178-04_Jackson, Jeremy C._20040224

2527286643
CARTERET CTY P I
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03/10/2004 14:03
---darteret County
Local Government
178-04
Permit Number
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-118 of the
Jere C Jackson General Statutes, "Coastal Area Management."
Issued to 'AS' - authorizing development in Newport, North
Carolina -at 634 Sea Cate Drive, Lot 36 Section 1, NGH2ort, N.C.
as requested in the permittes's application, dated January 28, 2004
This permit, issued on February 24, 20 4is subject to compliance with the application and site drawing (where consistent
with the permit), all applicable regulations and special conditions and notes sotforth 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 CONSTRUCT A SINGLE FAMILY DWELLING, DRIVEWAY, WOOD DECK AND A WALK FROM THE DECK
A DOCK AT 634 SEA GATE DRIVE, LOT 36, SECTION 1, SEA GATE SUBDIVISION, NEWPORT, NORTH
CAROLINA, WITHIN 75' OF THE NHW OF THE INTRACOASTAL WATERWAY IN THE AEC AREA OF
ENVIRONMENTAL CONCERN.
THE AMOUNT OF IMPERVIOUS SURFACE AREAS SHALL NOT EXCEED 30% OF THE LOT AREA
WITHIN THE 75' AREA OF ENVIRONMENTAL CONCERN (AEC).
A 30' VEGETATED BUFFER MUST BE PPLACED BETWEEN ALL IMPERVIOUS AREAS AND SURFACE
WATERS. (WETLANDS)
ALL PROPOSED DEVELOPMENT AND ASSOCIATED CONSTRUCTION MUST BE DONE IN ACCORDANCE
WITH THE PERMITTED WORKPLAT DRAWING AS ORIGINALLY SUBMITTED ON JANUARY 28, 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(8), THIS PERMIT MAY NOT BE ASSIGNED,
TRANSFERRED, SOLD, OR OTHERWISE DISPOSED OF TO A THIRD PARTY.
Ti,i..........x
_ �_....... ,, sitar wy 4wFwi-l60 oy the permntee 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 it 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 le agreed that this project is consistent
With the local land Use Plan and ail applicable ordinances.
This permit may not be transferred to another party without
the written approval of the Division of Coastal Management.
arry Svh Local Permit Officer (signature)
Planning 4 Development:
name
Courthouse Square
�^ address
Beaufort, North Carolina 28516
A�j
(si ature requir if special conditions above 1 to r
aPPY Permh)

02/17/2004 09:32 2527286643 CARTERET CTY P I PAGE 01
fr�jJ yr
d , Locality 4VQ #0424 Vermir Number
`c t Ocean Hazard Estuarine Shoreline ORW Shoreline _Public Trust Sloreline Oclier
tit. (For official use only)
est.
rSI GENERAL INFORMATION
LAND OWNER
tSl
+u 4
Namc
Addre;
City /+, I I Io— I— State L Zip .2-R5' -Z Phone 8' 0 4 . 7J X z
AUTHORIZED AGENT
Name San., 6a•r-`
Address
City
LOCATION OF PROJECT. -
the adjacent waterbody?) _a
State zip Phone
street name and/or directions to site. If not ocean&ont, what is the name, of
JE DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
w
SIZE OF LO /PARCELt $ square feet . 4 z j� q , acres
PROPOSED USE: Residential_ Z (Single-family Multi -family ) Commerical/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN RAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): square feet (includes all floors and roof -covered decks)
e�
• SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 4.2 ap— sq. ft.
(Calcularions include the area of the toot"/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
cm that are within the applicable AEC. A.rta.ch your calculations with the project drawing,)
Choose the AEC area that applies to your property:
(1) within 75 lect of Normal Thigh Water for the Estuarine Shoreline AEC
(2) within 575 lcct of Normal NigJt Water for rite Estuarine Shoreline AEC, adjacent to Outstanding,
Resourcc Watcrs
i• (3) within 30 feet of r.he Public Trust Shoreline AFC
;i (Conrad your l,.ocal Permit Officer ifyou are not sure which AEC: applies ro your property)
STATE STORMWATER MANAGEMENT PERMIT. Is the project located in .in area subject to z
- Srvitr Sturmwater Manage lenr permit issued by thc; N.C. Division of Warcr Qualirv?
YES NO
it If yes, list the total built -upon arcs/impervious suncce allowed For your lot or parccl. square feet.

