HomeMy WebLinkAboutHB_17-009_SheltonTown of Holden Beach
Local Government
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment 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"
2017-009
Permit Number
Coos;aWanagemenr
Lu 1 -ul liao of rNumn anelion, aumonzing development in the Ocean Hazard (AEC) at 533 Ocean Boulevard
West, in Holden Beach NC 28462, as requested in the permittee's application, dated January 27, 2017. This permit,
issued on February 1, 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: INSTALL AN IN GROUND POOL & 500 SQUARE FEET OF GROUND LEVEL WOOD DECKING
LANDWARD OF THE TOE OF THE FRONTAL DUNE.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated January 23, 2017 and signed by Gary Guarganus.
(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 910-842-6080 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the pemrittee or other qualified persons
within twenty (20) days of the issuing date. From the dale of an appeal, any
work conducted under this permit must cease until the appeal is resolved. 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
Rhonda Wooten
CAMA LOCAL PERMIT OFFICIAL
10 Rothschild Street
Id n Beach NC 17
i
PERMITTEE
(Signature required if conditions above apply to;E t V E D
i!UA WILMINGTON, NC
APR 0 6 2017
Name: Thomas & Robin Shelton
Minor Permit # 2017-009
Date, February 1, 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) This permit is being issued based on section 15A NCAC 07H. 0309 (a)(3) & (9).
(7) The permittee is required to contact the Local Permit Officer 910-842-6080, 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.
(8) All buildings constructed 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.
(8) Dune disturbances will not be allowed because the dune's protective value could be weakened or reduced.
Disturbed dune areas will be immediately stabilized.
(9) 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.
(10)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 holders right to
seek authorization of temporary protective measures allowed under CRC rules.
01) The decking around the pool shall be constructed on the existing ground with no fill material to be added. The
Pool shall be a minimum of 5 feet from all property lines.
(12) The in ground Swimming pool and decking shall not be structurally attached to the building. The building
foundation shall be engineered and designed to account for the effects of increased flow velocities, wave
runup, wave reflection, and scour that can result from the redirection of flow by the pool. Swimming pools and
decking shall not be installed in enclosures below elevated buildings.
(13) AREAS BELOW THE STRUCUTRE WHICH ARE BELOW THE LOWEST FLOOR SHALL NOT BE
DESIGNED OR USED FOR HUMAN HABITATION, BUT SHALL ONLY BE USED FOR PARKING OF VEHICLES, BUILDING
ACCESS, OR LIMITED STORAGE OF MAINTENANCE EQUIPMENT USED IN CONNECTION WITH THE PREMISES AND
SHALL BE CONSTRUCTED WITH BREAK A WAY WALLS IN ACCORDANCE WITH FEMA RULES AND REGULATIONS.
SIGNATURE:
DATE:
LU:-.,
bolts
,ems gloms C1-P, a, R�A. Q,
City Olaf- { I j �, k_ State 0_ Zip 505 Phone
Email She H-(e M4e Fay A�_
AUTHORIZED AGENT
Name
Address .JUnUD I )vteN�f 1/�'� "- 1l•'/ / /
City �� f� 1* State J v C— Zip 7 P Phone 10 lO to + U 12 &
Email \J �1fIP.n 4? 4w16• 11e!H—
LOCATION OF PROJECT: (Address, street name an or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 533 VCe=2 f) v LAD
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Yy\ Q ((Y-A/1'A A061 W 1
nn �fcs,nc) >,�J
SIZE OF LOT/PARCEL: " 37 —square feet acres
PROPOSED USE: Residential ® (Single-family U. Multi -family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies
to your property): 4 t CI L GIB.6
}�QO�
(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: AM- 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 iss d by the NC Division of Water Quality?
YES 177 RECEIVED
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: 13CM WILMRWOM.
FEB 0 2 M7
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)
_Lan owner or recor title, Title is vested in 1 hbM65 £ Q6b ,7Ske1 ian ,see Deed. Book 1335
page 13/5 in the Y(+ c 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 concerning my intent to develop this property and to apply for a CAMA permit.
