43181_HILL, HAROLD L_20051221

L j CAMA / DREDGE & FILL « / Jr(!' ,U �/i� 7, -1 3 1 g.d:`(_
GENERAL PERMIT Previous permit
'—'New I -'Modification Complete Reissue !]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources G' j
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name______ Project Location: County_ -
Address---__ ___ - Street Address/ State Road/ Lot #(s)_ ;
City State _— ZIP
Phone # () Fax # (,) Subdivision
Authorized Agent_ City_ —i ZIP _
❑ CW a EW r - PTA ❑ ES L PTS Phone # River Basin
Affected (--) -- --
❑ OEA C HHF IH UBA ❑ N/A
AEC(s): Adj. Wtr. Body- ___ _gnat an /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body---- ---- — —
IType of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)__ —
Groin length
number
Bulkhead/ Riprap length
avg distance offshore____
max distance offshore
Basin, channel
cubic yards___
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other
�i
Shoreline Length -
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: )
. See note on back regarding River Basin rules.
Permit Officer's Signature f !
Issuing Date Expiration Date
Local Planning jurisdiction
Rover File Name

M-
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 1) 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:
E_j Tar - Pamlico River Basin Buffer Rules L Other:
L-1 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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/05

�mC01`u' MPLICATION FOR
CAMA MINOR
DEVELOPMENT
4-WAW;- PERMIT
In 1974, the North Carolina General Assembly passed the Coastal Area
Management Act and set the stage for guiding development in fragile
and productive areas that 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 imple-
ment clear regulations that 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 s
folder with the Local Permit Officer (LPO) for the locality in which you
plan to build to be certain that you understand whatinformation he or t
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 Man-
agement Program and your willingness to build in a way that protects
the resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management
3

Locality
Permit Number
Ocean Hazard _ Estuarine Shoreline
GENERAL INFORMATION
LAND OWNER
ORW Shoreline IPublic Trust Shoreline Other
(For official use only)
Name L. pill
Address S 4 D Par N W 0eJ L 4)1'e_
City 6o l4 s b ora State N. G , Zip 2753D Phone 914.73 k - )" 9
AUTHORIZED AGENT
Name H a ro ld I. .
Address
City
State
Zip
Phone
LOCATION OF PROJECT. (Address, street name and/or directions to site. If not oceanfront, what is the name of
the adjacent waterbody?) 141 So l tY Shores Pain I RoP. 11 CW p_dY J N.C. -ae.,S 74
/gap►acen't to 11 c w
DESCRIPTION OF PROJECT. (List all proposed construction and land disturbance.) F/e va►f a 190twe-
4 Aarfia) Dernoh'tior> -1 ge_hy;)Aa
SIZE OF LOT/PARCEL: 7 7 " A ? '13 De-g' square fee
PROPOSED USE: Residential ✓ (Single-family
Other
Multi -family
acres
) Commerical/Industrial
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): 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): sq. ft.
(Calculations include 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:
( within 75 feet of Normal High Water for the Estuarine Shoreline AEC
2) ithin 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
es rce Waters
fo
within 30 feet of the Public Trust Shoreline AEC �Q
(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 �q
State Stormwater Management Permit issued by the N.C. Division of Water Quality?
YES NO
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.

5epVc Syale>rn
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1�'u 2 ), 12 00
14VU,44 � 44f
Sal+y Shores Polni Rd
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41' S"
30'
0
Ln
M
ICE
[phone]
HAROLD HILL
ELECTRICAL CONTRACTOR
540 PARKWOOD LANE
GOLDSBORO, NC 27530
JEFF HILL
[phone]
State Lic. # 16609-L
HAROLD HILL
[phone]
State Lic. # 4810-U

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 list 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, SepticTank (or other sanitary waste
treatment system), 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.
O
z
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) n
Y an owner or record title. Title is vested in /5 a r a laf� L , 9 a 1 , see Deed Book Si
page I in the G o r t e r P t 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 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 of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1) Rill L:#}tt )35 Salty Shores Po,'ntc RcP
(2) RobGrf Co9%1:ns ia3 5a11.x jnpres Poin& Rd
(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 associ-
ated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
niques.
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 infor-
mation 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 I k day of D e C &-yn b Lr , 20 05
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
Draw and label mean high water mark
Draw location of on -site wastewater system
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 appoicat' on 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)
Revised 3/2003