HB_03-060_Eastern Carolina's Construction

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Local Government CAM n
Permit Number
MINOR 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 environmental concern pursuant to Section 113A-118 of the
n General Statutes, "CoaWl Area Managymentf, i
I a ed t e o)I 5 t• auth izing develo ment in
Vd, (JAT, Lr;t l
I Ij1 51011 p as requested In the permittee's application, dated
This permit, issued on O —a S— 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
oermittee to a fine, imprisonment or civil action, or may cause the permit lobe null and void.
PERMIT TO CONSTRUCT A SINGLE FAMILY RESIDENCE, INSTALL SEPTIC
SYSTEM, GRAVEL DRIVEWAYS WITH CONCRETE BORDERS, AND RETENTION
AREASIII
.All proposed development and associated construction must be done in accordance with the
permitted work plat drawing(s).
1. No dune disturbance of a dunes area will be allowed for this development because the dune's
protective value would be weakened or reduced.
2. All construction must conform to the NC Building Code requirements and all other local,
State and Federal regulations and the local flood damage prevention ordinance as required by
the National Flood Insurance Program.
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. Pursuant to 15 NCAC, Subchapter 7J. 0406 (b), #his permit may not be transferred, or
otherwise disposed of to a third party, except by the Division Director.
5. The structure must be set back 60 feet from the first line of stable natrual vegetation
(FLSNV). The permittee is required to contact the Local Permit Officer shortly before he
plans to begin construction to arrange a setback measurement which 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.
This permit action may be appealed by the perminee or other
qualified persons within twenty (20) days of the, issuing date.
From the date of an appeal, any work conducted under this per-
mit rn .st 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 modifications not covered
under this permit requires further written permit approval.
All work must cease when this permit expires on December
31,.,Do 06 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.
Ti9c
-Fr)u n AoOEn <1JCtCCh
name
I10 c sCh��d Si-clet-r
address
+-o Idea—e-o c ne• U(c2--
Permittee
ignature required if special conditions above apply to permit)
;7•d 91E6211,8016 HDH38 N3Q30H 30 Np101 dca:io ED 61 2nu

o- {�o Ic e n J�a c h c0003-�o
Local Government Permit Number
LAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the Slate of North Carolina, Department of Environment
and Natural Resources and the Coastal Resources Commission for development
in an area of environmental concern pursuant to Section 113A-116 of the
.. , n . _ I General Statutes, -Coa%#t Area Manaqyment� . t
Is ed t 1° I S rt• �D •, auth izing develo men t in �
Y;egl a 6 . Lei+ l
1 111 Ill as requested in the permittee's application, dated F_-0I—n3
This permit, issued on �" �_� is subject to compliance with the application and she 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.
6. Any structure shall be relocated or dismantled when it becomes imminently threatened
by changes in shoreline configuration. The structure(s) shall be relocated or dismantled
within 2 years of the time when it becomes imminently threatened, and in any case upon
its collapse or subsidence.
7. The septic system shall be installed in accordance with Brunswick County Health Department
#99/52308.
8. No impermeable surface shall be allowed over any functional part of the septic system.
Septic system must be installed according to Brunswick County Health Department. All
pilings must be located at least 5 feet from any portions of the septic system. Waterline must
be located at least 10 feet from all portions of the septic system. All retention areas shall a
minimum of 25 feet seperation from all portions of the septic system..
9. In accordance with T15A NCAC 7H. 0308(a), no seawall or riprap revetments will be
allowed in the future should any structure become threatened from erosion.
9. All construction shall meet all requirements of chapter.157.060 and Chapter 158.00 located
in the Town of Holden Beach Code of Ordinances and any other sections that apply to the
construction of the single family residence.
10. The structure must be elevated on pilings with a diameter of at least 8 inches and the first
floor level of the sills and joists must meet the 100-year flood elevation level of 19 feet.
11. The concrete slab elevation has been approved at an elevation of 8.9 above sea level. The
concrete slab elevation shall be provided on the final survey.
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing dale.
From the date of an appeal, any work conducted under this per-
mit mist cease until the appeal is resolved.
This permit must be on the project she and accessible to the T �� n C 1��11 t (_
permit officer when the project is inspected for compliance. name
Any maintenance work or project modifications not covered � ]�C �I�t I I C��/��
under this permit requires further written permit approval. l Y\li " lJ I I 111 address
All work must when this permit expires on December /��#
31 Q C'
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 - Permiuee
the written approval of the Division of Coastal Management ignature required if special conditions above apply to pern
E•d SIEGats8016 H3H38 W3010H 30 W1101 dE2:40 60 61 9ny

