PN_15-04_Jaworowski

Pender County 2015.04
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 Tedy & Cathleen Jaworowski, authorizing development in the Estuarine Shoreline (AEC) at Lot 6R #535 Iris
Way, in Hampstead, NC, as requested in the pemtittee's application, dated January 27, 2015. This permit, issued on
February 9. 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: Construction of a pool, along with fill, grading, and landscaping within the Estuarine Shoreline (AEC) that
is associated with construction of a 2,600 square foot single-family residence outside of the Estuarine Shoreline (AEC).
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on January 27, 2015.
(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 910-259-1734 for a final inspection at
completion of work. RECEIVED
DCM WILMINGTON, NC
(Additional Permit Conditions on Page 2)
FEB 1 S 2015
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the Issuing date. This permit must be on the project Patrick O'Mahony
site and accessible to the permit officer when the project is inspected for
compliance. Any maintenance work or project modification not covered under CAMA LOCAL PERMIT OFFICIAL
this permit, require further written permit approval. All work must cease when this 805 South Walker Street
permit expires on: PO Box 1519
DECEMBER 31, 2018 Burgaw, NC 28425
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. ERM ITTEE
(Signature required if conditions above apply to permit)

Name: Tedy Jaworowski
Minor Permit # 2015.04
Date: February 9, 2015
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, no impervious surface is authorized. Only
gradingMandscaping is authorized.
(6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/oonstruction shall be located a distance of 30 feet landward of Normal High Water.
(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
stonnwater 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.
r-1`�t=IVED
DCM WILMINGTON, NC
FEB 1 8 2015
SIGNATURE: DATE: % ` �7--
2a(S
PtRYITTEE

LAND OWNER 1 I JAN 2
Name ?e4 W. a' k'L4A1et C. Ja-w erowSki
Address, /J?is u�GCa_�e,�us 1an4 Was
Sf FIss"MsaIAar.: r.
city W e<t T c 1; a sham, zip ILI"19i'7Pnmte 6 3/ 6 6 9 4082
Email 6^. . 2U61 O ve'� .,. ):er_ ha•.1
F.T141rffaa9 Vd:A 2[ei%i
City
State TipPhooe
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjeeentwatalwdy.) Lett It +k 635 rrtc Wa.y pp rr
DESCRIPTION OFPROJECT:(Listall proposed mastrucum and laoddisbitWrce) Wi�� �t<saw)W bteMG�e•)
nab At play A
SIZEOFLOT/PARCEL:6'f8.9 squarefeet O.b12_ acres Lau/(�S17t�
PROPOSED USE: Residential H (Single-family ❑ Multi -family ❑) CommacielBnduetrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (CnNace yaw Local Permit Q.&Yr Ifyou an, notswe whkhAECapplies
toyowprepery):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, noncondinoned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SIT RELINE AEG: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURAACHS AIA tequare feet (includes the aura of the rooFdrip line of all buildings, driveways, covered decks,
emaete 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 Stmervata
Management Permit//^_' , by the NC Division of Water Quality?
YES NO /
Ifyea, list the total built upon areatimpesvious surface allowed for your lot or parcel: square feet
1ED
p.'; NGTON, NC
FEB 032015
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 Wet, Septic Tank (or other sanitary waste '
heahne of system), Building, Electrical, Plumbing, Heating and Air Cmditionmg, Insulation and Energy Conservation, FIA
Certification, Sand Done, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more infotinatim.
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 tide Title is vested in Deed Back Ii 3 2-57
page Lf 0 in the%a ole r Coco Registry of Dead.
_an owner by vine of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest, such as wrhten connect 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 gives
ACTUAL NOTICE to each of them eoscasmg my intent to develop this property and to apply for a CAMA permit.
(Name) (Add—)
(Q
(2)
(3)
(e)
ACKNOWLEDGEMENTS:
1, the undersigned, acknowledge that the land owner is aware that the proposal development is planned for an area which
may be susceptible W erosion and/or flooding. I acknowledge duet the Local Permit Officer bas explained to me the particu-
lar hazerd problems associated with this lot This explanation was accompanied by recommendations concerning stabil za-
don and floodproofing techniqum.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
the Local Permit Otficcr and their agents to enter on the afaement mad lands in cmnection with evaluating information
related to this permit application.
ibis the 76 day art,last ,20J-5
to act as
This application includes: general information (thin form), a site drawing err described on the back ofthir application, the
ownership statement, the Ocean HarmdAECNooce where necsesary. a checkfor SIM a payable to the locality, and
any information ere may be provided orally by the applicant 77. details ofthe applicaf99pp ��µµ �tt abed by there sourcer are
incorporated without referemce m any permit which may be issued. Deviation frornJh e(i'. ill constitute a violation of
ary permit Any person developing in an AEC withoutpamit is subject to civil criminal and administrative action
PBC®I Ptntaana.tK<•:
urn

SITE DRAWING/APPLICATION CHECKLIST
Please make sum your site drawing includes the following information required far a CAMAminm development permit.
The Local Permit O1Rcer wdl helpyou, ifrequested.
PHYSICALDDHENSIONS -
_Label made
Label highways rightbf--ways
Label local setback lines
_label any ad all structures and driveways cmenlly existing on property
Label adjaeemwaterbody,
_Draw and label normal high water line (curet LPO for assistance)
_Draw location of on-sitewasteweter system
Ifyou will be working in the ocean bazard area:
Draw and label dune ridges (include spot elevations)
Drew and label toe ofdwes
_Identify and locale first line of stable vegetation (contact LPO for assistance)
_Draw and label erosion setback line (contact LPO for assistance)
_Draw and label topographical features (optional)
Ifyou will be working in a coastal shoreline area:.
Show the roof overhang as a dotted lime armand the structure
_ Draw and label landward limit ofAEC
_Draw and label all wetland lines (correct LPO for =late=)
_Draw and label the 30-footbuffer line -
DEVELOPMENT PLANS
_Draw and label all proposed structures
_Drew and label arras that will be disturbed and/or landscaped .
Nate size of piling and depth to be placed in ground
_Draw and label all areas to be paved or graveled
Show all areas to be disturbed
_ Show landscaping REICEN13)
NOTETOAPPLICANT
!AN 2 1 zuis
Have yay7
'l mple[ed all blanks and/ or indicated if not applicable? pan ���oavr.
?Ntined and listed adjacent property owners?
/jmcluded your site drawing?
d yad and dated the application?
used the $100.00 fee?
• completed anAEC Hazard Notice, if necessary?(Mustbe signed by the property owner)
e
ro
APPLICATION FOR
" CAMA MINOR z
DEVELOPMENT
PERMIT _
In 1974, the North Carolina GeneralAssembly Passed the Centel Am Management Act
(CAMA) and set the step for guiding development in fragile and productive areas that t
border the state's Bounds and oceanfront.Along with requiring special care by those who
build and develop, the General Assembly directed the Centel Resources Commission
(CRC) to Implement clam• regulations that minimize the burden on the applicant
i
This application for a minor development permit order LAMA is part of the -
Commission's effort to meet the spirit and Intent of the General Assembly. It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant. Please go over this folder *n the Loth Permit Officer (LPO) for the r+
locality In which you plan to build to be certain that you understand what Information he O
or she needs before you apply.
Under CAMA regulations, the minor parmR Is to be issued within 25 days once a
. complete application is in hand. Often less time Is needed if the project Is simple. The
process generalty takes about Ig days. You ®u speed the approval process by making
certain that your application is complete and signed, that your drawing meets the
specifications given hudde and that yaw application fee Is attached.
Other psmalls are sometimes required for development in the coastal area While those
are not CAMA-related, we urge you to check with the Local Permit Officer to determine _ f\
which of these you may need. Altst is Included on page two of this folder. t)'
We appreciate year cooperation with the North Caolina Coastal Management Program y
and your willingness to build in a way that protests the rmources of our beautiful and productive coast
t
Coastal Resources Commission
Division of Coastal Management
RECENED -
27 215.n, .
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OLD TOPSAIL CREEK
I
LEGEND:
EIP - EXISTING IRON PIPE
R/W - RIGHT OF WAY
GP - CALCULATED POINT
Deed Bo k 4�2SAi
Page 25
Map Book `Q'tY
Pape 77
�3pb�a I
LOT 7R
Deed Book 4280, Page 71
