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HomeMy WebLinkAboutPN_05-03_SorensenUJ/11:112uub 1r: F7tl
t IV �4 F
Local Government
ylb2 r05021
PENDER CD INSPECTION
LAMA
NAIAIn0 rlC\/C1 ^NkAr-&Fr
PAGE 0?'
P^ eimit�.�
r nis perm¢, issusa on jgn., A t v �Iw : is subject to compliance with the application and site drawing (where consistent
with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject
pormiftee to a fine, imprisonment or civil action, or may cause the permit to be null and void,
ALL APPLICABLE CONDITIONS INDICATED BY CHECK MARK:
41 proposed development and associated construction must be done in accordance with the permitted workplat drawings(s) as originally
submitted, or as revised on (date).
t� amstluction must conform to NC Building Cade requirements and, all other Local, State and Federal regulations.
!!�Ariy change in the plans for development, construction, or land use activities will requi e a re-evaluation and modification of this permit
_The amount of impervious surface areas shall not exceed 30°% of the lot area within the 75' Esluadne Shoreline AEC (or the 30, Public; Trost
Shoreline AEC); in this me —sq. ff.
` n order to prevent sedimentalian, a vegetated buffer zone must be maintained between all disturbed areas and the adjacent waterbody or
marsh, In this case a,ft. wide buffer has been accepted.
rior to initiating any land disturbing acWties, a barrier line of filter cloth, staked hay bales, or burlap must be installed between the land -
disturbing activity and the adjacent marsh or water areas, until such time as the area has been property stabilized with vegetated cover.
IF DEVELOPMENT IS IN AN ORW ESTUARINE SHORELINE:
e'fhe amount of build -upon area shall be limited to no more than 25^%of the AEC area of the land to be developed; in this case, /rC.oh ft.
!Sformwater collection systems are prohibited.
.—�A30' buffer zone must be provided from the mean high water line (normal water line).
This permit action may be appealed by the permidee or other
qualified persons within twenty (20) days of the issuing date.
From the date of an appeal, any work conducted under this per.
mit must cease until the appeal is resolved.
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 moddlf-atlons not covered
under this permit requires further written permit approval.
All work must ce'Gase when this permit expires on December
31. ryrh
In issuing this permit it is agreed that this projectm consistent
with the local Land Use Plan and all applicable ordinances.
This permh may not be transferred to another party without
the written approval of the Division of Coastal Management.
r --
`1 name
address
Pemiittee
(signature required if special conditions above apply to permit!
03/18/2005 17:00
9102705021 PENDER CO INSPECTION PAGE
NOTICE FROM PENDER COUNTY RECREATION
�e�X'cr
3�2/0
, 7A
p vs--
s-
Non-profit agencies, athletic organizations, etc. that provide recreation services for citi
of Ponder County are eligible to apply for assistance from Ponder County Parks\yy
Recreation Department through the "Recreation Partners" Program. Applications are nod
available and will be accepted until Friday, March 4, 2004 at 5:00pm. For'more informatior
contact Dee Turner at the Parks and Recreation Office at 805 South Walker Street, SurgaH
NC 28425 or by calling 910-259-1330, .
Pursuant to NCGS 113A-119 (B), County of Ponder, a locality authorized to issue CAM
Permits in'Areas of Environmental Concern hereby gives NOTICE that Orf Terry Tume
applied for a- CAMA permit to construct a single family residence at. Lot 3, Great Oak Drive
The application may be inspected, at the address below. Public Comments received b,
March 2, 2005 will be considered. Later comments will be accepted and considered up tt
the time of permit decision. Project modifications may occur based on further review ant
comments. Notice of the permit decision in this matter will be provided upon written request
Tommy Garriss, LPC
Pender County Inspections, 805 S. Walker Street, Burgew, NC 28425 (910) 259-1275
Pursuant to NCGS 113A-119 (B), County of Pender, a locality authorized to issue CAMS
permits in Areas of Environmental Concern hereby gives NOTICE that on February 14
2005, Martin A. Sorensen applied for a CAMA pemilt to construct two landscape type
bulkheads located at 2446 Harbor Lane in the Scotts Hill subdivision. The application ma:
be inspected at the address below. Public Comments received by March 11, 2005 will b1
considered. Later comments will be accepted and considered up to the time of pert!
