Gonser, Willam

• PQ41VIA / DREDGE & FILL
GENERAL PERMIT Previous permit#
C3New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina', Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC % !�
- _ 1-_ - 1- pAnles attached.
pplicant Name l(y/Vs Project Location: County (. C"T
A�� 1
'Address ) J "! Street Address/ State Road/ Lot #(s)
city << .� ci u State !t✓'c zip '2 6)�.
Phone#(�It) t�' -:} Fax#�)
Authorized Agent
Affected ❑ CW OEW 24 TA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FQ
ORW: yes /(no� PNA yes to j Crit.Hab. yes / no
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing {{
Other
Shoreline Length
SAV: not sure
yes
no
Sandbags: notsure
yes
no
Moratorium: n/a
yes
no
,Photos:
yes
no
Waiver Attached:
Yes
no
Subdivision
City �r° C: l c i�c, .?- ZIP ��
Phone # ( ) River Basin f L.� ' i,-���
Adj. Wtr. Body6/- A01- o{ ISM-' t + man unkn
Closest Maj. Win Body i�(t ` `l` - °'" ^ �
�MEN BEEN 1111 a`i■■■ ■■ MEN
ONE
■■■■ill■■■■■■L!u11■■■�lil■■■lam%■■�
A building permit may required by:
Notes/ Special Conditions ! ' ) J G e--r 5 0, ; S 4 4 n
1 0rin1i :t I i
(Scale:A/-y, )
_ ❑ See note on back rf garding River Basin rules.
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Agent or Applicant Printed Name Permit fii ;s Signature -
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Signs ure ; * Please read compliance statement on back of permit * Issuing Date
+I'
`Application Fee(s) Check # Local Planning jurisdiction
C,
V-ato�1 Date^
Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null andvoid.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules ❑ Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

ConnectGIS Feature Report
Page 1 of 1
APCONNEC 1IG'� Carte014
Printed April 02, 214
WEB HOSTING See Below for Disclaimer
Parcels - Updated 02-20-2014
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S = .I.i, 3 Feet
The information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and other
public records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification o
the information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does not guarantee that
the data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services and access methods a
Hill.
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APR 11 2014
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SITE DRAWING/APPLICATION CHECKLIST
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Please make sure your site drawing includes the folloa7ng information r quired for a LAMA minor development permit.
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Tk Local Permit Officer will help you, if requested.
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PSYSICALDiMF.NSIONS
Q
pft�ZQ! APPLICATION FOR
Labelroads
LAMA MINOR
Label highways right-uf--ways
_Label setback lines
DEVELOPMENT
_Label any and all structures and driveways ettrreatly existing on property
any
_L.abet adjacent watubody
PERMIT
PHYSiCAL CHARACTERISI•ICS
Draw and label normal high vvater line (cunlact LPO for assistance)
in 197d, the North Carolina General Assembly passed [be Coastal Area Management Act
_Draw• 1w otims of on -site wastewater system
(CANfA) and art the stage for guiding development in fragile and productive areas that
If you will be working in the ocean hzzwd area:
border the state': sounds and oceanfront. Along with requiring special care by those who
Draw and label dune t idges (include spot elevations)
build and develop, the General Assembly directed the Coastal Resources Commission
_
Draw and label toe of dunes
(CRQ to implement clear retltrlations that minimize the burden on the applicant.
identify and locate first line of stable vegetation (contact i.PO im assistance)
-_,_,_ Draw and label erosion setback line (contact LPO for assistance)
This application for a minor development permit Under CAhI.A is part of the
Draw and label topographical features (optional)
Commission's effort to meet the spirit and intent of the General Assembly. It hat been
designed to be straightforward and require no more lime or effort than necessary from
If you will be worling in a coastal sbmcline area:
the applicant. Please go over this folder with the Local Permit Officer (LPG) for the
Show the roof overhang as a &tted line around the slructmc
locality in which you plan to build to be cerluin that you understand what Information he
_ Drawand label landward limit of AFC
or she needs before you apply.
Draw and label oil wetland lines (contact LPG for assistance)
Draw mid label the 30-foot butter line
Under CAAfA regulations, the minor permit is to be issued within 25 days once a
I)KVELOPDIENT PLANS
complete application is in hand. Often less time is needed if the project is simple. The
process generally takes about IS days. YOU can speed the approval process by malting
_Draw and label all proposed structures
certain that your application is complete and signed, that your drawing meets the
-...—Draw and label areas that will be disturbed andlor landscaped
specifications given inside and that your application fee is attached.
