OIB_04-98_Swedberg

Locality Oe/�ZS_y e 11C
ova VPermit Number fXl—
Ocean Hazard -/ Estuarine Shoreline ORW Shoreli Puhlic Tne;r Shoreline Other_
GENERAL INFORMATIO D
LAND OWNER SEP 1 4 2004 SEP 3 2004
_91,V)SeAN �EMEN1
TOW, nr
Address 350£3 Mtn Rd
City #A-kmA�l of State A Zip n Ik 9 Phone �o (.f
AUTHORIZED AGENT
Address
City A-S k State /uG Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of
r
the adjacent waterbody?) LI = i d�f- o e_ e,9.., -- c/a ioP� A/c g AS/69
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) S J tve�/, u�
SIZE OF LOT/PARCEL: SOoy square feet .Amim acres
PROPOSED USE: Residential ✓(Single-family ✓Multi -family _) Commerical/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC):IC�_ sq. ft.
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property-
(1)
�within 75 feet of Normal High Water for the Estuarine Shoreline AEC
'4i within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
State Stormwater Management Permit issued by the N.C. Division of Water Quality?
YES_ NOV
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.

)THER PERMITS MAY BE REQUIRED: The activity you are planning R9 er d"�V�e �t1Y� minor
evelopment permit. As a service we have compiled a list of the kinds of permits that t be require u u over the list
ith your LPO to determine if any of these apply to your project: Zoning, Drinking W ti Tank (or other s waste
eatment system), Burning, Electrical, Plumbing, Heating and Air Conditioning, n ldetrI 2Wation, ertification,
tnd Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, OAwa ,(� MANN d other
OF
TATEMENT OF OWNERSHIP: AGEMENT
the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
erson authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
sted as landowner on this application has a significant interest in the real property described therein. This interest can be
escribed as: (check one)
an owner or reco title. Title is vested in Qhaiej r , 5, tl� AraI)oIsyal, k. 5vr�see Deed Book iJ.4�5 3
age Og-LM in the bt wn sw; c County Registry c f Deeds.
_an owner by virtue of inheritance. Applicant is an heir to the estate of
robate was in County.
_if other interest, such as written contract or lease, explain below or use a separate dash to this
cP 3 x
TOTIFICATION OF ADJACENT PROPERTY OWNERS:
furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
CTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
t)
3)
(Name)
(Address)
/
_ ems_ Y �. V �' •
111
OR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to
osion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associ-
ed with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
ques.
ERMISSION TO ENTER ON LAND:
furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
tier on the aforementioned lands in connection with evaluating information related to this permit application.
his application includes: general information (this form), a site drawing as described on the back of this application, the
vnership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor-
.ation as may be provided orally by the applicant. The details of the application as described by these sources are incorporated
ithout reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any
.rson developing in an AEC without permit is subject to civil, criminal and administrative action.
This the _ft�V�day of n u5 t 20 O t`
,
r
z
A A._...._. e_.._._f_..!.._

AEC HAZARD NOTICE
Project Is In An: Zocean Erodible Area ✓ High Hazard Flood Area
This notice is intended to make you, the applicant, aware
of the special risks and conditions associated with
development in tlds area, which is subject to natural
hazards such as storms, erosion and currents. The rules of
the Coastal Resources Commission require that you
receive an AEC Hazard Notice and acknowled_e that
notice in writing before a permit for development can be
issued.
The Commi-sion'srun_:or,b,iidin standards,oceanfront
not m.iq_- -��n r�_rr,, !,, Tim hazards. By [rr�-�tinv
liability for future damage to the development.
The best available information, as accepted by the Coastal.
Resources Commission, indicates that the annual ocean
Bros n rate for the area where your property is located is
feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies a,Jso indicate that the shoreline could move as
much as IWD feet landward in a major storm.
Tld waters in a major storm are predicted to be about
eFeet deep in this area.
Preferred oceanfront protection measures are beach
nourishment and relocation of threatened structures.
Hard erosion control structures such as bulkheads,
seawalls, revetments, groins, jetties and breakwaters are
prohibited. Temporary devices, including sandbags, may
be allowed under certain conditions.
This structure shall be relocated or dismantled within two
years of becoming imminently threatened.
The applicant must acknowledge this information and
requirements by signing this notice in the below space.
Without the proper signature, the application will not be
complete.
Applicant's Signature
9 //�,i
Date
Inlet Hazard Area
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive
storms and erosion. Permits issued for development in this
area expire on December 31 of the third year following the
year in which the permit was issued. Shortly before work
begins on the project site, the Local Permit Officer will
determine the vegetation line and setback distance at your
site. if the property has seen little change and the prcpoced
development can still meet the setback requirement, the
LPO will inform you'that you may beein work. I t is imoor-
tan t that you check with t ie LPO before the perm t e\-2i-e�
r o mcial ine worn a:. r _ r _ :11;:
has exnired Generally. if foundation Dilines have been
not been made, the permit must be renewed and a new
setback line established. It is unlawful to continue work
after permit expiration without this approval
For more information, contact:
Sys�,n �tJ�t:,�stde
Local Permit Officer
3 i V:A--
Address
Dee rc\ =s k R e-zy h
Locality
910LS'79- 341o9
Phone
72 RV"
DO SEP 14 2M4
rn^�DJVISJON OF
STAL MANAGEMENT
Revised 11193

3�'1 L 3�st
50 fir_
Koff
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SEP 14 2004
DIVISION OF
COASTAL MANAGEMENT
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U.S., Postal Service.
CERTIFIED MAIL RECEIPT
(Domestic Mail Only;. No Insurance coverage Provic
ru
CF�i1tL0 RIE N
28ae5 1 A
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Postage
$ $0.37
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0470
Certified Fee
15 +
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Retum Receipt Fee
$1.75
Postmark
Here
(Endorsement Required)
.11
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Restricted Delivery Fee
t0.00
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(Endorsement Required)
FU
Total postage a Fees
$ $4.42
08/25/2004
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FU
ti 0 OCEAN 1 LE kACC,NC ,i84A L
LO Postage $ $0.37
0 0470 nn
� Certified Fee 15 PaslmBlii
En Rewhent m Receipt Fee
—0 (EndomRequired) . Here
c0 Restricted Delivery Fee
p (Endorsement Requires) 3 08125/2004
fL Total Postal, a Frees $
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p Sent To
Blreet, Apt. No..,
or PO Box No. 9
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2".4
DIVISION OF
COASTAL MANAGEMENT

J�
Locality
t�
Number
Ocean Hazard Estuarine Shoreline
GENERAL INFORMATION
LAND OWNER
ial use only)
DIVISION O
COASTAL MANAG
Other__
�DSEP 3 2004
Name �• �. wum IaLt ULAUN
Address 3.' 8 Yh hi Rd
City AA ,nzj-/-Jef State J/G Zip -4n /( 9 Phone �O 3- 7J5y wy
I\111Y [ij"AiZI"Q111y
City As /, State /VG Zip r?Y Y -t�) Phone o110- 57 -5-01- 3 j
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of
the adjacent waterbody?) q 6 y L 3& 5 f- G c e-,4� T c/y boe � Ah- a 9 4/6
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 5i
SIZE OF LOT/PARCEL: 5000 square feet JIMEW acres
PROPOSED USE: Residential ✓(Single-family ✓Multi -family _) Commerical/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): SSa e 5 square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 14 sq. ft.
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
erc. that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property.
(1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC
`Vwithin 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
State Stormwater Management Permit issued by the N.C. Division of Water Quality?
YES_ NO /
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.

EVE
)THER PERMITS MAY BE REQUIRED: The activity you are plannin y require gpermits other than a minor
evelopment permit. As a service we have compiled a list of the kinds of permits tha t b6XOrd 414904ggest y eck over the list
,ith your LPO to determine if any of these apply to your project: Zoning, Drinkin r Well, Septic Tank (or oth irary waste
-eatment system), Burning, Electrical, Plumbing, Heating and Air Conditioning, Insulation Z4Vk&'t eJPNnl en FattiioFn, FIA Certification,
and Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval�bndCt�tld 3�U�tR�TSNT
TATEMENT OF OWNERSHIP:
the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
erson authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
sted as landowner on this application has a significant interest in the real property described therein. This interest can be
esccribed as: (check one)
V an owner or reco title. Title is vested in �+nlel r , Su. eldv r l� rh k Sud see Deed Book 22 e_S 3
age 1� j'I�AA;n the f County Registry of Deeds.
_an owner by virtue of inheritance. Applicant is an heir to the estate of
robate was in County.
_if other interest, such as written contract or lease, explain below or use a separate dgffh to this
crr 3 7l
TOTIFICATION OF ADJACENT PROPERTY OWNERS:
furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
CTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
I)
3)
f)
' (Name) (Address)
Gl/ m '4 �� �. 5' n PIA "-A rli 4rl,>#-e /I Iyr a 9015-
19dg%[/ ty cai� IZs % Rew" IV r ,;z A o
OR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to
osion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associ-
ed with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
'.ques.
ERMISSION TO ENTER ON LAND:
furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
iter on the aforementioned lands in connection with evaluating information related to this permit application.
his application includes: general information (this form), a site drawing as described on the back of this application, the
vnership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor-
ation as may be provided orally by the applicant. The details of the application as described by these sources are incorporated
ithout reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any
arson developing in an AEC without permit is subject to civil, criminal and administrative action.
This the ,��day of a us f 20 0

did 3 � s` ]♦ )r
Project Is In An: �/ �Jcean Erodible Area v High Hazard Flood Area
This notice is intended to make you, the applicant, aware
of the special risks and conditions associated with
development in this area, which is subject to natural
hazards such as storms, erosion and currents. The rules of
the Coastal Resources Commission require that you
receive an AEC Hazard Notice and ack nowledce that
notice in writing before a permit for development can he
issued.
TheC .^,iaion'sr =sons limn ^tandards,ocearurcnt
Tnin
1•-- :-, - �.. _._ o.:. c� ..: lil....i...i �.�cn r10L
iiabiliry for future damage to the development.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual ocean
rate for the area where your property is located is
Bros n
feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies a,Iso indicate that the shoreline could move as
much as COO feet landward in a major storm.
Jme�lood waters in a major storm are predic ted to be about
feet deep in this area.
Preferred oceanfront protection measures are beach
nourishment and relocation of threatened structures.
Hard erosion control structures such as bulkheads,
seawalls, revetments, groins, jetties and breakwaters are
prohibited. Temporary devices, including sand bags, may
be allowed under certain conditions.
This structure shall be relocated or dismantled within two
years of becoming imminently threatened.
The applicant must acknowledge this information and
requirements by signing this notice in the below space.
Without the proper signature, the application will not be
complete.
Applicant's Signature
Date
Inlet Hazard Area
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive
storms and erosion. Permits issued for development in this
area expire on December 31 of the third year following the
year m which the permit was issued. Shortly before work
begins on the project site, the Local Permit Officer will
determine the vegetation line and setback distance at your
mite. If the -•r(,i„ert + has - - t\ e � ge n.�n;e,
-r- r- } ���=ee:mli 1 l.anp_andthepr�t 1
development can still meet the setback requirement, the
LP O will inform you'that you may begin work. I t is impor-
tar,t that v- u check with -L to LPO before the permit exni c=
_. u:..:nu _he ., ork niter r: ....
has exrsired, Generaliv. if foundation niline_s have teen
not been made, the permit must be renewed and a new
setback line established. It is unlawful to continue work
after permit expiration without this approval.
For more information, contact:
S�Sk-tr, �f.1�r:,aeSt�le
Local Permit Officer
Address
D r ern Ss le Ae1v h
Locality �7
E CEIVE
SEP 0 7 2004
OF
COASTALIMAO AGEMENT
Revised 11193

3&Li t5 6 - ---71

CERTIFIED MAIL RECEIPT
(Domestic Mail Only; No Insurance Coverage Providec
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fj OC"N 'EL IACQC
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Postage
$ $0.37
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Retum Receipt Fee
(Endorsement Requtred)
Hera
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Restricted Delivery Fes
O
(Endorsement gequlredJ
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Total Postage At Fees
.$ ;
08/25/2004
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RECEIPT
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ERTIFIED MAIL
(vomestic Mail Only;
No Insurance coverage
Provided)
Iu
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CN1tL0 285a
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Postage
$
$0.37
o
0470
O
o
Certified Fee
$1.75
Postmark
O
Ratum Receipt Fee
(Figpmamerd Required)
Here
f0.00
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Restricted Delivery Fee
O
(Endorsemem Required)
$
$4.42
...._ -
08/25/2004
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Total Postalle aFae.
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