95-078_Treadwell, Grubb, Page, Noble, Hatfield, Vesely, Howe, Gazelle, Jefress, Oakly_19950227

Town of Pine Knoll Shores
Local Government
f?P , ?n
(i t�AR 0 1 1�95 t
CAMA
MINOR DEVELOPMENT
PERM
as authorized by the State of North Carolina, Department of Environment,
Health, and Natural Resources and the Coastal Resources Commission for development
in an area of environmental concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management."
95-078
Permit Number
O
Issued Tcreadwell, Grubb, Page, Noble, Hatfield, Vesely, Howe, Gazelle, Jefress, Oakly
authorizing development in Ocean Hazard AEC at 103 through 119 Pinewood Dr
as requested in the permittee's application dated February 16, 1995
This permit, February 27, 1995
p , is subjectto 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.
7H.1800 BEACHBULLDOZING
1. No excavations below one (1) foot in depth are allowed;
2. Allwork must be above the high watermark;
3. No work is allowed outside the lateral bounds of the applicant's property without the written approval of the adjacent property
owners;
4. Erosion on adjacent properties shall not be increased as a result of this activity,
5. The slope shall stay effectively the same before and after this activity,
6. The work will not be allowed from May 1 st to November 15th in order to protect nesting loggerhead turtles; and
7. Damage to existing vegetation shall be minimized and the fill area will be replanted or temporarily stabilized until planting can be
completed.
8. The Local Permit Officer/Building Inspector shall be notified prior to commencing any beach bulldozing activity.
This permit action may be appealed by the permittee or
other qualified 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 accessibleto the
permit officer when the project is inspected for compliance.
Any maintenance work or project modifications not covered
under this permit requires further written permit approval.
All work must cease when this permit expires on
December 31, 1998
In issuing this permit it is agreed that this project is consis-
tent 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.
Local Permit Officer (signature)
Roy D. Brownlow
name
100 Municipal Circle
address
Pine Knoll Shores, NC 28512
X_i452: L 24
Permittee
(signature required if special conditions above apply to permit)

own of Pine_,A' oll Shores
Local Gover`� nment J
95-078
rermn Numoer
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment,
Health, and Natural Resources and the Coastal Resources Commission for development - _ in an area of environmental concern pursuant to Section I13A-118 of the -
- — --- _ General Statutes, "Coastal Area Management."
Issued Tcreadwell, Grubb, Page, Noble, Hatfield, Vesely, Howe, Gazelle, Jefress, Oakly
authorizing development in Ocean Hazard AEC ,at103 through 119 Pinewood Dr
as requested in the permittee's application dated February 16, 1995
This permit, issued on February 27, 1995 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.
7H.1800 BEACHBULLDOZING
1. No excavations below one (1) foot in depth are allowed;
2. All work must be above the high water mark;
3. No work is allowed outside the lateral bounds of the applicant's property without the written approval of the adjacent property
owners;
4. Erosion on adjacent properties shall not be increased as a result of this activity;
5. The slope shall stay effectively the same before and after this activity,
6. The work will not be allowed from May 1 st to November 15th in order to protect nesting loggerhead turtles; and
7. Damage to existing vegetation shall be minimized and the fill area will be replanted or temporarily stabilized until planting can be
completed.
8. The Local Permit Officer/Building Inspector shall be notified prior to commencing any beach bulldozing activity.
This permit action may be appealed by the permittee or
other qualified persons within twenty (20) days of the issuing date.
From the date of an appeal, any work conducted underthis permit
must cease until the appeal is resolved.
This permit must be on the project site and accessibletothe
permit officer when the project is inspected for compliance.
Any maintenance work or project modifications not covered
under this permit requires further written permit approval.
All work must cease when this permit expires on
December 31, 1998
In issuing this permit it is agreed that this project is consis-
tent 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.
Local Permit Officer (signature)
Roy D. Brownlow
name
100 Municipal Circle
address
Pine Knoll Shores, NC 28512
Permittee
(signature required if special conditions above apply to permit)

HOR E5
Locality TINE � N O L L � Permit
GENERAL INFORMATION
LAND OWNER
Name-TP%EA0W1ELL _0AU13C3.'PAGE Mf,
Address -Siiamil& pl r! t to e o n 69 S v c
-_-City pKS State At,C Zip Zfc5 ice_ Phone g411_&gr1 L
AUTHORIZED AGENT
Name kE I tN 6. Ai-c- i
Address Go X 3 2 6
City At.A►1TI c 13 0A e R State lJ. e Zip 10 l 2 Phone cW ` 4 16.
LOCATION OF PROJECT beFAii Faw7' Li
(If not oceanfront, is waterbody natural or manmade?)
,,c% / ,4
IESCRIPTION OF PROJECT 23UL1 OOZE 3EAC4 AA&-VCA.v A-r6 R
,,ls_SN 'DuwCS .
AREAS ON virNTAL CONCERN (AEC) CLASSIFICATION
!70cezul
lfed in by the Local Permit Officer prior to completing application.)
:a:::: ?..,. ne Shoreline ORW Shoreline Other
pROP SED USE
r Residential Commercial/Industrial Other
41ZE OF BUILDING IN SQUARE FEET
Size of other impervious or built upon surfaces (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline) L' / ri-
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-
pplied 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 LAMA, 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, Highway
Connection, Others:

TIN
a
VIAR U ��qa
.gh��e,naeaaa® a nn ._L
ATION FOR
AMA
1"�'-IMINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed
the Coastal Area Management Act and set the stage for
guiding development in the fragile and productive areas
which border the state's sounds and oceanfront. Along
with requiring special care by those.who build and
develop, the General Assembly directed the Coastal
Resources Commission (CRC) to implement clear regula-
tions whi&minimize the burden on the applicant.
This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more
time or effort necessary from the applicant. Please go
over this folder with the Local Permit Officer (LPO) for
the locality in which you plan to build to be certain that
you understand what information he or she needs.
Under CAMA regulations, the minor permit is to be
issued within 25 days once a complete application is in
hand. Often less time is needed if the project is simple.
The process generally takes about 18 days. You can
speed the approval process by making certain that your
application is complete and signed, that your drawing
meets the specifications given inside and that your
application fee is attached.
Other permits are sometimes required for development
in the coastal area. While these are not CAMA-related,
we urge you to check with the Local Permit Officer to
determine which of these you may need. A listing is
included on page 2 of this folder.
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management

M,
STATEMENT OF OWNERSHIP -V
I, the undersigned, an applicant for a CAMA minor development permit, begin either the owner of property in
an area of environmental concern or a person authorized to act as an agent for purposes of applying for a Z
CAMA minor development permit, certify that the person listed as landowner on this application has a sig-
nificant interest in the real property described therein. This interest can be described as follows: (check one)
an owner of record title, Title is vested in C A ATE c-r , see Deed Book _ - -
page in the �&T County Registry of Deeds. - -----------
an owneby virtue -of -inheritance. Applicant is an heir to the estate of
- --- probate was in County.
if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
r
O
n
a
r
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) (Address)
(1) i/ Ia-To R )i'► VAN 0216xtY 16 0) AA EL G0VP- S7: GAIEDUC 136� N. e.
(2)
a2'7 VO
(3) 'PMSQo GcrtooN HUC-tc-q 107 CIM61 s TP, pKS, M. C. '.�s'51z
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 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
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This application includes: general information (this form), a site drawing as described on the back of this ap-
plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 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 a per-
mit is subject to civil, criminal and administrative action.
This the J.— day of /'Ed • ,1917.5
Land dWner or -person authorized to act as his agent
for purposes of filing a CAMA permit application.

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor develop-
ment permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you,
if requested.
PHYSICAL DIMENSIONS
label roads
label highways right of ways
label local setback lines
label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
draw and label mean high water mark (MHW)
draw location of septic tank or filter field
If you will be working in the ocean hazard area: -
draw and label dune ridges (note height)
draw and label toe of dune
identify and locate first line of stable vegetation
draw and label setback line under CAMA
draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
draw and label landward limit of AEC
describe terrain (slope)
DEVELOPMENT PLANS
draw and label areas that will be disturbed
if a house is to be placed on lot, describe location of house
note size of piling and depth to be placed in ground
draw and label all areas to be paved or graveled
describe composition of surface
note and list fully all trees and vegetation to be removed or relocated
show landscaping
NOTE TO APPLICANT
Have you:
*completed all blanks and/or indicated if not applicable?
*notified and listed adjacent property owners?
*included your site drawing?
*signed both application and statement of ownership?
*enclosed the $50.00 fee?
*completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice PostedFinal Inspection Fee Received' C�
Site Inspections
-3 "t 5
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)

