OI_16-57_119 SE 10th St LLC

Oak Island 01 16-57
Local Government Permit Number
CAMA
MINOR DEVELOPMENT 1
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 119 SE 10th St LLC, authorizing development in the Estuarine Shoreline (AEC) at 119 SE 10th St, in Oak
Island, as requested in the permittee's application, dated 8/29/2016. This permit, issued on 9/9/2016, 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.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 8/29/2016.
(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.
HEC, G1vEu
(Additional Permit Conditions on Page 2) —ACM WII MINGTON, NC
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.
SEP 0 2 2016
imp
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: 119 SE 10rh ST LLC
Minor Permit # 01 16-57
Date: 9/912016
Page 2
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of normal high water
(Estuarine Shoreline Area of Environmental Concern), in this case, none is authorized.
(6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of the normal high water. No portion of the
roof overhang shall encroach into the 30 ft. buffer.
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must
be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area
has been properly stabilized with a vegetative cover.
(8) Any proposed for grading within the 30' buffer from the normal high water must be contoured to prevent additional
stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized, and must remain in
a vegetated state.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
(10)This permit does not authorize development within any wetlands or open water areas..
(11) Prior to any development, the permittee is required to contact the Local Permit Officer Donna Coleman (910)201-
8047 to mark the landward edge of the 30 ft. buffer
RECEIVED
DCM WILMINGTON, NC
SEP 0 2 2016
SIGNATURE: DATE:
PERMITTEE

Locality C Wte I1r -k= 1s � Petnlit Number � � iia-c� l
Ocean hazard ESWarine Shoreline AZORW Shoreline _ Public Trust Shoreline —other,
t. (For official use only)
GENERAL INFORMATION
LAND OWNER
Name: 119 SE 10th LLC
Address: 2W1
City: Wilmington State:NC
AUTHORIZED AGENT
Name: Jon Henry/ Plantation Building Corp
Zip:28405 Phone: [phone]
Address: 314 Walnut St. Suite 2D0
City: Wilmington State:NC Zip:28401 Phone: [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfrom, what is the name of the
adjacent waterbody.)119 se 1 Qth St. oak istand NC 2a4b5 Davis canal
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Grading, home construction, driveway, and
SIZE OF LOT/PARCEL: 16,800 square feet .385 acres o ty in w, �i6 % 36, h"44sr,
PROPOSED USE: Residential x (Single-family X Multi -family) Commerical/Industrial, Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): square Peet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACE§Ia TUFfi
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 3740.1 Itause issquare feet
(Calculations 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 1t
If yes, list the total built upon area/impervious surface allowed for your lot or parcel. _ square feet.
RECEIVED
DCM WILMINGTON, NC
S E P J 2 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 requited. 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 OWNERSIHP:
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)
X an owner or record title, Title is vested inFee Simple, 119 SE 10th, LLC see Deed Book 3754
page 0086 in the Brunswick County Registry of Deeds.
an owner by virtu 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)
(I)Jamie & Kim Sledge P.O. Box 6218 High Point, NC 27262 (121 SE 101h St. Oak Island)
(2)rlarcus & Debbie Whitehurst 117 SE 1 Oth St Oak Island, NC 28465
(3)Ronald KracM 161 NE 11th St Oak Island, NO 28465
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: S E P O Z 20 1b
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 Oft /day ofA_ 2016
/ 4
3ndownif or per§erfauthorized to act as his agent
for purpose of filing a CAMA permit application

f!
VICINITY MAP
not TD. srArE
EAST OAI ISLAND DRIVE
a
Tm�- T.-
IIPF
I�
I: SEED & STMW ALL DISTURBED AREAS ppIxT
2: TWO (2) UNDERSTORY TREES FOR EACH 2O25 SF.Y
OF LOT AREA MUST BE PLANTED OR REMAIN AFTER
CONSTRUCTION. I I
3: ONE 9' X 18' PARKING AREA MUST BE PROVIDED
(�
ON THIS PROPERTY PER HABITABLE ROOM MINAS
ONE COMPLETELY OFF OF THE SET
RIGHT-OF-WAY.
