14-97_Port O'Swannsborough_19970813

APPLICATION FOR
CAMA
MINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed
the Coastal Area Management Act and set the stage for
guiding development in the fragile and productive areas
which border the state's sounds and oceanfront. Along
with requiring special care by those who build and
develop, the General Assembly directed the Coastal
Resources Commission (CRC) to implement clear regula-
tions which minimize the burden on the applicant.
This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more
time or effort necessary from the applicant. Please go
over this folder with the Local Permit Officer (LPO) for
the locality in which you plan to build to be certain that
you understand, what information he or she needs.
Under CAMA regulations, the minor permit is to be
issued within 25 days once a complete application is in
hand. Often less time is needed if the project is simple.
The process generally takes about 18 days. You can
speed the approval process by making certain that your
application is complete and signed, that your drawing
meets the specifications given inside and that your
application fee is attached.
Other permits are sometimes required for development
in the coastal area. While these are not CAMA-related,
we urge you to check with the Local Permit Officer to
determine which of these you may need. A listing is
included on page 2 of this folder.
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
rest)urep-2r etz�antiftrbaBd.g;aductive coast.
+
amstal ur e Commission
! :� Division oftoasiNl""Management

Locality Permit Number
GENERAL INFORMATION
LAND OWNER
Name no w �7_ 1 d cs ty a% yt vt S L0 V r3c.+` g Yt
Address _/Oi Ctiu2c.k igI I'', 0.
City .s cuu. vi 3 bep P440 State C Zip 191-W-fa A? Phone .?.Z 6 S1�1` �
AUTHORIZED AGENT ` J & 3 6 36
Name }% N A V 0 Sc, k
Address 130 A14AG;etAk D tZ
City d u 6 e t2a7 State C r Zip Phone 3.2 (o —S 6 S 6
LOCATION OF PROJECT -/D 1 C 11 Gc t;c. A 67— Swc,.h s 6v vat ,v L°,
(If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECT • T3u. �., [ h, pe5 t ✓®
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard V"� Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
Residential 'Commercial/Industrial Other
SIZE OF BUILDING IN SQUARE FEET Agtif.Aax d a J7' %,/
Size of other impervious or built u n faces (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline)
SIZE OF SITE IN SQUARE FEET
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 com-
plied 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 LAMA, only a sugges-
tion to help you complete your project as quickly as
possible.
Zoning, Drinking Water Well, Septic Tank (or other
sanitary waste treatment system), Burning, Electri-
cal, Plumbing, Heating and Air Conditioning, In-
sulation and Energy Conservation, FIA Certifica-
tion, Sand Dune, Sediment Control, Subdivision
Approval, Mobile Home Park Approval, Highway
Connection, Others:

DEHNR-DCM #14-97
Local Government
��,kl Permit Number
CAMA }
MINOR DEVELOPMENT
PERMITas authorized by the State of North Carolina, Department of Environment,
Health, and Natural Resources and the Coastal Resources Commission for development
in an area of environmental concern pursuant to Section 113A-118 of the -
1 General Statutes, "Coastal Area Management." .
Issued to r1 , authorizing development in-a-r-up Sl.�e� Ar6C
ME IDI e Q _ . =J OILS n(L) Go .
as requested in the permittee's application, dated
This permit, issued on 8 1-a QI 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.
1. The applicant must receive a "Certificate of Appropriateness" from the Swansboro Historic
Commission prior to onset of construction.
2. There is to be no roof constructed over, nor any gravel, asphalt, concrete, or other improvements
under the deck shown as "uncovered" on plats submitted August 1, 1997.
3. All improved, hardened, or covered surfaces, to include but not limited to, covered structure, parking
and drive areas, must not exceed 32% within 75' of the mean high water contour (in this case the
bulkhead) of the White Oak River. In the case 5096 sq. ft. is proposed and accepted.
1. All proposed development and associated construction must be done in accordance with the
permitted workplat drawing(s) as originally submitted on 8/1/97.
2. Any change or changes in the plans for development, construction, or land use activities will require
a re-evaluation and modification of this permit.
3. Prior to initiating any land -disturbing activities, a barrier line of filter cloth, staked hay bales, or burlap
must be installed between the land -disturbing activity and the adjacent marsh or water areas, until
such time as the area has been properly stabilized with a vegetated cover.
4. The bulkhead alignment will approximate the MEAN HIGH water level at the time of construction.
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 per-
mit must cease until the appeal is resolved.
Aa ���
Local Permit Officer (signature)
This permit must be on the project site and accessible to the 11 ERe'BPtQme
permit officer when the project is inspected for compliance. name
Any maintenance work or project modifications not covered NC DIVISION OF COASTAL MANAGEMENT
under this permit requires further written permit approval. Hs:STRON PLAZA 11, 151.6, HWY. 24
All work must cease when this permit expires on December MOREHEAD CITY, NC 28557 address
31, [phone]
In issuing this permit it is agreed that this project is consistent
with the local Land Use Plan and all applicable ordinances.
This permit may not be transferred to another party without Permittee
the written approval of the Division of Coastal Management. (signature required if special conditions above apply to permit)

DEHNR-DCM
#14-97
Local Government
F Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT --,�
as authorized by the State of North Carolina, Department of Environment,
Health, and Natural Resources and the Coastal Resources Commission for development
in an area of environmental concern pursuant to Section 113A-118 of the •
nn-- -- I General Statutes, "Coastal Area Management."
Issued to {�CJI'c orSU1Q�' nG5 orQQ.Q uc�
authorizing development in �gryg�E SegU15 A-tr-
PFF I()I Clipke1} ST- mi CAlSat rko fad .
as requested in the permittee's application, dated
This permit, issued on 8I13I41 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.
1. The applicant must receive a "Certificate of Appropriateness" from the Swansboro Historic
Commission prior to onset of construction.
2. There is to be no roof constructed over, nor any gravel, asphalt, concrete, or other improvements
under the deck shown as "uncovered" on plats submitted August 1, 1997.
3. All improved, hardened, or covered surfaces, to include but not limited to, covered structure, parking
and drive areas, must not exceed 32% within 75' of the mean high water contour (in this case the
bulkhead) of the White Oak River. In the case 5096 sq. ft. is proposed and accepted.
1. All proposed development and associated construction must be done in accordance with the
permitted workplat drawing(s) as originally submitted on 8/1 /97.
2. Any change or changes in the plans for development, construction, or land use activities will require
a re-evaluation and modification of this permit.
3. Prior to initiating any land -disturbing activities, a barrier line of filter cloth, staked hay bales, or burlap
must be installed between the land -disturbing activity and the adjacent marsh or water areas, until
such time as the area has been properly stabilized with a vegetated cover.
4. The bulkhead alignment will approximate the MEAN HIGH water level at the time of construction.
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 per-
mit 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 requires further written permit approval.
All work must cease when this permit expires on December
31,
In issuing this permit it is agreed that this project is consistent
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 Division of Coastal Management.
I &_L
Local Permit Officer (signature)
16lze 'BR2RE tT
name
NO DIVISION OF COASTAL MANAGEMENT
HFSTRON PLAZA11, 151-6, HWY.24
MOREHEAD CITY, NC 28557 address
[phone]
-=r
Permittee
(signature required if special conditions above apply to permit)

NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERAM
Notice is hereby given that Port O'Swannsborough has applied to the Department of
Environment, Health and Natural Resources for a Minor Development permit. The applicant is
proposing to construct a Commercial Building at a site located adjacent to Front and Church
Streets, in the Town of Swansboro.
Persons desiring to inspect the application, or to comment thereon, are directed to contact
Tere Barrett, Division of Coastal Management, in Hestron Plaza II, 151-B Hwy. 24, Morehead
City, N.C., [phone], no later than Tuesday, August 12, 1997, comments received prior
to that date will be considered in making the permit decision. Later comments will be accepted
and considered up to the time of permit decision. Project modifications may occur based on
further review and comments. Notice of the permit decision in this matter will be provided upon
written request.
PLEASE PUBLISH ON: Tuesday, August 5, 1997

