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HomeMy WebLinkAbout84-0028_Watkins, John A._19840326REC01 t E.
h9AR 1 2 }84
OCNi • !;
Illfll���
WV=
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,APPLICATION
FOR
. v LAMA
x N rttr C.arounawerr�+►ss
ed � So tal Area M gem
the s e orguidingd� top,�n n !
i(e�a icpoiuctive areas,
Eels stu ries, sounl n_VS ceanfron
11wj 1 ep !in e4fkvre by those. i
tf andleLe op, theGeneral Assembl
the Oas 1,Resources mmissfirifio r
ent;de ree6 96nhick mi sfnimize
'theUrdin ntlie applicant.
i
icatib fr a mino�^p oprtepter-
ssion s
er.0 Atis part ofie Girr»�"
rt�tio ' tthesp�rttar�r Inaht'b tie kA
' AMA rqu a ions the minor permit
' ,.
111 o bye rssued wit days once a complete s ;
= a p lcatiortsin ha en less time is needed
=i te,pro�ect is s1cp a The process generally x
kes'adout 18 da s Vou can help speed the
rovaX process b` king certain that your
I'cai iscom an&si ned that our
t� af?P. I. t P k g Y
k LLxiravtiingmeetsthe a ifications given inside
3 and�that"our I cation fee is attached.
y 4
k
Other permits A metimes required for
evefiopment in th�" stal area. While these
w e;r O *rely i- a yr a OU to check
+ w ttctFi al eRhitOfficer'to*termt
f o a^need isti Js�
d� idles.. y S
h these u-in A 1 n
• -� i ded in o�agei°o€�th older.
Ni
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
•a, !4 4 - - i productive coast.
'Coastal Resources Commission
-
tal Ma age -
Office ofCoastal n ment. --•
t
'Sr � t> t. #"DES '. 'Y ♦: ^ __- _ �, •- .�
f-
GENERAL INFORMATION
LAND OWNER
Name V U /V /� s
Address _ I sox; -T I J
City k1 I ( DFaj d 141 11-S State �. C. Zip - 2 294 Phone TH 1 54 ��Ft 0
2. AUTHORIZED AGENT
Name
Address
City
State Zip Phone
3. /LOCATION/DESCRIPTION OF PROJECT
3y1 .SEc Kit , 6oLl, is 10 .
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: a 3 D L4 (ouTS:4-
7. SIZE OF SITE IN SQUARE FEET: aO -; 00 S q ' \
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 L Q day of A4 PWC1
19�
plic nt's signature (or authorized agent)
cK KSxlq
Indicate below address and phone if not shown above.
lei
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:
-
North Carolina Department of Natural
Resou rces & Community Development
COASTAL MANAOFFICE OF
GEMENT
David W.Dirrecector or
•� ®•
James B. Hunt, Jr., Governor James A. Summers, Secretary
Telephone sls733-229s
Field Services
108 South Water Street
Elizabeth City, N. C. 27909
(919) 338-1558
March 12, 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 edition of your newspaper.
si If it will not be pos-tb nc u e '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,
'11-1oerlT doh sullant
Enclosure: John A. Watkins
P. O. Box 27687 Raleigh, N. C. 27611-7687
Dare County/(DNRCD)
Local Ggvernm� nt
CAMA
MINOR DEVELOPMENT
84-0028
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 John A. Watkins
Dare County o s Section ,
authorizing development in at
Col i ngton Harbour as requested in the permittee's application da,ted -_March 10, 1984
This permit, issued on March ih, 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 work will be accomplished in accordance with the attached
plats and application.
.2. Any work necessary to repair the bulkhead will require addi-
tional authorization. Please contact the Office of Coastal
Management, Elizabeth'City office, for further information.
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 ease hen permit expires - on
Septemer 2 19V
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`toNother party without
the written approval of the Office of Coastal Management.
Local Permit Officer (signature)
George H. Wood
Field Consultant, OCM
108 South Water Street name
Elizabeth City, N. C. 27909
— address
Permitee (signature required if special conditions above apply to permit)
CORSAIR INLET
' a,_ N 220 19 45" E — 77.98 � N
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SURVEY 3j� "9"
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© R E S AR SET
i, HERNDON F. PYATT Jr. hereby
certify that this map Is correct [�"
_1 and that there
ore no encroachments of other buildings on
the said lot.
= 30,
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4u
28
date SURVEY FOR
2-28-84
Fr—ownJOHN A. WATKINS
GR
c c e
H F P IULL DEVIL HILLS DARE COUNTY NORTH CAROLINA
°°'° LOTS 29 - 30, SECTION Btu, I
rav+n COLT NGTON HARBOUR f
f
cher-ked
RECORDED IN M.B. 3 , Pg. 102, D. C.R.
triangle engineering E
Services, inc. �-
raielgh, n.c. awanaboro, n.c. 1 j
(III devil hills, nx.
i STATE OF Real rStat@
SOP L,,H �' Exoi:�e_Ta =:
� :1- -
�a iEa23 as .; ✓'' _ f. !� o =::
Excise Tax $14 , 00
36.2 ncE 41G
FILED
191�1- ATJL- DO qQ
DORRIS A. FRY
Re' - )f Dceds
Dart Co :::y,
Recording Time, Book and Page
Tax Lot No. ....... ........... _... _ .... ......... Parcel Identifier No. ..... ....... _ __. .....................
Verifiedby........................................................................ County on the ................ day of .................................................
by..................................................................................................................................................................................................
..., 19
Mail after recording to .................. _ _ Aldridge, Seawel l & Khoury, Attorneys at Law ... ............ ...... ......
P.O...Box 339..E .Manteo. N�......27954.................
..............................................................................................................................
This instrument was prepared by .._.......... ........... .... ... S.U2...�.... McCown ..... ............................... ...................... ............. ..... ......... ....
Brief description for the Index Lot 30, Section M, Col ington Harbou
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this ......1.3.th. day of ... ..... i.... F.eb.r.uary........_..:............... 19 84..... , by and between
GRANTOR
RONALD COLEMAN BELL and wife,
EILEEN SMITH BELL
12420 Eastgate Lane
Laurel, Maryland 20810
GRANTEE
JOHN A. WATKINS
P.O. Box 411
Kill Devil Hills, North Carolina 27948
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
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in the City of _ _ .......... 11 . .... I ....... Atlantic _ Township,
Dare County, North Carolina and more particularly described as follows:
Lot No. 30 Section M, of the subdivision known as "Colington Harbour" as shown on a map
o ereof, made by Quible &Charlton, Registered Engineers and Certified Land
Surveyors, No. L1157, dated May 17, 1968, and duly recorded in Map Book 3, Page 62,
Public Reyistry of Dare County, North Carolina.
Gas, oil and mineral rights are not hereby conveyed.
x. U. liar %-oc. Dunn No. 3 ,c, 1976. Revised Z 1977 — J,.ne% W.11 ,n. s cn. 1M, Bo. 121, Yadk—dle. N e. 27055
1:..,,— , i .-- 1- N C B., A,—,. — 1981
eoox 362 pule 417
The property hereinabove described was acquired by Grantor by instrument recorded in .Book 1.52 at .... Page..8.
Pub. Tic ... Registry ... of..p.ar..e..C.Qu.ntyNo. r.t.h..CarQ1 i.na......................................................................
A map showing the above described property is recorded in Plat Book ....... . .......... ......... page .. _ 62
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:
Said land being conveyed subject to the Protective Covenants made by Colony Developers, Inc
dated July 12, 1968 and recorded in Book 152 at Page 365, Public Registry of Dare County,
North Carolina.
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.
--------------------------------------------------------------- ,n '/ � 7- _ tiG���_---(SEAL)
(Corporate Name) a RON LD COLEMAN BELL
BY: ----- - - -- ----------- ------- � S ►A ---------- (SEAL)
.Q ---------------------------- ^ - - - -- -- ---
EILEEN SF 1T11 BELL
----------------------------President ^
ATTEST:
-------------------------------------------------------------(SEAL)
---------------------------------------------------------------
_-_____ Secretary (Corporate Seal)
`,>`',"�'";� `• MARYLAND �------------------------------------------------------------(SEAL)
SE}11i=S�T\IK� �''4 r'' 1JbXiXXOGiODQHi(O(c1C���y_.7--_l ��= _------
•. .,� ; ��' I, a Notary Public of the County and State aforesaid, certify that _Rona1_d_Iioleman_Be.11__and______
wife, Eileen Smith Bell __ _ ___ __ _Grantor,
a:•fiti /S : x --- ------ ---------------------------------- ------------------------------------ - - -
•►r tl
., �st.,�� 1i `•� ,•��, q personally appeared before me this day ano acknowledged the execution of the foregoing instrument. Witness my
hand and official stamp or seal, this .\11 day of _ 19_a`t_.
AIy commmissicn expires:\ \ � 11S'___\ _ '�y
-- > ---- �-- — — ( -- - Notar Public
SEAL-STADIP NORTH CAROLINA- ---------------------------------- County.
I, a Notary Public of the County and State aforesaid, certify that
g personally came before me this day and acknowledged that __-_ he is ___________________________ Secretary of
c
M
,X.------------------------------------------------------ a North Carolina corporation, and that by authority duly
u -
° given and as the art of the corporation, the foregoing instrument was signed in its name by its ______________
q -
y President, sealed with Its corporate seal and attested by ___________ as its ___________________________ Secretary.
Witness my hand and official stamp or seal, this -------day of --------------------------- 19________-
My commission expires: _______________________________________________________________________ Notary Public
The foregoing Certificate(s) f `'C1--- V4 1 4�.�--i ---- - -- --- -- -- -- ----
-------------------------- -1` - ------ �� - =,------------------------------------ -----------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------
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. / I^^�� ((�� ,
________________-- __�1> �_✓S?�--___-______-_____-___REGISTER OF HEEDS FOR_ Via__ _COUNTY
RY-------------______-_______Deputy/7f3S1'!!'ant-Register of Deeds
d► �
\.U.1Sor \�.nc.I-mnt\u..i c 19 7(1. 1tv% ked S 1977 J.InureWdi..YlKc� Ba t71,v.,i.umn.N Crrnss RCGO("CJ�:� 'LS.L'��
c
�A
r
1
STATE OF
N "_'� , Real Estate =�
%
6. 001
P.e.I tI
Excise Tax $ 16 , 00
6GOK 362 1nur 418
A t4;
192� ATJL.�1_+
i oF,;a f S A. R; y
W!c`ister of Deeds
Dare County, N. C.
Recording Time, Book and Page
Tax Lot No. ........ ............ .. _ ............ Parcel Identifier No. .. .............:. . . ......... .. ...... _ ............
......................... _
Verifiedby.................................................................... County on the ...... _...... day of ......................................................... 19............
by.............. _ ........................
Mail after recording to ................A.1 dr..i.d.ge.,...Seawel l . & Khoury ..At torney.s..at...Law.......................... ............ ..... ............
.........................................................P.O. ..Box. 339, .Manteo NC...27954...... ....... ............................. ..... _..............
Thisinstrument was prepared by .. _.................Sue--V � . ..McCown ... . ..............................................................................................
..
Brief description for the Index
Lot 29
NORTH CAROLINA GENERAL WARRANTY DEED
loth Februar 84
I'IiIS DEED made this ................ day of ._ ......................... Y.................._ .. 1984. , by and between
GRANTOR GRANTEE
HUGH J. GORMAN and wife,
IRENE J. GORMAN
641 Caren Drive
Virginia Beach, Virginia 23452
JOHN A. WATKINS
P.O. Box 411
Kill Devil Hills, North Carolina 27948
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
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in the City of ._......... .. . ...... .._ ................... .... I ..... t antic....._....... Township,
Dare—
_ .County, North Carolina and more particularly described as follows:
Lot No. 29 1Section M, of the subdivision known as "Colington Harbour" as shown on a map
or p ai�ifereof, made by Quible & Charlton, Registered Engineers and Certified Land
Surveyors, No. L1157, dated May 17, 1968, and duly recorded in Map Book 3, Page 62, Public
Registry of Dare County, North Carolina. _
Gas, oil and mineral rights are not hereby conveyed.
\. ('. I1;lr %-oc. Fenn No. 3 E 1976. Rc%ised '�) 1977 - J.—M11- n a Co_ 1-1 . B.. 127, Yu. —II.. N. C. 27055
1, �t.,i.,, Au,— —1 —11,, n.. N C H.., A—c 1981
aoorc 362 ma 4D
Book 15.4 at Page 223
The property hereinabove described was acquired by Grantor by instrument recorded in ... ...................................g............
Pub.1.i.c...Regi.s.try..of... Dare ... C.o.unty,..North... C.aro.1.i.na................................................................................................................
A map showing the above described property is recorded in Plat Book ......... 3................... page ...... 162
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:
Said land is conveyed subject to that Declaration of Protective Covenants made by Colony
Developers, Inc., dated July 12, 1968 and recorded in Book 150 at Page'365, Public
Registry of Dare County, North Carolina.
IN WITNESS WIIEREOF, 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 affiA by auttnyority 'of its board of Directors, the day and year first
above written.
