07-05_Owens, Nelson_20050614

Locality
Permit Number
GENERAL INFORMATION
LAND OWNER
Name e-156/J A ,ci Tc. : A. (-)�, )21.is
Address 1O 1 UJ 5k-: au-)re.c.K. Ly-N -
City Ey %e.t'AA J SS ie, State IJ C- Zip 28 SR Phone ZS Z-3 S `F - Y 4 FS 3
AUTHORIZED AGENT
Name A I ST--::) i-4
Address 3 3 Z L.J in d.i h5 LJooj 5 ui&J :
City geaa-. j c' •%- State `tJr_ Zip Z$Sl (o Phone 2S Z-7Z$ `CoZQ�
LOCATION OF PROJECT 7Z3tow.tf-IDn. g-en--T-a-r4- t4c 2$S't C,
Lo+ 12. beer�R-P_ (d scores Lat17- Sr-c-t-MT
(If not oceanfront, is waterbody natural or manmade?) WA,IZe. C(•ee.k Z cie_.4.4,iA AS C1Z-1C.l,.
DESCRIPTION OF PROJECT Re- .4in;.gg wA-U �- e4Sf-s%.l.L.oT- pro a +- , akrlo,
df-A41,1Af)e alp-i-d- 40 Canr%eC=E- Re (-aitZia4 wPU ' Pr-n. LJ•t=er ikav ta-Se,
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
,-Residential Commercial/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline) I L03SF
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING 3 - ,n-7 S F
SQUARE FOOTAGE OF SITE Z'3 Zo3 S F
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.

APPLICATION FOR
CAMA
` J
x ' A
? f
• q
3 @
Y s
g $ -MINO RK
4
fr r
DEVELOPMENT
,+iL
PER-MIT! {
In 1974, the North Carolina General Assembly passed
the Coastal Area guiding development inghe ragle and proement Act and, set the stage for
d ct ve areas
_ J _
which border the state's sounds and oceanfront. Along
with requiring special care bythose :who Build and
Resources Cmmission (CRC) to implement
the Coastal
develop,the General Assembl dire
pl ent clear regula
bons which minimize the burden on the applicant This ,
-.., an f or a minor deermitvelopment
CsrtoAMAipf the 'Commission's effort to meet the
spirit and intent of the General Assembly. It has been
designed to -be straightforward and.require no more
time or effort necessary from the applicant. Please go
- over this folder with the Local Permit Officer (LPO) for
the locality in which you plan to build to be certain that
you understand what infonmaiion•he ors l a needs.
Under CAMA regulations, the minor permit is to be
issued within 25'days once a complete application is in,
' hand. Often less time is needed if the project is simple.,,
The process generally takes about 18 days. You can
speed the approval process by making certain that your"
application is complete and signed, that your drawing
meets the specifications -given inside and that your,
application fee is attached.
Other permits are sometimes required for development -
F ith the coastal area. While these are -not CAMA-related;.
we urge you t6checkwith the Local Permit Officer toLL
determine which of these you may need. A listing is
included onpage 2 of this folder.
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
resources of our beautiful and productive coast.
v Coastal Resources Commission
Division of Coastal Management
F

DCM - MHD
Local Government
#07-05
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 environment concern pursuant to Section 113A-118 of the
General Statues, "Coastal Area Management"
Issued to Nelson Owens, authorizing development in Estuarine Shoreline off the Newport River at 723 Comet
Drive, Beaufort, NC 28516 as requested in the permittee's application, dated 05/19/05. This permit, issued
on June 14. 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 a retaining wall on the east side of the property along an existing drainage ditch approximately
160' in length. Any other development will require additional permits or a modification of this permit. The following
conditions shall apply:
1. All proposed development and associated construction must be done in accordance with the
application dated 05/19/05, workplat drawing(s) dated 05/19/05, and originally submitted on
05/19/05.
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. Prior to initiating any land -disturbing activities, adequate sedimentation/erosion control
measures must be employed to prevent the movement of unconsolidated materials into the
marsh or water. These measures will remain in place until such time as the area has been
properly stabilized with a vegetated cover.
* See Page 2 for additional conditions. *
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 permit 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
modification not covered under this permit, require further written
permit approval. All work must cease when this permit expires on
December 31,,2008. 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.
0/ C-
Local Permit Official (signature)
Mark Hardeman
CAMA Local Permit Official
NC Division of Coastal Management
400 Commerce Avenue
Morehead City, NC 28557
Telephone: [phone]
(signature required igconditionsNbove apply to per

Name: Owens, Nelson
- Minor Permit: #07-05
Date: 06/ 14/05 .
5.- Pursuant to 15 NCAC, Subchapter 710406(b), this permit may not be assigned, transferred, sold or
otherwise disposed of to a third -party by the applicant, agent, or any entity other than the NC Division
of Coastal Management.
6. It is noted that coastal marsh exists on the property, and that the proposed development addressed
on the submitted plat dated 05/19/05 is not located within this marsh.
7. No excavation or filling of any wetlands or waters is authorized under this permit.
Signature Date

�Q j�%Y.�-'-'� -sue .n�` .�,c � c

ALTW4 iD.IWAA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
June 14, 2005
Allen Spivey
332 Winding Woods Way
Beaufort; NC 28516
Dear Mr. Spivey:
Attached is CAMA Minor Development Permit # 07-05 for a retaining wall on the east side of the
property along an existing drainage ditch approximately 160' in length, at 723 Comet Drive,
Beaufort, NC, 28516.
In order to validate this permit, please sign both copies as indicated. Retain the original (yellow
copy) for your files and return the signed copy to us in the enclosed, self-addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
Mark Hardeman
Coastal Management Representative
MH/lsb
Enclosures
cc: Tere Barrett, District Manager
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer- 50% Recycled 110% Post Consumer Paper

■ Complete Items:i, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailplece;..
or on the front if space permits.
1. Article Addressed to:
Mr- -. J Mrs Les Gi U Lit,
%25 (2OMC+ T)A
A.
❑ Agent
❑ Addressee
�. Reer - rby, C., T�t) 5 uvi —`C)
+
D.. is delivery address different from item 1? ❑ Yes
tt YES, enter delivery address below: ❑ No-
3. Service Type
O'Certifled Mail ❑ Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ insured Mail ❑ C.O.D.
4. Restricted DellvW (Extra Fee) ❑ Yes
2. mst�r .Number (r7004 2510 0006 1862 7508
Rn3„sfrom servke kw
PS Form 3811, February 2004 Domestic Return Receipt 102595C24M 1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in -this box
A k vS7 i •c
33Zw1,�,+l,1.1'7 wooa(s wAI-411 2005
0 1. .1111IM1111111,1,11111

■ Complete Items 1, 2, and 3. Also complete
Item 4 If Restricted Delivery is desired.
• Print your name -and address on the reverse
so that we can return the card to you.
■ Attach this card'to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to:
MIA'-j Nrs.J'I " 0 XeuPoc-d
4S Z So ►—c ino-. - I, A.,
ROC'IC.tl iMOU,,f-IJC Z-?Bo�
Agent
A Signature 6410���O
Addressee
±Retvod by ( �� N e)
.
z y �
PI
D. deliveryaddress di fererrt from item 11
❑ Yes
INYES, enter delivery address belovrr
❑ N(r
3. Service Type
GTAntifled Mail . Express Mall
❑ Registered ❑ Retum Receipt for Merchandise
❑ Insured Mail' ❑ c.o.D.
4. Restricted Delivery?, Pft Fee)
Q Yes
2' Article "rr'bw A 7004 2.510 0006 1862 7515
PS Form 3811. February 2004 Domestic Retum Receipt 102W5o2-Wi540

UNITED STATES POSTAL SERVICE -
First -Class Mail
Postage & Fees Paid
LISPS
Permit No, G-10
• Sender, Please print your name, address, and ZIP+4 in this box •
A I ke v% SPN R
'9
-14j�r Oc%r

