53061_WILLIS, BEN_20090105

❑LAMA / ❑ DREDGE & FILL
GENERAL -PERMIT Previous permit#
MNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
[] Rules attached.
Applicant Name Project Location: County
Address > ; A- r i i ,'' [ r` f Street Address/ State Road/ Lot #(s)
City f t t�k State .A ,'' [. ZIP
Phone # O �;� Fax # (i) Subdivision ---
Authorized Agent City--------- ZIP
Affected FJ CW �1 PTA OJES" ❑ PTS Phone # (_) _ _ River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body_ _ (nat /man /unkn)
El PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore f
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
? 1
SAV: not sure
yes no
Sandbags: not sure
yes no
Moratorium: n/a
yes no,.:
Photos:
yes ; po
Waiver Attached:
yes no
A building permit may
be required by:
Notes/ Special Conditions
1
7771
Agent or Applicant Printed Nam
Signature Plea`se.read compliance statement on back of permit
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Application Fee(s) Check*
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(Scale: , V
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See note on back regarding River Basin rules.
PermitOfficer's Signature I /
Issuing e ) &pirati6n Date
Local Planning jurisdiction Rover File Name
E
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Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that [)prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

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Ron Wells
President
PO Box 3222 • Chapel Hill, NC 27515
�v 155 Meadows Lane • Swansboro, NC 28584
866.968.4981 (FoUree)
919.968.4981 (Phone)
919.302.2652 (Ceti)
1
919.968.8573 (Fox)
American Society of Home Inspectors Member #515
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NC Home Inspector License#75
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NC General Contractor License#1226i

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
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I herebycertify that I own property adjacent to Sat/ )J 1)/AA)ke L�e5 � 5 70"c
Y P P Y 1 's DEC,DF.L
(Name of Property Owner) b
property located at �SS%�''�6400k& l..AWE, C,wJA J1Q1DEQ, AX .�$a �Viid at+I L)G
Address, Lot, Block, Road, etc.)
onTlFoleD �%�''� inTIL��?bZt?�U Slfl N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type jName
C Y� try r'L2
Telephone Number
Date

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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I herebycertify that I own property adjacent to J-� ),"Pact ci
tY P P Y 1 jlbhi'►NNiILy�[�l.S s J.�
j (Name of Property Owner)
property located at �$5 ���lip�t�S ^„k�L 1 �tt)1'►NS�Oi�o�N� .�$$gt�
Address, Lot, Block, Road, etc.)
on in 7k1t=T1 R OWA.)Vf l N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
0A�9��
Signature
4y W E Al JA CKScs,IJ
Print or Type Name
a s - 313 -a63i
Telephone Number
1.7-
Date

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building on the site, that the CRC does
guarantee the safety of your project, and that the'
CRC assumes no liability for future damage to tl�e
project. , LLj
It also contains a condition `that the pemg)
applicant will relocate or dismantle the structure if
becomes threatened by erosion and the shorelir-N
does not recover within two _years (either naturally;e_,�'
through nourishment).
A site drawing that shows the dimensions and
characteristics of the property and the location and
nature of the project must accompany the
application. The permit application form lists specific
information that must appear on the site drawing.
The local permit officer can give suggestions on how
to prepare the drawing and where to get the
necessary information.
To make the application easy to understand and
review, the site drawing should be dear and simple.
Significant dimensions should be indicated. It does
not have to be prepared by an engineer or architect,
but it must provide clear and complete information.
Minor Permit Fee
A fee of $100 is required to cover the costs of
processing the application. Checks should be made
payable to the local government.
The application review begins after the local
permit officer has received all of the application
materials. The LPO will visit the project site,
determine if the project meets the CRC's standards
for development, and see if the project complies with
the local land -use plan and local development
ordinances.
The LPO will publish a public notice in the local
newspaper after receiving the complete application.
This notice lets other people in the community know
that the project is being considered for a minor
development permit. The file is a public record; thus,
anyone may examine it to see if the project complies
with the CRC's development standards, the local
land -use plan and local development ordinances.
Site Visits
The local permit officer will visit the project site to
make sure that the site drawing is accurate. The
LPO will look for conditions, such as a marsh or an
eroding shoreline, that could affect the construction
or placement of the project. The permit officer will
also post a notice that an application has been filed
for a minor development permit (in some cases the
applicant may be asked to post the notice).
In conjunction with the site visit, the local permit
officer will also check to make sure that the proposed
project complies with the CRC's standards for
development. The LPO can explain the standards
and how they affect a particular project.
The local permit officer will check to make sure the
project complies with the local land -use plan. The
land -use plan is prepared by the local government to
describe the community's policies for growth and
development. It identifies different classifications of
land where certain types of development may or may
not be permitted. When you first talk to the LPO, you
should ask how the land -use plan and local
development ordinances might affect your project. If
the local permit officer needs additional information
to review the application, you will be notified by
certified or registered mail.
CAMA requires the permit decision to be made
within 25 days; however, the local permit officer may
send you a notice extending the review time for an
additional 25 days (the notice is sent by registered or
certified mail).
Permit Decisions
The permit will be issued if the project complies
with the CRC's development standards, the local
land -use plan and local development ordinances.
The applicant is responsible for meeting all
requirements or conditions of the permit. Any
conditions will be listed on the permit.
The permit will be denied if the proposed project is
not consistent with the CRC's standards for
development in areas of environmental concern, the
local land -use plan or a local development
regulation.
After the LPO makes the decision, you will be sent
an official CAMA permit decision by registered or
certified mail. If you are issued a permit, you must
sign the form and return it to the LPO within 20 days.
Typically, minor permits expire on Dec. 31 of the
third year following the year of permit issuance.
If the project is on the oceanfront, work cannot
begin until the LPO establishes the oceanfront
setback. This setback determination replaces the
one done at the time the permit was processed and
issued. Construction must begin within 60 days. A
major shoreline change during this period will require
the LPO to establish a new setback.
How to Apply
To apply for a minor development permit,
contact your local permit officer (LPO).
A list of LPOs is available on DCM's web site at
www.nccoastaimanagement.net/permits/lpolist.htm
For more information about the N.C. Coastal
Management Program, go online to
www.nccoastaimanagement.net or contact the
Division of Coastal Management office nearest
you.
ELIZABETH CITY
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
MOREHEAD CITY
400 Commerce Ave.
Morehead City, NC 28557
252-808-2808 or 1-888-4RCOAST
FAX [phone]
1638 Mail Service Center
Raleigh, NC 27699-1638
919-733-2293
FAX [phone]
WASHINGTON
943 Washington Square Mail
Washington, NC 27889
252-946-6481
FAX [phone]
WILMINGTON
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-395-3900
FAX [phone]

