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HomeMy WebLinkAboutSB_16-07_Exum Family LLCU 00 Town of Sunset Beach SB 16.07 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 Exum Family, LLC, authorizing development in the Ocean Hazard (AEC) at 1848 East Main Street (Palm Cove Lot #10), in the Town of Sunset Beach, as requested in the permittee's application, dated December 23rd, 2015. This permit, issued on January 19th, 2016, 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: Grade and fill (1) All proposed development and associated construction must be done in accordance with the permitted work plat drawings(s) dated received on December 31,1, 2015. (2) All proposed development and 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. If any provisions of the building code or a flood damage prevention ordinance are inconsistent with any of the following AEC standards, the more restrictive provision shall control. (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 910-579-0066 for a final ittsrlwtion at completion of work. (Additional Permit Conditions on Page 2) J - , 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 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, 2019 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. /a/o�� Richard Hathcock CAMA LOCAL PERMIT OFFICIAL 700 Sunset Blvd. K Sunset Beach, NC 28468 PERMITTEE (Signat required if conditions above apply to permit) Name: Exum Family, LLC Minor Permit # SB 16.07 Date: January1gth,1016 Page 2 (5) Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective value is not weakened or reduced, Disturbed dune areas will be immediately stabilized. (6) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective sedimentation and erosion control measures. Disturbed areas shall be vegetatatively stabilized (planted and mulched) within 14 days of construction completion. (7) Any new dunes established shall be aligned to the greatest extent possible with existing dune ridges and shall be of the same general configuration as adjacent natural dunes. (8) Existing primary dunes shall not, except for beach nourishment and emergency situations, be broadened or extended in an oceanward direction. (9) Adding to dunes shall be accomplished in such a manner that the damage to existing vegetation is minimized. The filled areas shall be immediately replanted or temporarily stabilized until planting can be successfully completed. (10) Sand used to establish or strengthen dunes shall be of the same general characteristics as the sand in the area in which it is to be placed. (11) No new dunes shall be created in inlet hazard areas. (12) Sand held in storage in any dune, other than the frontal or primary dune, may be redistributed within the AEC provided that it is not placed any farther oceanward than the crest of a primary dune or landward toe of a frontal dune. (13) No disturbance of a dune area shall be allowed when other techniques of construction can be utilized and alternative site locations exist to avoid unnecessary dune impacts. SIGNATURE: DATE: ERMITTEE DCM WILMINGTON, NC JAN 1 5 2016 Project Is In An: Property Owner: AEC HAZARD NOTICE Ocean Erodible Area x High Hazard Flood Area Exum Family, LLC Property Address: Lot 010, Palm Cove Subdivision, 1848 East Main Street, Sunset Beach, NC 28468 Date Lot Was Platted: November 2004 This notice is intended to make you, the applicant, aware of the special risks and conditions associated with development in this area, which is subject to natural hazards such as storms, erosion and currents. The rules of the Coastal Resources Commission require that you receive an AEC Hazard Notice and acknowledge that notice in writing before a permit for development Can be issued_ The Commission's rules on building standards, oceanfront setbacks and dune alterations are designed to minimize, but not eliminate, property loss from hazards. By granting permits, the Coastal Resources Commission does not guarantee the safety of the development and assumes no liability for future damage to the development. Permits issued in the Ocean Hazard Area of Environmental Concern include the condition that structures be relocated or dismantled ifthey become imminently threatened by changes in shoreline configuration. The structure(s) must be relocated or dismantled within two (2) years of becoming imminently threatened, and in any case upon its collapse or subsidence. The best available information, as accepted by the Coastal Resources Commission, indicates that the annual long-term average ocean erosion rate for the area where your property is located is 2 feet per year. The rate was established by careful analysis of aerial photographs of the coastline taken over the past 50 years. Studies also indicate that the shoreline could move as much as 440 feet landward in a major storm. The flood waters in a major storm are predicted to be about 20 feet deep in this area. Preferred oceanfront protection measures are beach nourishment and relocation of threatened structures. Hard erosion control structures such as bulkheads, seawalls, revetments, gmins, jetties and breakwaters are prohibited. Temporary sand bags may be authorized under certain conditions. The applicantmust acknowledge this informationand requirements by signing this notice in the space below. Without the proper signature, the application will not be complete. Applicant Signatur to Inlet Hazard Area SPECIAL NOTE: This hazard notice is required for development in areas subject to sudden and massivestorms and erosion. Permits issued for development in this area expire on December 31 of the third year following the year in which the permit was issued. Shortly before work begins on the projectsite, the Local Permit Officer must be contacted to determine the vegetation line and setback distance at your site. If the property has seen little change since the time ofpermit issuance, and the proposed development can still meet the setback requirement, the LPO will inform you that you may begin work. Substantial progress on the project must be made within 60 days of this setback determination, or the setback must be remeasured. Also, the occurrence of a major shoreline change as the result of a storm within the 60-day period will necessitate remeasurement of the setback. It is important that you check with the LPO before the permit expires for official approval to continue the work after the permit has expired. Generally, iffoundation pilings have been placed and substantial progress is continuing, permit renewal can be authorized. It is unlawful to continue work after permit expiration. For more information, contact. Richard Hathhcock Local Permit Officer 700 Sunset Boulevard Address Sunset Beach, NC 28468 Locality (910)579-0068 Phone Number RECEIVED DCM WILMINGTON, NC JAN 1 2 2016 Revised 2/07 CAFE FEAR ENGINEERING Certified Mail — Return Receipt Requested December 23, 2015 David A. Tendler Et. us Susan E. Spratt 32 Lytham Lane Durham, NC 27707 RE: Palm Cove, Lot 10 1848 Main Street Sunset Beach, NC CAMA Minor Application Dear Mr. Tendler and Mrs. Spratt, This letter is to inform you that Scum Family, LLC has applied for a Minor CAMA Permit for Lot 10 at Palm Cove, located at 1848 Main Street, Sunset Beach, North Carolina. As the adjacent riparian owner to the aforementioned project, this applicant is required to notify you of the development in order to give you the opportunity to comment on the project The permit application and drawings are attached for your review. Should you have any questions to this proposal, please contact Richard Hathcock, Local CAMA Permit Officer for the Town of Sunset Beach at 910-579-0068. Sincerely, E&ftgeth M. Nelson, PE Attachments: Applications and drawings File: 675-0310 "38" RECEIVED DCM WILMINGTON, NO JAN 1 2 2016 151 Poole Road, 5ulte 100 • Belrille, NC 28451 • TEL: (910)383-3044 • FAX (910)383- 1045 www.capefearengineering.com CAPE FEAR ENGINEERING Certified Mail — Return Receipt Requested December 23, 2015 Williamson Odell & Burlington Ladan Trustees 2 Causeway Ocean Isle, NC 28469 RE: Palm Cove, Lot 10 1848 Main Street Sunset Beach, NC CAMA Minor Application Williamson Odell & Burlington Laden Trustees, This letter is to inform you that Esum Family, LLC has applied for a Minor CAMA Permit for Lot 10 at Palm Cove, located at 1848 Main Street, Sunset Beach, North Carolina. As the adjacent riparian owner to the aforementioned project, this applicant is required to notify you of the development in order to give you the opportunity to comment on the project The permit application and drawings are attached for your review. Should you have any questions to this proposal, please contact Richard Hathcock, Local CAMA Permit Officer for the Town of Sunset Beach at 910-579-0068. Sincerely, abeth M. Nelson, PE Attachments: Applications and drawings File: 675-0310 "38" RECtiVED DCM WILMINGTON, NC JP1 i 2 2016 251 Poole Rood, Suite 100 • Belville, NC 28451 • TEL: (910)383-1044 • FAX (910)383- 1045 www.capefearengineering.com 05/12/2005 $2,200.00 25 ru=,s�rick County --Register of Deeds TJ Mal Emm Robert J. Robi nsnn Gr"i Exmaa re. Inst f265148 Book 2142Page 218 05/U/2005 01:44:22.pm Recf a731$93 NiMTG 1.:U: T',1 REYM11 iera)f��(1 fr_�, _.._CKAMT81M .(Mot CkS'H_ REF —BY mimMIUMILMa 1(1111� 1 _041 31 Excise Tax: Prepared Without Opinion of Title Parcel Number. Prepared by: Hewett Law Firm, Mack Hewett Jr., Attorney at law 632 Village Rd., Ste. 1, Shallour, NC 29470 STATE OF NORTH CAROLINA COUNTY OF BRUNSWICK NORTH CAROLINA GENERAL WARRANTY DEED THIS DEED, Made this the /OA day of May, 2005, by Tidal Ventures, LLC ("Grantor") to Exum Family, LLC ("Grantee"); whose address is PO Box 1967, Wilmington, NC 28402. The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNESSETH: THAT the said Grantor, for valuable consideration paid by the Grantee, receipt of which is hereby acknowledged, has and by these presents do grant, bargain and convey unto the said Cr tee in fee simple, all that certain lot or parcel of land situated in the City of Sunset Beach, Brunswick County, North Carolina and more particularly described as follows: BEING ALL of Lot 10 u shown on a survey map by James R. Tompkins, P.L.S., entitled "Proposed Subdivision Survey for Sunset Beach & Twin Lakes, Inc. of Lots 1 thru 10, 12.67 AC Total, Located on the East End of Sunset Beach," and recorded in the Office of the Register of Deeds for Brunswick County, North Carolina in Map Cabinet 31, Page I" to which map reference is made for greater certainty of description. The real property described herein is conveyed together with and subject to the following: 1. a nonexclusive easement and right of way for ingress, egress and utilities over and across the property shown as "East Main Street Extension' and "20' Drive ­ Private" and "101 FL Drive" on a map entitled "Proposed Subdivision Survey for Sunset Beach & Twin Lakes Inc. of Lots I thru 10 12.67 AC Total, Located on the East End of Sunset Beach" recorded in Map Book 31, Page 190, Brunswick County Registry, reference to said map Is hereby made for a more particular description. RECEIVED DCM WILMINGTON, NC JAI 1 3 2016 postal DomesticCERTIFIED MAILP RECEIPT qc mPostage $ f3.45 In Of02 p¢rtIDed Fee Ob Postmark 0 Retum Recelpt Fee ' Here O (Endorsement Required) 0 R"umadDeikreryFee / p (E,tl at tRequkoo 12/23/2015 N rR Total Passage 6 Fees ru - PO S--------- -------------------- r- ar ar Na. �-..i�.wr---T-=�—"�—-------- o Domestic Cc Ir f3.45 un P s 0402 c'ea" Fee Ob Postmark 0 Realm Receipt Fee (E seam aRogWradi Hare O Restricted OeMery,Fae p pdo: entRaquuedg 12/23/2015 N ri T Postgge ffi Fees N N ar PO Sox No- 3�2.. �y`� �'fir_S Q......