HB_03-002_Sparks Builders & Trucking Co.

Town of Holden Beach
Local Government
2003 - 002E
MINOR CAMA PERMIT EXEMPTION
Permit Number
in
as requested in the permittee's application, dated
This permit exemption issued on SQ n U � �a a Q23, is subject to compliance with the
application and site drawing, (where consistent thwi t e permit exemption), 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 IS TO CONSTRUCT A SINGLE FAMILY RESIDENCE,
LANDSCAPE, STORMWATER RETENTION AREA, INSTALL SEPTIC
SYSTEM AND CONCRETE DRIVEWAY!
1 All proposed development and associated construction must be done in accordance
with the approved plan.
2 Any change or changes in the plans for development, construction, or land use
activities will require a re-evaluation and modification of this permit.
3 No impermeable surfaces shall be allowed over any functional part of the septic tank
system. Do not drive over, park, pave, or build any structure over the area for the
septic tank system and the repair area.
4 All portion of the retention ditches shall be located a minimum of 25 feet from all
portions of the septic system. All portions of the water line shall be located at least
10 feet from all portions of the septic system. All pilings shall be located a minimum
of 5 feet from all portions of the septic system.
5 All disturbed areas shall be vegetatively planted and mulched within 30 days of
construction completion.
6 Pursuant to 15 NCAC, Subehapter 7J. 0406(b), this permit may not be assigned,
transferred or otherwise disposed of to a third party.
7. Proposed project shall meet all of the requirements of chapter 158. and 157.
located in Holden Beach Code of Ordinances.
This permit exemption must be on the project site
and accessible to the permit officer when the project Local Permit Officer
is inspected for compliance. -af ,M c9 A-c- M gQaz_aJ
name
Any maintenance work or project modifications not
covered under this permit exemption requires further ddre s
written approval. C.
All work must cease when this permit exemption
expires onDecamber 31 QOT DCn Cermittee
JAI 2 11111
DIVISION OF
COASTAL MANAGEMENT

Town of Holden Beach
Local Government
i'.l"11119191100 0
MINOR CAMA PERMIT EXEMPTION
Permit Number
as requested in the permittee's application, dated CL13
This permit exemption, issued on SQ 0 u ,,Da aaa3 is subject to compliance with the
application and site drawing, (where consistent withthepermit exemption), 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.
8. The proposed project shall meet all of the State, Local, and Federal regulations.
9. All construction shall meet the requirements of the North Carolina State
Building Code.
10. All development shall comply with the Local Damage prevention ordinance as
required by the National Flood Insurance Program.
11. The structure must be set back 60 feet from the first line of stable natural vegetation.
12. All pilings or structures must be elevated so that the bottom of the lowest supporting
horizontal member (excluding pilings or columns) is located lower than the FEMA base
flood level, current FEMA Zone VE Base Flood 17.
13. Please be advised that in addition to the normal required information, the following
shall be shown on the final survey that be submitted to the Building Inspections
Department prior to the Certificate of Occupancy will be the following in order that we
may verify that the approved stormwater plan has been followed. 1. elevation of open
grass swale areas shown on stormwater 2. The footprint of the home including all
overhangs..
14. The approved concrete slab is at an elevation of 11.5.
15. The innovative stormwater system authorized with this permit must be maintained
for the life of the structure addressed.
This permit exemption must be on the project site C �p
and accessible to the permit officer when the project Local Permit Officer
is inspected for compliance. T ,M Cs1 A4�� RQGJrkJ
name
Any maintenance work or project modifications not
covered under this permit exemption requires further dre s
written approval. C• o
All work must cease when this permit exemption a,
expires on Dec_m Y 3I Q000o VFrmittee _
Jt'm 22003 j
DM-S!C)N 01-
COASTAL MANAGEMENT

AEC HAZARD NOTICE
JOY CtCtinton�t ✓1,
�6 (den `3.eadc ,, nC
Project Is In An: _ 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 onbuilding standards, oceanfront
setbacks and dune alteration 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.
The best available information, as accepted by 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 336 feet landward in a major storm.
The flood waters in a major storm are predicted to be about
17 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 sand bags, 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
complete.
pplicant's Signature
a5
ate
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive
storms and erosion. Permits issuedior 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 theproposed
development can still meet the setback requirement, the
LPO will inform you that you may begin work. Itis 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, ff 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
Its
C:1� A �L �a� L� i
Locality V
Phone
1
3AN 2 % 20a3 1
p IV ISI ANAGENIENT
GOP'SIAL M Revised 11193

