84-0035_R.D. C., Inc., Hollan, Jr. William E._19840416 (3)

GENERAL INFORMATION
1. LAND OWNER
Name ����� Z rlC, !YO tlma" r '
Address _ 3 5� /�/. n'la.►-�h a (� �+ . .��f� D
City )Ci,h_ State NC_. Zip _a-11 o I Phone(q&72--1a4_
2. AUTHORIZED AGENT
Name ��l Ccc_.Q¢s L-1-cJ ,
Address
City k af74 0C-4..-'k State a� g `�� g Phone
T� Zip
3. LOCATION/DESCRIPTION OF PROJECT - as� SI'U S64. C).",) i r�
\A]Q_Y W 1 in c► �� y—t—
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by Local Permit Officer prior to completing application.)
V/ Ocean Hazard Estuarine Shoreline Other
5. PROPOSED USE
✓ Residential Commerical/Industrial Other
6. SIZE OF BUILDING IN SQUARE FEET: 'a
7. SIZE OF SITE IN SQUARE FEET: 3 • 61 —7 Z
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 (Ti_day of
19
Appficant's signaturV(or authorized 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:

p AVUIN"
D: TLOOPENT.'',
PERM 1 T
4
` .,:,-,In 1}974, tti Nort�li Carolina Geiser A� 's -
bly passed tf,e Coastal Area Mariakc;men� Act�it $
4 and set thestage for guidingdev�l©pmentn
:'the fragile�and productive areas wh�ti born
the state s_estuanes, soundsan`d'oceanfront. .'
Along withreyuirin`g special,Tare by those' ` I
fvho build and devefiop, the°General Assembly
airected'the Coastal',Resources GvmmissiOn Lo
implement cleat rguiat�on$ hich minimize
tp the'burden n to applicant.
_ his.applicatitin, or.a mmoC,development per -
t. - �� x=,
�,*..�<v� mit under CAMA is part of the,Cor m�sidn s ..
T effort to me6i the spirit°and intent 6?`
eneral.Asseri5bl It has to'tie
� r b � Y 8.
�. lstraightforward and require no more `time or
'o--
Wj
- ' Permit Officer`for tie locality m which you ;
plan td build to ne certain that you under-
n � he-Q a nee s
stand what i formation_. _ h � .
1 � �
r
w " Under LAMA regualions the minor permit
x "
' is o be'issued within days once a complete
a lication_�s in hand. 0 en less time is needed 1'
pp the ole h° ``rP ' ct is sir' a The process generally
i
Y- v Makes about 18 dayslou can help speed the
_,� approval process by rmking certain that your
_ a filication is completec and signed, that your
rawing-meets,the spe ifications given inside
and,.that your appI cation fee is attached.
Other permits are sometimes required for
evelo mentin tlidWastal area. While these
r �. �e not CAMA�relate'd,.we-urge you to check
�x -
-- - - with-th�t&at P mit Officer-to`determ e veri
which �f these you maygneed A listmgis'
includecl on page-1 Ft he fol ,er .-
' 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
Office of Coastal Management -
A AV
n f
E
rs

