23229_LUXEMBURGER, MAX_19990923

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CAMA AND DREDGE AND FILL ",' "i
GENERAL 23229
PERM I T
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
4nnlirant t�l�ma
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions_
cubic yards
Boat ramp dimensions
Other
Phone Number-
Zip
SKETCH (SCALE:
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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,
imprisonment or civil action; and may cause the permit to be-
come 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 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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applicant's signature
permit officer's signature
issuing date expiration date
,o ` I —I . ! tDU
attachments
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application fee

JUDITH MITCHELL SMITH DL 8680704 4 618
THE �-8744123
ClPC�G�16 VILLAS AT THE REEF PH. 252-240-5155 66-7704/2531
126 SALTER PATH RD
PINE KNOLL SHORESES DATE , NC 28512 ---r—�
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ORDER
RDER OF
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Deieilc on Dock.
State mployees' Credit Union
62 Morehead City, North Carolina
FOR tti-Lc�%�-et.""'�'_—_s�-
1:2531770491: 8625269794,1I t::I

Judy Mitchell Smith, GRI
Broker
E-mail [e-mail]
4Y�j Prudential
Premier Properties
205 Causeway Road, PO Box 1311
Atlantic Beach NC 28512
Bus252726-1239 Res252240-5155
0-s
Fax[phone] Pager252 444-5041
Q An independently owned and operated member of The Prudential Real Estate Affiliates. Inc.

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EFFICIENCY® #23-000

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
ti s
(Name of Pr erty Owner)
property located at
(Lot,' Bi6ck, Road,
on l�et.. M �.��s�--F �C� -1, � i' � , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Signature
Print or Type Name
7 / �- ,-3 L-
Telephone Number
Date: X- 2� % %

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
s
(Name of Pr erty Owner)
property located at
(Lot,' Bl6ck, Road,
on &,."_ R.�de-r , in la, /C� i-% y %' , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Print or Type Name
o7S,�2 .fo y- .3 7 � :z
Telephone Number
Date:

CARTERET COUNTY HEALTH CENTER
Courthouse Square, Beaufort, NC 28516
W. W. Burgess, Director
21 October 1996
Mr. Max Luxemberger
c/o Ms. Judy M. Smith
P. O. Box 2868
Atlantic Beach, NC 28512
Subject: Lot 4, Block A, Sportsmans Village Subdivision
#10-6A-1-16) PIDN 742500062270
Dear Mr. Luxemberger:
(Tax
An evaluation has been made of the above lot for the purpose of
determining the suitability of the soil for a repair of the sep-
tic tank wastewater system.
The evaluation was made according to Laws and Rules for Sewage
Treatment and Disposal Systems, Section .1900 of the North
Carolina Administrative Code.
It has been determined that the lot can be classified as
provisionally suitable if a low pressure pipe (LPP) system can be
designed and approved based on the enclosed Improvement Permit
(#A1911).
It shall be necessary to have plans for a low pressure pipe (LPP)
system prepared by an engineer currently licensed by the State of
North Carolina and having a demonstrated knowledge of the proper
design and function of a low pressure pipe (LPP) system. The
system shall be designed according to Section .1900 of the State
Sewage Rules.
Plans for a LPP septic system, a plot plan showing the proposed
building and driveway location shall be submitted to and approved
by the Carteret County Health Department. It is also necessary
to show on the plans, any wells.that are located or will be to
cated on the lot or that are located within fifty (501) feet of
the property lines (i.e. - wells used for drinking water, irriga-
tion systems and heat systems). The plans shall also include the
Health Center [phone] Environmental Health [phone]
Fax [phone] Fax [phone]

Page 2
Mr. Max Luxemberger
c/o Ms. Judy M. Smith
October 21, 1996
proposed water line(s) location. No part of the septic system
shall be located under a driveway or subject to vehicular
traffic. Before an Authorization for Construction can be issued
it will be necessary for you to submit the following:
(1) Plans for a LPP system approved by the Carteret
County Health Department (plot plan shall be included
as part of LPP plan).
A contract between the owner and a certified operator shall also
be required for the purpose of maintenance and operation of the
above septic system before the Operation Permit can be issued.
If you have any further questions concerning this matter please
feel free to contact this office at 728-8499.
Sincerely,
Robert L. McCabe, R.S.
Environmental Health Specialist
On -Site Wastewater Program
RM/cw
Enclosure: Improvement Permit #A1911