TO tin i�o�c�en 3-,IeOC 1
Local Government Permit Number
LAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the Stale of North Carolina, Department of Environment
and Natural Resources and the Coastal Resources Commission for development
in an area of environmental concern pursuant to Section 113A-116 of the
.. . n — - General Statutes, "Coa%pl Area Managgment� . y
Is ad t L° I1� 5 at' authorizing develo ment in . c
L6t 1
Cl� I Ul"5 n q as requested in the permittee's application, dated
0.
This permit, issued on 0�S`0� . 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.
12. The accessway to the beach shall meet all requirements of chapter 94 found in the Town
Ordinances. All areas of vegetation that are disturbed are revegetated as soon as feasible.
The walkway shall be raised on posts or pilings of five feet deep or less depth, so that
only the posts or pilings touch the frontal dune. The accessway shall be exclusively for
pedestrian use.
13. the pilings must extend to five feet below mean sea level.
14. The innovative stormwater system authorized with this permit must be maintained for the
life of the structure addressed.
15. Section 158.09 (C)(4) states in part that it is the intent of these regulations that
stormwater flow be contained within property lines in question, and not be directed onto
adjacent real estate.
16. The Base Flood on this date was with an elevation of I q
17. NO CONCRETE OR ANY TYPE OF IMPERVIOUS AREA SHALL BE PLACED
UNDERNEATH THE CANTILEVERED AREA ON THE OCEAN SIDE OF THE
HOME.
IU-
18. A uncovered detached deck that is located on its own pilings and not to exceed � square
feet is permitted and shall be located landward of the vegetation line and landward of the entire
frontal dune.
1,) V. � � _3
This permit action may be appealed by the permiftee or other
qualified persons within twenty (20) days of the issuing date.
From the date of an appeal, any work conducted under this per-
mit m..st cease until the appeal is resolved.
This permit must he on the project site and accessible to the
permit officer when the project is inspected for compliance.
Any maintenance work or project modifications not covered
under this permit requires further written permit approval.
All work ust cease when this permit expires on December31
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. 3
-Eju) n fcl� Aolderl cl�
name
�Ib �c�lsChi loi ����i
address
4o 16en'�B� c rTn 0- u�a-
Perrnittee
ignature required if special conditions above apply to permit)
O
b•d STESU118016 HDkl38 N3a-10H 30 14171101 d4Z:b0 Co 6i 2ny

AEC HAZARD NOTICE
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive
storms and erosion. Permits issued for development in this
area expire on December 31 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 will
determine the vegetation line and setback distance at your
site. If the property has seen little change and the proposed
development can still meet the setback requirement, the
LPO will inform you that you may begin work. It is impor-
tant that you check with the LPO before the permit expires
for official approval to continue the work after the permit
has expired. Generally, if foundation pilings have been
placed and substantial progress is continuing, permit
renewal may not be necessary. If substantial progress has
not been made, the permit must be renewed and a new
setback line established. It is unlawful to continue work
after permit expiration without this approval.
For more information, contact:
Local Permit Officer
Address
Project Is In An: V Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
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 natural
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 be
issued.
The Commission's rules onbuildingstandards,oceanfront
setbacks and dune alteration are designed to minirnize,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 to the development.
The best available information, as acceptedby the Coastal
Resources Commission, indicates that the annual ocean
erosion rate for the area where your property is located is
,,?— feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as
much as 33Dfeet landward in a major storm.
Tbc flood waters in a major s torm are predicted to be abou t
_L�-_ feet deep in this area.
Preferred oceanfront protection measures are beach
nourishment and relocation of threatened structures.
Hard erosion control structures such as bulkheads,
seawalls, revetments, groins, jetties and breakwaters are
prohibited. Temporary devices, including sandbags, may
be allowed under certain conditions.
This structure shall be relocated or dismantled within two
years of becoming imminently threatened.
The applicant must acknowledge this information and
requirements by signing this notice in the below space.
Without the proper signature, the application will not be
QaF la GA 4
Revised 11193
\ S'd STE6zb60I6 H3d39 N30IOH 30 WM01 dta:i3O 60 61 2ny

