03-25_Cooper, Rhoda G._20030829

a
Atlantic Beach
MODIFICATION
Local Government
CAMA
SEP 0 A- 2003 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 Management
Issued to Rhoda G. Cooper authorizing development in Atlantic Beach
Estuarine Shoreline at 105 North Shore MHP
Carteret County as requested in the permittee's application, dated 8/25/03
This permit, issued on 8/29/03 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.
03-25
Permit Number
This is a modification to the existing permit authorizing the replacement of a mobile home 23' landward of the bulkhead to
include the construction of a sundeck over the mobile home with a walkway and steps, more than 30' landward of the
bulkhead, leading up to it located at 105 North Shore MHP. Any other development will require additional permits or a
modification of this permit. The following conditions shall apply:
All proposed development and associated construction must be done in accordance with the permitted workplat drawing as
submitted, stamped and received on July 8, 2003. The walkway & overhead deck construction must be done in accordance with the
permitted workplat drawing as submitted, stamped and received on August 25, 2003. The size of the new mobile home is 13'-10" x
66'-2" (719.16 sq. ft. within the 75' AEC) whereas the old mobile home was 12' x 61' (660 sq. ft. within the 75' AEC) with a 4' x 15'
storage shed (60 sq. ft. within the 75' AEC). The old mobile home was 20' landward of the bulkhead, but because of the increase in
impervious surface coverage of the new mobile home, the new mobile home must be placed 23' landward of the bulkhead. Please
note that both the old mobile home and the storage shed had already been removed and measurements were taken by the visible
footprint in the grass. The walkway & overhead deck must remain open for as long as this lot is developed.
All construction must conform to the N.C. 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.
In order to prevent sedimentation, a vegetated buffer zone must be maintained between all disturbed areas and the adjacent water
body or marsh. Prior to initiating any land -disturbing activities, a barrier line of filter cloth, staked hay bales or burlap must be install
between the land -disturbing activity and the adjacent marsh or water areas, until such time as the area has been properly stabilized
with a vegetated cover.
Pursuant to 15 NCAC, 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 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-
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
under 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 the Division of Coastal Management.
Local Permit Officer (signature)
Donna Turner
own Of anis beacti name
P.O. Box 10
Atlantic Beach, N.C. 28512
address
Permittee
(signature require pecial conditions above apply to permit)

A. B. Cooper, Jr
Post Office Box 250
Atlantic Beach, NC 28512
[phone]
August 28, 2003
Town of Atlantic Beach
PO Box 10
Atlantic Beach, NC 28512
AttN: Planning and Inspections
Dear Donna:
SEP 0 4 2003
I would like to request to modify existing Permit# 03-25 for lot# 105 in the North Shore Mobile
Home Park. The modifications are:
1. To construct small walkways and steps to the mobile home.
2. To construct a sundeck over the mobile home.
If any additional information is needed please call my office at [phone].
I look forward to hearing from you.
Thank you.
Very truly yours,
A. B. Cooper, Jr. `

