BC_15-02_Judge

Brunswick Countv BC15.02
Local Government 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 113A-118 of the
General statutes, "Coastal Area Management"
Issued to Patric & Becky Judge, authorizing development in the Estuarine Shoreline (AEC) at 1314 River Bend Drive
SW, in Shallotte NC 28470, as requested in the permittee's application, dated 17-Mar-15. This permit, issued on
30-Mar-15 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: Retaining Wall
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 02-Mar-15.
(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 910.253.2034 for a final inspection at
completion of work.
t;LLEWEU
(Additional Permit Conditions on Paget) uCM WILMINGT0N; N ,
APR 1 5 2015
This permit action may be appealed by the permiltes or other qualified persons
within twenty (20) days of the issuing date. 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, 2018
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.
&46A-we-
Connie Marlowe
CAMA LOCAL PERMIT OFFICIAL
PO Box 249
B 'vi C 28422
PERMITTEE
(Signature required if conditions above apply to permit)

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: 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. Check with your Local Permit Officer for more information.
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)
man owner or record title, Title is vested in15Lj1LN\jg.h eft Cahwy.�. see Deed Book 9
page fL2 in the I�' rXIACounty 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.
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
I, the undersigned, 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 particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the �— day ofl , 20 LS-
or pers authoriz to act as his/her agent for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a checkfor sioo.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.
RECEIVED
MAR 19 2015
RECEIVED
DCM WILMINGTON, NC
MAR 1 9 2015

e
h CDER
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
AGENT AUTHORIZATION FORM
Date:
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
u�� o - +r>(Ln , is I l oa �G1,-Je Hfiwwca)
•wner's tkalling Address;
p�
. +, a T. ,.. -Z(4
owf" si+�.. 1. /'
Agent's Mailing Address:
`70S -7 53-eo-flk `b2
FX't _3 i 1ICE, (L
AW
Email:. i2 �owleSI P,Jyl i �.["okY
Phone 9/� 5-79-©2-B 6
I certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying
for, and obtaining all CAMA Permits necessary to install, or construct the following (activity):
For my property located at
This certification is valid 1 year from (date) 3- 19 - 2D I Is'
Property ner ili ature Date
N.C. Division of Coastal Management
127 Cardinal Ddve Ext., Wilmington, NC 28405
Phone: [phone] FAX :[phone] Intemet: www.nccoastatmanagement.net
RECEIVED
DCM WILMINGTON, NC
MAR 1 9 20115
An Epud appor" lAftrme➢va Action ErOOM

02/14/2014 15:140run Cty EH (FAX)910292388 P.002i002
BRUNSWfICK COUNTY HEALTH DEPARTMENT
FILE? NO.: 1892043047A1
DATE REC.: 9094M P.I.N.: ZONING: 90060b M
TUCKER CAMERON 2300000903
MM FROM NEW— rAX FARM
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AUTHORIZATION FOR WABTYWATER CONSTRUCTION PERMIIT
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PERMIT ISSUE DATE 1% Pam* mggres 90 mwft from data of Iowa unum otherwise soodfied
(from sate of baue other
Authorized Agent � Replatratkxh: NOTES: PERMIT PERMIT IS SUBJECT TO REVO N IF SITE PLANS OR THE INTENDED USE CHANGES,
IMPROVEM P ONDt MUST BE MET. n/7
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OPERATION PERMIT: Date:
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Receipts for
Certified Mail
(Staple Here)
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Cam` t < J +�Cr have applied for a CAMA Minor
Property Owner
Permit on my property at / %31 R iYcrLre —J —D R- 5 L3 In COUNTY
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at b - S?i—b 2-b3 or by mall at the address listed below. If you wish to
Applicant's Telephow
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME Co nn; e- h "IJR -Oe-
Locm Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS ?1 C) • 60 x LTG(
CITY, STATE, ZIP CODE
Sincerely,
Property Owner
Maiting Address
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
MAR 1 9 2015
U.S.
Postal
Service'
CERTIFIED
MAIL" RECEIPT
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This letter is to inform you that I, Viaci c- \u C!qP• fmae appl ed for a CAMA Minor
Property Owner
Permit on my property at 121 ✓e✓he�AA Do 2 5 in COUNTY
Property Address
County. As required by CAMA regulations, I have enclosed a copy of ory permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
co tact me at �l1 L� 579 - DZPJ ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with fhe LOCAL. GOVERNMENT CAMA Minor Permit Program, you may submit
them lo:
LPO NAME Oc nn:C— IYk'Yiowt,
Local Permit Officer for LOCAL GOVERNMENT .6 - ?,Cqc a fq
LOCALY,STATE,
ENTCOD ��SS 4 ^ 4
CITY, STATE, ZIP CODE �e� C_ f" t Z'L
Sir�erely,
Property Owner —
Ma" Address r r
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
MAR 1 9 2615

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