15-47_Werner, Thomas_20151006

EMERALD ISLE 15-47
Local Governments Permit Number
CAMA
MINOR DEVELOPMENT
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 THOMAS WERNER, authorizing development in the OCEAN HAZARD (AEC) at 6911 OCEAN DR, in
EMERALD ISLE, as requested in the permittee's application, dated SEPTEMBER 30, 2015, and received on
SEPTEMBER 30, 2015. This permit, issued on OCTOBER 6, 2015, 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: NEW SFRD (7,000 SQ FT>) WITH POOL
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on AUGUS 12, 2015.
(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 252-354-8548 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the pernittee or other qualified persons
within twenty (20) days of the issuing date. 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 modficetion not covered under
this permit, require further written permit approval. All work must cease when this
permit expires on: DECEMBER 31, 3 YEARS FROM ISSUE YEAR
In issuing this permit it is agreed that this project is consistent with the local rand
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal
Management
Check #4332, in the amount of $100, was received on September 24„
2015 for the permit fee.
JOSH EDMONDSON
CAMA LOCAL PERMIT OFFICIAL
7500 EMERALD DR
EMERALD ISLE, NC 28594
PERMITTEE
(Signature required if conditions above apply to permit)

z
Name: JULIA MCFADYEN
Minor Permit # 15-47
Date: October 6, 2015
Page 2
(5) The structure must set back a minimum of 120 feet from the first line of stable natural vegetation, as determined by
the DCM, the LPO, or other assigned agent of the DOM.
(6) The pernittee is required to contact the Local Permit Officer 252-354-8548, shortly before he plans to begin
construction to arrange a setback measurement that will be effective for *sixty (60) days barring a major shoreline
change. Construction must begin within sixty (60) days of the determination or the measurement is void and must
be redone.
(n All buildings constructed within the ocean hazard area shall comply vAh the NO Building Code, including the
Coastal and Flood Plain Construction Standards of the N. C. Building Code, and the Local Flood Damage
Prevention Ordinance as required by the National Flood Insurance Program. If any provisions of the building code
or a flood damage prevention ordinance are inconsistent with any of the following AEC standards, the more
restrictive provision shall control.
(8) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter round, or 8 inches to a
side if square; and the first floor level of the sills and joists must meet the 100-year flood level elevation.
(9) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(10)Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective value is
not weakened or reduced. Disturbed dune areas will be immediately stabilized.
(11)AII unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetatively stabilized (planted and mulched)
within 14 days of construction completion.
(12)Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time
when it becomes imminently threatened and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary
protective measures allowed under CRC rules.
(13)6FT. OF DECKING SURROUNDING POOL SHALL NOT COUNT TOWARDS THE TOTAL SQUARE FOOTPRINT
OF DECKING ALLOWED IN THE SETBACK WHICH SHALL NOT BE MORE THAN 500 SQUARE FOOTPRINT..
SIGNATURE: DATE'
PERMITTEE

