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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: r 1�1Vil�l V 6k- L(, la.--
Mailing Address: '
NIC
Phone Number: ci
Email Address:
I certify that I have authorized �CU �1 ri. C A-
Age t / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: .:LhSf-CLWJ-tbn Of -Tresfow\d
V\Okycltst-s�'i ' � UA wl C.(,yu re,(e- d/-
v - ,
at my property located at �� 1 ��� ��l c cb S �- (� f P C�. � fit'_ (-)-' ccJ-L ,
in it' U-M. V'-) k.(, !c County.
I 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:
Pd94-1L
Signature
O'WW\y" a
Print or Typb Name
Title
J_IQ—f ? z
Date
This certification is valid through l / ( (% 1

1 1a a3
Vert6t5�OV5i ,
Adjacent Prope y Owner
�tG n tlrcJ, SI S Ib�
cling Address
- - t.+rr� Tm nip a� a
City, State, Zip Code
Receipts for
Certified Mai!
(Staple Here)
Dear Adjacent Property: \'
This letter is to inform you that I, ��Y �t LWO Ol. have applied for a CAMA Minor
Property Owner
Permit on my property at a o� V\i F% r by S�TO=T6f & h NC in 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 §Q)-165-(041 l or by mail at the address listed below. If you wish to
Applicant's 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
Sincerely,
Property Owner o
as l W FL r5k5+, oc MB 4_ &001
Mailing Address
0cean1-_Ste &tom _ O.C. P1gg09
City, State, Zip Code

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
Val ki-4 S�- oib u-C,
Name of Adjacent Riparian Property Owner
an
�
Address
cxsk ,r, DSO '�)A3, N C. DKgo
City, State Zip
To Whom It May Concern:
1 Ilala3
T—I Date
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
Ibmrl \l&ctS:JCA
on m,,��y propertyat aA\ \j\) � lCc=>>k' St DCQW �rS�2 . eC b IQC rR R40
in rU R,Uick County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Owner's Ngne
Address
I have no objection to the projc
I have objection(s) to the proje
Adjacent Riparian Signature
Print or Type Name
Address
Cllu��1��-Loyl.l
Telephone Number
0;+- C11— . Zip
V/ soeo-
k ate
ul�-�2.�t.u�h `ln SIB-rYLpe� Zip
Revised Ally 2021

P.O• Box 2327
Shallotte, NC 29459
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pCAa pay-tes.Tt7c.
(-P'q9 Sacnt John ls'1
chur-la-#e, 10-7ozo
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The.S 92�.V 0000 OTh2 220E

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMTI)
CERTIFIED MAIL RETURN RECEIFT REQUESTED tx HAND DELIVERED
MM-4ft.X5kC
City, Stage Zip
To Whoa It May Coamm
Thu oorrespoederre is to notify you as a riprisn property owwa that 1 m applying fora CAMA Minor pennh to
O(' pAinW�ot�: �, 4 VnQN=gAa,a
on my property at —A%M ta_r1t9_*, WC b9
inB�Vck_ CZY. Mich is adlaael to )tr,r properly. A em" of tie appBcatLa gad prsjett .
dMwiKIs aturkdkntload for year rerirr.
If)— have no objecimm to the proposed activity. p1m, ark tfe
aPPmprime ummeni below and retrrtt to age as som
as possible. If no comments are received wi&a 10 days of receipt *(this notice. a will be cemidered tint you have o0
ooatmem or o*uiom regarding this pa*cL
If you hoe ob)"M or c«muenm pi W mark dr approlriatc sta.emera below and sand y,, correVood,,g to
(LOCAL PERMIT OFF1CCK NAME OF LOCAL GOVERNMEYT, MAILING ADDRESS CITY, STATE. ZIP CODE)
If you have any questions abod the project, pkase do nor hMWC to ooataa age 9 my ad JmWr ranba listed below. or
arruaa (LOCAL PERMIT OFFICER) al (PHONE NUMBER), or by coud It (LPO EMAIL).
>Sincerely.
qID l _(,t�l i - Ca,elt,� e►e�irte
Property 0%inef's NaMe Telcphoru Nmber
Address City State �p
I have no ebjcction to dle project described in this oaresporI&M.
I have ohjeaior(s) to the project dewibcd in ItIb cmespordrntt.
X
icp i roe
Qrtc
Print or Type name Telephone Number
nc-ay
Address City Sure Zip
Revised July 2021

AEC HAZARD NOTICE
Project Is In An: N/ Ocean Erodible Area
Property Owner:
.High Hazard Flood Area Inlet Hazard Area
Property Address: _�Z.\ �_}J ����1 ���CCtfl _�S�e_ 'C�C'I�, NC, asC`A�o A
Date Lot Was Platted: 12- / 3 / 9.5S 9
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 riles of the Coastal Resources Commission
requue 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 (toes 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 tlicy become immincntly th eatcned by
changes in shoreline configuration. The structures) must be
relocated or dismantled within two (2) years of becoming
inuninently 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 Z fect per year.
The rate was established by careful analysis of aerial photographs
oflhe coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as much as
g0 feet landward in a major storm.
The flood waters in a major storm are predicted to be about
feet deep in this area.
Prcferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Flard erosion control
structures such as bulkheads, seawalls, revetments, groins, jetties
and breakwaters are prohibited. 'Temporary sand bags may be
authorized under cerizii • ditions.
I'heapplicantmu cknowle gethisinformationandrequucmeuts
by signing this ne tice in t c space b ° it tit the proper
signature, the il p cation omplctc.
Applicant Sicdnatjrro I / / Date
SPECIAL NOTE: This hazard notice is required for development
in areas subject to sudden and massivestorms and erosion. Permuts
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 remeasured, Also, the occurrence of a major
shoreline change as the result of storm within the 60-day period
will necessitate remeasurement 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 intbrmation, confactr
Local Permit Officor
111 K-14uSe eA
Addro ss
C3c�C�
Locality
epo — s'V-7,9 10 q
Phone Number
Revised 2107
i
i e(L u'u)SVC

POOL SITE PLAN
POOL DECK LAYOUT
FOR CONSTRUCTION
SCALE 1" =10'
-------------------�
II
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I II
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I II
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I II
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1 TOE OF FRONTAL DUNE I ;
--------------- 16.50
STAKE WITH
10.50I
PINK TAPE
I� "11
i
._, ..
FIELD LOCATED
YI
,
DUSTIN 1'QQI.DkT.1C 9. ' A�JO 0s>7>Jx 691
GROUND LEVEL `\ \ �" lP'il
I WOOD DECK\\\\
7ENCL.11.0 1
II d
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/EXISTING
DWELLING
FENCE LAYOUT
FOR CONSTRUCTION
SCALE 1" =10'
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I I I
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I ��TOE OF FRONTAL DUNE I
0� I 37,92 PROPOSED
[37'-ll'1POOLDECK
Y
11.1;
I1 s1 ^
GROUND LEVEL \�
WOOD DECK `\
Rml
GROUND.
T
I `STAKE WITH
I PINK TAPE
FIELD LOCATED
19.09
[19-1'
"I"""
t
Al
TO
ATLANTIC
OCEAN
_`L 1
r 1 49.44 POOL DECK TO PROPERI ITY LINE
149'-51/4'1
50.49 WATER'S EDGE TOIPROPERTY LINE
I I
-- 49.63'— J r[50-57/8"1 ---^ FROM VEGETATION LINE
F----------------------I---
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POOL DECK'I O PROPERTY LINE 2829
[28'-3 3/8"I.y
WATER'S EDGE TO PROPERTY LINE 29.26
[29'-3 1/8"1
r
r
I
I
POOL EQUIPMENT TO PROPERTY LINE 2.54
[2'-6 1/
KOCHO PROPERTIES
INC ETALS
DB 3652 PG 100
PB 9 PB 45
I
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WOOD WALKWAY
NEW FENCE
GROUND LEVEL
\\
WOOD DECK
ENCLOSED
GROUND
LEVEL
=
HVACAC
I ELEVATED
� PLATFORM
/EXISTING
DWELLING
1 /
I
I
DECK
_1___
I
i
50.00'
W. FIRST ST.
DECK
I
I
BEACH ACCESS
OF FRONTAL DUNE
PROPOSED POOL DECK
STAKE WITH PINK TAPE
FIELD LOCATED
s.m POOL DECK TO PROPERTY LINE
3''0111 II
s.00 WATER'S EDGE TO PROPERTY LINE
FIBERGLASS POOL DIG PLAN
SEE DIG PLAN BY MANUFACTURER
JANZ77-71 1:
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I
- VVN OF OCEAN !S.�
...,'�vs!r- F: 11"'CC-
NOTES
POOL DECK CALCULATIONS
POOL DECK +POOL SURFACE AREA =173 Sq It
POOL SURFACE AREA = 81 Sq It
POOL DECK = 92 Sq !t
APPROXIMATE EXISTING IMPERVIOUS: 1,661 Sq It
PROPOSED ADD'L IMPERVIOUS: 92 sq It
TOTAL IMPERVIOUS (EXISTING + PROPOSED) =1,753 Sq It
TOTAL PARCEL AREA = 0.17 ac (7,405.2 Sq It)
BASE MAP REFERENCE:
BOUNDARY PLAN OF 221 W. FIRST ST.
SEALED BY: GEORGE L. HART INC PLS L-5390)
DATED: 07/01/2022
POOL PLACEMENT
FOR CONSTRUCTION
SCALE 1" =10'
I I I 1
I I I I
I I
I EXISTING WOOD WALKWAY
PALOMA
12'6"X P'6"
I 81 Sq ft ,
r I TOE OF FRONTAL DUNE
-----
15.12
GROUND LEVEL
WOOD DECK
� ❑ -q I
1 I I
W,,
I POOL EQUIPMENT I I
HVAC I
ON d
ELEVATED I ,
I PLATFORM I
EXISTING
DWELLING
I
1 I r
I
1 I
EXISTING
Dj
WELLING/
0 10 20 30 feet I
SCALE: 1" = 10' ,

