WO-13-15_Hadley, Allen_20150615

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June 11, 2015
This request is to amend our current CAMA Minor permit to include the removal
of 9 cypress trees along the water's edge and to place fill in the area where the
trees are to be removed and the sock drains installed.
Thanks,
Allen and Georgan Hadley

Rarson C(cc Lt,
PLANNING & INSPECTIONS DEPARTMENT
CARTERET COUNTY, NORTH CAROLINA
DATE: 5z
PIN:
APPLICANT: i✓�,=v"' c �•oof�1'
➢ Show property lines with dimensions
➢ Show proposed structure with approximate dimensions
➢ Show any other existing structures on property
➢ Label distance to all property lines from proposed structure
➢ Label road, front, rear, and sides
DRAW PLOT PLAN BELOW
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APPLICANT / OWNER ZONING OFFICIAL INITIALS

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 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)
_,E_an owner or record title, Title is vested in see Deed Book4o'7
page < in the County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of ;
probate was in County.
if other interCCt_ cllrh k written enntrart AT IPaep Pvf11*;,, I,allmlt nr lieP fl aol�ero+u e11an4' Pr o1+�n1. +n ♦1.ie n....l:...,ti::«
be susceptib
Landowner or person authorized 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 HazardAECNotice 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. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

C t rc Lt'
PLANNING & INSPECTIONS DEPARTMENT
CARTERET COUNTY, NORTH CAROLINA
DATE: f L;--- 5;, / "
PIN:
APPLICANT:
> Show property lines with dimensions
> Show proposed structure with approximate dimensions
> Show any other existing structures on property
> Label distance to all property lines from proposed structure
> Label road, front, rear, and sides
DRAW PLOT PLAN BELOW
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APPLICANT / OWNER
ZONING OFFICIAL INITIALS

CARTERET COUNTY
CouYthouae Square
BeaufortNC28516 Inspection Summary
MAfNOFRCE VAME tNOFFIGE
f 252) , 2& 543 (25'2)2M.5833
Inspection Result: Complete
Inspector: Lany Smith
CAM Came SRO Visit 3S5 PEMSON CIR NEWPORT, NC 28670 (63150287U30000) (6315Q28T8430000-)
Inspection Date: 05/27/2015
Permit M 2015-001020
Tax ID: 631502876430000-
Comments:
1. Pass