AAMM791267275 09:28 847-549-9199
F[DEX OFFICE 0277
PAGE 01
OCEAN HAZARD AEC NOTICE
Project is in on: oce$n Erodible Area y high Hazard Flood Area
inlet Huard Area
PropertyOwner:
Property Address: 11
Ass A(LWC
Date Lot Was Platted: -Ai'. e 1.7$
i
This notice is intended to make yovJ the applicant aware of the
SPECIAL NOT H: This
d ants is required for
special risks and conditions associated with development is this
development in areas subjxt
sudden and massive stomas and
area, which is Sect to natozal haz�rds suds as storms, erosion
crosion. Permits issued for
lop..q,gnt in this area expire oa
and currents. The rules of the Co* Resources Commission
bmember 3I of the third y
following the year iA which the
require that you receive an AFC Hazard Notice and
pe rait was issued. Shordy b
work begins on the project
acknowledge that notice in wxi" before a permit for
site, the local Permit officer
be coAtactod to detemtins the
desveloproeat can be lsmad. ;
vegetation line and Satback •
ce at your Sits. if the property
{
The Commission's rules on building standards, oczanfrout
has aces lime change since th
proposed development Cam
time of permit issuance, and the
meet the setback regniremen ,
setbacks and dune aketgtions are degaod to mini non but not
the LPp will inform, you that
may bcgia work Substantial
elimbAft, property loss $am bAzard4. By glutting permits, the
prOS= on the projecz must
a made within 60 days of this
Coastal Resouroea Commission does'uot guarantee the safety of
setback determination, or the
ck mdtat be rcm&muvd Also,
the development and assumes no liability for future damage to
the occurrence of a major
reline change as the result of a
the dovelopmermt Permits issued = *o Oases Hazard Area of
storm within the 60-day perio
will necessitate remeasurement
Pwiromnental Cancem include the dondition that structorrs be
of the setback. h is imp
that you cbeck with the LPO
relocated or dismantled if they beco�Le imminently tbmmtmed
before the permit expires for
f =4 approval to continue the
by changes in shoreline 001129 atiogl The structurc(s) mint be
work after the pea = bar
'red. Generally, if foundation
relocated or dismantled within twol (2) years of becoming
gap have been placW and
•al progress is continuing,
imminently threatened, and in any case upon its collapse or
permit reAewal can be auth
zed. It is unlawful to conftoe
subsidenm i
work afb=permit expiration.
The best available inforation, as accepted by the Coastal
For more b fmatatro? , co
Reso=es Commission, indicates drat the annual long -lam
average ocean erosion rate fbr the a� where yotr property is
�DMUNP;",j
located is *71 feetperyear.
i
CocalPermR OfFrcer
I"rte rate was established by carsfd analysis of aerial
L6-
photograpFrsoftixcoastline W=ove�tbepasr50yeau.
1ST6wtenAU0
Studies also indicate that the shoreiin4 could move as Much as
Address
feet landward in a major storm
The flood waters in a major storm are predicted to be about
GD S l.�
G Z SCG
fcct deep in Qtis area. i
Locality
Preferred oceanitont protection, meal are beach nouashmrnt
3 S�
and relocation of threatened strut tx is. Hard erosion eonnol
structuw such as bulkheads, smw-4s, rgvetnenm, groins, jetties
Phone Number
and breakwaters me prohibited Temporary sand bags may be
authorized =derdmtaimoonditions. j
The applicant must zrlmowiedge 'this information and
r'equi y signing this notice in the space below. 'Without
the prop erlsithe application willlnot be complete.
ell
7�L,. Z6 � J
PmjowtyOwner Signatum pate
i �p,.�
i �v `
Revised May2010
�� � �0

LAND OWNER
Name �UM(,_E. bd1?2r M-
Address 6R11 OCQj 0&'
City eiylGl1A00 6SU State 9C, Zip U<44Phone 2�L• ( 35�F - 35�6
AUTHORIZED AGENT
Name fum" t A-0 Suktl IW I, P•A r f Jottto bov A
Address 501 W • 6' Mf.ww BL40
City 6409 GAil akj State Wi Zip2B'a`i Phone 252 13 Zt1f/
Emailc. •_ll. i
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) (oi (I Ce¢AN Ati. - DaQAN f&,, f
DESCRIPTION OF PROJECT: (List allproposed construction and land disturbance.) �• w14 EraSruu, Slitvrzv2�l
601:•o NISI k,510t:tiY.tb WJ A550rr)utec► 044,5, M&4M I$A4,41 0,44Cj, , P&&51,,JALV4
SIZE OF LOT/PARCEL: 741613b,a square feet u1T acres
PROPOSED USE: Residential (Single-family [Multi -family Commercial/Industrial [] Other
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer Ifyou are not sure which AEC applies
to yourproperty):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: Ml _ 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 FOOTPRINTAND 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 pa los, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STO7P,,midssued
MANAGEMENT PERMIT Is the project located in an area subject to a State Stormwater
Management by the NC Division ofWater Quality?
YES _
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: A' 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 ofproperty 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)
V en owner or record title, Title is vested in '(Hom4l E . W G/i-w%s%A_ , see Deed Book 1 3`I�"✓
page 49 2. in the GA&I-eeiW i- 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 OFADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners ofproperties 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) 1•o O'l LJGdS r'VA4ST06 3500 040e-0Nk0.4Jtir MI Di. arm to wt VA 23113 4rgy)
(2) 61tAD:ri4 o, Rioh,�r,o Po r3o+e 1187 HEe+O }IG 2753f Cw[57)
(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 5o {t" day of t,-441, 20
authorized tat act aPhis/her agent for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drasving as described on the back of this application, the
ownership statement, the Ocean HazardAECNotice 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 withhout pernhit is subject to civil, criminal and administrative action.