^�Y
NCDENR 3
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Donna D. Moffitt, Director
William G. Ross Jr., Secretary
June 24, 2003
Atlantic Beach Inspections Department
c/o Donna and Kelli
P.O. Box 10
Atlantic Beach, NC 28512
Subject: 105 N. Shore MHP
Minor Permit Request
Atlantic Beach
Dear Donna and Kelli,
Thank you for your coordinating approach to the proposal offered by Mr. Buddy Cooper
for 105 N. Shore MHP. As we discussed on -site, a critical component of this application is the
size of the previously existing mobile home unit and any additional impervious surfaces within
the Coastal Shoreline Area of Environmental Concern. Since Mr. Cooper did not retain any
records or evidence of the pre-existing unit, on June 16, 2003 we measured the size of the shaded
or impacted area to determine the amount of impervious surface pre-existing at 105 N. Shore
MHP. During this visit, we agreed that the pre-existing unit appeared to be 12' by 61' with a 4'
by 15' storage building located off the east side. This pre-existing unit appeared to have covered
792 ft2 of impervious space on this lot. The new proposal requests a new unit 13' 8" by 66' which
equates to 901 ft2 at the same location 20' landward of the bulkhead. This brings us to how to
process this new request.
One option would be to replace the existing mobile home with a unit of the same size or
smaller. Based on a July 9, 1993 policy statement this could be accomplished without the need of
a CAMA permit but appears not to meet the applicant's goal. Any proposal requesting a larger
unit would require a CAMA minor permit. A larger unit may be positioned on the lot and not
require full disclosure of the park if the amount of impervious surface is not increased beyond
the existing amount. In this example, the proposed unit would need to be moved approximately
2.5 feet landward of the pre-existing unit to not have an overall increase in the amount of
impervious surface within the 75' Coastal Shoreline AEC. If the proposal were to change and
move back 2.5', a minor permit could be issued for the new unit. A subcategory of this second
option may also be used if the applicant can remove the balance between the pre-existing unit
and the proposed unit somewhere else within the tract of land. In other words, if the applicant
removed a 20 ft2 storage building on lot space 120 within the 75' AEC he could use that amount
to balance the increase on lot 105. The last option would be for the applicant to disclose the
entire park and demonstrate how this increase in imperviousness would not exceed the 30%
limitation for the entire tract of land. Once again this is reflected in a policy statement made by
our Assistant Director, Charles Jones, July 9, 1993. It states, "A larger size mobile

Atlantic Beach Inspections
105 N. Shore MHP
Atlantic Beach
June 24, 2003
home will require a CAMA permit and must meet the use standards for the Coastal Shoreline
(particularly the impervious coverage requirement). Because a mobile home park is in single
ownership, the whole shoreline of the park area will be used when calculating the lot area."
I hope this correspondence helps in determining the correct procedure for the issuance or
denial of the subject minor permit. If the applicant were willing to change his proposal with an
additional 2.5' between the bulkhead and the proposed unit it would make the current proposal
permittable. If the applicant chooses to leave the proposal as is it will require a full disclosure of
the park showing the existing amount of impervious surface within the 75' Area of
Environmental Concern. If you have any questions, please don't hesitate to give me a call at 252-
808-2808.
Sincerely, i.
IAA
Brad Shaver
Coastal Management Field Representative
cc: Ted Tyndall, District Manager Morehead City Office
Charles Jones, Assistant Director, DCM
151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Atlantic Beach
Local Government
JUL 1 6 2003
8E/
03-25
Permit Number
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
General Statutes, 'Coastal Area Management."
Issued to A.B. Cooper, Jr. authorizing development in Atlantic Beach
Estuarine Shoreline at 105 North Shore MHP
Carteret County as requested in the permittee's application, dated 5/23/03
This permit, issued on 7/10/03 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 is a permit authorizing the replacement of a mobile home & the construction of an open deck on either side of the
mobile home 23' landward of the bulkhead located at 105 North Shore MHP. Any other development will require additional
permits or a modification of this permit. The following conditions shall apply:
All proposed development and associated construction must be done in accordance with the permitted workplat drawing as
submitted, stamped and received on July 8, 2003. The size of the new mobile home is 13'-10" x 66*1� 16 sq. ft. within the 75'
AEC) whereas the old mobile home was 12' x 61' (660 sq. ft. within the 75' AEC) with a 4' x ' stor a ed (60 sq. ft. within the 75'
AEC). The old mobile home was 20' landward of the bulkhead, but because of the increase in impervious surface coverage of the
new mobile home, the new mobile home must be placed 23' landward of the bulkhead. The two open decks must remain open for as
long as this lot is developed. Please note that both the old mobile home and the storage shed had already been removed and
measurements were taken by the visible footprint in the grass. The new open decks must be located at least 30' from the bulkhead.
All construction must conform to the N.C. 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.
In order to prevent sedimentation, a vegetated buffer zone must be maintained between all disturbed areas and the adjacent water
body or marsh.
Prior to initiating any land -disturbing activities, a barrier line of filter cloth, staked hay bales or burlap must be installed between the
land -disturbing activity and the adjacent marsh or water areas, until such time as the area has been properly stabilized with a
vegetated cover.
Pursuant to 15 NCAC, 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 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-
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
under this permit requires further written permit approval.
All work must cease when this permit expires on December
31,
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.
Ze,�.� -T KEG
Local'Permit Officer (signature)
Donna Turner
Town of Atlantic Beach name
P.O. Box 10
Atlantic Beach. N.C. 28512
address
Ih- en 1"► • .
Permittee
(signature req ' if special conditions above apply to permit)