M
Dare County/-(DNRCD)
Local Goveirment '
84-0035
Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
authorized by the State of North Carolina, Department of Natural Resources
and Community Development and the Coastal Resources Commission for de%clop-
ment in an area of environmental concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management."
Issued to R.D.C. , Inc.
authorizing develops„ent in Sanderl i ng at_ Lot 194, Phase 5A, Waxwi ng
Court as requested in the permittee's application dated March 16, 1984
This permit, issued on April 16, 1984 , is subject to compliance with the application and site drawing
(where consistent with the permi;l. all applicable regulations and special conditions and notes set forth below. An\ violation of these
terms mad subject permittee to a fine, imprisonment or civil action; or may cause the permit to be null and %oid.
1. In order to avoid unreasonable danger to life and property, all development shall be
designed and placed so as to minimize damage due to fluctuations in ground elevation
and wave action in a 100-year storm. Any building constructed within the ocean hazard
area shall comply with Appendix D, "Windstorm Resistive Construction," of the North
Carolina Residential. Building Code, except that when any provisions of that appendix
are inconsistent with any of the following AEC standards, the more restrictive pro-
visions shall control.
2. All structures in the ocean hazard area will be on pilings not less than eight inches
in diameter if round, or eight inches to a side if square.
3. All pilings will have a tip penetration greater than eight feet below the lowest
ground elevation under the structure.
4. All foundations will be adequately designed to be stable during applicable fluctuations
in ground elevation and wave forces during a 100-year storm. Cantilevered decks and
walkways shall meet this standard or shall be designed to break away without structural
damage to the main structure.
5. All pilings will be appropriately treated to resist decay, insects, and corrosion.
(Continued)
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
permit must cease until the appeal is resolved.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
Any maintenance work or project modifications not covered
under this permit require further written permit approval
All work must cease when this permit expires on
October 16, 1984
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.
Local Permit Officer (signature)
Georo,H..Wood
Office of Coastal Management
108 South Water Street name
Elizabeth City, N. C. 27909
[phone] address
Permitee (signature required if special conditions above apply to permit)

CAMA Kino'� Development Permit (Continued)
R.D.C., Inc. Permit No. 84-0035
6. The lowest portion of the structural member of the lowest floor (excluding the pilings
or columns) will be elevated to or above the 100-year storm elevation.
7. All exposed structural connections will be adequately rustproofed or enclosed.
8. All utility systems will be located and constructed sous to minimize or eliminate
storm damage.
9. All walls below 100-year-base flood level will be designed and installed to: (A) allow
storm waters to rise and flow freely under the structure, (B) not permit the break-
away themselves to become water -borne debris, and (C) not cause the accumulation of
water -borne debris. Break -away walls will be intended to collapse under stress with-
out jeopardizing the structural support of the structure.
10. No impermeable (such as asphalt or cement) surfaces will be allowed over any functional
part of a complete septic tank system.
11. The permittee will sign and return the copy of the AEC Hazard Notice which is
attached.

rj OFFICE OF
North Carolina Department of Natural C.A.MANAGEMENT
Resources & Community Development °mvidw omrs
Director
o ,�• James B. Hunt, Jr., Governor James A. Summers, Secretary 919-f33-2V3
Field Services
.108 South Water Street
Elizabeth City, N. C. 27909
[phone]
April 2, 1984
The Coastland Times
P. 0. Box 428
Manteo, North Carolina 27954
Gentlemen:
Please include the enclosed Notice(s) of Filing in the Public
Notice section of the Thurs.. April 5, 1984 edition of your newspaper.
If it will not be possible to include these notices in that edition, or
if you should have any questions about these notices, please call me as
soon as possible at 338-1558.
The State Office of Budget and Management requires an Affidavit
of Publication prior to payment for newspaper advertising. Please _
send these affidavits, copies of the published notices, and the bill
to Cathey Cottle, Office of Coastal Management, Department of Natural
Resources and Community Development, P. 0. Box 27687, Raleigh, N. C.
27611-7687.
Thank you.
Cordially yours,
pfe�deCorisu�tant
GHQ!/fob
Attachments: Gillis Application Notice
RDC, Inc. (Lot 218)
RDC, Inc. (Lot 194)
brian Katz Application iiotice`
P. O. Box 27687 Raleigh. N. C. 27611.7687

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�U1BLE R. L.S., certify that this plot was drown from on actual field land survey; _
e error of closure as calculated by latitudes and departures is 1:10, 000; that it was prepared
rdonce with G. S. 47 - 30 OS �.•••••. /
my hand and seal this 18 th day of
J4NU4R,,(
1983
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�URVEYE� GOR
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INC.
LOT 194
PHASE
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9
ATLANTIC TOWIJSHIP
DARE
SANDERLI NG
COUNTY
NORTH
CARO LI NA
JAWU�.R"'f 18, 198,3
' 1I � �2lex
-and Associates, Inc.
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Consulting
,fnQ,neers and Land ;urreynrs
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P.O. 80X 041' NAGS HEAD, NORTH CAROLINA 2rvs9
F
RES
f9i V1 441 — 4 Sll