ENVIRONMENTAL HEALTH DIVISION
CARTERET COUNTY HEALTH DEPARTMENT
BEAUFORT, NC 28516 [phone]
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(NO CERTIFICATE OF OCCUPANCY SHALL BE ISSUED
UNTIL OPERATION PERMIT HAS BEEN ISSUED)
Page —L—of - I.P. C / l
G.S.130a-336
VALID FOR FIVE () YEARS
Subject to revocation if site plans or
if site is altered or intended use is changed.
DATE: I 0,J.E. CLASSIFICATION LTV 6�
/ �--/NEW CONSTRUCTION
/ / REPAIR
/ / EXISTING SYSTEM
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION BY:
"Prior to construction of house facility ENVIRONMENTAL HEALTH SPECIALIST city or installation
of septic tank system, the site modification for septic
tank system must be completed, inspected and
(REV.03/46)CW approved by the Health Department."
IP
ENVIRONMENTAL HEALTH DIVISION
CARTERET COUNTY HEALTH DEPARTMENT
BEAUFORT, NC 28516 [phone] Page /of
IMPROVEMENT PERMIT
• NO BUILDING PERMIT SHALL BE ISSUED UNTIL AUTHORIZATION TO CONSTRUCT IS ISSUED
• NO AUTHORIZATION TO CONSTRUCT SHALL BE ISSUED UNTIL MODIFICATION (IF REQUIRED) IS APPROVED
G.S.130a-336
IMPROVEMENT PERMIT
Subject to revocation if site plans or
if site is altered or intended use is changed.
G.S. 130A-336(a)
G.S. 130A-335(f)
Improvement Permit Valid for Five (5) Years.
IMPROVEMENTS PERMIT BY:
ENVIRONMENTAL HEALTH SPECIALIST
DATE: �/ Jc M.E. CLASSIFICATION --L Cr
/ ',"/ NEW CONSTRUCTION
/ / REPAIR
/ / EXISTING SYSTEM

SITE MODIFICATION REQUIREMENTS
GRADING MODIFICATION ❑
House placement shall allow for gravity flow to septic system or COMMENTS:
pump system shall be required
GRADE AREA:
COMMENTS:
LPP SPECIFICATIONS
SEPTIC TANK: I a o a
PUMP TANK: 0 0 0 // C c
DRAINFIELD:
LTAR U_S
Plans for the LPP system shall be prepared by a person having a
demonstrated knowledge of LPP's, such as an engineer licensed with
the State of North Carolina.
The system shall be designed according to Section 1900 of the State
Sewage Rules.
LPP plans shall be submitted to and approved by the Carteret County
Environmental Health Division. Other requirements such as fill
and/or grading may also be necessary.
A contract between the owner and a certified operator shall be
required for the purposes of maintenance and operation of the above
septic system.
COMMENTS:
PAGE 2-- OF 3
DATE: 6 7 `'
DRAINAGE MODIFICATION ❑
FILL MODIFICATION IJ
AMOUNT OF SAND 12 /'
6 TOPSOIL AFTER SYSTEM INSTALLED
FILL AREA 6-37' '<' / I U
STANDARD PROCEDURES:
1. Fill material shall be applied in three stages:
a. The fill area should be cleared of any vegetative cover or
organic litter and disked to a depth of six inches.
b. Two to three inches of Group I Sand is placed in fill area and
disked or mixed in with the original soil to a depth of six inches.
c. When b. is completed, the remainder of the Group 1 Sand can
be added to the specified area and then inspected by this office.
FILL MATERIAL SHALL NOT CONTAIN CONSTRUCTION
DEBRIS, TRASH, ROCK CLAY BALLS, HARD PAN
MATERIAL OR ANY OTHER THAN SAND.
2. Topsoil installation:
a. After the system is installed according to the IMPROVEMENT
PERMIT and inspected by this office, the topsoil can be installed.
b. The topsoil will be Group II Sandy Loam or Loam. The topsoil
shall be limed and/or fertilized if necessary to promote vigorous
growth of grass.
c. The entire filled area shall be seeded with perennial grass seed.
*Prior to any changes in system layout, approval must be obtained from Health Department.
*NOTICE: Construction must comply with all state and local regulations. Do not install well until well site has been approved.
*NOTICE: Beware much property in Carteret County is subject to Wetland Regulations and properties containing wetlands should receive approval from
U.S. Army Corp of Engineers prior to development.
WHEN THIS MODIFICATION HAS BEEN COMPLETED PLEASE NOTIFY THIS OFFICE AND ANOTHER INSPECTION WILL BE MADE. IF
IMPROVEMENTS ARE SATISFACTORY, AN AUTHORIZATION TO CONSTRUCT CAN BE ISSUED.
(OFFICE USE FOR FIELD NOTES ONLY)
MODIFICATION INSPECTION BY:
DATE
INSTALLER:
ENVIRONMENTAL HEALTH SPECIALIST
"Prior to construction of house, facility or installation
of septic tank system, the site modification for septic
tank system must be completed, inspected and
(REV.3/96)cw
Mad

