95-13_Rodgers, Eugene and Georgette_19951127

I
Permittee must obtain all necessary building permits prior to:
beginning construction.
This permit authorizes only,the activity specifically mentioned on
the application and site drawing originally submitted for'this
project.
Any further.land disturbing activity may require additional permits
prior to beginning the activity.
6. Pgrmittee must notify the L.P.O. upon completion of the project to
allow for inspection for compliance of the applicable Code regul-
ations, etc. _
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 this permit expires on
In issuing this permit it is agreed that this project is consis.
tent with the local Land Use Plan and all applicable ordinances.
Local Permit Officer (signature)
Ron Lehman, Building Inspector - L.P.O.
name
P.O.Box 776
address
.BaYhorn N. C_ 28515 =
This permit may not be transferred to another party without - -
the written approval of the Division of Coastal Management.-- - Permittee (signature required if special conditions above apply to per

Locality Permit Number 13
GENERAL INFORMATION
LAND OWNER
n !IFIJIvgr1n
t10V 1•: 3 1995 �l
Name C r/ 9 te.r/ l° •fury err -e rs l C�1�J'�:
/ Wna4craaaoiao��w�oaNapb'+�
Address
City a/T/ 7Li?—f State Zip 7 / Phone _cl/ -o`Z
AUTHORIZED AGENT
Name
Address
City State Zip Phone
n t
LOCATI N OF P
(If not oceanfront, is waterbody natural or manmade?)
r
DESCRIPTION OF PROJECT,,. -
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
Residential Commercial/Industrial Other
SIZE OF BUILDING IN SQUARE FEET /Z 5.3 l , q
Size of other impervious or builtupon s faces (suet} as driveways, etc.) within 75 feet of the shoreline (575 feet
of anORW shoreline)
SIZE OF SITE IN SQUARE FEET
P. i
OTHER PERMITS MAY BE REQUIRED ... Zoning, Drinking Water Well, Septic Tank (or other
i sanitary waste treatment system), Burning, Electri-
The activity which you are planning may require cal, Plumbing, Heating and Air Conditioning, In -
permits other than the CAMA minor permit you sulation and Energy Conservation, FIA Certifica-
are applying for here. As a service we have corn- Lion, Sand Dune, Sediment Control, Subdivision
plied a listing of the kinds of permits which might Approval, Mobile Home Park Approval; Highway'
be required. We suggest that you check over this Connection, Others:
list with your Local Permit Officer to determine
which, if any, of these may apply to your project.
This is not a requirement of pAMA, only a sugges-
tion to help you complete your project as quickly as
possible.

STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, begin 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 sig-
nificant interest in the real property described therein. This interest can be described as follows: (check one)
�h a I. Fod5 errs
�an owner of r ord title, T'tl vested in MeH;- G, ��g hs , see Deed Book r%
page =in the ounty Registry f 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 furthermorq certify that the following persons are owners of properti
have given ACTUAL NOTICE to each of them concerning my intent tc
a CAMA permit.
(Name) (Addre
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HA;
I acknowledge that the land owner is aware that the proposed develo
be susceptible to erosion and/or flooding. I acknowledge that the to
particular hazard problems associated with this lot. This explanation
concerning stabilization and floodproofing techniques.
P 599 755 777
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
uo not use ror Intemational Mail see reverse
Sent to
street & Number
v a
Post State, 3 ZIP Code
cL,/' r✓ C Z 8 i /o
Postage
$
Certified Fee
/ . / U
Special Delivery Fee
Restricted Delivery Fee
Return Receiptg to
Shoeree
Whom & Date
4
bWhom,
Be
s'
C
se %
€
Po -Sr Dat"
-1 lie �
n
�
a.
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I V:111
err, 1
PERMISSION TO ENTER ON LAND
I furthermorecertify 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 maybe 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 administrative action.
This the / / day of 17 119_Z';'.
1
er or person autho to act as his agent
or pur ses of filing a CAMA permit application.

POBOX 776 PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
[phone]
(After this form is completed by the landowner proposing the project,
a copy is given to his/her adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan
and other applicable required information, to the Building Inspections,
office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacent to
' s on
e of landown - proposing evelopment b dy of water
r
in/aezr Lot# of
community Subdivision, if applicable
Tax Parcel ~ off SR Complete description of how to
locate this property:
The proposed project, a ind!the location has been
described to me as shown in the drawing below and I have -no objections
to the proposal..
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15, minimum setback from my riparian access..
I DO NOT wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
..lines, other structures on the property, and the road, water, etc.
Printed Name�jtM/9 � H� //�/ Date// ,�� Signature �

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SCALE.: 1" = 40 � : -A�
Ate..
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THIS SITE PLAN /S OF AN EXISTING PARCEL Qv " 1`+ k.. ' f' R I fl,d" I F
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BASED ON FLOOD JNS. RATE MAP NO, 370279-000/ B,
THIS PROPERTY /S LOCATED IN AN 'A5" FLOOD =ZONE,
AND /S WITHIN THE" /00 YEAR FLOOD BOUNDARY
RIPARIAN RIGHTS HAVE NOT BEEN DETERMENED 411
OR COAGSrQE?4ED.BY T/iS S/TE
13 1
THIS MAP'15 NOT IN FO ECOR T/ON, xy�
CONVEYANCE, OR SALES
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PREPARED BY: iI A `S/TEPLAIIE FOR
E11
uQ`'e'ne ✓'Rohaers
PROFESSIONAL ENGINEER J ' j J I +
:And Wife
REGISTERED LAND SURVEYOR
ORIENTAL' M� G e orge f �`e ''
JOB: NOe 200
DATE: NOV.-7, /995 6 "Orienlali3' ��j .,.9�H;I
SCALE ; Iee._ 40' DRWN, BY ; .y
,gW N0:' 2 TOWNSHIP �`. PAMLICD COUNTY, N.

FAX TO PAMLICO NEWS
[phone]
COUNTY OF PAMLICO'
i
C.A.M.A. PERMIT NOTICE
Pursuant to NCGS 113A-119(b), Pamlico County a locality authorized
to issue C.A.M.A. Permits in areas of environmental concern, hereby
gives NONCE that on November`9, 1995
Eugene & Georgette Rodgers , the applicant
Proposed to:_ Construct a single-family residential dwelling, porch
and garage
LocatedOn a lot on Camp Creek at Church St. and Midyette St. in
i
Oriental, .N. C.
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 within seven (7) days of this notice.
i Ron Lehman, u ding Inspector
Local Permit Officer for Receiving
Minor Development Permits under
The Coastal Area Management Act.
P.O.Box 776 - Bayboro, N.C. 28515
Tele: [phone]