578-11_Roger, Kimberly P_20110729

Aug.12. 2011 11:55AM CARTERET CO PLANNING DEPT
No. 7175 P. 1
Carteret County
Local Government
LAMA
MINOR DEVELOPMENT
PERMIT
578-11
Permit Number
as authorized by the State or North Carolina, Department or 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 Kimberly P. Rogers, authorizing development in the Estuarine Shoreline - ORW at 489 Marshallberg Rd, in
Smyrna, NO, as requested in the permittee's application, dated June 13, 2011. This permit, issued on July 29, 2011, 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: Construct a 20 x 20 Storage Building.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on June 13, 2011.
(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 252-728-8545 for a final inspection at
completion of work.
(5) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise disposed
of to a third -party.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permiltes or other qualified persons
within twenty (20) days of (he issuing date. From the dale 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 wrillen permit
approval. All work must cease when this permit expires on;
DECEMBER 31, 2013
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
10
Larry Smith
CAMA LOCAL PERMIT OFFICIAL
402 Broad Street
Beaufort, NO 28516
c
PERMITTEE
(Signature required. if conditions above apply to permit)

, Aug.12. 2011 11:56AM CARTERET CO PLANNING DEPT No.7175 P. 2
Name: Kimberly P. Rogers
Minor Permit # 578.11
Date: July 29, 2011
Page 2
(6) 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,12,075 square feet is authorized.
(7) 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.
(8) 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.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion. _
(10) Prior to any development, silt fence shall be properly installed between all planned land disturbance and the
adjacent marsh and open water areas; the silt fence shall be properly maintained throughout the construction
period. Silt fence shall be installed such that it is properly toed -in to the soil.
(11) This permit does not authorize development within any wetlands or open water areas.
SIGNATURE: DATE:
7 . PERMITTEE

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City
State Zip Phone
Email
LDCATION OF MOnC7 - ,satCg u�mme aedr direction to sift. Krror ooeaafxout, eozhat is the name of the
ulaccutwaterb,r---K ' JS4 Yno►�S�c�ll ba-s 40�
DESCRIBTMN OFYRCLT=.- (I.istalJ pcomad eomtx =b— zed land diatwbaaca) x rAo
SIZE OFLOLTARCIL: square fact awes
PROPOSED USE: Residential ❑ (S:aglo.family Q Mniti-family 0) CommtrgW4odn1tri d ❑ Other /
CONTL ET E LTrKFR (I) OR (2) BELOW (Canwdyo wL&rW P"mk 0jrmWr lfyoa ere mat som "kh ABC appiira
rehash proyerq):
(1) OCEAN IFAZARDAECa: TOTAL FLOOR AREA OFPROPOSED STRUCTURE: square 8et(ixhndcs
aircoeditionad living space, parking elevated above grmmd leveLaoa-c®@Rismedspaa rkvatodabove gnormd level but
a¢kKft aoa-Ioa&bcarmg attic spate)
(2) COASTAL SHORELM AZC3. SIZE OF MUILDWO FOOTPRINT AND OTWM D4WVLVIOUS OR BUILT
UPONSMACES: _ square fret (;includes the tea oftha moSddp tine ofall brdlfags, driveways, covered dec33,
