WO-21-11_HVMP, LLC_20110919

Sep.22. 2011 9:34AM CARTERET CO WESTERN OFFICE No.0008 P. 2
Carteret County Modified Permit WO-21-11
Local Government 09/19/2011 Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environmerk
and Natural Resources and the Coastal Resources commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management"
Issued to HVMP, LLC, authorizing development in the Estuarine Shoreline (AEC) at 293 Whaley Lane, in Newport, NC,
as requested in the permittee's application, dated 09113/11. This permit, issued on 09/19/111 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 permittee to a fine, imprisonment or civil action, or
may. cause the permit to be null and void.
This permit authorizes: Install chainlink fencing along the western property line and along the normal high water line
(1) All proposed development and associated construction must be done in accordance with the permitted revised work plat
drawings(s) dated received on 09/16/11,
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood 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) A copy of this permit shall be posted or available on site. Contact this office at 252-393-3204 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualiried persons
within twenty (20) days of the issuing date. From the date of an appeal, any
work conducted under this permit must 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 project
modification not covered under this permit, require further written permit
approval. All work must cease when this permit expires on:
APRIL 13, 2015
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordnances. This permit may not be transferred to
another party without the written approval of the Division of coastal
Management
SammTGraham
CAMA LOCAL PERMIT OFFICIAL
701 Cedar Point Blvd.
Cedar Point, NC 28584
PERMITTEE
(Signature required if conditions above apply to permit)

Sep.2.2. 2011 9:34AM CARTERET CO WESTERN OFFICE No.0008 P. 3
Name: HVMP, LLC
Minor Permit 9 WO.21.11
Date: 09119111
Page 2
(5) 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.
(6) 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.
(7) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
SIGNATURE:DATE:
PERMITTEE

Sep.22. 2011 9:34AM CARTERET CO WESTERN OFFICE
No.0008 P. 4
4
01
NIA
ml�
ova
Im'I
i1
40 0 40 so 120
GRAPHIC SCALE — FEET
EXISTING R/R SPIKE LOCATED
ON WHALEY OWES EAST R/W
AND NO HY 24 SOUTH R/W
INTERSECTION
E:I.P. LOCATED AT LOT 9
N/W CORNER AND ALSO BEND ROGUE SOUND
IN ACCESS ROAD P NORTHERN
663336.04 25'92L07--25 11
TRACT'1 (REF: D.B. B18, PC. 455MINITY .MAP
1 NOT TO SCALE:
93.00' I.P.
LEGEND
92 N FENCE #2 N
8
RErOSED FENCES
rn
iw
o
>� 0
19 o
v=
Y
rn
Mc
N /ro
WE R POLE E.I.P.
C
o
�
'�] PUMP HOUSE
X
RE]`WN AL20
(W0F928
N OTOO'00•W
28.26' /
E.I.P. AT RECORDED
SUBDIVISION MAP
DISTANCE
g
•-
E C.M.
D FENCES ON PROP.
D OF
FFEENNCE f 1
9� S 0 p5'w
MARSH AND WATER LINE
BOGUE SOUND
E_LP. E)OSTING IRON PIPE
S.I.S. SET IRON STAKE
RIGHT OF WAY
II.S.L MINIMUM BUILDING SETBACK LINE
MAL MAP RM
PC. PAGE
S.F. SQUARE FEET
Q
CENTERLINE
EC M.
EZISTING CONCRETE MONUMENT
E.I.S.
D=NG IRON STAKE
EM.N.
EXISTINC MAD NAIL
S.M.N.
SET MAG NAIL
N.N.W.
NORMAL HGH WATER
NOTES (BY COORDINATE
1. AREA - 0.486 ACRES COMPUTAnON)
z CLOSURE = 1:10.000+
3 REFERENCE • M.B.19 PG. 95
4. P.I.N. SEE MAP
5 FLOOD ZONE : PER F I.R.M.
3720633600J, JULY 16, 2003
EL AN& MAP RECORDED :16 MARCH 1983
7.; THIS PROPERTY IS SUBJECT TO ALL
EASEMENT& AGREEMENTS. AND RK,' M
OF WAY OF RECORD PRIOR TO THE DATE
OF THS PLAT.
PROPOSED FENCE LOCATIONS
PROPOSED FENCE #1 TO BE
INSTALLED FROM THE NORTH WEST
CORNER OF LOT 19 IN A SOUTH
DIRECTION ALONG THE R/W OF
WHALEY LANE, ACROSS LOT 19
AND LOT 20 TOWARDS ROGUE
SOUND TO THE N.H.W. UNE. THEN
RUNNING EASTWARDLY WITH THE
N.H.W. UNE TO THE EASTERN
PROPERTY UNE. FENCE 12 TO BE
INSTALLED APPROXIMATELY B' EAST
AND PARALLEL TO FENCE #1 AND
TO END AT N.H.W. UNE.
E.I.P. AT RECORDED
DISTANCE MAP
5 OF35'56-E
19.09 PROPOSED FENCING
PROPOSED FENCING MATERIAL TO BE fWOOD AND OR
CNNNUNK. FENCE POSTS TO 9E WOODORFENCESTO BE 4' TO W IN HOW
FEDICESTO BE+/-8' APART/WD PARADOWN
WESTERN PROPEIM UNE
PERMIT NUMBER: WO—z1-11, DATED 7-21-11. MODIFICATION TO
MODIFICATIONS TO MAP 'DRAWN ON 9-13— 2011.. CAMA MINOR PERMIT
rMS MAP rS NOT JPoR RECOJW&C. DEVELOPMENT DRAWING
z cerafy that this nV .as ch up. ursder Pr a,aer visft
from Orf actual surM node elder h ss+0erw19an
Cdeed desatton recorded InBoric n1a. Pays or
other reference source M.B. 19. PG. 95 �1 Itat 'fie
haxmer•fes rot ore ted as draw, #ran
N h�forriatLon,k►� rPfxpe A or otFwr reference
0 the tpredalon ar
For.haao#4ThGStond(M A 56.16PrActice
P0sh
for►i_e_�di �raltrp C2i NCAC 36. 160W.•
Thts' - 2mL
Tc
L-3183
Ucense No.
KEITH A. BUCK
SURVEY FOR
HVM P, LLC
LOT 19 AND 20
VERNON B. TAYLOR — LOTS SUBDIVISION
coumff CARTERET I
' N/A. NC I ' ORE HEAD
:p rrsitgr
Land Surveyiug, P.A.
Corporation ISCense Number C-09W
Il Ir. B. Udxan Blvd. — Cape Carteret
Swanaboro, North CaroWid W584

