ES-12-02_Cooper, A.B._20120104

GENERAL INFORMATION
LAND OWNER
Name --- A ,' _
Address
City L ►J (i C. State N Q-- Zi ! o`Z Phoned, 6a + 1 vZ. (o
Email---- - -
AUTHORIZED AGENT
Name L V 5 -i'DJ 51 /J Jq-6 L-
,1 1
_____
Address
City Ci t 1 State �� Zi,X��7 Phone J.—d5
Email d, noun e i ig Mom i Coty)
LOCATION OF PROJECT (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent w terbody.) LnF -5-1�J:J�t �}-t tl 31 ! Olin C'. i2(J.
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) _r4k'<_f /fit C _ [Si /►�(,
SIZE OF LOT/PARCEL: square feet 1 I acres
i
PROPOSED USE: Residential, (Single-family jf 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-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.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit i sued 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
minor 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 authorised 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 1 6 � in the 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 & 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) b. K. PAC, -'Z761 .
(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 day of��� , 20
. Landowner or person authorized to actas his/her agent for purpose of filing a LAMA 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.

M
Existing System #: 4475
Operation Permit #: IIlc0809
The Carteret County Health Department reserves the right to make inspections of these sewage collection
treatment and disposal facilities as necessary to assure compliance with the provisions of this permit and the
North Carolina Laws and Rules for Sewage Treatment and Disposal systems.
SITE PLAN I

1
logO�N OF -
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TOWN OF ATLANTIC BEACH
INSPECTION & PLANNING DEPARTMENT
- --- --- 125 WEST FORT MACON ROAD
January 5; 2012 ATLANTIC BEACH, NORTH CAROLINA
Ted Nowell RECEIVED
€:
Nowell's Housing Center f
5253 Highway 70 JAf,4' 0 6 2012
- -------Morehead-CityNC 28557
1XIM.D,11a) CHY
__- ---- - _ -Dear-Mr. Nowell,
The N.C. Division of Coastal Management hereby acknowledges _receipt of your application for
State approval for minor development of property located at Lot 512 North Shore i in Atlantic
Beach in Carteret County. It was received complete on January 4, 2012 and appears to be
adequate for processing at this time. The deadline for making a permit decision is January 20,
2012.
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-pr-oper ylof-yourproposed-development.-You shoulchpDst-thismotice-ata----
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,
sica A. 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]

AM: PERMIT'
APP LIED FOR
PROJECT: O(fil J!!0(E �OO/Ii� �6
MMENTSACCEPT ED THROB GH
1/ao /ao is
PPLICANT: FOR MORE DETAILS CONTACT I
THE LOCAL PERMIT OFFICER BELOW:
TPaf il/o�✓ell
Jessica A. Fiester, MPA, CZ
Town of Atlantic Beach
Planning and Inspections.
PO Box 10
Atlantic Beach, NC 28512

;4RET Co
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4jfart,roap�
CARTERET COUNTY HEALTH DEPARTMENT
EnvironmentalHealth Division
3820 Bridges Street, Suite A, Morehead City NC 28557
Existing System #: 4475
Operation Permit #:IIIc0809
SATISFACTORY EXISTING SYSTEM
TO CI NNECT
*No authorization to construct shall be issued until all modificationl have been completed and approved by this
offi
ce. -
OWNER: AB COOPER, JR APPLICANT: TED NOWELL
_-._------ ADDRESS:-P-O-BOX-250 __._.--_ADDR - SS:5253 HWY 70
PHONE #: PHONE, #: [phone]
--------PARCEL ID: 637512777397000
- -- PROPERTYLOCATION:3IYOLD CAUSEWAY ROAD Carteret �ounty-ATLANTIC BEACH, NC 28512
Subdivision NORTH SHORE MEP I, Lot 512
PURPOSE OF REQUEST: EXISTING
DESIGN FLOW: 240q Qd -Qvr 1,15 i a -
SYSTEM CLASSIFICATION: Type IIIc. Gravity Fill
System
WATER SUPPLY: Municipal
----_-___-Septictank: - _ _ _ 1500`tak__(gal)
FACIL�TY TYPE: Single Family
# BEDROOMS: 2
# OCCANTS: 4
LO+ c-, t
Bed width: _ 11 (ft)
------UOsing'iBnK. lEiitlj cv-ivu�uas� �•��--
# lines: 0
Length of lines: 0 (ft)
Comments: No sign of failure on date of inspection.
Operation Permit shall be valid as long as the sanitary sewage systeM is in compliance with Article 11 of G.S.
Chapter 130A Laws and Rules for Sewage Treatment and Disposal S stems (15 NCAC 18A.1900) of all
conditions of this permit including the items specified below.
1. The sewage collection, treatment and disposal system shall be operated and maintained at all times to
prevent public health hazards, to prevent seepage or discharge) of sewage effluent to the surface of the
ground or surface waters, and to prevent the direct discharge of effluent to the ground water.
2. In the event the system fails, a repair must be permitted and installed within 30 days.
-- 3. This permit does not constitute a warranty and does not negat4 or supersede any zoning restriction or
restricted covenants in the chain of title. It is the responsibility, of the permittee to determine whether or not
- such restrictions apply. (
4. This permit is transferable and is valid only with respect to the facilities described herein and the specified
design flow. -Prior to any -expansions orrevisionsa revised pet it shall be obtained from the Carteret
County-Health-Department-.
5. Septic tank sludge accumulation shall be evaluated every thre (3) years and pumped when sludge level is
found to be IT' or greater in depth.
6. Structure shall be placed so that gravity flow is achieved or �ump system shall be required.
7. Do not park, pave, drive or build over any part of the septic sss stem or repair area.
8. Maintain a minimum of five (5) feet between any foundation end any part of the septic system and repair
area.
Page 1 of 2

