85-003_Albermerle - Rich, Inc._19850626 (2)

.SIT GENERAL INFORMATION
PI '
mint
1. LAND OWNER
Perrr
Name
PHY t{
Address Ill /thee-14 40
aL 1
City /Zgf� �ctm State Zip Phone
2. AUTHORIZED AEG--E—NT
P H Y Name
Address / •t ,.�y t CJ
If City ! Y GS �IZ�1:0 State Zip 2 % �59 Phone
3. LOCATION/DESCRIPTION OF PROJECT LG I -h� l uC C '73
If
— 4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by Local Permit Officer prim to completing appliLdtiun.)
DE% �. Ocean Hazard Estuarine Shoreline Other
5. PROPOSED USE
Residential Commerical/Industrial Other
G. SIZE OF BUILDING IN SQUARE FELT:
7. SIZE OF SITE IN SQUARE FEET: L Z 1 -1 In 1
NOl This application includes: general information (this Thi�,,.Ihe day of tIN� d-
H 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 -rfft
• vided orally by the applicant. The details of the applica pltcant's signature r authorized agent)
• tion as described by these sources are incorporated
without reference in any permit which may be issued. Indicate Below address and phone if not shown above.
• 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 admim
strative action:
..SITE P
SITE
DATE
IS:
OTHER PERMITS MAY BE REQUIRED...
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 ...Iheating and air conditioning ... insulation and energy
conservation ... FIA certification ... sand done. ..sediment control. .subdivision approval
mobile home park approval. .highway connection... others: _ .

AEC HAZARD NOTICE
YOUR PROJECT.IS IN AN:
OCEAN ERODIBLE AREA HIGH HAZARD
FLOOD AREA INLET HAZARD AREA
This notice is intended to make you, the appli-
the annual ocean erosion rate for the area where
cant, aware of the special risks and. conditions
your property is located is K-feet per year:
associated with development in this area, which is
This figure was established by careful analysis of
_ subject to natural hazards such as storms, erosion
aerial photographs .of the coastline taken over the
or currents. The rules of the Coastal Resources.
past 30 to 40 years.
Commission require that you receive , an AEC
hazard notice .and acknowledge that notice in
Studies also indicate that the shoreline could
writing before any permit for development in this
move as much as `�`_ feet landward in a major'
area can be issued..
storm.
The Commission's rules on building standards,
The flood waters in a major storm are predicted
oceanfront setbacks and dune alteration are
to be about _feet deep in this area.
designed to minimize, but not totally eliminate,
j Z
property losses from the. hazards. By granting
Shoreline erosion control structures (excluding
permits, the Coastal Resources Commission does
beach nourishment and berm projects) are not
not guarantee the safety of the development and
allowed to be built to protect development built
assumes no liability for future damage to the
after June 1, 1979. Limited pushing up of beach
development.
sand is allowed to protect new structures when
they are threatened, but bulkheads, groins, or,
The best available information,as accepted by
jetties may not be used to protect buildings put in
the Coastal Resources Commission, indicates.that
after June 1 979.
c/ lL
Date
Applicant's Signature
The applicant must acknowledge receipt of this information by signing this notice in the space above. Without
the proper signature, the application will not be complete.
SC/Rev.6/83

STATEMENT OF. OWNERSHIP
�t
r
I, the undersigned, an applicant for a CAMA minor development perniii, 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 Ior 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. l his interest can be described as follows: (check one)
an owner of record title, Title is vested in
see Deed Book 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.
I/I6
O
I furthermore certifythat the following g persons are owners of properties adjoining this -property la .
Mal
V givento.each 0 them concerning my intent to �feveroPT i �,� y as
ptaP(y for CAMA permit
{tWtc� (Addres-:)
c(git`' ,� . /D IN` ' A110 /"'l J �llEL�` 2e,- 2, � . IX • �Z�l
,J .yl;a klrn�rt' /'fly /,� 85.25 3
JoN/►/ce,ir 6 y03 LlLl ..eel
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. 1 acknowledge that the local permit officer has explained to me the ,
particular hazard problems associated with this Iot..This explanation was accompanied by recommendations r
concerning stabilization and flood -proofing techniques. 3
z
PERMISSION TO ENTER ON LAND 3 `
furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer rrn
- and his agents to enter on the aforementioned lands in connection with evaluating information related to this A
permit application.
This the - day of , 19 "1
td owner or person authorized to act as his :agent
or purposes of filing a CAMA application.

Local Govcrr.ment .
Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT,
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.
ssu ed to l3 C IZ 1✓( rZ C t` -- 4G ; C_ t -r J a. L
authorizing development in *7--ot•.- �� :�� �;J�:•,��_, at 3-
as requested in the permittee's application dated / A, :T- 5-
This'permit, issued on / ` 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.
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 Local Permit Officer (signature)
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. �'Q 6 G L3 l�J E L+Q
Any maintenance work or project modifications not covered name
under this permit require further written permit approval.
All work., must ease when this permit expires on p �'K 7
address
In issuing this permit it is agreed that this project is consis �J—? r r-i
tent with the local Land Use Plan and all applicable ordinances. --7Cj•.f-�
This permit may not be transferred to another party without
the written approval of the Office of Coastal Management. Permitee (signature required if special conditions above apply to permit) .