9-24 PERQ - Emmons, Shean and Kerry

Perauimans County 9.24 PERQ
Local Government Permit Number
CAMAtz
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MINOR DEVELOPMENT
PERMIT
a authorized by the 5tate 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 1d3A-118 of the General Statutes.
Issued to Shean & Kerry Emmons, authorizing development in the Estuarine Shoreline (AEC) at 507 Winslow Rc
Carolina Shore Subdivision, in Hertford, as requested in the pennittee's application, November 28, 2024, receivec
December 2, 2024 and received complete on December 13, 2024. This permit, issued on December 19. 202�
subject to compliance with the application and site drawing (where consistent with the permit), all applicable regulati
and special conditions and notes set forth below. Any violation of these terms may subject permittee to a f
imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes, Construction of Single Family Residence.
(1) All proposed development and associated construction must be done in accordance with the permitted work
drawings(s) dated received on December 2, 2024. (GS 113A-1201
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulati
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 reevaluation
modification of this permit. (GS 113A-1201
(4) A copy of this permit shall be posted or available on site. Contact this office at 252-264-3901 for a final inspectic
completion of work. (GS 113111201
(Additional Permit Conditions on Page 2)
This pemat action may be appealed by the pamiftee or a0w qualified persons
within twenty (20) ctys of the issung date This permit must be on the project
site and accessible to the permit officer when the project is irspected for
compliance. Any maintenance work ar project modkellon not covered under
this permit "Ire further written permit approval. All work must cease when this
permhe)pneson. DECEMBER 31, 2027
In+caring this perrml it s agreed that tors project is consistent veth the local Land
Use Plan and all applicable ordinances. This permit may not be tawerred b
another pang without the written approval of the Division of Coastal
Management
Check #1633, in the amount of $1CO3 was received on 12N212024 for
the permit fee.
Cynthia Rountree
Field Representative
401 South Griffin St., Suite 3
�Ef e i .IBC 9
PERMITTEE
ISinnahhm r idntl if mncfdnns ahrw -rimy in na

Name: Shean & Kerry Emmons
Minor Permit # 9.24 PERQ
Date: December 19, 2024
Page 2
(5) Ail unconsolidated material resulting from associated grading and landscaping shall be retained on ste 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 wetland or open water areas.
until such time as the area has been property stabilized with a vegetative cover. 107H .0209(d)(3)]
(6) The amount of impervious surface Shall not exceed 30%of the lot area within 75 feet of Normal Water Level,
in this case, 1,505 square feet is authorized. (07H .0209(d)(2)]
(7) All development shall comply with the following mandatory standards of the North Carolina Sedimentation
Pollution Control Act of 1973: (07H .0209(d)(3)]
(8) This permit does not authorize development within any wetland or open water areas. (GS 113A-1201 and [07H
.0205(d)]
SIGNATURE: .
TU - DAT E
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LOT 2J — CAROLINA SHORES SUBDIOSION Heldord, NC 27944
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Coastal Shoreline AECs footprints
Home
Front Porch
Existing Shed
Gravel Driveway
Total Sq Ft.
31.5'. x 44' =1,386 sq ft
6'x16'=96sgft
16'x18'=288sgft
9'x68.25'=614.25sgft
2,384.25 sq ft.
EcEIV ED
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or NAND DELIVERED
Pate
Name of Adjacent per an P terty Owner
s�� u,•�s�, n, RECEIVES:)
Address
DEC 1 1 2024
.It, State; Zip
To Whom It May Concern: D C n /t _ E C
This correspondence is to notifi, you as a riparian property owner that I am applying for a CAMA Minor permit to
Gt.,1 e4 new hu6,✓
on my property at
in Q_rLr��,•.1c.,.
County. which is adjacent to your property. A copy of the application and project
drawing is attachedlenclosed for your review.
If You have no objections to the proposed activity, pieasc mark the appropriate statement below and return to me as soot
as possible. If no comments are received within 10 days of receipt of this notice_. it will be considered that you have no
wmments or objections regarding this project.
