84-0036_R.D.C., Inc._19840416 (2)

APPLICATION
MAR z 618 FOR
- � OGi41- CAMA
M'IN0R_
"any
r
M �,§
DEV EL0-1, VMLNT,
4,L
PERMIT
In 1974 ttie N rt Carolina Genera Assem,t
,, t , , �€
bly passe_ d the Coastal Area M 4 gemen� Ac t� i
sand -set the stage forguidingadevelo mend 1n '
,p t �
the fragile andp(oductive areas whborer �{
the state stuaries, sounds and oceanfront.
;a° Along,with?requ ririgspecia,are by those*' I
vho build and deve�op, the;General Assembly-
directed the Coastalt Resouroess Commission�io
implerg reguMationwhich minimize
r `theburden on t o applicant.
This application for a minoreyelopment er-
tstjit under CAI1�A is part of the Commissiop"s
_ ;� + ., 3effortmto meet the sprit and'intent of the {
_�� a I fl" I h b d dt r,
enera Assem ,y t�as een esigne
+ straightforward{and require no more time or
effortl6ninecessary from the applicant.
Please"go oreri is folder with the local
Permit Officerfor t jie locality in which yoU
�q plan ¢ buildlio 6 ce tain at -you -under-
stand what information he he.needs. �
Un er LAMA r gua 'ions the minor permit
is o be issued within 3 days once a complete
r ap lication, s in hand. 0 en less time is needed
- ;.
°►fthe project is simp a The process generally
`takes about 18 d �js ou can help speed the
x`;approvaf process b t king certain that your
application is compet and signed, that your
-� "drarvingmeets the"specifications given inside
�� and,that;your appl cation fee is attached.
Other permits DIsometimes required for _
development in the coastal area. While these
t
_ � � re notcAMA�related,-we urge,.you to check
µ
with -the [vocal Permit Officer to-determin-e..
F hict�' of these you may net
AListing}is
included on page 2 the folder.
• :. _
IV—
...� �- ' 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.
. _
"Coastal ResourcesCommission
,
Office of Coastal Management .-- � O
_ r
.,�' .q.. ... s •.,_.- .r, - .�_ ,_,„µ

GENERAL INFORMATION
1. LANDOWNER
Name • -D. C.. :]Eric-, 40 r n r. 3-r.
AddressSa
City ]L�%f 1'1.S`i oYt - � e State — Zip Q -7 10 I Phon44Lg Z7aa - Qa�
2. AUTHORIZED AGENT
Name Wee . -I 1_5 e zZ,ae s 4CL .
Address -604 3 5? 0
City AQc</k-- State AIL- Zip a'79 `- c1 Phone
3. LOCATION/DESCRIPTION OF PROJECT k-a+
VIYeo Wow
4. AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by Local Permit Officer prior to completing application.)
be
v Ocean Hazard Estuarine Shoreline Other
S. PROPOSED USE
f/ Residential Commerical/Industrial Other
6. SIZE OF BUILDING IN SQUARE FEET: (::I
7. SIZE OF SITE IN SQUARE FEET: C7. qIF
ua
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
Applicant's signature or authorized agent) .�•�1C+
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/(DNRCD) 84-0036
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 R.D.C. , Inc.
authorizing development in Sander 1 i ng , at _Lot 218, Phase 6, Vireo Way
as requested in the permittee's application dated March 16, 1984
This permit, issued on April 16, 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. In order to avoid unreasonable danger to life and property, all development shall be
designed and placed so as to minimize damage due to fluctuations in ground elevation
and wave action in a 100-year storm. Any building constructed within the ocean hazard
area shall comply with Appendix D, "Windstorm Resistive Construction," of the North
Carolina Residential Building Code, except that when any provisions of that appendix
are inconsistent with any of the following AEC standards, the more restrictive pro-
visions shall control.
2. All structures in the ocean hazard area will be on pilings not less than eight inches
in diameter if round, or eight inches to a side if square.
3. All pilings will have a tip penetration greater than eight feet below the lowest
ground elevation under the structure.
4. All foundations will be adequately designed to be stable during applicable fluctuations
in ground elevation and wave forces during a 100-year storm. Cantilevered decks and
walkways shall meet this standard or shall be designed to break away without structural
damage to the main structure.
5. All pilings will be appropriately treated to resist decay, insects, and corrosion.
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
permit must cease until the appeal is resolved.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
Any maintenance work or project modifications not covered
under this permit require further written permit approval.
All work must cease when this permit expires on
October 16, 1984
In issuing this permit it is agreed that this project is
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.
(Continued)
2 - _C1 2'
Wood Local Permit Officer (signature)
George H.
Office of Coastal Management
108 South Water Street name
Elizabeth City, N. C. 27909
[phone]
address
Permitee (signature required if special conditions above apply to permit)

