry and Bever.
ly Helms, applied for a CAMA minor
development permit to construct a
single family residence/driveway/
Open uncovered decks at 3613 Van Bu.
ren Street SW, River Bluff Estates, in
Supply, NC 28462.
The application may be inspected
at the below address. Public com-
ments received by October 8, 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 re-
quest.
Connie Marlowe
CAMA Local Permit
Officer for Brunswick County
P.O. Box 249
Bolivia, N.C. 28422
910.26&2025
Fp-zl,VF
CC, 1 2 TO
D�IVt�ISI�OpNOF
AGEMENT
STATF�Alr1I C� OLINA
COUNTY OF BRUNSWICK
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State,
duly commissioned, qualified, and authorized by law to administer
oaths, personally appeared
Scott R. Harrell
who, being first duly swom, deposes and says: that he is
Publisher
(Owner, partner, publisher, or other officer or employee
authorized to make this affidavit)
of The Brunswick Beacon, a newspaper published, issued, and en-
tered as periodical mail in the Town of Shallotte in the said County
and State; that he is authorized to make this affidavit and 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):
September 30, 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 30th day of September, 2004.
................
(Signature of person making affidavit)
Sworn to and subscribed before me this 30th day of
September, 2004.
. - . (Notary Public)
My commission expires: December 29, 2004.
Locality Iy _S W t G k l Permit Number d -a %
Ocean Hazard Estuarine Shorelinee ORW Shoreline Puyb-licTr r Shoreline Other
(For official use only) 6 x T16-Cc..1 o 3 0 O Ufa 1, 209
GENERAL INFORMATION
LAND OWNER
City State I
AUTHORIZED AGENT
RN=4 —
Addre:
Zip �rS'i�d L Phone �0-k1�.�'3 %%
%Ifo. ags(M)
City State NCi Zip 6 L Phone /lig-8 2'.3f/ 77
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of
the adjacent waterbody?)
DESCRIPTION OF PROJECT: (List all proposed construction and land
SIZE OF LOT/PARCEL: '20 3 1L_ square feet 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): �_4�1 6* square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFAC5S j
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): sS
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property: � /iv E IV �9
4(1) [thin 75 feet of Normal High Water for the Estuarine Shoreline AEC C E
within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Ou dinEP 2 Z 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.) DIVISION OF
COASTAL MANAGEMENT
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
State Stormwater Management Permit issued by the N.C. Division of Water Quality?
YES NO
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.
ADM,
v.:,:, 18 1 v I
F)fn V A N: �,,,r ;'., A j l
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may r
development permit. As a service we have compiled a list of the kinds of permits that might
with your LPO to determine if any of these apply to your project: Zoning, Drinking Water
treatment system), Burning, Hectrical, Plumbing, Heating and Air Conditioning, Insulatio
Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, High
STATEMENT OF OWNERSHIP:
elay,nne6ipl
i Inor
� e he list
eptic Tank (or other sanita a
negpL-fm v FIA C ii tion,
wandCOASTALMANAGEMENT
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 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)
V/ an� owner or recor title. Title is vested in !�`f (/ K/ M3 see Deed Book _L-L_V
page Im liLL in the Coun4 Registry of De ds.
_an owner by virtue of inher tta�nnce. Applicant is an heir to the estate of /T /✓�/4"
probate was in _County.
_if other interest, such as written contAract 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.
(I)
(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 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:
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
This the Z3 day G.v. e_� 2 0 OY
S E P 2 12004
Landowner or person authorized to act as s agent for purpose of filing a CAMA permit application.
4
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SEP 2 2 2004
DIVISION OF
COASTAL MANAGEMENT
CERTIFIED MAILT. RECEIPT
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DIVISION OF
COASTAL MANAGEMENT
"�� �w1 '_YJ''. 4.� �� �%
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Certified Mail / Return Receipt
September 13, 2004
Little Shallotte River, LLC.
1861 Holden Beach Road
Supply, NC 28462
Dear Adjoining Property Owner:
ECEIVE
SEP 2 21004
DIVISION OF
COASTAL MANAGEMENT
This letter is to inform you that I have applied for a CAMA permit on my property at
3613 Van Buren Street, SW in Brunswick County, NC. I have enclosed a copy of my
permit application and a copy of the drawing of my proposed project.
If you have any comments on my proposed project, please contact the Coastal
Representative listed below. No response within ten (10) days if the same as no objection
when you have been notified by Certified Mail.
Local Permit Officer
Connie Marlowe
PO Box 249
Bolivia, NC 28422
910-253-2034
Supply, NC 28462
910-616-4245
910-842-3977
Certified Mail / Return Receipt
September 13, 2004
VCC, Inc.