_Note size of piling and depth to be plated in ground
— Draw and label all areas to be paved or graveled
Other permits are sometimes required fordcvclopmenl in the coastal area. While these
Shaw all areas lu be distunbtxl
are not CANL1-related, we urge you to check with the Local Permit Officer to determine
_Shaw Landscaping
which of these you may need. A list is included on page two of Ibis folder.
NOTE TOAPPLICANT
We appreciate your cooperation with the North Carolina Coastal Management program
Have you:
and your willingness to build in a way that protects the resources of our benutifal and
completed all blanks and'or indicated i[ nut applicable?
productive coast.
• notified and listed adjacent property marina?
• included your site drawing?
Coastal Resources Commission
• signed and dated the applicatiun?
Division of Coastal Management
• enclosed thu f 100.00 fee?
• completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
FOR STAFF USE
-Site Notico Posted — Final Inspection , Fee Received
Site Inspections
Date ofAcdon:Issued Exempted — Denied — Appeal Deadline (20 days horn permit action) UCMform Ell1952-1ulNRnvedApnlpAo
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0111 K PERMITS MAY BE REQUIRED: The activity you arc plmuriug way require permits other than the CAMA
Locality Permit Number
minor development permit, including, but not limited to: Drinking %tu W01, Septic Tank (or other sanitary wade
treatment system), llnilding, Electrical, Plumbing, Heating and Air Conditioning, insulation and Energy Conservation, FIA
_.
Ueean llawd Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile I lome Park Approval, llighway Connection, and
d�
(For official use only)
others. Check with your l.ornl Permit Officer fur more informatoo.
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GENERAL INFORMATION
SI'ATEMENTOFONNNERSIIII':
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I, the undersigned, an applicant for a CAMA minor dcvclnpmcnt pertflit, being tither the owner of property in an ARC of a
6 v ,
`
LANDOWNER
person authorized to act as an agent for purposes of applying fora rAMA tnimr development permit, certify that the person
Gy
��
Name ��lic fyx i�'Xf) e �� •
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
.
� (�
`��%'i �rk4i
described as: (check one)
)•
Atklress re ,I,C4
1(r q(� r� 341� � _� ^, / Ov r-1
City � I lPi SlulC Zip f70l Pha,c WO f
an owner or record title. Title is vested in see Deed Book
Retristry
two
�
11 1
page in the County of Ikeds.
7
L'mail'_ PRei , �� •CpM
Van owner by virtue of inl,eriterrcu. Applicant i s an heir to the estate of �,(/ �:rtir� Grr'njd!'
cc
AL'THORIZEU AGRhT
probate was in County.
NameplG�A'ljlet
_if other interest, such as written contractor lease, explain below or rise a separate sheet & attach to this application,
Address} [) GD 1"2 Y ...__
NOTIFICATIONOFADJACENTPROPER'fYOWNERS:
'` �.__�
City �- U % Stale Ci 7.ip � Phone -� �I7' S`�W '
I furthermore certify that the following Ixrsons are owners of pmpertict adjoining this propLity. l affirm that I have given
ACIVAL NOTICE: to each of diem contenting my intent io develop this property and to apply for a CAMA permit.
Lmail �G f s V ad26Tn r, t , CG "N'X _ ,
(Name) �- f (Address) f p �y
�US%i 1a17on (�t-10 S Leesv, ll eL �-kurG>ti l�� f7G�t°reit Svc �76r7
LOCATION OFPRO•IECT:(Address,st�eetnameand'ordirectionstosite. Ifnot oceanfront,what isthe name ofthe
(1)
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� r� �q (2) D6n CQIF rut 4sh_,B 5k&,Asb�mro Al2, 2 SZy
at(jacrntwatrrbodyJ �((xr �01,1 �"tic21�'iCL'Llr1�.11�IYf
Jgtltrt,tay.(3)
DESCRIPTION OFPROJECn (List all proposed constmctinn and laud disturbance.) ^ i . ire
-- I. ...