• 02/17/2004 09:32 2527286643
CARTERET CTY P I
PAGE 02
OTHER PERMITS MAC BE REQUIRED: "1'hc acrivin• vnu arc planning may require permirs ocher than rh: CAMA rninnr
deveiopmcm perrnir. As a service we- havc coorpilcd n list of div kind:, of llerntits char might be required. W.-suggest you thecae over the list
wirh ,your LK) to drrerminc finny of thaw rapl+h• to your hrojc:cr: Lonin�. r)rinkinr V%ater WcU, Septic. Tank for udrer .r'anlr lr}, waSCC
treatment swrctn), Burning. FJectrical, Pintnbine, I-1=611g and /fir t:ondirinninp. Insulation and Encr r Con servation. F1A Certification,
Sand Dune. Scdimcnr Control, Subdivision Approval, Mobile Flom• Park Approval. Iiighmay. Conneerion, and mitts.
STATEMENT OF OWNERSHIP:
L the unders►gticd, an applicant fur a LAMA tninor development permit, being either the owner of property in an AEC or a
person authorized to act as an went fur purposes of applying for a CAMA minur development permit, cvrtifti• drat the person
listed as landowner on thin application has a significant interest in the real property described chercin. This interest can be
described as: (check onc)
4 an owner or record title. Mde is vested in aoun
v?see Deed Book
page � in the * 'cf Registry of Deeds,
an owner by virtue of inheritance. Applicant is an heir to the estate of ;
probate wws in County.
if other interest, such as written contract or Imic, explain below or use a separate sheer and attach to this application.
NOTIFICATION OF ADJACENT F'ROPERTX 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 LAMA permit.
(Name) r e a.1 ----i
(I)
(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 to me the particular hazard problems assoei.
aced with this lot. This explanation was accompanied by rccom.mcndations concerning stabili7wion and floodproofing tech-
niquCs.
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 sire drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where ncc isary, a check for $100.00 made payable to the locality; and any infor-
mation ac may be provided orally by ncc applicant. The details of the application as described by these sources arc 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 permit is subject to civil, criminal and administrative action.
Th . the d of Kd�1 200A
Landowner or person authorized rn art , Mc ant. 1 C......... .,Cr1!__ -—A i A
C
C
C

• 02/17/2004 09:32 2527286643 CARTERET CTY P I PAGE 03
• MAMA'PROJECT TRACKING SHEET
Applicant's Name
Property Address:
Dates of Site Visits: t 3a o v
..�.
Exemption: Permit: 2K Number:
Application to be returned for the following reasons:
Al ea fo t ac,� 1 ov.orS A ReA'
Date Retumed:
Application considered accurate and complete for processing?- Date: _
The following, site -specific observations have been made:
The following conditions to be included on the permit (in addition to sta
ndard conditions):.
'p0' Date: /3 o A y
)ate$ of follow-up visits:
-final inspection Date:
Project determined to be In compliance with permit
Project determined to be out of compliance With permit
kction taken to bring project into compliance with CAMA:
PC:
Date:

02/17/2004 09:32 2527286643 CARTERET CTY P I PAGE 04
Katrina F. Marshall, AICP
Director
February 5, 2004
CARTERET COUNTY
DEPARTMENT OF
PLANNING & DEVELOPMENT
Main Office:
Courthouse Square
Beaufort, NC 28516-1898
Tel: [phone]
[phone]
Fax: [phone]
Mr. Jeremy C. Jackson
102 Sea Horse Drive
Havelock, North Carolina 28532
Re: CAMA permit No. 178-04
Location: 634 Sea Gate Drive, Newport, North Carolina
Dear Mr. Jackson:
Western Office:
701 Cedar Point Blvd,
Cedar Point, NC 28584-8013
Tel: [phone]
Fax: [phone]
Pursuant to NCGS 113A-121(b), the undersigned hereby gives notice to the applicant that
for a good cause, and in order to properly consider all information necessary to making a
decision on this permit application, the time period within which a final decisions shall be
made has been extended an additional twenty-five (25) days.
The additional 25 days will provide you with ample time to have an engineer provide a
storm water design for our review.
Should you have any questions, please give me a call.
Sincerely, lt'�
/,.7 .Z
Larry Smith
Inspection Supervisor
CAMA Officer
LS:kr
cc: DCM Field Representative

• 02/17/2004 09:32 2527286643 CARTERET CTY P I PAGE 05
, •- —•
BmrA CaNHc VAlchmT NORTH AS rER
WA MVE bkvt
eA
INTRACOASTAL WATERWAY
LQCATMN MAP
a<-3o oo'v eao3' or VA,m
VATIN
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RIED Tevrb, i
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p�
SEPTIC AREA WAS TAKEN FROM AN 'ONSET£ VAST[
Dis"MAL CLAN' sr CrEC EMVDlom"?A1., Jta N 1241 &L FI<a® i y
011TED ON/4s/67. BY TTIOlNS MNSON, LS.S. s I RTTTIC ; t
MIS PAAt• MA SCALES WI7MIN TLIAD ZARD Mg C ( I
AS PF.IF- FAKL 770NED
3 W" C IkKX DAT
wavDmm As. 199R {
ER I
SIX CARTERET PLANMN6 AND DISPECTUM FOR I I n
ALL POIMtTB CONCOMMO CUMSTRtIMM ON TMS LOT. OD
SEE ALSU CAMA FOR PERMITS.
yy
NOTd DINE)MB7aS aN4WN ON QED DWELLLNG I7)
FARE RE BASIC DDV4XM
AND SMOULD NOT BE USED to
•
FDvk MOUSE LOCATIt m VILE x ESTAxmwD am SITE
P
BY THE SURVEYOR AND/OR BUILDER ISM7 +/- Sr
a (}111 CAM +/- AC
THIS NAP DOES NUT REPRESW A RILL SURVEY 13F THIS y I
PARCM IT IS INTENDED TO SMOV MOV THE PRtB'1>SE.D I L I
DWELLING IS LWATCD IN MAIM TO OWTDIO FYATURFS,
PROM" U=l AND 1Ud m LINM I L
RRa RD4 LD! — '��
I
M/Vs 03'�6OD•E 80ar R/V
IF rrMY
SEA GATE ROAD
So' WI'V TE ON PAVED
REViSED PROPOSED PLAN
AND LOCATION MTE, THIS IS A PROrM PUN AN13 DOE$ NOT
FOR RCPRLMIT A FD:LD SURVEY. TMS TWIT SHOULD
J E R E M Y C. J A C K S O N TMITME B[ USED ACTUAL
CONVCTANCES. at IN
THE PLACE OR AN ACTVIIL SURVEY.
HARLOWE TwP. - CARTERET COUNTY - NORTH CAROLINA
LOT 36 - SECT. ONE - BLOCK F - SEA GATE SUB.
NOVEMKR 20, 2003 SCALE I' = 40'
REVISED DEC. 03, E003 TO CHANGE HOUSE PLANS o
JAMBS C. SIMMONS, JR. PLS N 3992 `
JAMES C. SPIMU 1S AND ASSOCIATES 2
PROFCSSMNAL LAND SURVOMS !! ,
603 /EBB BOULEVARD b
HAVELOCK, NC 28332 (fy
t252) A47-I5" C ` �► �,�
40 0 40 80 120 Av 'lLia�c. J L, PLS mr
pg ALL MONTS R[SO1V= ANY AMTM DUZT10iT.
OR REirl®ICTIOM AM FlUMnU ON,Y 1LUVWIM
GRAPHIC SCAJ,E — FEW cm mot. me s6RaTIn
suLt. R CONSritA[7 vALm