4V
• 4
WN 2 7 2003
TOWN OF ATLANTIC BEACH
INSPECTION & PLANNING DEPARTMENT
125 West Fort Macon Road
Atlantic Beach, NC 28512
June 25, 2003
A.B. Cooper, Jr.
P.O. Box 250
Atlantic Beach, N.C. 28512
Re: 105 North Shore MHP Minor Permit Request
Dear Mr. Cooper:
I received your drawing for 105 North Shore MHP showing what you propose to place on the
lot and what previously existed on the lot. What you have showing as previously existing on
the lot is inconsistent with the on -site visit that was made June 16, 2003. 1 met with Brad
Shaver from the Division of Coastal Management and we measured the area of the lot with
the visible change in color of the grass. Our measurements showed that a mobile home 12'
x 61' and a storage building 4' x 15' had existed on the lot. These measurements give a total
of 792 square feet which is less than what is being proposed for the lot. A mobile home 13'8"
x 66' will exceed the previous impervious coverage within the 75' Area of Environmental
Concern.
We received a letter from Brad Shaver today that lists the options that you have. I have
enclosed a copy of this letter. As it states in Mr. Shaver's letter, if you would be willing to
place the new mobile home 2.5' plus the proposed 20' from the bulkhead, then a CAMA
Minor Development permit can be issued because the square footage within the 75' Area of
Environmental Concern would be less than what existed there before.
If you have any questions please don't hesitate to call [phone].
Sincerely,
2vaui-
Donna Turner
Local CAMA Permit Officer
enclosure
xc: Brad Shaver, DCM Field Representative
Mark Hannula, Mark Hannula Construction, Inc., Authorized Agent
POST OFFICE BOX 10 • ATLANTIC BEACH, NORTH CAROLINA 28512 • [phone] • FAX [phone]

Jun 05 03 10:51a Inspection Dept. 727-7043 p.2 OXi-
s
r
Locality North 'Shore MHP, Atlantic Beach ' Permit Number
GENERAL INFORMATION
LAND OWNER
Name A B ftoRer r
Address Pal% 9 in
City Atlantic Beach State NCB Zip28512 • Phone [phone]
AUTHORIZED AGENT
Name __.
_ .w .
City
State Zip Phone
LOCATION OF PROJECT 105 North Shore XM),
md_ Plot Plan)
(If not oceanfront, is waterbody natural or manmade?) Manmade canal
DESCRIPTION OF PROJECT Replace mobile home
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the L Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
PROPOSED USE
xx Residential CotnmericaUIndustria] Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUIX -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. 775
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING 1055.5
SQUARE FOOTAGE OI" SITE 35xll9' 6"=3832.'5
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.

