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HomeMy WebLinkAbout17-47 Armstrong, Grant • EMERALD ISLE 17-47 Local Government Permit Number CAMA MINOR DEVELOPMENT PERMIT as authorized by the State of North Carolina,Department of Environment, and Natural Resources and the Coastal Resources Commission for development in an area of environment concern pursuant to Section 113A-118 of the General Statutes,"Coastal Area Management" Issued to GRANT ARMSTRONG, authorizing development in the OCEAN HAZARD (AEC) at 4101 OCEAN DR, in EMERALD ISLE, as requested in the permittee's application, dated NOVEMBER 14, 2017, and received on NOVEMBER 14, 2017. This permit, issued on NOVEMBER 27, 2017, is subject to compliance with the application and site drawing (where consistent with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void. This permit authorizes:NEW SFR,GRADING AND SEPTIC SYSTEM (1) All proposed development and associated construction must be done in accordance with the permitted work plat drawings(s)dated received on NOVEMBER 7, 2017. (2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations, applicable local ordinances and FEMA Flood Regulations. (3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and modification of this permit. (4) A copy of this permit shall be posted or available on site. Contact this office at 252-354-8548 for a final inspection at completion of work. (Additional Permit Conditions on Page 2) This permit action may be appealed by the permittee or other qualified persons within twenty(20)days of the issuing date. This permit must be on the project site and accessible to the permit officer when the project is Inspected for compliance. Any maintenance work or project modification not covered under this permit,require further written permit approval.All work must cease when this JOSH EDMONDSON permit expires on: DECEMBER 31,3 YEARS FROM ISSUE DATE CAMA LOCAL PERMIT OFFICIAL In issuing this permit it Is agreed that this project is consistent with the local Land 7500 EMERALD DR Use Plan and all applicable ordinances.This permit may not be transferred to EMERALD ISLE, NC 28594 another party without the written approval of the Division of Coastal Management. CHECK #015431 , in the amount of $100, was received on PERMITTEE tt' NOVEMBER 14, 2017 for the permit fee. (Signature required if conditions above apply to permit) ) Name: GRANT ARMSTRONG Minor Permit#17-47 Date: NOVEMBER 27, 2017 Page 2 (5) The structure must set back a minimum of 60 feet from the first line of stable natural vegetation, as determined by the DCM,the LPO,or other assigned agent of the DCM. (6) The permittee is required to contact the Local Permit Officer 252-354-8548, shortly before he plans to begin construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline change. Construction must begin within sixty(60)days of the determination or the measurement is void and must be redone. (7) All buildings constructed within the ocean hazard area shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent with any of the following AEC standards, the more restrictive provision shall control. (8) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a side if square;and the first floor level of the sills and joists must meet the 100-year flood level elevation. (9) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure. (10)Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective value is not weakened or reduced. Disturbed dune areas will be immediately stabilized. (11)All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective sedimentation and erosion control measures. Disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction completion. (12)Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural shoreline recovery or beach renourishment takes place within two years of the time the structure becomes imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary protective measures allowed under CRC rules. SIGNATURE: DATE: PERMITTEE ♦ f OCEAN HAZARD AEC NOTICE Project is in an: V/ Ocean Erodible Area High Hazard Flood Area ea Inlet Hazard Area Property Owner: Crrtv�•E An o ,. Property Address: 90l � Or Date Lot Was Platted: This notice is intended to make you,the applicant,aware of the SPECIAL NOTE: This hazard notice is required for special risks and conditions associated with development in this development in areas subject to sudden and massive storms and area,which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this area expire on and currents. The mks of the Coastal Resources Commission December 31 of the third year following the year in which the require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project acknowledge that notice in writing before a pennit for site,the Local Permit Officer must be contacted to determine the development can be issued, vegetation line and setback distance at your site. If the property has seen little change since the time of permit issuance,and the The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement, setbacks and dune alterations are designed to minimize,but not the LPO will inform you that you may begin work. Substantial eliminate,property loss from hazards, By granting permits,the progress on the project must be made within 60 days of this Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be remeasured.Also, • the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate remeasurement Environmental Concern include the condition that structures be of the setback. It is important that you check with the .I,PO relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the by changes in shoreline configuration.The structure(s)must be work after the permit has expired. Generally, if foundation relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing, imminently threatened, and in any case upon its collapse or pennit renewal can be authorized. It Is unlawful to continue subsidence. work after permit expiration. The best available information,as accepted by the Coastal For more Information,contact Resources Commission, indicates that the annual long-term average comp erosion rate for the area where your property is located is feet per year. Local Permit Officer I I The rate was established by careful analysis of aerial photographs of the coastline taken over the past 50 years, Local CANIA Permit 4.fticer Studies also indicate that the shoreline could move as much as Address 7b�n omerald isle feet landward in a major-storm. • 7540 Emerald Drive Emerald Isle,NC 28594 Title.tlood waters in a major storm are predicted to be about 252_354_ 38 �( .feet deep in this area, Locality Preferred oceanfront protection measures are beach nourishment and relocation of threatened structures. Hard erosion control structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number 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 application will not be complete. Pr rty w rS trntr"-- Date Revised May 2010 Building Permit TOWN OF EMERALD ISLE Carteret County,North Carolina Planning and Inspections Department 7500 Emerald Dr.,Emerald Isle,North Carolina 28594 Building Permit Number: 2017-1124 ADDRESS: 4101 OCEAN DR PARCEL NO.: 630420928235000 ZONING: R-2 ISSUED TO: GRANT ARMSTRONG 3932 BORDEAUX CR FLOWER MOUNT TX 75022 PERMIT DATE: 11/27/2017 EXPIRE DATE: 11/26/2018 PERMIT TYPE: CAMA FEE: $100.00 PROJECT: CAMA EST. COST: $0 S I'RUCTURE: CAMA CONTRACTOR: This building permit issued provided that the information submitted by applicant is true aid accurate. This permit is void if work is not started in 6 months, or if work is suspended far 12 months. Foundation surveys required for new construction. APPROVED BY: DATE: Josh Edmondson,Town Planner, CZO 11/27/2017 Building Department SITE DRAWING/APPLICATION CHECKLIST Please make sure your site drawing includes the following information required for a CAMA minor development permit. -mud The Local Permit Officer will help you,if requested. r PHYSICAL DIMENSIONS APPLICATION FOR Label roads CAMA MINOR ° -Label highways right-of-ways Label local setback lines DEVELOPMENT -Label any and all structures and driveways currently existing on property Label adjacent waterbody Coastal Management ENVIRONMENTAL QUALITY PERMIT PHYSICAL CFIARACTERISTTCS Draw and label normal high water line(contact LPO for assistance) In 1974,the North Carolina General Assembly passed the Coastal Area Management Act Draw location of on-site wastewater system (CAMA)and set the stage for guiding development in fragile and productive areas that If you will be working in the ocean hazard area: border the state's sounds and oceanfront.Along with requiring special care by those who _Draw and label dune ridges(include spot elevations) build and develop,the GeaeraI Assembly directed the Coastal Resources Commission Draw and label toe of dunes (CRC)to implement clear regulations that minimize the burden on the applicant Identify and locate first line of stable vegetation(contact LPO for assistance) Draw and label erosion setback line(contact LPO for assistance) This application for a minor development permit under CAMA is part of the Draw and label topographical features(optional) 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 If you will be working in a coastal shoreline arcs: the applicant Please go over this folder with the Local Permit Officer(LPO)for the Show the roof overhang as a dotted line around the structure locality in which you plan to build to be certain that you understand what information be %- Draw and label landward limit of AEC or she needs before you apply. Draw and label all wetland lines(contact LPO for assistance) Draw and label the 30-foot buffer line Under CAMA regulations,the minor permit is to be issued within 25 days once a "I ;C DEVELOPMENT PLANS complete application is in head.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 Draw and label all proposed structures certain that your application is complete and signed,that your drawing meets the Draw and label areas that will be disturbed and/or landscaped specifications given inside and that your application fee is attached. -Note size of piling and depth to be placed in ground Draw and label all areas to be paved or graveled Other permits are sometimes required for development in the coastal area.While these Show all areas to be disturbed are not CAMA-related,we urge you to check with the Local Permit Officer to determine -Show landscaping which of these you may need.A list is included on page two of this folder. NOTE TO APPLICANT Have you: 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 • completed all blanks and/or indicated if not applicable? productive coast • notified and listed adjacent property owners? • included your site drawing? Coastal Resources Commission • signed and dated the application? Division of Coastal Management • enclosed the$100.00 fee? y • completed an AEC Hazard Notice,if accessary?(Must be signed by the property owner) hi FORSTAFF USE '.3 •Site Notice Postod Final Inspection Fee Received ❑ Site Inspections ' . to. C o 12d . O 2 Date of Action:Issued _ Exempted _ Denied -Appal Deadline(20 days from permit action) "' DCM Form FB19323015/Revised 2 1,nrality Permit Number 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_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 OWNERSIiTP: 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 (�A N 1 a N1 S t 2 o r eL person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person Name Q listed as landowner on this application has a significant interest in the real property described therein.This interest can be .3 Address 3132 '}�O QD @ Av., C2(01. -7� 7 described as:(check one) Ci RO11H r IPR t Clue 1' State I.X Zi ('v7i_Phone 572 G{, 7 to�^JJ ra n or record title,Title is vested in name of of ir2aW.4. � W c4P v . Email �V 4 iL V S Q ria�r+.0.