119-03_Bell, Bobby A._20030620

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PAGE 01
Carteret County
Local Government
CAMA
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
119-03
ermiit Number
Issued to Bobby A- Bell General Statutes, "Coastal Area Management."
authorizing development In Broad Creek,
Newport, N.C. at134 S. Lewis Street, Broad Creek, Newport,
North Carolina
as requested in the permittee,s application, dated June 5, 2003
This permit, issued on June Z0, 2003 is subject to compliance with the application and she drawing (where consistent
with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject
permittao to a fine, Imprisonment or civil action, or may cause the permit to be nutt and vnw
To fill back of lot within 751 of NHW and place a mobile home on lot at.
134 S. Lewis Street, Broad Creek, Newports North Carolina, off Bogue Sound
in the AEC (area of environmental concern).
All proposed development and associated construction must be done in accordance
with the permitted workplat drawing as originally submitted on June 5, 2003.
All construction must conform to the North Carolina Building Code Requirements
and all other 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 H.C.A.C., Subchapter 7J.0406 (B), this permit may not be assigned,
transferred, sold or otherwise disposed of to a third party.
Tug
- • --- —my Vtl bWpeaiea cy the permittee or other
qualified persons within twenty (20) flays of the issuing date.
From the date of an appeal, any work conducted under this per.
mit m-st 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.
Any maintenance work or project modifications not covered
underthis 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 the Division of Coastal Management.
dt.r ,
Larry it Local Permit Officer (s gnature)
Planning & Develo ma nt
name
Courthouse Square
address
Beaufort, NOrth Carolina 28516
Permitte0
(signature req ' ad if special conditions above apply to permit)

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2527286643
CARTERET CTY P I
LAMA PROJECT TRACKING SHEET
PAGE 01
Applicant's Name:
Property Address: / s
Dates of Site Visits: W.1,100
Exemption: Permit: W1 Number: - 3
Application to be returned for the following reasons:
Date Returned:
QApplication considered accurate and complete for processing? -tom Date: 6 io
The following site -specific observations have been made:
The following conditions to be included on the permit (in addition to standard conditions):
LPO: 2U9 i - Date: ��d ;,3
Dates of follow-up visits:
Final Inspection Date:
0 Project determined to be In compliance with permit
Project determined to be out of compliance with permit
Action taken to bring project into compliance with LAMA:
LPO= Date:

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Locality W4 4fLtL'-') Permit Number
GENERAL INFORMATION
LAND OWN
Name
Address
City State Zap ;'18S7d Phone
AUTHORIZED AGENT
Name
Address
City
State Zip Phone
LOCATION OF PROJECT S UrN ,Lees S�, - ,B,p�,q2 ���K
(If not oceanfront, is waterbody natural or manmade?) Agoh mQ�e eQ n4 d
DESCRIPTION OF
K rD
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
r -4
(To be filled In by the Local P�nmit Officer prior to completing application.)
Ocean, Hazard Estuarine ShoreUre 01 Shoreline Other
PROPOSED USE
Residential Commerdal/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as drive`'ays, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline) 44x 14 ,4ReA c-F M / 1
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING /9 X '74
SQUARE FOOTAGE OF SITE-,,6ea
OTHER PERMITS MAY BE REQUIRED:
The activity you arc 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.

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STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, begin either the owner of property in
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 sig-
nificant interest in the real property described therein. T14 interest can be described as follows: (check one)
cb /f
an owner of record title, Ti a is vested in , see Deed Book_„_,
page- ,22�ju� the _ ' A, Be
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 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)
(1)
(2)
(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 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 ap-
plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 made payable to
the locality, and any intornnation as may be provided orally by the applicant. The detafls of the application as
described by these sources are incorporated without reference in any permit which maybe issued. Deviation
hom these details will coiutltute a violation of any permit. Any person developing in an AEC without a per-
mit issubject to civil, criminal and admitr;,strative action.
This the day of «G ae' �c'3
Landowner person authorized to act as his agent
for purposes f filing a CAMA permit application.

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