PORT O' SWANNSBOROUGH 0397
P.O. BOX 98
SWANSBORO, NORTH CAROLINA 28584
[phone]
FIRST CITIZENS BANK & TRUST COMPANY 66-30/531
SWANSBORO, NC 28584
��7 •y YY. �, r� . 7'V +Hr 4 V 7 S f lz"- tzL
•rjn ��
PAY *, ti "?:; ? : b`.!, ti: .,, �z " 3�� �: DOLLARS
TO THE ,w- I I ��
ORDER OF �J j i
N11 n(c� Pm, l i
AUTHORIZED SIGNATURE
n■000397111 ':05310030011:341224785911'
DATE CHECK
•n:,.`CHECK.NO
r.,. �,z'AMOUNT:

DIVISION OF COASTAL MANAGEMENT
FAx TRANSMISSION
MOREHEAD CITY FIELD OFFICE
HESTRON PLAZA it
151 B HIGHWAY 24
MOREHEAD CITY NC 28557
(919) 8082808
Fax: [phone]
To: Melissa Date:
09 3S
Fax #: [phone] Pages:
From: Mary Hill
Subject: Correction on Notice
August 4, 1997
2, including this cover sheet.
COMMENTS: Please call and confirm receipt of this fax; and use the following notice for Port
O' Swannsborough
Thanks! Mary

I

JUL-29-97 TUE 10:49 AM ADRIENNE ROGERS 910 455 8593. P.01
Adrienne Nelson Rogers, CPBD, AIBD fAUG0 11997 �
PRO -DESIGN • Ile Jean Circle - Jacksonville, NC 28540
- Telephone [phone]T - Fax [phone]
To: Swansboro Historic District Commission
Date' July 24, 1997
RE. Pre -application reviewfor Dr. Oscar Sohindelar
Dr. Schindelar Is requesting the opportunity to rebuild a building to replace the old
Christmas Shop and a small residence that were washed away during the hurricanes of
1996 on his property located at the waterfront Interior comer lot at Front and Church
Streets in Swansboro, at the end of the Through the Looking Glass Building and next to
the new Bynum shoptresidence recently built on the river.
Background Information:
The lot measures approximately .37 of an acre (see attached plot plan).
Property Is located In Federal' V' Flood Zone.
The proposed new construction will be in the CAMA Zone, which is where the
old buildings sat.
The proposed new building will set back from Church.Street approximately 100
feet and from water 5treet approximately 250 feet.
The required new building set backs are approximately 25' to the front, 10' to
the rear, and 10' at corners.
The new building will be elevated on 8x8 pilings that will not be exposed because
of the break -away walls below.
There is an approximateiy 3V utility and drainage easement and 10' strip of
property belonging to Jessie Moore adjacent to the southwest corner of the
property, behind the existing building, as well as a 6' access drive to the property
from Water Street.
• Parking and landscaping wail be submitted for review at a later date. The
property already has a large parking area and an abundance of land to
accommodate any required parking spots.
• The new building foot print percentage to building lot is 21%. The previous
bulldings footprint percentage to building lot size was 19%.
The overall footprint of the new building is 80 feet wide by 52 feet deep, including
porches and decks.
The new structure will not exceed the 35' maximum to the ridge of the roof.
The main level will have approximately 3,371square feet, including parches,
There is an additional 500 square feet of uncovered deck on the water.
The ground floorvrill be used as storage for the building.
The first habitable floor level above ground level may contain a restaurant. It will
have two toilet rooms, 2 dining areas, a kitchen area with storage, a covered
entry porch with stairs and a chair lift under the porch roof on the north side, a
covered porch to the south west (right) side of the building, and a deck with trelfis
on the water side.

