NH_16-26_Klem

NEW HANOVER COUNTY 16.26
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, North Carolina Department of
Environmental Quality and the coastal Resources Commission for development
In an area of environment ancem pursuant to Section 113A-116 of the
General Statutes, "Coastal Aran Management'
Issued to Doug Klem, authorizing development in the Estuarine Shoreline (AEC) at 1005 Futch Creek Rd., in
Wilmington, NC, as requested in the permittee's application, dated April 19, 2016. This permit, issued on May 18, 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. Installation of drainage swats, pipes, catchment basin; wier box, discharge pipe and rip rap
(1) All proposed development and associated constriction must be done in accordance with the permitted work plat
drawings(s) dated received on April 27, 2016.
(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 798-7118 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2) RECEIVED
DCM WILMINGTON, NC
MAY 2 0 2016
This permit action may be appeared by the permittee or other qualified persons
whin twenty (20) days of the issuing date. This permit must be on the project
she and accessible to the permit officer when the project is inspected for
oomp!lance. Any maintenance work or project modification root covered under
this permit, requxe further written permit approval. All work must cease when this
permit expires on!
DECEMBER 31, 2019
In issuing this pemtil . is agreed that this project Is consistent with the local Land
Use Plan and all applicable ordinances. Tins permit may not be translsred to
another party without the written approval of the Division of Coastal
Management.
Christine R. Bouffard
CAMA LOCAL PERMIT OFFICIAL
230 Government Center Drive, Suite 110
Wilmington, INC 28403
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Doug Klem
Minor Permit tt 16.26
Date: May 18, 2016
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 new impervious 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 iandward 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 property 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
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:
DCM WILMINGTON, NC
MAY 2 0 2016

