2004-305_Nguyen, Phul Thien_20040611

4, . .
P.01
2004-305
Permit Number
- JUN-22-2004 10:12
,. •.lr,
Pine r'.11di Shu es, NG LJJ 1 G
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
General Statutes, "Coastal Area Managemont."
(:;sued to
Phul Thien Nguyen authorizingdovolopmentin Pine Knoll Shores
a 103 Mimosa Blvd.
as requested in tho perminea's application, date / 5 / 04
This permit, issued on 6 / 11 / 04 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
permitteo to a fine, imprisonment or civil action, or may cause the permit to be null and void.
1. All proposed developmcat and associated construction must be done in accordance with the
permitted work plat drawing(s) as originally submitted on May 26, 2004.
2. All construction mist conform to the N. C. Building Code requirements and all other local, state
and federal regulations.
3. Any change or cbangcs in the plans for developrncnt, construction, or land tee activities will
require a reevaluation and modification of this permit tack bystem.
ial
4. No impenneable surfaces shall be allowed over any functional and septic
5. Any unconsolidated materresulting from associated grading nd of the landscaping Shall be ream
on site by effective sedimentation and erosion Control measLUIM
6. All disturbed areas shall be vegemtively planted and mvIched within 30 days of Construction
cow n not be assigned, transferred, sold
7. pursuant to 15 NCAC, sub chapter 71.0406(b), this permit may
or other wise disposed of to a third party.
8. Any change in plans must be approved by the Building 1wector's10021 Permit Offrccr's offices
before commencing wo&
9. 'rite amount of impervious surface areas shall not exceed 30°10 of the lot area within 75' of the
normal high water comour/normal water Contour. wbidi defines the Coastal Shoreline AEC at this
location.
10. Prior to initiating land4dwbing activities, adequate sedimenratioderosion control measurm must
be employed to prevent the movement of unconsolidated materials into the marsh or water. These
merits% must remain in place until such time as the arcs; is properly stabilised with vegetated
cover.
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 coast until the appeal is resolved.
This permit must be on the project site and accessible to tho
permit officer when the project is inspected for compliance.
Any maintenance work or project modifications not covarod
under this permit requires further written permit approval.
All work must cease when this permit expires on Docomber
31, 2007
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 writton approval of the Division of Coastal Management.
name
100 Municipal Circle
address
Pin Knoll Shores, N. C. 28512
Permittes
(sign ure require pecial conditions a ve apply to pe(mit)
TOTAL P.01

JUN-01-2004 10:25 P.01
U � o C7 U
Permit Number
Locality
75C Ocean Hazard_._ Estuarine Shoreline -.._ORWShoreline _-._PublicTrustShoreline - Uther,
mi (For official use only)
lu:y
1'YS GENERAL INFORMATION
LAND OWNER 41t
N�rr�z
Address
City -
AUTHORIZED AGENT
you Nanic p%��/ - -
Address _Y � b , 40 1. fit �J
2 -
in.✓7 c� ,cam — _ Phone z - 3 !G s—
City _ State • l �_. Lip'�8 �_
LOCATION OF PROJECT: (Addre.L'1, strter name and/or directions to sire. If tint oceanfront, what is the name of
x
You
the adjacent warcrbody?) ��1.�M0
CTs (List all proposed eonsrruction and land disturbance.)—
DESCRIPTION OF PROJF,
_ ac res
SIZE OF LOT/PARCEL: .Z • '4uarc feet
•—
PROPOSED USE: Residential V (Single-family ✓ Multi -family ) Commerical/Industrial
Other.
TOTAL ENCLOSED FLOOR AREA THE OF A BUILDING IN HE OCEAN HAZARD AREAOF
decks)
OF ENYI-
RONMENTAL CONCERN (AEC): _ �/ square feet (includes all floors and roof-c
have
• SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES
• THE: COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC) •.' ` . • sq. B'
(Calculations include die area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
ere. than are wirhin the applicable AEC. Attach your calculations with cite project drawing.)
Choose the AEC area that applies to your property:
(1) within 75 fret of Normal High Warer for the Esutarine Shoreline AEC
(2) within 575 fact of Normal I Iigh Water fnr the Estuarine Shoreline.AEC, adjacent to Outstanding
Resource Waters
Si (3) wirhin 30 fact of ncc public Trust Shoreline AEC
$i (Contact your Local Pcmiir officer if you arc ttor slue which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is rite projecc located in an area subject to a
State Stortrtw'ater Management Permit issued by the N.C. Division of Water Qualk)r?
YES_ _ NOK—
Dat square feet.
if yes, I1St the coral built -upon arcalimperv'toacsctrface allowed for your lot or Parcel-

JUN-01-2004 10:26 P.02
OTHER PERMITS MAY BE REQUIRED: The activity you are. planning may require permits other than the C.AMA minor
development permit. As a service we have compiled a list of the kinds of permits that mighr be required. We suggest you chcc:k over the list
with your LPU to determine if any cif these apply to your hnijcrc Toning, DrinkingWater Will, Septic Tank (or other sanitary waste
Ircatment system), Burning, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy C:onscrvation, FIA Certification,
Sand Dune, Sediment Control, Sul)elivision Approval, Mohilr. Horny. Park Approval, Highway, C;onnrction, and others.
STATEMENT OF OWNERSHIP:
1, the undersigned, an applicant for a LAMA 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 C:ANIA 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: (clieck one)
an owner or recor tide.'Iide is vested in , see Deed Book--�
page A6� in the [ '_. ,_. _. County Registry of Deeds.
_._._an owner by virtue of inheritance. Applieanr is an heir to the esrare of
probate was in , --.,-..-.County.
if orher interest, such as written contract or lease, explain below or use a separate sheer and attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify rhat: the following persons are owners of properries adjoining this property. I affirm rhar I have given
A( TIDAL NOTICE to each oC tllern concerning my intent to develop this prelperty and to apply for a CAMA permit.
(Nance) (Address)
FOR 'DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge rhar the land owner is aware that ncc proposed devclopincrit is plaivird for an arca which may he susct>.prihle rr1
erosion and/or flooding. I acknowledge rhar the local permir officer bas explained to me the particular hazard problems asxici•-
arcel with this lor. This explanation was accompanied by concerning srahrhzarion and floodproofing tech..
wqucs.
PERMISSION TO ENTER ON LAND:
1 furthernwre certify that I am authorized ro ,ranr and do in f:acr grant- permission to the local permir officer and his a-,ents to
titter 011 dit aforementioned lands- In Lonnectlon With evaluaring information related to this permit application.
This applimrion includes: geiter:al iFifurin.ation Uh4 form), a site drawing as described wi the back oFThis :ippllcarion, rlic
ownership sratcnicnr, the AEC hazard novice where. ne cessary; :t chec k, For $1.00-UO made payable to the: locality, and any infor•
minion as may be provided orally by the applicant. The derails of the application as described by rhese sources arc incorporated
witltour refi rence in any permit which may be issued. Deviation from these details will eonsritutc a violation of any permit. Any
person developing in all AEC without permit 1� subject to civil, criminal and administrative action.
This ncc _� day of __ Ic''t.;,+ _,�,-- -•• . 20 G :..
Landowner or person authorized to act a.Mis agent for purpose of filing a CANNA permit application.