�
-------- --- - ----- - - -- Lf�fR1t��Tr��UGR117� MAN
-------------------------------------(SEAL)
---- - --- ----------- ---(Corporate Name) •� I I
By:-----------------------------------------------------------
--------------------(SEAL)
IRENE J.'&RMAN
----------------------------President
71
ATTEST:
--------------------------------------(SEAL)
--------------------------------------------------------------- ^^
:i
____________________________Secretary (Corporate Seal) ;f
-------------------------------------------------------------(SEAL)
SEAL -STAMP NORT11 CAROLINA---------- larP-___________________county.
,��t�1v4N a;.1i .'``1i�yrf, a I, a Notary Public o[ the County and State aforesaid, certify that
. Hugh--J: Gorman--a-nd--------------
c�'�, Y -----u fe,--Ir-ene__J_-Go-rman--------------------------------------------------------------- Grantor,
OTA7Ri ; _ personally appeared before me this day and acknowledged the execution of the foregoing instrument. witness my
e 0 a':,`-' S:;• = '" hand and official slam or seal, this C _ ____ 84
] n 23rd__ day of ---- -I br_uar_y--------------- 19-----• F. .. . _
r G' 10-26-86
.� ,
_ 1
i.� B ~` �: My commissicn expires _______________ _ __ _______ Notary Public
'' C`SiSyliL, T)1iiIP NORTH CAROLINA-----------------------------------County.
I, a Notary Public of the County and State aforesaid, certify that _________________________________________-
k personally came before me this day and acknowledged that ___- he is ___________________________ Secretary of
e
M
x------------------------------------------------------ a North Carolina corporation, and that by authority duly
u
° given and as the act of the corporation, the foregoing instrument was signed in its name by its _______________
q
y President, sealed with its corporate seal and attested by ___________ as its ___________________________ Secretary.
a
Witness my hand and official stamp or seal, this ------- day of __________________________, 19______._.
Illy commission expires: _______________________-----------------------------
_--________________ Notary Public
The foregoing Certificate(s) of ___Karen C__ey_i_ a_ NotarX_ Publ_j c _of_ Dare _!%mty_.-North _ _Carol ina_______________
-------------------------------••--------------------------------------------------------------------------------------------------------------
is/are certified to be correct. This instrument and this certificate are duly registered at the date and time and in the Rook and Page shown on the
first page hereof.
� �l
----------------`�1 _ _ - �4----_-_-----------__--REGISTER OF DEEDS FOR____.!�(�4- --------------- COUNTY
By _-_________ --- �dN__iL4L):--------------- Deputy/h-9�Register of Deeds
r . , e'-
N. C. 13ar I unu No. i c 1976. Res is d c 1977 - J.,,n VV,11, ms $ Co , me . Ho. 127. Yldk w 1e. N, C 27055 RECOR 1' E
nsu,� 19H: CI�IJ iJ ✓✓✓ �!'\�yyJJJ �LJ - _-
• 1
STATEMENT OF OWNERSHIP
r
A
D
1, 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 re property described therein. This interest can be described as follows: (check one)
a owner of record title, Title is vested in A.
�oT Q 9
Lo! 30 ,see ee o0 34 Z , page in the
_ C2A2 E County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of y
probate was in y County.
y
if other interest, such as written contract or lease, explain below or use a separate sheet
attached to this application.
r�
N
r
O
n
NOTIFICATION OF ADJACENT PROPERTY OWNERS
>
I furthermore certify that the following persons are owners of properties adjoining this property. 1 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)
/V e4ol-4s J. VAG-;,4No-5, RT o '7 o.yAe low.�1, /Lim �o�os
Lo7' �S (2) eZ,44 v .e5. ' o G S% %3 L.,g1V_S Al STgTo41 L.4A./C,, / /V . Y I 88Z
ni
(3)
i
(4)
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
m
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
3
concerning stabilization and flood -proofing techniques.
=i
PERMISSION TO ENTER ON LAND
z
c
W
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
M
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This theday of�2C� , 19
1
{ nd own r or person• authorized to act as his agent
for purposes of filing a CAMA application.
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
s/ label roads
_v label highway right of ways
_lam label local setback lines
6VA 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 t.
_K 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:
Ii• completed all blanks and/or indicated if not applicable?
1/e notified and listed adjacent property owners? .
included your site drawing?
v• signed both application and statement of ownership?
�i enclosed the $25.00 fee?
„- • completed an AEC Hazard Notice,if necessary?
SITE NOTICE POSTED
SITE INSPECTIONS
hZI
DATE OF ACTION:
ISSUED
FOR STAFF USE
. FINAL INSPECTION FEE RECEIVED _
rep :,lr {kt,-
Plus c con-{4��f� --
EXEMPTED DENIED APPEAL DEADLINE (20 days)