Petmn Number �-,y_.
Occait Hazed_Esnanne Shoreline xOW 5hmaline__
Public Vest Shmelmc_ Other
(Da gffj ,af.,only)
GENERALINFORMATION
I ANO OWNER -MAILING ADDRESS
Nenm
Address SEE ATTA
City
Email
Sate tip_Phaoe
AUTHORIZEDAGENT
pi Mr. Pad Poscarrese, Headwater P.Rrlrom,os L Inc
Address512SweeWsyCatut
City wDmhw n Sean, MC Zip 2W5 Phppe 910-777-39M
Email_ pad®headwemmvhwwmW,a,,
LOCATION OF PROJECT. (Addma, atrut name myth directions to site; nane of the adjacent waterbodyJ
The site islocan,d cant and Millicent out the mtessecdonpFPuVL Creek Road and Dewy Lane in Wdlmluglw.
North Carolhti The site la txrmprland offstr parcel, (parcel tnfiorn.tlon included with land causes, Institutional).
DESCRIFHON OF PROJECT: (List aD prap..d .m tiou and had diwmiano .)
SMEOPLOT/PARCEL: _ 102.366 _ equs.feet 2M acres (ipdudofaur di)
PROPOSED USE: Residential ® (Single-family ® Muki-family ❑ ) CormncrciaVinduaoi it L3 Otter
COMPLETE EMfER(Q OR (2) BELOW(Cwema"y ,L.oedperail OBrcar]fyos are rot,si which ARC oppdm
.yo sipmpery)t
(1) OCEAN HAZARDAECs: TOTAL FLOCRAIEAOF PROPOSED STRUCTURE: N/A rqume fir
N/A
air conditioned living space, parking elevated above ground level, nonconare ditioned sparse elevi above ground level but
excluding non-loabbeanog nttic space)
U
Z
0 Z
co
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N
OTHER PEW] IS MAY BE REQUIRED: The activity you ere planning may require permits on. than the CAM)W Z
OO
minor development permit, hmlnding, but n, %mi W: Drinking Water Well, Septic Tank (m other ista y wok ,, `` �
N
reetmeN system), 0uilding, Blaarimi, Plumbing, Healing evd A(r CzmditioNttg, amlatim and Energy Coneervniou,U* J
Ca ificatiou, Sand Idea., Sediment Control. Subdivision Approval, Mobile Home Park Approval, highway CmYtarJ': kd iw_�+
Cl-
other, Check with your [zonal Permit Olfica fen more information, cr
LL
Q
STATEME.VFOFOWNERSHR: U
1, the uvdmsigtwd, m.ppli. fare CAMA minor dcvelopmmt permit.being either the owner orptopvy in mAEC a s 0
perm authorised mere as an spur for purposes ofapplying for a CAMA minor dm.elo; ment permit. trtiPy that the person
listed as IvWownnr on this application has a signiflc rat interest in the real pmpero described thmcm. This interest non be
described as: (check one)
m owmrm moord t dtl Title is vsrred moral of SEE ATTACHED
see ❑cad Book page in the County Registry of Cards.
_mnether by vim. ofmbaifanm.Applimmism heir Wthern of
was in County.
]L.if other intao4 such ere writs, eouhact or lease a plain below or use a separate abut de allach W the applicetion-
NOTIFICATION OFADJACENT RIPARIAN PROPERTY OWNERS:
11Wthermme certify that the fo0owing perms are owarm of p.ope:tie adjoining this property 1 affirm that I have given
ACTUAL NOTICE to each ofthean concerning my intent to develop this property and W apply for a CAMA Permit,
(Name) (Address)
(1) h&..Sm PhOIDLIODOC kslde RoaAWWNruton.North Carolina2"11
(2) hb ChvLe Vmen VRl Demvl rc Wllmtneto N tit Cnobn2ga11
(3)
(e)
I, the undersigned, mknowlNge that the land owner is aware that the proposed development I. planned for an area which
may be amcephble to erosion myth Boding. i mknowledge that the Local permit Officer has explained ro toe the pain
lar hemdaoblams....cured with this lot, This explannton was secompenied by rttmnmendationa aunmmirtg atabilira-
tion and Soodpmofing techniques.
1 Smheunoro eatify that I un authorized to grant, and do in feat grant, Permission to Division MCmaal Manapemmt waff,
the Laval Permit Ofbmr and their agar to uteron the aforementioned land, in eonnee6on with evaluating information
related to this permit Application.
sot a mama saint tar purpox
it. 191 day a-Apiri 20 16
(2) COASTAL SHORELINE AEC.: SIZE OF BUILDING FOOTPRNTAND OTHER IMPERVIOUS OR BUILT y n 6tdadea• rn u ormamn !hU UPON SURFACES: _WAsquaefour (includes the are ofthe femdadm ofall buildings, Aivenvii ooveted decks, ' ficaft R f ( form).alift,&.ing m described on she bonk ofJds appficai the
conaeW or n.soury Fruits, M.that ero within the applicable AEC Attach your ulculan. with the project drawing) -' awrhnhlp sahaaa,Mel]1 Haeard AECNaice nAae nrcnrvy, a cha�i$100.00 sai papNe m dh locally, end
'Iiet -nee IS stiff located widdn the ARC Ti associatedinto plpewNb b ledand bac48)Iedt to anaN aada °nPl^f°^notion as may bapnvided oro)y by the rgyficanr 7ha,iaa/tr oflhe epplkorlon av desrriMd by fheae+mrese oe
STATE STORMWATER MANAGEMENT PERMIT-. 1. the project located in an area sub.lectab t W a Sinto —lw Moment refares.e as any permit which may be used. Devbrfon from there detail, ,,i(l imset nth a vfolalon of
Stannwetm Management Permit issued by the NC Division of Energy, Minerei and Land Resources(DEMLR)? a',) Rs��' d/d�. Cwfthest permit is aubJ r�''J'i 'R��}''•R��'L��•�,Ilan
YES_ NOS[_ ere gW fv.ia�`.i�/ " r" •VEl. iJL`
Ifyo, lig dz hahl bi It rpm ereWimpervious surhca allowodfmyour Id m parcel: _. _N/A _ squne C is,
pr- 16 APR 2 7 2016
y NEW HANOVER COUNTY
PLANNING & ZONING
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0-1 r -Jkf�- el
;,777
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LEGEND: N
Approximate Site Boundary
Ile
HEADWATER ENVIRONMENTAL, INC- SOURCE: FIGURE 1
512 Sweethay Court
Wilmington, North Carolina 28405 USGS via Google Earth Topographic Map
7.5-minute Topographic Quadrangle
e Draina
Scotts Hill, NC, dated
Date: 04/11/2016 Contour Interval = 5Wge Project
E C EW, Rd & Decoy Ln
mington. North Cat6ftia
Prepared by: CPP 40 06� Scale as Shown HEnvP"ed#201606
0
NEW HANOVER COUNTY
PLANNING & ZONING

