84-014_Hall, Gary_19840229 (2)

4
".GENERAL INFORMATION
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MAR 0 5'84
1. LANDOWNER
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Name Win- A ,l it A LL­ x -
Address
City �/�9� FTrN5 ✓��-�-� State (/�' Zip J-4 / / 2_—Phone
2. AUTHORIZED AGENT
Name Q S A GU .
Address
City State Zip Phone
3. LOCATION/DESCRIPTION OF PROJECT 42 S ►'' <�w�u /� �r 7-0d /'cam CIS o
OrJ Loy S ` ��GGL Lo%/!l��L �6 r►J s.�
O N9 S'tArD T
4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline Other
S. PROPOSED USE
Residential Commerical/Industrial Other
6. SIZE OF BUILDING IN SQUARE FEET: (ri
7. SIZE OF SITE IN SQUARE FEET: (A) 151 S o
2 9 TH dayof FF,6�cUf� ,c ✓
This application includes: general information (this This the
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
09
to the locality, and any information as may be pro-
vided orally by the applicant. The details of the applica- g ( g )
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:

A .
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 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)
ell an owner of record title, Title is vested inA . Hit L�
see Deed Book /13 , page 51 in the
�A I - 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. I affirm that
1 have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA permit.
. (1) )Qi9
(2)
(3)
(4)
(Name). .
,/ W . `7--uG KG,C.- 6
(Address)
3 E/,Ecy. s� scc% 0LYsi1P1A Gva. g85°L'
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE SHORELINE EROSION AREAS: i
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. 1 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 19 74 day of Fr�Ly�7 � �/ , 19 `', `.
✓ Ck-.,,
Land owner or person authorize to act as his agent
for purposes of filing a CAMA app ication.
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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 quthorized
to issue CAMA permits in areas of environmental concern, hereby gives
NOTICE that on February 29, 1984, Gary Hall, the applicant, proposed to
erect two (2) single family dwellings on lot/parcel A and lot/parcel B
in southeast corner of Pond Island Marina, Section One in an estuarine
shoreline�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 Development
Permits under CAMA
Address: P. 0. Box 99
Nags Head, N. C. 27959
Telephone: [phone]
For publication in The-Coastland Times, March 6, 1984.
Please use Nags Head logo and legal print.

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EWIS, JR., CERTIFY THAT UNDER/
PITY DIRECTION AND SUPERVISION THIS MAP _
WAS DRAIgH FROM All ACTUAL FIELD LOTS
SUI?YEY; THAT THE ERROR OF CLOSURE--AS/<1, Z-,4S SL��r/N GYY/I?/�P
CALCULATED BY LaTITJLES AiT EPARTURES
IS l:f THAT THIS M?*p-''�:AS PREPARED IN
ACCORDA110E WITH OS--4'?-50 AS AMENDED-'
NESS P:lY HAND AND SEAL THIS AR,`,���� TDGS//YG�N�iGS�lfA/�
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C. P. LE IS, JR., R. L. S., L-44�
L-2441
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