Localirt' 41014V -REAC!! Permit Number .aO0,3-
Ocean,Hazard ✓ Estuarine Shoreline __ORW Shoreline Public Trust Shin Other y
(For official use only) J
GENTERA.L INFORMATION AUG 18 2003
LAND OWNER DIVISIO�j r r7
COASTAL MAN
Name
C lrodky x ' ef -�
t
Address ICI Q�
Ci �7o101ex ,1;gC� S=t- / ✓-
ry 2 ado "
JJ- e ; rwata , efat�
Address
-ity ha/Z2.j ZAc-,, state/ , C Zip. Z94 4-Z Phone /-9/o
LOCATION OF PROJECT: (Address, strct name
adjac=twaiCoody.) JT4 / Ce--X giV ,
OF
d
to sitq, If not oc=ahr= what is the name of the -
=s
SIZE OF LOTMARCEL: SO �X .2So squaro feet Q aces
PROPOSED USE: Residential Z(Single-& +; y '� Multi-fazruiy _) Cor=== ]/Indust 'al _ Other
roskL ENCLOSED FLOOR ARE4 OF A BUILDING LRT EZ OCEAN HAZARD AREA OF
:NVMONIM'N7AL CONCERN (AEC): �Z3-38 square feet (includes all floors and roof covered dam)
iIZE OF B=lNG FOOTPRINT AND OTHER IIMPERVIOUS OR BUILT -UPON SURFACES IN TEE
IOASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): S-_/1.2 square feet
;Calculations includes the area of the trooi7drin line of all buildings, driveways, covered decks, concrete or masonry patios,
:m. d= are within the applicable AEC.)(A=z h ;your calculations with the project dmwm= .)
:noose the AEC area ti:at applies to your property:. IV,4
(1)withia 75 feet of Normal High Water for the Estuarine Shoreline AEC
(Z)withia 575 fct or -Normal High Water for the Fsta*^—e Shoreline AEC, adjac=.to Outstanding Resource Waters
)within 30 feet of the Public Tivst Shoreline AEC
(Contact your Local Pewit Offs= if you are not sure which AEC applies to your property.)
TATE STORMWALTER M
+Iaaag=cnt P--=it issued by
Eyes, Iist the total malt upon
located in an area subja State Stortrzwater
YES NO ✓
lot or parcel. �/!t square feet
TOWN OF HOLDEN BEACH