If you have objections or comments. please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER. NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY. STATE, ZIP COD
If you have any questions about the project please do not hesitate to contact me at my address/number listed below.. or
contact (LOCAL PERM11' OFFICER) at (PHONE. NUMBER), or by email at: (LPO EMAIL).
Sine rely.
Property Owner's Name Telephone Number
.Address
City
Sate
tl-' I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
4djacent Riparian Signature Date
Print or Type Name Telephone Number
R,.,
City
State
Zip
Zip
v6"oe"'I f,h, 71

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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
Date
f�Vto{ L�a,r�c�.1
Name of Adjacent 'an Pr erty Owner
/ISIUW I«
Address /
City., State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that 1 am applying for a CAMA Minor permit to
GL� l c, hew 'IlGt-�
on my property at
in Ye(ep.*,y C..ri County, which is adjacent to your property. A copy of the application and project
--
drawing is attachedlenclosed 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:
(LOCAL PERMIT OFFICER. NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER). or by email at: (LPO EMAIL).
Sincerely.
7S7- 7/7• Y9 J 1
Property Owner's Name Telephone Number
Address
City
State
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature
Print or Typc Name
Date
Telephone Number
Zip
RECEIVEC
0 E C 0 2 2024
Address City State Zip
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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
_oQ
Date
RECName oitAdjaceotRiparian Property owner E' \ WPD
Address
�15,
tateDEC 13 2024
2ip
To Whom It May Concern:
DpC
This correspondence is to notify YOU as a riparian propem- ovmer that I am applying for a LAMA Mmor permit to
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on my property at � 7 t � 1111t1 t�1 . •. � v_., _ _..
toa U. YW IS County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for you r 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 ate 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_ pieasc mark the appropriate sraiemcntbelow and send .our correspondence to:
(LOCAL PERMIT. OFFICER_ NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CfTY, STATE,-7 CO1)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below. or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at. (LPOEMAIL).
Sineerely,
Property Owner's Name
—Z7- -t 7- Fs% /
Telephone Number
Address City State Zip
__. Xhave no objection to the project described in this correspondence.
_ I have objcction(s) to the project described in this correspondence.
Adjacent Riparian Signanrn; - Date
Print or Type Name Telephone Numbcr
Address 3513 &uc PlAP,,H crR City VA .TRFaGH state vA zip -A315Z
RPVKP!{ l.ihi 20? r

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
Surflhym
Name o Adjacent Riparian Property Owner
,51 �M2e r�lc�ll rn C; l
Address
jki I
City, State Zip
To Whom It May Concern:
1►-a� a��
Date
This correspondence is to notify you as a riparian property owner that 1 am applying for a CAMA Minor perm it to
l2 %/&A' r- r. �ACk e_
on my property at S67 r Q- rSlbtA.> RG( .
in Qerq..County, which is adjacent to your property. A cop} 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 soo
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:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT. MAILING ADDRESS CITY. STATE. ZIP COD
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Owner'sNa—inc
Address
City
A7- 7/ 7- Ff77a 1
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,
Adjacent Riparian Signature
Zip
RECEIVE:
DEC 0 2 2024
Date ®CM -EC
Print or Type Name Telephone Number
Address
City
State
Zip
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Alternative
26387 IMPROVEMENT 06/12/03 D07EA023 PERQUINAN5
GREGORY, LEE GREGORY, LEE
PO BOX 493 PO BOX 493
CAMDEN, NC 27921 CANDEN, NC 27921
335-7510 335-7510
LOT 23 CAROLINA SHORES — I) !jIe) `,I R oaj
150.00 PUBLIC PRIVATE
Bill 44613
This permit is NOT to be used for installation unless accompanied by a valid
Authorization for Wastewater System Construction. y1�h0 V"Ig SO
# Bedrms 3
Size Tank 1�0.0(0
Backfill 1 It
Disposal 0
Line Len 3�)
/Ass on
sa,, e cp �Le
cw�f 4o4l7ecf
b� sew> Gijs ,
a s sti awN
# People 4 Type Bld R
# lines 6 Width Sot 3
er�� rent 3,04,4oa,
aw eg/h�
w,f
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S'trea¢-
Date Issued: 08/15/03 Sanitarian: JONATBAN R MORGAN
Date Approved ft;HE-�Ce Signature
peration Permit
RECEIVED
DEC 0 2 2024
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THE AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (CONSTRUCTION AUTHORIZATION) SHALL
BE VALID FOR A PERIOD OF 60 MONTHS AFTER THE DATE OF ISSUANCE.
