SC_02-60_Keene

Local 4mel�
41- •60
Permit Number
CAMA
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 environmental concern pursuant to Section 113A-118 of the
r����e General dStatutes, "Coastal Area Management."
Issued to Li�etCf � /_' ri�f Q h. authorizingdevelo�`�' em in S
fi EL at %/ or 4-1 J -
/� as requested in the permittee's application, dated d' L & -OL
This permit, issued on `7 V 9'0 Zi 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.
e
THIS PERMIT AUTHORIZES CONSTRUCTION OF A SINGLE FAMILY RESIDENCE
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 othrtr '
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. c. 42
4-The amount of impervious surface areas shall not exceed 30% of the lot area withYrr
the 75' Area of Environmental Concern.
5-In order to prevent sedimentation, a vegetated buffer zone must be maintained C:
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 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 7I.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
31, .2011)5'
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)
name
PDZeir2Y75�
address
'_ Permittee
(signature required if special conditions above apply to permit)

Locality iGt/°C f r �C �/ ,s/ic.% Permit Number [�%� 67
GENERAL INFORMATION
LAND OWNER
Name
Address a E
COASTAL MANAGEMENT
City /_�" D�o State A.)C Zip A'25;AY Phone
AUTHI
Name
Addres
City ASA,4¢4n. State .A!✓_ . Zip a?.fOY Phone _912-6 ki4 e
LOCATION OF PROJECT 9 O S7z�
(If not oceanfront, is waterbody natural or manmade?) /A�-4164./t
DESCRIPTION OF PROJECT
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard _I_ Estuarine Shoreline ORW Shoreline Public Trust Shoreline _ Other
PROPOSED USE
Residential Commericalllndustrial 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. _jam /it K
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING / F 6 b
SQUARE FOOTAGE OF SITE —7 _� 7 b
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
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in
an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development
permit, certify that the person listed as landowner on this application has a significant interest in the real
property described therein. This interest can be described as: (check one)
Vlan owner or record titIA Title is vested in see Deed Book_IL_,
page in the IYAglog., County Registry of Deeds.
_ an owner by virtue of inheritance. Applicant is an heir to the estate of ;
probate was in County.
a
n
a
A
_ if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.bEF 2 3 2W2 D
h
r
a
NOTIFICATION OF ADJACENT PROPERTY OWNERS DIVISION OF
COASTAL MANAGEMENT
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) lYAvielp G�11r 1
(2) LAAL(2&4
(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 the a L_ day of A.L� ,d 20'�.
Lan caner or r n authorized to act as his agent
for purposes of f' ' g a CAMA permit application.

AFFIDAVIT
OF
PUBLICATION
The Pender Chronicle
110 Courthouse Avenue
P.O. Box 726 • Burgaw, NC 28425
State of North Carolina
County of Pender
Personally appeared before me the under-
signed principle clerk of the above indicated
newspaper published in the City of Burgaw,
County and State aforesaid, who, being duly
sworn, says that the advertisement of
(copy attached)
appeared in the issues of said newspaper
on the following day(s):
A, a00A
Subscribed and sworn to
before this all day
of
A.D. 20 YA
1
�[► �-6 .
My Commission Expires June 16, 2003
(Principle Clerk)
NOTICE OF FILING OF
APPLICATION FOR CAMA
MINOR DEVELOPMENT PERMIT
Pursuant to NCGS 113- 119(b). Town of
Surf City, a looality authorized to Issue
CAMA permits in Areas of Enviroumm�tal
Concern hereby glues NOTICE that on 08.
26-02, Horace and Catherine Keene applied
for a CAMA permit to erect a Single family
dwelling in the Estuarine Shoreline AEC at
9084 Ninth St, The application may be In�
specledat the address below. Public com.
meals received by 09-05-02 will be consid-
ered. Later comments will be accepted and
considered up to the time of perms deCi-
slon. Project modifications ma, occur based
on further review and comments. Nonce of
the permit decision In this matter will be
.provided upon written request
Steve Padgett
Town of Surf City
P.O. Box 2475
214 North New River Dr.
Surf Clty. NC 28445
(9101 32$.4131
2628 - Aug. 28. 2002
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to l4� Pyl rb t Lj mil' n/ e. 's
(Name of Property owner)
property located at
Block, Road, etc.)
or,__(?,�l/! a S in V U - F i - - N.C.
They have described to me as shown below, the development they are proposing
at that location, and , I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
51,05/C I'nwl"1) c9wc//irk
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SEP 2 3 2002
DIVISION OF
COASTAL MANAGEME
Signature of Adjacent Owner
- / 414 Z
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to4/✓,/t 2/104 P zePe r. g 's
(Name of Property owner)
property located at J L199K >
(Lot, Block, Road, etc.)
in � N.C.
They have described to me as shown below, the development they are proposing
at that location, and , I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
SEP 2 3 2002
DIVISION OF
COASTAL MANAGEMENT
N. Q i-1;'n'
Signature of Adjacent Owner
''^1-esicS, Q
Print or Type Name
C-It "t -9 (0 5-9 so
Telephone Number
P-/5-O2,
Date