. • Ju1.21. 2011 1:03PM CARTERET CO WESTERN OFFICE No.9249 P. 1/2
Carteret County n WO.21.11
Local Government �• \ Permit.Number
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 environment concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management'
Issued to HVMP,LLC, authorizing development in the Estuarine Shoreline (AEC) at 293 Whaley Lane, in Newport, NC,
as requested in the permittee's application, dated 07/06111. This permit, issued on 07121111_, 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 permittee to a fine, imprisonment or civil action, or
may cause the permit to be null and void.
This permit authorizes: Installation of 2 chainlink fences
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 07/12/11.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood 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) A copy of this permit shall be posted or available on site. Contact this office at 252/393.3204 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permiltee or other qualified persons
wilhln twenty (20) days of the issuing dale. From the date of an appeal, any
work conducted under this permit must cease unill 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 project
modification not covered under this permit, require funkier written permll
approval. All work must cease when this permit expires on:
JUNE 12, 2015
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 raham
CAMA LOCAL P RMIT OFFICIAL
701 Cedar Point Blvd.
Cedar Point, NC 28584
PERMITTEE
(Signature required if conditions above apply to permit)

Jul.21. 2011 1:04PM CARTERET CO WESTERN OFFICE No.9249 P. 2/2
• Name: HVMP.LLC
Minor Permit # WO-21-11
Date: 07/2112011
Page 2
(5) 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.
(6) 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.
(7) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
SIGNATURE: . _ a I `
DATE:. .%`
PERMITTEE

Jul.13. 2011 10:58AM CARTERET CO WESTERN OFFICE No.9199 P. 2
� I
Locality (�•'
_j ['i
Permit Number •
Ocean Hazard Estuarine Shoreline L" ORW Shoreline Public Trust Shoreline Other
(For official use only)
GEN RRAL INFORMATION
LAND OWNER
Name vMP t c
Address 114v Z
City A aIAAe7- State Ale, Zip 285yD Phone Z00-947-4;f94
Email
AUTHORIZED AGENT
Name ee,1, 1W, 904&, 6�6. '0 p,�-ST/G� _ 1& �c�,��/�,�/oc1G ; ,ad
Address 54/ dW ff' "e 4A1 $�yA
City Agee eA ez5.Z'g-r State AdG Zip phone a_4ef.-W3 - Z 1 Z
Email & cdeo
LOCATION OF PRO,YECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) u oo,-2
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) /sulfa wart W 4?
SIZE OF LOT/PARCEL:J square feet '7 l acres
PROPOSED USE: Residential [a' (Single-family ❑ Multi -family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your LocalPermit Officer if you are not sure which AEC applies
to yourproperty):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE A.ECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: c1 A square feet (includes 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.)
STATE STORM'WATER 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.

' Jul.13. 2011 10:58AM CARTERET CO WESTERN OFFICE No.9199 P. 3
'1
4L=YC.fm�/7
Jim Jennings, AICP
Director
Carteret County
Department of Planning and Development
Main Office:
302 Courthouse Square
Beaufort, NO 28516-6709
Tel: [phone]or 728-8545
Fax: [phone]
CAMA PUBLIC NOTICE
Western Office;
701 Cedar Point Blvd,
Cedar Point, NC 28584-8013
Tel: [phone]
Fax: [phone]
Pursuant to NCGS 113A--11.9 (b) , Carteret Counter, a locality
authorized to issue CAMA permits in areas of environmental
concern, hereby gives notice that on July 12, 2011, Keith A. Buck
Sr., agent for HUMP, LLC applied for a CAMA Minor Permit -to
install chain link fencing on their property in the Estuarine
Shoreline AEC located at 14.89 Hwy 24 Newport, NC.
The application may be inspected at the address below.
Public comments received by July 21, 2011, will be considered up
to the time of permit decision. Project modifications may occur
based on further review and upon comments. Notice of the permit
decision in this matter will be provided upon written request.
Tracy Barnes
LAMA Local Permit Officer
Carteret County
Western Permit Office
701 Cedar Point Boulevard
Cedar point, NC 28584
Please publish on:
Wednesday, July 13, 2011
Request to return Affidavit of Publication
as soon as possible,
0

Jul. 13, 2011_10:58AM CARTERET/C-O WESTERN OFFICE
AF'FROX. C�%L IMNIEISECTgN NC HY 2A
is OF NC HY 24 MID YrttALEY LN
No. 9199 P. 4
5£f WtA L IN
APPROX. C L mmsECTiON
OF NC HY 24 AND
HMJ_ ROAD —�
Vic HY • ' 24
I DO' R
R/W
N
24a.99' 7 E-t
S GCOWS'
t AZ
C/L OF APPROX. r
10' SOIL DRIvE
SERVING ADJACENT
PROPERTY i
0
-i
w
E.LP. 5.20- 9/B OF
EX15T1N0 A= THATS
LEMING Iwo TREE
ELP. 1.30WEST
OF PROPERTY LINE
PROPOSED FENCE LOCATION
PROPOSED C1.IMNLINK FEiN= TO OF
LOCATED ALONG THE WEST R/W
LINE OF WHALEY LANE, A
25' ACCESS ROAD (REFERENCE M.B. 19.
PAGE 95). 70 A POINT LOCATED
LANDWARD OF THE MARSH AND LAND
LINE. (NO PART OF THE FENCING TO
DE ALLOWED IN THE MARSH ARM)
PROPOSED FENCING
PROPOSED FENCING TO BE
CNAINUNK FENCE WfW +/-• 5' POSY
(POST ROUND OR SQUARE)
FENCES TO eE 4' TO G! IN HE107H
FENCES TO E:Et/.-6' APART AND PARALLEL
fIQ1 POLE Ti1E do FlfiFA OF TIC iT1
THIS ELECTRIC LINE SERWNO I BOGUS SOUND
BUTLDINO ON TRACT i6
POWER POLE VICNNIAP
OT TO SCALE
I VERNON B. TAYLOR
I - LOTS SUBDIVISION
REIN: W.B. 19. Po. 9LEGEND
i EXP. EXISTING IRON PIPE
S.I.S. SET IRON STM1E
1 E.I.P. R/+v RIOHT DF wAY
{ aF B.SA. MINIMUM BUILDING SETBACK UN£
b I M.B. MAP BOOK
I Pa. PARE
S.F. BOWE FEET
m ^ L I CEMERUNE
0 1 0.11. EMRG CONCRETE MONUMENT
E.! S. DOSANO IRON STAKE
NO MAD WJL
S.1 N
�t
SS6T�iµ0 HAIL
I
n
NOTES
I
L
AREA - 7.51 AO. (� COMIKax
l
2
3.
CLOSURE R I-IO,OOD}
REFERENCE; . M.B• l PC. 229
I
4.
P.I.N. 63J6.04-821-6491
I r
5.
FLOOD ZONE : N/A
rn
I �^
6. FINAL MAP RECORDED : N/A
7.; THIS
I z tP
PROPERTY IS SUBJECT TD ALL
EA5EIAMTS. AGREEMENT$, AND RIGHTS
OF WAY OF RECORD PRIOR TO THE RATE
OF THIS PRAT_
I d Z
T*1
�Sv
NOTES:
RT}MMICES; MAP BOOK 1. PACE 288
r,y I
DEED BOOK 459. PACE 231E
IIAP BOOK 19. PAGE 98
I
bE�P6ocic 1172,P/sGeBE:(e
^�N I
3 { LOT
VERNON 0. TAYLOR
$
- LOTS SUBDIVISION
I
Y N I
REFERENCE 1441, 19, PC. 95
m� PROPOSED CHMNLINK FENCES
LOTS
A. 80�`' IiAZELL/C. HALL 9 8C 20
tr�Hrlllaa`�d• 75' A.E.C. LINE
PROPERTY IEI.P.
P.LN.I 6338.04-92-047 _ �' Gu.1A BUFFER
SH AND LAND LINE
N S 0 00'O0"E 30.00,
30.00'y_ 2 W NORMAL H10N WATER
gg89'2
200 D 200 400 j18�3 MARSH AND WATER UNE
GRAPHIC SCALE — FEET BOGUE SOUND
'I certify that this nap war. 0,4wn tinder ny w-Ap4r,I54n LAMA MINOR
an actyal unh•vey made u slot h ty'+ar,Aslon
'(deed description rgoeq erd4r Book PaOq 7.3.E or DEVELOPMENT DRAWING
other reference source - �_B- p - sa i that the
boundarles not swva�y d a-e kmilcated as drawn from SURVEY FDR
kiformation ki Book �4�, Pao A/A or otN,ar raParbnce HVMP LLC
source __ �Ix jM000+ratio OF thot Uban or TRACT' 14 W.P. TAYLOR HEIRS SUBOMSiON
posttlonol accuracy tF - J and float SFds nap
newts the reUir•anahts of The Standards of PraM.
For TIUa.omd gyk,0 In North CaYotl Cat NCAC 56. 1600};
2009.
L-3183
ProFesslonet Land Surveyor Ucerise No,
9 zpRysuA BY RUCK
wrA AJLY 11, 2011
P18DOOK PO 02 D M10Y er KA BUCK
NC
11- 200' 1 JULY 11, 2011 12ppgpyg "'
sand S�lrve*& P.A.
Catporalion TS0exLE6 Number C-0900
501 W. B. MOIeo a Blvd. - Capp Carteret
Swau.boro, North Carolina 28584

