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HomeMy WebLinkAbout32305_R & K REAL ESTATE_20020726❑CAMA / El DREDGE & FILL GENERAL PERMIT Previous permit# DiNew I -'Modification D)Complete Reiltue '*]Partial Reissue 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 15A NCAC D Rules attached. PP r y` 3 A licant Name 7 r� i' � � %�� � � Project Location: County Address �F r?.4�(� ;T _ .t,_ _ ( Street Address/ State Road/ Lot #(s) �rf, City t: `_' CI} t ��._ State ZIP )� t✓ Phone # Fax # O Authorized Agent Affected Cw \P Ew PTA DES ❑ PTS AEC(s): OEA L HHF b IH n USA ❑ N/A D PWS: ❑ FC: ORW: yes / no PNA yes /; no Crit. Hab. yes / no Subdivision City " ZIP Phone # () River Basin Adj. Wtr. Body__.te' `!i (nat /man /unkn) r) Closest Maj. Wtr. Body — Type of Project/ Activity (Scale: ) Pier (dock) length Platform(s) /1�t'✓i �{ ; Finger pier(s) Groin length mod_ number' { Bulkhead/ Riprap length avg distance offshore ' l max distance offshore .j Basin, channel cubic yards j Boat ramp y_ / 7 Boathouse/ Boatlift 1 J! I� Beach Bulldozing Other I A Shoreline Length • SAM not sure yes � no Sandbags: not sure yes {no Moratorium: n/a yes n Photos: ryes,) no Waiver Attached: yes (Ito A building permit may be required by: _ Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # ❑ See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date Local Planning Jurisdiction Rover File Name i 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 (910-395-3900) for more information on how to complywith thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax:919-733-1495 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 10/05/01 APPLICATION FOR CAMA MINOR DEVELOPMENT PERMIT In 1974, the North Carolina General Assembly passed the Coastal Area Management Act and set the stage for L guiding development in the fragile and productive areas which border the state's sounds and oceanfront. Along �L with requiring special care by those who build and develop, the General Assembly directed the Coastal Resources Commission (CRC) to implement clear regula- tions which 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 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 which protects the resources of our beautiful and productive coast. Coastal Resources Commission Division of Coastal Management Locality Permit Number GENERAL INFORMATION JUL 1 6 2002 LAND OWNER Name 1—Q�-� i' �✓Lh7g�CNrr-mac Address o9 n City State �,VC— Zip Phone I"k- G11Qi - F�4S - te&2.5 AUTHORIZED AGENT Name �2 Address \ �b ` -»c 27 City State Zip Phone ZSZ -7Zo - Zz,= Z LOCATION OF PROJECT (If not oceanfront, is waterbody natural or marunade?) DESCRIPTION OF PROJECT AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION (To be filled in by the Local Permit Officer prior to compp tang application.) Ocean Hazard Estuarine Shoreline ✓ ORW Shoreline Public Trust Shoreline Other PROPOSED USE Residential Commerical/Industrial Other SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the estuarine shoreline, or 575 feet of an ORW shoreline, or 30 feet of the public trust shoreline. � 1 SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING -7 SQUARE FOOTAGE OF SITE �'�� Sfttl 79 OTHER PERMITS MAY BE REQUIRED The activity you are planning may require permits other than the CAMA minor development 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 Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Burning, 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. any of these apply to your project. a STATEMENT OF OWNERSHIP , 7 r tiV VFN l I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in a 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) Zan owner or record title, Title is vested in-1? (�n�a� ,see Deed Book4 page in the �'4�����l 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 contact or lease, explain below or use a separate sheet and attach to this application. 