08-07_Town of Morehead City_20070613

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GENERAL INFORMATION
LAND OWNER
Name—cx. 7,/ O�= /%`% ?��f :1
Address 7"— e /r l� Z/ 4
City M017KN$A7-'�, C ITI State V. C. Zip o?,3517 Phone o9ld- 70Y- •(�49
AUTHORIZED AGENT
Namef`
Address b6e Au-i da,(%-.5;7t-
City 462Z6EQ i2o 121 Zt State �( Zip a8SJ�% Phone�So1' 7a6 ' (o q
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of
the adjacent waterbody?) IeOeq
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: square feet
acres
PROPOSED USE: Residential (Single-family Multi -family ) Commerical/Industrial
Other ��,� Ate'
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 SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): alo 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.)
STATE STORMWAT MANAGEMENT PERMIT Is the project located in an area subject to a
State Stormwater Mana ement Permit issued by the N.C. Division of Water Quality?
YES NO
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.

Morehead City 08-07
Local Government Permit Number
CAMA
MINOR DEVELOPMENT --t
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 Statutes, "Coastal Area Management'
Issued to the Town of Morehead City, authorizing development in the Estuarine Shoreline (AEC) at 608 Avery St., in
Morehead City, -as requested in the permittee's application, dated 1/26/07. This permit, issued on 6/13/07, 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: Construction of Gazebo on existing concrete slab
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 5/31/07.
(2) 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.
(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) A copy of this permit shall be posted or available on site. Contact this office at (252) 8.08-2808 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
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, 2010
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 parry without the written approval of the Division of Coastal
Management.
J 0� E��
7AMA
Ryan Davenport
LOCAL PERMIT OFFICIAL
400 Commerce Ave.
Morehead City, NC28
,557
PERIITTEE
(Signature required if conditions above apply to permit)

Name: Town of Morehead City
Minor Permit # 08-07
Date: 6/13/07
Page 2
(5) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of NHW. No portion of the roof overhang
shall encroach into the 30 ft. buffer. In this case, the gazebo will be placed over existing impervious area.
(6) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must
be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area
has been properly stabilized with a vegetative cover.
(7) Any proposed for grading within the 30' buffer from the NHW must be contoured to prevent additional stormwater
runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized, and must remain in a vegetated
state.
(8) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
SIGNATURE. - DATE:
PERMITT

Morehead City l3 d 08.07
Local Government �1 ` Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT i i
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 Statutes, "Coastal Area Management"
Issued to the Town of Morehead City, authorizing development in the Estuarine Shoreline (AEC) at 608 Avery St., in
Morehead City, as requested in the permittee's application, dated 1/26/07. This permit, issued on 6/13/07, 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: Construction of Gazebo on existing concrete slab
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 5/31/07.
(2) 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.
(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) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
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, 2010
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 parry without the written approval of the Division of Coastal
Management.
J 0� D7,--7s
Ryan Davenport
AMA LOCAL PERMIT OFFICIAL
400 Commerce Ave.
Morehead City, NC 28557
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Town of Morehead City
Minor Permit # 08-07
Date: 6/13/07
Page 2
(5) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of NHW. No portion of the roof overhang
shall encroach into the 30 ft. buffer. In this case, the gazebo will be placed over existing impervious area.
(6) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must
be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area
has been properly stabilized with a vegetative cover.
(7) Any proposed for grading within the 30' buffer from the NHW must be contoured to prevent additional stormwater
runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized, and must remain in a vegetated
state.
(8) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
SIGNATURE:
PERMITTEE
DATE:

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TOWN OF MOREHEAD CITY
-
PROPOSE
GAZEBO INSTALLED
\ 1.39
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ON EXISTING ,
CONCRETE SLAB
NOTE:
CONCRETE BEYOND GAZEBO
TO BE REMOVED BY
•
CONTRACTOR
RALPH STYRON F�Eo-o
MAY g 12007
Morehead City OCR
SCALE:
HomowAL = r ■ 30•
VERTICAL c r a 30' ELEV.
ELEV.
■ 8.0 ■ &0
12•
NOTE:
MAXIMUM SLOPE FOR BOTH PROPOSE
AND PIER SHALL NOT EXCEED V12 0

