2-24 PERQ - Copeland, William and Alice

V
Percluimans County 2.24 PERQ
Local Government Permit Number
CAMA
MINOR DEVELOPMENT y
PERMIT
as authorized by the State of North Carolina, Department of Environmental Quality and the
Coastal Resources Commission for development in an Area of Environmental Concern
pursuant to the Coastal Area Management Act, Section 113A-118 of the General Statutes.
Issued to William & Alice Copeland, authorizing development in the Estuarine Shoreline (AEC) at lot 63 Pilot Ct. in
Bethel Creek Subdivision, in Hertford, as requested in the permittee's application, dated February 15, 2024, received on
January 31, 2024 and received complete on February 15, 2024. This permit, issued on February 15, 2024, 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: Tree Removal and Grading of the lot.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on January 29, 2024. [GS 113A-120]
(2) All construction must conform to the N.C. Building Code requirements and all other local, Slate and Federal regulations,
applicable local ordinances and FEMA Flood Regulations. [GS 113A-1201
(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. [GS 113A-120]
(4) A copy of this permit shall be posted or available on site. Contact this office at 252-264-3901 for a final inspection at
completion of work. [GS 113A-120]
(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
permit expires on: DECEMBER31,2027
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal
Management.
Check # 2196, in the amount of $100, was received on 1/31/2024 for the
permit fee.
Cynthia Rountree
Field Representative
401 South Griffin St., Suite 300 A�
E1_j;-abeth City, NC 27, 09
PERMITTEE
(Signature required if conditions above apply to permit)

RECEIVED
PUN
Tepermit Number I + M
1�` (h- S
A'
Locality %� Olhcr
Ocean Hazard __— Estuarine Shoreline
�, ORW Shoreline Public Trust Shoreline DCM—E
(For official use Out))
GENERAL INFORMATION
LANDOWNER -MAILING ADDRESS ^ i^._��0�1ctycl
Address Z Z OY
�f C Zip ZP'llPhone
Nei ,� d State ___----
City -, r.nilil,ca„ tn)nnO,(C7.�
Email_
AUTHORIZED AGENT r 1 n
Name N J�
Address _____--- Phone
State ___---- Z'P
City _____----
Gmail name Of the adjacent waterbody)
LOCATION OF PROJECT' (Address, street name and/or directions to site; Ai` (, t
360 e ) 1 1�e+�qui"N
0�dlvq l +vees
proposed "ranttion and land disturbance.)
DESCRIPTION OF PROJECT: (List all propl)Al, O f Uri
}e 6L e x lLo' Pier k d'6�r1' f-f-
1 t
�\1t-�-FP''°* goo p,ndre5 /�
SIZE OF LOT/PARCKL: 4 0 3.b3 square feet \ 3G
Mniti•fmuity ❑) Commcrciat/Industrial ❑ Other ❑
PROPOSED USE: Residential N (Singlc-fmaily lies
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer jfyou or" not s/u�re uhfdn AEC opp
to yourproperry): , 11/ s uare feet (includes
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: ___-._ • q
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non-load-bcaring attic space) ND OTHER IMPERv10US OR BUILT
square feet (includes the area Of the foundation of all buildings, driveways, covered decks,
(2) COASTAL SHORELINE AECs: SILE OF BUILDING FOOTPRINT A
UPON SURFACES: __ our calculations with the Project drmving.)
concrete or masonry Patios, etc. that are within the applicable AEC. At y
ky Mineral and Land Resources (DEMLR)^.
STATE STORA9NATER MANAGEMENT PERMIT: is the project located in an area subject ce a . rate
Stormwater Manage rent Pctmit issued by the NC Division of Enor square feet.
YES__ NO
rvious surface allowed for your lot or parcel:
If yes, list the total built upon areaAmpci--

RECEIVED
OTHER PERMITS MAYBE REQUIRED: The activity you are planning may require permits other than the CAMA
JAN 3 t 2024
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 Conservations A ��
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connecti M
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 on 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) ,' I1 11� 1 uKJ
\ Iill'rn dCol�tl lOt:G_.10.t'`L' r �11Ge_li�y1.17� f'�_A,
an owner or record title, Title is vested in name of ly_ in the It+ .a.. m VS County Registry of Deeds.
see Deed Book ti52 - page _ '—T
an owner by virtue of inheritance. Applicant is an heir to the estateof
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.
(1)
(2)
(3)
(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 fur0%more 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
relined to this permit application.
This the day oflik, 20 17y
n
as hi ner ag nt for purpose of filing a CAMA permit application
C10M INW3 �4c
Znolz.
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This application includes: general in%nrraatfan (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 (or 5100.00 nurdepnynble to the (reality, aril
amp it fo+'mation as n(ty be pnvided orally by the applicant. The details of the application as described by these sotnt.•es• air
incorporated without reference in anypermit which may be issued. Deviation from These details will constitute a violation of
any permit. Any person derwloping in an AEC without permit is subject to civil, criminal and administrative action.

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ECEIVED
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JAN 3 2024
ACM -EC
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
M1It/-1ia1:1
PARK ISLAND RD
.YWOOD SC 29449
To Whom It May Concern:
JANUARY 8, 2024
Date
RECEIVED
JAN 2 4 2024
DCM-EC
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
clearing and grading lot for future homesite and construction of future bulkhead and pier
on my property at Lot 36, Bethel Creek Subdivision, Perquimans County, NC (Pilot Court, Hertford, NC 2
in Perquimans
County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and 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:
Cynthia Rountree, Field Officer, Division of Coastal Management, Elizabeth City District, 401 S Griffin St.,
Suite 300, Elizabeth City, NC 27909.
If you have any questions about the project as stated above, please do not hesitate to contact me at my address/number
listed below, or contact ) at 252-312-3642, or by email at: [e-mail]
Sincerely, /�Yv v�
William Kelly Copeland
223 Burgess Rd
Hertford NC 27944 phone: [phone]
V I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
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Print or Type Name
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Telephone Number
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t ^'�\ Revised July 2021

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■ Print your name and address on the reverse
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■ Attach this card to the back of the or on the e..._...
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PS Form 3811, All 2020 PSN 7530-02- -- -- --- - 000-9053
1 ■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
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PS Form 3811, Juiy 2020 PSN 7530-02 000-9053
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Domestic Return Receipt
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JAN 3 1' 2024
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