12-24 KH - Ashworth, Jeffrey

✓R/11,Y1
RECEIVED
Kitty Hawk
Local Government
SEP 19 2024
DCIVI-EC
MINOR DEVELOPMENT
12.24 KH
Permit Number
as authorized by the Stabs 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 Jeffrey Ashworth, authorizing development in the Estuarine Shoreline (AEC) at 3949 Tarkle Ridge Rd, in Kitty
Hawk, NC, as requested in the permittee's application, dated August 26, 2024, and received complete on August 30,
2024. This permit, issued on September 4, 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: Enclose back deck to create sunroom
All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 8/30/24, [GS 113A-120]
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]
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]
A copy of this permit shall be posted or available on site. Contact this office at 252-261-3552 for a final inspection at
completion of work. [GS 113A-1201
Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third -party. [GS 113A-120]
(Additional Permit Conditions on Page 2)
nermit artlon my ha aooeafad by tha narmittaa nr nther nnalifad mrcnnc
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.
Check #1568_, in the amount of $100, was received on _8130124_
for the permit fee.
Rob Testerman
CAMA LOCAL PERMIT OFFICIAL
P.O. Box 9
RL, n)AAn
if conditions above apply to permit)

RECEIVED
Name: Ashworth
Minor Permit A 12.24 KH
Date: 914124
Page 2
SEP 19 2024
DCM-EC
The amount of impervious surfaces shall not exceed 30% of the lot area within 75 feet of normal water level
(Estuarine Shoreline Area of Environmental Concern), in this case,1,881 square feet is authorized. [07H .0209(d)(2)]
All development shall comply with the following mandatory standards of the North Carolina Sedimentation Pollution
Control Act of 1973: [07H .0209(d)(3)]
Any proposed for grading within the 30' buffer from the normal water level must be contoured to prevent additional
stormwater runoff to the adjacent Estuarine and Public Trust Waters. This area shall be immediately vegetatively
stabilized and must remain in a vegetated state. [07H .0209(d)(3)]
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. [07H .0209(d)(3)]
All development shall provide for a buffer zone along the margin of the Estuarine Water which is sufficient to confine
visible siltation within 25 percent of the buffer zone nearest the land disturbing development. [07H .0209(d)(3)(A)]
All graded and filled slopes shall be of a sufficient angle to retain a vegetative cover or other erosion control device or
structure. [07H .0209(d)(3)(B)]
Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all new
developmenttconstruction shall be located a distance of 30 feet landward of the normal water level or (MHW). No
portion of the roof overhang shall encroach into the 30 ft. buffer.
[07H .0209(d)(10)]
All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Sedimentation and erosion control measures shall be property
maintained throughout the construction period. [07H ,0209(d)(3)]
This permit does not authorize development within any wetlands or open water areas. [GS 113A-120] and [07H
.0205(d)]
Prior to any development, the permittee is required to contact the Local Permit Officer Rob Testerman, 252-261-3552
to mark the landward edge of the 30 ft. buffer. [07H .0209(d)(10)]
SIGNATURE- DATE:
PERMITT

".....y Peemit Number
—. a \Cy1��V�D Ocean Hazard_ Estuarine Shoreline _ ORW Shoreline _ Public Trust Shoreline _ Other
For Official Use Only
S E P 19 2024
GENERAL INFORMATION
LANDOWNER — MAILING ADDRESS
DC;M-EC;
Name ti1v-t,-%,vGs N i /C�itwap✓l'�
Address
3 I 1 /Ctw_KAL
City r ` 1 state 1 vG Zip `a-Tq � Phone 79;L- 2 07 `I 3 Fe
E-mail it _t a wpv 43 v �Gdy,
AUTHOQIZED AGENT
Name 4-1-1dy4Ic�at��tntL �/SFrKe )'ear!
Address
��'_�
City K, i/C J { f State/ Zip 2'I i Y8 Phone r Sa a0 Liry
E-mall _ k a ✓t e 0 ✓(Q r( (0 2 $g H alto O. !on{
LOCATION
I aOF PROJECT: (Addr/ess, street name and/or directions to site; name of the adjacent waterbody)
3141 tf..f��l ,C?t1)r_R lSh.
__..-.
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance) 1 nn
Cn)�iOS� �jacK �k as {L.t�rrDcn-,- raD� pu+� .e'Xrs-�,.,rr f
SIZE OF LOT/PARCEL: [ M sq ft acres
PROPOSED USE: Residential Q (Single-family© Multi -family Commercial/Industrial❑ Other
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies to your
property):
(1) OCEAN HAZARD AECS: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: sq ft (includes air
conditioning 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 UPON
SURFACES: 0 Jb sq ft (includes the area of the foundation of all buildings, driveways, covered decks, concrete or
masonry patios, etc. that are withing the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a Stat my
Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)2 YES NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: sq It
4 of 7 8/26/2024,12:48 PM

OTHER PERMITS MAYBE 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 Conservati
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile home Park approval, Highw E iEr IVE D
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
SEP 19 2024
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of the prqq r�``i C�e
AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development p@ OME V
that the person listed as landowner on this application has a significant in the real property described therein. This
Yan
can be described as: (check one) /[ /� L
wner or record title, Title is vested in the name of e` 1 f!�S� W a (9 h �tv t� �(tCSI
see Deed Book___. Tj page .� in the 0.l G County Registry o�s.
❑ an owner by virtue of Inheritance. Applicant is an heir to the estate of
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 the 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:
Ar
Jt
I, the undersigned, acknowledge that the landowner 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 particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization 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 d(Aday of l fU�N t+ 20 ` 1�
or person authorized to act as his/her/their agent for purpose of filing a CAMA permit application
This application Includes: general information (this form), a site drawing as described on the back of this application, the ownership agreement,
the Ocean Hazard ACE Notice where necessary, a check for $100 made payable to the locality, and any information as maybe provided orally by
the applicant. The details of the application as described by these sources are Incorporated without reference in any permit which maybe issued.
Deviation from these details will constitute a violation of any permits. Any person developing in an AEC without permit is subject to civil, criminal
and administrative action.
5 of 7 8/26/2024,12:48 PM

Post Office Box 549
101 Veterans Memorial Drive
Kitty Hawk, NC 27949
Date: 06 Lr. W I
Phone [phone]
Fax [phone]
www.kittyhawknc.gov
AUTHORIZATION FOR APPLICATION OF PERMIT
Name of Property Owner Applying for Permit:
Mailing address:
0
I certify that I have authorized M1 (4,1-Az CeAsL'.�AL 64-ent/contractor), to act on
my behalf, for the purpose of applying and obtaining all LAMA permits necessary for the proposed
development of SUKV by" 4r O&� VD-4 c,,L y"d 0 T at my property located at
f 9 -tZ��lt ,(64
This certification is valid
Property owner's signature
Print or type name
Phone Number _ aS/L a 0 1 7 3 0
RECEIVED
SEP 1 9 2024
RJCM—EC
6 of 7 8/26/2024,12:48 PM

RECEIVED
SEP 19 2024 RECEIVED
DCM-EC
A02ACENT n1►AR1IyE RRORsat COASTAL MAMfsoEMENY
GiRTtiICQMIVA.JiR TtINN Blit►NNEM tWEIn1CATWN �Mast7p RERtW71
t:.j.Rt,u#KStt:U to tuun attJXRLct�
Nurs�eeo^f—""
f rib,�.y"p_p..__..... ...... lists
AP.J,s...,], r 1 t P ape OwnEt
Crty.Bt eLp
to Whom It May miter";
This mrrrsPondnrce it to Moldy you at a rlpaetmi Property hairier that ram apvvh,g bV a ('AMA tauwr M," to
anmvproperty at—a1!--Lr'klt_A� �7tr,
�`�t ..�yf_.t 11. 44wak . R' L *-4,1g91,
_._.. u.
In County, which Is ad aeem to Y. i your property Acosy ut lha apRikatbn an4 Rrojett
drawtnA kt attacked%Mt0ft" Ear yoar nvieW,
It You have nu oblettions to the Proposed activity, please mark the appropriate statement below an4 return d to me as
soon as possible, it no Comments are received within 10 days of receipt o1 this rtotict, n will tr_ conrdered that you
have no comments of ob ecuons regarding this project.
11 you have objections or comments, please mark the appropriate statement below and seno yoia (of r«st ondente to:
(Fob Testerman, Town of Kitty Hawk, PO Boo 549, NC, 27949)
It you have any tivestlora about the protect plane do not hesitate to contact meat my atkr:sstnum6er 111te4 be* Ow. Of
Contact Rob'resterman at252-251-3552, or Cry email at: rabAesterman@k"1b;wktown nor
Sincerriehr..
T
Proper Owner's Name
.31gl la eW e e t�►
Address City
-Sa e -13 F
Rhone Number
State 2+p
i have no objection to the project detcftbed it this correspondence.
i has! a )to the Project described to this conespondenC q
Adjsc Afparim Signature Date
y POM a W* Name t'hone Number
11
ter 1-74' VC4
s`

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
��+ry'+�S � r�ilrtr.J �auJer
Name of Adjacent Riparian Property Ow�
Address
A j} 1tiG aZg�9
City, Sta�%Zip
To Whom It May Concern:
RECEIVED
SEP 19 2024
LJCM—EC
Date
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
70
ndr *7_
on my property at 3914 '1i4)t j � (' 4'n /& -%__.._'
in e\)d _._.
Irit 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 it 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
halve no comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(Rob Testerman, Town of Kitty Hawk, PO Box 549, NC, 27949)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact Rob Testerman at252-261-3552, or by email at: [e-mail]
Sincerely, J /
�e r[ti AL"l P'�
Property Owner's Name
2sa. ako-j Z399'
Phone Number
Address City * State
I have no objection to the project described in this correspondence.
I h obj lon(s) to the project described in this corn p�o'nnd(nce.
6,7 djacent Riparl n Sature r f y�•`
Sinature Daatte
YR L7 Lau k-1 _ A-�, 5?
Print or Type Name Phone Number
�t53 T�+k-Ct, Rt�w �-Kkt- NL
ME
2 of 7 8/26/2024,1:02 PM

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RECEIVED
SEP 19 2024
DCM-EC
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