04-076 Sea Castle Inc

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TOWN OF HOLDEN HB 2004-076
BEACH ACT 2 Permit Number
COASTAL
Local Government -TPIL MAN OENAGEMEN ? `'AMA
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 Sea Castle, Inc, authorizing development —in Ocean Erodible at 134 O.B.E., as requested in the
permittee's application, submitted 08/18/04. This permit, issued on September 29, 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.
PERMIT TO CONSTRUCT A SINGLE FAMILY RESIDENCE, INSTALL SEPTIC
SYSTEM, and 4 FOOT WALKWAY AND GRAVEL DRIVEWAY AND RETNETION
AREAS.
ANY OTHER DEVELOPMENT WILL REQUIRE ADDITIONAL AUTHORIZATIONS
THE FOLLOWING CONDTIONS SHALL APPLY!
All proposed development and associated construction must be done in accordance with the
permitted work plat drawing(s) with conditions that reads as follows:
1. All construction must comply with the NC Building Code and all other Federal, State, and Local
regulations, including the National Flood Insurance Program.
2. Any change or changes in the plans for development, construction, or land use activities will
require a re-evaluation and modification of this permit.
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.
Local Permit Official (signature)
RHONDA PHILLIPS
r 1
1 / Flermittee (signature
CAMA Local Permit
above apply to permit)

Name # HB 2004-076
Sea Castle, Inc.Page
Page Two
�p CSC r,
V �yt LLZ�OF�.�
CO AgTPI-
3. Pursuant to 15 NCAC, Subchapter 7J. 0406 (b), this permit may not be transferred, or otherwise
disposed of to a third party, except by the Division Director.
4. Prior to initiating land -disturbing activities, adequate sedimentation/erosion control measures must
be employed to prevent the movement of unconsolidated materials. These measures must remain in
place until such time as the area is properly stabilized with vegetated cover.
6. All construction shall meet all requirements of chapter.157.060 and Chapter 158.00 located
in the Town of Holden Beach Code of Ordinances and any other sections that apply to the
construction of the single family residence.
7. All pilings shall have a tip penetration of at least 5.0 feet below mean sea level.
8. All development shall meet chapter 94, 157.060 and all other regulations located in the Towns
Code of Ordinances.
9. The approved drawing and stormwater plan is dated 09/20/04 and stamped by Mr. Winkler.
10. The structure must be located entirely off of the frontal dune.
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 ui
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
the local Land Use Plan and all applicable ordinances.
This permit may not be transferred to another party without
written approval of the Division of Coastal Management.
Local Permit Official (signatur
Rhonda Phiillips
CAMA Local Permit Official

Oct 04 04 08:598 TOWN OF HOLDEN BEACH
9108429315 P.
l-a q b CQa,/n "- faAy
AEC HAZARD NOTICE
Project Is In An: ocean Erodible Area High Hazard Flood Area _ Inlet Hazard Area
Date Lot Was Platted:
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 AHC Hazard Notice and acknowledge that
notice in writing before a permit for development can be
issued.
The Commissiods rules on building standards, oceanfront
setbacksanddunealterati�fioeesgnedto i abut
not eh,,inate, property Y granting
permits, the Coastal Resources Commission does not
guarantee the safety0f the development and assumes oa
liability for future damage to the development.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual Ocean
n rate for the area where your Property is located is
-- feet Per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies alsp indicate that the shoreline could move as
moth as_Wofeet landward in a major storm.
Fnnod waters inamajorstorm ampredicted to beabout
_ _:eet 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-Temporarydevices, includingsand bags -may
be allowed under certain conditions_
This structure shag be relocated or dismantled within two
years of beaomingimminently 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
1
c2
nl5 SigOalure
/o- 5�-�'
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive
stomesanderosion. Permitsissuedfordeve tinttas
area expireivegekation
December 31 of the third year allowing the
year in whthe permit was issued. Shortly before work
begins on project site, the Local Permit Officer will
determine line and setback distance at your
site if theproperty lasseen little change and theproposed
development can still meet the setback requirement, the
LPO willinform you thatyoumaybegin work. It is impor-
tantthatyou check with lice LPObefore thepermit expires
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 t must be renewed and a new
setback line estalr]i ed.1t is unlawful to continue work
after permit expiration without this approval.
Fur more information, contact
W MIAMI% "1 'tz
ECEIVif �
OCT
212ot,a
DIVISION ,41F
COASTAL MANAGEMFaIi
Revised 11193
1•d
e8a:01 bo 40 400

