BC_05-04_Jones

Brunswick ((�� P,-glvs 05-04
Local Govern m htl Permit Number
vV MAR R 120 CAMA
GOA ,lisilN OF
,fA MAN GEWINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General Statues, "Coastal Area Management"
Issued to Franklin & Penny lones, authorizing development in Estuarine Shoreline at 1923 W. Sea Aire Canal.
Lot 42, Sea Aire Estates. Supply NC 28462 as requested in the permittee's application, dated 07-Feb-05.
This permit, issued on 23-Feb-05, 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
(1) A silt fence or natural buffer must be positioned between any land disturbance and adjacent waters or
wetlands. In no case, shall erosion of disturbed areas result in deposition of this material into adjacent
waters or wetlands.
(2) All proposed development and associated construction must be done in accordance with the permitted
work plat drawings(s) [Single Family Residence/Covered Deck/Gravel Driveway] submitted on
07-Feb-05.
(3) 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.
(4) Any change or changes in the plans for development, construction, or land use activities will require a
re-evaluation and modification of this permit.
Conditions continued on second page
This permit action may be appealed by the pernidee or other
qualified persons within twenty (20) days of the issuing dale. 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,
2008.
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.
0&,,� Ua
Local Permit Official (signature)
Connie Marlowe
CAMA Local Permit Official
PO Box 249

Franklin & PennyJones
Minor Permit #05-04 1 MAR t, ire
23-Feb-05 Cp p/V1 `w
/W F
(5) All development projects, proposals, and designs shall limit the construction of imperviou0Eti,4 N,,
surfaces and areas not allowing natural drainage to only so much as is necessary to adequately
service the major purpose or use for which the lot is to be developed.
(6) No impermeable surfaces shall be allowed over any functional part of the septic tank system.
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained
on site by effective sedimentation and erosion control measures.
(8) All disturbed areas shall be vegetatively planted and mulched within fourteen days of construction
completion.
(9) The fast floor elevation must be in compliance with Federal Flood Insurance Rate Map Elevations.
(10) Pursuant to 15 NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or
otherwise disposed of to a third -party unless done so by the Director of the Division of Coastal
Management.
(11) A building permit and zoning compliance must be obtained prior to any construction.
(12) The applicant has effectively demonstrated, through innovative construction design, that the amount
of impervious surface areas may be exceeded in a way that runoff water will be managed and the AEC
protect so as to allow 41 percent of impervious areas within AEC.
(13) Upon completion of construction, prior to issuance of a Certificate of Occupancy, a certification must
be received from an appropriate designer for the system installed certifying that the permitted system
has been installed in accordance with this permit, the approved plans and specifications must be noted
supporting documentation. Any deviations from the approved plans and specifications must be noted
on the Certification. A permit modification may be required for those deviations.
(14) The landowner or permittee shall at all times provide the operation and maintenance necessary to assure
the permitted stormwater system functions at optimum efficiency. The landowner or permittee shall
maintain the permitted stormwater system for the life of the project.
(15) A copy of this permit shall be posted or available on site. Contact this office for a final inspection at
completion of work.

EDGE OF ;qL7 PAVEMENT
EI P
280' TO INTERSECTION OF
SEA AIRE DRIVE AND WEST
SEA AIRE CANAL S.W
P
587'26'12"E A EIP
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SEPTIC ' 25 ,,EBL___ v 'DO'
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SUBDIVISION
LOT 43 0 i �� _�1 3 tflAP BOOK i0, PAGE -
3
(VACANT LOT) �
o 00 I +.7 LOT 42 " {
Z N G1
j I (VACANT LOT) - I 1 4. DO
a' (( ''t 5:006 SO FT 2r c LOT 41
SEA AIRE
��
CANAL
SUBDIVISIONfill
FFMAP BOOK 10, PAGE73
C, .I
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NRB I9' 55:, y� i tsj
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.EXISTING -� L3
BULKHEAD.
EDGE OF MARSH -
MARCH. 2004
SEA AIRE CANAL
20 0
20
40
SCALE I'
20
FEET
VICINITY MAP
LEGEND:
NOT TO SCALE
EIP O
EXISTING IRON PIPE (FOUND)
NRBO
NEW RE -BAR (SET)
�133
JO
ERBO
EXISTING RE -BAR (FOUND)
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If NC ,30 -
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UTILITY POLE
OVERHEAD UTILITY
SOa'26'a0"W`
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L1-.. 1 10.02..
L2` I ;'10.02
1 3` . 50.06
,© 2004, BRUNSWICK SURVEYING, INC.
BRUNSWICK
SURVEYING, INC
Thomas W. Morgan, P.L.S
1027 Sabbath Home Rd- , SW
Supply, North Carolina 28462 [phone]
Plot Of Survey For
FRANKLIN and PENNY JONES
MADE FROM LOT 42. (1923 WEST SEA AIRE CANAL). SEA AIRE
CANAL SUBDIVISION, (MAP BOOK 10, PAGE 73), BRUNSWICK COUNTY,
NORTH CAROLINA AND EXISTING PHYSICAL EVIDENCE.
TOWNSHIP COUNTY STATE DATE
LOCKWOOD FOLLY BRUNSWICK NORTH CAROLINA 04-12-04
FIELD BOOK 595-013 1 FILE NO. 04027 1 ,pB NO. 04-027

RICHARD A. WINKLER, P.E.
2112 SPRINGS ROAD
MT. AIRY, N.C. 27030
[phone]
FRANKLIN & PENNY JONES
1923 WEST SEA AIRE CANAL
SUPPLY, N.C.
TOTAL LOT AREA
5,006 SQ. FT.
TOTAL AREA IN A.E.C.
3,808 SQ. FT.
TOTAL IMPERVIOUS AREA IN A.E.C.
RECE, QED
FEB 1 1005
HOUSE & DECKS ........................................................ 1419 SQ. FT.
• Allowable impervious area in A.E.C. = 1142 sq. ft.
• 1419 sq. ft. - 1142 sq. ft. = 277 sq. ft.
• 277 sq. ft. x 1.5 / 12 = 35 cu. ft. of stormwater containment
required.
• Utilize gutters and downspouts draining to a 6" perforated pipe
centered in a 3' x 3' stone -filled trench.
• Trench capacity per lineal foot = 4.06 cu ft / ft.
• Length of trench required = 35 cu ft / 4.06 cu ft / ft = 9 ft.
• Trench must be located a minimum of 25' from septic system.
6" PERFORAI
TRENCH DETAIL
nts
FILTER CLOTH
?" STONE
2- of-6 5

Pursuant to NCGS 113A-119(b),
Brunswick County, a locality author-
ized to issue LAMA permits in the
areas of environmental concern,
hereby gives NOTICE that on Febru-
ary 7, 2005, Franklin and Penny
Jones, applied for a CAMA minor de-
velopment permit to construct a sin-
gle family residence/covered
deck/gravel drive at 1923 W. Sea Aire
Canal, Lot 42, Sea Aire Estates, in
Supply, NC 28452.
The application may be inspected
at the below address Public win.
ments received by February 21, 2005,
will be considered. Inter comments
will be accepted and considered up to
the time of permit decision. Project
modifications may occur based on
farther review and comments. Notice
of the permit decision in this matter
will be provided upon written re -
Connie Marlowe
CAMA Local Permit
Officer for Brunswick County
P.O. Box 249
Bolivia, N.C. 28M
910-253-2025
Feb. 10
DIVISION Ur
COASTAL MANAGE
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State,
duly commissioned, qualified, and authorized by law to administer
oaths, personally appeared
Scott R. Harrell
who, being first duly swom, deposes and says: that he is
Publisher
(Owner, partner, publisher, or other officer or employee
authorized to make this affidavit)
of The Brunswick Beacon, a newspaper published, issued, and en-
tered as periodical mail in the Town of Shallotte in the said County
and State; that he is authorized to make this affidavit and swom state-
ment; that the notice or other legal advertisement, a true copy of
which is attached hereto, was published in The Brunswick Beacon on
the following date(s):
February 10, 2005
and that the said newspaper in which such notice, paper document or
legal advertisement was published, was at the time of each and every
such publication, a newspaper meeting all the requirements and qual-
ifications of Section 1-597 of the General Statutes of North Carolina
and was a qualified newspaper within the meaning of Section 1-597
of the General Statutes of North Carolina.
This the loth day of February, 2005.
ENT
I�
/ 1Ga
(Signature of person making affidavit
Sworn to and subscribed before me this 10th day of
February, 2005.
(Notary Public)
My commission expires: December 29, 2009.

Brunswick County Planning Department
P.O. Box 249
75 Courthouse Drive N.E., Bldg
n Bolivia, NC 28422
07-Feb-05
Michael T. Downing
PO Box 53387
Fayetteville NC 28305
FEB�B
CpAS AL MI t AGEMENT
RE: INCOMPLETE APPLICATION
PERMIT # 05-04 — Franklin & Penny Jones
1923 W. Sea Aire Canal, Lot 42, Sea Aire Estates, Supply NC 28462
Dear Mr. Downing:
As we previously discussed, your application on the above -mentioned applicant(s) for a
Minor CAMA Development Permit is incomplete in the following way(s):
• Stormwater Plan needed for development [approximately 219.65 square
feet] exceeding thirty percent (30%) of the building area.
Your application will be processed as presented, but a Minor CAMA Development
Permit cannot be issued until such time as a Stormwater Plan prepared by a Professional
Engineer in the State of North Carolina has been submitted to our office showing how the
stormwater run-off in excess of the allowable amount will be handled.
Should you have any additional questions, please feel free to contact me at 910.253.2034.
Respectfully,
CAR /`,(O,,QULd2.
Connie Marlowe
Local Permit Officer
c: Gale Stenberg, NCDENR
TELEPHONE [phone] • [phone] • FAX [phone]

GENERAL INFORMATION
LAND OWNER
Name: Franklin and Penny Jones
Address: 822 W. Cutler St.
City: St. Pauls
AUTHORIZED AGENT
Name: Michael T. Downing
Address: P.O. Box 53387
City: Fayetteville
State: NC Zip: 28384 Phone: [phone]
State: NC Zip: 28305 Phone: [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 1923 W. Sea Aire Canal, Lot 42 Sea Aire Estates, Supply NC
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Build single family residence
SIZE OF LOT/PARCEL: 5006 square feet acres
PROPOSED USE: Residential x (Single-family Multi -family ❑) Commerical/Industrial ❑ Other ❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): 340&square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT- N SURFACES 3 6
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): _ square 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:
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resowye 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 x NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel. i square feet.

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)
X an owner or record title, Title is vested in see Deed Book 1811
page 1255 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) William H. Bland 1919 W. Sea Aire Canal
(2) Bruce D. Wagoner 1927 W. Sea Aire Canal
(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 floodproofrig 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 / ;W-day of/Z� , 200
RECEIVED Landowdei or peg-a
orized to act as his agent
.;. for purpose of CAMA permit application

L
ft
WEST SEA AIRE CANAL
40' RIGHT -OF --WAY
1
73
NRB
EDGE OF ASPHALT
PA 1'E,VEN t
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LO 42 1
(VAC NT LOT)
5.00 SO FT
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06
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SEA AIRE CANAL S.W.
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��� 00.1 p�OHU�,�
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SEA AIRE
CANAL
SUBDIVISION
MAP BOOK 10, PAGE 73
a ao j
N� f
00
LOT 41
I
a� -
1 J
N�Pr I
i�
EIP
LINE LENGTH BEARING
`EDGE OF MARSH L1 10.02 SO4'26'40"W
MARCH, 2004 "' L2 .10.02 SO4'26'40"W
L3 50.06 S85110'00"E

