Piper, Don

411-1
❑CAMA / ❑ DREDGE & FILL NQ 70925 A B C= D
GENERAL PERMIT Previous permit #
[]New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commissi in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name _ Project Location: County
Address = ( '" 'I P� Street Address/ State Road/ Lot #(s)
City State '. ZIP,,) S7f (� �_ f c .' ,� r't , - re ""
Phone # ( ) ` �� , t % E-Mail
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
Subdivision
city J ZIP
Phone # () _ River Basin r'f r '
Adj. Wtr. Body fF Ir t *'� nat,.fman /unkn)
t,-
Closest Maj. Wtr. Body
WEE
■�■■■�■■■■■�■■■■
■■�■■1®■ ■■■ii■■■
■■■■■■■■■■■■■■■ME�M■■■■■■■■�mimom
NIM
■■
WEEM
■®■■■RIM■■■
■■I.a
�■VA■■ii■■
. ■■■■■■■■5i
■■■ ,
■�■■■■■�■�■■■■■ate■■
mmm M��■■�■■MEN
■
■■■�!1■ �
■ U■■�I®■■ ■■ :I■
s
■ !
■■■ �■■■EN/■
■■■ +NIL MMMM1■!■■■a■■■
M. ■■U■■E121M■■■■EN;■■■■■!!!�■1!.'�i�
■■■■■■■r7■■■■■■
■�
■■■■
■�
■V pN� ;q■■ ■■■ ■■N
■fit► !■■� ■■a�■■■
M.■■■■�
■■■■■■■■■■�i■■■-a■■■aI�a■►��■■
MINIM
■■
■■li ■►■� ME MEN
MEN ■r■■■■
• ■MM■■■MMM■■■!A■■/1■■■■■KWA
■■� ■� ,■■■
�►■
■■■■■
■■■■
■■■■IrniNA
■■■��Il�'7
■ J #■■s MEN
!!! ■��a,lll■■■■ ■■■■
ME
■�■■■..■■■■M■■■■■■■■®■■■E
►■H'E■■■■
■�■■
'� ■■■■ ■■■NEr
■■■E � ■■■■1
= :
Agent P ' 4ed e
Signature.,,. 4 P, read compliance statement on back of permit's
Application Fee(s) Check #

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, certify that this project is consistent with 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 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
(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)
Revised 7/06/ 17

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
belroads
abet highways right-of-ways
Label local setback lines
04% ..abet any and all structures and driveways currently existing on property
t Label adjacent waterbody
PHYSICAL CHARACTERISTICS
_Draw and label normal high water line (contact LPO for assistance)
Draw location of on -site wastewater syste
If you will be working in the o - hazard area:
Draw and lab une ridges (include spot elevations)
Draw and et toe of dmtes
_ Identi and locate first line of stable vegetation (contact LPO for assistance)
Dr and label erosion setback line (contact LPO for assistance)
raw and label topographical features (optional)
If you will be working in a coas shoreline area:
_Show the roof erhang a a dotted line around the structure
Draw and 1 el landward limit of AEC
Draw a abel all wetland lines (contact LPO for assistance)
Dra nd label the 30-foot buffer I ine
DEVELOP ENT PLANS
j► Draw and label all proposed structures
aw and label areas that will be disturbed and/or landscaped
fraw
esiz 'piling and depti to be placed in ground
and label all areas to be pav or gravelw all areas to be dis�ew landwaping �'
NOTE TO APPLICANT i
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• 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 _ 1� inal Inspection .__.._ Fee Received -
Site Inspectiorls
Date ofActiurr Issued Exempted __. Denied Appeal Deadline (20 days from permit action)
APPLICATION FOR
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 mirror 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 Ire
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 18 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
RECEIVED Division of Coastal Management
AN 2 9 2018
DCM_ MHp CITY
DCM Porrn EB1952-2015!Re, i d
�o
..I
C
rri
d
C
to
'z
n

Locality
OceanHazard Estuarine Shoreline ORW Shoreline _
(For official use onh )
GENERAL INFORMATION
LAND
Addr
RECEIVED
AN 2 9 2018
Permit Number OTHER PERMITS MAY BE REQUIRED: The ach ' y e ;l n AK u t her than the CAMA
minor development permit, including, but not limited tojt9terNtc Tank (or other sanitary waste
Public Trust Shoreline Other treatment system), Building, Electrical, Plumbing, Beating 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.
City Stale Ni***'_/ �Zip?.a5i% Phone SZI� 3 '5�� �
Email Cfe Ili r/
AUTHORIZED AGENT
Name
Address
City _
State Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
DESCRIPTION OF PROJECT- (List all proposed construction and land disturbance.) Z ,i
iew-
I
SIZE OF LOT/PARCEL: square feet 46, acres
PROPOSED USE: Residential [Rr (Single-family Multi -family ❑ ) 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 SHORij.iNE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: _f_P*Z_ 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 Manager t Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES_ NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
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
de�scrrb as: (check one)
M an owner or record title, Title is vested in name of r%I'(/� 'le
in the -�f —Cou
see Deed Book page nt y Registry of Deeds
%�/.i
_-..__an owner by virtue of inheritance. Applicant is an heir to the estate of
; probate was in
County.
f 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. 1 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:
l 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-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
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 o the aforementioned lands in connection with evaluating information
related to this permit application.,�
This the 1_ day o20
to act as his/her agent for purpose of filing a CAMA permit application
This app 'llatro ncludes: general information (this form). a site drawing as described on the back of this application, the
ownership ement, the Ocean Hazard AEC Notice where necessary, a check for $100.00 made pavable to the locality, and
anv 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
anv permit. Any person developing in an AEC' without permit is subject to civil, criminal and administrative action.