SUE SOUND
Ocean Drive
/ . E.M.N. q
505 Public R W INFTERSECTION
NA DRIVES
� 'Bg
30,7575' iV
CTRIC
E I.P. N �'� 16 S.I.S.
-Mro a
o SEPnC AREA �p 'a
Wt'
+ 16.8
fi�.srosED
m oaW
7�k Iw
N PROPOSED O
ID HOUSE
v,
O N
1
CD o
0 0
o
FEI
7c-ry r m
4'
z
z
°RR --Site
ATLANTIC OCEAN
VICINITY MAP
NOT TO SCALE
LEGEND
EI.P. EXISTING IRON PIPE
S.LS. SET IRON STAKE
R JW PoGHT OF WAY
M.BSL MINIMUM BUILDING SETBACK LINE
M.B. MAP BOOK — — —
PG. PAGE
S.F. SQUARE FEET
4t. CENTERLINE
E.C.M. EXISTING CONCRETE MONUMENT
E.I.S. E7(ISTiNG IRON STAKE
E.M.N. EXISTING MAG NAIL
S.M.N. SET MAG NAIL
C.P. CABLE PEDESTAL
W.M. WATER METER
W.V. WATER VALVE
a CAMA FLAG PER LOCAL PERMIT OFFICER
BOUNDARY UNE ��—
ADJOINER UNE----
BUIUXNG LINE
CONTOUR LINE 8
WOOD FENCE LINE
60' CAMA UNtC
FIRST LINE OF VEGETATION-•-----V
FLOOD ZONE LINE •....................
IVgTJrt.k%,Ar vA Lt Ktvi --'N-
4
�' s'x�'Sir vbatri
NOTES
$
AREA=22.033.9 S.F.(BY COORDINATE
6 E.I.P.
2
CLOSURE = 1:10,000+ COMPUTATION).
1 ON LINE
3.
4.
REFERENCE : M B 12 PG 76
PJ.N.5393.08-89-0393.
+
5.
FLOOD ZONE :ZONE VE SHOWN PER F.I.R.M.
E.I.P.
3720539300J. 7-16-03.
0.1O4F' E ET
�.J+T�".2
6)
7.)
FINAL MAP RECORDED :JUNE 18, 1975.
THIS PROPERTY IS SUBJECT TO ALL
LINE
v'r"-.
EASEMENTS. ACREEMEI• M AND RIGHTS
OF WAY OF RECORD PRIOR TO THE DATE
6
OF THIS PLAT.
10,
&)
ADDRESS: 6911 OCEAN DRIVE
NA-WIutl AAEACAccuu:�n1nb:
b�
9.)
ELWAMONS SHOWN HEREON BASED
ZL o�3.9s .)<D,'�i�>�jA/ =
ON NAV.D. 1988.
10
10.)
LAMA LINE UPDATED 7-28-2015.
7, -7 11.R 5r Ra;"Q.
1S0% Lerr By
Y,t:sAzz(NA t-
r IIT�yE
� HLGH WA
�
�pRO)r
...........
S
NOT,£N `` 'pFSi0i,
+?;QQ
0cean = - SEAL
Atlantic ? r L-3062
40 0 40 80 120
vO-y�SUR`�;
yN A. C
nPAPHIr' SCAT F — FFFT
It certify that this map was drown by me from an
actual, survey made under my supervision Cdeed
description recorded In Book MS, Page 472 ei —
eiFkr-� eferenee �aee - -- -- )1 that the
boundaries .at aoweyed are Indicated as drawn from
information In Book 12, Page 76
that the ratio of precision
Is L10 000+1 and that this nap meets the
requirements of The Standards of Practice for
Land Surveying In North Cnrollra C21 NCAC 56. 1600 -
Thf_L2th day of Septenber, 2014. J�24-15
nal, Land Surveyor License No.
Sara
CJ AUGUST 28 2014
125 DPAYN BT
JAo
SURVEY FOR
Thomas E. Werner
and Wife
Deborah Werner
2, SECTION E BLOCK 28 SOUTH.
CARTERET EMERALD ISLE, NC WHITE OAK
gr.r. Mr' RFv. EpY.30 5 pgp�g(T N0.
1 =40' SEPTEMBFR -12, 2014 2014123
P rrstigr
Land Surveying, P.A.
Corporation Uceme Number C-0960
501 W. B. McLean Blvd. — Cape Carteret
Swansboro, North Carolina 28584

Building Permit
TOWN OF EMERALD ISLE
Carteret County, North Carolina
Planning and Inspections Department
7500 Emerald Dr., Emerald Isle, North Carolina 28594
Building Permit Number. 2015-0945
ADDRESS: 6911 OCEAN DR
PARCEL NO.: 539308890393000
ISSUED TO: THOMAS E WERNER
6911 OCEAN DRIVE
EMERALD ISLE NC 28594
PERMIT DATE: 10/06/2015
PERMIT TYPE: CAMA
PROJECT: CAMA
STRUCTURE: NEW SFR
CONTRACTOR:
ZONING: R 2
EXPIRE DATE: 10/05/2016
FEE: $100.00
EST. COST: $0
This building permit is issued provided that the information submitted by the
applicant is true and accurate. This permit is void if work is not started in 6 months,
or if work is suspended for 12 months.
DATE:
10/06/2015
Department

10/01/2015 17:02 9198739029 PACE 01102
'- Zone Certification for a stnwture
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' .1�'atc�hltsarlorrmaslbsc�a.BYaKY+�'ed.P'� �'8t?«''t%���•
nM4CODVLEM V-ZON)& CEO MCATION SHALL WMVDI ALL DOCUMb bMA.TIOPT OP,&'gY
QF=FOLLOVOOGPItOVM0NS.WMCS APPLY.
i Certify tha l3 avo dcveloped or tevimod tho strarUaal dcsi94 plus and spp=&xdons for•eonsmMOPA
and tbat the desig] =d melh94s of i:oSuacuoflop to •be used are In ivGh.accaptcd standards of
•prxrioe for=ctiaz the fonavviag pioivisiow.
CW_ L• The bodom ofth lowest b0ri=61 sbuemml member of the tloea (e�celildiag ibe pilinss'rx
. Col�te�s)•iselevatedtooralsovetirCBFE: '
2 ne prle or column fevndadon and structure art CW thma o is to resist #lotsdoII collapse
and latesai mov_pAeAt dne to $.a 4j1s of the roviad QCds �'�8 � ott all
is
e►a+e action dd loading Wucs used. those r- ' rd by appliakle State rfr lo�l bt+il a8
Code.
OMM
NI�r 3 . $" $Y +Ka11 i�7lapsa (if applicable) shall result froth water , d lesathaa duff which wpaId Dena
ft-i Dg base flood:
b Tpe elevated.pQTdOn of tha building �,P?p fo=144aa Vsp= sW Dot be ti to
colFapser disBua or other stmeb al aamaSe due tQ the . �ofwlad ead4avatewloads =tang
si c oa all b+u'idiog compcaeats (inch7d.a - !Q LaM4 �values�

— sajMi RN HNGI 5 PAGE 22/52
• 1H/81/2815 17: 02 g198739829 .••• : •, • ,,,,. _ ,_,• , ,_ , ., ,• • • ' • • •^• �• •= •'��°
N� .�•5. Sots anti f¢uudatiott;analysis perforated. byNrnth GatokisaT etigrztee:, arehiYeci andFor snil
:. 31 ietitEst Cd detarasi:oe suitattilitX a 4itt. son to *Wort the s2Sucpare
. ,k *tepiaut, signed and sealed by e.N"Cll Caroliz 5cersed I Smegr a� sirltitecti s�oa 8 tit Shy
shall beao impact•withresPax to mmPi n �+ o� deflection velocity nm;ers, or erosion damage so.
the st:+mtat a or naafi bmIdii�. The writ da the Ixafotmance standards identified,
... wittiixt��!!�'sCoastnl.C•c+nenuctAogrA3sunalpDb&cation -55.
A.s4ced and.seaicd, silo spect6e I b7 a IZoz4t ('arolina Siccased cip' er or
tu'chitieet, 7,ubj:
'swima�g P�will I awill not bect ro buaicit� up w Siasting ant o tha gro»n dur►ng eoa4ta[ pad essoeiogd with• .
a loi)year storm and shish ffiaxfota not ittarase the dautage tR the fguudat oa att6'olCvafed
pozAica►�f A? ' } diDgs• I>s addition, ray dcsignprofcssi must desi�i and site dw pool so that
i any, iaczas� sav2 or•debris impact forces wt�.aot sffeitatpc Y buald��• ••
t 3, •Ou sift >vpsSy i Porgy sYstef shall be located and to avoid to *act or
conmminatiaa from 6ei n dung Aoodi�
9. • Fill shall nut be � for Sttudural sipmt• L=ded A uon staliiCzz fill ttisy be
atsed aaxmd the pgjii a cf a bwId ng far landscwW-3t +5=tlfon
� provfdcd the fill will vi aslt
otsr From storm %4%4 &C•eby. rendering the h alit flee of c , prior to genem&z exoessiv
loadiag•forcc'� taluPing e£feds, ar�averleRaedv� � -
iP 10: 6a Plans stall be submitted in accotdsnce with Sections -67 and 742 ofthe Carteret Cp=v .
flood Damage Psce -xiori 4tdmsaca TAe floodplaitt mey'apprave flesipn plaits for.
jgf aesthetic fill eaiyaftct the applicazlC has provi sa analysis by an tttgiaier; archit?sx,
and/op sail st, atilt,ywgh demotes tha{ 13se fAllanviag Have been satisfied
particle �P?sitioi of fill matcsial does.aot ba a teodeatcy for. a zve now
b: Vobmmeanddattabstia000f3rZl assaysewave m�J froP° .
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ate
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A/JJ'acent Property Owner
35� ��-0 Gvu lta.c west
Mailing Address
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City, State, Zip Code
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This letter is to inform you that I, -rhp d C • wageyf— have applied for a CAMA Minor
Property Owner
Permit on my property at QC-eMb1 L)6 in Carteret County.
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project 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
contact meat �5 2-l3 - Z t 2 1 or by mail at the address listed below. If you wish to
Applicants Telephone
file written comments or objections with the Town of Emerald Isle CAMA Minor Permit Program, you may submit
them to:
Local Permit Officer for Town of Emerald Isle
7500 Emerald Drive
Emerald Isle, NC 28594
Sincerely,
Property Owner
50I W•g. 1A(-LOW 6L-W
Mailing Address
CApa &af-an l , N , 28<8+
City, State, Zip Code

