69-23 Prestige Building Group, LLC

Town of North Topsail each 69-23
Issued by DCM Permit Number
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 Prestige Building Group, LLC, authorizing development in the Ocean Hazard and Estuarine Shoreline -
ORW (AEC) at 1519 New River Inlet Rd, in North Topsail Beach, Onslow County, as requested in the permittee's
application, received on May 11, 2023. This permit, issued on May 22, 2023, 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 3,610 square foot total floor area two-story single family dwelling with ocean side
5'x 54'accessway.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated Weston Lyall 519/23.
(1) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit. 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.
(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) A copy of this permit shall be posted or available on site. Contact this office at 252-725-3908 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. From the date of an appeal, any Jf� /f�work conducted under this permit must cease until the appeal is resolved.This i '
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 written permit Tina Martin
approval.All work must cease when this permit expires on: NC Division of Coastal Management
400 Commerce Ave
DECEMBER 31,2026 M rebead City, NC 28557
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 PERMIT F
r Authorized Agent
Management.
(signature required`If conditions above apply to permit)

Name: Prestige Building Group, LLC.
Minor Permit#69-23
Date: May 22, 2023
Page 2
(5) The proposed dwelling shall each be less than 5,000 square feet of conditioned space and located a minimum distance
of 60 feet of the First Line of Stable Natural Vegetation(FLSNV). No fill or excavation of wetlands is allowed.
(6) The permittee is required to contact the Division of Coastal Management shortly before beginning construction to arrange
a setback measurement that will be effective for sixty (60) days barring a major shoreline change. Substantial progress
on construction must begin within sixty (60)days of the determination or the measurement is void and must be redone.
(7) 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.
(8) The oceanfront uncovered deck within the setback area shall not exceed a footprint of 500 square feet.
(9) In no case shall a beach access structure or stairs be constructed in or over the starter dune or berm.Posts and
rope may be used on and over the berm not to exceed six feet beyond the seaward toe of the berm or starter
dune.
(10)The beach accessway must not exceed six feet in width and shall provide only pedestrian access to the ocean beach.
(11)The beach accessway must be constructed so as to make negligible alterations to the frontal dunes. This means that the
accessway must be constructed on raised posts or pilings of five feet or less in depth, so that wherever possible only the
posts or pilings touch the frontal dunes without any alteration to the dunes.
(12)Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structures) shall be relocated or dismantled within two years of the time when it
becomes imminently threatened and in any case upon its collapse or subsidence. However, If natural shoreline recovery
or beach renourishment takes place within two years of the time the structure becomes imminently threatened, so that
the structure is no longer imminently threatened,then it need not be relocated or dismantled at that time. This condition
shall not affect the permit holder's right to seek authorization of temporary protective measures allowed under CRC rules.
(13)All buildings constructed within the ocean hazard area shall comply with the NC Building Code and the LOC2I Flood
Damage Prevention Ordinance as required by the National Flood Insurance Program. If any provisions of the building
code or a flood damage prevention ordinance are inconsistent with any of the following AEC standards,the more
restrictive provision shall control.
(14)The amount of impervious surface shall not exceed 25%of the lot area within 575 feet of Normal High Water Level
(Estuarine Shoreline-ORW Area of Environmental Concern), in this case, ENTER NUMBER EQUAL TO 25%square
feet is authorized.
(15)Unless specifically allowed in 15A NCAC 07H. 0209(d)(10),and shown on the permitted plan drawing,all
development/construction shall be located a distance of 30 feet landward of Normal High Water Level. No portion of the
roof overhang shall encroach into the 30 ft. buffer.
(16)All development shall provide for a buffer zone along the margin of the Estuarine Water which is sufficient to confine
visible siltation within 25 percent of the buffer zone nearest the land disturbing development.