Jun 05 03 10:51a Inspection Dept.
1.
727-7043
p.3
Elgcg-
N:V. ►� 1_ _ _ 1 �1_ .,1_
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in
an AEC or a person au orized to act as an agent for purposes of applying for a CAMA minor development
permit, certifthat 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 , see Deed Book ,
page in the County Registry o ee s,
an owner by virtue of inheritance. Applicant is an heir to the estate of ;
probate was in County.
A: if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
Written 99 year lease from Rhoda G. Cooper recorded in the 'Register
of Deeds office 'in Beabfort,- NC ' '
NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthem ore 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) A B Cooper Jr POB 250 Atlantic Beaeh'. NC
(2) Same
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner Is aware that the proposed development is plamcd 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 S100.00 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 pcmut is subject to civil, criminal
and administrative action.
This the _� day of 20 d 3
;Lhd er or s n u riz o act as his agent
purposes of filing a C M ermit application.
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On May 23, 2003 your oncde dropped off an application for a CAMA Minor Development Permit
for 105 North Shore MHP. After 1 reviewed this application, I called your office on May 23, 2003
and left a message to call me. On May 27, 20031 spoke to your secretary, Dorothy, and
informed her of the plot plan that is needed in order to process your application. Accordingly.
we request you to provide us with the following information:
A plot plan showing the current mobile home that is to be replaced with the size and
distance from the bulkhead noted and a check for $100.00 made out to the Town of
Atlantic Beach. (The check that was turned In with the application was made out to
CAMA.)
In accordance with the Department of Environment and Natural Resources regulations, we note
that a certain time has passed while the application has remained in our office. Accordingly,
upon resubmission of a complete application, a local decision will be made in twenty-five days,
provided this period is not extended as provided by law.
Respectfully yours,
W— LIl.0.)1!
Donna Turner
Local CAMA Permit Officer
Town of Atlantic Beach
enclosure
xc: Brad Shaver, DCM Field Representative
POST OFFICE BOX 10 - ATLANTIC BEACH, NORTH CAROUNA 28612 • [phone] • FAX [phone]

Jun 05 03 10:52a Inspection Dept.
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor Donna D. Moffitt, Director
William G. Ross Jr., Secretary
June 24, 2003
Atlantic Beach Inspections Department
c/o Donna and Kelli
P.O. Box 10
Atlantic Beach, NC 28512
Dear Donna and Kelli,
Subject: 105 N. Shore MHP
Minor Permit Request
Atlantic Beach
Thank you for your coordinating approach to the proposal offered by Mr. Buddy Cooper
for 105 N. Shore MHP. As we discussed on -site, a critical component of this application is the
size of the previously existing mobile home unit and any additional impervious surfaces within
the Coastal Shoreline Area of Environmental Concern. Since Mr. Cooper did not retain any
records or evidence of the pre-existing unit, on June 16, 2003 we measured the size of the shaded
or impacted area to determine the amount of impervious surface pre-existing at 105 N. Shore
MHP. During this visit, we agreed that the pre-existing unit appeared to be 12' by 61' with a 4'
by 15' storage building located off the east side. This pre-existing unit appeared to have covered
792 ft2 of impervious space on this lot. The new proposal requests a new unit 13' 8" by 66' which
equates to 901 ft2 at the same location 20' landward of the bulkhead. This brings us to how to
process this new request.
One option would be to replace the existing mobile home with a unit of the same size or
smaller. Based on a July 9, 1993 policy statement this could be accomplished without the need of
a CAMA permit but appears not to meet the applicant's goal. Any proposal requesting a larger
unit would require a CAMA minor permit. A larger unit may be positioned on the lot and not
require full disclosure of the park if the amount of impervious surface is not increased beyond
the existing amount. In this example, the proposed unit would need to be moved approximately
2.5 feet landward of the pre-existing unit to not have an overall increase in the amount of
impervious surface within the 75' Coastal Shoreline AEC. If the proposal were to change and
move back 2.5', a minor permit could be issued for the new unit. A subcategory of this second
option may also be used if the applicant can remove the balance between the pre-existing unit
and the proposed unit somewhere else within the tract of land. In other words, if the applicant
removed a 20 ftz storage building on lot space 120 within the 75' AEC he could use that amount
to balance the increase on lot 105. The last option would be for the applicant to disclose the
entire park and demonstrate how this increase in imperviousness would not exceed the 30%
limitation for the entire tract of land. Once again this is reflected in a policy statement made by
our Assistant Director, Charles Jones, July 9, 1993. It states, "A larger size mobile