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A W F1RSi STREET
SUBJECT
PROPERTY
GPS CONTROL NOTES.
I. GPS CONTROL USED FOR THIS PROJECT RASED OFF
OF THE FOLLOWING DATA
2. CLASS OF SUAiVEY, B
J. POSITIONAL ACCURACY = +- OJO'
4. TYPE OF FIELD PROCEDURE, VRS
5. DATE OF SURVEY: 04/24/2022
& GEOID MODEL:128
7. UNITS: US SURVEY FEET IIRF
8. SCALE FACTOR. IDOOOOO / Y
1, GEORGE LHART, CERTIFY THAT THIS MAP WAS PREPARED UNDER
MY SUPERVISON FROM AN ACTUAL FIELD SURVEY OF DESCRIPTIONS!
AS RECORDED IN DEED BOOK 4668 PAGE 1222 AND MAP BOOK 5 PAGE 141
THAT THE BOUNDARIES NOT SURVEYED ARE CLEARLY INDICATED AS SUCH
AND WERE PLOTTED FROM INFORMATION AS REFERENCED HEREON. THAT
THE RATIO OF PRECISION AS CALCULATED WAS 1:I0A00+.
I FURTHER CERTIFY THIS 1S A SURVEY OF AN EXISTING PARCEL OR PAREES OF
OF LAND WITHIN THE AREA OF A COUNTY OR MUNICIPALITY THAT HAS
AN ORDINANCE THAT REGULATES PARCELS OF LAND: AND THAT THIS MAP
MEETS THE REOUIREMENTS OF THE STANDARDS OF PRACTICE FOR LAND SURVEYING
IN NORTH CAROLINA (21 NCAC 56.1600J
WITNESS MY HAND AND SEAL THIS IST DAY OF JULY,2022
PROFESSIONAL LAND SURVEYOR L-5390
C A R oj' ---
l
• SEAL
L-5390,
i
�j • �•••......• •• ,,,�
GENERAL NOTES:
I. ALL DISTANCES ARE HORIZONTAL GROUND.
2. AREA COMPUTED BY COORDINATE METHOD.
3. THIS PROPERTY IS SUBJECT TO ANY AND ALL
EASEMENTS AND/OR RIGHT OF WAY OF RECORD.
4. NON -CONFORMING STRUCTURES HAVE NOT BEEN CREATED
BY THIS SURVEY.
5. THIS SURVEY IS SUBJECT TO ANY FACTS DISCLOSED BY
A FULL AND ACCURATE TITLE SEARCH.
6. THIS PROPERTY IS LOCATED WITHIN A FEMA FLOOD
HAZARD AREA AE/VE (PANEL 372010640OK EFFICTIVE 08/28/2018).
7. LOT IS ZONED RESIDENTIAL RI
B. UTILITIES WERE NOT LOCATED WITH THIS SURVEY.
MM/MO
IM/MCO
MNF(:�,
�N S6
� 2q-
F� 6ptRl�
POSSIBLE AREA
FOR POOL
TOE OF FRONTAL
�5 � 2•32 �5• W
A9 63
90' FROM VEGETATION LINE I r IKM
NC GRID
NAD 83 NA 2011
LEGEND
CP
COMPUTED POINT
MNF
MAG NAIL FOUND
D8
DEED BOOK
MB
MAP BOOK
IRF
IRON ROD FOUND
IRS
IRON ROD SET
MNS
MAG NAIL SET
PIF
PINCHED IRON FOUND
IPF
IRON PIPE FOUND
ECM
EXISTING CONCRETE MONUMENT
TIE LINE
SURVEYED BOUNDARY LINE
NON -SURVEYED LINES
FROM DEEDS OR PLATS
—X X- FENCE
6/ 90
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