OI_16-56_Bonifant

Oak Island
Local Government
4AMA
MINOR DEVELOPMENT
PERMIT
0116.56
Permit Number
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 Rick Bonifant, authorizing development in the Ocean Hazard (AEC) at 101 Ocean Dr., in Oak Island, as
requested in the permittee's application, dated 8/25/2016. This permit, issued on 9112/2016, 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 enclosure of a 10'x32'covered porch and a new 8'x32' open deck with stairs.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 8/25/2016 &
(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 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, 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.
ivi vvjLlbjiNGTON, NC
� To 6 2016
V 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: Bonifant
Minor Permit # 01 16.56
Date: 9/12/2016
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) 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) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a
side if square; and the first floor level of the sills and joists must meet the 100-year flood level elevation.
(9) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(10)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.
(11)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.
(12)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: < v`� "� �" �� ` DATE: Z ��
PERMITTEE
RECEIVED
DCM WILMINGTON, NC
OCT 0 6 Z016

Locality "! Permit Number .3Q,-2
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For oj?icial use only)
GENERAL INFORMATION
LAND OWNER _
Name k' -C kc—
Address
City tl e7- l S�i7 State
Email
AUTHORIZED AGENT
k t.,
Name
Zig)-)'� %' Phone me t` lv 7 S
Address �/ L' 23 k
City
11
J ..='I dG
State
/tt­/"
r Zips /Phone
�I/U - % T --
Email
`
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacentwaterbody.) %i, rt�irf `.`
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: / S >` `i c square feet F _ Y/ acres
PROPOSED USE: Residential Q-" (Single-family [3 Multi -family Q ) 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):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: i R �i, square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -toad -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 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 NO ✓
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, 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)
w an owner or record title, Title is vested ink rt c see Deed Book 14 O
page J99 in the Al u,s 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.
(Name)
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
(Address)
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 `i-' day of S 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 f
ownership statement, the Ocean HazardAECNotice where necessary, a checkfor $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 anypermit which may be issued. Deviation from these details will constitute a violation of
any permit. Anyperson developing in an AEC withoutpermit is subject to civil, criminal and administrative action.

AEC HAZARD NOTICE
Project Is In An: V Ocean Erodible Area High Hazard Flood Area
Property Owner:
Property Address: Cj ®Gt-crH �J L
Date Lot Was Platted:
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 nantral 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 he
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 perrtlits. the
Coastal Resources Commission does not guarantee the safety of
the development and assumes no liability, for future damage le
the development. Permits issued in the Occan Hazard ;area of
Environmental Conctm include the condition that structure+ be
relocated or dismantled if they beconse imminent;y threatened by
changes in shoreline configuration. The structurt:isi must be
relocated or dismantled within, two (L years of becoming
imminently threatened. and in arty case upon its collapse or
subsidence.
I he best available Information, as accepted by the Coastal
Resources Commission, indicates that the annual itnig-lerm
average ocean erosion rate for the area where your property is
boated is 12 feet per vear.
The rate was established by care ful anatysts of aerial photograpfas
of the coasthne taker over the past 50 years.
udaes also indicate that the shoreline could move as much Us
JW feel landward in a major slum.
The flood waters in a ma?ur storm are ptedicted toile about
1 teer deep in this area.
Preferred oceanfront protection measures are teach nourishment
and relocation of threatened structures. I lard erosion control
structures such as bulkheads, seawalls, revetments, groins. jellies
and breakwaters are prohibited. Temporary sand baits may be
authorized underecrtain conditions.
'i he applicant must acknowledge this inktrnr uionand re3u:remems
by signing this notice in the spates Wow. Without the propel
signawe, tie application a ill not be complere
Inlet Hazard Area
SPECIAL NOTE: This hazard notice is required for development
ur arers sub tect to sudden and massive atonris and erosion. Permits
issued for development in this area expire or: lkcember 31 of the
third vcar following the }'ear in which thr penmt was issued.
Shortly betine work begins on the project site, the Local Permit
ufflcer must be contacted to determine the vegetation line and
sc(back distance at your site. If the propcm has seen little change
since the time of permit issuance. and the proposed development
can still meet the setback requiremenL the LPL? 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 he remeasured. Also the occurrence of a major
shoreline change as the result of a storin within the 60-day period
will necessitate retmeasurcment of floe setback, It is impertam
that } on check with the LPO before the permit expires for official
appn"vai to continue the work after the permit has expired.
6enerafly. if foundatitnt pilings have been placed and substantial
progress Ls continuing. permit renewuf can he authorized. It is
unlawful to continue work after pemrk expiration
For more injormarion, rnnraai:
Local Permit Officer
Address
Loeaii!y
Phone Number
_4 - f 2ti�
AppCcant Signature - :krr..
-RE0Ei V ED
CIA WILMINGTON, NC
0 C T 062016
Revised

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit- (�"eOYU,P � V
Mailing address:
Phone Number:
1 certify that I have authorized cbd(waf wet / (a- C C'
Agent i Contractor c
to act on my behalf. for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of 0 10C eaj, i or( vc
at my property located at
in County
This certification is valid through �' e, 1 1:7
T 'Date ,
(Property Owner Information)
`
«re
Pnnt or Tvoe Name
Title
�— Date
Phone Number
� �.�.��G.��G
Email Address
RECEIVED
DC10 WILMINGTON, NC
0 C T 0 6 2016

FASCIATRIM
(EXISTING)
CONTINUOUS SOFFITVENT
(EXISTING)
VINYL LAP SIDING
(EXISTING)
M
EXISTING EXISTING
SF -'I- —'�S
CHIMNEY
(EXISTING)
ASPHALT SHINGLES
(EXISTING)
DORMER
(EXISTING)
EXISTING
�P 2
EXIST,
RESIDENCE
10'NEW LIVING MEA
U
z
z
W o Cie
F— 1=
(D 1V
ll z CO
j o
w c
n- o
_ WINDOW/QI1J
(MATCH E]I150NG)
SHUTTERS
(MATCH EXISTING)
GUTTER
VINYL LAP SIDING
(MATCH EXISTING)
CORNER TRIM
(MATCH EXISTING)
EXIST. S' X S'
PILING
S' NEW OPEN DECK

CHIMNEY
(EXISTING)
ow
FE
m
ASPHALT SHINGLES
(EXISTING)
DORMER
(EXISTING)
EXISTING
12
12
I
I
II
■
■
EXIST.
RESIDENCE
10' NEW LIVING AREA
WINDOW TRIM
(MATCH EXISTING)
SHUTTERS
(MATCH EXISTING)
GUTTER
VINYL LAP SIDING
(MATCH EXISTING)
CORNER TRIM
(MATCH EXISTING)
i�zItL,C! V EI]
DCM WILMINGTON, NC
OCT 0 6 '016
EXIST. 8' X 8'
PILING
8' NEW OPEN DECK

VICINITY MAP
N/F
OAK ISLAND BEACH VILLAS
ASSOCIATION INC.
TAX PN: 250EA017
D8: 3740 PG: 996
MC: 86 PG: 21
N
a
m
U
g
N/F
M C. k BETTY E. HUFFMAN
TAX PN: 250EA00104
DO: 3740 PG: 994
MC: 86 PG: 21
,6, Ia
_ 20' MBL
76 I
TWO
STORY
RE IDyENCE
O
PILINGS
I
I
L _
25' MBL
N 89'53'44" E 88.63
101 OCEAN DRIVE
60' PUBLIC RIGHT-OF-WAY
LEG END (IF USED)
IRF=IRON ROD OR REBAR FOUND
OAK
PF-PIPE FOUND
ISLAND
MBL=MINIMUM BUILDING LINE
ZONING
IRS=IRON REBAR SET
CMF=CONCRETE MONUMENT FOUND
CP-CALCULATED POINT
OK-9
TRAN-TRANSFORMER
SETBACKS
CB=CAB F PEDESTAL
TP-TELEPHONE PEDESTAL
CAMA=COASTAL AREA MANAGEMENT AGENCY
FRONT-
LPT=LP GAS TANK
8'25.
REM- 20'
SSCO-SANITARY SEWER CLEANOUT
F.E.M.A.-FEDERAL EMERGENCY MANAGEMENT
CORNER- 10'
AGENCY
F.I.R-M.- FEDERAL INSURANCE RATE MAP
GRAPHIC SCALE
LS Q 7.5 15 30
1 INCH I
OCT 0 s zuio
TAX PARCEL #250EA001

hn - auk- 6TI6-S-7,2
Simpson, Shaun
From: MacPherson, Tara
Sent: Friday, September 02, 2016 2:14 PM
To: Donna Coleman; Simpson, Shaun
Subject: RE: 101 Ocean Dr. CAMA Minor Application
Hi Donna, We need to change condition 5 and reference the static line not the FLSNV. Also, please make sure we get the
notifications, they do not have that portion filled out.
Thanksl I
Tara MacPherson
Field Specialist
NC Division of Coastal Management
Department of Environmental Quality
910 796-7425 office
910 395-3964 fax
[e-mail]
127 Cardinal Drive Ext
Wilmington, NC 28405
Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and maybe disclosed to third parties.
From: Donna Coleman [mailto:[e-mail]]
Sent: Friday, September 02, 2016 11:50 AM
To: MacPherson, Tara <[e-mail]>; Simpson, Shaun <[e-mail]>
Subject: 101 Ocean Dr. CAMA Minor Application
Shaun & Tara,
Please review, permit is scheduled for 9-12-16
Donna F. Coleman, CFM
CAMA-LPO / Building Inspector
Town of Oak Island
[phone]
[phone]fax

Oak Island 01 16-56
Local Government Permit Number
CAMA
MINOR DEVELOPMENT r
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 Rick Bonifant, authorizing development in the Ocean Hazard (AEC) at 101 Ocean Dr., in Oak Island, as
requested in the permittee's application, dated 8/25/2016. This permit, issued on 9/12/2016, 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 enclosure of a 10'x32'covered porch and a new 8'x32' open deck with stairs.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 8/25/2016 &
(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 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.
-4 FC,tZ u
i)CM WILMINGTON, NC
nn
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: Bonifant
Minor Permit # 01 16-56
Date: 9/1212016
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) 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) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a
side if square; and the first floor level of the sills and joists must meet the 100-year flood level elevation.
(9) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(10)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.
(11)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.
(12)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 RE •C
DCM WILMINGTGN, NC
Sp 6 VIA

ocality Permit Number
r'
cean Hazard v Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
p , (For official use only)
GENERAL INFORMATION
LAND OWNER
Name
Address / G' f
city / �rYr state
Email
I
AUTHORIZED AGENT 1
Name _E:> n � ' d L ��g , 1 ft_`—' .
Zi;Z;�,2j`fr;Phone 30
Address V 6 —73 City ✓ ? State /1" C Zip.-2 i� r /Phone ` le6
Email rz u� G c,,a f (rrc f Gyr^ P j U jc t o GYI
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) Y rat
Addt•hon
DESCRIPTION OF PROJECT, (List all proposed construction and land disturbance.)
Y-S{'?4Jr5.
SIZE OF LOT/PARCEL: 15S / -7 U square feet " -?/ acres
PROPOSED USE: Residential [3-- (Single-family 2" Multi -family ❑ ) Commercial/lndustrial n Other
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: _$E�, 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: _ 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. NO ✓ .�
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

Donna Coleman
From:
Donna Coleman
Sent:
Friday, September 02, 2016 8:19 AM
To:
'David Wallace'
Subject:
CAMA Minor Permit - 101 Ocean Dr. 0I 16-56
Dear Mr. Bonifant
We originally accepted your CAMA Minor application under the impression that it was complete. On subsequent review,
I have discovered that additional information is needed to complete the review process. Accordingly, I am requesting that you submit
the following additional information to this office:
1. A to scale site plan with the proposed addition and the distance to the 1st line of vegetation depicting the OE -AEC.
(As a side note you will need a survey showing the same information for the building permit.)
In accordance with the Department of Environment and Natural Resources regulations, we note that a certain time has passed while
the application has remained in our office. Upon resubmission of a complete application, a local decision will be made in 20 days.
Please contact me at [phone] if you have any questions.
Respectfully yours,
Donna Coleman, LPO
Donna F. Coleman, CFM
CAMA-LPO / Building Inspector
Town of Oak Island
[phone]
[phone]fax
REC"EIVED
DCM WILMINGTON. NC
SEP 0 2 2016

