EX #19 - Storey, Matthew

County of Dare
P.O. Box 859 1 Buxton, North Carolina 27920 1 252.475.5878
6/28/24
Exemption Number - #19
Matthew Storey
108 Townsend Dr
Clayton, N.C. 27527
RECEIVED
1UN202024
DGM-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 — 24143 Ocean Dr
AREA OF ENVIRONMENTAL CONCERN — Ocean Hazard
Dear Matthew Storey:
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 5-3-2024, 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 6-27-
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 pumping existing septic tank with new Drain field as
needed, as shown on the attached drawing and materials list at cost of $6,558
Which is only 2% of current tax value which is at $383,400 which is under the
50%.
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: [phone] ; Internet: www.nocoastalmanagementnet
LAND OF BEGINNINGS
An Equal 0 portunit 1 Affirmative Action Employer
PRPNTED Y RECYCLED PAPER

6/2812024
JUN202024
3) In order to minimize adverse impacts to nesting sea turtles, the following
Cn �0nce from the U.S. Fish and Wildlife Service and Wildlife Resources Commission
IVY d be followed
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 919-8568-4520 ext 27
U.S. Fish and Wildlife Biologist
551-F Pylon Drive Raleigh, NC 27606
kathrvn matthewsCaa fws.gov
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

P.O. BOX 2560
KITTY HAWK, NC 27949
[phone]
SERVICE [e-mail]
SEPTIC SYSTEM PROPOSAL AND CONTRACT
Atlantic OBX, Inc (Herein referred as "Company")
Authorized Owner/Persons: Matthew Storey
RECEIVED
1UN 1 0 1014
Address of property that the Job/Project services will be completed at: 24143 Ocean DI- CM
_EC
Town/City: Rodanthe State of: NC Zip code: 27968.
Job Description(s) to be completed on the above said address (X Shall Apply)
_Septic Tank
_x_Drain Field Repair/Replacement
Complete Septic System Installation (Septic Tank & Leach Field Repair)
_Investigative Diagnosis of Problem
_Distribution Box Repair
_Other
Miscellaneous Notes: This price includes pumping.
Depending on the amount of sand a Vac Truck may be needed. This would add an additional $600
per hr. to below the quote. It is estimated to take approx. 1-2 hours to complete.
50 PERCENT DOWN AT TIME OF AGREEMENT $3,279
(NON-REFUNDABLE once scheduled and/orstarted)
At time of completion the remaining 50% is due $3,279
Total Company fees for the above job description $6,558
"NOTE -PRICE SHALL ONLY BE VALID FOR 14 DAYS"
Owner/Person(s) Initials: Company Initials:
Page 1 of 3

® ,�, b
x
RECOVEC
JOB 2020
Disclosure of Authorized Terms.
rued Owner(s) understands and hereby authorize(s) the following.
®CM-M • (If Applicable) Should the above job described require a permit, application, or any other approval
from a government entity at anytime, Authorized Owner(s) shall be responsible for acquiring approval
and any/all fees associated,
• If the Authorized Owner(s) does not acquire the applicable permit for the above job project, the
Company shall have the right to retain said deposit and apply towards Company time associated with
scheduling, assisting homeowner(s), phone calls, texts and/or any other time spent on Authorized
Owner(s) project,
• Authorized Owner(s) shall provide any/all information and/or plans to the Company that they may
have or know that relates to hidden underground private utilities (gas lines, septic lines, electrical lines,
sprinkler lines, plumbing lines, propane tanks, etc.) before any/all excavation begins on said property.
In the event the Authorized Owner(s) knew about said underground items and did not disclose to the
Company and/or damage has occurred as of the result of this non -disclosure, Authorized Owner(s)
shall be held liable for any/and all labor, material and/or damage to said Company's machinery and/or
personnel. Authorized Owner(s) shall indemnify the Company against any/all liability that may arise
from non -disclosure of this said action that may occur and/or the Company) shall not be held liable for
future liability that may have resulted from this incident,
• The Company has no control of the weather- or weather -related conditions that may/may not affect
the Job Description completion,
• Authorized Owner(s) understands(s) that working on said property, (parking, unloading, driving or
storing large machinery on the above said property) may/may not do some damage to driveway(s),
sidewalk(s), grass and/or create other property conditions that were not initially present. Authorized
owner(s) agree to not hold the Company liable for any/all damage and/or replacement and/or repair
of damaged property elements, that may have been a result of the Company utilizing any of its
machinery while working on user(s) property in any such capacity. It shall not be the Company's
responsibility to restore the property to initial condition (Unless otherwise specified in writing by all
parties). Authorized Owner(s) shall indemnify and/or relieve the Company of any/all liability in
relation to possible damage from working on said property on Authorized Owner(s) property,
• If the Company comes across unexpected obstacles such as large trees, roots, stones, shale, excess
water/liquid and/or other said matter and/or structures that impedes and/or delays the job
description on the Authorized User(s) project, the Company shall have the right to add labor/materials
and/or other expenses that may apply to this unforeseen delay on top of the initial `Total Company
Fee"
• Once the Company leaves the said premise and/or completes the job on the above said property,
Authorized Owner(s) shall release the Company of any/all liability from any/all changes that weather
or any other unknown circumstance where property conditions may have changed the area(s) of
property in any such way where the Company completed the above job description.
• Authorized Owner(s) agrees to indemnify and or pay for any/all reasonable legal fees that may result
in any/all legal lawsuit against the Company on the above said property by owners.
Page 2 of 3