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) ZA k% LD CQ� �u-�S } �i�rz1-\elJ� �i Z776S (2) (3) (4) 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 15. day of ..1 LLLe 20 62 Land owner or person authorized to act as his agent for purposes of filing a CAMA permit application. s s SITE DRAWING/APPLICATION CHECKLIST Please make sure your site drawing includes the following information required for a CAMA minor develop- ment permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, if requested. PHYSICAL DIMENSIONS ✓ label roads �L label highways right of ways label local setback lines label any and all structures and driveways currently existing on property PHYSICAL CHARACTERISTICS ✓ draw and label mean high water mark draw location of on -site wastewater system If you will be working in the ocean hazard area: "I-k- draw and label dune ridges (note height) draw and label toe of dune identify and locate first line of stable vegetation draw and label setback line under CAMA _ draw and label topographical features (optional) If you will b working in an estuarine shoreline area: ✓ draw and label landward limit of AEC �- describe terrain (slope) DEVELOPMENT PLANS draw and label areas that will be disturbed if a house is to be placed on lot, describe location of house note size of piling and depth to be placed in ground draw and label all areas to be paved or graveled describe composition of surface note and list fully all trees and vegetation to be removed or relocated 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 both application and statement of ownership? *enclosed the $100.00 fee? *completed an AEC Hazard Notice, if necessary? FOR STAFF USE Site Notice Posted Final Inspection Fee Received Site Inspections Date of Action: Issued Exempted Denied Appeal Deadline (20 days) HARRY LAWRENCE PH 676-4564 8917 WOODVINE COURT RALEIGH, NC 27613 PAY TO THE ORDER OF — State Employees' Credit Union ]g Raleigh, North Carolina kf .-- ." CSiaT�- bi31`3as rJSi�� FOR57_�t?w:tT ii /inn_. �.✓tTzs� 1: 2531770491;Ogs 2645605 211' 7 7106 / 66-7704/2531 DATE .. 35o p0 `U DOLLARS lyp nif LENA MARLEY FRS ISLAND, NC 1 w► t nifc ALMA GUTHRIE S 83°20'00"E 86.45' �w �'MeL h ` 47 PROPOSED �0 Q GARAGEi@pA '� yw THOUSE O u �' GRAVEL DRryE % / �� �� w ------- PROPOSED RESIDENCE ti O N W T m 1- 0 q i clQ &QD � � r A per;, ; �;lo N -----" LIM h � J h v jDR /s- Dp� r sF0 v ------------ W •n L'I. nif STEVE POWERS nif STEVE POWERS 1 dip 08gp pyo 40 0 40 80 120 GRAPHIC SCALE — FEET CEN-MAL (DFFIC= Qr �A,4'_Oe- C�IJN•'Y ..�L+aTt,CUSc' COUP.T:jc)us • SCUA;qr BE.�.U�OR�. N, C, �9516.1892 T2e•85.t- 81�lL^lr.CS, VCSIL! I-C-ES. £�'.R,C.�t•„ PLUmwiNQ, AAECMAN,CaL : CENT RIPAIZX._-1:ti PIWPEI"-) IT ' OWNER STATEMENT I hereb.: ce i._v -_:at I O••''t: pr;:p�v to HARRY AND BETH LAWRENCE �rooe loca:�� a(: HONEYSUCKLE LANE, HARKERS ISLAND, NC b BACK SOUND �`-�i:r:•„� CARTERET it: that location an,;:I have no objections to this proposal _ I do have objections to this proposal D?_ccriytinn and dra« in7 cif pr�q��5'LL 'eloomertt includin Pr�oe►- iit�es. seL acks from esch lirtP; size oFpro j C�inSi7-11CL10n. Ir>C�Li�n of wA[''r and anti o-rher .Structures 1)n rirnpe!(.•. SEE REVERSE SIDE FOR SKETCH ILARKNRS ISIAI ND, NC IN i w► o S 83-20'001Zr n/f N � 86.45' _ ALMA GUF}IRIE ^+ O GRASSED 00, S 30L PROPOSED ��� 4 w� 904TJIOUSE 11 0 GRASSED V PROPOSED GRAVEL DRrVE D7 11 GRASSED i , ------------------ LIVE o; � OAKS T�J PROPOSED y ' m CO Rit ; RESIDENCE 1 n 9 REM/VN l _ 11 N LENA MARLE7 cy CID C'3 N ' O CV ni} ---- °~ STEVE POWERS Cb FLAT ; TERRAIN i GRASSED h n.f STEVF POWERS �08 e0�A t�I ~ ; �� ,NOTE: PILINCS FOR BULKHEAD AND PIER SHALL BE 8"X 8"X 10' WITH PILINGS EMBEDDED 8' 7' A 8' ON CENTER. ' /'0OP QQ qck Sfp 40 0 40 60 120 CRAPHIC SCALE - FEET i IIARILNRS ISLAND, NC w� 0 0 ALMA GUTHRIE O S 83'20'00' E 8Q.45' GRASSED / g •�'� O PROPOSED ~ GARAGE'/BOATI GRASSED IOUSE i Cb PROPOSED GRAVEL DRtW t. rV ; ' O ;I GRASSED i LIVE ; OAKS Tb PROPOSED 1 r RESIDENCE o RE n/F r LENA MARLEY ry yEEE�iii r CID , r r Cb r r , CD CQ ,•Z ------------ Iw , FLAT TERRAIN _ C' i f 5 � GRASSED 11 h 0 F90 \ 111N N Va `Y n/f O � STEVE POWERS ti r2 n/F STEVE POWERS i, i i' r r NOTE: PILINCS FOR BULKHEAD AND PIER SHALL BE VX VX 10' Q WITH PILINGS EMBEDDED 8' -T A 8' ON CENTER. gQ 40 0 40 80 120 CRA PHIC SCALE — FEET ':C' — W �' r- J) A. Received by Please Print Clearly) B. Date of Delivery t� i' 1. 77rLy-0z-- C. Sig ature ❑ Agent X _ ❑ Addressee D. Is d ' ry ad, .ss dHromiter1? ❑ Yes It YES, enter deliveC9 No 3. 1S.�ervice Type d-Certified Mail ❑ Express Mail /❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article l,' ' 7001 032G'0001 9724 7898 _ PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 1 UNITED STATES POSTAL SFRVICE First Class Mail Poslagr: R Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • cc - m 77 7 r o- ,,i,,.,� rr. ;� 3 4 , S: o t3 o firehicl,vl hrlivmv V— (ll ufnr :vmr'.,I Rnyim�dl ' l , cl ru Tntnl Poatnge R r'r•r•s M r-9 m 'it- r Apt No.. iv not No. crie ?,G�ie 7iP; V�k,\'LZ.(IL is i Z % "% v :t� rr ID { v PHONE �' ��®�a��.�' � ;k K� � ®"�� eaa��e ��- ®� u o. ;��,� �'� as �" © a� �, � , a—=•� � � all011 , �101!a I rf°ri�.��C��r:- WA0 t WcS�( '7U. <i _ t 1tCi) I �R✓& z� vs t s 3 `y'aaY jf ' ° -ffi z i h !a : :,ROi? E ra' SING'�E� t ' Y ITPLEX� I FA�v1IIYT ,WIFY fM,3. fr ', .r +r {✓:�r.'�a,v i.r+. a- .. y, •.� ,:: s"".. �.-�"k'�a"�""� ''" -�7:'� 1^, c � a+ '�Tt;' 'Xzr .�'�" �>Y , S� ACCESSORY STRUGTU ^� i2N'►'IF SE AIG � ,t C SAL CTURE FRONT STRUREAR SIDE SIDE ONeCORNER , j: .RY STRUCTURE: FRONT REAR',: SIDE `y COMN-RCI'`, Us 'r.. .. sr TYPE O iJS REQ. PARKING S ACES 3.1 SiQ ITS .' OWNS GNATURE _ RMIT; • YE, DATE ZONING OFFfCIALTNIT. ' "sp rro_ * * IRON`MENTAjAEALTH* * * (252) 728-8499 s' PERMIT REQUIRED:YES440 IP# �+ .f WILL BE LdG EDMORE THAN FIVE (5) FEET FROM ANY PORTION OF THE SEWAGE DISPOSAL SYSTEM OR REPAIR AREAREQU ,FOR+THE.SEWAGEDISPOSAL SYSTEM. »`'°�`, .- Y,ES , NO > INC TIIF NU ER. OF BEDR S . YES NO > NO.PLUMBING nif LENA MARLEY IIARMRS ISI"D, NC j w► 0 0 nif ° C%l'2 ALMA GUTTIRIE ^, S 83°20'00•E 86.45' GRASSFD 1 OOP � IT� --"- PROPOSED GARAGE,gOgnTOUSE GRASSED % , PROPOSED GRAVEL DRIVE , , GRASSED ' ------------- , o% PROPOSED RESIDENCE ' 0 � I w' T 6 C7 c I o -;' '-------- \' "T o TERRAIN �C i q GRASSED cnj LIVE I OAKS 'co AIN N' N cN ti nif 0 Cb SIEVE POWERS ti ,! nif STEVE rC)WFRS NOTE: PILINCS FOR BULKHEAD AND PIER SHALL BE 8"X 8"X 10' WITH PIL/NCS EMBEDDED 6' 7' A 8' ON CENTER. 40 0 40 60 120 CRAPHIC SCALE - FEET x ti �t c.F.-rJr1nAL OFFICE= OF v TV 'COW SCUD tr ? jam • p'-11-.^.�'•G-• C�IL� F-CLr S. E'_!.7711CAL„ PLUJ 471NQ. MECHANIC♦ L J_i. .'1=tit RIPARIAN �'1Z(�1'1:1Zl �r Ujti1'FR S•1_• I^EINIENT t I U'' ,. t0 HARRY AND BETH LAWRENC Crone:7y loc:area-' at: HONEYSUCKLE LANE HARKERS ISLAND, NC BACK SOUND bl oC}) _____� _� ._-_----._--_ - . - __--- . •-- --- , ; (_ •� CARTERET The aDClICa.^_f C'sc i- ed i') nje �,c StIUvLi? �),��r1:�:, i^� C�'V��C::['2�; '1"�fIC?` U. [I:2i IOCaaOtl M12: I have no objections to this pr-ohos:ll _✓ �P T I do have objections to rFii.S prl)l)osal -_ D?�criuticln znci cira«`in� TLIJ tert�cl�c fr�1� e_1Sh1J►�P. side r)Fp�oJ?nce? c�nsrru ;(1�11, �r)c;a(ioi7 1,(w• er 3ttd 1n_ r`ter-St1,q. t. e.s• ��n nr�pe►t:, SEE REVERSE SIDE FOR SKETCH ►, Locality _ Permit Number GENERAL INFORMATION LAND OWNER Named Address o9 City �a LC�� State _ -(— Zip Phone k3cl , cz Imo- G11Qi - �4S - t�vZ,S AUTHORIZED AGENT Name Address —CC, City �r.n ^r,��`�c,� �_ State , N C' Zip 2��3� Phone ZG; "Z!9-22C:)Z LOCATION OF PROJECT (If not oceanfront, is waterbody natural or manmade?) DESCRIPTION OF PROJECT V2- ,=,&� �b..r��P ' tom' r — C-- Q AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION (To be filled in by the Local Permit Officer I)rior to romp ting application.) Ocean Hazard Istuarine Shoreline ORW Shoreline Public TI'rr¢t Shoreline Other PROPOSED USE --ZResidential Cornmerical/Industrial Other SQUARE FOOTAGE OF BUILDING 1 OOTPRINTAND OTHER IMPERVIOUS OR BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the estuarine shoreline, or 575 feet of an ORW shoreline, or 30 feel of the public trust shoreline. 4:3. S I 11--k S>r �- iZt�1'��Cs�•, c�. SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING SQUARE FOOTAGE OF SITE OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you checl: 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), Burning, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Ilome Park Approval, I Iighway 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 authorised 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 proppeerty described therein. This interest can be described as: (check one) V an owner or record title, Title is vested in N ;�- d%-'- Q sec I >ccd Book , Page_ in the _ �-t ' ('ounty Registry of- I)ee s. -- an owner by virtue of inheritance. Applicant is an heir to the estate of probate was in County. - if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this application. O n NOTIFICATION OF ADJACENT PROPERTY OWNERS ;. furthermore certify that the following persons are owners of properties adjoining this property. I affirm that have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for I a CAMA permit. (Name) (Address) (1) itk S KI -776S c2>5g-ba-vc, (3) (4) 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 au thorized 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 AF.0 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 fro►n these details will constitute a violation of any permit. Any person developing in an AEC without permit is subiect to civil, criminal and administrative action. This the IS day of _ �ju L-e 20 eZ Land owner or person authorized to act as his agent for purposes 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 develop- ment permit. The drawing may be simple and not necessarily to scale. 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 PHYSICAL CHARACTERISTICS ✓ draw and label mean High water mark draw location of on -site wastewater system If you will be working in the ocean hazard area: j4 n� draw and label dune ridges (note height) draw and label toe of dune %:/ identify and locate first line of stable vegetation ✓ draw and label setback line under CAMA draw and label topographical feahrres (optional) If you will b working in an estuarine shoreline area: draw and label landward limit of AEC .% describe terrain (slope) DEVELOPMENT PLANS draw and label areas that will be disturbed —� if a house is to be placed on lot, describe location of house note size of pilingand depth to be placed in ground draw and label al areas to be paved or graveled describe composition of surface note and list fully all trees and vegetation to be removed or relocated 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 both application and statement of ownership'' *enclosed the $100.00 fee? *completed an AEC Iiazard Notice, if necessary? FOR STAFF USE Site Notice Posted Final Inspection Fee Received Site Inspections Date of Action: Issued ___ '__ F\enlph'd Denied Appeal Deadline (20 (lays)