decision. Project modifications may occur based on further review and comments. Notict
Of the permit decision in this matter will be provided upon written request,
Greg E. Mosher, LPO
Pender County Inspections, 248 Transfer Station Road, Hampstead, NC 910.270.5004
Fl
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03/18/2005 17:00 S102705021 PENDER CD INSPECTION PAGE 01/03
PENDER COUNTY INSPECTIONS
248 TRANSFER STATION RD
HAMPSTEAD NC 28443
FAX COVER SHEET
TO: GIS;� -st Pn erg FROM: Greg Mosher Z 0-1-0 l
FAX NUMBER 3q5 ,?%� FAX NUMBER: 910-270-5021
PHONE NUMBER: PHONE NUMBER: 910-270-2505
DATE: / NUMBER OF PAGES
j/ I �/6.5 INCLUDING COVER:
NOTES/COMMENTS:
C- A^ - I
�i rlet' COP
C.I Q p e r F --: �— reec,. -I- I
4n GC(S -1-4,& -- ; T.
)/ �tl -�
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4 C O J--4e-
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/~Ak<4 r -/-e �-S
�llens,— 2,W7 ;--03
BURGAW OFFICE 803 WALKER ST. P.O. ROX 444 BURGAW NC 28425
PHONE (910) 259-1201 FAX (910) 259-1295
02/21/2005 09:22 9102705021 PENDER CO INSPECTION PAGE 01/10
PENDER COUNTY INSPECTIONS
248 TRANSFER STATION RD
HAMPSTEAD NC 28443
//77 FAX COVER SHEET
TO: (TES SoA A h4I FROM: Greg Mosher
FAX NUMBERS 9S'..3 16 FAX NUMBER 910-270-5021
PHONE NUMBER: PHONE NUMBER: 910-270-2505 2 70 -,So 0
DATE:Zl
NUMBER OF PAGES
z l0 5 INCLUDING COVER: / 0
NOTES/COMMENTS:
_--j �Ae ohP
19,141 6.f pet, $.: 1--� be;.) 4
I $ la CA YnA M,+lr., I.
Uy � I— Gldw /,/
BURGAW OFFICE 803 WALKER ST. P.O_ BOX 444.BURGAW NC 28425
PRONE (910) 259-120I FAX (91.0) 259-1295
C ��
02/21/2005 09:22 9102705021 PENDER CO INSPECTION PAGE 02/10
CAMA I
NOTICE OF FILING OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS I I3A-119(b), County of Pender, a locality authorized to issue
CAMA permits in Areas of Environmental Concern hereby gives NOTICE that on
_Feb. 14,2005, )Martin A. Sorenscnapplied for a CAMA pemlit to construct two
landscaping type bulkheads located at 2446 Harbor Lane in the Scotts Hill subdivision.
-The
application may be inspected at the address below. Public continents received by March
112005 will be considered. Later comments will be accepted
and considered up to the time of permit decision. Project modifications may occur based
on further review and comments. Notice of the permit decision in this matter will be
provided upon written request,
Greg E Mosber Jr. LPO
Pender County Inspections
249 Transfer Station Road
Hampstead N.C.
910 2705004
Please publish on Feb24 2005 and Mar3, 2005
you
yot
02/21/2005 09:22 9102705021 PENDER CO INSPECTION PAGE 04/10
I.ocaliry�n1t/�.
Ferrni.c NumbCr 50bi
Oce;tnHazud EscuarincShorcline_0RWSltoMinc 1__publicTzusrShorcline _Other.
(For official use orilv)
GENERAL INFORMATION
LAND OWNER
Name
Address z 1 feir{JC�
City 1t1
AUTHORIZED AGENT
Name
Address
City
State Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site. rrnot oceanfront. what is the name of
theadjacentwaterbody?) �'� "�eh ,- ti,J" A/
OF PROJECT: (List all proposed construction;tnd land disturbance.)
