31047D - Futrell

0 CAMA / DREDGE & FILL Net 31047-2
GENERAL PERMIT Previous permit#
>C __New Modification Complete Reissue Partial Reissue Date previous permit issued
As at,thorized 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 I 5A NCAC '741 • 12 OC)
'Rules attached.
Applicant Name 6 'k—\ram L(TY t t li Project Location: County - r uos 0.)i CL-
Address 4004 NC) ,C.th,36,1 ._), Street Address/State Road/Lot#(s) 1 ci 8 ;j-
City \o(f ► ..)'t,1C_ __ State IP a95(0b r«f-A.-l„ StYe-e_t y
Phone#(�.�I U)4 kr)-(-9t 7 : Fax#( ) Subdivision 7-0 SSS1,:t' ct tU't S t VO
Authorized Agent L/r\fk-f le j E}y j'48°'7 City Or n `*_ 1 ZIP
1 CW AEW *TA ❑ES C PTS Phone# ( ) River Basin LuA r'1 -f
Affected ❑OEA ❑HHF ❑IH ❑UBA N/A
AEC(s): Adj.Wtr. Body C11, 4&( (\ C-ie., - \t( //man /unkn)
❑ PWS: ❑FC:
ORW: yes /; no no\ PNA yes / Crit. Hab. yes / no Closest Maj.Wtr. Body a-
Type of Project/Activity .: A 2 ,1O fr,C. F I om-,/�c.� (..--it k--
•J (Scale: Is-)oT T )
Pier(dock)length J�IL_.. ".. __ i8
Platform(s)(r tk)c) 12'X l2f
Fingerpier(s k1#j Alu(1r 'a Y. 1, '�!"nG"71-3C,% ,it:L P.
Groin length Allik --- r' - p-t,,t:.,)
number — -- -
Bulkhead/Riprap length ! `,, ,Y 1t 4-- 'f, - 1' `t A' r• 4 ' -,, .
Y _ t) ,t
avg distance offshore
max distance offshore -(L 't ` •t Y
Basin,channel { {=5�t iT f L `J..
cubic yards r
Boat ramp 4. Y .
Boathouse/Boatlift f C ` _._
Beach Bulldozing ! / \i, I a
Other t
1 ,
Shoreline Length Y
SAV: not sure yes r; y(_ I
Sandbags: not sure yes no \Y- .
—
Moratorium: n/a yes no
•
,.�J, tt 1. -- - Ik- r,: C1
Photos: yes no VT
Waiver Attached: yes `no ! i --___I--- —_..- —_-- -- L X -i esx.,_..._ ,
A building permit may be required by: OCR 1 S(c- .-f\c k - L,See note on back regarding River Basin rules.
Notes/Special Conditions( --)(-e_.,
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tle s c; ("N,\0 t —VC'\ -' elis,:.)----12 (----.X.)
Agent or Ap icant Printed Name Permit Officer's Signature
\t I-\ l tJU Z. l`t1 i\ ',i:(
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
__,tick. c511
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Application Fee(s) Check# Local PlanningJurisdiction 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 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 I)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 Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-648 I)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-648 I
Location: Fax: [phone] Fax: [phone]
(Serves: Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I 9-733 1495 151-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
Revised I 0/05/0 I

c�� L L N 1 CO 'LPUT R _~ ORA'
: P?,iC -2.NA2 ( e-�n r F LA -fie.
YT]ON z T NAhES: •
AEC DrSIG T 61J DEV OP AIC-Lk:_—0[ PROJ D`SC: P - 12.
(ui may I
(WE oaiy,.r._I)
woRK:. 13v 2MI X To 134 fo'
(wa3=drake 4)
T� - (Z'X 12
(W •2 4) •
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Imo: _..,A 'I 1 o • 0 144
ACTION •
IR4TJON
DIEM) €FEL R:QUI�MD: - 2 l tel 0 2_ • S. 1 l i.I 0 Z
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CA MA MEJORDEVM..I3 QUM- y.l (c� jo 2--- _/ I' / 02-
1

tar 2 Roe Stibatvt.wn
tSS Sleet Forth Street
Property Amer: Property Omner:
Steven Prince hagaet Ross
PO BOX 152 PO BOX.20601
Whitevftle,NG 2E412 Cinariotte,NC 28230
Lot Width l5'
SO t SS Feet
ec
MARSH GRASS
PY
11.
114
try
Gazebo
2S.
COCK
e,00 Per CATlA Regulation
Old Sound

