##-18 Bently, Charles

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BY:
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("�r�� A- TION FORtit
CAMA MINOR
DEVELOPMENT .•
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PEIZMIT
In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA)and set the stage for guiding development in fragile and productive areas that
border the state's sounds and oceanfront.Along with requiring special care 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 Permit Officer(LP())for the
locality in which you plan to build to be certain that you understand what information he
or she needs before you apply. C7
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Under CAMA regulations,the minor permit is to be issued within 25 days once a
complete application is in hand.Often less time is needed if the project is simple.The
process generally takes about 18 days.You can speed the approval process by making
certain that your application is complete and signed, that your drawing meets the —
specifications specifications given inside and that your application fee is attached.
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Other permits arc sometimes required for development in the coastal area.While these
are 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 on 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 coast.
Coastal Resources Commission
Division of Coastal Management
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DCM Form EB1952-2010/Rcvised April 2010

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Locality _�" Permit umber
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNS
Name l 11/ 46! !�? 4 e('i4 2,-i21€'�y
Address /f/ / /f ra«�� J�j �J
City V2e,L�J/p-"T State NC 52- Zip 'Phone 0/,5- -�/S- e/5-
47
Email (11,4_ t,-/.may.tr6'71 JeAge-i .[�ryr7
AUTHORIZED AGENT y�
Name r)c1-k ( l__.11)
Address
City _ State Zip Phone 2 'L 2-Lc1 ('12.
Email
LOCATION OF PROJ CT: (Address, street name and/or directions to site. If not oceanfront,what is the name of the
adjacent waterbody.) n . ,S ,,. _ ^
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DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) jk-c j ,p,ir ja-r(- i .0g
SIZE OF LOT/PARCEL: n''2Ci; 41' ' square feet a Vk.5` acres
PROPOSED USE: Residential (Single-family, Multi-family E ) Commercial/Industrial El Other 0
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
/90
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes V€
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
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UPON SURFACES: square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
concrete or masonry patios,etc. that are within the applicable AEC.Attach your calculations with the project drawing.) tlJ `
STATE STORMWA'I'ER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stomiwater
Management Permit issued by the NC Division of Water Quality?
YES NO
If yes, list the total built upon area/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 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)
.l an ow er or rec rd title,Title is ested in C �.1� 7 t I , s Deed Book 5
page3l7 in the (� County Registry of Deeds. ( f
an owner by virtue of inheritance.Applicant is an heir to the estate of F ;
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 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) F t't7 l C �` en �D� 11J `� �c�Q v -;- ,1r) Dj,�r /�/ L
(2)� j t\n e. n -9 1 Z7 .ddi ��£ e r 1
(3) r
(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. 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 (g I day of 4r1 20
Z7e6A7de/C-- ;1-?da,u, c44-41-1Landowner or person authorized tot as his/her agent for pe of filinA 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.

PLANNING & INSPECTIONS DEPARTMENT
CARTERET COUNTY, NORTH CAROLINA
DATE: Z-/---- ( ` g > Show property lines with dimensions
➢ Show proposed structure with approximate dimensions
PIN: Y Show any other existing structures on property
k1:414-1A`P_ \ Y Label distance to all property lines from proposed structure
APPLICANT: �.Cl —S y r Label road, front, rear,and sides
DRAW PLOT PLAN BELOW
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APPLICANT/ •WNER ZONING OFFICIAL INITIALS