Not Given_Theisen, James and Karlene_20031218

Loc2htq Permit Number
Ocean H=d, Estuarine Shoreline ORW Shoreline ublic Trust Shoreline Other
(For official use only)
GENERAL INIFORMMAATION
LAND OWNER
NameJ4Me—S --rmF7-4.-.W 4 1'1)IFf=, e-4RLCNe: 9� 7,h 7sed
Address 815 -5 c'.yl A MS ecvgr
City l.,* P44r,* State Al b Zip _261P44 Phone 301— 9.1!- A� Y7
AUTHORIZED AGENT
Name P Rr .l. -�cl�rs�.c! CA0,4�r.[�rtl,� &11&,j,,, C'a. �rc�
Address / 2-72 do-44(V I d.- vx
City A(W 6ggLlo State 4re— zip za'16z PhoneZ.:rZ-(o55'—/7d�
LOCATION OF PROJECT.- (Address, street name and/or directions to site. if not oceanfront, what is the name of
the adjacentwatcrbody?) 106 60021i/n5- )SO4d
91AM2ro l CiLZ�tL
DESCRIPTION OF PROJECT.- (List all proposed construction and land disturbance.)
�t1�W' ,�a►� _ itpR�o� � �33 5�
/3 35 S
SIZE OF LOTMARCEL: S"r * square feet acxes
PROPOSED USE.- ResidL-ntial ✓(Single-family Multi -family ) Commerical/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): square feet (includes all floors and roof -covered decks)'
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
TIME COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): sq. €t.
(Calculations include the area of the roof/drip fine of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer ifyou are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
State Stormwater Manage ent Permit issued by the N.C. Division of Water Qualiry?
YES NOy�
If yes, list the total built -upon arca/impervious surface allowed for your lot or parcel. square feet.
ZO 39Vd 06I99E9Z9Z OE:ZI E00Z/6Z/ZI

OTHER PERMITS MAY BE REQUIRED: The acavity you ale planning may require perrnkrs o dirt than the CAMA minor
development permit. As a service we have compiled a list of the kinds of permits that might be required. We sugpcst you check over the list
with your LPO to determine if any of these apply to your project: Zoning, Drinking Water Woll. Septic Tank (or other sanitary waste
trearmenr system), Burning, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FiA Certification,
Sand Dune, Sediment Control, Subdivision Approval, Mobile home Park Approval, Highway, Connecdon, and others.
STATEMENT OF OWNERSMP:
I, die 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, cert* 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)
fan owner or record title. Tide is vested in
page 6.37 A in the CRA County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to [he estate of
probate was in County:
see Deed look _ _20 91 -
if other interest, such as written contract or least, 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 chat I have given
ACTUAL N0110E to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Nanxe) (Address)
(1) 7',�lo�ce�s ,tI�GRAw Ia/ 1_.46TffR,V &4M'4- , k1-FW 13XAvWC
(2) .N. Wo-4LAA6- - rf•94�c RA,�l ,tSde yr Are-
(3) _ .._......
(4)
FOR DEVELOPERS IN OCEAN KkZARD ,AND ESTUARINE E AZARD AREAS:
I acknowledge that the land owner is aware chat 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 associ-
ated with this lot. This explanation was accompanied by rceonunendadons concerning stabilization and.11oodproofing tech-
niques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do art 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 [his application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor-
mation 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.
T ' e Tila of C.�/�F� , 20a3
Landowner or person authorized to act as his agent for puing a CAMA permit application_
E0 3E)t/d 06TG969ZGZ 0E:ZT E00Z/6Z/ZT

The proposed project involves the construction of a single-family residence at 106
Bowline Road along the Trent lover. All land disturbing activity involved in the
proposed project will lie more than 40 feet landward of the mean high water mark. The
proposed project as described to me, qualifies for an exemption to the CAMA permit
requirement
Sincerely,
,JXA wr. -1,1iC
Seth U Laughlin
Local Permit Officer for
Craven County
2828 Neuse Blvd.
New Bern, NC 28562
[phone]
cc: Ted Tyndell, CAMA Field Representative
00 39Vd 06T99E9Z5Z 06:ZT E00Z/6Z/ZT

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PRELIMINARY PLAT
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LOT NO. III SUBDIVISION: County Re ester of Oecd%
New Bern, Number Elght TOWNSHIP, Craven COUNTY, NORTH CAROLINA
PRELIMINARY PLOT PLAN FOR: Coastline 13041em
DATE: 12/ 15/2003 JOB NO. 263G FIELD BOOK /.
GRAPHIC SCALE
SLIITT & AssOCIATES, P.A. �, p. 1y �• ev
LAND SURVEYORS SINCE 1965
P.O. BOX 12034
NEW BERN, NC 29561.2024
TEL. [phone]
RAX: 12y2( s33-9204 ( W US SURVEY FEET )
eMAIL: GUITTCGICCONNrG7'.NrT I lack = 30 It.
90 39Vd 06T99E9Z5Z OE:Zi EOOZ/6Z/ZT

11/2512M M 52 2525239884 MR WILIAMS
DEC-10-2003 ease* HM
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npna oipropatyo � wa�r)
propercy locrad at (
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(watabody) (Town &War owuy)
110he hat described to me to "wa below, fm dOdoptaeat bViha it P:op0e4
at thm locatidN and 1 harR no objectiom to WAff propQW,
DZS+CPArWN AND/OR VIUWWG OF PROPOSO DEVZL 3PMNT
(To brAIkdhI by in&vidWI pro ddAVdovrlop
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90 39tid 06TS969ZSZ 0E:Zi E00Z/6Z/ZT

ADJACENT RIPARIAN PROF RTY OWNER STATEMENT
I hereby certify that I own property adjacent t4,44460S
{name of property owner)
property located at /Div �+wyc�✓�tiC �b
(Lot, Block, Road, ctc.)
on 1,004770W SWWL , in //0-4/ €.W w erPWE:A- f 60, , NC
(Waterbody) (Town and/or County)
He/She has described to me as shown below, the development he/she is proposing
at that location, and I have no objections to his/her proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To befilled in by individual proposing development)
r
Signature
Print or Type Name
Z G 3 3 -9�5 2
Telephone Number
f-1DCc- o3
Date
LO 39t/d 06T99E9Z9Z OE:ZT E00Z/6Z/ZT