Atlantic Beach Inspections
105 N. Shore MHP
Atlantic Beach
June 24, 2003
home will require a CAMA permit and must meet the use standards for the Coastal Shoreline
(particularly the impervious coverage requirement). Because a mobile home park is in single
ownership, the whole shoreline of the park area will be used when calculating the lot area."
I hope this -correspondence helps in determining the correct procedure for the issuance or
denial of the subject minor permit. If the applicant were willing to change his proposal with an
additional 2.5' between the bulkhead and the proposed unit it would make the current proposal
permittable. If the applicant chooses to leave the proposal as is it will require a full disclosure of
the park showing the existing amount of impervious surface within the 75' Area of
Environmental Concern. If you have any questions, please don't hesitate to give me a call at 252-
808-2808.
Sincerelyy,
`AA,
Brad Shaver
Coastal Management Field Representative
cc: Ted Tyndall, District Manager Morehead City Office
Charles Jones, Assistant Director, DCM
151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

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JUN © 3 2003
TOWN OF-ATL-ANTIC-BEACH
125 WEST FORT MACON ROAD
ATLANTIC BEACH, NORTH CAROLINA
CERTIFIED MAIL #70020860000394991473
June 2, 2003
A. B. Cooper, Jr.
Post Office Box 250
Atlantic Beach, N.C. 28512
RE: INCOMPLETE APPLICATION
Dear Mr. Cooper:
On May 23, 2003 your office dropped off an application for a CAMA Minor Development Permit
for 105 North Shore MHP. After I reviewed this application, I called your office on May 23, 2003
and left a message to call me. On May 27, 2003 1 spoke to your secretary, Dorothy, and
informed her of the plot plan that is needed in order to process your application. Accordingly,
we request you to provide us with the following information:
A plot plan showing the current mobile home that is to be replaced with the size and
distance from the bulkhead noted and a check for $100.00 made out to the Town of
Atlantic Beach. (The check that was turned in with the application was made out to
CAMA.)
In accordance with the Department of Environment and Natural Resources regulations, we note
that a certain time has passed while the application has remained in our office. Accordingly,
upon resubmission of a complete application, a local decision will be made in twenty-five days,
provided this period is not extended as provided by law.
Respectfully yours,
Donna Turner
Local CAMA Permit Officer
Town of Atlantic Beach
enclosure
xc: Brad Shaver, DCM Field Representative
POST OFFICE BOX 10 - ATLANTIC BEACH, NORTH CAROLINA 28512 - [phone] - FAX [phone]

Locality' North Shore MHP, Atlantic Beach Permit Number
GENERAL INFORMATION
LAND OWNER
Name A B cooper jr
Address POR n 50
City Atlantic Beach State NC Zip28512 Phone [phone]
AUTHORIZED AGENT
Name
Address
City.State Zip Phone
LOCATION OF PROJECT 105 North Shore MHP
ilantic Reach NC rSee Attached Plot Plan)
(If not oceanfront, is waterbody natural or manmade?) Manmade canal
DESCRIPTION OF PROJECT Replace mobile: home
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Loca Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
PROPOSED USE
xx Residential CommericaUIndustrial 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. 775
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING 1055.5
SQUARE FOOTAGE OF SITE 35x119' 6"=3.832.'5
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.

TATEMENT OF OWNERSHIP
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 , see Deed Book ,
page in the County Registry o Dee s.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
xx if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
Written 99 year lease from Rhoda G. Cooper recorded in the Register
of Deeds off ice in Beahfort, * NC
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) A B Cooper Jr POB 250 Atlantic Beach,' NC
(2) Same
(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 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 pen -nit 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 93 day of MA-` 20 0 3 .
L d er or s n au orize o act as his agent
for purposes of filing a C M ermit application.
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