362-95_Carlyle, Shelby_19950605

Locality 0RSr_ 406me 4X46 Permit Number '
GENERAL INFORMATION
LAND OWNER
Name .5-#=—LQ V ( 1,41'L L& I& —
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City 4r4Et/S'1 State - Zip aq FS' I Phons15- - L
AUTHORIZED AGENT
Name
Address
City
State Zip
LOCATION OF PROJECT
C3 /` /-/
_ Phone
(If not oceanfront, is waterbody natural or manmade?) 4,4— L
DESCRIPTION OF PROJECT Co,, S ",Y— %, , ;L -- SCrre e,-t <cl
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AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard
PROPOSED USE
Residential
Estuarine Shoreline
Commercial/Industrial
SIZE OF BUILDING IN SQUARE FEET
ORW Shoreline
Other
�:x
Size of other impervious or built upon surfaces (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline)
SIZE OF SITE IN SQUARE FEET
OTHER PERMITS MAY BE REQUIRED ...
The activity which you are planning may require
permits other than the CAMA minor permit you
are applying for here. As a service we have com-
plied a listing of the kinds of permits which might
be required. We suggest that you check over this
list with your Local Permit Officer to determine
which, if any, of these may apply to your project.
This is not a requirement of CAMA, only a sugges-
tion to help you complete your project as quickly as
possible.
Zoning, Drinking Water Well, Septic Tank (or other
sanitary waste treatment system), Burning, Electri-
cal, Plumbing, Heating and Air Conditioning, In-
sulation and Energy Conservation, FIA Certifica-
tion, Sand Dune, Sediment Control, Subdivision
Approval, Mobile Home Park Approval, HiglhivaN
Connection, Others:

•
STATEMENT OF OWNERSHIP
it, begin either the o
I the undersigned, an applicant for a CAMA minor development permowner fproperty in
gf
an area of
environmental concern or a person authorized to act as an agent for purposes of a 1 in for a
CAMA minor development permit, certiribed the einthat the person
This interest can be described assted as landowner on this follows: (check one)
nificant interest in the real property desc see Deed Book _=
an owner of record title, Title is vested in County Registry of Deeds.
page -.in the
an owner by virtue of inheritance. Applicant is an was iheir n
the estate of County.
probat
✓ interest, such as written contact or lease, explain below or use a separate sheet and attach to this
1f other
application.
w ol�
NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthermore certify that the following persons are
ownE r myfproperties
to deadjoining
elop his prthisoperty andlt affirm
pply for
have given ACTUAL NOTICE to each of them concerning
a CAMA permit. ,
(Address) I
(Name)
(2)
(3)
(4)
AN HAZARD AND ESTUARINE HAZARD AREAS:
FOR DEVELOPERS IN OCEd for an area which may
I acknowledge that the land owner is aware that the proposed development is plane
officer has explained
be susceptible to erosion and/or flooding. I acknowledgethtthec
cltnid by recommendations
particular hazard
zaassociated with thislot explanation was a
concerning stabilization problems
floodprofing tehniques.
PERMISSION TO ENTER ON LAND
in fact grant permission to the local permit
ficer
I furthermore certify that I am authorized to grantda in o
d la connection with wevaluating information related f to this
and his agents to enter on the aforementione
permit application. a site
This application includes: general information (this f notice where no cesa ryas aa checkaor $50 0 made payable on the back of this to
plicat on, the ownership statement, the AEC hadetails the locality, and any information as may t e without d reference in anapplicant.
permit which may bef issuethe application
pDeviation
described by these sources are incorporated
from these details will constitute a violation of naction. it. Any person developing in an AEC without a per-
mit is subject to civil, criminal and administrative
This the 5 day of n�2�-"'L
Land owner or'p son autho zed to act as his agent
for purposes of II g a CA A permit application.

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CARTERET COUNTY COURTHOUSE
CENTRAL PERMIT OFFICE OF
COURTHOUSE SQUARE
BEAUFORT. N. C. 2851 6-1898
728-8545
BUILDINGS. MOBILE HOMES. ELECTRICAL. PLUMBING. MECHANICAL
CARTERET COUNTY
CENTRAL PERMIT OFFICE
COURTHOUSE SQUARE
BEAUFORT, N.C. 28516
DATE: _ JUNE 6, 1995
TO: PATTI LYERLY, CLASSIFIED
FROM: CENTRAL PERMITS OFFICE (CARTERET COUNTY)
SUBJECT: LAMA PERMIT NOTICE PUBLICATION
i
PLEASE PUBLISH ON JUNE 9, 1995
PURSUANT TO NCGS 113A-119(B) CARTERET COUNTY, A LOCALITY AUTHORIZED
TO ISSUE LAMA PERMITS IN AREAS S OF SHELBY ENVIRONMENTAL
LIED FOR A CAMA
GIVES NOTICE THAT ON JUNE 5, 199
PERMIT TO CONSTRUCT AN 12 X 22 ON MORSE MOBILE HOME PARR LOTSCREENED PORCH WITHIN 40 T F
#4
WHITE OAK RIVER LOCATED IN CLIFT pUBLIC
ESS BELOW.
THE APPLICATION MAY BE IN
17, E1995 WILL BE D AT THE RCONSIDERED. LATER
COMMENTS RECEIVED BY JUNE
IT
COMMENTS WILL BE ACCEPTED MOONS S Y OCCUR BASED ON FURTHER REERED UP TO THE TIME OF VIEW
DECISION. PROJECT MODIFICATIONS MAY
AND COMMENTS. NOTICE OF THE PERMIT DECISION ON THIS MATTER WILL BE
PROVIDED UPON WRITTEN REQUEST.
LARRY D. SMITH
LOCAL CAMA PERMIT OFFICER
CENTRAL PERMITS
CARTERET COUNTY
1

COUNTY OF CARTERET B'
Central Permit Office
Western Office (SC S
n Beaufort, N. C.,
RECEIVED FROM
IN PAYMENT OF PERMIT #
Rk---'`a-
RECEIVED BY
OFFICIAL RECEIPT
BUILDING PERMIT s
MOBILE HOME PERMIT $
ELECTRICAL PERMIT s
PLUMBING s
��ICAL
TOTAL AMOUNT PAID s� ��