Exempted_Heath, Levie_19960304

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�pA�iM o_:COUNTY BUILDING INSPECTIONS P.O.BOX 776 BAYBORO, N.C. 28515
Local Permit Office for C.A.M.A.
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a e He MAR 1 5 19
110 Trenton Rd. M
Cove City, N. C. 28523
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Site inspection: 2/26/96
Dear Mr. Heath:
We have received your proposal for development regulated by
the Coastal Area Management Act (CAMA). The activity you propose is
exempt from needing a. Minor Development Permit as long as it meets
the conditions specified below. If your plans should change and
your project will no longer meet these conditions, please contact
me before proceeding.
The project andlocation are described as follows:
`Installation of a eptic-system1for a single-family residential
mobile home on your prop ty-off`SRI331 on Moore's Creek in the
Pamlico County Community of Florence,.N.. C.
Sinc rely, -
Skip ee
Building Inspector
Local Permit Officer for CAMA
xc Ted Tyndall
DCM Morehead

POBOX'776 •PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
4, [phone]
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(After this form is completed Y o leted b the landowner proposing -the project,
a Ggpy is.given to hi¢/her adjacent landowners for their consent an
sig#iatures. The forms are then returned, along with a building pl
and other applicable required information, to the Building Inspectidns+
Office for building permit applicationiprocessing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#_,_'
hereby certify that I own property adjacent to
s on
Nime of landbwne/t proposing development body of water
ininear �.� Lot# of
community Subdivision, if applicable
Tax Parcel 0 ffol -4 off S . 3 Complete description of how to
locate this property:`'
The proposed project, aand the location has been
described to me as shown in�rawi g 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 ize
of the structure and measured distances from the adjacent property
Y
.,lines, other structures on the property, and the road, water, etc.
printed Name �<<d

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POBOX*776 •PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
(M) 745-3861
(After this form is completed by the landowner proposing the projec ,
a ggpy is.given to hip/her adjacent landowners for their consent an
signatures. The forms are then returned, along with a building p
and other applicable required information, to the Building'Inspecti as'
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO I
hereby certify that I own property adjacent to
' s oni" C
N ime of laadownei proposing development body of water
in/nearLot# of
community Subdivision, if applicable
Tax Parcel t 0 SV- off S - � . Complete description of, how to
locate this property: AxAe� V Al
c ldlnt, ` to .�� .�4-41-1
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The proposed project, a and the location has been
described to me as shown in the drawigg below and I have no objections
to the proposal.
FOR A PIER, CRECY, 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
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ADDITIONAL FOR ALL SYSTEMS:
LANDSCAPE SYSTEM AREA FOR SURFACE WATER RUNOFF AND GRASS
DO NOT PLACE DRIVE OR ANY BUILDING OVER SYSTEM AREA
OBSERVE ALL PROPER SETBACKS: ref 1950
TANKS MUST BE PUMPED CLEAN AS A PART OF ANY SYSTEM REPAIR.
DISC NATURAL GROUND BEFORE INSTALLATION OF ANY FILL
ALARM & ON -OFF FLOATS ON PUMPS MUST BE ON SEPARATE CIRCUITS
• IF BUILDING AREA EXTENDS INTO SYSTEM AREA THIS PERMIT WILL BE INVALID
t DESCRIBEDHHER REGLATORY EREYNU THIS-PERMN rjgM'ER"R^LAND ALTERATIONS AS
IF ANY I
PLOT PLAN MUST NOT BE ALTERED UNLESS BY SANITARIAN APPROVAL
ee:aateaa::t:atsasatss:ea:taasa PLOT PLAN •!t!ltt:tteta!! :aaa:attaaata
•DO NOT DRIVE ON TANK, SYSTEM_ OR REPAIR. BUILDING ARF 0 BE GREATER
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STEPHEN D. LANE
ENVIRONMENTAL HEALTH SPECIALIST
ALL SEPTIC SYSTEMS MUST BE INSPECTED A RECEIVE APPROVAL BY THE LOCAL HEALTH
DEPARTMENT BEFORE BEING COVERED OR PLACED INTO USE AND NO ELECTRICAL
CONNECTION SHALL BE ALLOWED UNTIL APPROVAL HAS BEEN RECEIVED. (GS 130A)
A PLOT PLAN (TO SCALE) SHOWING ALL BUILDINGS, DRIVEWAYS, WATER LINES & SEPTIC
SYSTEM LOCATIONS MUST BE APPROVED BY THE ENVIRONMENTAL HEALTH DEPARTMENT
PRIOR TO RECEIVING A BUILDING PERMIT.