■ Complete Items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery Is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mallplece,
or on the from if space permits.
1. Article Addressed ro:
tr Ili Of (3 k . li0c
A Sigtreiure
X ` r. `
El Agent
N-- s cr;P,171 aaaressee
S. Received by (Ptinte r Name) ' C. 4818 Der _M
D. Is delivery address deferent from item 19 0 Yes
If YES• enter delivery address below: ❑ No
3. Service Type
0 Certified Mall
13 Express Mail
❑ Registered
❑ Return Receipt tar Merchandise
❑ Insured Mail
❑ C.O.D.
4. Restrhted Deliveryl.(Ekea Fee) ❑ Yes
2. Article Number .. .... -_ __ .._
(Rartster From service rabeQ 7004 2510 0001 9988 5939
PS Form 3811, February 2004 Domestic Return Receipt IMMS 02 M-1540
■ Complete items 1, 2, and 3. Also complete
A Sign" -
item 4 if Restricted Delivery Is desired.
n �) ❑ Agent
X - `�
■ Print your name and address on the reverse
•n '!_r; ;-:�j i ❑ Addressee
so that we &an return the card to you.
G. Received by (PRnt ame)
c. oat Delivery
■ Attach this card to the back of the mallplece,
or on the front if space permits.
D. is deliveryaddre-s crivowt from rem 17 6 es
t. Article Addressed to:
N YES, enter delivery address below: ❑ No
VCC' `';uIL
3. Service Type
0 Certified Mail ❑ Express Mall
0 Registered ❑ Return Rerslpt for Memhsndlse
❑ Insured Mall ❑ C.O-D.
4. Resideted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7004 2510
(frdnsfer from service la[>ep --� - -.. :—.
0001 9988 5922
PS Form 3811, February 2o04 Domestic Return Receipt 1ae'ass-02 M-1540

I HEREBY CERTIFY THAT ME ATTACHED PLAT OF
SURVEY IS A TRUE -AND' CORRECT REPRESENTATION
.NOTES: ,
LOT 42 IS FLOOD HAZARD ZONE "AED BASE ELEVATION
'
OF LAND SURVEYED AND PLATTED UNDER MY SUPERVISION 14 FEET. F.I.LR.M. 370295 0335 E, DATED 08-18-92, INDEX
-
:AND IS IN ACCORDANCE WITH, THE STANDARDS OF
04-02-91•
PRACTICE, FOR. LAND SURVEYING IN NORTH'CAROLINA
_
''ALL ELEVATIONS ARE BASED ON -N.G.V.D. 1929.
"� :'BASED ON PROPOSED. FLOOD MAPS; LOT 42 IS IN FLOOD
"VE",..BASE
''-
HAZARD ZONE ELEVATION 16 FEET.. THE PROPOSED
. GARY L`G
DtNU'SPPLV&u.
3474 DATE
- _ FLOOD .MAPS ARE BASED ON NtA.V.D. 1968.
'*FUTURE
CONSTRUCTION SHOULD BE BASED ON THE MOST
RESTRICTIVE '
INFORMATION BASED..ON BEST AVAILABLE DATA
p �e•AVQFt.BS�V
�9l
i; AND PUBLISHED MAPS, CONSULT THE BRUNSWICK COUNTY
Q4"
.'BUILDING INSPECTIONS DEPARTMENT.
._ n
SEAL SE
W
L-3474
;may C0
a
D
oe
r.uc��
SE,q.. AIRE
:CAN
40 RIGHT'=OF-WAY NAL.
o 0
EDGE OF
g �
ASPHALT PgVEMENT ..
280' To 'INTERSECTION
OF
EIP
�
SEA AIRE DRIVE AND WEST
�t
SEA AIRE CANAL S.W.
58510
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:.. EIP
HU 50. 16_OHU S87'26'12"E
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UP
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UP
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sIEPTI&FT
".:TANK 1iI SEP v
SEli.r:
✓. ;? AIRE
TA CANAL
a�annJ
I
SUBDIVISION'
LOT 43 I
-
L 3 ' MAP BOOK 10i,.PAGE
73 I
'(VACANT LOT) cv o,
�
�'
� LOT 42
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i.
(VACANT LOT) d
a
.. 5006 SO FT I I:N TOT 41
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CANAL I
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_
SUBDIVISION
":
` 3p BUF
I
MAP BOOK 10; PAGE..73
I
NRB
9 SBL'
--
- EXISTING
BULKHEAD
L3
I
EDGE OF MARSH
MARCH, 2004
LINE
LENGTHMBEARINGLI
10.02
L2
10.02
L3
50.06
SEA AIRE CANAL
-
© 2004. BRUNSWICK SURVEYING, INC.
20 0
BRUNSWICK
20 40
SURVEYING, INC
SCALE I'= 20' FEET
Thomas W. Morgan, P.L.S
VICINITY MAP
NOT TO SCALE
LEGEND:
1027 Sabbath Home Rd. , SW
EIP O EXISTING IRON PIPE (FOUND)
Supply, North Gor011nO 26462 [phone]
,115
NRBO NEW RE -BAR (SET)
ERB0
PIOI Of Survey For
(
7 o
m
EXISTING RE -BAR (FOUND)
CM 6 CONCRETE MONUMENT
PK
FRANKLIN and PENNY JONES
`1
O PK NAIL
R/RO RAIL ROAD SPINE
MADE FROM LOT 42• (1923 WEST SEA AIRS CANAL), SEA AIRS
=
19 NC 130
CL CENTERLINE
SBL BUILDING SET BACK LINE
CANAL SUBDIVISION, (MAP BOOK 10 , PAGE 73). BRUNSW,CK COUNTY,
NORTH CAROLINA AND EXISTING PHYSICAL EVIDENCE.
-
n
NCLOEry BEACH, NC '^
UP UTILITY POLE
OHU OVERHEAD UTILITY
TOWNSHIP COUNTY STATE DATE
SITE
LOCKw00D FOLLY BRUNSVnCK NORTH CAROLINA On-I2-0a
pRAN11C OCEpry
FIELD BOOK 595-013 FILE N0, 04027 JOB N0. 04-027