Coastal
Construction
Homes people talk about.
SECOND FL0Ot2 PLAN 1 n-
JORDAN
RESIDENCE
AUG 18 2003
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PLOD' PLAN
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The Town of Holden Beach North Carolina
1 �
Zoning Permit Application A a o
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Section 1: Basic Data (Intonation to be provided by ia applicant) 3 H s
EA-rl�drN CAYa/:.✓�7r�CeWs7'Yrccre�✓ 9/O-BS�Z'�/r m a
Name �Nd T ��/• +fLt u7c' gQr,4gY-A7�%eV Telephone. /
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HaIdanBaaehPrapertyAdd ress: y LQt,/�� / 1 ZIOV. �C-s�
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Lot 17 �'� �B Subdivision:ii✓�i✓+C�
jF4 au
Permanent Mailing Address: (Print'Same' if lacl 5D— abo zp es)
Street Address:
i 3/ Q�,ytu >�✓d Afltrp v
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Cu'ylStrteL Coda P 1 �z
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Contractor •r ha ,mA P1 vrcrc
Address:
_ Telephone:
hare:
Person at Contractors
Type of S cture: (Chi applichle bx below)
Nev C A1L en Q Repair Q Rebell: (Move) Q Onveweay Q Fence Q other QI '
Property Use: (C`- -pprit:abte b= blow)
Single farm / W Two tarAy Q Apar nerit Q Condominium Q I awrinouse Q Other Q
Zoning Papa Specific Criteria r3 uircf `Q <uaecrt= alioayan r�prav-, aordf �^
Type cfdrivaeraym-�riaL�`r0—E/ w't!. 1L Cer✓cr.
�8 G•�C Yd
sc_aa E jai'tfC'r
O rieway ar= in fees = 738 S
plated as in syt=.r? i-�- '? z--S00 Use�']le a1�.2 if� squ:3? ;•==r ae� Surly'.
°�tr r� rtont se ack n �� R qt ird r1 setack in C '�� Required side se*ack in
Lowest g,—,d=- zlevsan below bulding in fe.M:
r;nisi'id t— a aleradon R E is to be plate on lot in -a'-
Ring *th below cricinal grade in t� /1. G
�� / �_reet above ISL
Richest paint of amid bulrng in Ceb
s til maw al required w the lot? (Chace bcz) Yes 3r No Q If yes, state depth of till ii more than 3 ncas: O
Os�,at!d crund trial' in feet =_rove mean sap Irn� as specEed an StOrmwater Penit Cis applc^.le): //
GcLaid feral a a measuring point car the Claw fig D p A
t. 'AAam'Ac : Ve: sun yi point is a ws 10 f=et rm the base Aced elevation. r < GC=
=1AA f� aina "/E: ueaunrig tint is_rNws 8 t ;rm the ban Aced a a rzdan. r
3. r-�4'. AG r'ti and WF where the r„iws 10 and 2 i—,t mess --mane ism the =�z 'bod elertian is belapru scit---j
mesrdng pat is the lawest ancrd sad under tte sM ti xaa air the undu-Jr„ed sad has seen t.dancad (see 1 awrrOri is�+� for "-esthidc:t
4. �ii:, Ad �ea'� :Measuring paint s to t the lowest ondnat sc8 undue the strcti air the unEsWtbed scAhas"been n-1(s
ee
Town Cr.:nan= ior dsnniticn of Uancal.
Cartficstian to be completed by Applicant
1 car* that any cns.tucd , Atrrban or raciacement of bulding and or use of land shall. be cored o43n a, td; anlh� .
theinfo - o it criteria listed above' �--�
J--
than=d S gnahue Printed Name Date
Section io be completed by Town at Holden Beach Zon/ng Crrcial o Yes Q Na Q
CAMA permit Raquired? Yes = No ="15r72003
equiredZoning 0istict de�minatlan far property.R s dw,td ois� ct 0.1 Zone) Q ResidendDisYct (C Zane)Zoning Orfidal ApPraval Signature: Data:
TOWN OF HOLDEN 8

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AUG 1 5 2003
TOWN OF HOLDEN BEACH
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51 AUG 18 2003
r �f DIVISION OF
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Dcean Hazard V Estuarine Shoreline _ORW Shoreline Public Trust
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name L A-S fr l�jy C ro�,✓As CpAKS /Yale ,a,V 1,oVel
Permit Number �Y(iCfJt/
AUG - 1 2003
OF HOLDEN BEACH
Address 131 t�e� / L'
City //.olate tl ��G/� State / r •J � - Zipc7B �/o 2 Phone %- 914 -ep 7- Z - 4/-'7.3F
AUTHORIZED AGENT
Name TT,[ /Y I'r' BODY/N
Address
�J�a�// �'�GGi9rt/� /�y�.� �Al S� '`,
City //GlQC� tE�c*r-e State/V•C- Zip.2BTeei.w Phone/'9/-O
LOCATION OF PROJECT: (Address, street name
adjacentwaterbody.) .4'6 / 0e.C4.Y ,
OF P O CT: (List all proposed
to sits If not oceanfront, what is the name of the
s T
and land
.r,
SIZE OF LOT/PARCEL: SO *X .26o ' square feet • A Q acres
PROPOSED USE: Residential ✓(Single-family ✓ Multi -family _) Comme-ical/ladustrial _ Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): 3338 square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): & (e /'T square feet
(Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry
etc. that are within the applicable AEC.)(Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:- /V.4
(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 subjectJp 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.

