NTB_16-37_Borek

Issued by WiRO NTB16-37
N. Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
K- - Z1-
PERMIT Coastal Management
ENVIRONMENTAL QUALITY
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 George Bore k authorizing development in the Estuarine Shoreline (ORW) Area of Environmental Concern
(AECs) at 3699 Island Drive, in North Topsail Beach, Onslow County as requested in the permittee's application
package, dated December 6, 2016 and received by DCM on December 9, 2016. This permit, issued on December 30,
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: Installation of a swimming pool.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on December 9, 2016.
(2) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and mulched)
within 14 days of construction completion.
(3) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at (910)
766-7221 for a final inspection at completion of work.
(4) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons vt�
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 Jason Dail
compliance. Any maintenance work or project modificabon not covered under C A LOCAL PERMIT OFFICIAL
this permit, require further written permit approval. All work must cease when this
permit expires on: 127 Cardinal Drive Extension
December 31, 2019 Wilmington, NC 28405-3845
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 transfe EIVE®
another party without the written approval of the DivisionD �tNt3f6N. N@ PERMITTEE
Management.
iJAN 12 2017 (Signature required if conditions above apply to permit)

N

Name: George Borek
Minor Permit # NTB16-37
Date: December 30, 2016
Page 2 of 3
(5) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and
mulched) within 14 days of construction completion.
(6) The amount of impervious surface/coverage on this property shall not exceed 25% within 575 feet of the Normal
High Water line contiguous with Stump Sound.
(7) Any and/or all gravel placed on the subject property shall consist of a four (4) to six (6) inch layer of Grade 57 stone
placed on top of a layer of filter fabric. No other type of gravel shall be placed on the property lot without prior
authorization from the NC Division of Coastal Management.
(8) This permit does not authorize the excavation or filling of any wetlands or open water areas.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third -party.
NOTE: All construction shall conform to the N.C. Building Code requirements and all other local, State and Federal
regulations, applicable local ordinances and FEMA Flood Regulations.
SIGNATURE? � � DATE:
PERMITTEE
RECEIVED
DCNOWILMINGTON NC
JAN 12 2017

CoastatManagement
ENVIRONMENTAL QUALITY
January 3, 2016
Mr. George Borek
21 Wellington Drive
Princeton Junction, NJ 08550
Dear Mr. Borek:
ROY COOPER
Gnvernnr
BRAXTON DAVIS
Attached is CAMA Minor Development Permit # NTB 16-37 for work to be done at 3699 Island
Dr., in North Topsail Beach, Onlsow County. An electronic copy of the permit has been sent to
the NTB Inspections Dept., and to your agent.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Please retain the orange copy for your files, sign both pages of the white copy, and
return to us within 20 days of receipt, in the enclosed, self-addressed envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Enclosures
Cc: WiRO files
NTB Inspection Dept.
Susan Rowland, Agent
Sincerely,
Shaun K. Simpson
Permit Support Tel hnicia
State of North Carolina I Enviromoental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
919 796 7215

Ail l
Ocean Hazard Estuarine Shoreline ORW Shoreline Y
(For official use only)
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
Permit Number A/46 / 0 7 t -
Public Trust Shoreline Other
Address .-� \� VAC F�t�C 1 1J�. p
City!l Q ^� y l a
�y.�, /�t) �ic[�5tate ��'�_ZipPhone ��""
Email �t♦i \C� —�©� CC ��
ATiTUS D97Cn ACVWT
City W,`+ �� � C`n State �C Zip3EAU!') bone ���`D9� - .7 X�tDC
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
DESCRIPTION OF PROJECT: (Lisa all proposed construction and land disturbance.)
SIZE OF LOTlPARCEL: _ _ square feet _ , I�]acres
PROPOSED USE: Residential Ee, (Single-family Multi-fami[y []) CommeaciaUludttsfr'yl@!
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou are not sore which AEC applies
to your properp,):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: (* square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHOPLINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: NN!_ 1. square feet (includes the area of the foundation 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 Energy, Mineral and Land Resources (DEMLR)?
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:
1, 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)
✓ an owner or record title, Title is vested in name of
see Deed Book page 955 in the Coun 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 RIPARIAN 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.
(4) r�°L — \1
ACKNOWLEDGEMENTS:
I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant, and do infect 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��, 20 \A_Ie�
�Landowner or person authorized to act as his/her agent or purpose of filing a MA permit application
This application includes: general information (this form), a site drawing as described on the back ofthis application, the
ownership statement, the Ocean Hazard AEC 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 sotores a e
incorporated without reference in any putt wLWNC
issued. Deviation firm these details will constitute a violation of
any permit. Any person developing in'a»JtEC it is subject to civil, criminal and administrative action.
DGiA VVILM�
DEC 0 9 2016