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)
f an owner or record title, Title is vested in� see Deed Book 37110
page %94 in the &y's t,, i" 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.
(Name)
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
(Address)
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 day of
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 check for $100.00 made payable to thAi6cality, 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.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit:
Mailing address:
Phone Number:
rol
W
I certify that 1 have authorized C-NV/A Wad ad 1q- C e
Agent r Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of % OCeCLe, J.4r(&Ae
at my property located at tt/ _
in . �► ]m kt52 County
This certification is valid through __.�e 1 l
ate
(Property Owner Information)
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Title
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Date
Phone Number
Email Address
RECI•rIVED
DCM WILMINGTON, NC
SEP J 2 2016

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CORNER TRIM
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PILING
V NEW OPEN DECK

AEC HAZARD NOTICE
Project Is In An: V Ocean Erodible Area
Property Owner:
Property Address:�ltl5
Date Lot Was Platted:
This notice is intended to make you, the applicanc aware et the
special risks and conditions associated with development in this
area, which is subject to natural hazards such as storms. erosion
and currems. The rules of the Coastal Rcsour"N Commission
require that you receive an AEC Hazard Notice and acknvwledge
that notice in writing before a permit for development can be
issued.
The Commission's rules on building standards, occanfro nt
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 it,
the development. Permits issued in the Ocean Hazard Area of
Lnvironmental Concern include the condition that structures be
relocated or dismantled if they by :ome imminently threatened by
changes in shoreline configuration. The structurc(s, must be
relocated or dismantled within two (21 years of becorro g
imminently threatened, and in any case upon its collapsc 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 pe* year
The rate was established by careful analysis of aerial owtourapdas
of the coastline oaken over the past 50 years.
�jwdlcs also indicate that the shoreline could move t,s inuca as
feel landward in a major storm.
The flood waters in a maiur storm are predicted to he about
_ 4 feet deep in this area.
Preferred oceanfront protection measures are beach mounshmena
and relocation of threatened structures. I lord erosion cam col
stntchtres inch as bulkheads, waivalK revetments, groins, jetties
and breakwaters are prohibited. Temporary sand bug= may he
authorized tindercer+ain conditions.
The applicant must acknowledge this information and requirements
by signing this notice in the space below. without the proper
signature, tote application will not be complete.
Apptir:ar+l Signature Ito
High Hazard Flood Area
I _-�
i
Inlet Hazard Area
SPECIAL NOTE: Rushaaard notice is required tardevelopment
in areas subject tosudden and matiive atormis and erosion. Permits
issued for development in this area expire on December 31 of the
tiurd year roltowing the year in whielt the permit was issued.
Shurtfy before work begins on the project site, the Local Permit
Officer must be contacted to determine the vegetation line and
setback distance at your site. If the pnoperm has seen little change
since the time nfpermit issuance. and the proptrsed development
can sell meet the setback requirement the LPO will inform you
that you mat begin work. Substantial progress on the project
must be made within 60 days of this �setbaek determination, or
the setback must he remeasured. Also, the occurrence of a major
shorchne change as the result of a swithin the 60-day period
will necessitate remeawrement of the setback, It ;s important
that you check with the LP0 before they pemtit expires for official
approval to continue the work after the permit has expired.
Gcnnrally, if foundation pilings have been placed and substantial
progress is continuing. permit renewal can be authorized. It is
.a ilawfud to continue work after permit expiration.
For roes infarorarritim, Pnnro, Y:
Local Ferm.=t Officer
Address
Locality
Phone Number
i
R CEIVED
DCM tILMINGTON, NC
I
SAP 0 2 2016
Revised