(4)
1
SIZE OFLOT/PARCRIa square feet acres Pil}Iny rr*PfdVdr*tnT5ACKNOWLEDGEAIENI'S:
v)
T, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
PROPOSE I) USE: Residential Ul� (Single-family ❑ Multi -family ❑) Cannnerclal(IfIdu5lrial ❑ Othcr ©
may be susceptible to erusiun and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hared problems msoeiated with this lot. This explanation was accompanied by tecuiun,cndations concerning stabilira-
COMPLETF F.ITIIER (1) OR (2) BELOW (Corrrael ynar Lacul %erail( Officerifyoa are notsmre whlchAECapput'
lion and Roodprnnfing techniques.
tayoarproperty):
I furthermore certify that 1 am authorized to grant, and do in tact grant, permission to Division of Coastal Management stair
N
(1) OCP.AN HAZARD AP,(N: 'TOTAL FLOOR AREA OF PROPOSED STRUrTURE: square feet (includes
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
N
air eoaditforud living space, parking elLvatcd abuve ground level, non -conditioned -pace elevated above ground level but
related to this permit application.
-4
excluding norm -fond -hearing attic space)
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This [lie day of %npt)()1, 20 1�/
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cn
(2) (:OASTAL SHORELINE AECs: S1 RR O1` 111 RLDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: . _ squmro fret (includes the area of the roof/drip lino of all buildings, drivc%vays, covered decks,
co
v
concrete or inasonry patios• etc. that are within the applicable AFC. Attach your cakul Lions with the project drawing.)
landoi%mer ar peLrsm auiinrizcd to aadaas )iisMer agent rut rpose of fili a CAMA permil applicafiom
STATE MRNSWATER MANAGEMENT PEItM171y is the pmjcct located in an aren subject to a State Stormwafer
Management Permit issued by die NC Division of Water Quality?
This application Includes: general o fwrnation (IlnisJnrntJ, a SNe droxuiR as desenbed wr the bark nJ this applfcar(nn, the
YES^ NO—
ownership slalement. 1110 Uecan HazunI AEC'Notice where nrcecmry, a check frir S100.00 etude puyuble to the localiq; and
any information ar may he provided orally by the applicant. Jhe details of fhe application av described by these sources are
If y'es, list the total built upon arealirrmpervinim surface allowed for your lot or pnreel• square feet.
incurpuruted without referenre in an}• permit which mqv be B'surd lVviarion fmtn these details will constilute a violation of
artypermit. Any person developing in an AFC without permit Is sahfect to crvit, criminal and admin4vtradve action.
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR LAMA MINOR PERMITS
I hereby certify that I own property adjacent to
property located at 19
on
(Name of
Address, Lot, Block, Road, etc.)
n it i n
y) v (Town andlor County)
N.C.
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 pr9posal.
,
(AP (CATION AND DRAWING OF PROPOSED DEVELOPMENTATTACHED)
Sigm
pLure
Print or Type Name /
-/1 '�— 97f 7 — 0,44-
Telephone Number
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Date
APR 11 2014
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ADJACENT R) PARIAN PROPERTY OWNER STATEMENT
r�e�rt •_
aci� aGeTlt 10 S
hereby certify that I ownpcoperta' J (Name of Property Owner)
propert9located at S Sr FP '
(Lot, Slo k, Road, etc.) �^
on �r; �,2�?i rir�cno� (Town a Or Conn e
(Water odyb )
383- 80•? Mailing Address: ii pett-e Cf
Applicant s phone#: �/"'_�e_,.:11 • . fl� J� �?D'?_
He has descn-bed m me, as ShOwrL below, the development he is proposing at that location, and, i
)lave no objections to his proposa
l.
DVE^DESCRI MON ANDlOR DRAWING F PROPO5> elop ntj PMElY'T:
(To be�illed in by pro ny P p� g
f7; ers c� tiC��rrs
.� 7'►StL.�1
Owner Iaiformatian)
(Informau= for Property O�,rner Applying (Riparian Property
for Parrnit)
Mailing Address
del l A-hUr )VC- ? I
CitylState zip
ctephane Number
4,1111
it e
Signature
• Signswre
Print or Type Name.
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Date
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NCDENR.
North Carolina Department of Environment and Natural Resources
Division,of Coastal Management
Michael F. Easley, Govww James H. Gregson, Director William G. lbss Jr., secretary
Date
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) kl-Ud IY.� e"exlyft71P0•'-rk, to act ou my
behalf, for the purpose of Applying for -and obtaining all CAMA Permits nrrewssary to
Install or construct (activity) 4'rs 'ii-D q BOc _Ate'j- P cr wa.'L
at (my property located at) ,I9S'S��7'• ��� d /0 ZW9'-
This certification is valid thru (date)
Property Owner
Date
400 Commerce Avenue, Morehead City, North Carolina 28557 APR 1 Y 2014
Phone: [phone] FAX: [phone] Intemet: www.n=astaimanagerwnt.net
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