330-95_Waddell. James E._19950425

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Locality 1 \'f1 Permit Number
GENERAL INFORMATION
LAND OWNER
Name T A/'Yl e S L✓ i d d /�
Address y / '7 IVIANN 5-�
City !—ew� 0 x ¢' State �_ Zip Phone �a-3 - a 93
AUTHORIZED AGENT
Name SArn -e A
Address
City
State zip - Phone
LOCATION OF•PROJECT L D_� 3 l.�oc� d o'r,
su 36- Rd L�/hC W06d T01ase- — %yJA AIM& /S Doti �
(If not oceanfront, is waterbody natural or manmade?) 17 A'ht & A L
DESCRIPTION OF PROJECT C l fA r L p �- D /' 7',e eS -7I-D
'C_ * Cu.,s wl.er H 4 K5 2
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline
PROPgSED USE
Residential Commercial/Industrial
ORW Shoreline
[oil
2 nd
M
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)
SIZE OF SITE IN SQUARE FEET C� O , 7U O
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:

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 , see Deed Book
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.
t/ if other interest, such as written contact or lease, explain below or use a separate sheet and 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) (Address)
(1) �'bh n 0 L u rarg
(2) GARRfl--} 8ACOM to a Grey Z_44e /7ejWo7f,07c -J%s70
(3)
(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 PS- day of
Lan owner or'person authorized to act as his agent
for 15urposes of filing a CAMA permit application.
0
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ENVIRONMENTAL HEALTH DIVISION
CARTERET COUNTY HEALTH DEPARTMENT 8 O 9 2
G.S.130A-336 BEAUFORT, NC 28516 [phone]
IMPROVEMENT PERMIT
VALID FOR 60 MONTHS
Subject to revocation if site plans or if DATE / 111
site is altered or intended use is changed.
ELECTRICAL PERMIT REQUIRED: Yes ( ) No (v)''
OPERA TIO S PERMIT REQUIR D: Yes ( No
OWNER: l
ADDRE Cl alt , vA-
PHONE
PROPERTY LOCATION: A- 13 —32 A-1— 21
SUBDIVISION: JALa Q 10 ArIve-S
LOT: 31 .. BLOCK: Ph
Jr —
TYPE STRUCTURE NO. BATH 2
NO. BEDROOMS: NO. PEOPLE
DESIGN FLOW: GARBAGE GRINDER: Yes No( )
SEPTIC TANK: �sb GAL PUMP TANK: A1114 GAL
NO. 5 LINES:IL/—��S,,��/�� WIDTH: —/.2 " ��
TOTAL LENGTH: � FT. TOTAL: Y& SO. FT.
WATER SOURCE AjP
HORIZONTAL DISTANCE FROM WELL: sa FT.
SITE MODIFIED: Yes (_-) No (L'_r
DRAINAGE REQUIREMENTS:
M.E. CLASSIFICATION
New Construction
❑ Repair
❑ Existing System
'SYSTEM SHALL NOT BE INSTALLED UNDER WET P019DITIONS
/r
:Trench bottom depth to be no deeper than
naturally occurring surface.
Cara 1 120. G 2-
EASEMENT REQUIRED: Yes tf No 0ZCA50_
0
DRAINAGE MAINTENANCEREO.:Surface( ) Sub -surface( ) N
M NTAIN MINIMUM 10'FROM WATER LI E S C00 /
dte e,1 cd
COMMENTS: 'r
'Prior to any change in system layout, approval must be obtained
from Health Department.
NOTICE: Construction must comply with all state and local regula-
tions. Do not install well until well site has been approved. Do not
cover any portion of the system until approved on inspection.
NOTICE: Beware, much property in Carteret County is subject to
Wetland Regulations and properties containing wetlands should
receive approval from U.S. Army Corp of Engineers priorto develop-
ment.
"ADDITIONAL REQUIREMENTS ON BACK OF PERMIT.
IMPROVE P MIT BY*��
ENVIRONMENTAL HEALTH SPECIALIST
HEALTH SPECIALIST
Ott(
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74. y •ti -
EDGE Of WATER
IRON PM r dET 1 1.60' `j n t I EX. IRON PIPE
CHAIN LINK f'EMC , K)
_ . 10' DRAINAGE. EAREMENT
• ti
QRA/l�►_ GE '
EA EME / NV
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(32) ; f (31) t
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use.
LINE
3 (29)
17
PIPE ' EX. CONC. NONU.
. ���f .J.. ROL L INGWOdD
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MAP 'PREPARED FOR
JOHN KONSOWI TZ
AN C. wKEO
MA RIL YNN SOWI.TZ
MOREHEAD TWP. CARTERET CO. N.C.. .
SCALE A40' DATE 4-4-89
402e d 40' so'
LOT 31, ROLL/NGWOOD SUBD., PHASE ll. -
MAP BOOK /5, Pp 5.
I JOHN F. BRAMMO awft that ft taap was drown under ml
srpervislon from an actual su.my made under my supervision, dead and �.�`�-(N C.q,?�,,
description recorded In Book n that the ratio of Q` •••••••••• O
precision as calculated by latitude and departures Is l 606P ��_.•Q�,61StF9FO -s Z'
taat the boundaries not surveyed are shown as broken lines plotted from SEAL. y =
Information found In books referenced, that this map was prepared In
actnce with Q S. 4730 as amen d, fitness my hand a seal this = L-2621 f
day of G l�D. 19� • c, t 9 OQ
'yO
� t�
nd Surveyor %'yt,'•..••SURV•••.••
gstration No. t-2it21 / BR
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CARTERET COUNTY COURTHOUSE
CENTRAL PERMIT OFFICE OF
CARTS RW—.mC O IJ N'�Y
COURTHOUSE SQUARE
BEAUFORT. N. C. 28516-1898
728-8545
BUILDINGS. MOBILE HOMES. ELECTRICAL. PLUMBING. MECHANICAL
3ames
Pursuant to NCGS 113A-119(B) Carteret County, locallywaa(A ell
authorized to issue CAMA Permits in areas of environmental concern -
hereby gives notice that on April 26, 1995 applied
for a CAMA Permit to clear lot of trees in order to construct a
52x64 square foot home 50' feet from the water. The property is
located at L31 Rollingwood Acres, Hwy 24, Newport, N.C.
The application may be inspected at the address above. Public
comments received by May 6, 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 on this matter will be
provided upon written request.
Larry D. Smith
Local CAMA Permit Officer
Central Permit Office
Carteret County
Courthouse Square
Beaufort NC 28516
PLEASE PUBLISH ON APRIL.28, 1995