36-22 HB_Minor Permit_20220830

Locality V
Permit Number,
Ocean Hazard Estuarine Shoreline ORW Shoreline.--- Public Trust Shoreline
Other
(For gfeial use onlj)
LAND OWNER - MAILING ADDRESS
Addlre s'—: n
City _ -004
'0S
State ��N K Zip 03 rO Phone �60-' a36 - E ( Do
Email 11
— '�t�l 5'A$(W'
AUTHORIZEDAGENT
Nemec/�-��iGQf/-1�—��/'�1���
AddressaZzl
City S� _State Zip Phone
-- —.�
Email �. _ 1I ►�.
LOCATION OF PROJECT: (Address, street name and/or. directions to site; name of the adjacent waterbody.)
VL
)ESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
;IZE OF LOT/PARCEL: Jq61094 square feet %3 S acres
'ROPOSED USE: Residential 0 (Single-family Multi -family[]) CommerciaVlndustrial Other j
:OMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer tjyou are not sure which AEC applies
r your properly):
'9az�bo � wa(I�woy
) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: Square reeet (includes
r conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
,eluding non -load -bearing attic space)
) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
PON SURFACES: A& square feet (includes the area of the foundation of all buildings, driveways, covered decks,
mcrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
���
LATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State 4
ormwater Manageent Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)? ES_ NO Y
yes, list the total built upon area/impervious surface allowed for your lot or parcel:
square feat.

OTHER PERMITS MAY BE REQUIRED: The activity you arc 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 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)
�M- 0. (✓N'S�A`Vrr �VJ C�VW I/° l/1M
_an owner or record title, Title is vested in name of yy) a� �'p Tl L4J
a"�nor Y11.ca t ore 1Re_uo
see Deed Book ,�,1 page jq_ in the
r was tv' 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 & attach to this application.
NOTIFICATION OFADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. 1 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) IA W,.„ .%
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
1, 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 Inc 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 in fact grant, permission to Division of Coastal Management staff,
he Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
*elated to this permit application.
29tLday of I k_ 20a2
tg a CAMA permit application
his application includes: general information (this form), a site drawing as described on the back of this application, the
wnership statement, the Ocean Hazard AEC Notice when necessary, a check for 8100.00 made payable to the locality, and
rty information as may be provided orally by the applicant. The details of the application as described by these sources are
tcorporated without reference in any permit which may be issued. Deviation firom these details will constitute a violation of
?v permit. Any person developing in an AEC without permit is subject to civil, criminal and adminisn•arive action.

3
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ele r
WC T�,,,ors LLC !{a6�33-QLn
Adjace nt�PropartyOwger
o"ite ,Utz o
ing
Address � o
hst dLt,t( SG ��i7D'7-71�q a
City, Stale, Zip Code r`
n-
ti
Dear Adjacent Property:
This letter is to inform you that I,
1 Propertywner
c
rq
A
M1
Minor
Permit on my property at _�7�ife1.All Lm
County I in Brunswick
Property Address
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 no objection form. If you have any questions or comments about my proposed project, please
contact me at f, az,b pn7 or by mail at the address listed below. If you wish to
Applicant's Telephone
fide vwillen comments or objections with the Town of Holden Beach CAMA Minor Permit Program, you may submit
them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely, 3:
rroperry own@r
Mailing Address
City, State, Zip Code

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Dear Adjacent Property:
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— ........................
This letter Is to inform you Thal I,
(o1Y „a
MR ivi
roperty Own
Permit on my property at _ .336 5limit i IAI in Brunswick
County
Property Address
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 no objection form. If you have any questions or comments about my proposed project, please
contact me at 03 0.;g - 4 /O 0 or by mail at the address listed below. If you wish to
Applicant's Telephone
fie written comments or objections with the Town of Holden Beach CAMA Minor Permit Program, you may submit
them to:
Rhonda Woolen
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
i--
�operty f)wner
as Rr0�l�
MallnngAddllreas �}
IC df��l (N�� �31fc7 3,411
City, Stale, Zip Code