The issuance of the Improvement Permit or Construction Authorization in no way guarantees the issuance of other focal, state or federal
permits.
Wastewater systems and water supplies shall meet state and/or local regulations.
NO CHANGES IN THIS DOCUMENT ARE ALLOWED UNLESS PRIOR APPROVAL IS OBTAINED FROM THE HEALTH
DEPARTMENT. IF THE INFORMATION SUBMITTED IN THE APPLICATION FOR THE IMPROVEMENT PERMIT OR
CONSTRUCTION AUTHORIZATION IS FOUND TO BE INCORRECT, CHANGED, OR IF THE SITE IS ALTERED, THE
IMPROVEMENT PERMIT OR CONSTRUCTION AUTHORIZATION SHALL BECOME INVALID AND MAY BE SUSPENDED OR
REVOKED.
When contacting the Environmental Health office concerning this document, be sure to know the application number. The number must be
used in all inquiries and inspection requests.
The Environmental Health Staff can be located at the following telephone numbers between 8:00 a.trL and 8:30 am., Monday through
Friday, except holidays. The office telephone numbers are:
Camden ........................ [phone]
Chowan ........................[phone]
Currituck .......................[phone]
Pasquotank ....................(252)
338-4490
Perquimans ....................(252)
426-2100
Bettie...........................(252)
794-5303
Gates...........................(252)
357-1380
Wastewater system installers are responsible for notifying the Environmental Health offices for final inspections. Wastewater systems must
be inspected and approved by a representative of the Environmental Health staff before any portion of the installation is covered and/or used.
ISSUANCE OF AN OPERATIONS PERMIT SHALL INDICATE THE WASTEWATER SYSTEM HAS BEEN CONSTRUCTED TO
THE STANDARDS SET FORTH IN THE REGULATIONS, BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
Wastewater systems shall be operated and maintained in such a manner as to not create a public health hazard. Septic tanks should be
pumped out every 3 to 5 years by a permitted pumper. Please conserve water!
Minimum Distances*
Ground Absorption Wastewater Systems to:
Private Wells to:
1. Private water supply sources
100,
1. Wastewater systems too,
2. Public water supply sources
100,
2. Building foundations 25'
3. Coastal waters (mean high water mark)
50'
3. Surface waters 50'
4. Streams, canals, marshes, or
4. Property lines to,
other surface waters
50'
5. Lakes and ponds
50,
*Variances can be given on some distances;
6. Groundwater lowering ditches and
please call the Environmental Health office
devices
25'
if you feel a variance is necessary.
7. Embankments or cuts
15'
8. Swimming pools
15,
9. Property Lines
10,
to. Water lines
10,
it. Building foundations
5'
Septic tanks, nitrification fields, and repair areas shall not be located under paved areas or areas subject to vehicular traffic.
RECEIVE®
DEC 0 2 20A
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Septic system Contractor s GvtA S Septic Tank Serial J s� a,:),9
Gallons % r%bil Date of Manufacture _ a3 San4tar7
Approved Pipe from Tank to Nitrification Lines ✓ . Baffle
Distribution Box Outlets Level¢e,� G�%d
Nitrification Lines 1 2 3 5 6 7 8 g lO
Grade
Length 3el
'width—
Rockv—
Pipe -� ✓ i —
Depth from original
surface to nitrification
line
god1fications
Shallow Placement
Drainage
Grease Trap
Pump Tank
Changes in Layout to be Sketched Belov;
Remarks
WIN
Date Environmental Health Specialist
.RECEIVE®
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