WO 01-16 Ellis, Paul & Lisa

Locality ]�10 f111L1f�LYA,Q� l'OLA1t� t retmiixnmber jbd)�.�P_
Ocean Huzard-A Estuarine Shoreline_ ORW Shoreline l,/— Public Trust Shoreline -,=
Other —(For ofjiidal use only) - .. ,...., .t
CENERAI.INFORMATION
LAND OWNER
Name UI!L 4 Li-4 "s
Address 5(o3 TA4RkA4-?- rekl>
City EL 4)61t6 State uY Zipl=5 Phone 1N4S-Sx-E54R
Email (AtkL,05( Mn. [ snwL ,rr»r
AUTHORIZEDACENT
Natne�,pta) �i4Miii s(,gylSryy.T� s �•
Address ZZ* Kc¢(Dtt Fkk- as%
city. iUt6wfLa}' State Ale- Zip2Z57o Phone ZSZ-42.2-47"
Email b ci P
LOCATION OFPROJECT: (Address, suect name and/or directions to site. If not oceanfront, what is the time of the
adjacent wa(erbody) ZIZ 69101c-(,c(aAW �trJ6 Sw.eD
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) CAbe. AUA[ r $r;s"(
lTiSr'ArwC6
SIZE OF LOTIPARCEL: 19l5q$ - square feet e-42 acres
PROPOSED USE: Residential K (Single-family Multi-family(3) Commercial/Industrial Other
COMPLETE EITHER(]) OR (2) BELOW (Contael your Local Permit Officer (fyou am not acre 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)
OTHER PERMITS MAYBE REQUIRED: The activity you are planning may requirepermits 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 lime 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
j listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
Y an owner or record rile, Title is vested in eAL71?� �7. p1ry ,see Deed Book (8,$('
page (3Z in the County Registry of Deeds,
_en owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
i if other interest, such as written contract in lease, explain below or use a separate sheet & attach to dais application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
l furthermore certify that the following persons are owners of properties adjoining this property. I affirm that 1 have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
InI(Name)" (Address) ,/�.��
(1) M ftif{J k4oil t LA---3fo7 wev- eta S*, �7 S--mar, t/C Z75iO
(2)
(3)
ACKNOWLEDGEMENTS:
1, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
my 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.
1 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,
(2) COASTAL SHORELINE AEG: SIZE OF BUILDING FOOTPRINTAND OTHER IMPERVIOUS OR BUILT This the 6" day ofUJ - , 20 ) 6
UPON SURFACES:1s43q square feet (includes the area of the root'drip line of all buildings, driveways, covered decks,isa- S.t T1..' ?,utC-
concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing) ,Landowner or riloa authorized to act as histher agent for purpose of filing a CAMA permit application
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a state Stommater
Management Permit issued by the NC Division of Water Quality? -50-%Dlj O;E 116 This application includes: general information (thin form), a site drawing as described on the back of this application, the
YES_,:,; NO_ ownership smrement, the Ocean Haurrd AEC.Notice where necessary, a check for J100.00 made payable to the locality, and
any information comay be provided orally by the applicant. The details of the application as described by these sources an
If yea, list the total built upon arca/unpervious surface allowed for your lot or parcel: 3,4W square feet. inco orated without reference in an Zy permit which maybe Issued. Devfarton 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.

NO TREES ARE TO 15E RE`!OVED OR DAMAGED
ON THE SITE T14ROUG4OUT THE CONSTRUCTION
FROCEES. THE EXISTING VEG'TATIVE GROUND
COVER IN T44E AREA OF THE ACTUAL PROPOSED
ETRUCTLRE IS TO BE REMOVED, A SANDY FILL IS
TO BF ;aEM TO ESTAELISH A RAISED AND LEVEL
BUILDING PAD FCR THE NW STRUCTURE PER
FRCPOSED SITE FLAN AND THEN TRANSITION
E:IK TO NATURAL GRADE.
FOO. HVAC—
OMP. UNITS i2l
r
404 WETLANDS
1. .
COASTAL
WETLANDS LINE
E IST NG T EES
i
I 2
v�'p�/) i I
I
AE EL.1p
1
i
I i �
i
A_ EL,9 __-:,—ZONE "iX" 1 (, LU13
•—
Q.�
t ado .
�
A •/ M"5 w V" O N O
R
ae F
'.� C Fa E FI.4'51 t=
Gr'N F. TC FLO p
Q,, e G AGE LEVEL r 'ERIOR WALLo v' .D
.,KE ;_ BE E E. K AUI CONST., U Z r
G-CV C,+ LEv E= RASED RNIEHED
..RFA FLOOR ELEV. •
L4N1Dd
eCAFP LECYETID z
o
i� Z
T �"� • LC =G 7A'_UM Q � r=
�gE
SITE DATA a � sRr ,cu'oN az
T G INGLAi! HAWTHC%'N u
! IMPEF IOU' FJ! Fk NT C'= O i
FROt' -''C 4CUEE .I."l.Ei F
ILIMPL2 IOI AF-. . 1.58.5 SF ii1 FINJ'O PALM IL O
Fri Q
FORL L; - ^_f�✓OUS ::R=A S ExIaTIN s GCNTO'JR E=E'✓ATION
FOR
LOT
'1 l
IJ FROPOSEC, CONTOUR ELEVATION � �

Brian Daniel Construction, Inc.
224 Florida Park Road
Newport, NC 28573
252-622-4760
bdd41ec.rr.com
1/6/16
WSLD Bogue Watch VI, LLC
367 West Center Street
Holy Springs, NC 27540
Dear Adjacent Property Owner:
This letter is to inform you that Paul and Lisa Ellis have applied fora LAMA Minor Permit on their
property at 212 Crystal Water Place In Bogue Watch S/0 in Carteret County. As required by CAMA
reedat,ons, 1 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 845-505-
8549, or by mail at the address below. If you wish to file written comments or objections with the
Carteret County CAMA Minor Permit Program, you may submit them to:
Sincerely,
Paul and Lisa Ellis
563 Taghkanic Road
Elizaville, NY 12523
Tracy Barnes
Local Permit Officer for
Carteret County Western Office
701 Cedar Point Blvd.
Cedar Point, NC 28584
Residential • commerdal • Design/Build