07-01_Schmitz, Richard and Cheryl_20070409

GENERAL INFORMATION
LAND OWNER
Name_
Address
City
AUTHORIZED AGENT
lath
Morehead City DcM
S
State ' © Zip 7 Ll233 Phone
Name r r . -- • -^
Address 13 O n� Shd re,Wb� d l 29 83
City
—�� State C Zip 2gs Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of
the adjacentwaterbody?) 100`7 0C'br`%ve
i
7� mo V'e. C9�n"ii���nst
D` DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) h R
,
ass 1 �w derma I'x 4s' 1 add r : X I x o
SIZE OF LOT/PARCEL: square feet °� S$ acres
PROPOSED USE: Residential ✓ (Single-family ✓Multi -family ) Commerical/Industrial
Other
Ni 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)
H;
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): sq. ft.
(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.)
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 are not sure which AEC applies to your property.) Y_°�-,
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
State Stormwater Management Permit issued by the N.C. Division of Water Quality?
YES NOX_ - -
j
If yes, list the total built -upon arealimpervious surface allowed for your lot or parcel. square feet.

-DTHP,R 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 list 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, SepticTank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Condidoning,'Insuladon and Energy Conservation, FIA Certification,
Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway, Connection, and others.
STATEMENT OF OWNERSHIP:
I, 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)
y an owner or record title. Title is vested in R Ck&rd J Mery I SC,hm; fi, see Deed Book
page _1,07 in the +r 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 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)
(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 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 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 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 ,1",tg t,t61-r-L-4 , 20
or purpose of filing a CAMA permit application.
Landowner or person authorized to act as his agent f