Sea Gate Assoc.

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Ci NIA,/ Eff6REDGE &hFILL ,
9 66829 A B ( D
GENERAL PERMIT Previous Permit#
I fNew El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As, uthorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of enviroqmenW concern pursuant to I SA NCAC ..,.r
41
0i (9" (;i/;' les attached
Applicant Name . ' .(:?1' �t". r'„ Pro Location: Coun
any -w..
i ty
Address ;a (. �r f� . .+ Street Address/ State Road/ Lot #(s)
CiState iM ZIP-r y-�'3 ryr3
Phone #.
;�(�''� ��+'�'� �"��"�. ��'-�..E-Mail � Subdivision
Authorized Agent City ZIP
Affected ❑ Cw '� '" PTA ❑ Es ❑ PTs Phone # ( ) River Basin I
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA Adj. Wtr. Body rp 1 r nat man unkn
, Closest Maj. Wtr. Body
ORW: yes no,�. PNA yes
r
Type of Project/ Activity
Y I ^.�. I �•�
Pier (dock) length "�—i .;i
Fixed Platform(s)
Floating Platform(s) "
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
may —distance offskbre�
�Basip, channel ,1 tr
cubic yards
ggoat ramp ++^
i:.
Boathouse/ Boatlift
Beach Bulldozing
Other
e✓
Shoreline Length r tl '{. d
SAV: not sure yes no
Moratorium: n/a y no
Photos: ye no r
Waiver Attached: ves no"
A building permit may be required by: _
( Note Local Planning Jurisdiction)
Notes/ Special Conditions °
LJV IVI_ IVI"LJ V 1 1 i
w f' '" . r . �`) fi �� ❑ See note on back regarding River�asin rules. x'
LO (f X &4,24 (D (ICEP
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' Agent or ¢fpl rlt Nr
Permit Officers Printed Name
Si ture y Please read`co
lianyc+e�statement 'n back of pe i
�
Sign tuia{e
Q /`p
P5
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Appllcatioh Feels)
Check #
Issulng DateDate�E
p tion Datep tion Date
't

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 and void.
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules 0 Other:
0 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of 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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14

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DIVISION OF .COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY 01NNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby that I own properly adjacent to 5EA 6ArF.. )qssoGlNT101I) 'S
(Name of Property Owner)
propertylorateaat. 7a9 SCA 6ArE Deer.
(Address, Lot, Block, Road, etc.)
on 14ftrlvrp fiut2Aac,L OVAL in A)LUjPala.r N-C.
(Waterbody) (City/Town and/or County)
Agent's Name #: zDe N rJ i s OVEV-43 Y MOM Address:. 76 0 5 EA Gn rE Ag.
Agenrs phone #:1a8 -453 2. (Asa) N;t wPo nt ; A) c a BS 7 o
He/She has described to me as -shown below the development he/she is priming at that location,
and 1. have no objections to the proposal.
DESCF8PTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndfvkk al praposing devekpment mustflff in description below or attach a she Drawing)
Dredge the marina entrance channel from the 1CW to the boat ramp, to an appropriate
depth consistent with local CAMA requirements/rules. Dredge spoils will be put on the
low areas in the field North of the marina and West of the campground.
See Attached Drawing....
Ifyouhave omenstowhat isbef9ProiPose4you mustnoWyMeDi0sianofCo Man-OMMt
9XMQ in wrift within 10 days of receipt of this now Contact hdWmeftn for DCM offices is
available athURtwww - oFbY 1-MB-/RCQAST.
No is considered the same as no ob
jecMw if yw haws been notTtleal by CarMled Mai/,
(Properly Owner Information) (Qip z
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Signature S m -
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Print or Type Name
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Telephone Number/EmagAditw
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Print or Type Name
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Telephone Number/EmafAdidress
APR 11 2016
Date '
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(Revised: Aug

