Not Given_Yates, Jay and Teresa_20050411

APR-11-2005 15:26 P.03
INFORMATION
LAND OWNER
Name 3gy and Teresa Yates
Address ' 3609 Coventry Cote t
City M. ,Greertville State NC -Zip 27858 Phone [phone]
AUTHORIZED AGENT
Name, > ddie CattBron Construction, Inc. _....__
Address P. O.Box 1647 (2407 Bridges St.) _
City Nbsehead City ._ State NC 'Lip ,. _ 28557 Phone [phone]_
ty _ —
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of
the adjacttit waterbody?) 105 Mulbe nt Court Pine Knoll Shows, NC 28512
DESCRIPTION OF PROJECTS (List all proposed construction and land disturbance.)
m
`-ttct a new dock aI
the -darweters of code and Pine Knoll Shores guidelines W C *'V CJLT,#-'
SIZE ORLOT/PARCEL: square feet acres
PROPOIED USE: Residential x (Single-family x Multi -family ) Commerical/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): square feet (includes all floors and roof -coveted decks)
SIZE OF! BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): . sq. fc.
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. diar. are within the applicable AEC. Artach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(1) wiihiti 75 feet of Normal High Water for die 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 subjecr ro a
State Stormwater Management 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.

APR-11-2005 15:27 P.04
OTHER PE1 MTlS MAY LIL KEQU1KEV: The activny you are planning may require permits other than the t tuvtn minor y
develdpment�ermlt. Asa service we have compiled a list of the kinds of permits that might be requited. We suggest you check over the list
with your LP , to determine if any of these apply to your project: 'Zoning, Drinking Water Well, SepticTank (or other sani tary wavte �
treatment syslem), Building, Electrical, Plumbing, Hating and Air Conditioning, Insulation and Energy Conservation, FIACertification,
Sand Dune, Sediment Control, Subdivision Approval, Mobile Homc Park Approval, highway, Connection, and others.
z
STATEMENT OF OWNERSHIP:
1, the undcr4igncd, 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 CAMA minor developtncnt 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)
X an ow or record title. Title is vested itn day & Teresa Yates , sec Deed Book 910
page 19 , in die Carter et _ County Registry of Deeds.
_an owner by virtue of inheritance. Applicant is an heir to the estate of .._
probate wac;in Counry.
if other interest, such as written contract or lease, explain below or use a separate sheet and artach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
1 furthernto're certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to earl% of them concerning my intent to develop this property and to apply for a CAMA permit. r
(Name) (Address)
(�) Stanley Sakawski 13733 Aleppg,'Stm City We AZ 85375
(2) JacH.Passing 107 ng! eCt Pine Knoll shares, NC18512
(34)
FOR DI,JVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD ,AREAS:
I acknowlc 1 c that the land owner is aware that the proposed development is planned for an area which may be susceptible to
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erosion and1or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associ-
ated with tlis .lot. This explanation was accompanied by recommendations concerning stabilization and floodproufing tech-
niques.
PERMISSION TO ENTER ON LAND:
I hirthermofe 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 aforetnenrioned 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 starement, 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 pertnir. Any
person developing in an AEC without permit is subject to civil, crinunal and administrative action.
This the _LL day of ,., /1 r , 20 17..
'A�cc
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.

APR-11-2005 15:27
THE TOWN OF PINE KNOLL SHORES
e-mai1:admin4Dtownofpks.com website:www.townofpks.com
100 Municipal Circle, Pine Knoll Shores, North Carolina 28512
[phone] - Fax [phone]
April 11, 2005
Carteret County News -Times
Legal Advertising
P. O. Box 1679
Morehead City, N. C. 28557
NOTICE OF FILING OF APPLICATION FOR CAMA MWOR DEVELOPMENT
PERMIT
Pursuant to NCGS 113A-119(b), Pine Knoll Shores, a locality authorized to issue
LAMA permits in Areas of Environmental Concern, hereby gives notice that on
April 11, 2005, day Yates applied for a CAMA permit to construct a 6' X 20' dock at
105 Mulberry Court, Pine Knoll Shores, N. C. The application may be inspected at
the address below. Public comments received by April 22, 2005 will be considered.
Later comments will be accepted and considered up to the time of permit decision.
Project modifications may occur based on further review and comments. Notice of
the permit decision in this matter will be provided upon written request.
Linda Brickhouse
CAMA Local Permit Officer for
The Town of Pine Knoll Shores
100 Municipal Circle
Pine Knoll Shores, N. C. 29512
[phone] x 20
E-mail: lbric_khouse0towno(oks.com
PLEASE PUBLISH ON: Wednesday, April 13, 2005

APR-11-2005 15:28
P.06
April 8, 2005
Mr. Jacques H. Passino
107 Mulberry Court
Pine Knoll Shores, NC 28512
Dear Mr. Passino:
This letter is to notify you, as an adjacent landowner of Jay and Theresa Yates, 105 Mulberry Court, Pine
: Knoll Shores, NC, that he is going to construct a 6' deep dock, 5' in from each end of the property line.
Should you have no objections to this proposal, please check the statement below, sign and date in the
blanks below the statement, and return this letter to Eddie Cameron Construction, Inc., P. O. Box 1647,
Morehead City, NC 28557, as soon as possible.
Should you have objections to this proposal, please send you written comments to the town of Pine Knoll
Shores, NC, 28512. Written comments must be received with ten (10) days of receipt of this notice.
Failure to respond in either method within ten (10) days will be interpreted as no objection.
Sincerely,
Eddie Cameron, III
President
1 have no objection to the project as presently proposed and hereby waive
that right of objection as provided in General Statute i 13-229,
1 have objections to the project as presently proposed and have enclosed
comments.
Signature and Date

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P.07
April 8, 2005
Mr. Stanley Sakowski
13733 Aleppo
Sun City West, AZ 85375
Dear Mr. Sakowski:
This letter is to notify you, as an adjacent landowner of Jay and Theresa Yates, 105 Mulberry Court, Pine
Knoll Shores, NC, that he is going to construct a 6' deep dock, 5' in from each end of the property line.
Should you have no objections to this proposal, please check the statement below, sign and date in the
blanks below the statement, and return this letter to Eddie Cameron Construction, Inc., P. O. Box 1647,
Morehead City, NC 28557, as soon as possible.
Should you have objections to this proposal, please send you written comments to the town of Pine Knoll
Shores, NC, 28512. Written comments must be received with ten (10) days of receipt of this notice.
Failure to respond in either method within ten (10) days will be interpreted as no objection.
Sincerely,
Eddie Cameron, Ili
President
I have no objection to the project as presently proposed and hereby waive
that right of objection as provided in General Statute 113-229,
1 have objections to the project as presently proposed and have enclosed
continents.
Signature and Date
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