84-001_McCreavy, Anthony J. & Marie L._19840109 (2)

STATEMENT OF OWNERSH IP
It
I,"the undersigned, an applicant for a CAMA minor development permit, being either the owner of propeC�11111E_t
an area of environmental concern or a person authorized to act as an agent for purposes of applying for a C
minor development permit, certify that the person listed as landowner on this application has a significant in
in the real property described therein. This interest can be described as follows: (check one)
an owner of record title, Title is vested in An any J. mcrroayy
see Deed Book 356 page 59 in the
D A a � 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.
i
IOTIFICATION OF ADJACENT PROPERTY OWNERS
furthermore certify that the following persons are owners of properties adjoining this property. I affirm that
ave given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
AMA permit.
(Name) (Address)
H 400K P&WVr eo .
_ PdPf CoV LWyi4, 2,3 83Z
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&oRTSu Ire Z306 . / Bfh.TrM 04F_ MID- 2.12.01
�EVELOPERS IN OCEAN HAZARD AND ESTUARINE SHORELINE EROSION AREAS:
b nowledge that the land owner is aware that the proposed development is planned for an area which may
Pa ptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the
conr hazard problems associated with this lot. This explanation was accompanied by recommendations
g stabilization and flood proofing techniques.
PER
ON TO ENTER ON LAND
and,bis rmore certify that I am authorized to grant and do in fact grant permission to the local permit officer
Per►nit nts to enter on the aforementioned lands in connection with evaluating information related to this
ication.
This qT0'
. day of -3 A Nu'Atiy" 19
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Land owner or person authorized to act his agent
for purposes of filing aCAMA application.
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GENERAL INFORMATION
s/. LANDOWNER'
Name MR- i MR5 . A %Aiq /Y IZ"E i/ I
Address I S 1 t4 &KN bAlVe.
City /VeWV WN State p Zip �89 Phone S 9G8 - G1;S3
✓2. AUTHORIZED AGENT
Name WM-5. 01665- Zj —-6,1W0t2.Wfd60 QQN-VXL' 77dV C)a 11M
Address 0•
City Kl�( `r'�"" State l�l•C_ Zip 2?9iE9 Phone
L/I LOCATION/DESCRIPTION OF PROJECT
OLIN Nfl&s qf$0 ca.4F
Lo 1 SU } -SECQ704 -MWN di~ N45-5 l WEE (Aly, N.C.
4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be fillet in by Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline Other
5. PROPOSED USE
✓ Residential - Commerical/Industrial Other
6. SIZE OF BUILDING IN SQUARE FEET: /,�7_ µ 8 S . r= - LiVIti, 6-
7. SIZE OF SITE IN SQUARE FEET: g� J4 ' 9
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...
5. t .
rrt
This tie 9 day of J_AN���`- ,
19� �
AlWlicanr<sigfiiature (or authorized a nt)
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 for 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:

TOWN OF NAGS HEAD
NAGS HEAD, NORTH CAROLINA 27959
C)LMA 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 January 9, 1984, Mr..and Mrs. Anthony
McCreavy, the applicants, proposed to erect a single family
dwelling at lot 50, Section B, Old Nags Head Cove in an estuarine
shoreline AEC.
Persons desiring to inspect the application, to'commerit 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
Phone: [phone]
--------------------------------------------------------------
For publication in The Coastland Times, January 12, 1984.
Please use Nags Head logo and legal print.

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I, C. P LT;:'lIS, JR. ; CERTIFY THAT. UNDER
MY DT 0 -i LNID SUPERVISION THIS MAP } 'JrA$ D_ ti Fs�0if All ACTUAL FIELD LAND A��L'
LiU, THAT THE ERROR OF CLOSURE AS
CALCULATED BY L41ITliDES AND DEPd?i'URES L.
IS 16W • THAT THIS MAP WAS PREPARED IN ^,
ACCORDANCE WITH GS 47-30 AS AMENDED.
WITNESS MY HAND AND SEAL THISIVY
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