84-012_Grum, Joseph P. & Gladys C._19840227

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-� GENERAL INFORMATION
1. LANDOWNER
Name
(1 A/L-
Address Rv LF_ �/=��'CA e L
L/ l % 5 i <l State IV.: Zip
City.
2. AUTHORIZED AGENT
Name J eNV J I/, rJ
Phone
FEB 2 9'84
OC,m - EC
Address
City
State IL -I-- ' Zip Phone
• Loc SC, 5CG A
3. LOCATION/DESCRIPTION OF PROJECT i
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r
4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by Local PermitOfficerprior to completing application.)
Ocean Hazard Estuarine Shoreline Other
5. PROPOSED USE
Residential Commerical/Industrial Other
6. SIZE OF BUILDING IN SQUARE FEET:
7. SIZE OF SITE IN SQUARE FEET:
- This the � Zr+f day of
This application includes: general information (this 19 c�
form), a site drawing as described on the back of this ,
application, the ownership statement, the AEC hazard
notice where necessary, a check for $25.00 made payable %
to the locality, and any information as may be pro- Applicant's signature (or authorized agent)
vided orally by the applicant. The details of the applica-
tion as described by these sources are incorporated Indicate below address and phone if not shown above.
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
a CAMA permit is subject to civil, criminal and admini-
strative action.
OTHER PERMITS MAY BE REQUIRED...
it
ou are
ying
The activity which you are planning may rerquire of thermits kind other
permits is which might be requn the CAMA minor iredYWe suggest that
for here. As a service we have compiled a listing to our
you check over this list with your Local Permit Officer to determine which, if any, of these may apply Y
project. This is not a requirement of CAMA, only a suggestion to help you complete your project as quickly as
possible.
zoning...drinking water well...septic tank (or other sanitary waste treatment system)...
tioniinsulationand energy
burning... electrical. .. plumbing ... heating and air co ent control. subdivision approval
conservation ... FIA certification ... sand dune ... sedim
...mobile home park approval ... highway connection ... others:

1. STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in
an area of environmental concern 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 Teal property described therein. This interest can be described as follows: (check one)
an owner of record title, Title is vested in
see Deed Book u?i , page in the
A 4 r 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
attached 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)
O if _0
t-U. 5U1"UA'J LI-va
Z / Nh C--S
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE SHORELINE EROSION 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. 1 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 flood -proofing 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.
f�
This the 3� day of grz,t�� 1g L ,
x �v
Land owner or person authorized to act his agent
for purposes of filing a CAMA applicatio .
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M"L.CTION AND SUPERVISION THIS FLAT !'eA Grf3k�+
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FPOM AN ACTUAL FIELD LAND SURVEY1 VHS( TIM t<Q•
ROR OF IP9
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CLOSURE AS CALCU! ATED BY Wi l'r AM
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DEPARTURES IS 1'4•10j THAT THE AREA IS Doi 0kP -!,
ISY THE D. tat, D. /v:E.1 F:: D, THAT THIS PLAT YA S t
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PARED IN ACCORDANCE WITH 3. �- 47•24 Ali
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tiirTfNESS MY ti/`ND AND SEAL T:',IS/0 --Dh.I cy
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11
P-1 N'aw• Attie •

TOWN OF NAGS HEAD
NAGS HEAD, NORTH CAROLINA 27959
CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the Town of Nags Head, a locality authorized
to.issue CAMA permits in areas of environmental concern, hereby gives
NOTICE that on February 27, 1984, Joseph Grum, the applicant, proposed to
erect a single family dwelling at lot 50, Section A, Old Nags Head Cove in
an estuarine shoreline AEC.
Persons desiring to inspect the application, to comment thereon or to appeal
the local decision are directed to contact the local permit officer at the
address below.
M. Edward Harrell
Receiving Minor Development
Permits under CAMA
Address: P. 0. Box 99
Nags Head, N. C. 27959
Telephone: [phone]
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For publication in The Coastland Times, March 1, 1984..
Please use Nags Head logo and legal print.