cooerCte or taasomy pmtits, etc. That amwithiothe applieableABC. Attach your eala*tioms with thepojoetdramvbs)
STATE SiORMWAI M AMNAGZMENT PER1017 - Is the project located is an area aobjea to a Stamp 5tormwatcr
Menagemrnt Permit isseed by tho NC Division of Watcr Quality?
ifyos,149dhetomlbailtuperrarcahmperviousscufaccallowed for yovrlot ofparcel: sgaarey=t
OTRZJX PERM77S MAY BE RZQUIRLD: The activity you ace ptamhieg may -qc . p m—b otba titan the CAMA
minor derdoymrnt pain.% including, butmot limited to: DkioUag Water Welt, Septic Tank (at other sanitary waste
uratmmtsyatem), Btu7diag, Mectrical, Pl=bn%&Xeating and AmCooditiaoiog landationnedEnew Coweavatico, FLA
Catifccadzms Sand Dime, SedimentCcnoual,SubdivisionAppmyd.MobileHomoParkApproval,HighwayConaeetieo,and
others Cheek with year Leal PeOMit O$Cer for maze iofoamatioo.
STATEMENT OF OWNERSHIP:
L fe meltraigaed, an appti¢aer for a CAMA=bwr devolopmcat pc nit, being either the owner of proputy is as AEC or a
person mzthori2W to ai m an agent for pmpous of applyirvg far a CAMAmmar developcnmt permik certify dam: the peso m
listed as Iaadowncr c a this appUcaman has a tipg fiamt intt xcu m the real property described theaein this interest can be
deacdbed as: (check one)
___an owner or record title, Tide it vested is sea Deed Back
pegs in the County RegistryofDuads.
owns by virtue of inbcritanae. Applicant is en heir to am astaia of ,
probafe was in County. 4
k
ifcdwintetea, such a wrimm cormectatlaar, cxphk balm or=a aacpmatC shxt& altmhto this appticatioa
NO77FICAMON OFADSACENT PROPERTY OWNERS:
i fumd=mmt oartify that the fallowing persons are owners of propartire adjoining LU+ Property. I off= d'at I bane given
ACTUAL NOTICE to each of them coucerming my iatwt to devdop thus pmperty and to apply for a CAMApmak
(Add--) S
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5��; . — r f.�IIt1YG�R�"�h�15�T111L'T:1��it
ACIsT10WLHDGL1tiY,NT5:
1, the uodecaigsad, eaknawlodge 439 Yee land owner is aware that lien propmcd drvalogmmut is planned for an area mbieh
may be susceptible to ansion aodfortloodigg I scknowlodge that the Local Pezmit Offctr has wV aiwd to me tit partica-
]arhaaszd problems associated with this lot Ibis en2wntionwas accamparaiodby ttoomweadWom concerning stabilize
lion and floodpeaofsag ioehoignas.
I fnrthe=erc cettidy that I ant authorized to gnat, and do in fact greet pemaission to Division of Coastal MarmseramR &tam
The Local Pararit OJ%wua and their agents to enter on the afor®eetiomed lands in cvm+er 601%with r tMEting ipferraetion
related to this petit application g � �
This the ; day off, 70.__l
Laodownar or person zathodiwX to act as
2Aarrppgcxl�omiantuda.genered frrfamrauam(hlrforn),asite &%mringasdraMbadanfluebmko "appllraekngthe
awaersbfpafmamEnf,'he OeeamHazard ARC Nodca,whemmcwary achackforl'IOO.OfI amdapayaweroAsfood! fAand
arty Information ae mV ha provided omlly by the applic amt. ?he derafls offha cWkaflan of d seribed by Awe sow ces are
fmcorgonded w10mI re/femam in anypeimNwhich may tar imwat Dewarfon frarr ekn damf& 19dicmamu rcfo a violation of
aypermitAmyperrumdeveloping isatAECwfihawP9Mf1kafa5/ecfroC 4solos.

