84-21_Hibbs, Alvin S._19840327 (3)

-- �" GENMAL
__ ✓1. LANE OWNER
„_
INFORMATION
Name r
7AI
�jMAR 2 8 '84
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Address
City
/ 'State Zip Phone
2. AUTHORIZED AGENT ,o
Name
Address
City
_ State
v3. LOCATION/DESCRIPTION OF PROJECT
a r--
Zip Phone
4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by Local Permit Officer prior to completing application.)
Ocean Hazard v Estuarine Shoreline Other
5. PROPOSED USE
Residential Commerical/Industrial Other
6. SIZE OF BUILDING IN SQUARE FEET:
7. SIZE OF SITE IN SQUARE FEET:
on includes: general information (this This the �L" day of
This application g
form), a site drawing as described on the back of this 19
_ application, the ownership statement, the AEC hazard . f
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- pplicant's signature (or authorized agent)
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...
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:

_ >9
STATEMENT OF OWNERSHIP
r
1, 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 real property described therein. This interest can be described as follows: (check one)
d title Title is vested in
an owner of record , T �
see Deed Book, page — in the
�C County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of J '
probate was in County. Q.
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
1 furthermore certify that the following persons are owners of properties adjoining this property. 1 affirm that
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA-permit., --- -
(Name) (Address)
JP
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE SHORELINE EROSION AREAS:
th t th ro osed develo ment is planned for an area which may
1
IVA
1 acknowledge that the land owner is aware a e p p p
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 3
concerning stabilization and flood -proofing techniques.
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c
PERMISSION TO ENTER ON LAND m
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 --n
•//ilX CTT -P
This the_�day of ;19
7.
_ N
Land owner or person authorized to act as his agent
for purposes of filing a CAMA application. -

TOWN OF NAGS HEAD
NAGS HEAD, NORTH CAROLINA 27959
LAMA PERMIT NOTICE
PURSUANT TO NCGS 113A-119(B), THE TOWN OF NAGS HEAD. A LOCALITY
AUTHORIZED TO ISSUE CpjmA PERMITS IN AREAS OF ENVIRONMENTAL CONCERN.
HEREBY GIVES NOTICE THAT ON March 27, 1984 ..
Alvin S. Hibbs THE APPLICANT(S) PROPOSED
to erect a deck
AT lot 94, Section A, Old Nags Head Cove
--- estuarine_shor_eline 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 DT: ELOPMENT
PERMITS UNDER CAMA
ADDRESS- P. O. B0X_99
HAGS HEAD, N. C. 27959
TELEPHONE- 919-441-5508
FOR PUBLICATION IN THE COASTLAND TIMES. March 29, 1984
PLEASE USE NAGS HEAD LOGO AND LEGAL TYPE.