218-04_Rouse III, Robert D._20040520

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Local Government
2527286643
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PAGE 01
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
General Statutes, "Coastal Area Management." to
Issued to Robert D. Rouse III authorizing dovelopmenn in Estuarine Shoreline
ARG7 at 1.1 ri Rankne, Smyrna'_ N_C 29512
as requested In the permittee's application, dated --May 11-, 2111114
This permit, issued on May 2 n P 2 n n a , is subject to compliance with the application and site drawing (where consistent
with the permit), all applicable regulations and special conditions and notes satforth below. Any violation of these terms may subject
permittee to a tine, imprisonment or civil action, or may cause the permit to be null and void.
TO CLEAR LOT, REMOVE TREES AND FILL IN HOLES AT 115 BACKSHORE LANE, SMYRNA, NORTH
CAROLINA , WITHIN 575' FROM THE NHW OF CORE SOUND 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 FENCE 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
NTH THE PERMITTED WORKPLAT DRAWING AS ORIGINALLY SUBMITTED ON May 11, 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.04W(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 permittes or other
qualified persons within twenty (20) days of the issuing data.
From the data of an appeal, any work conducted under this per-
mit mist 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 Dacember
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
r
D. O'Neal Local Form Officer (signature)
Planning & Development
name
-Courthouse S uar
a dross
—perm ea
(signature required if special conditions above apply to permit)

05/12/2004 14:56 2527286643 CARTERET CTY P I PAGE 02
N
Katrina F. Marshall, AICP
Director
CARTERET COUNTY
DEPARTMENT OF
PLANNING & DEVELOPMENT
Main Office:
Courthouse Square
Beaufort, NC 28516-1898
Tel: [phone]
[phone]
Fax: [phone]
PUBLIC NOTICE
Western Office:
701 Cedar Point Blvd.
Cedar Point, NC 28584-8013
Tel: [phone]
Fax: [phone]
Pursuant to NCGS I i 3A-119 (b), Carteret County, a locality authorized to issue CAMA
permits in areas of environmental concern, hereby gives notice that on May 11, 2004
Robert D. house III applied for a LAMA permit to clear the lot, remove trees and fill in
holes at 115 Backshore Lane, Smyrna, North Carolina within 575' of Core Sound in the
ORW area of environmental concern.
The application may be inspected at the address below. Public comments received by
May 19, 2004 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.
J. D. O'Neal
CA.MA Local Permit Officer
Carteret County
Planning & Development
Courthouse Square
Beaufort, N.C. 28516
Please publish on.
May 14, 2004
and return Affidavit of Publication
as soon as possible.

05/12/2004 14:56 2527286643 CARTERET CTY P I PAGE 03
Locality %1 �. �► ;�,-.n.:.e Permit 1qurnber � >
•yam •
Ocean Hazard Estuarine Shoreline ORW Shoralinc :FublicTrust Shoicline, ' _ _ _0thex•
(For official use only)
GENERAL INFORMATION
Name
Addre,,
City . I
AUTHORIZED AGENT
Name AI A
Address
City
State Zip Phonc
- a3q l
LOCATION OF PROJECT (Address, street name and/or directions to site. If not oceanfront, what is the name of
the adjacent watcrbody?) j 1 5 ► lQ (' C- Lane,_-- y G a% 19
DESCRIPTION OF PROJECT (List all proposed constmcdon and land disturbance.)
n I : .1 — .I r. , , . :_ :
SIZE OF LOT/MARCEL: _ square feet • 9 a, acres
PROPOSED USE: Residential ✓ (Single-family u/ Multi -family ) Commerical/Industrial
Dther
rOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): &I A square feet (includes all floors and roof -covered decks)
RZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
rHE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): Al A sq. &
'Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
Moose the AEC area that applies to your property:
:1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC
2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Zesourcc Waters
1) within 30 Meet of the Public Txusr Shoreline AEC
Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
;TATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
Mate Stormwatcr Management Permit issued by the N.C. Division of Water Quality?
.'F-S, A NO
f yes, list the total built -upon area/impetvious surface allowed for your lot or parcel. 66n square feet.

05/12/2004 14:56 2527286643 CARTERET CTY P I PAGE 04
' OTHER Il .EWITS MAYBE REQUIiRED7 The activity you are planning may require permits other than the CAMA minor
development permit. As a service we bave compiled a list of the kinds of permits that might be required. We suggest you check over the list
with your LPO to determine ifany of these apply to your ptoject: Zoning, Drinking Water Well, SepticTank (or other sanitarywaste
treatmentMeem), Building, Electrical, Plumbing, Heating andAir Conditioning Insulation and Energy Conservation, FIA Certification,
Sand Dune, Sediment Control, Subdivision Approval, Mobile Home ParkApproval, Highway, Connection, and others.
STATEMENT OF OWNERSHIP:
1, 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)
✓ an owner or record tide. Title is vested in &C{ ♦tx. M.POLY
see Deed Book _ d
page o,�C in the iiAp +ire + 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 contract or lease, explain below or tic a separate sheet and atrach to this application.
NOTIFICATION OF ADJACENT PROPERTY 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 CAMA permit.
(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 acknowledge that the Iocd permit officer has explained to me the particular hazard problems associ-
ated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech.
niques.
PERMISSION TO ENTER ON LAND:
I furtherniore 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 appUcadon 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 infor-
mation 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 administrative action.
This the day of , 2004
y n. ,
Landowner or person authorized to act as his agent for purpose of filing a LAMA permit application.

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CAMA, PROJECT TRACKING SHEET
Applicant's Name:
Property Address:
r -
L4O M
Exemption: D
Permit: Df.
Number.
Application to be returned for the following reasons:
Date Returned:
Qv' Application considered accurate and complete for processing? Date:
DThe following site -specific observations have been made:
D The following conditions to be included on the pen -nit On addition to standard conditions):
LP Date:
Dates of follow-up visits:
Final Inspection Date:
Project determined to be In compliance with permit
DProject determined to be out of compliance with permit
Action taken to bring project into compliance with CAMA:
LPO: Date: