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HomeMy WebLinkAbout84-0016_Outer Banks Ventures, Inc., Brindley, R. A._19840222r APPLICATION _ - FOR 7-7 { CAMA SEE PmENT V,ERMIT I� In 1974 e N' r Carolmaerterae �ss rr� v4. � , Grp , bly passed Coastal Area Megetrten Act ` t an setEthe s ge or guidjnq;�Io mend In ` thefragileap uct�ve''ares"viborqe the`state s u ryes soun'ds`n'�oceanfron ' Along witit�equ nng cli1pre by those. { ho build anc e e op, the General AssembI irected,the Chas al Resources C,gmmissi�n�to imple tole r u`atiohich minimize i �uhe burden n t�e applicant. a hts appli tii5r obi icy per e { ca in _ < '+ rri ft under.0 t�1 is-0art of ie L�QltYlmisslop's effortto a the spirit andIntent of the * ::t " ereral Ass�e has b It been designed to be strai htforwaran r�qu�re no '►ore, time �r ' - r R ,effort, ar nec spry from t e-applicant �.- . i Plea g go erg i folder wiih theLocal .. ` Permit fficer` rlocaltty, in which you o build `that jrou-under Plano . v� r too atlon_he-ar�she:needs - r t Un er LAMA r u a ions the minor permit ' �d issued withro days once a complete ,. a p cation �s in hanr . en less time is needed` erect is sir p e The process generally ; r " kes about 18 days ou can help speed the ,f_-�prova13 rocess b, eking certain that your pI' ELtion is comp c and signed, that your j{ ` drawing-meets=the a ifications given inside m and,thatour11 I cation fee is attached. x r a .� tither permits la s metimes required for evelopment in thr4 astal area. While these ,smote of Ci►•relaltewe urge you to check u'-h theocIPebmiil, t Officero determine. vhictt,-Qf these yoaeed A listing'is incluon:pagecfi the folder ..`° •"""� `We appreciate your cooperation with the North.Carolina coastal management program ` and your willingness to build in a way which. - protects � ��.,�. �, - . • u our beautiful and y the resources o productive coast. ore "Coastal Resources Commission No Office of Coastal Management -- �:N a 3'rr V GENERAL INFORMATION 1. LAND OWNER Name Outer Banks Ventures, Inc. R.A. Brindley, President Address P.O. BOX 998 City Nags Head, NO State Zip 27959 Phone 261 —4213 2. AUTHORIZED AGENT Name Address City State Zip Phone �OCATION/DESCRIPTION OF PROJECTe-x- 4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION (To be filled in by Local Permit Officer prior to completing application.) —� Ocean Hazard Estuarine Shoreline Other 5. PROPOSED USE y Residential Commerical/Industrial Other 6. SIZE OF BUILDING IN SQUARE FEET 9! O Square feet decks , '1000 7. SIZE OF SITE IN SQUARE FEET: 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 $25.00 made payable to the locality, and any information as may be pro- vided orally by the applicant. The details of the applica- tion 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 a CAMA permit is subject to civil, criminal and admini- strative action. OTHER PERMITS MAY BE REQUIRED... This the day of 19_�. , Applicant's signature (or authq ized agent) Indicate below address and phone if not shown above. The activity which you are planning may require permits other than the CAMA minor permit you are applying for here. As a service we have compiled a listing of the kinds of permits which might be required. We suggest that you check over this list with your Local Permit Officer to determine which, if any, of these may apply to your 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).. . 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 ... others: Dare County/(NRCD) .84-0016 Local Government . Permit Number CAMA MINOR DEVELOPMENT PERMIT as authorized by the State of North Carolina, Department of Natural Resources ` and Community Development and the Coastal Resources Commission for develop- ment in an area of environmental concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area Management." Issued to Outer Banks Ventures, Inc.. Mr. R. A. Brindley. President authorizing development in Duck at Lot 16, in the Northpoint Subdivision as requested in the permittee's application dated February 6, 1984. This permit, issued on February 22, 1984 , 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 action may be appealed by the permittee or (�- other qualified, persons within twenty (20) days of the issuing date. From the date of an appeal, any work conducted under this Local Permit Officer (signature) permit must cease until the appeal is resolved. This permit must be on the project site and accessible to the Nelson G. Paul permit officer when the project is inspected for compliance. Any maintenance work or project modifications not covered name 108.S. Water Street under this permit require further written permit approval. Elizabeth City, N. C. 27909 All work must cease when this permit expires on August 22, 1984 (919) 338-1558 address In issuing this permit it is agreed that this project is consis- tent 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 Office of Coastal Management. Permitee (signature required if special conditions above apply to permit) AEC HAZARD NOTICE YOUR PROJECT IS IN AN: Y OCEAN ERODIBLE AREA HIGH HAZARD FLOOD AREA INLET HAZARD AREA This notice is intended to make you, the appli- cant, aware of the special risks and conditions associated with development in this area, which is subject to natural hazards such as storms, erosion or currents. The rules of the Coastal Resources Commission require that you receive an AEC hazard notice and acknowledge that notice in writing before any permit for development in this area can be issued. the annual ocean erosion rate for the area where your property is located is Z feet per year. This figure was established by careful analysis of aerial photographs of the coastline taken over the past 30 to 40 years. Studies also indicate that the shoreline could move as much as feet landward in a major storm. The Commission's rules on building standards, The flood waters in a major storm are predicted oceanfront setbacks and dune alteration are to be about feet deep in this area. designed to minimize, but not totally eliminate, property losses from the hazards. By granting Shoreline erosion control structures (excluding permits, the Coastal Resources Commission does beach nourishment and berm projects) are not not guarantee the safety of the development and allowed to be built to protect development built assumes no liability for future damage to the after June 1, 1979. Limited pushing up of beach development. sand is allowed to protect new structures when they are threatened, but bulkheads, groins, or The best available information, as accepted by jetties may not be used to protect buildings put in the Coastal Resources Commission, indicates that after June 1, 1979. is i E2 �/•�S �����/2ES, � L. i Date Applicant's Signature The applicant must acknowledge receipt of this information by signing this notice in the ce above. Without the proper signature, the application will not be complete. SPECIAL NOTE: This hazard notice is required for development in areas subject to sudden and massive storms and erosion. Permits issued in this area expire in six (6) months. To continue your work past that date you must contact the local permit officer before the expiration date for a six month permit extension. This is granted if there is no change in the project site or if you have made "substantial progress" on your project. Normally a permit can be extended five (5) timesfor a total project life of three (3) years. If the site has changed and you have not made progress, the LPO will determine the new vegetation line and apply the earlier setback distance to show you the new setback for your project. IT IS IMPORTANT TO UNDERSTAND THAT YOU MUST RECEIVE OFFICIAL APPROVAL TO CONTINUE YOUR WORK AFTER THE EXPIRATION DATE ON YOUR PERMIT. IT IS UNLAWFUL TO CONTINUE WITHOUT THIS APPROVAL. FOR MORE INFORMATION, CONTACT: LOCAL PERMIT OFFICER: �• �� ADDRESS: LOCALITY: PHONE: SC/ Rev. 6/83 BEFORE YOU BUILD ... Setting Back for Safety: A Guide to Wise Development Along the Oceanfront When you build along the oceanfront you take a calcu- lated risk. Natural forces of water and wind collide with tons of force, even on calm days. There are no man-made structures guaranteed to survive the force of a hurricane. Long-term erosion (or barrier island migration) takes from two to ten feet of the beach each year and, sooner or later, will threaten oceanfront structures. These are the facts of life for oceanfront property owners. THE RULES When you build along the oceanfront, coastal manage- ment rules require that the structure be sited to fit safely into the beach environment. Specifically, a structure along the oceanfront must