OI_09-34_Black

Oak Island
Local Government
01.09.34
Permit Number
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 114A.4i19 sfthe
General Statutes, "Coastal Area Managemenr
Issued to Charles B. Black, authorizing development in the Estuarine Shoreline (AEC) at 4010 E. Yacht Dr., in Oak
Island, as requested in the permittee's application, dated 12/07/2009. This permit, issued on 12/28/2009, 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: Clearing of lot and preparation for a Single Family Residence.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 12/0712009.
(2) 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.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
RECEIVED
DCM WILMINGTON Nk
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 unfit the appeal is resolved. This
permit must be on the project site and accessible to the permit officer when the
project is irk for compliance. Any maintenance wok or project
modiiicabon not covered under this permit, require further written permit
approval. All work must cease when this permit expres on.
DECEMBER 31, 2013
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 withal the written approval of Via Division of Coastal
Management.
�iA �, r /-i rl
Donna F. Coleman
CAMA LOCAL PERMIT OFFICIAL
4601 E. Oak Island Dr.
Oak Island, NC 28465
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Charles B. Black
Minor Permit # 01.0934
Date: 12/2812009
Page 2
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of normal high water
(Estuarine Shoreline Area of Environmental Concern), in this case, 3150 square feet is authorized.
(6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of normal high water. No portion of the
roof overhang shall encroach into the 30 ft. buffer.
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by
effective sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line
of filter cloth must be installed between the land disturbing activity and the adjacent marsh or water areas,
until such time as the area has been properly stabilized with a vegetative cover.
(8) Any proposed for grading within the 30' buffer from the normal high water must be contoured to prevent
additional stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized,
and must remain in a vegetated state.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
RECEIVED
DCM WILMINGTON, NC
JAN262010
SIGNATURE: DATE:
PERMITTEE

F)a V, is5
At3 D
0 Z -09 -3`
Locality
Permit Number
Ocean Hazard
Estuarine Shoreline ORW Shoreline Public
Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name ChaYle
2S - B IRO�k
+_
Address Sb 0 Mot
I n Sa i
9001
City SJIls�uay
State NC Zip 29 N�
Phone 702a2-�S�U
AUTHORIZED AGENT
Name Gr-z°\
l �.r� �i�i•.
3 3 7
/YI �
d �=
Address
City ©S�ar�
d
Al
State /Y• �. Zip 2S�F6S
Phone
LOCATION OF PROJECT. (Address, street name and/or directions to site. IIf not oceanfront, what is the name of the
adjacent waterbody.) Ll O 10 Oa k Ss
Sn4evc cats+c. Vh4eyw4
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: Bt)� square feet acreQCM WILMINGTON, NC
�Z— 1�pN 1 ci 2010
PROPOSED USE: Residential (Single-family Multi -family ) ommer9 201dustrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON-
MENTAL CONCERN (AEC): 141A 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): square feet
(Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc., that are within the applicable AEC.`Attich your calculations with the project drawing .)
Choose the AEC area that applies to your property:
%41) within 75 feet of Normal High Water/Normal Water Level for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water/ Normal Water Level for the Estuarine Shoreline AEC, adjacent to
Outstanding Resource Waters
(3) within 30 feet of Normal High Water/ Normal Water Level for the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT. Is the project located in an area subject to a State Stormwater
Management PermsJ'ssued by the NC Division of Water Quality?
YES NO ✓
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor develop-
ment permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list
with your LPO to determine if any of these apply.to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification,
Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to 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)
�Lan owner or record title, Title is, vested in files Nark see Deed Book A9C19
page i ,?q in the —R IA4J nS W i ck County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in
County.
if other interest, such as written contract or lease, explain below or use a separate sheet & 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.
(Name) (Address)
(1)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible
to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems
associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing
techniques.
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
information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation
of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
This thg 2 day of DECeod2 , 20�_
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.

ADJACENT RIPARIAN PROPERTY OWNER A
STATEMENT FOR CAMA MINOR PERMITS 12-1-7109
RW'--
I hereby certify that I own property adjacent to 1 LAV I'ea -IS- Rio-r -s
property located
(Name of Property Owner)
1 /)I 1 �- 1 A
-t� ' ��11 11 Address, ILot, Block, Road, etc.)
on—uricJC-Q4,1 WaTc/Wa in (D&L TSQ
N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
C
Signature
�
r idle fr
Print or Type Name
0/6) 'w-O652)
Telephone umber
Date
1l �5

ADJACENT RIPARIAN PROPERTY OWNER t, 66
STATEMENT FOR CAMA MINOR PERMITS jZfry(09
I hereby certify that I own property adjacent to C h Ad (-es 1� . Val -s
(Name of Property Owner)
1
property located at y Q I O Y,%(,L+ by, Ve. o., k 31,k1j, f C.
1 Address, Lot, Block, Road, etc.)
on �/(o'S-U Wo-1te+Way , in Ciwk zt'-V-JL , N.C.
(Waterbody) I(Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
�C1i�Lir' 1
Telephone Number
771L
t + h b` c r Ass �,y
Y / N,
Date

09-3ye
BRUNSWICK COUNTY
NORTH CAROLINA
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 MARISA BUNDRICK, who, being
first duly swom, deposes and says that she is the employee autho-
rized to make this affidavit, of The State Port Pilot Inc., engaged
in the publication of a newspaper known as THE STATE PORT
PILOT, published, issued and entered as periodicals mail in the
City of Southport, in said County and State; that the notice or other
legal advertisement, a true copy of which is attached hereto, was
published in THE STATE PO PILOT on the following dates:
and that said newspaper in which said notice, paper, document or
legal advertisement was published was, at the time of each and
every such publication, a newspaper meeting all of the requirements
and qualifications 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 day of _&Ceih,,bO , 200.
(Signature of person making affidavit)
worn to and subscribed before me this /462 , day of
2 eftL&4 20A.
RECEIVED Notary Public
DCM WILMINGTON, NC
JAN 1 9 2010
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