(1)
(2)
(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, 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.
n This the O� 3 day ofJOa1up /l , 20
Landowner or 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 checkfor $100.00 made I U1�19 and
any information as may be provided orally by the applicant. The details of the application as de�ffiy a socrrces are
incorporated without reference in any permit which may be issued Deviation from these details wiFg�n0*tJ@4Pio1afion of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
:;y '
AEC HAZARD NOTICE
Project is In An: --�— Ocean Erodible Area — High Hazard Flood Area _ Inlet Hazard Area
Property Owner'T�t�rY1C1� r RiY3 n?�n
(2
Property Add resst J J 7 W, i (Cl :lt f'5 i ) eaL"_ \
Platted'.
Cali Brunner c�ktlCounty GiS for
Date LotNtee..=ttad: �! f`�Y5 �52Q
This notice is intended to4makc you, the applicant, aware of the
special risks and conditions assodatsd with development in this
arcs, which is subject to natural hazards such as storms, erosion
sad currents:The rules of the Coastal Resources Commission
require that you receive an AEC Hazard Notice and ac&nowledgu
that notice in writing. before a permit for development can be
issued..
The Comminsion's rotes an building standards, ocranfroat
setbacks And dune alterations are designed to minimiza,but not
eliminate, property lose from hazards. By g utingpermits, the
Coastal iLesoprcea.Commission does notguarar tea the safety of
the development and nscsurau no liability for future damage W
the development_ Peanits issued in the Ocean FlazardArea of
Environmental Concern include the condition that atractures be
relocated or disman6d ifthey become imrninentlythmatenedby
changes in shoreline c nfiguradoo. The structure(s) must be
relocated or digtpantledwithin two (2) yearn of becoming
imminently threatmed, and: in any. case upon its collapse or
subsidence.
'The best available information, as accepted by the.. Coastal
:Resources Commission, icdicates that the annual long-term
Average ocean erosion rate for the area wh= your property is
located is c�__ feat per yea:.
The ratowas establlshed by careful amalyais of aerial photographs
ofthc coastline taken over the past 50 years.
r Studies also indicatcthat the shoreline could trove as rmich as
d feet landward in a major storm,
ad waters in a rnajor storm. are predicted to tre about
_feet deep in this ateft.
�TPra�ry¢ oceanfront protection rrieasures arc beach nomistmtent
.an cation of threatened structures. Hard erosion control
tstnxsQ&suchasbulkheads,seawalls,rcictm ms,grains,jetties
a'and—�*kwamrs are prubibitcd. Tompurary, send bags may be
?autt dunderoertainconditions, '
The plicammustackaowlediaethisinfotmationandregairements
by #ping this notice in the space below Without the proper
signature, the application will not beanmplete_
f
This shall be completed.
SPECIAL NOTE: This hazard notkc is required fordevetopmant
inatcas subject to sudden aod:nassiac storms and erosion. Permits
issued far development in this Brea expire on December3l of the
third year following the year in which the permit was issued,
Shortly before work begins on the project site, the Local Permit
Officer must be contacted to detcmtim the vegetation line and
setback distance at your site, If the property has seen little change
since the time ofpermkt issuance, and the proposed development
can still meet the setback requirement; the LPO will info on you
that you maybegin work. Substantial progress on the project
trust be made wlthin 60 days of this setback determination, or
the sttback must beremeasured, Also, theoosiucnoo of major
shordioeehangoas Cis result ofa sCorm viitfi(n the 60-daypedad
will necessitate rcmeesutement of the setback, it ie important
that yen check wito the LP before the permit expires for official
Approval to continue the work after the permit has expired.
Qenerally, if foundation pilings have beenplaced and tulxtan6al
progress is continuing, permit rareval can be authorized. It is
unlasTW tocontlone work a:tcrpermit expiration.
For more irtjormadon, cremate
owl
Local Permif Officer
TOWN or 140LDEN REACH
---pN7ilNG L. W flREL7lM
Address 110 ROTHSCHtLD SYRW
HOL[ilsH BEACH, N.C. 2""
Locality
phone Number
BEFORE YOU BUILD
Setting Back for Safety: A Guide to Wise Development Along the Oceanfront
When you build along the oceanfront, you take a calculated risk.
Natural forces of water and wind collide with tons of force, even
on calm days.
++
Man-madeVilhCes cannof;be guaranteed to survive the force
of a hurricane. Long-term erosion (or barrier island migration)
may take from two to ten feet of the beach each year, and,
sooner or later, will threaten oceanfront structures. These are the
facts of life for oceanfront property owners.
The Coastal Resources Commission (CRC) has adopted rules for
building along the oceanfront. The rules are intended to avoid
an unreasonable risk to life and property, and to limit public and
private losses from storm and long-term erosion. These rules
lessen. but do not eliminate the element of risk in oceanfront
development.
-As you consider building along the oceanfront, the CRC wants
you to understand the rules and the risks. With this knowledge,
you can make a more informed decision about where and how to
build in the coastal area.
The Rules
When you build along the oceanfront, coastal management rules
require that the structure be sited to fit safely into the beach
environment.
Structures along the oceanfront, less than 5,000 square feet in
size, must be behind the frontal dune, landward of the crest of
the primary dune, and set back from the first line of stable
natural vegetation a distance equal to 30 times the' annual'
erosion rate (a minimum of 60 feet). The setback calculation
increases as the size of the structure increases 115A NCAC
7H.0306(a)(2)]. ; For example: A structure between 5,000 and
10,000 square feet would require a setback from the first line of
stable , natural vegetation to a distance equal to 60 times the
annual erosion rate (a minimum of 120 feet). The graduated
setback continues to increase through structure sizes greater than
100,000 square feet. '
The Reasons
The beachfrontis an ever -changing landform. The beach and
the dunes are natural "shock absorbers," taking the beating of the
wind and waves and protection the inland areas. By
incorporating building setbacks into the regulations, you have a
good chance of enjoying the full life of the structure. At first, it
seems very inviting to build your dream house as close to the
beach as possible, but in five years you could find the dream has
become a nightmare as high tides and storm tides threaten your
investment.
The Exception
The Coastal Resources Commission recognized that these rules,
initially passed in June 1979, might prove a hardship for some
property owners. Therefore, they established an exception for
lots that cannot meet the setback requirement. The exception
allows buildings in front of the current setback, if the following
conditions apply:. .
1) the lot must have been platted as of June 1, 1979, and
is not capable of being enlarged by combining with
adjoining land under the same ownership;
2) development must be constructed as far back on the
property as possible and in no case less than 60 feet
landward of the vegetation line;
3) no development can take place on the frontal dune;
4) special construction, standards on piling depth and
square footage must be met; and
5) all other CAMA, state and local regulations must be
met.
The exception is not available in the Inlet Hazard Area.
To determine eligibility for the exception the Local Permit
Officer will make these measurements and observations:
required setback from vegetation line
exception setback (maximum feasible)
rear property line setback
max. allowable square footage on lowest floor
PRE -PERMIT STRUCTURE; INADEQUATE SETBACK RECEIVED
OCM WILMINGTOP
PERMITTED PRESTORM BEACHPKUFILE
STRUCTURE. [ '9
ADEQUATE POST.STORM BEACH PROFILE d a�'r.`' 1
SETBACK
ONC YEAR AFTER STORhi18EACH REBUILDING
NC
Alter the storm, the house on the dune will begone. The other house has a much better chance of survival.