k- - '
Localify �O /1 1�eh !�►eCt CL Permit Number "?a0 6 L�
GENERAL INFORMATION
LAND
Name ✓ ► �n i�v ,w- •�
Address /
City (-'AW S!4 State AIC, zipt9sVV z Phone ?13- YSp-37K
Name
Address iAAIDL�4 iW
�. /�p �/
city (, i�c>y State 4yZip Oa y6 J Phone �O- %sy- 7V
LOCATION OF PROJECT �DD gW&Th j SL
IJ4 • lb 4 H. He 1a�tN
(if not oceanfront, is waterbody natural or manmade?) A6� 1
'Deit�) led
DESCRIPTION OF PROJECT 51rP& F.o _ ►
SMA
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline _ORW Shoreline _ Other
PROPOSED USE
Residential Commercial/Industrial _ Other _ k , ,. • _ .
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline)
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING X PD
SQUARE FOOTAGE OF SITE 6096
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 LP to determine if
any of these apply to your project.
Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
Burning, Electrical, PI Heating anc
Air Conditioning, Insult �E
19
Conservation, FIA Certi
Sediment Control, Subdi 1 Approval,
Mobile Home Park App ig"y 10
Connection, and others.
BEACH

STATEMENT OF OWNERSHIP
n
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in z
an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development —1
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 T b4c i see Deed Book /y 19
page bGA1 in the MNSW tt Coun Registry o Dee s.
_ an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
_ if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
r•
O
n
a
r
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)
A,_ _ .__ - A_r ;�fP., Alif. LiP,. fi: Alf orioY
(1)
(2)
(3) I ..._
W jf ca _&A PO 01 399 W1 iif✓,11 N'G y41
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 floodproofing 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 ap-
plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 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 a per-
mit is subject to civil, criminal and administrative action.
This the day of !%fit e 20QI--�.
Lan owner or ers n authorized to act as his agent
for purposes of filing a CAMA permit application.

NDV-19-':002 iss:2ea AM
EVRNS CrINSTRUCTIUN 642 r22c
r.01
10/24/02
*2121201
�., BRUNSWICK COUNTY HEALTH DEPARTNIENT
210204;077
0226
0
�'BTEVE
P.I.N. 100 232NH010
FILE NO.;
Far, P110M
AM'. 90,
TAX PAWAL
903 EABBATH HOME RD
SUPPLY NC
28462
9 0� 64t27220
AD
----_.__. 6'
L'P
MIbTi�
FETZKO ROBERT J JR ET
ELIZAP/ P. H HOT -DEN _ 1
10
T
CUrMENT PPOPER rY .F
61060(vistON
Lcrr
KN war
PnOPEMY L00AIE0:T WISI rTwAn", 02AICnONST0 0ROPERPe —I oil allTtiTAms'r TIIRid
L FROM DRSDCE_TC _Q'ZNTON_ST__THEN L LOT DN R
NEA' -/-- REVISION
Deal _ 91-3 . _ gpd.
RELOCATION UP3RAOE ...�REPPAIR _
Septk tank size: 1000 gal. Type: J6��
No. Bedmorm A- No. oceipantslernployeas A- Max. Trench/Bed Bottom Depth: Inches
No. Lines: q_ Length eecn: ,Iq Bed dYnEfnsions: 31 K ee14 r —
Fill Check: oft Approved:
PERMIT ISSUE DATE: K& • ) S � Penut expnes 50 rltonths from data of Issue unless otnervese spee'9ed
C7 30 days trom date of Issus
❑ Other (date)
Authorized Agent Signature: -NnSSR dnc Sarl;'Qs Registration: 107 -F,
NOTES: PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGES.
IMPROVEMENT PERMIT CONDITIONS MUST BE MET
Wastewater System Inetalfer. Date:
Comments; Ox* Info/bierller OWMV0 )
NiD 7 E!:
1.aaplie Tank shNl
Itaw w approved
RNtuant filter and
eccvea dovtuam war
applicable.
2htainteln all set -
book detil for
septlo tank eye-
woma and walk.
SAE oantponents of
she Mode .yew"
whom a located
100 twat d paaalble
but not Iwaw than
60 feet to all
eete lnO and tulips
walk on We prom
and adktoerit oaf-
oek.
OPERATION PERMIT: Au*oraodt aprtwe-
Actors of beat health deparonent repr a ntsdves or the State engaged In the evstuatlen and eenertdnaao� el memurea required to efteot eomdWme with the
aoplAyble laws and rules shall In no way be taken as a warranty that sewage, treatment and dkpowal lrr tern& approved and pveninad 'We 10'44kin In a
6dwaelua= y rnarrfa any given oenad of tie". The Issuarwa a this P&WA does not preolude the taermm" from cornplyyl�rnpa with any and eN .fames, rule,
mWg Ooro, or odboneea wNch may ba ;mpeewd by other government agenmes fl000l, weate, end fedor* wnleh nave )wiw1eeen.