1 2" 208SF
HAf;.tMPw. 3207 sF
C,cr "f.. 12 25, 3F
To-Wtn*m 443 zsF
-`54:�32AF e
zlb,tobzr. yKus
-beer-Rc I cl S /\ore s
1 O-t - t z 5ce-ic on
72.�i�mei`�r
`A1ARE—
CRFF- t<,
r
r
I
PUS
M�
1
zdo
iv
ol
11
/ w4 1
�lta,l4l�/�1
,Z .
i
s6'rn;n PE(;,,g l,%ter
p d
LD+9
24,2oftaF
..J3 04.
scb.ls. 1" = Sb

oar-co-avia ►nv uaeao ru ►v viv yr GUtia111L 1UH1. rm. rN, 4
,o vt
^n ,A
1tJ
DIVISION OF COASTAL MANAGEMENT �'-
AD,fACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_FORM
Name of Individual applying for Permit:
Co -
Address of Property: • 7Z 3 ef' �
1 J C_ Z. 8 S 1 r
(Lot or strstt a, street or ROW, City & County)
I hereby certify that I own property adjacent to tho above referenced property The individual
applying for this permit has described to we as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions. should be provided with this
letter.
I have no objections to this proposal.
If . you have objections to whas is being proposed, please write the Division of Coastal
Manage►recnt, tlestron Plata It,1S1-8, Hwy, 24, Morehead Cuy, NC, 28557 or colt (252) 808-
2808 wishin 10 days of receipt elf th& notice. No response Is considered the saint as no obfeetiou
(f you have bees aoti/ted by Curved Mall.
WAIVER SECTION
I understand that a pier. dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my arcs of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
_, I do wish to waive the 151 setback requirement.
I do not wish to waive the 15' setback requirement.
a3
�---
S?Inature Vtev,
Print Narna
-252-�'"� N- bus
Telephone Number With Area Code

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
May 31, 2005
Mr. Nelson Owens/ Allen Spivey — Agent
332 Winding Woods Way
Beaufort, NC 28516
Dear Mr. Spivey:
The NC Division of Coastal Management hereby acknowledges receipt of the application that you
submitted for State approval for minor development of Mr. Nelson Owens property located 723 Comet Dr.,
in the Town of Beaufort, Carteret County, North Carolina. It was received on May 19, 2005, and appears to
be adequate for processing at this time. The projected deadline for making a decision is June14, 2005.
NCGS 113A-119(b) requires that Notice of an application be posted at the location of the proposed
development. Enclosed you will find a "Notice of Permit Filing" postcard which must be posted at the
property of your proposed development. You should post this notice at a conspicuous point along your
property where it can be observed from a public road. Some examples would be: Nailing the notice card to
a telephone pole or tree along the road right-of-way fronting your property; or at a point along the road
right-of-way where a private road would lead one into your property. Failure to post this notice could result
in an incomplete application.
An onsite inspection will be made, and if additional information is required, you will be notified.
Please contact me if you have any questions.
Sincerely,
r
Mark Hardeman
Coastal Management Representative
Enclosure
cc: Tere7Barrett; District Manager
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

CAMA PERMIT
APPLIED FOR
!!�7 g3 (?61;Ve57,7— 2�e?. ��QUY�dr7zPROJECT:
COMMENTS ACCEPTED THROUGH -6- 11--J
APPLICANT:
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:

2.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
May 31, 2005
Legal Advertisement Section
Re: Public Notice - FILING OF A CAMA MINOR DEVELOPMENT PERMIT
To Whom It May. Concern:
Please publish the attached Notice in the* Friday, June 3, 2005, issue of the
Carteret News Times
The State Office of Budget and Management requires an original Affidavit of
Publication prior to payment for newspaper advertising. Please send the affidavit, an
original copy of the published notice, and an original invoice to Jaye Poole, NC
Division of Coastal. Management, 1638 Mail Service Center, Raleigh, North
Carolina 27699-1638, Telephone [phone].
Thank you for your assistance in this matter. If you should have any questions,
please contact me at our Morehead City office [phone].
Sincerely,
Mark Hardeman
Coastal management Representative
Enclosure
cc:Tere Barret,-.D istrict Man ger
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Notice is hereby given that Allen Spivey, has applied to the Department of Environment
and Natural Resources for a Minor Development permit. The applicant is requesting to build a
retaining wall along a ditch that runs parallel to the eastern property line at 703 Comet Drive,
Beaufort, Carteret County, North Carolina.
Persons desiring to inspect the application, or to comment thereon, are directed to contact
Mark Hardeman, NC Division of Coastal Management, 151-B Hwy. 24, Hestron Plaza II,
Morehead City, NC, Telephone [phone], no later than June 11, 2005. Comments
received prior to that date will be considered in making the permit decision. Later comments
will be accepted and 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: June 3, 2005
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled l 10% Post Consumer Paper

