CB_15-01_Hall

Town of Carolina Beachh
Local Government
CAMA
MINOR DEVELOPMENT
PERMIT
CB2015.01
Permit Number
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 Jerry Hall, authorizing development in the Estuarine Shoreline (AEC) at 1019 Canal Dr, in Carolina Beach, as
requested in the permittee's application, dated February 15, 2015. This permit, issued on February 25, 2015, 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: Elevator addition.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 2115115.
(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 910458-2991 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2) E: E i V E D
,Ai WILMINGTON, NC
APR 13 2015
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the Issuing data 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 riot covered under
this permit, require further written permit approval. Al work must cease when this
permit expires on:
DECEMBER 31, 2017
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.
U,
Jeremy Hardison
CAMA LOCAL PERMIT OFFICIAL
1121 N lake Park Blvd
Carolina Beach NC 28428
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Jeremy Hardison
Minor Permit # 2015-01
Date: 212512015
Page 2
(5) 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 lard disturbing activity and the adjacent marsh or water areas, until such time as the area
has been properly stabilized with a vegetative cover.
(6) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
EiVF=n
DCM WILMINGTON, NC
APR 13 2015
SIGNATURE: DATE:
PERMITTEE

Locality—VI—""1,
Ocean Hazard Estuarine Shoreline` ORW Shoreline
(For official use only)
GENE", INFORMATION
LAND OWNER
Name -Tr t�r.. Fta.�
Address / o 1 Q Cc., ,,d uI
Permit Number
Public Trust Shoreline Other
City Cara/ma- OeAA State 11r Zipa yl$Phone 9�o"yS8— y�N __
Email
AUTHORIZED AGENT
Cityl� ' e mu State C Zip a3Y(3-Phone *A- yy3 O`t4%
Email Dcoc 3 o &N
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 1611 Co rnf rl
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) �X 6 4-
a
SIZE OF LOT/PARCEL: $'000 square feet acres
PROPOSED USE: Residential ® (Single-family [A Multi -family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Perm& Officer if you are not sure which AEC applies
to yourproperty):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 3 (P square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: �I £square feet (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. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued 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
HCENVED
X.V, WILMINGTON, NC
MAR 1 7 2015

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)
_an owner or record title, Title is vested in
page J Lin the ���(4c , �F f County Registry of Deeds.
_an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
see Deed Book d S�
_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.
tName) (Addresal
(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 of��, 201r
( JO-11— C D�i i2rOil P c. ©/cr-�
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA
application
This application includes: general information (this form), a site drawing as described on the back o r�I g Eli * j�s ^ N C
ownership statement, the Ocean HazardAECNotice where necessary, a checkfor $100.00 made pay t ;�tT,liy,'jC71V�'
any information as may be provided orally by the applicant. The details of the application as describe y these sources are '
incorporated without reference in any permit which may be issued. Deviation from these details will constiVAR vfoi�tMV
any permit. Any person developing in an AEC withoutpermit is subject to civil, criminal and administrative action.

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L'IN WILMINGTON, NC
MAR 1 7 2015

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O I Name of Property Owner Applying for Permit _�� may/{ 4(, ,-(
Mailing address: &zq AYILL D2
ehkaldyA "86jgcO, /t(c ZW6
Phone Number: 9lD- 4 S8- 44 4 (
I certify that I have authorized AN.VrE a6K..8—{
Agera/
to act on my behalf, for the purpose of applying and attaining all CAMA permits
necessary for the proposed development of AU
at my property located at _ /2/9 CFiKA-L DtL C4WAV4 &74eh
in ALLV f(AND UE72 County.
This certification is valid through Ad-4 N 3 O. 20/S
Y oeae
(Property Owner Information)
S/prratree
Pri or Type Name
(iWr/ED
Title
9 ApaAI z tom_
Data
9(0-45 R- 4 r q t
Phone Number
ha( E�rd nil r.
EmellAddress
RECEIVED
DCM WILMINGTON, NC
MAY 2 2 2015

i
(Date)
(Adjacent Property Own) \
1Cs l � �tJaL1�
(Mailing Address)
(City, State Zip Code)
Dear Adjacent Property Owner:
Receipts for
Certified Mail
(staple here)
This letter is to inform you that I,Sk rlt= ���� have applied for a CAMA
(Prop" )
Minor Permit on my property at 1 o6 Qw,l. b%Q C R-, in New Hanover County.
(Properly Address)
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'l t c5-'�5&A 6A t , or by mail at the address listed
(Phone Number)
below. If you wish to file written comments or objections with the Carolina Beach CAMA Minor
Permit Program, you may submit them to:
Sincerely,
(Property``Ow_ner)
v�O1ci �Ot`IA� l7CL
(Malling Address) Cplr rJta >>c� t� C-UAZ%
(city, State, Zip Code)
Jeremy Hardison
Local Permit Officer for the Town of Carolina Beach
1121 N. Lake Park Blvd.
Carolina Beach, NC 28428
RECEIVED
DCM WILMINGTON, NC
MAR 1 7 2015

Receipts for
Certified Mail
(staple here)
(Date)
.Town, 0-r eoerhyA
(Adjacent Property Owner)
750MIV A(4 Lc.
(Mailing Address)
(City. State Zip Code)
Dear Adjacent Property Owner:
This letter is to inform you that I, —k-+'y # -s 4;i W,va ve NW6have applied for a CAMA
` (Prop"Ownar)
Minor Permit on my property at /D/� e#AIAC— y9— in New Hanover County.
(Properly Address)
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 ?%)-45A-4-b41. or by mail at the address listed
(Phone Number)
below. If you wish to file written comments or objections with the Carolina Beach CAMA Minor
Permit Program, you may submit them to:
Sincerely;
perty owner)
041Y.4L Do_
(Maghrg Address)
C429,11wa &XC4, AM 1&26
(City, State, Zip Code)
Jeremy Hardison
Local Permit Officer for the Town of Carolina Beach
1121 N. Lake Park Blvd.
Carolina Beach, NC 28428
RECEIVED
DCM WILMINGTON, NC
MAR 1 7 2015