84-0031_Forrest, Isaac_19840402

GENERAL INFORMATION
1. LANDOWNER
Name
Address
-'ofz R -e S'
aG3/ Phone JYOyd%1—(u 3.36
City �� (`.V1�t`b�Li+�l.Ci State Zip
kv(4 7y3-/�F9,7
2. AUTHORIZED AGENT
Names G�
Address ` ` ty
City K i 1 I I [.I fs State • 6, Zip lIqLM Phone 0 - Ll71''
LOCATIO__IN/DESCRIPTIO/N�OF.P(ROJECT 44
tl i �ty t �14 % O 0 Im / �4 i M #91
r .S
of?= r>7 eat W avue* .9a4,d, co ed Zg 4av�If
4. AREAS_ OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by Local Permit Officer prior to completing application.)
Ocean Hazard
5. PROPOSED USE
Residential
Estuarine Shoreline Other
Comm er-ical/Industrial Other
6. SIZE OF BUILDING IN SQUARE FEET: j'Lt 0 0Sg; .4 '
7. SIZE OF SITE IN SQUARE FEET: �p • C-o 10 a
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.
OTHER PERMITS MAY BE REQUIRED...
C.
This the day of�'�^'� ,
A licant's signature (or author i gent
Indicate below address and phone if not shown above.
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 suggestion to help you complete your project as quickly as
possible.
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
...mobile home park approval. ..highway connection. ..others:

RECEIVES,
MAR 13184
_0C LC
APPLICATION
FOR
)a CAMA
�-MLNJ
H Ul"I'LL V
ITt-­
'ER.
x -In 1974, the Nort . Carolina Genera ,4ssem-
_.,
"� .. bly passed the Coastal Area Maiiage6e�nt$; c
t and set the'stag'e for guiding dt 016
mentin
is the fragile an productive areas wi bor 1
_-
�a_s, sousndnocearil
sesuthe state'ron-
Alongwith'reuringpeciatareby thoseqho *'
build and de�e�op, theGeneral Assembly
directed the Coasial�Resources �ommissi o
mplement clear rgu�atiohich minimize
the�burden on tie applicant.
- his application, or.a minoFge, opment pet-
� 1 44h under CAIvIA is part of the,Co►7tm�ssion s
effort to meet the spirit anc`intent ofihe
r
benerat,Assembl`y. It has been designed to be
might d;req ..
st fortiard'an uire no moretirne or ,
effort �tian�nece sary from the applicant.
Pleasego over�i's-folderwith thel_otal�`
' 'Permit Officer -for t e locality4in which you
plan to buildfo berta�n thatyou•under-
stand what informatio_n:he_or_she-needs.
Under C"AMA r gu a ions the minor permit
..�sa be'issued within days once a complete°
v" # a ti w {
r , application is in han ten less time is needed
44yi the project is sirrp a The process generally
takes about 18 daysYou can help speed the
approvat�process b r king certain that your
r�.plicatign is complete and signed, that your
'` _ �_ •- 4 � i�rawing7meets the s e ifications given inside
r and that jjjajjjppI cation fee is attached.
Other permits ars metimes required for
t i ;development in tFie' astal area. While these r -9
�' �� � .�:. re not.. Aarelated,-we,urge, uu to check
'�with the 1:oc�al PerinitOfficer'.to`determin
�._
".• �f�hese e A pivfiich o f you may n e listing i
" ""'" included° no page-, of the 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
Office of Coastal Management Ap
-
r
•

Dare, County/ (DNRCD -. ; .` 844031
/'
Local t eovernment < Permit Number ,
„ . ,
CAMA
MINOR DEVELOPMENT.
E -Y-
P RMIT
as authorized by the State of North Carolina; Department of Natural Resources
and Community Development and the Coastal Resources Commission for develop
ment in an area of environmentalconcern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management."
' Isaac Forrest
Issued to.
i authorizing development in Dare County, at Lot' #68, Cozy Cove Campground .
Little Col i ngton Creek requested in the permittee's application dated March 8, 1984
This permit, issued on ' Apri 1 2,' 1984
p , is subject to compliance with the application and site drawing
(where consistent with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these
terms may subject permittee to a fine, imprisonment or civil action; or may cause the permit to be null and void.
1. The access piers over the marsh will not exceed six feet in width.
2. The "T" head pier ,will not exceed 500 square feet.
s
Y
This permit action may,_ appealed by the permittee or
other qualified persons within twenty, (20) days of the issuing
date. From the date of an appeal, any work conducted under this
rmit o signaw
-permit must cease until .the appeal is resolved. Georg@ H. %%Od Local Pe Officer (
.
This permit must be on, the project site,and accessible to the "
Office ',of Coastal `Management"
.,
.
permit officer when the project is inspected for compliance
Any maintenance work or project modifications not covered 108 South Water Street'. name
v
under this permit require further written permit approval.''Elizabeth..City, N: _ C. 77909 .
'Must
All work cease 'when.'this ermit ff ex s on [phone]:
/ aaa ss
In issuing this permit it is agreed that; this project is consis-
tent with the local Land' Use Plan' and all applicable ordinances.
This permit may not be transferred to another party without '
• the written approval of the Office .of Coastal ..Management.'" Permitee (signature required if special conditions above apply to permit)

.�
North Carolina Department of Natural
p
Resources & Community Development
COASTAL MAN �E ENT
David W.Dirrecec tor or
•�„ ; ;m•
James B. Hunt, Jr., Governor James A. Summers, Secretary
Telephone[phone]
Field Services
108 South Water Street
Elizabeth City, N. C. 27909
[phone]
March 19, 1984
The Coastland Times
P. 0. Box 428
Manteo, North Carolina 27954
Gentlemen:
Please include the enclosed Notice(s) of Filing in the Public
Notice section of the Thurs., Mar 22, 1984 edition of your newspaper.
If it will not be possible to include these notices in that edition, or
if you should have any questions about these notices, please call me as
soon as possible at 338-1558.
The State Office of Budget and Management requires an Affidavit
of Publication prior to payment for newspaper advertising. Please
send these affidavits, copies of the published notices, and the bill
to Cathey Cottle, Office of Coastal Management, Department of Natural
Resources and Community Development, P. 0. Box 27687, Raleigh, N. C.
27611-7687.
Thank you.
Cordially yours,
UAa
Nelson G. Paul
George H. Woo
Field Consultant
Enclosures: T. Ray Hassell, III
H. Dieter Hoinkes
Isaac Forrest t/
P. O. Box 27687 Raleigh, N. C. 27611-7687

NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR
DEVELOPMENT PERMIT
• Pursuant to NCGS 113A-119(b), the North Carolina Department of
Natural Resources and Community Development Office of Coastal Management,
the State agency authorized to issue CAMA minor development permits in
Areas of Environmental Concern of unincorporated portions of Dare
County, hereby gives Notice that on Marrh R, 9 IARQ . the
Applicant, Isaac Forrest, Cozy Cove Campground, proposed to construct
a commercial building containing a game room and store
at Lot 68, Little Colington Creek
Persons desiring
to inspect the application, to comment thereon, or to appeal the local
decision are directed to contact the local permit officer at the below
address.
xk1MXMAWAx&k1x
Mr. George Wood
Office of Coastal Management
108 South Water Street
Elizabeth City, N. C. 27909
[phone]

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COZY COVE CAMPGROUND, INC.
And Mobile Home Park
Nelson Paul
108 S. Water St.
Elizabeth Cityx N.C. 27909
(919) 4417886
March 12t 1984
Dear Nelson,
Enclosed please find the proper information needed for the C.A.M.A.
permit for the building containg a Store & Game Room .
If you need any other informations please feel free to contact
me** .
Sin erel s
A7r��
Rick Powers
Rt.#1 Box 910
Kill Devil Hills# N.C.
2?948
Route No. 1, Box 910, Kill Devil Hills, North Carolina 27948
(2 miles west at Wright Monument on Colington Road)

