83-055_Bayliss, John F. & Allice R._19831017

STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in[RE1E1,VE_Dan area of environmental concern or a person authorized to act as an agent, for purposes of applying for a CAMAminor development permit, certify that the person listed as landowner on this application has a significant interest8'8�
in the real property described therein. This interest can be described as follows: (check one)/_
y an owner of record title, Title is vested iny O,4 s_� �e
A,/tt5 see Deed Book , page in the ~
A A- 6- 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.
r
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I furthermore certify that the following persons are owners of properties adjoining this property. I af{i-:r
that I have i2ivpn ACTIJAI NOTICE to ch of the Y infant to _ftalop this rnmnart @00 ;Q
apply for a CAMA permit:
(Address)
N C., U/r .^-c3� o
$- (2) or{� kl�'f lr�r 4 Cs l oaslt ST.�rf E GT �YN�r��i��i U.+ i Z�u�
(3)
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 I
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 z
concerning stabilization and flood -proofing techniques. 3
z
PERMISSION TO ENTER ON LAND 3
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 ag day of ,
Landowner or person authorized to a/ as his agent
for pwposes of filing a CAMA application.

GENERAL. INFORMATION
1. LANDOWNER
Name
oN,j r . ALLIcen .
T PH) .—.�'
Address ���7 / !7 f= [ C ►'
City (�G� r-AaQ State �4- Zip 9Z//b Phone �/ 9-
2. AUTHORIZED AGENT
PH Name or11.1 �11C�i.� — ��,tc;./ /��r✓_/rS'
Address r• O f✓C� X �% cf
If
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City ��/� ram' State- N' G" Zip 22-91 V Phone
LOCATION/DESCRIPTION OF PROJECT
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:/ 50 5• F
a u 7. SIZE OF SITE IN SQUARE -FEET:
NO 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.
SITE I
SITEI'
DAT
This the ter day of
19�.
Ap li ant's signature (or authorized gent)
Indicate below address and phone if not shown above.
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:

AEC HAZARD NOTICE v
_ YOUR PROJECT IS IN AN:
y Z INLET HAZARD AREA
OCEAN ERODIBLE AREA HIGH HAZARD
FLOOD AREA
This notice is intended to make you, the appli-
the annual ocean erosion rate for the area where
cant, aware of the special risks and conditions
your property is located is 5 feet 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 2_S feet landward in a major
area can be issued.
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 urces Commission, indicates that
after June 1, 1979.
3
1101
Date
t.lS Applicant's Signature
The applicant must acknowledge receipt of this information byb9ithis n n the space above. Without
the proper signature, the application will not be complete.
SPECIAL NOTE: This .hazard notice'is required for'develo ment in areas subjectto sudden an 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 ermit :extension, This is granted if there Kno
P
change in the project site. or if you have made "substantial progress" on ;your project Normally a permit can;be.
extended five (5) "times fora 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 th,e 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:
1�61),44D A'/hxkax:- -L
ADDRESS: r/Oc u d Or- /(1%!I ,�;S 6/fp
Po -box - 991,
LOCALITY:
PHONE: "T L�L� - �40
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;.CCORDANCE WITH O. S..7-30 AS AMEf MED.
. y HAI,:D AND SEAL THIS / _DAY OF
LAND EYOR 15 1,165
Lcrd Surlcyars and Plonnert
P O. Box 1998
/JMANTEO, N. C 27954
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Bldg.. Inspectors
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'. DARE COUNTY HEALTH DEPARTMENT' Copy
THIS PERMIT IMPROVEMENT PERMIT (SEPTIC TANK SEWAGE DISPOSAL)
GOOD FOR.ONLY NOT TRANSFERABLE
275
180 DAYS
JD � iQ- $ a S.H. WATER TABLE
DATE OF APPLICATION _
' EXISTING:.Trl -' House Bus. , SOIL STRUCTURE Suit a Unsuitable
NEW Trl Hous Bu`s.g8r,sionally, Suitable
LOT SIZE 1S cv0 Fj Z" SOIL TEXTURE Sultabl Unsultable ,r
Provisionally Suitable
PROPERTY OWNER .
• PADr e-A
AQDRESSz it+i.+T- 'tbRpu PERCULATION RATE
.
yi LOCATION SOT Zf;4' [NAwNcoK CA`� RESTRICTIVE HORIZON
S_rl1
IuAb FAD c : SLOPE t' !
TYPEOFTANK pQ£cf75T SIZEOFTANK: roo0 c DISTANCE FROM SURFACE WATER
3, 4
AMOUNT OF TILE 21D WIDTH OF DITCH
DISTANCE FROM "SA" WATER boo r
ROCK UNDER TILE ��WATER; Private PLAT WITH SKETCH ATTACHED K 3
ABOVETILE Z City tr
SEWAGE CONTRACTOR
PERMIT ISSUED BY.* `'�'� �' ' �- Sanitarian ,
l
A NOTE:This permit is issued subject to all provisions of the ordinance governingthein-
atallation of septic tank systems. THE PERSON MAKING SAID INSTALLATION MUST
NOTIFY THE HEALTH DEPARTMENT WHEN THE SEPTIC TANK SYSTEM IS READY
y
FOR INSPECTION. If anseptic tank system or part thereof Is covered before being In-
spected and approved, It shall be uncovered at the direction of the Health Officer at the , ✓
a:pause of one sponsibk for making In Iatlon. - Maintain Minimum 10 Ft. from All Property Lines & Water Lines
Maintain Minimum 100 Ft. from All Wells
oresponslb►e)
Signature of property owner or eu
A

TOWN OF NAGS HEAD
NAGS HEAD, NORTH CAROLINA 27959
CAMA PERMIT NOTICE.
Pursuant to NCGS 113A-119(b), the Town of Nags Head, a locality
.authorized to issue CAMA permits in areas of environmental concern,
hereby gives NOTICE that on September 29, 1983, John F. and Allice
R. Bayliss, the applicants, proposed to erect a duplex at lot 28,
Chawanook Cay subdivision, south Nags Head, in an ocean hazard 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 Developmgnt
Permits under CAMA
Address: P. 0. Box 99
Nags Head, N. C. 27959
Telephone: [phone]
------------------------------------------------------------------------
For publication in The Coastland Times, October 6, 1983
Please•use legal print an. Nags"Head logo.

Nags Head 83-055
'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 John F. and Allice R. Bayliss ;
authorizing development in an ocean hazard -AEC at lot 28, Chawanook'Cay subdivision
- as requested in the permittee's application dated` ` September 29,.1983
October 17, 1983
This permit, issued on 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 M. Edward Harrell
permit officer when the project is inspected for compliance.
name
Any maintenance work or project modifications not covered
under this permit require further written permit approval. P. 0. Box 99
All work must cease when this permit expires on
Nags Head, .N. C. 27959 adores:
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) .