60-17 Rodes, William

Locali 4 'I-Q06--(.CC)-
ty�� ,g n 4�-� �..kJ Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline V/ Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name (A //,'.....,
Address .re. > U. /9 ri..%" a 17
City C r Cr,.s le.re 7 State Pt C Zip,7,pt'P y Phone
Email
AUTHORIZED AGENT
Name TO I et. /c
Address / c y ,L3 c { /2.4
City ride.v fc f— State etc,,. Zip 24r7o Phone 9/o-- . dt/- "..a'r�.._.__.
Email T,, c .4., ray CG.. t�r� C a�-.' . tF r'"CC.,',. K <...!
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
ri ci/ jc,c Po f c L Ilk\la t .JP)
SIZE OF LOT/PARCEL:.3212 t-1`' square feet . ? y acres
PROPOSED USE: Residential (Single-family ulti-family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(l) 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)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES:(5l quare 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 Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)?
YES NO LV
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

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hereby certify that this map is correct and L>c!)rt./
prepared according to the Standards of ..4A,/
Practice for Land Surveying in North Z9.4 le'03,4/44 Z-.* /4,./i/A6-4#477-41et/
Carolina, and that (there are no property i a 7"e 7: 4044Ct."ile. .. .'?..9A.7 . .-n4CCT•144412r.
line encroachments either way an said c.....ape.44..e/eire.)71, 4,44>/*•'',5
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THIS MAP IS NOT FOR RECORDING. scAtt Uri PROJECT NO
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.....„,,Ti.wiZeLiirAe,C....... z-.54fe,3
Registered Land Surveyor R74i7straVoaka. prestitir
Engineering and Land
Surveying,oP.A.
summit BY PATS
17 ,4 er,f)...64.A.Z.> .61,41/ el, /9"4/ 101 tienatee Street- Cape Carteret
MIX BOOX ,/,e 2•0 DRAWN BY Swanaboro, North Carolina 2E1584
PACT' 4..0 .4""'.04. CBTeAr....11C 019-383-2123 (Fax [phone]

likUU1 10 Ilb ALS lax system Parcel Inquiry
. . Parcel Number R 5384. 10.36.3022000 2018
Tax Codes ' District Code 1557 Taxpayer 268288
Twn / Sch 1557 MODULAR TECHNOLOGIES INC
Spec Dist 37 19
User Codes PO BOX 6026
Deed Book/Page 1571 323 0740 00079
Plat Book/Page 6 36 KINSTON NC 28501
Property Addr : House# 507
Street Name NEPTUNE Alternate More? J
Street Type DR Dir Unit
CiStZp CAPE CARTERET NC 28584
Escrow More? N
Legal Description
Plat Other More? N
Lot/Block
Deeded Acres .74 Previous 45196 More? N
L27 BQ CAPE CARTERET GORDON L ETUX BARBARA WHELPTON
Deed? N, Values? y,
Delete ? Action ?

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PS Form 3800,April 2015 PVC 7530412-04047 See Reverse for Instructions
U.S. Postal Service's'
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PS Form 3800,April 2015 P SN 7530-02.400.9047 See Reverse for Instructions

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 Home 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 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)
f
of an owner or record title,Title is vested in name of 1ftAidC1 I S
see Deed Book !CI* 1 I page �'2.'�j in the COX— LI 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:
l 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)
(I) _ G.A ___4IIe_ 11 c..�f•�-_1 r;**-, % C.mace & _ e_ de I/ -mac 2).r5i
(2) LC A. CO-a G.•c...r►i"e r _ ,5"C1 _ no_c i s. < t'7 r Cjik,t, C ,✓`Tr 1".•C. 2 9 f P
(3)
(`1)
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 me 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 `L-'1 day of ,20
owner 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 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
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