EIR 1.67
I ELIZABETH LEWIS TC
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PLAN VIEW - FLOOR
GAZEBO
ROOF AREA
ZIP SO. FT.
12
ASPHALT 7
SHINGLE ROOF
. r .
6" X 6"
POSTS
SIDE RAILS
(TYPICAU
W/ 4" OPENINGS
ELEVATION VIEW
4" X a"
TREATED
GAZEBO
WOOD SKIDS
ALL AROUND
>LE
6'
-77
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It

DEMUS L THOMPSON, MayorPro-Tem
( Councr1
GEORGE W. BALLOU
PAUL W. CORDOVA
DAVID HORTON
JOHN F. NELSON
May 17, 2007
GERALD A J�O NOES, JR., Mayor
M®REHE ,� �j"� CITY
NORTH CAROLI NA
706 Arendell Street
Morehead City, North Carolina 28557-4234 Gyc tig50
TEL (252) 726- M R. RANDY MARTIN
FAX [phone] City Manager
www.townofmor,ehead.com
CERTIFIED MAIL RETURN RECEIPT REQUESTED
Mr. Carl Tyndall
359 Hunting Ridge Road
Greenville, NC 27834
SUBJECT: Notice to Adjacent Property Owners
Application for Coastal Area Management Act (CAMA) Permit
7 Street Dock
Town of Morehead City
Dear Mr. Willis,
The Town of Morehead City plans to install a 16' gazebo and wooden ramp at the new pier recently
constructed east of N. 7th & Bay St. The Town is required to obtain a CAMA Permit prior to construction.
In order to obtain a CAMA Permit the Town is required to provide written notice of the proposed project
to adjoining riparian property owners. The purpose of this letter is to provide notice of the project in
accordance with the CAMA requirements.
Proposed improvements should require approximately 1 month for construction once permits are
obtained
Property owners desiring to comment on the proposed work must do so in writing within thirty (30) days
of receipt of this notice. No response will be interpreted as no objection.
Written comments must be addressed to:
Division of Coastal Management
NC Department of Environment and Natural Resources
400 Commerce Avenue
Morehead City, NC 28557
One copy of the attachments illustrating the proposed work near your property is attached for your
reference. If you have any questions, please do not hesitate to contact me.
Sincerely,
David McCab MqY �v Syr,-
Public Works Director 31
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ADA/EOE/P Equal Opportunity Employee Provider

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Ps Form 3811; February!2004 + I I I IDomestic Retum Receipt 102595-02-M-1546!
- _
=.

Message Confirmation Report
Name/Number
97262653
Page
3
Start Time
JUN-05-2007 09:27AM TUE
Elapsed Time
00' 44"
Mode
STD ECM
Results
[ O. K]
JUN-05-2007 09: 28 AM TUE
Fax Number : 2522473330
Name : NC DIV COASTAL MGMNT
DIVISION OF COASTAL MANAGEMENT
e0A
NCDENR
TO: CARTERET NEWS TIMES
OFFICE -
TELEPHONE [phone]
FAX - - 252-726-
FROM-
MOREHEAD CITY OFFICE
400 COMMERCE AVENUE
MOREHEAD CITY, NC 28557
VOICE:252-808-2808
FAX: [phone]
RE:
DATE SENT:S0
TOTAL PAGES, INCLUDING COVER SHEET:

DIVISION OF COASTAL MANAGEMENT
7&j�,jA
NCDENR
TO: ' CARTERET NEWS TIMES
OFFICE.
TELEPHONE [phone]
FAX 252-726-
FROM
MOREHEAD CITY OFFICE
400 COMMERCE AVENUE
MOREHEAD CITY, NC 28557
VOICE:252-808-2808
FAX: [phone]
RE:
DATE SENT: '6
TOTAL PAGES, INCLUDING COVER SHEET:.

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
6/5/07
CARTERET NEWS TIMES
Legal Advertisement Section
P.O. Box 1679
Morehead City, N.C. 28557
Re: Public Notice - FILING OF A CAMA MINOR DEVELOPMENT PERMIT
To Whom It May Concern:
Please publish the attached Notice in the Sunday, June 10, 2007, 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 Dale Schmidt, NC
Division of Coastal Management, 400 Commerce Ave, Morehead City, North
Carolina 28557, 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,
Ryan Davenport
Coastal management Representative
Enclosure
cc: Tere Barrett — District Manager
151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

2
NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Notice is hereby given that the town of Morehead City has applied to the Department of
Environment and Natural Resources for a CAMA Minor Development permit. The town is
requesting to construct a gazebo. The property is located at 608 Avery St. in Morehead City,
NC, Carteret Co.
Persons desiring to inspect the application, or to comment thereon, are directed to contact
-Ryan Davenport, NC Division of Coastal Management,_400..Commerce Avenue, Morehead City,
NC, Telephone [phone], no later than June 25, 2007. 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: 6/10/07
151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

TOWN OF MOREHEAD CITY
PUBLIC WORKS DEPARTMENT
P.O. Drawer M
0 o g 0 706 Arendell Street
Morehead City, NC 28557
C. A Phone: [phone]
Fax: [phone]
Email: [e-mail]
DAVID MCCABE
Public Works Director

♦ 4 jl MOREHEAD CITY
IT Y GERALD A. PONES, JR., Mayor
J111 11
DEMUS L THOMPSON, Mayor Pro -Tern
Count/
GEORGE W. BALLOU
PAUL W. CORDOVA
DAVID HORTON
JOHN F. NELSON
May 17, 2007
NORTH CAROL 1 N
706 Arendell Street
Morehead City, North Carolina 28557-4234
TEL [phone]
FAX [phone]
www.townofmotehead.com
CERTIFIED MAIL RETURN RECEIPT REQUESTED
Ms. Elizabeth Lewis
PO BOX 218
Lillington, NC 27546
SUBJECT: Notice to Adjacent Property Owners
AXplication for Coastal Area Management Act (CAMA) Permit
7 Street Dock
Town of Morehead City
Dear Mr. Willis,
o
ANC 18g8
R. RANDY MARTIN
City Manager
The Town of Morehead City plans to install a 16' gazebo and wooden ramp at the new pier recently
constructed east of N. 7`b & Bay St. The Town is required to obtain a CAMA Permit prior to construction.
In order to obtain a CAMA Permit the Town is required to provide written notice of the proposed project
to adjoining riparian property owners. The purpose of this letter is to provide notice of the project in
accordance with the CAMA requirements.
Proposed improvements should require approximately 1 month for construction once permits are
obtained
Property owners desiring to comment on the proposed work must do so in writing within thirty (30) days
of receipt of this notice. No response will be interpreted as no objection.
Written comments must be addressed to:
Division of Coastal Management
NC Department of Environment and Natural Resources
400 Commerce Avenue
Morehead City, NC 28557
One copy of the attachments illustrating the proposed work near your property is attached for your
reference. If you have any questions, please do not hesitate to contact me.
Sincerely,
David McCabe
4qr ✓
Public Works Director / •" p`,.
4(�t 1•��x r.
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ADA/EOE/P Equal Opportunity Employee Provider