-DATE: -133'02--
DEAR ADJACENT PROPERTY OWNER:
This letter is to informyouthat I have applied for a CAMA Permit on the property
owned bx at/ff Qh�.�Y►. I
(Street addRts)
Holder Beach, NC. I have enclosed a copy of permit application and a copy of the
drawing ofproposed project.
If you have any comments on the proposed project, please contact
Rhonda Phillips, Local C MA Officer, Town of Holden Beach, 110 Rothschild St.
Holden Beach, NC 28462 - Telephone -( 910) 842-6488.
Sincerely,
(Owner or gent)
TELEPHONE NUMBERS%
U.S.
Postal
ServiceTM
CERTIFIED
MAILTI,, RECEIPT
(Domestic
Mail
Only;
No Insurance
Coverage Provided)
a Pealag.
$ f0.37
E3CemredFee
O 57
$2•30
Postmark
$0.00
O Retum Reclept Fee
here
(Endorsement Required)
0.0
l7 Restdctetl Delivery Fee
trl (Endoreemenl Required)
ru
12/17/"M
$2.67
Total Postage & Fees
$
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PS Form 3e00. June 2002 See Ae am for IneiaGllerl8

•BATE: /2- /3 - 0 7i
OR IJ..
calm,
VIM
DEAR ADJACENT PROPERTY OWNER:
This letter is to inform you that I have applied for a�7CAMA Permit on the property
owned b ' [1' at 1A1 r� S�
`�T�� (SPYt addrtss)
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 C-AMA Officer, Town of Holden Beach, 110 Rothschild St.
Holden Beach, NC 28462 - Telephone -( 910) 842-6488.
Sincerely,
4(Owne—Tor gent)
TELEPHONE NUNMER:- %Sy 7y3 N
CERTIFIED MAIL. RECEIF
(Domestic Mail Only,, No Insurance Covera,
G, LEnW1AL USE
Postage
$ $0.60
� cenredFee
0
0459
01
52.30
M Retum Reclept Fee
(Endorsement Required)
PeeneeM
HeA
,
$0.00
O Restricted DeliveryFee
M (Endorsement Required)
O
ru Total Postage & Fees
12/17/2002
$ $2.90
ru 1
p Sent ro
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f� Siieei. A;IL7gn.:

-DATE: /—)= J,3 -d2-
DEAR ADJACENT PROPERTY OWNER:
This letter is to inform you that I have applied for a CAMA Permit on the property
owned b !^�"a� 1 �C� �1 e V n-,
(store[ 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 CAMA Officer, Town of Holden Beach, 110 Rothschild St.
Holden Beach, NC 28462 - Telephone -( 910) 842-6488.
Sincerely,
(Owner or ent) L
TELEPHONE NUMBER: ^- S -
U.S. Postal Service,M1,
Ir
CERTIFIED
MAIL.n, RECEIPT
(Domestic Mail On/y;
For
No Insurance
Coverage Providetl)
tlelivery information vlslt our we6site
'I :. l f l<
at vnvw,usps corty,.
SE
red)
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.*ATE:1J-8-d I -
To: I IL°
2, C), &u �Q I
Why V�V�o aka
DEAR ADJACENT PROPERTY OWNER:
Thisletter is to inform you that I have applied for a CAMA Permit on the
property
owned bpi' Y 2fi at
%%%%%% (street 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 CAN1A Officer, Town of Holden Beach, 110 Rothschild St.
Holden Beach, NC 28462 -Telephone -[phone].
Sincerely,
( wner or gent)
TELEPHONE NUMBER: -neS zjz
U.S.
Postal
ServiceTM
CERTIFIED
MAIL,,,
RECEIPT
(Domestic
Mail
Only;
No Insurance
Coverage
Provided)
r
1AiNVILLE K 28472
CIO
rR
Postage
$
E3Certified
Fee
42•30
In
Z3
Return Reclept Fee
$0.00
(Endorsement Required)
0
Restdcted Delivery Fee
$0.00
M
(Endorsement Required)
ru
Total Postage & F9ea
d.
$
f2'90
0459
01 Postmark
Here
12/17/2002
IForm 3800, June 202 See Reverse for Instructions

LEGEND
9 Existing Contour
—(1o) Proposed Contour
All Lot Surveys & House Plan Layouts
have been provided by the Contractor.
Contractor shall verify setbacks.
S 06028'34"E
C?
L9 SUt Fence
+
+
.0
�o 0
Retaining Wall (Top of Wall 100)
+ +
As required per Town of Holden Beach' C-P
Vegatated Swale (Max. 3:1 Side Slope)
Bottom of Swale Approx. 9.51
TOWN OF HOLDEN BEACH
49.96' 0 ( M I
0 \\�
okly-.0
,,roposed
,,Septi,e
"Fiel
Q
+t>
0�1 to 0
Open

HOLDEN BEACH. NC 28462
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red, Collected, & Directed
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