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NC Div<sion of Coastal Manaclement
---- --------
336 serenity lane holden beach r X Q
Show search results=or 336 serenity I...
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336 Serenity Ln, Supply, NC, 28462, USA
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33-9 6
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: _:�Iqsg4—gaJ &L&C"c -'
Mailing address .7,g A'4vr r= All
HE
Phone Number:
I certify that I have authorized ►J� i��►La► �, [1
Agent / Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of A
at my property located at
in i2L)N\S %U---, County.
This certification is valid through -� )y Z::>Z5
' I Date
(Property Owner Information)
A//J�
Si`g�,n`a-tu-rle
� JC ^ak \'rD
Print or Type me
Title
�/aRlaDa2
Date
603 -a36. 6io�
Phone Number n
-5 e e. az3 c c
E I Address
AUG a5 2022
6Y:

Project Is In an:
Property Owner.
OCEAN HAZARD AEC NOTICE
Ocean Erodible Area —,I/— Inlet Hazard Area
Property Address: 1'
�y► f�l
Date Lot Was Platted: M I ZOZI
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 on building standards, oceanfront
setbacks and durte alterations are designed to minimize, but not
eliminate, property toss 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 Concern 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 ocean erosion rate for the area where your property is
located is _J0_ 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
—3-36 feet landward in a major storm.
T e ood waters in a major storm are predicted 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 bags may 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.
Z
ate
Property ner Signature
:all Brunswick County GIS for this
information at 910-253-2390.
SPECIAL NOTE: This hazard notice is required fot
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 60 days of this
setback determination, or the setback must be re -measured. Also,
the occurrence of a major shoreline change as the result of a storm
within the 60-day period will necessitate rc-mcasurcmcnt of the
setback. It is important 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 can
be authorized. It is unlawful to continue work after permit
expiration
For more information, contact:
VL (P&& - M
Local Permit Officer
Address o r • • • • ' (� I
_ L til • J I I
Locality
Qlo-RUa -LW
Phone Number
Revised May 2010

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Town of Notdan Beach
LMMGGVKMNM
CAMA
MINOR DEVELOPMENT
PERMIT
Malohehmeltyfb.saeeatlorohcara� lT�ar�wkoemehheaeaapr
elll IINCOMW lOreourotl CohemNgM fardmrMgMmlb M arMa«whemmhl
oawwn pu.Mnteeftlo 11MISsibeflmmW Sol la,'COW Am Mom~
Beach NC 2t M as repested In the pemdt s ap*don. dalad rI 11,1 AqW X Mn This perrnt, issued on
Seplembr 14, = Is subject fo omosnce wlh the applic m and ste drawing (Mm oorhe oM YA the pemhiq, al
applubb regula m and spadal condtbhs and Was set foM bebw. Any wbialfon of these Canna noy sl*d
pemdtee b a fibre, k prisar mmt or dW adm, or may mm the pod b be nhdl arhd void.
This pemhd soomikes CONSTRUCT A WALKWAY(ACCEBWAY) MAIpM W OF 6 FOOT WIDE AND IV SQUARE
FOOT COVERED GAZEBO. ALL DEVELOPMENT S1Wl BE LANDWARD OF ALL DUNES.
(1) Al ; - dri*pmt and ammlaled coraku*n must be dons In aoomdenoe vd h lib pemnI'm d work plat
drewilp O DATtEDRECEIVED Alhg M 25, 2MZ SWW by Gnat' QWW
(2) Al omoku don ffmd confoee fo do N.C. &d!l Cope m*kammb and all odw local, State and Fed" mguletohw,
apptcable kcal ordtnalhoes and FEMA FbW RaguW mm.
M Any Ow" or dh, go, In to plane for &w*p =K omsMi*n, or loW use aCliVitM wM mqubs, a reookoarh and
nhommomhathispermt
(4) A oopy of ft pw* shd be podsd or av d" on sb. Cm* d ft dW at 91041420M bra &W irepediorh at
cmwbtmhawork
TNeseniorWwwPboegpmWbyewpwa" aaerrWWWpweaw
rlT�h k�aey (20j dlrye d hte i�ne dae. Thk pence miW be m rie pm}d
see WA aeomm to em pwaa omm *0 ere project Y Yepe - ka
oompemo• Aq ahrkaenehhoe rat a pr" nad0c9Jm nd sawed adw
fYepm*rophekeearwdYnpmwdappioralAeworkmalai ohmede
pwasomm
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Un PIm and m eppkdm mdmhoar. TNe penal mq nd be eaNfaned In
Wdow pony W&M em wrom orl d to DWAM of Cassia
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Norse: 8aeplrsn Mlptiora
Ninon Pon r&#20?2.038
Dear. 8ephmber 14, 2022
Paps 2
(5) This drokpme d is in the Inlet Hazard Area did be sat back an a minlinum of 1OD lest prom the list IMe of
stable neiaal vegddm and landward of fibs be of the bonbl dune, as delerakred by to DCM, fire tPO, or
arnollwassOW agard of the DCM.
This pm* Is b ft faeued based an 15A NCAC 07H A308(2)(c) & M) (aK3).
(0) The permilles to mw*W b contact the local Pamlt Of w 91041424 M. *a* before he plans to be&
wn*udfon b arrange a aelbadc measurement that wM be Active for ably (60) days bmig a am*
if-r, A i change. Construction must be& wMb 9W (60) days of tie detamtnalbn or the meamunert is
vrokt and must be redone.
(n MAN ommovclsd wifitn the oem hazard area ahNl comply wM the NC &Aft Cock' -11 1 ng to
Coastal and Flood tclab ft*ucfion Slarldards of the N. C. Uft Cade, and the Local Flood Dmnepe
Poeva ft ORbwm as required by fihe National Flood Insurance Program. If any prevk m of the kAft
code or a flood damage p wm*n ordku m are Moorebbffl with arty of the fdkvr % AEC starhdarde, the
more re*Mn pnvvt m shag control.
(3) Dune dkturbrrces will not be allowed ber:auree the dune's p oleclive value could be weakened or reduced All
daubed areas win be kmnsdM* sbbAaed.
(9) AN aroo=Mabd medal muWq from mo ided grading and 1 9 shag be netoMed on ate by
effective sedimentation and erasion coi*d measures. MAW arm shag be vegebla8vety sbbimad
(plardad and m ic!" wMih 14 days of coneihwllon oompktlan.
(1(I) Arny siurdurep lA m ia, by tub psmtt shall be relocated or dim m filed when It bewares immbently
Immlened by dannges in dwrdkre wrilkwadon. The shucire(sl shelf be relocated or dbnwdbd wkhin tsar
Horsever, if nadsaa shoreline reoovsry or bwM raraurialmd takes pboe wI M hvo years of the than fibs
siuchrre boom knmkn * t mbred, so that l he sku*m is no knrgar knmkw* tseabned, firer It
need not be rWm i led or dismmfied al that time. This wmifion shah not afford the permt hall Ws right b
seek autln, III , of Temporary p olerlive nomm abed wKW CRC rube.
(11) Established cmnm4aw and stdulory public rglts of mom to the pubtio bud Wide and walm M IrM
Hazard Areas shot not be ekaloabd or resldcled. DeveWp m t shall not w000M upon public aoww#ap
nor shag t b t the MW*d use of the aooesssrays. TmdWW pdlo socessways shag not be sknbm ad or
resbloled.
(12) All nles perlainkV boom hazard areas shall be applied b development vift the hdut Hamad Areas.
03) The sbuchse shall be locded art * bmdward of all dhmes and N a prbaary dune is present, behind the crest
of do pdmary dabs.
NOTE: Be advise Ihst fire proposed devebpneM is M ar Wd hazard arM Ilut is espedatiy hmkrerable ID er>".
Moo ft and other adorn effects of send, wkhd end wabr because of fib pohdrrtty to a dynamic ooemh MK Met
SIGNATURE: kj� DATE: j4J6Re-a Z
PERMITTEE