W0-19-04_Petlak, Julia_20040624

07/16/2004 15:50
3933205
WESTERN OFF
PAGE 02
QLOMovernment
. ,��M
KOM�-
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
General Statutes, 'Co ��Arrrre�ea�myanagfrgrent."
Y authorliina development in Cam^ (�
G- 4
permit Nu- -
err
requested in the permitted s application, dated t O fab
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 these terns may subject
4— t.,,,,.lennmant 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 the permitted workplat drawing (s) as originally submitted.
2. All construction must conform to the North Carolina Building Code requirements
and all other Local, State and Federal regulations.
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.
4. The amount of impervious surface areas shall not exceed 30% of the lot area
within the 75' Area of Environmental Concern (AEC).
5. No development is allowed within the area 30' landward of the mean high water
level with the exception of, in your case, a six foot wide elevated, slatted, wooden
walkway exclusively for pedestrian use.
6. Pursuant to 15 NCAC, Subchapter 7J.0406(b), this permit may not be assigloped,
transferred, sold or otherwise disposed of to a thud -patty.
7. A copy of this permit shall be available onsite for regulatory inspection.
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 rn,,st cease until the appeal is resolved.
This permit must be on the project site and accessible to the
permit officer wham the project is inspected for compliance.
Any maintenance work or project modifications not covered
under this permit requires further written permit approval
All wa must cease when this pormit expires on December
31,
In issuing this permit it is 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.
itt<CMd 2 e. lea MAa�
cedes Potry nc % address
Permlttee
(signature required if special conditions above apply to permit)

JUNV24-2004 THU 1014G MCARTCO WESTERN OFFICE TELs2S2 393-320S P102 141
Locality All) Permit Number AZ 1 q, Qq
GENERAL INFORMATION
LAND OWNER
Name ' A ►'L`_ i A- -
City �,:A In state
AUTHORIZED AGENT
Name
Zip _2& , jd._j,, Phone
Address _�P roov_'LeU -
�t0
City State �` Zip -�? p�� Phone � Jr3
LOCATION OF PROJECT 1 I&A molt mLiin 11� �i+�(�.•^ 901 , O ~��
(If not oceanfront, is waterbody natural or manmade?) M A IJ jd AO 9
DESCRIPTION OF PROJECT 'Qe�c ,�.o �10 p�,,,.,� ad ft*4f-C.*i�
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local ennit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
PROPOSED USE
Residential Commerical/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER MERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the estuarine shoreline, or 575 feet of an
ORW shoreline, or 30 feet of the public trust shoreline.
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING S
SQUARE FOOTAGE OF SITE,
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.

JUN724-2004 THU 10t45 IDtCARTCO WESTERN OFFICE
TELt252 393-320S
Pt03
1
ent of Planning
se Square
NC 28516-1898
.8497 Office [phone] Fax
` J/
Pursuant to NCGS 113A-119(b), Carteret County, a locality authorized to
issue CAMA permits in areas of environmental oncern, reb gives
notice that on v�1 1 5 2004,E
at
The applicatiorl may be gnpected t the address below. Public comments
received by will be considered up to the time of
permit decision. Project modifications may occur based on further review
and comments. Notice of the permit decision in this matter will be provided
upon written request.
Please publish on d�ell6kq
and return Affidavit of Publicatioh as
soon as possible
lj�o 4"Lu
CAMA Local Permit O r
Carteret County
Central Permit Office
Courthouse Square
Beaufort, NC 28516

JUN724-2004 THU 10c46 IDtCARTCO WESTERN OFFICE
a A /
V
TELt2S2 393-3205 P104
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JUN-24-2004 THU 10e46 IDtCARTCO WESTERN OFFICE
06/82/2004 10;15 2527286643
CARTERET CTY P I
TELe2S2 993-320S
PAGE 55
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•JUN-24-2004 THU 10147 IDsCARTCO WESTERN OFFICE TELt2S2 993-SZOS P106
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'JUN.24-2004 THU 10s47 IM CARTCO WESTERN OFFICE
TELi2S2 a99-320S P107
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 applyingfsignificant
r aifAMA minor interest in thelevel real
permit, certify that the person listed landowner abe described application
one) �
property described therein. This in
✓ an owner or record title, Title i vested in mp�e �' ,see Deed Hook - - >
page in the Countyg o� ee s.
heir to the estate of
an owner by virtue of inheritance. Applicant is an
probate was in ty•
if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
NOTIFICATION OF ADJACENT PROPLRTY OWNERS
I furthermore certify that the following persons are owners of properties adjoinin this property. I affirm that I
of
have given ACTUAL NOTICE to each them concerning my intent to develop this property and to apply for
a CAMA permit.
n.T. --% (Address)
(1)
(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 acknowledgge that the local permit officer has explained to me the
particular hazard problems associated with this lot. ThCs 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 application,
the ownership statement, the AEC hazard notice where necessary, a check for $100.00 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 permit is subject to civil, criminal
and admini trative action.
This the day of � ll.-I Z . 2�.
. : , a P P e ��" r�'
Land er or'p n au thogjAU to act as his agent
for purposes of filing a CANA permit application.