_-'--'--------'------ RECCE DCM WILMINGTON, NC JAN 1 2 Y016 NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Donald R. van der Vaart Govemor Secretary AGENT AUTHORIZATION FORM Name of Property Owner Applying for Permit: Exum Family, LLC Owner's Mailing Address' P.O Box 1967 Wilmington, NC 28402 Email Phone Name of Authorized Agent for this project: Elizabeth Nelson, Cape Fear Engineering Agent's Mailing Address: Cape Fear Engineering 151 Poole Rd, Suite 100 Belville, NC 28451 Email: elizabeth.nelson(adeapefearengineering.com Phone ( 910 ) 383-1044 I certify that I 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): Single family residence, fill and grade only Project Site Address: Lot 10 Palm Cove Subdivision 1848 E Main Street Sunset Beach Property Owner Signature 2 -2 l - 4.5 Date' This certification is valid 1 year from date signed by property owner. RECEIVED DCM WILMINGTON, NC JAN 1 2 2016 N.C. Division of Coastal Management 127 Cardinal Drive Ext., Wilmington, NC 28405 C E I V E D Phone: 910-796-7215\ FAX: 910-395-3964Internet: w .nccoastalmanagement.net JDCM WILMINGTON, NC An Equal Oppodundy\ Affirmative Action Employer AN I u 2016 CAPE FEAR ENGINEERING 151 Poole Road, Suite 100 BehAlle, NC 28451 TEL (910) 383-1044 FAX (910) 383-1045 v .capefearengineering.com To: Sunset Beach Building Inspections Attn: Richard Hathcock/Rawls Howard ❑ As Requested ❑ For Your Files ❑ Sent via Mail ❑ Sent via Courier Transmittal Date: I December 31, 2015 File: 1 675-0310 "38" Palm Cove Subdivision, Lot 10 CAMA Minor Permit Sunset Beach, INC ❑ For Distribution ® For your Review / Action I Approval Drawing No. Description Original Check for $100 for required Permit Fee ?!� FI2 Original CAMA Minor Development Permit Application Copies Grading Plans 1-full size 22" x 34", 1-reduced size 11" x 17" 1 Copy Agent Authorization Form 1 Copy AEC Hazard Notice 1 Copy Adjacent Riparian Property Owner Notification & Certified Receipts from Lot 9 owner and adjacent property owner 1 Copy Property Deed REMARKS *Permit for Fill and Grade Only CC: Cape Fear Engineering, Inc. File 675-0310- "38" RECEIVED DCM WILMINGTO^Signed: Jlizabeth Nelson, PE JAN 1 2 2016 Received By: P:675I6750310IADMIWCAMA Mtro,V Z2015 Fill aiw Grade1201S12-23 SO Tranamilbl.dw APPMO%MATE LIMITS OF MHW - (B Izvem OF22-M> / PEST LINE OF STABLE VF£ETAl1)N -L PER SLJRV DATED ONKAE TO W, , PBD VEEFID ET pCM / /Y �Z i 7� LINE BEARING DISTANCE L1 S 7602'15" W 30.72' L2 N 76'50'02" E 61.39' 73 N 77-4355" E 15.39' L4 S 27'21'51" E 13.91' L5 N 41*39*01" E 19.82' 1_6 N 3528'09" E 62.50' 1_7 N 45'55'57" E 31.20' LB N 27'2151" W 8.53' L9 S 27'21'S1" E 14.93' L10 I S 2721.51" E 25.14' ij 1 ,A. tll rI ./t/l i• \\�• r II �T— @00ALE SETBACK / MO OCEAN EEOOBIE SETBACK / •IIII:I, / +I,q 4V' OCEAN SETBACK - SETBACK .ROOD ZOPE VE 41B. 20R /(/ ,1 L 3 / 3 I.`l,\\X1 FLOOD ZONE VE Ig N/F / 20 ODELLZ FWILLLINGTN LADAN F D5 IW 14q �PB02263 1 N �7!'SJ• PAC. I H 670CF1W Hi009E TTTT SETBACK /P 1 i+r / Ilby LOCATED AND APPROVED 09m)1?05 WF EXUM FAMILY, LLC W 2142, PG 216 / PE 54, PG BI XI+;r/r i e I1 `d! ! / DAVID A TENDLER / ETUX SUSAN E SPRATT DB am, PG OB30 PB 84, PG BI JI• N4Ni 20 f3 OZ/BM) ADJOINING PROPERTY OWNERS LOT 9 - DAND A TENDLER MX STTSAN E SPRATT 951 MCPNERSON CHURCH RD ,F 101 FAYETIENI_ EN, NC 28303 D.B. 308 PG. 0830 MC 84. PG. 81 TRACT - 0001 MLIAMSON & SUWNGTON LAOM TRUSTEE 40 0 4D M 2 CAUSEWAY gYWE OCEAN fS BEACH, NC 28469 D.B. 3149, PG. W63 % SHEET 1 INCH �� 40 W' So' REFERENCE IS MADE TO THE FO+IDWINC: 1. ALL STREETS SHOWN ARE PMVATE UNLESS OTHERWISE NOTED. it X 17 SHEET 1 "-Fv 2 REFERENCE SURVEY CAPE FEAR ENGINEERING, INC. DATED VAN S. 2015. 3, AREA BY COORDINATE METHOD. - 4. ALL DISTANCES ARE GROUND HORIZONTAL UNLESS OTHERMSE NOTED. 5. TIE PROPERTY SHOWN HEREON LIES IN ZONES VE 18, 20. 22 AS SHOWN ON THE FEMA, ROOD INSURANCE RATE MAP. CCMMUMTY PANEL NUMBER 3720105400A DATED ,NNE 2. 20011. 6. 1 E ARE NO N9BLE ENCROACHMENTS ON THIS PARCEL 7. PROPOSED USE OF THIS LAND IS RESIDENTIAL & THIS PROPERTY IS ZONED M-1. 9. ELEVATIONS BASED ON NAVD M 10. TOTAL NSTUR8ED AREA IS 0.43 ACRES. 11. 91RVEY OF FIRST LINE OF STABLE VEGETABON SURVEYED BY CAPE FEAR ENGREEMNG AS NOTED. 12. TOTAL SITE AREA - 1.62 ACRES. 13 PRJNG SIZE IS W X 8'; PIUNGS DEPTH SHOULD BE A MIMMW OF 16' OR 20 TIMES THE ANNUAL LONG TERM AVERAGE OCEAN EROSION RATE OR PER STRUCTURAL ENGINEER SPECIFICATIONS 15. THE MAXIMUM BUA IS 6,207 PER NCOENR STORMWATER PERMIT NO. SWB MIMS. NO IMPERWOUS AREA PROPOSED AT THIS ME. 16, FRONT YARD SETBACK: 5D FEET FROM THE PROPERTY UNE; OCEAN FRONT YARD: NOT LESS MAN 25 FEET FROM ME ESTABLISHED CANA UNE. 17, REM YARD SETBACK: 25% OF THE MEAN LOT DEPTH; PROMDED THAT THE REM YARD NOT EXCEED 25 FEET - 18. DENSITY: A MAXIMUM OF ONE DETACHED SINGLE-FAMILY RESDENTIAL DWELLING PER ACRE. - 19. TAX PARCEL D FOR LOT 10 IS 258MS010 OBTAINED FROM G.I.S. 20. MINIMUM SEPARATION BETWEEN DETACHED SINGLE FAMILY RESIDENTIAL DWELLINGS SHALL BE 20'. 21. WASTEWATER SYSTEM: V FROM STRUCMIM PER SRUNSWM COUNTY HEALTH DEPARTMENT. Z2. THE PROPOSED BUILDING PAD IS AT 12.50. _ 23. EMMNG TOPO UMN PROPOSED LIMITS OF DISTURBANCE FROM FIELD R F_ V_ E 1 V E Cn SURVEY BY CAPE FEM ENGNEERING, INC. ON DECEMBER 21, 2015. [J:" :1 WILMINGTON, N4 JAN 1 2 2016 1 EQEM> LIMITS OF OAr-WANCE u ROOD ZONE LINE ••+' u.0 PROPERTY 90"AAT IZASW. ---_ -- NEANH WA.TEl L E _-------� SuE YAED SETBACK E)OSTNG CONTOU2"- PMPOSM CONTIXR" 1�— FFST Il.E OF VEGETATION —wv — CAMA EETBA.CK m B ADNG PAD 11ED FOR REGULATORY REVEW EIRI A ISSUED FOR MH TORY REVIEW Im1s REV. DESCRIPTION REV,BY � aTE REVISIONS �a GIMp 4ry/y _� ie�ess:gv �e tPH'1„ 46FTI,N �� CAPE FEAR ENGINEERING 13f FiMlb Rtl„SWtr 100; BeMlt, NC,?BISf TEL (8fO13ST'tON; FA%(9f01 JB3-f016 wxW.apaWWWpMW99.mm MG IJCBMElGf6Sf PIIOJECf rtF6-301D fMP6]t lCME : AS 1101FD M1F: BI oEi T0+3 - 1RA0>flc : BIN PALM COVE SU4WT BEACH NORTH CAROUJA LOT 10 GRADIM PLAN �6i5-0310 I G-i Locality lgvkl e�- Ocean Hazard -Z Estuarine GENERAL INFORMATION LAND OWNER Name Exum Family, LLC Address P.O Box 1967 City, Wilmington AUTHORIZED AGENT dWtC,d146� l b -61- y Permit NumberrJ 16 6(% - ORW Shoreline Public Trust Shoreline Other (For official use only) State NC Zip 28402 Phone N/A Name Cape Fear Engineering, Inc. Address 151 Poole Rd, Suite 100 City Belville State NC Zip 28451 Phone (910) 383-1044 Email elizabeth.nelson@capefearengineedng.com LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the adjacent waterbody.)1848 East Main Street, Sunset Beach, NC, Lot #10 Palm Cove, Jink's Creek DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Single Family Residence, Fill and grade only SIZE OF LOT/PARCEL: 70610 square feet 1-62 acres PROPOSED USE: Residential ❑✓ (Single-family [Z] Multi -family ❑ ) Commercial/Industrial ❑ 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: N/A 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: N/A 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= NC= If yes, list the total built upon area/impervious surface allowed for your lot or parcel: 6,207 (all lots) square feet. RECEIVED DCM WILMINGTON, NO 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: 1, 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 Exum Family, LLC 'see Deed Book 2142 page 0218 in the Brunswick County Registry of Deeds, nan owner by virtue of inheritance. Applicant is an heir to the estate of probate was in County. F--Jf 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) (i) David A. Tendler Et. Ux Susan E Spre (2) Williamson Odell & Burlington Ladan Trustees (3) (4) (Address) 32 Lytham Lane, Durham, NC 27707 2 Causeway, Ocean Isle Beach, NC 28469 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 23 day of December 20 15 person authorized 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 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 i V E D any permit. Any person developing in an AEC withoutpermit is subject to civil, criminal and administrative action. 'JILMINGTON, NO JAN 1 2 2016 JAN 1 2 2016