BC_15-05_Milliken

Brunswick Countv BC15.05
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environmen4
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 ManagemenC
Issued to Lloyd Milliken, authorizing development in the Estuarine Shoreline (AEC) at 1615 Lawndale Drive SW, in
Shallotte NC 28470, as requested in the permittee's application, dated 21-May-15. This permit, issued on 16-Jun-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 pennittee to a fine,
imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Single Family Residence/Stump Removal/Fill Dirt
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 22-May-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.
RECEIVED
(Additional Permit Conditions on Page 2) ;M tf n MINGTON, NC
JUN 16 2015
This permit action may be appealed by the permillee or other qualified persons
within twenty (20) days of the issuing date. This pemtll 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 peril may not be transferred to
another party without the written approval of the Division of Coastal
Management.
Check 41082, in the amount of $100, was received on 22-May-15 for the permit
fee.
1
Connie Marlowe
CAMA LOCAL PERMIT OFFICIAL
PO Box 249
Bolivia NC 28422
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Lloyd Milliken
Minor Permit # BC15.05
Date:16•Jun-15
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, 1400 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 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.
SIGNATURE:
PERMITTEE
DATE:
RECEIVED
DCM WILMINGTON, NC
JUN 1 6 2015

Locality
1&
Ocean Hazard Estuarine Shorelin
GENERAL INFORMATION
LAND O NER f j
Name t 1 1 j f� t llAAA_
Address
City �ii dl f �/� j State
Email {'�l� tlr�ellf tv �Z%1111Q�
AUTHORIZED AGENT
Permit Numbe G 1 U
- ORW Shoreline Public Trust Shoreline Other
(For official use only) TC-X R yU + ,)I ac Me 061
ZiX—M) Phone
glD. qt6. qug(o
LOCATION OF PROJECT: ( ddress, tre n and/or ddjwi};ectio s [ site. Upot oceanfront, what is the name of the
adjacent waterbody.) 1101 5 I� lint (WA ` Pa (�
DESCRIPTION OF PROJECT. (List all proposed construction and land disturbance.) )kne cwt"yil
S w.tp erne�a.i
SIZE OF LOT/PARCEL: �, I 3rl square feet acres
PROPOSED USE: Residential [/ (Single-family [Multi -family ❑ ) CommerciaVlndustrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 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 ismied by the NC Division of Water Quality?
YES NO
If yes, list the total built upon arealimpervious surface allowed for your lot or parcel: square feet.
RECEIVED RECEIVED
DCM WILMINGTON, NC
MAY 2 6 2015 MAY 2 2 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) n `
-V—an owner or repp4,y title, CJ[
le�, Title is vested in Li fS U a IC rn I Ll din see Deed Book 314S
page �`, j
in the t>� S l.0 1 . 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 conceming 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, pemrission 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.
1 This the day of I 1 14,20
�5
�n tt
authorized to art -as his/her agent for purpose of filing a CAMA permit application
77tis 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 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 anypermit which may be issued. Deviation from these details will constitute a violation of
any permit. Any perso�e �in an AEC without permit is subject to civil criminal an i ativeEaction.
MAY 2 2 2015
DCM WILMINGTON, NC
MAY 2 6 2015

AI
H CDENR
Notch Carolina Department of Environment and Natural Resources
Pat McGroiy Donald R. van de. Vaal1
&wVernor Secretary
AGENT AUTHOR17ATION FORM
i
Date: j
Namp of ProOwner Applying for Permit: ,N,me f Authorized Agent for this project:
LigId Propeft ti,v t,� j4 fmgh flt.i L
Owner's Maiffn Address:
l l6tj� V 1 fTag e?bf kl Ed
3hallbf--k V jvn—p
Email' t"& I I I k tin l e hArA41. (AM
Phone (q ID� bste
Agent's Maflf A ss:
Q mej Q64
Email: Will tkUit ID hUfM6.iI.t6YV1
Phone( iti) Littb-qu%
I certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying
for. and obtainina all CAMA
For my property located at
to install or construct the following (activity):
This certification is valid 1 year from (date) 5•cx i
Property Owner Signature Date RECEIVED
DCM WILMINGTON, NC
MAY 2 6 2015
N.C. Division of cozctal wnagement
127 Cardinal Drive Fxt. WINngton. l,L 28405
Phone: 910.79&72151FAX: 91"95-3964 lniernel: vnvev.nccoastaMan agement.nat
I0/I0 3JVd
.n EyvsOV�Go7r`-MMn.N.pMom Erc;pryer
"1I NOTIVJ0 8 82ans CSLIVZ98I9 8E:0I SIOZ/LZ/90

IIIIIIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIII egas>,a� arurqui ck 4untY, NC Re9laler o! oearb Pape 1 of 2
are 11. Cleaewo Realeter of [Neck
89-18-N13 13:22:011.001, Irunsulck Ceunty, RC
W REVERIE STW: $188.011 (9354923)
(�oial �9d. �pQiml. �
C' S G a IfRlCashS
Rthunl/ C• j S_F1Ran0y_
n rd wa.A xG,nkml �e ago.. lIk R,alYRO1l
Gcq)ra.
G Ltn�ntmn9:ewasxr�='n. vke,al^.
AiW f4lr(; n1.:.1f Y-.:Sp;.1ti:#t9jM[di
This instrument prepared by: David L. Wortmem, a licensed North Carolina anomey. Delinquent taxes, if arty, m be paid by the
closing attorney to the Brunswick County Tax Collector upon disbursement of closing proceeds. No title opinion or closing
services rendered by preparer
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tu: $108.00
Parcel Identifier No. 229MC061 Verified by Countym the_ dayof 20
Us"
This instrument was prepared by: The Wortman LAW Firm PLLC 632 Village Rd Suite 2. Shallotte. NC 28470
Brief description for the Index: L3 B-A .16 AC Oceen Pines Plat 50/65
THIS DEED made this _ dry of J 20__ , by and beiwerat
PAMOLD ELLEN OLDHAM, unmarried
919 Spellman Drive
Fsyettevilly NC 28311
LLOYDR. MILLIKEN (Urlrwrocd)
I(dqa VlUayea>mr e«ds u
shalio+,r, nC dg470
Ent" in approprime block for each party: rune, address. and, if appropriate, character of entity, e.g. corporation or partnership,
The desigostioo Grantor and Grantee as used herein shall include said panics, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context
WffNESSETH, that the Grantor, for a valuable consideration Paid by the Grantee, the receipt ofwhich is hereby acknowledged, has and
by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel ofland situated in the
City of Shalior a Township, Bnuuwick County, North Carolina and more particularly described as follows:
Being Lot Number Three (3) in Block "A" all in the Ocean Pines Subdivision, surveyed and mapped by H.R. Hewett
Surveyor on 19 August, 1956, a Map of which appears of record in Book 4 or Maps, at Page 90, Office of the Register
of Deeds for Brunswick County, North Carolina.
The properly hereinabove described was acquired by Grantor by instrument recorded in Book 2697, Page It 50.
laaosssss.wc/NC Bar istionf No. 30 IV6, Ftr 019T1, 302
Prm2E byA aes—a, ih ac NC 11-As Uam-1991
RECEIVED
DCM WILMINGTO N, NC
MAY 2 6 2015

DATE REC: 04124)2015 BRUNSWICK COUNTY HEALTH SERVICES
MILLIKEN JEFFREY
$0.00
REC. FROM
AMT. PAID
1642 village point rd
shallotte NC
ADDRESS
CT' STATE
MILLIKEN LLOYD R
3 A
CURRENT PROPERTY OWNER
LOT BLOCK
FILE NO.: '200406/397A
ZONING: 2015005523Z
229mc061
TAX PARCEL
28470
SECTION
9104654686
Zp COOE PHONE
PROPERTY LOCATED TOW WCITYIAREA: CO SUBDIVISION: OCEAN PINES
DIRECTIONS: 1815 LAWNDALE DR SW 284704HWY 17S TO MAIN ST SHALLOTTE LEFT ON HWY 179 LEFT ON PIGOTT RT ON
COTTON PATCH FIT ON OCEAN PINES
AUTHORIZATION FOR WASTEWATER CONSTRUCTION PERMIT NOTES
REVISION: RELOCATION: (jam REPAIR:
NEW: I. Septic Tank shall have an aDPraveO
Design Flow. b� 9Pd SeplIc Tank Size. 9 6,6, gal Type: //If effluent filter and access devices as
�_ No. eowpamslemployees Max 2. Maintain all setbacks distances for
No. Bedrooms: septic oSystems and walls.
3. All components of the septic systems
TrenctUBad BottamDepth:.�3Fi - Inches: —__. -. _ ___ ... _ _ ". shall be located 7DOfeethomwell.
4. An "Accepted" system may be used in
No. Lines: Length Each: 3 3 r Bad Dimensions: }� J� 3 the place of a'wnventionar' system.
Fill Check it / i1' Approved: y
Data Authorized Agent
PERMIT ISSUE DATE: Permit Expiration Date: ®V I.
Authorized Agent �re (-5 Registration: /.;L )
NOTE: PERMIT IS SUBJECT TO REVOCATION 15E PLANS OR THE INTENDED USE CHAy01fS. •uvTTe s'e a
v _
4/1 6LR sc�4>T,c_
tordi system
3 � to W functioning
5 time. Continued use is
�11 J y per this application.c
an
molrNenane and/or
be necessary of ony
RECEIVED
A)zlf=«GDCM WILMINGTON, NC
1?,51,44 s MAY 2 6 2015
Waste Water Systern Insta8er' dC Date 7` e
Comments: (tank Wof barrier approved) 7,
dyslYrena ti90r //—��_ChembeI i OOIer'
(�" P ` Q l (.rM S � S Date:
-P/PERATION PERMIT A„yorzad Agent SW1s
Actions of local health department representitives or the State engaged in the evaluation and determination of measures required W effect compliance with the
applicable laws and rides shall in no Way be taken as a warranty flat sewage teetnent and disposal systems approved and permlted will function in reputations or
manner for any given period of time. This iswrance of tie permit does not preclude &a Penalties from comploying with any an all statues, rules and
ordinances which maybe imposed by Dow government agencies (local state, and federal) which have jurisdiction.
f z_L1 ,_j

0A, I � I,VtA
DCMRECEIV�'
WILMINC;Nl:l
MAY 2 6 2015
f, ,+ {tic SLwyAoalc. )rim
RECEIVED
MAY 295
fin, L I n`i-l-c.

City, State, Zip Code
Dear Adjacent Property
L,
..
ru
o-
SHALLIlI
1+ r'°
S
M
M
Postage
a $0.70
0454
s
Cenitled Fee
04
$330
ru
p
Retum Receipt Fee
He.
$2.70
0
(endorsemenl Regdredl
O
Fee
(End..:ra0el uled)
$0.00
O
$ 56.70
tiTotal
Postage a Fees
05/22/2015
re
r-9
o
sime`'i Aat::�r"I-11L._th((kftt4U+s,J_.__....__.....__.._._
wFneoxno. �'`.S..Q�..
...................
g...
ay, stare, zrwa
This letter is to inform you that I, L ` ' y A I I ) t t.(t L f1 have applied for a CAMA Minor
Property Owner ,�j
�fWrSt�V`•r-"
Permit on my property at f-r-'tt3�(j41�.( �'� t,tin 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 k (li • r S to - 1i L,(4 or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to: LPO NAME CC;'n p r F1rtC j 1U47 L
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS Aid Comm
CITY, STATE, ZIP CODE P O Ban 249
Bolivia Ev"c 2542"
Sincerely,
�f t
t�
f1>rl 1t���.1
PropOwner _
l7erty
Mailing Address
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
MAY 2 6.2015

Postal Service 1.1
:ITIFiFn MAIL., RECEIF
Yfjw ie� V-yrhgduvoJ
.�lap�—_yet'ertyl�W11--&( - "x
��I��d���� 2�4552�y55
City, State, Zip Code
Dear Adjacent Property
(Domestic Maii omy; No insurance t,oecmyn �....:,._..�
Fir deli -cry Inra[mabon visit our webslte et www.usps.com,:
m Posuoe
rn
s f0.49
0459
$3.30
s
ce"mad Fee
04
Nd
p m Receipt Fee
Postma
here
$2.70
ome
p (Endorsement Requuerp
$0.00
C3 RmutwedDely ryFee
(Endwsemenl Required)
O
or IDlal Postage a Feae
05/22/2015
$ $6.44
rU
0
rq
C3 wPD Box Na..__.. �"! . ��y�_�. ..jT�.��j). !-=•!SN.�..j.�rV�.__.
pty. Sale, LP�4 CL, N tn� N C
This letter is to inform you that I. L 16 I i t III t I(t All have applied for a CAMA Minor
Property Owner t j ,+ *—?1yL A Jtv 1 Cif.
Permit on my property at 0 15 m GPI P� it S q 116 TYc 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 *ecton form. If yrotu have any questions or comments about my proposed project, please
contact me at 1 D q (g 6-, LQ or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to: Nc..Y iL• 1vY
LPNAME D►Une k **mew,* oftoning
Local Permit Officer for LOCAL GOVERNMENT and Community Development
LOCAL GOVERNMENT ADDRESS P ® Our 240
CITY, STATE, ZIP CODE So19vis HC 2842
Sincerely,
t"d Mla
Property Owner
IIt03 VI1t(�(?. Qd
Mailing Address
' lkod i t,4f 2 VI
City, State, Zip Code
RECEIVED
DCM WILMINGTON,
MAY 2 6 2015

Brunswick County Planning and
Community Development
P.O. Box 249
sp„® 75 Courthouse Drive N.E., Bldg I
Bolivia NC 28422
VIA EMAIL
27-May-15
Lloyd Milliken
1642 Village Point Road
Shallotte NC 28470
RE: Notice to Extend Time to Grant CAMA Minor Permit Application Number BC15-05
Project Address: 1615 Lawndale Drive, Shallotte NC 28470
Dear Mr. Milliken:
Pursuant to NCGS 113A-121(b), the undersigned hereby gives notice to the applicant that for good
cause (i.e., County Stormwater Permit required) , and in order to properly consider all information
necessary to make a decision on this permit application, the time period within which a final
decision shall be made has been extended up to an additional twenty-five (25) days.
If you have any questions concerning this action, please contact me at 910.253.2034.
Sincerely,
CAL I� J&4, we.
Connie Marlowe, LPO
Brunswick County
PO Box 249
Bolivia NC 28422
C: Holley Snider, Wilmington Field Representative
Jeffrey Milliken, Agent
TELEPHONE [phone] • (800) 621,0609 • FAX [phone]
RECEIVED
DCM WILMINGTON, NC
MAY 2 7 2015