Locality Permit Number
GENERAL INFORMATION
LAND OWNER,, ,
Name L r' c
?ciJ
Address qG"vV 1�� �� r
37
City ;D r(`/4 v i))Z. State N Zip 75—C G% Phone ,21ti 4( f95'
AUTHORIZEDAGENT
Name kr/nv s
Address If 6 .U-e 40
,� t.:. ZipZ 6`1 Phone 9'� 5' L' O 7
City ����,J 1�--:� f���� State
LOCATION OF PROJECT I �q8 we 5J Le- 51.
(If not oceanfront,is waterbody natural or manmade?) N rid
DESCRIPTION OF PROJECT Lk/Lei.,./ 41,4' 4 r 7ei d obcc
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard ' Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
Residential. Commercial/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT-UPON SURFACES (such as driveways, etc.)within 75 feet of the shoreline (575 feet
of an ORW shoreline)
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
SQUARE FOOTAGE OF SITE
OTHER PERMITS MAY BE REQUIRED: Zoning,Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
The activity you are planning may require Burning,Electrical,Plumbing, Heating and
permits other than the CAMA minor Air Conditioning,Insulation and Energy
development permit. As a service we have Conservation, FIA Certification, Sand Dune,
compiled a listing of the kinds of permits that Sediment Control, Subdivision Approval,
might be required. We-suggest you check Mobile Home Park Approval,Highway
over the list with your LPO to determine if Connection, and others.
any of these apply to your project.

STATEMENT OF OWNERSHIP
I,the undersigned, an applicant for a CAMA minor development permit,being either the owner of property in
an AEC or&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 , see Deed Book
page in the County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County. •
tf if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
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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 ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA permit.
(Name) /� (Address)
(1) 712aP ei� ROSS t &2)( 3i) 7 (-1,4 r'%h /V Z8Z3>
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS: •
I 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
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This application includes:general information(this form),a site drawing as described on the back of this ap-
plication,the ownership statement,the AEC hazard notice where necessary,a check for$50.00 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 a per-
mit is subject to civil,criminal and administrative action.
This the day of ,20
Land owner or-person authorized to act as his agent
for purposes of filing a CAMA permit application.

Date 11111'1°1
7tIVF1 ()(i CQ
?v (;)off( 952
LIi}e vi 11 P, NC/ age 1.
Ref: CAMA Permit Notification
Dear 111( QfinC€ •
This letter is to inform you that I have applied for a CAMA Permit on my property located at
Lot Z , Block , Section ; Ross 5.450;va's:u1-(Q8 iv. y{1, 51- in Ocean Isle Beach,
N. C. CAMA regulations require me to notify you of my intentions. I have enclosed a copy of my
permit application and a copy of the drawing of my proposed project.
If you have any comments on my proposed project, please contact Peggy Pelasara, Local CAMA
LPO for Ocean Isle Beach at 910-579-7070.
Sincerely,
(445 MC—4mes
Carmetty l
aecr, /s(e /.gam! /1C & /17

.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X / 1 d Agent
■ Print your name and address on the reverse 3/`, al ���/�. O Addresse
so that we can return the card to you. fi ,
g, Received by(Princes Name) C. Date of Deliver
II Attach this card to the back of the mailpiece, 5�: /�'r �a i �`�oZ
or on the front if space permits. {J
1. Article Addressed to: D. Is delivery address different fr,m item 1? 0 Yes
If YES,enter delivery address below: ❑ N
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• glali Grfr Xoxy
P 30607
3. Service Type
4-(
0 Certified Mail Express Mail
G((/ 4/C El Registered `Return Receipt for Merchandise
2 ?Z 3c) ❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Transfer from service 7001 2 510 0001 1676 5 712
DS Form 3811,August 2001 Domestic Return Receipt 1025 95-01-M-25

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage& Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
6114 r Ins 4rn is Li'.
1 F9 CG tiie
ece6„, Ad, f cis 7\/C ?evtf

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. ` ` ❑ Agent
• Prirft your name and address on the reverse 411, 0 Addresse
so that we can return the card to you. B. Received by(Printed Name) C. Date of Deliver
• Attach this card to the back of the mailpiece,
or on the front if space permits. O`OA-
D. Is delivery address different from item 1? ■ Yes
1. Article Addressed to:
If YES,enter delivery address below: ❑ No
bun I.fie v I lief MC Z i-1 3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7001 2 510 0001 1676 5705
PS Form 3811,August 2001 Domestic Return Receipt 102595-o1-M-25

UNITED STATES POSTAL SERVICE First-Class Mail
1111 Postage& Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
01 Cc( {5 F NA PS L
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zgLitcy
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Date 12/rt/of
Ma(jar e-t- (?os
fb pax 30607
Ch Oddif, NC z e z 3C1
Ref: CAMA Permit Notification
Dear 10(S. as,
•
This letter is to inform you that I have applied for a CAMA Permit on my property located at
Lot 2 , Block , Section ;Goss S6d✓�s'o�! /�(�' 1,' `/-A,5Win Ocean Isle Beach,
N. C. CAMA regulations require me to notify you of my intentions. I have enclosed a copy of my
permit application and a copy of the drawing of my proposed project.
If you have any comments on my proposed project, please contact Peggy Pelasara, Local CAMA
LPO for Ocean Isle Beach at 910-579-7070.
Sincerely,
dir/es Ames
�G' eae.aea, Di.

•
2511
B8&7
OC E6N ISLE BEACH,NC
CHARLES FOX HOMES, LTD I ��
16 CAUSEWAY DRIVE S.W.
OCEAN I(910)579 0908 C 28469
$ / O
-- ��PAY TO THE J-- DOLLARS 8 tjeORDE OF ��-
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MEMO �'053LOLL2LI: 52L2L676670
11110025E le