02/17/2004
09:32 2527286643 CARTERET CTY P I PAGE 06
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02/17/2004 09:32 2527286643 CARTERET CTY P I PAGE 07
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CAUA FERmlTnNG — MR. & lJRS_ "EMY C. .%CK-" RESOENCE
LOT 36 — SEA GATE ROAO
CARTERET COUNTY
NEW eERV. NORTFI CARCURA

' '03/04/2004 09:50 2527286643 CARTERET CTY P I PAGE 01�
Carteret County 180.04
LOC21 Government Permit NumbTr
VNA
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.*
issued to Ernest and Beth Spivey authorizing development in Beaufort,
NCarolina 332 WindingWoods Wa a Grstoma Landing,
Beaufort,
rt, N.C. as requested in the permhtes's applicatlon, dated January 30, 2004
This permit, issued on February 19 2004 is subject to compliance with the application and she drawing (where consistent
with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject
permittoc to a fine, imprisonment or civil action, or may cause the permit to ba null and void.
�1 �t TO CONSTRUCT A SINGLE FAMILY DWELLING, DRIVEWAY, WOOD DECK, A WALK FROM THE DECK TO A
sa� DOCK, AND A RETAINING WALL TO BE BEHINDTHE MAIN DUNE VERIFIED BY HE INSPECTOR AT 634 SEA
ATE DRIVE, LOT 36, SECTION 1, SEA GATE SUBDIVISION, NEWPORT, NORTH CAROLINA, WITHIN 75' OF
THE NHW OF THE INTRACOASTAL WATERWAY iN THE AEC AREA OF ENVIRONMENTAL CONCERN.
THE AMOUNT OF IMPERVIOUS SURFACE AREAS SHALL NOT EXCEED 30% OF THE LOT AREA
WITHIN THE 75' AREA OF ENVIRONMENT ONCERN (AEC).
A 30' VEGETATED BUFFER MUST 8E PPLACED ETWEEN ALL IMPERVIOUS AREAS AND SURFACE
WATERS. WETLANDS)
ALL PROPOSED DEVELOPMENT AND ASSOCIATED CONSTRUCTION MUST BE DONE IN ACCORDANCE
WITH THE PERMITTED WORKPLAT DRAWING AS ORIGINALLY SUBMITTED ON JANUARY 28, 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
ACTIVITLES WILL REQUIRE A RE-EVALUATION AND MODIFICATION OF THIS PERMIT.
PURSUANT TO 15 N.C.A.C., SUBCHAPTER 7J.040t3(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 projeot 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 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.
J
4,14
Larry Smit Local Permit Micar (signature)
Planning & Development
name
Cout;thous& Square
address
Beaufort, NOrt;h Carolina 28516
ermittee
(signature required if sp Jai nditions above a ply to permit)

102/11/2004 09:3CAlyltl?PRE
CARTERET CTY P I
G SM
PAGE 01 (W
Applicant's Name:
Property Address: J�3
Dates of Site Visifis:
r
Exemption: Permit: Number:
Application to be returned for the following reasons:
Date Returned:
Application considered accurate and complete for processing? Date:_._ 1O -a y
LPO:
The following. site -Specific observations have been made:
The following conditions to be included on the permit (in addition to standard conditions
Date: a --ia -0 y
dates of follow-up visits:
=inal Inspection Date: -�
Project determined to be in compliance with permit
Project determined to be Out of complianca with permit
�ctlon taken to bring project into compliance with CAMA:
.PC: Oate:

'02/11/2004 09:38 2527286643 CARTERET CTY P I PAGE 02
Locality a t' Pc mit Numbcr:
:M Occan Hazard Estuarine Shoreline ORW Shoreline ._-,._,Public Trust Shoreline Other • ' ;
iuc (For official use only)
IV GENERAL INFORMATION
LAND OWNER
Namerr�g
Address 9 7 O© L'O� ke at" r o U n
Li 2:e. 6 LO rJ
City Scare .) C- Zip_2.. 2 Jai % Phone 9[4-Z.b9.9o'fld
AUTHORIZED AGENT
TOL Name
Address
City Statc Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of
IOU the adjacent waterbody?) tl ' e-o A 5 vi A-, e.r.
7-�L 1 AR c-A W I' a CLi t y r.J sn 4 s Lti4-�
Jyj DESCRIPTION OF PROJECT: (List all proposed construction and Iand disturbance.) 5 v n 1 LL EL L; lW
WC��1M O, CetinC.A�i+e-ofr•1 ew •i•.[� {el4.4A. -1 . RAA.tt 44-C.1� wlS�S
i
!t a•t of ll 51
ALso : we-t:C -J7, b-.. clg-�LCe-t-pc,Ca... ..,s,tCo . LQ cam- a-,
SIZE OF LOT/PARCEL: 2-'3 0 G 3 - G B square feet acres
PROPOSED USE: Residential ✓ (Single -Family _✓ Multi -family ) Commerical/Industrial
Othcr
)T' TOTAL ENCLOSED FLOOR AREAS OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC}: • a • square feet (includesall floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): - Esc-q.
(Calculations include the area of the roof./drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that arc widi.in the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
-- (1 within 75 feet of Normal High Watcr for the Estuarine Shoreline AEC
(2) within 575 feet oFNormal I1igh Water for the Estuarine Shoreline AEC:, adjacent to Outsranding
Si Resource Waters
Si. (3) within 30 Feet of the Public Trust Shoreline AEC;
(Contact your Local Permit Officer if you are not sure which .AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMITt Is the project located in an area subject ro a
State Srormwatcr Management Permit issued by the N.C. Division of Water Quality?
YES— NO
au
If yes, list the total huilo-upon area/impervious surface allowed for your lot or parcel. square feet.
i+1A

02/11/2004 09: 38 2527286643 CARTERET CTY P I PAGE 03
OTHER PERMITS MAY BE REQUIRED: The activity you arc: planning mail require. permitF other than the (AMA minor
development permir. A, a service we: have compiled a list of the kinds of permits that might be required. We su,&gest you cheek over the list
with your IYO to determine if anv of these apply to your project: 'Zoning, Drinking Water Well, Septic Tank (or orher saliitaml waste
treat mcnt system). Burning, Electrical, Plumbing, i-lcadnF and Air Conditioning, irisub ition and Fncrp- Conservation, F1A Ccrrification.
Sand Dunc. Scd iricnt Conrrol, Subdivision Approval, Mobile Home Park Approval, Highway. Conncerion, and others.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owncr of property in an AEC or a
person authorized to act as an agent for purposes ofapplying 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)
_k,Gan owner or record title. Title is vested in , see Deed hook 25 O L,
page 74 ZZ in the C_A.,r Lr=t • _I= County Registry of Deeds.
an owner by virtue of inheritance, Applicant is an heir to the estate of
probate was in Caunry.
if other interest, Such as written contract or lease, cxphdn 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 giver
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1)ruiA Ra i It Z,�cs� 33y t�;r,1;.,g- e_►o,�� I.�v R._ �A1�29
(z}
(3}
(4)
w►/m s-kr,e. ski->✓ 1e 5{-* J :,-yoo AII QT e-7? 3
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
s!G
I acknowledge that rite 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 associ-
ated with this lot. This explanation was accompanied by reco emendations concerning stabilization and floodproofing tech-
niques.
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 application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable co the locality, and any infor-
mation as may be provided orally by rh.e applicant. The details of the application as described by these sources arc incorporated
without reference in any permit which may be issued. Deviation from diese details will constitute a violation of any permit. Any .�
person developing in an AEC without permit is subject to civil, criminal and administrative action.
This the 30"'day of �1',�,i1, 20 —0 L4,
Landowner or person authorized to as as his agent for vur", s o iliac a CA rwrmit annlieorint,

02/11/2004 09:38 2527286643 CARTERET CTY P I PAGE 04
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