BRUNSWICK COUNTY HEALTH DEPARTMENT ALTERNATIVE SYSTEM
Authorlrae(aa ForWastawaferSysfem Consfracfforr Perm(e
B C H D # d- IS- 83i�
Plan review by Ck DATE 2 2-o Sy
Site evaluation by: DATE R .a ( -0 3
Site'modifications, completed and inspected by DATE
G
AUTHORIZATION TO CONSTRUCT ISSUED THIS /2 s DAY
OF Rv o5/f_ oa3 -3Fs—
BRUNSWICK COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH DIVISION
R.S.
"""Required'
Pre -construction conference for site by:
Date:
Present for conference(list):
Pre -construction conference for construction of system by:
Date:
Present for conference (list):
permitaut 4
5197

SYSTEM OR ITS REQUIRED SETBACKS.
INSTALLATION REQUIREMENTS
1. The installer shall be currently registered with this department.
2. A re -installation conference is to be held on the site prior to beginning an site modification or construction of the
roposed structure or the sewage collection treatment and disposal system. Attending these conferences shall be
representatives of the State &/or Local Health Department; project engineer or designer; contractor; builder; proposed
system operatorlinstaller-, and the owner or his authorized agent.
3. The contractor shall be responsible for notification of the engineer and the BCHD for system inspection in stages as
required and prior to backfilling any portion of the system. No portion of the system shall be backfilled or placed into
use without prior approval of the BCHD.
4. The system shall be installed in accordance with the approved set of plans and specifications. Any deviation in site
modifications, plans, specification, layout, materials or other system component shall be approved by the design
engineer and the Brunswick County Health Department prior to installation of the system. Failure to do so may result in
delay or refusal of final approval of the system, and may render the Permit null and void.
5. The system shall be installed in a timely manner and staged so as to avoid unnecessary exposure to weather.
6. The location and identification of all property lines, easements, water lines, and other appropriate utilities shall be the
responsibility of the installer.
7. Other.
OPERATION PERMIT REQUIREMENTS
1. An Operation Permit shall be issued by the BCHD prior to placing the system into use, or making any connections to the
system.
2. Prior to issuance of the Operation Permit:
- the system shall be completed, installed, and tested in accordance with the approved design, including proper
abandonment of tanks eAsting wells, and other components. The certified subsurface system operator for the
system shall be present for the testing and startup of the installation.
- final landscaping, water diversion devices, and vegetative cover requirements and pressure adjustment shall be
completed,
- the Engineer, Designer or applicable responsible parties shall submit as -built plans to the BCHD, the plans shall
reflect any changes or alterations from the as -approved plans. The final pump delivery rate for the installation shall
also be determined and provided to BCHD as part of the final certification.
3. For sites that required evaluation by a certified soil scientist or professional geologist, a written certification shall be
submitted that the site / system installation was / is in accordance with their specified siterinstallation requirements.
4. For systems that have been engineered or designed by a private consultant, the designer or engineer (as applicable)
shall certify in writing to the Brunswick County Health Department, that he has inspected the installation and that it has
been installed according to the approved plans and specifications.
- Any necessary easements, plats, or other documents shall be recorded with the Register of Deeds and copies
submitted to the BCHD,
- The owner and a Public Management Entity/Subsurface System Certified Operator shall execute a contract which
addresses all of the requirements for maintenance, monitoring, and reporting in Section .1961 and the
requirements of the Schedule of Operation and Maintenance to be a part of the Operation Permit for the facility.
Provisions of said contract shall be in effect for as long as the system is in use.
NK)TICE OF EXPIRATr_Nd TI'I1SAUTF-.—,ZATI0N ExPIRES5YEARS (wNION91-{S)FROM DATE OFISSUE IFE`TIRATMi
ocCURS, THE CLIENT SHALLCOMPLY WITH ALL CHANGES INAPPLICABLE REGULATIONS, LAWS, TECHNICALASPECTS,
Efc,THAT MAYBE EFFECINEATTHATTIME (THIS MAY REQUIREADMIONALPREFARAT0q,MORE CCIMPLEX
WASTEWATER SYSTEMS, QPERATIONAND MAINTENANCE REQUIREMENTS, PRE-TREATMENT, ETC. THIS COULD RESULT IN
LESS AREA FOR THE HOME, PARI9NGiLOAERmTERUSAGEANDFURTHERDEVELOPMENT LJ< MATIONS.
permitaut
5/97

