53362_BUNN, FRED_20090327

CAMA / ❑ DREDGE & FILL
GENERAL PERMIT �
❑New' ❑Modification ❑Complete Reissue El Partial Reissue
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources /
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Q Rules attached.
Applicant Name [ -� �i i[ r j ,! :Tt %t' �•t s1[ tt i ��
"1
Address jh . (,
' J City ^� �'� r .i'"7 . � ' � '�� Stater;,- ZIP
Phone # ( ) Fax # (�)
Authorized Agent;_( 7.../-
Affected ❑ CW ❑ EW [EFTA ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH D UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City t; ZIP i
t;'
Phone # River Basin
Adj. Wtr. Body t/r`-, (nat /man /rankn
Closest Maj. Wtr. Body !.
Type of Project/ Activity
(Scale:;``
-
-
Pier (dock) lenngth
Platform(s) 6- )k I
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
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Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no - -
Photos: yes no -_
Waiver Attached: yes no i
A building permit may brequired : ❑ See note on back regarding River Basin rules.
Ye re 9 b Y
Notes/ Special Conditions
J4 f:i.'. l !�� RL �/!/I -L' Fes' f
Agent or Applicant Printed Name l �F /—
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check#
PermitOfficer's Signature
~' ,l �f .c'
Issuing Date xpiration date
Local P annngjurisdiction over File ar-e

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

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January 3, 2009
To Whom it May Concern:
As the adjacent property owner to Triple Ess Marina Village, I have no objection to the
construction of a deck and a dock located on lot 102 at Triple Ess Marina Village.
Randy Hondros
127 is
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NC 28512
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JRN
cnn PERMIT
APPLICATION FOR
CAMAMINOR
DEVELOPMENT
In 1974, the North Carolina General Assembly passed the Coastal Area
Management Act 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
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.
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 listing is included
40 on page 2 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

Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Pub
(For official use only)
GENERAL INFORMATION
JAN a9 2009
LAND OWNER Moffa ttsoo Q!ty prim
Name >FAr-O :J p-t�L_e S ry\A-f-iN(
Address P:� f�©)( la 10 1 `5 i ( C- . Fay— MA«.N 1 it
City ltrL-�, te- C� Lr-C i4 Stale ti �L Zip c 5 1 phonc �-� ,� � �i 7 - q? -3 3
AUTHORIZED AGENT
Name
Address 7t 5 7-
�!�r
City /,(, ��j� 7` State , t Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) /0 oL %RED 4 S-', Tt21 pj_& S M RR&iA'
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) .% O Y
xf A wtt r rl_Z
SIZE OF LOT/PARCEL:
square feet
PROPOSED USE: Residential _k_' (Single-family
Other
acres
Multi -family ) Commercial/Industrial
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON-
MENTAL CONCERN (AEC):
square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC):
square feet
(Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc., that are within the applicable AEC. Attach your calculations with the project drawing .)
Choose the AEC area that applies to your property:
(1) within 75 feet of Normal High Water/Normal Water Level for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water/ Normal Water Level for the Estuarine Shoreline AEC, adjacent to
Outstanding Resource Waters
(3) within 30 feet of Normal High Water/ Normal Water Level for the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality?
YES NO v
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 develop-
ment permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list
with your LPO to determine if any of these apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste
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.
STATEMENT OF OWNERSHIP:
I, 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, 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)
,/ an owner or record title, Title is vested in T&IPLC- S Mo kjN A , see Deed Book (O 0 U
page -30 in the C ATr=.,kL—r County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County. 410
n nI A 9 4009.
if other interest, such as written contract or lease, explain below or use a separate sheet & attacl�►[tI this application.
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NOTIFICATION OF ADJACENT 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)�1�Ni>i 40mbRAs �� � �Z_L" , .fv.C. 1� r2-
(2) RA. Rya 11 + 3 E , Q,--T /Ig-+-Neartc- 866a.- t'l C - -2 2 -11 r
(3) O
(4) Y
r
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 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 particular hazard problems
associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing
techniques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable 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 any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
This the gday of 14� , 20 Q T_
Landowner or person authorized to adYas his agent for purpose of filing a CAMA permit application.

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-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)
Draw and label toe of dunes
Identify and locate first line of stable vegetation (contact LPO for assistance)
Draw and label erosion setback line (contact LPO for assistance)
Draw and label topographical features (optional)
If you will be working in a coastal shoreline area:
Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
Draw and label all wetland lines (contact LPO for assistance)
Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
Draw and Mabel 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 ano 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)
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued
Revised Jan. 2008
Exempted Denied Appeal Deadline (20 days)