LAMA Minor Development Permit (Continued)
R.D.C., Inc. Permit No. 84-0036
6. The lowest portion of the structural member of the lowest floor (excluding the pilings
or columns) will be elevated to or above the 10U-year storm elevation.
7. All exposed structural connections will be adequately rustprooted or enclosed.
8. All utility systems will be located and constructed so as to minimize or eliminate
storm damage.
9. All walls below 100-year-base flood level will be designed and installed to: (A) allow
storm waters to rise and flow freely under the structure, (B) not permit the break-
away themselves'to become water -borne debris, and (C) not cause the accumulation of
water -borne debris. Break -away walls will be intended to collapse under stress with-
out jeopardizing the structural support of the structure.
10. No impermeable (such as asphalt.or cement) surfaces will be allowed over any functional
part of a complete septic tank system.
11. The permittee will sign and return the copy of the AEC Hazard Notice which is
attached.

North Carolina Department of Natural M
Resources &Commun'fty Development David OWens
Director
���• James B. Hunt, Jr., Governor James A. Summers, Secretary TWWbOM 919733.2293
Field Services
108 South. Water Street
Elizabeth City, N. C. 27909.
[phone]
April 2, 1984
The Coastland Times
P. 0. Box 428
Manteo, North Carolina 27954
Gentlemen:
Please include the enclosed Notice(s) of Filing in the Public
Notice section of - the Thurs., April 5, 1984 edition of your newspaper.
If it will not be possible to include these notices in that edition, or
if you should have any questions about these notices, please call me as
soon as possible at 338-1558.
The State Office of Budget and Management requires an Affidavit
of Publication prior to payment for newspaper advertising. Please
send these affidavits, copies of the published notices, and the bill
to Cathey Cottle, Office of Coastal Management, Department of Natural
Resources and Community Development, P. 0. Box 27687, Raleigh, N. C.
27611-7687.
Thank you.
Cordially yours,
e�d eConsu l tant
GHQ!/fob
Attachments: Gillis Application Notice
RDC, Inc. (Lot 218)
RDC, Inc. (Lot 194)
Brian Katz Application notice
P.O. Box 27687 Raleigh. N. C. 27611.7687

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NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR
DEVELOPMENT PERMIT
Pursuant to NCGS 113A-119(b), the North Carolina Department of
Natural Resources and Community Development Office of Coastal Management,
the State agency authorized to. issue CAMA minor development permits in
Areas of Environmental Concern of unincorporated portions of taro
County, hereby gives Notice that on 1:+arch 1r 1aRa , the
applicant, r,r a Jr- � proposed to construct.
,nse,—Ins. -ro Nr. !i 11 iar� f1a11 n,
t a -o-s;Qr`y, o6@anfrant residential ctr1irtiirn
cc Gar
at Lot --212,—Phass 6, Vireo Way, SandArling
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 below
address.
Mr,*x Xft. x0X
Mr. George Wood
Office of Coastal Management
108 South Water Street
Elizabeth City, N. C. 27909
[phone]