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Survey Notes: Z
Imnll four (4) Plmipua B06i bat ®cM1ors witM1 3l4"di®e Toes, S
Coastal wredand shown hereon were revised by Hrywaod M. and field loaned w�msod m each ofthe four (4) IJYng poinu on the pool. llxae ;,
by EI.CS on 12-3-2014. need to be dnwa on the ground to eninimum depN of to fem be � V VI
rn0 surfer of the finished xri TM1es enchon willpmvme an 7� M
Site dimmaion were taken from survq by ECLS dead 2-12-2015, mchongemmiat all bugmcy ofthe pool. ihedepffiJa mcnV. 0 H
viable of the imWladon. Whin the nvchon eti s�msldmdm pool,
elm PLC AN �Q son ,Iy n.ei. to ils, x. L)
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�ncnorage Notes:
aywood Pitman and field located
lated 2-12-2015.
CEIVED
NOV 1') 2016
'TON' NC
Li SITE PLAN
R Ei"v
RECEIVED Nov 2 3 2016
NOV 2 J 2016
DCM WILMING7onr
... ..... .... .... .... .... .... .... ... ......' Setback
........................................................
Proposed
Pool and Deck
DCM WILMINGTON, NC
Install four (4) Platipus B06T bat anchors with 3/4" diameter n
connected to each of the four (4) lifting points on the pool. Thi
need to be driven into the ground to a minimum depth of 10 fee
final surface of the finished project. These anchors will provid,
anchorage to resist all buoyancy of the pool. The depth is the in
variable of the installation. When the anchors are connected to
not apply excess tension to the pool.
............................ .
ce from Adacem 3trnctum
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r Concrete Drive
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(:�1 DETAILED SITE PLAN (I Q

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RECEIVED
DCM WILMINGTON, NC
DEC 0 9 2016

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
�2. V--\C
Phone Number:
Email Address:a�1
I certify that I have authorized
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in County.
1 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.
Property Owner Information:
%-a�
Ili Signature
Print or Type Name
7-die
Date
This certification is valid through
RECEIVED
DCM WILMINGTON, NC
DEC 0 9 2016

Project is in an: _
Property Owner:
Property Address: —
Date Lot Was Platted:
OCEAN HAZARD AEC NOTICE
Ocean Erodible Area _ High Hazard Flood Area Inlet Hazard Area
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 Resourees 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 on building standards, oceanfront
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 to
the development Permits issued in the Ocean Hazard Area of
Environmental Concert include the condition that structures be
relocated or dismantled if they become imminently threatened
by changes in Shoreline configuration. The structure(s) must be
relocated or dismantled within two (2) years of becoming
imminently threatened, and in any case upon its collapse or
subsidence.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual long-term
average oceaq erosion rate for the area where your property is
located is _k feet per year.
The rate was establisbed by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Sjudies also indicate that the shoreline could move as much as
i-V_ feet landward in a major storm.
The flgod waters in a major storm are predicted to be about
LLIL 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 sand bags may be
authorized under certain condition&
The applicant must acknowledge this information and
requirements by sighting this notice in the space below. Without
the proper signature. the application will not be complete,
Property wnerSignature Date
X�
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 must be contacted to determine the
vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance. and the
proposed development can still meet the setback requirement,
the LPO will inform you that you may begin work. Substantial
progress on the project must be made within SO days of this
setback determination, or uhe setback must be re -measured. Abu,
the occurrence of a major shoreline change as the result of a
storm within the 60-day period will necessitate re -measurement
of the setback. it is important that you check with the LPO
before the permit eepires 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 can be authorized. It is unlawful to continue
work after permit expiration.
For more information, contocc
J6ti 1
Local Permit Officer
NC DENR
Div. of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
/91a) bra - l
Phone
DCM WILMIN VED
GTpN. NC
f,EC 0.9 2016

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COMMENTS ACCEPTED THROUGH AM
APPLICANT:
George Borek
21 Wellington Dr.
Princeton Junction, NJ 08550
Agent: Susan Rowland [phone]
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
NIC Div. of Coastal Man- gament
127 Cart➢ifnal DR_ Pv+
Wiimington. NC 294OR
Jason ®ail, Field lRepresenfative
910-795-7221

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DCM ULMINGTON, NC
DEC 1 5 2016