2025-10 - Scott James and JL Morris Construction

Dare County '-MM 2025.10
Local Government Permit Number
CAMA-�ECEIVED
MINOR DEVELOPMENT
SEP 14 1024
PERMIT y(
as authorized by the State of North Carolina, Department of Environment, O C M-E C
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 Scott James/J.L. Morris Construction authorizing development in the Estuarine Shoreline (AEC) at 235 Broadbay
Dr., Colington, NC, as requested in the permittee's application, dated 09-02-24 and received on 09-03-24. This permit,
issued on 09-11-24, 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: The addition of 1 wooden 8 x 24 deck, 2 sets of 9 x 24 wooden stairs, 2, 3x3 wooden landings, & all
associated site work.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat drawings(s)
dated received on 09-03-24. [GS 113A-1201
(2) All construction must conform to the N.C. Building Code requirements and all local, State 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 1.13A-1201
(4) A copy of this permit shall be posted or available on site. Contact this office at 252-475-5849 for a final inspection at
completion of work. [GS 113A-1201
(Additional Permit Conditions on Page 2)
This permit action maybe appealed by the permiftee or other qualified persons
within twenty (20) days of the issuing date. This permit must be on the project
site and accessible to the penmil 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 in the amount of $100, was received on 00-03-2024 forthe permit fee.
Morga J. P&ttp
Morgan J. Potts
CAMA LOCAL PERMIT OFFICIAL
P. 0. Box 1000
MANTEO, NC 27954
PERMITTEE
(Signature required if conditions above apply to permit)

Dare County
Local Government
Name: James
Minor Permit # 2025.10
Date: 09.11.2024
Page 2
PFrFIVED 2025-10
Permit Number
SEP 2 4 2024
^-)GM-EC
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of the NORMAL
WATER LEVEL (Estuarine Shoreline Area of Environmental Concern). [07H .0209(d)(2)]
(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. [07H
.0209(d)(3)]
(7) Any proposed grading within the 30' buffer from the NORMAL WATER LEVEL must be contoured to
prevent additional stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively
stabilized, and must remain in a vegetated state. [07H .0209(d)(3)]
(8) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of
construction completion. (GS 113A-120]
SIGNATURE:
PERMITTEE
DATE:

Coastal Management
ENVIRONMENTAL QUALITY
�i CEIVE®
5 E P 2 4 2024
APPLICATION FOR
CA-ECCAMA MINOR
DEVELOPMENT
PERMIT
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
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
specifications given inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area. While these
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.
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
H
O
G
Cn
d
IS
DCM Form EB1952-2015/Revised

,ENERAL INFORMATION
,AND OWNER - MAILING ADDRESS
fame ln_��aa�g
SEP 2 4 20A
address 2.9,a
ay6�Mjzup�') State 4JL Zip .2 Phone 'i�'1-S'1o•39-EMI
.UTHORIZED AGENT
lame
Adress tcj7l
:ity State Zig Phone 45 . \ j IS
mail ,` i�ass�ie.J� Cdaa
,OCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
iESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
IZE OF LOTIPARCEL: dSbp square feet acres
ROPOSED USE: Residential Single-family ❑ Multi -family [1 ) Commercial/Industrial ❑ Other El
:OMPLETE EITHER (1) OR (2) BELOW (Contactyour Local Permit Officer ifyou are not sure which AEC applies
i your property):
1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
it conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
xeluding non -load -bearing attic space)
1) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
TON SURFACES: —Y square feet (includes the area of the foundation of all buildings, driveways, covered decks,
oncrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
TATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
tormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
ES NO

