069-02_Jackson, Willard_20021017

o ;,�,T-18-02 FRI 12:50 PM PLANNING&INSPECTIONS
FAX NO, 2527286643 F. 1
Carteret County
Local Government
069-02
CAMA �
Permit Numbe
6 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 f 13A-118 of the
General Statutes, "Coastal Area Management."
Issued to Willard Jackson authorizing development in Harkers Island
Back Sound at 1636 Island Road, Harkers Island, N.C.
as requested in the permittee's application, dated September 27, , 2002
This permit, issued on October 17, 2002 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
permittea to a fine, imprisonment or civil action, or may cause the permit to be null and void.
Construct a 1200 square feet single family dwelling to be located 30' from the
NHW of Back Sound at 1636 Island Road, Harkers Island, N.C., ORW (Outstanding
Resource Waters).
The amount of impervious surface area shall not exceed 25%.•df-the .lot area within the
575' area of Environmental concern (ORW); in this case, 1200 square feet.
A 30' buffer zone must be provided from the mean high water line (Normal. Water Line)
All proposed development and associated construction must be done is accordance
with the permitted workplat drawing as originally submitted on September 27, 2002.
All construction must conform to the North Carolina Building Code Requirements
and all outer local, state, and federal regulations.
Any change or changes in the plans for development, construction, or land use
activities will require a re-evaluation and modification of this permit.
Pursuant to 15 N.C.A.C., Subchapter 7J.0406(B), this permit may not be assigned,
transferred, sold, or otherwise disposed of to a third party.
This permit action may be appealed by the pormittoo or other
qualified persons within twenty (20) days of the issuing date.
From the date of an appeal, any work conducted under this per-
mit must cease unfll 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 requires further written permit approval.
All work must cease when this permit expires on December
31, 2005
In issuing this permit it is agreed that this project is consistent
with the local Land llse Plan and all applicable ordinances.
This permit may not be transferred to another party without
the written approval of the Division of Coastal Management.
f� , D , o ,K'_C�G
. D. O'Neal Local Permit Officer (signature)
Planning & Inspections Department
name
Courthouse Square, Beaufort, N.C. 28516
address
ermines
(signature required if special conditions above apply to permit)

01/14/2003 16:33. 2527286643 CARTERET CTY P I PAGE 03
Locality Ji�J�1Ks 1 SL.A�['� Fermit Number
GENERAL INFORMATION
LAND OWNER
Name iti%J LLJ's t� �i1i C£Y11�-
Address R O S'
city Mgkr4s ML411d state NG Ztp 2P-531 Phone Ms - V0 7M
AUTHORIZED AGENT
Name !'gU&►J .We0-
Address
7 l S �Yb �' 511-
P City 3�+u z R-of State Al C- Zip 2-S'S/ 4 Flhone 252. '72-?- SZ 7f
LOCATION OF PROJECT /63 6 = L.E r d Rd, , 68'A¢c - SaI4",d)
A(�ks �st�C Ave.
(If not oceanfront, is waterbody natural or manmade?) "QA*><Ue*Z'
DESCRIPTION OF PROJECT _QMSfraat Sty & rrim,�,, ReSJd64 0200 s9,%
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 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 515 feet of an
ORW shoreline, or 30 feet of the public trust shoreline.
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING 200 s' ►
SQUARE FOOTAGE OF SITE G 76 2.
OTHER PERMITS MAY BE REQUIRED:
The activity you are planning may require
permits other than the LAMA 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),
Bunuing, 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.

01/14/2003 16:33 2527286643 CARTERET CTY P I PAGE 04
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 as: (check one)
an owner or record title, Title is vested in IV�1ey L • VIA! Uii , see Deed Book ?(0 3 ,
paged in the C'cLCounty 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 contact or lease, explain below or use a separate sheet and attach to this
application.
o).+ *Yv a ✓�L.
C +P"
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)
(1) G �rt1lc�y.. L,A W!i✓i�Sae.� fS Xox 'Z�f,� f,�i4Qkz-ks TsG•¢.�►� ..NC Zb'S�!
(2) OT7 Cdrl./sle. /Sf 9 9. 6ze(rUf V , M&W7BAr oryye4 A/C, "3Go
(3)
(4)
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 a6mowledge 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 the 7 day of _ _ 5�,�% 20 ft...
(kfvv rec 71' , '/�4&4- � t+t%/!.>'dd T'Az,�wTL !` d.
Land owner or'pe n authorized to act as his a�
for purposes of filZtng a LAMA permit application.