84-032_Miller, Mac_19840516

GENERAL
} ' `I. LANDOWNER
Name
INFORMATION
3 2
d
Address d N A K Lane —
City e1_17,At36r14 �rry State z G • Zip Phone
2. AUTHORIZED AGENT
Name Ln�Kw�c,L
Address �-a' �o� &7�
MAY 18184
oi.
City IJ k& 5 HOA"D State) zip Phone
3. LOCATION/DESCRIPTION OF PROJECT L- o i -7 `4
PUSH P SAND TO rILl- --fierJ scAl��
4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by Local Permit Officer prior to completing application.)
1� Ocean Hazard Estuarine Shoreline Other
5. PROPOSED USE
Residential Commerical/Industrial 110�Other
6. SIZE OF BUILDING IN SQUARE FEET:
7. SIZE OF SITE IN SQUARE FEET:
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 day of
19�.
signature (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: --

STAI�-MENT OF OWNERSHIP
r
A
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)
an owner of record title, Title is vested in
see Deed Book—, page 559 in the
elPk 2 r✓ County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
r
• probate was in County.
C
tq
if other interest, such as written contract or lease, explain below or use a separate sheet
attached to this application.
r
0
A
NOTIFICATION OF ADJACENT PROPERTY OWNERS
1 furthermore certify that the following persons are owners of properties adjoining this property. I affirm that
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA permit.
0
(Name) (Address)
Z
. (1)
a
.(2)
(3)
a
(4)
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
a
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
3
concerning stabilization and flood -proofing techniques.
_
z
PERMISSION TO ENTER ON LAND
c
m
furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
p
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This theModay of y`, A
io s his agent
a o r-or person auth�applric�ation.
-urposes filing a CAM

TOWN OF NAGS HEAD
NAGS HEAD, NORTH CAROLINA 27959
CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the Town of Ngas Head, a locality authorized
to issued CAMA permits in areas of environmental concern, hereby gives
NOTICE that on May 16, 1.984, Mac Miller, the applicant, proposed to push.
up sand to fill an erosion scarp at lot 74, George Stronach Tract 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.
r,
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, May 22, 1984
Please use Nags Head logo and legal print.