J I I
NORTH CAROLINA ESTE1. LE B. T11 L LETT,
REGIS OF OL616S
DARE COUNTY DIP-,
ell
THIS DEED, made this D day of( �
4X� /by and between EARL F.
SLICK and wife, JANE P. SLICK of Forsyth County, North Carolina, parties of the
first part, and RDC, INC., party of the second part;
W I T N E S S E T H:
That the said parties of the first part in consideraiio"n of Ten Dollars
.($10.00) and other valuable considerations to them paid by the said party of
the'seco . nd part, thereceipt of which is hereby acknowledged, have bargained and
sold, and by these presents do grant, bargain, sell and convey unto�theparty—
of the second part, its successors and assigns, a certain tract or parcel.of
land in the County of Dare, State of North Carolina, and more particularly
described in Exhibit "A" attached.hereto and by this reference made a part hereof.
TO HAVE AND TO HOLD the aforesaid tract or parcel of land and all
privileges and appurtenances thereunto belonging to the said party of the
second part, its successors and assigns, to thdir only use and behoof forever.
And the said parties of the first part do covenant with said party
of the second part, that they are seized of said premises in fee and have the
right to convey the same in fee simple; that the same are free and clear from
­4
all encumbrances, . except as herein stated; and that they will warrant and defend
the said title to the same against the claims of all persons whomsoever..,'
IN TESTIMONY WHEREOF, the said parties of the first part have hereunto
set their hands and seals the day aald year first above written.,
ZTATE OF -0,71YA"I
e a 17 s t a t e ElYrl F. Slicle
T 7-xcisp Tax
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FEB-3*78 1000. 00 -'-�ane P. Slick
�1`1'7
P. 9. 10,
O STATE OF STAT-T OF
Real Estate Real Estate =
Fxclse Tax ICIRTH Sxoise Tax =
Z pCILINA
z *A 0.01 = Ap,,LINA
FEB -378 50 o 4 FEB-378 " 0" 5,0
P FIG
STATE OF Tex
" " Real
Estate
Exclsj�,
00 Fqo'-INA
cv FEB-3-78 500
P. .107

•_s
NORTH CAROLINA
COUNTY
I, Rsv,(Db-v D S Nam°'""•" , a Notary Public in and for the
County and State aforesaid, do hereby certify that Earl F. Slick and wife,
Jane P. Slick personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
`L�.
WITNESS my hand and notarial seal this ZtO day of-1,6"VeA►� �q14•
c. , t� Notary Public
c �yOTs¢sion expires:
DA22ARA DS SmiHERMAN, Notary Public
y •„ Au Q1Vr*yth*aunty. Noah camijoa
O� •. ycossln expiies July 23,1980•
NORTH CAROLINA, DARE COUNTY
The foregoing certificate of ✓�l� 2 �..,ai+� �Cr7yzs/T�! Ln,� ��
a Notary Public of
Is certified to be correct.
Presented for registration this the o7 day of
19 7o, at o'clock ,_. M., and recorded in this offic in
Book - :1 Page
FE4 1 51978
Register of�Deds
4
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BEGINNING at a point in the mean high +autcrLlincKrt tlic t(c�Cc11i edgo'of tliu 5 '
Atlantic Ocean, said )mint',: -being' the `soutlrcnst'c'orncr ofs t)+c `jiiopeit)? convcycd
by Pine ;,Island; Inc.,to H.' IV. Jones and wife by.-deed"drtcd:Octohw ?3` 1961•turd
recorded in Book 106, page 244 of the Dar6'County Registry;` hcnccliIong`•said
mean high +,'ater Iine 21 calls as follows: (1) South 22 dogrces.44 minutes East
419.49 feet to a point, (2) South 26 degrees 08 minutes Gast 2•30 feet to ;)`point,
(3) South 23 degrees 30 minutes Last 219 feet to a point, (4) South 25 degrees 56"
minutes Last 293 feet to a point, (5) South 23 degrees 24.minutes. East, .193 fact .to
a point,.(6) South 27 degrees 20 minutes Bast 280 feet to a poini';'(7)'S660'22
degrees 06 minutes lust 210 feet to a point; (S) South 19 dcl;rccs ,i•I' minutes'
Cast 221 fee:'to a point (9) South 24 degrees OS minutes Bast 287 fact to a point,
(10) South 27 degrees 10 minutes lust 2SS feet to a Point,. (11) Sofith19 dcg+ces"'
S6 minutes Gast 227 feet to.a point, (12) South 19 degro6s',4o' minutcs',1:ast 227
fact to.a point, (13) South 23 degrees 10 minutes Cast 259'`,rcctl'to ii point, (14).
South 23 degrees 22 minntcs Ea:.t 238 .feet to a point, (15) South 20 degrees 08
minutes Last 2,14 feet to a point, (16) South 27 degrees 08 minutes Bust 237 feet
to a point, (17) South 24 degrees 28 minutes Bast 273 feet to a point, (1S) South
20 degrees 48 minutes rust 222 feet to a point, (19) South 25 degrees 04 minutes
Bast 245 fact to a point, (20) South 17 degrees 52 minutes Bast 217.fcet.to'a point,
and (21) South 33 degrees 36 minutes Last 93.48 foot to a point -,;the northeast corner
of the property described in that certain Release Deed recorded in Hook 21S ut page
101 (Parcel No.'2) of the Dare County Registry, reference to'which is hcreby'madc;.
thence +ri.th.06 north line of said property south 86 degrccs'23 minrltes 59,seconds
Hest 1695.66 feet to a point in the mean high water -lino. of lic Eastern edge of
Currituck Sound; thence along the mean high alter l ine of Currituck Sound 54 cal is '
as follows: (1) North 00 degrees 04 minutes Last 75.37 foot to a point, (2) North
13 degrees 48 minutes west 93 feet to a point, (3) North 3.i dcgrecs 36 minutes East
b7 feet to a point, (4) North 00 degrees 06 minutes Cast•113 foot to a point, (5)
North 01 degrees,56 minutes Last 146 feet to a point., (6) North 25 degrees 04 minutes,
West 109 feet to a point (7) North 34 degrees 22 minutes West.417 fact to a point; (8)-
North.10 degrees 12 minutes East 92 feet to a point, (9),North 02 degrees 30 minutes
Bast 160 feet to a point, (10) North 30 dcgrecs 58 minutes +vest-194 fcct.to,a.,point,
(11) North 27 degrees 54 minutes East 100 feet to a point .(12) North 16`dc)rces .36:
minutes (Vest 98 feet to a point, (13) North 23 dL-grces.12 minutes h*cst M.fcct to
a point, (14) North 47`'degrees "33 minuta!z West,81 feet°to n'rpint,•..(1S) North 21
degrees 40 minutes West .7S feet to a point, (16)'Noith 59 dcgrccs"42 minutes. l.ast."
123 fact to a point, (17) South 84 degrees 02 minutes Nest 106'fcct to .t point,
(18) North 08 degrees 46 minutes Hcst 139 feet to a point, .(l9) South 72 dcgrecs 20`
minutes West 58 feet to a point, (20) North 37 degrees 58 minu.tcs Hest 123 feet to
a point, (21) North 24 degrees 06 minutes Bast 156 feet to a ,point, (22) North 03 -
degrees 04 minutes Wust.109 feet to a point, (2:i)•North.41 dcl;tces '.6 niiniitcti.Wcst
98 feet to .a point, (24) North 15 degrees 14 minutes Bast (4 feet to a liolnt., (2S)
North 52 degrees 16 minutes Pfest 92 fact to a point, (20) North 59 de'grecs 12 minutes
Cast 50 feet to a point, (27) North 30 degrees 58 minutes West 16S-fect to a point;
(28) North 11 degrees 00 minutes Best 194 feet to a point, (29) North 53 dcgrecs 06
minutes Bast 67 feet to a point, (30) North 61 degrees 28 minutes Bust 58 feet to a
point, (31) North 47 degrees 38 minutes Hest 33 feet to a. point, (32) South 74 degrees
56 minutes Hest 157 feet to a point, (33) North 58 degrees 52 minutes I:'est 81 feet to
a point, (34) North 19 dcgrecs 34 minutes East 157 fact to a point, (35) North 09
degrees 26 minutes Hest 201 feet to a point, (36) North 11 degrees 02 minutes hest
72 feet to a point, (37) North 15 dcgrecs 42 minutes I;ust 350 feet to :1.li01nt, (38)
North 32 degrees 16 minutes fast 51 feet to a point, (39) North 58'dcgrecs 52 nliriutes
Cast 51 foot to a point, (40) North 82 degrees <I4 minutes Hest 49 fe;:t to a point',(41)'
North 17 degrees 16 minutes Bast 29 feet to a point, (42) North 75 degrees 50 minutes
"West 50 feet to a point, (43) North 83 degree,-, 42 minutes -Hest 92 feet to a point,
__(44) North 14 dcnrccs 18 minutes East 109 foot.to.a point, ('15) North 06 dcgrecs 52
minutes Cast '13 foot to 'a point, (46) Kvrth 00"d65;recs`10'Ininutes nest 57 feet to a
.point, (47) North 11 d^grccs 22'minutcs I:%st 157 fact to a point, •18) :;orth 24 dcgrecs
12 minutes Hest 66 fact tl) n point, f49) North 01 12 r.:imr,es 1•:cst &8 fc," to
a point, (50) North 21 degrecs :6 minutes't:est 1:.' fc.t to a roint, th _.
degrees 36 ninutes lint 95 feet to a ^oin% _ (: ') :o:•th 41 4 r: QQ -in: test
93 feet toa point, (53) North 08 degrees 16 minutes lvcst 62 fact„to' a point,
y

-g4 -do35,
AEC HAZARD NOTICE
b� w 4 oe -W
YOUR PROJECT IS IN AN:
OCEAN ERODIBLE AREA
HIGH HAZARD FLOOD 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 Commission's rules on building standards,
oceanfront setbacks and dune alteration are
designed to minimize, but not totally eliminate,
property losses from the hazards. By granting
permits, the Coastal Resources Commission does
not guarantee the safety of the development and
assumes no liability for future damage to the
development.
The best available information, as accepted by
the Coastal Resources Commission, indicates that
1 I ..
1�!.,�
INLET HAZARD AREA
the annual ocean erosion rate for the area where
your property is located is Ifeet 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 flood waters in a major storm are predicted
to be about feet deep in this area.
Shoreline erosion control structures (excluding
beach nourishment and berm projects) are not
allowed to be built to protect development built
after June 1, 1979. Limited pushing up of beach
sand is allowed to protect new structures when
they are threatened, but bulkheads, groins, or
jetties may not be used to protect buildings put in
after June 1,,1979.
4t,- � - A _0�— �
Applicant's Signature
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.
SPECIAL NOTE: This hazard notice is requiredfor 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) times for 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: George H. Wood
Office of Coastal Management
ADDRESS: 108 South Water Street
Elizabeth City, N. C. 27909
LOCALITY:
PHONE:
5C/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
I
SETBACK I FIRST LINE OF
STABLE NATURAL
30xANNUAL VEGETATION
I AVERAGE
EROSION
I 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
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 be as far back on 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 Area's
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

STATEMENT OF OWNERSHIP
r
n
D
I, 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
in the real property described therein. This interest can be described as follows: (check one)
✓ an owner of record title, Title is vested in -2 • D. C• _ G•
see Deed Book �S 7 , page n in the
7) 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. 1 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)
IOSZ$
- W'k-umpm
Q.• u_ ..
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 164t day of Marc- , 19.-..
Land owner or person authorized to act as his agent
for purposes of filing a CAMA application.

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
label roads
label highway 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 (MHW)
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:
draw and label landward limit of AEC
describe terrain (slope)
DEVELOPMENT PLANS
draw and label areas that will be disturbed
if house 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 $25.00 fee?
• completed an AEC Hazard Notice,if necessary?
SITE NOTICE POSTED
SITE INSPECTIONS
J,
DATE OF ACTION:
ISSUED EXEMPTED
FOR STAFF USE
FINAL INSPECTION FEE RECEIVED
DENIED APPEAL DEADLINE (20 days)