Loading...
HomeMy WebLinkAbout2025-10 - Scott James and JL Morris ConstructionDare 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 (252) 475-5849, or by email at: noah.gillam@darenc.com. 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 (252) 475-5849, or by email at: noah.gillam@darenc.com. 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 o � ' t �?S'aa' On e=^cbcve 7� 1l 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 1 @ $100.00 CAMA MINOR PERMIT If you will be working i (CAMA) Show ther, 010000-110000- Draw and, 103560-430030- Draw and Draw and DEVELOPMENTPLANS Draw and label all propc Subtotal Total Draw and label areas tha Note size of piling and d CHECK Draw and label all areas Check NumberO12526 Show all areas to be disc Show landscaping Change due NOTE TO APPLICANT Paid by: A MORRIS CONSTRUCTION $100.00 $100,00D $100.000 $100,00 $100.00 $100.00 $100,00 ,/� xYwygp_vwm t�ll1 www i A Thank you for your payment Dare County COPY DUPLICATE RECEIPT � .F("'#L VED SEP 2 4 2024 JC M-EC for assistance) e) ty owner) Date of Action: Issued Exempted Denied appeal Deadline (20 days from penni