ES 16-11 Croatan Mobile Home Park, LLC

O��OD 5526 Hwy 701Vcst
Morehead City, NC 28557
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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 Local Pen -nit Officer will help you, if requested.
PHYSICAL [ I IENSIONS
abel reads
LffUcl highways right-of-Avays
•/ 1 bet local setback lines
lsel any and all structures and driveways currently existing on property
Label adjacent waterbody
PHYSICAL CHARACTERISTICS
t/ 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
�j Identify and locate first line of stable vegetation (contact LPO for assistance)
Draw and Iabel erosion setback line (contact LPO for assistance)
Draw and label topographical features (optional)
If you will "orking in n coastal shoreline area:
Show the roof overhang; as to dotted line around the structure
raw and label landward limit of AEC
I raw and label all wetland lines (contact LPO for assistance)
Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
wand label all proposed structures
raw and label areas that Nvili be disturbed anchor landscaped
N Nate size of piling; and depth to be placed in ground
D w and label all areas to be paved or graveled
Show all areas to be disturbed
+how landscaping;
Date ofActi6w lssued Lxennpted Denied. Appeal Deadline (20 flays from permit action)

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development pennit, 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:
1, 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)
i-Oc.r�c LGL,
Elan owner or record title, Titl f is vested in r-x.: L.' _Aow , see Deed Book
page in the �" County Registry of Deeds.
ran owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
=f 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.
(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 ,Y_ day of20 1 (+
Landowner or person authorized to act as his/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 HazardAEC 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 withoutpermit is subject to civil, criminal and administrative action.

Locality */ 01" t' Fo r t A196a l 9d t J"� Permit Number , 1
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use on1})
GENERAL INFORMATION
LAND OWNER
Name
Address 2200yr d` t" 1 {' c' PA_
City _ C_&44LState Zip''.eJr1.Z Phone 252- �V — S7g5
Email—�, t�ZCc t� • C.tr,
AUTHORIZED AGENT
Name
Address t<�
City t — -4 1 State Zip Phone 2 ,'S-2
Email —0-C
LOCATION OF PROJECT: (Address street name and//fox directionstosite. I not oceanf ont, � llat's t ie nani ofthe
adjacent waterbody.) j '°t' Mc^G 42k � ,.A ` q 4 � ev,- t +-c,C� 1 t 5��c C ree.
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) rO
r cw c r c+re (A
SIZE OFLO /ii'AItCEL' square feet 7t 5 acres LOT vy`
PROPOSED USE: Residential 1211" (Single-family D ilulti-family ) Commercial/Industrial ❑ Other
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ffyou 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 FOOTPRINTAND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: %�L 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 issued by the NC Division of Water Quality?
YES= N(
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

Name: Croatan
Minor Permit # ES-16.11
Date: June 30, 2016
Page 2
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of Normal High Water
(Estuarine Shoreline Area of Environmental Concern).
(6) 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 Normal High Water.
(7) 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.
(8) Any proposed for grading within the 30' buffer from the Normal High Water 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.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
SIGNATURE; DATE:
PERMITTEE

Atlantic Beach ES-16.11
Local Government 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 Croatan Mobile Home Park, LLC, authorizing development in the Estuarine Shoreline (AEC) at 2200 West Fort
Macon Road, Lot #89, in Atlantic Beach, as requested in the permittee's application, dated June 28, 2016. This permit,
issued on June 30, 2016, 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: removal of existing mobile home, decks, and steps and replacement with mobile home, decks, and shed
within the footprint of existing impervious surface
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on June 28, 2016,
(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. 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, 2019
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 party without the written approval of the Division of Coastal
Management.
i`
Mfc e e Shreve
CAMA Local Permit Official
Post Office Box 10
Atlantic Beach, North Carolina 28512
PERMITTEE
(Signature required if conditions above apply to permit)

OAKWMD 5526 H��y 70 West
Morehead City, NC 28557
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CERTIFIED MAIL • RETURN RECE� o
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DIVISION OF COASTAL MAC =
ADJACENT RIPARIAN PROPERTY OWNER N( c3
0
Name of Property Owner: tI 1�1 0
II / a
Address of Property: _-V �J I`Q` �t{ Cam. M
(Lot or Street #, Street or Road,
7 �
Agent's Name #: r _e ,^c; 133a4 :1 S Mailinc 13
Agent's phone #: 2 2 ,260-2122- IL
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to whatis being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimanagement.net/contact dcm htrn or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
y' I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner information)
Signature
� Me-L \`rf`G�-..%
Print or Type Name
222C) CorLL&.-c4>n
aim A d ress
Citylstatelzip
10 -- 52 k- -52g5
Telephone Number
Date
Signature
fl azi' & I 0, zj,�LIck (A
Ptint or Type Name
p,G, ox. tJ7u
Maiftn Add ss AA �
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CitylState2ip
Telephone Number
Date
Revised 61I M012

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CERTIFIED MAIL - RETURN RECE o
m
DIVISION OF COASTAL MAI .r
ADJACENT RIPARIAN PROPERTY OWNER N- ra
0
C3
Name of Property Owner: �_� J'G- � o
o
Address of Property:
(Lot or Street #, Street or Road o
..a
Agent's Name #: ty , eV) Mailirn ti
Agent's phone #: 2s2-.2 (r7-
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanaaement.net/contact dcm htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature
Print or Type Name
22 2 C-)0
;�
M tV Add r ss
AY
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City/State/Zip
2Sz-521-.5'295
Telephone Number
Date
Signature
C- Ct 1)e— J-1
P i or Type Na to
OC),&i k/LI(ItiC;
Mailing Address
City/State2ip
Telephone Number
Date
Revised 6/18/2012

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: bleb 6 LMY - C.4,o Anaro N- -"'
Mailing Address: 01-2:1: t r c.a V-'C
Phone Number: 2,LZ i"2C S "7
Email Address: r^►� Ldu�c'.ri•c
I certify that I have authorized orb,+ F t� S - gxl-c--
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development:
fZJ:-�'? to G VJG S 1r1()\.S W 1 UC i C PER- T%0,,J.r
at my property located at 20Z2-3y: c'wAN t2 nis
in CtZ''t':t2C:~V County.
I furthermore certify that l 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.
Property Owner Information:
xlaltt�- x --- I
Sffjnatu're
Print or Type Name
Celt oprvAa A^VgPnoErL
Title
Date
This certification is valid through q 130 1 1