Map Book 43, Page 77
NOTES
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LOT CALCULATIONS
TOTAL LOTAREA 26,6484 SO. FT
0.612 ACRES
w':w•
DRIVEWAY: 2,222 SO. FT
BRRUCTURE (INCL 18' ROOF
6
OVERNANG): 3,276 S0. FT
Ac I
TOTAL IMPERVIOUS AREA; 5.495 90. FT.
NIPERVIOUS COVERAGE: 20.8%
IeIG]VD,ED xm
STAIRS
b
PROPOSED I c LOT SR
RESIDENCE 1 °' Deed Book 3837, Page 69
Map Book 43, Page 77
:RED POtCIi
y
IIIIIII
DRIVEWAY
iRECEIVED 1
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IRIS WAY _ �ICM WILMINGT
50' PTlvate R/V/PuTKk Utility Easement
NOWTM CAROLMYL
POND" ODUNrr
I, WESTON LVALL, PROFESSIONAL LAND SURVEYOR
NUMBER L-443S, CERTIFY THAT THIS PLOT PUN WAS
DRAWN UNDER MY SUPERVISION FROM AN ACTUAL GPS
SURVEY MADE UNDER MY SUPERVISION FROM (DEED
BOOK 4325 PAGE 258) AND THE FOLLOWING
INFORMATION WAS USED TO PERFORM THE SURVEY:
CUSS OF SURVEY: 5; POSITIONAL ACCURACY: SOD RMSI
TYPE OF CPS FIELD PROCEDURE: VRSRTKGPS; DATUM:
MADB3 ZO07', MAVDSR; GAOO MODEL: GEOID OJ;
CONFIRMED GRID FACTOR: 0.99VS3W; UNITS: US SURVEY
RIFT, THIS IS A SURVEY OF AN EXISTING PARCEL OR
PARCELS OF "No AND ES STREET OR CHANGE AN EEISTIUI C Nvfr4M;W
ARP. S
FE94 OO&OAF�°
,
FEB 0 3 20
R.V
40 20 0 40 80
GRAPHIC SCALE
PRELIMINARY PLOT PLAN POR
TED JAWOROWSKI
LOT OR IRS WAY
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grz (uomesnc mail L
For &11 N Inform
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ate a RIO D� fte
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Adjacent Property Owner cIr posy."
2413 RshPCUN S+, So; ttZ ri
Mailing Address / c m
Ca!f eJ pVill# / G. Za;0 O ortro eaR No. -LIV
—City, State, Zip Code
I a 6.49 1
Dear Adjacent Property:
This letter is to inform you that I, �< �� Jcc r,+W o ' ow e applied for a CAMA Minor
7 Property Owner
Permit on my property at>C 7 Tri5 6)ar `of1;R /4w#S1efWNG,Zf4In'
Propeo Address
Pender County. As required by CAMA regulations, I have enclosed a copy of my project drawing(s)
as notification of my proposed project. No action is required from you. If you have any questions or
comments about my proposed project, please contact me at P / • y5 i- o 0 3 y or by
Applicant's Telephone
mall at the address listed below. If you wish to file written comments or objections with the Pender County
CAMA Minor Permit Program, you may submit them to:
Sincerely,
/ec�y (A." �QwUYoC Srfr'
Property OwCner 1
I6 6 el Co 16gv& 1BRp �PS�
Mailing Address ^�
(,)
r ' ,I
City, State, Zip Code
Andy Christy
Local Permit Officer for Pender County
PO Box 1519
805 South Walker Street
Burgaw. NC 284215'
JAN 2 7 2015
DCM WILMINGTON, NC
FEB 0 3 201;

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Adjacent Property Owner 0
SS/b
Mailing JM
h.wtr
City, State, Zip Code
Dear Adjacent Property.
This letter is to inform you that I, _r'C (lu W. Jaan ro w 5 �a have applied for a CAMA Minor
Property Owner
Permit on my property at 6 o t 6 R - S 3 5- t4y - 9,r # JCa d -, in
Property Address I %
Pender County. As required by CAMA regulations, I have enclosed a copy of my project drawing(s)
as notification of my proposed project. No action is required from you. If you have any questions or
comments about my proposed project, please contact me at rJ' "//S 7 0 03 Y or by
Applicant's Telephone
mail at the address listed below. If you wish to file written comments or objections with the Pander County
CAMA Minor Permit Program, you may submit them to:
Sincerely, 11
/40c4 ts.) JGLworowSK'
Property Owner
1X6 Sf- CJogoe %Me WCSfi
Mailing Address
&4A -f - f- y 1,-a . NY, 1775"
City, State, Zip Code
Andy Christy
Local Permit Officer for Pander County
PO Box 1519
805 South Walker Street
Burgaw, NC 28425
JAN 2 7 20b
°O�i V E D
DCM WILMINGTON, NC
FEB 0 3 2015