DIVISION OF COASTAL MANAGEMENT
LF.l;WA
", a
NCDENR
NORTH CARou"A DEPARTMENT QF
EmVIRONMENTAND NATURAL. R¢SOuRcu
gel
OFFICE:
TELEPHONE: 172- CO - &0 /6 `W
----------------------------------------------------------
----------------------------------------------------------
FROM,
Morehead City Office
400 Commerce Avenue'
Morehead City, NC 28557-3421
Voice: 252-808-2808
FAX: [phone]
Re:
Re:
DATE SENT:5/31
TOTAL NUMBER OF PAGES, INCLUDING COVER SHEET:

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm4m4% mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmn•••
P. 01
TRANSACTION REPORT
MAY-31-2005 TUE�03?04 PM
DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP
MAY-31 03:03 PM 97266016, 501f3 SEND OK 451

4
X2�i
RCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
May 31, 2005
Mr. Nelson Owens/ Allen Spivey —Agent
332 Winding Woods Way
Beaufort, NC 28516
Dear Mr. Spivey:
The NC Division of Coastal Management hereby acknowledges receipt of the application that you
submitted for State approval for minor development of Mr. Nelson Owens property located 723 Comet Dr.,
in the Town of Beaufort, Carteret County, North Carolina. It was received on May 19, 2005, and appears to
be adequate for processing at this time. The projected deadline for making a decision is June14, 2005.
NCGS 113A-119(b) requires that Notice of an application be posted at the location of the proposed
development. Enclosed you will find a "Notice of Permit Filing" postcard which must be posted at the
property of your proposed development. You should post this notice at a conspicuous point along your
property where it can be observed from a public road. Some examples would be: Nailing the notice card to
a telephone pole or tree along the road right-of-way fronting your property; or at a point along the road
right-of-way where a private road would lead one into your property. Failure to post this notice could result
in an incomplete application.
An onsite inspection will be made, and if additional information is required, you will be notified.
Please contact me if you have any questions..
Sinncccerely,
`eL
%Mark- Hardeman
Coastal Management Representative
Enclosure
cc: Tere Barrett, District Manager
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

AMA PERMIT
APPLIED FOR
PROJECT:
COMMENTS ACCEPTED THROUGH _ 6- //-Q�
APPLICANT:
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
AZ
�8S'S7
a5�-Sas-2��

e
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
May 31, 2005
Mr. Nelson Owens/ Allen Spivey —Agent
332 Winding Woods Way
Beaufort, NC 28516
Dear Mr. Spivey:
The NC Division of Coastal Management hereby acknowledges receipt of the application that you
submitted for State approval for minor development of Mr. Nelson Owens property located 723 Comet Dr.,
in the Town of Beaufort, Carteret County, North Carolina. It was received on May 19, 2005, and appears to
be adequate for processing at this time. The projected deadline for making a decision is May 14, 2005.
NCGS 113A-119(b) requires that Notice of an application be posted at the location of the proposed
development. Enclosed you will find a "Notice of Permit Filing" postcard which must be posted at the
property of your proposed development. You should post this notice at a conspicuous point along your
property where it can be observed from a public road. Some examples would be: Nailing the notice card to
a telephone pole or tree along the road right-of-way fronting your property; or at a point along the road
right-of-way where a private road would lead one into your property. Failure to post this notice could result
in an incomplete application.
An onsite inspection will be made, and if additional information is required, you will be notified.
Please contact me if you have any questions.
Sincerely,
Wark-Hardeman
Coastal Management Representative
Enclosure
cc: ere Ba ett? District Manager
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

v. *i I-
I I (. oo* I A
LAMA PERMIT
APPLIED FOR
pgaJECr.
COMMENTS ACCEPTED THROUGH - //-65
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
eel
�SSS�
Fig - a 2)ffey

