Hi-82-2024 - Fish Ptrol, LLC

Dare County
Local Government
CAMA
MINOR DEVELOPMENT
PERMIT
Hi•82.IECEIVED
Permlt Nuu
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.
0 9 2024
M-EC
Issued to Fish Patrol LLC, authorizing development in the Estuarine Shoreline (AEC) at 56194 Shoal Dr, in Hatteras,
N.C. 27943, as requested in the permittee's application, dated 7-5-2024, and received complete on 7-29-2024. This
permit, issued on 8-8-2024, 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: Construct new House with decks and septic.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) from Ranking Surveying and received from Dennis Carrol on 7-29-2024 to K.D. Jackson. [GS 113A-120]
(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. [GS 113A-120]
(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-1201
(4) A copy of this permit shall be posted or available on site. Contact this office at 252475-5879 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 pennittee 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: DECEMBER 31, 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,
K.D.Jackson
CAMA LOCAL PERMIT OFFICIAL
P.O. Box 859
Buxton, N.C. 27920
Check #_1277_, in the amount of $100, was received on _7.29- PERMITTEE
24_ for the permit fee. (Signature required if conditions above apply to permit)

Name: Fish Patrol LLC
Minor Permit # Hi-82.2024
Date: 8.7.24
Page 2
<E-CEIVED
AUG 0 9 2024
0CM-EC
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of Normal Water Level which
(Estuarine Shoreline Area of Environmental Concern) in this case 1312 sf is authorized which is only 24%.
[07H .0209(d)(3)]
(6) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must
be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area
has been properly stabilized with a vegetative cover. [071-1 .0209(d)(3)]
(7) Any proposal for grading within the 30' buffer from the Normal Water level to prevent additional storm water runoff to
the adjacent Waterbody. This area shall be immediately vegetatively stabilized, and must remain in a vegetated
state. [07H .0209(d)(3)]
(8) Prior to any development, the permittee is required to contact the Local Permit Officer K.D. Jackson at 252.475-
5879 to mark the landward edge of the 30 ft buffer. [07H .0209(d)(10)]
SIGNA
PERMITTEE
DATE:

APPLICATION: iiSk R,JtoI LtL LOCALITY: 5'41141 S�,Ml AR PERMIT ISSUED USING
STATIC LINE EXCEPTION?
YES ❑ NO ❑
RECEIVED
AUG 0 1 2024
DCM—EC
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RANDEL JOHN JOSEMANS
DAWN MARIA JOSEMANS
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I, Eric J. Harmon, PILE, certify
/ that this survey is of an existing
parcel a existing parcels of land
and does not create a new street
jor
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10. PropoeedIxmvamp-30A%(3,5nsgfi), SITE PLAN 07/15/24 40 30 20 10 0 40
Eric J. Harmon, PLS. SURVEY / SITE PLAN FOR
40187 Avon, NC 2791Box 346 FISH PATROL LLC.
[phone]
I, Eric J Harmon, Professional Land
Surveyor, certify that this plat was drawn
from an actual field land survey and that the
error of closure as calculated by latitudes
and departures is at least 1:10,000.
Wdness my hand and seal this 27th day of
June . A.D. 2024
Eric J. Harmon, P.L.S., L-5363
HATTERAS ESTATES
CEIVED
AUG 0 1 2024
DCM-EC

DENNIS CARROLL DESIGN SERVICES
PO BOX 1348, BUXTON, NC 27920
252 305 4925
hattermman2C&yahoo.com
N.C. Contractor License No. 81634
RECEIVED
AUG 0 1 2024
CM -EC
Mr. Randel Josemans
9924 Hollo Way
Pardow, VA 22534
July 5, 2024
Hello, I'm working on plans for your neighbor Trafton Reynolds who's planning to build a
residence adjacent to you on Shoal Dr. in Hatteras.
As part of the CAMA permitting process, we're required to notify the adjacent property owners
of the development plan, and offer the opportunity to comment.
See the enclosed site plan, rendering of the house, CAMA application, and Adjacent Property
Owner Statement.
You may either return the signed form to the address above with comments within 10 days, or
don't respond within 10 days, in which case your consent is assumed.
Thank you for your help,
Dennis Carroll
Dennis Carroll Design Services

DOCUMENTATION TO AUTHORIZE AN OWNER'S LEGAL REPRESENTATIVE
Applications for permits require the "signature of the owner or owner's legal representative" (15A NCAC
18A .1937). If the owner does not sign the application himself or herself, they can submit any one of the
following documents to designate their legal representative:
1. Power of Attorney
2. Real Estate Contract
3. Estate executor
4. Bankruptcy trustee
5. Court ordered guardianship
In the absence of the above documentation, the property owner may provide the local health
department with documentation that designates a legal representative. A property owner may:
1. Complete this form to document his or her legal representative, or
2. Provide his or her own form that contains the information in this form.
RECEIVED
AUG 0 1 2024
DCM-EC
If there are multiple property owners, then all property owners must sign the form that designates a
legal representative.
By signing a form that designates a legal representative for purposes of 15A NCAC 18A.1937, the
property owner authorizes that representative to act on their behalf in matters pertaining to the
application and permitting process, including signing or receiving any application, document or permit.
The owner retains full responsibility to meet all permit conditions specified by the local health
department.
R/+T_1?OL LLG
Parcel Number
am the legal owner(s) of the property located
F NC 2794r, . identified as
located in Dare County, North Carolina.
I do hereby authorize (print legal representative/company name) Jo lyi s CA�ItOtLL
69MNfS CARROLL D6R IV S. to act as an agent on my behalf in applying
for/signing/obtaining any of the documents described below.
• Application for Improvement Permit (IP) / Authorization to Construct (AC)
• Improvement Permit (IP.) / Authorization to Construct (AC)
• Application for soil -site evaluation (new/repair)
• Application/permit for private drinking water well/well abandonment
• Application for Compliance Inspection
agree to abide by all decisions and/or conditions between the legal representative acting on my behalf
and the Dare County Public Health Division, Environmental Health Unit. ,
Signature Owner( Date Signature of Witness Date
V

DOCUMENTATION TO AUTHORIZE AN OWNER'S LEGAL REPRESENTATIVE
Applications for permits require the "signature of the owner or owners legal representative' (15A NCAC
18A .1937). If the owner does not sign the application himself or herielf, they can submit any one of the
following documents to designate their legal representefive:
,x
1. Power of Attorney
2. Real Estate Contract
3. Estate executor
4. Bankruptcy trustee
5. Court ordered guardianship
RECEIVED
AUG 0 1 2024
In the absence of the above documentation, the property owner may providethe local health pCM _EC
department with documentation that designates a legal representative. A property owner m
1. Complete this form to document his or her legal representative, or
2. Provide his or her own form that contains the information in this form.
If there are multiple property owners, then all property owners must sign the form that designates a
legal representative.
By signing a form that designates a legal representative for purposes of 15A NCAC 18A.1937, the
property owner authorizes that representative to act on their behalf in matters pertaining to the
application and permitting process, including signing or receiving any application, document or permit.
The owner retains full responsibility to meet all permit conditions specified by the local health
department.
rlSSEf i�/�T/ZOL LLG
Parcel Number
am the legal owner(s) of the property located
NC Z 1941 identified as
_' located in Dare County, North Carolina.
I do hereby authorize (print legal representative/company name) JAW: /V%.S C'MMOLL
�ti1�IVl S {'ARROLL QLZWN i to act as an agent on my behalf in applying
far/signing/obtaining any of the documents described below.
• Application for Improvement Permit (IP) / Authorization to Construct (AC)
• Improvement Permit (IPJ / Authorization to Construct (AC)
• Application for soil -site evaluation (new/repair)
• Application/permit for private drinking water well/well abandonment
• Application for Compliance Inspection
agree to abide by all decisions and/or conditions between the legal representative acting on my behalf
and the Dare County Public Health Division, Environmental Health Unit. ,
Signature Owner( Date Signature of Witness Date

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse I
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.
1. Article Addressed to:
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PS Form 3811, July 2020 PSN 7530-02-000.9053
RECEIVED
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O Agent AUG 0 1 2024
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delivery ddress ci ferent from item 1? 0 Yee
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■ Attach this card to the hack of the mallpiece,
or on the front H space permits.
1: Article Addressed to:
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RECEIVED
AUG 0 1 2024
Dare County
Planning Hatteras Island _c
County of Dare i_® L� M EC
NC
252-475-5000
WeIcome
07/29/2024 09:40AM Colleen F
078461-0001 000314970
Payment Effective Date 07/29/2024
HISCELLANEWS
Description: CAMA MINOR
PERMIT (CAMA)
CAMA MINOR PERMIT (CAMA)
2025 Item: CAMA
1 N $100.0000
CAMA MINOR PERMIT
(CAMA) $100.00
010000-110000- $100.00D
103560-430030- $100.000
$100.00
Subtotal $100.00
Total $100.00
CHECK $100.00
Check NumNer001010
Change due $0,00
se, ..fa€r.�2a4_Ex:y..
Thank you for your Payment
CUSTOMER COPY