7 1
SIZE OF LOT/PARCEL 3 s4 r y square fg a S yG acres
)PROPOSED USE; Residential (Single-family _ Multi-famil
y�) Cammetic.*Inducrrial
Other --
)T TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA, OF ENVI-
ve RONM'E'N IQ CONCERN (AEC); 4165 square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND
OTHER IMPERVIOUS OR BUILT UPON SURFACES IN
'T'THE
COASTAL SHORELINE AREA OF' ENVIRONMENTAL CONCERN (AEC): 92Z7, s.i sgft,
(Calculations include the arcs of the roof/drip line of all budding", driveways, covered decks, concrete or masonry patios,
etc, that are within the applicable' AEC. Arcach your calculations with the project drawing.)
Choose the AEC area that applies to your property.
(1) within 75 feet of Normal High Waccr for the.Estuarine Shoreline AEC
(2 �irlun 575 feet of Normal High Water for the Estua
R�utuce Waters rine 5horcline.4EC, adjacent to Outstanding
S. (3) within 30 (cct of the Public Trust Shoreline AEC
5 (t ontacewur Local Pcrmir Officer ifpou arc not sure which AEC applies at your property.)
STATE STORMWATER MANAGEMENT PERMIT Is the project located in an area subject to a
State S[OrInwater Managmenc Permit issued by the N.C. Division orwater Quality?
YES— NO
If Yes, list the total built -upon area/impervious surface allowed for your lot parcel, .
square feet.
UZ/Z1/2b0b 0J:Y2 K02705021
PENDER CO INSPECTION
PAGE 05/10
lr:v.auprornr por;nh. A^: i'Iv; ;a'r- •. _
i .xrr•ice mr liavr nv,:uilcd :u iisi u(rik' land., ni pnn:rnits ila;tt r;:igln,irc •rctl:a ilxi{ rki :uc�
trice,cur Ll'(? ro Jerc::nins iFanp nF:j,ttar t+int,Y uc3.u1;I'rul _rr• caning. flti.ra:i.nt_- 4`.. 'eli„jc ric7 .-i, "`.,•''rru r.'lrccr''.',M1_n.iu:f:r
trealmen[ syi.lc:n6 I3urnina, F,Iepn'ieal, "?�
Jll teY LL' T rAlA I15�
nihc
1:.uir{Liunr.,S ;, and.'lir (,:nv< r• p errs t•snir;;r,•.,tr sie
cdiment Cnnnoh Sul division A tc I'arl aun:ut;. In;uiar:rnr ,md Erv:r, (.nn Prcariun,
pprnv:d, n;Ir�bilc Nun scrvaunn., Pi,•1.Ccr,.
•^,T--•q�;,•• ,y-� ,r� Approval. Highway Cunnecrion. and ,alters•
I, the tInd"-Signed• all ac
pliant r:i (.:AMA cncoot dcvdopmrnr bernTir, hour ri
per.:on authorized ro art as an ;igettr fiir 7u oses o
g ilrcr the pruner ,n('pn,},crry in aU;
listed as landowner on this applic:rdor• hag ,�+r f applying for (ALMA minor devcloprucnt tart }fit' rr+' a
desc.rihetl as: ,cheep one) r nificant interesr in the real propc, p }r, certify dear the p_cson
P P Try r-hetein. This i ntetesr can he
owner or recorA drle. Tirle is vested ir, ail• t
pane_, .S ill the Ghc�er ,"'—fi ' r h %C�
:—� (.<runty Iier. gki-_ see rh d Book:_ Aq
hurt 'if"Deeds: _.
—,_an o,vner byvirtric ofinhcrirancc. ,gppiic;inr is an heir «i the estate nF
ptober<: was in
�if other inCcigst, Such as written contract or Iea,sv, '",Plain below or use a sepaiatc sheer and attach rn t};ja. ;r I• .
pp 4cition.
NOTIFICATION OF
ADJACENT .� ROpERTY OWNERS.
i FTtTAmore certify rlrtt die firllowiiig per5nns are owners ofpR,)peaies adjoining this property. I affirm that I ha.,e
bCTUi1d .NOTIC$ to 'ad' of them concerning my intent to develop this tro ear
yen
i. , ( lame) A. A P y and rn npplI fill, a CAMA pernair.