I.P. f
PAGE � OF J
ELECTRICAL PERMIT REQUIRED: YES (
OWNER: e
ADDRESS: O c r O /i/+ )
Aj C �,�'S 1 Z PHONE
TAX PARCEL: U -
PROPERTY LOCATION: l o
w�u
ITE PLA]
y�.
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CONSTRUCTION AUTHORIZATION
PAGE OF Z-
r
do ' I Y.
NO (� r
*SYSTEMWSHALL NOT BE INSTALED
UNDER WET CONDITIONS
*Trench bottom depth to be no deeper than n
t_A c Inaturally occurring surface,
SUBDIVISION: *A.�c a /ni/n V If(
LOT: BLOCK: A,004- SEC:
TYPE STRUCTURE: > e-
NO. BEDROOMS: NO. BATHS:
NO. PEOPLE: �� DESIGN FLOW:
GARBAGE GRINDER: YES ( ) NO ( _�'
SEPTIC TANK: ODv GAL. PUMP TANK: /!wU GAL.
NO. LINES: /y - '?b WIDTH: /
TOTAL LENGTH: 1&o FT., TOTAL c� 0 SQ. FT.
WATER SOURCE:
HORIZONTAL DISTANCE FROM WELL: �FT.
SITE MODIFIED: YES NO ( )
DRAINAGE REQUIREMENTS:
• STRUCTURE SHALL BE PLACED SO THAT GRAVITY
FLOW IS ACHIEVED OR PUMP SYSTEM SHALL BE
REQUIRED.
• DO NOT PARK, PAVE, DRIVE, OR BUILD OVER ANY PART
OF SEPTIC SYSTEM OR REPAIR AREA.
• MAINTAIN A MINIMUM 5 FEET BETWEEN ANY
FOUNDATION AND ANY PART OF SEPTIC SYSTEM OR
REPAIR AREA.
(OFFICE USE FOR FIELD NOTES ONLY
MODIFICATION INSPECTION BY:
Easement Required: Yes �� No
Drainage Maintenance Req. Surface ( Subsurface ( )
Maintain Minimum
� 10' From Water Line
Comments: `�7•t U 5 e 20 _ L/ f
* Prior to any changes in system layout, approval must be obtained
from Health Department.
*NOTICE: Construction must comply with all state and local
regulations. Do not install well until well site has been approved
on inspection.
*NOTICE: Beware much property in Carteret County is subject
to Wetland Regulations and properties containing wetlands
should receive approval from U.S. Army Corp. of Engineers
prior to development.
FOR SYSTEMS REQUIRING LESS THAN 18" TRENCH
BOTTOMS, A MINIMUM OF 6" SOIL COVER
IS REQUIRED AND MAY REQUIRE ADDITIONAL
FILL OF AT LEAST GROUP 11 SANDY
LOAM TEXTURE.
ENVIRONMENTAL HEALTH SPECIALIST
"Prior to construction of house, facility or installation
DATE: of septic tank system, the site modification for septic
INSTALLER: tank system must be completed, inspected and
COMMENTS: approved
e Health epartment."
(REV 3/96)cw
CA -SITE