J u 1. 13. 2011 10: 58AM
r ,
'i
i
Late r tr
� 5'ir� /�¢oI? � rti
Y Q
Adjacent Property Owner ,y��,A"?f �
��.6 / �� �s 3 /�wy o
Mailing Address to
City, State, Zip Code CO
ru
Dear Adjacent Property:
70" 5ihlleb/
This letter is to inform you that 1, 11 P
Property Owner
S'PDSta Ser.V�c' "
CERTIFIED 1111A1L;� RECEIPT
lbbmes11c1Nar!(7�1y,NalnsUrance&ver�g�Prov�dcd) '
'. q t1C11t+eCy_:inloimatlo�.Li�ifaar.tfwrebeiitem www-60g. berg,
poslape
Certified Fee
gelum Receipt Fee
(Endowement Requlred)
Reslrlcled 0sWery Fee
(Endorsement Required)
Tote! Postage 6 Feesrti
$
0�
Postmark
Here
i4;; f 1 ? r �1? S.
5i L i
5. Z
• 2's
CJ Sent Tc r—OM:� ,* ,'� .�� �r .
1 w� L4
p 3'freeClapY7Ya; """"-"'-
r,-Pos-Na t,`d(03 Aw�1 14
.......................................... ._.-._...........
cny �igie; irlt�d ao d 3ft nc -
Permit on my property at 6161 .cv Z4 r� �t/G Z&',6-70 ` in COUNTY
. Pr perty Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project, No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, ploase
z57- eil� d�v
contact me at 4$2-- Zy! -- 4557 ,or by mail at the address listed below, If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME 6,4AiVE.5
Local Permit Officer for LOCAL GOVERNMENT 74/ AeWcj
LOCAL GOVERNMENT ADDRESS �� q/a � ��� �[ //G
CITY, STATE, ZIP CODE z8.ar84
Sincerely,
g&" '-
Property Owner
Se)�Ld�►,cr ✓�'
Mailing Address
ftP-ram, ,clG 285$Q
City, Slate, Zip Code

' Jul.13, 2011 10:59AM CARTERET
CO WESTERN OFFICE
•,
N0.9199 P, 6
,
Is
'ite
FIR 01-111111:1
6G 3u �,
�t.'_8 �14t;
Dale
& l d
ti
Postage g
E� !��
Adjacent Pro pe Owner
Certmed Faa
•
postmark
O
CO(Endorserptol
Relum Recelpl Fes
Re uIrea)
: �r , �(I
We
Maili Address G
A?5
fa
70 O
Peslrittedoe�veyFee
(Endorsamenl ppguirodj
. V .
City, Slate, zip Code
rU
EO
ToWPostage &Foos $
€'•'" 1�'r,�I' �'��1
N
I•
Sent To wircJ. VAAzel
al I
orpoSMoarAlo.
Dear Adjacent Property,
'n. IC61
c.... {e; w�.. f�' N �
............... .............-..----•-----•-.....
a.g51170
This letter Is to inform you that I, -
%ldMP� GG
_
Property Owner
Permit on my property at
8` �,/ �
r� �t/G AX-620
, in COUNTY
Property Address
County. As required by CAMA regulations, I have enclosed a cagy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form, If you have any questions or comments about my proposed project, please
5'Z- Zi(l -/Qzo
contact meat Zell -Z557 Tor by mail at the address listed below. If you wish to
Applicant's Telephone
file wriiien comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME 7,ixeg5l 8 •ems
Local PermiiOfficer for LOCAL GOVERNMENT 7/C�Wrr-/����,8/vcZ!
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely,
7-
PrdpOrty Owner
5o/ <Leolld &vz
Mailing Address
City, State, Zip Code

. . Jul.13. 2011 10:59AM CARTERET CO WESTERN OFFICE No. 9199 P. 7
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the LAMA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, bleating and Air Conditioning, Insulation and Energy Conservation, ]~IA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, 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)
V an owner or record title, Title is vested in VMP ae, , see Deed Book //7-7
page .386 in the Cadet-e-,�' 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 contract or lease, explain below or use a separate sheet & 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 ofthem concerning my intent to develop this property and to apply for a LAMA permit.
(Name)
(Address)
(1) M Co>!r9�2� cr 1% 7" ldrSaf+. 1216d 4!Lv eel 40- n
(2) Reg. a fia/ z act/ ad P93 ,4/�1/ d.ab e-caa C z 5y7�
(3)
(`1)
ACHNO'WLEDGEMENTS:
I, the undersigned, 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 particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management stall',
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
. • A f /
Landowner or pers
filing a CAMA permit application
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AECNotice where necessary, a checkfor $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, tiny person developing in an AEC without permit is subject to civil, criminal and administrative action-

Jul. 13, 2011 10:58AM
CARTERET CO WESTERN OFFICE
CARTERET COUNTY
WESTERN OFFICE
PLANNING AND DEVELOPMENT
FAX TRANSMITTAL FORM
To: �a4lf
Organization:
Fax Number:
From:Tw �! �-
Phone: [phone]
Fax Number: 252/393-3205
Date; Cn 11,3111
Number of pages including co�'e:r:
MESSAGE:
No, 9199 P. 1