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owni
Address of Property:
Agent's Name #:
Agent's phone #:
(Lot or Street #, Street or
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. scipt�ion'or,drawrngufi hd�mensibns musb'e p`ravided.withf�rsl.eer.
A,�d
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400
Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808-
2808 No response is considered the same as no objection if Lou have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived Ime. (If you
wish to waive the setback, you must initial the appropriate blank below.) C�
® Z
I do wish to waive the 15' setback requirement. _
I do not wish to waive the 15' setback requirement.
co
(Prope'ner In ation) (Adjacent Property Owner IWrmation)
Prink or Type Name /
G� 11/
Ma' ' g Address
City/State/Zip
W
Telephone Number
Date
J'l
Signature
Prinit or Type Name
10 � CIMW/1 ), �v - --
Mailing Address
�A'
City/State/Zip
Telephone Number
Date
Revised 611612012

�i "�"��J
����G

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owni
Address of Property:
Agent's Name #:
Agent's phone #:
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
.r �, , r'�
they are proposing. A,dstt�btion orsdrawmg�:tiwith dimensions mu`Sfbeptarrdecf.anritFihrstefter.
�I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400
Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808-
2808. No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, rgroin mus �v� set
back a minimum distance of 15' from my area of riparian access unless wai�ti by take. (lir' u
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
'St
I do not wish to waive the 15' setback requirement.
(P
ation)
Print or Type Name
I
Mailing Addre
City/State/Zip
Telephone Number
Date
(Adjace t Property Owner Information)
Signature
41 L ),14
Print or Typ b TVb me
dal
MMng Address
Ci y/State2i
(.25:?) ac/ - C/sy�,
Telephone Number
�! 2 Zzy
Date
Revised 611812012

12/17/2017 ConnectGIS
NE �! VI i
K�€Ra
.._..........__.._..._......-
;Excel 2000/2003
Address
1f 300 SWEETEN RIDGE LN, BEAUFC
1:576
Feet
4m,�
JAN ti 9 ©2009-2017 Dude Solutions. All Rights Reserved. I Softw�e Notices
es
MHO �1T�
1/1
https://carteret.connectgis.com/Map.aspx

N ConnectGlS
12/ 17/2017
t w. W,
V S HGSW
•sue'
Overview Map
Feet
LastSegment: 0.38 Feet
Total: 48.56 Feet_
Quick Search
Advanced Search
Search Builder
Coordinate Search
Comparable Search
Excel 2000/2003
Address
-..J 300 SWEETEN RIDGE LN, BEAUFC
F (OV, P 130 Vc2tWA- V�k
IVA I&rwdcy&k
1:36
Feet
JAN 2 9
2018
yDcnn- nnHo crrY
L
©2004-2017 Dude Solutions. All Rights Reserved. I Software Notices
t �' � �x �► Clittr� ��� � �'1 c�l��
S
d
1/1
nttps://carteret.connectgis.com/Map.aspx

N

k: j; .Syr. :. -� � . �� .•.�-:. ,4`,• iC.=+f�r:}-.a
YY
ht�awc 9.u)Ans� ��n . �,.••.
:.:.-._ _ _ _ r. _•., ,r \.:. '. .N.`U-.i•a��ors4,Jo neuvy �.- �:;
>.' ?. ,� •10. •b!Iv'AleWAy•..t �'W1af•r'T e•I+f4••:-L1 rvWW{-• ::
';f .`,��`,:.t'xi.�11� �• �rvx t,.' t»s!vtW: _ wxea�•r,�.i J•� ;�.';,-1t:
�:f•••>.i'��: }:: � � .'. •� . • .: l�Ip � t• -'� • A Na.� ''1�'i •• ft. tI �Y ��.?' •�
• `` - fit. - tt•�,. ��• . � • - .. -. Ya=•/:
In.x•v ..t •.•'.y.4 . " +s••str{i' ht{. �' '.M�•r�•4 .. ', � •� , �'* � . -P
'.., .; t`'2v.9'� - t 1fit�- .-•.: ,,�'y'•d� •1{r:,.J•bwVw� ti���od
•• •MY �M•Mst S7r." IP•.{
G+{ drlr •{wp -it
D .
inuts tr •�' :3
Z y ���^'' •hstsata•n �� ♦ � '
Lmm_
, { Ada ••�\ ,. «r.,;.�'¢-",>„«.�;
N
0
00
A 1 `•
�•. �, k A t •� =r 1 fnr,n '
vw : �„ •cP� Ms - as e? • > �•. "W#v I
n . \
n S IVMI• •r � `%'�
flit tj at . • •2 mn.,,wy r •.. iJ.: '• b
f ,.7,
too '
J