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City, State, Zip Code
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This letter is to inform you that 1, f fpmA4 E • WEa.uert. have applied for a CA MA Minor
Property Owner
Permit on my property at (04!j 0"AW&W6 in Carteret County.
Property Address
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 form. If you have any questions or comments about my proposed project, please
contact me at 251., 7A 3 - Z t "1 or by mail at the address listed below. If you wish to
Applicants Telephone
file written comments or objections with the Town of Emerald Isle LAMA Minor Permit Program, you may submit
them to:
Local Permit Officer for Town of Emerald Isle
7500 Emerald Drive
Emerald Isle, NC 28594
Sincerely,
�/L�,6iitSt: r,AMD_Sv2VZtpinc(xt_*lAt F;r
Property Owner
So( w-8. McLEAN P,t,Jo•
Mailing Address
laa t CArLtW; , N G 28 <gq-
City, State, Zip Code

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to %b • V PaW W L ,S
(Name of Property Owner)
property located at fP"1 L� OGPnY D2W E
Address, Lot, Block, Road, eta)
on_Aru-,r, Oc--Art ,in, EYvt,eri.Al-n lStXc N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
1 hereby certify that I own property adjacent to - I gpmAt G • h1 E&r1 e& 's
(Name of Property Owner)
property located at 69 It &,aO+ D&W 6
Address, Lot, Block, Road, etc.)
on Aruym 0(--A in E(Ae AL,e tSL-E N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you, ifrequested.
PHYSICAL DIMENSIONS
_L%J,abel roads
el highways right-of-ways
Label local setback lines
Label any and all structures and driveways currently existing on property
Label adjacent waterbody
PHYSICAL CHARACTERISTICS
Draw and label normal high water line (contact LPO for assistance)
✓� Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (include spot elevations)
_ Draw and label toe of dunes
Identify and locate fast line of stable vegetation (contact LPO for assistance)
Draw and label erosion setback line (contact LPO for assistance)
raw and label topographical features (optional)
If you will be working in a coastal shoreline area:
N/A Show the roof overhang as a dotted line around the structure
AJA_ Draw and label landward limit ofA.EC
Draw and label all wetland lines (contact LPO for assistance)
Draw and label the 30-foot buffer line
DEVELOPM/EENTPLANS
raw and label all proposed structures
taw and label areas that will be disturbed and/or landscaped
��o'e
sizeof pilingand depth to be placed in ground
raw endlabelall areas to be paved or graveledhow all areas to be disturbed
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 and dated the application?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
01 APPLICATION FOR
CAMA MINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA) and set the stage for guiding development in fragile and productive areas that
border the state's sounds and oceanfront. Along with requiring special care by those who
build and develop, the General Assembly directed the Coastal Resources Commission
(CRC) to implement clear regulations that minimize the burden on the applicant.
This application for a minor development permit under CAMA is part of the
Commission's effort to meet the spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant. Please go over this folder with the Local Permit Officer (LPO) for the
locality In which you plan to build to be certain that you understand what information he
or she needs before you apply.
Under CAMA regulations, the minor permit is to be Issued within 25 days once a
complete application is In hand. Often less time is needed if the project Is simple. The
process generally takes about 18 days. You can speed the approval process by making
certain that your application Is complete and signed, that your drawing meets the
specifications given inside and that your application fee Is attached.
Other permits are sometimes required for development in the coastal area. While these
are not CAMA-related, we urge you to check with the Local Permit Officer to determine
which of these you may need. A list Is Included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
DCM Form EB1952-2010/RevisedApril2010
Coastal Resources Commission
Division of Coastal Management