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Home My WebLink About83-061_First Flight Builders, Inc._19830930 (3)'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 CAM �ECI<1Y minor development permit, certify that the person listed as landowner on this application has a significant intere tR LYE, in the real property described therein. This interest can be described as follows: (check one) . �IAN,� 8'g� an owner of record title, Title is vested in .U-EC 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. y if other interest, such as written contract or lease, explain below or use a separate sheet attached to this application. t furthermore certify that the felln•A7ngrersons are owners of properties adjoining this property. l aff irm Wit I have gn%enXCIUAL Nuilttibeaun 011nenicanCerningmy apply for a CAMA permit: (Naxr.4) (Address) �:�,,an OJ' /1 f #M !7 .IO nNSoN f 1,,1;11, `T - G 94144/o A3,9- z Ale. ZT96Z 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 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. This the 30-day of EeDTEMOE�19�3 Land owner or person authoriz d to act as his agent for purposes of filing a CAMA application. M m a 3 z c 3 m X A- S11 PI mint Pern PHY GENERAL INFORMATION - 1. LANDOWNER -/ Name //,es- 1-1/' Af 3u loT -Rs Address �f� ti�`'Sc• �o.�� f� E State • L Zip Z7959 Phone City _ 2. AUTHORIZED DDDAAGENT Name TC TEGc1 �f�%aQ� Address City _ State �' ` ' Zip o� %9Z Phone y'y�—yam 90 3. LOCATION/DESCRIPTION OF PROJECT �Gf # Z6 �� l �i f 7 A/DcK 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 Residential 'Commerical/Industrial ' Other G. SIZE OF BUILDING IN SQUARE FEET: 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 authori ed agen ) 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: 6,, _. 04;11 AEC HAZARD NOTICE YOUR PROJECT IS IN AN: _Z—OCEAN ERODIBLE ARE I A —HIGH HAZARD FLOOD AREA —INLET HAZARD AREA This notice is intended to make you, the appli- the annual ocean erosion rate for the area where cant, aware of the especial risks and conditions your property is located is 2feet per year. associated with development in this area, which is This figure was established by careful analysis of subject to natural hazards such as storms, erosion aerial photographs of the coastline taken over the or currents. The rules of the Coastal Resources past 30 to 40 years. -Commission require , that you receive an AEC hazard notice and acknowledge that notice in Studies also indicate that the shoreline could writing before any permit for development in this move as much as 45 feet landward in a major area can be issued. storm. The Com mission'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 ma t be used to protect buildings put'in the Coastal Resources Commission, indicates that of une 19 jetties Signature Date The applicant must acknowledge receipt of this information by signing this notice in the space above. Without the proper signature, the application will not be complete. pine' subject to sudden 'and massive storms and SPECIAL `NOTE: This" �a'z'iird " notice is required for - development in areas sub, Permits issued in this area expire, insix (6) months.To continue your work past that date you'must contact 'the local permit .. of icer Lef 'th' expiration' date f6' f r .9re ther a six 'Month permit extension. This is granted i there is, no 'cha-rige in the' -project site or if you have made "substantial'progress, on your project. Normally a, permit can be extended I five times foe a t . otal project Iif�_d three (3)'years. If the site has changed and you I ha've not made progress, -the LPO will determine the:new, - vegetation I line I a I nd a . pply',the I earlier setback distance to show , you the , n . ew 5eth, ack for, your p ir'je' cL% - IT- IS -IMPORTANT TO,-UNDERSTA,ND1_THAT1.Y6U - 'M' ' US'T-RECEIVE OFFICIAL; ' UNLAWFUL. APPROVAL ' ITO , CONTINUE -,YOUR WORK AFTER THE. EXPIRATION, DATE -'..-ON, YOUR PERMIT. IT. ,IS UNLAW FUL TO CONTINUE WITHOUT THIS APPROVAL.',.*�''. FOR MORE INFORMATION, CONTACT: LOCAL PERMIT OFFICER: ADDRESS: LOCALITY: !. LQ w Ul.,J . 0 F 114 (-S PHONE: ,tq " X 0& (_— '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 CAM �ECI<1Y minor development permit, certify that the person listed as landowner on this application has a significant intere tR LYE, in the real property described therein. This interest can be described as follows: (check one) . �IAN,� 8'g� an owner of record title, Title is vested in .U-EC 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. y if other interest, such as written contract or lease, explain below or use a separate sheet attached to this application. t furthermore certify that the felln•A7ngrersons are owners of properties adjoining this property. l aff irm Wit I have gn%enXCIUAL Nuilttibeaun 011nenicanCerningmy apply for a CAMA permit: (Naxr.4) (Address) �:�,,an OJ' /1 f #M !7 .IO nNSoN f 1,,1;11, `T - G 94144/o A3,9- z Ale. ZT96Z 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 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. This the 30-day of EeDTEMOE�19�3 Land owner or person authoriz d to act as his agent for purposes of filing a CAMA application. M m a 3 z c 3 m X A- S11 PI mint Pern PHY GENERAL INFORMATION - 1. LANDOWNER -/ Name //,es- 1-1/' Af 3u loT -Rs Address �f� ti�`'Sc• �o.�� f� E State • L Zip Z7959 Phone City _ 2. AUTHORIZED DDDAAGENT Name TC TEGc1 �f�%aQ� Address City _ State �' ` ' Zip o� %9Z Phone y'y�—yam 90 3. LOCATION/DESCRIPTION OF PROJECT �Gf # Z6 �� l �i f 7 A/DcK 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 Residential 'Commerical/Industrial ' Other G. SIZE OF BUILDING IN SQUARE FEET: 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 authori ed agen ) 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: 6,, _. 04;11 AEC HAZARD NOTICE YOUR PROJECT IS IN AN: _Z—OCEAN ERODIBLE ARE I A —HIGH HAZARD FLOOD AREA —INLET HAZARD AREA This notice is intended to make you, the appli- the annual ocean erosion rate for the area where cant, aware of the especial risks and conditions your property is located is 2feet per year. associated with development in this area, which is This figure was established by careful analysis of subject to natural hazards such as storms, erosion aerial photographs of the coastline taken over the or currents. The rules of the Coastal Resources past 30 to 40 years. -Commission require , that you receive an AEC hazard notice and acknowledge that notice in Studies also indicate that the shoreline could writing before any permit for development in this move as much as 45 feet landward in a major area can be issued. storm. The Com mission'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 ma t be used to protect buildings put'in the Coastal Resources Commission, indicates that of une 19 jetties Signature Date The applicant must acknowledge receipt of this information by signing this notice in the space above. Without the proper signature, the application will not be complete. pine' subject to sudden 'and massive storms and SPECIAL `NOTE: This" �a'z'iird " notice is required for - development in areas sub, Permits issued in this area expire, insix (6) months.To continue your work past that date you'must contact 'the local permit .. of icer Lef 'th' expiration' date f6' f r .9re ther a six 'Month permit extension. This is granted i there is, no 'cha-rige in the' -project site or if you have made "substantial'progress, on your project. Normally a, permit can be extended I five times foe a t . otal project Iif�_d three (3)'years. If the site has changed and you I ha've not made progress, -the LPO will determine the:new, - vegetation I line I a I nd a . pply',the I earlier setback distance to show , you the , n . ew 5eth, ack for, your p ir'je' cL% - IT- IS -IMPORTANT TO,-UNDERSTA,ND1_THAT1.Y6U - 'M' ' US'T-RECEIVE OFFICIAL; ' UNLAWFUL. APPROVAL ' ITO , CONTINUE -,YOUR WORK AFTER THE. EXPIRATION, DATE -'..-ON, YOUR PERMIT. IT. ,IS UNLAW FUL TO CONTINUE WITHOUT THIS APPROVAL.',.*�''. FOR MORE INFORMATION, CONTACT: LOCAL PERMIT OFFICER: ADDRESS: LOCALITY: !. LQ w Ul.,J . 0 F 114 (-S PHONE: ,tq " X 0& (_—