Name: Prestige Building Group, LLC.
Minor Permit#69-23
Date: May 22,2023
Page 3
(17)All unconsolidated material resulting from associated grading and iandscaping shah be retained on site by effective
sedimentation.and erosion control measures. Prior to any land-disturbing activities,a barrier line of filter cloth must be installed
-between the land disturbing activity and the adjacent marsh or water areas, until such time as the area has beer,properly
stabilized with a vegetative cover.
(18)Any proposed for grading within the 30'buffer from the Normal High Water Level must be contoured to prevent addit al
stormwater runoff to the adjacent marsh. Th*aieasnaJibeimniedia"vegetafive stabilized, and must rem n 'IV"
vegetated state vegetatively lized, a rn aii 9'r?a
f 1 All graded and filled slopes shall be of a sufficient angle to retain a vegetati or other rosion contro rucLure,
ve cover re
1 device or st
(20)This permit does not authorize development within any wetlands or open water areas,
(21) Prior to any development,the permittee is required to contact the DCM Field Representative at 252-725-3908.to mark the
landward edge of the 30 ft. buffer,
(22)Pursuant to 15A NCAC, Subchapter 7J.0406(b).this permit may not be assigned,transferred,sold,or otherwise di
a third-party, disposed of to
(23)The Permittee andjor the Permittee's Authorized Agent shall be responsible for obtaining any and all necessary
authorizations,approvals.or zoning and building permits from the local government having jurisdiction(Town of
North Topsail Beach andior Onslow County)prior to commencing work.
T
SIGNA I UR DATE:
PERMIT 6 pr AUTHORIZED AGENT
..................

0'� 7,,(�� 1� R-_f3��y OTHER PERMITS MAY BE REQUIRED:The activity you are planning tray require permits other than the LAMA
oralir lJ v{"e'G u'"1..'r! F'ere�ut Ac.mba, .� _
Y_-.------ minor development permit,including,but not limited to:Drinking Water Well,Septa:Tank(or other sanitary waste
cean llazaz l f`srtarinr S �a euoz t R �t�e slit c ._E'ubiic r Mt 5tx,r;.:i+ie )t6rc_.� treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
Certification,Sand Dune,Sediment Control,Subdivision Approval.Mobile flume Park.Approval,highway Connection,and
(For official:t+ae otd) others.Check with your Local Permit Officer t2rr more information.
E'NERAL JNFQRM,%TTON STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a LAMA minor development permit,being either the owner of property in an AEC or a
AND OWNER-MAILING
, ADDRESS
(� r_ �.ja y�� person autthorired to act as an agent for purposes of applying fOr a CAMA minor dcvelvpirmit permit,certify that the urn
, / Lt �+�"t._.S/!- 5 s•== _..—1 I]) listed as landowner on this application has a significant interest in IN.mat property described therein.This interest can be
lame.
described as:(check one)
.ddress...�� 1 _.. ..... - _..._._._.._. -__._—.......
i T) State 1�+�+ Zip Phone q__• _'QR _ owner or record title,Title is vested in rotas 1'
ry Qy�� �.._.. _ r ytu heed Book_ {Ds. Page._._ in the _..� County 12egiatry of Deeds.
mail„�ry )P(1 (1WhaVl-tJt»d t I
_...
an owner by virtue of inheritance.Applicant is an heir to the estate o _..
.UTHORILED AGENT ..........'probate was in .. COanty.
}}���Qn(r- tt othet interest,such as written contract of lease,explain below o f use a separate sleet&attach to this application.
lama Wt[��1LL�t ywl-1.;i--�
vddress�t}�� [ ft1.1 k - — v -- OF ADJACE ST'RIPARIAN PROPERTY OWNElt4:
2A_s...`.`y. W- ... ... NOTIFICATION
:ity _._._State —'`!= -----Z hone _ .'s": ^-S�J !.- -.. I f rthenwr certify that the following persons are owfxxs of properties adjoining this property.I atfirm attar I have given
{ ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a LAMA permit.
rrfail( K � 3L -`�
ess
(N � SY rUfl qT_L;'?� l C�cC1�l .. liS iUC.Zh
,OCATiON OF PROJECP:{Address,street name aad;4rr directions to site;name of the adjacent watrrbody:) (t)
SI°I 04WRU�r 1+n� W
(3)
)ESCRLPTION OF PROJECT:(List all proposed construction and land disturbance.) 1hp _:�W'1 ACKNOWLEDGEMENTS:
(��{ I,the undersigned,acknowledge that the land owner Ls aware that the proposed development is planned 1Dr an area which
rt �,nn � 711 WC J may to susceptible to erosion and/or flooding,1 aclenowlcdtle this the laxal Permit Ot)lcu has explained to ni s particu-
-
L� C7►T N W ha=d problems associated with this lot.This explanation was acc:ampanied 6y recammenctatioas concerning stabitirx-
Z� �1 D iLZE OF L.OT/PARCEG: ul�fect 4+s acres tion and floodproofing techniques.
) ....�
PROPOSED USE:Residential (Single-family dMutti-family 0) Comfnereial/Industrial© Other C3 I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management stall;
the local Permit officer and their agents to enter on the aforementioned lands in connection with evaluating information
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local permit Ofik rifyot ear not sure which AEC applies related to this permit app orlon. r
a yaarPrnJvorty); This the ''-() (fir
(1) OCEAN HAZARD AEC=TOTAL.FLOOR AREA OF PROPOSED STRUCTURE;3t-'square feet(includes
sir conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
th d to act as his/her agent for purpose of filing a CAM permit application
excluding rrotrload bearing attic space) Landowner or person au
(2) COASTAL SHORELINE AFC's:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BU1LX This application includes:general information(this frorm),a site drawing as described one the back of this application.the
UPON SURFACES: square feet(includes the area of the foundation of all buitdings,driveways,covered decks, ownership statement,the ocean IfazardAEC Notice where necessary;a check for S100,00 made payable to the locality,and
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) any imfor lap µt {ie rrwided orally by the applicans.The details ofthe application as described by these sources are
imcorpo+ etjyvelGe in any permit which maybe issued.Cv:aham from these details will constitute a violation of
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State any permit Any person develaping in an AEC without permit is subject to civil,criminal and administrative action.
Stormwater 14anagenymt Permit isswd by the NC Division of snow,Mineral and Land Resources(DEMLR)'?
YES_ NO ' )J i'
if yes,list the total built upon area/impervious surface allowed for your lot or pared:_ ,Slime Rat•

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: y(est�()�- ji, ( ,((1 V'Wp t.L(-
Mailing Address- —T� �l( C��SS� �100
(0 -7
Phone Number: q .19 to, 44-2-S'
Email Address: 600 , cbm
I certify that I have authorized Mstvfl ww�
gin Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: -A DvolXd
at my property located at
in l wy 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 0 6vn rmation:
Signature
Print or Type !Name
Title
00
Date
This certification is valid through C1 `' t

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL. RETURN RECEIPT REQUESTED or HAND DELIVERED
5-4-2.u2-
Date
Name of Adjacent Riparian Propert`°O"ner
Address
6(-O-A K �Or PC
Cite. State Zip
To'Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CA'ICv`fA Minor permit to
^�
ol
on my property at 1slc_ f}g
in u IVVti County,which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your re-view.
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 NTTMBER),or by email at: (LPO EMAIL).
Sincerely,
Property Owner's Name Telephone Number
Address City State Zip
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature Date
Print or Type Name Telephone dumber
Address City State Zip
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
Date
Name of Adjacent Riparian Property Owner
- _klx b
Addr(ees�sVI�� P(
City, State 71p
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
i�C, Y11ZXmadQm cg) t Via' c
on rrty property atUQ t`
F—
in G(�`atiti 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
continents 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,
CLY1`��.lcrr` �Nt►1tx., tfi)v+rlY�h1�'i
Property Owner's Name Telephone Number
Address City State
I have no objection to the project described in this correspondence.
1 have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature Date
Print or Type Name Telephone Number
Address City State Zip
Revised July 2021

w
NC Division of Coastal Management 26558 A C
Cashier's Official Receipt
Date: 20
Received From: � Gr �� $
Permit No.: U `-13 Check No.:,'7-9-o
Applicant's Name: �°�n ,�\ - � C� County:
Project Address:!
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date:
n s/lll?3
Signature of Field Representative: - Date:

Postal Service"' U.S. Postal Service"'
CERTIFIEDIr © r ■ CERTIFIED
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cc $4.1:r i i445 Co $4.15 0445
Extra Services&Fees(check box,add Ale s��•pp'�cdate) 09 LO Extra Services&Fees(Chw*box,add ree$�epp are)
❑Retum Receipt(herdcoPY) $
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0 ❑Retum Receipt(electronic) $ $0.00 Postinark o ❑Retum Receipt(electronic) $ $fI-Ili I Postmark
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C-3 Adult —
❑ Signature Required S_��I A� � ❑Adult signature Required $ —
❑Adult Signature Restricted Delivery S �J ❑Adutt Signature Restcted Delivery$
r% Postage $0.63 Postage $0.63
r--j Total Postage and F 05/04/2023 r-q Total Postage and F 05/04/2023
ru $ ��13 ru a $.13
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City,State:- t46 --------------------2- 2( Cty$tat&:
n( ibvi ,IU L 1 --------------------------

in
r Structural Ovik Enaineering Land Surveying Serving Eastern North Carolina
STRUCTURAL ENGINEERING
CIVIL ENGINEERING
LAND SURVEYING
214 Highway 17 N. Suite 1
Holly Ridge,NC 28445
910-329-9961 Office
Firm License#P-0937 www.WestonLyall.net
May 4, 2023
To: North Carolina Division of Coastal Management
400 Commerce Ave.
Morehead City,NC 28557
Subject: 1519 New River Inlet Rd.,North Topsail Beach,NC 28460
The purpose of this letter is to notify the North Carolina Division of Coastal Management of
the proposed two-story residence on piles and beach side walkway to be located at 1519 New
River Inlet Rd. (PIN#428820916773),North Topsail Beach, Onslow County. The property
owner is Prestige Building Group, LLC Attn: Michael Howington who can be contacted at
917-796-4425. Please see the enclosed CAMA Minor Permit Application as well as the
preliminary plot plan for the proposed dimensions and location of the project.
Thank you,
I
Weston Lyall, PE, PLS, PLLC
Pile Plans,Foundation Designs,Structural Designs,Structural Analysis,
Stormwater Designs,Commercial and Residential Properties
Subdivision Designs,Land Surveys,Plot Plans,Elevation Certificates
All Your Engineering and Surveying Needs
Licensed Engineer in NC,SC,VA,AL,MS
Licensed Land Surveyor in NC

Postal • ,
stal Service'
CERTIFIED 0 . • CERTIFIED O • •
Domestic Mail Only Domestic Mail Only
CO cc
. co For delivery information,visit our website at www.usps.com
7E3R.
n �! 16 Gruri to Fn11 s s NC 2°d31]
a 3us
Mail Fee t4.1` 0445 � Certified Mail Fee $4.15 0445
`� 111g ►n $ fig
ices&Fees(check box,add tee fop are) Extra Services&Fees(check box,add fee p ate)
r� Receipt(hardooPY) $ '=•'JLnn' ❑Return Receipt( copy) $
0 ❑Return Receipt(electronic) $ $0.00 Postmark r ❑Return Receipt(electronic) $ it I_00 Postmark
O ❑Certified Mail Restricted Delivery $ $0 ou Here 0 ❑Certified Mail Restricted Delivery $ tf— Here
❑Adult Signature Required $ 7#I rl C ❑Adult Signature Required $�.8-G�V
O ❑Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Delivery$ i V rJ
Postage Postage
n E11.53 � $l'I.d3
$ �'I�.
r-q Total POsta Band F s 05/04/2023 .� i$ I I9/04/2 23
� $ g ��.13 ,� I,TFu $otal Postage and fer:13
Sent To -{ nj Sent To 0�C i J-
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- - - -------------------------------
---------- --- -- ---
� Street ar�U t.�o.,or PC7 fox o. Streetand-t_ o., r l�6o-"l�fo.---------"-"-"--
bu X `� s - ;lv__e_ �.1_i If)----------------------------------------
City,State, +4• CityStste,ZlP+��� �1� �`
L 21 f -- , lY J V
tPS Form 3800,April 2015
RECENV�_