i
• Payment in full is required immediately after the job completion. If that action does not take place in
that time, payment shall be made within 24 hrs. of job completion.
If this proposal is acceptable, please signify your acceptance of the terms with your signature below. The terms and
conditions of this proposal shall be binding if executed and returned within 30 days of the above date. It is agreed that
all invoices will be paid within 30 days. Any invoices not paid within 30 days shall be considered past due and subject
to o finance charge of 1.5%per month (18%annum), or the maximum rate permitted by applicable state law,
whichever is lesser. The undersign agrees to compensate Atlantic OBX Inc for all attorney fees incurred in collecting all
amounts due, whether or not a lawsuit is filed.
Owner Name(s): Matthew Storey
Contact Phone number: 219-240-9354
Email address: [e-mail]
Mailing address:
108 Townsend Dr.
Clayton, NC 27527
Authorized Owner/Person(s)
Authorized Company Representative
RECEIVED
JUN 2 0 2024
DCM-EC
Page 3 of 3

RECEIVED
o 2 8 W
)CM -EC
Authorization for Wastewater
System Construction
County of Dare
PO Box 669
Manteo NC 27954
�(Y OFO
_ 9 510-26280
Phone: [phone]
DARE COUNTY DEPARTMENT OF PUBLIC HEALTH
Authorization for Wastewater System Construction
This CA is valid as long as the IP remains valid (SL 2014-120). Disdaimer:
This permit does net relieve you of the responsibility to obtain any other necessary Federal, State or Local permft(s).
Parcel: 012745000 LOT: 4 BLK: SEC:
Permit: S10-26280
Location:
24143 OCEAN DR—RODANTHE
Subdivision:
TRADE WINDS BEACHES
Owner Name:
MATTHEWASTOREY Permit Date: 06/14/2024
Owner Address:
108 TOWNSEND DR Permit Type: WASTEWATER REPAIR
CLAYTON, NC 27527-5220 NO
Phone: [phone] email:[e-mail]
Gallons per day:
480
Number of bedrooms:
4 Long term accept rate:
1.20
Occupancy:
8 Tank type:
EXISTING
Water Supply:
PUBLIC Tank size:
1S00
Amount of drain field:
170 Pumptanksize:
0
Number of lines:
6 Grease trap size:
0
Trench length (feet):
0
septic type:
Type R-A- Conv.(any SFR)
Trench width (inches):
24
Septiccode:
RESIDENTIAL
Trench depth (inches):
36
Distribution:
DISTRIBUTION BOX
Gravel depth (inches):
12
Distance from building:
5
Rock Under (inches):
6
Distance from watersupply:
10
Rock Above (inches):
2
Distance from property line:
10
Bed system dimensions
13X30
Distance from open water.
so
Design Specifications:
— Permit for repair. BPJ repair..0508. Pump tank Remove all sand from tank Remove any drain lines found. Install two
lines 25ft long and four lines 30ft long an 2ft centers with trench depth no deeper than IV below grade. Must meet
setbacks to property line, water line and mean high water mark.
Note: This Permit is subject to all provisions of the 15A NCAC 18E rules governing the installation of septic systems.
The person making the installation m ust 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 inspected and approved, it shall be
uncovered at the direction of the Health Officer at the expense of the one responsible for making the installation.
Issued 06/14/2024 Permit Fee: $ 75.00
RPP STOREY, MATTHEW A
Environmental Health Specialist Applicant Signature
Application Reference# 15223