JUL-29-97 TUE 10:49 AM ADRIENNE ROGERS 910 455 0583 P.02
The building will comply with NC Handicap codes throughout, including the
bathrooms, entry and exit. A commercial Chair lift will be discreetly placed at the
entry porch and screened with lattice, as allowed by the manufacturer.
The new building ground floor break -away walls will be covered with 12" boards
with 2" vertical battens, as seen on many old houses in the area. This will
material will serve to visually "ground" the house. There will be a V" skirt board
at the first floor level to break up the materials on the ground and first floors.
The siding on the building will be cedar shakes with an 8" exposura, painted In a
historical color to be determined. Corner boards, fascias, columns and rails will
be painted white. The new building roof is a gable design covered in either tin,
architectural or concrete shingles. Roof color will be a charcoal grey. The new
building will have louvered full height window shutters at the six over six windows,
which are 3 feet wide by 6 feet long. The shutters will be painted In a
historical color to be determined. Windows and window mullions will be painted
white. All porches floors will be 514 board treated decking with rounded edges.
They will be stained grey. Doors will be 6' wlde15 lite French doors with elliptical
transoms on the water side, painted white.
All porch and deck rails will meet the NC Building Code. Pickets will be 2x2
materials and the cap will have a rounded edge detail. AD rails and posts will be
painted whine.
The new building will be elevated approximately 10 feet above the grade to
lowest structural floor member.
-7
4 .
AUG G 1 1997

F 71
AUG 0 11997
C5*� I j
------------- ---- V." ..
North Carolina Department ()f Cultural Resources
Liaies 13. Ihint Jr., 6CIvCTI;A
)3a,y NiXa'.11, SCCrOmy
July 17, 1997
A dienre Neison Roger:, "PO, A IBD
6 jean C ir c I
jack *III( j ,sorvi "! NC 285140
Re: port CI'Sv.vansbor(%u.q1-- Swansboro,
1443
UnSiOVV ICOU(ItYi E-I
Dear Ms. Rogers:
4yow- ieLter of jone 23, 199'7., CCq--,,,I-tjn omg O'W
I_)j% j5jort Arc It's 5"d llistOrY
k1fre) J. Crow, Director
,jvc3 ,.-ed the dray mqgs tlif, prLposed i=estauran! zj" Port
- -., -,j S,,,i, -
-Ice _te j+jtiji vie ansL-
Sir 1IN, build'in-2 :s n��t 13c vV L
The property may be
RegistFr Distoot it, will not have an QffUct-
jgosr t�,at any
C Ocal lave..". We su-
tije loca) historic district. and require revievv at the
futurx,, parking sho!jid be, located �,vithin the centcr of the blocie, and not al'OrIg Water
Street.
'The ",bove con*1r'1It,,ts "Mcle tpursuant to seo'don Iot') of the relational Historic
Preservation .4ct and the Advisory Council on Historic Pfeservation's Regulations
for r,ornpliance vvith SeGtion 106 codified! at 36 CF'R Part 800.
I-
Than,k yuu for ' ;our cooperation and consideration. if �Icu have questions
concerning the zjicv- please contact Renee Giedhill-Earley, environmental
coordinator, t q'i 4763.
Sincerely,
Ifs i A,
David Brook
Deputy State Historic Preservation Officf:r
DB:s[,N
Richard Banks, Swansboro Hisi:oric Disirict Commission