v' x Ulf
—
LOT AREA = 1681 SF I Q
TOTAL IMPERVIOUS AREA=3740.1 SF �,
I
1-(145.0 SF X 1.5)/12=18.1 CF/1.76=10.3-10 LF
2-(217.5 SF X 1.5)/12-27.2 CF/1.76-15.5-15 LF 1
3=(205.3 SF X 1.5)/12=25.7 CY/1.76n14.6=15 LF
4=(218.5 SF X 1.5)/12=27.3 CF/1J6=15.5-15 LF
5-(268.7 SF X 1.5)/12-33.6 CF/1.76=19.1-20 LF 1
6=(206.3 SF X 1.5)/12-25.8 CF/176-14.7-15 IF
7=(215.2 SF X 1.5)/12=26.9 CF/1J6=15.3=15 LF 1
8-(1437.8 SF X 15)/12-1797 CF/1.76-102.1-100 Lf
9=(825.8 SF X 1.5)/12=103.2 CF/1.76= 58.6 = 60 a
TOTAL VOLUME TO BE RETAINED= I76.5 CF
I �I
ESTABLISH
VEGETATIVE
COVER (iYP)� ATTACH DOWNSPoU
12• NATIVE TO 4• PERFORM
PE
stl mw T1RON FILTER FABRICI
_ a
IRF ON L!I
12• EZflow
IDLE
GE1)Sy„NiryE?F (�TYP) — — — �(TYP)
t
[3.2'
IL
DAVIS
LEGEND(IF USED)
IRE -IRON ROD OR PERM FOUND
PF=PIPE FOUND
MBLIJINIMUM BUILDING LINE
IRS=IRON REBAR SET
WM=W'ATER METER
CP=(Y1CUlATE6 POINT
m
I I
2 STORY 8
HABITABLE
'E- ROOMS ON
PIUNGS
I 24-A I
1 11 I
wI I I
TEUS
BL
ON LINE
NOTE THE CAMA AREA OF
ENVIRONMENTAL CONCERN LIES
mv
BETWEEN THE MEAN HIGH
WATER LINE AND THE 75'
ESTUARINE SHORELINE _
PELE
CREEK
IMPERVIOUS AREA � N THE
30' PUBLIC TRUST SHORELINE
AND THE 76' ESTUARINE
SHOREUNE IS 30S OF THE
OAK
CAM AREA OF ENVIRONMENTAL
ISLAND
CONCERN - 1350.6 S.F.
ZONING
GRAPHIC SCALE
OK-R-88
BD�40
--2211��
SETBACKS
1 INCH = 40 FEET
AGENCY FRONT- 25'
SIDE- 8'
REAR- 20'
RATE MAP
FLOOD CEROF1CKWN:
1. THIS PROPERTY LIES WITHIN F.E.MA SPECIAL ROO() HAZARD AREA AE-11
AE-13, AE-15 AS SHOWN ON FIRM. 3720205600J, DATED 6/6/2006.
GENERA_ NOTES:
1. MEASUREMENTS ON THIS MAP ARE IN FEET AND DECIMALS THEREOF.
2. ALL SET CORNERS ARE i/2• IRON REPAIR UNLESS OTHERWISE NOTED.
3. THIS PROPERTY MAY BE SUBJECT TO ADD(WW EASEMENTS, RIGHTS OF
WAYS AND RESTRICTIONS NOT DISCERNIBLE BY OBSERVATION AT THE
TIME OF SURVEY OR THAT MAY BE OF RECORD. NO TIRE SEARCH BY
THOMAS D. VCN CANON.
REFERENCES:
I. PUT OF LONG BEACH, SECTION N-7. RECORDED IN MAP CABINET 7,
PACE 18 ON SEPTEMBER 3DTH. 1964 IN THE BRUNSWICK COUNTY.
NORTH CAAWNA. REGSIER OF DEEDS
2. DEED BOOK 3754, PILE 88, RECORDED IN THE BRUNSINMX COUNY,
NORTH CAROUNA REGISTER OF DEEDS.
TH5 IS TO CERTIFY THAT ON AUGUST 11, 2016, 1 SUP4YED THE
PROPERTY SHOWN ON THIS PRAT, AND THAT THE TIRE LINES AND THE
WALLS OF THE BUIL)INGS, IF ANY, ARE SHOWN HEREON. THE AREA OF
THIS PROPERTY IS D.386 ACRES AS CALCULATED BY gaQBDINATE
GONFHMTIOND l4jr TH f�4F-'f1'6 Is 1:T11.000.
��
SIGNED
1NOM70. VON CMHONVON L-
'
' TAX PARCEL
# 2351P002
PRELIMINARY SiTE
PLAN
FOR: JON HENRY
LOT 22—A
BLOCK 190, SECTION
N-7
LONG BEACH
OAK ISLAND, SMITHVILLE TOWNSHIP
BRUNSWICK COUNTY, NORTH
CAROLINA
VCS & CO., INC. C-2160
1 YAUPON WAY
OAK ISLAND, NC
TELE. [phone]
EMAIL vcsbrunsco®ec.rr.com
RECEIVED
DCM WILMINGTON, N
SEP 0 2 2016

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NEAR ELEVAT
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Receipts for
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8 25 16
Date
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Adjacent Property Owner
o �{. .- b214
Mailing Address
-+- 1$4 , -�o;wA- N C. 2 2(0
City, , tateS , Zip Code'
Dear Adjacent Property Owner:
This letter is to inform you that 1, Plantation Building Corp / Representative Jon
Henry have applied for a CAMA Minor Permit at 119 SE 101h St SE, Oak Island
28465, in Brunswick County. As required by CAMA regulations, I have enclosed a
copy of my permit application and project drawings 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 [phone], or by mail at the address listed below. If you
wish to file written comments or objections with the Brunswick County CAMA
Minor Permit Program, you may submit them to:
Sincerely,
l�
!r Representative
314 Walnut St Suite 200
Mailing Address
Wilmington, NC 28401
City, State, Zip Code
CAMA Local Permit Officer
Town of Oak Island
4601 E. Oak Island Dr JTON, NC
Oak Island, NC 28465 y 2 2016
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Adjacent Property 0 ner
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Mailing Address
LIAly- nla d 0 NC_ y54(o S
City, State, Zip Code
Dear Adjacent Property Owner:
This letter is to inform you that I, Plantation Building Corp J Representative Jon
Henry have applied for a CAMA Minor Permit at 119 SE 10th St. SE, Oak Island
28465, in Brunswick County. As required by CAMA regulations, I have enclosed a
copy of my permit application and project drawings 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 [phone], or by mail at the address listed below. If you
wish to file written comments or objections with the Brunswick County CAMA
Minor Permit Program, you may submit them to:
Sincerely,
Jon Henry
Property (
Representative
Mailing Address
Wilmington, NC 28401
City, State, Zip Code
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CAMA Local Permit Officer R E C E I V E D
Town of Oak Island DCM WILMINGTON, NC
4601 E. Oak Island Dr
Oak Island, NC 28465 S E P 0 2 2016
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Receipts for
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(Staple here)
2-1 *3
8 25 16
Date
Mo rcv S i -beb6,e
Adjacent Property Owner
11-4 SE ID*- S+.
Mailing Address
04,L 'F NC 2$4�S
City, State, Zip Code
Dear Adjacent Property Owner:
This letter is to inform you that I, Plantation Building Corp / Representative Jon
Henry have applied for a CAMA Minor Permit at 119 SE 101h St. SE, Oak Island
28465, in Brunswick County. As required by CAMA regulations, I have enclosed a
copy of my permit application and project drawings 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 [phone], or by mail at the address listed below. If you
wish to file written comments or objections with the Brunswick County CAMA
Minor Permit Program, you may submit them to:
CAMA Local Permit Officer - `:. Li V ED
Town of Oak Island ' 4ILMINGTON, NC
Sincerely,
L
Ion Hfenry
Property Owner Representative
314 Walnut St. Suite 200
Mailing Address
Wilmington NC 28401
City, State, Zip Code
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Oak Island, NC 28465
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North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. Van der Vaart
Governor Secretary
AGENT AUTHORIZATION FORM
Date: 8/25116
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
119 SE 10th, LLC Jon Henry! Plantation Building Corp
Owner's Mailing Address:
2001 Deer Island
Wilmington, NC 28405
Email:
Phone ( )910-465.3360
Agent's Mailing Address:
314 Walnut St. Suite 200
Wilmington, NC 28401
Email:[e-mail]
Phone ( )910-465-3360
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for, and obtaining all CAMA Permits necessary to install or construct the following (activity):
Grading of lot, construction of new single family home, install of driveway, and landscaping.
For my property located at 119 SE loth St.
Oak Island, NC 28465
This certification is valid 1 year from (date) w25n6
Property Owner Signature
8/26/2016
Date
N.C. Division of Coastal Management
127 Cardinal Ddve Ext., Wilmington, NC 28405
Phone: [phone] FAX: [phone]ntemet: www.n=astalmanagement.net
RECEIVED
DCM WILMINGTON, NC
S E P 0 2 2016
An Equal Oppaturcry t Af Mviifive kWn EffVDM