Name Sea Castles, Inc.
Minor Permit #HB 2004-076
Page Three
MANAGEMENT
11. This permit may be renewed for one (1) year is requested before the expiration date.
12. The Brunswick County Health Department requires that no pilings be located within five feet of
any portion of the septic system. The retention areas shall be located at least 25 feet from all portions
of the septic system.
13. The house is being proposed to be located within a Base Flood of VE with an elevation of 19.
14. All development shall meet all requirements of the Town of Holden Beach Code of Ordinances.
15. The innovative storm water system authorized with this permit must be maintained for the life of
the structure addressed.
16. Any structure authorized by this permit shall be relocated or dismantled when it becomes
imminently threatened by changes in shoreline configuration. The structure shall be relocked or
dismantle within two (2) years of the time when it becomes imminently threatened, and in any case,
upon its collapse or subsidence. However, if natural shoreline recover or beach re -nourishment takes
place within two (2) 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.
18. A copy of this permit shall be available onsite for regulatory inspection.
19. No disturbance of the frontal dune shall be allowed.
20. This permit is being issued using a 60 foot setback. Meets the regulation
15A NCAC 07H .0104.
This permit action may be appealed by the pernittee or other
qualified persons within twenty (20) days of the issuing date. From
the date of an appeal, any work conducted under this permit must
cease until the appeal is resolved.
This permit must be on the project site and accessible to the permit
officer when the project is inspected for compliance.
Any maintenance work or project modification not covered under
this permit, require further written permit approval.
All work must cease when this permit expires on December 31,
2007
In issuing this permit it is agreed that this project is consistent with
the local Land Use Plan and all applicable ordinances.
This permit may not be transferred to another party without inQ
written approval of the Division of Coastal Management. 7
Wmit Official (signature)
Rhonda Phillips
CAMA Local Permit Official
�='
conditions above apply to

PLANNING & INSPECTIONS DEPARTMENT
September 14, 2004 R
Director
Jason Walker
[e-mail] Sea Castle, Inc.
Assistant Inspector 128 Ocean Blvd. West
Rhnda [e-mail] Holden Beach, NC 28462 OCT 0 12004
Permits Administrator
'V/
Pat Bowman Dear Sea Castle Construction: COASTAL SOON AdAIVAGF
[e-mail]
The CAMA Permit #2004-076 for 134 Ocean Blvd. East has been placed
EMENr
on hold.
The frontal dune labeling the dune crest, and both landward and
oceanward toe of the frontal dune also needs to be shown on the survey.
Please have your surveyor to contact me at [phone] so that I may
meet with him and determine the location of the frontal dune.
The retention areas shown on the proposed plan are located within the
60 foot setback and are not allowed.
The proposed plan shows a cantilevered section over what appears to be
the frontal dune and is not allowed by Town Ordinance.
The Zoning Permit application needs to be completed.
Information that proves that the lot was platted prior to June 1, 1979
needs to be submitted if you are proposing to use the exception that
allows the 60 foot setback to be used instead of the existing 120 foot
setback. If using this exception only gravel is allowed to be located
under the house and the stormwater plan shows a proposed concrete
slab. 15 NCAC 07H .0309(b)
Once the corrections have been made on the storm water plan, survey
and zoning permit resubmit to town hall and the review process will then
continue.
Sincerely, , ^�
Rhonda Phillips
Local Permit Officer c.c. Carolina Bellis
110 ROTHSCHILD STREET • HOLDEN BEACH, NC 28462 • 910.842.6488 PHONE • 910-842-9315 FAX
www.hbtownhall.Com

� ocy-0Ice
�po�o�G,' RICHARD A•RINGINKLER" ROAD P.E.
MT. AIRY, NC 27030
[phone]
SEACASTLES CONSTRUCTION
134 OCEAN BLVD EAST
HOLDEN BEACH, N.C.
TOTA LOT AREA
13,760 SQ FT
TOTAL IMPERVIOUS AREA
HOUSE AND DECKS (INC O/H)....................1603 SF
1603 sq ft x 1.5 / 12 = 200 cu ft of stormwater containment
required.
Utilize gutters and downspouts draining to an EEE ZEE LAY drain
system.
Capacity of EEE ZEE LAY system = 3.75 cu ft / ft.
Length of system required = 200 cu ft / 3.75 cu ft / ft = 50 ft.
EEE ZEE LAY system must be located a minimum of 25' from
septic system.
Drainage Bundle
Without Pipe
3'
EEE ZEE LAY DETAIL
nts
c 11'd 11 1y
OCT u1 2m4
4" Drainage Bundle With DIVISION OF
Din Corrugated Perforated
P.E.Distribu}ion Pipe COASTAL MANAGEMENT
Drainage Bundle
Without Pipe

j� OCEAN BLVD EAST
PCj Bp RIGHT—OF—WAY
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+6,7
T PAVEMENT
O1K C OF ASpHAI
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NOS EIP
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EASEMENT �I
TOP OF Iv
CONCRETE SLAB
ELEVATION 11.6+ Ic
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SEA CASTLES
134 OCEAN BLVD EAST
11+9.5
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1 PROPOSED HOUSE I M 1L1J 1L V R
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I GROUND EL = 10.5
r10.7sv.
_ 1- � OCT 0 12004
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JANUARY, 2004

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i

Occann-Hazard Estuarine.Shoreline
GENERAL INFORMATION
LAND OWNER
Name Sea' Cw-N-e'
Address 1 7 -cb u
City
AUTHORIZED AGENT
%I -,e—> e,
Name
G�c_j.,. `. �;o P�rmit'I+7umber aoD.t/- b'7G
ORW'Shoreline_Tublic Trust Shoreline _:Other_
(For official:use only) .
C.i
State t4 L Zip
AUG 2 3 2004
DIVISION OF T
,,__COASTA
L MIA'
?p p
Phone Q�2 —o o
Address
State Zip Phone
City
' LOCATION OF PROJECT: (Address, street name andd//or directions to site. If not oceanfront, what is the name of
the adjacent waterbody?)
DESCRIPTION OF PROJECT: (List all proposed consrruLpiu and land disturbance.)
r,,. t j fCYI s+yil hon c.5, r)40, lrnl V
SIZE OF LOT/PARCEL: 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): square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): sq. ft
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete 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: y ..
(1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding �
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC AUG 1 8 2004
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a IN OF HOLDEN BEA(
State $t rawater Management Permit issued by the N.C. Division of Water Quality?
YES � NO_
If yes, list the total built -upon amdimpervious surface allowed for your lot or parcel. A Sf Z square feet.

OTHER PBPWTS NW BE REQUIRED: The activity you ale planning may require permits other than the CAMA minor
development permit. As a service we have wmpiled a list of the binds of permits that might vb�e required. We suggest you check over the list
tary waste
with your LPO to determine if any of these apply to your project Zoning, Drinking Water well) Septic Tank (or o sani
treatment system), Buading, Electrical, Plumbing, Heating and Air Conditioning, insulation and En `
Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway, Conn u , dh griv C
AUG 2 3 2004
STATEMENT OF OWNERSHIP:
4 !� r a
1, the undersigned, an applicant for a CAMA minor development permit, being either the owner o
person authorized to act as an agent for purposes of applying for a CAMA minor develops
A49listed as landowner on this application has a significant interest in therealproperty described therein. This interest can be
described as: (check one) Sea
Ci , see Deed Book
�an owner or record tide. Title is vested in page County is of Deeds.
in the ty Registry vy
_an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this
and operryl Ifofr iramCAMA that i havepergiven
ACTUAL NOTICE to each of them concerning my intent to develop this property PP Y
(Name) (Adess) 0 f1 roe 306 SS
(1) as �'
(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 lox. 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, criminaland administrative action. y0 O
This th / day of J t^
plication.
Landowner or person authorized to act as his agent for purpose of filing a CAIvIA permit ap

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":` MONROE GA 30655
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Postage
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$0.60
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Certified Fee
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$1.75
Postmark
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Return Receipt Fee
(Endorsement Required)
Here
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$0. (10
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Res "cted Delivery fee
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-
TotalPosta ge&Fees
$
$4,65
08/10/2004
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PI!'NMONG VA 23235
Q-
Postage
S $(),6(I
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$2,30
0462
Certified Fee
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$1.75
Posonark
17
(Endorsement Required)
Here
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Restricted Delivery Fee
$II. I111
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(Endorsement Required)
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Total Postage 9Fees
$ $4.65
08/10/2004
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PS Forn:rrMay 2000
See Reverse for instructions
SUPPLY PO
SUPPLY, North Carolina
284623353
3613950462-0099
08/10/2004 [phone]
03:42:20 PM
Sales Receipt
Product Sale Unit
Final
Description Oty Price
Price
RICHMOND VA 23235
$0.60
First -Class
Return Receipt
$1.75
Certified
$2.30
Label Serial M: 70001530000360894105
Issue PVI:
$4.65
MONROE GA 30655 $0.60
First -Class
Return Receipt $1.75
Certified $2.30
Label Serial #: 70001530000360894099
Issue PVI: $4.65
Total: $9.30
Paid by:
Cash $10.00
Change Due: -$0.70
Bi11M: 1000100177954
Clerk: 06
— All sales final on stamps and postage. —
Refunds for guaranteed services only.
Thank you for your business.
Customer Copy
E(OEHvED
AUG 2 3 2W4
DIVISION OF
COASTAL MANAGEMENT

"L

13q
OCEAN BLVD ' EAST,
80 RIGHT-OF-WAY
+8.4
+8.7
+9.1
EDGE OF ASPHALT PAVEMENT
+8.6 "B„ +8.3
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FIRST LINE
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STAKED BY TOWN
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JUNE, 2004
MAG NA
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N
65.
9.5
1 E C-BlI E
AUG 2 3 2001
N OF
ASTAL IMAONAGEMENT
+14.8
NRB
(VAC

DATE: —7% 4
To: I�T, ClbaVks L .
Or.
v;q z323S
DEAR ADJACENT PROPERTY OWNER:
EC E11 V E
AUG 131004
COASTAL DIVIION MANAGEMENT
This letter is to inffoor�m, you that I"jh"av'e applied for a CAMA`Permit on the property
owned by C�� �^ e,, �Ne at 3 ,`/ 0
(=-i addrua)
Holder Beach, NC. I have enclosed a copy of permit application and a copy of the
drawing of proposed project.
If you have any comments on the proposed prof ect, please contact
Rhonda Phillips, Local CAMA Officer; Town of Holden Brach,110 Rothschild St.
Holden Beach, NC 28462 - Telephone -[phone].
Sincerely,
Sea (a5efl,0%)J�dWa�u. &Hein
(Owner or Agent) J� G
TELEPHONE NUMBER
!3(P Orse

DATE: %Lo 4
�y ' To:A-)7Crb-0jL,
rbe 30(055
0 1,90RIV
AUG 13
Cpgs D!/S/p4
ANAGFMF/V I'
DEAR ADJACENT PROPERTY OWNER:
This letter is to inform you that I have applied for a CAMA Permit on the property
owned by esl—a l�'I 12 -�'N(C at 151 Q e E
Holder Beach, NC. I have enclosed a ropyof ennit (� en an
P application and a copy of the
drawing of proposed project.
If you have any comments on the proposed project, please contact
Rhonda Phillips, Local CAMA Officer; Town of Holden B each, 110 Rothschild St
Holden Beach, NC 28462 -Telephone -[phone].
Sincerely,
lea Cd sf/e , T,�c//bia YLVI 6aj /e1
(Owner or Agent) -
TELEPHONE NuhaBR: IN2. --91) gG
i32rt-_

RICHARD A. WINKLER, P.E.
239 OCEAN BLVD. EAST
HOLDEN BEACH, N.C. 28462
[phone]
SEACASTLES CONSTRUCTION
134 OCEAN BLVD EAST AUG 2 32004
HOLDEN BEACH, N.C. COAS / 'SION OF
TOTA LOT AREA MANAGE T
13,760 SQ FT
TOTAL IMPERVIOUS AREA
HOUSE AND DECKS (INC O/H)... .................
1680 SF
• 1680 sq ft x 1.5 / 12 = 210 cu ft of stormwater containment
required.
• Utilize gutters and downspouts draining to an EEE ZEE LAY drain
system.
• Capacity of EEE ZEE LAY system = 3.75 cu ft / ft.
• Length of system required = 210 cu ft / 3.75 cu ft / ft = 55 ft.
• EEE ZEE LAY system must be located a minimum of 25' from
septic system.
2'
Drainage Bundle
Without Pipe
3'
EEE ZEE LAY DETAIL
nts
12" Drainage Bundle With
4" Dia Corrugated Perforated
P.E. Distribu}ion Pipe
Drainage Bundle
Without Pipe
►1
` SEAL
5312 r
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OC ad 13LVD AEAST
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EASEMENT I = ---------- I� .
TOP OF p I
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SEA CASTLES
134 OCEAN BLV© EAST
INFORMATION FROM A SURVEY
BY BRUNSVRCK SURVEYING
DATED 6-15-04
SCALE. 1' = 30'
PROPOSED HOUSE
SLAB EL a 10.5'
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MEAN HIGH WATER
2.0' N.G.V.D.
J"HIJARY, 20C.'
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+& AUG 2 3 2004
DIVIS101V OF
COASTAL ANAGEIMENT
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Brunswick County Health Department 'T_7I11,1N OF HOLDEN BE' C"I Application #03/61606A
Environmental Health Section �T)')F{:)g� G�f LDS Tax Parcel # 232 NJ 010 .
Wastewater Collection, Treatment FeA Jer Type SA
and Subsurface Disposal System I /
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
sea., and other applicable Laws and Rules
PERMISSION IS HEREBY GRANTED TO: �. ,. a00�-0q 6
�'e`.t4 OF HOLDEN I:;.-;,_;�
10 ROTHSCHILD Sli«F1
Owner Wayne Batten Sea Castles
Address 128 Ocean Blvd. West
Holden Beach NC 28462
Phone Jim Mc Swain (910) 4434261
FOR THE
Installation of a wastewater collection, treatment, and disposal system to serve:
Residential _X_ Bedroom _3_ Max Occupancy _6_
Comments/Use One unit single family residence
pursuant to 15A NCAC 18A.1900 as amended and in conformity with the application a
approved by the DEHNR/or the Brunswick County Health Department and considered
Facility to be served: Name Wayne Batten
Address/Location 134 Ocean Blvd. West
Description Tax Parcel# 232 NJ 010
filed and
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.
All legal documents must be recorded with the Brunswick County Resister of Deeds. and proof of filing submitted before
the Operations Permit or Authorization to Construct is issued, conditional on recordation and enforcement of easement.
3. The designated repair area is to have no parking, driveways, or other impervious material located on it.
4. The issuance of this permit does not preclude the pernittee 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
Improvements Permit is issued.
PERMIT ISSUED THIS /? DAY OF
DATE OF PERMIT
�"`-' L�jJ�/G✓ c-'iw-'— R.S.
PERMIT.STA
or
DEPARTMENT ENVIRONMENTAL HEALTH DIVISION
ECKVED
SEP 13 M
COASTAL IIMAO AdMVINT

Brunswick County Health Department Application #03/61606 4
Environmental Health Section Tax Parcel #232 NJ 010
Alternative Sewage Treatment and Disposal System System Type - SA
AUTHORIZATION TO CONSTRUCT
FOR
WASTEWATER COLLECTION, TREATMENT, AND DISPOSAL SYSTEM
In accordance with the provisions of Article 11 of Chapter 130A, General Statutes of North Carolina as amended,
AND other applicable Laws and Rules
PERMISSION IS HEREBY GRANTED TO
Applicant: Jim Mc Swaim
Address: P.O. Box 186 Shallotte. NC 28459
Phone: [phone]
To construct, install a sewage treatment and disposal system as described below:
To Serve: Residence _1 # Bedrooms _3_ Maximum # of residents_6_
Comments, Describtion: One unit, single family, orivate residence. Domestic wastewater only.
SUBDIVISION _Sea Trace_ LOT 1 &11 Blk. _ Sec. _
ADDRESS/LOCATION: 134 Ocean Blvd. West D j� C E sr S�
The system components consist of: Type system: 5A f� 111E 111Yp
Design Flow 360 GPD (120 pal/bedroom) SEP 3
Description Type A Ecofio Biofilter Gravity Dose 2W1
I. COLLECTION SYSTEM: CONVENTIONAL PLUMBING DO
(MUST COMPLY WITH ALL APPLICABLE STATE AND LOCAL PLUMBING CODES) C AS DIVISION GEMENT
II. TANKAGE: A. SEPTIC TANK(S) _1000 _GALLONS CAPACITY
B. PUMP TANK WA GALLONS CAPACITY
ALL TANKS, FORCE MAINS, PRESSURE LINES TO BE LEAK TESTED AND CERTIFIED BY APPROPREIATE
PARTIES.
ACCESS RISERS REQUIRED ON ALL INSPECTIONS & SERVICE HATCHES ON TANKS -RISERS TO EXTEND 4-6"
ABOVE FINISHED GRADE
III. PUMP CHAMBERIDOSING TANK:
A. DOSING PUMP(S): SIZE, MAKE, MODEL #:
NUMBER OF PUMPS REQUIRED:
B. DISCHARGE PIPING: SIZE: INCH MATERIAL:SCH 40 PVC GATE VALVES:
CHECK VALVE: - UNION/DISCONNECT: LIFT CHAIN OR ROPE:
ANTISIPON HOLE: N/A
C. DOSE VOLUME:_ DRAW DOWN DEPTH: INCHES
IV. DOSING MAIN: SIZE: INCH MATERIAL: VALVING:
V. CONTROL PANEL: N/A
VI. DISPOSAL FIELD: Gravel Bed (%25 Reduction) LTAR 1.0 MAX. TRENCH BOTTOM DEPTH 36" below existing
grade (See details on plans)
SIZE: 270 SQ. FT.) #FIELDS: 1 #LINES: 0 Trench width:— Line centers:_
Bed Size 16' x 17'
VII. APPURTENANCES TO SYSTEMS:
A. SUBSURFACE DRAINAGE: TYPE: N/A DEPTH:
INSTALLER:
B. AREA FILL: FILL DEPTH: 0" MATERIAL: Sand
SIZE OF BASAL AREA: 0 ' (WIDE) x 0 ' (LONG)
C. LANDSCAPE EACH SITE AS NEEDED. ALL SITES SHALL BE LANDSCAPED SUFFICIENT TO PROVIDE
SURFACE RUNOFF AND TO PREVENT PONDING OF RAIN OR OTHER SURFACE WATERS.
permit.aut 1
5/97

