98-0023_Gillis, Earl and Karen_19981211

98--0023
PAMLICO T _ Permit Number
Lo�Government � "'
LAMA
DEC 2 8 1998 MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment
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."
i i
Issued to EARL & KAREN GILLIS authorizing development in T?gTTTARTNP SHORELINE
at Lot 11, Ball Creek Estates in the Florence community
adjacent to Basture Creek as requested in the permittee's application, dated 11 /19/98
This permit, issued on 12/ 1 1 /98 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
normittan ton fine_ imorisonment 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 theppenmitted workplat drawing as originally submitted on
11/19/98.
2. All construction must conform to the North Carolina Building Code requirements
and all other Local, State, and Federal regulatdions.
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.
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 per-
mit 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 requires further written permit approval.
All work must cease when this permit expires on December
31, ?nnt
In issuing this permit it is agreed that this project is consistent
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.
Permit Officer (signature)
Skl fie, Local Permit Officer
Pamlicomy Building Inspections
name
PO Box 776
address
Bayboro, NC 28515 (2523 745-3861
Permittee
(signature required if special conditions above apply to permit)

Locality Permit Num_Pmhr'n
GENERAL INFORMATION
LAND OWNER
Name FA R L h (-i l L L
Nov 2 3
Address P eo. 1
City 02&e8if State �M c .. Zip Phone
AUTHORIZED AGENT
Name
Address
City
LOCATION OF PROJECT
State Zip Phone
(If not oceanfront, is waterbody natural or manmade?) 6(b E . iM I - l
DESCRIPTION OF PROJECT T� V Ell' UN dC 67 ' CaAlT
n. C
COIVRIIN� y 1 (x 4 x Sr pdA Icy , -✓�.
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard / Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
)—Residential Commercial/Industrial Other
SIZE OF BUILDING IN SQUARE FEET O S /oo�Z-ID�� (BUT )'D
Size of other impervious o; built u on surfaces (s c as driveway it 'n 75 feet of the shoreline (575 feet
of an ORW shoreline)
SIZE OF SITE IN SQUARE FEET I c)T a CAM - L s LCkal-D 14kcA
OTHER PERMITS MAY BE REQUIRED... Zoning, Drinking Water Well, Septic Tank (or other
sanitary waste treatment system), Burning, Electri-
The activity which you are planning may require cal, Plumbing, Heating and Air Conditioning, In-
permits.other than the CAMA minor, permit You sulation and Energy Conservation, FIA Certifica .,
are applying for here. As a service we have com- tion, Sand Dune, Sediment Control, Subdivision
plied a listing of the kinds of permits.which might! Approval; Mobile Home Park Approval, Highway
be required. We suggest that you check over this Connection, Others:
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.

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)
V an owner r ord title, T' is vested in I�leL d 1fi" %LL , see Deed Book
page in the mLl C a 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.
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)
(2)
(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 tome 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 _d day of 19�.
4�� �? - - ea� _.-qr
Land owner or -person authorized to act as his agent
for purposes of filing a CAMA permit application.

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