2025-02 - Page, Michael and Adele

V/1M RECEIVE®
FEB 0 5 2025
DARE COUNTY 2025.02
Local Government ®\. M—Err Permit Number
CAMA
MINOR DEVELOPMENT z
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 MICHAEL & ADELE PAGE, authorizing development in the Estuarine Shoreline (AEC) at 108 KAY COURT, in
COLINGTON, DARE COUNTY, as requested in the permittee's application, dated 12-19-24, and received on 12-19-
2024. This permit, issued on 01-03-2025, 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: THE CONSTRUCTION OF A WOODEN DECK ON THE SECOND STORY OF A SINGLE-FAMILY HOME
(1) All proposed development and associated construction must be done in accordance with the permitted work plat drawings
dated received 12-19-24 [GS 113A-120]
(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 re-evaluation 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 252-475-5849 for a final inspection at
completion of work. [GS 113A•120]
(5) 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-1201
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
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
pernitwpireson: DECEMBER 31, 2028
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 hO355 in the amount of $100, was received on 01-03-25 for the
permit fee.
=*I
MORGAN POTTS
CAMA LOCAL PERMIT OFFICIAL
P.O. BOX 1000
MAC ITV _E 954
PERMITTEE

ECENED
Name: PAGE
Minor Permit # 2025.02
Date: 01.03.2025
Page 2
FEB 0 5 2025
DCIVN-EC
(6) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of NORMAL WATER LEVEL
(Estuarine Shoreline Area of Environmental Concern), in this case, 70 square feet is authorized. [0711 .0209(d)(2)]
(7) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of NORMAL WATER LEVEL. No portion
of the roof overhang shall encroach into the 30 ft. buffer. [07H .0209(d)(10)]
(8) 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)]
(9) Any proposed for 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)]
(10) This permit does not authorize development within any wetlands or open water areas. [GS 113A-120] and [07H
.0205(d)]
(11) Prior to any development, the permittee is required to contact the Local Permit Officer MORGAN POTTS 252-475-
5849 to mark the landward edge of the 30 ft. buffer. [07H .0209(d)(10)]
(12) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion. [GS 113A-1201
SIGNATURE: ! DATE:
PERMITTEE

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 andAir Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, HigREOEWED
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP: FEB 0 5 2025
1, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certiolea MMcU
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one) 1 p
man owner or record title, Title is vested in name of M
see Deed Book 7.407 page '31— in the M� a f e.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.
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)
(1) for iLay tty=,.\\ 17v"\ 14,11-L f ( 2.7gKy
(2) yagCy +1ejefIn 64anIQMv%;vt ' KO4 QoJ l &Oldc L79Y8
(3)
(4)
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.
/ This the day of �) R-C— , 20 2, t
V L-✓
Landowner 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
ownership statement, the Ocean Hazard AEC Notice where necessary, a checkfor SI00.00 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 anypermit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing in on AEC without permit is subject to civil, criminal and administrative action.

Locality Permit Number
Ocean Hazard --Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only) FEB B
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
Name I I l c Inu Q I 'd
Address
CIT
City 2v,) )` M_% State 0 (_
F,mail 1 G �ae 10 CrCtQ_ 4Q cK -%O-N .
AUTHORIZED AGENT
Name
Address
City
State
DCIVI-EC
Zip 21140 Phone % V 1— 3 U b— 3 7 6—
C b % "%
Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
10$ FG,a.k (rt Y_t\I ))aJit 14,(ti 0(- L-71Y8
re� oacml 02db70dd spz�aw%V llt% VIC
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
b vA � oA a
of p\o-t&fv-, -'t �a�J a �,tiu.y
Co. „a ('Qmr4VA a?7sff1'e-frs-V leadfI -L tirv-9
SIZE OF LOT/PARCEL: 13 2. 6 square feet acres
PROPOSED USE: Residential' (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 yourprope1 ty):
(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 SHORE NE AECs: SIZE.OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet (inJ'tdp*c 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 Mana eme ermit 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,

N.G. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
TOS-kPkt-GoIU- Crit-j#Kk \
Name o Adjacent Riparian Pr peso Ow en r
rod, r- - y c r
Address `(
y—,l\ 7vv1i pt.I�S tSL
City, State Zip
To Whom It May Concern:
�)pc<—. Ar Iq 202Y
Date
RECEIVED
FED 0 5 2025
DCM-EC
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
e t 11 yly .r� 1� Y!
tirutfi 101.X-7 ,josy 14ta�i`r1/J'� v.d-aU w '1� Rx(;t1"5J4iK -6
on my property at aYJC ?,79 f2?
in ex Q 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: noah.gillam®darene.com.
Sincerely,
(\%(..at 1 t'Pt JR\4- pt
Property Owner's Name d
01 -3 06 -3'7bz
Telephone Number
Address City State Zip
it I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
JAdjacent Riparian S a r
12-19 � Z`f
Date
err I�G1.01JO A,I't q 305,-6 D
Print or Type tame Telephone Number
( t-
1�-d) dvvtr )4kilZ 0 (, 2,-79
Address
City
State
Zip

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
at,
itr4ab(.,4L Q N I �olasV-
Name of Adjacent Riparian Property Owner
l 0 S Kay C'"T
Address
k4t\� >Dv,1 N.(Is use z,S t�
City, State Zip
To Whom It May Concern:
12-)01-2Y
Date
RECEIVED
FEB 0 5 2025
DCM-EC
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
L ovi St r"et a- l0'x 7'wueN O,a'�0(n . a�a C',, tto AV
on my property at I o$ kAY- GT Ki1k D9Ji I 1� i11) C L75 13
in 1 a (R 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,
M.l A142'
Property Owner's Name
Address
city
Tar-30b-37;L--
Telephone Number
state
I have no objection to the project described in this correspondence.
I have objections) tithe project described in this correspondence.
Print or pe Name
Ci
2-1
Date
Zip
(oo! -IXY-6­5G�-
` t t �Telephone Number
N
L 1-7
Address City State Zip
-..__J l.A..' 11

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L am MILLER, JR., Pa CERnFY NEAT DI/S PLAT WAS DRANK UNDER MY SUPERWSIOW FROM AN ACIUAL
5URYEY MADE UNDER MY SUPERN.90/ FROM O.O. 1609. PG Ji. DIAT DIE BOUNDARIES NOT SURI£Y£D ARE
SHOW AS BASHED LINES AND ARE CLEARLY INDICAIED AS ORANN FROM NFORMABOY FOUND IN (SEE
AMACNAL REFERENCES IN NOICS),• RIAr DIE RABO OF PRECISION OR POSIAO/AL ACCURACY AS
CACCULAIED IS /.•1QOD0+; MAT DIE GLOBAL POSInONING S)9T£M (6P5) SURDEY AND nor FOLLOWING
NFORMA nOv WAS USED 70 PERFORM NE CUSS (DUAL CCWSIRLAW05) SL/ Wr.
I) CLASS OF SURI•£k` CLASS A 2) P05117OYAL ACCURACY.• 2-CFTII/ME/ERS 3) TYPE OF CPS FIELD
PROCEDURE'' 777K: 4.) DALE OF 5URWY.IZ024-12-/7. 5.) OAIUM /EPOCH' NO ARID - NAD BJ(20111
EPOCH 2O10, 6.) PU8USHED / FIXED COYTRIX USE.' 'WS : 7..) CEOO MODEL: CLOD '118. B) CO.MONED
FACTLYC099996715 9.) UW75t US SURLEYtACA�o�4L,•14
• DIAT LHIS PUT WAS PREPARED IN ACCORDANCE NON
OS I7-JO AS AMENDED.
���[SX FESS%a •2
L RC MILLER, L D ALSO ES NOT INAT IH£ SURREY IS r AN E,Y/SONC •L �ty�
PARCEL Or LAND AND OCYS N07 ON£A1F A N£W SHEET
OR CHANCE AN EX/SRNC SIREEf.
1WIN£SS MY ORIGINAL 57GNA7UR£, RED NUMBER, AND SEAL y L /�y
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/MMtt uILLi?,- -'Ixl
• misswNO wAs PeCTtAMEEAWSrmpITSREEamenr eOnuc REPORT
,
£Nalunk NC£S DIAT AFr£Cr N£ PROcL'R7Y.
• IN/S PROPERTY IS SUFXCT 70 ALL SETBACK AND EASEMENT
517E DATA:
REOU/REMEHIS SET TOWN BY DARE' COUNTY ZONNG ORDINANCE AND
}JRRENT ONNEHfSk
ANY COTENANT OF RECORD. SITE /S ZONEO R-4. BUILDINO SETBACKS
M/CNAFL AXN PAGE,
PER ORDNANCE.• MONT - 60 fr.(P£R PLAT), .9DE - B FT., REAR -
ADE[£ AWLEY PALS'
CAMA RESNICIED(JO)
108 KAY CENURT,
• BASED UPON GRAPHIC PLOTTING OR Y, THE PROPERTY DFUNEA LED ON
KILL DEWL HILLS, NO 27948
INNS PLAT DOS APPEAR TO BE L0CA7E0 WININ A FERIA /OENDRED
SPECIAL ROOD HAZARD AREA ACCORO/NC TO FARM FOR DARE COUNTY
.97E ADDRESS'
MAP NUMBER J71098640W, CYAMMUWrY /0 NO. J75J48, PILL 9864,
108 KAY COW
DANO &7WHWE 611.912020. NE PROPERTY IRS ill N SHADED X"
KILL DEWL Rita NO 17948
AREAS OF 02X ANNUAL CHANCE ROQO',AND ZONE ;IL'IELEVATIOY 4.0)
'AREAS SUO.•ECT TO /NUNDA ROW BY NE 1X ANNUAL ANCE FLOOD'
PARCEL 10 NO.' 020070000
AS DERVED THEREIN BASE ROOD /NFORMA 17OY WAS OBTAINED FROM NE
FLOOD RISK AYFORMABOY SYSTEM %/Tn?•//fR/SNC GOV/FN/S" DELEMBL'R
RERRENOE'(S),,
17, 7024.
GELD 80OL 1609, PAGE JL
• AREA BY COORONAIE MENCD ALL DISTANCES HORIZONTAL GROUND.
MAP BOOK A PACE 29
• N/S SWWY /S BASED BY FWNO MCWUMENTA n0N AS SHORN HEREON.
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SITE DATA.'
MINIMUM OOLONG SETBACKS ®�
FRONT - 25 Fr.,
SIDE - 8 FT,
REAR - X.16 FL (MNIMUM REAR YARD:
10X O'" LOT DEPBI.)
WrARFA• 4J16 SOFT. +-
LOT COW"RALE_•
HWSE/DECKS/STAIRS F007PRIMT
1,482 $0, IT.
CNAYC, GRIPE R WALK = 1,507 50. Fr.
SHED = M5 $0. Fr.
TOTAL IMPERWOUS = J,2114 SO FT.
(J7.4X OF LOT)
MAARMUM ALLOWABLE LOT COWRACE 8Y
PRINCIPAL ALL AC/' cSORY
S)RUCRIRFS AND ANY SLIRFALE
1ALPFRVOU.5 TO WADER.• JOX
' CAMA LOT COVERAGES
75' AEC = 4,855 SOFT.
Q0 '} BUKONP k DECKS - 1,275 SOT
caveffIr - 4J4 Safr.
F� SHED - 125 SOFT
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13550* PLAT
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2025
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RECEIVED
County of Dare
PO Box 669
Manteo NC 27954
Parcel: 020070000
Owner Name:
Owner Address:
Location:
Subdivision:
1. Issued
FEB B 5 1015
S1,3-29189
DARE COUNTY DEPARTMENT OF PUBLIC HEALTH
Authorization for Wastewater System Construction
PIN:985420805155
MICHAELJOHN PAGE Permit Date:
108 KAY CT
KILL DEVIL HILLS, NC 27948
Phone: [phone]
Permit:S13-29189
11/19/2024
108 KAY CT — CO LINGTON
COLINGTON HARBOR SEC 0 LOT: 96 BLK: SEC: 0
Jim
2. Any alteration irJ�Pc`onditIons (including location of structures and appurtenances) or modification In use, design
wastewater flow or wastewater characteristics as specified in the associated Improvement permit and application,
may subject this authorization and associated permit(s) to revocation,
3. Comments:
Existing system approval - permit to Install 10'x7' platform for hot tub as shown on stamped plan. Existing
system'remains sized at 480gpd.
This CA is valid as tong as the IP remains valid (SL 2014-120).
Disclaimer: This permit does not relieve you of the responsibility to obtain any other necessary Federal, State or Local
permit(s).
Owner Certification
K� / 1-/ %- L
Applicant or Owner Signature pate
Applicant: MICHAEL JOHN PAGE
Application Reference# 16971

Dare County Department of Health & Human Services
PO Box 669 Manteo, NC 27954
dareehreq uests (ri�darenc.gov
252-475-5080 Addition/Change of Use
New System 0 0
FEES: (Residential $150.00 - Commercial S400.00) (Residential $125 - Commercial $125)
Repair of Exis�thng Sysf I VE
FEB 0 5 2025
(S25 )edate 71fli0
PLEASE ALLOW SEVEN WORKING DAYS TO PROr'ESS T1419 APPr.ICATTON
QCM-EC
NORTH CAROLINA DEPARTMENT
OI'' F1dVIRONRdEhrfA1
AND NATURAL RESOURCES
fhe undersigned person hereby agrees that "I have road this application and certify that the information
provided herein is true, complete and correct. Authorized county and slate officials are granted right or
ntryto conduct necessary inspections to determine compliance with applicable lags and rules. I understand
that I am solely responsible for the proper identification and labeling of all property lines and comers and
Division of Environmental Health
On -Site Wastewater Section
ngilring ffic, 0,.., "Wildad "
PIN NUMBER: Residence: 1 r 1 Business:
Please indicate method of receiving response:
© mail
© Fax R
❑✓ F:-Mail �ichaelpagc4@)gmail.com
No. of Occupants: 2 No. of Employees:
PARCEL NUMBER:
02007000 TYPE OF BUSINESS:
APPLICANT NAME AND ADDRESS:
IF RESTAURANT, NUMBER OF SEA IS:
Michael Page
CURRENT OR PROPOSED SQUARE FOOTAGE OF RESIDENCE OR BUILDING:
108 Kay Ct
PROPOSED WASTEWATER SYSTEM TYPE:
CURRENT OR PROPOSED 4 UURENT OR PROPOSED
NUMBER OF BEDROOMS: FLEEPING CAPACITY:
Kill Devil Hills, NC 27948
APPLICANT PHONE:
701-306-3762WATERPublic
✓ Private r7l Well
It: ANY OF THE FOLLOWING ARE LOCATED ON THE PROPERTY, SHOW ON THE PLAT
OWNER NAME AND ADDRESS:
Michael & Adele Page
DESCRIPTION YES NO
Will a grinder pump or sewage lift pump be used at
die dwelling or facility?
❑
lots Kay Cr
Kill Devil Hilts, NC 27948
Is this property subject to approval by otter public
agencies (effective 31112008)
❑
❑✓
Is or will any other Wastewater be discharged other
than domestic sewage?
❑
21
OWNER PHONE:[phone]
Easements of rights -of -way
❑
0
LOCATION OF PROPERTY:
108 Kay Ct
Existing wastewater system, well, or water line (it so,
please circle mid check)
❑
SUBDIVISION:
Designated Wetlands
❑
21
Colington
If a REPAIR, please state nature of problem:
LOT, BLOCK, SECT, and PHASE:
0,96,0
If a CHANGE OF USE or ADDITION, please state change:
DEED DATE:
DEED BK/PG:
Add 70sf platform to support hot tub
*YOU MUST SUBMIT A PLAT OF YOUR PROPERTY WITH THIS APPLICATION. Please show the location of the
residence or building, Water supply, including decks, porches, an any other improvements such as pools, driveways, and other
Structures on the plat.
*An Improvement Permit (IP) issued pursuant to dus application is not affected by change m ownersbip provided tlne site and
wastewater characteristics remain unchanged. An IP issued with a plat is valid wit101 expiration. An IP issued with a site plan
is valid for 60 months.
*The undersigned person hereby agrees that he/she has read this application. It is understood that any permits issued hereafter
are subject to suspension or revocation if die site plans or the intended use change or if information submitted in this application
is falsified or changed. The owner's agent must provide Written documentation of representation.
LOT MUST BE CLEARLY MARKED
No. of Attachunents:
WITH LOT # and OWNER'S NAME
OWNER OR OWNER'S AGENT
DATE: f L / I-, —If

County of Dare
Department of Health & Human Services
P.O. Box 669 1 Manteo, North Carolina 27954
Health 252.475.5003 1 Social Services 252.475.5500
ACKNOWLEGEMENT FORM
RECEIVED
FED0 5 2015
DCM-EC
Be advised -once you sign and submit this application it cannot be changed to another
type of project. All fees collected this far will not be refunded and the process will begin
anew. Should the proposed project be abandoned or no longer pursued, any fees
collected will not be refunded. Please ensure the application is complete and accurately
reflects your desired construction project.
Applicant:�--
Date: l ! - 1 3 - 2. y
Land of Beginnings

RECPE- IVED
This Is 108 Kay Ct, Kitt Devil Hills NC 27948 FEB 0 5 2025
Subdlvlsion Cotington; parcel02007000; section O; lot 96; block 0
Owners Michael & Adele Page D C CC
Plan Is to build a freestanding reinforced platform adjacent to existing deck to support a hot
tub atthe location shown In yellow. Existing deck is 10' deep. Platform Is 10, X 7' (70 sf).
Distance to the bulkhead is 32. Distance to the property line Is M
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SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following inform'Vion required for a CAMA minor development permit.
The Local Permit Officer will help you, if requested.
PHYSICAL
Label roads
Label highways right-of-ways
Label local setback lines
Label any and all structures and driveways currently existing on property
Label adjacent waterbody
PHYSICAL CHARACTERISTICS
Draw and label normal high water line (contact LPO for assistance)
Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
',, Draw and label dune ridges (include spot elevations)
RECEIVED
and label toe of dunes
fy and locate first line of stable vegetation (contact LPO for assistance)
and label erosion setback line (contact LPO for assistance)
and label topographical features (optional)
If you will be wokking in a coastal shoreline area:
the roof overhang as a dotted line around the structure
and label landward limit ofAEC
Draw and label all wetland lines (contact LPO for assistance)
Draw and label the 30-foot buffer line
Draw and label all proposed structures
Draw and label areas that will be disturbed and/or landscaped
Note size of piling and depth to be placed in ground
_ Draw and label all areas to be paved or graveled
Show all areas to be disturbed
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?.
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
FEB 0 5 2025
N_JlsM—E`/