_ County of Dare
D .740
PERMIT TO BUILD
Box 1000 • Manteo, NC 27954 • Phone: [phone]
_19-
Owner 21 _ ,h'cr� Builder
Address Address
City /S. n, �,t ,:, C_' E .. Suite %UC Zip City State — Zip
Location Sub -Div. Lot No. Blk. Seca
Alter No. ituries Ex. Wall Heat Type
Erect No: r.00nns tnt. Wall —No. B. R. Roof Type
x
Repair No. Baths Type Sq. Ft. Floor Space /`sd" X $da 7
Air Cond. footing Est. Cost or Contract Price
r �-z--�
Fireplace Foundation Cost of Permit $
Insulation Flooring Elevation Zone
Septic No. %��yyDate Septic Tank Approval Date
Plans on File Plot Plan on File Cert. of Comp. No.
- --- - --- -------------------------------------------------------------------------------------- ---- ----- ..---- --- -----------------
Make Model Year Serial No. U.L. No.
Hurricane Built Cost of Unit
The applicant hereby certifies that the information as shown on this permit and on such plans and specifications as have been sub-
mitted is correct, that lie will comply with said information as approved and with the provisions of all ordinances and laws governing
building construction in the State of North Carolina and the County of Dare.
Date S'+l c!( ��2��c.�J &J • 1 _� "")
OWffC-W OR AGENT BUILD G INSPECTOR
The building is to be erected or altered in accordance with the restriction in force as applied to the Zone in Dare County in which the
property is located and the LAWS GOVERNING BUILDING CONSTRUCTION IN THE STATE: OF NORTH CAROLINA, and
amendments as adopted by Dare County. This permit is valid for six (6) months. Compliance with Building Regulations is the respons-
ibility of the owner and/or builder.
Each application shall be accompanied by the following:
(1) The actual dimensions of the lot to be built upon. (4) The number of dwelling units the building is designed to
(2) A set of working drawings. accommodate.
(3) The location of existing structures on the lot, if any. (5) The approximate setback lines of buildings on adjoining lots.
nn n (6) The septic tank permit.
REMARKS:
Call building inspector (24 hours in advance) for: (1) Footing -Foundation Inspection. (2) Framing Inspection. (3) Completion
Inspection. I'1-IONE:Ivlanteo_(919)473-2143(Ext.236)._...__:_.-
Any change in construction as specified above will be subject to prior notification to the building inspector.

Y OWNERS
DARE COUNTY HEALTH DEPARTMENT, COPY
THIS FOR ONLY PERMIT
GOOD IMPROVEMENT PERMIT (SEPTIC TANK SEWAGE DISPOSAL)
NOT TRANSFERABLE 740 I
180 DAYS
'
DATE OF APPLICATION _.
S.H. WATER TABLE,
NEW: TrL • House • Bus, EXISTING: Til. House Bus.
SOIL STRUCTURE .Suitable-- Unsuitable
LOT SIZE -
Provisionally Suitable
_
PROPERTY OWNER 1 Lc/l •J` _( .rli►I��(,f'(.��tl ��;
SOIL TEXTURE Suites Unsuitable
Provisionally Suitable
ADDRESS _ ��� f ._ I ' 1 �_ 75
PERCULATION RATE
LOCATION AC-03z
RESTRICTIVE HORIZONS
SLOPE ,
�J
TYPE OF TANK:.__ __ . SIZE OF TAN,\: T
DISTANCE FROM SURFACE WATER _t)
AMOUNT OFTILE_Ll,' ..__. WIDTH OF Dll CH
DISTANCE FROM "SA" WATER
ROCK UNDER TILE ----WATER;.[, rivate
PLAT WITH SKETCH ATTACHED L
ABOVE TILE —.:.+: r_ T laity X
SEWAGE CONTRACTOR
PERMIT ISSUED BY `_ (� i'LLj,_ Sanitarian
NOTE: This permit Is Issued subiact to all provisions of the ordinance governing the In-
stallation of aoptic tank systems. THE PERSON MAKING SAW INSTALLATION MUST
NOTIFY THE HEALTH DEPARTMENT WHEN THE SEPTIC TANK SYSTEM IS READY
FOR INSPECTION. If any septic tank system or part thereof Is covered before being In-
spected and approved, It shall be uncovered at the direction of the Health Officer at the
I
expense of the one responsible for making installation.
i
f
Maintain Minimum 10 R. from All Property Lines & Water Lines
��Lzo
AIgn,,u
Maintain Minimum 100 R. from All Wells .
of properly owner or suthorltd gent. (Jointly responsible)

~ .�1 O
sore
COUNTY OF DARE
MANTEO. NORTH CAROLINA 27954
IRE `. ' .-c �c /��Y-0Vt_ ` 241 P. O. DRAWER 1000
C- PHONE [phone]
In accord: ice 1•ri th your application received on 19 we
are forwarding permit h 17yo dated 3 --/ for the
constructi,)n and operation of,the waste disposal facilities.
a oP 1. ; . P. D . septic tanks each having
/ -7au •.�j.P.D. dosing chambers with / pump(s).
Treatment !shall be J nitrification fields, each consisting of lineal
feet of 4/- inch tile.
1. This permit shall become void unless the facility is constructed in accor-
_dance with the approved plans, specifications, and other supporting data.
2. This permit is effective only with respect to the nature and volume of
waste described in the application and other supporting data.
3. This permit shall become void in event of failure of the soil to adequately
absorb the waste, and may rescinded unless the facility is installed, main—
tained and operated in a_manner to conform with the public health protection. '
4. L nitrification fines to be equal in length and a maximum of 3a feet
in �ength.. Each line on feet centers.
5. Upon Lhe availability of a municipal or regional sewage system, the waste
water from this property shall be discharged into the municipal or regional
system.
6. _This permit is for building P- /h ,r�oz�/.-L -L Sio.ee. ,
consisting of
7. Drainfield to be installed by transit.
Sanitarian.
have read t e above outlined'specifications.and conditions and agree to abide
by the.abov
This the S _day of /11 1�pe I~ 19 �t1 ,
� r
Signature of Owner of Agent
..
LAND OF BEGINNINGS