;1r
�A
VII. DISPOSAL FIELD: LTAR :o P,""' TRENCH DEPTH_J
BACKFILL: TO BE INSTALLED OVER GRAVEL BEDS AND NEXT TO MODULES.
MODULE TOPS TO REMAIN AT 6 INCHES ABOVE FINISHED GRADE. MIN COVER OVER ROCK BEDS IS 6
INCHES. BACKFILL TO BE INSTALLED WITH A SIDESLOPE OF AT LEAST 1:4 SIDESLOPE
A. TYPE A`.
1. UTILIZING A ROCK BED UNDER EACH MODULE. BED LENGTH _ aD FT. WIDTH 12, FT.
DEPTH OF ROCK USED FOR BED (BIN MIN.) R_INCH
comments : geotextile fabric (capable of removing silt sized particles) is to be use on all exposed surfaces of the rock
bed (no fabric is to be located under the modules). NO. MACHINERY OR EQUIPMENT SHALL BE
ADDITIONAL COMMENTS:
Vill. APPURTENANCES TO SY
A. SUBSURFACE DRAINAGE:
DEPTH:
INSTALLER:
B. AREA FILL: FILL DEPTH: MATERIAL: SAND / LOAMY SAND SIZE OF BASAL AREA: WIDE x LONG
SEE FILL PLAN FOR ADDITIONAL DETAILS AND SPECIFICATIONS. FOR TYPE A SYSTEMS, NO EQUIPMENT
OR MACHINERY SHALL BE ALLOWED OVER THE EXPOSED SITE..
C. LANDSCAPING: ALL SITES SHALL BE LANDSCAPED SUFFICIENT TO PROVIDE SURFACE RUNOFF AND TO
PREVENT PONDING OF RAIN OR OTHER SURFACE WATERS. ,
D. COMMENTS, SITE MODIFICATIONS, ETC., `, b°` (T ,r.I Q� ,22 �e 30
The Owner.shall be subject to the following conditions, limitations, and construction requirements for the installation of this
system:
1. This authorization is effective onlywith respect to the specific design flow and facilities, and the nature and volume of
waste described in the Permit Application, and other supporting data.
2. This permit is not transferable and must be reapplied for at such time as ownership, or management changes.
3. The designated repair area is to have no parking, driveways, or other impervious material located on it This
area is to be protected, reserved and maintenance in a natural state.
4. All subsequent owners of this property and sewage system, shall execute a contract between the owner and an
approved management entity before the operations permit is issued. Management of the sewer system to be provided
at ail times.
5. All contracts between owners, management entity (Public or Private), or Health Dept shall be reviewed and approved
before being accepted.
6. A properly certified Operator shall be provided as indicated:
Certified Subsurface System Operator YES
7. The Issuance of this permit does not preclude the permittee from complying with any and all statutes, regulations, or
ordinances which may be imposed by other government agencies which have jurisdiction, or any other permits issued by
this department
B. This wastewater system shall be installed by a contractor authorized in writing by the manufacturer, who shall
coordinate the installation with the designer and the manufacturer's field representative.
9. For sites requiring evaluation by a certified soil scientist or professional geologist, said soil scientist / geologist shall be
present and supervise any site modifications, and critical phases of the wastewater system installation.
10. This authorization shall be valid for 60 months from the date of issue. The authorization shall become invalid if the
information submitted in the application was falsified or changed, if the permit was based on inaccurate or incomplete
information, or if the designated site is altered, or expiration of this authorization, a new application shall be submitted to
the BCHD with updated information, as may be applicable or requested.
11. "A PERMANENT BARRIER SHALL BE PROVIDED AND IN PLACE AROUNDTHE SYSTEM/REPAIR AREA BEFORE
THE OPERATIONS PERMIT IS ISSUED.
12. ALL APPLICABLE SETBACKS SHALL BE MAINTAINED, NO IRRAGATION SYSTEMS, STORM WATER PONDS/
BASINS, SURFACE/SUBSURFACE DRAINAGE SHALL BE LOCATED IN THE AREA OF THE WASTEWATER
pemit.aut
5197

Donald J. Yousey
Health Director
The site evaluation for:
'bauci&WZZ¢ cifLL'tf# T C4641 �P'IbJ1LT*4te0tt
25 enwrYlwuae Z)w e
paas 09Ce Gax
S'oelata, ?lazt/ �CvraQe'csa. 28422-000G
S"otiwta 253-2250 1-�88-428-4429
Date: ' '-04V
BCHD Permit #: 6 '3' ��S �3
has been completed and the following permit(s) may be picked up at the ENVIRONMENTAL
HEALTH DEPARTMENT upon payment of established fees in place at the time the permit is picked
up. The wastewater permit fee for this property is $14( if paid on or before 06/30/2004. Iffee is
not paid by this date then fee payment shall be revised to be based on approved fee schedule in place
when permits) are picked up.
Type: 5
Improvement Permit 4 lnelud2o $(o5 .l Q o _ (I•, f{.eyenc, be6en cAS65 St(S4*,
Improvement Permit with site modifications such as fill plan Cheat. $ rmu) Si;e evolt u ,,,
✓ Construction Authorization Permit
Property development using subsurface wastewater treatment and disposal requires the issuance of three
different permits. These are the Improvement Permit; Construction Authorization Permit; and Operation
Permit.
If your site will be using a private water source, i.e. drinking water, you will also need to complete a
well application. If you will be using a Public Water source no well application is needed. The fee for
the well application includes having your well water tested for the presence of bacteria contamination
(coliform).
Prior to obtaining any building inspection permits you must have the Improvement Permit and
Construction Authorization Permit, Per NC Law all Health Department permits are subject to be
revoked if there are any changes in the site plan or intended use of the permitted wastewater system.
An Operation Permit will.be issued once the septic tank system has been installed and approved and (if
applicable) well has been installed and approved. If you have any questions please contact this office
Monday through Friday 8:30am to 5:OOpm. (L / �i -A
Sincerely, ,r/ n
I I �CxOK
1

Programmable Timer and Settings:
1) The control panel should be a OSI-1 or equivalent
2) 12 doses per day. (I per 2 bows)
3) 240 gpd flow / 12 doses per day = 20 gal. per doses (10 gal per module)
4) Pump "on" time = 1 minute
BCHD file #03/61583A
5) NOTE: the actual delivery rate and volume should be determined in the filed at installation, and
the pump "on" float adjusted accordingly.
Pump and Equipment List:
1) Zoeller E — 98 or equal
2) 2" PVC Sch 40. Brass valve and 2 — 2" male adapters PVC Sch 40. I& Ak v ,l ,.
3) 2" PVC Sch 40. Check valve
4) 2" PVC Sch 80. Union
5) 2" PVC Sch 40. 90-degree elbow — 3 reg.
6) 1 Y2" to 2" PVC Sch 40. Adapter
7) 2—mercury floats— (alarm) (on) + (off)
8) Non — corrosive lift rope.

10
orisfs�=-- r��•`l>.� .
�v s A
Date: February 12, 2004
To: Clay Haldeman
BCHD
From: Joel Klass
B & J Construction
Subject: BCHD file # 03/61583A
Franklin Jones
1923 W. Sea Aire Canal.
Supply, NC 28462
Site Conditions:
1) Two bedroom dwelling (240 gpd design flow)
2) Group I soil (1.0 gaVft/day LTAR per BCHD)
System Design:
1) Two modules required (1 per bedroom)
2) Type A (pad) specified by BCHD
3) LTAR of 1.0 gal/ft/day specified by BCHD
Pad size = 240 gpd x 1.0 gpd per ft = 240ft2
12' X 20' bed with min. 8" of rock
Max depth of rock bed 8" from fill pad required (see fill plan)
4) Septic tank volume = 900 gal with 2 access risers
Pump tank volume = 1000 gal with access riser
A)b Qj r>r
BCHD file # 03161583A
I /t
71
00gsro,
gNgP,4�MF�
T
5) The septic tank should be equipped with an effluent filter at the outlet, as specified by BCHD.
(20') 2" PVC Sch 40 supply line. 5' elevation head at 2' elevation head at pods.
Elevation
1) Bench Mark (nail is in center of road on the right side)
2) Existing soils (center of bed) _? I% %y
3) Elevation fill pad (center of bed) a, ry y,}
4) Finished elevation (center of bed)
Modifications
1) 8" of fill required for pad (see fill plans)
MAR 2 2 J04

January 22, 2005
Dear Mr. Harold Bland,
I am writing to inform you that we are ready to begin construction on our home at 1923
W. Sea Aire Canal, Supply, North Carolina It will be a single family dwelling of
approximately 1700 square feet with two stories. According to CAMA regulations we
must have your signature stating that you are aware of the construction or it will delay
our permit for 60 days. We hope you will help us with this by signing below and
returning the letter in the self-addressed envelope provided. If you have any questions or
concerns, please call me at 910-574-4204. Your cooperation is greatly appreciated.
'thank you,
�-/ S�-
Frank Jones
Acknowledgment of construction of a single family dwelling at 1923 W. Sea Aire Canal,
Supply, North Carolina.
/--Q':�- 0 J
Signature Date

January 22, 2005
Dear Mr. Bruce Wagoner,
Cpg S TDIV�A4
gGFMF/V),
t am writing to inform you that we are ready to begin construction on our home at 1923
W. Sea Aire Canal, Supply, North Carolina. B will be a single family dwelling of
approximately 1700 square feet with two stories. According to CAMA regulations we
must have your signature stating that you are aware of the construction or it will delay
our permit for 60 days. We hope you will help us with this by signing below and
returning the letter in the self-addressed envelope provided. If you have any questions or
concerns, please call me at 910-5744204. Your cooperation is greatly appreciated.
'thank you,
1
Frank Jones
Acknowledgment of construction of a single family dwelling at 1923 W. Sea Aire Canal,
Supply, North Carolina.
1-
Date
Signature

PLEASE PUBLISH ON 09-Feb-05
CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b), Brunswick County, a locality authorized to issue
CAMA permits in areas of environmental concern, hereby gives NOTICE that on
07-Feb-05 Franklin & Penny Jones applied for a CAMA minor development
permit to construct a Single Family Residence/Covered Deck/Gravel Drive at 1923
W. Sea Aire Canal, Lot 42, Sea Aire Estates, in Supply NC 28462. The
application may be inspected at the address below. Public comments received by
21-Feb-05 will be considered. Later comments will be accepted and considered up
to the time of permit decision. Project modifications may occur based on further
review and comments. Notice of the permit decision in this matter will be
provided upon written request.
Connie Marlowe
CAMA Local Permit Officer. for
Brunswick County
PO Box 249
Bolivia, NC 28422
Phone [phone] 'rFg „ IIYY
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