` ,FA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
May 31, 2005
Legal Advertisement Section
Re: Public Notice - FILING OF A CAMA MINOR DEVELOPMENT PERMIT
To Whom It May Concern:
Please publish the attached Notice in the Friday, June 3, 2005, issue of the
Carteret News Times
The State Office of Budget and Management requires an original Affidavit of
Publication prior to payment for newspaper advertising. Please send the affidavit, an
original copy of the published notice, and an original invoice to Jaye Poole, NC
Division of Coastal. Management, 1638 Mail Service Center, Raleigh, North
Carolina 27699-1638, Telephone [phone].
Thank you for your assistance in this matter. If you should have any questions,
please contact me at our Morehead City office [phone].
Sincerely,
Mark Hardeman
Coastal management Representative
Enclosure
cc:Tere Barrett, District Manager
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Notice is hereby given that Allen Spivey, has applied to the Department of Environment
and Natural Resources for a Minor Development permit. The applicant is requesting to build a
i
retaining wall along a ditch that ru parallel to the eastern property line at 703 Comet Drive,
,I
Beaufort, Carteret County, North Carolina.
Persons desiring to inspect the application, or to comment thereon, are directed to contact
Mark Hardeman, NC Division of Coastal Management, 151-B Hwy. 24, Hestron Plaza II,
Morehead City, NC, Telephone [phone], no later than June 11, 2005. Comments
received prior to that date will be considered in making the permit decision. Later comments
will be accepted and 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: June 3, 2005
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

DIVISION OF COASTAL MANAGEMENT
Me]
OFFICE:
NCDENR
NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND N.VURAL RESOURCES
13
TELEPHONE: '72- &o /6
FROM:
Morehead City Office
400 Commerce Avenue*
Morehead City, NC 28557-3421
Voice: 252-808-2808
FAX: [phone]
Re:
Re:
DATE SENT:
TOTAL NUMBER OF PAGES, INCLUDING COVER SHEET: V3

�c P. 01
�K TRANSACTION REPORT
�c MAY-31-2005 TUE 03:04 PM
�c �c
DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP
�c MAY-31 03:03 PM 97266016 50" 3 SEND OK 451 �c

STATEMENT OF OWNERSHIP
I, the undersigned, an applicant 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 ee Deed Book �4�
page t o9 in the L'ole--t-er•-e.t" County Registry of Deeds. !
an owner by virtue of inheritance. Applicant is an heir to the estate of ,_iy 7 0 2005 J
probate was in County.
✓ if other interest, such as written contact or lease, explain below or use apse arate pheet pad atta-h this
application.
Aae�f Fo r- oLwners , d t.,gcU v►q Ce-*,r.4c.'EoiL
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 CAMA permit.
(Name)
(Address)
(1) s Ip PS ()1C"t0TZd 432 Snrner5e:E-Wa.., RpC-(Ci4 IMoZ7 30y
(2) Lp S C-1 i Lk' L Y, % z s C'o vv►,e_+ nn.
(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 local permit officer has explained to me the
particular hazard problems associated with this lot. This 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 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, criminal and administrative action.
This the Z?--, day of I R ©s-
Land owner or"personau horized to t as his agent
for purposes of filing a MA permit pplication.
0
r
n
r
O
n
r

SITE DRAWINGIAPPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor develop-
ment permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you,
if requested.
PHYSICAL DIMENSIONS
label roads
label highways right of ways
label local setback lines
label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
draw and label mean high water mark (MHW)
draw location of septic tank or filter field
If you will be working in the ocean hazard area:
draw and label dune ridges (note height)
draw and label toe of dune
identify and locate first line of stable vegetation
draw and label setback line under CAMA
draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
draw and label landward limit of AEC
describe terrain (slope)
DEVELOPMENT PLANS
draw and label areas that will be disturbed
if a house is to be placed on lot, describe location of house
note size of piling and depth to be placed in ground
draw and label all areas to be paved or graveled
describe composition of surface
note and list fully all trees and vegetation to be removed or relocated
show landscaping
NOTE TO APPLICANT
Have you:
*completed all blanks and/or indicated if not applicable?
*notified and listed adjacent property owners?
*included your site drawing?
*signed both application and statement of ownership?
*enclosed the $50.00 fee?
*completed an AEC Hazard Notice, if -necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued . Exempted Denied Appeal Deadline (20 days)