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Dredge Spoils Area
1
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Sea Gate Marina
Dredging Plan
.
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,
3/ 2016
Fuel Tanks
PARKING
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Dredge Area
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or on the front if space permits.
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---------------
bEAUFORT
1903 LIVE OAK ST
BEAUFORT
NC
285167925
3606240942
03/07/2016 [phone] 3:27 PM
Product ---------------Sale =======Final
Description Oty Price
First -Class
Mail
Letter_.—
omestic)
(NEWPORT, NC 28570)
(Weight:0 Lb 0.90 Oz)
(Expected Delivery Day'
>
(Wednesday 03/09/2016)
Certified 1 3.45
\(USPS Certified Mail #�
(701421200000539$9530S
Return ��" 1 $2.80
Receipt
(USPS Return Receipt #)
(9590940307695196850272)
First -Class _1$0.49
mail
(Domestic)
(PORT SAINT LUCIE, FL 34986)
(Weight:0 Lb 0.90 Oz)
(Expected Delivery Day)
(Thursday 03/10/2016)
rtified 1 $ .45
(USPS Certified Mail #)
142120000053984516
Return $2.80
Receipt
(USPS Return Receipt #)
(9590940307695196850265)
First -Class 1 $0.49
Mail -
r/- �----
Lette
/(Domestic)
(GREENVILLE, NC 27834)
(Weight:0 Lb 0.80 Oz)
(Expected Delivery Day)
.(Wednesday 03/09/2016)
Certified - 1 J$3.45(USPS Certified Mail #(70142120000053984523)Re Ur*1-, 1.
Receipt
-XUSPS Return Receipt #)
(95909403076951968,50258)
f �
Total $20.22
Credi t Card Remi,td
.$20.22
(Card Name:VISA)"
.CA.ccount #:XXXXXXXXXXXX6685)
(Approval#:007575)
(Transaction 4:020)

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Instructions
1. Send the Adjacent Riparian Property Owner Notification Form to the adjacent
property owners. Must be by certified mail (returned certified mail receipt). If no response
for 10 days after receipt of the letter (returned certified mail receipt date) it is assumed
that the adjacent property has "no objection.
2. Minor Permit -- limited to less than 1,000 cubic yards of spoils material. $400 for spoils
between 100 cubic yards and 1,000 cubic yards.
3. Can apply for permit after all Adiacent Riparian Property Owner Notification Forms have
been returned or 10 day period has expired.
4. Update the channel/depth drawing with depth readings.
5. Take all drawings to CAMA office to apply for the permit.
G/4 tic 4 O F—F i c— k—
IK
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13c)AT'
RAOUP
APR 11 2016
DCMW RA, H D�a�

Sea Gate Association, Inc.
729 Sea Gate Drive Newport, North Carolina 28570
Phone: [phone] FAX: [phone]
E-Mail: [e-mail] Web Site: seagatenews.com
March 7, 2016
Jacquelyn Bargoil
724 Sea Gate Drive
Newport, NC 28570
Sea Gate Association, Inc. is applying for a CAMA minor permit to dredge the marina entrance channel
from the ICW to the marina boat ramp. This project is adjacent to your lot in the Sea Gate Subdivision.
The specifics of the proposed work are shown in the attached drawing.
As the adjacent riparian property owner to the aforementioned project, I am required to notify you in order
to give you the opportunity to comment on the project. If you have questions concerning the project,
please refer them to Dennis Overby at [phone], or call the marina office at [phone]. If you
have "no objections" to the project, please sign and return the Adjacent Riparian Property Owner
Notification Form to the Sea Gate Office. No comment within 10 days of your receipt of this notice will
be considered as "no objection".
Sincerely,
Norman Price President, Sea Gate Association
APR 11 2016
D MO ® M H ,, MY

I Icy cerW that 1 aum properly adjacent to SEATsi4rE. . Assoc.uuTi's
(Name or PmPertY )
pmpertybcwedat- 7o?9 $4.4 6ArE DRivE.
(Address, Lots, lMock, Road, ato.)
(W dy) (City/Town and/or County)
AgenfsName#: -DeuN,s OyIEZSY MailiqlAddress:. 76o SEA Dart. Dom.
AgWeplume#: 7,28-5'S3z. l?s2� -- N�wr��zr, we a8s-0
HeMhe has described to an asshown below the devebpn*ut he/she is p mposmg at#W location,
and 1. have no objections to the pr+opmW.
DESCIOPTION ANDIOR DRAWNG OF PROPOSED DEVELOPMENT
(individual proposing devntnprnent roust flit in descdpdm below or attach a site
Dredge the marina entrance c hamel from the ICW to the boat ramp. to an appropriate
depth cent with local CAMA r+equi arnen s/niles, Dredge spolls will be pert on the
low areas in the field North of the marina and West of the campground.
See Attached Drawing....
If Youham 048cfaustowintisbairi pWose4you mustnofyNoDWsionafCoesMAjj4j�=
(Me -in wrOW wi1Mn 10 days of mc&W of Oft nonce. Ce"W tr0mmdon fbr DCW of ftm is
Meat arbycw ffims 1 MB-IRCOAST.
(Propertj OMW ino oamation)
ona
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NoaMAx) Auce, - Paesnouir
Print or Type Name
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r
(Riparian spa ty Owner khanation)
PlrWorType Name
NumberlEnWAddvft
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(Revised: Aug. 2014) A P R 11 2 016

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Sea Gate Association, Inc.
729 Sea Gate Drive Newport, North Carolina 28570
.Phone: [phone] FAX: [phone]
E-Mail: [e-mail] Web Site: seagatenews.com
March 7, 2016
Charles Cone
5944 NW Favian Avenue
Port St. Lucie, FLA 34986
Sea Gate Association, Inc. is applying for a CAMA minor permit to dredge the marina entrance channel
from the ICW to the marina boat ramp. This project is adjacent to your lot in the Sea Gate Subdivision.
The specifics of the proposed work are shown in the attached drawing.
As the adjacent riparian property owner to the aforementioned project, I am required to notify you in order
to give you the opportunity to comment on the project. If you have questions concerning the project,
please refer them to Dennis Overby at [phone], or call the marina office at [phone]. If you
have "no objections" to the project, please sign and return the Adjacent Riparian Property Owner
Notification Form to the Sea Gate Office. No comment within 10 days of your receipt of this notice will
be considered as "no objection".
Sincerely,
Norman Price President, Sea Gate Association
'N E
APR 11 2016

Sea Gate Association, Inc.
729 Sea Gate Drive Newport, North Carolina 28570
Phone: [phone] FAX: [phone]
E-Mail: [e-mail] Web Site: seagatenews.com
March 7, 2016
Peggy Nelson
507 Cedarhurst Road
Greenville, NC 27834
Sea Gate Association, Inc. is applying for a CAMA minor permit to dredge the marina entrance channel
from the ICW to the marina boat ramp. This project is adjacent to your lot in the Sea Gate Subdivision.
The specifics of the proposed work are shown in the attached drawing.
As the adjacent riparian property owner to the aforementioned project, I am required to notify you in order
to give you the opportunity to comment on the project. If you have questions concerning the project,
please refer them to Dennis Overby at [phone], or call the marina office at [phone]. If you
have "no objections" to the project, please sign and return the Adjacent Riparian Property Owner
Notification Form to the Sea Gate Office. No comment within 10 days of your receipt of this notice will
be considered as "no objection".
Sincerely,
Norman Price President, Sea Gate Association
APR 11 2016

w - . 1j
SECTION .1500 - GENERAL PERMIT FOR EXCAVATION WITHIN OR CONNECTING TO EXISTING
CANALS: CHANNELS: BASINS: OR DITCHES IN ESTUARINE WATERS: PUBLIC TRUST WATERS: AND
ESTUARINE SHORELINE AEC'S
15A NCAC 07H .1501 PURPOSE
This permit will allow excavation within existing canals, channels, basins and ditches in estuarine and public trust waters for
the purpose of maintaining previous water depths and creating new boat basins from non -wetland areas that will be used for
private, non-commercial activities. This general permit is being developed according to the procedures outlined in
Subchapter 77.1100, and will apply to the estuarine waters and public trust waters areas of environmental concern.
History Note: Authority G.S. 113A-107(a),(b); 113A-113(b); 113A-118.1; 113-229(cl);
Eff. July 1, 1984;
Amended Eff. December 1, 1987.
15A NCAC 07H .1502 APPROVAL PROCEDURES
(a) The applicant must contact the Division of Coastal Management and complete an application form requesting approval for
development. Applicants shall provide their name and address, the site location and the dimensions of the project area.
(b) The applicant must provide:
(1) confirmation that a written statement has been obtained signed by the adjacent riparian property owners
indicating that they have no objections to the proposed work; or
(2) confirmation that the adjacent riparian property owners have been notified by certified mail of the proposed
work. Such notice should instruct adjacent property owners to provide any comments on the proposed development
in writing for consideration by permitting officials to the Division of Coastal Management within ten days of receipt
of the notice, and, indicate that no response will be interpreted as no objection. DCM staff will review all comments
and determine, based on their relevance to the potential impacts of the proposed project, if the proposed project can
be approved by a General Permit. If DCM staff finds that the comments are worthy of more in-depth review, the
applicant will be notified that he must submit an application for a major development permit.
(c) No work shall begin until an onsite meeting is held with the applicant and a Division of Coastal Management
representative to inspect and mark the proposed area of excavation and spoil disposal. Written authorization to proceed with
the proposed development can be issued during this site visit. All excavation must be completed within 90 days of the date of
permit issuance, or the general authorization expires.
History Note: Authority G.S.,113A-107(a),(b); 113A-113(b); 113A-118.1; 113-229(cl);
Eff. July 1, 1984;
Amended Eff. January 1, 1990; December 1, 1987.
15A NCAC 07H .1503 APPLICATION FEE
The applicant shall pay a permit fee of two hundred dollars ($200.00) for maintenance excavation of 100 cubic yards or less
or four hundred dollars ($400.00) for maintenance excavation of 100 to 1,000 cubic yards. Permit fees shall be paid by check
or money order payable to the Department.
History Note: Authority G.S. 113A-107; 113A-113(b); 113A-118.1; 113A-119; 113A-119.1; 113A-12pt
Eff. July 1, 1984; {`�
Amended Eff. September 1, 2006; August 1, 2000; March 1, 1991. APR 11 2016
15A NCAC 07H .1504 GENERAL CONDITIONS;
(a) Individuals shall allow authorized representatives of the Department of Environment and Naturalesources to make
periodic inspections at any time necessary to ensure that the activity being performed under authority of this general permit is
in accordance with the terms and conditions prescribed herein.
(b) This general permit will not be applicable to proposed maintenance excavation when the Department determines that the
proposed activity will adversely affect adjacent property.
(c) This permit will not be applicable to proposed construction where the Department has determined, based on an initial
review of the application, that notice and review pursuant to G.S. 113A-119 is necessary because there are unresolved
questions concerning the proposed activity's impact on adjoining properties or on water quality; air quality; coastal wetlands;
cultural or historic sites; wildlife; fisheries resources; or public trust rights.
(d) New basins within or with connections to primary nursery areas are not allowed.
52

(e) No new basins will be allowed that.result in closure of shellfish waters according to the closure policy of the Division of
Environmental Health.
(f) This permit does not eliminate the need to obtain any other required state, local, or federal authorization, nor, to abide by
regulations adopted by any federal or other state agency.
(g) Development carried out under this permit must be consistent with all local requirements, AEC rules, and local Land Use
Plans current at the time of authorization.
History Note: Authority G.S. 113A-107(a),(b); 113A-113(b); 113A-118.1; 113-229(cl);
Eff. July 1, 1984;
Amended Eff. May 1, 1990; December 1, 1987;
RR Objection due to ambiguity Eff. May 19, 1994;
Amended Eff. August 1, 1998; July 1, 1994.
15A NCAC 07H .1505 SPECIFIC CONDITIONS
Proposed maintenance excavation must meet each of the following specific conditions to be eligible for authorization by this
general permit.
(1) New basins will be allowed only when they are located entirely in highground and join existing man-made
canals or basins.
(2) New basins will be no larger than 50' in either length or width and no deeper than the waters they join.
(3) New basins must be for the private non-commercial use of the land owner.
(4) Maintenance excavation must involve the removal of no more than 1,000 cubic yards of material as part of
a single and complete project.
(5) All excavated material must be placed entirely on high ground above the mean high tide or ordinary high
water line, and above any marsh or other wetland.
(6) All spoil material must be stabilized or retained so as to prevent any excavated material from re-entering
the surrounding waters, marsh or other wetlands.
(7) The proposed project must not involve the excavation of any marsh, submerged aquatic vegetation, or other
wetlands.
(8) Maintenance excavation must not exceed the original dimensions of the canal, channel, basin or ditch and
in no case be deeper than 6 feet below mean low water or ordinary low water, nor deeper than connecting
channels.
(9) No excavation may occur during times designated by the N.C. Division of Coastal Management for
protection of fish, shellfish or wildlife resources.
(10) No maintenance excavation may take place within prime shellfish areas as designated by the N.C. Division
of Marine Fisheries.
(11) Proposed excavation must not promote or provide the opportunity for a change in existing land use at the
time of project review.
(12) New basins and canals must maintain required setbacks between septic tank systems and surface waters.
History Note: Authority G.S. 113A-107(a),(b); 113A-113(b); 113A-118.1; 113-229(cl);
Eff. July 1, 1984;
Amended Eff. September 1, 1988; December 1, 1987.
Ef',n�4���
APR 11 2016
DUM-
h y.. utlAl d
53

Directions For Filling Out A CAMA MINOR Permit
Please fill out the application completely including applicant's signature on the second
page. Be sure to complete the "statement of ownership" and the "adjacent property
owners". Your Local Permit Officer can assist you in preparing your application and project
drawings. Once the application and drawing(s) are complete, follow the instructions below:
SEND THE FOLLOWING ITEMS TO THE ADJOINING PROPERTY
OWNERS: CERTIFIED/RETURN RECIEPT MAIL IS RECOMMENDED
1. A letter stating you have applied for a CAMA permit and are required to notify them
of your intended project. (Attached please find an example of this letter)
2. A copy of the application drawing(s) showing your project.
3. A copy of the completed application.
BRING THE FOLLOWING ITEMS TO YOUR LOCAL CAMA PERMIT
OFFICER:
1. A $100.00 check payable to LOCAL GOVERNMENT
2. The completed, signed application.
3. The project drawing(s) showing your proposed development.
4. Copies of the letters mailed to the adjoining property owners.
5. The certified mail receipts from the post office showing that you have mailed the
letters to adjoining property owners.
6. A copy of the property survey (if applicable).
7. A copy of your Zoning Certificate and/or Improvements Permit, for installation of
your septic system (if applicable).
This process usually takes approximately two (2) weeks from the date that we receive your
complete application. A review period of 25 days is provided by law and an additional 25-
day period can be imposed when such time is necessary to complete the review of the
proposed project. Under those circumstances, you will be notified of the need for an
extended review period. If you have any questions about the Minor Permit application, your
project drawing(s), or any other aspect of the N. C. Coastal Area Management Act (CAMA),
please contact the LOCAL GOVERNMENT CAMA Local Permit Program Office.
APR 11 Z016

PROJECT DRAWINGS
1. All drawings should be drawn to scale (ie. 1"=20', 1"=30') and include the following information:
- Name, project address, date and drawing scale (title box).
- Property dimensions and names of adjacent property owners indicated
Dimensions and location of all exist* and proposed structures, driveways, and sewage
disposal system (attach ImproverTl6rits Permit, if applicable). Decks labeled as covered or
uncovered and dimensions shown.
- Adjacent water body labeled and Normal High Water (NHW) or Normal Water Level (NWL)
contour shown.
- Marsh and/or wetland areas labeled (wetland delineation documentation from USACOE
Army Corps of Engineers must be included with the application, if applicable).
- All areas of ground disturbance and/or landscaping shown.
2. If your project is in the Ocean Hazard Area, your application must include an AEC Hazard Notice.,
signed by the property owner. Additional information for project drawings in the Ocean Hazard
Area AECs includes:
- Show all dunes and dune system contours, labeling the dune crest and both the landward
and oceanward dune toes. Also, include spot elevations on the highest portion of the
dunes.
- The first line of stable, natural vegetation as flagged by the LPO and the applicable setback
from the vegetation line. Contact the Local Permit Officer to stake the vegetation line for
you if necessary.
- Cross-sectional/Elevation drawings showing the number of floors and the roof and deck
profiles of the proposed structure(s). Additional drawing(s) for each floor plan may be
necessary.
- List the Total Enclosed Floor Area. Total Enclosed Floor Area is the combined
square -footage of all heated or air conditioned living space.
3. Additional information for project drawings in the Coastal Shoreline AECs:
- Dimensions of the footprint/roofline of all structures (outside walls + roof
overhang extended to the ground).
- Dimensions of all decks, labeled either covered or open (all elevated decks with
concrete below them at ground level are considered impervious).
- Normal high water (NHW) or normal water level (NWL) contour.
- Show the applicable Area of Environmental Concern (AEC); 75 feet landward of
normal high water (NHW) or normal water level (NWL) for Estuarine Shoreline
AEC (Coastal or Joint Waters); or 575 feet landward of normal high water (NHW)
or normal water level (NWL), if adjacent to Outstanding Resource Waters; or 30
feet landward of normal high water (NHW) or normal water level (NWL), if
adjacent to Public Trust Shoreline (Inland Waters).
- List the total amount (sqft) of impervious surface that will be created from your
proposed development.
- Show the 30-ft. buffer landward of normal high water (NHW) or normal water
level (NWL)
R.
a
APR 11 2016
DCE�,J

FILLING OUT THE APPLICATION FORM
The shaded area at the top of the first page is completed by the Local Permit Officer.
The LPO will assign a permit application number and check the AEC in which the
property is located.
In the general information section, the applicant and future permittee is always the
Land Owner, although an agent, such as a contractor or realtor, may obtain the
permit for the property owner. The applicant's mailing address is entered here. If an
agent is utilized to apply for the permit, their contact information is entered in the
Authorized Agent section. Location of Project is the address of property where
the work is to take place (the 911 address, subdivision and lot number, State or
County road, etc.). Description of Project should include all land clearing,
demolition, construction, and landscaping activities that are proposed to complete
the project. It is better to go over -board here, than to omit something that would
necessitate having to modify or re -apply for another permit to complete the
development. Size of Lot/Parcel can be listed as square feet or acres, or both.
Check the applicable Proposed Use, residential (single-family or multi -family),
commercial, or other. The Total Enclosed Floor Area of a Buildina in the Ocean
Hazard AEC section is only completed for those projects that are located in one or
more of the Ocean Erodible, High Hazard Flood, Inlet Hazard or Unvegetated Beach
AECs. Total Enclosed Floor Area is the combined square -footage of all heated or air
conditioned living space. If the project is not in the Ocean Hazard Area, then insert
N/A and go to the next section and determine in which Coastal Shoreline AEC the
project is located. The Size of Building Footprint and Other Impervious
Surfaces/Built-Upon Surfaces in the Coastal Shoreline AEC is calculated by
totaling all of the impervious surfaces within the applicable distance (30 ft., 75 ft. or
575 ft.) from Normal High Water (NHW) or Normal Water Level (NWL). Sometimes
the impervious surfaces that are allowed on an individual lot are further limited by the
conditions of the subdivision's State Stormwater Management Permit. The
applicant should insert the amount of impervious coverage that is allocated to their
lot under their subdivision's State Stormwater Permit. This number is usually found
on the property deed or subdivision covenants. Typically, any subdivision that was
developed after January 1, 1988, will have a State Stormwater Plan.
On the second page of the application, the section entitled Statement of Ownership
is completed by the applicant using information from the property deed. The
applicant must check one of the three options and fill in the appropriate information.
Make sure that adjacent riparian property owners have been listed in the
Notification of Adjacent Property Owners section and that they have been
contacted by the applicant, either in person or by certified mail. Copies of the
completed letters and certified mail receipts, if required, should accompany the
application. Finally, the applicantlagent must sign and date the application at
the bottom of the page.
y T F
APR 11 Z016