SWANSBORO HISTORIC DISTRICT COMMISSI .
.� AUG .011991
CERTIFICATE OF APPROPRIATENESSqui-
Fee: 125 Ycco & Application # 9
I Hereby apply to the Historic District Commission for a
Certificate of Appropriateness (COA) for the structure, project
or proposed restoration, modification or change on the following
property located within the Historic District::
NAME: pa r l �� Jcly cLv},LLS�vnC"-�
MAILING ADDRESS • PO /3m
ADDRESS OF AFFECTED PROPERTY: / d i C � U �A
PHONE NUMBERS: (HOME),?*? L 7 G .�' G (WORK) 312 (f 3 -Z k
Indicate if you need a pre -application review: Yes No
(Note: Pre -application review is required for all projects exceeding a cost of
$10,000 and/or involving new construction projects with a minimum square
footage of 1,000 s.f. or addition of 500 s.f.)
INSTRUCTIONS:
1) All applications must include a written property description.
In the space provided or on additional sheets, describe the
nature and extent of the proposed work to include a listing
of materials and dimensions. Provide sufficient detail to
allow the Historic District Commission (HDC),to make an
informed decision regarding appropriateness.
2) For each specific type of activity, attach the following
materials: (check the applicable category)
EXTERIOR ALTERATION: Photograph(s) and sketch(es) showing
existing conditions and proposed changes for each effected
area.
V' NEW CONSTRUCTION: a) Plot plan showing all new construction
on proposed site, b)preliminary or final drawings showing
proposed design of new construction or new addition
(elevations required), c)descriptions, samples, and
specifications indicating materials and textures used on
exterior construction, d)statement by owner of how proposed
new construction meets the intent of the HDC's design
guidelines for projects involving new buildings with more
that 1,000 sq.ft. or addition of 500 sq.ft., and e)deed of
property.
SIGNAGE: a)Photograph of building or site affected,
b)sketch, drawing, or photograph of proposed sign design.
with pertinent dimensions and materials description,

c)sketch, plot plan showing: the dimensions of building, all
setbacks, location to streets/parking and proposed sign
location.'
MOVING/DEMOLITION: a)Photographs of building to be moved or
demolished (include photos of all elevations and a
streetscape), b)written description of reason for move
or demolition, and c)for moving requests, a photograph of
proposed site for relocated building and a plot plan showing
exact building location with pertinent dimensions.
ALL SKETCHES, DRAWINGS, COLOR CHIPS ETC. MUST BE SUBMITTED
IN MULTIPLES OF TWELVE (12). 8-1/2" X 11" PAPER SIZE PREFERRED.
PROJECT DESCRIPTION (Attach additional sheets if necessary):
ADJACENT PROPERTY OWNER NOTIFICATION: You must provide the following: (1) on a
separate sheet of paper, a list of names and addresses of all property owners within 50' of the perimeter of
your property, and (2) a stamped, addresses legal size envelope for each property owner on the list.
The applicant(s) and/or his/her representative(s) are required to appear before the Commission to
present, discuss and clarify the application the night of the meeting. If the applicant is not the owner of
the property a written statement by the owner is required prior to the meeting for the applicant to pursue
COA.
Any applicant(s) requiring a "CANIA" permit, must submit the approved CAMA application with CAMA
official(s) signature(s), prior to the review of the COA by the Swansboro Historic District Commission.
All applications become the property of the historic District Commission for the Town of Swausboro. This application shall be
completed and returned to the Code Enforcement Assistant at least fourteen (14) days before the Historic District Commission
meeting at which the application may be considered.
It is the policy of the Historic District Commission that the Commission shall act as one body. Accordingly, individual members
should not give personal opinions on applications submitted to the Historic District Commission, and no such individual opinion
shall bind the Commission in any way.
SIGNA41JRE OF APPLICANT DATE
Application received by:
Application reviewed with applicant by: _
How: In person By Phone
Comments:
hdcrnaapp
STAFF USE ONLY
Date:
Date:

NOTICE OF FILING OF
APPLICATION FOR CAMA MINOR
DEVELOPMENT PERMIT
AUG0Z1..97 I
The Department of Environment, Health and Natural Resources hereby gives public
notice as required by NCGS 113A-119(b) that application for a development permit in an Area
of Environmental Concern as designated under the CAMA was received on July 8, 1997.
According to said application, Port O'Swannsborough, are proposing to construct a
Commercial Building at a site located adjacent to Front and Church Streets, in the Town of
Swansboro.
A copy of the entire application may be examined or copied at the office of Tere
Barrett, Division of Coastal Management, located at Hestron Plaza II, 151-B Hwy. 24,
Morehead City, NC, 808-2808 during normal business hours.
Comments mailed to Roger N. Schecter, Director, Division of Coastal Management, P.
O. Box 27687, Raleigh, N. C., 27611, prior to August 23, 1997, will be considered in making
the permit decision. Later comments will be accepted and considered up to the time of permit
decision. Project modification may occur based on review and comment by the public and
state and federal agencies. Notice of the permit decision in this matter will be provided upon
written request.
PUBLISHED ON: Sunday, August 3, 1997

State of North Carolina
Department of Environment,
Health and Natural tResources
Division of Coastal Management
James B. Hunt, Jr., Governor
Jonathan B. Howes; Secretary
Roger N. Schecter, Director
August 1, 1997
Daily News
Legal Advertisement Section
P.O. Drawer 196
Jacksonville, NC 28541-0196
Re: Public Notice - Port O'Swannsborough
Dear Sir:
HNR
Please publish the attached Notice in the Sunday, August 3, 1997, issue of the Daily
News.
The State Office of Budget and Management requires an original Affidavit of
Publication prior to payment for newspaper advertising. Please send the affidavit, an
original copy of the published notice, and an original invoice to Alison Davis, Division of
Coastal Management, P.O. Box 27687, Raleigh, North Carolina 27611, Telephone (919)
733-2293.
Thank you for your assistance in this matter. If you should have any questions, please
contact me at our Morehead City office.
Sincerely,
&VI4 /khA�
Tere Barrett
Field Representative
TB/mh
Enclosure
cc: John Parker
Alison Davis
_Charles -S. Jones
SAW_
Hestron Plaza II, 151 B, Highway 24, Morehead City NC 28557
Voice 919-808-2808 FAX [phone] Courier 11-12- 09 �f An Equal Opportunity / Afflrmative Action Employer
50% recycled / 10% post -consumer paper

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M.B. 35. Pg. 55 11N ®T F 0 R CONSTRUCTION � i
Onslow County Registry I Lj,.l
Note: This. Map is Not intended for Recording!
PRELIMINARY PLOT -LAN FOR
I, CH LE RA LS, GI TERED raven
LAND VEYOR d ereby er l y ec a PORT O'SWANNSBOROUGH
th ve sur ye the erty
s shown h on in cc an reyised TRACT II. PORT O'SWANN5BOROUGH
with THE ANDARDS PRACTI sca e 5WANSBORO
OR S` $VE R ��I� NOR rod. no ONSLOW COUNTY
Charles A. RawlsCAR
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STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, begin 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 sig-
nificant interest in the real property described therein. This interest can be described as follows: (check one)
g�yw`�N''vcv 7 �ly
�✓ an owner of record title, Title is vested in Por?. ds A. c%-MrIAL^d 0--t , see Deed Book -70
page 2�� in the ©NAS L6 cLt County Registry of Deeds. �3
A3&/T
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
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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)
11
(2) ']'v w.v cd F S w w in 5 bo ,eo
(3)�'-r`5��.33f�F�
(4) 5,13 - 75-a 6 179
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD 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 floodproofing 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 application includes: general information (this form), a site drawing as described on the back of this ap-
plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 made payable to
the locality, and any information as may be provided orally by the applicant. The details of the application 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 per-
mit is subject to civil, criminal and administrative action.
This the 3day of ®C� .19�G .
� 2�,���� �i 1
Land OVOlia or -person authorized to act as his agent
for purposes of filing a CAMA permit application.
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95

SITE 1Df3AWING/APPLICATI0N CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor develop-
ment 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 highways 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 the 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 a house is 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?
*disclosed the $50.00 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)