,f m
WESTON LYALL -�
Structural&Chill Engineering Lard Surveying Serving Eastern North Carolina
STRUCTURAL ENGINEERING
CIVIL ENGINEERING
LAND SURVEYING
214 Highway 17 N. Suite 1
Holly Ridge,NC 28445
910-329-9961 Office
Firm License#P-0937 www.WestonLyall.net
May 4, 2023
To: North Carolina Division of Coastal Management
400 Commerce Ave.
Morehead City,NC 28557
Subject: 1519 New River Inlet Rd.,North Topsail Beach,NC 28460
The purpose of this letter is to notify the North Carolina Division of Coastal Management of
the proposed two-story residence on piles and beach side walkway to be located at 1519 New
River Inlet Rd. (PIN#428820916773),North Topsail Beach, Onslow County. The property
owner is Prestige Building Group, LLC Attn: Michael Howington who can be contacted at
917-796-4425. Please see the enclosed CAMA Minor Permit Application as well as the
preliminary plot plan for the proposed dimensions and location of the project.
Thank you,
E
t
Weston Lyall, PE, PLS, PLLC
RECFiw=_
MAY 11 1n1
DCM-.MHD 01TV
Pile Plans,Foundation Designs,Structural Designs,Structural Analysis,
Stormwater Designs,Commercial and Residential Properties
Subdivision Designs,Land Surveys,Plot Plans,Elevation Certificates
All Your Engineering and Surveying Needs
Licensed Engineer in NC,SC,VA,AL,MS
Licensed Land Surveyor in NC

G}cality �JU t `'} �t%t� �f � N-rnit Numb,:i OTHER PERMITS MAY BE REQUIRED:The activity you are planning may r', lure permits other than tlu CAMA
.�.-_,_ _.. minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
can llaz:rtl Es'sarine SSh,-rclinc ORW Shorxiizie °uilli"Iaust 6hor. ire 0thcr treatment system),Building.Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation.FiA
!f o c>Urc la1 r se�ni,,l Certification,Sand Dime,Sediment Control,Subdivision Approval.Mobile home Park Approval,Highway Connection,and
others.Check with your Local Permit Officer for more information.
XNERAL INFORMATION STATEMENT OF OWNERSHIP:
&ND OWNER-MAILING ADDRESS 1,the undersigned an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
� ,J� person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
lame .._EJ1 a► .:... r i _. `�^_ 't Y""_"' Jk" ..._---•. .......— 1-_�___' listed as landowner on this application has a significant interest in the real property described therein.This interest can be
tits'((,, described as:(check one)
Adress
State lap 1^lY+�t Phone _=L��'���!� V an owner or record�title,Title is vested in nanrte��a}t#,���,.,
� - n��.r1n T _ see Deed Book_.._.s.G 1it�-.1----_ Page--...4jd)o_in the County Registry of Deeds
mail._ IiintTltht✓t f.J-ttt ....._.�.___
y Pp_an owner b virtue of inheritance..Applicant is an heir to the estate o — _....._ --
;UTHORIZED AGENT ........_;probate was to........._.­. ......._........_._County.
� � �
lame __
�� � t other interest such as written ootmad:t of lease,explain below or use a separate six-ct&attach to this application.
��� w NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
ity_ Q_1 ( t—.--State -qq-IW7t{{p//4..a Phone _"�j... t=_..!_J .1LL� ..... I furthermore certify that the following persons are owners of properties adjoining this property.1 atfrrm that t have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit
tNa cF
9Q
,)CATION OF PROJECT {Address,street name atxi`or dircetiora to site;name of the adjacent watetbody.) {1) ti _ mn C'XU �I (W
....!. 5�.MP
.L
KXL
)ESCRIP'TION OF PR(MECr:(List all proposed construction and land disturbance.) 1-YY. ACKNOWLEDGEMENTS:
hn fM �rr& i MAN� - L the undersigned,acknowledge that the tend owner aware that f proposed velopmem is planned for an area which
1 I may be susceptible to erosion and/or 8trdx3ing.I acknowledge that the
Local
al Permit Officer has explained to me the 1raRicu-
_ tar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabilira-
iIZE OF LOT/PARCEL: 2.51L6 square feet UPS acres lion and floodprooting techniques.
PROPOSED USE:Residenpal (Slagle-fatrrily Multi-fatrnily Q) CommerciaVladastrial❑ Other Q 1 furthernore certify that I am authorized to grant,and do in Fact grant,permission to Division of Coastal Management stall;
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
COMPLETE.EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if y®a art not sure which ABC upp(tes related to this permit app at ion. l,
your property): 1"b ii
����''� This the-----�day oF_i ,20
(1) OCEAN HAZARD AECs:TOTAL.FLOOR AREA OF PROPOSED STRUCTURE: Jp1=square feet(includes .
iir conditioned living space,parking elevated above ground level,ron-conditioned space elevated above ground level but
excluding non-load-bearing attic space) Landow
or person all d to act as his/her agent for purpose of filing a CAMA permit application
(2) COASTAL SHORELINE AECs:SiZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This appp&radox includes:general information(this forma.a site drawing as described on the hack of this application,the
UPON SURFACkS: . square feet(includes the area of the foundation ofall buildings,driveways,covered decks, ownership statement,the Ocean hazard AF,C Notice where necessary,a check for$100.00 made payable to the locality;and
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing:) any infp .;^„ rxrvid<,d orally h}•the applicant.The details of the application as deecrihed hl•these sources am
detail
ill
STATE STORMWATER MANAGEMENT PERMIT:is the project located in an area subject to a State i ny per elf my r in any permit which may rn t is subject
ect to
iv from these and administrative
iniconstitute ti violation of
•rgy,Mineral and Land Resources(DFMLR)7 any permit Ajry person developing in an AFC without permit is,rubfert to civil,criminal and administrative action.
Starrawater Manag nt Permit issued by the NC Division of Eta
YES__ N° MAY 112023
if yes,list the total built upon area/impervious surface allowed for your lot nr Pared._., ­Square feet.
DCM-'MHD CITY

