SC_02-91_Jacobs

Surf-City/Pender
Local Government ngly
J
�ry ��T(�jp�j 02/ u
�`7 j� `� 11.:d Permit Number
A
DEC 0 51ANOR VELOPMENT '00"'\
DIVISION OF
(HERMIT
COASTAL MANAGEME
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."
Issued to Bai 1 ey &Hanna Jacobs authorizing development in Estuarine Shoreline
AEC at_ 107 Oleander o rrt
as requested in the permittee's application, dated...] 1 / 01102
This permit, issued on 1 2 / 0 3 / 0 2 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.
THIS PERMIT AUTHORIZES CONSTRUCTION OF A SINGLE FAMILY DWELLING
1-All proposed development and associated construction must be done in accordance with the
permitted workplat drawing as originally submitted.
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, a barrier line of filter cloth, or burlap must be
installed between the land -disturbing activity 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, other than 6' wide
accessway to water, and up to 200 square feet of uncovered deck.
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 per-
mit m st 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 modifications not covered
under this permit requires further written permit approval.
All work must cease when this permit expires on December
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.
Local Permit Officer (signature)
Steve Padgett
name
PO Box 2475
Surf City, NC 284ress
IL& Z'0�O-7
Permittee
(signature required if special conditions above apply to permit)

/ Localityw
� up— C� L I `� / � i(j{> iL j� Permit Number
EC'
GENERAL INFORMATION EZV E
LAND OWNER DEC o 5 2m2
Name 7KAI 1.E Y �N N A �A�n � S COAS DIVISION OF
.� I rti4�4-raqp €�rorl
Address P o t3o�c a `t b
QtY!Ei C� � State � �' Zip Olt 4 S_ Phone )Lk--), 5 31 01
AUTHORIZED AGENT
Name
Address _211� WASH)N(1jp� ACRFS ��
city r Iq) Q � Q� ) � State C Zip aMq 3 Phone Ci) O 4-) D 533C
LOCATION OF PROJECT 1J1 I �� PtN S TOR E S 16 "1 F/kiI 1 `Ce
(If not oceanfront, is waterbody natural or manmade?) 7R A w k 5 M,1 4q ,L
DESCRIPTION OF PROJECT S) 0G,)d �:7AN���
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local P rmit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline _ Public Trust Shoreline _ Other
PROPOSED USE -
t'= 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. 1 51 a. Sr'
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
SQUARE FOOTAGE OF
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.
15.`1'10
Sk
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.

HEM
STATEMENT OF OWNERSHIP
DEC 0 5 2002
I, the undersigned, an applicant for a CAMA minor development permit, bei ther the owner of rop n
an AEC or aperson authorized to act as an agent for purposes of applying for a CAMA VX $Po ovOpment
permit, certify that the person listed as landowner on this application has a sio ART flte�jy j� �jENT
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 Registry of Deeds.
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.
(1)
(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.
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 NOV 20 02 .
Land owner son authorized to act as his agent
for purposes filing a CAMA permit application.

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FIELD GREW TO USE
EXACT MEASUREMENTS.
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DEC 0 5 2002 D..
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Subdivision ----------- 8� \ ` 1
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KEH `�
DEC 0 5 2002
DIVISION OF
COASTAL MANAGEMENT
CAMA I
NOTICE OF FILING OF APPLICATION FOR CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS 113-119(b), Town of Surf City, a locality authorized to issue CAMA permits
in Areas of Environmental Concern hereby gives NOTICE that on 11-01-02, Bailey and Hanna
Jacobs applied for a CAMA permit to erect a single family dwelling in the Estuarine Shoreline
AEC at Lot 1 Bland Shores. The application may be inspected at the address below. Public
comments received by 11-13-02 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
214 North New River Dr.
Surf City, NC 28445
(910)-3284131
Please publish on 11-06-02