k 1`216�
-NEW CONSTRUCTION (may APPLICATION FOR IMPROVEMENTS PERMIT AREA PRIORITY 2_
EXISTING ( ) ENVIRONMENTAL HEALTH DIVISION < qpp HOLD=
REPAIR ( ) CARTERET COUNTY HEALTH DEPARTMENT STAKED CE;�SIBLE
BEAUFORT, NC 28516 �' GP PPROV-AD
I DATE: L�l
OWNER �1 < r �! cr—. �— iv,-3 -J p PHONE: 71 'i' �- ��1
ADDRESS 2 3 192 i.� f r w � t I C � -° "y Y1' , •.-ri 6 - i47., c1
APPLICANT/AG` )ENT �L%d v rv� L F �� e l( S •���- �� !,'ci %+cam :/ . , PHONE
ADDRESS `" 04� Z� G ?5 !�N , bcl�. ru �= a 0 oZ SUBDIVISION S S r� .H r i lc LOT y BLOCKFF��,2 .� SECTION
PROPERTY LOCATION
TYPE STRUCTURE ��^ I o �. CONCRETE FLOOR (YES) '� (NO)
NO. BEDROOMS '' ll� NO. BATHS NO. PEOPLE / GARBAGE GRIND R- (YES) %(NO)
WATER SOURCE W FLO D ZONE ELEVATION
PIN # 7Nat.00 a�, ��%D - - �-=�
*.ACTION ON THIS APPLICATION WILL NOT BETAKEN UNTIL THIS OFFICE HAS BEEN ADVISED THAT THE HOUSE AND PROPERTY LINES ARE
'STAKED AND THE LOT ACCESSIBLE FOR EVALUATION.
** NOTE: THIS PROPERTY MAY CONTAIN DESIGNATED WETLANDS. APPROVAL FROM U. S. ARMY CORPS OF ENGINEERS MAY BE REQUIRED
PRIOR TO DEVELOPMENT. ADDITIONALLY, CAMA PERMIT SHALL BE REQUIRED IF ANY PART OF THIS STRUCTURE, SEPTIC TANK OR POTABLE
WATER SYSTEM IS TO BE WITHIN 75' OF SHORELINE, CANALS OR OTHER WATERS OR MARSH.
*** IMPROVEMENT PERMITS HAVE NO EXPIRATION DATE. AUTHORIZATION TO CONSTRUCT VALID FOR 5 YEARS FROM DATE OF ISSUANCE.
*** IMPROVEMENT PERMIT SUBJECT TO REVOCATION IF SITE PLANS OR INTENDED USE CHANGES.
CCEHD Rev. 12/95 DRAW PLOT PLAN ON APPLICATION

CARTERET COUNT CENTRAL PERMIT OF ICE l 5 �1 4q`
Courthouse Square Beaufort, N.C. 28 16-1898 L (-o p�
*** DEVELOPMENT APPLICATION *** [phone]
DATE: n-oq q
19FAM�E
ADDRE
PARCEL
OWNER OF PROPERTY: ti)a�-
LOCATION OF PROPERTY:
ID #: mil L x jI,
TYPE OF DEVELOPMENT: C- I LzkQ
FLOOD INSURANCE RATO MAP (FIRM) INFORMATION
COMM NO
PANEL NO
SUFFIX
DATE OF FIRM
FI M ZONE
BAS FLOOD ELEV
I W 0
1
REQUIRED LOWEST FLOOR ELEVATION _ ELEVATION CERT. REQUIRED: (LES/� 0
CAMA: eNO ORW: YE 01NO (PERMIT # )
COMMENTS:
*** PLANNING/ZONING PERMIT *** [phone]
JURISDICTION: ZONE: t,�Z MAX BLDG HT:c3`
ANY EXISTING STRUCTURES: YES, NOJ LOT SIZE: AU X_ZpU
PROPOSED USE: SINGLE FAMILY DUPLEX MULTI FAMILY
MANUFACTURED HOME BUSINESS
INDUSTRIAL SIGN ON/OFF PREMISE
ACCESSORY STRUCTURE OTHER
SET BACKS: , i
PRINCIPAL STRUCTURE: 'FRONT REAR _SIDE SIDE ON CORNER
ACCESSORY STRUCTURE: FRONT REAR SIDE
COMMERCIAL/INDUSTRIAL: v� ��'✓(�1(.r
TYPE OF BUSINESS �NOV OF REQ. PARKING SPACES
SIGN RE UIREMENTS
PO i" Cp►J FS� tivAU,Lt1Itib u m c<1v F3� �r vi.� D
COMMENTS : PJ^1 C m P,
OK TO ISSUE IMP. PERMIT: YE NO DATE: ZONING OFFICIAL INIT.&
*** E ONMENTAL HEALTH *** [phone]
IMPROVEMENT PERMIT REQUIRED: kZESNO PERMIT #
OWNER HEREBY CERTIFIES THAT STRUCTURE WILL NOT BE USED AS LIVING SPACE AND
WILL BE LOCATED MORE THAN 5 FEET FROM ANY PORTION OF THE SEWAGE DISPOSAL
SYSTEM OR REPAIR AREA REQUIRED FOR THE SEWAGE DISPOSAL SYSTEM.
COMMENTS:
DATE :� OWNER/(ATl�`T�t L� i r ENV. HEALTH INIT.
i
OWNER/AGENT SIGNATURE:
DATE:
PERMIT OFFICIAL SIGNATURE: DATE: