07-22 BHI_Minor Permit_20220901

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following infortnntion required for a LAMA minor development permit.
The I .ocai P mnit Officer will help you, if roqursled.
PHYSICAL DIMENSIONS
Label roads
Label highways righaof--ways
Label local setback lines
=L nay and all structures and driveways currently existing on property
Label adjacent waterbody
PHYSICAL CHARACTERISTICS
Draw and label normal high water line (contact LPO for assistance)
_ Draw location of on -site wastewater system
11you will be working in the ocean hazard area:
[)raw and label dune ridges (include spot elevations)
_ Draw and label the of dunes
_ Identify and locate fast line of stable vegetation (contact LPO tirr assistance)
Draw and label erosion setback line (contact LPO for assistance)
_ Draw and label topographical features (optional)
If you will be working in a coastal shoreline area:
Show the nad'overhang as a dotted line around the structure
_ Draw and label landward limit of AEC
_ Draw and label all wetland lines (contact I.PO for assistance)
Draw and label the 30-foot buffer line
DP.VI?I,OPMF.N'r PLANS
_ Draw slut label all proposed stmcttus
__ Draw and label areas that will be disturbed and/or landscaped
Note size of piling and depth to be placed in ground
_ Draw and label all areas to in, paved or graveled
Show all areas to be disturbed
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated ifaot applicable?
• notified and listed adjacent property owners?
• inctuded your site drawing?
• signed and dated the application?
• enclosed the S 1000) fee'!
completed an AEC1-lozard Notice, if necessary'! I dust be signed by the propcM owner)
FOR STAFF USE
Site Notice Posted _ Final Inspection _ Fee Received Site Inspections
APPLICATION FOR
J ^ CAMA MINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed the Coastal Area Management Act
(LAMA) and set the stage for guiding development in fragile and productive areas that
border the states sounds and oceanfront. Along with requiring special rare by those who
build and develop, the General Assembly directed the Coastal Resources Commission
(CRC) to implement clear regulations that 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 spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant. Please go over this folder with the Local Permil Officer (LPO) for the
locality in which you plan to build to be certain that you understand what information he
or she needs before you apply.
Under CAMA regulations, the minor permit is to be issued within 25 days once a
complete application is in hand. Often leas time is needed if the project in simple. The
process generally takes about IS 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
an not CAMA-related, we urge you to check with the Local Permit Officer to determine
which of these you may need. A list is included an page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coed.
Dale of Action: Issued _ Exempted _ Dented _ Appeal Deadline (20 days from permit action) _ llcM Form tHtvy]-:otNRevised April 2010
Coastal Resources Cotrunisslon
Division or Coastal Management
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Locality_. W ,1 2�_ PermitNmnbe, LOZL-G7
Ocean Hazard _ Estuarine Shoreline ORW Shoreline _ Public Tow Shoreline_ Other_
(h'or affi ml rcve only)
GENERAL INFORMATION
LAND OWNER Name Bo & Barabara
Address 9926 Beveragm Dr.
City Mn t_hews State -N-C Ztp2MOiona
,:mail hulseyba(&—gmail.com
AUTHORIZED AGENT
Namc Peter C Quinn
Address PO 3154
city Raid Head Wand. NC Zip28464one 910-540-6776
Email
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not meanf'mnt, what is the time ofthe
adaeerr""at�'b°dy'-4 Boathouse-T-raet, BHI, NC- Head Creek
DESCRIPTION OF PROJECT. (List all proposed construction and land disturbance.)-1-family--residence
SIZE OF LOTIPARCEL: 9347.8 square feet acres
PROPOSED USE; Residential [k (Single-fumily [ ( Multi -family Q) Commorcial/Industriul Other
COMPLETE EITHER (1) OR (2) BELOW (Contact), ttr Local Permit Officer If you arc nol sere which AEC applies
m your property):
(1) OCEAN HAZARD AECs: "I'O'1'AL FLOOR AREA OF PROPOSED STRUCTURE: _ squmc fret (includes
air conditioned living space, parking elevated above ground level, non4onditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHO NjE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SIIiFA(�S: l 4are feet (includes the area of the roof/drip line ofall buildings, driveways, covered decks,
eancretc or masonry patios, ctc. that are within the applicable ARC. Attach your calculations with the project drawing.)
STATE STORM WATER MANAGEMENT PERMIT. Is the project located in an area subject to a State Slorrawaler
Management Permit issued by the NC Division of Water Quality?
YES= NC=
If yes, list the total built upon arctdimpervious surface allowed for your lot or parcel: square feet
Ol HER PE:RMTIS MAY BF; REQUIREW The activity you are planning may require permits other than the CAMA
minor development pumil, including, but not limited to: Drinking Water Well. Septic Tank (or other sanitary waste
treatment system), Building, Electrical. Plumbing, Hearing and Air Conditioning- Insulation and Energy Conservation. FIA
Certification, Sund Dune, SedimentControl, Subdivision Approval, Mobile Home Park AppruwL Highway Cunnuetiun, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSRIP:
1, the undersigned, an applicant for a CAMA minor development pemtic being either the owner of property in an AFC 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 an this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
®can owner m record litic, Tttic is vested in cabinet Y , ace Deed Bank
page _ m in dts k Cuumy Registry ol'D"""
Qan owner by v rtuc of inheritance. Applicant is an hear to the estate of
probate as in County.
Qf other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OFADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons arc owners of propMies adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of Ihem concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1)
(2)
MD 20815
(3) Chase,Chevy
(4) _Daniel Diane Saklad
ACKN�WI.RT/L.TI�RNTS: ides Ct, Cary NC 27518
1, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an urea which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer [in explained to me the portico -
lot hazard problems associated with this IoL This explanation was accompanied by rocommendations concerning stabilira-
lion and floodproofing techniques.
1 furthermore certify that I am authorized to grant, and do in tact grant. permission to Division of Coastal Management staff.
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit uppGcation.
This thc15 do, ofJuly .2o 22
Woriad to act as tsArcr agent for purpose of Wing a CAMA permit application
Thu application indades: general information (this(arm), a site drawing err described on the back ofthu application, the
mroership statement. the Orton Aazatd AEC Notice where necessary, a cheed for $100.00 made prtyable to the locality. and
any intf— ion rrs may be prnid ed orally by the applicant The al W), of the applcation us described by these surucns urr
incorporated without reference in any permit which may be tested Deviation from ere thdetain mill con,trimte a violation of
any permit Am, penan developing in an AEC wilhoul permit is subject to civil, criminal mid admiairtralh e, action.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
Bo & Barbara Hulsey
9926 Devereaux Dr.
Matthews, NC 28105
704-661-1186
hulseyba@gmail .corn
certify that I have authorized Peter C Quinn
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in Brunswick
County.
single family home
lot 4 Boat House Tract BHI NC
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
%AW-X�0'. Ua
Signature
A. �40ntj
Print or Type Name
DW M CI?'
Title
l3 /ZO?2
Date
This certification is valid through tiff / \3 / ZOZ3

7/12/22
Boat House Tract Lot 2
David & Elizabeth Higgins
3104 Black Chestnut Lane
Chevy Chase, MD 20815
Re: Hulsey Residence
Boat House Tract Lot 4, Bald Head Island NC
This letter is being mailed to inform you the property owner adjacent to you on Bald Head Island, NC has
applied for a Cama Minor Development Permit. I have enclosed a copy of the site plan of the proposed
project.
Any questions concerning the nature of this application may be directed to Stephen Boyette, Permit
Officer, with the Village of Bald Head Island.
Thank you
Peter Quinn

7/12/22
Boat House Tract Lot 6
Daniel & Diane Saklad
19 Saint Brides CT
Cary, NC 27518
Re: Hulsey Residence
Boat House Tract Lot 4, Bald Head Island NC
This letter is being mailed to inform you the property owner adjacent to you on Bald Head Island, NC has
applied for a Cama Minor Development Permit. I have enclosed a copy of the site plan of the proposed
project.
Any questions concerning the nature of this application may be directed to Stephen Boyette, Permit
Officer, with the Village of Bald Head Island.
Thank you
Peter Quinn

7112122
Boat House Tract Lot 2
David & Elizabeth Higgins
Re: Hulsey Residence
Boat [louse Tract Lot 4. Bald Head Island NC'
I have mailed a notice to inform you the property owner adjacent to you on Bald Head island, NC has
applied for a Minor Cama Development Permit.
If you have no objections to the permit application please indicate with your signature below and return
to me at:
[e-mail]
Thank you
Peter Quinn
We have no objections to the Minor Cama Permit requested for lot 4 Boat House Tract by Bo & Barbara
HulSTJ\ Jl /'
David & Elizab iggins date

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