213-04_Cleveland, William & Joanne_20040512

05/26/2004 15:27 2527286643 CARTERET CTY P I PAGE 01
Carteret County 213-04
Local Government Parmlt Num er
CAMA
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-11 a of the
t7erry & Debbie Davis, Agents General Statutes, 'Coastal Area Managoment.•
Issued to William & Joanne Cleveland authorizing development in ORW Shoreline
at 175 BackshoreLanep SmXrnal North Carolina
as requested in the pormlaoe's application. dated Apxil 21 . 2004
This permit, issued on May 12 , 2004 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.
TO COMPLETE LAND DISTURBANCE AT 175 BACKSHORE LANE, SMYRNA. NORTH CAROLINA , 50, FROM
THE NHW OF JARRETT BAY IN THE ORW AREA OF ENVIRONMENTAL CONCERN.
THE AMOUNT OF IMPERVIOUS SURFACE AREAS SHALL NOT EXCEED 25% OF THE LOT AREA
WITHIN THE 575' AREA OF ENVIRONMENTAL CONCERN (ORW).
A 30' BUFFER ZONE MUST BE PROVIDED FROM THE MEAN HIGH WATER LINE (NORMAL WATER LiNE).
A SiLT FIANCE MUST BE PLACED BETWEEN THE HIGH WATER MARK AND THE FILL AND SLOPE MUST GO
AWAY FROM THE WATER.
ALL PROPOSED DEVELOPMENT AND ASSOCIATED CONSTRUCTION MUST BE DONE iN ACCORDANCE
WITH THE PERMITTED WORKPLAT DRAWING AS ORIGINALLY SUBMITTED ON APRILI 21, 2004.
ALL CONSTRUCTION MUST CONFORM TO THE NORTH CAROLiNA BUILDING CODE REQUIREMENTS
AND ALL OTHER LOCAL, STATE, AND FEDERAL REGULATIONS.
ANY CHANGE OR CHANGES IN THE PLANS FOR DEVELOPMENT, CONSTRUCTION, OR LAND USE
ACTIVITIES WILL REQUIRE A RE-EVALUATION AND MODIFICATION OF THIS PERMIT.
PURSUANT TO 15 N.C.A.C., 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 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, 2 Q
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.
D. O'Neal Loca ermit cer (signature)
Planning & DevejbpXGht:
name
Courthous9-Square
address
Beaufort, North Carolina 28516
6 1 r
Permntee
(signature required if special conditions above apply to permit)

05/04/2004 08:09 2527286643 CARTERET CTY P I
PAGE �02
el
Locality I,� Permit Number
GENERAL INFORMATION
LAND OWNER _
Name 0) t L ) I Ffm � •J E`J���
Address J b Q '!
City
AUTHORIZED AGENT
Name '
Address D
City
State �� Zip Phone
State , ,..":.� ZipaRso t 3-
- (If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECT tL MnlF-
G94DE a L I l)F- uj (e
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
Residenttal Commercial/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER RUERVIOUS OR
BUILD' -UPON SURFACES (such as driveways, ctc.) within 75 feet of the 575 fu
of an ORW shoreline) DilZI UL--W ftV . 14009-oK /.47r) 0 S 4 -C
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING bh1q-
SQUARE FOOTAGE OF
OTHER PERMITS MAY BE REQUIRED:
The activity you are planning may require
permits other than the CAMA minor
development permit. As a service we have
compiled a listing of the kinds of permits that
might be required. We suggest you check
over the list with your LPO to determine if
any of these apply to your project.
Fiff;-T!7m,
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, and others.

05/04/2004 08:09 2527286643 CARTERET CTY P I PAGE 03
STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a LAMA 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
LAMA 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 ' ted CRAM AP—r Cev� t4r.�11�e Deed Book 99b ,
page_,(Q7in the ' County Registry of DeFds.
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 furtberxmbre 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) (Addrace)
(1)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I aclmowledge that the land owner is aware that theoposed development is planned for an area which �nnay
be susceptib a to erosionand/or floodingg. I acknow edge that the local permit officer has explained to me the
particular hazard problems assodated wlth this iot. This explanakion was accompanied by recommendations
concerning stabilizatioxt 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 AJ— day of "O�DD-V
C-L
d owner or'person authorized to act as his agent
for purposes of filing a CAMA permit application.
C

05/04/2004 08:09 2527286643 CARTERET CTY P I PAGE 04
. f.�J�,i.l-tAM ��oRltU�fE C�E.LF)1�tp .
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BAc�s �oR�s
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5Qr
1
16 6'
175
o'-
24� bo-WEwAY l3d

05/04/2004 08:09
Wooden
Bulkhead
6'
Wz
To Bay Drive
& NCSR 1349
-4-
37T
2527286643
100'
t
SCALE: 'I Inch =.100 Feet
(Sol[ Lines Paced & Approx)
JANUARY - 1997
LAND MANAGEMENT GROUP, INC.
CARTERET CTY P I PAGE 05
16/l I + - 0A-Mjyr L L- yr t-nt -4j--,
PLOT PLAN AND LAND/SOILS MAP OF THE
JEAN TURNER LOT #9, SECTION I, WITHIN
BACK SHORES SUBDIVISION (TM #6-7-3-21
Smyrna Area - Carteret County - NC
(Historically Deeded & Recorded Lot)
(Grand father Exemptions Apply)
Shallow conv.
drainfields
4 tines 3' x 100'
1200 sgft
q1?5 &isvoa It
g0Ii. SG, '
�� •� s�.Sf�12�s�1 � ��
01 GM Vs,:L DP -IV —
provisionally Suitable soil areas for shallow
aconventional septic tank systems. Est seasonal
high water table 24 - 36'. Est pormeability 3o-60
min/in to +30" depths. Altavista soil types.
Provisionally Suitable soil areas for aitemative
shallow I.PP, fill -mound, or fill-l_PP systems. Est
seasonal high watertable 16 24". Est permeability
30-60 min/in to +20" depths. Augusta 3011 types.
Unsuitable soils for on -site waste treatment due to
est seasonal high water table <12", est slow
permeability 420", and/or poor landscape positions.
Tomotley and Arapahoe soll'typeo.
Marsh areas unsuitable for on -site waste treatment
-4--7 Set -backs required from these areas.
Recommended waste treatment systems;
—Shallow conventional septic tank systems.
—Install drainfieids 1 2-14" into ground and cover
with 6-8" fill for proper cover.
--900 gal septib tank install shallow for gravity flow
to drainfields
—0,30 gal/day/sgft application rate.
—3 bedroom home; 360 gal/day flow rate.
•-1200 sgft drainfield area or 4 lines 3' x 100'.

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05 04 2004 08:09 2527286643
CARTERET CTY P I
CAMA PROJECT TRACKING SHEET
L9/.IM.V6F;
Applicant's Name: -
Property Address:
Dates of Site Visits: (� 3 • Q
Exemption: a Permlt: � Number:
❑ Application to be returned for the following reasons:
Date Returned:
Application considered accurate and complete for processing? Date: `' Y
❑ The following site -specific observations have been made:
❑ The following conditions to be included on the permit (in addition to standard conditions):
LP64-!)
- v1A-� Date: Z3 0 - 0
Dates of follow-up visits:
Final inspection Date:
❑ Project determined to be in compliance with permit
❑ Project determined to be out of compliance with permit
Action taken to bring project into compliance with CAMA:
LPO: Date: