OIB_04-78_Falkowski/Leff

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Locality n (�/ 1 ='L�.S5' ew I Permit Number 0-t- � u _
Ocean Hazard fEsruarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only) D �C
GENERAL, INFORMATION '91 VR
LAND OWNER JUly 18 ft4
Name .Jy
.duress
City Vienna, State
AUTHORIZED AGENT
Addr
City
M
S
Gip R l D) Phone t703 " a.�V(D — / 404
LOCATION OF PROJECT: (Address, street naive ancj/or directions to site. If not oceanfront, what is the name of
the adjacent waterbody?) �2� -MiT 051P77—
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
n tj/vmas�iti ae
as K hz 104e
SIZE OF LOT/PARCEL: 5_0 C9 D square feet acre AA D
PROPOSED USE: Residential ✓� (Single-family famila3[/lndust Multi-ily _) err
Other
TOWN OF OCEAN ISLE BEACH
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN J!
RONMENTAL CONCERN (AEC): % 70 2 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): 1702 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 die Estuarine Shoreline AEC
k427) 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 Stor water Management Permit issued by the N.C. Division of Water Quality?
YES 77 NO
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel 0® square feet.

)THER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor
evelopment permit. As a service we have compiled a list of the kinds of permits that might be required. We suggest you check over the list
rith your LPO to determine if any of these apply to your project: Zoning, Drinking Water Well, Septic Tank (or other sanitary wasre
-eatment system), Burning, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation Certification,
and Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway, Connection, and oche
;TATEMENT OF OWNERSHIP: 8 fY
the undersigned, an applicant for a LAMA minor developmen[ permit, being either the owner of p[Q� ir�AEC or�
erson authorized to act as an agent for purposes of applying for a CAMA minor development permit, ceitllsy�,, tlie5'�n
sled as landowner on this application has a significant interest in the real property described therein. This interest `4/V OF
esc :bed as: (check one) ��FAA—
�..uieis�esci.ir.S R;tghCB�A[KowSit/
age , U in the Nrr r w re ie County Kegistry or Leeds. D E C E ]"4p
_an owner by virtue of inheritance. Applicant is an heir to u e estate of robate was in County. JUN 1 4 if other interest, such as written contract or lease, explain below or use a separates eet an E@A �PLANNING & INSP
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.
(Name) (Address)
t)
3)
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
onion 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
tter 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 die t day of ti' 202�
qY` X —'_ "
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AEC HAZARD NOTICE
Project Is In An: Ocean Erodible Area High Hazard Flood Area _ _ Inlet Hazard Area
Date Lot Was Platted: % o
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 acknowledge that
notice in waiting before a permit for deveiopment can he
issued.
nni :+_m Sna�a ��tv-��r... incc rrnm _v=dc_ �V Gran nno
liability for future damage to the development.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual ocean
ero 'on 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 also indicate that the shoreline could move as
much as M feet landward in a major storm.
The Cood waters in a major storm are predicted to be about
b `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 d i sm antl ed within two
years of becoming imminently threatened.
The applicant must acknowledge this information and
requirements by signing thus notice in the below space.
Without the proper signature, the application will not be
complete.
'T
pficanl'S Signature
Date
SPECIAL MOTE: 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 followrin g the
year in which the permit was issued. Shortly before work
begins on the proiect site, the Local Permit Officer will
determine the vegetation line and setback distance a t vour
Slie tY lh2rr�rc'rt}' a5 S_en 1 Ftle.-haP.oearid the
development can still meet the setback requirement, the
LP O will it -form. vnu'that you rnav>,eein Wnrk, Tri: lmooI-
nera-- . if foundation vAir,, _ -en
not t7 -n 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:
Local Permit Officer
3 VJI%4 16r14 54.
Address
(—i ssl Br�l,
Locality
RTrN C.g I , l
JU1V 1 e «Ui 1 ll
DIVISION OF L
COASTAL
MANAGEMENT
Revised 11193

CERTIFI
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CERTIFIED MAILT. RECEIPT
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Resircted Delivery Fee
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06/14/2004
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JUN 18 2�-04
DIV10clON OF
COASTAL MANAGEMENT

CAMA PERMIT NOTICE
Pursuant to NCGS 113-119(b), the
municipality of Ocean Isle Beach, a
locality authorized to issue LAMA
permits in the areas of environ-
mental concern, hereby gives NO-
TICE that on June 14, 21104, appli-
cant Joanne Falkowski, applied for
a CAMA minor development per-
mit to construct a new single fami-
ly dwelling at 251 East First Street,
Lot 5, Block 59, Section B.
The application may be inspected
at the below address. Public com-
ments received by June 25, 2004,
will be considered. Later comments
will be accepted and considered up
to the time of permit decision. Pro
jeet 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 28469
[phone]
June 17
E c F 1C�
JUL 19 2004
STATE OF NORTH CAROLINA DIVISION OF
COUNTY OFBRUNSWICK COASTAL 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 swom, 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):
June 17 and 24, 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 24tb day of June, 2004.
(Signature of person making affidavit)
Sworn to and subscribed before me this 24th day of �. `�Q� F►Y $9� �
June, 2004,^•F�y,Lo
OOTgde
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otary Public)
My commission expires: December 29, 2004.

4 ,
iL
EIR
FOUND
SET EPST 6�,' RAN
SITE PLAN FOR;
SCALE: 1 " = 10'
LOT 5, BLK.59; SEC B
OCEAN ISLE BEACH
BRUNSWICK COUNTY, N,C,
LEGEND
O NIR NEW REBAR SET
• EIR EXISTING IRON FOUND
NOTE: SURVEY INFORMATION TAKEN
FROM SURVEY BY TOMPKINS LAND SURVEYING, PA
LOT: 5, 000.49 SQ' FT.
HOUSE: 1283 SQ. FT.
DECK: 417 SQ. FT.
TOTAL IMPERVIOUS: 1700 SQ. FT.
PERCENT IMPERVIOUS: 34%

Cpgs 02004
AC Mq
MENT

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A x0
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2ND ST
SITE
E 1ST "
ATLANTIC OCFAN
LOCATION MAP (No Scale)
LEGEND
O NIR NEW REBAR BET
[If?
EXISTWG IRON
N�FOUND
ACC VE*t RETE�CONTROL MONUMENT SET
OTELE RSEPHONE PAD
N ELECTRICAL PAD
—0 IJTILTIY POLE
—A - FENCE (type �dt E)
NOTES
1 AREA BY COORDINATES.
2 PROPERTY IS SUBJECT TO ANY AND ALL RESTRICTIVE COVENANTS
EASEMENTS AND MINERAL RIGHTS RECORDED AND
UNRECORDED IN THE BRUNSWICK C000Y __REGISTRY.
J PROPERTY IS LOCATED IN A —A--- FLOOD ZONE.
4 IRON RODS PLACED AT ALL CORNERS UNLESS OTHERWISE NOTED.
5 PROPERTY SUBJECT TO ALL ZONING REOUIREMENTS OF
__BCF.N/ L LfPQ"p XC.__—______
6 £LEVA710NS a4SED ON AGVD 29 DATUM.
NOTE
THIS SURVEY REFLECTS THE RESULTS OF A NEW
AND UPDATED SURVEY OF THE PROPERTY SHOWN
COURSES AND DISTANCES MAY VARY FROM
PREVIOUS DATA OF RECORD.
1, JAMES R. TOMPKINS A PROFESSIONAL LAND SURVEYOR
CERTIFY THAT THE RATIO OF PRECISION rS I\_(&,L.)
AND THAT THIS MAP MEETS THE WNIMUM STANDARDS OF PRACTICE
FOR LAND SURVEYING IN NORTH CAROLMA.
WITNESS MY HAND AND SEAL THIS -1_ DAY OF LOD�
P.
IW
SURVEY FOR
JOANNE FALKOWSKI
OF
LOT 5, BLK.59; SEC B
OCEAN ISLE BEACH
SHALLOTTE TWP BRUNSWICK COUNTY, N.C.
SCALE 1"=40' FEBRUARY 7, 2004
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TOMPKINS
LAND
SURVEYING
P.A.
2161 ASH LITTLE RIVER ROAD NW
ASH, NORTH CAROLINA 28420
[phone]
m TOMPKINS LAND SURVEYING, PA 2000
Tr-u TM Tr
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DIVISION OF
COASTALMANAGEMENT
JUN I b 2Z4
FIELD SURVEY
CT CC
DRAWN
CT RT
CHECKED
FIELD BOOK
COMPUTER FILE
OISM979=w
NAP FILE
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JUN 18
f-,,y I
CO DIVISION
ASTAL MANAGEMENT