NTB_16-30_Hollis Family

Issued by WiRO NTB16.30
North Topsail Permit Number
Beach
CAMA
MINOR DEVELOPMENT
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 Stacy Hollis Family authorizing development in both the Estuarine Shoreline (ORW) Areas of Environmental
Concern (AECs) at 1723 Utopia Street in North Topsail Beach Onslow County as requested in the permittee's
application package, dated September 12, 2016, and received by DCM on September 15, 2016. This permit, issued on
September 28, 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: Construction of a single family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received by the Division of Coastal Management on September 28, 2016.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
—,L
This permit action may be appealed by the pernittee or other qualified persons
within twenty (20) days of the issuing dale. 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 wdtten permit approval. All work must cease when this
permit expires on:
December 31. 201g
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.
Jason Dail
AL PERMIT OFFICIAL
Cardinal Drive Extension
Wilmington, NC 28405-3845
ERMITTEE
(Signature required if conditions above apply to permit)

ti NaleStacyAolll& Family,
M. -'P.
I or, ermit'#:N,TB 16 30
Septembet28,':2016
e"
X,
II X
ding'sIstructures,thall jjl'
i(5)'- -All'buil comply uildihg�'06de;incldding,the�Cda�tal-.6nd n. ops, oh., —
'tode,,-`and-tiiq, Local'Flo6d Damage Prevention 6" in e
sikdards c4f,the,:N: �C.' id : . S. U1
66dIiiW66ed Program, Ifariy�provlsl6ns -6 .. ... ..
National Flood -ld 604 flood ordinance`- !-
-bi;4w bur Ing. code a
Is
are inconsistent mnth anyof fo I&A gA nda s,-themore restrictiveprovision's 11 R'n I
te 1, p �C
0 All - unconsolidated ) u and landscdpin I
"ie imentatiorf and erosion control measures.
di -,;bistu&d'� arias: shall be vegetateda and.
mulched) -Wthi6-,14 days of construction completion.
7, �
thin,67.5-feefol' theloar,611
The amount,of impervious surface/coverage eragedh1hisproperty. shall not 2Mvil.
mpe qejoqK
'High W6tdf ine..
(8' Na structures shall -be. lodateblv Rhin 41i6,30'.Coastal Shoreline buffer, including but not-linifted toconcreteslabs,-"
( j{ stepping stones, roof cov&ia(ipesi6ry�b dinl;ls, §.'swirmning pools, sfqim�ins-, fi&gei;�et6.
gUUjorjj6 This Oerfflit doeStot avati n filling of any 6 inds or open water areas
?
.*e.eic 6 or fi lin Wall
Pur'suint.6 10 NCAC,' Suibch;�6i'e,r'ij:040.6(6),'this •'p'drmit, may not �be assigned, transferred, sold or otherwise
di4posed-of to�,wtWd-pft;
SIGNATUR E�
Da
f odd
g shall b y effective
nt6d.`,
TUTT EE 7

CoastalManagement
ENVIt NNENTAL OVAUTY
September 29, 2016
Stacy Hollis Family
922 Highway 17 South
Holly Ridge, NC 28445
Dear Hollis Family:
PAT MCCRORY
Gomm,
DONALD R. VAN DER VAART
Secreimy
BRAXTON DAVIS
D,r clor
Attached are CAMA Minor Development Permit # NTB 16-30 and NTB 16-31, for work to be
done at 1723 & 1724 Utopia St., in North Topsail Beach, Onslow County. Electronic copies
of these permits have been sent to the Town's Inspections Department and to your agent,
Angie Edens.
In order to validate each permit, please sign both copies 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.
Sincerely, _
Shaun K. Simpson
Permit Support Technician
Enclosures
Cc: WiRO files
Town of NTB Inspections Dept.
Wellmans Construction, Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
919 796 7215

From: Simpson, Shaun
Sent: Wednesday, July 26, 2017 9:47 AM
To:'Angie Edens' <angie@wellmans ruction.com>
Subject: CAMA Minor Permits NT 16- & 16-31
Hi Angie,
The attached 2 permits (NIT 6- & 16-31) were sent via USPS to Stacy Hollis Family at 922 Highway 17
S. Holly Ridge, NC 28445 on eptember 26, 2016. We have not yet received their signed copies. We do
not have an email address for them, so as their agent you have the authority to sign the permits. Can
you please sign/scan both attached permits and I'll have Jason Dail sign and scan them back to you.
Thank you for your prompt reply,
Shaun
Ms. Shaun Simpson
Permit Support & Customer Service
NC Department of Environmental quality
NC Division of Coastal Management
127Cardinal Drive Ext.
Wilmington, NC18405
Phone:[phone]
Shaun. Simoson@ncdenr. aov
E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.

Permit Number Iii
OceanHazardEstuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(Fo• official use onl))
GENERAL INFORMATION
LAND OWNER -MAILING ADDRESS
Address 9 r`aU AL" \15 - -``-
city State Zip,utytonc
Email
AUTHORIZED AGENT
Name
Address
City State Zila l Bone
Email
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody)
DESCRIPTION OFPROJECT: (List all proposed construction and land disturbance.)
�FQ_
SIZE OF LOT/PARCEL: square feet acres
PROPOSED USE: Resideritiafli�l (Single-family [J Multi -family []) Commercial/Industrial ❑" Other 0
COMPLETE EITHER (I) OR'(2) BELOW (Contaelyour Local Permit Officer ifyou are irotsure ivhichAECrrppges
to your properly):
(1) OCEAN HAZARDAECs: 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 SHORELINE ACCs: SIZE OF BUILDING FOOTPRINTAND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: _ 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.)
ST)vrE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subjgMVW 0te
Stormwater Management Permit issued by the NC Division of Energy, Mineral and L4AWYtblWAR6�09
YES— No SEP 15 2016
If yes, list the total builttipon area/impervious surface allowed for your lot or parcel: square feet.