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C-t STFE DRAWING/APPLICATION CHECKLIST
Placae make sane yoga mfe drawing rodudas the FuDowing iatonoation n4T*cd for a CAMAminor dovelopmentpmait
a TbcLocal PtemilOffiverwellb tpyou.ifrogvestod --- --•---
PIMIr—Labd
SIONS
osds
r_
rn agha�ayz tjzk-oRways
_ abet LoW setback lines
o aaY and ali structures and driveways y c ds on pfaparty
z I�bd adjacent wa a body
PHYSICAL CFIARACTIdRMICS
Draw and labeE normal high water tine (contact LPO far asmetamce)
Draw location of on -site wgstewaler aysmm
If you will be wmJdag in the oeeao hazard seta:
Draw and label dsmorWges (inclade spot elevations)
_Dzaw endhebd toe of&ma
. J�_idmtifya�d]ocsta6crt[iaeofatablevc8etatiaa(oontactLWferassistanco)
Dfaw and label crosiae sathack line (cantcf LPO for amietaaee)
_Draw and label mpowsphicel featiaes (optional)
lfyou will be worlaag in a coastal shoreline craw
_ Shaw the roof overhang as a dottod ]mo around the sbucaae
M/ Draw and label Landward Unxit oFABC
} V Draw and label all wvdandliaes(contact LPO farawLitance)
L" , Draw and Eabal the 30•fbuffer oot lino
0
DEVILOPWIKW PLANS
z Draw and label e11 paoposed stmcrinet
z Draw and label areas that will be dLambod=&or landscaped
z Nato sae ofpiliag and depth to be placed in gonad
J Draw and label all areas to be paved or graveled
Show aA areas to be disttvbal
O Sbow bvudscopism
ca NOTETOAPPLICAIIT
L' have you:
• coroplctedallblanksafdloriadioatmdifnotspplicabld!
w
F— notitiad and listed ad*cat peopeny owDm?
s ioclsded yeant site doming?
v signed and dated the applicadkm7
• taclaeed the S100.00 fcn7
- complated an ABC HsardNotice, ifnccetsatl/.+(Must be signed by Mepope* mar)
InORSeAFFUSI
Site Notice Posted — Final hupocti m s_ Fce Received
d Sltalaapeefcons
0
Daft efActioo: Imued ` Excmpled Dtaied _ Appeal Deadline (20 days from permit aetien)
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APPLICATION FOIL
LAMA MINOR
DEVELOPMENT
PERMIT
In 1"4, fbe North Carolina General AssomW passed the Coastal Ares Mumagemmt Act
(CAMA) and set the stage the Cuid'mrgdevrliopmneretin f mCaowad prednedve areas that
border the statesa sounds and oorsnfr ont. Alcoc with requiring special can by these who
badld and develop l&e GeneredAmoroblr directed &aCeaetsl RmourcesCommestaa
(CBCj ro impiammfdear regnlatians that minmeire Bse burden an ffie opplicaeL
Tkis appleation raw a minor development pint under CAM& iY part of the
Commi.scross e05ore to meet the spirit "I I - of the Gcwvo1Aaaca%1*. It fine been
designed to be su%%htforwar+d and requi r e ne more time or eftrt than necessary from
the applicant. Please go ever brie folder with the Local Perasit Officer (1,M) for the
localify towhkb you plan to build to he certain thatyou ®deratand who imformatiat he
or ebe needs before you apply.
Under CAMA reynlatiam, the minor permit U to be ism ind wit1d n 25 days sate a
complete apph-timt is in hand. Often less time is needed if the project is simple. The
y rocep yeneraDy bdm about 18 days Yen can speed tht approval process by maldnt
certain that your apple cafen is complete and signotl, that your drawing masts the
specification given inside and that yoer application fee is attached.
Otberpermits amsomedmes ragoired for developauntinthe coastal area While those
are not CAMArrdated, we nMyon to cbeckwtib the Local Parrot Offiocr ro datamimc
wU&of these you nW need. AUWis lode" on page two orthis folder.
We appoeciate yaw cooperation with the North CsreNna Ceased Kanagasmmt Program
and yoer wilimgnemt to bn4a in a way that protects the moored of ow bmndfel and
productive mast
PCM Fmc 1:B1952-W1Wxrii"Ap4 2030
Coital Rtaowcat Conuelosim
Division of Coastal i4iwngemmt
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Ju1.11 2011 4:41PM CARTERET CO PLANNING DEPT No.6972 P. 4
/ CAMA PROJECT TRACKING SHEET- CARTERET COUNTY
Applicant s Name: 2 Date submitted: - Z& _ l
Property Address: a PIN #:4 �),
Phone #:
Area of parcel in AEC: square feet acres
Proposed Impervious area: Q square feet Total impervious area allowed: 5 square feet
t'ZRW t"_4 AEC EXEM&TION PERMIT #
Riparian Rights Statements / Certified Letters in fil�/ NO
Date of Site Visits: K - ,(6
j Application considered accurate and complete for processing Date: 7113 ,y 6/. LPO(initial):_/•
i Application returned for the following reasons: A1. Q,, -ro s % �, ti purl
c S7h/I're4.► t'a /v D rsycrl � ",I� h Gv/+-Y�4
Date Returned:
1 The following site -specific observations have been made:
1 The following conditions are to be included on the permit (in addition to standard conditions):
(Circle condition number; 14. i ';•' 7 8 .9 10 11 12 13 14
15 16 17 18 19' 20 21 22 23 24 25 26 27 28 29
30 31 32 33 34 35 36 37 38 39 40 41 42 43 44
45 46 47 48 49 50 51 52 53 54 55 56 57 58 59
Other Note
a4.,
LPO• - - Date -
Follow -up date 'visits: _
t Project determined to be in compliance with permit
V'Project determined to be out of compliance with permit
Action taken to bring project in compliance with LAMA:
0/ -r 1,6 - C9 o i,
Final Inspection Date:
LPO: Date:

• Ju1.13. 2011 4:41PM
Jim Jennings, AICP
Director
CARTERET CO PLANNING DEPT No.6972 P. 5
Carteret County
Department of S
Planning and Development
Main Office:
Courthouse Square
Beaufort, NC 28516-1896
Tel: [phone]or 728-8545
Fax: [phone]
Western Office:
701 Cedar Point Blvd.
Cedar Point, NC 28584-8013
Tel: [phone]
Fax: [phone]
NOTICE OF FILING
OF APPLICATION FOR.
CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS 113A-119(b), Carteret County Planning & Development, a locality
authorized to issue CAMA permits in Areas of Environmental Concern, hereby gives NOTICE
that on June 13, 2011, Kimberly Rogers applied for a CAMA permit to construct a 20'x 20'
storage shed at 489 Marshallberg Road, Smyrna N.C.
The application may be inspected at the address below. Public comments received by
July 30, 2011 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.
Larry Smith
CAMA Local Permit Officer for
Carteret County Planning & Development
402 Broad Street
Beaufort, NC 28516
252-728-8545
PLEASE PUBLISH ON: July 15, 2011

. Ju1.13. 2011 4:42PM CARTERET CO PLANNING DEPT
No.6972 P. 6
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284255064
3613950425 -0098
05/20/2011
[phone] 03:41:31
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Sales Receipt
Product
Sale Unit
Final
Description
Oty Price
Prico
MARSHALLBERG
NC 28553
$1.28
Zune-1 First -Class
Large Env
3.00 02.
Expected Delivery:
Sat 05/21/11
Return Rept
(Green Card)
$2.30
Certified
$2.65
Label N:
70103090000259804510
Issue PVI:
y
$6 43
BIGFORK MT 59911 2one-8 $1.28
First -Class Large Env
2,70 oz.
Expected Delivery: Mon 05/2.3/11
Return Rcpt (Green Card) $2.30
Certified $2.85
Label 0: 70103090000259804527
Issue PVi: $6.43
Total: $12.86
Paid by:
Cash $13.00
Change Due: -$0.14
Order stamps at USPS.com/shop or call
1-8007Stamp24. Go to USPS.com/clicknship
to print shipping labels with postage.
For other information call 1-800-ASK-USPS.
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a box online at usps.com/poboxes.
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xXxXtrXxXXXxxxxxxX*iYx*XX*XXR*RXifRRxR%*R**.
Bill#: 1000203309793
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All sales final on stamps and postage
Refunds for guaranteed services only
Thank you for your businoss
XXRRx*RX***XxxYfXXXXXXXXXX*XirxX*itXx7f*X7CXR
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TELL US ABOUT YOUR RECENT
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t Jul. 14, 2011 9:16AM
CARTERET CO PLANNING DEPT No.6975 P. 1 S—get-1j
Jim Jennings, AICP
Director
July 13, 2011
Carteret County
Department of Planning and Development
Main Office:
302 Courthouse Square
Beaufort, NC 28516-6709
Tel: (252) 728=8497or 728-8545
Fax: [phone]
CERTIFIED MAIL — 7008 3230 0002 2360 9104
RETURN RECEIPT REQUESTED
BLE Development
PO Box 370
Harkers Island, NC 28531
RE: DENIAL OF CAMA MINOR DEVELOPMENT PERMIT
APPLICATION NUMBER, CA11.29
PROJECT ADDRESS- 243 Old Ferry Dock Rd. Harkers Island, NC
Dear BLE Development:
Western Office:
701 Cedar Point Blvd. .
Cedar Point, NC 28584-8013
Tel: [phone]
Fax: [phone]
After reviewing your application in conjunction with the development standards required by the Coastal
Area Management Act (CAMA) and our locally adopted Land Use Plan and Ordinances, it is my determination
that no permit may be granted for the project which you have proposed.
This decision is based on my findings that your request violates NCGS 11 3A-1 20(a)(8) which requires
that all applications be denied which are inconsistent with CAMA guidelines and Local Land Use Plans, You
have applied to bore 1 Y7 sewer line under wetlands which is inconsistent with 15 NCAC 7H .0208, which states
that: Uses which are not water dependent shall not be permitted in coastal wetlands, estuarine waters, and
public trust areas. Restaurants, residences, apartments, motels, hotels, trailer parks, private roads, factories,'
and parking lots are examples of uses that are not water dependent.
2

Jul.14. 2011 9:16AM CARTERET CO PLANNING DEPT
No.6975 P. 2
Should you wish to appeal my decision to the Coastal Resource Commission or request a variance from that
group, please contact me so I can provide you with the proper forms and any other information you may require.
The Division of Coastal Management central office in Morehead City must receive appeal notices within twenty
(20) days of the date of this letter in order to be considered.
Respectfully yours,
L: 1-b - 0 -�U4
J.C. O'Neal, LPO
Carteret County Planning & Development
402 Broad Street
Beaufort, NC 28516
cc: Barry Guthrie 1 DCM Field Rep
Jim Jennings 1 CC Planning & Development Director

