91-0007_Chmiel, Thomas T._19911231

Pamlico Gounty
Local Government
ai_nnm
rermit numner
EJA!M0 2 1992
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Natural Resources
and Community Development and the Coastal Resources Commission for develop-
ment in an area of environmental concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management."
Issued to Thomas T . Chmie 1
authorizing development in Paradise Shores Subdivision , at Dawn St. off SR 1328 Whortonsville
L Buxton Creek as requested in the permittee's application dated 12/12/91
This permit, issued on December 31, 1991 , 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.
1. All proposed development and associated construction must be done in accordance
with the permitted workplat drawing as originally submitted.
2. All construction must conform to the N. C. Building Code requirements and all
other Local, State and Federal regulations.
3. Any change or changes in the plans for development, construction, or land use
activities will require a re-evaluation and modification of this permit.
4. The amount of impervious surface areas shall not exceed 30% of the lot area
within the 75' Area of Environmental Concern.
5. Pursuant to 15A NCAC, Subchapter 7J .0406(b), this permit may not be assigned,
transferred, sold or otherwise disposed of to a third -party.
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 accessible to the
permit officer when the project is inspected for compliance.
Any maintenance work or project modifications not covered
under this permit require further written permit approval.
All work must cease when this permit expires on
Dec. 31, 1994
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.
e
it Officer (signature)
Joan Spain Leary
name
,)?_.O,Box; 776
address
;Bayboro, 'North Carolina 28515
Permittee (signature required if special conditions above apply to permit)

GENERAL INFORMATION`
1. LAND OWNER DEC 16 1991 'r k
I�
Thomas T. Chtaiela p.
Name
Address P • 0 . Box 57
City Mt-rritt M _rri State, N.C. Zip 2,8556 Phone [phone]
2. AUTHORIZED AGENT
Name
Address
City State Zip Phone
3. LOCATION/DESCRIPTION OF PROJECT Paradise Shores on DaWri Street off SR 1328
Subdivision
Whortonsville on Buxton Crppk Placement of a double -wide mnh;1A home
to be used as a single-family residential dwelling.
4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by Local Permit Officer prior to completing application.)
Ocean Hazard X Estuarine Shoreline Other
S. PROPOSED USE
Residential Commerical/Industrial Other
6. SIZE OF BUILDING IN SQUARE FEET: 1,056
7. SIZE OF SITE IN SQUARE FEET: 16, 000 approximate
This application includes: general information (this
form), a site drawing as described on the back of this
application, the ownership statement, the AEC hazard
notice where necessary, a check for $25.00 made payable
to the locality, and any information as may be pro-
vided orally by the applicant. The details of the applica-
tion 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 CAMA permit is subject to civil, criminal and admini-
strative action.
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 compiled 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.
This �the 12 day of December
Applicant's signature (or authorized agent)
Indicate below address and phone if not shown above.
Zoning, Drinking Water Well, Septic Tank (or other sanitary
waste treatment 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 Connection, Others:
LOCALITY Pamlico County PERMIT NUMBER 91-0007

17 STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, being 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 significant interest
in the real property described therein. This interest can be described as follows: (check one)
X an owner of record title, Title is vested in Thomas T. Chwiel
, see Deed Book 192 , page 334 in the
Pamlico 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 contract or lease, explain below or use a separate sheet
attached to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthermore certify that the following persons arc 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) R.J. Pegurri & B.J. Rand 289 Walpole St Norwnna, Mn. 02062
(2) Hebert Waters Rt 4, Rnx 110 Kinsten,—N.C. 28501
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE SHORELINE EROSION 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 flood -proofing 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 the 12 day of De(-emher # 19 91
�'rz- v
Land owner or person authorized to act as his agent
for purposes of filing a CAMA application.

of North Cierolim,
COUNTY
BAY1901t(D 2ti�il�i
CAMA PERM T NOTICE
Pursuant to NCGS 113A-119(b),
a lo
cality authorized to issue CAMA Permits in areas of e rom-ental
�-
concern, hereby gives NOTICE that on IV 4e��
the applicant, prodosed to
" . �/" Z' 6
located"
Persons desiring to inspect the application, to ca mnt thereon or to
appeal the local decision are directed to contact the local permit officer
at the below address within seven (7) days of this notice.
•Lo 1 Permit Office or R i it
Minor Developmr>-nt Permits Under CAMA
P. 0. Box? 76
Bayboro, NC 2851"
Phone: [phone]
Public Notice
M- 5
AN F-QLJr,L orpt)RTl1NITY AFFI1,',%1A-rjVF ACTION F'\1F'l_OYFR

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