Not Given_GLIC, LLC_20071024

6CT-29-2007 12:13 PM TOWN OF PKS P.02
• CPI
1'1 tti tirld Slistrdinm' bRW Shoreline PublicPIC
;�-. ° (Por.ofl�lil. use only)
rei _ J S C . /
PI (,;ENERAL INFORMATIONdJ �/
,AND OWNER
rf ame � " G OC , LLC )address Z Z / 6 W& E A14,00r rr
Pl <'.ty w fA/[ can.S State �✓�' Zip Phone
IffMORIZED AGENT
if
I�rty State Zip Phone _
1t,OCAT'ION OF PROJECT: (Address, street name and/or directions to site. If not oaeanfro t, what is e name of
if t)he adjacent waterbody?) L- �' /tea ✓ I N to
DI JSESCRIPTTON OF PROJECT (List all proposed construction and land disturbance.)
:;IZE OF LOTIPARCELs L o uare feet Macs acres
'PROPOSED USFA Residential ✓ (Single-Famiily ✓ Multi -family ) CommericaVIndustrial
Nt UM ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ErM-
N0N1VM4M CONCLsRN (AEC)• 375r _ sgam feet (includes all floors and roof -covered decks)
R 1
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
'THE COASTAL SHORELINE AREA OF MWIRONMENTAL CONCERN (AEC): //4"S sq. ft.
fCaleulations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
6c. that am within the applicable AEC. Attach your calculations with the project drawing.)
A1Choose the AEC am thstt applies to your prope*tf
(1) within 75 feet of Normal High Water for the Estwine Shoreline AEC
,(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEG adjacent to Outstanding
Resource Waters
(3) within SQ feet of the Public Trust Shoreline AEC
I�Coutact your Local Pcmdt Officer if you are not sure which AEC applies to your property.)
M STORAIWATER MANAGMUM PERMIT: Is the project located in an area subject to a
State Storrawater Management Permit issued by the N.C. Division of Water Quality?
I
�YES NO
�If yes, list the total bunt -upon atea/impervious surface allowed for your lot or parcel. _ square feet.
1
C. i ►-r

OCT-29-2007 12:18 PM TOWN OF PKS 2522474355 P.02
�'Y'
n PERMITS MAYBE REQUIREDs The activity you are planning may require permits other than the CAMA minor �.
development permit. Asa service we have compiled a list of the kinds of permits that might be required. We suggest you clreclt over the list
with'your LPO to determine if any of these apply to your project: Zoni* DrinkingWarer Well, SepticTank (orothet sanitary waste
neiu6, ent system), Building, Electric L Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, PIA Cersifuation,
Sant.►. Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Righway, Connection, and others.
A
ST,fi TEMENT OF OWNERSHIP:
1, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
pers'm authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
liste!i as landowner an this application has a significant interest in the real property described therein. This interest can be
dose. ibed as: (check one)
_� an owner or re co title. Title is vested in Gx- r C, L L C , see Deed Book r
pagt' ,�'� in tht � p' V-!:9M %` County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
prol+ate was in County.
I
Of other interest, such i►s1writren contract or lease, explain below or use a separate sheet and attach to this application.
N&I'IPICATYON OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACI$*UAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
I (Name) (Address)
`TL *St N07'9 TAPW Ct S, i.t~4 owes -r#N� �P- p,Ea•.� Dhl �o+c.� s��sT
(2); ANa %C ebsy -r"k ,-rV.*f'f tBL96
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(4)i
PQ�t DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acl+inowledge that the land owner k aware that the proposed development is planned for an area which may be susceptible to
erosion and/or Hooding. I acknowledge that the local permit officer has explained to me the particular hazard problems assod-
ated'with this IoG This explanation was accompanied by recommendations concerning stabilization and floodproofing rech-
nigt'es.
l
PE'kMISSION TO ENTER ON LAND:
f
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
ente} on the aforementioned lands in connection with evaluating information related to this permit application.
This` application includes: general information (this form). a sicc 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.
matron 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
petslim developing in an AEC without permit is subject to civil, criminal and administrative action.
T • e t4 day f PH' , 20
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.