Locality
Ocean Hazard Estuarine Shoreline
GENERAL INFORMATION
LAND OWNER
Name: Ron Wells and Dianne Cheesborouah
Address: 28A Davie Circle
Pei
ORW Shoreline Public Trust Shoreline
(For official use only)
City: Chapel Hill State: NC Zip: 27514
AUTHORIZED AGENT
Name: Ron Wells
Address: 28A Davie Circle
City: Chapel Hill State: NC Zip: 27514
Phone: [phone]
Phone: [phone]
2008
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 155 Meadow Lane Cape Carteret NC. 28584 adjacent to Pettiford Creek on the White Oak River
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) (1)Construction of
approximately 120 feet of a wooden bulkhead along rear property line adjacent to Pettiford Bay intended to attach to an
existing wooden bulkhead previously constructed; (2) construct a pier to attach to existing portion of bulkhead (note
attached site sketch.
SIZE OF LOT/PARCEL: square feet .40 acres
PROPOSED USE: Residential R (Single-family ❑ Multi -family ❑) Commercial/Industrial ❑ Other ❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): W R— square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 3200 square feet (Calculations
includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios, etc. that are
within the applicable AEC.)(Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality? YES ❑ NO [ '
If yes, list the total built upon area/impervious surface allowed for your lot or parcel. �quare feet.

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 LPO to
determine if any of these apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treatment systems Building,
Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control,
Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or
a person authorized to act as an agent for purposes of applying for a CAMA minor development 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) ■y
6?"an owner or record title, Title is vested in warranty deed, see Deed Book 1187 DEC
page 439 in the Carteret County Registry of Deeds. 5 2008
�'oro
❑ an owner by virtue of inheritance. Applicant is an heir to the estate of ec"�Cy CIIy L)
probate was inCounty. %r%j
❑ if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
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 ofthem concerning my intent to develop this property and to apply for a LAMA permit.
(Name) (Address)
(1) Donald Essick 160 Meadows Lane, Swansboro (Peletier), NC. 28584
(2) Owen Jackson 494 Breezy Point Rd, Swansboro (Peletier), NC.28584
(3)
(4)
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 application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 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 permit is subject to civil, criminal and administrative action.
This the 14 day of December, 2008
Landowner or person authorized to act as his agent
for purpose of filing a CAMA permit application

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
❑ Label roads
❑ Label highways right-of-ways
❑ Label local setback lines""
❑ Label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS MQi ' �O$
❑ Draw and label mean high water mark heap L'�y
❑ Draw location of on -site wastewater system O
Ifyou will be working in the ocean hazard area:
❑ Draw and label dune ridges (note height)
❑ Draw and label toe of dune
❑ Identify and locate first line of stable vegetation
❑ Draw and label setback line under CAMA
❑ Draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
❑ Draw and label landward limit of AEC
❑ Describe terrain (slope)
DEVELOPMENT PLANS
❑ Draw and label areas that will be disturbed
❑ If a house is to be placed on lot, describe location of house
❑ Note size of piling and depth to be placed in ground
❑ Draw and label all areas to be paved or graveled
❑ Describe composition of surface
❑ Note and list fully all trees and vegetation to be removed or relocated
❑ Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and / or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing`!
• signed both application and statement of ownership?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)

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DIANNE H WELLS os/ss 66-85/5310450082103 1104
28A DAVIE CIRCLE
7 CHAPEL HILL, OK 27514-5900
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