EX #16 - Two Sons Buxton LLC

County of Dare
P.O. Box 859 1 Buxton, North Carolina 27920 1 252.475-5878
'6/4/24
Exemption Number - #16
Two Sons Buxton LLC
P.O. Box 309
Secretary, M.D. 21664
RECEIVED
J U N U 4 2024
DC.- !-EC
RE: EXEMPTED PROJECT (Statutory Exclusion) - MAINTENANCE AND REPAIR
OF EXISTING STRUCTURES - [G.S. 113-103(5)(B)(5) and [15A NCAC
7K.0103(a)]
PROJECT ADDRESS — 46002 Cottage Ave Buxton, N.C. 27920
AREA OF ENVIRONMENTAL CONCERN — Ocean Hazard
Dear Two Sons Buxton LLC:
I have reviewed the information submitted to this office in your inquiry concerning the
necessary filing of an application for a minor development permit under the Coastal
Area Management Act. After making a site inspection on 3-27-2024, 1 have determined
that the activity you propose is exempt from needing a minor development permit as
long as it remains consistent with your site drawing and materials list submitted on 5-30-
2024, and meets the conditions specified below. If your plans should change and your
project will no longer meet these conditions, please contact me before proceeding.
MAINTENANCE AND REPAIR — [G.S. 113-103(5)(B)(5) and 15A NCAC 7K.0103(a)] -
Maintenance and repairs (excluding replacement) necessary to repair damage to
structures caused by the elements are specifically excluded from the definition of
development under the conditions and in the circumstances set out in G.S.
113A-103(5)(b)(5). Individuals required to take such measures within an AEC shall
contact the local CAMA representative for consultation and advice before beginning
work.
Structures may be repaired in a similar manner, size and location as the original
structure. No expansions or additions are permissible. The repairs are limited to 50%
of the market value of the existing structure and the following specific conditions.
1) The project consists of the Repairing existing septic tank with new Drain field as
needed, as shown on the attached drawing and materials list at cost of $15,000
Which is only 6% of current tax value which is at $225,000 which is under the
50% rule.
2) The proposed repairs shall be consistent with all other applicable local
ordinances and North Carolina Building Code standards.
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] \ FAX: 252-264,3723 ; Internet: www.nocoastalmanagementnet
LAND OF BEGINNINGS
An Equal Olp�ortun%\ Affirmative Action Employer
PR TED O, RECYCLED PAPER

6/4/2024
Page 2of 2
RECEIVED
3) In order to minimize adverse impacts to nesting sea turtles, the following jUN 0 4 2024
guidance from the U.S. Fish and Wildlife Service and Wildlife Resources Commission
should be followed 0CM_EIC
4) Sea turtle sightings: If any nesting turtles are sighted on the beach during
construction, construction activities must cease immediately until the turtle has returned
to the water, and the sea turtle permit holder has marked for avoidance any nest(s) that
may have been laid.
5) No Relief from Take Provisions of Endangered Species Act Section 9 (ESA):
This permit does not provide relief from liability under provisions of the ESA.
Pursuant to Section 9 of the ESA, it is unlawful for any person to take any listed
endangered species within the United States or the territorial sea of the United
States. The term "take" means to harass, harm, pursue, hunt, shoot, wound, kill,
trap, capture, or collect, or to attempt to engage in any such conduct.
6) Reporting Requirement: If a sea turtle nest is uncovered or a dead, injured, or
sick individual of an endangered or threatened species is discovered, initial
notification must be made to the Service's Law Enforcement Office below. Additional
notification must be made to the Raleigh Ecological Services Field Office identified
above and to the NCWRC at [phone]. Care should be taken in handling sick
or injured individuals and in the preservation of specimens in the best possible state
for later analysis of cause of death or injury.
Kathy Matthews 919-856-4520 ext 27
U.S. Fish and Wildlife Biologist
551-F Pylon Drive Raleigh, NC 27606
kathryn [e-mail]
This exemption to CAMA permit requirements does not alleviate the necessity of your
obtaining any other State, Federal or Local authorization and N.C. Building Permits.
This exemption expires 90 days from the date of the letter.
Sincerely,
NAME: K.D. Jackson
TITLE: LPO
Cc: Yvonne Carver
LAND OF BEGINNINGS
PRINTED ON RECYCLED PAPER

Authorization for Wastewater( EC E I V E
System Construction
County of Dare
PO Box669 JUN 04 2024
Manteo.NC 27954
DA 510-2S899
VID
Phone: [phone]
DCUeE 7XDEPART N OF PUBLIC HEALTH
Authorization for Wastewater System Construction
This CA is valid as long as the IP remains valid (SL 2014-120). Disclaimer:
This permit does not relieve you of the responsibility to obtain any other necessary Federal, State or Local permit(s).
Parcel:017161000 LOT: 12 BLK: SEC: A Permit: 510-25899
Location: 46002 COTTAGE AVENUE — BUXTON
Subdivision: CAPE HATTERAS SEASHORE SEC A
Owner Name: TWO SON'S BUXTON LLC Permit Date: 05/28/2024
Owner Address:. P O BOX 309 Permit Type: WASTEWATER REPAIR
SECRETARY, MD 21664
• ' .
Gallons per day:
480
Number of bedrooms:
4
Long term accept rate:
1.20
Occupancy:
8
Tank type:
PRECAST
Water -Supply:
PUBLIC
Tank size:
1000
Amount of drain field:
203
Pump tank size:
Number of lines:
7
Grease trap size:
0
Trench length (feet):
29
Septic type:
0
Type II -A - Conv. (any SFR)
Trench width (inches):
36
Septic code:
RESIDENTIAL
Trench depth (inches):
18
Distribution:
DISTRIBUTION BOX
Gravel depth (inches):
12
Distance from building:
Rock Under (inches): 5
6 Distance from water supply: 10
Rock Above (inches): 2 Distance from property line: 10
Bed system dimensions: 2Vx29' Distance from open water: 50
Design Specifications;
BP) Repair -.0508 Available Space - Prior to Installation, ensure any other permits required are obtained from CAMA or NPS.
Permit to repair 48R septic system. Pump, crush, and remove the existing septic tank. DIg up and remove any old/damaged
drainfield materials - thoroughly turn over soil in this area. Dispose of all old septic materials off -site, do not bury on -site.
Install a new 1000 gal septic tank as shown on the site plan. Install 7 new 29' drainlines, 3' on center, with a maximum depth of
30" below the existing grade. Keep as far away from the bulkhead near parking area as possible while also staying out of the
"Easement Area" as shown on the survey. Locate the easement prior to installation and hang a stringer to ensure accuracy of
Installation. Setbacks to the property lines, home, deck, and water line must be maintained. If waterline is closer than 10' to
the septic repair installation, it must be relocated 10' away. This site Is exempt of the requirement for repair area with no
additional usable space to claim.
wore: 1 rus rermn is suotect to all provisions of the 15A NCAC 18E rules governing the installation of septicsystems. The person
making the installation must notify the Health Department when the septic tank system is ready for inspection. If any septic tank
system or part thereof is covered before being I ect and approved, it shall be uncovered at the direction of the Health Officer
at the expense of the one responsible for m Installation.
Issued 05/28/2024 Permit Fee: $ 75.00
GE EAL
En ' mental Healt Specialist �—Aipocant Signature
Application Reference# 15331

kff &tfu 15331 LHD P&RM:-T-N40- OR I1ILE REP;
BEST PROFESSIONAL JUDGMENT
for
LOCAL HEALTH DEPARTMENTS
H DEPARTMENT OF
HEALTH AND
oil
HUMAN SERVICES
PRIVATE LICENSED PROFESSI014ALS
Division of Public Health
IN ACCORDANCE WITH 15A NCAC 18E .1306
*Th/s page to be contpletell b3, LHD or private licenser! professioltal
SITE LIMITATIONS - Check the specific rules that prevent the site front being repaired and permitted in accordance with
G.S. 130A, Article I I and 15A NCAC 18E.
❑ Rule .0502 -Topography & Landscape Position ❑ Rule .0506 - Saprolite
❑ Rule .0503 -Soil Morphology ElRule .0507 - Restrictive Horizotts RECEIVED
❑ Rule .0504 -Soil Wetness Condition Q Rule .0508-Available Space
❑ Rule .0505 -Soil Depth ❑ Other Rule(s) (please specify): JUN 0 4 294
PLEASE CHECK THE FOLLOWING WHEN COMPLETED: D G I V I- E C
(fill bases must be reviewed, and applicable bogies checked before issaflace of repair permit)
❑ Wastewatersystent troubleshooting complete. Household/facility water use has been reviewed.
Q Wastewater system repair does not reduce the required horizontal setbacks to drinking water wells as indicated in I SA
NCAC 18E .0601.
■❑ Wastewater system repair does not reduce the requited horizontal setbacks to surface water bodies greater than 50 percent of
the horizontal setbacks indicated in 15A NCAC 18E .0601.
© Wastewater system repair has a reasonable expectation to function in accordance with 15A NCAC 18E .1306(c)(2)(D)
REHS SIGNATURE (if applicable)
i
I aim. Aathm•izc gertt
AOWE/PE SIGNATURE (if applicable)
Signature of A0 W E/PE
Date
License Number Date
`?iris rariaerr agreement shall be aaaclaed to file Construction Authorization, Operation Permit, Notice of lament to Construct, or
Authorization to operate, as applicable.
Form BPJ.24.1 Page I oft January 2024

