12052_MATTHEWS, DARRAL_19931015

CAMA AND DREDGE AND FILL
GENERAL
/) PERMIT �-
NO � . `'
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as authorized by the State of North Carolina %41esod(e��o�mission
Department of Environment, Health, and Natural Resources and the'Caast
in an area of environmental concern pursuant to 15 NCAC '� !
l�l
Phone Number
Applicant Name
Address
City
Project Location.(C,6unty, State Road., Water Body, etc.)
-77
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
-a
Bulkhead length
max. -distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Zip
C .
SKETCH �r`- -. ! ,'; / ,,rJ (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.
applicant certifies by signing this permit that 1) this pro -
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.
applicant's signature
permit officer's signature
13 � r
issuing ate expiration date
attachments
application fee
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STATEMENT OF OWNERSHIP l
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner o I Pe�AM iA 1 4 �gg� ) z
an area of environmental concern or a person authorized to act as an agent for purposes of applying a CAM
minor development permit, certify that the person listed as landowner on this application has a signifi ks_V J
in the real property described therein. This interest can be described as follows: (check one) ____,.a„____�
an owner of record title, Title is vested in W h iY &K_r. m.S" 0� (Yaw %ref �frt.+'aN py r
IVI
rr�� r /
__.rm(I .�ne.�, OAILSsee Deed Book page in the
(.2A .rP,�' County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
N JA' ; probate was in County.
if other interest, such as written contract or lease, explain below or use a separate sheet
attached to this application.
5
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)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE SHORELINE EROSION 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 flood -proofing 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 the day of /4 mvZ , 191 `�
Land owner or person authorized to act as his agent
for purposes of filing a CAMA application.

S GENERAL INFORMATION
1. LAND OWNER 1 ` ( �, � y
I Name �)Jr�� ALL sf'.�`���� rA�TTAft.�J�-J5
P.
PI Address VpU SC �} a j¢✓ �(/��
City State Zip Phone ? l ®l
PI
C
2. AUTHORIZED AGENT
Name 4W 4—�"�2_ �1—�r> l�Y��Ir1-�if�-rZ rl L
Address r a^ -� �1 ��-' /� Ac 2--k.
City �/�/�i[C'�s�irki State+ c Zip Phone ✓�_� �'7
3. LOCATION/DESCRIPTION OF PROJECT
W
���
K;-9 C a P +c be- adAc-d at S h ire i %hd v�a,d b' epic, - I., Y- P raf dsi,a
4. AREAS OF ENVIRONMENTAL CONCERN^ AEC) CLASSIFICATION b-L i �e --� 4LP
(To be filled in by Local Permit Officer prior to completing application.) he-w C'.i rQp
Ocean Hazard Estuarine Shoreline Other
5. PROPOSED USE
Residential Commerical/Industrial Other
6. SIZE OF BUILDING IN SQUARE FEET: moo "i 21 y-00 511 4e6+Pd : %) y'a (n.a� +C) e-wed Iloco)
7. SIZE OF SITE IN SQUARE FEET: 6 J Q91 ' 3�J IFS fI Z •�j 6C • T � .
N 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 $25.00 made payable
to the locality, and any information as may be pro-
vided orally by the applicant. The details of the applica-
tion 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 CAMA permit is subject to civil, criminal and admini-
strative action.
S11
5I1 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 compiled 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-
DA tion to help you complete your project as quickly as
possible.
This the day of oprl
Applicant's signature (or authorized agent)
Indicate below address and phone if not shown above.
► 4 93
)14f-r ,
Zoning, Drinking Water Well, Septic Tank (or other sanitary
waste treatment system), Burning, Electrical, Plumbing,
Heating and Air Conditioning, Insulation and Energy
Conservation, FIA Certification, Sand Dune, Sediment
Control, Subdivision Approval, 96M Park
Approval, Highway Connection, OtheSrs:
OCT 1 4 1�'n
LOCALITY
PERMIT NUMBER

September 25,1993
184 Cedar Point Blvd.
Swarsboro, N.C. 28584
919-393-6851
To Whom it May Concern:
+ ®CT14191, jj
U�
I WA4Ak - C. A A�Pr�Sr'P agree to the property
modifications that have been explained to me as shown in
Attachment A or September 25, 1993 by Darrall Stephen Matthews.
These modifications include the addition of dirt and rip -rap
along the waterfront in preparation for builiding a home.
Signed,
Wayne C
ave
modifications acc ding to Attachment A
as required.
Anderson
e�/
explained the
on the above date to
Signed,
Da rail Stephen. Matthews

�I I
OCT 1 4 1993�
•'---r—y— Y0.. n.eF0.
September 25,1993
178 Cedar Point Blvd.
Swansboro, N.C. 28584
919-393-8340-
To Whom It May Concern:
I '' w. , . 1 1 l agree to the property
modifications that ha e en explained to me as shown in
Attachment A on Septer€ibe 25, 1993 by Darrall Stephen Matthews.
These modifications include the addition of dirt and rip -rap
along the waterfront in preparation for builiding a home.
Signed,
Burwell Temple fir•
-Save explained the
modif cations accQ&ding fo Attachment A on the above date to
as required.
Signed,
Darrall Stephen Matthews

R. L. KELLY CONSTRUCTION o4-91 2 211
P. O. BOX 5113 66-301531
8810 EMERALD DRIVE
EMERALD ISLE, NC 28594
PAY 10'�`( I)93
TO THE ORDER OF nr C N. I y . �.
i $1 SO
DOLLARS
FlRST CITIZENS —
b A AjK Fo-l-clilms Eank l 1-t Canny
��Y�i� SronA ao, NC 70pa
584
FOR Pt
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