D. COMMENTS, SITE MODIFICATIONS, ETC.,
The Owner shall be subject to the following conditions, limitations, and construction requirements for the installation of
this system:
1. This authorization is effective only with respect to the specific design flow and facilities, and the nature and volume of
waste described in the Permit Application, and other supporting data.
2. This permit is not transferable and must be reapplied for at such time as ownership, or management changes.
3. The designated repair area is to have no parking, driveways, or other impervious material located on it. This
area is to be protected, reserved and maintenance in a natural state.
4. The issuance of this permit does not preclude the permittee from complying with any and all statutes, regulations, or
ordinances which may be imposed by other government agencies which have jurisdiction, or any other permits issued
by this department.
5. This authorization shall be valid for 60 Months from the date of issue. The authorization 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, or expiration of this authorization, a new application shall be submitted
to the BCHD with updated information, as may be applicable or requested.
6. " A PERMANENT BARRIER SHALL BE PROVIDED AND IN PLACE AROUNDTHE SYSTEM/REPAIR AREA
BEFORE THE OPERATIONS PERMIT IS ISSUED.
7. ALL APPLICABLE SETBACKS SHALL BE MAINTAINED, NO IRRAGATION SYSTEMS, STORM WATER PONDS /
BASINS, SURFACE/SUBSURFACE DRAINAGE SHALL BE LOCATED IN THE AREA OF THE WASTEWATER
SYSTEM OR ITS REQUIRED SETBACKS.
INSTALLATION REQUIREMENTS
1. The installer shall be currently registered with this department.
2. A ore -installation conference is to be held on the site prior to beginning any site modification or construction of the
proposed structure or the sewage collection, treatment, and disposal system. Attending these conferences shall be
representatives of the State of Local Health Department; project engineer or designer; contractor; builder; proposed
system operator/installer; and the owner or his authorized agent.
3. The contractor shall be responsible for notification of the engineer and the BCHD for system inspection in stages as
required and prior to backfilling any portion of the system. No portion of the system shall be backfilled or placed into
use without prior approval of the BCHD.
4. The system shall be installed in accordance with the approved set of plans and specifications. Any deviation in site
modifications, plans, specification, layout, materials or other system component shall be approved by the design
engineer and the Brunswick County Health Department prior to installation of the system. Failure to do so may result
in delay or refusal of final approval of the system, and may render the Permit null and void.
5. The system shall be installed in a timely manner and staged so as to avoid unnecessary exposure to weather.
6. The location and identification of all property lines, easements, water lines, and other appropriate utilities shall be the
responsibility of the installer.
7. Other:
OPERATION PERMIT REQUIREMENTS
1. An Operation Permit shall be issued by the BCHD prior to placing the system into use, or making any connections to
the system.
2. Prior to issuance of the Operation Permit:
- the system shall be completed, installed, and tested in accordance with the approved design, including proper
abandonment of tanks existing wells, and other components, E1R y V
final landscaping, water diversion devices, and vegetative cover requirements and e s aIL
completed,
the engineer or applicable responsible parties shall submit as -built plans to the BC a p!44 2ftt any
changes or alterations from the as -approved plans. CD
permtt.aut 2 DIVISION OF
5/97 COASTAL MANAGEMENT

For systems that have been engineered, the design engineer shall certify in writing to the Brunswick County Health
Department, that he has inspected the installation and that it has been installed according to the approved plans and
specifications.
Any necessary easements, plats, or documents shall be recorded with the Register of Deeds and copies
submitted to the BCHD,
The owner and a Public Management Entity/Subsurface System Certified Operator shall execute a contract that
addresses all of the requirements for maintenance, monitoring, and reporting in Section .1961 and the
requirements of the Schedule of Operation and Maintenance to be a part of the Operation Permit for the facility.
Provisions of said contract shall be in effect for as long as the system is in use.
NOTICE OF EXPIRATION -THIS AUTHORIZATION EXPIRES 60 MONTHS FROM DATE OF ISSUE IF EXPIRATION OCCURS,
THE CLIENT SHALL COMPLY WITH ALL CHANGES IN APPLICABLE REGULATIONS, LAWS, TECHNICALASPECTS, ETC., THAT
MAYBE EFFECTIVE AT THAT TIME (THIS MAY REQUIRE ADDITIONAL PREPARATION, MORE COMPLEX WASTEWATER
SYSTEMS. OPERATION AND MAINTENANCE REQUIREMENTS, PRE-TREATMENT, ETC. THIS COULD RESULT IN LESS AREA
FOR THE HOME, PARKING, LOWER WATER USAGE AND FURTHER DEVELOPMENT LIMITATIONS.
BRUNSWICK COUNTY HEALTH DEPARTMENT ALTERNATIVE SYSTEM IMPROVEMENTS
PERMIT/OPERATION PERMIT BCHD # 03/61606
Plan review by DATE: O-V
Initial Site evaluation by: _CH D TE._9/2/03
Site modifications, completed and inspected by N/A DATE
TO CONSTRUCT ISSUED THIS �� DAY
ioo"4f .
tUNSWICK COUNTY HEALTH DEPARTMENT
Pre -construction conference for site by:
Present for conference(list):
re -construction conference for construction of system by:
Present for conference (list):
permitaut
5/97
ENVIRONMENTAL HEALTH DIVISION
e:
SEP 13 2004 1
DIVISION OF
COASTAL MANAGEMENT