1z
TOVII Of K'
N
A A T1
0 C�A
tu
0
.3
0
NOTICE
M
I -,APPrZOVED
CHANGES IN PLANS MMST PE
BY Tt-jc uUILDING r,i=F
CE
PRICK TO VVORJC
A
plarIS Z, 1,01I.ijil oil jot) Silo a'L ail tiri'

,lLb• �, 1995
RkL . 1&*,- A — 7 Rene we u.- A ' 4, I-) O w i
A NC(3LN
A S
I `1' 7 $ Q-,!.l�S�`
"ntcl f u-ot� a^+o -ULk A.2 a. AM
vE��tOa
ExtsTwc, �olvC
A017POV.
SAN0VoNC-'
�SCARP�ur
s
t Pru^S ,
t tss=atimes
l
1
1
1 FILL
1 ARt
1
'2h 1
%'OE or: -,)Ouc
1-6T4, 'DtS-rueoco 4q&-A-
ax3a ,66GA�
NOTICE
CHANGES IN PLANS IMMST EE
BY THE 2U-;LCIN.G
PRIOR -0
5
MAXIIMug a K,OAVAv OA)
DFnrK / ,
W.

KEITH C. NOBLE, M.D. F.A.C.S.
Post Office Box 326
Atlantic Beach, North Carolina 28512
DIPLOMATE AMERICAN BOARD OF SURGERY EMERITUS CHIEF SURGERY
COMMUNITY HOSPITAL
ALLIANCE, OHO
.Qow
if
P�
P 357 210 116
Receipt for
Certified Mail
No Insurance coverage Pruvided
ro,.;Go not use for Internatica.al Mail
(Sea Reverse)
m
m
C
c
C
O
M
E
o`
LL
rn
LL

KEITH C. NOBLE, M.D. F.A.C.S.
Post Office Box 326
Atlantic Beach, North Carolina 28512
DIPLOMATE AMERICAN BOARD OF SURGERY
EMERITUS CHIEF SURGERY
COMMUNITY HOSPITAL
ALLIANCE, OHO
Ila, g I I qq5
JU
C A f1 A t rb
u cC,
'Opt.
P 357 210 117
Receipt for
Certified Mail
No Insurance Coverage Provided
,n51w�MKi Do not use for International Mail
(See Reverse)
�cnl ro
Street owl 'vu
P.O. S4te C.0e
PU�I.fye
Cerphed F,e
C J
Spenai De�neey F,„
Reslncted Deavrr; reo
C7
ReWen Receeept bnoev,ny
p!
to WhOnl & Ddw 001wt.�d
hetmn Receipt Sno-veny In
Whom.-
?
Dale. Jren A;�dl.•,,.r.(.l A,-1�'•••. •;
-
rotAI Pnm."p. r
,
••
�.
O
K Fee., �' .ems
t
Postrhdrk ul Bale!'V
J
E
u.
�.
a

KEITH C. NOBLE, M.D. F.A.C.S.
Post Office Box 326
Atlantic Beach, North Carolina 28512
DIPLOMATE AMERICAN BOARD OF SURGERY
EMERITUS CHIEF SURGERY
COMMUNITY HOSPITAL
ALLIANCE, OHO
Il �L^[�, i �CLCi ct _ ,�• tt�l C q LL�.<:
�u
C4 L f-t-CC -r el C t�
� LL���o f .
Q�,.�G
(_ <<
t.'� f L t, r.. c` ,ems
CCLL LiJ`�``
AL
;j �r.ricc-C.e�s,
l.�L,r Lc-r,t "l%1 L'i '3ti6J cR�CCtr c_�
ttce
G,-,4 Cl ,C'v� � cv�� �(
Lc�C � j
,< j c n .Yt'�e roYie.
Ofd t Wor.
r Keith C Noble - -
PO Box 326
Beach NC`28512-0,32&,
lii (I L
P 357 211 365
Pt i
P:.r vt,y+t%+..
U•5PHiu`IHUE
RTLHNTIC BEHCH.IJC
28512
FEB M. 95
HMOUNT
�M- St 10
►OSTAL St RVIC[
0000 00059033-07
J u t- G> y
C �. v

