WO-17-15_Barts, Herbert and Sandra_20150617

Locality I � /��3C,f i t l.kil.+ i1SG4�f.-� V'+� ' PecmitNumbct '� �+`�
Ocean Hazard Estuarfna Shorelina__ ORW Shoeline ✓Public Thrust Shoreline Other
(Fargdid,71 Use wily)
LAND OWNER
Nntme Hefiert 8 Sandra earls
Address 110 F Whiteman ni
City Yellow Swtnas State OH Zip 45387 Phone 252-787-Bd20
Email my.barts
AUTHORIZED AGENT
Name Future Hanes
Address 1075 Freedom Way
City Hubert 0 a State NC Zip 28539 Phone [phone]
Email vinnieffluturehomeanc.com
LOCATION OF PROJECT: (Address, street name and/or directions to site. If nat oceanfront, what is the amine of the
adjacent waterbody.) 142 Waterfront Ave Newport NC 28570
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 2r-e' x 64' off the frame modular
Size OF LOT/PARCEL. 42_ea3 square feet 1.038 acres
PROPOSED USE, Residential Qx (Single-family ® Multi -family[]) Commercial/Industrial ❑ Other []
COMPLETE EITHER (1) OR (2) BELOW (t:onloct your Local permit Officer (fyatt are riotsure ivblchAECapplies
to your property):
(1) OCEAN HAZARDAECs: TOTAL FLOOR AREA OFPROPOSEDSTRUGTUREs squaro feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attio space)
(2) COASTAL SHORELINE AM: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 3272 square feet (inetudes the area of the roof/drip line of all buildings, driveways, covered decks,
concrete or masonry patios, eto, that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWAT'ER MANAGEMENT PERMIM Is the project located in an area subject to a State Stormwater
Management Permit Issued by the NC Division of Water Quality?
YES NO X
If yes, Ila the total built upon arestimpervioua surface allowed for your lot or parcel: square feel
OTHER PERMITS MAYBE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development penult, 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, Sedimcm Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Otlicer for more intbrmatton.
STATEMENT OF OWNERSHIP:
1, the undersigned, an applicant for a CAMA minor development permit, being either the owner of properly 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 signlficant interest in the real property described therein. This interat can be
described as: (check one)
man owner or record title, Title is vested in 142 Waterfront gva Newport NC • see Deed Book 1494
page 222 in the Carteret 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 contractor lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OFADJACENT PROPERTY OWNERS:
I furthermore certify that the fallowing 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 LAMA permit.
(Name) (Address)
(►) Ellzaboth Clenhor 122 Wolerfronl Ave Newport NC 28570
(2) David Howell 113 Dixon Lane Newp NC 28570
(3)
(4)
ACKNOWLEDGEMENTS:
1, 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 stabilize-
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.
/ - - t0 This the _� day of-TV44 .20 L5
or person owtiorizcd )d acilias Idslher agent for purpose of filing a CAMA permit application
This npplication fachides. general Infa madan (this form), a site drawing as described on the back ofthis application, the
ONmershlp slatemenl, the Ocemi NaiaidAEC Notice what necessary a checkfor S100.00 made parable to the locality, and
any ft&nnnlion as may be provided orally by the op#1cairt 77te details of the applicallwt as described by these somees art
lncorpomted without mfertrice In any penidt which maybe Issued Dedallon froin these details will consillide a i4olatfon of
any permil. Anypersort dereloplrrg in an AEC without penult Is subJed to civil, crlminal and adminlstralive acflon.

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