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
Label roads
_ Label highways right-of-ways
_ Label local setback lines
Label any and all structures and driveways currently existing on property
_ Label adjacent waterbody
PHYSICAL CHARACTERISTICS
_ Draw and label normal high water line (contact LPO for assistance)
_1,ol 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)
NIA��// _ Draw and label toe of dunes
_ Identify and locate first line of stable vegetation (contact LPO for assistance)
_ Draw and label erosion setback line (contact LPO for assistance)
_ Draw and label topographical features (optional)
If you will be working in a coastal shoreline area:
_ Show the roof overhang as a dotted line around the structure
y�� y _ Draw and label landward limit of AEC
/ N /,+e; _ Draw and label all wetland lines (contact LPO for assistance)
_ Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
_ Draw and label all proposed structures
_ Draw and label areas that will be disturbed and/or landscaped
% p _ Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
_ Show all areas to be disturbed
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
/ • notified and listed adjacent property owners?
y • included your site drawing?
Y • signed and dated the application?
;/ • enclosed the $100.00 fee?
completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
FOR STAFF USE
Site Notice Posted _ Final Inspection _ Fee Received
Site Inspections
Date of Action: Issued Exempted Denied _ Appeal Deadline (20 days from permit action)
4
APPLICATION
CAMA MINOR
Coastal Management DEVELOPMENT
ENVIRONMENTAL QUALITY PERMIT
In 1974, the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA) and set the stage for guiding development in fragile and productive areas that
border the state's sounds and oceanfront. Along with requiring special care by those who
build and develop, the General Assembly directed the Coastal Resources Commission
(CRC) to implement clear regulations that minimize the burden on the applicant.
This application for a minor development permit under CAMA is part of the
Commission's effort to meet the spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant. Please go over this folder with the Local Permit Officer (LPO) for the
locality in which you plan to build to be certain that you understand what information he
or she needs before you apply.
Under CAMA regulations, the minor permit is to be issued within 25 days once a
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 making
certain that your application is complete and signed, that your drawing meets the
specifications given inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area. While these
are not CAMA-related, we urge you to check with the Local Permit Officer to determine
which of these you may need. A list is included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission
Division of Coastal Management
DCM Form EB1952.2015/Revised
CD
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Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
LAND OWNER - MAILING ADDRESS
Name 5FA GA-r� At5ss DeP/4` o,\) -T:%Li L
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Address2-y 515'A (;AT1n•
City & w f bIiLT State Zip Zone Z=S—_ Z
Email
AUTHORIZED AGENT 2
Name V F—A �% is O VAR 9�
Address 9g ? 6 o 5 EAc GA r- f, P—,
N City ow Pa t-� State L Zip 7�ione I 3 a' s
Email VC—P—MYO its (-Q-C Ai .L- c coo
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
'5 C.A Gad TIE
DESCRIPTION OF PROJECT. (List all proposed construction and land disturbance.)
SIZE OF LOTIPARCEL: — i square feet acres 7S-
PROPOSED USE: Residential ❑ (Single-family ❑ Multi -family ❑ ) Commercial/Industrial Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer (fyou are not sure which AEC applies
to your property):
r C_-J
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other thahJhe CAM4si"
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanita ste 0-1
A
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy C pi ation�A
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highwa ection, 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)
�an owner or record title, Title is vested in name of '5F-A &rC— S a e l ArtoAf XN� e
see Deed Book 377 page 3g!`T in the County Registry 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 RIPARIAN 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.
(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) Landowner
(2) COASTAL SHORELINE AEC9: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: _ square feet (includes the area of the foundation 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 Energy, Mineral and Land Resources (DEMLR)7
YES NO
V yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
This the l ( I day of a2o 16
authorized teact as his/h%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 Hazard AEC Notice where necessary, a checkfor S100.00 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 without permit is subject to civil, criminal and administrative action.
V9