W0-45-04_Sylvester, Nathaniel_20041018

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Local Government � CAMA
MINOR DEVELOPMENT
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
n General Statutes, 'COagW Areq Manag m V
Issued to! r authorizing development in
.. r- �'S.. �•C a 1 rl 1!T
PAGE 01 14<
PermitPum—P
as requested in the permittele's application, dated
This permit, issued on � � is subject to compliance with the application and site drawing (Where consistent
with the permit), WI applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject
:.,,I ., 41— r., moly cause the permit to be null and void.
her inee To a rlrlw, uupilaws .o .. -.... ,
All proposed development and associated construction most be done s xn tted.
accordance with the permitted worlcplat drawing (s) as Originally
All construction must conform Federal ttothe Nort CarolinaBuildingBuilding Code requirements
and all other Local, State an
Any change or changes in the plans for development, construction, or land use
activities will require a re-evaluation and modification of this permit.
')Cite amount of impervious surface areas shall not exceed 25 % of the lot area
within the 575, Area of Environmental Concern (AEC), in this case, 2891 sq. ft..
in order to prevent sedimentation, a vegetated buffer zone must be maintained
between all disturbed area and the adjacent waterbody or marsh. Ea this case a
113 foot wide buffer has been accepted. permit may not be assigned,
;Pursuant to 15 NCAC, Subchapter 7I,0406(b), this
transferred, sold or otherwise disposed of to a third -party.
A copy of this permit shall be available onsite for regulatory inspection.
1.
2.
3.
4.
S.
6.
7.
This permit action may be appealed by the permhtee 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 project modifications not covered
under this permit requires further written permit approval.
All work must ce e w his 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 Managemont.
'�-
Permittee
(signature required if special conditions above apply to permit)

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3933205
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GENERAL INFORMATION ,
LAND OWNER
Name Pirlc�: S t 1 to
Address 1l S Svc
City (Q W, r Sate � -s.�— Zip gs Phon� a s a) A g- 40 �2
AUTHORIZED AGENT
Namc
Address
city' Sate ' , ? Zip oVM Phone
LOCATION OF PROJECT: (Address, street name and/or uections to site. If not oceanfront, what is the name of
the adjacent watctbody?)
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
� 16%.0
SIZE OF LOT/PARCEL: 7:V 4 o square feet .. acres
PROPOSED USE: Residential (Single-family Multi-farnily ) Commerical/Industrial
Other_
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SI4ORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 22T __ sq. &
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that arc wid7.in the applicable AEC. Attach your calculations with the project drawing-)
Choose the AEC am that applies to your propertp:
(1) within 75 feet of Normal Higli Water for the Estuarine Shoreline AEC
#2) within 575 feet of Normal High Water for the Esruarinc Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your %cal Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
State Stormwater Managje iKent Permit issued by the N.C. Division of Water Quality?
YES_„^ N0-4-1
If yes, list the total built -upon area/impervious surface all
for your lot or parcel. R square feet.

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OTHER PERMITS MAY BE REQUIRED: The activity you arc planning may require permits other than the CAMA minor
we have compiled a list of the kinds of permits that might be required. We suggest you check over the list
development permit. As a service
to your project: Zoning, Drinking Water Well, Septic Tank (or other sanitary wkmt
with your TYPO to determine if any of these apply
treatment .system), Burning, Electrical, plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certifiarion,
Sand Dunc. Sediment Control, Subdivision Approval, Mobile Homc Park Approval, Highway, Connection, and others.
S'IATEi1WN''I' OF OWNERSHIP:
1, die undersigned, an applicant for a CAMA min.or 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 �/► ���Gr ���� ,sec Deed Book
Page �!2 „ in the 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 use a separate sheet and attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons arc owners of properties adjoining this properly. I affirm that I have given
ACTML NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit,
(Name) (Addreca)
• "%4yd 1�IhrrF tati ,r�•�i
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS!
I acknowledge that die land owner is aware that the proposed development is planned for an area which may be susceptible to
erosion and/or flooding.1 acknowledge that the local permit officer has explained to me the particular hazard problems msoci-
ated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tcch-
niques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant perrnission 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 ha7.ud 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 derails 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.
woo, A the -- day of ', , 20
Landowner or person authorized to act as his agent for purpose of filing 2 CAMA permit. application.

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