Loading...
HomeMy WebLinkAboutWO 06-16 Guthrie, Wanda 1 ;, y ;J ;� Localityki) —Permit Numbere 0—N-0 —W Ocean Hazard Estuarine Shoreline ORW Shoreline ✓ Public Trust Shoreline Other (For official use onl)) GENERAL NFO MATION LAND OWNER Name 1" PS A tit City State _ C Zip? / ahone�, Email �a nnlrz.� (J rl 2 G �t \� \1&kC--0. C-OAA AUTHORIZED AGENT v `� Name N 1�t� Address City Email State Zip Phone LOCATION OF PROJECT: (Address, street name and'or directions to site. If not oceanfront, what is the name of the adjacentwaterbudy.) ;ra P inbt < f Afl0 r Ot,c{ Cre—c4< Pj0 tit_ SG und- DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 61-f, SIZE OF LOTIPARCEL: �'t J el) square feet Z. acres w baC TL PROPOSED USE: Residential CE( (Single-family ($Multi -family (]) Commemiul/industrial Other 0 COMPLETE EITHER (1) OR (2) BELOW (Contact yourLocal Permit Officer ifyba are not sure whichAECapplies to your property): (1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: (ksquare 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 AEC%: SIZE OP BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON SURFACES: _ square feet (includes the area of the rnof1drip 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.) 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 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) din owner or record title, Title is vested in , see Deed Book (� 3 page (_ in the (�- C !Lrt'Ere-f —County Registry of Deeds. Elan owner by virtue of inheritance. Applicant is an heir to the estate of probate was in County. Of other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application. NOTIFICATION OFADJACENT PROPERTY OWNERS: 1 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) (1) Do.--� n t gc :) OrV95 50 (2) of Le,.leer r- (3) (4) ACKNOWLEDGEMENTS: L. 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 furthcmvore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff, the Local Pcrmil Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. This the D % day of r; t `20 Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application 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? This application includes. general information (this form), a site drawing as described on the back ofthir application, the YES= NC[2H] ownership statement, the Ocean Hazard AEC Notice where necessary; a checkfor $100.00 made payable to the locality_ and lfycs, list the total built upon arcalim�crvious surface allowed for your lot orpaTcel: square feet. any information as may be provided orally by the applicunt. The details ofthe 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. IV �5 P�Pf7 is not USI,�cJn� 1 y lev I Secwnur „a` 1 Seth, Fro q s� � "'T, re- bf� GaAta, NR,Ljrvt- NL r zir'' m Date Adjacent Property 0 ner o �4s' o Mailinddres bJC Zm 1� e �b�•fi 80S`% City, State, Zip Code a !r ry, 3iaie,1ir1V Gib Dear Adjacent Property: This letter Is to inform you that I, �lcc� l�U� have applied for a CAMA Minor Property Owner � f Permit on my property at �J 3 t � J ��pt—fJC , in 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 me at ate` " �� 2- � ,or by mail at the address listed below. If you wish to Applicants Telephone file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit them to: LPO NAME Local Permit Officer for LOCAL GOVERNMENT LOCAL GOVERNMENT ADDRESS CITY, STATE, ZIP CODE Sincerely, \)kr� wn Property Oer (. av Mailing Address NQ.t,�p tr tr Nc- Z e S'70 City, State, Zip Code 126 1 (e- ate MalirV2V,P�fi �Jc Ze 5-?-b City, State, Zip Code This letter is to inform you that I, Property Owner Permit on my property at in COUNTY Property Address County. As required by CAMA regulations, I have enclosed a copy of my pe mit 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 aboi it my proposed project, please contact me at a5-9, - 3y2-- ` Q S% ,or by mail at the address listed below. If you wish to Applicant's Telephone rile written comments or objections with the LOCAL GOVERNMENT CAMA M1 tinor Permit Program, you may submit them to: LPO NAME Local Permit Officer for LOCAL GOVERP MENT LOCAL GOVERNME JT ADDRESS CITY, STATE, ZIP CODE Sincerely, Property Owner LCcl1.e...- Maling Address 1Uu Pa,r tic - City, State, Zip Code