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Postage $ater.tCertified Fee(� �a� ¢ �+ (� AdarPnt Pmoe O Return Receipt FeeI Owner p (Endorsement Required)�' ;`1 �Restricted Delivery Fee Mall- g dd $- (Endorsement Required)
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— - -- --,— - Dear Adjacent Properfy: li Ix
This letter is io informyouthat f; --:_6 1 e - _ _
'--�� have applied fora CAMA Minor
I Property -owner
— _-Permit on my pTopert}r at NQ
f Property -Address in Carteret
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawings) as. notification of my proposed project No action is required from you or you may sign and return
the enclosed no objection foram. if you have
y questions or comments about my proposed project, please
contaci:meat ai
g ,or' by ma
Applicant's Telephone, il of the address listed below If you wish to
- _
fife wriften commenfs oroblections with the o _ 0-fAflan6c Beach CAMA Minor Permit Program, you may submit
them to:
Je_Wf Fester, -MPA, CZO, LpO
Director of Planning & Zoning
- ---- Town of Afttrc-Bbach
Afl ntic Beach, NC 28512

i Adjacent PropeOwner
iviaiilRAQdress+
City, State, Zip CodeZip Code
•ft
DearAdjacent Property:
-. -
CERTIFIED MAILT.�RECEIPT
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For delivery information yisit bur website at www.usips.corno
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Postage
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$
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Restricted Delivery Fee.(i
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Total Postage &Fees
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Srreeb ApL No.; .. --•-- --- ----•--•- -... .......................
PO Box No. �� J �^ "r"l.Li
City, state. Z/P+4 -5t 6 to G-_(0-
PS Form . .
:,, August,r.
_ This letter is to inform you that I,--- - was G r— v r' - have applied for a LAMA Minor
Property Owner
Permit on my property at LzEsi !�l Nam- i& 15404- P14114 _0 in Carteret.
Property Address
County. As required by CAMA regulations, IChave enclosed a copy of my permit application and project
_ - - dmwing(s) as notification of my proposed prc�'ect.-No action is required from you or you may sign and return
--- ---- - the enclosed no objection form. If you have any questions -or comments about my proposed project, please
-..
_ a - dab , --- ___ _ ----- - - -- -- _
contact me at =�� ,-orby mail at the address listed below. if you wish to
Appricant's Telephone
Me written comments or objections vvittr the T f wn of Atlantic Beach CAMA Minor Permit Program, you may submit
them to:
Jessica Hester, MPA, CZO, LPO
Director of Planning & Zoning
own of Atlantic Beach
PO Box 10
Atlantic Beach, NC 28512
Sincerely,
-- A.j.IL,cTr� ,
Property Owner__ -- --- - - -- _
Mailing Addt�ess _�--------- _-__.__.,
- -City, Statei Zip Code -

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Carteret County Health Department
Propttsv Owner (print)
"u tt -71 01-
Property Location c-
(JAri-m-W twm*-
tv375(a'7i i'1t3 it7o1.0
Pin 0 (Parcel )dent icaAan Nuntxn 15 diSks
Provide a site pica that accuratdy reprmots
tha applicatiaa attached.
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Ske sttetcb sbep Laetnde: I I
stub dioeasioas 'roads barderiwt Prop"
.Umr.tt diagmai of property`drfvewal aod;par4tttgat+•s
-pr,poted baifdlag that indodes dimemiaus ►vretlandditches, naterbodies
and s¢tba
cks to at lest turo ptoPert!r 16ta . proor eiisling wells or watts lines
�p�vpotedatYaort:istiu$w'��gas1'>�� P l+ostd
Sepa se surrey. site pho or plat attached.
OwctdACtr�PPtt SKnarnte I � i N a� f' t 1y4Rt� &ST

' Carteret County Health Department
Property Owner (print)
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Property Location (Xft��Y,
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Application Site Sketch
63'7SlV-)973gQoo0
# (Parcel identification number-15 digits
vide a site plan that -accurately -represents
application attached..
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Site sketch shall -includes
*accurate diagram -of property with dimensions —goads-bordering-property=-
*proposed building that includes_ dimensions_ _ _ _ *driveway and parking areas
and setbacks_to-at_least.hvo_property.lines *wetlands, ditches, water bodies
*proposed area or existing wastewater system *proposed or existing wells or water lines
Separ to survey, site plan or plat attached.
/a- 9— .201
Owner/Agent/Applicant Signature I Date
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