CC2015-002_Lang, Sheliey_20050331

Issued to Shelley Lang, authorizing development in the Estuarine Shoreline ORW (AEC) at 300. Lejeune Rd.; in -the
Town of Cape Carteret,, as. requested in the permittee's application, dated March 17, 2015. This permit, issued,on March
31; 2015; 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 per..mittee to a
fine, imprisonment or civil action,, or may cause the permit to be null and void.
This permit authorizes: Construction of a detached storage building 320 square feet
.(1) All. proposed development and, associated construction must be done in accordance with the permitted work plat;
drawings(s) dated received on March'17, 2015.
(2) All construction, must conform to the-A.C. Building Code requirements and all other local, State- and Federal regulations,
applicable localordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development,, construction, 'or land use activities will require are -evaluation and
modification. of this permit.
(4) ' A: copy of this permit shall be posted or available on site. Contact. this office at 252-393-7901 for a final inspection at
completion of work:
(Additional Permit Conditions on Page 2)

(5) The.amount of impervious surface shall.not exceed 25% of the lot area within 575 feet of Normal High Water.
(Estuarine. Shoreline' ORW Area of Environmental Concern), in this case, 5530.72 square feet is authorized.:
(6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of Normal High Water. No portion of the
roof overhang shall encroach into the 30 ft. buffer,'
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to' any land -disturbing activities, a barrier line 'of filter cloth '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 vegetative cover:
(8) Any proposed for grading within the 30'. buffer from the Normal High Water must be contoured to prevent additional.
stormwaterrunoff. to the adjacent marsh. This area shall be immediately vegetatively. stabilized, and must remain in
a vegetated state.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction

f
Address: ice``'
City: — Ir q ►'� S State: _ Zip: Phone: (
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.)
—Soo CA2 i — -1N c—
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: 22, 900 square feet . 501 acres
PROPOSED USE: Residential ❑ (Single-family ❑ Multi -family ❑) Commerical/Industrial ❑ Other M
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON URFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): ZsI'/square feet (Calculations
includes the area of the roof/drip line of all buildings, driveways, covered decks, coricrete 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:
within 75 feet of Normal High Water for the Estuarine Shoreline AEC
4aters
ithin 575 feet of Normal High Water for the Estuarine ShorelineAEC, adjacent to Outstanding Resource,
(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 Management Permit issued by the NC 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 &'&4 ;1171,'

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), Building, 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.`
STATEMENT OF OWNERSHIP:
1, 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 ,. % 3
page '4 in the Carteret County Registry of Deeds..
owner by virtue of infieritance Applicant is an heir to the estate of (,t�A(,L_I�C� /�►-1..i�=l1��s
probate wasin l�f,/�701i1 County _._/'SUSP�{.. 1 N
❑ if other interest, such as written contract 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) Ms. L i ftioa gizE wErO S 609 wES 1 Jib!FS CMES r • b Lt1 N AJ /JC.
(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 permit 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 IAsT day of ���Zz

(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Print or Type Name
S" 4 S-4
Te ephone Number
Cl- Z7- 2Z)fq
Date
��- oQu�el 8-2 7- I- o 13

He has described to me as shown in the attached application and project drawing(s), the development he is proposing
at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Sig ture
Print
ttocr TTlyp'e44ame
l
Telephone Number
Date

40 0 40 80 120
o�
GRAPHIC SCALE — FEET
0
R/W--
\\
\ \ Site
VICINITY MAP
`\ NOT TO SCALE
Fa\t. \� �, m /L
//(CJ
R/YV�\`\ OP k Cp4� POWER 4, W Zj
EXISTING S g(1C) �\ 0
aD�
E CONCRETJ
CON BETE WATER ��J
METER
�y���Qp• r POWER POLE \
C/L
S.I.R. ON
PROPERTY LINE
LEGEND EXISTING IMPERVIOUS AREA
E.LP.
EXISTING IRON PIPE
HOUSE do EVES 2064 S.F.
1.
S.I.S.
SET IRON STAKE
CONC. SLAB W/ DRUM 8 S.F.
2.
R/W
RKW OF WAY
CONC. FOR OLD WELL 20 S.F.
3•
M.B.B.L
MINIMUM BUILDING SETBACK LINE TOTAL IMPERMOUS 2092 S.F.
4•
M.B.
MAP BOOK
5.
PG. 'PAGE
22.122.88 S.F. X 25x=
S.F.
SQUARE FEET
5,530.72 S.F. ALLOWED
a.)
CENTERLINE
7.
EC.M.
E)aST1NG CONCRETE MONUMENT PROPOSED SHED 16'X 20'= 320 S.F.
EI.S.
E.M.N.
EXIRON STAKE
EXISTING MAG NAJL
SHED H EVES 1 33' TOTAL 422.84 S.F.
WITH (' )
S.M.N.
SET MAG. NAIL
8.)
REVISION: PROPOSED BUILDING RELOCATION 3-17-15.
11 certify.that this nap. was dram under my supervision
from an actuat survey made under my supervision
(deed description recorded In Book 3Z, Page 30 or
other reference source M.B.5, PG. 65 )I that the
boundaries not curve ed' are Indicated as dram from
Information In mow' �� e N/A or other reference
.source ratio of precision or
positional •.•..y • and that this map
nets the yvidords of Practice
.. for Lordr In Nor (21 NCAC 5G 1600.•.
.This ��� day' � 2015.
i -Z L-3183
Pro e
License No.
"*
SVwr'r TB Br �� .
JC JO1 BUC' FEBRUARY 9, 2015
FZIMV BOOL S E 67 DRAWN BT
PACE 30-31 1 KEI TH A. BUCK SR.
EXISTING\ \
IRON PIPE R/W
m
NOTES (BY COORDINATE
AREA = 22.122.88 S.F. COMPUTATION)
CLOSURE - 1:10.GOG+
REFERENCE : M.B. 5 PG. 65
P.I.N. 5384.11-57-9035
FLOOD ZONE ZONE AE(EL9.0')PER F.I.R.I
3720538400J. DATED 7 16-2003
FINAL MAP RECORDED :28 JULY 1961
THIS PROPERTY IS SUBJECT TO ALL
EASEMENTS, AGREEMENTS, AND RIGHTS
OF WAY OF RECORD PRIOR TO THE DATE
OF THIS PLAT.
ADDRESS: 300 LLJEUNE ROAD
SURVEY FOR
Mr. Matt Tribula
and wife
Mrs. Laura Tribula
LOTS 14, 15 AND 16
BLOCK LOCATED TO THE EAST OF BLOCK A TO THE WEST OF BLOCK L AND
SOUIH OF BLOCK J. SECTION NO. 1 OF BAYSHORE PARK
CARTERET I CAPE CARTERET. NC - WHITE OAK
SCrld DAM REVISION: MARCH 17. 2015 1 PRO.f= 110.
1'— 40' 1 FEBRUARY 9. 2015 1 2014097
Orn ige
Land Surveying, P.A.
Corporation TJleense Number C-0960
501 W. B. McLean Blvd. - Cape Carteret
Swansboro, North Carolina 28584