0 Locality LC3 .S1 LcAnPermit Number 06-(Cb—
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name w .•Ij:o......
Address J~c ) ,tie ,�►T..," e
City CGpr Cr,r«ec ?~ State 04-c_ Zip;Pf~l'y Phone
Email
AUTHORIZED AGENT
Name 3.1 L. t9 cz /
Address /9%- C''t e >,
City rve.�,, ,r�1 r— State rvt-. Zip LJz 7o Phone 9/o-- "1/— .Z.o Y, ...
Email To.:c .�.,. r, ez (3) £ .-r ' K . r-vc
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
Sol Nc,"71,... e I9✓• Cc. ,dc Cc.f?'ct'r '!-..
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
`e r- r. G.n.t C -"C. e. h Pa 5Y 1./
SIZE OF LOT/PARCEL:32,2 .'4 square feet • ? Y acres
PROPOSED USE: Residential (Single-family ulti-family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer 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)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES:4 s quare 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 Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)?
YES NO tV
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

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hereby certify that this map to correct and ,q,t/p tJ/FE
prepared according to the Standards of z�
Practice for Land Surveying in North c✓,4,ee3,4. 4 le,/NE-C,', A/
Carolina, and that (there are no property t07-e7, 4'$44t..t'u"'1, .^-.,re-r-13! crre,ra21C
tine encroachments either way on said GArr+E`e,PTE/e4..r- 505F7/✓/S/and._.-...._..�s ._..........._......_
survey, wrazc:ttx.ynts coowrY CITY Tos'NSUIP
orsoiel-wan+ent arse as shown.) _____'R'Er IC.4"I�''e.:4..--yr 'cr Wr/rrG' tiA.t'
THIS MAP IS NOT FOR RICORDINC. ecacr —F.-An PROJECT Ma
� _ __L- g P res i n
Registered Land Surveyor Registration No.
sworn')Dr —NIT -- Engineering and Land Surve ing, P.A.
17 A EDWA,F'D S MAW ti /99+" 101 Manatee Street- Cape Carteret
Fl6LD DODX 2O DRAWN BY -�� Swansboro, North Carolina 28584
Pear G.:J .c"'A. truss' ilia-393-2129 (Fax)919-393-3O75

liklAJI 10 lib AU S lax system Parcel Inquiry
Parcel Number R 5384. 10.36.3022000 2018
Tax Codes District Code 1557 Taxpayer 268288
Twn / Sch 1557 MODULAR TECHNOLOGIES INC
Spec Dist 37 19
User Codes PO BOX 6026
Deed Book/Page 1571 323 0740 00079
Plat Book/Page 6 36 KINSTON NC 28501
Property Addr : House# 507
Street Name NEPTUNE Alternate More? N
Street Type DR Dir Unit
CiStZp CAPE CARTERET NC 28584
Escrow More? N
Legal Description
Plat Other More? N,
Lot/Block
Deeded Acres .74 Previous 45196 More? N
L27 BQ CAPE CARTERET GORDON L ETUX BARBARA WHELPTON
Deed? N, Values? y
Delete ? Action ?

U.S. Postal Service' i •
CERTIFIED MAIL® RECEIPT
C3 Domestic Mail Only
r-1 rA For delivery information,visit our website at www.usps.C OM' •
Ln
SW POVC 1 a t t4ci 2084 i, / : cz rz
31 j--.1 Z.... *,,ii 1..
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PS Form 3800,April 2015 FSN7S3e.02-000-9047 See Reverse for Instructions
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U.S. Postal Service'
CERTIFIED MAIL® RECEIPT
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PS Form 3800,April 2015 P5147510-02.000.9047 See Reverse for Instructions

OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
minor development permit,+inclutling,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 Home 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 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)
ar
an owner or record title,Title is vested in name of mCAid S lam.
see Deed Book F51 L page in the Cildefi 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 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) pc.- i--_ 1.//e-% 9//G ..s..,. T.-tr, 'j C.e*e a 4. .....esp.,de it et,C. 2.?J?/
(2) Let co.,. G..4.»I .rt1. __ ,,c, 7"4".4< O r e.._
(3)
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 me 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 in day of ,20 n
L owner 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 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
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.