84-006_Gaskill, William D._19840514

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
William D. Gaskill
authorizing development in Oya pr Crppk Banks , at Ocraee+ke NC
as requested in the permittee's application dated April 1 R$ 1 QRA
This permit, issued on May 14, 1984 , 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. Impervious surfaces shall not exceed 30% of lot area within
the AECy in this case 1125 square feet.
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 inspeete 1 for compliance
Any maintenance work or project modifications not covere
;der this permit require further written permit approval.
All work must cease when this permit expire ; on
December 31. 1987
In issuing this permit it is agreed that this project is ri-s-
It with the local Land Use Plan and all applicable ordir .m
��� _ N 1
Local Permit OZmr (signature)
Douglds A. Gibbs
name
address
Swan Quarter, ':C 27885
This permit may not be transferred to another party Zvi
written approval or the Office or Coastal Nlana_-
Permltee isignature reaulrea i! ee:1i condiitions a01_Vi16=1 to nermltl_.._

Address
(} City State Zip Phone
3. LOCATION/DESCRIPTION OF PROJECT . r C" - '- L
(
tJ
DATE!
W
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 i Commerical/Industrial Other
G. SIZE OF BUILDING IN SQUARE FEET:
7. SIZE OF SITE IN SQUARE FEET::
This application includes: general information (this This the day of
form), a site drawing as described on the back of this 19 , `.
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 PEFINITS MAY BE REQUIRED...
Applicant's signature (or authorized agent)
Indicate below address and phone if not shown above.
The activi,y which you are lanning may require permits other than the CAMA minor permit you are applying
for here. As a service we have _ompiled a listin of the hinds of vermits which might be required. We suggest that
v ou check over this list ith aur Local Permit Officer to de: rr: ^g which. if any, of these may apply to your
project. This is no; a rea irement of CAMA, only a suggestion to help you complete your project as quickly as
possible
zoning ... drin in ,eater well ... septic tank (or other sanitary waste treatment system)...
burning...ele, r:: :...plumbing. ..heating and air conditioning ... insulation and energy I
,:onsetvation. .. �.r tmcation...�,and dune...�ec zer.t control. ..subdivision approval
...mobile hoi- f m :`proval....highway connection. , „ers:

STATEMENT 'OF OWNERSHIP r T
r
I;' un pried, an applicant for a CAMA minor development permit, being either the owner of property in Z
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 eal property described therein. Thisinterest can be described as follows: (check one)
an owner of record title, Title is'vested in
see Deed Book _LL—, page in the
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.
Ffinft"we certify that the following persons are owners of properties adjoining this property. iaµ:rm
UAL nut wt co each or inem concerning my intent to aevetop inns property aura t..
apply ter a CAMA permit
(NDW4 (Address)
FOR DEVELOPERS IN OCEt N HAZARD AND ESTUARINE SHORELINE EROSION AREAS:
I 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 g•-ant 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
This the day of 19
Land owner or person a: h, rized to act as his agent
for purposes of filing a C: \1 application.