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Fitch Creak R j ■^
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a DCM WILMIMI GTO11 N.
APR 2 8 2016
APO 2
1:1,000
NEW HANOVER COON 0 0.0075 0.015 0.03 �
PLANNING %
Q ZONINT uo 25' 0.0'25 os km
HEADWATER ENVIRONMENTAL, INC.
512 Sweetbay Court
SOURCE:
FIGURE 2
Wilmington, North Carolina 28405
Lot Dimension Map
New Hanover County GIS,Decoy
accessed online on April 12,2016.
Lane Site
Date:
04/12116
Futch Creek Rd. & Decoy Ln.
NI Scale as Shown
Wilmington, North Carolina
HEnv Project #201606
Prepared by:
CPP

* (� —Dap
This is not a survey. All locations depicted on this figure are approximate. This figure is Intended to be used for
the CAMA Minor Permit application.
`pTCH CREEK
Coastal Wetlands` -
•
•
' �.� 20'eagemafq
•
�[�
':-. • `25' eaaeTMat 1.
•p
eawnsint
°ht 3wars .
LEGEND (all locations are approximate):
Ft Site boundary
Road Weir box
Drainage pipe
- _ Drainage swale
RipY p spillway
HEADWATER ENVIRONMENTALJaccessed
SOURCE: FIGURE 3
512 Sweetbay Court site Plans
Wilmington, North Carolina 2840ase layer obtained from New
Hanover County GIS, peCq lane Site
online on April 12, 2016. y
Date: 04/12/16ct details provided by Mr. Wayne Ftrtch Creek Rd. & Decoy Ln.
Beagle. Wilmington, North Carolina
HEnv Project #201606
Prepared by: CPP Scale 1°- 100'
APR 2 8 201fY

#IL--"-ak6
Decoy Lane Project
April 20, 2016
Adjacent Riparian Property Owners
The adjacent property owners listed below include the properties located east and west of the
CAMA related activity.
Adjoining properly owner to the east: Mr. Steven Phillips PIN: R02919-001-008-000
Address: 1000 Creekside Road Deed Book (DB)/Page (PG): 2532fT95
Mailing Address: 1000 Creekside Road, Wilmington. North Carolina 28411
Email: not provided
Adjoining property owner to the west: Mr. Charles Verga PIN: R02919-001-005-000
Address: 8707 Decoy Lane Deed Book (DB)/Page (PG): 3644/561
Mailing Address: 8707 Deoov Lane, WilmingtonNorth Carolina 28411
Email: not provided
RECEIVED
DCM WILMINGTON, NC
APR 2 8 2016

RECEIVED
Decry Lane Project
April 20.2016
APO 2 7 2016
Decoy Lane Project
NEW HANOVER COUNTY
Site Owner Information: PLANNING & ZONING
• Owner: Mr. Doug Klem Parcel Identification Number (PIN): R02919-001-030-000
Address: 1005 Futch Creek Road Deed Book (DB)lPege (PG): 5445/939
Mailing Address: 1005 Futch Creek Road, Wilmington North Carolina 28411
Email: dk1em47Agmail.00m
Owner: Mr. Wayne Beagle PIN: R02919-001-001-000
Address: 1001 Futch Creek Road DB/PG: 405928
Mailing Address: 8406 Bald Eagle Lane Wilmington. North Carolina 28411
Email: wbeaglelglimrr.com
• Owner. Mr. Jason Lanler PIN: R02919-001-025-000
Address: 1004 Creekside Lane DB/PG: 5857/3
Mailing Address: 1004 Creekside Lane, Wilmington, North Carolina 28411
Email: not Drovided
• Owner: Mr. David Frey PIN: R02919-001-007-000
Address: 8709 Decoy Lane DB/PG: 61792296
Mailing Address: 8709 Decoy Lane. Wilmington, North Carolina 28411
Email: not provided
RECEIVED
DCM WILMINGTON, NC
APR 2 8 2016

u
Decoy La" Project
April 20, 2016
A check for the application fee, the CAMA Minot Permit Application, Figures, and property owner
information are attached for your review. Contact me with any questions. Thank you for help with
this project.
Respectfully Submitted,
Headwater Environmental, Inc.
C. Paul Pascarosa
President
Attachments: CAMA Minor Permit Application
Owner Authorization Forms
Figures
cc: Mr. Doug Klem (via email)
J
RECEIVED
DCM WILMINGTON, NC
APR 2 S 2016

HEADWATER ENVIRONMENTAL-, INC.
It all starts here:
Ms. Christine Bouffard
Zoning Compliance
New Hanover County Government Center
230 Government Center Drive, Suite 110
Wilmington, North Carolina 28403
Reference: CAMA Minor Permit Submittal
Decoy Lane Site
Futch Creek Road and Decoy Lane Road
Wilmington, North Carolibna
HEnv Projoect#201606
Dear Ms. Bouffard:
April 20, 2016
RECEIVED
APO 2 7 2016
NEW HANOVER COUNTY
PLANNING & ZONING
On behalf of Mr. Doug Klem, Headwater Environmental, Inc. (HEnv) is pleased to submit this CAMA
Minor Permit Application for the Decoy Lane Site.
The site is located east and adjacent to the intersection of Futch Creek Road and Decoy Lane in
Wilmington, North Carolina. The subject site is comprised of four parcels, each independently
owned:
• 1001 Futch Creek Road, Parcel Identification Number (PIN) R02919-001-001-000, owned
by Mr. Wayne Beagle
• 1005 Futch Creek Road, PIN R02919-001-030-000, owned by Mr. Doug Klem
• 1004 Creekside Lane, PIN R02919-001-025-000, owned by Mr. Jason Lanier
• 8209 Decoy Lane, PIN R02919-001-007-000, owned by Mr. David Frey
There is a topographic depression located on the central portion of the site, primarily located on the
Klem, Lanier, and Beagle parcels. During periods of moderate to heavy rain, water collects in the
topographic depression. The standing water has no point of discharge and encroaches into the
street and surrounding residential properties. The proposed solution includes a drainage swale,
weir box, drainage pipes, and rip -rap spillway. The rip -rap spillway will be located within 30-feet of
coastal wetlands. Therefore, a permit as per the Coastal Area Management Act (CAMA) is needed.
On March 29, 2015, Mr. John Policarpo of the United States Army Corps of Engineers conducted a
site visit and determined there are no wetlands located within the topographic depression.
Since the Beagle/Kem parcels are the most affected by the flood events, Mr. Klem will act as the
primary applicant. The remaining owners are co -applicants. Headwater Environmental, Inc. is
serving as the authorized agent to represent all four parcel owners during the application process.
512 Sweetbay Court, Wiknington, North Carolina 28405 • T: 910-777-3908 • www.headwaterenvironmental.com
�vCL�i�f1=D
F,CM WILMINGTON, NC
APR 2 8 2016

41� ✓Dj \P
Jurisdictional Determination Request
------------------
D. PROPERTY OvhidER CER ='1- iCAT-.0N4
1. the undersigned. a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on -site investigations
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Ciean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
Property 0cancr (please nt) Datc
Additionally, I authorize Headwater Environmental,
Inc. to serve as my agent in matters relating to wetland
L._;`-services.
Property Owner Signature
Select One:
FK1 am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does include a delineation.
LI I am requesting that the Corps provide a orelintinary JD for the property identified herein.
This request does NOT include a delineation.
I am requesting that the Corps investigate The property/project area for the presence or
absence of WoUS' and pi nvide an gparoved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
I sin requesting that the Corps delineate the boundaries of all WoUS on a propertylproiect
area and provide an approved JD (this may or may not include a survey plat).
I anl requesting that the Corps evaluate and approve a delineation of WOUS (conducted
by others) on a property/project area and provide an approved JD (tnay or may not
include a survey plat).
For NCDOT requests following the current NCDOT/USAGE protocols, skip to Part E.
Waters of the United States
Version: December2012 DCNI WIL"MtTON, NC
APR 2 8 2016