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: f t) �olm t t�w-C
Mailing Address:
C Z'1( 7
Phone Number: q iT 19�p_ 2-S-
Email Address: 6 6(61 < uw
I certify that I have authorized .
�Contra'ctor
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 iq CIy1 I
in
LS I� County.
l furthermore certify that l 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 C wn rmationr
Signature
��uEO
Print or Type Name,,,
Title
Date
This certification is valid through ' I I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
2-o 2-
Date
Name of Adjacent Riparian Properr-y Owner
Address
6(0,ni'K
Cite. State br)
To Whom It Mav Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on myW propertI' at /ESL 2.4
in C; 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 ections 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.
Z71
If you have objection, 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 NI-INIBER), or by email at: (LPO EMAIL).
Sincerely,
I A
I-RcvlaO �ku"w �6 t -7 ct
Property Owner's Name Telephone Number
Address City State Zip
I have no objection to the project described in this correspondence, AEit;0",
I have objection(s) to the project described in this correspondence.
MAY
.............
Adjacent Riparian Signature Date
Print or Type Name Telephone Number
Address r State zip
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
2-6
Date
Name of.Adjacent Riparian Property Owner
-To.......RU-)(, as-z)-
Address
-S"
City. State lip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at JCI NNW 9)1u-Qr m k I V-' t. obf� I P)pc�cA W, 2L44o�5
in Q L�,'104q 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,
CoyinlaV CNAf�-
plcyw't
Property Owner's Name Telephone Number
Address City State 1\1 V--,
I have no objection to the project described in this correspondence. I p
I have objection(s) to the project described in this correspondence. NIQ
Adjacent Riparian Signature Date
Print or Type Name Telephone Number
Address City State Zip
Revised July 2021

(0q,
Z3
MINOR PERMIT TRACKING SHEET
APPLICANT:
AGENT:
Project Location
COMMUNICATION LOG
DATE:
DATE:
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DATE:
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