122-03_Mango, Michael and Rebekah_20030625

7/16/2003 15:39 2527286643 CARTERET CTY P I PAGE 01
-Ur
Carteret County �b-7-7"b -1 f j
cal Government
Issued to Drs. Michael
North Carolina
�"1'6% MINOR DEVELOPMENT
P E R I T ^�
A. 'St'-Ow; l t - +11,i<ZCI
as authori ed by the State of North Carolina, Department of nmontt
and Natural Resources and the Coastal Resources Commission for developmen -
in an area of environmental concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management."
& Rebekah Mango authorizing development in Beaufort
at 614 Dancer Court, Beaufort, North Carolina 28516
2003 25 June , as requested in the permittee's application, dated June 10, 2003
This permit, Issued on . is subject to compliance with the application and alto 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.
/1 122-03
'C Permit Number
CAMA
To complete minor clearing of low shrube behind property fence and grading
of site, at 614 Dancer Court, Beaufort, North Carolina.
All proposed development and associated construction must be done in accordance
with the permitted workplat drawing as originally submitted on JUne 10, 2003.
The following conditions must be applied in addition to the standard conditions:
The use of a silt fence must be used and fill must be taper away from the water.
All construction must conform to the North Carolina Uilding 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 N.C.A.C., Subchapter7J.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 psrmittoo or other
qualified persons within twenty (20) days of the issuing data.
From the date of an appeal, any work conducted under this per-
mit must cease until the appeal Is resolved.
This permit must ba 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.
Sammy Grahaml Local Permit Officer (signature)
Carteret County Planning & Development
name
Courthouse Squara, Beaufort. N.C. 28516
address
Permittee
(signature required if special conditions above apply to permit)

AW.
7/.2003 09:57 2527286643 CARTERET CTY P I PAGE 01 -6ft
Locality 1` UC •"'Viernlit Number =-%, 3
GENERAL INFORMATION
LAND OWNER
Name
Address _ UI y
City ZZY) .•W State I C. Zip Phone 3�• o i�
AUTHORIZED AGENT
Name
Addres
city - t r State _ Zlp 2 *31 C.e Phone S • (j ����
LOCATION OF PROJECT L0 H 1 +—
(If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECT 11 /: nnv h IA,v.n r . ek'4 Ih .-s -�1-w�.h� haL,:�.•1
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 Other
PROPOSED USE
Residential Commer ial/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, M.) within 75 feet of the shoreline (575 feet
of an ORW shoreline)
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
SQUARE FOOTAGE OF SITE 1- r, ,,�j i
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.

17/2003 09:57 2527286643 CARTERET CTY P I PAGE 02
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 authoi ized 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 propexty described therein. Thin interest can be described as IC-1 (check one)
\y, an owner of record title, Title is vested in , see Deed nook
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 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)
(1)
(Address)
•
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. l 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 S50.00 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 maybe issued. Deviation
from these details will constitute a violation of any permit. Any person developing in an AEC without a per-
mit is subject to civil, criminal and administrative action.
This the ��ay of jjtn`3
Land owner or.- n authorized to a sage
for purposes of filar► a CAMA permi anon.

06/17/2003 09:57 2527286643 CARTERET CTY P I PAGE 03
CAMA PROJECT TRACKING SHEET Ca& T L"1
Applicant's Name• '-f..[1,r� 1)t,
Property Address:
Dates of Site Visits:
k,3 X- ola? �/
Exemption: Permit: (V Number: YU_
OIVN
Application to be returned for the following reasons:
Date Returned:
Application considered accurate and complete for processing?- Date: 0111363
The following site -specific observations have been made:
EJ The following conditions to be included on the permit (in addition to standard conditions):
LPQ: J49222,� Date: % 03
Dates of follow-up visits:
Final Inspection Date:
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 CAMA:
LPU: Date:

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