28-18 Rogers, Bill

Locality in 1 1 l n i if Q4 e,CI.lk 1 I`) Permit Number (../t_ ' ua t 1 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
Ocean Hazard Estuarine Shoreline ORW Shoreline lI Public Trust Shoreline Other treatment system),Building.Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
(For official use only) Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others.Check with your Local Permit Officer for more information.
GENERAL INFORMATION
STATEMENT OF OWNERSHIP:
LAND OWNER-MAILING ADDRESS I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
Name i
l/( 5 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
Address / N RI ,511(?t^Lr, p: descri as:(check one)
City /Ciii117C ci&404 State /u C Zi '2 Phone c2- / 7-5 if 7 an owner or record title,Title is vested in name of ti,]1(f lam 1 kn((CA•rvi TWO Alto;12 '.41#7QC,S
S �G,�l Gt4r)l see Deed Book /FRS- page 3(n(c, in the C cir-ke r e t County Registry of Deeds
Email b r a5 g( ,
AUTHORIZED AGENT an owner by virtue of inheritance.Applicant is an heir to the estate of
;probate was in County.
Name cc.-, St-co d1 eft so-----,j� if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address q/ kiar et ( -)'1 Pe
/j
City J/i9/f h,/ /6i5i State if C Zi S 7 Phone �S,2-�`[0-7a5� NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
J I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
Email (`13C t(Q./1 5 jp h Qyl gg/t l-a i e I,CQeNI ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent watt body.) (Name)p % (Address)
Q �Qw ©( AK- 1 (1) � ,i. CS. ,he ^ Jr�S Sa.,,,�s � ¢,.{)e✓,Ls••7t A/C....
Sc�nct2�^S (
- V".S CA C-Q 1 (3)
(4)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) ACKNOWLEDGEMENTS:
C�T>5�� G� I1 Qy1 �, , , I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
U `f(Q-fool/ 60✓1 Q may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
larn } hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
SIZE OF LOT/PARCEL: IQ t(,n 5 square feet •c2SpC acres tion and floodproofing techniques.
PROPOSED USE:Residential (Single-family/Multi-family 0) Commercial lndustrial❑ Other ❑ 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
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies related to this permit application.
to your property):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes This the �� day of
�CJ 20/�
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but f.,uC.i, cS.�—��� J
excluding non-load-bearing attic space) Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This application includes:general information(this form),a site drawing as described on the back of this application,the
UPON SURFACES:•Sr655square 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.) ownership statement,the Ocean Hazard AEC Notice where necessary,a check for$100.0(I 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
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without reference in any permit which may he issued.Deviation from these details will constitute a violation of
Management Permit issued by the NC Division of Energy,
Stormwa Mineral and Land Resources(DEMLR)?
any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
YES VNO
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: Lip 500 square feet.

ADJACENT RIPARIAN PROPERTY OWNER STATEMEN
I hereby certify that I own property adjacent to ,iT'i 1 ainn J 1a
(Name of Property
operty Owner)
property located at s o/3 .5av pie r,S La,p
/� (Address,Lot Block,Road etc.)
onCd��Q, S (�eK in �z,v.��J,4r
(Waterbody) (City/Town and/or County)
The applicant has described to me,as shown below, the development proposed at theasove'
location.
I have no objection to this proposal.
I have objections to this proposal. i
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT -_•
(Individual proposing development must fill in description below or attach a site drawing)
=z;
WAIVER SECTION
I understand that a pier,dock,mooring pilings,boat ramp,breakwater,boathouse, lift,o a r
must be set back a minimum distance of 15'from my area of riparian access unless waived by
me.(If you wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Sisal e Signature*
Print or Type Nan/e Print or Type Name
J1� t.V„th St a( .
ling Addre Mailing Address
City/State/Zip City/State/Zip
�s7-(Itl�Gr7 brn e,rs�S-20 ec.rr.lorn _
Telephone Number/mail address Telephone Number/email address
Dale Date'
(Revised Aug.2014)
'Valid for one calendar year after signature'

.- ,[,_ >i NOTEI
I•j _lit_;
�. ' , II THIS SURVEY IS OF AN EXISTING PARCEL OF LAND
.T` G II AREA FROM S NOT FOR
imp.
ir -t 41 THIS NAP IS NOT 6.0 RECORDING.
1 ♦ .." 41 LOT ZONING
-F t0.916.OS S.F.
11 fl. ' 51 IONING F XPUO
::.� ra LE ISLE 500
61 aLLOrABLE BUA 4.5Op S.F.
' •'Y,�,,, �,,,QQQ 7I PROPOSED BUA FOR NDUSE/PDRCNES/OR IVEKAYS •3.555 S.F.
✓ ', , r��� II` ,II=� 91 ENT I LOTA IS IT FNoTH IONS AETBI
*'I�' I.11 /I/,.• 444-. 91 ENTIRE LOT IS WITHIN THE 571 ESTWRINE SNOREL INE AEC
'F f/ fZT•'t' 1,E�
NnvnuA,/7N/%/� �:I:Gg1.e�1.�iI�1T
''",•'„►•4 SANDERS LANE
'� NQNN\O�F man ,-��-/-1�1� �
F,Ni�111111 J=���� 50'PRIVATE RIGHT OF WAY
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Ir000 BULKNEADT N87.28,02.,W
SANDERS CREEK 70'5
3 i
LEGEND i
EIR EXISTING IRON ROO 30 15 0 30 60
EIP EXISTING IRON PIPE
EPK EXISTING PK NAIL
ECM EXISTING CONC. NON.
ERRS EXISTING R/R SPIKE SCALE: 1" 70'
SIR SET IRON ROD REFERENCES:
CP CALCULATED POINT D.B. 1408 PG. 366
wit MEAN HIGH WATER M.B. 33 PG 34
N/F NOr OR FORMERLY RUIN N 6305 8529440 OWNER: N/F WSLD BOGUE
rOB DEED
e MAP BOOK O 0 DRFSS: 523 SANDER I ANE WATCH VI. LLC
PG PAGE BOOK ASBUIL7 SURVEY
PP POWERPOLE BOGUE WATCH
O
PP LOWER POLE
DE OVERHEAD
EAD ELECTRIC
ELEC ELECTRICAL PEDESTAL
TRANS ELEC. TRANSFORMER LOT 226
TEL TELEPHONE PEDESTAL
TV CABLE TV PEDESTAL WHITE OAK TOWNSHIP. CARTERET COUNTY, NORTH CAROL INA
WM WATER METER CLIENT:CO CLEAN OUT BRYAN STEPHENSON SURVEYED:
NONE
ADDRESS: 917 HARRELL DRIVE DRAWN:
PRELIMINARY PLAT MOREHEAD CITY. NC 28557
NOT FOR RECORDATION. EGC
CONVEYANCE OR SALE. PHONE: [phone] APPROVED:
THE CULLIPHER OROUP,P.A. 0.444,EGC
Wia iNOINIWIJNO • BUAV:WIN°9ERVIC99 DATE:
151-A NC HIGHWAY 24 02/12/TB
MOREHEAD CITY,N.C. 28567
[phone] SCALE:
PROJECT No. P7.426035 E.CLENN CORBETT.P.L.S.
1" = 30'