WB_04-45_Jarrell

Town of Wrightsville Beach 7r p lTy
Local Government
DEC 1 1109
4 1111CL'
CAMA"AsD1VISjofv OF
MINOR DEVELOP IONAGEMENT
PERMIT ES
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 environmental concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management"
W604-45
Permit Number
Issued to Phil Jarrell authorizing the removal of an existing dwelling at 330 Causeway Drive as requested in the
permittee's application, dated November 15, 2004. This permit, issued on November 23, 2004, 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 permittee to a fine, imprisonment or civil action, or
may cause the permit to be null; and void.
Removal of Underground Storage Tanks
1. The structure shall comply with the North Carolina Building Code, including the Coastal and Flood Plain Construction
Standards, Chapter 37, Volume 1 or Chapter 41, Volume 7, and the National Flood Insurance Program. If any
provisions of the building code or a flood damage prevention ordinance is inconsistent with any of the following AEC
standards the more restrictive provision shall control.
2. The structure must not extend beyond the toe of the frontal dune.
3. The structure must be elevated on pilings with a diameter of at least 8 inches and bottom of lower structural members
excluding piles must meet the 100-year flood level elevation of (14 or 15) feet.
4. All pilings within the Ocean Hazard Area shall have a tip penetration of at least five feet (5) below mean sea level or
sixteen feet (16) below average original grade, whichever is least.
5. Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective valve is not
weakened or reduced. Disturbed areas will be immediately stabilized.
6. The permit may be renewed for one (1) year if requested before the expiration date.
7. The permittee is required to contact the Local Permit Officer shortly before he plans to begin construction to arrange a
setback measurement which will be effective for sixty (60) days barring a major shoreline change. Construction must
begin within sixth (60) days of the determination or the measurement is void and must be redone.
8. Sand used to strengthen dunes must be brought in from an outside source and must be of the same nature as the sand
in the area in which it is to be placed. No sand is to be removed from the lot.
9. Sand held in storage in any dune, other than frontal or primary dunes, maybe moved laterally in order to strengthen
existing primary or frontal dunes if the work would enhance the protection to the proposed development activity and the
sand is immediately stabilized.
10. All development must be consistent with all applicable Federal, State and Local standards.
11. Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two (2) years of the time when it
becomes imminently threatened, and in any case, upon its collapse or subsidence. However, if natural shoreline recovery or
beach re -nourishment takes place within two (2) years of the time the structure becomes imminently threatened, so that the
structure is no longer imminently threatened, then it need not be relocated or dismantled at that time. The condition shall not
affect the permit holder's right to seek authorization of temporary protective measures allowed under CRC Rules.

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12. Proposal shall comply with provisions of Wrightsville Beach Access System and Structures regulations, 152.095
' through 152.104 and Sand Dunes 152.115through 152.122.
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of 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 site and accessible to the permit
officer when the project is inspected for compliance.
Any maintenance work or project modifications not covered under
this permit requires further written permit approval.
All work must cease when this permit expires on December 31,
2007.
In issuing this permit it is agreed that this project is consistent with
the local Land Use Plan and all applicable ordinances.
This permit may not be transferred to another party without the
written approval of the Division of Coastal Management.
a 6V. tD
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Loc Permit Officer (Signature)
Jon W Giles Jr
The Town of Wrightsville Beach
321 Causeway Drive
W ' vi Bea ,North Carolina 28480
P 01Te
(signature required if special conditions above apply to permit)

SITE DRAWING'APPLiCATION CHECKLIST
r' t' i,in - 'tu'�-`y (lie W11UM"g, infi,rin _tion rt'tlUired fora CAMA minor i:e;r!iji,,
..I•t T:{:blr'i'� .1V FL xn{ 'it_ acid not t: I lac 1_:m ncor itill h{,!p
t.uir Local P lit fJt
PHYSICAL DIMENSIONS
--- label roads
label highways right of ways
_ label Local Setback tires
labef ;my and ail su tictulis and drtcet-VIvs Currslal v esisling
on property
I'tf YS1CAL. CIIARACTERIS1 ICS
dr.n` and label mean hiTh \inter mark
_ draw location or on -site wastewater system
!,•' you evil( he working in the ocean hazard area:
draw and label dune ridges (note heath((
draw and label toe of dil'
. ne
identify and locate first I.r,e of ;table vegetation
0
draw alyd label setback- line under CA vtA
draw and label topographical feature~ (optional)
O O �i
�� n
li y, to i. lrl be tool king in an eshaarine shoreline area:
�� L e-P
draw and label landward limitof AEC
-40
describe terrain (slope)
70
DEVELOPMENT PLANS
7- C)
-- drat, and label areas that i;:ll be disturbed
-- iC a I.{ausC is to be plan d on l,tt, descrtbe tot.itfon ei both:
note size
2
or., piling and depth to be placctl in g
;Arulnd
draw and (abet all a vas to be paved or graveled
describe composition of surface
note and list hil(v all trees and vegetation to be remove, I or
holy taniisCal'li.ng
relortied
--
NOTE TO APPLICANT
Have you:
m1 l&ted all blanks and / or indicated if not applicable. "
`r ti.r'�d and listed adl a nt propi rty owners?
'inc-laded }:our site dt Twin;'?
i ;nlril I`oth appti:a! ion and. Statement of w% nership?
:arcio: d rite $lt)o.00
*Curripleted an AEC liazard Nkaii c:, if necessary?
FOR STALT USE
Site \',NE,:e Pasted _ — Final Inspection . Fee Received
Site luspet_tions
L' :',-air . .•'rt. i .�ue,i ____ t•.> �d ____ L)f...e't'. _ z •pl:rtl L),_a,'! C! t...' d::. 0
AP P LICAT [ON, FO.R
CAMA
MINOR
Y ELOPE:'• �I
DIVISION OF .. _L
COASTAL MANAGEMENT
In 197.I the North Carolina Genrrtl \iact'. I
the Co-imtal Area Manage anent Act and set thc:
guiding development in t'he tragile.and produh t.i v an a:=
iyhich border the stales' sound; and ccedttir;:nt. .\ll3rg
with rewiring ~penal care by those who i�ut' 1 and
develop, theCenoraLAssemblyd[rectisdthe. Cvastal
Resources Commission (CRO it) implement Clear ig,:1a-
[ions which nunimile tho burden on the ar p' cant
Thy- application for a miliur development permit un,!cr
CAXTA is part of the Commissions effort to n t t ,he
spirit and intent of the General A!;sc[nhlw. It h iv bean
designed to be straightforward and recluin no mot o
fame or efCori neccssary frtlni the appliatit.
over this folder Mill the Local Permit Officer, (I.PC.)i to
the locality in which you plan to build bl be t [Lain tl;;:t
you understandit lint iuftn:nation he or i e nuc.!s
under CANNA regulations, the minor permit is to La
issued within r, days once a complete application iS in
hand. Often !lass time is mcded it the pri ;oct is sing: !e.
The process generally takes about iS dais. 'You caul
spited the approval process by making cet'L,61 that yr.ur
application is complete and signed, that vourdrawin-
meets the specifications given imi& oral tl:_at yo- .:r
application fee is attach'--d.
Uthc�r permfts tiro SUllli'tiiitt.5 ri:quirul fur cue t u�pr er;r
in the coastal area. While theS .: are not CA.%,It\ ael..t d,
we urge you to Check with the Local Perri'. Officer t:;
determine «hich of these you (nav nt`cil. A liAin,, i.
iiic lud ell Olt t`;1 g2 2 {Il tlii> f01ill r.
i\ i'. al'•pt'ecinta yt+urco,.rpera[io:[ v;:`h tit.. �.,:::!;
Car aCl- : tau"'.L:. rail-ntPrc
ai;,hrittne, t bl.a.] in a a'.'
resUUrl:Ci of Oil[' I.`(fau'; rUi
f ., ...n._.. :"M'_. ..

Locality
GENERAL INFORMATION
LAND OWNER
Name
IS14 V-11 Permit Number W 11) - O 4 - Li 7-
r A C�
Address r--4 J
City �+�► � � s G'��tate
`�] Zip o� Phone
AUTHORIZFJ) AGENT\
Name
Address
city t+aState Zip Z$��� Phone � LOCATION OF PROJECT \ L.�P'�
(If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECTri-
J
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline _ ORW Shoreline _ Public Trust Shoreline _ Other
PROPOSED USE
Residential Commerical/Industrial _ Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER R"ERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within; feetofthe 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 1�
SQUARE FOOTAGE OF
\Sqo 5�1C-�\
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
.,_ - , > ..,,.,. T un fn Aatermine if
Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
Bruning, Electrical, Plumbing, Heating and
Air Conditioning, Insulation and Energy
Conservation, FIA Certification, Sand Dune,
Sediment Control, Subdivision Approval,
Mobile Home Park Approval, Highway
Connection, and others.
STATEMENT OF OWNERSHIP ��gSTgI�M/is
I, the undersigned, an applicant for a CAMA minor development permit, being either the ov:/Ade &
an AEC or a erson authorized to act as an agent for purposes of applying for a CAMA minor dev
permit, certify that the person listed as landowner on this application has a significant interest in the re
property described therein. This interest can be described as: (check one)
an owner or record title, Title is vested in e see Deed Book \'\ S
page l in the�sue.: J-v,,ov'kCQunty Reg try o Deeds.
_ an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
_ if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
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)
(2)
(3)
(4)
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 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 the2� day of G ` \ , 20:�`C\\�
Land owner or erso eapplication.asi
for purpose nf�a CAMA ; permit

1.!I IIl JLI�t.:_ni.l_J�'�• `^IILI11
'
Date: 1:15/2^',4
Tine: 9:01:27 NO,
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:.
COSToriER NrslE £, DLG CF PAYMENT '
SEAPATH YACHT CLUB
ILcct.
C.
Check
Total Coed; MO.0^
Total Paid: 11100.00
j
Change Due: S,01
Cam_
Balance: 1.00
1 nr ylr ev r Wyly r
SEES T109.0C
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operator: 51
R'eceipM 226E-09
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THANK YOU!

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Date: November 15. 2004
Memo To: Classified Deparunent
From: Jon W Giles Jr
Subject: CAMA Permit Application Notice
CpgSTD���S/p
�lgNgCFM��T
Please print the following in the legal notice section of the Star News as soon as possible. We will
need an affidavit of publication sent to the Planning and Inspections Department, 321 Causeway
Drive, care of my attention. Account 256-7900.
Thank you for your assistance.
NOTICE OF FILING
OF APPLICATION FOR
CAMA DONOR DEVELOPMENT PERMIT
Pursuant to NCGS 113A-119(b), the Town of Wrightsville Beach, a locality authorized to issue
CAMA permits in areas of environmental concern hereby gives notice that on November 11,
2004, Sea Path Towers of 330 Causeway Drive, Wrightsville Beach, NC 28480 applied for a
CAMA Permit to removal of underground storage tanks and all associated ground
disturbance. The application may be inspected at the address below. Public comments received
within 5 days of this publication will be considered.
Jon W Giles
CAMA Local Permit Officer for
Town of Wrightsville Beach
321 Causeway Drive
Wrightsville Beach, N. C. 28480
910-509-5019 ex 204

