04-13_Taylor, Barbara Rives_20040727

MDREBI �� , -nC.
Local Government
71 6 D"A
AUG3 0 5 Z004
Morehead City DCM
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 bAR6AfZJ4 104- I V Lt)P authorizing development in
as requested in the permittee's application, dated
This permit, issued on r1— �� —nt'1 is subject to compliance with the application and site drawing (where consistent
with the permit), all applicable regulations and special conditions and notes setforth 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.
Perm,3
Number
1. All proposed development and associated construction must be done in
accordance with the permitted workplat drawing (s) as originally submitted.
2. All construction must conform to the North Carolina Building Code requirements
and all other Local, State and Federal regulations.
3. Any change or changes in the plans for development, construction, or land use
activities will require a re-evaluation and modification of this permit.
4. The amount of impervious surface areas shall not exceed 30% of the lot area
within the 75' Area of Environmental Concern (AEC); in this case,1156.25 sq. ft.
5.. 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.
6. Pursuant to 15 NCAC, Subchapter 7J.0406(b), this permit may not be assigned,
transferred, sold or otherwise disposed of to a third -party.
7. A copy of this permit shall be available onsite for regulatory. inspection.
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 projectmodifications not covered
under this permit requires further written permit approval.
All work must cease when this permit expires on December
31, Q QQ
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.
name
©F ("cr address
QD6 frReMsf--� $Tp'e 84-
Permittee
(signature required if special conditions above apply to permit)

LAND OWNER
Name 12 l d y'57
Address ' ct O �' A L 6,fCAN b►z-!tom _ #ZR -
PI City i2.A(.6(r.Y State IJC_ Zip�27766Phone '-11c`t al (cl
AUTHORIZED AGENT
IF Name MAa-k. 1- A&111'cJL-A
Address (0C) )C
City C s State Zip Phone
LOCATION OF PROJECT. (Address, street name and/or directions to site. If not oceanfront, what is the name of
If the adjacent waterbody?) H '? CAD C l`C 1/ , U C.)
6ac�Oe_ 5oJ&1-3
Dl DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
(3 6 % L-1 6s Ft � 73 ( A3(o(_ EAM ( cT��,
SIZE OF LOT/PARCEL: Qcl 3 3 •? Sf square feet
PROPOSED USE: Residential L./ (Single-family Multi -family
Other
acres
_) Commerical/Industrial
N( TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): rJ(A square feet (includes all floors and roof -covered decks)
H,
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 11 � sq. ft.
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property.
(1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
State Stormwater Manag5glent Permit issued by the N.C. Division of Water Quality?
YES NO
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.
F

JTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor
lcvelopment permit. As a service we have compiled a list of the kinds of permits that might be required. We suggest you check over the list
vith your LPO to determine if any of these apply to your project: Zoning, Drinking Water Well, SepticTank (or other sanitary waste
rearment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification,
;and Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway, Connection, and others. y
0
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)TATEMENT OF OWNERSHIP:
the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
>erson authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
isted as landowner on this application has a significant interest in the real property described therein. This interest can be
lescribed as: (check one)
✓ an owner or record title. Title is vested in (3A9(3AJLA 2 - ��Y� �— , see Deed Book o
)age in the G42�County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
)robate was in County.
if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
1
VOTIFICATION OF ADJACENT PROPERTY OWNERS:
. 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)
b4ru Mc- MA JA- g?�? CA�Lo-&— Y zt7 f���c, Pt�- � 7S'Q 2.
6146J i to d.cI.L,-,t L.J «So#J) kAC--, d??� 5-
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to
:rosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associ-
ated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
iiques.
PERMISSION TO ENTER ON LAND:
. furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
:nter on the aforementioned lands in connection with evaluating information related to this permit application.
Phis application includes: general information (this form), a site drawing as described on the back of this application, the
)wnership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor-
mation 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
?erson developing in an AEC without permit is subject to civil, criminal and administrative action.
This the Z day of 0,4- , 209
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.
-7-13-04
Coo-)3o c14rnR

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development
permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, if
requested.
PHYSICAL DIMENSIONS
y Label roads
Label highways right-of-ways
_x Label local setback lines
Label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
_t Draw and label mean high water mark
rJh Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (note height)
Draw and label toe of dune
►� Identify and locate first line of stable vegetation
✓ Draw and label setback line under CAMA
Draw and label topographical features (optional)
If you will be }forking in an estuarine shoreline area:
Draw and label landward limit of AEC
Describe terrain (slope) i-�"
DEVELOPMENT PLANS
Draw and label areas that will be disturbed
—.- If a house is to be placed on lot, describe location of house
Note size of piling and depth to be placed in ground
✓ Draw and label all areas to be paved or graveled
Describe composition of surface
atA- Note and list fully all trees and vegetation to be removed or relocated
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and / or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing/
• signed both application and statement of ownership?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted
Denied Appeal Deadline (20 days)
Revised 3/2003

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