' Jul.14. 2011 9:26AM CARTERET CO PLANNING DEPT .4-L No.6976 P. 1
,Locality. ALF.- 4 Al d miit.Numlic[. '9 4f ,
'Ocean Hazard Estuarine. -Shoreline ORW Shoreline. Public Trust'Shoreline Other
• '(Foy' o„�%rpl:use.only)
YEN .nAL INI+ORMATION
LAND OWNER
Name. :711 lytg Ual. tn�.�u
Address ' rq-� bLO P:rtfw Dtx1e. (2..o
City -ad p/5 :!�Lj State /V U Zip ,r' Phone (661"-
Email
AUTHORIZED AGENT
Name 2)1 L 1) el) UZ,oP m % a,�
Address 10 :3n _�_)t3 &�r•v_ef s _? kal lk
City State Aj C_ Zip_ Phone y1 ct - 91.0 • Llcl2-q
Email Ne eae,lal/Neel Ga114
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) :X[S OLO j- erg► ( ,�•(c� ( � � 7g.� l o -h
{ proposed ) Illyr� rI"�7
DESCRIPTION Or PROJECT: List all ro osed construction and land disturbance.
SIZE OF LOT/PARCEL: ,5 3 �u�e f�r_ acres
PROPOSED USE: Residential (Single-family Multi -family [] ) Commercial/Industrial E] Otber
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies
to yourproperty): -2 fM1�,5
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA Or PROPOSED STRUCTURE q 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 SI•IORE,LINE AECs: SIZE 017 BUILDING ]FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: % 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 STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Managem nt Permit issued by the NC Division of Water Quality?
YESV NO ✓
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: i3 . square feet.

Jul.14. 2011 9:27AM CARTERET CO PLANNING DEPT No.6976 P. 2
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: 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. Check with your Local -Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a LAMA minor development permit, being either the owner of property in an AFC 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 aftm151, ,"o - , see Deed Book —13L -2—
page _LI'2. in the Z -� G""� Counry Registiy 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 of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) -y-�
(1) ..A 1.✓a�15 �>r�
(Address)
"I>rnPs inl,tR . ,VC- X? -3 S—D
UA tic- ')--791i
(3) P713 5htat< a,�o1,�. "2 r.t� C� _1-(44, 1=(wa' (Iitr��r �MtaM� N���IUI
(4)
ACKNOWLEDGEMENT&
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 eoneernipg 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 staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the day of . _�c.i�j , 20 LL
to act as his/her agent for purpose of 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 AEC Notice where necessary, a check for $100.00 made payable to the locality, and
any information as maybe 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.

Jul,14. 2011 9:27AM CARTERET CO PLANNING DEPT.
No.6976 P. 3
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Jul. 14. 2011 9:27AM CARTERET CO PLANNING DEPT No.�6976) //P. 4�
CAMA )PROJECT T�tACKING SHEET- CARTERET COUNTY
elicant)s Name: A L F Y" 4-1 Date submitted: -
Property Address: dt
cam, PIN #; '73 3 9,
1 1 C Phone #• / g' �/ D• �l 9�1
Area of parcel in AEC: square feet acres
Proposed Impervious area: square feet Total impervious area allowed: square feet
1575' OR'F C5��
1 EXENTTYON 1 PICI PMT #
�vo
Riparian Rights Statements / Certified Letters in fileYES / NO
Date of Site Visits: /Azz
1 Application considered accurate and complete for processing Date: LPO(initial):
i
pplication returned for the following reasons: (5'+ M NQ L72 u, LJ c;- r[ yR
r
a r C 14 Leg W [.L—1Date Retarned:
i The following site -specific observations have been made:
I The following conditions are to be included on the permit (in addition to standard conditions):
(Circle condition number): 1-4 5 6 7 S 9 10 11 12 13 14
15 16 17 1S 19 20 21 22 23 24 25 26 27 28 29
30 31 32 33 34 35 36 37 38. 39 40 41 42 43 44
45 46 47 . 48 49 50 51 52 53 54 55 56 57. 58 59
Other Note
D'
Follow-up date visits:
1 Project determined to be in compliance with permit
Date: / —//. //
I Project determined to be out of compliance with permit
Action taken to bring project in compliance with CAMA.:
Final huspectioa Date:
T.PO- T. .