Not Given_Cooper, A.B. & Rhoda, dba North Shores Mobile Home Park_20110624

GENERAL INFORMATION
LAND OWNER
Name
Address
City 1-,
Email
AUTHORIZED AGENT
Namer_�_Co f
Address
City �0 rleb_�
Email r % 190 C 1(
State NX, Zip77Phone
State Zip Phone 214:7-,2 ( 22
LOCATION OF PROJECT: (A� jess, s ,et name and/or direjjtions( oo site f not oceanfront, what is the name of -the
adjacent waterbody.),%c l�)c�* �OSL'S_C'�1C,.\ O#t-
D SCRIPTIO OF PRO- CT: ( 'st 11 proposed construction and land disturbance.) ' Q kc �
SIZE OF LO CEL: square feet acres ,
PROPOSED USE: Residential [ (Single-family [Multi -family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies
to your property): .
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: _ square feet (includes the area of the rooFdrip line of all buildings, driveways, covered decks,
concr to or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
P�t"Si►1,S ski& gib gs
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
—Management Permit issued by the NC Division of Water Quality? .
YES NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minoF development permit, including, but not limited to: 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. Check with your Local Permit Officer for more information.
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 fora 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: -(checkbne)
- an owner or record iitie, Titic IS v2O cd III
page in the
County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in
County.
T,... -1 7�_J
see-DeeU -D V 0K
/if other interest, such asw�}}tten contr ct or lease, explain below qr use a separ to sheet & attach to this application.
CiQ ) _C dews _ , zc�rc�e�, bc� 372, ���� �b 11 �t�e �
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.
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
I, the undersigned, 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 particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to.Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the - U day of�Q20
I
uthorized to act a`sis/her agent for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drawing as described on the back of this application, the
-ownership statement, the Ocean Hazard AEC Notice where necessary, a checkfor $100.00 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 permit is subject to civil, criminal and administrative action.

5526 HIGHWAY 70 WEST • MOREHEAD CITY, N.C. 28557.252-247-2122 • (FAX) 252-247-3228
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5526 HIGHWAY 70 WEST - MOREHEAD CITY, N.C. 28557 - 252-247-2122 - (FAX) 252-247-3228
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TOWN OF ATLANTIC BEACH
INSPECTION & PLANNING DEPARTMENT
125 WEST FORT MACON ROAD
June 24; 2011 ATLANTIC BEACH, NORTH CAROLINA
- George Norris_
5526 Highway 70 West
Morehead City, NC 28557
Dear Mr. Norris,
The N.C. Division of Coastal Management hereby acknowledges receipt of your application for
State approval for minor development of property located at 205 North Shore H in Atlantic
Beach in Carteret County. It was received complete on June 24, 2011 and appears to be
adequate for processing at this time. The deadline for making a permit decision is July 8, 2011.
NCGS 113A 119(b) requires that Notice of an application be posted at the location of the
proposed development. You were given a "Notice of Permit Filling" 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,
eessica . Fiester
CAMA Local Permit Officer
Town of Atlantic Beach
Enclosure
Xc: Heather Styron, DCM Field Representative
POST. OFFICE BOX 10 • ATLANTIC BEACH, NORTH CAROLINA 28512 • [phone] • FAX [phone]

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PROJECT:
COMMENTS ACCEPTED THROUG
APPLICANT:
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FOR MORE DETAI�S CONTACT
THE LOCAL PERM T OFFICER BELOW:
I iH.Cint r. j� P�rAl C,
ME

�rRECEMD
JUN 2 9 2011
1
DCM MM CITy +
TOWN OF ATLANTIC BEACH
INSPECTION & PLANNING DEPARTMENT
125 WEST FORT MACON ROAD
ATLANTIC BEACH, NORTH CAROLINA
NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS 113A-119(b), the Town of Atlantic Beach, a locality authorized to
issue CAMA permits in Areas of Environmental Concern, hereby gives NOTICE that on June
24, 2011, George Norris applied for a CAMA permit to install a new mobile home and new
septic system at 205 North Shore II in Atlantic Beach, NC.
The application may be inspected at the address below. Public comments received by
July 8, 2011 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.
Jessica A. Fiester
CAMA Local Permit Officer for
Town of Atlantic Beach
125 West Fort Macon Road
PO Box 10
Atlantic Beach, NC 28512
PLEASE PUBLISH ON: Wednesday, June 29, 2011
POST OFFICE BOX 10 • ATLANTIC BEACH, NORTH CAROLINA 28512 - [phone] • FAX [phone]

Tovm of AtIaniitic .Beach Planning. & Zoning
125 West Fort Macon Road
Office: [phone]
` Mobil: [phone]
1 Fax:. [phone] `
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I.F.AX
From:Tessica A. Fiesf 4 WP ,
Fax #:
Dat: .i IJ Are a U., 20 t
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N ' her. of-P.ages (Cover Included):
The information_contained in this facsimile is privzleged�nfer sn irate�sdgd o�zlnr � in�rvt��tal nr
entity named above. If the reader ofthzs message zs not the intended recipient you are hereby notified
that tiny cleczsion;. dzsfri�utioii or copy of this communication is strictlyprohibited -1 ou have received
this communication & error, please notify us immediately.
- +-F—ost CTHLE Box TO 6 AtUnttic Beach,-Norih-CaioIina 285I2 o Phone [phone] m Fax [phone]

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