■ Complete items 1, 2, and 3. Also complete
A. Si nature
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❑ Agent
■ Print your name an address on the reverse
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❑Addressee
so that we can return the card to you.
B. Recel
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■ Attach this card to the back of the mailpiece,
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1. Article Addressed to:
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❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes.
z. Article Numb+e+r7 0 0 6
(Transfer from, service label)
215 �' 0 2.14 6+ 14 d 7175 6'
-
PS Fornj 3811, 1=etir66ry 2004 i i Domestic Return Receipt = .:
10259so2 M t5ao

DEMUS L. THOMPSON, Mayor Pro -Terri
Council
GEORGE W. BALLOU
PAUL W. CORDOVA
DAVID HORTON
JOHN F. NELSON
May 17, 2007
� /�(OjID �i HEAD CITYGERALD A p0 cES, JR ,Mayor
NORTH C A R O L I N
706 Arendell Street
Morehead City, North Carolina 28557-4234
TEL [phone]
FAX [phone]
www.townofmorehead.com
CERTIFIED MAIL RETURN RECEIPT REQUESTED
Mr. Ronald Willis
3717 W. Hendrick Drive
Morehead City, NC 28557
SUBJECT: Notice to Adjacent Property Owners
AXplication for Coastal Area Management Act (CAMA) Permit
7 Street Dock
Town of Morehead City
Dear Mr. Willis,
r'VC. 185g
R. RANDY MARTIN
City Manager
The Town of Morehead City plans to install a 16' gazebo and wooden ramp at the new pier recently
constructed east of N. 7 h & Bay St. The Town is required to obtain a CAMA Permit prior to construction.
In order to obtain a CAMA Permit the Town is required to provide written notice of the proposed project
to adjoining riparian property owners. The purpose of this letter is to provide notice of the project in
accordance with the CAMA requirements.
Proposed improvements should require approximately 1 month for construction once permits are
obtained.
Property owners desiring to comment on the proposed work must do so in writing within thirty (30) days
of receipt of this notice. No response will be interpreted as no objection.
Written comments must be addressed to:
Division of Coastal Management
NC Department of Environment and Natural Resources
400 Commerce Avenue
Morehead City, NC 28557
One copy of the attachments illustrating the proposed work near your property is attached for your
reference. If you have any questions, please do not hesitate to contact me.
Sincerely,
David McCabe
Public Works Director
M:ar%
ADAIEOE/P Equal Opportunity Employee Provider

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desi
■ 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:
iLJnd-'
A. Si natureM�,y,�^ ❑ Agent
X V , ❑ Addressee;
B. Received by (Printed Name) C Date of Delivery
2rwk
D. Is delivery address different from item 1? ❑ Yes
It YES, enter delivery address below: ❑ No
3. Service Type
Cif Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise ;

A
? ��jj'OR j�HE /� � Cj(Pjj��Y GERALDA. JJO cES, JR., Mayor
1V'11 J10J1dJ1 Jl �311U1 J� J� Jj .� Ty
DEMUS L THOMPSON, Mayor Pro-Tem
NORTH CAROLI NA
f Council 706 Arendell Street
GEORGE W. BALLOU Morehead City, North Carolina 28557-4234 �Na 185e
PAUL W. CORDOVA TEL [phone]
DAVID HORTON FAX [phone] R. RANDY MARTIN
JOHN F. NELSON www.townofmorehead.com City Manager
May 17, 2007
CERTIFIED MAIL. RETURN RECEIPT REQUESTED
Mr. Ralph Styron
PO Box 541
Atlantic Beach, NC 28512
SUBJECT: Notice to Adjacent Property Owners
Application for Coastal Area Management Act (CAMA) Permit
7 Street Dock
Town of Morehead City
Dear Mr. Willis,
The Town of Morehead City plans to install a 16' gazebo and wooden ramp at the new pier recently
constructed east of N. 7"' & Bay St. The Town is required to obtain a CAMA Permit prior to construction.
In order to obtain a CAMA Permit the Town is required to provide written notice of the proposed project
to adjoining riparian property owners. The purpose of this letter is to provide notice of the project in
accordance with the CAMA requirements.
Proposed improvements should require approximately 1 month for construction once permits are
obtained.
Property owners desiring to comment on the proposed work must do so in writing within thirty (30) days
of receipt of this notice. No response will be interpreted as no objection.
Written comments must be addressed to:
Division of Coastal Management
NC Department of Environment and Natural Resources
400 Commerce Avenue
Morehead City, NC 28557
One copy of the attachments illustrating the proposed work near your property is attached for your
reference. If you have any questions, please do not hesitate to contact me.
Sincerely,
David McCabe
Public Works D for
4)-
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ADAIEOEIP Equal Opportunity Employee Provider � 4

■ Complete items 1, 2, ands o complete
A. Signat re
❑ Agent
item 4 if Restricted Delivery is desired.
f,
■ Print your name and address on the reverse
❑ Addresse�
so that we can return the card to you. --
■ Attach this card to the back of the mailpiece,
g, R ive Printed Name)
FDate of Delivery!
-
or on the front if space permits.
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-
❑ Yes is
D. Is delivery address different from item 1?
1. Article Addressed to:
If YES, enter delivery address below:
❑ No
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3. Service Type
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Certified Mail ❑ ExpresReturns Mail
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3
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4. Restricted Delivery? (Extra Fee)
❑ Yes
2: _Article Number
1l7 6
i1 4 4F]p4 7732
BPS rorrr 3$11 i Februaiy 20041 1 i
>=y'
O?59s a2 M tsao
I

MOIDEHEAD CITY GERALD A. PONES, JR., Mayor
NORTH C A R O L I N A o, c
DEMUS L. THOMPSON, Mayor Pro-Tem .
Council 706 Arendell Street
GEORGE W. BALLOU Morehead City, North Carolina 28557-4234 �Nc. Bess
PAUL W. CORDOVA TEL [phone]
DAVID HORTON FAX [phone] R. RANDY MARTIN
JOHN F. NELSON www.townofmorehead.com City Manager
May 17, 2007
CERTIFIED MAIL RETURN RECEIPT REQUESTED
Mr. Thomas Owen
2708 Circle Drive
Durham, NC 27705
SUBJECT: Notice to Adjacent Property Owners
Atpplication for Coastal Area Management Act (CAMA) Permit
7 Street Dock
Town of Morehead City
Dear Mr. Willis,
The Town of Morehead City plans to install a 16' gazebo and wooden ramp at the new pier recently
constructed east of N. 70' & Bay St. The Town is required to obtain a CAMA Permit prior to construction
In order to obtain a CAMA Permit the Town is required to provide written notice of the proposed project
to adjoining riparian property owners. The purpose of this letter is to provide notice of the project in
accordance with the CAMA requirements.
Proposed improvements should require approximately 1 month for construction once permits are
obtained.
Property owners desiring to comment on the proposed work must do so in writing within thirty (30) days
of receipt of this notice. No response will be interpreted as no objection.
Written comments must be addressed to:
Division of Coastal Management
NC Department of Environment and Natural Resources
400 Commerce Avenue
Morehead City, NC 28557
One copy of the attachments illustrating the proposed work near your property is attached for your
reference. If you have any questions, please do not hesitate to contact me.
Sincerely,
i��t
David McCabe
Public Works Director
ADAIEOEIP Equal Opportunity Employee Provider
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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 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, Septic Tank (or other sanitary waste
treatment system), Building, 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.
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)
an owner or record title. Title is vested in , see Deed Book
page in the County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in
—Y—if other
County.
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)
IV.C. Z,7Ak5-
(4) R—iu&�h till, 41IGNfN.e. 27SYL
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.
e 49& day of iV!/=� , 2010
Landowner or person authorized to act as his agent rpurpose of filing a CAMA permit application.
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SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development
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
Draw location of on -site wastewater system
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 $100.00 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)
Revised 3/2003