� C<rJ s+ p see Deed Book /S6'{* page in the CA( irte Jr 0County Registry of Deeds. AUTHORIZED AGENT _an owner by virtue of inheritance.Applicant is an heir to the estate of /� ;probate was in County. Nun:Betiq,f Res)kAPfsr 1-) ri G et +c u, I c-f a-r if other interest,such as written contract or lease,explain below or rise a separate sheet&attach to this application. Address }t.JA It_ L 0a City N14121 I 71.)AN, State N C- Zipe5-3/ Phone ?52- 31 1—`013 NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS: I 1 I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given Email �C eAN 14AR i- e c/,<)I,UUY. GD M ACTUnAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit1 , 1, ,I (Name) (Address) /L1OCATION OF PROJECT:(Address,street insane and/or directions to site;name of the adjacent waterbody.) (I) I�c CLALt A SC1n tN A AA`� 2c5 C) 0p ,AN�A'K .i'i JLi4.r tci V A�30 `f I G I OC-PAT/ 1)p. - race t_n Sli�e NC. (2) LI'sl y an i Sr.i A+,Vs or, 5174 f tie A,1 I.., C4. J4r4y jp,any l c- d`-7SY0 (3) (4) DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) ACKNOWLEDGEMENTS: .- I 1,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which S./ )P IZ rs•.t I'} T'O+v+e- 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 cn,v-rm 2a ` ing stabilize- SIZE OF LOT/PARCEL: D square feel acres lion and floodprooftng techniques. PROPOSED USE:Residential j'(Single-family Multi-family❑) Commercial/Industrial❑ 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 O er 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 ffyou are nor sure which AEC applies related to this t ppplcation. to your property): n 1day ✓ L�— �a HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 1 3 This the of/V 20 square feet(includes conditioned living space,parking elevated above ground level,non-conditioned space elevated a e ground level but excluding non-load-bearing attic space) Land pe a a 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 T application Mandist:general Information(this form),a site drawing as described on the back of this application,the UPON SURFACES: square feet(includes the area of the foundation of all buildings,driveways,covered decks, concrete or masonry patios,etc.that arc within the applicable AEC.Attach your calculations with the project drawing.) ownership staremeru,the Ocean Hazard AEC Notice where necessary,a check for$)OO.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 STATE STORMWA.TE MANAGEMENT PERMIT:Is the project located in en area subject to a State incorporated without reference in any permit which may be issued.Deviation from these lnr ilt will coersriNte a violation of Stormwater Manage Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMUR)? any permit. to}'person developing in an AEC w shout permit is subject to civil,cr mina!and admirt tlral ve act on. YES NO if yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet /"7/.v 'a304t g.0 , F8?3,60©0 J%'r -- Asv7"l e.A/r/c ©c�<.c',•ai F,1,t W W M i sq, sz; ) vz '. i . t A lc) _____„______- . --.00.....z-ep_. --e.,.. . l / ,A"oo4:7 Zo.i..E �rs _ _ / _o /e, 274P� 1/E/4- rar/c -1/.sa -r arPr.se Ge.S✓.v J . A • t. r ...r.(...7 ...".........."-f lks Vii ow ,off s� A a . - . - p0.0,00sEa '1 /2Q • k ' ..0441#46/.i/4. Oa h °• j a �� lee d �¢ i r I h U Iif o w .3: . ,---- / 3o fry/e/t I -to:oo' I +(�.r:o '. "r✓ tv- `b%st..\/.455,.14 7 47"..,-. • ' 4 ocE,�.v .cY Itst` -3 ji •curII-_itt, Lv� ISG E.�Y TiYE.�EiO O r«+y.srb.+......in,wao Toav s Aw`,A�, SURVEY FOR Tr vfac11 Wilayne Johgspn, hereby certify that thib map is correct 4;2,49.v7" /0i°r770-7.4267es/cs ,, and that the buildings lie wholly on the lot and that there are en .._.?, A` CP. ,j 4 encroachments of other buildinggss on the id lot. Crt.i►T.6'.40E `®e."4/7-y - !-0' '" +r.E,,A4--frts MALE C gears RQy reb Survey ` VERNON WAYNE JOHNSON ,-",evssV, —1496 nos u..wo auap Drive This map is not for recording. �' ENGINEERING maatiM,N.C•27p� 5VRVEY1NG 14• tDt9! Q 1/D/G7G01; d'</ �J .j�JIF.4ic .e Joy /SG -- %1/14/201 t Property Data Carteret County Property Data Parcel Number:630420928235000 Inquiry Date: 11/14/2017 DISCLAIMER: For confirmation of the number of buildings on each parcel,please contact the Carteret County Tax Office. Owner/Property Info Building Info Parcel Number:630420928235000 Baths: Null Owner:ARMSTRONG,GRANT W Bedrooms: NuN Physical Address 0004101 OCEAN DR Condition: Null EMERALD ISLE NC Exterior Walls 1:Null Mailing Address:3932 BORDEAUX CIRCLE Exterior Walls 2: Null FLOWER MOUND TX 75022 Floor Finish 1: Null Legal Description: L13 B17 EMERALD ISLE Floor Finish 2: Null Deed Book: 1586 Foundation 1:Null Deed Page: 365 Foundation 2: Null Plat Book:0 Plat Page:0 Sale Date:20170907 Heat:Null Sale Price:650000 Roof Cover 1:Null Acreage:0.42 Roof Cover 2:Null Land Value:$683,640.00 Roof Structure:Null Building Value:$0.00 Square Footage: Null Extra Feature Value:$0.00 Year Built:Null Parcel Value:$683,610.00 Click Here for Advanced Cards Sketches No Sketches Available Photos No Photos Available http://web3.mobile311.com/CarteretCard/default.aspx?PIN=630420928235000 1/1 • Nov 13 17,12:53p 9726088852 p.1 AGENT AUTHORIZATION FOIZCAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Lr'e , Afaw►s-1,ebil Mailing Address: 3932 'Bolt cA eau y CR. Rawea 119cLi,..)- 4-y Phone Number: ./2- F2L. - 7(4.93 Email Address: co•h I certify that I have authorized 1 Q'c"-i )42,1..A 1A eor w� �,1 cl era , Agent Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for The following proposed development: 5)eval o ..g..,, , Cm r at my property located at yl of OCe'e2.-1 P �,Mc2,o Lip t s�L-' , in CA Orre-4 County. 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. Property O:nerinforrnatlo Signature Zig-4-•✓1— .A-R_ s r!t Print or Type Name Title it 13 ! i2 Date This certification is valid through /1 ! /3 l 20/5 I Brimco Builders Brian Deanhardt 252-399-9093 224 Pintail Ln. Ilarkers Island NC 28531 This is to inform you that Mr.&Mrs. Grant Armstrong,owners of 4101 Ocean Dr. Emerald Isle NC.are informing you that they are applying for a CAMA permit to construction a single family home on their lot,which is adjacent to your lot/house. Please feel free to call me at anytime with any questions you may have with the construction project. You do not have to respond to this letter. Thank you Brian Deanhardt 252-399-9093 " 1 U.S. Postal Service 1 CERTIFIED MAIL'' RECEIPT 1 Domestic Mail Only r� 1'-1 For delivery information,visit og website at Inty is or NOI ` ` 'i' fl o t.. S E 0689 , rn ` ..A Centiled Mall Feu 's3.35 -11C B q 2 j Cy 1 CD $xtra ces• eea k ct bacc•dd Ise . `°w�l sVatma0_ 1A4$ iv 1 4 2011 1 1 p DAd1slen Reams �A6A800.�u.R.sakti.00eM.«v i p Postage 50•49 III 11/14/201Ain Pi� s Tata Postage and gyp.84 1.l1 Sent Tot y :to ,or Pb ox TO City, Z P+4 , r G , " Q f See Reverse lot instructions •/ .. 2�'.1 S pEtt 7330.02-000•e047 I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to (rep" ARMr40ar 's (Name of Pro rty Owner) property located at y/O f d CI°Ar, P . fr►Pt a I . r . .t.X- (Address, Lot,Block,Road,etc.) on A'�1gnt��t OC�A.J .in eme�a -t ,rI•C , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must NI in description below or attach a site drawing) Sep A\\Ac4 WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin 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. (P ner Information ' (Adjacent Property Owner Information) }Signature /Signature" A tJ .A- A PMploie' lraf``agy S N A,At or` Print or Type Name J Print dr Type Name 1#1 1 ro4 ' DR. '5321/41 SitoN 1 tie a• Mailing Ad ress Malll A dress 3'132 rcleA'y Cr,. 1 fp/b5 City/State/Zip City State/Zip TY Ow el f�G - 75-022.- PG 5-40 Telephone Number/email address Telephone Number/email address Date! f 7 //2 Date* / 1 (Revised Aug.2014) *Valid for one calendar year after signature* Brimco Builders Brian Deanhardt 252-399-9093 224 Pintail Ln. Harkers Island NC 28531 This is to inform you that Mr. &Mrs.Grant Armstrong,owners of 4101 Ocean Dr. Emerald Isle NC.are informing you that they are applying for a CAMA permit to construction a single family home on their lot,which is adjacent to your lot/house. Please feel free to call me at anytime with any questions you may have with the construction project. You do not have to respond to this letter. Thank you Brian Deanhardt 252-399-9093 U.S. Postal Service" CERTIFIED MAIL`' RECEIPT p Domestic Mail Only nU For delivery information,visit our wehsile at rwm.usps.coin e IHIod M1ar F C4 a A - e E 89 rn $3.35 G2 ro $ EArasoAcoshFees(chat/reoc add Isev ❑Rewm Reoe4 o(else rorie p ❑R.eKn neoep+(Mectrodc) $_ i.[U1 P�ol�sJv9jnarS� O � McARe>j OicledDel Q very $ .00 CI ❑Adult Signature Required $ f .(43 V Ij 0,d Signature Reaulaed De/MY$ Postage $0.49 /1010 p7otei Postage and ils 84 Ln rl sent ro IC !I?Q __ � +Jrl�2Yt^ Street and AM.No.,or PO BOX • I'- oSGi> CP• ,I c• City,.taro,7tra«4Sih,jin.1 UA Air`t o PS Form 3800,A re 2015 PS' /53002-000 901/ 590 Reverse lot Instructions iXDJACENT RIPARIAN PROPERTY 2WNER STATEMENT I hereby certify that I own property adjacent to (re AL.). A ,r jQr 's (Name of Pro rty Owner) property located at Yid/ O Cf,on• Dn. ��rkpte1 ."r t ,c r_ (Address,Lot,Block,Road,etc.) on 114IA'lc_ 0(pA,,l , in 6VMBtPt Tr(-d . N.C. (Waterbody) (City own and/or County) The applicant has described to me, as shown below, the development proposed at the above location I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) ot' A\-IAC. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, Ilft, or groin 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. (P ner Informatfo (Adjacent Property Owner Information) Signature Si� re (i ature *y { rSAkui- AOmr-1n0N� V. CL t rl -SLh wive I ier Print or Type Name Print or Type Name raj (')run,.•-T1a. Zt., () C,99f,Art jp4k Mailing Arrg�ress Mailing A ress 3917 �'St�aaix C. .crhi 11rit1 Ciy/Slat 1p City/Statelzlp Ta «In 4-i 7so2Z- (iA 23`13 U Telephone Number/email address Telephone Number/email address Dale`/1 /!gfi7_ s I/ (Revised Aug. 2014) `Valid for one calendar year after signature` 4 APPLICATION FOR E' CAMA MINOR DEVELOPMENT -- . Coastal Management ' ENVIRONMENTAL QUALITY PERMIT v � 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(LPO) for the locality in which you plan to build to be certain that you understand what information he 0 or she needs before you apply. 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 Q specifications given inside and that your application fee is attached. 0 Other permits are sometimes required for development in the coastal area.While these 5 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. 0 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 C) C-4 rn 111 va tri o 'd � DCM Form EB1952-2015/Revised 1 Y _ SITE DRAWING/APPLICATION CHECKLIST Please make sure your site drawing includes the following information required for a CAMA minor development permit. • The Local Permit Officer will help you,if requested. PHYSICAL DIMENSIONS 7/Label roads /Label highways right-of-ways ��.abel local setback lines '/Label any and all structures and driveways currently existing on property Label adjacent waterbody PHYSICAL CHARACTERISTICS ( raw and label normal high water line(contact LPO for assistance) Draw location of on-site wastewater system If you wil e working in the ocean hazard area: Draw and label dune ridges(include spot elevations) Draw and label toe of dunes Identify and locate first line of stable vegetation(contact LPO for assistance) Draw and label erosion setback line(contact LPO for assistance) Draw and label topographical features(optional) If you will be working in a coastal shoreline area: Show the roof overhang as a dotted line around the structure Draw and label landward limit of AEC Draw and label all wetland lines(contact LPO for assistance) Draw and label the 30-foot buffer line DEVELOP ,NT PLANS / raw and label all proposed structures Draw and label areas that will be disturbed and/or landscaped Note size of piling and depth to be placed in ground Draw and label all areas to be paved or graveled Show all areas to be disturbed Show landscaping NOTE TO APPLICANT Have you: • completed all blanks and/or indicated if not applicable? • notified and listed adjacent property owners? • included your site drawing? • signed and dated the application? • enclosed the$100.00 fee? • completed an AEC Hazard Notice, if necessary? 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