THE TOWN OF PINE KNOLL SHORES
100 Municipal Circle, Pine Knoll Shores, North Carolina 28512
[phone] • Fax [phone]
2/16/95
Carteret County News -Times
Legal Advertising
P.O. Box 1679
Morehead City NC 28557
N077CE OF FILING OFAPPLICA770NFOR CAMA MINOR DEVELOPMENT
PERMIT
Pursuant to NCGS 113A-119(b), Pine Knoll Shores, a locality authorized to issue CAMA
permits in Areas of Environmental Concern, hereby gives NOTICE that on 2/16/95, Keith
Noble, applied for a CAMA permit to beach bulldoze for erosion control measures, at 103
Pinewood Drive and 107-119 Pinewood Drive, Pine Knoll Shores, NC. The application
may be inspected at the address below. Public comments received by February 27, 1995
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.
Roy D. Brownlow
CAMA Local Permit Officer for
The Town of Pine Knoll Shores
100 Municipal Circle
Pine Knoll Shores NC 28512
[phone]
PLEASE PUBLISH ON: Sunday, 2/19/95

KEITH C. NOBLE, M.D. F.A.C.S.
Post Office Box 326
Atlantic Beach, North Carolina 28512
DIPLOMATE AMERICAN [SOARD OF SURGERY EMERITUS CHIEF SURGERY
COMMUNITY HOSPITAL
ALLIANCE, OHO
h.'c;,ce � � I t t C e�'c! - �-'1.I C_ G • C1 „c,. �Z qua- Cc �e,� L�—i
•S in p ��r.l� ��
fI LLCGce �.C.l.
,?,C)-c
f C J U
tJ� Ck—QC�,�c�
(C LU [� 1 Ire L il�Ci.1L LI t�2�
V a,f _., L�_m Jar (t 4a-E.0-03-1 ti
�e tc�c
c� c:�
ji)
r
0
-
Old vlory
U.SPAIDSTAGE
ATLANTIC BEACH.NC
28512
FEB 95
AMOUNT
USA G
ES V IATED STtT
U TSEAWE
$ O
I'tl f [jS4D111)•
0000
•
00059033-07

TINE �<NO.L SHORES
Locality Permit Nu
GENERAL INFORMATION
LAND OWNER
Name'TREA OWIELL ;G RU 0a
JEFRt;ORwt-
-Address— 12 PWC__ ue�
5 -C79
City State Ate C Zip U 5 i Phone gUl —lo 7 &_
AUTHORIZED AGENT
Name _ k M4 0. Arir534C
Address Go X S 2 (o
City 4t1,AVT/c BEACO State i��e Zip . 1; t Z Phone
LOCATION OF PROJECT bc.
��-, // 9 P,
LOTS- Sacx A Llsts nI •c
(If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECT 13 LILL OO ZE 3 EA C4 AOL- E LU ANTE R
To 0,EhL[NTs Sr! `DUA/CS.
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be ' ed in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Other
PROP SED USE
Residential Commercial/Industrial Other
SIZE OF BUILDING IN SQUARE FEET
Size of other impervious or built upon surfaces (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline) L' / oa
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 LAMA, 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, Highway
Connection, Others:

APPLICATION FOR
-Y CAMA
L� w.ww.wwewweliA�R'y-�'�� -
-MINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed
the Coastal Area Management Act and set the stage for
guiding development in the fragile and productive areas
which border the state's sounds and oceanfront. Along
with requiring special care by those who build and
develop, the General'Assembly directed the Coastal
Resources Commission (CRC) to implement clear regula-
tions which minimize the burden on the applicant.
This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more
time or effort necessary from the applicant. Please go
over this folder with the Local Permit Officer (LPO) for
the locality, in which you plan to build to be certain that
you understand what information he or she needs.
Under CAMA regulations, the minor permit is to be
issued within 25 days once a complete application is in
hand. Often less time is needed if the project is simple.
The process generally takes about 18 days. You can
speed the approval process by making certain that your
application is complete and signed, that your drawing
meets the specifications given inside and that your
application fee is attached.
Other permits are sometimes required for development
in the coastal area. While these are not CAMA-related,
we urge you to check with the Local Permit Officer to
determine which of these you may need. A listing is
included on page 2 of this folder..
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management

STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, begin either the owner of property in
an area of environmental concern 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 sig-
nificant interest in the real property described therein. This interest can be described as follows: (check one)
an owner of record title, Title is vested in C A IgTL- R IC_r , see Deed Book
page in the C Iaa:- eT 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 contact or lease, explain below or use a separate sheet and attach to this
application.
rr
O
n
a
r
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)
(Address)
(1) - yICToq)i4 VAN OJfbPLY 100i AZ ElGGNP- S-r. GPEDUC13&rU IU.C,
(2) a 7 4`c /
(3) 'PAASQO 6ra-00N HUcfiC-4 10°7 N(WIs TP, 10K5, M. 9151Z
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 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
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands.in connection with evaluating information related to this
permit application.
This application includes: general information (this form), a site drawing as described on the back of this ap-
plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 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 a per-
mit is subject to civil, criminal and administrative action.
This the _:2-- day of /%Eb . ,19_.
Land dWner or"person authorized to act as his agent
for purposes of filing a CAMA permit application.

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor develop-
ment permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you,
if requested.
PHYSICAL DIMENSIONS
label roads
label highways right of ways
label local setback lines
_ label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
draw and label mean high water mark (MHW)
draw location of septic tank or filter field
If you will be working in the ocean hazard area:
draw and label dune ridges (note height)
draw and label toe of dune
identify and locate first line of stable vegetation
draw and label setback line under CAMA
draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
draw and label landward limit of AEC
describe terrain (slope)
DEVELOPMENT PLANS
draw and labs' 1,7eas that will be disturbed
i 1 t�c�r on lot, describe „. � .ion of house
_ )th to be r=.�:: -round
to be pave- A
ization rr .,.,.face
i't -�t[.i. ;e removed or relocated
NOTE TO APP1.ANT
Have you:
*completed all blanks and/or indicated if not applicable?
*notified and listed adjacent property owners?
*included your site drawing?
*signed both application and statement of ownership?
*enclosed the $50.00 fee?
*completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted �' 1 (,� Final Inspection Fee Received
Site Ins ectionk
-� -Ci 5
.r i-tZ�: T. -
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)

Tic �O a-ed tk. -,k
A4jt RkL d��L-6"
7'll Px-,60 Sc::�5- A -1 "to A - 10, *S'
dot, —A A-!, Oowi
- Ggul'.Ij A-1 ZL"Lc£
3 - PAG, �-F FFRC-SS
A ct NO r3 L e g o Alae Y.
A 5 114Tr-(" cn-'q-E
t Q�-` 6-wa'► • ► '� 5 a (� CvwcCrAA! 5�G Rv t
Yttic� nCCI C1mj- Ci++d f.Lc.� A-e 4. e Am tj 'Y►•wK�
1 O o a�sZ
acGY RT104%
I p - 12' A n i2o t.
SANooDvC-
A
R('ur
... ..
{{ram+ a���. h•� � � A � .�-
on jCa site a' times
1
t
l
1 ILL
1 ARti�
. t
Tee- of 7Juc
OC � 30 A-T = oC 71 b 6CG
NOTICE
CHANGES IN FLANS IMMST EE
13Y THE EL DING TCY:S
PRIOR TO Vvc,-%K Orl'.l,`i.,C; .;G. _..
zsI
MAYItAU c1 & >-CIAyA-rc 0A)
OFnra /
ate.
Nw.