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
Person authorized to act is 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)
Dan owner or record title, Title is vested in
page in the County Registry istryofDeeds. see Deed Book
Elan owner by virtue of inheritance. Applicant is an heir to the estate of
irobate was in County.
�-Of other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
VOTIFICATION OFADJACENT PROPERTY OWNERS:
furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
1CTUAL NOTICE to each of them concerning my intent to develop this property and to anoly for a CAMA npn ;f
3) -
,CKNOWLEDGEMENTS:
the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
Lay be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
r hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
an and floodproofing techniques.
furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
e Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
lated to this permit application.
mdowner or person
This the tLI— day o20
to act as his/her agent for purpose of filing a CAMA permit application
its application includes: general information (this form), a site drawing as described on the back of this application, the
mership statement, the Ocean Hazard AEC Notice where necessary, a checkfor $100.00 madepayable to the locality, and
y information as may be provided orally by the applicant. The details of the application as described by these sources are
:orporated without reference in any permit which maybe issued. Deviation from these details wge"* j*te a violation of
y permit. Any person developing in an AEC without permit is subject to civil, criminal an6eEdv1,WnW
5EP 15 Z016

NOTI(01*17,A
CAMA PERMIT
APPL
To construct
u
in
'E'n F0,111'ina sin_ple-family wg at
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Stacy Hollis Family NC Div. of Coastal Management
922 Hwy 17 South 127 Cardinal Dr. Ext.
Holly Ridge, NC 28445 Wilmington, NC 28405
Jason Dail, Field Representative
Agent: Angie Edens [phone] 910-796-7221
NTB 16-30

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PP - FWND WON PIPE
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MRS - PWND RAIIROAD SPIKE
ms - FOUND'MMESS WON STAKE
NCSR - NORTH CARGUNA STATE ROAD
NCGS - NgiM CMg1NA CECOETC SNAWY
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PP - NE POfl PA
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GAIRY CANADY LAND SURVEYING
2780 KINSTON HIGHWAY RICHLANDS. NC 28574
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30' 60• 90'
910-324-4616 PO BOX 915
EMAIL' gn'vyyccOneBOHgmOD.com Fax [phone]
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PER [OT _
RECEIVED
DCM WILMINGTON, NC
SEP 15 2016

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Receipts for
Certified Mail
(Staple Here)
City, State,
.Dear Adjacent Property,
This letter is to inform you that I, J�pplied for a CAMA Minor
-1 �1P operty Omer JJ
Permit on my property at 1 12.� �1J 1G ' Q 3' to COUNTY
PtophrlyAddress
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project No action is required from you or you may sign and return
the enclosed o bjec on form. If you have any questions or comments about my proposed project, please
contact ma a or bymall at the address listed below. If you wish to
Applicants Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL.GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
RECEIVED
DCM WILMINGTON, NC
SEP 15 2016

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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
'hereby
certify that I own property adjacent to
Property located at
on
(Waterbody) , in
N.C,
He has described to v
he is proposing at that location, and, I have noo objeown In the attached «ioias do his proposal. drawin s ,
9() the development
1a
RECEIVED j
6CM WILMINGTON, NC
SEP 15 2016 j

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OCEAN HAZARD AEC NOTICE
Project is in an:
Property Owner:
Property Address: 1
Date Lot Was Platted:
Ocean Erodible 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 Resources Commission
require that you receive an AEC Hazard Notice and
acknowledge that notice in writing before a pennit 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_HazardArea of
Environmental Concert .include the condition (fiat structures be
relocated or dismantled if they become imminently threatened
by changes in shoreline configuration. The slructure(s)must be
relocated or dismantled within two (2) years of becoming
imminently threatened, and in any case upon its collapseor
subsidence.
The best available information, as accepted by the Coastal'
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
located is _ 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
feet landward in a major storm.
The Flood waters in a major storm arepredicted to be about.
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 bagsmay be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signature, the application will not be complete.
Property Owner i nature Date
High Hazard Flood Area Inlet Hazard Area
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. Sbortly before work.. begins on the project
sile,rthetocal Pen -nit 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, mid the
proposed development can still meet the setback requirement,
ilia LPO will infotnr you that you may begin work.: Substantial
progress on the project must be made within 60 days of this
setback- determination, or the setback must l be, re-ineasured. Also,
the occurrence of majorshorelinechange as the result of a
storm within tile:60-day period will necessitate re -measurement
of the setback. It is important that you check with die 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 conlinuing,
permitrenewal can be authorized, It is unlawful to continue
work after permit expiration.
ror more lrrfonnallou, conlact.
J��OtJ J, L
Local Permit Officer
NC DENR
Div. of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
Jlo) �qL - - d-a-!
Phone
RECEIVED
CCM WLMINGTCN, NC
SEP 15 20IG
Revised May 2010