be: (1) behind the frontal dune; and, (2) landward of the crest of the primary dune; and (3) set back from the first line of stable vegetation a distance equal to 30 times the annual erosion rate or 60 feet, whichever is greater. The Coastal Resources Commission has adopted rules for building along the oceanfront. The rules are intended to avoid an unreasonable risk to life and property and to limit public and private losses from both storms and long-term erosion. These rules do not eliminate —but only lessen —the element of risk in oceanfront development. As you consider building along the oceanfront, the CRC wants you to understand the rules and the risks. With this knowledge you can make a more informed decision about where and how to build in the coastal area. THE REASONS The beachfront is an ever -changing landform. The beach and the dunes are nature's "shock absorbers", taking the beatings of the wind and waves and protecting the inland areas. By setting back 30 times the annual long-term erosion rate, you have a good chance of enjoying the full life of the PERMITTED STRUCTURE; ADEQUATE SETBACK IeSETBACK I FIRST LINE OF ISTABLE NATURAL 30xANNUAL I VEGETATION I AVERAGE EROSION RATE structure. At first glance, it seems very inviting to build your dream house as close to the beach as possible but in five years you could find the dream has become a night- mare as high tides and storms threaten your investment. PRE -PERMIT STRUCTURE; INADEQUATE SETBACK PRE -STORM BEACH PROFILE i POST -STORM BEACH PROFILE ONE YEAR AFTER STORM/BEACH REBUILDING After the storm, the house on the dune will be gone. The other has a much greater chance of survival. THE EXCEPTION The Coastal Resources Commission recognized that these rules, passed in June of 1979, might prove a hardship for a small group of property owners. So there was.an exemption established for lots which cannot meet the setback require- ments of 30 times the annual erosion rate. The exemption allows building in front of the setback line under certain conditions. These are: (1) the lot must have been platted as of June 1, 1979, and not capable of being enlarged by combining with adjoining land under the same ownership; and (2) development beasfarbackon the property as possible and in no case less than 60 feet landward of the vegetation line; and, (3) no development can take place on the frontal dune; and, (4) special construction standards on piling depth and square footage must be followed; and, (5) all other CAMA, State and local regulations must also be met. The exemption is not available in the Inlet Hazard Areas which are especially dynamic. In seeking this exemption the Local Permit Officer will make these measurements and observations: required setback from vegetation line max. allowable square footage on lowest floor exception setback (maximum feasible) lot area as calculated from vegetation line rear property line setback piling length necessary to extend 4 feet below MSL e ATLANT.� C OCEAN 0 M v G R. EL? 12.0 GRXL'�� -at—y Toe of Dune B 125* g g Vegetation Line GR. EL.= cl' N N Top of Dune 17.7' GR. EL.= 16.4' 0) O in O 3 N in � In - cc in N In 28'40� E--�'75.0� °i S 120 Survey tie Line 0 m IN MA SETWK UNE 8 GR. EL. = 20.9 15 GRXE 1!— Top ofDune 20.5r, GR. EL' 16.1' Is L PROPOSED W IMM5.1 B. OOCKTM CD tt Q OR. EL! Q _ N 14.1' O N 23.8` 24.0' 0 Z ,,� �'•— Easementt \O / �d 28.48 00 120C D CAN N E STREET $ $ 17 a R = 5d l 1. MICHAEL D. BARR hereby certify that this map Is correct � and that there are no encroachments of other buildings on the sold lot. m mo—MM—i F", -Toe of Dune 3R. EL.=16.2' guFFELL HEAD W ROAD 60 r/w • Existing Rebor 0 Existing Pipe SURVEY FOR 1-83 OUTER BANKS VENTURES, Inc. 3 ATLANTIC TOWNSHIP DARE COUNTY NORTH CAROLINA LO T 16 n e NORTHPOINT SUBDIVISION RECORDED IN DARE COUNTY REGISTRY triangle engineering services, inc. releigh, n.c. swansboro, n.c. kill devil hills, mc. 1C OCEAN AILANT 0 n M1 °D v GR. EL;:12A' GR. EL,= Toe of Dune 8 125' 814 g Wgetotion Line GR.EL.= N N NTop of Dune 17.7' GR,EL.=16.4' ao N p O o 8 3 in in aD n N in I_ S IV 28'40' E—''75.07� Surveil lie LMe N o uw_ 5ETIWX UNI—$ GR. EL. ■ 20d 15 �g = Top of Dune p N Q R Toe of Dune GR. EL.=16,2' 0 GR. EL= N • 16.1' 0 32.7 d PROPOSED w 15.1 e. Lp SE TIM a) OR.ELr 12A 'a N I4.1 dLe 0 a . m � N 2 In ad �D t BU FFEL.L HEAD 28.48' 'y6�O /icy 1203d Od w ROAD 60' r /w D IAN N E A STREET R - 5d 1 • , Existing Rebar 0 Existing fte 1"--50, date SURVEY FOR 10-18-83 F AEL D. BARR hereby ROUTER BANKS VENTURES, InC.t this map Is correct c and that there MDB ATLANTIC TOWNSHIP DARE COUNTY NORTH CAROL-INA croachments of other buildings on dole.LOT 16 ot. e e NORTHPOINT SUBDIVISION RECORDED IN DARE COUNTY REGISTRY triangle engineering L - 17656 services, inc. Weigh, n.c. swensboro, n.c. kill devil hills, me.LIE � rn C. A. DANIELS CONSTRUCTION CO. LICENSED GENERAL CONTRAC1nR 14 MILEPOST - 158 BY-PASS - NAGS HEAD, NORTH CAw)IyJA ,7959 - (919) .1.11- 17.7;` Mr. William A. Bush 144 West Lorengo A7,enue Norfolk, VA 23503 Dear Mr. hush, l'hi.n I rr to inforrn ,you of our inten t: t on 1;0 hui7.c1 lrout� can 1.0; :11K , lloc•ttir ['o i'rlt, �.Je 11,1vP applied for a build inr; per.•rnJA ''corn t;he `oast" I ,Ire,.r Mon iRement. [f you hiive any questions, please convict us of 441-47'50 or 261-4,:2 1 . JIncer.el.y, Richard A. Brindley Outer I?inks Ventures RAB/mh RECE11�lE, I i E10'84 EB . rn C. A. DANIELS CONSTRUCTION CO. LICENSED GENERAL CONTRACTOR 14 MILE POST • 158 BY-PASS - NAGS HEAD, NORTH CAROLINA :'7g5g . (919) 4,11 ?') Feb.ru"ry H, 1984 Mr. Doug Twiddy Twiddy Real Estate Co. SR B232-C Duck, NC 27949 4t)t:(!r.t; nti I.,) ln;.il t on Lot, ri 16 , North MI' L. ,'e have applied for a building porn t; from the Co_:r7 n Aren Wigement. If you have any questions, ple0s3e contact us at 4ril-4130 or 261-4213. Ancerel y, Richard A. _Brindl.ey Outer Bunks Ventures (? A B/m h �aL%♦ � � � � YERIfIFn _ t.-Ju0ior, ,lau:,yJ i � TiR11- 80 i o Meet" Tax nox 310, mr- 885 FILED 83 11M tl Pil 4 3z ALMA S.7;ISE i1EEDS Recording 71me. nook end Pose , TaxLot No . ................................... ............................... ................ .... Parcel Identifier No.......................................................................... Verified by ...... ........ .................... ........................ :......... County on the ................ day of ....................................... I................ 19............ by...._...._......................................................._._.........._...................._................_..».................._...................................................................._ l'ltomas L. White, .. P. 0. x 189. Manteo, ]fall after recording to................................................Jr..._..........._...............Bo.........................................NC ..............21954 ............................................. ....... ........ ............. ............... _..... ............................................. This Instrument was prepared by ..........Dwight..H....Wheless,..Atto.rney.at..Law........................................................................_ Brief description for the Index NORTH CAROLINA GENERAL WARRANTY DEED THIS DEED made this .....loth. day of ........March .......................................... .19..,83..., by and between GRANTOR GRANTEE MIRIAM L. BECHER and husband, OUTER BANKS VENTURES. INC. ROBERT P. BECHER P. 0. Box 998 SR Box 328 Nags (lead, NC 27959 Kitty Hawk, NC 27949 titer to appropriate sock for tech putp: never, address. and. Q appropriate, character of entity, eq. eorperalion or partnership. The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine• feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated MnY-% xt xz;X .near—the3illage..of-Du4 . Atlantic ............. Township, Rex.Q................................... County, North Carolina and more particularly described as follows: All those certain lands lying and being in Atlantic Township adjoining the waters of the Atlantic Ocean on the East, the subdivision known as "Wild Duck Dunes" on the North, the subdivision known as "Carolina Dunes" on the south, and State Road 41200 on the West, and more particularly bounded as follows: BEGINNING at an iron pipe, or other marker lying in and on the East margin of the right of way of State Road A1200 at a point thereon located in the Southwest corner of the "Wild Duck Dunes" subdivision lying East of said highway, said point of beginning also lying and being on the North line of those lands conveyed by the deed recorded in Deed Book 209 at page 167, Dare County Registry; proceeding thence from the point of beginning and along the South line of the "Wild Duck Dunes" subdivision North 81 deg. 20 min. 48 sec. East 1,676.02 feet to the shores of the Atlantic Ocean, thence along the shores of the Atlantic Ocean in a general Southerly and Southeasterly direction to a point which lies South 20 deg. 4 min. 46 sec. East 305.50 feet from the preceding terminal point, said instant terminal point lying in and at the Southeast corner of the lands conveyed by the deed recorded in Deed Book 174 at page 176, Dare County Registry, and at the Northeast corner of a portion of the subdivision, known as •'Carolina Dunes", thence along the said "Carolina Dunes" subdivision South 81 deg. 19 min. 52 sec. West 459.86 feet* to an iron pipe or other marker, thence turning and continuing along the said "Carolina Dunes" subdivision South 11 deg. 28 min. 40 sec. East 100.18 feet to an iron pipe, thence turning and continuing along the "Carolina Dunes" subdivision South 81 deg. 21 min. 40 sec. West 1,248.94 feet to an iron pipe or other marker lying on the East margin of the right of way of State Road 11200 at the Northwest corner of N.C. ear A.r.c. per% No. a a 1911. a.VW41 1511. 340 885� I i. 1 Boor, 340 r4cr. 88G ' a pot tlon of the "Carolina Dunes" oubdlvinlon,..thence North 13 deg. 24 min. 49 sec. West 400.66 feet to the point or place of beginning, . There is also conveyed hereby a permanent pedestrian access easement which shall be shared by parties of the first part, party of the second part, and all of their heiru or assigns for access from and between State Road 11200 to the shores of Currituck Sound which is described as follows: BEGINNING at a stake or other marker lying in and on the West margin of the right of wny or State Road 11200 at a point thereon intersected by a line drawn South,81 deg. 20 min. 48 sec. West from the point of beginning described in the tract description hereinabove set out, said point of beginning for the easement being on the North line of the lands conveyed by the deed recorded in Deed Book 209 at page 167, Dare County Registry, proceeding thence along the (SEE ATTACHMENT HERETO FOR CONTINUATION OF DESCRIPTION) The property hereinabove described was acquired by Grantor by instrumentsrecorded in .Deed„Book,,,174„fit,,,,,,,,,,,••,,,,,,,, page 176 and Deed Book 209 at page 167, said Miriam W. Becher being the survivor of C. Jackson"1'uper;—See"a1so -the "deed recorded"'in""Deed'**Bd;bk"'265*"i*C'p'age"18;'DaFc*'Ikegfstiy.............. " A map showing the above described property Is recorded In Plat Book .................................... page ......................... TO IIAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee In fee simple. And the Grantor covenants with the Grantee, that Grantor Is seized of the premises in fee simple, has the right to convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property hereinabove described is subject to the following exceptions: Zoning and easements of record. IN w'ITNLIa wN[aLor, the Grantor has hee..nte set his nand and real, •r It aerperate, but caused this lestrs..eet to be .19." In its Nrperate nam►y Its 6.17 e.laerlud officers and "s l t. IS hereunto striate by s•thtr.ty o1 It. aoare of Director., the day and Tear tint are wif e sea I.e. (Corporate Name) wi � 1s '• . :._......._.......__.................................................. ....... ..(1RAL) ................«......... troti&oot ATTL1Ts S............................................................ Is LAW 14 14 ............ :............. secretary (Corporate saaqto ...__........................._........................_ of . Florida ..pLAW State .......... �' iTi�4sYaali., `•. vuasnaxae[®a............ MaIgUn ......... C... ty. ti'•' r'; �.fl Y •• t'r'� 'x 1, a Notary rebut of the county and state ofernald, certify that .._... litRIAM.L..B£t'.UR.30li...... • Y...huSb9nd.BRB£@T.P-...B£CIIER..................... .erns,, 7' ,•'"[- .'m;ry • 1 IQ personally appeartd before me this dayand Acknowledged ferreting e eseetet a terr[.y Settlement. Witness my 19th March kaod and ef11tta1 stamp or tut, Wle . del, of ,__-,- p� NOTA&Y FUSLIC STALE OF FIOZIDA Af 1A7 +1+' •', I • M7 cemrnirsbn expires:.... ruse ION Ex►11iS 0X Ib 1981 1 t ((//'-• . JaCntk1tA1..,.....--..•..1! t .1.'::/Af!e t.Lf :r.tery rebus :.t lr.$ ('•..G.i11IrT le' a BLAL•/TAM► NORTH CAROLINA...................................lYsny. 4 a Notary ►ublls of the County and stage aforesaid. certify Pat ...................................... .. poresoally came aafors one this day and acknowledged ".... he Is ........................... tcerataq so .yt....................................................... ► North Caroline corporation. tad tiut by a.ul all" q ilrea and as the act of the corporation. the Irregular Settlement was #fear& Is Its same by Its ............... Orrrddeat, sealed with Its corporate seal and ou ,tod by ........... as Its .......................... secretary. wuae.s 1.7 head sad official stamp .r $1.4 this .......day tg .......................... Is..»...., . N7 commission s:plrnl....................................................................... Notary rolUs no rore[tlny Celuflral ) of ... - - ....... 5.orx� Eli...... T�:--�: ................ ::::« .«:::::.:::::...::..---...:. .... ... ........«...�}ct:.. . 9t►b`ULe.c...... -- 91 ..[t.{t...i2:i----F:(tar.�s`...i ci�SG..................... I./.to eutlflyd to a. earner 'This Instrument and this c oulicate sr. duly registered at tee data .nod time and to the Book and rate Insure to the ,lest pate it .... f. ••••••••• _—_.f/�y •... �11�1"/�► � 1 /.../.......:.......RL, I1TLR Or DL[Ds IOR....�ie�fM��Y...................COUNTt Q . sy ..L .n. ;C(�....A_• C.....1:...1.:. E .....Da etirAo.Maal- Reg 1.tor of Dada M.C. Mae Assoc, form NO. s O Isl$. Re.1.N 1111. RECORDED:!p^� ��ER3 .4 . too?, 340 rogt- 887, i CONTINUED FROM DEED FROM MIRIAM L. BECMER and husband, ROBERT P. BECHER TO OUTER BANKS I VENTURES, INC. dated 10 March 1983: South line of a portion of "gild Duck Dunes" subdivision South 81 deg. 20 min. 49 sec. West 250 feet more or less tothe shores of Currituck Sound, thence along the shores of Currituck Sound in a general Southerly and Southeasterly direction to a point thereon i which lies South 13 deg. 24 min. 49 sec. East 8 feet from the preceding terminal point, proceeding thence North 81 deg. 20 min. 48 sec. East 250 feet to a point lying on the i-J Nest margin of the right of way of State Road 01200 and thence along said right of way North 13 deg. 24 min. 49 sec. Vest 0 feet to thu point or place of beglnning. -i STATEMENT OF OWNERSHIP r n a 1, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in Z 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 O in the real property described therein. This interest can be described as follows: (check one) �� ��/� an owner of record title, Title is vested in S Uh — O K-1 �- /— =L see Deed Book, page ��-� in the 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) (3) (4) 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. I acknowledge that the local permit officer has explained to me the m particular hazard problems associated with this lot. This explanation was accompanied by recommendations 9 concerning stabilization and flood -proofing techniques. =4 Z c PERMISSION TO ENTER ON LAND 3 W I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer A and his agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. This the _A day of Februaxy—,19BA -• t • G f� Q Land owner or person authorize to act as his agent for purposes of filing a CAMA ap lication. j SITE DRAWING /APPLICATION CHECKLIST Please make sure your site drawing includes the following information required for a CAMA minor development permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, if requested. PHYSICAL DIMENSIONS X label roads X label highway right of ways __X_ label local setback lines X label any and all structures and driveways currently existing on property PHYSICAL CHARACTERISTICS X draw and label mean high water mark (MHW) Y_ draw location of septic tank or filter field If you will be working in an ocean hazard area: _ 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 be working in an estuarine shoreline area: _X.L draw and label landward limit of AEC describe terrain (slope) DEVELOPMENT PLANS _X_ draw and label areas that will be disturbed v if house to be placed on lot, describe location of house X_ note size of piling and depth to be placed in ground Y_ draw and label all areas to be paved or graveled _7 _ 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 $25.00 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)