'HER PER.%I ITS ?Lkl' BE REQUIRED: The activity you arc planning may require permits other than the CAM.A minor development permit.,
a scm iec %cc have compiled a lining of the kinds of permits that might be required. We suggest you check over the list with your LPO to
=rrninc if any of these apply to your project. Zoning. Drinking Water Wall, Septic Tank (or other sanitary waste treatment system). Burning. .
:ctrical, Plumbing. Heating and Air Conditioning, Insulation and Energy Conservation. FIA Certification, Sand Dune. Sediment Control,
bdivision Approval. Mobile Home Park Approval. Highway, Connection. and others.
rATEA1FNT OF OWNERSHIP:
the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC -or
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the
arson listed as landowner on this application has a significant interest in the real property described therein. This interest
m be described as: (check one)
E.o r��-r v C.r r+p%N
_�an owner or reco title Title is ve ed in ANd, Peye*".y 'Car }+R/�i�N , see Deed Book /7•Z c3
►ge /917 in the Ytc Sri I r- Count} Registry of Deeds. -
_an owner by viltre of inheritance. Applicant is an heir to the estate of :
robate was in Coanty.
if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
iOTMC.ATION OF ADJACENT PROPERTY OWNERS:
furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
kCTUAL NOTICE to each of them conceraingmy intent to develop this property and to apply for a CAMA.permit
1)
2)
?OR DEVELOPERS IN OCEAN HAZARD AND ESTUARKEL ffikZARD AREAS:
: acknowledge that the land owner is awarethat the proposed development is planned for an area which may be
usccpuble to erosion andlor flooding. I acknowledge that the local permit officer has explained to me the particular
iazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization
ind floodproofing techniques.
TO ENTER ON LAND:
[ furthermore certify that I am authorized to grant and do in fact grant permission to the local perinit o,Ticer and his agents
to ewer on the aforementioned lands in connection with evaluating information related to this permit _nptication.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership sta`snent, the AEC hazard notice where necessary, a check for S100.00 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 / day of 041f � 20 0 3
2,�Pei1t

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DEAR ADJACENT PROPERTY OWNER:
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This letter is to inform you that I have applied for a CAMA Permit on the property
owned by.ANc/34/ 4:: iz
(sweet address)
Holder Beach, NC. I have enclosed a copy of permit application and a copy of the
drawing of proposed project.
If you have any comments on the proposed project, please contact
Rhonda Phillips, Local CAIMA Officer, Town of Holden Beach, 110 Rothschild St.
Holden Beach, NC 28462 - Telephone -[phone].
Sincerely,
r
TELEPHONE -NUNMER:

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DEAR ADJACENT PROPERTY OWNER:
This letter is to inform you that I have applied for a CAMA Permit on the property
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owned by A�A1��1/a /lei✓/` �.oaT 7:'evVat s6� Q«sSW ,�/�- Akrl-
(sveet addMS)
Holder Beach, NC. I have enclosed a copy of permit application and a copy of the
drawing of proposed project.
If you have any comments on the proposed project, please contact
Rhonda Phillips, Local CAMA Officer; Town of Holden Beach, 110 Rothschild St.
Holden Beach, NC 28462 -Telephone -[phone].
Sincerely,
TT L..qt err). �y�r/��•/s/tf� �!<v- r— ��� c� -�c ,
('Own(ffor Agent)
TELEPHONE NUNMER:

File No.:_99152308
BRUNSWICK COUNTY HEALTH DEPARTMENT
P.O. BOX 9 BOLIVIA, N.C. 20422 [phone]
IMPROVEMENT PERMIT
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE
Supporting documents such as the completed application form, site evaluation form, fill plan , etc. are
considered a part of this Improvement Permit.
Owner/Authorized Agent: F & R DEVELOPMENT INC Tax Parcel :_05 248CE004
Lot_17+18_ Block: Sacion:_f_ Subdivision: —HOLDEN BEACH
Residential: XX Water Supply: 4XX Pubfic Private (well)
No. of unila :_1_ No. of bedrooms: 4_ No. of occupants: _8
Commercial: Number of employees:
Type of business: N I A
Septic tank volume: / 00 0 LTAR: 1. pc/sq. it.Drainfieid sq. feet 720
No. of Lines:( to Length Be.: 30rc`' Trench Wdlh:� ' Bed :.2 10--'
Trench/Bed bottom depth no deeper than: inches Pumptankvolume:
(if applicable)
Conditions as marked below must be met Any site modification conditions must be completed and approved
prior to Issuance of an Authorization for Wastewater Construction and the installation of the wastewater
system.
X Keep 100 feet from all water supplies (minimum of 50 feet must be maintained).
X Keep 10 feet from all water lines .
X Keep 10 feet from any property lines (no less than 5 feet for lots recorded prior to 7/1177)
X Do not drive over, park, pave, or build any structure over the area for the septic tank system
and the repair area if applicable.
X Do not Install the septic system during wet conditions.
X Maintain Gravity Flow for septic system.
Zt_ H Septic System Uses Rock Aggregate/Approved Filter Fabric Covering Required
Drainage Maintenance Required.
Suitable FBI material must be installed exactly per the Health Department approved fill
plan. Fill check must be completed by the Health Deptprior to issue of Authorization for
Wastewater Construction.
Approved for use of Altemativelinnovative Wastewater System (Specify)
Submit Wastewater planslo the Health Departmgnt for review/approval
IMPROVE&ENTP�RMIT DATE: y`l^^%S EXPIRATION DATE:
Signature
Actions of Brunswick County Health Department representatives engaged in the evaluation and determination
of measures required to effect compliance with the applicable laws and rules shall in no way be taken as a
warranty that sewage treatment and disposal systems approved and permitted will function in a satisfactory
manner for any given period of time. Any changes in the nature and volume of sewage or change in location
of the septic tank system and/or repair area will void permit.
The issuance of this permit does not preclude the Permttttee from complying with any and all statutes, rules,
regulations, or ordinances which may be imposed by other government agencies (local, state, and federan
which have jurisdiction.
Septic Tanks Shall
Have An Approved
FHluenl Fier R

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CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the
municipality of Town of Holden Beach, a
locality authorized to issue LAMA permits
in the areas of environmental concern,
hereby gives NOTICE that on August 1,
2003, applicant Eastern Carolina's Cont.
and Development Corp., applied for a LA-
MA minor development permit to con-
struct clearing, grading, single family resi-
dence, septic system at 561 Ocean Blvd.
West.
The application may be inspected at the
below address. Public comments received
by August 16, 2003, will be considered. La-
ter comments will be accepted and consid-
ered up to the time of permit decision. Pro-
ject modification may occur based on fur-
ther review and comments. Notice of the
permit decision in this matter will he pm
vided upon written request
Rhonda Phillips
Local LAMA Permit Officer
110 Rothschild Street
Holden Beach, NC 28462
[phone]
Aug. 7
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 M Harrell
who, being first duly sworn, 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 sworn 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):
August 7, 2003
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
t, p
SEP 19 2003
This the 7th day of Augus
f DIVISION OF
• • • • • • •.COASTAL.MANAGEMENT
(Signature of person making affidavit)
Sworn to and subscribed before me this 7th day of
August, 2003.
(Notary Public)
My commission expires: December 29, 2004.

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