W014.04_Jackson, Curtis & Lynette_20040424

Carteret Co.
Local Government
CAMA
MAY 122004 MINOR DEVELOPMENT
Moreh
eadGityDCM PERMIT
as authorized by the State of North Carolina, Department of Environment,
Health, 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."
Issued to Curtis an Lvnette Jackson
W014.04
Permit Number
authorizing development in Newport, NC at 113 Salty Shores Point Dr.
as requested in the permittee's application dated April 8, 2004
This permit, issued on April 26, 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.
This permit is to allow the construction of proposed house with decks and porches. This
permit includes the installation of a driveway and parking pad.
All proposed development and associated construction must be done in accordance with
permitted workplat drawing(s) as originally submitted or revised April 8, 2004.
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 15NCAC, Subchapter 7J.0406(b) this permit may not be assigned,
transferred, sold or otherwise disposed 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 requires further written permit approval.
All work must cease when this permit expires on
December 31. 2007
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.
4A-Waj-
Local Permit Officer (signature)
Kim Haut
name
701 Cedar Point Blvd.
address
Cedar Point NC 28584
Permittee
(signature required if special conditio a ove apply to permit)

r
' CAMA PROJECT "RACKING SHEET
I
?pplicant's Name: ('uci-15 q- L Wt-- �T_ oc ,
Property Address:-. 13 \sQ
Dates of Site Visits: o.. f �-
Exemption: Permit: Number: V/Q14.O'q
7 Application to be returned for the following reasons:
Date Returned:
�✓ Application considered accurate and complete for processing? v� Date:o4 • /3 • c4
The following site -specific observations have been made:
The following conditions to be included on the permit (in addition to standard conditions):
LPO:Date: ��. I O'+
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:

1
A/arteret�ounty
Department of Planning
urthouse Square
.: Beaufort, NC 28516-1898
( - fice [phone] Fax
Pursuant to NCGS 113A-119(b), Carteret County, a locality authorized to
issue CAMA permits in areas of environmental concern, hereby gives
. notice that on
applied for a CAMA permit to�-hr1,� c-f r- hrV , C-�,e
at
IY
1 13 Sa I_-
hor
M-IM-W-M
The application may be inspected at the address below. Public commehts
received by _-. �, . C�� will be considered up to the time of
permit decision. Project modifications may occur based on further revieni
and comments. Notice of the permit decision in this matter will be provided
upon written request.
CAMA Local Permit Officer
Carteret CoUnty
Central Permit Office
Courthouse Squar e
Beaufort, NC 2$516
Please publish on . 14', ()4
and return Affidavit of Publication as
soon as possible.
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Postage $ p;
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(Endorsement Required) Here
Restricted Delivery Fee to • of)
(Endorsement Required)
nJ Total Postage & Fees $ i ='88 OV08/2004
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R1 Total Postage & Fees $ $4.89 04/08/2004
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EMERALD ISLE MAIN PO
EMERALD ISLE, North Carolina
285941905
3613950684-0098
04/08/2004 [phone] 12:01:52 PM
Sales Receipt
Product Sale Unit Final
Description Oty Price Price
CARRBORO NC 27510 $0.83
First -Class
Return Receipt $1.75
Certified $2.30
Label Serial #: 70022410000657920915
Issue PVI: - $4 88
-NEWPORT NC 28570 $0,83
First -Class
Return Receipt $1.75
Certified $2.30
Label Serial #: 70022410000657951520
Issue PVI: -$4 88
I Total:
Pai d by:
Cash
Change Due:
Bill#: 1000200145802
Clerk: 06
$9.76
$10.00
-$0.24
— All sales final on stamps and postage. —
Refunds for guaranteed services only.
Thank you for your business.
Customer Copy

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C,-15 JAClzSoa S 's
property located at h 3 SAc-T`t fOLaT DRLy�4L�0 CLAUbe �-d�C�� on
(lot, block, road, etc.)
$o6UE �DyNO in (AR-feaE'f N.C.
(water body) (town and/or county)
He has described to me as shown below, the development he is proposing at that
location and I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING `OF PROPOSED DEVELOPMENT: (to be filled in by individual
proposing the development.) 'T
Signature
Name
Phone Number

■ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired. X
■ Print your name and address on the reverse
so that we can return the card to you. B. Received by (Printed Name)
• Attach this card to the back of the mailpiece,
nr nn the front if space hermits.
1. Article Addressed to: ,
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❑ Agent I
❑ Addressee
C. Date of Delivery '
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D. Is delivery address different from item 1? ❑ Yes I
If YES, enter delivery address below: ❑ No
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3. Serw pe
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❑ Elrpress Mail !
❑ Registered
In"Retum Receipt for Merchandise I
0 insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Numbera�loArtiole Number D�o�/ 9e�S D ! 150�l
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item 4 if Restricted Deliveryis desired.
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so that we can return the card to you.
N Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
I
A. Signature
X El Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se ype
Certified Mail ❑Express Mail
❑ Registered PKetum Receipt for Merchandise i
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2. Article Number / OOA �,/�O / d6 5��� i5ao
(transfer from service Labe ! 'f (/ l/ (7
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540
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Locality j ��-� C" Permit Number
GENERAL INFORMATION
LAND OWNER
Name GOCT15 5. JActcsorl Ar4o WIFE (.YNEttE J-,IAGrGSoPI
Address 19- 6 BUSC t �6
City 66(/05 BOR.o State I46- Zip V5 Z 7533 Phone 919 - 734 - 5-4 2 S
AUTHORIZED AGENT
Name
Addre.,
city State H Zip S�594 Phone ZS2-
LOCATION OF PROJECT LD7 [ 8P Jmc6a) R2U"''��MA?�-'� P' (03(�•p(- ��j -753��
LN5•0[ 45 -9&Q& 113 541.11 5V,02.95' ppPo:,�r
(If not oceanfront, is waterbody natural or manmade?) >940 soim% 0 2• ('-j .
`I
DESCRIPTION OF PROJECT &OPt6eD �66e u�l O S A"O ebA-c RES I PXWC PA21Gt klL7
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to com�ppleting application.)
Ocean Hazard Estuarine Shoreline !i ORW Shoreline Other
PROP SED USE
Residential Commercial/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline)OB S
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDINGN�LvDln�lsK-s
Pe�.c�t�s
SQUARE FOOTAGE OF SITE ��, 15�• 5 S''
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.
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.

STATEMENT OF OWNERSHIP
I, the 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, 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: (check one)
LZan owner or record title, Title is vested in tS .6,JACKsa..% f WIFE , see Deed Book DZ 3
page ?�� in the CATET e-r 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)
(1) �lG{ld�0
�.'(i6c/I.�Q..
3Z5 SIkRRrNG'fet� �ao6E
f�(1;�.►Pb,lf� NC 2g57a
(2) ge-fnf
R - WJAW L s
104 c tr u&5 T GT•
CAP-t-& o , A-y c 7,7 Sca
(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 to me 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 aq administrative action.
This the day of & 200CL� ,
--- I I fy If _
Lando r or -person autho ' ed toFact as his agent
for purl5qiees of filing a CAMA permit application.

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S 85055'21'W
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D.B. 786, Pg. 64
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