Locality.
DECEIVED
Permit Number _.. _...
SEP a 1014
Ocean Hazard _ Estuarine Shoreline— ORW Shoreline _ Public Trust Shoreline er —
GENERAL INFORMA'f10N
(For official use only)
DCM-EC
LAND OWNER - INILMLING ADDRESS
Name�L9L�i11�..9^ __----------------
Address,�'�y r '�'----------- ---
City " i State --_- zi2..5&A%2 one '� _'J � C� •. 9•�"k
Email
AUTHORIZED AGENT
Name J L
Address
City..state .1�t zip�-Z9 Z`SL-2S_-_.l�ol
LOCATION OFPRO.IECT: (Address, stroct name and/or directions to site; nine of the adjacent waterbody. )
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OrLOT/PARCEL: boo—nh_ square feet acres
PROPOSED USE: Residential 0 (Single-family[] Multi family E]) CommerciaUlndustrial ❑ Other
COMPLETE EITHER (1) OR (2) BELOW (Conlaetyour Local Permit Officer if you are not sure ruhicliAEC applies
to yourpropem):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated &hove ground level, non -conditioned space elevated above ground level but
excluding non-load•boating attic space)
(2) COASTAL, SHORELINEAECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BLTI:r
UPON SURFACES: square feet (includes the area of the fourubtion of all buildings, driveways, covered decks,
concrete or masonry patios etc. that are within the applicaljle AEC Attach your calculations with the project drawing.)
STATE STORMWATER DdANAGEME PF,RMIT a the project located in an area subject to a State
Stortrwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES_ NO
Ifyes, list the total built upon areahmpeivious surface allowed for your lot or parcel: square feet.

1' ... - � ;2 • y

�("IX>E!VED
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 \Yell, Septic Tank (or other sanitary waste E P 2 4 2B24
treatment system), Building, ElectricaL Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control; Subdivision Approval; Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information. OG 14 9 W E C
STATEMENT OF OWNERSHIP:
1, the undersigned, an applicant for a LAMA minor development permit being either the owner of property in an AEC or a
ng for a C MA minor development permit, certify that the person
person authorized to act as an agent for purposes of applyi
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
✓ an owner or record title, Title is vested in name of
see Deed Book, a��r. page _k9. g0= in the 90G County Registry of Deeds.
7_14LCtZ
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 OFADJACENT RIPARIAN PROPERTY OWNERS:
1 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.
ACE NOWLEDGEMENTS:
I, the undersigned, acknowledge that the land owner i s aware that the proposed development is planned for an area which
may be susceptible to erosion and/or Mending. I acknowledge that the Local Permit Officer has explained to me the patticu-
Ior hazard problems associated with Ibis lot. This explanation was accompanied by reeornmendations concerning stabiliza-
tion and ttoodproofing 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 _ to day of ISAfir, 202-4
to act as his/her agent for pulpose of Sling a CAMA permit appucauon
As application includes: general information (thisform), a site drmving as described on the back of this application, the
ownership statement, the Ocean Hazard AFC Notice where necessary, a checkfor $100.00 made payable to the locality, and
am, information as may be provided orally, by the applicant. The details of the application as described by these sources are
incorporated without rffw ence in arty permit which may be issued. Deviation front these details will consitade a violation of
any permit. Any person developing to an AFC without permit is subject to civil, criminal and administrative action.

j-
f- ;�� i'�

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
{2.v -� �4
Name of Adjacent Riparian Property Owner
Z01lgt�cg
Mv—
Address l 1
l � Q E KL ZZm �'F %
City, State p
To Whom It May Concern:
4i-4-
Date
SEP 2 4 2024
DGM-EC
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at
in fir 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: Noah
H Gillam, Dare County, PO Box 1000, Manteo NC, 27954)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact Noah H GiH.am at [phone], or by email at: [e-mail].
Sincerely,
Property Own 's Name
Address
City
'7S'7-510 - 3<t-4 4
Telephone Number
State
•'�'I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence. n•i•7-4
Adjacent Riparian Signature Date
Print or Type Name
Telephone Number
Zip

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
Name
City, State
To Whom It May Concern:
g•A. 2.v4
Date
ti P 2 4 2024
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at
in ")2ae 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: Noah
H Gillam, Dare County, PO Box 1000, Manteo NC, 27954)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact Noah H Gillam at [phone], or by email at: [e-mail].
Sincerely,
Name
-is-( • solo - BcI4-}
Telephone Number
Address City �.1`�c� City ,T� State ►-UL
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
r + 7— j"
Adjacent Riparian Signature
Print or Type Name
Date
Telephone Number
Zip