255 Payne Road
Kannapolis, NC
SEP 112004 ni
DIV'SIO
op
28083 COASTAL M NA,EMENT
Dear Adjoining Property Owner:
This letter is to inform you that I have applied for a CAMA permit on my property at
3613 Van Buren Street, SW in Brunswick County, NC. I have enclosed a copy of my
permit application and a copy of the drawing of my proposed project.
If you have any comments on my proposed project, please contact the Coastal
Representative listed below. No response within ten (10) days if the same as no objection
when you have been notified by Certified Mail.
Local Permit Officer
Connie Marlowe
PO Box 249
Bolivia, NC 28422
910-253-2034
Supply, NC 28462
910-616-4245
910-842-3977
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05/L3/2004
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Excise Tax: $800.00
?:rurswick County--Re9-sMs of 4eOCS-
gobert J. Robinso 19AL"�eC,804
Inzat lF209336 47.2�7_rak. Reelt 15d 1t)g3
05/1.L2M.•4 12:
OEMI
to
MEN
Prepared Without Opinion of Title
Prepared by: Hewett Law Firm, Maw liewen Jr., Attorney at Law
632 Village Rd., Ste. 1, Shallotte, NC 28470
STATE OF NORTH CAROLINA
COUNTY OFBRUNSWICK
Roe,
S4,o 0'J/��1 i voe
Cpgs 4t O 0
A��MFNT
RE7 6 T
TkaILREY lies
REC/—CEAlfi�o Cri 95
CAStI•,__ REF_BY t W,
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED, Made this the G Ld ay of A 2004, by and
between LITTLE SHALLOTTE RIVER, LLC, parties, parties of and herein
"grantors",, and LARRY HELMS and wife, BE VERLY HELMS whose address is
124 Sabsbary Street, Holden Beach, NC 28462 party of the second part and herein
called "grantee";
The designation Grantor and Grantee as used herein shall include said parties, their
heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or
neuter as required by context
WITNESSETH:
THAT the said parties of the first part, for valuable consideration paid by the party
of the second part, receipt of which is hereby acknowledged, has and by these presents do
grant, bargain and convey unto the party of the second part in fee simple all of that certain
parcel of property located in Lockwood Folly Township, Brunswick County, and more
particularly described as follows:
BEING all of Lot Eight (8) of River Bluff Estates, as
delineated on a survey map entitled "Property of Jessie Simmons",
dated May 29, 1980, by Thomas W. Morgan, RLS, and recorded in
the Office of the Register of Deeds for Brunswick County, North
Carolina in Map Cabinet L at Page 197; said map Incorporated
herein for greater certainty of description.
pep Eu Us ub:Sfa Helanzic Yard Care 9Iuue bquoa p.c,
in,t 1 209336 Book 19-tiPage: 805
This conveyance is made SUBJECT to those certain
restrictive covenants recorded in Book 1861 at Page 1020,
Brunswick County Registry. Amended in Book 1401 at
Page r711, , Brunswick County Registry.
z2 �
TO HAVE AND TO HOLD the aforesaid lot or parcel of real property and all Cp Q�UU1
privileges and appurtenances thereto belonging to the parties of the second part in fee q V S T'q4 M,1 N� o f
simple. GFl 4'
And the Grantor covenants with Grantee, that Grantor is seized of the premises in
fee simple, has the right to convey the same in fee simple, that title is marketable and free
and clear of all encumbrances, and the Grantor will warrant and defend the title against the
claims of all persons whomsoever.
IN WITNESS WHEREOF, the Grantors have hereunto set their hands and seals, the
day and year first written above.
Little Shal Otte River, LLC
(SEAL)
PfoF.rkegingMember
e V—(SEALMickfel L. Hobbs -Member
STATE OF NORTH CAROLINA
COUNY OF BRUNS WICK
1, the undersigned Notary Public of the County and State aforesaid, certify that
John F. Parker, Jr. personally came before me this day and acknowledged that he is the
Managing Member of Little Shallotte River, LLC, a North Carolina or limited liability
company, and that by authority duly given and as the act of such entity, he signed the
foregoing imstmment in its name on its behalf as its act and deed. Witness my hand and
Notarial stamp or seal this 1 &4' day of May, 2004.
Notary Public
My Commission Expires:
SAwA7 17, .1601
Y,ep eu w ublb7a HLlaatla Tara care uiuu9u9ubn p.a.