i
COZY COVE CAMPGROUND, INC
And Mobile Home Park
Rosa L ve
qqP4,�0 0BOX . t
9
2790
(919) 4417886
I -larch .80, 198k{
Door 11rao 14vornau,
,ate lQ%t® ,is... to infopm gQu ,that :Cam' ,CoVo C zrqu1 d, , Inc, , h.ac
elt : to Ins� , a buladiu,"�to;; contain a .Game.
B6944 & StarJ o on;Yot ,� on:Vittla "Co1#S
B3&' Pouorz , .
nt 01 Box910
k l Dovil M.1180 II•C,
Route No. 1, Box 910, Kill Devil Hills, North Carolina 27948
l2 miles west at Wright Monument_on Col/ngton. Road)__

COZY COVE CAMPGROUND, INC.
And Mobile Home Park
DaIias Haar e
Kill. Devil Hillop VeC.
27948
Dear 'Ilve 11001-0s,
, ^his. lettor is to laorm you that Cozy Cove Campgrounds, Iace hag
appliod for a C.A.14.A, o=tt to install a 'tu3ldinr*to contain o Gamo
Room C.,storo on, lot nl b- on Little Collington Crook
SicOro
hotJorg:
ftt, rl Box 910
Kin Devil Hillop I1.0.
27944 .
Route No. 1, Box 910, Kill Devil Hills, North Carolina 27948
(2 miles west at Wright Monument on Colington Road). _,_____

COZY COVE CAMPGROUND, INC.
And Mobile Home Park
jamos P. Nooro
P.O.Box 162
Kill. Devi, Bills, II.C.
27948
(919) 4417886
Narch 8 0198l1,
Dees &Ir„ M- oro#
'This letter is to 1nfozm you that Cozy Cove C=pgrounda Ino•
has applied for a C.A*II.A„ por dt to instaIl a building td contain
u Game Roon Zz store on lot zr 68 on Littlo Colinston Crook*'
iokp Pagers
Prt r1 Boz 910 ,
Sill Devil Mills, I?„ G.
279h.8
Route No. 1, Box 910, Kill Devil Hills, North Carolina 27948
(2 miles west at Wright Monument on Colington.RoadJ ___ _ -

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STATt
°4 North Carolina Department of Natural
p Resources &Community Development
�. '^•�^' James B. Hunt, Jr., Governor James A. Summers, Secretary
OFFICE OF
COASTAL MANAGEMENT
David W. Owens
Director
Telephone [phone]
Field Services
108 South Hater Street
Elizabeth City, N. C. 27909
[phone]
April 6a 1984
Mr. Isaac Forrest
c/o Mr. Rick Powers
Route Is Box 910 .
Kill Devil Hills, North Carolina 27948
Dear Fir. Forrest:
CM Minor Permit #84-0031, issued to you on April 2, 1984 by
this office, contained af, typographical error. Please correct the
expiration date to read December 319 1987s and accept our apologies
for any inconvenience this error may have caused you.
Sincerely*
George H. Wood
Field Consultant
GHW/fob
Distribution: Orig - Addressee
1 - Walter Gregory
1 - File/84-0031
P. O. Box 27687 Raleigh, N.C. 27611-7687
An Equal Opportunity Affirmative Action Employer

STATEMENT OF OWNERSH IP
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in
an area of environmental concern 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 follows: (check one)
an owner of record title, Title is vested in COI
1 V gfay / 4A C
, see Deed Book �-! , page in the
_b ,41-e 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
attached 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) l r
(1) — 1w5 yv\ o o--fi-,,e 16 `{ ; II`(fs , �i c .
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE SHORELINE EROSION AREAS:
1 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 %y% , 19�
1
Land owner or person authorized to act as his agent
for purposes of filing a CAMA 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 highway 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 an 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 house 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 $25.00 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)