01-25 PERQ - Perry McMillion Custom Homes

Perouimans Countv 01-25 PERQ
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
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.
Issued to Shirly Liverman, authorizing development in the Estuarine Shoreline (AEC) at lot #44 on Killdeer Court, in T
Shores at Lands End Subdivision, in Hertford, as requested in the permittee's application, dated December 11, 2024,
received an December 19, 2024 and received complete on December 19, 2024. This permit, issued on January 14
2025, 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: Grading of the lot.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on December 19, 2024. [GS 113A-1201
(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-1201
(3) Any change or changes in the plans for development, construction, or land use activities will require a reevaluation 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 252-264-3901 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 qualited persons
within twenty (20) days of the issuing data. 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 penrut it is agreed that this project is consistent with the local Land
Use Wan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal
Management
Check # 2862 in the amount of $100, was received on 12/19/2025 for
the permit fee.
Cynthia Rountree
Field Representative
401 South Griffin St., Suite 300
Elizabeth City, NC 27909
PERMITTEE
(Signature required ff conditions above apply to permit)

Name: Shirley Liverman
Minor Permit # 1.25 PERQ
Date: January14, 2025
Page 2
(5) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by
effective sedimentation and erosion control measures. Ptiorto any land -disturbing activities, a bamer line of
finer 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 properly stabilized with a vegetative cover. [071-1 .0209(d)(3))
(6) All development shall comply with the following mandatory standards of the North Carolina Sedimentation
Pollution Control Act of 1973: [07H .0209(d)(3)]
(7) This permit does not authorize development within any wetland or open water areas. [GS 113A-1201 and [07H
.0205(d)]
SIGNATURE: /I -�-e4 DATE:
PERMITTEE

Locality
Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
W, Z,
Address
Public Trust Shoreline Other
(For official 'q'd)ut E I V E D
✓1
DEC 19 2024
City �� State VA Zip Phone C�� %� ��� grii
Email
AUTHORIZED AGENT
Name AbAA� A4/I o//
Address 101 Fa.`�►, }ir
City �ed4zm State IV_G Zip1,7fYq Phone _ -25a-NO-5263
Email
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: square feet { . I acres
PROPOSED USE: Residential (Single-family [� Multi-familyE] ) 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: 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 Manage ent Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

OTHER 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
treatment system), Building, Electrical, Plumbing, Heating and Air Conditions I i d Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Ho 1 way Connection, and
others. Check with your Local Permit Officer for more information.
DEC 19 2024
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being eitl veoperty in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor d thrAffit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
Gan owner or record title, Title is vested in name of
see Deed Book page in
"tan owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in
County Registry of Deeds.
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 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.
(Name) (Address)
ACKNOWLEDGEMENTS:
I, 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-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion 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.
Landowner or
This the %Lday of�, 20p+ —
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
ownership 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
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
anypermit. Anyperson developing in an AEC withoutpermit is subject to civil, criminal and administrative action.

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: 9� I YI tl W,
Mailing address:
`J
Telephone Number: L 959) b I — e,617
I certify that I have authorized AL7 4(4 SSe-)j (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
at my property located at
NC Am94
This certification is valid through
(Property Owner Information)
L
�h: �'IQ✓ W, L; ✓ r-man
Printr Type Name
Title, co<!2En:�W or trustee for property
Date
N5�7)
Telephone Number
W/, ✓zlrvlG� ®�»�41 �,
Email Address
RECEIVED
DEC 19 W
DCM-EC
(date).

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120. Gross Amount Due ben BorroAer
j 110,679,68
420, Gress Amount Duo to Seller
109,152.78
200. Amovas Paid min Beholf of Borrower
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Page 1 of 3
HUD-1
(LIVERMAN, SHIRLEY 17571.PF0l1757119)

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
zRtu ? PMAt e,
Name of Ad' ent Riparian Propepy Owner
1 Z(p i LL M Z C`Y ,
Address
TJr er S'b
Crty, State Zip
To Whom It May Concern:
REGEtiVED
DEC 19 94
Date
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 J./17L #�k T/12 d`hv rL S a f h-q",d 5 E-n mot'
in �f! k O a3L1 A sZS, 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: NC
Division of Coastal Management (DCM) at 401 S. Griffin St., Ste 300, Elizabeth City, NC 27909.
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact DCM staff at 252-264-3901.
Sincerely,
Prop net' Name
Address
City
( �5%%Z6,zzl- ow/7-
Telephone Number
State
C 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 Type Name
Address City
,Z-/glZ0Zg
Date
LZ5A Z(1(o 301
Telephone Number
State
Zip
Zip
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
beCrmL�l/, 2U2-
Date '
RECEIVE
Name of Adjacent Ripparian Property Owner
/! �/ J�//ldee r CvUrf DEC i 9 2p24
Address1 r t _ / c/V
City, State Zip IDCM—EC
To Whom It May Concern:
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 Lp-f / , — &d
in ; yYtC/n5 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: NC
Division of Coastal Management (DCM) at 401 S. Griffin St., Ste 300, Elizabeth City, NC 27909.
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact DCM staff at 252-264-3901.
Sincerely,
Address
City
� a7 LI'41-kju
elephone Number
State
Zip
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
LJ, /t9 �r���u l l� z L!
Adjacent Riparian Signature Date
Joy') &�. 31-0C)"J ; �r- (- ) 86 a-sss�
Print or Type Name Telephone Number
1/de- ey- x ✓}ay+Crwo� AJG o?o)94*
Address City State Zip
Revised July 2021

RECEIVED
�iv� 5��� �GJcc'k'rs else
u (J Ex si-,3 %.,e u6rt
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�(cterj a,, Shret -`^e
[DEC 19 2024
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William H. Morgan, Jr.
Attorney at Law
410 East Main Street
Elizabeth City, NC 27909
Reference No. 17571
P: [phone]
F: [phone]
December 9, 2024
File No. 240BX06257
Owner: Shirley W. Liverman
Property: Lot #44, Kiideer Court, Hertford, NC 27944
Attorneys Title
119 W. Wood Hill Drive, Suite 8
Nags Head, NC 27959
Phone: [phone]
Fax: [phone]
Email: [e-mail]
State License ID: NC-1000145144
Shirley W. Liverman
210 King Charles Court
Suffolk, VA 23435
RECEIVED
DEC 19 2024
DCM-EC
Amount Due: $0.00
Owner Coverage: $109,000.00
Feel free to contact Kay Holt ([e-mail]) should you have any questions or concerns. We
appreciate your business. We value your loyalty. Connect to the Source.
9
AttorneysTitle.com
Attorneys Title
240BX06257