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HomeMy WebLinkAbout84-0010_Neal, David L. & Katherine M._19840222 (2)APPLICATION FOR CAMA a ER��I w g'V4 h Caroltna�Gre,�nera� A'ssen�, . �;� tal Area ,M agerr e Acts�t ' � orgutotngdeveiQ mentt n ucttve areas w i borx er e`s, souai`n'�oceanfronf. �are by those* the General Assem _ Resources mmissi�n°to guiation hich minimize e6urden n tote applicant. s�m!no ` a eilopment per art:0 th11 TmtSS4 s the sp rit'and°intent of tEhe + ,. Permit ice frt a locahtygin which you plan. o buil` to eycwunder- „,� neat s �t w at o tipn hucshe needs. r 11n er CAMA r u a ions the minor permit �a. i o be issued wit t days once a complete pltciior%js in han en less time is needed- R i tie project is si pe The process generallyry r•� x kes about 18 d s ou can help speed the a�provat process i i;king certain that your fit 4 a` �ilcat'tn is comp + and signed, that your rawingrneets_°the a ifications given inside and-th our I cation fee is attached. .' Other permits s metimes required for p �+ t development in the stal area. While these r t otCAVA rela ed, weurge check you to ocPetmif Offjcerto determt a-- h-th —� hic} of these aoeed Alisting is inclu a�on-jQv2`oflthafolder "* -` • We appreciate your cooperation with the North.Carolina coastal management program and your willingness to build in a way which protects the resources. of our beautiful and productive coast. i -Coastal Resources Commission Office of Coastal Management < o n, v w f x4 = GENERAL INFORMATION 1. LAND OWNER Name w i b l;, PW a,,l f(W*-,ire 1114, Address -7 City 0 t 4fAe— State G'y Zip _ i C1 y Phone e'% % 6 / )-q 7 % 2. AUTHORIZED AGENT Name Address City State Zip Phone 3. LOCATION/DESCRIPTION OF PROJECT t I �'�-t�� �t�``-, ��Ci 4) 4. 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 6. SIZE OF BUILDING IN SQUARE FEET: 7. SIZE OF SITE IN SQUARE FEET: 01 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 $25.00 made payable to the locality, and any information as may be pro- vided orally by the applicant. The details of the applica- tion as described by these sources are incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any person developing in an AEC without a CAMA permit is subject to civil, criminal and admini- strative action. OTHER PERMITS MAY BE REQUIRED... This the day of 19.$,2-1 �4 W 4AILd Applicant's 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: . Dare County/ (NRCD) Local Govehment R 84-0010 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 _ David L. Neal and Katherine M. ' Neal authorizing development in Duck , at Lot 7 of the Tides Sub- division as requested in the permittee's application dated January 25, 1984: This permit, issued on _February 22,--1984 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. All development will be conducted in accordance with attached application and plat. This permit action may be appealed by the permittee or other qualified parsons 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 Nelson G. Paul permit officer when the project is inspected for compliance. Any maintenance work or project modifications not covered 108 S. Water Street name under this permit require further written permit approval. Elizabeth City,- N. C. 27909 All work must cease when this permit expires on August 22, 1984 (919) 338-1558 address 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) r 511 GENERAL INFORMATION PI 1. LAND O*NERmini n',, l Pern Name PHY Address City L/I Tc/ L State �U Ci Zip a 7'l V y Phone E' / ? d & / %_q 7 .7 2. AUTHORIZED AGENT PH't Name Address 11 City State Zip Phone 3. LOCATION/DESCRIPTION OF PROJECT li 4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION _ (To be filled in by Local Permit Officer prior to completing application.) DES Ocean Hazard Estuarine Shoreline Other 5. PROPOSED USE Residential Commerical/Industrial Other 6. SIZE OF BUILDING IN SQUARE FEET: 2� 7. SIZE OF SITE IN SQUARE FEET: y y NO' This application includes: general information (this This the 2 day of J A44LJA � f form), a site drawing as described on the back of this 19 application, the ownership statement, the AEC hazard \ notice where necessary, a check for $25.00 made payable LU \) to the locality, and any information as may be pro- vided orally by the applicant. The details of the applica- A plicant's signature (or authorized agent) tion as described by these sources are incorporated without reference in any permit which may be issued. Indicate below address and phone if not shown above. 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 SITE 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. DATI zoning ... drinking water well ... septic tank (or other sanitary waste treatment system).. . burning.. electrical ... plumbing. ..heating and air conditioning ... insulation and energy IS conservation.. YIA certification ... sand dune ... sediment control... subdivision approval ..mobile home park approval ... highway connection. ..others: STATEMENT OF OWNERSHIP 1, 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 wt��L see Deed Book=, page in the !< `L 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 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) CL "ki /" - G t_tc 7'k.3?' 4twi 6 Ltt lh 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 particular hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization and flood -proofing techniques. PERMISSION TO ENTER ON LAND 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 day of CLL. 19 Land owner or person authorized to act as his agent for purposes of filing a CAMA application. -L36cc Ilawaw/so"n�`t G, /✓�C� !l�TG - kik /9sso� 2lo,�f• i�ti ' 3A5e' � c�v G5•s ��i nit �. R-115,11 t� C Ar —8�4Ct"E EAR Q lmm,e.14)mAr nrwr7 /5,oi7. OA �TOFcA/14z4LlN� i�A54 QcrLOT 7 uF 4fWIA uNE /r¢,2 ,SU�PI!�i'� iE2 7UT�ic 29,2��Ttr - »_ oG�Ac. Vx DA W4? INAYATES N I-C�ct'/No Elm^7/oN sJ fH!$ P,¢.oP�TY�UI�Tea,dYA 'vZUNE; liM25�-G 1147 sbvo w.� eATy6FIN4/YA'�A L- A J%AerA"FE iFGA!F-44 /OT7, 774W-50FA4C& ' o.,1 y� 45%fil yaTUwc�.hiyLr.�vrw.wa . Ar44 e 7Z4W4A-OWP �a�/�.ev�TH�S.�A�fY.4SOh'.4/fdYi�1AN.91'T!� I.�E L'G�I'vTY, /1�C • AIEAZP GM'O SaeP Y 7 so' o � .9s eA4r44AZZV PYurT S�svoG rv,PES 1k�G�fIANG� hZI W 47- .4�i /iM�iY�E/J /Y�Tit�ss /�ly,+�4�Y1 '.aY/�� T./•�5' �N t• m NaNae���y �1� J. J�t/NU�'5 E6W.. c f � � G NrvC�e. lOrG M, P(A NfJ3`57'?2"iY Y N W /N`YMT /P.w—8i4&1E70 eA: ' .!91.u./' N�frrlYQ 329� N83`s722"!'Y LoT� �GoT7 9453?7-OF64R,+!/,V5- f5,bi7.�e AReA- &�Zar 7 eA;7 4-r- cfv'JA L-11-e- /4,22�0 F7z - 7DTAC 29, AFT1 t - _ A 3�GYLIG fl�DN<17�1�Jii,�fA".� f�.G�AL o.J. y� c�n�Y rHAT�ticz�MY,cr�.avA"o • ��/PE,eV�oNTN�S'�lAf'fY.45'0�4/fi�Yi.R. �+9sYY.,k-TlfV- /Elm zAl;pT1WT7A 0 F�.E'.2e: � 0G;L`- AS GQLCU�ATpJ,fY�TS�voG'Tv.PES 47-� rYlTit�SS ,NY,�4�i� ,�s�r� SF_p7: lA)l of . O, ✓, N fL ,PLC L- t S EA C a �¢ L-798 �o ;.0� ��� .`�?ft i .NMI • ,�a,P✓�� rye �A V1/�; bEAL , AT1160//UE/yI A/�4 L LUT 7, "TNT T1G50F01.e,C" ATLss�T� TOw/Y�r'rt'P • /"-4:2i 910011i 02458' [REDiFORM,, 02458 '40 t✓ Excise Ta6x ti 5. 0 0 FILED 13DEC Z1 PH Z3 ALVA G. WISE RUISTEP CF DEEDS Dt;R.c, Gt111rlTY. N.C. Recording Time, Book and Page TaxLot No......:...................................................:. .................. Parcel Identifier No. ....................................................................................... Verifiedby ...... ............................................. :................... County on the ............... day of ......................................................... 19............ by.............................................................................................................................................................................................................................. Mail after recording to ......................................... Leonar.d...G...... Logan, Jr.. .,...A.t.t.o.r.ney at Law, ........... . ... ......I.................P. 0. Bo. ... x 995..r.. Manteo.,..N....Q....... 27954................................ ........... This instrument was prepared by .......................... E.....Cr.Ause:..Gr.ay.,..Jr................................................................................................. Brief description for the Index Lot 7, The Tides of Duck NORTH CAROLINA GENERAL WARRANTY DEED THIS DEED made this 19th ... day of ......September 19...83...., by and between GRANTOR 1 GRANTEE THE HIGH TIDERS, A North Carolina Limited Partnership DAVID L. NEAL and wife, KATHERINE M. NEAL P. 0. Box 277 Kitty Hawk, N. C. 27949 Enter In appropriate block for each party: name, address, and, if appropriate, character of entity, e.q. corporation or partnership. The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby cknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that ertain lot or parcel of land situated in the Mi c F .Village_.of ... 4P.kD4P.k ....................... ........Atlantis.................... Township, Dare County, -North Carolina and more particularly described as follows: Being Lot No. 7 of the subdivision known -as The Tides of Duck as shown on that map or plat entitled "The Tides of Duck, Atlantic Township, Dare County, North Carolina", by Quible & Associates, Registered Land Surveyors, as recorded in Plat Cabinet B, Slides 178 and 179, which map or plat is incorporated herein by reference for a more complete and precise description of the lands being herein conveyed. There is further hereby conveyed a right in and to all easements as shown on the aforereferenced map or plat. ,'.C. Bar Assoc. Form No. 3 0 1976. Revised 1977. Y,mtcd by Agreement with the N.C. Bar A.w -1981. Book 349, Page 145, The progertY hereinabbove described was gcgtii��d b Galt byPager oo dedd 'n ................5 6k..... .................. Book pro Page 148, Book 349 Page oo �► 34�, Page 157;' Book 3�+9, Page 160, Book 349, Pape 163, Book 349, Page 166, Book 349, Page 169. & Book 349?.,Page 172�............ ..... ..... ........................... ......................... .................. Dare County Public Registry. A map showing the above described property is recorded in PlaVBM Cabinet„ B.............. gS.lides...178. & 179 TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto -belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property hereinabove described is subject to the following exceptions: 1. Exception is taken to 1983 ad valorem taxes. 2. Exception is taken to any easements and restrictions of record. IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed in its corporate name by Its duly authorized officers and its seal to be hereunto affixed by authority of its Board of Directors, the day and year first above written. --------------------------------------------------------------- (Corporate Name) By:----------------------------------------------------------- __________________President ATTEST: ____________________________Secretary (Corporate Seal) THE HIGH TIDERS, A Limited Part ership (SEAL) -�:'-" /JU IA CORNBLATT, General Partne����6� tlOD?.'�•, --------------------------------------- -- ----------------------------------County. SEAL -STAMP NORTH CAROLINA, !NORTH CAROLINA "• ' t COUNTY OF DARE On this i day of , 1983, before me. !personally came JULIA CORNBLATT, General Partner of THE HIGH TIDERS, to me known to be the person who executed the foregoing 'i`nstrument, and who, being duly sworn, by me, did depose and ;say that she is a General Partner of THE HIGH TIDERS, a Limited SEAL -STAMP Partnership, and that she duly executed the foregoing .instrument in the firm name of said partnership, that she is duly authorized to sign the same, and duly acknowledged to me that she executed the same as the act and deed of said partnership, for the uses and purposes mentioned therein. My Commission Expires: i S _ Notary Public ------------------------------------------------- -------------------------------- Notary Public The foregoing—Certificate(s) o� _p� 1_ l_ __ S_1�1-.�b_X3-QliJ_1 Y.J__lA_J�! V__l ti�Sr 1� _ s L. L _(3 --_�/} ------------f--�_1----------------------------------------------------------------------------------C1 ---------- ---------------------------------------------------------------------------------------------------------------------------------------------- is/are certified to be correct. This instrument and this certificate are duly registered at the date and time and In the Book and Page shown on the first page hereof. ------------ ------------IL___ -__ ,ny�A1/-K1/1Js�C1--_----____REGISTER OF DEEDS FOR --------------- - -f -------- COUNTY y f L V! ►----V------------------ rAssistant-Register of Deeds B - ------------------- ttt!!! RECORDED- t 90 021a-L> •. ►`.C. Bar Assoc. Form No. 3 © 1979, Revised 1977. — POOLE PRINTING CO.. INC. P.O. BOX 17378 RALEIGH, N.C. 27819 `■a1,tQ�� Print�i t Agreement .uh the N.C. Bar A%s .