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DEC 2 ' 2M4
COASTAL
OF
AL MANAGEMENT
Date
iz--
Adjacent Property Owner
"32 Z C r-
Address
City, State,7a CodeZ�a
Dear Adjacent Property Owner:
This letter is tQnform you that I
Prop" Owns _
permit on my property at
Shed A
Wrightsville Beach, North Carolina. CAMA regulatioi
proposed development. Enclosed is a copy of the
permit application.
N
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2
Comments will be considered up until the time of issuance of the permit. If you have any
comments or questions regarding my proposed project, please contact:
• Town of Wrightsville Beach, Planning and Parks Department, CAMA Local Permit
Officer, 321 Causeway Drive, Wrightsville Beach, North Carolina, 28480
Phone [phone]
Sincerely,
Nome
Address
ItN \ � - -31-5 \Q -
ro �\ i-- l
1
1. Gss-s f— D2at� /l ha e no objections to the
proposed prgect as represented in the attached pla and application. This signature once
presented to the Planning and Parks Department will show no objection and my expedite
the CAMA permit.

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NAM �AT2A
SN3M30A

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CpgSTO�� A� i
OAI
Op
o ACFMENT
Date
Adjacent Property Owner
Address � \
City, State, Zip Cod
Dear Adjacent Property Owner:
Receipt for
Certified Mail
Staple Here
This letter is to inform you that I,
S -' c C��� have applied for a CAMA
Property Owner
permit on my property at
Street Address
Wrightsville Beach, North Carolina. CAMA regulations require that I notify you of my
proposed development. Enclosed is a copy of the proposed project plan and my
permit application.
Comments will be considered up until the time of issuance of the permit. If you have any
comments or questions regarding my proposed project, please contact:
• Town of Wrightsville Beach, Planning and Parks Department, CAMA Local Permit
Officer, 321 Causeway Drive, Wrightsville Beach, North Carolina, 28480
Phone [phone]
Sincerely,
Name
3 3 o ,s
Address
®
Number
I,
have no objections to the
proposed project as represented in tlo attached plan and application. This signature once
presented to the Planning and Parks Department will show no objection and my expedite
the CAMA permit.

AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER O
Before the undersigned, a Notary Public of Said County and StatO9sj<)/
T. Weil-Tallmadge
D
Who, being duly sworn or affirmed, according to the law, says that he/she is 29�0.c
NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR CLASSIFIED ADVERTISING MANAGER
DEVELOPMENT PERMIT
,recant to h NCTo n of of THE STAR -NEWS, INC., a corporation organized and doing business under the Laws of the
light, the Town of
3aty authorized
Beach, i lo-
AM Permits in areas
Issue State of North Carolina, and publishing a newspaper known as STAR -NEWS in the City of
AMA Permits in areas
nvimnmental concern
Wilmington
emby gives notice that
November 330 NOTICE OF FILING OFAPPLICATION FOR CAMA MINOR DEVELOPMENT PERMIT
e
ea Path Towersrs of 04, :auseway Drive, Wnghts- Pursuant to NCGS 113A-119(b), the Town o Wrightsville Beach a localityauthorized to issue
ill, Beach, NC 28480! g
ppie to removal CAMof CAMA permits in areas of environmental concern hereby gives notice that on November]],
iommnnd smraae tanks ! 2004,
Lion may oe InSpeReu m
the address below. Public
comments received with-
in 5 days of this publica-
tion will be considered.
ton W. Giles was inserted in the aforesaid newspaper in space, and on dates as follows:
CAMA Local Permit Officer
for Town of
Wrightsville Beach 11/171x
321 Causeway Drive
Wdghtsvil le Beach, N.0
28480
910-509-5019 ex-t. 204
And at the time of such publication Star -News was a newspaper meeting all the requirements and
qualifications prescribed by Sec. No. 1-597 G.S. of N.C.
Title: CLASSIFI D ADVER. MGR
Sworn or a firmed to, and bbys/cjr�ibjed before me this � day of
—,A.D.,,, . --
In Testimony Whereof, I have hereunto set my hand and affixed my offiU,114i4the day and
year aforesaid. / l v l �4•• rrrN�
o"'C_ S. a� a._
==�2°.�'
My commission expires � ,day of , 20d � V ,
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by
publication was duly and properly made and that the summons has been duly and legally served on the d
This day of
MAIL TO:
Clerk of Superior Court

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SEAPATH BOAT BASIN
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30' MHW SETBACK LINE
75' AEC LINE
EXISTING CONCRETE BULKHEAD
NOTE A
SEAPATH YACHT CLUB INC,
EXISTING CONCRETE BULKHEAD
MHW AND MLW
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'NOTE C
MOTTS CHANNEL
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SEAPATH INC. cNSTqs?�
(SEAPATH TOWER A) �'yq"VO,
NOTE At EXCAVATE AND INSTALL
UNDERGROUND STORAGE TANK rY\&t, ;a�Z
NOTE B: ASSOCIATED PIPING
NOTE C: TIE IN WITH EXISTING PIPING
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LEGEND
EXISTING CONCRETE BULKHEAD
—�� PROPERTY LINE
75' AEC LINE
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AFFIDAVIT OF PUBLICATION STD/qoN0
Nq otc
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER G'�'M��T
Before the undersigned, a Notary Public of Said County and State,
T. Weil-Tallmadge
Who, being duly sworn or affirmed, according to the law, says that he/she is
NOTICE OF FILING
OF APPLICATION F00.
CAMA MINOR
DEVELOPMENT PERMIT
CLASSIFIED ADVERTISING MANAGER
Pursuant to NCGS 113A-
119(b). the Taws of
of THE STAR -NEWS, INC., a corporation organized and doing business under the Laws of the
Wrightsville Beach, a lo-
caCAIIM issue
State of North Carolina, and publishing a newspaper known as STAR -NEWS in the City of
authorised areas
Wilmington
environmental concern
hereby gives notice that
on November
Tow11,of 2004,
sea Path30
NOTICE OF FILING OF APPLICATION FOR CAMA MINOR DEVELOPMENT PERMIT
causeway Drive, wngghts-
Pursuant to NCGS 113A-119(b), the Town of Wrightsville Beach, a locality authorized to issue
ville Beach, NC 28480
applied for a CAMA
CAMA permits in areas of environmental concern hereby gives notice that on November 11,
Permit to removal of un-
cleTrOund storage tanks
and all associated ground
2004,
disturbance. The applica-
tion may be Inspected at
the address below. Public
comments received with-
in f this ub
dlica-
don willl beocons de
ton W. Giles
was inserted in the aforesaid newspaper in space, and on dates as follows:
CAMA Local Permit Officer
for Town of
Wri htsville Beach
11/171X
321 Causeway Drive
wrightsv28480ach. N.C.
910-50.9-5019 ext. 204
And at the time of such publication Star -News was a newspaper meeting all the requirements and
qualifications prescribed by Sec. No. 1-597 G.S. of N.C.
Title: CLASSIFIF�D ADVER.
MGR
Sworn or affirmed to, and silbscribed before me this {lam✓ day of
In Testimony Whereof, I have hereunto set my hand and affixed my officiQ74the day and
year aforesaid.
My commission expires 14—/— day of, 20 Uzl
k
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged I
publication was duly and properly made and that the summons has been duly and legally served on the
This day of
Clerk of Superior Court
MAIL TO:

SITE DRAWINGlAPPLICATION CHECKLIST APPLICATION FOR
Please make sure your site drawing includes the following information required for a CAMA minor develop- E V B
ment permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, CAMA
if requested. NOV 19 � C MA
PHYSICAL DIMENSIONS DIVISION OF MINOR
label roads COASTAL MANAGEMENT
label highways right of ways
label
local anyaetblls DEVELOPMENT
label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
_ draw and label mean high water mark PERMIT
draw location of on -site wastewater system
If you will be working in the ocean hazard area:
draw and label dune ridges (note height)
draw and label toe of dune
identify and locate first line of stable vegetation
draw and label setback line under CAMA
draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
draw and label landward limit of AEC
describe terrain (slope)
DEVELOPMENT PLANS
draw and.label areas that will be disturbed
if a house is to be placed on lot, describe location of house
note size of piling and depth to be placed in ground
draw and label all areas to be paved or graveled
_i describe composition of surface
note and list fully all trees and vegetation to be removed or relocated
show landscaping
NOTE TO APPLICANT
Have you:
*completed all blanks and / or indicated if not applicable?
*notified and listed adjacent property owners?
*included your site drawing?
*signed both application and statement of ownership?
*enclosed the $100.00 fee?
*completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted Final inspection Fee Received
Site Inspections
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)
In 1474, the North Carolina Ceneral Assembly passed
the Coastal Area Management Act and set the stage for
guiding development in the fragile and productive areas
which border the state's sounds and oceanfront. Along
�k with requiring special care by those who build and
develop, the Ceneral Assembly directed the Coastal
Resources Commission (CRC) to implement clear regula-
tions which minimize the burden on the applicant.
This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
spintand intent of the General Assembly. It has been
designed to be straightforward and require no more
time or effort necessary from the applicant. Please go
over this folder with the Local Permit Officer (LPO) for
the locality in which you plan to build to be certain that
youunderstand what information he or she needs.
Under CAMA regulations, the minor permit is to be
issued within 25 days once a complete application is in
hand. Often less time is needed if the project is simple.
The process generally takes about 18 days. You can
speed the approval process by making certain that your
application is complete and signed, that your drawing
meets the specifications given inside and that your
application fee is attached.
Other permits are sometimes required for development
in the coastal area. While these are not CAMMA-related,
the urge you to check with the Local Permit Officer to
determine which of these you may need. A listing is
included on page 2 of this folder.
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management

Locality yf r) �� i J ` I a 1�¢r Number - O
GENERAL INFORMATION DIVISION OF
LAND OWNER \— �( COASTAL MANAGEMENT
5 �(\ Name '� " ` \ C(:�l " s ,ram
Address ` \mil �-iqJ d W A
City %." ,j s 11t r—:� G44 \-\State • C
AUTHORIZEQ AGENT
Name�`�\-
Address
City
LOCATION OF PROJECT
Zip Z$ `k Phone \ NQ
`N State - C` Zip �'gp0_ Phone \q�'b'VZ
(If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECT :k-c�v.n AV Q
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline
PROPOSED USE
Residential Commerical/Industrial Other
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 \mot
SQUARE FOOTAGE OF
5
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 Home Park Approval, Highway
Connection, and others.
STATEMENT OF OWNERSHIP NOV 19 24
I, the undersigned, an applicant for a CAMA minor development pee] "in
er operty in
an AEC or a person authorized to act as an agent for purposes of applying pp r development
permit, certify that the person listed as landowner on this application has a significant m A1�>!IlcJreal
property described therein. This interest can be described as: (check one) `-
an own r or record title, Title is vested in 5���` �,..; a-�, see Deed Book \\ 5 t
page ( % \in thetkt. `t;4~,vE*.punty Reg stry ofDee�s.
an owner by virtue of inheritance. Applicant is an heir to the estate
probate was in County.
if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
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) �) ar\\2 G= �sr f1 3�`� �Ms �wr+• l
(2)
(4)
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 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 the2� day of � c \ 20�&
Land owner or"Person authorised to act as his ages
for purposes of filing a CAMA permit application.

NOV 19 2004
EcEHvE N
O
O
DIVISION OF
COASTAL MANAGEMENT
Date S
Adjacent Property Owner
Address �` m
City. StaLe, Code-Z�'•-�`(j �Q
Dear Adjacent Property Owner:
This letter is tQnform you that I,
Property Owner
permit on my property at 3 . O Iry r S i.
street A
Wrightsville Beach, North Carolina. CAMA regulatiot
proposed development. Enclosed is it copy of the
permit application.
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Comments will be considered up until the time of issuance of the permit. If you have any
comments or questions regarding my proposed project, please contact:
• Town of Wrightsville Beach, Planning and Parks Department, CAMA Local Permit
Officer, 321 Causeway Drive, Wrightsville Beach, North Carolina, 28480
Phone [phone]
Sincerely,
a �
Name
I, C�sr.� i— ��1 ha a no objections to the
pr posed protect as represented in the attach and nd application. This signature once
presented to the Planning and Parks Department will show no objection and my expedite
the CAMA permit.

++v ....t WAY DRIVE
WRIGHTSVILLE BEACH, NC 28480
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OCT 22. 04
AMOUNT
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Adjacent Property Owner
Address'\
City, state, Zip COA
Dear Adjacent Property Owner:
Receipt for
Certified Mail
staple Here
This letter is to in�f'o you that I,
have applied for a CAMA
Property Owner
permit on my property at 3�cv Crqz�"V s
Wrightsville Beach, North Carolina. CAMA regulations require that I notify you of my
proposed development. Enclosed is a copy of the proposed project plan and my
permit application.
Comments will be considered up until the time of issuance of the permit. If you have any
comments or questions regarding my proposed project, please contact:
• Town of Wrightsville Beach, Planning and Parks Department, CAMA Local Permit
Officer, 321 Causeway Drive, Wrightsville Beach, North Carolina, 28480
Phone [phone]
Sincerely,
Name
33 Q�, CAN---)s�
Address
I• have no objections to the
prol ised project as represented in t attached plan and application. This signature once
presented to the Planning and Parks Department will show no objection and my expedite
the CAMA permit.

Date: November 15. 2004
Memo To: Classified Department
From: Jon W Giles Jr
Subject: CAMA Permit Application Notice
�(DE17 �9
NOV 19 2m
COASTAL VISION OF
MANAGEMENT
Please print the following in the legal notice section of the Star News as soon as possible. We will
need an affidavit of publication sent to the Planning and Inspections Department, 321 Causeway
Drive, care of my attention Account 256-7900.
Thank you for your assistance.
NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS 113A-119(b), the Town of Wrightsville Beach, a locality authorized to issue
CAMA permits in areas of environmental concern hereby gives notice that on November 11,
2004, Sea Path Towers of 330 Causeway Drive, Wrightsville Beach, NC 28480 applied for a
CAMA Permit to removal of underground storage tanks and all associated ground
disturbance. The application may be inspected at the address below. Public comments received
within 5 days of this publication will be considered.
Jon W Giles
CAMA Local Permit Officer for
Town of Wrightsville Beach
321 Causeway Drive
Wrightsville Beach, N. C. 28480
910-509-5019 ex 204

4N ILLS
TOWN OF WRIGHTSVILLE BEACH
v �d PLANNING AND INSPECTIONS DEPARTMENT
a " 321 Causeway Drive • P. O. Box 626
Wrightsville Beach, NC 28480
N. C. Telephone: [phone] • Fax: [phone]
To Fax Number: 343-2229 .�
CEIV
Date: _November 15. 2004 Time: 9:00 am
IB
NOV 19 2004
PLEASE DELIVER IMMEDIATELY DIVISION OF
OASTALMANAGEMENT
To: Dazcy. Janet, Lisa
FROM: Planning and Inspections Department
Number of pages, including this transmittal memo: 2
If you do not receive all pages or have any problems with the transmission, call Jon at
[phone] ext 204.
SPECIAL INSTRUCTIONS
Please print in the legal notice section and send Publisher's Affidavit to Planning
and Inspections Department, 321 Causeway Drive, Wrightsville Beach 28480

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