OI_17-09_Rose

Oak Island
Local Government
0117.09
Permit Number
CAMA
MINOR DEVELOPMENT ^•
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 Wayne Rose, authorizing development in the Inlet Hazard (AEC) at 6953 Kings Lynn Dr., in Oak Island, as
requested in the permittee's application, dated 2/10/2017. This permit, issued on 2/24/2017, 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 relocation of a sand dune with landscaping as necessary.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 2/10/2017.
(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 permiltee 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, 2020
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.
DCM WILMINGTON, NC
APB 32017
Donna F. Coleman
CAMA LOCAL PERMIT OFFICIAL
4601 E. Oak Island Dr.
Oak Island, NC 28465
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Rose
Minor Permit # 0117.09
Date: 2/24/2017
Page 2
(5) The structure must set back a minimum of 60 feet from the first line of stable natural vegetation, as determined by
the DCM, the LPO, or other assigned agent of the DCM.
(6) 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.
(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) 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.
(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.
SIGNATURE: DATE:
PERMITTEE

0.9
Locality C/ck _.SAaa A, Permit Number bl. Irl_
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shorefine Other J-4-
(For official use only)
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
Name Wayne Rose
Address 1542 Jimmie Kerr Rd
City Haw River State NC Zip27258 Phone [phone]
Email [e-mail]
AUTHORIZED AGENT
Name Custom Island Homes by Ken Kiser LLC
Address 137 NE 37th St
City Oak Island State NC Zip 28465 Phone [phone]
Email [e-mail]
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
6953 Kings Lynn Dr, Oak Island, NC 28465
DESCRIPTION OF PROJECT. (List all proposed construction and land disturbance.)
reconstruct dune , remove from right of way
SIZE OF LOT/PARCEL: 41044 square feet
acres
PROPOSED USE: Residential [R] (Single-family ® 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: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above *4J943jjdNAlED
excluding non -load -bearing attic space) DCM WILMINGTON, NC
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS &RBOAT2011
UPON SURFACES: square feet (includes the area of the foundation 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 Energy, Mineral and Land Resources (DEMLR)?
YES NO X
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, includin,% but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system). Building, Electrical, Plumbing, Heating and stir Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
otters. Check with Your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
1, the undcrsigrwA an applicant for a LAMA 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 neat properly described therein. This interest can be
described as: (check one)
X an owner or record title, Title is vested in name of Wayne Rase
sec I3ced Book 3_055 page 1235 inthe Brunswick County Registry of Deeds.
_an owner by virtue of inheritance. Applicant is an heir to theestate of
- probate was in County.
if other interest, such as written contractor lease, explain below or use a separate sheet & attach to this application.
NOTI FICATION OF ADJACENT RIPARIAN PROPERTY OWNER&
1 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 LAMA permit -
(Name) (Address)
(1) Durham Boys MartaraernRn= LLC, 209 Lopez Lane, Clayton, NC 27527
(2) Robart Farrar 90O6 North Ocean Blvd., Myrtle Beach, S% 29572
(3) Town Of Oak Island,
(`t ) ---
ACKNOWLEDGEMENTS:
1, the undersigned, acknowledge that &zc 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 PermitOfficxr has explained to tic the particu-
lar hazard problems associated with this lot This explanation was accompanied by recommendations concerning stabiliza-
tion and tloodproofing 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 Of cer and their eeents to entcron the aforementioned lands in connection with evaluating information
related to this permit application.
This the loth day of Feb 2017
M
person authorized to act as histher agent for purpose of filing a CAhIA permit application
This application inelrtder., general infhonnation (this form), a site drmr iny^ as described m7 the !flick gfthis application, Jdre
ou•nerslhipstarentem, the Ocean HazardAEc: Mofiee where neevisary. a check for S100.60made pirvuble to Me locali(tq and
aqv ityi7nnation as nnus be provided orally b-e the applicant The details nl'the application as described fir• these sources are
inconpornted without reference in any permit which may be issued L3-nation from these derails will contstithue a violation q
anY permit Anp. person developing in an AEC H*hout peranil is subrect to ch,-4 criminal and administrative action.

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Receipts for
Certified Mail
(Staple Here)
Feb 10, 2017
afa R�obertt Farrar
AdjamntPropenyOwner 9006 N. Ocean Blvd.
MdTLngAddMs Myrtle Beach, SC 29572
City, State, Zip Code
pearAdjacentPmp&V..
7hisletter isto'iriformyou that 1. Wayne Rose haveappredfor aCAMAMinor
Properly0vmer
Pernitonmypropertyat 6953 Kings
, OKI, NC 28465
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
dm*g(s) as notification of my proposed project. No action Is reoredfrom you oryou may sign and return
the enclosed no objection form. if you have any questions orcomments about my proposed pr ject Pie ..
contact me at 910-524-0633 ,orbymlatthe address Wed below. ifyouwishto
Apprmnrs Telephone
f ewnliencammentsorobjectbnswlhtheLOCALGObEMMENT CAMAMinotPeffrU ogram,youmaysubarit
Donnathem to:-
Local Permit Officer foeOak Island
4601 H. Oak Island Dr.
Oak bland, NC 28465
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WayneRose
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Receipts for
Certified Mail
(Staple Here)
Feb 10, 2017
l5a�e -
Durham Boys Management LLC
AdjacentPmpertyownet 209 Lopez Lane
Maifin9Address Clayton, NC 27527
City, State, Zip Code
DearA4*wtPmpedy:
This fetter is to 1dfiorm you that i, Wayne Rose have applied for a CAMA Minor
Pmpedy Owner
Paimaonmyptopettyat 6953 Kings Lynn, OKI, NC 28465 In COUNTY
PmpertyAddress
County. As required by CAMA m9ulatians, f have enclosed a copy of my perma application and project
drawing(s) as notification ofmy proposed project. No action Is required from you or you may zign and return
the enclosed no objection torn. it you have any questans orronunents about mypmposed pmj� please
contact me at
910-524-0633
AppliicantsTelephone
,or bymzM atthe address fisted below. ityou wish to
fJeMtenmmmentsorobjecOonswiththeLO)CALGOVERNMENTCAMAMirwrPerrrr4P gram,youmaysubmif
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—themtot_
Donna Coleman
Local Permit Officer for the Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
Wayne Rose
Property Owner
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