STATE OF NORTH CAROLINA
COUNT] OF BRUNSWICK
Inst a 209336 Book 1941Paae: 806
I, the undersigned Notary Public of the County and State aforesaid, certify that
Michael L. Hobbs personally came before me this day and acknowledged that he is a
Mernber of Little Shallotte River, LLC, a North Carolina limited liability company, and
that by authority duly given and as the act of such entity, he signed the foregoing
instrument in its name on its behalf as its act and deed. Witness my hand and Notarial
stamp or seal ttds l_day of May, 2004.
`,OT nFly t_6 1
AUBUG ' z J`.
Notary Public
/CK C' *Ctnnmi55ton Expires: 3-zC'-,1?Oo`5
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
The Foregoing (or annexed) Cenifrcare(s) of
NELISSP LEE, CHRISTINE S PICKARD
R-3(gzjVzSAp z11-
COA S O'
OF
AOEMFNT
Nomry(ies) Public is (are) Certified to be Coaect. l l t May 2009
This Instrument was filed for Registration on this Day of —�t-r-t
in the Book and page shown on the First Page hereof. �\\ � ' � •�� �
RO E
�D�t 1111Wtt't. lJ4`--�
T J. RO 1 S'ON, Register of Deeds
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SEP 2 2
COASTAL MNAoEMENT
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runswick Co runty Health Departmc
nvironmental Health Section
lastewater ceNeCtion,Treatmenf
and Subsurface DisposALSystem
Application'# t)3 -61 c y 8
Tax Parcel 4 a3 •o,c l', 2� 5
Type x�
IMPROVEMENT PERMIT
FOR WASTEWATER COLLECTION, TREATMENT, AND DISPOSAL SYSTEM
In accordance with the provisions of Article 11 of Chapter 130A, General Statutes of North Carolina, 15A NCAC 18A. 1900 et
eq., and other applicable Laws and Rules
PERMISSION IS HEREBY GRANTED T :
Owner &-R n 55ac'.f % SEP 2 2 24
Address o o ra:
C-0: n,c zsY�s- DIVISION OF
Phone
COASTAL MANAGEMENT
FOR THE
installation of a wastewater collection, treatment, and disposal system to serve:
Residential Bedroom Ate+ . Commercial N� Employees, Max Occupany �.
Comments/Use `
✓`
pursuant I5A NCAC I8A.1900 as a ended and in fornity with the application and other supporting data subsequently filed and
approved by the DEHNR/or the Brunswick County Health Department and considered. a part of this permit
Facility to be served: Name S
Address/Location Lol
Description -th% P�rc 1 230000 °v 2e j
The owner shall be subject to the following conditions, limitations, and construction requirements for the installation and operation of this
system:
1 _ This permit is effective only with respect to the specific design flow facilities, and the nature and volume of waste described in the
Permit Application, and other supporting data. Changes in the proposed use, waste flow, nature or volume of waste render this
Permit void.
2. All documents, including but not limited to site evaluation, design review plans and specifications, Triparty Agreements, Easements:
and other legal agreements will become a part of the Permit This includes operation and maintenance procedures and, other
pertinent documents relating to system operation and maintenance. . ` - ^9^^A ,^a rnnf of f lino submitted before
urc v c
3. The designated repair area is to have no parking, driveways, or other impervious material located on iL
4. The issuance of this permit does not preclude the permittee from complying with any and all statues, regulations, or ordinances
which may be imposed by other government agencies which have jurisdiction, or any other permits issued by this department.
5. The permit shall become invalid if the information submitted in the application was falsified or changed, if the permit was based on
inaccurate or incomplete information, or if the designated site is altered. .
6. Before Authorization to Construct a Wastewater Treatment and Disposal System is issued, all site modifications., plans,
specifications, draft legal paperwork must be completed and approved.
7. Sites requiring complex designs for wastewater systems, may require approval of plans and specifications before the Improvemen
Permit is issued.
PERMIT ISSUED THIS ..574 DAY OF /Uo 0A t�1 sz e2 bo 3 .191
DATE OF PERMIT EXPIRATION / ( - S - o3
BRUNSWICK COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH DIVISION
PERMIT.STA ���� •j'�''�`'`�' �� � �p � � .� n - 11r101197
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01VI8IONjOF
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.ASTAL-MANA6EMENT
I
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
21-Sep-04 Larry & Beverly Helms applied for a CAMA minor development permit
to construct a Single Family Residence/Driveway/Open Uncovered Decks at 3613
Van Buren Street SW, River Bluff Estates, in Supply NC 28462. The application
may be inspected at the address below. Public comments received by October 8,
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 I � ��% E1�
CAMA Local Permit Officer for
Brunswick County c-? 2 2 �-34
PO Box 249
Bolivia, NC 28422 DIVCOASTAL ISION OF
NAGEMENT
Phone (910) 253-2025
PLEASE PUBLISH ON September 22, 2004
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