206-04_Mines, Janice_20040427

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C ty
Local Government LAMA
MiNOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of 1=nvironmont
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."
erinit Number
authorizing development in OtweLy,
Issued to .Tnnie�A ++ems ,�0re OtWB NC_ North Carolina a 368 Hi hwa
as requested In the permittse's application, dated42ri1 15, 2004
This permit, issued on 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 those terms may subject
�..a.,11 -^Plf%n me mAv eause the permit to be null and void.
;�errunu.v w a .,� �o, ....r.......... ... _. _....
TO PLACE TWO CONCRETE FLOORS INSIDE BUILDING, A CONCRETE PAD OUTSIDE BUILDING AND WIDEN
AND EXTEND
MARSH LINE OF GAILLIKIN CREEK N THE Y AT 368 HIGHWAY AEC ARY, NORTH EA OF ENVIRONMENTAL CONCERN. THE NHW OF
T
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 PLACED BETWEEN ALL IMPERVIOUS AREAS AND SURFACE WATERS.
(WETLANDS)
ALL PROPOSED ANDCONSTRUCTION MUST BE DONE IN
WiTH THE PERMiTT DLOPMENT WORKPLAT DRAW NGIATED AS ORIGINALLY SUBMITTED ON APRIL 15, 2004.RDANCE
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 por-
mit m«st cease until the appeal Is resolved.
This permit must be on the project site and aocossiblo to the
permit officer when tho project Is Inspected for compliance.
Any maintenance work or project modifications not covered
under this permit requires further written permit approval.
All work must coaso when this permit expires on December
31,
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. 0, Neal Local Perm e'er sgnature)
Planning & Development
name
Courthouse Squaxe
address
Beaufort, North Carolina 28516
Permittee
(signature required if special conditions above apply to permit)

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Locality Ld Permit Number
GENERAL INFORMATION
LAND OWNER
Name _--_�.J_ &O
.. ��rsa•Ym��
A
AUTHORIZED AGENT
Name rx \ n
Address
City
State Zip Phone
LOCATION OF PROJECT `din Q - OTt ti ley
Ck r- CU T nt r
(If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECT �L 1- Inocs `v►v#n�,
/lets ni .... ti._ .'.1 _ � l 1 _ . • � � � - h ►1 � - _
PAGE 02
1 a
k, �rn .O.Vkd• us�dC.V\I�-'oc &Vxvewv':(b hbgse,�'%ML-A 4 LU1w
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION Ce4y�" -1oxds
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Other n'1 ��
PROPOSED USE
Residential Commercial/Industrial Other —v,.- S' v ay E- tarn
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 fcct of the shoreline (575 feet f
of an ORW shoreline)G�Q0�,0_ftA-_kA_, k Uri r np h is h ttln4ar C.%'k IS•
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
V\oo, o'rec-k 1( xa 1' av\d la'x 10
SQUARE FOOTAGE OF SITE S. 8 2
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 ofpermits 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 Cex1ification, Sand'Dune,
Sediment Control. Subdivision Approval,
Mobile Home Park Approval, Highway
Connection, and others.

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6.
STATEMENT OF OWNERSHIP
I, the undersigned, an app licant 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)
an owner of record title, Title is vested in fie% 1336 a 03 , 13 . (e I see Deed Book
page 1 S in the _da.w e-y-e j- 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 LAMA permit.
(Name)
(Address)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknornrledge that the land owner is aware that the proposed development is planned for an area which may
be susceptible to erosion and/or IIovdin. I acknowledge brat the local permit ofIIcer has explained to me the
particular hazard problems assodated with this lot. This explar+a�tion 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; crimiunal and administrative action
This the day ofr��
owner or-Ixrson authorized to act as his agent
r purposes of filing a CAMA permit application.

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1,
0tway House Minor CAMA
1. Extend cement driveway 60 feet
2. Extend turn around part of cement driveway 10 feet
3. Widest point of additional cement is 18 feet.
4. Open ground between driveway and proposed sidewalk in front of barn 19 feet
5. Proposed cement pad between barn and marsh
a. Widest partat bans end is 28 feet 7 inches. (Barn 21feet 1 inch, plus 2 foot
6 inch side walk on backside, 5--foot extension from Corner B of bam in
front for sidewalk
b. Length of pad from barn Comer C to edge 15 foot long
6. Cement floor in existing covered barn right side (Comer B - C)
7. Sand floor in existing covered barn middle section
8. Cement floor in existing covered barn left side (Corner A - D)
9. Corncr A to door of left side of barn is 24-U2 inches long by 18 inches wide open
ground for plants
10. Left door is 101 inches wide with cement side walk 101 inches long by 5 foot
wide
11. Left side of barn door to middle section doors is 70 inches long by 18 inches wide
open ground for plants
12. Middle section door is 78 inches with cement side walk 78 long by 5 foot wide
13. Middle section door to right side of barn door is 46-1 2 inches long by 18 inches
wide open ground for plants
14. Right section door is 42 inches wide with cement sidewalk 42 inches long by 5
foot wide
15. Right section door to Corner B is 76 inches long by 18 inches wide open ground
16. Total length of building 36 feet 6 inches
323 ROUTE 46 WEST - FAIMPIEM, NEW .IE
PHONE [phone] • FAX (973)
Y 07004-2415
-1863
KEY.-
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y04/16/2004 14:3 ;2527286643J,t- ;•r TRACKING SHEET % PAGE 01
Applicant's Name:���"p
Property Address:
Oates of Site Visits:
.r r
Exemption: a Permit: Number:
Application to be returned for the following reasons:
Date Retumed:
Application considered accurate and complete for processing? 4 Da
The following. site -specific observations have been made:
-The following conditions to be included on the permit (in additton to standard conditions):.
LPO:'
Date:
Dates of follow-up visits:
Final Inspection Date:
Project determined to be in compllancs with permit
Project determined to be Out of compliance with permit
action taken to bring project into compliance with CAMA:
.Po. Date: