OI_16-34_Jacobs

Oak Island 01 1634
Local Government Permit Number
CAMA
MINOR DEVELOPMENT i
^•
PERMIT
as authorized by the State of North Carolina, Department of Environmental,
Quality 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 Paul Jacobs, authorizing development in the Ocean Hazard (AEC) at 2628 E. Beach Dr., in Oak Island, as
requested in the permittee's application, received 4l5/2016. This permit, issued on 4/22/2016, 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: the construction of a pool with associated development.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 4/5/2016.
(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 [phone] for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
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 10=CW IV E D
Use Plan and all applicable ordinances. This permit may not be trans
another party without the written approval of the DiviskfWWUMNGTCN,
Management.
APR. 2 8 2016
Donna F. Coleman
CAMA LOCAL PERMIT OFFICIAL
4601 E. Oak Island Dr.
Oak Island, NC 28465
NC
PERMITTEE
(Signature required if conditions above apply to permit)

Name:JACOBS
Minor Permit # 01 16-34
Date: 4/22/2016
Page 2
(5) The permittee is required to contact the Local Permit Officer [phone], shortly before he plans to begin
construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline
change. Construction must begin within sixty (60) days of the determination or the measurement is void and must
be redone.
(6) All structures within the ocean hazard area shall comply with the NC Building Code, including the Coastal and Flood
Plain Construction Standards of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as
required by the National Flood Insurance Program. 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.
(7) 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.
(8)AII 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.
(9)Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary
protective measures allowed under CRC rules.
(10) Swimming pool surrounds are limited to 6' in all dimensions.
SIGNATURE: DATE:
PERMITTEE
RECEIVED
DCM WILMINGTON, NC
APR 2 8 2016

Locality
Permit Number O I I"
Ocean Hazard/\_Estuarine Shoreline _ORW Shoreline Public Trust ShorelineOther
. ; (For official use only)
GENERAL INFORMATION
.4
LAND OWNER 'r RECEIVED
Name: Paul Jacobs 1/ VI(O
Address: 7925 Sutcliffe Dr
City: Ralei State: NC Zip: 27613 Phone: [phone]
AUTHORIZED AGENT
Name: Jason Walker
Address: P.O. Box 2327
City: Shallotte State: NC Zip: 28469 Phone: [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 2628 E. Beach Drive, Oak Island. NC
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Install a 14'x30' fiberglass pool,
960sf of concrete pool deck and pool code fencing
SIZE OF LOT/PARCEL: 7500 square feet acres
PROPOSED USE: Residential ® (Single-family ❑ Multi -family ❑) Commerical/Industrial ❑ Other ❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): _ 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)
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN AECs :SIZE OF BUILDING FOOTPRINT
AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES: 960 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 .)
Choose the AEC area that applies to your property:
(1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
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.
RECEIVED
DCM WII-MINGTON, NC
APR 2 9 2016

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit.
As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with your LPO to
determine if any of these apply to your project. Zoning, 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.
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 Paul & Michelle Jacobs, see Deed Book 3665
page 0863 in the Brunswick 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 and 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) (Address)
(1)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 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 particular
hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization
and floodproofing techniques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents
to enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard 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
of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
This the g9-day of March, 20 16
mdo—wpdr or person a fed q q?tFa%,Ns agent
for purpose of filipgc permit applk�tion ,
APR 2 8 2016

ff
Locality (3 �-(f. � L�j''� L' Permit Number
Ocean HazardEstuarine Shoreline ORW Shoreline —Public Trust Shoreline___Other
(For official use only)
GENERAL INFORMATION
LAND OWNER i RECEIVED
Name: Paul Jacobs �I6/1(p
Address: 7925 Sutcliffe Dr
City: Raleigh State: NC Zip: 27613 Phone: [phone]
AUTHORIZED AGENT
Name: Jason Walker
Address: P.O. Box2327
City: Shallotte State: NC Zip: 28469 Phone: [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 2628 E. Beach Drive, Oak Island, NC
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Install a 14'x30' fiberglass pool.
960sf of concrete wool deck and wool code fencing
SIZE OF LOT/PARCEL: 7500 square feet acres
PROPOSED USE: Residential E (Single-family ❑ Multi-familyEl) Commerical/Industrial ❑ Other ❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): _ 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)
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN AECs :SIZE OF BUILDING FOOTPRINT
AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES: 960 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.)
Choose the AEC area that applies to your property:
(1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
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 E
If yes, list the total built upon area/impervious surface allowed for your lot or parcel. square feet. R E C E I V E D
DCM WILMINGTON, NC
APR 12 2016

OTHER PERMITS MAYBE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit.
As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with your LPO to
determine if any of these apply to your project. Zoning, 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.
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 Paul & Michelle Jacobs, see Deed Book 3665
page 0863 in the Brunswick 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 and 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) (Address)
(1)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 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 particular
hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization
and floodproofmg techniques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents
to enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard 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
of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
This the P9-day of March, 2016 APR 1 ? 201 F
mdoi r or person authorized to act as his agent
for purpose of filing a CAMA permit application

AEC HAZARD NOTICE
Project Is In An: --�L Ocean Erodible Area _ High Hazzard Flood Area tnlst Hazard Area
Propttrlyr Owner:
Property Address: PP,
Date Lot was Platted:
This notice is intended to make you, the applicant, aware of the
special rislcsand000ditions aasociatedwith development in this
area, which is subject to ttat aml hazards such as stotttts, erosion
and currents, The rules of the Coastal tiesouroes C'.otzrmission
require thatyou tece�ve an AEC Hazard Notice andacknowledge
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
elinduAt% property loss from hazards. By granting permits, the
Cottstal Resources Commission does not guarantee the safety of
the development and assumes no liability for fblure damage to
the development. Permits issued in the Ocean Hazard Area of
Environmental Concern include the condition Ghat structures be
relocated ordiamaritled if theybecomeimminentlythrcatcned by
changes in shoreline configuration. 110 structute(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 Sang -term
average ocean erosion rate for the area where your property is
locatedis_ a feet per year.
The rate wasestoblished by aarefulanalysis of serial photographs
of the coastline taken Over the past 50 years.
Studies also indicate that the shoreline could move as much as
5 feet landward in a major steam,
The flood waters in a major storm are predicted to be about
—„_feet deep in this area.
preferred oceanfront protection rn6Astires are beach nourishment
and relocation of threatened structure& hard erosion control
structures such at bulkheads, seawalls, revetments, groins, jetties
and breAwaters are prohibited. Temporary sand bags may be
authorized undercertain conditions.
'ITS.aapphcantmug a6wwledgethis information
by signing this notice in the space below. Without the proper
signature, theapplicadon will not be complete.
ApPlk8 tf V#Aalwta Date
SPECIAL NOTE: This harard aGaos is required fordevelopment
in areas subject tostrdden and massive storms and erosion. Permits
issued for development in this area expire on December 31 ofthe
third year following the year in which the perttut was issued.
Shortly before work begins on the project site, the Local Permit
Officer most be contacted to determine the vegetation line and
sctbackd'satanceatyoursite, Iftheptnpettybasseenlitticchange
since the time ofpermit issuance, and the proposed development
can still meet the setback requirement, the LPO wil I inform you
that you tray begin work Substantial progress on the project
must be made within 60 days of this setback determination, or
the setback must be rernmoured. Also, the oceurrencc of major
shoreline change as the restth of a storm within the 60-day period
will necessitate remeasttrement of the setback. It is important
thatyou check with the LPO before the permit expires for official
approval to continue the work after the permit has expired.
Oenerally, if foundation pilings have bean placed and aubstantial
progress is continuing, permit renewal can be authorized it is
unlawful to continue work afterpermit expiration.
For rnr:re lnformarlon, eonlaci:
�i_�O�ShS AtY'tYlc i(1
Local Permit Ofter
Address
ndic Tslar�(} �$�1to�
Locality
Not aCi-- aC) 49
Phone Number
deoierv,ao@ nc.u'
RECEI ,\,
DCM WILMINGTON, NC
APR 1 2 2016

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: _ -w'�ae ob5
Mailing address: S.4t-X r - 'bR.,
Phone Number: 33>;- D&ID
certify that I have authorized , zurjn hka&z:_ n vhnq 1�l- Allc'
Agent t Contractor
to act on my behalf, for the purpose of applying and obtaining aft LAMA permits/
necessary for the proposed development of ;<�d11n17 SWimm.h�i �l�(�1
at my property located at
in g17rltlwle C County.
This certification is valid through / ffz
Date
(Property Owner Information)
ignature
Print or Type Name
D/ .J'/\sr I --
ate
Phone Number y
Emai7 Address
RECEIVED
DCM WILMINGTON, NC
APR 1 2 2016

3o`T ` 4b pooh &-um " U O-O- % ue� kc�n' �m .
RECEIVED
DCM WILMINGTON, NC
APR 2 9 2016

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EXISTING IMPERVIOUS: 1260 SQ. FT.
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NEW IMPERVIOUS: 960 SO. FT.
TOTAL IMPERVIOUS: 2220 SQ. FT.
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LOT SIZE: 7500 SO. FT,
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EXISTING IMPERVIOUS: 1260 50. FT.
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TOTAL IMPERVIOUS: 2220 SO. FT,
LOT SIZE: 7500 SO, FT.
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AGI=NT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: ?bLO �ra� obs
Mailing address: TIME ly,
Phone Number: 411q - 3u z- 6,lo
certify that I have authorized Li ate- ' Yvh r 'bns [-n
Agent 1 Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary far the proposed development of „ j
at my property located at
In IJrmty w County.
This certification is valid through/ j(z
Date
(Property Owner Information)
ignature
Print or Type Name
D`jd1u!
are
Phone Number
Co� ;+ice �i1Gi1�\`.c.'�..✓(��'..
' Email Address
RECEIVED
DCM WILMINGTON, NC
APR 2 8 2016