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RECEIVEC
J U N 0 4 2024
[ACM -EC

LHD PERMIT NO. OR FILE REF: 1 DJ3 1
OWNER REQUEST
foil
BEST PROFESSIONAL JUDGMENT
for the repair of
NC DEPARTMENT OF
HEALTH AND
HUMAN SERVICES
Diviaon of W Vic Heaan
WASTEWATER TREATMENT AND DISPERSAL SYSTEMS
IN ACCORDANCE WITH 15A NCAC 18E .1306
*Thispage to be completed by owner ofproperty or owner's legal representative
DATE: May 29 , 20 24
JUN 0 4 224
IJ
WASTEWATER SYSTEM OWNER — For a place of residence list the property owner(s). For all others, list,narpa wt r�C /+
business or organization and person delegated signature authority: v V ��(� GV
Print Property Owner(s): Two Son's in Buxton LLC
Business/Organization/Contact:
Mailing Address: P•O Box 309
City: Secretary
Telephone Number(s):
Email Address:
State: MD Zip Code:21664 County:
PHYSICAL LOCATION OF WASTEWATER SYSTEM
Parcel Identification Number (PIN):017161000
Physical Address (if different than mailing address): 46002 Cottage Ave
City: Buxton State: NC Zip Code: 27920
OWNER ATTESTATION
1, x fxgw Al - � CA �- )
hereby request the use of best professional judgment in accordance
Owners Printed Name
with 15A NCAC 18E .1306. 1 understand that the use of best professional judgment may be used to develop a
repair that should enable my malfunctioning subsurface wastewater system to comply with 15A NCAC 18E
.1303(a)(1) and give the system a reasonable expectation to function correctly. I agree to comply with all terms and
conditions set forth on the associated repair permit, including any operation and maintenance requirements. By
signing this document, I understand that 1 shall be liable for any damages associated with the use of best professional
judgment to repair this malfunctioning subsurface wastewater system.
Owner's
Signature`s Gi?� 7� /• i-!�"17ate! ��� —�p _ a�
*This written agreement shall be attached to the Construction Authorization, Operation Permit, Notice ofintent to Construct, or
Authorization to Operate, as applicable.
Form BPI.24.1 Page 2 of 2 January 2024

THIS SURVEY WAS CO1PlE171) WITHOUT THE BENEFIT OF A
ITTE SEARCH AND GOES NOT CONSTITUTE A TALE SEARCH
BY IN. NUFJL a UIO WIZVEYING. AS SUCH. THIS SURVEY
MAY NOT REFLECT ILL EASEMENTS, RESTRICTIONS, OUT
ENCUMBRANCES THAT AFFECT THE PROPERtt.
THIS PROPERTY S SUBJECT TO ALL EASEM347S. AGRETIAENS
RIGHTS -OP -WAY. AND COTENANTS OF RECORD.
NOIEZONTAL 2N!) 6 BASED ONNL STATE PLANE GAD
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ANNUAL CHANCE PD00. BASE ROM ELEVATIONS DETERMINED'
AND 'ZLNE TE (B:E 117 - AREAS SMJECT TO FLOOMIN BY
A 1; ANNUAL MAKE FL000 COASTAL FLOOD ZONE MM
VELOCITY HAZARD (WAVE ACIIM) BASE FOOD EEVAT06
DETERMINED' AS FOR FIRM COIIUNTT PANR NO.
3730053SOGK. MAP EFTELN,E DATE JUNE 19. 2020.
AREA COMPUTATION IS BY THE NMgNATE MEMCO.
ALL 664MMS ARE HgIZONTPI MOUND UNLESS NOTED
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THUS PROPEKW S SUSACT TO ALL SETBACK REQUIREMENTS
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6/3124, 9:36 AM
Housecall
QUALITY SERVICE AND PRODUCES
1-3073
lttt.t6M
DECEIVE
J U N 0 4 2024
DCM-EC
You have a new estimate from Lee Septic &
Land Co
® Address: 46002 Cottage Ave, Buxton, NC 27920
Option #1
$15,000.00
!rJ Approved on May 30, 2024.
Estimate Details
Service Unit Price Qty
Service - Drain Field repair - $15,000.00 1
46002 Cottage Ave, Buxton
Service - Drain Field repair-46002 Co'tage Ave, Buxton
Dig up and remove any old/damages drainfield materials
Thouroughly turn over soil in this area
Dispose of all septic materials off -site - do not bury on site
SHOW MORE
Tota I
$15,000.00
Service subtotal $15,000.00
h ,.//client.housecallpro.mm/estimates/6a2od68727aa85cc840dl5ae41dcfa6361f5Oad35o4faff5cObl7a5a749bcc30_5eO8l548e434f578bcfc6243bc... 1/2