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4 :eaaIsls Be&c_ as
Lt cal Government
—121
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� p GAM A Permit Number
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MINOR DEVELOP-1.SENT
NOV 3 0 2004
aaae area - - --
DIVISION Of I�wRfil
CO DIVISION
M &MI TAnW� 1
ANACaa a V the State of North Carolina, Department of Environment
and Y.atu'�es an d the Coastal Resources Commfuion for development
in an aroe of environment cOntern pursuant to Section 113A-110 of the
General StaWae, "COASW Area Menage nenr
Issue I to David and ftIlhAlcliev, authoriJng development in to • ho ' e Cat 13 Craven Strom
Lot .2, Block I3B, Section A&B3 as requested in the pefmittee's application, dated November 12004, This
;errn ., issued on November 23, 2 O44, is subject to compliance with the application and site drawing (what
collsi tent with the permit), all applicable regulations and special conditions and notes set forth below. Any
violal on or these terms may subject pereninee to a fine, imprisonment or civil action, or may cause the permit to
be nu I and void.
Thk permit au[horizes the consa'petloll of nev single-family residence, as shown on the site plan.
.MINOR PERMIT COND ITIONS FOR )ESTUARINE SHORELINE ANUS
(1) All proposed development and associ:ded construction must be done in accordance with the permitted work plc t
drawings(s) dated received Notropit r 1, 2004
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Feder, 1
regulations, applicable local ordinance s and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a fe-
evaluation and modification of this permit
(4) All unconsolidated material resultiri; from associated grading sod landscaping shall be retained on site br
effective sedimentation and erosion ccrdrol measures.
(5) All disturbed arcs shall be vegetatively planted and mulched within 30 days of construction completion.
(6) No PORTION of house or covered dtgks/oorobes shall encroach into the thirty-foot buffer area from the mean
high water mark.
(7) Before the final inspection, the dwil;rting stormwerter engineer most certify, that the stormwater system wat
installed and inspected as per the desilning engineers specifications (Ocean isle Beach Town Ordinance)
(3) Pursuant to 15 NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, or otherwiw!
disposed of to a third party.
This I amyl action may be appealed by the pernittee tr other ouauft
Perso a within twenty (20) days of the iseung dale. From ins time of a
Lac Pe OAICial (algrieMire)
apPee any work conducted under this permit must roast• until the appe
Is rest rod.
This I Writ must be on the Pfr4m site and accessible to he pefnt officer
Jusl'n Whlteaide
when v project is inspected for Compilanca.
CAMA Lod Petrie O(gtlal
Ary I erntenanee work or protect modification not covered under this
Pena require flsmar written ponNt approval,
All wo (musl cease when this Perri(expires an December 31,
2r gL
tare re4wred A condltkms above appty to pereq
In ISM ng this permit ti is agreed that this project is conslsf cot with the loca'
Land I $e Plan and Oil WCOWe ordinances.
eb —D
This I frmil may not be Ifansfeirred to another party wyhoul the When
v 7
acpro 31 Of me Division of Coastal Management.
Date applicant signed potmit

�Y
C)15, l
Locality C� a,(V_1 =S1e �i P(jsh P
GENERAL INFORMATION NOV 12
2004
LAND OW,fER I /� I I (� . le_ . COAS �;V"S�ON „,_
dIRA
ll�'�:feu�����car�
• 1'
+]Ls I ! � 11 - � - •"ei�ri[�V�F�r.11
LOCATION OF PROJECT
(If not oceanfront, is waterbody natural er =mn nade?)
�• � l n
DESCRIPTION OF PROJECT
AREAS OF ENVIRONMENTAL CONCEr'3N (AEC) CLASSIFICATION
(To befilled in by the Local PermitOfficerp»r to completing application.)
Ocean Hazard _ FstuarineSnoraMne _ORW Shoreline Other
PR POSED E
idential _ Commercial/Industrial _ Other
SQUARE FOOTAGE OF BUILDING MOTPRINT 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 SITE1 1 I
The activity you are planning may require:
permits other than the CAMA minor
development permit As a service we have
compiled a listing of the kinds of permits tthat
might be required_ We suggest you check_
over the list with your LPQ to determine is
any of these apply to. your project
m
Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
Burning, Electrical, Plumbing, Heating and
Air Conditioning, Insulation and Energy
-Conservation, FIA Certification, Sand Dune,
Sediment Control, Subdivision Approval,
Mobile Home• Park Approval, High%%ay
Connection, and others

STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, begin either the owner of property in
for a
C area of environmental concern t, a p�that the erson listed lanuthoRzed to act as an downer t for onntthis applicoses of ation has a CAMAminor development permit, certify P interest can be described as follows: (check one)
sig-
nificant interest in the real property described therein. ,This
see Deed Book
an owner of record. title, Title is vested in panty Registry Of Deeds.
page in the
an owner by virtue of inheritance. Applicant is an heir to the estate of County.
probate was in
other interest, such as written contact or lease, explain
I.
to this
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)
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.assoc ated with this lot This explanation was accompanied by recommendations
concerning stabilization and floodproofmg techniques
PERMISSION TO ENTER ON LAND
I furthermore certify that am authorized to grantand do in•factgrant permission to the local permit
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 550.00 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 maybe issued. Deviation
from these details will constitute a violation of any permit Any person developing in an AEC without a per-
mit isit
'., criminal and administrative action -
This IV1 2 2004 Lan r person authorized to act as his agent
for. purposes of filing a CAMA permit application.
DIVISION OF
COASTAL MANAGEMENT

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Form 3800, June 20OZ
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See Revetse for Instructions;
NE L V 1LJJ
Nov 12 M
DIVISION OF
COASTAL MANAGEMENT

CAMA PERMIT NOTICE
Pursuant to NCGS 113.119(b), the
municipality of Ocean Isle Beach, a
locality authorized to issue CAMA
permits in the areas of environmen-
tal concern, hereby gives NOTICE
that on November 1, 2004, applicant
David and Beth Hickey, applied for a
CAMA minor development permit to
construct a pool, decking and fence at
23 Craven Street, Lot 12, Block 13B,
Section A&B.
The application may be inspected
at the below address. Public com-
ments received by November 12, 2004,
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.
Justin Whiteside
Local CAMA Permit Officer
3 West 3rd Street
Ocean Isle Beach, NC 29469
[phone]
Nov 4
c��f-gal
G�cEE�� 1 6 2004
ED
STATE OF NORTH CARDoDIVISION OF
COUNTY OFBRUNsw1C1t0ASTAL MANAGEMENT
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State,
duly commissioned, qualified, and authorized by law to administer
oaths, personally appeared
Scott R. Harrell
who, being first duly sworn, deposes and says: that he is
Publisher
(Owner, partner, publisher, or other officer or employee
authorized to make this affidavit)
of The Brunswick Beacon, a newspaper published, issued, and en-
tered as periodical mail in the Town of Shallotte in the said County
and State; that he is authorized to make this affidavit and sworn state-
ment; that the notice or other legal advertisement, a true copy of
which is attached hereto, was published in The Brunswick Beacon on
the following date(s):
November 4, 2004
and that the said newspaper in which such notice, paper document or
legal advertisement was published, was at the time of each and every
such publication, a newspaper meeting all the requirements and qual-
ifications of Section 1-597 of the General Statutes of North Carolina
and was a qualified newspaper within the meaning of Section 1-597
of the General Statutes of North Carolina.
This the 4th day of November, 2004.
Ab��
................................................
(Signature of person making affidavit)
Sworn to and subscribed before me this 4th day of
November, 2004.
IQ. .V C�.K ..........
(Notary Public)
My commission expires: December 29, 2004.