Aa-b - �, 19 9 5
Jc,+- r A - ! "to /i - 10,
Vk-u C .u,,1L , 1o* A I -- 7 RE/49 we t---
A a - cac, rsg
H 3 PAG
A IVA34
AS ; )gTr=l1cn-VF5r1-y
A-4 HOWL?
A_1 Z`L�"_
acL (�l �Q� Gu'1'-��. ► �CsLv f� �� �.vKcl. �/�h!S-r R�/ C4—
�J
Cuvt-'�- 0,.,d -ctL Am a- 'Y►�w►c.rL
4"
Ex%sTWc, "DUuc
El-&Y R7l04)
/D -i2' AOORUY.
,,,SCARPAcuT
A r
•' t . .� r;
l P)uY:S �0 i` ii;ciiil G;7 j ;✓ Site 34 a times
NO�1
CHANGES IN PLANS tSUST CE
BY T H C BU;LCINGu
FRIER TO S:1G';ci: Cn,Rp,•� .,��',
/�1 r~►w .
%OE of vopic
MAxj/AUA4 e >< O�bAct c,cJ
DFnru /
-r(?-l+l, '�DSTVQOeD /aQE-/1
ODA30 x4 = �7,66� ors.-

N1
1�-'Ou
I
0
lu
:3
0
A rLA N 7'
pC
7
P
14 cQ
0
V7
>
-4
%L, W
LAKE
JV
0
MIMI Of Nil"
NOTICE
CHANGES IN PLANS MUST r3F APPROVED
BY Tt!cL. BUILDING
PRIOR TO WO"31, 'G.
CofS
01 af!
AV
Fla ()I, j©b site a'L a

KEITH C. NOBLE, M.D. F.A.C.S.
Post Office Box 326
Atlantic Beach, North Carolina 28512
DIPLOMATE AMERICAN BOARD OF SURGERY
EMERITUS CtIIEF SURGERY
COMMUNITY HOSPITAL
ALLIANCE, OHO
-4,7-c,. /�, /�V:)
IL'.C[L i r LLV C,
ff I_ t,. C
YL�(yt
t-�tI Cit C L�� (� LL'lu LtriCL (,L►v�OC
o—e-v
0C
ce(- Ctrc
kl J 1.c Zp-1
<<. kt
L
Keith C Noble .. - --- ---_ .• h �:� { �
PO Box 326 T
each NC2b8512-0,3�2G--i.;
P 357 211 365
,�ii���•,..tij,l t _ '*.: t. * nt�ii ,;i'�
f`
:�.: ray
;�kri..�.. tin�+e•�%.
3�':t
U.S. POSTAGE
PAID
ATLWITIC BEHCH.NC
28512
FEB 16. 95
HMOUNT
uwrs��
$ 1.10
0000
00059033-07
1
�rj��LL2.LL
�l-
Oid t ;Ion•
.r(

KEITH C. NOBLE, M.D. F.A.C.S.
Post Office Box 326
Atlantic Beach, North Carolina 28512
DIPLOMATE AMERICAN BOARD OF SURGERY
a 357 210 117
Receipt for
Certified Mail
No Insurance Coverage Provided
Do not use for Interratioral Mail
(See Reverse)
5crr t,
0 U . JtJ:e ind ... _,vr
F'O'ta;e 3 Z
s
ReSUiCted U, •"" ru.
� Hewrn Rr;_oip: �no.vny
� W Whom S Gdir ii.•nven,a
d firt<rm Hr.:rr�t Sr�o.vmq to btihwn,• - -
7
TorAt
00 Pusuh,vk ur CaafI Cif
LL •r<� -'
a
EMERITUS CHIEF SURGERY
COMMUNIrY HOSPITAL
ALLIANCE, OHO
5

KEITH C. NOBLE, M.D. F.A.C.S.
Post Office Box 326
Atlantic Beach, North Carolina 28512
DIPLOMATE AMERICAN BOARD OF SURGERY EMERITUS CHIEF SURGERY
COMMUNITY HOSPITAL
ALLIANCE. OHO
5
a�
ILL C9
C° A N
4-9 CLA
CLcD, -Lu0 -tn�, a.,..
V y
P 357 210 116
ReceiPt for
Certified Mail
No Insurance Coverage Provided
,n y .fUt Do not Use for Internadw.al Mail
ISee Hoversel
$feel f.,
HOW" 14
C 1 rdu+.,10(F
Q.�f.•fy , `,11�
00
E
\