(� (Addr
3)
I)
ess)
C. zc-•y
'OR DEVELOPERS IN OCEAN HAZARD AN.d) ESTUAJNE HAZARD
AREAS,
x nowled}re that the land owner is aware that die proposed dcvelopinent is planned for an area which ratty be susceptible ro
osion and/0- flnotiing. i acknowledge that the local permit of l lias czplaincd to me rfae particular hazard problems aeaoci-
ed arith diis Int. TLis explanation was accompanied Ly recommendations conccrningstahili7arion and }loodproofloR tech-
qucs.
ERM SSION TO .ENTER ON L AN1D:
urthermort, ecrdf r than: i am aur.horiud to };rant and do in tact grant permission to the local, permit olFcer and hi< ngencs To
,ter oo the aforementioned in -ids in connecrion wich milualing information related m dais permit application,
cis application includes: getieral infarsiacion (this fonts), a nice droving as described on the back of rhis application, the
:T=cvhip vCiCC^':^n r, inC A-C :1azird novice where necessary. a check for.$ 1IO.00 made payable to the locality. and '.iny infrtr-
stian as may be provided orally by the applicant. T'hc details of r'tic application as described by these sour,:cs are it. pr.Yared
thonc mfe.cmce in enp permit which moy be issued. Deviar:ion from t mt detar.is Will comritulte a.vi ?lacion ofany permit. Any
rsun devclopinr, in anAEC,,Wv)ur permit is subject rn civil, a'inihtal and administrative action.
This th !i_ y of Erry 20 Q
...1._.._— ,...........1 .,,,.6.,t,., i N, arr 0c his avenr ror ruronse of Filing a CAtUv4 permit application.
02/21/2005 09:22 9102705021 PENDER CO INSPECTION PAGE 06/10
.. �^ e'rx:n kidtV110E8 LlejldrirrK'i'II .
of Frivironrnent and
N0t11iar Re50uCMs
Adjacent Property Chimer h9otf6ieatianlulfapuer rorm
Name ci Individual Applying for Permit: 6v- 1111 f-S ci(mws-dry-� y
Address of Prcpergl:
I heref)y certify that i own property adjacent to the above -referenced property. The individual
applying for Phis permit has described to me as shown on the attached drawing the develonrrenf
they are proposing A deg riptlon or drawing, v:4th dimensions, should br. provided Wth this letter.
I have no objections to this proposal.
If you have objection to what is teeing propcsed, plea:;s write the Divlsion of r;oastal
Management, 127 Cardtnat Drive Extension. Wilmington, NC 28405 or caps (210) 395-3904 within
i0 days of reMipl of thts notice. No response is considered the Samoa as no *ecuor i; You
have been ;rotted by certified Mail.
T el--7hone Number with Area Code
UNITED STATES P03TALSERV&T"
CS)
U1
CS)
-0
m
6
m
;u
e
z
LO
u
0 Sender: Please printr - . ..
M-va duress, an IR�4 i this F)63i
V
Complete items . 2, and 3. Also complete
item 4 it Re-9wa i wivery is desired,
A. signature
'7
Prfat your name id address on the teyerse
f�.
X a �f ale-- 7 Q ant
so that we can n um the Caid to yOp_
Attach This card i the hack of the mallplece,
R_ Received by (Prtnled
❑Addressee
C. Date of Delivery
or on the front if pace permits.
Arlldfl Addressed f
D. Is delivery igeresrt from hem 19 Yes
++'�'.
JJ
1"et
It YES, enler'deIP c y address bete, ❑ No
N e.
3. Service Type -
�L
/I
CCePd lAaileQ Express Mall
C3 Registered ❑ Retum Receipt fer Merchandtae
'
❑ Insured Mail 13 C.O.D.
Ardele Numher
4, tiastricted Delivery? lFxma F") Cl Yes ,
Mandfer f=n Sem-risbe) 7_003
1010 0000 1322 4820
Form 3811,Fe1 uary2UO4 Domestic ReturnReeelpt^-----------
1C26A5�2.1t-1GC6
� ct'1
02/21/2005 09:22 9102705021
' L4
f N
26
i
1
i
PENDER CO INSPECTION
%-.s it�3r
PAGE 09/10
z.
fyi 1! ..J
ip
1.0
S's
:'.!''
MARSHLAND
TAKEN FROM i
lvl. C. 26 PG. 178
1
// /A�•ry =
U2i2112005 09:22 9102705021 PENDER CO INSPECTION PAGE 10110
T
�k 179 ?sAGIQ
77a 8
hh 19. �v59 \ .
ss
21.5'
s
F 4
-1f
,F.s�,
\ 23501.59 Sq. FT.
ti \ \'eJFsy
\ 0.540 ACRES
\ \
\ 4G 4 N N
n
f r
NOTES:
1• AREA COMPUTED &Y COORDINATE METHOD
2. ALL DISTANCES ARE HORIZONTAL
3. FOR REFERENCE SEE AS M07M
7i41S PLAT REPRESENT$ AN ACTUAL SURVEY THAT MEETS OR EXCEEOS
ME REQUIREMENTS OF A CLASS B SURVEY IN ACCORDANCE VOM 774E
STANDARDS OF PRAC7ICE FOR LAND S'URVErNG IN NOR1M CAROUNA.
REPRODUCDON CR USE OF NC CONTENNTS OF P.A. ALL R S DOCUMENT OICHTS R ADDIRIXVS
OR DELERONS TO "S DOCUMENT, IN WHOLE OR PART. WITHOUT THE V077SM
CONSENT CF. 774E-LAND SUaS+EYOR 1S PROHIBITED.
NOT FOR
MAP FOR
MA-Mso.RENSEN
2446 HARBOR LANE
REFERENCE., 1583-136
TOPSAIL TWSP. PENDER CO.
NORTH CAROLINA
nATF'- n4=n7—na
40, 20' 0 �•
SCALE IN FEET
1" . 40
HOVER DESIGN SERVICES, PA
LAND SURVEYORS ENGYNEERS LAND PLANNERS
jlg WALNUT STREET
1+7L
wILM,NcroN, u.c 28401
PHONE., 910 343-BOOT.
rMA: ylV Jw-yygr -may
11039.JW'^Y"�
04/21/2005 09:18 9102705021 PENDER CO INSPECTION PAGE 02/15
PENDER COUNTY INSPECTIONS
248 TRANSFER STATION RD
HAMPSTEAD NC 28443
FAX COVER SHEET
TO; G�►= r ,7 T�/1 �/�♦- FROM: Greg Mosher
FAX Ni]M IER 3 9S.3 g6 f AX NUMBER; 910-270-5021
PHONE NUMBER: PHONE NUMBER: 910-270-2505 2 70 - SO 0 q
DATE:ZNUMBER OF PAGES / 1- 1 `4 5-INCLUDING COVER: O
NOTES/COMMENTS:
6!^: 7—N; S % S A /
xc
BURGAW OFFICE 803 WALKER ST. P.O. BOX 444 BURGAW NC 29425
PRONE (910) 259-1201 FAX (910) 259-1295
04/21/2005 09:18 9102705021
04/21/200S 07:21 9102531295
PENDER CO INSPECTION PAGE 03/15
PAGE 01
Legal Ad for
Penda county ( OWMment News
pFFMAVIT OF PII UCA'1' N
The Oender Post
P. O, Box 955 • Burgaw, NC 28425
(910)259-9111
Bar= the undersigned Notary Publio of
gender County, North CaraNna, PersoMIY
ap,peaoed Ratte CrornWde, who $ags that
she is authorized to melds this afdavft for
M ,Fender Post, that the notice or other
legal advertisement which is attached
hereto, was published in Yite Pender Post
on the fonowing dates:
azn, ,L 2, 2 B v S'
The newspaper in which notice of tegal
advertisement was published was, at the
time of each and every such pubficatIM a
newspaper of general circulation in Peader
County meeting all the rejuhaftents and
quMcadons of Chapter 1-5-47 of the
General statutes of North Carolina
4f8!%ii.
swomto
o` %blio
&A-4 y v _
Amt Gatlin Reach
My commission expires February 24, 2010,
04/21/2005 09:18 9102705021 FENDER CO INSPECTION PAGE 05/15
P � 1 Novser
,E
�r
LoonLoca
LAMA
issued to application. care- -�—
as requested in the Perm msoapplication and site drawing (where consistent
" ZOL )* is subject to compliance with the violation of theseterms may subject
issued on Itcablaregulationsandspecialconditlonsandnotessstforthbelow. Any
This permit, cause the permit to be null and void,
withthepermk), all'apP11
pormittee to a tine, imprisonment or civil action, or may
DID 0 BY CK' as originally
�A P BCE CO 0R O Permitted workplat drawings(s)
✓All All development and as1001ieted c0 `5 urh � must be done In accordance with the p
submitted, or as revised on 1—
t�l oprtsWdlon must conform to NC Building Code 1"uhements and all other Local, State and Federal regulations.
✓y change N the plans for development, construction, tx land use act villas will require a re evaivaBori and
modiflcai on of this
PeimR•
The amount of Impervious surface areas shall net exceed 30% of the lot area within the 75 Estuarine Shoreline AEC (or the 30' Public Trust
Shoreline AEG); In this case --sq' fi'
n order to prevent sedim fltati�vegetatedbuffee�pmust be maintained between all disturbed areas and the adjacentwaterbody or
marsrh, In thps case a
.Prior to inidatlng any land disturbing activities, a border line of filisr cloth, staked hay bides, or burlap must be installed betweestaledthe land.
disturbing activity and the adjacent marsh or water arm, until such time as the area has been properly stabilized with veg
IF DEVELOPMENT IS IN AN ORW ESTUARINE SHORELINE: /per
✓the amount of build -upon area shall be limited to no more then 25% of the AEC area of the land to be developed; in this case, . ft.
--Stormwetar collection systems are pmhlbited.
�,A W buffer zone must be provided from the mean high water line (normal water line).
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
From the date of an appeal, any work conducted under this per-
mit must cease until the appeal Is resolved,
This permit must be on the project site and accessible to the
Permit officar when the project Is Inspected for compliance.
Any maintenance work or project modifications not covered
under this permit requires further written permit approval.
All work must oaase when this permit expires on December
In Issuing this permit it is agreed that this project is consistent
with the local Land Use Plan and all appfjcable ordinances,
This permit may not be transferred to another party without
the written approval of the Divislon of Coastal Management,
Grey . i?1 h•: .
�.
name
address
=.
(signature required if special conditions ebovaa 'l�rmm9e
pply :c aermit)
04/21/2005 09:18 9102705021 PENDER CO INSPECTION PAGE 06/15
r'
North C trONnlik DGWar:llrtflt
of EDVhOnnrErrt and
Na d at ttewvress
Adjacent Property Ovrner NolytWCAMonlWaiver Form
Name of Individual Applying for Permit.. 1 I h C�afr� V�S�In
Address of Property:
I hereby certify that I own property adjacent to the above -referenced property. The Individual
applying for this pennd has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objection to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Fxtension, Wilmington, NC 28405 or call (910) 395-3900 within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
04/21/2005 09:18 9102705021 PENDER CO INSPECTION PAGE 07/15
d
far Mf4RSi'LANG' "r
TAKEN FROM
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04/21/2005 09:18 9102705021
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PENDER CO INSPEECCTION ` PAGE 08115
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04/21/2005 09:10 9102705021 PENDER CO INSPECTION PAGE 09/15
OTidwR p1EIthIIITS IvitkY 8E REi73:i1itiD:'1'hc acriviryynn :ue plaunhai, may napairc pnrm;is urbcr than the :F.n;A minor
deveinpnrenr. permit. As a zrrviec we have cnmuiicd a ust of the kinck ui permits chat might be• rryulml, We n u; a^r y u thane :+mr" rlto list
with your I.PC) to dLtcrminc if any of t},cse ;apply Ica yourpmlect•. 'Lonin.y Latinkin.1 `Warm Well, Scpri lank for other ;auicny m;r is
rrearmeat sysremi, Rurninft. Tkcrrieai, Plun:hin,S. HrntinF and Air C:nntlir;nning. Insularion and Energy Conwrvation. 111A r::n r:. WA:>n.
Sand Dune, Sediment Gunt.ml, Snbtlivision Approval. Whilc 1-ionic parltAppruVal, Hit Inaay, Cnnrteeripn, and others• ;a'i
,.y
STATEMENT OF OWNERSIHE'N
1, the ondersigned. an applicant [rat a (..AMA minor development permit, being tither the owner of prop:^vy in at.. AEC ar a
person nuthorized ro act as an agent For ourposes of apptving for a t. WA minor development permir, certify char the person
listed as landowner on this application has a significant interesr in the real property described therein. This inreresr can be
described as; (check one)
/ t l'✓ �� .t CCp? at., see Deed Book._. H 7e►
;m trwntr nt recur tide-'1 Title is vested in „ „a_ S—• - ---
p;ape ��f S in the er _ County fi rimy ofl)ceds.
_ an nwnet by virtue of inheritance: Applicant is an heir to the esmte of
ptohatc was in County.
_if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I afiinn that I have given
ACTUAL NarlC,,1F. to each of them concerning my intent to develop this property and to apply for a CAdvIA permit.
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware th:ar The proposed development is planned for an area which nmv be susccpi:iblc to
erosion anti/or flooding. I aeknr.,wledge that tht, local pertn;c officer has explained to me the particular hazard problems assnci•
aced with this Int. This explanation was accompanied by recommeradarions concerning, stabilization and Iloodproofing tcch-
nit)ncs- -
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am aurhorimd'to grant and do in fact grant pertnias;on to the local pa:rmit Officer and his agents to
eater op the aknemcnricncd lands in conncttion with evaluating infotuaadon related to this permit application.
This applluidon includes: general informarion (this form). a site drawing as dmexibed on the back of this opplicarion. rile
ownership statemcng the AHC: hazard notice where necessary, a check fix .y 100,00 made pavahle to the localirv, and any;nlin-
'marion as may be provided orally by the applic'atu. The. t{gzaN nFthc application as described by these snucc-cs arc +ucorporated
without reference in any permit which may be Nsued. Deviation front these drtails will constitute a viol,aion of any permit. Any
person developing in an ARC,: without permit is suhjact io civil. criminal and administrative action.
I r
This tl 17_ ay of ry�utt 20 0 r
rv'
AY
04/21/2005 09:18 9102705021 PENDER CO INSPECTION PAGE 10/15
Locality ��tK ��I PermitNumhet w��.
pstuadnc Shoreline ._OkW Slu:rcline _,,.PnblicT'rL^a Shotrhne _„_ t trr_,_,.-.
(Foe nFFrcial me only)
C,)Er-M$iAL INFO�tltI A LION
LAND 04'✓NER
Address y 2 (p
City_State ,Cr zip �Pt�%
AUTHORIZED AGTNT
•rot Name_
Address
City _
,vot
0
State_ Zip Phone
LOCATION OF PROJECT (Add,cem, str�ee�t na�me and/or directious to site. If not occanftunr, what is the name of
the adjacentwaterbodyt) 2yy`�.L7^'r�--
DESCRIPTION OF PROJECT (List all proposed construction and land disturbance.)
SIZE OF .LOTIPARCEL: — A—3�d—,5'� square t_c . , 5-1/G' acres
PROPOSED USE: Residential d (Single•funily t!' Multi -family _) Commerical/Industrial
Other.
01 TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): A1(d squage feet (includes all Floors sod rno( covered decks)
Ave ' SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN o.
THE COASTAL sHc)RELINEAREA OF ENVIRONMENTAL CONCERN (AE(')- > sq. h.
(Calculations include the area uFrhe roof/drip line of all buildings, driveways: covered decks, concrere or masonry parios,
em that arc within the applicable AEC. Attach your calculations with the project drawing.)
r Choose the AEC area that applies to your property:
_ (1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(3) iyirhin 575 feet of'Normal High Water For the Estuarine Shoreline ARC. adjacent to (NIM011din-1
'Rt nurcc Waters
(3) within 3o fectof the PublicTnrstShoreline AEC
S (Contact your Local Permit Officer if you are rim sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT, [s the project located in an area subject to a
State StUrtnwatet Management permit issued by the N.C. I7ivision of Warer Quality?
YES_, NO —
If
yes, list the total builr-upon area/bnpervious surface allowed for ,your lul or parcel. � _ � square feet,
04/21/2005 09:18 9102705021 PENDER CO INSPECTION PAGE 11/15
9 Morth CaM ina tMrart nWR
of EOWIMnment and
Natural Resworoe°
Adjacent PT10" y OWDeelt Notalcadon(Wafver Form
N:3rme of individual Applying for Permit:
Address ro of PneRy ----• --...- 2 yY T7L+1 Daryl,__
-- - —
l hereby cerfrfy that I ow., property adjacent to the above -referenced Psopesty. The individual
apolymg for this permit has described to me as shown an the attached drawing the devetomem
they are proRosrng A description or drawing, with dimensions, should be orovlu'ed with this letter
r h7ve no ogle :rfans to this proposil
!f you have objectlori to what Is being proaosed. Please write the DvisiOn OF Coastml
Mana4;erront• 127 Carcitnal Drive Extension. Wilmington, NO 28405 or sal; (910) 594-3400 witt?w
10 d:+ys of r•relpt of this notice. No tesponse is considered the same as nt• objection 0 you
have been nntifsed by CerWiad 1'Aait•
Date.
T Ir+phans Plurrrber w;th Area Coot
P. I
04/21/2005 09:18 9102705021
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PENDER CO INSPECTION PAGE 12/15
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UNITED STATES POSTAL SEnv" F lld [
• Sender: Please print ouf noMp(address, and ZIP44 ma.; Ihlg-W)C[ -d
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Complete hms 1. 2, and 3. A1sC Complete
Rem 4 3 Restricted Delvary is desired.
Pdrd yow ngme and address on ttm reverse
w so that we Can return the Card to you.
a Attack[ this card to the hack of the trret7plow.
a orontheftordHspaCepermits.
L*16pdd dto:
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tf YES, enter dounny addrm heteac 13140
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OU rS Form Sell, Febnrery 2004 pemestic Hamm ReWptLLI
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NOTES:
I. AREA COMPUTED BY COORDINATE METHOD
7. ALL DISTANCES ARE HOR20N7AL
J. FOR REFERENCE SEE AS NOTED
+HIS PLAT REPRESENTS AN ACTUAL SURVEY 'MAT MEETS OR EXCEEDS
THE STANDS OF PRAftLVSy7SCTICE FOR LAND SURVEYING tCNONOR CAROUNX
COPM6147 A HANOVER DESIGN SERVICES, P.A.. ALL RIGHTS RESERVED.
REPRODUCTION OR USE OF THE CONTENTS OF THIS DOCUMENT. OR A0017IONS
OR DELETIONS
THE{AND ON ocumi S I T, IN WOLE/T R PART, WITHOUT THE WRITTEN
CONSENT
THIS MAP IS NOT FOR
MAP FOR
MARTIN SORENSEN
2446 HARBOR LANE
REFERENCE.- 1583-136
TOPSAIL TWSP. PENDER CO.
NORTH CAROLINA
DATE: 09-01--04
PAGE 1
40' 20' 0 qU
SCALE IN FEET
1' . 40 '
H"0VER DM)GlV SERWCES, PA.
LAND SURVEYORS ENMEERS LAND PLANNERS
WALNUT STREET
wL /i \
NIMINGTON, N.C, 2840}43 'Cf\��y�/'\�
PHONE: 910 3-8002
FAX 910 343-994f
04/21/2005 09:18 9102705021 PENDER CO INSPECTION PAGE 01/15
PENDER COUNTY INSPECTIONS
248 TRANSFER STATION RD
HAMPSTEAD NC 28443
FAX COVER SHEET
TO: /7A: / FROM: Greg Mosber
NumBER:35b-2.6o y
NUMBER: 910-270-5021
PHONE NUMBER: PHONE NUMBER: 910-270-2505
DATE: NUMBER OF PAGES
1411,105 INCLUDING COVER:
NOTES/COMMENTS:
SOrCnse►) -2-605'-03
BURGAW OFFICE 803 WALKER ST. P.O. BOX 444 BURGAW NC 28425
PHONE (910) 259-1201 FAX (910) 259-1295