OIB_04-119_Gray

Localityz T 2.y 204rm1
DIVISION.OFF1
GENERAL INFORMATION' COASTAL MAN AG
LAND O
Name _
- Address
City
AUTHO
Name _
Address
City C
(If not oceanfront is waterbody natural er caranmade?)
DESCRIPTION OF PROJECT
Phone N340' - I&3�
AREAS OF ENVIRONMENTAL CONCEFIN (AEC) CLASSIFICATION
(To befilled in by the Local PermitOffl=pffror to completing application.)
Ocean Ha=rd EstuarineSlwre:une _ORW Shoreline Other
PROPOSED USE
Residential'— Commercial/Industrial Other
SQUARE FOOTAGE OF BUILDING F40OTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways; etc.) within 75 feet ofthe shoreline (575 feet
of an ORW shoreline) n
SQUARE FOOTAGE OF TOTAL FLOOR. AREA OF BUILDING
SQUARE FOOTAGE OF SITE
• tat• • raw
The activity you are planning may regmrrc
permits other than the CAMA minor
development permit As a service wehave
compiled a listing of the kinds of pennim t1hat
might be required_ We suggest you cbeck_
over the list with your LPQ to detP*mb=iE
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 Home Park Approval, High«ay
Connection, and others

D I'VE
STATEMENT OF OWNERSHIP
OCT p r
I, the undersigned, an applicant for a LAMA minor development permit, eg either th4 tlw of pro in =
an area of environmental concern or a person authorized to act as an a e for f a plying s c
CAMA minor development permit, certify that the person listed as landda�3k }s one)
nificant interest in the real property described therein-. This interest can be desaib�ed� kN 7..
see Deed Book
an owner of __Jin hee, Title is vested in County Registry of Deeds.
page
an owner by virtue of inheritance. Applicant is an heir to the estate of Count .
probate was in
Fftfif other interest, such as written contact or lease, explain belo *A�g&elhllt a to this
VQ
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.
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.associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify thatI am authorized to grantand 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), asite drawing as described on the back of this ap-
plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 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-
mitis sub civil civil, criminal and administrativeaction-
-the I7 (Z—) Eday o,t(a�6I ,te a
Lan erson authorized to act as his agent
forpurposes of filing aCAMA permit application.

LOT 43
CAMA LINE \
�' E
\41
Sx3
�p
7.00 ELEVATIONR. S RE ET/� sx a
o�
42 �
tea?
Sb�y :C j 3 y6 0Q n �i
Oo 101 . L
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51
IP BOX LOT 41
0
E PSG
NOTES: 1. PROPERTY IS IN A FLOOD HAZARD AREA. VE 15.0
SURVEYED BY USING MAP CAB. H. PAGE 374
AND EXISTING PHYSICAL CONDITIONS.
S
`1 00 1/2•IP
30' BUFFER LINE \
OFFICIAL MUST
CHECK
CARP A STEVE HARDEN CONSTRUCTION
Zq ESSIOry'Y9 LOT F 42
L:1250 CANAL 5
* o
ADDITION TO SECTIONS A AND B
lgry0 su%x4 MAP CAB. H. PG.374
JqN JAN K. DALE
N.C. REG. NO. L-1250
JAN K. DALE 691 COPAS RD. - SHALLOTTE, N.C.
REG. NO. L-1250 910-754-4477
D 90.91V
OC72C2004
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20LOTTE
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N ISLE BEACH
/04
FIELD BOOK
1 69
DRAWN BY
JKD
DWG. NO.
10149

10/25/2004 10:07 FAX [phone]
12/24./2001 10:10 9105792333
Tommy Gray
fa002
PAGE 03
AEC HAZARD NOTICE
Project Is In An: _ocean Erodible Area " Hlgh Hazard Flood Area ` Inlet Hazard Aroa
Date Lot Wa a Platted:
:'his notice is i atended to make you, the applicant, aware
of the specie I risks and conditions associated with
development in this area, which is subject to natural
hazards such < s storms, erosion and currents. The rules of
S,s r'cartal I e$c=ces Commission require that you
-, 8;1 AJ C Hazard Notice and acknowledge that
noose in wrili 19 before At permit for development can be
iss::ed.
,necommiss±n'srulescmbu!!d]ng<tar,daz�,ocearnt
setbacks imdd me alteration are desipedtominimize,b t
r^r9r4--y logs firm Hazards. 8y pm tir-g
rn paita, the i.oastal k'eso-arces c=an=ibsion joes not
rtarantee the afety of the developrnsnt and assumes no
liability for fut are damage to the developmenL
The best aVaile ale information, as accepted by the Coastal
Resources Cot unission, indicates that the annual ocean
a-o*;Pn rate fo: the area where your property is located is
fe st pat year.
T.ne rate was established by careful analysis of aerial
pho�graphs o the coisdine taken over the past50 years.
Studies p1so u dicate that the shoreline could move as
much as;= Feet landward inamajorstonn.
VC-t'oodwate sin amajorstormarepredictedtobeabout
�e_(,f feel: deel in this area,
Preferred oceanfront protection measures are beach
nourishment : nd relocation of threatened structures.
Hard erosion control structures such as bulkheads,
T=a r ='•��, revet vents, groins, jetties and breakwaters are
-:�-o -c`D! tec i. Ter 1porary devices, including sand bags, may
ce a: ,nt rei t= er certain conditions.
This structures Zallbe relocated or dismantled within two
y=_ars cf b,xom ng imminently threatened.
The applicant nust acknowledge this information and
regturemvnts t y signing thus notice in the below space.
VJitl cat fae proper signature, the application will, not be
complete.
t�
Applicant';: Sign Wire
SPECIAL NOTE: This hazard notice is me Ared for
development in areas subject to sudden and massive
storms and erosion. Fermitsissued for develo rnMtinthis
area expire on December 31 of the third year folic wing the
lear mn which the permit was issued, Shortly bef ore work
egins on the project site, the Local Fermit Ol'icer will
determine the vegetation line and setback distance at your
site. if theproperty has seen little change and the provosed
development can still meet the setback requiremnent, the
LFO wall inform you that poumav begin work. Tt is irnpor-
*ant that you check with the LPO before the perm .t expires
for official approval to continue the work after ti,e permit
has expired. General]v, if foundation pilings hive 1,e-n
placed and substantial progress is crontinuine, permit
renewal. maynot be necessary_ If subc-tantial proggess h as
not been made, the pp t must be renewed ar d a new
setback line establish eed IIt is Unlawful to conHr:ue work
after permit expiration without this approval.
For awre:lnformation, contact:
LkSh f\ �
Local Permit Officer
Address
Locality
Phone
OCT 2 9 2004
CgsALMNpAGAFM�
NT
Revl3Ed 1710

ROM :CRROLINA
FAX NO. :91057SI214 Oct 25 2004 04:36PM P2
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TOP OF CONCE tOApt
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Gosered, C0laeten.! Mild
HOOF CQt LFCr1OY
Tleaeh C""Y Per Linexr 9t (2'13' Trench)
40%Aggregate Vold,
6" per(maml pipe
(2'x3'xl' -a196 CF) x 0.4+0.196 = LS CY per R
Prepaeed IecPe-1.1 Area,
E-L( =1552 Sp
91°ra¢x Valamd: 1,5518E x 1.S Inca =194 CF
Regatred Teeneh Length =194 / 2.5- 77.6 ri
L've 2 Treachm- 59 Pt of 2111' Tr4avh 16"
DEIVEWAYCOt. EC"PY.
Trench Capac)p• per Linear Pt (V x 4' Treneh)
40% Aggregate Void,
(1'r 4• x 1)1 DA - 1.6 CP per Ft
Phq med Gruel Area - 900 0P
A®a0e SO% of Min b b8lbaw la 011Y41 Driae
Storage Vnlaoa: 906 SP x m inch x 30%- 56.23 CF
Ragahad Trench Length = 5623 / 1.a = 3S PL
1!(¢1109eh - 33 Ft ofV x 4' Tnneh
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FENDER STREET r :-::•:::::: DO p r
STORMNATER PLAN Ir Tl
LOT 4I, FENDER STREETO^wReek Tr ach
OCEAN ISLE BEAM NC 28469 v
FOR �paaal<aa4d'- Midlltrotion Delad
STEEE HARDEN CONSTRUCTION ""'°" a`
10'-0" 6'-0"
A a C E F g
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Road i� Ylti 3"to 4"
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tenth vhall not be wrapped
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B E F Min.-8.0"
0" 212" � 12•' �512" -t" Max. - 29"
vMay and Swale Detail for 60' R/VV
il,NT8 AD (.ot Borvaya @ aOYea Plan Lpew
1Trtschee ragaln lPapecdoo durin¢tterlrue8ka{ mIn. 24 hr nniiarofeapeet. beve bay, Pren'dad by (be CPatraceor.
BAH CAR OI i.
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.Sit W. QUa ntauee, P.E. Date: I0-M04
i F,D76942 691CO11 aeh Da SW Scale: 1ne••=r
^r �nrott�..P\ A(�A O... Iale Beach, NC 28469 Drawn By:_ swQ

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For delivery information visit our wehsite at www.usps.c0nl
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OCT 2 3� 2004
DIV
COASTAL IMAONAGEMENT