NORTH CAROLINA TIE LINE:
__@RUNSWIC��H,I.t.l COUNTY COMMENCING AT MONUMENT "HB 19', (N.C. GRID COORDINATES:
I, GARY L. GURC �Ef�lJFA' JHIS PLAT WAS DRAWN UNDER MY 1, = .34 FEET O M E m 2,T "HEI GRIF THENCE N 81O RDIN
,,'!'( 1,793.34 FEET 10 MONUMENT "HB GRIF , (N.C. GRID COORDINATES:
SUPERVISION `AN,AG AL,,, MADE UNDER MY SUPERVISION, N - 59.420.25 AND E = 2.211,631.81); THENCE S 82'27'06"W
DESCRIPTION �,,5., ('p AGE_244-, THAT THE 781.42 FEET TO A COTTON SPIKE; THENCE S 86'42'50"E 285.45
ERROR OF t105 S� CALCU S,QMPLITER IS 1/ 10,09.0+ FEET TO NIP "A"; THENCE N 83'06'30'E 50.91 FEET TO NIP "B".
THAT THE BOUND IES NQ U •EQ AR�SHOWN AS BROKEN LINES, ALL BEARINGS ARE ORIENTED TO NC GRID NORTH; NAD 1983.
N+ ro ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES.
PLOTTED FROM 111FORMAIE EFERENCED, 3HAT THIS PLAT WAS
PREPARED to ACFARDAN 'WAH G.S.:47-3E AS AMENDED. WITNESS
MY GIN AI:�SQNA9TiJ�� E I T It NI&BER AND SEA64HIS -
F• �! A.D., 20_
-, y ..... •• � ,,� SST
_ (� R ��T�1�1�
GARY L. GUR US, YSIL611 01---�--- BI• • - "
REGISTRATION UMBER L-347 OCEAN RIGHT-OF-WAY
SEAL OR STAMP
EDGEF� T PAVEMENT
—� „B„ _
MH
NIP — N
NIP W N 06`30" E O CN — — —
13 S 83'O6'42" W 59.91' ES
ce ERB E P I
S 83'06'42" '�'� 59.90' LOT 12
_ EIPP 60.06' Eel 14,989 SQ. FT.
I
pCONCRETE
DRIVEWAY
I
I z
J I DECK
? I
II I it EXISTING
HOUSE _ —
II LOT I _
LOT I 10 I
I 8 I I
i
_ —.`WESTERN EXTENSION 6 9i - -- DECK
ROBINSON BEACH _
SUBDIVISION ERB
I MAP BOOK 2 1/2, PAGE 240POLL WITH
_—
PROPOSED IN GROUND
UND
LEVEL WOODEN ODE K
I (500 SO. FT. +/—)
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(EL 17)
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— _ WESTERN EXTENSION
ROBINSON BEACH
SUBDIVISION
MAP BOOK 2 1/2, PAGE 240
TOE OF DUN
'AKED BY Tf
HOLDEN BE
01-13-17
- - - _t
FIRST LINE OF VEGETATION
' STAKED BY TOWN
OF HOLDEN BEACH
_ — 01-13-17
Un
O T LOT W LOT
-
_ _ —I LOT I _
7 I
(EL 21)
m
n
30 ? 0 30 60
mw- -Nm
SCALE 1" - 3V
VICINITY MAP
=mNv:
NOT TO SCALE
NG IRON PIPE(
IRON
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NEWTPIPE(SET)FOUND)
ERB
O
EXISTING RE -BAR (FOUND)
STAL WATERWAY
NMN
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NEW MAG NAIL (SET)
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WATER METER
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OUTDOOR SHOWER
C OCEAN VIEW
GLE
GROUND LEVEL ENCLOSURE
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'X-X-
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PLATTED (EL 18)
RIGHT—OF—WAY
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ATLANTIC OCEAN
NOTES:
*LOTS 11 AND 12 ARE IN FLOOD HAZARD ZONE "VE", BASE ELEVATIONS 17,18,19,20,
AND 21 FEET BASED ON F.I.R.M. 3720201500 J. PANEL DATE 06-02-06.
*THE HOUSE ON LOTS 11 AND 12 APPEARED TO BE TWO LIVING LEVELS ON PILINGS
WITH A GROUND LEVEL ENCLOSURE.
*THE HOUSE APPEARED TO BE 100% COMPLETE. RECEIVED
*HORIZONTAL LOCATIONS ARE REFERENCED TO NAD 1983 DCMWILMINGTON,NC
(NSRS 2011) USING NCGS VRS WITH A TOPCON HIPER
LITE PLUS ON 01-17-17.