w
MB. 3 PG F5
q
N.C. GRID (HAD 83)
TLANTIC
OCEAN
LS D£PT. Of MEAN HIGH WATER
THE W7ERIOR AS SURWYED ON
SEE N07E 14) 5/24/2022
r (ELEV. 1.72)
98..L— MINIMUM BUILUINU UNE
D. GR.— DARE COUNTY REGISTRY
Sly. — STORY
O
Z 2
SF.D.- SINGLE FPER AMILY DWELLING
BEARING M.B. 3, PG. 15 —
Jam,
I
—
g - NUMBER
_
j 1sx� I-
SSA
HEAL TY DEPT.
I
1
10.5'
—50
�o
3°. W It.
ZH
vi
NOTES_
1. PROPERTY AOORESS: 24143 OCEAN DRIVE
2. PARCEL- 012745000, PIN: 065809168022
3. LOT ZONING: S-1 (SPECIAL)
4. AREA = 8.1645 sq. ft. a 0.187 acres
5. AREA CALCULATED BY COORDINATE METH(
6. THIS SURVEY WAS PERFORMED WITHOUT T
BENEFIT OF A TITLE COMMITMENT.
COP
OCEAN DRIVE
(60' !ND£ R/W)
7.
THIS PARCEL MAY BE SUBJECT TO EASEMENTS- ——'—._------•---._,—.—.—
NOT SHOWN HEREON. --R/W
-- /!.
A
SETBACKS AS PER COUNTY OF DARE CURRENT CODE
FIRST UNE OF STAT/CJ
AND MUST BE VERIFIED. SURVEYOR MAKES NO
NA AURAL YEOETA77ON
CERTIFICATION AS TO SETBACKS.
(RLSN. V.)AS
9.
LOT MAY BE IN AN AREA OF ENVIRONMENTAL CONCERN,
STAKED BY CAMA
INDIVIDUAL PERMITS MAY BE REQUIRED.
10.
SUBDIVISION AS RECORDED IN M.B. 3, PG 15, D.C.R.
11.
PROPERTY IS LOCATED IN F,I.R.M. ZONES AS SHOWN,
MAP NO. 3730065800K. DATED JUNE 19. 2020,
USE OF LAND WITHIN THE FLOODWAY OR FLOODPLAIN
AND FLOOD ZONES SUBJECT TO CHANGE BY FEMA.
30 15 0 30
12.
ELEVATIONS PER NAVD 88 DATUM.
13.
THIS PROPERTY LIES WITHIN THE CAMA SETBACK.
14.
U.S. DEPT. OF THE INTERIOR CLAIMS OWNERSHIP OF 1 DS
1 inch c 30 t.
BETWEEN THE MEAN HIGH WATER AND MEAN LOW WATER.
GRAPHIC SCALE
'8/6.22
PHYSICAL LOT SURVEY FOR:
"2
MATTHEW STOREY
THAT THIS
MAP WAS ORA'N1PERW90N
1, CARLGS F. COMEtYEI
3816PLSFROMAN
ACRGL,UNDER N.Y
LOT 4
6UPERVISIDIyS)RUENT$^=30'REFEREN
WINDS BEACHES
NRIESTRADE
ANtORM0,RODANTHE
RO
FOUND Iy � NArab THIS
r�r O°j-4O
KINNAKEET TWSP. I DARE COUNTY NORTH CAROUNA
ENGINEERING (A B SURVEYING Wr
ECEIVED
J U N 2 8 2024
0CIV -EC

I` . i I - 4,