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NORTH CAROLINA ESTEL!_!: I)JILLETT
DARE COUNTY all R E CIS E::% C DEEDS
Der,
THIS DEED, made this U day of /by and between EARL F.
SLICK and wife, JANE P. SLICK of Forsyth County, North Carolina, parties of the
first part, and RDC, INC., party of the second parts t
R.
W I T N E S S E T H:
That the said parties of the first part in consideration of Ten Dollars
010.00) and other valuable considerations to them paid by the said party of
the second part, the receipt of which is hereby acknowledged, have bargained and
sold, and by these presents do grant, bargain, sell and convey unto the party
of the second part, its successors and assigns, a certain tract or parcel of
land in the County of Dare, State of North Carolina, and more particularly
described in Exhibit "A" attached.hereto and by this reference made a part hereof.
TO HAVE AND TO HOLD the aforesaid tract or parcel of land and all
privileges and appurtenances thereunto belonging to the said party of the
second part, its successors and assigns, to their only use and behoof forever.
And the said parties of the first part do covenant with said party
of the second part, that they are seized of said premises in fee and have the
right to convey the same in fee simple; that the same are free and clear from
all encumbrances,except as herein stated; and that -they will warrant and defend
the said title to the same against the claims of all persons whomsoever+ '
IN TESTIMONY WHEREOF, the said parties of the first part have hereunto
set their hands and seals the day and year first above written.
!:TA)TE OF 7� , ^'
(SEAL)
CoTE rl F. Sricic
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CV /°
FEB-3'78'5 0 0, 0 I
—ane P. Slick (SEAL)
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P.8. 11717 � - ..
N STATE:OF
f3� R��al cstat� = sTi�'d fW a Real Estete =
W ULlc�s� �\,, °�, FX`.,, FaX �E.lr�a \; Exo:-:e Tax =
c� N V� FEB• �•Jj!r 5 � 0. ©� _ �u � G�l�-
3 78 _N FEB-3'78
o 12,
717 o P.B.10711 - --- i
STATE OFrPTH —
Real Estate —
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NORTH CAROLINA
Sv t 'ka. COUNTY
c. Notary Public
`y0"sion expires: t
t�2SARA WSMt3HER?1AN, Notary Pubec
,✓th.,bunh. North CA=&
IycoinW. expires July 23,1980.
NORTH CAROLINA, DARE COUNTY
The foregoing certificate ofie
a Notary Public of
is certified to be correct.
Presented for registration this the o? day of-
19/of", at o'clock _/. M., and recorded in this office �in
Book o�'S�/ Page -- j1a
FE4 1 5 1978 / C� r�-c
Register of Deeds
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`BEGINNING`at�a point in:thc mean hjgh wstcr.;l�atc;of thc'rrcetctn i�1Fc of the
Atlantic Occan, said point heingAle soutlwast corhor of'tto;proporty'cbnrcycil
by'Pine..,Island, Inc. to h, W. Jones `and id by'ilecd;datcd:Octohcr'23,"-19G1 d
recorded in Book 106, page 244 of the Daro County Registry; the»ce'.rlong said
mean high water line 21 calls as follows: (1) South 22 degrecs.`44 minutes last
419.49 feet to.a point, (2) South 26 degrees 08 minutes East'230 fcct-to. a point,
(3) South 23 degrees 30 minutes Last 219 feet to a'point �(4) South 2S degrees 56
minutes Cast 293 feet to a point, (5) South 23 degrees 24 minutes l:ast;193 fect.to
a point, (6) South 27 degrees 20 minutes Bast 280 feet to' r ioint,''(7)`South'22
degrees 06 minutes Bast 210 feet to a point;' (S) South 19;dc'gices .14,minutcs'
`liast,.221-feet 'to a point (9) South 24 degrees OS minutes. East 287 feet to a point,
(10) South 27 degrees 10 minutes Fast 25S feet to a point, (I1)'.South 19 dogrecs `
S6 minutes.C•ast.227 foot to.a point, (12) Soutli 19 degrceti Qcr'miiiutcs Bast'227
feet to.a point, (13) South 23 degrees 10 animates list°259hcot'-VD a lioilit , (14)
South 23 degrees 22 minutes I:a:.t 238 feet to a point;<(15) Soirth 20'dcgrccs US
minutes Last 244 feet to a point, (16) South 27 degrees 03-minutes Kist 2.17 feet
to a point, (17) South 24 degrees 26 minutes Bast 273'fcct•to 11"point, (1S) South
20 degrees 48 minutes Bast 222 feet to a'point,'(19) South':2S-dcgrccs 04 minutes.
Bast 245.foot to a point, (20) South 17 degrees S2 minutes Last'217;fcet to a point,
and (21) South 33 degrees 36 minutes Last 93.48 feet tor-1 point, tho`northeast corner
of the property described in that certain Release Deed recorded in Book 215 at page
101 (Parcel No. '2) of the Dare County Registry, reference' to which is hereby made;
thence mith.tho north line of said property south S6 degrees 2.S minutes 59 seconds
West 1695.6E feet to a point in the mcan high water line of the pastern edge of
Currituck Sound; thence along the mcan high water lino of Currituck Sound 54 ral;:,
as follows: (1) North 00 degrees 04 m.3 inutes last 757 feet to a point, (2) North
13 degrees 48 minutes West 93 feet to a point, (3) North 33 degrocs 36 minutes hest
87 feet to a point, (4) North 00 degrees 06 minutes liast•ll.i foot, to a point, (5)
North 01 degrees.56 minutes Last 146 feet to a point., (6) North 25 degrees 0.1 minutes
West 109 feet to a point (7) North 34 degrees 22 minutes Nest i17 feet to a point, (8)
North 10 degrees 12 minutes Bast 92 fort to a point, (9).North 02 degrees 30 minutes
Bast 160 feet to a point, (10) North 3U degrees 58 minutes West-194 feet. to a point,
(11) North 27 degrees 54 minutes Bast 100 feet to a point (12) North 16 degrees .16
minutes Nest 96 feet to a point, (13) North 23 dcbrces 12 minutes hest 9U feet to
a point, (14) North 47 degrees 33 minutes hest 81 foot to a'point, (15) North 24
degrees 40 minutes Nest 75 feet to'a point, (16) North 59'degrees 42 minutes East
123 feet to a point, (17) South 84 degrees 02 minutes West 106rfeet.to a point,'
(18) North 08 degrees 46 minutes host 139 feet 'to :a point,;!(19) South 73 degrees -U_
minutes West 58 feet to a point, (20) North 37 degrees SS minu.tcs IV t`123'-feet .to
a point, (21) North 24 degrees UG minutes East 156 feet to a point, (22) North 03
degrees 04 minutes West 9109 feet to a point, (23),North. 41 dcgrecs 26 minutes hest
98 feet to .a point, (24) North 15 degrees 14 minutes East'G•1 feet to a point,`(_,S)
North 52 degrees 16 minutes hest 92 foot to a point, (26) North 39 degrees 12 minutes
Gast SO feet to a point, (27) North 30 degrees SS minutes hest 165 feet to a point,
(28) North 11 degrees 00 minutes Best 194 feet to a point, (29) North 52 dcl;rccs 06
minutes Bast 67 feet to a point, (30) North 61 degrees 28 minutes East 58 feet to a
point, (31) North 47 degrees 38 minutes Nest 33 feet to a. point, (32) South 74 degrees
56 minutes Nest 157 feet to a point, (33) North 53 degrees 52 minutes hest 81 feet to
a point, (34) North 19 dcl:rces 34 minutes Bast 157 feet to a point, (35) North 09
degrees 26"minutes hest 201 feet to a point, (36) North 41 dcgrceS 02 Minutes hest'
72 feet to a point, (37) North 15 degrees 42 minutes hest 350 feet to ai point, (30
North 32 degrees 16 minutes fast 51 feet to a point, (39) North 58 degrees 52 m0nutes
East 51 feet to a point, (40) North 82 degrees 44 minutes (test 4:) feat to a point,(41)
North 17 degrees 16 minutes Bast 29 feet to a point, (42) 1:orth 75 degrees 50 minutes
lti'cst 50 feet to a point. (43) North 83 degrees 42 minutes hest 92 feet to a point,
__(44) North 14 degrees 18 minutes Bast 109jeet to a point, (45)'North.OG degrees 52
minutes Bast 13 feet to a point, (46) North`09'degrees AU minutes ;'est Si (cot to'a
point, (47) North 11 d;•grcc. 22-minutes P,cst 157 f:et to a point, :'48) 1:orth 36 dcgr.,.s
12 minutes 1•lest 66 feet t,i a point, (47) ::orth O1 d:r:. 12 r..inu;ccs 1':est 8S .fe:: to
a point, (50) North 21 dep-ccs 36 minutes 1'.est 1Z'fc.t Yon •oin: tz" rth
degrees 36 ninutes Ea<* fib feet to a ^Pi:Ttx (5 ) North »P do r^c Q -i:ra: :est
93 feet to a point, (53) North 08 degrees 18 minutes hest 62 fcct,to: a`point,
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AEC HAZARD NOTICE S -k
YOUR PROJECT IS IN AN:
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 annual ocean erosion rate for the area where
your property is located is 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 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 Resources Commission, indicates that after June 1, 1979.
A3 120,-nt - A!Z��
Date Applicant's Signature
The applicant must acknowledge receipt of this information by signing this noticeV the space above. Without
the proper signature, the application will not be complete.
SPECIAL NOTE: 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. This is 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) times for 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:
LOCAL PERMIT OFFICER: rporgp H. Wood
Office of Coastal Management
108 South Water Street
ADDRESS: Fli7Ahpth City, N. C. 27909
[phone]
LOCALITY:
PHONE:
SC/Rev. 6/83

BEFORE YOU BUILD ...
Setting 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
ISETBACK
� FIRST LINE OF
ISTABLE NATURAL
30xANNUAL VEGETATION
I AVERAGE
EROSION
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
i 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 that these
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 front of 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 by 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,
(3) no development can take place on the frontal dune;
and,
(4) special construction standards on 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) lot area as calculated from vegetation line
rear property line setback piling length necessary to extend 4 feet below MSL

STATEMENT OF OWNERSHIP
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A
a
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
in the real property described therein. This interest can be described as follows: (check one)
an owner of record title, Title is vested in �• e- T nCr
see Deed Book 22_, page (4 4) in the n
�62-irk 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)
(1)
(2)
(3)
0
1XIMMEWIN —
MEN
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 Ayqll_day of M 42-y'c-11 , 1924L.
Land owner or person authorized to act as his agent
for purposes of filing a CAMA application.
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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)
DEVELOPMENT PLANS
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:
• 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
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DATE OF ACTION:
ISSUED EXEMPTED
DENIED APPEAL DEADLINE (20 days)