'THIS SURVEY IS SUBJECT TO ANY INFORMATION FOUND FEB 0 2 2017
WITH THE BENEFIT OF A TITLE SEARCH.
GARY GURGANUS
LAND SURVEYING
GARY L. GURGANUS, P.L.S
3105 HOLDEN BEACH RD., SW
Supply, North Carolina 28462 (910) 233-7605
SURVEY FOR
THOMAS & ROBIN SHELTON
MADE FROM LOTS 11 & 12, (533 OCEAN-BLVD. WEST),
BOOK 2 1
FOLLY TOWNSHIP SRUNSWICK COUNTY NC
K. 022-053 FILE NO. 170M JOB
01/23/2017
Date
Clyde E. Lee
Adjacent Property Owner
11622 Wood Bluff Loop
Mailing Address
Richmond, VA 23236
City, State, Zip Code
Dear Adjacent Property Owner:
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U.S. Postal Service'"
CERTIFIED MAIL' RECEIPT
Domestic Mail Only
This letter is to inform you that I, Thomas & Robin Shelton have applied for a CAMA
Property Owner
Minor Permit on my property at 533 Ocean Blvd W. in Brunswick County.
Property Address
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 _937 903 9191 or by mail at the address
Applicants Telephone
listed below. If you wish to file written comments or objections with the LOCAL GOVERNMENT LAMA
Minor Permit Program, you may submit them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
Thomas & Robin Shelton
Property Owner
8108 Chamberlain Rd.
Mailing Address
Carlisle, OH 45005 RECEIVED
City, State, Zip Code DCM WILMINGTON. NC
FEB 0 2 207
01/23/2017
Date
Jeanette D. Wood
Adjacent Property Owner
5345 Wilzrove Mint Hill Rd.
Mailing Address
Charlotte. NC 28227
City, State, Zip Code
Dear Adjacent Property Owner:
FF
Postal Service'"
TIFIED MAIL° REC P7,
tic Mail Only
very information, visit our websife al www.usps.com".
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This letter is to inform you that I, Thomas & Robin Shelton have applied for a LAMA
Property Owner
Minor Permit on my property at 533 Ocean Blvd W. in Brunswick County.
Property Address
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 _937 903
by mail at the address
Applicants Telephone
listed below. If you wish to file written comments or objections with the LOCAL GOVERNMENT CAMA
Minor Permit Program, you may submit them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
Thomas St Robin Shelton
Property Owner
8108 Chamberlain Rd.
Mailing Address
Carlisle, OH 45005 RECE p14
�MWi�M
City, State, Zip Code
FE6 0 2 2011
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: ! r 1 urr?i., , 7. I� r� t� I -i ,
Melling address: li iU? C h O yll1 3er r)( n K Cj
Phone Number. Ci )
f certify that I have authorized —V) L`� ? ni
Agan! f Corrtractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of r 1•._ f Cx, Il, A j ) ; 0 I
4
at my property located at 5 3 3 CA Lx-%
n ,
In County.
This certification is valid through _ I
Date
(Property Owner Information)
'1 J✓1M, n ; � i
Signature
i
Print or Type Name
11 L3
Phone Number
CShwl t (J o)e-/ir�>71
EmallAddress
V&Zone
Application
Town of Holden Beach
_ Ploodpla tt Development Permit Application
Date' 1 , � Permit Number :
Location of Property'.�.-
Type of Development
Residential Construetion 01, Nonresidential Construction ❑
Addition ❑ Renovation ❑ Otter (specify)
Sim of Development;
3�a a ao,s �-•
FIRM Data: Map Panel No- Suffer J Map Panel Date �,12-. v(„
Flood Zone l:' G(Enter zone & rat ytn)
Development Standards Data.'
I . Base flood elevation (BFS) per FIRM at development site using NAVD 98
2- Rego latory food protcet.on elevnti on must be at m above die tanuorn of the lowest supperling
horizontal memer and all attendant utilities to include but not limited to, all beating, air
conditioning and electrical equipmect musr ne installed and constructed using NAVD 38,
3, VZ:mc Certification is required prior to a C.Q. being issued by the Building Inspector..