6CT-29-2007 12:18 PM TOWN OF PKS 2522474355 P.03
AEC HAZARD NOTICE
In An: Ocean Erodlble Area Hlgh Hazard Flood Area Inlet Hazard Area
Owner: 'LI t L L e-
Address: Lbr I't.-
Nas Platted:
is intended to make you, the applicant, aware of the
s and conditions associated with development in this
area,which is subject to natural hazards such as storms. erosion
and currents. The rules of the Coastal Resources Commission
requite that you receive an AEC Hazard Notice and acknowledge
that �iotice in writing before a permit for development can be
issuei.
The `commission's rules an building standards, oceanfront
setbst ks and dune alterations are designed to minimize, but not
elimihate, property loss from hazards. By granting permits, the
Coastal Resources Commission does not guarantee the safety of
the development and assumes no liability for future damage to
the 6vetoprnent. permits issued in the Ocean Hazard Area of
EnvR,-onmental Concern include the condition that structures be
reloc'tted or dismantled if they become imminently threatened by
chap tes in shoreline configuration. The structure(s) must be
reloc6d or dismantled within two (2) years of becoming
immi4 ently threatened, and in any case upon its collapse or
subsi6nce.
The Est available information, as accepted by the Coastal
Resoii�rces Commission, indicates that the annual long-term
averst •ge ocean erosion rate for the area where your property is
locat�(,d is - feet per year.
The rhte was established by careful analysis of aerial photographs
of thl� coastline taken over the past 50 years.
.I
Studt`es also indicate that the shoreline could move as much as
feet landward in a major storm.
The 1llood waters in a major storm are predicted to be about
i_. feet deep in this area.
Prefe`.rred oceanfront protection measures are beach nourishment
and 1'elocation of threatened structures. Hard erosion control
structures such as bulkheads, seawalls, revetments, groins, jetties
and 1►reakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The 6plieant must acknowledge this information and requirements
by si.6ing this notice in the space below. Without the proper
signP6-94e application will not be complete.
;41J /01 y /,0'7
SPECIAL NOTE: This hazard notice is required for development
in areas subject to sudden and massive storms and erosion. permits
issued for development in this area expire on December 31 of the
third year following the year in which the permit was issued.
Shortly before work begins on the project site, the Local Permit
Officer must be contacted to determine -the vegetation line and
setback distance at your site. if the property has seen little change
since the time of permit issuance, and the proposed development
can still meet the setback requirement, the LPO will inform you
that you may begin work. Substantial progress on the project
must be made within 60 days of this setback determination, or
the setback must be remeasured. Also, the occurrence ofamajor
shoreline change as the result of a storm within the 60-day period
will necessitate remeasurement of the setback. It is important
that you check with the LPO before the permit expires for official
approval to continue the work after the permit has expired.
Generally, if foundation pilings have been placed and substantial
progress is continuing, permit renewal can be authorized. It is
unlawful to continue work after permit expiration.
For more In,/brmation, contact:
Local Permit Offcer
Apress 1
O
L IN
one Number
Dare
Revised 2/07

OCT-29-2007 12:14 PM TOWN OF PKS
2522474355
Tl.�,.-,;
P.04
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13&") WATER dt
.(4) SEWER LINES
iVERIFY LOCATIONS 1
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'ONC. ORy ;:-' TRANSFORMER
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PORCH
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PROPOSED
DWELLING
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LOWEST LEVEL
I F.F.E. 15.92'
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FLOOD ZONE X
14
FUTURE i
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CH ABOVE
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WALKWAY
120' STRUCTUI E SETBACK _
36
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PROPOSED
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14.292.79 SF
CAMA SETBACK
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OCT-29-2007 12:14 PM TOWN OF PKS 2522474355 P.03
NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS 113A-119(b), the Town of Pine Knoll Shores, a locality authorized to
issue CAN1A permits in Areas of Environmental Concern, hereby gives NOTICE that on October
241 2007, GLIC. LLC applied for a CAMA permit to construct a single family dwelling at 125
Roosevelt Drive in Pine Knoll Shores, North Carolina.
The application may be inspected at the address below. Public comments received by
November 12, 2007 will be considered. 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.
Chris Jones
CAMA Local Permit Officer for
Town of Pine Knoll Shores
Address: 100 Municipal Circle
Pine Knoll Shores, N. C. 28512
Phone: [phone] X 20
PLEASE P[]13LISH ON: Wednesday, October 31, 2007