CERTIFICATION AS TO COMPLIANCES EITHER SHOWN OR IMPLIED.
4. THIS SURVEYIS SUBJECT TO ANY FACTS THAT MAYBE
DISCLOSED BY A FULL AND ACCURATE TITLE SEAP.CN
5. T07`AL,COVERAGEAREA=2,083sq.ft (257%)
9874f7002f12
1, .L4MAEE FURR, CERTIFY THATUNDER MY
DIREC770M AND SUPERVISION THIS PLATWAS
DRAWN FROM AN ACTUALF.IELD SURVEYAS PER
RECORDED DESCRIPTIOA- NAT7WE RATIO OF
PRECISION A.S-O,4i 6UL A7F,pfS-1rr;'b;000+; THAT THIS
PLAT WAS �AREDi4A"CGOftOANCEWRH
N.C.AC. TIT,EE 21:.dkAPTD2 56,�SECT161p 16W..
w1TNESSddrffiih!DArVQSF7.G nlrs -=
DAYOF .2020
'srTE
eA Or
VICINITY MAP
NTS
55/UE5
I LIVED
SEP ? 4 2024
IDGM-EC
88
a.,je:.3 soh
2 5vr
u rv1,xar►� T*e-'Dse
'CVu : %-cclvee
5.49'
" -"- Area Not Apart of Recorded Deed
(265sq.ftJ
Felucca Inlet — (IN FEET )
CSZ Construction Inc.
sPR Lot 87, Section M
Colington Harbour
✓EF
ATLANT/C TOWNSHIP I DARE COUNTY NORTHCAROUNA
EASTERN
GEOMATICS, PLLC

DTHER 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
reatmeht system), Building, Electrical, Plumbing, Healing and Air Conditioning, Insulation and Ener Cons,
ertification, Sand Dune, Sediment Control, Subdivision Approval, Mobile home Park Approval, �b d
)thers. Check with your Local Permit Officer for more information.
SEP 2 4 2024
3TATEMENT OF OWNERSHIP:
the undersigned, an applicant for a CAMA minor development permit, being either the owner of pr�or a
Jerson authorized to act as an agent for purposes of applying for a CAMA minor development permit a erson
isted as landowner on this application has a significant interest in the real property described therein. This interest can be
iescribed as: (check one)
_an owner or record title, Title is vested in name of 56e�'C— JAw.t�
>ee Deed Bookpage 6te—t-7 in the ��� a County Registry of Deeds,
_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.
VOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
4,CTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
;1)
;2)
3)
;4)
A,CKNOWLEDGEMENTS:
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-
ar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
ion and floodproofing techniques.
furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
he Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
elated to this permit application.
This the ' day of, 20 4
andowner or person authorized to act as his/her 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
)wnership statement, the Ocean HazardAEC Notice where necessary, a check for $100.00 madepayable 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
ncorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
vrypermit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

)THER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
mnor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
reatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Enee�i6cl�[o�
ei ification, Sand Dune; Sediment Control, Subdivision Approval, Mobile Home Park Approval, nn
)thers. Check with your Local Permit Officer for more information.
SEP 2 4 2024
MTEMENT OR OWNERSHIP:
the undersigned, an applicant for a CAMA minor development permit, being either the owner of pro a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certi that tte person
isted as landowner on this application has a significant interest in the real property described therein. This interest can be
lescribed as: (check one)
an owner or record title, Title is vested in name of ��rSeS:T JAwt�
ee Deed Book 7_4e J 2 page bG+ TT in the County Registry of Deeds.
_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,
C(�7I Y 1 � [N•V Y [fa7►[�) �H+l:�i) �l�Y 1i 7i �\ /\,�i1'���11'Z�i:`I`►1�:��
furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
kCTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
1)
2)
3)
4)
1CKNOWLEDGEMENTS:
, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
nay be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
ar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
ion and floodproofing techniques.
furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
he Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
elated to this permit application.
This the day of�_, 20 24
Andowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
"his application includes: general information (this form), a site drawing as described on the back of this application, the
1wnership statement, the Ocean Hazard AEC Notice where necessary, a check for $100.00 made payable to the locality, and
my information as may be provided orally by the applicant. The details of the application as described by these sources are
ncorporated without rq} rence in any permit which may be issued. Deviation from these details will constitute a violation of
utypermit. Anyperson developing in an AEC withoutpermit is subject to civil, criminal mdadminisirative action.

