288-05_JJL Real Estate, LLC_20050601

- 06/07/2005 00:01 2527286643 CARTERET CTY P I PAGE 1-02
14= Cory!
Local Government
COPY
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 environment concern pursuant to Section 113A-118 of the
General Statues, "Coastal Area Management"
288-05
Permit Number
Issued to Debl2je_Davis,. agent fork Real Estate, LLC, authorizing development In Estuarine Shoreline ORW at
l30 5. Old Ferry Dock Road, Harkers IslandtiN.C.._28531_ as requested in the permittee's application, dated
M gl ) 3. _200S. This permit, issued on June 1. 2005 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 terms may subject permittee to a fine, Imprisonment or civil action, or
may cause the permit to be null and void.
This permit authorizes
(1) To place fill at 1:30 S. Old Ferry Dock Road, Harkers island , North Carolina within 575' of the NHW of Back Sound in
the ORW area or environ mental concern.
(2) The amount of impervious surface areas shall not exceed 25% of the lot area within the 575' area of environmental
concern (ORW). .
(3) A 30' buffer xont must be maintained between all impervious areas and surface waters (wetlands).
(4) All proposed development and associated construction must be done in accordance with the permitted work plat
drawinps(s) dated received M903.2005.
(5) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal
regulations, applicable local ordinances and FEMA Flood Regulations.
(6) Any change or changc4 in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(7) 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 wo* conducted under this permit must
cease until the appeal is resolved.
This permit must be on the prct*W site and acmessible to the permit
officer when the project is inspected for compliance.
Any maintenance work or pro ed modification not covered under
this permit, require further written permit approval,
All work must cease when this permit expires on December 31,
8 ,
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 r>f Coastal Management.
C",\,.,-b ,o'�
Local Permit Official (signature)
_J. D. O'Neal
CAMA Local Permit Offidal
emmittee (signature required If conditions above apply to permit)

t
05/21/2005 23:00 2527286643 CARTERET CTY P I PAGE 03
Aatw" ja_j�
' Locality A t7 1 A!l
Permit Number
pe Ocean Hazard Estuarine Shoreline ORW Shoreline __.Pubic Trust Shoreli:#e Ocher
ra (For official use only)
P) GENERAL XNF01MAnON
LAND OWNER
Name ,:T_,J- L
Address 412- '
Pl City_
AUTHORIZED AGENT'
TOMS
If Name LY [Lrr.s
Address DX
City 6�I SrK
State • f~' , Zips Phone
1_1 PTW"0ST"
Zip JJ5-,f '7 — Phone
]LOCATION OF PROJECT: ,(,Address, street name and/or dire-cttiions to site. If not oceanfront, what is the name of
If the adjacent waterbody?) .1.-v s D L_9R 'W_4 J �o -k- V
D: DIE JECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL:. square feet acres
PROPOSED USE: Resid¢»tia) (Single-funily Multi -family ) Commerical/Industrial
Other
,Ni TOTAL ENCLOSED FLOOR AREA OF A PUILDING IN THE OCEAN HAZARD AREA OF EN W
H;
RONMENTAL CONCERN (AEC): square feet (includes all floors and roof -covered decks)
SUE OF BUILDING pOiNpRINT AND OTHER IMPERVIOUS OR BULLY -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENMU% ,CONCERN (AEC):
(Calculations include the area -of the roof/drip line ofall buildings, driveways, covered decks, concrete or .masonry patios,
erc. than are within 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 Water for the Estuarine Shoreline AEC
(2) 'within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public: Trust Shoreline AEC
(Contact your Local Permit Officer if you arc not sure which AEC applies to your property,)
STATE STORMW" ER MANAGEMENT PERMIT'
State Stormwarer Management Permit issued by the C. Div sion of Water Quality an e1 subject to a
YES NO
I
If yes, list the total bulls -upon area/impervious surface allowed for your lot or parcel. square feet.
I

05/21/2005 23:00 2527286643 CARTERET CTY P I PAGE 04
OTHER PERMITS MAYBE REQUIRED: The activityyou arc planning may require permits other than the CAMA minor
development permit. As a service we have 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 pzajcct: Zoning, Drinking Water Well, Septic ank (or othersanitarywastc
treatment system), Building, Elccttical, Plumbing, Pleating and Air Conditioning, Insulation. and Energy Conservation, FIA Certification,
Sand Dune, Sediment Control, subdivision Approval, Mobile Home ParkA.pprovaL, Highway, Connection, and others.
STATEUMNT 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 at agent for purposes of applying for a CAMA tninor 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)
�aa owner r record tine. Ti a is v cted in 2�G %�-1 C,o l LLB, see Deed Book >
page / in the �C�.'' .— Cr 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 ofptopertics 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
0)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD ARL'AS:
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 associ-
ated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
niques.
PERMISSION TO EN MR ON LAND:
I furthermore certify that I arrL authorized to grant and do in, fact grant Permission to the .local permit ofii= 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 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 JJ day of , 20 O
Landowner or person authorized to as as his agent for T�se of filing a CAMA permit application.

05/21/2005 23:00 2527286643 CARTERET CTY P I PAGE 02
t (? -1
i 1
i
I
F
t? 12.
}� ut

,05/21/2005 23:00 2527286643 CARTERET CTY P I PAGE 01�
CAMA PROJECT TRACKING SHEET3�
Applicant's Name: Ockw a4,
��
Property Address: A /^
Dates of Site Visits:
Exemption: Permit: Number:
Application to be returned for the following reasons:
Date Returned:
Application considered accurate and complete for processing? Date;.�'0 S�
The following site: -specific observations have been made:
The following conditions to be included on the permit (in addition to standard conditions):
V1
LP Y Date: / e— O S '
Dates of follow-up visits -
Final Inspection Date:_
Project determined to be in compliance with permit
Project determined -to be out of compliance with permit
Action taken to bring prcject into compliance with CAMA:
LPO: Date: