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HomeMy WebLinkAboutWO 12-16 Workman, Kennethi Carteret County WO.12.16', Local Government Permit Number CAMA MINOR DEVELOPMENT PEKMIT 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 pursuantto Section 113A-118 of the General Statutes; "Coastal Area Management" s 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 ChA Jones permit expires on: CAMA LOCAL PERMIT OFFICIAL M' DECEMBER 31, 2019 701 Cedar point Blvd. Cedar P jnt, NC 28584 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 r another party without the written approval of the Division' of Coastal r I Management. PERMITTEE (Signature required if conditions above apply to permit) F ,j r, (5) 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. (6) 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. (7) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction completion. i ff Locality Permit Numberr } (F p [' . .. . ,. Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other = (Foy- official use only) GENERAL INFORMATION LANDOWNER Name Address 1493 So U✓r .b V J LAC, city Air%State ,.) C, Zips iUPhone 2Y/ Email�r�+l�r��ys-,at AUTHORIZED AGENT Name mnij „ Address city.State Zip Phone Email , LOCATION OF'PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name'of the adjacent waterbody.) �S c��C�"T rlct t ' s✓lsCl/J� �'l s-, {v �i� a, �cazaii�' ls�'"r19 DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 'feil,-- (;'/ n I.pr,izf `SIZE OF LOT/PARCEL; : r`Y0-19 ' square feet acres PROPOSED USE: Residential 9/ (Single-family [� Multi -family n } Commercial/Industrial ❑ Other [] COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou 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: intJ 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.) r 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 NO If yes, list the total built upon areeimpervious surface allowed for your lot or parcel: square feet. _ s 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 y Home Park Approval, Highway Connection, and others. Check with our Local Permit Officer for information. Certification, Sand Dune, Sediment Control Subdivision Approval, Mobile STATEMENT.OF OWNERSHIP: person authorized to act as an agent for purposes of applying for a CA �t' being either the owner. of property in an AEC or a 1, the undersigned, an applicant for a CAMA minor development permit, $ purp MA 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 �,' cf1anh 'e�eeed Book page7 in the tit4{'t'Q t County Itegistry,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 ACTUALWOTICE to each of them concerning my intent to develop this property and to apply fora, CAMA permit. , (Name) (Address) (l). %fie; ✓,r1 n cr 11 1 bl- (3) r (4) . ACKNOWLEDGENIENTS: 1,: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- . far 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 act as his/her agentfor purpose of filing a CAMA permit application This application includes: general information (this form), a site draining as described on the back of this application, the ownership statement, the Ocean Hazard AEC Notice where necessary, a checkfor $100.00 made payable to the locality, and any it formation as may be provided orally by the applicant. The details of the application as described by these sources are incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of anypermit. Anyperson developing.in an AEC withoutpermit.is subject to civil, criminal and administrative action. rd Ne 14 PROPERTY LOCATION l , SUBDIVI,�ION: LOT (,)___ BLOCK SEC: TYPE STRUCTURE: NO. BEDROOMS; I_� NO. BATHS: NO. PEOPLE: �G _S( DESIGN FLOW; (d GARBAGE GRINDER; YES ( ) NO( L)•+'r SEPTIC TANK: GAL. PUMP TANK: GAL. LN$S NO L' c; I— WLDTH i e. t PAGE OF 17I j op rzt�b We JI'�►i1 SIr� l "SYSTE.'K SHALL NOT BE INSTALLED UNDER WET CONDITIONS •Trench bottom deptfi to be. no deeper than � g, naturally §Pcarrirla surface. Pssement Required Yes kf-No Drainage Maintenance Req. 5luface (X:I Subsurfapa ( ) tp i14 ntain Minimum !0' From Water Lino Comments: I l �nr.Pt�G: J.ln.,� a. _ L. • . Fvja ..,,..ww••��pp A c3�gt•�¢. Arm ;t► (1� GIG�!1 Sr�t�G� CV �V,46L t�e! I I TOTAL. LENGTH: �� FT. TOTAL, 4- S } �rom Death D ��n�cem layow, appmva! must be obtained WATER SOURCE: tA.l f -a HORIZONTAL DISTANCE FROM WELL: ��(�`� t� FT ' NOTICE: Constrvcpion must comply with all Mato And local.' SITE MODIFIED: YES( ) No( iy �'O rejulations. Do not install wPU until tveil•olte has been >tpproved ; DRAINAGE REQUIREMENTS: on inspection. • NCYTL4E BeWaramuch property ip Carteret County is subject lo.Wctland Repui;tions agcj prvPgtiei.containing wetlaridr,,'„ STRUCTURE SHALL BE PLACED SO THAT ORAVITY should receive approval iroQ! U;Sr Army �erp "ef Eapinears FLOWIS ACHIEVED OR PILMP SYSTEM SHALL PE' prof to dcveiopmeltt. ' ' • .. • DO NOVT PARK. PAVE, DM OR BUILD AVER ANY PAP �T :q OFSEPnC SYSTEM OR RE1%-1 AR>rA,` T ; .i " `i} :' �'� : y FOi� 9Y�S I$ I Q NF S• FlI+I4111'a'$ `' RE ICif•:.. i %: Mi: T i AMIINIIvftJM5FEET BMTSVEENANY AOTTO1v4S.A'.MINIMi7MnF:6"•�OICC6VL'(t.,...'. ,. FOULNDATIONANDANYPARTWSP.PTTCS.YST1WOR IS•F-EQUIRL'D.A$l)'MAYR1:Q1,M ADD.XZ'IONAL . : {r 'REyAIRAREA: F7LL•OiyATLEASTQROU-P1 SANOY"'• . 40AM lVer.UM (OMCE USE FOR FIELD NOTES ONLY r ' OpIiTCATION iNSPEC CiON BY: ' ' • ENVIRONMENTAL HEALTH SPECIALIST 1 7 1, , . Er fi ' X_ •.a NEWPORT K,.28570 �i ` / r Certified Mail Fee / o = Lo $ ate// PA V //j i r%i " �� Extra en icesReCe eeS (check box, Pc$ . . jt,J ❑ Relwn Rtte;Ft (hsrdcopy) f �y 4,557 1{^)t�- Adj entPropertyOwne a ❑ ❑Rfiad otwnRoceipt(eeWOn{c) S_ Cerlir lail Re.trk;ted Delivtvy $ • 04 Postmarx Here %1 Lcl-�.di'�(/C• C3 ❑ Adull Signatwo Required S 0Adu.ure l S,gnelRceuictcd Del— S M �c �s ,dr O ru Postage $0.71 03/02/2016 City, State, Zip 'Code t-3 Total Postage and Fees fti.4b Ln $ r=l SenlTo ................................................... �, Siroei iriilApt. No., or %'C� flox No. Dear Adjacent Property: .,-------.................................................................... J p Crty, State, Z1Y+4 This letter is to inform d'r� � a ou that I, y L�l� Property Owner Permit on my property at A93 c �� IV6 20 in COUNTY Cgiellyvf 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 622) 7*1- 953-11 ,or by mail at the address listed below. If you wish to Applicant's 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, Property Owner Mailing Address City, ate, Zip Code UWS.Posta �eic�wP; CETIFIED,�MA Ir®4RE��Ei AAm�esrt�<MathonlY ��: �� _ • Fordetiderl-lnioimeUont Yisit:ourl�d'ebSiteatiVV*-6SpP' ._D co Ln /ru o Date, a Adjacent Property Owner ti YA A r <04 Ln Maili g Address a -1non- a ram/ Ci 6Z A%G Ln City, State, Zip Code o r%- ....._............. arid�pt. No., or PD Box rib. Dear Adjacent Property: This letter is to inform you that I, 11,10!9MaV have applied for a CAMA Minor Property Owner •- .................... Permit on my property at lV 3 Sy;l��/_ l&e,i ,br-, /{devffll in COUNTY &d,,at_ 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 of (2 C-) ZV / 9 �_lS ,or by mail at the address listed below. If you wish to Applicant's 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, Property Owner /,ra 3 Mailing Address City, Sfate, Zip Code