VRUVYMry VD J. 4VNINv. 6 JDI DnId.J ttCWtRCMCN tJ rrtlVrt IV Z�
THE ISSUANCE OF PERMITS. SURVEYOR MAKES NO -SITE
CERTIFICATION AS TO COMPLIANCES EITHER SHOWN OR IMPLIED.
4. THIS SURVEY IS SUBJECT TO ANYFACTS THATMAYBE
DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH o.
5, TOTAL COVERAGE AREA=2.063sgR (25.5%)
VICINITY MAP
NTS
_......-..
asasai^
mad � i
0475
D
v qP24202
r
z ' y
h,l
86A / a
(P C. E. $L In) i j +2.6
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7�
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A
LEGEND w
�
p 87
A'I xC 41.
r(g�
®v4aR v�ea io N86�1,o6M .. AreaJNot Apar, of Recorded Deed
w� s Imo.
;-_-Felucca Inlet,--- (� �I
.
AIR..3,P102 987417A02112
SUR VEY FOR
9112020 I
%�O-i71iD.Q 11 CSZ Construction Inc.
r1 'JGA D� ASC /110GA/IM/1 I
I. MMI€EFURR, CERTIFY THAT UNDER MY cP�R Lot 87. Section M
DIRECTION AND SUPERVISION THISPLATWAS 5c� Colington Harbour
DRAWN FROM AN ACTUAL PI4LD SURVEYAS PER ✓EF
RECORDED DESCfitON:Y�IA.TT�IE RA710 OF
PRECISION A�LCULa,7€O/Su t.D;o00+: rHAT THIS ATLANTIC TOWNSH/P DARE COUNTY N0R7HC4R0UNA
PLAT WAS P0FRARc``0''iWACCh,r DANCEWl1:Y
N,C.A.C.TIT'E:2f„tdAPTER 56"CTI�K.7600. 158 STERN
N//TNESSG9'HANQ A{✓Li,4 eI GEOMATICS. PLLC
4
_.... DA

toc Permit Number
OceanHarrd Estuarine Shoreline : ORW Shoreline Public Trust Shoreline Other
(For official use only) ' E C E I VE D
GENERAL INFORMATION S E P 2 4 2924
LAND OWNER - MAILING ADDRESS ry^�, y- pp pp
�.J �✓ IVi -
Name ot-�� y�
Address
cityState NL Zip Phone 7�?-S1o•3q
AUTHORIZED AGENT
'1
Name J L
Address I> i
City 6.���.r,� State "C--- ZipffiS4_ Phone -V2-3 • \5 l4
Email 1� (� �'O-CAL e b v"
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: P-5 square feet acres
PROPOSED USE: Residential Single-family ❑ Multi -family ❑) Commercial/Industrial ❑ Other El
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned 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: square 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.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES NO

1
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 9- 4 • 2-=,Zjr
Name of Property Owner Applying for Permit:
Mailing Address:
�EGEiVED
S E P 2 4 2024
DGM-EC
I certify that I have authorized (agent) 1 _l . �-: :j,, Gsu-a : to act on my
behalf, for the purpose of applying for and obtaining aR LAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date) --fit. �_;g Q ?_.4.
Property
g -- -.7.024
Date

N.C. DWISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date g-J(• ?aZ �
Name of Property Owmer Applying for Permit:
Mailing Address:
RECEIVED
SEP 2 4 2024
DCM-EC
I certify that I have authorized (agent) \ 1 _ i 1 _e; t its.1-a to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 9 fxnxti r,r-7 -Wr1a.¢r 4A b,, ! x 2`�'M
at (my property located at) Z50 �M& 6A % +may] , A C- 7"1 �+�$
This certification is valid thru (date) -T�l= ag�k ?.o"
Property Ownel SiAatare Date

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
Label roads
Label highways right-of-k
_ Label local setback lines
Label any and all structure
Label adjacent waterbody
PHYSICAL CHARACTERISTICS
Dare County
Planning RI/Mainland
County of Dare
NC
252-475-5000
Welcome
Draw and label normalhii 09/03/2024 03,34PM Gerri E.
Draw location of on -site N 079038-0001 000320075
Payment Effective Date 09/03/2024
If you will be working it
MISCELLANEOUS
_Draw and la
Description; CAMA MINOR
Draw and1,
PERMIT (CAMA)
Identify an(
CAMA MINOR PERMIT (CAMA)
_ Draw andll
2025 Item; CAMA
Draw and L
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DEVELOPMENTPLANS
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CHECK
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Check NumberO12526
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Change due
NOTE TO APPLICANT
Paid by: A MORRIS CONSTRUCTION
$100.00
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$100.000
$100,00
$100.00
$100.00
$100,00
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Dare County COPY
DUPLICATE RECEIPT
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SEP 2 4 2024
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Date of Action: Issued Exempted Denied appeal Deadline (20 days from penni