92-0012_Johnson, David J. and Lorelei J._19921104

aalicd Zounty _ 92-0012
Local Government
" Pcrmit Number
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NOV e 5 1992 CAMA
MINOR DEVELOPMENT
PERMIT --
as authorized by the State of North, Carolina, Department of Natural Resources"N,�
and Community Development and the Coastal Resources Commission for develop-
ment in an area of environmental concern pursuant to Section 113A-118 of the
Gerferal Statutes, "Coastal Area Management."
Issued to David J. and Lorelei J. Johnson '
authorizing development in Florence, N. C. J oiu� SR 1330 adjacent to Rosa Rise S/D
on Bay River as requested in the permittee's application dated �l3 �---
This permit, issued on Nov. 4, 1992 , 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 woricplat 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 develognent, construction, or land use
activities will require a re-evaluation and modification of this permit.
o -
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
undcr'this permit require further written permit approval.
All work must ccpse_ phen this permit expires on
In issuing this permit iNis 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
4he written approval of the Division of Coastal Management.
Joan Spain Leary
P.O.Box 776
Ly rmit Officer (signature)
name
Bayboro, N. C. address
Permitteee (signature required if special conditions above apply to permit)

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GENERAL INFORMATION
1. LAND OWNER _ OCT 2 $ t
rT i
1992
P Name 1 J xIJ� L.> IZ616 3oht\San IU!
YIAddress 10. (J O X 1'Z------•---- .............
City mef'fr State NC
Zip Z $ras�n Phone li?0('.IL 2liq- del ii
2. AUTHORIZED AGENT
P; Name
Address
City State Zip Phone
3. LOCATION/DESCRIPTION OF PROJECT SR R L 1330 A diacQ14 +o it o5A iZiG�
SLt(Oc�i�1+S*10r';IN flofeAce ttj.0 to ` 1CILCE C101tle eA3 a-' MQbi Ie- ornIL—
ec
n
4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by Local Permit Officer prior to completing application.)
H Ocean Hazard v Estuarine Shoreline ORW Other
5. PROPOSED USE
Residential Commerical/Industrial Other
6. SIZE OF BUILDING IN SQUARE FEET:_] 700
Size of other impervious surfaces (i.e. driveways, etc.) within 75' of shoreline (575' if ORW)
1,
7. SIZE OF SITE IN SQUARE FEET:
NIf not oceanfront, is waterbody natural or manmade? (The AIWW is considered manmade.)
This application includes: general information (this form), a This the j4Zay of _ioc�/J 19 �!
site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where neces-
sary, a check for $50.00 made payable to the locality, and �plicantftre (or orized agent)
any information as may be provided orally by the applicant.
The details of the application as described by these sources Indicate below address and phone if not shown above.
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 ad-
ministrative action.
sr
SI' OTHER PERMITS MAY BE RE.QUIRED.. .
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-
0A tion to help you complete your project as quickly as
possible.
9
LOCALITY
9VZ__f_-e2
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:
PERMIT NUMBER

STATEMENT OF OWNERSHIP
A
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)
an owner of record title, Title is vested in LoreLtJ Ajonl
2•$ 3 Z.
" �
see Deed Book -- , page 76�& _ in the
County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heirto 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 are owners of properties adjoining this property. I affirm that
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA permit.
(Name) (Address) "
(2) J INCI� a MM-VAn�neyn -ing l� , © cA
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE SHORELINE EROSION AREAS:
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
1 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
permitapplication..

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COMMENTS ACCEPTED
APPLICANT:
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COUNTYJD It
BAYiiORO
CAMA PERM T NOTICE
C/rn-�
Pursuant to NCGS 113A- 119(b) , Llc-�
a locality authorized to issue WIA Permits in areas of environmental
c cern, hereby gives OTI CE that on
the applicant, proposed to
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located V /�
rs nono s des ring /to nsReCt to aApl cation, to camr-nt thereon or to
appeal the local decision are directed to contact the local permit officer
at the bela•r address within seven (7) days of this notice.
Lo Permit Office f r Rec 1 9
Minor Development Permits Under CAMA
P. 0. Box 776
Bayboro, NC 28515
Phone: [phone]
Public Notice
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AN EQUAL OPPt)RTUNITY AFf If:l%,%ATIVC ACa'li)N (•AIf't_OYE'ft

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PhHLICO COU14TY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
P.O. BOX 306
BAYBORO, NORTH'CAROLINA 28515
TELEPHONE: [phone]
AUTHORIZATION TO USE All EXISTING SYSTElI
RECORD 4428 PERIiIT 4 1030
APPLICANT NAIIE: LORELEI JOHNS011
--
ADDRESS: PO BOX 124
HERRITT NC 28556
LOCATION/SITE: FIORENCF SR 1330 TL ONTO DIRT ROAD LAST LOT ON
rvwr RTnr
MAP 0 '_ ROS1-31
TYPE OF DWELLING: ( ) HOUSE (X) I10BILE 11OHE ( ) OTHER
NUMBER OF BEDROOMS: 3 BATIIS FACTORS
WATER SUPPLY: (IX) PUBLIC ( ) PRIVATE
SYSTEM ORIGINALLY INSTALLED: 18 APRIL 09
01-INER AT DATE: JOHN PAUL :ZONES
PERIIIETER OF EXISTING SYSTEM:
To the fullest extent that %re are able to determine from site
evaluation and/or without previous documentation, the perimeters of the
septic system in existence on this site are as follows:-
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DATA:
Tonic size: _P STING
Gallons
IJo, Lines: 4
No. Linear ft. 300
No. Sq. ft. 900
as Plot Plan aaa:nananacaa:aaa
F3�6'A
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The system located at this site, at this time, shows no signs of
failure to function properly and may be "PLACED INTO USE". Should the
system show signs, in the future, of malfunction it shall be the
responsibility of the property owner to apply for an Improvements
Permit for the repair of the system.
*Failure to maintain a properly functioning septic system is considered
a public health hazard and a Violation of the North Carolina State Laws
and Rules Governing Sanitary Sewage Collection, Treatment & Disposal.
Violation of this regulation is punishable as a misdemeanor.
Sanitarian: Date 09/08/92 -

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