HB_03-072_Cassese

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Mov 04 03 1t36o TOWN OF HOLDEN BEACH 9100429315 P•3
1
CAMA
MINOR DEVELOPMENT
PERMIT
ea a..thorizsd by IF• Scats of it1aM (;alo3na. Dganrrnt M Ennronmam
and Nawral Assoureee and dte Cotulal Resources Cwnmleslen lur ds'"bpnleM
in an area d w+vinnmorlsi eer"orn prmuaM to Sedbn 113A•1la of this
GeriatristS:rWs,'CoWat es managwrten
bested is '�G. Vic\0— aSS�S� U.homing developmsiv, l f Q e
n Mque'ed i"r the ptsmiteeb gpkoaton, deleo
The parrot. issued N is svb,ed to rarntowlbe with the apploollon aw are draw ft Mhoro CDrsistent
win' the petrrllj, all a gkoble eiguatbns and epeela..onditons a•d notes sr. tcdh bobv,. Any violation o'Vw" terms play st"blsa
perm"rte• to a fine, prlsurmsai or awl actor. or trey ewes the p`-+mn to lea n,tl and vbld.
F-pE TO CONSTRUCT A SINGLE FAMILY RESLDENCE, GRADE AND I
ADD. FILL MATERIAL„ GRAVEL, DRIVEWAY WITH CO_YCRETF. BORDERS
1. l0pnyom and fill must meet tall of the requirements of The Storrnwater Oniin",
t in section 159. of the Code of Ordinwtma for The Town of Holden Beach
N fIll material shall be placed in or wash in the State or Federal Coastal R'etlands.
2 ilea the principal strucdat nor tmeovered Kept way Mmd elaaer than sa fees
re the b>aBtheed and no piles shall be plated dosar than sh Lest tram +sty
d. (Town Ordinance 157.M
l propoa� development and astaxiakd construction must be done I--' accordance
wi dae W permitted wedT dm%%-At as submittod an 10/17/03 . Any other
dove pmeot will require additional permits or a modification of this permit-
S. P ant to 15 NCAC, Subchapter 7J 04WB), this permit may not be assigned,
feriod, sold or othern'lae disposed of to a third -party.
6. a permit may be renewed for one (1) year if mqw tad beforo the etc uVion
7. �napuotion must Conform to section 157.060 and 158.00 located in the Town of
Beach Code of Ordinances.
The oenah W n may lea appealed by tho parmitses or oewr
q,ehncr partans sis lhin uv*ray (201 days d the issuing dale.
Fro f. dte date olar 00oeal, any work oond cled Wider the per-
ms m„et "ass unt Ilea appeal a fasolvod.
The pemk mu r be on the orojed see and aaesoibb vl :hs
paten off"t ai:en the proloet Is mspoefoo for ewnplancs.
Any maimaitin m wwk or Project modifications lot wwoo
Under n"it pernh r uirK 'caner written perms. approval.
AP, uokm.jOt eta who, this permh expires on Dscornbs'
31, —
In issuing ibis "mil it x aaroad'hst this project is e0lwiet•rt
wet :hc local Land to Plan and Ill applesba nadnncaa
This pe"mi me not be traMlensd to w ther gaily wrhoat
hs wriean apo"ov d the Owlsion of fbatal Manaaetnard
C-91
DIVISION OF
COASTAL MANAGEMENT

Hers—nr—nit a a : as rrr uR.... c..
• Now 04 03 1 t3a TOWN OF HOLDEN BEPCH
,it.r rt'h' h - y1 aJ't'tl u l
sau id to
This want. issued,
Wi:hsh@psrT1t). t1l l
overi tt■a to a fine.
I- S.
14.
the
ILL
for
12.
13.
14.
15.
This Derma edbi
gua$ied Persons ova
Fran ens data of an
trt rr,,,tt:vao-e UKI
This perms mutt
permit driver when t
A.iy mantananc
unW thls psrma rrr
1, iswinq this Pa
wth re, wa� and l
Thin Permit may
the wdban approve:
H108429315
CAMA
MINOR DEVELOPMENT
PERMIT
as eut-wj od oythe Star of North Carolina. DaP■ttmenc of EnOn "'Ham
and Natural %souca and the Coastal Rssourtes Comm"Im for devebPrrrent
to an way of onNrormrert■1 m:wern punu■m l0 8a=tion 113A III of the
n Grnoral mat:not. -coastal Pea managemonir
as raquened in the po-mnaCs opph:erinn, dated
p.4
arm" Numoar
C � . Is subjaC to mmpFance weh the opptr thin and ads dnaving (wHaro eonsiCect
dible -equations and spoon;oordiiona am notes so -ortr below. Any vwtxtinn d these t.rms may yCjacl
'■onmont or out aetlon. or nay cause the past to br nut an7 void.
err D 'tinlog land -disturbing activities, adequare Sedin"a"ionlerosion control
eastaes must be employed to prevent the movement of imcomsoiidatod mauled into
e march or wets. Theses mea4mre5 must mmin se place until wch time as the
eas is property stabilized with vegetated cover.
o impermeable surface shall be allowed over any functional part of septic tank
Item. All water lutes must maintain a 10 foot separation from all potions of the
ptyc system, All retention areas m•.� be located at last 25 foot liom all portions of
ie septic eystbrn, All piliap shall be located at lean 5 feet from all portions of
C wptic system, Septic }Hermit It 2003044976 was valid on 949-03 by the
runswici County Health Department,
Vithin tic espurint and pnbbe trust dOreldae ABCs, new develnpmmt, wdtb
mceptiost of water dependent ass, shall be located a distastee of 30 feet
ward of the sternal hiab water navel.
The innovative stormwetcr syatern ashorized with this permit must be maintained
to life Of the structure addressed.
No excavation of flaing of wetlands or waters is authorized under this permit.
A copy of this pemtit aball be available onside for regulmwry inspection -
the elevated house shall meet all State. Local and Federal mgudationL
Tka lot is located in a Base Flood AE with a elevation of 15 and this structure
will be required to have flood vests instilled in accordance with the FEMA
requirements.
may be appeetod by the Pennines or otho, `
In twenty (20) days d the issuNg ome-
ppeal, any de cdndmted urdsr this per• LoW Parma Oltioer aq a•s)
:ro
is appeal Is resolved _
ro w the project site and accessible to the O r.
a project,a Inspociodteraridb&MCK,
work or prolo--i modri lotion no. roverad
Aires tuMer wrmen parka apptovan. ^a v jkwets
its defier tut-t perms expires on Dsanaoor
ern It is Wood the sea Proiael is owtars:sm > J
as Plan and all applicable ormlanost.
+ot be transferred to anrihar party without a
><the Div:aien d. Goarkal Ma-eq) slur :agu'nd H sPmia'dond±in- ve H�r
lI Lpryd.
NOV 13 2003
DIVISION OF
COASTAL MANAGEMENT

NeS 04V03 10126a TOWN OF HOLDEN BEACH 8100429315
F.5
xa! .man
CAMA
MINOR DEVELOPMENT
PERMIT
as aul.'otred by the Stale O' NaAh Cerbtrn, blepamnam Of Enveonmont
and Neutron Resources and the Coettal ttetp,nCar Comr"wiftn tot dovabpment
„all ef*& of omimnmen'sl concern purs�arl to Section 113A-110 of the
[tom[ General staluwe.'Coane: ea Manapem
Iwtnd to 1 Is
en�Ll f1'1a r7CP r rr 1 Ye
M recuadse it the permmw'e eppltalbn, dated �.
warn Wince a
Tpermit. Issued bn O
hh Is subject is mmplianra nitr the apPkIlpn and ens drawing (where mnaiaMra
w.th the wMit), an - able ragula00ns and special 00ndImS and solosser lorth beibw_ Any vntalionot these terms may sd
pouitemnnse o a iiw. � oum■n a tier &Mr% or mr/ .RJse to pli to be null anti void.
I& It is noted that coastal marsh exists on the property, void that the proposed
cvdopment addressed on the submitted plat dated 10/17/03 is not located wihhin
ris rnarfh.
17. Mmjur parmit Division of Water Quality states that lot lot g has a maximum
impel ous surfce square footage of 4,400 square feel.
IS. j al construction must conform to the NC Building Code requirements and all Local,
Statei and Federal regulations. 19. agent for the Minor CAMA Permit and the Town zoning officers have agreed
that tad level will be an elevation of 12.3 and thatthe highest point of the structure
shall be an elevation of the average of the immedimelY adjacent homes• Under no
cillou notaries the blghest point of the roof shall not be any higher than an elevation of
473' feet above clean sea level.
2U The atea proposed for grading within the 30' buffer from the normal high water
court /normal water contUltr must imm.:diatciy be vegetattivety gtabilizek and must
in a begetated state.21, concrete slab elevation shall be 1 <.6.
Thi&peMnkadiiDm
may bo appealad by Ors pormiaea a prior
Q.teabd patoom wit
n twsnty (20) days of the jawing date.
From the date o1 an a
Wool, any worn eondidm undo: INS Ps -
ma m.st cease, urW I
is appeal is raselvad.
This pennr must
a On the p,oVict sap and a0Clsalble to fiCe
penmh ol9car when 0
1 prolec' is Insps;dsd for mmpli
Awl manterforicteItrark ar project rtodacM!Ont noIf
w4orthis permh restubhtn witurl parm4 spp,oval.
AgrrttZrk,[,ntng = when the: pormh expires on tlooembar
1n bluing this d h is agroto that INE projects wrt6 old
warthe incol Land Ule Plan and It abpocable ordinances.
The permit may lot be'-r.derre0 to st0thet party w4hOW
•�a wnntr approval the OMs*r lit Coattal MenaT t. 3
♦ ` • eta � � al �1a
•et4:}qu:oe if spertal eordsoons ab cwoo Krv111re,�\Wnvits
NOV 1 3 M
E(OE H V
E�D
DIVISION OF
COASTAL MANAGEMENT

NUV�tl4—tl.J 11 JY ell Yrta„ic r�
Nov D+ 03
Prciect is In A
Date Lot War. F
Toils rance La rnu
of :he special I
dev la rnent in
hazards ss,ch as s
tlme Coastal Res
.ecelra ar AEC
noticem :vr.t -Ig
issuw,
not eliminate, p
permits, the Cc
uaran:ee the sa
riabiliryfur ft:tu'.
The best availab
Resources Com
erosion rate iur'
feet per:
The .ate was I
photographs of
Studies also in
rn,d, as 330
rreterred oee
nomiahment
Hard eresicri
be allowed uni
This stmcture
year of bemn
'he app:!cant
1ci�Ulre:rents
11 ttnut the p
complete.
395 TOWN OF HOLDEN BEACH 9109429315 P•S
a t'Y1arlZer 55, ��old�n ?3�qc-h r�;i.
Cp
AEC HAZARD NOTICE
_ oeean Frodlble Area Migh Harlird Flood A►ee , trtlat H&Uvd Area
MADYtf�—o �4fC-t1iie
to make you, the applicant'aware
and conditions associated wi!l+
area, which is s'ubjac- to naiture,
i, erosion atxl currents. The rubs cf
is Comm);scan rec:Mire that you
ird Notiee and ackncNsh-dge that
re a perm:. fordeselopmentcan b:
rly logs iron, iZMLIs_ By Framh;g
1 Resources Commission does tint
of the development and assumes nn
maae to thedeecelopment.
,ormatioti, a: accepted by the Coastal
ion, indicates that the annual ocean
rea where your property is located is
'Jul analy„is of aerial
our the past So years.
tte that the shoreline could move as
landward In a majorstorm-
are predi-ted tot:, -about
srotection measures arc beach
atton of thremerued structures.
structures such as bullheads,
niiu_ tattles and h-eakwaters are
Stain conditiori_lt
be relocated or dismantled within two
mutitw ly ` ueatened.
it acknowiwige this information and
gnit g this :notice in the below space
r signature, the application woL tint be
_i
SPECIAL NOTE: 'rids hazard entice is regaired for
de,elapmcm in areas subject to sudden and mase:iw
su msattlero:teu.'errnitsissaedfordevzlnv .entinthi;
area expire on Member 31 of the third year folioWN VIP
year ii; %hich the permit was issued. Shortly befoir. work
begins on the project site, the Inca! Penn it Officer wia
d-trJm'ne the s'egetahon line and setback distance at your
,ite. I: the property has seenlittkdiange and they. aFosed
1>eve:oj+ment can soil meet the setback requirement, the
.cal irlorm you that }}•ou may be�gin stark.. ltis imprrr-
Cant that ynucheck with t9L?Obefore thepermiterpim
for official appwval to continue the work after the permit
h>s expired.Generally, if foundation pilings have NNM
pieced and substantial progress is continuing, permit
renewal may. not je twessary. if suistantii progres hat
not been made, the Permit must be reviewed and a new
setback ItneastaiiIisfied. It is unlawful to cortinue weir
after permit expiration without this approval
Taxmore wor"ution, contact:
i
4�414
_ a
s
� F0-3173
NOV 1 3 2003
DIVISION OF
COASTAL MANAGEMENT
frevaeC 11193

oca iT n /7��� .IV
Permit Number Jjp 3 -b �1-
i
)cean Hazard Estuarine Shoreline ORW Shoreline _Public Trust Shoreline Other
(For official use only)
3ENERAL INFORMATION
. 4AND OWNER
Jame Gr *, v%Z vc
Sddress ASS _ Pj9 v, llSo
-ity Z—,, St_te/V//' Zip
AUTHORIZED AGENT
Name
0A
Phone
Address 3 1/ ©
// � G/-/AN ��yA • wCS�
City //101W'9 W Z we/t State C, Zip 0ZR4A!4'z Phone /-51/D _Zf�
LOCATION OF PROJECT: (Address, street name
adjacent waterbody.) .Lv ;le"A .33V /
OF PROJECT: (List
C
W1
,S:Ixc sum/K J
SIZE OF LOTRARCEL: -Po 4 13 square feet . 3G acres
PROPOSED USE: Residential_ (Single-family Multi -family _) CommericaVindustrial _ Other
L
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMETsTAL CONCERN (AEC): 3277 square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES Il1r
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 3 i r f t
(Calculations includes the area of the roof/drip line of all buildings, driveways, cTat
s, , to r atios,
etc. that are within the applicable AEC.)(Attach your calculations with the proje
Choose the AEC area that applies to your property: 3 Z�Q3 L;1
(1)within 75 feet of Normal High Water for the Estuarine Shoreline AECOC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC,o 0,u � r *& Ofsourc aters
(3)within 30 feet of the Public Trust Shoreline AEC DIeev11 1(�ANAC,E ME�
(Contact your Local Permit Officer if you are not sure which AEC ap�S�$¢a ybtlf property.)
STATE STORMR'ATER MANAGEMENT PERMIT: Is the project located in an area subject tcly£tate Stormwater
Management Permit issued by the NC Derision of Water Quality? YES NO 1/
If yes, list the total built upon area/impervious surface allowed for your lot or parcel. gree� M
n Loci , 6 zoos
D
TOWN OF HOLDEN BEACH

HER, I PERMITS MAN BE REQUIRED: The action' you arc planning may require permits other than the CAMA minor din-eloprnmt permit. _
t sen•icc uc have compiled a lining of the kinds of permits that might be required. We suggest you check over the list with your LPO to
rmine if any of these apply to your project- Zoning. Drinking Rater well. Septic Tank (or other sanitary uaste trmnt eatesystem). Burning. -
arical. Plunioing. Heating and Air Conditioning, Insulation and Energy Consen,ation. FIA Certification, Sand Dunc. Sediment Control,
division Approml, Mobile Home Park Approval. Hiehuay, Connection, and others. -
ATEMEN7 OF OWNERSHIP:
he undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or
erson authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the
-son listed as landowner on this application has a significant interest in the real property described therein. This interest
i be described as: (check one)
an owner or record title, Title is vested in iTT E em;eVG < C.91 rt sc
.v ' ,see Deed Book /0� .�
geeok"31 in the Zy-uydw,ek County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
)bate was in County.
if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
3TIFICATION OF ADJACENT PROPERTY OWNERS
iathermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
CT UAL NOTICE to each of them conceviagmy intent to develop this property and to apply for a CAMA-permit.
(blame) (Address)
%N_ J 74 6 O
OR DEVELOPERS IN OCEAN HAZARD AND EST'UAP=L HAZARD AREAS:
acknowledge that the land owner is aware that the proposed development is planned for an area which may be
isceptible to erosion andlor flooding. I acknowledge that the local permit officer has explained to me the particular
azard problems associated with this lot This explanation was accompanied by recTmefl-ati ons cor dethmJ`sUlion
i
ad floodproofing techniques.
'ERNIISSION TO ENTER ON LAND: I I II, . OC 13 Q 2001
furthermore certify that I am authorized to grant and do in fact grant permission to the locaDPtltSf QNc® End his agents
enter on the aforementioned lands in connection with evaluating information NT
ius application includes: general information (this form), a site drawing as described on the back of this application, the
wnership swzement, the AEC hazard notice where necessary, a check for S100.00 made payable to the locality, and any
iformation as may be provided orally by the applicant The details of the application as described by these sources are
acorporated without reference in any pe mit which may be issued. Deviation from these details will constitute a violation
,f any permit Any person developing in an AEC without permit is subject to civil, crimarlal and administrative action.
This he 120 Ltd'
rtdo�+merorpersdn:a tgaaasbisagera
for purposes of filing:a:CA3�a�eaiu:ap.Flication:..

m
o-
rn
m
0
DATE: m
0
To: Z//,,,, L o
/14 /yz;: oJ�/= o
—� o
. 5 :5 2W Ski k/7.14>2716 49NC ti
0
0
M1
DEAR ADJACENT PROPERTY OWNER:
This letter is to inform you that I have applied for a CAMA Permit on the property
owned by C ,'V at _c S�ArA-A ��/ l
(races address) ,--
Holder Beach, NC. I have enclosed a copy of permit application and a copy of the
drawing of proposed project.
If you have any comments on the proposed project, please contact
Rhonda Phillips, Local CAMA Officer, Town of Holden Beach, 110 Rothschild St.
Holden Beach, NC 28462 - Telephone -[phone].
Sincerely,
ho�/e'—J/4:f ,l /'
Tim �i4Y r y%LG
(Owner or Agent) t�cc
TELEPHONE NUMBER: — /D
� GEITE
OCT 3 0 7003 �
DIVISION )4
COAsTA!L M! i6f

�) ,[ o
DATE: �/G/y,�c r /` a p'.?
m
c
To: C3
DEAR ADJACENT PROPERTY OWNER:
This letter is to inform you that I have applied for a CAMA Permit on the property
�
owned by C<.�+dy.'i,yc ��sc'.tG at 73'74
(suva addms)
Holder Beach, NC. I have enclosed a copy of permit application and a copy of the
drawing of proposed project.
If you have any comments on the proposed project, please contact
Rhonda Phillips, Local CA AA Officer, Town of Holden Beach, 110 Rothschild St.
Holden Beach, NC 28462 -Telephone -[phone].
Sincerely,
-P7- l,.P raj A�y �i�j s,�J��� ysJ.9/ Ili v_ a ;4/yA!5 .%) S_
(Owner orX;g—en_t)
TELEPHONE NUMBER:
0 E 178 DII
OCT 30 2003
DIVISION OF
COASTAL F,MANAGEME"

'•8/18/03
BRUNSWICK COUNTY HEALTH DEPARTMENT
"1994033608A
DATE REC.:
PI.N.: D�
FILE NO.:
2003044876
BbYTE LARRY/COASTAL
DEV&REALTY BUILDERS4L 232PH00108
REC. FROM
AMT. PD.
TAX PARCEL
131 OCEAN BLVD WEST
HOLDEN BEACH NC
28462-
(9(10))842-493
ADDRESS
CnY ST
zip
PHONE
CASSESE GENEVIEVE C
TRUSTEE / MARKER FIFTY FIVE /
8
CURRENT PROPERTY OWNER
SUBDIVISION
LOT
BLK SEC
-ROPERTY LOCATED, TOWN/CITY/AREA/ DIRECTIONS TO PROPERTY: NO Annnrcc ASSTGNcn
nCr:IN nT trn rt ccm TO HICHROINT mrrntT P. TO nvtr ic�yJ�C� AVE TURN IR TO MARKER
AUTHORIZATION FOR WASTEWATER CONSTRUCTION PERMIT
JEW REVISION RELOCATION _,*— UPGRADE REPAIR NOTES:
)esignFlow: ` 90 gpd. Septic tank size: lD&o gal. Type:
Jo. BedroomsFOo' No. occupants/ew4geyees__�L Max. Trench/Bed Bottom Depth: (d inches
Jo. Lines: ^" Length each: �� Bed dimensions: N Ja'
'ill Check: Approved:
Date Authorized Agent
'ERMIT ISSUE DATE: 9 - A- D3 Permit expires 60 months from date of Issue unless otherwise specified
❑ 30 days from date of issue
❑ Other (date)
\uthorized Agent Signature: Registration: ) 110
DOTES: PERMIT IS SUBJECT TO OCATION IF SITE PLANS OR THE INTENDED USE CHANGES.
IMPROVEMENT PERMIT CONDITIONS MUST BE MET
Wastewater System Installer:
Date:
1.Septic Tank shall
have an approved
effluent filter and
access devices as
applicable.
2Maintain all set-
back distances for
septic tank sys-
tems and wells.
3.AII components of
the septic systems
Shall be located
100 feet if possible
but not less than
50 feet to all
existing and future
wells on this parcel
and adjacent par-
cels.
Comments: (tank info/barrier approved)
DPERATION PERMIT: Date: er-9-1)3
Authorized Agent Signature
Actions of local health department r presentatives or the State engaged in the evaluation and determination of measures required to effect compliance with the
applicable laws and rules shall in no way be taken as ____ s rw:....._:. __ __....__i.— a- n_....:»ec rrnm on., enrl all etas ice ndac

LocirHT5 -
lest /v
Permit Number J06 3 -b �J-
Ocean Hazard _Estuarine Shoreline v"�ORW Shoreline _Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name Gr Svcy%Lri�L �� SS<S/
Address
v,
-/1 / Y-
City L !9' CoN i"i Sate /V II • 7ip &�_C'2/4 Phone
AUTHORIZED AGENT
Name z77LA>-�_y
liVEs�
City /:Y0/,.2/4N 14�4d state/ eC, zip oZRf'4 -'z Phone /-17/O ,RY>� -Y-'FIY9
LOCATION OF PROJECT: (Address, street name and/or directions� st If n�plt oce
adjacent Lot�`B S3Y /2i4r
OF PROJECT: (List q] proposed construction and
7— // /Y.11b7:i0/ SG•-OA%c rv_ -,
SIZE OF LOTIPARCEL. -5 x % square feet . 3'L acres
PROPOSED USE: Residential_ (Single-family Multi -family _) Commerical/Industrial —Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): _3 d % % 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): 2377 ,i— square feet
(Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, congrete orTaasonry patios,
etc. that are within the applicable AEC.)(Attach your calculations with the project drawing pur
Choose the AEC area that applies to your property:,
(I)within 75 feet of Normal High Water for the Estuarine Shoreline AEC(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacen toR o e Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if youare not sure which A16 toy.)
STATE STOR1vIWATER MANAGEMENT PERMIT: Is
Manaeement Permit issued by the NC Division of Water Qu
If yes, list the total built upon area/impervious surface allowed
subject tate tSjormwM
NO COASTAL
parcel.,'YIY — _�_V
o RFll`� E
�
OCT 16 2003 1

T
fT5 ytA� BE REQCIRED: Tnc anivin you arc plannts hat miening may rcauire permits other than the CAMA minor dcvelopmem permit.
gest you
r h�rc comr^il to be
io troisttng of the kinds ofur project. Zoning.D Drink
Water P cIL Septic dTank (or other sanitary nastcttrc Iratrne^tist tsys[eml- Burning.
Hcatin and Air Conditioning, Insulation and Energy Consen•ation. FIA Certification, Sand Dune. Sediment Control,
pWmoin_.
[_ AFprotzl, Mobile Home Park Approval. Highttay, Connec[ion, and others.
(GpI�hT OF O�VI�ERSHIP:
undersigned, an applicant for a CAMA minor development permit being either the owner of property in a AEC or
that the
on authorized to act as an agent for purposes of applying for a CAMA minor development permi�certifyhis interest
descri
;on listed as land (check ones application has a significant interest in the real property
be described as: ( )
G
an or record title, Title is vested in ENE viE✓G C, CAd rEst see Deed Book ,AO JR
H31 in the �s a V rw TCk County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of '
Batt was in County -
if other interest, such as written contract or lease, explain below or use a separate sheet and atfach to this application.
ITMCATION OF ADJACENT PROPERTY OWNERS:
athermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
;TUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA.p==t.
(Name)
(Address) 7G G moo/ .2 T<,u �r.44� , i),-'v.= k s��r i %v- d O
JR DEVELOPERS IN OCEAN HAZARD AND ESTUAR2, :M A47.ARD AREAS:
acknowledge that the land owns s aware that the proposed development is planned for an area which maybe
asceptible to erosion and/or flooding. I acknowledge tha
t at the local permit officer has explained to r5e'the parri6uI
azard problems associated with this lot. This e: planation 'vas accompanied by recommendations concerning zaton
id floodproofing techniques.
ERMNSION TO ENTER ON LAND:
furthermore certify that I an authorized to grant and do in fact grant permission to the local petmiteUCer. and;iis agents
c eConnectionwith evaluating
enter on the aforementioned lands in coinformation related to this permit _3piication
i pis application includes: genera] information (this form), a site drawmg as described on the back of tads application, the
Iwncsbip statement, the AEC hazard notice where necessary+ a check for $100.00 made payable to the locality, and any
nformation z; may be provided orally by the applicant The The details of the application as desenbed by thcst sources are
ncorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation
)f any permit. Any person developing in an AEC without permit is stibj ect to civil, criminaland
/ Irr ;rite T�$ve action
This the /� y £—DG/u�j 20 Q3

r
'2003- 6 72
Pursuant to NCGS 113A-119(b), the
municipality of Town of Holden Beach, a
locality authorized to issue CAMA permits
in the areas of environmental concern,
hereby gives NOTICE that on October 17,
7.Oo3, applicant Genevieve Cassese, applied
for a CAMA minor development permit to
construct a single family residence, septic,
grading at 334 Marker 55.
The application may be inspected at the
below address. Public comments received
by October 31, 2003, will be considered La-
ter comments will he accepted and consid.
ered up to the time of permit decision. Pro-
ject modifications may occur based on fur.
ther review and comments. Notice of the
permit decision in this matter will be pro-
vided upon written request.
Rhonda Phillips
Local CAMA Permit Officer
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
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 23, 2003
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 23rd day of October, 3f� /(C1 1L� ] 1� �' TG�
1 NOV 11Cd3J120003 J1"2
fe-5-
N OF
.......................•IOASTAL MA4AGEMENT
(Signature of person making affidavit)
Sworn to and subscribed before me this 23rd day of
October, 2003.
O F NpTg9y':'';
°• ...:.
otaryPublic) ''�•,��/(.'K ,�(�1�.'`
My commission expires: December 29, 2004.

NEIVE DI
OCT 3 0 2003
DIVISION OF
COASTAL MANAGEMENT

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