•1981. - ti AEC HAZARD NOTICE 7'ri*l Amid- II-V YOUR PROJECT IS IN AN: 5� Gd Y OCEAN ERODIBLE AREA HIGH HAZARD FLOOD AREA INLET HAZARD AREA This notice is intended to make you, the appli- cant, aware of the special risks and conditions associated with development in this area, which is subject to natural hazards such as storms, erosion or currents. The rules of the Coastal Resources Commission require that you receive an AEC hazard notice and acknowledge that notice in writing before any permit for development in this area can be issued. The Commission's rules on building standards, oceanfront setbacks and dune alteration are designed to minimize, but not totally eliminate, property losses from the hazards. By granting permits, the Coastal Resources Commission does not guarantee the safety of the development and assumes no "liability for future damage to the development. The best available information, as accepted by the Coastal Resources Commission, indicates that Date the annual ocean erosion rate for the area where your property is located is 2- feet per year. This figure was established by careful analysis of aerial photographs of the coastline taken over the past 30 to 40 years. Studies also indicate that the shoreline could move as much as *!;-' feet landward in a major storm. The flood waters in a major storm are predicted to be about feet deep in this area. Shoreline erosion control structures (excluding beach nourishment and berm projects) are not allowed to be built to protect development built after June 1, 1979. Limited pushing up of beach sand is allowed to protect new structures when they are threatened, but bulkheads, groins, or jetties may not be used to protect buildings put in after June 1, 1979. Applicant's Signature The applicant must acknowledge receipt of this information by signing this notice in the space above. Without the proper signature, the application will not be complete. SPECIALNOTE: This hazard notice is required for development in areas subject to sudden and 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 permit extension. Thisis granted if there is no change in the, project site or if you have made "substantial progress" on your project. Normally a permit can be extended five (5) timesfor a 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 the 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: r J Q LOCAL PERMIT OFFICER:` ADDRESS: �� ' • G��. tl fr' �Q`.y• - 0"JOT as r*4%0 f z . J LOCALITY: PHONE: �� i! `I•2waL IV • L 2�j9a4 5C/Rev. 6/83 BEFORE YOU BUILD. . • Settings Back for Safety: A Guide to Wise Development Along the Oceanfront When you build along the oceanfront you take a calcu- lated risk. Natural forces of water and wind collide with tons of force, even on calm days. There are no man-made structures guaranteed to survive the force of a hurricane. Long-term erosion (or barrier island migration) takes from two to ten feet of the beach each year and, sooner or later, will threaten oceanfront structures. These are the facts of life for oceanfront property owners. THE RULES When you build along the oceanfront, coastal manage- ment rules require that the structure be sited to fit safely into the beach environment. Specifically, a structure along the oceanfront must be: (1) behind the frontal dune; and, (2) landward of the crest of the primary dune; and (3) set back from the first line of stable vegetation a distance equal to 30 times the annual erosion rate or 60 feet, whichever is greater. The Coastal Resources Commission has adopted rules for building along the oceanfront. The rules are intended to avoid an unreasonable risk to life and property and to limit public and private losses from both storms and long-term erosion. These rules do not eliminate —but only lessen —the element of risk in oceanfront development. As you consider building along the oceanfront, the CRC wants you to understand the rules and the risks. With this knowledge you can make a more informed decision about where and how to build in the coastal area. THE REASONS The beachfront is an ever -changing landform. The beach and the dunes are nature's "shock absorbers", taking the beatings of the wind and waves and protecting the inland areas. By setting back 30 times the annual long-term erosion rate, you have a good chance of enjoying the full life of the PERMITTED• STRUCTURE; ADEQUATE SETBACK I SETBACK e FIRST LINE OF STABLE NATURAL 30xANNUAL VEGETATION I AVERAGE IEROSION RATE structure. At first glance, it seems very inviting to build your dream house as close to the beach as possible but in five years you could find the dream has become a night- mare as high tides and storms threaten your investment. PRE -PERMIT STRUCTURE; INADEQUATE SETBACK PRE -STORM BEACH PROFILE ­_ POST -STORM BEACH PROFILE ONE YEAR AFTER STORM/BEACH REBUILDING After the storm, the house on the dune will be gone. The other has a much greater chance of survival. THE EXCEPTION The Coastal Resources Commission recognized thatthese rules, passed in June of 1979, might prove a hardship for a small group of property owners. So there was an exemption established for lots which cannot meet the setback require- ments of 30 times the annual erosion rate. The exemption allows building in fronvof the 'setback line under certain conditions. These are: (1) the lot must have been platted as of June 1, 1979, and 'not capable of being enlarged 6y' combining -with adjoining land under the same ownership; and (2) development be as far back on the property as possible and in no case less than 60 feet landward of the vegetation line; and, 1 (3) no development can take place on the frontal dune; and, (4)'special construction .standards bn piling depth and square footage must be followed; and, (5) all other CAMA, State and local regulations must also be met. The exemption is not available in the Inlet Hazard Area's which are especially dynamic. In seeking this exemption the Local Permit Officer will make these measurements and observations: required setback from vegetation line max. allowable square footage on lowest floor exception setback (maximum feasible) rear property line setback lot area as calculated from vegetation line piling length necessary to extend 4 feet below MSL /VOyyo,Pf��Y ✓wCae. l�TG ow H G5't `eft /19 t . t a LOT 7 w\� Cava C wos i .v Aar lq- AR,54 L�LOJ 7 Z�7 dF /ri CWA LC /¢?P.t1 PTZ�- .�l/�PI EYE FO2 7DT.4C- 292937Zt �x /NG3'CATES �VA7G�-'o!/NO EL�irT/oN , - .. glTy/1�-'P,P1�P��TYLOCA7£�.GYA "'I�ZONE;' �_ -As✓o rv.A�A. ,/.;"-t k3PECi�L LGL�Of�Ll eft A"f'E 2 iE/ S?� ZAT116FIN I 1112L - STATEMENT OF OWNERSHIP r D I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in Z 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 t"7 in the real property described therein. This interest can be described as follows: (check one) V an owner of record title, Title is vested in zt_ V— t j� see Deed Book, page in the /� 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 r O n NOTIFICATION OF ADJACENT PROPERTY OWNERS D r 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. 113 (Name) (Address) I], 'I T)-C 'to c Lalt Its 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 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 2 day of Land owner or person authorized to act as his agent for purposes of filing a CAMA application. 0 N SITE DRAWING/APPLICATION CHECKLIST Please make sure your site drawing includes the following information required for a CAMA minor development 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 highway 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 an 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) DEVELOPMENTPLANS draw and label areas that will be disturbed if house 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: h • 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? • enclosed the $25.00 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)