24563_MCMILLAN JR, BENTON_20000407

CAMA and DREDGE
G E N E
PERM
as authorized by the State o
Department of Environmen
in an area of environmental
Applicant Name
Address r- '
t
AND FILL
I T
f North Carolina
and Natural Resources and the Coastal Resources Commission
concern pursuant to 15 NCAC
Phone Number
City State zip .0,7" ts
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other,
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
(SCALE:
l applicant's signature
permit officer's signature
). r
issuing date t expiration date
attachments
application fee

66-112/531 5 5 14
BENTON L. McMILLAN, JR. 1013033842
535 NEPTUNE DR. C
SWANSBORO, NC 28584 01491�7
a-
v i BKW ADVANTAGE
rnuer co..>wHv m
223 WEST NASH STREET
//����1N�I/WILSON, NC 27893
1:053 10 1 L 2 0: 10 L30338t, 2111 SS14
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APPLICATION FOR
� CAMA
MINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed
the Coastal Area Management Act and set the stage for
guiding development in the fragile and productive areas
which border the state's sounds and oceanfront. Along
with requiring special care by those who build and
develop, the General Assembly directed the Coastal
Resources Commission (CRC) to implement clear regula-
tions which minimize the burden on the applicant.
This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more
time or effort necessary from the applicant. Please go
over this folder with the Local Permit Officer (LPO) for
the locality in which you plan to build to be certain that
you understand what information he or she needs.
Under'CAMA regulations, the minor permit is to be
issued within 25 days once a complete application is in
hand. Often less time is needed if the project is simple.
The process generally takes about 18 days. You can
speed the approval process by making certain that your
application is complete and signed, that your drawing
meets the specifications given inside and that your
application fee is attached.
Other permits are sometimes required for development
in the coastal area. While these are not CAMA-related,
we urge you to check with the Local Permit Officer to
determine which of these you may need. A listing is
included on page 2 of this folder.
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management

Locality
GENERAL INFORMATION
LAND OWNER-1 �J
Name �CN 0A/ / �%G/ lr�j13
Address S-4 .511 AV A4i Z)A .
Permit Number
City C_W/ C #A/<.fl State � _ Zip,i�
AUTHORIZED AGENT
Name
Address
City State
OF PROJECT A','--XA ® f
(If not oceanfront, is waterbody natural or manmade?)
e t _li e
DESCRIPTION OF PROJECT
Zip
(ef r O/i'' 4 �- -l-/��i
Phone
V , C_�' ,
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
I," Residential Commercial/Industrial Other
SIZE OF BUILDING IN SQUARE FEET
Size of other impervious or built upon surfaces (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline)
SIZE OF SITE IN SQUARE FEET J-1117pl
OTHER PERMITS MAY BE REQUIRED ...
The activity which you are planning may require
permits other than the CAMA minor permit you
are applying for here. As a service we have com-
plied a listing of the kinds of permits which might
be required. We suggest that you check over this
list with your Local Permit Officer to determine
which, if any, of these may apply to your project.
This is not a requirement of CAMA, only a sugges-
tion to help you complete your project as quickly as
possible.
Zoning, Drinking Water Well, Septic Tank (or other
sanitary waste treatment system), Burning, Electri-
cal, Plumbing, Heating and Air Conditioning, In-
sulation and Energy Conservation, FIA Certifica-
tion, Sand Dune, Sediment Control, Subdivision
Approval, Mobile Home Park Approval, Highway
Connection, Others:

STATEMENT OF OWNERSHIP
r
I, the undersigned, an applicant for a CAMA minor development permit, begin either the owner of property in y
an area of environmental concern or a person authorized to act as an agent for purposes of applying for a z
CAMA minor development permit, certify that the person listed as landowner on this application has a sig-
nificant interest in the real property described therein. This interest can be described as follows: (check one)
an owner of record title, Title is yested in see Deed Book
page in the L'yeW4 County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in
County.
if other interest, such as written contact 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 of them concerning my intent to develop this property and to apply for
a CAMA permit.
(Name) (Address)
M4 Ix iry'"/i✓�
(2)
(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 ap-
plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 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 a per-
mit is subject to civil, criminal and dministrative action.
This the 16 day of
Land owner or person authorized to act as s a nt
for purposes of filing a CAMA permit appli .

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor develop-
ment 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
draw and label mean high water mark (MHW)
draw location of septic tank or filter field
If you 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 $50.00 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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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to c 'L11w'1x 's
(Name of Property caner)
property located at
(Lot,
k /)X,
Block, Road, etc.)
on 46,5A CRx�l� , in e ,q P, e 6 R/��fc � , 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)
err- 10
01
nature
Print or Type Name
Telephone Number
Date: A/ 0 0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Property caner)
property located at ��'��� /�l�/�T��i���' ,�,,(�,
(Lot, Block, Road, etc.)
on ,06,612 in 7 , 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)
1IV 1/ S'T/� C(
c1C/% ��`�t% �� f �/1.���� c� �!� iQ flit% O' �✓�L> /cam �%� �<<�y�
Print or 'Type Name
z .3 5' 3 2
Telephone Number
Date: `3 z U

ADJACENT RIPARIAN PROPERTY OWNER STATDir-i'
I� hereby certify thla-t I 0
/101 property adjacent to property owned by
',%✓ -i y-s �` U /"�/ h e r, l o c a t e d a t
(applicant) stre�'t address)
ZZ o n_ 2 P_ �-,• e b e. 7' in 1 I . C
(block #, lot r) (waterbody)�`t�t �y j`t y.� .
He has described to me the development he is proposing at above location and I have
no objection to this proposal. I understand that a pier must be set back a minimum I
distaTICe of 15 feet from my area of riparian access, unless waived by me. I do/do lint
"ish to 1•1aive this scthack requirement, should it be requested. (circle olio)
Description/drawing (done by the individual proposing (project) of the proposed proiect.
I
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Prin.ed name
i -�t-/ /Yeg4 /' e &—r '
Street address
• re 0-- A/C 2 F F6 CC
CI tv , State, Zip
—9,1--Z - 3 9
I'honc

ADJACENT RIPARIAN PROPERTY Oh/NER STA('G(Ii14-1'
I hereby certify that I own property adjacent to property owned by _
"•�1'a1 l/. /—�/L� /j� j located at �,/��_
(applicant) stye "t address)!
(b1ocF: p, lot 8) on G +�. ` ` in ti.C.
(Water body Fart �y , y,�
He has described to me the development he is proposing at above location and I have
no objection to this proposal. I understand that a pier must be set back a minirnin
distance of 1S feet from my area of riparian access, unless waived by me. I do/do not
arish to i",live this setback requirement, should it be requested. (circle one)
liescription/driwi.ng (done by the individual proposing project) of the proposed proiect.
L• �3y� t,o �z
Who
Si.gnlat�ure
Printed name
7
Street address
Ci t,-, State, Zip
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