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Ckean Hazard. Estuarine Shoreline— ORR' Shoreline blic Trust Shoreline Other
rFw• on"rrial xse onh`i
8 ►l 3j ,_ -CaLm n Y 1►
Name .1^olmn ' rari ck
Address olf 4 5- ns arQ :� J_.06 U2
City w t I M i n State _N C-- -- Zip Phone —
Email
AUTHORIZED AGENT
LOCATION OF PROJECT: (Address, sheet name and/or directions to site If not oceanfront, what is the name of the
adjacent waWbody.);Q 3 LA 5 C3� Pf . -Dr, W'I im , nl C- o-)8¢0S
DESCRIPTION OF PROJEC P (List all proposed construction and land dWHbance.L-4Nl Sn d
Sw+rK',Ir.cng p
SIZE OF LOT/PARCEL. 33, 3(P square feet _
PROPOSED USE: Residential 0 (Single-family (Multi -family ❑) con,--rciaw-dwtrwri Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Of j'iew if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: — square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
a) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet (includes the area of the roofldrip line of all buildings, driveways, covered decks,
concrere or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
$S Li Z. s-?-fi"
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit is by the NC Division of Water Quality?
YES N0
If yes, list the total built upon sma/impervious surface allowed for your lot or parcel: square feet.

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well. Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing. Heating and Air Conditioning. Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Horne Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
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 LAMA 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)
Van owner or record title, Title is vested in jLr' ' YV y t� , see Deed Book
page alKI in the t,� # w County Registry of Deeds.
l� an owner by virtue of inheritance. Applicant is an heir to the estate of _
probate was in County.
)if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT PROPERTii 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 appit for a CAMA permit
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
I. the undersigned, 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 1 acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofmg techniques.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Managemeni staff.
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the day of , 20
&1. s 'ai_ ' M, L . ��l s _Cur i 4 par, Took $ 5 � � (-
Landowner or person authorized to act as hWher agent for purpose of filing a CAMA permit app rcatioo
This application includes: general information (this form), a site drawing as described on the back of this application. the
ownership statement, the Ocean Hazard AEC 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
arn• permit Any person developing in an AEC withoul permit is subject �Ncpq
1 and administrative action.
- � *�-
J AN 1 3 2023
NEW HANOVER COUNTY
PLANNING & ZONING

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NEW HANOVER CC UNTY
PLANNING & ZOk4lNG
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J A N 1 8 2023
NEW HANOVER COUNTY
PLANNING & ZONING

N.C. DIVISION OF COASTAL MANAGEINENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or NAND DELIVERED
Hate
Name d Jaceat Riparian Owner
�i O OCef+.r� �
City, Stage Zap
To Whom It May Concern:
I
This correspondence is to nakdy you as a riparian pmperty owner tbat I am applying for a CAMA h1mor permit to
onmypxopertyatLAS. C:eo:,r. . 'Dr` a!e_ W j krr, ,T n C AIA 4Qs
in tyQ4tJ ! �_ Counrt}, whits is a�acenttaYou� pa'nPertY- Ac�yMflteappIkation and pmjed
drawinghgtfacl aaedforpourrevkW.
If you have no ohjec ioas to the proposed activity, Pkase ma& site appropriate sMemft below and rettmm to me as socri
as possible. Ifno c ameuts ale r within IO days ofuceipt of this notice, it wm be considmed that y+ou have no
comments or otecdons nWrft this project
If you have objechc s or oomnWft plem Marktite appupriste went below and send your emmpondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMIRU. MAIIM ADDRESS CITY, STAIR, ZIP CODE)
Aew 1A,re4er Zo u4q 11oLnri+*�q * Lcx a%xse., a30 CZvernmen-t &(&r br. Sung 1t0 , W hn. U C-
Ifyou have airy quesdow abo aft projec please do 110t hesife to coidacx me at my QVrm/auatber Hsted below, or aB4v?
contact (LOCALPEROT OFFICER) at (MOM NUpMM1 -by email at (LPO EMAIL).
AIkw t M-ver Co�cn+,i AXD ta$-"j i bS ple�nrti+\5 n1hC�ov , �Cm
Sinceieiy,
PropciyOwmr'sName TeIgAw&Ntmmber
Address City State Zip
I have no objection to the project desctibw in ft cadence.
I have o*cxion(s)to the prged de=7jW in this correspondence.
AtttacentRipatian Stgnatme — pate
.VAdS sc �Y__ -
or TypeName Telephone Number
r -t � 1 A V S + •
Address Civ Smt, zip
JK_i L,JUd
'VjVvteJuly2D71
JA N 1 8 2023
NEW HANOVER COUNTY
PLANNING & ZONING

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PpiMM
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELNERED
Name of Adjacent Riparian Prowly Owner
4 O�y OCEraSr-� '�c�
City, state zip
To Whom It May Conoatn:
r,�"'o;►j�h� �n1LY
Ito 0r&vk(-d Ur, of
&reen>NtC.vNt C7 O(a$30
This cmecpoudeocc is to notify you as ariparian pamparly owner0=1 am applying far a CAMA Minor permittc
If you have no objections to the proposed activity, please mark the appmpriale statement below and rumen to me as soon
as possible. if no comments arereceived witbm 20 days of receipt ofiNs noOM it wilt be considered AW you have no
comments or objectie®sregardingtbis prefect.
If you have objections or comments, pleme nwk ft apprapmam sent below sad sand your cmespamdece to:
(LOCAL PERMIT OFFICER, NAM OF LOCAL GOVIi[iN MU, MAILNG ADDRESS CITY, STA'Ils, ZIP CODE)
� New `r�er 00,, � -pk�.n,i�� 4- LC�n&u ze., a30 Government Cknler Dr. . Sk,h M , a,Im. u C.
If you have any quesri� abountite =please do mtl>esiteoato me at myaddress/mmmber lid below, or Q54-0
contact (LOCALPERMIT OFFICER) at (PHON33 N[iM13 I or by emat7 at: (LPO EMAIL}.
Sincerely,
Address
TelephonaNumber
city Statc zip
I have no objectionto the pa*at descidbed in this cm dens.
I have a*cdon(s) to the project described in this correspondence.
Azijacant Riparian Sigaste Date
Prim or TypeName Telephone NUmbff
Address City State Zip
EC2 u
JAN - U
NEW HANOVER COUNTY
PLANNING & ZONING

N.C. DIMON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (IMNOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DEUVERED
7eJe�- Lo0 -�
To Vhom It May Concern:
ire
This correspondence is to notify yin as aripaiian ply ownertitat I am applying fora CAMA lit Pennit to
on my pmparly`att `d'� �15 . V CQe�,.n YyT ' axr)pnsi c W t I m . Al c p840s-
in W . County, viluch is adjacent toyour property. A copy of the spoodom and project
drawing is emaehedlewhsed thr your review.
If you have no objections to the proposed activity, please mmk ft appropfsate statement below and return to me as soon
as possUe. Ifno comments are received vvi8c m 10 days ofucelpt of0s notice, it wID be considmed 8wyou have no
comments or objections regarding this project.
If you have 0bjecfi0ft3 ur o % please mark tiro appropriate MtOm below and send your carespoMdMWe to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAH.WG ADDMS CrN, STAM ZIP CODE)
JMe0 Am -tier Z.xr 4 T- nq 4- L.cv\duse, a3o %ovecinn end- &nN2r be - sti e 1�0 , VATn. Ij
If you Iave any questions about the prgeWplease do notLesitate to coact me at my address/mmiber listed below, at Ob+03
contact (LOCAL. PERMIT OFFICER) at (PFMWNUMf3ER), orby email at: 020 EMAM).
U�w iksr,c.ver Co�cn�y a110-'lq$-''Iijps �lo�r�nir�, n�CgoV, CCm
Sincerely,
Address
TeiepboneNtanber
aty State zip
I bare no objection to the project desadbed intbis carreq)mxleAce.
I have objeWon(s) to the project described in this
A3jacont Riparim Signature pate --
Printor TypeName Telephpate Number
� - • � �i� E IU r• . a .I
Revised Juty 2021
JAN 1 8 2023
NEW HANOVER COUNTY
PLANNING & ZONING