SC_04-116_Pollert

Surf City/Onslow 2�
Local Government JUG 19 2004
DIVISION OF
TAL MANAGE-'`" '\I i
SC04/116
Permit Number
CAMA
COAS MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General Statues, "Coastal Area Manenenrerrt'
Issued to Delmar D. Pollert , authorizing development in Estuarine Shoreline AEC at 4070 4r^ Street
as requested in the permittee's application, dated 6-28-04 . This permit, issued on 7-8-04 , is subject
to compliance with the application and site drawing (where consistent with the permit), all applicable
regulations and special conditions and notes set forth below. Any violation of these terms may subject
sonment or civil action, or may cause the permit to be null and
THIS PERMIT AUTHORIZES CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH LANDSCAPE
AND GRADING
I -All proposed development and associated construction must be done in accordance with the
permitted workplat drawing as originally submitted and dated 6-28-04.
2-All construction must conform to the NC Building Code requirements and all other Local, State,
and Federal regulations.
3-Any change or changes in the plans for development, construction, or land use activities will
require a re-evaluation and modification of this permit-
4-The amount of impervious surface areas shall not exceed 30% of the lot area within the 75' Area of
Environmental Concern.
5-In order to prevent sedimentation, a vegetated buffer zone must be maintained between all
disturbed areas and the adjacent waterbody or marsh.
6-Prior to initiating any land -disturbing activities, a barrier line of filter cloth, or burlap must be
installed between the land -disturbing activities, and the adjacent marsh or water areas, until such time
as the area has been properly stabilized with a vegetated cover.
7-Pursuant to 15 NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or
otherwise disposed of to a third party.
8-There will be no construction allowed within 30' (feet) of normal high water.
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date. From
the date of an appeal, any work conducted under this permit must
cease until the appeal is resolved.
This permit must be on the project site and accessible to the permit
officer when the project is inspected for compliance.
Any maintenance work or project modification not covered under
this permit, require furffw written permit approval.
All work must cease when this permit expires on December 31,
2007
In issuing this permit it is agreed brat this project is consistent with
the kcal Land Use Plan and all applicable ordinances.
This permit may rat be transtared to another party without the
wifen approval of the Division of Coastal Management.
ZZL�&=
Local Pen& Official
(fie)
Steve Padgett
PO Box 2475
Surf CA, NC 28445
Penn ttee
(signature d conditions above apply to permit)

Locality
a©
Permit Number
Ocean Hazard ^Estuarine Shoreline X ORW Shoreline _Public Trust Shoreline
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name
Other_
JUC 13 ZC04
Address I- ! Ict "'JT `s/�N
City %( IITMyn State )\}C Zip 32'e Phone .41V9GEMFNT
AUTHORIZED AGENT
Address
17
le
0
City SEtl4 /' Cc �y State iU C Zip ,7$ tf ` J- Phone ?N-6 r ;;1 6'
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of
the adjacent waterbody?) 40-10 4+h 3ftt&
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: '2 9 n 0 square feet / 8 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): 1 / 9 7 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): / / 9 7 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 -
9within within 75 feet of Normal High Water for the Estuarine Shoreline AEC
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 NO
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. N/A square feet.

MER`PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor
velopment 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
th your LPO to determine if any of these apply to your project: Zoning, Drinking Water Well, Septic Tank (or other sanitary waste
atment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification,
nd Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway, Connection, and others.
WEMENT OF OWNERSHIP:
the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
rson authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
red as landowner on this application has a significant interest in the real property described therein. This interest can be
scri ed as: (check one)
_an owner or record title. Title is vested in see Deed Book ss
.ge C3— in the 40A9 42 -J County Registry of Deeds.
_an owner by virtue of inheritance. Applicant is an heir to the estate of
obate was in County.
if other interest, such as written contract or lease, explain below or use a separate sheet P
ac td
UUU/// t
[OTIFICATIONOFADJACENT PROPERTYOWNERS: COASTALMANAGEMENT'
AGEM
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-J .,,.1 (Add resc)
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
-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-
iques.
'ERMISSION TO ENTER ON LAND:
4
O
z
C
furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
ter 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
wnership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor-
iation 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 p
erson deg 1�� AEC without permit is subject to civil, criminal and administrative action.
tEC
T}i�)the 1) f Stl nJ 20 O�
yu:+ 1 $ [iiilti am (
n
4 Di.i .r(%1
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.

CAMA I
NOTICE OF FILING OF APPLICATION FOR.CAMANIINOR DEVELOPNIENT PERMIT
Pursuant to NCGS 113 119(b}, Towrr of Surf City, a locality authorized to issue CAMA permits
m Areas ofEmxironmental Concern hereby gives NOTICE that on 6-28-04 Delmar D. Pollert
applied for a CAMA permit to Single Family Dwelling with landscape and grading in the
Estuarine Shoreline AEC at 4070 40' Street. The application may be inspected at the address
below. Public comments received by 7-8-04 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.
Steve Padgett
Town of Surf City
PO Box 2475
2I4 North New River Dr.
Surf City, NC 28445
(910)-3284131
Please publish on 6-30-04
RR, (C]" E il V liTE Tj
JUL 1 3 2004
DIVISION OF
COASTAL MANAGEMENT

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