DECEDENT
PARENTS
INFORMANT
CAUSE OF
DEATH
STATE OF NORTH CAROLINA
J.
LENOIR COUNTY
OFFICE OF REGISTER OF DEEDS
NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES
N. C. VITAL RECORDS
R
CERTIFICATE OF DEATH
,.tVation
1 oral Kin
557
of DECEDENTS NAME fts4 MWO, 1.41!0
SEX
DATE OF DEATH Wandh Day Y-1
i. Wallace K. Lancy
12, M
I& 12-�09-201
SOCIAL SECURITY NUMBER
AGE-lastakithday
UNDEH I YEAK
I
DATE OF Of Day JBIRTHPLACEPounivaindState
Months Days
Hours i
ft
0.Yo I - 10-1917 IT.
T enni r rr,' Nin
WAS DECEDENT EVER IN U.S.
Ss. PLACE OF DEATH Xtwc* " one)
ARMED FORCES? (Y" or No)
a. No
HOSPITAL (3 lopeftnt Cl EROutioatford [3 DOA OTHER: [3 Ntusing toms )0 Reald 13 other rspschW
FACILITY NAME Ptnotsumlift1don, give Street ondfaunW
F
TqWKOR CrrX LOCATION PF DEATH
CITY UM ITS?
OF DEATH
ob,2853 Alton Philliris Road
9O.Kinston
[INSIDE
I
go. Lonnir Cirittrit
MARITAL STATUS —Mani"
�URWTG SPOUSE Of W#k gft maid4n nerve)
DECEDENT'S USUAL OCCUPATION Uorvov*
BSNESSA ND I
- ?CND OF
*
.
. .
11.ShelleX Jackson
12a, Mqnp cyfr
lompany
RESIDENCE —STATE
COUNTY
CITY, 1-TOMIOR.LOCATJONI.
"S—EETAND NUMBER
w.
13a. NC
13b. Lp- no i r:
i 3o K -1 nq Von
i3d, Q
INSIDE CITY LIMITS?
ZIP CODE
Decederit of Hspanlc Origin? ropseffy'Ym or
Wsi
RACE—Anterican indian, I DECEDENTS ED90TpApp*Cffp"N0fx%V%;
fy- -Nul
Jr 4 M Amato Rtan,
Eryer �(Sper,
BI.C.14 Wbb, Etc. i:�psdw [—T4*ft --XS—dwy.p-I4 Cc&V(I3-17+),
No
38504
1*
ofc_ K .1 r .
J%Ekm
I& whi f-p In years
FATHER'S NAME ft34 MAdcM% Laso
MOTHER'S NAME FdA 41clufs, Matlan SurnermL
.,?:Marion Alvin Lanj
,fL Marietta Rouse
INFORMANTS NAME(rypalPtinO i. - T-
WIUtlwo-E-s isirestanc(Nianbw-RurdRads Number,CliycrTmn S0st%.ZpC0*)
DATE AMENDED
-.,..Shellp,'y Lang
3 Alton Phillips Id., Kinston, NC.28504
gt�28
1--Pwt L Enter the diseases, k*wle-, or ompficadora; that caused the deaf: Do W aniarthe mods of dying, woh as c&nW at montoqarreat shock or heart
Approodrnate Interval
.ftilum
I appopriatt. !nwrbba=% akohc4 ordrug ties. List c.rdy cre, causs, on each line. PINIVI'm TYM
Bet"aarr cheat and
/ + L : - . .,.
Death
IMMEPIATE CAM ----- )I- I L t , * * :—
...
(Final ds— or a.
condium MMRMPTRATORPTTURF
D(OR I A CONSEQUxWE
In d"11w)
b. SEVERE PULMONARY —HYPERTENSION'
If am leading to barseowe DUE-M (OR AS A CMISEQUENM OF):
came. Erw UNDBUYM
CAUMpmaseor
SEVERE CHRONIC OBSTRUCTIVE
that billated —is" a.PULMONARY DISEASEL
tMOV k! death) LAST. -- DUE TO (OR AS A CONSEGUIDICE OF);
20C CL
�7-
Past IL Other algHficant conditions contrOWUng to death but Wresulting in the undeong cause given In Part 1, such ae tobacco. &WWI. w drug use; diabetes. air-
Wb. ARTERIOSCLEROTIC HEART nTqFAqp HYPERTENSION
AUTOPSY? (Y@svrNo) 11yes, were findings considered Indetsm*Ang cause of death? Was use referred to Medical Exerninef? (Yes or No) TIME OF DEATH
121b. 121c. 22. M.
NCTM- STATE LAW REQUIRES THAT ALL DEATHS DUE TO TRAUMA, ACCIDENT, HOMICIDE, SUICIDE, OR UNDER SjWICIOLIS, UNUSUAL OR UNNATURAL CIRCUMSTANCES
BE REPORTED TO, AND CERTIFIED BY A MEDICAL EXAMINER ON A MEDICAL EXAMINER'S CERTIFICATE OF DEATH. ANY DEATH FALLING NTO THESE CATEGOR1qS IS WITHIN
THE MEDICAL EXAMINE JURISOICTIOPfEGARDLESS OF THE LENGTH OF StLillffAL FOLLOINING-MA"NDERLYING INJURY.
DATEY
SIGNATURE AND TrnrFT ER�
238. 23b.
NAME AND ADDRESS OF PERSON WHO COMPLETED CA OF W-ATI(ITEM 20) Upeorpfb4 -
In 14ing, r-P#R419F1 IiIA S11i tp, N l(i 11 qfgitj 9R904�
MB:h RI
M OF`Li;�ir-JSJT1ON- -----gFLACEDMISPMMCNVMhXofdMftawwtorAorovw I QL State, Zip Code LOCATION
0p*m*v`d
VNW.Doc's'nawn Placetane Family Cemetery jJaGrange,- NC 28551
onation. 00ther 26b, 2
NAME AND ADDRESS OF FUNERAL HOME !NAMED UNERALDIRECTOR LICENSE NUMBER
1608 W. Vernon�Avenue
..Howard -Carter.
2ft., - F.H.Kinston, NC 28504 2 -Fn '4572
REG7'S SIGHATIJRE DATE FILED Day, Yftj NAME OF EMBALMER LICENSENUMBER
/,Ujoyo
&L ;FSL 2105
VITAL RECORDS
27.
56 Volume Page
This is id certify tat this is a true and Correct reproduc tion or abstract of the official record filed in this office.
Margaret Seymour
Register of Deeds
054-103.14" 4 Lenoir Count', NC "I oil "
Witness r»yf and Official selnl
10
By this the. day of
20
-DepatyAssistant Pkgister of DeedsG�
,r :)
ADy a)terationor etasurc voids th)s certificate. Do not accept unless on securely paper with Register of Deeds seal clearly. embossed m left comer. ��i����� � �•�,,,,1z �a.'�
__