* (6 -'-Vx(V
z
-Unn
LEGEND (all locations are apwaximate):
Landscaped tied
Maintained lawn
sparsely vegetated undeiratory
HDPE fihgtWansity Polyethylene pipe
NHW Normal High Water
fist
l-
Io -
21. tTl
—c!
J
0 T'X' 44' ka
. . ..... . ..
C) M
Notes..Z HEADWATER ENVIRONMENTAL, INC. SOURCE: FIGURE 4
7
1, Elevatic"ats is based on topographic survey of the Frey parcel, on fie with the New 5128 etbay Court Cross Saieflon
H Wilmington, North Carolina 28405 Field reconnaissance, New Hanover
Hanover County Dapartniont of Environmental Health. County GIS data, and topographic Do" Lane Site
2. This cross section includes vertical exaggeration )at 16 survey of the Frey parcel. 3. Them will be no Increase of impervious surfaces as part of this project. Date: Q`12120 Futch Creek Road &
1
4. Drainage corridor will be backfilled with native sell to pre�xlstlng grace. rev 411912016 Decoy Lane
6. This onces section depicts the length of pipe along the proposed corridor, and does not prep by WIlminglon. North Carolina
Prepared tE- 3
ran" lot dimensions. prepared by: CPP Vertical and horizontal scale as
shown HEM Project 9201606

4 6 -a.(o
jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION
1, the undersigned. a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on -site investigations
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
Property Owner (please print) Date
Additionally, I authorize Headwater Environmental,
Inc. to serve as my agent in matters relating to wetland
services
Property caner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
aI am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does include a delineation.
❑ I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does NOT include a delineation.
I am requesting that the Corps investigate the property/project area for the presence or
absence of WoUS' and provide an approved !D for the property identified herein. This
request does NOT include a request for a verified delineation.
I am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an approved JD (this may or may not include a survey plat).
OI am requesting that the Corps evaluate and approve a delineation of WOUS (conducted
by others) on a property/project area and provide an approved JD (may or may not
include a survey plat)_
YVTED
For NCnOT requests following the current NCDOT/USACE protocols, skip to Part E.
Waters of the United States
Version; December 2013 - 7 ge 4
RECEIVED
DCM WILMINGTON, iuhaFER000"
& ZON"
APR 282016- ----

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION°
I, the undersigned. a duly authorized owner of record of the property/properties identified herein,
do authori7s representatives of the Wilmington District. U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on -site investigations
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Riven and Harbors Act of
1899.
t 4t Qe
roper Owner (p ase print) Date
Additionally, I authorize Headwater Environmental,
(i Inc. to serve as my agent in matters relating to wetland
services.
E. sURISDICT IONAL DETERMINATION TYPE
Select One:
I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does include a delineation.
f am requesting that the Corps provide a preliminary_ JD for the property identified herein.
This request does NOT include a delineation.
I am requesting that the Corps investigate the properiy/project area for the presence or
absence of WoUS5 and provide an approved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
I air requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an aVpryyed JD (this may or may not include a survey plat).
❑ I ant requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project area and provide an approved JD (may or may not
include a survey plat).
For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
Waters of the United States
Version: December 2013
RECEIVED
RECE� �p
DCM WILMIN(�N1VGveR COUNTY
I & ZONING
APR 9 8 2016

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--------_-___ .__ RECEIVED
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3t as 3e =t.hrr20+3 RECEWED 2a4
DCM WILWQ N`&ERCOUNTY
APR 2 8 YWNING & ZONING