Minor App. OIB 5-23

Locality .1 O...t! Q CFw n � f' It e-ce, L L N Permit Number
Ocean Hazard I Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
Name _[�)a(I I � �—) . �—a(rj Ol (l PVo
Address
L G IE 111
JAN Z 7 7- U�
TOWN OCR ^_...J-`
City State �JU( a — State r U Zip3W— 4 Phone 203—J91 -.A(v�-_- -
Email
AUTHORIZED AGENT
Name tCCS4 VCit'
�rt
Address pCj Z t 0 vl
City Q�L_...__ State ( - -- Lipa Phone 9/ d -56 ? d�ll
Email CV�
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
as 1 W es4- 1 s '� - ('6on Rm j
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)demo(ish ex�����'I�.__
SIZE OF LOT/PARCEL:
_ square feet
i M acres
PROPOSED USE: Residential
[�
(Single-family El
Multi -family [] ) Commercial/Industrial Other
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 6 r v 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)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: -square feet (includes the area of the foundation of all buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Management rmit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES_ NO
If yes, list the total built upon areahrupervious 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, 1-Ieating and Air Conditioning, h1SUlatloll and Energy Conservation, FiA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, I-tighway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
1, 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 cevelopment 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)
✓ an owner or record title, Title is vested in name o.f q�T � f;c s, P_7nq?mVy G Hj
see Deed Book 0Utapage i I in the ���County Registry of Deeds.
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 RIPARIAN PROPERTY OWNERS:
I filrthermore 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 hltent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1) Mos it U 1��; 5 G
(3) a r �l Sln .fit 1,✓ � o woo. /� NC.
O
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. I acknowledge that the Local Permit Officer has explained to the the particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
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.
This the day off 20,�E
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drenwing cis described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necesscu-j,, a check.for $.100.00 made pgvable to the locality, ai?d
cmy itaforniation 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 lvhich may be issued. Deviation from these details will constitute a violation of
atq permit. Airy persoir developing in ail AEC rvitliottt permit is sttbject to civil, ci•iiiiii7al cind administrative actioti•

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 717i--
Phone Number: -7U�3)--2qY-,2(233r
Email Address:
I certify that I have authorized <�) Co-P- ��O. dcri /n C
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: MC)'(� �f
+C,1',17-D vbLi K WOa n 4)u4 5)k Ps.
at my property located at A2 -7 Lje5i- P i rS+ St,
in U ck- County.
I furthermore certify that / 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:
��Q cC'
Signature
sp�G ('c
Print or Type Name
Title
Date
This certification is valid through
JAN 2 7 2023
TOWN c- OCEAN !SLE HACH
PLANVNG & INS:�K,76NS

/ OCEAN HAZARD AEC NOTICE
Project is in an:y Ocean Erodible Area Inlet Hazard Area
Property Owner: �� i��rf�P, �,Gr'C��-4.�✓�CGibZ2 �(�
Property Address: �' 06+ 1 'P
Date Lot Was Platted: Z/ 1 % % & 3
This notice is intended to make you, the applicant, aware of the
special risks and conditions associated with development in this
area, which is subject to natural hazards such as storms, erosion
and currents. The rules of the Coastal Resources Commission
require that you receive an AEC Hazard Notice and acknowledge
that notice in writing before a permit for development can be
issued.
The Commission's rules on building standards, oceanfront
setbacks and dune alterations are designed to minimize, but not
eliminate, property loss from hazards. By granting permits, the
Coastal Resources Commission does not guarantee the safety of
the development and assumes no liability for future damage to the
development. Permits issued in the Ocean Hazard Area of
Environmental Concern include the condition that structures be
relocated or dismantled if they become imminently threatened by
changes in shoreline configuration. The structure(s) must be
relocated or dismantled within two (2) years of becoming
imminently threatened, and in any case upon its collapse or
subsidence.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
located is - Z-- feet per year.
The rate was established by careful analysis of aerial photographs
of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as much as
f'SIb feet landward in a major storm.
The ood waters in a major storm are predicted to be about
feet deep in this area.
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads, seawalls, revetments, groins, jetties
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signature, the appl' ation will not be complete.
Applicant Signaturel Date
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive storms and
erosion. Permits issued for development in this area expire on
December 31 of the third year following the year in which the
permit was issued. Shortly before work begins on the project site,
the Local Permit Officer must be contacted to determine the
vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance, and the
proposed development can still meet the setback requirement, the
LPO will inform you that you may begin work. Substantial
progress on the project must be made within 60 days of this
setback determination, or the setback must be re -measured. Also,
the occurrence of a major shoreline change as the result of a stone
within the 60-day period will necessitate re -measurement of the
setback. It is important that you check with the LPO before the
permit expires for official approval to continue the work after the
permit has expired. Generally, if foundation pilings have been
placed and substantial progress is continuing, permit renewal can
be authorized. It is unlawful to continue work after permit
expiration.
For more information, contact.
Keith Dycus
Local Permit Officer
111 Causeway Dr.
Address
Ocean Isle Beach
Locality
910-579-3469
Phone Number
Ui
JAN 2 7 104'3 J J
TO1Nr\ 0- OCEAV 'SLE 3=,aC-w
PLA\i%NG s iN Q OV
Revised May 2010

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DF► IN/Fppn
Name of Adjacent VLCta Property Owner
Address
Cki, State Zip
To Whom It May Concern:
r
This correspondence is to notify you as a riparian arian roe I
0
^ P Property rty owner that I E
Oil my property at o
in County, which is adjacent to your pro
drawing is attached/enclosed for your review. r
r
If you have no objections to the proposed activity, please mark the approy,
as possible. If no comments are received within 10 days of
comments or objections regarding this project. receipt of this nonce, it will be considered that you have no
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PELT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely, )
�ra i P o e G C vocal �..a TPt1
P u_
r rty ner's Name O3-
Telephone Number
Arldrr ee
City
State
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature
Print or Type Name
Date
Telephone Number
Zip
Address
City State
Zip

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
59n o75,
EQr- hl IIls ShaGU.S. Postal Service"'
CERTIFIED MAILP RECEIPT
Name of Adjacent iparian-/Pr`operty Owner r1--
/ nU W Q �_ _p Domestic �
address CO
City,
{.:.. -,7
warP�e�afeJ _
To Whom It May Concern: ru ❑ Return Receipt (hardcopy) V y $
p ❑ Return Receipt (electronic) $ : ! I , 1_I I, I Postmark
M ❑ Certified Mail Restricted Delivery $
This correspondence is to notify you as a riparian property owner tha'I O ❑Adult Signature Required $
❑ Adult Signature Restricted Delivery $
C:3 Postage ,
on my property at �� (,�� }- 1= j ��5 Sj- O Total Postage and F es
wn1
• r-i
$
in U nS lc) i Lk County, which is adjacent to your I o S O� r 1 f I S
-- ---
h hQ-----------------.
reef and A !. /�o.,,o Box No.
drawing is attached/enclosed for your review. r` _ 1 ---- --- ,'�y11n_4_ C __
Ste , ZIP+4 ----- -----.----
afe, cti �tI , �Q jiq
ru
Er Certified Mail Fee tT r
ru $
If you have no objections to the proposed activity, please mark the appropna e s emen re ow an return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
r-G voco-bb ` l rUs
Property Owner's ame Telephone Number
Address
City
State
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature
Print or Type Name
Address
City
Date
Telephone Number
State
Zip
Zip
Revised July 2021

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PLANNNG & IN CTIONS
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