OIB_04-120_Smith

110Ely 6
h
Locality 1 Craven Street OCT 2 9 2004 Pe umber
DIVISION Ur -
COASTAL _
GENERAL INFORMATION MAN -I 1vj
LAND OWNER
Name Debbie & Charles Smith
Address 16 Causeway Drive
City Ocean Isle Beach
AUTHORIZED AGENT
Name Challes Fox Homes, Ltd.
OCT 2 5 2004
State NC zip ,28469Phone [phone] X209
Address 16 Causeway Drive
City Ocean Isle Beach State NC Zip 28469 Phone [phone]
LOCATION OF PROJECT Lot 1, Block 13-B, Section A&B Ocean Isle, 1 Craven Street
Ocean Is1e Beach, NC 28469
(If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECT Residential }},me- n,-1A ?opl
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard X Estuarine Shoreline ORW Shoreline Public Trust Shoreline _ Other
PROPOSED USE
XX Residential Commerical/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the estuarine shoreline, or 575 feet of an
ORW shoreline, or 30 feet of the public trust shoreline.
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
SQUARE FOOTAGE OF SITE 23,217.6
OTHER PERMITS MAY BE REQUIRED:
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 that
might be required. We suggest you check
over the list with your LPO to determine if
any of these apply to your project.
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 Houle Park Approval, Highway
Connection, and others.

9 D
STATEMENT OF OWNER51UP OCT 2 9 2004
DIVISION OF
1, the undersigned, an applicant for a CAMA minor devel6Ji5MJi*knft4N trg(d�ftrt�Tiwner of property in
an AEC or a 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 egistry of Dee s.
_ an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
xx if other interest, such as written contact or lease, expl W"Iufie d attach to this
application.
OCT 2 5 2004
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) Fountainhead Investments, 6934-9 Beach Drive SW, Ocean Isle Beach, NC 28469
(2) Ralph Lewis, 230 Westover Drive, Roxboro, NC 27573
(3)
W —_
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 floodin&. I acknowledge that the local permit officer has explained tome the
particular hazard problems associated with this lot: This explanation was accompanied by recommendations
conceming 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 application,
the ownership statement, the AEC hazard notice where necessary, a check for $100.00 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 permit is subject to civil, criminal
and administrative action.
This the day of _t1 -64o' 20 D
rat,'
Land owner or -person authorized to act as his agent
for purposes of filing a CAMA permit application.

N
Atlantic Intracoastal Waterway
6' X 20'
Flooding
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_ Mevn High Water VVV
v located 9/10/04 /l c, D7t/V
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Located 9/10/04 9/10/04 l NT
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I r' 79'49'ST W i 165.49' Total ----
34.92' E ( x
4.9I' /
1 6' Wide
I i Wolkxoy U.S. �C-rv- of Engineers
Length to be 1 - R/W M. 723-R2
5.6' Ditch i on
determined by I
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In LOT 2
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I Proposed Property far Charles and Debbie Smith
I I e I Craven Street - ocean isle Beech
{ 1 L.at 1, Blmk 13B- Revised Section A & B
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rapes I - i _
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O I I 404 Lilco
WeUande
23,217.6 Sq. rt.
5.8'. CRAVEN STREET 6.4'
50' R/W
Plot Plan or
Lor I - BLOCK 138 - REVIEEo SECTIM
Debbie S.
Shellotte Toenstdp
0' 30, 6
Scala 1' = 30' Se
Bobby M. Lang
P.O. Box 1117
Shcaotta, N.C.
(910) 754-63C

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CAMA PERMIT NOTICE
Pursuant to NCGS 113-119(b), the
micipality of Ocean Isle Beach, a
mlity authorized to issue CAMA
rmits in the areas of environmen-
t concern, hereby gives NOTICE
at on October 25, 2004, applicant
iarles and Debbie Smith, applied
r a CAMA minor development per -
it to construct a single-family
veiling and pool at 1 Craven Street,
it 1, Block 13B, Section A&B.
The application may be Inspected
the below address. Public com-
snts received by November 5, 2004,
ill be considered. Later comments
ill be accepted and considered up to
e time of permit decision. Project
odifications may occur based on
rther review and comments. Notice
the permit decision in this matter
Il be provided upon written re -
Justin Whiteside
Local CAMA Permit Officer
3 West 3rd Street
Ocean Isle Beach, NC 2B469
[phone]
Oct. 28
Qk v
OLt- Sao
D ECEZVE
STATE OF NORTH CAROLIN NOV 18 2004
COUNTY OFBRUNSWICK DIVISION OF
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 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):
October 28, 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 28th day of October, 2004.
4...... !,--�...................
(Signature of person making affidavit)
Sworn to and subscribed before me this 28th day of
October, 2004.
Notary Public)
My commission expires: December 29, 2004.