03-0009_Martin, Jeffrey_20030815

10/24/2003 15:32 2527457067 BUILDING INSPECTIONS
PAGE 01
"PAMLICO 03-0009
° Local Government Permit Number
LAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment
and Natural Resources and the Coastal Resources Commission for development
in an area of environmental concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Manag.ement"
J Issued to e ffrev Mart in . authorizing development in Estuarine horel
at.7569 Florence Rd. ,Merritt adjacent to canal off of
Riop Creek in Pamlico County, NC as requested in the permittee's application, dated July 29 , 2003 _
This permit, issued on ,August 15 , 2003 , is subject to compliance with the application and site drawing (where consistent
w th 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. All proposed development and associated construction must be done in accordance
with the application dated July 29, 2003.
2. Prior to initiating any land -disturbing activities, adequate sedimentation/erosion
control measures must be employed to prevent the movement of unconsolidated
materials into the marsh or water. These measures must remain in place until
such time as the area is properly stabilized with vegetated cover.
your project is reject to the NC Division of
Wa a Quality Newc River Buffer Rules due
to its location within the New River Basin.
Please conmct -rein '90-4p s
a.-P 252-946-6481
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 per-
mli m„st cease until the appeal is resolved.
This permit must be on the project site and accessible to the
pai mh officer when the project is inspected for compliance.
Any maintenance work or project modifications not covered
unt ler this permit requires further written permit approval.
All work must cease when this permit expires on December
31, 2006
In Issuing this permit it is agreed that this project is consistent
with the local Land Use Plan and all applicable ordinances.
This permit may not be transferred to another party without
the written approval of tha Division of Coastal Management.
Skip Lee, Local Permit officer
Paml>,co County Suitding Inspectionsmame
PO Box 776
a dross
Bayboro, NC 28515 [phone]
Permittoo
signature required If special conditions above apply to permit)

Locality ro I Permit Number t)�6q
GENERAL INFORMATION
LAND OWNER
Name 1 �x"v e L, �
AUG 0 12003
Address 96- 0 / /V ? u 5e P-J,
City 91 n 548 n State 1 Zip , S V Phone J 5-2 -.5 2 %'
AUTHORIZED AGENT
Name
Address
City State Zip Phone
LOCATION OF PROJECT 7 .SCo y }- I o rPr e -e �U � }yl �'r ►^ "�,
(If not oceanfront, is waterbody natural or manmade?) ZLA& ti IYi. J e
DESCRIPTION OF PROJECT /11 D V e I'Yl t' 0 ad U'� C�Cc r�t11
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'.
horeline Public Trust Shoreline Other
PROPOSED USE
_ Residential Commerical/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the estuarine shoreline, or 575 feet of an
ORW shoreline, or 30 feet of the public trust shoreline._ 'i
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING ? &0
SQUARE FOOTAGE OF SITE 9 5 q
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 listing 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, 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, and others.

STATEMENT OF OWNERSHIP AUG 0 12003
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 a : (check ' _one)P`/- .T MKr
an owner or record tlet
, Title is vested in �� A r , see Deed Book 1/ 0 ,
page_ in the ; County Regi o 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 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)
�41 //
1/0 h v5
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 associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing 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 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 information 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 the694& day of 2003
-Van o e r person authorized to act as his agent
for purposes of filing a CAMA permit application.

AUG 0 12003
IV
F., Cm J; hOjl
�)orenec- Rd, mews
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