84-045_Marceron, Connie G._19840928 (2)

- � RE�E�+"'
-5 E f7 ermit Number
Local Government
CA OCT 18'84 r'
MINOR DEVELOPME
P
ERMI
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 environmental concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management."
Issued to C, oN�J f I: C AAReeP-0PJ
authorizing development in A l l ESi c;ARiNr AEG , at PARe,EL /9, Sourrt Sr DE of
NAG`, d _FAD CAG`" as requested in the permittee's application dated S r-�T rM0 ER- /F, / 9XJf
This permit,. issued on S PTEM6 ER 2 fi, / 9fis 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.
This permit action may be 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
permit must cease until the appeal is resolved.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
Any maintenance work or project modifications not covered
under this permit require further written permit approval.
All work must cease when 9�this permit expires on
Dec�.uBC� 31,
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.
�/ Local Permit Officer (signature)
A. EDwu� / /txxgLL
name
P, o. 160A 9 9
/� �a address
n/A �s T l P—A �� A!-
Permitee (signature required if special conditions above apply to permit)

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:RECEIVFD
GENERAL INFORMATION
9'84
1. LAND OWNER
Name �� c-� r J ,: r i� l,�-• 1�i�/t I- C:;: = c�:f
Address f •� %'o lr� /�JAS(F,J
r /
City 4 c-c -5 r-( `'.";1 State ✓ .�' Zip Phone
2. AUTHORIZED AGENT
Name o n' [-.`. f le/-k.. L/J.
Address
If Cityf A
DEN-
DATE
ISS
�c•
State A).. 1�-- Zip •t
Phone L" 713 - ✓ j 9
3. LOCATION/DESCRIPTION OF PROJECT �'� L' �`'' •�'�,� '��"
1� : t � • � .:�.� ;- i � � � .: Crr $ . • .c.. � ^� :s./�' . =.� � � !� :r-:mot' - ,• �i t /.! t 4 f
y
4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by Local Permit Officer prior to completing application.)
Ocean Hazard "� Estuarine Shoreline Other
5. PROPOSED USE
`--Residential Commerical/Industrial _
G. SIZE OF BUILDING IN SQUARE FEET:
7. SIZE OF SITE IN SQUARE FEET: t L1 G000
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...
_ Other
rµ
This the day of
19
Applicant's signature (or a�ithorized agent)
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:

STATEMENT OF OWNERSHIP
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 ADrp'=F
see Deed Book j'' �-� , page in the
-� ^
-� -' z� 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.
I furthermore certify that the following persons are owners of properties adjoining is prop -
that! have give- ACTT ►AI NOTICE to each of them concerning my intent to develop this property anc to
apply for a CAMA permit
;.✓7 �', T: a7 A.� - r .` �'� C�. �..B 11J'CL. 7�/L..L7iG� J'/•{:..;'t�0. '�C= r?��:i
i
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE SHORELINE EROSION AREAS:
acknowledge that the landowner 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
1 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.
T^f
This the l day of
Land owner or person authorize to act as his agent,
for purposes of filing a CAMA application.

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I, C. P. LEWIS,- JR. ; .CERTIFY- THAT. UNDER =
MY DIREC'PION AIID• SUPERVISION THIS,. id AP
'/AS DRAWN FROM AN ACTUAL FIELD LA?ID. 6y4f_�, %� '.
SU :i M ; THAT THE . ERROR OF. CLOSIi �.:.• -Is
::A_---ULATED BY LATITUDES A!rD DDiI A
IS 1:� TIIAT TI..S ;LnP w 5 Pitii �.RtSU 1N
.A; 1iRD1, C-1 V, ti{. G30 A ATM :j' E • _

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I, C. P.•LEWIS, JR., CERTIFY THAT UNDER
MY. DIRE!: ':' Oit A]1D' SUPP; i�'ISIOld '1'I:IS :•19P
17;:5 D'AG11 PROM A11 ACTUAL 'FIELD ' LAND
.:U: VP'Y.• THAT `rrlr ErillOR OF CLOSURE AS
CALCULATED L' Y L!,TI TUDEuMID DEPARTURES — G /—�,� /
I S 1:5 ��� '`:'l7AT THIS 1lAP WAS PREp1L�ED' IN�- �'��� c. �7, �/FI C6;C V i

DAliE COUN0' 1tLALili uLl :lilt.•'-•'' `_-gib r
IMPROVEMENT PERMIT (SEPTIC TANK SEWAGE DISPOSAL) •� �c 0 `)
THIS PERMIT L
NOT TRANSFERABLE- �
i . GOOD FOR ONL
•180 DAYS
%f S.H. WATER TABLE
DATEOFA .PLV ON _� ' Suitable Unsuitable
''�� SOIL STRUCTURE•.
EXISTING: Trl. •House Bus., Provisionally Suitable
NEW: Trl. •CHouse �� SOIL TEXTURE Suitable �•/ Unsuitable,
• • �
{.: LOT SIZE N Y ��:,,. Provisionally Suitable
PROPERTY OWN ERG pERCULATIONRATE
I= ADDRESS
I.• r. s ... f<•r RESTRICTIVE HORIZONS ✓•
i.. LOCATION
�� a< < L� I �� 7� SLOPE ✓
�/�Gl�i_ — DISTANCE FROM SURFACE WATER
TYPE OF TANK: �• r_Vr SIZE OF TANK: . J p
AMOUNTOF7ILE
/,�j� WIDTH OF DITCH--- DISTANCE FROM "SA" WATER x
l. f WATER; Privat.e-- PLAT WITH SKETCH ATTACHED
ROCK UNDER TILE�
7 ei City
ABOVETILE
SEWAGE CONTRAC Fjt i� ' ,
{ l Sanitarian _
PERMIT ISSUED BY)�`
1
governing
he in.
inance
NOTE: This septic) lanku' slams• THE PIERrovisions of the SON MAKING SAID INSTAL 1MU5T ..`'.- -
{ NOTIFY
of sap Y
' NOTIFY THE HEAL7H•DEPARThtENT WHEN TH�15herelol IsAcoKered belore beingREADY
ln•
FOR INSPECTION.II ervy septic lank system or p `7
• spact
ad and approved• it shell be uncovered el the direction of the Health 011icer et the
I expense of the one responsible for making Installation. _ 1 Malntaln�Minimum 10 Ft. from All Property Lines & Water Lines.
p
l _ ! Maintain Minimum 100 Ft. from All Wells' .
�. �-- -- - •thorized agenl.IJolnlly responsible) .
Signature at property own.
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TOWN OF NAGS HEAD
CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the Town of Nags Head, a
locality authorized to issue CAMA permits in areas of
environmental concern, hereby gives notice that on September
18, 1984, Connie G. Marceron, the applicant, proposed to
erect a single-family structure at 7661 S. Virginia Dare
Trail (parcel 17, tax map 204) an estuarine shoreline AEC.
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 address below.
M. Edward Harrell
Receiving Minor Development
Permits under CAMA
Address: P. O. Box 99 Nags Head, NC
Telephone: [phone]
For publication in The Coastland Times September 20, 1984.
Please use Nags Head logo and legal print.