4. All walls constructed below base flood elevation shall be constructed break a way walls in
accordance with FFMA'stichnieal bulletin.
5. Will garage (if applicable) be used for am, purpose other then parking vehicles, building
access, or storage? i 1 , If yes, then the garage must be used in determining the lowest floor
elevation-
Applica. [ aGknowiedMeitt: 1, the undersigner, understand tha* the isstiance of a floodplain
development permit it comingan upon the above mformacior. being wict are can' the pleas and
supporting data have been or shell be provided as required. ' nlsn ,mdermand that prier ue
occupancy of the structure being permitted, an elevation cr_.ri'.icate signed by a prtyFewnnal
engineer or registered land surveyor most be on tilt with me of Holcen Reach Bolding
Dogarmrent indicating the "as built" elevations in -elation to mean sea :eve: (MSL).
Prins or Type Name of Property Owner Print nr Type Name of Agent
n� ,i__•. K 1. , -yl f- i __ Ill L
S of p,' nee & Date
-- ignatwe of Agent Date
Address & Telephone Numbrr Adders & Telephone Numbel
('t Lj—j 7 A -
Floodplain Manager
RE,Ek�T%V4 NO
�MWIt.M
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TOWN OF HOLDEN BEACH
ZONING PERMIT APPLICATION
ALL SECTIONS MUST BE COMPLETED, IF NOT APPLICABLE WRITE N/A
Section 1: Basic Data
Name:Lh6 -a--, F Kcbi 6 S)1e I to n T lephone#
Holden Beach Property Address: S 3 ,�
Lot: 11 i ) Z Subdivision:
Permanent Mailing Address (print same if local above applies): n
Street Address: Imh2f1CliC\ OC
City/State/Zip Code: [ Lfl(3 H L( 5nos
Contractor Who W I Perform Work:
Contact Person: (1 Fy(\ Telephone:
Address: ) Q a
Section: Specific Criteria Required to Support Application Approval:
New: [)q Alteration: [ ] Repair:[ ] Relocate: [ ] Driveway:[ ] Fence:[ ] Other:[ ]
Type of Structure: t f\ of okncl pto1 Awaocltn Oe�k .
Property Use: 5 F R
Single Family: N Two Family: [ ] Apartment: [ ] Condominium: [ ] Townhouse: [ ] Other: [ ]
Required Setbacks in Feet:
Front: �S' Rear: �' Side:
(,
Platted Area in Square Feet: )LI `I$9 Usable Area in Square Feet per Survey:
Design Flood Elevation DFE: ,-I&,
Highest Point of Structure above Mean Sea Level:
Flood Zone (AE, VW, X): Base Flood: V E Elevation: 1
Type of Driveway Material: ( /e K—f e it Driveway Area (in square feet): AA q
Lowest Original Grade Elevation below Building in Feet:
Proposed Finished Grade in feet as shown on Fill Plan if Fill is to be placed on Lot: N I _
is Fill Material Being Proposed on Lot? Yes: No: X If Yes Depth of Fill. -
Proposed Concrete Slab Elevation as Shown on the Stormwater Plan:
"I certify that any construction, alteration or replacement of building and/or use of and shall be carried out in
accordance with the information and Zoning Permit criteria listed above."
Chfi Mbra) son I � /'
Authorized Signature Printed Name Date
Section 3: To be Completed by Town of Holden Beach Zoning Official
CAMA Permit Required? Yes: [ ] No: [ ] Stormwater Permit Required?: Yes [ ] No: [ ]
Zoning District Determination for Property: Residential District (Rl Zone) { ]
Residential District (112 Zone) [ ] Commercial District (C Zone) f )
Zoning Official Approval Signature:
This Permit Expires 1 Year from the date of Issue.
Dat�p66IVE❑
ACM WILMINGTON, NO
,FEB 0 2 2017