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HomeMy WebLinkAbout46-00_Lanier, Brent_20040102FOR DATE -TIME �P.M. M OF PHONE AREA CODE NUMBER EXTENSION ❑ FAX ll;, ❑ MOBILE r"EJ AREA CODE - NUMBER TIME TO CALL R%t-UyCl;37 k�:.:Fi LI+i4� MESSAGE SIGNED FORM 3002P MADE IN U.S.A APPLICATION FOR a z CAMA iz , t MINOR r a : gg# F F x3 ti DEVELOPMENT t PER1T, M , ` S In 1974, the North Carolina General Assembly passed the Coastal Area Management Act and;set the stage for .: guiding development in the fra ile'and productive areas t u y which border he state's sounds and oceanfront. Along with requiring special care by thosegwho build and develop, the General�Assembly directed the Coastal Resources Commission (CRC) to implement clear regula _. w.. -tions'which minimize the burden on the applicant.,' This application for a minor` development permit under,', CAMA is part of the Commission's effort to meet the -'spirit and intent of the General Assembly. It has been ' designed to be straightforward and require no more _ time or effort necessary from the applicant. Please go over this folder with the Local Permit Officer (LPO) for . rt the locality in which you plan to build to be certain that ' you understand what information he or she'needs. f "Under CAMA regulations, the minor permit is to be issued within 25 days once a complete application is in hand. Often less time is"needed if the project is simple The process generally takes about 18 days. You can '. speed the approval process by making certain that your application is complete and signed, that your drawing, meets the specifications given inside and that your$ application fee is attached.! = Other permits are sometimes required for development, - the coastal area. While these are not CAMA-related,', we urge you'to,checkwith the Local Permit.Officer to` determine whichof these you ma need. A listing is ' ' =. �induded on page-2 o f this folder. We appreciate your cooperation with the North Carolina Coastal Management Program and your willingness to build in a way which protects the k. resources of our beautiful and productive coast. e ^ _ s Coastal Resources Commission n Division of Coastal Management y� Locality GENERAL INFORMATION LAND OWNER Name Permit Number --- Address �1I23 E'�dar po,Nr blVd, (� r Lei-) City ee a r PO , N 1- State _ %S C- Zip 2£551F41 Phone 25Z- 3ei 3- %Z 7 d AUTHORIZED AGENT Name 5rcv E /¢ 'I -a n t e r Address / 2 3 Ce c/a, r 61 V J City C& c1A.r Ev State /V C Zip 2 gfN Phone Z�Z 35 3 - 8G 7D LOCATION OF PROJECT Lo7 AQ NL g r i S. 4o10 &_s '5,y10 f V{ S i oN 1Z3 A r kyd, (If not oceanfront, is waterbody natural or manmade?) WV 11-6- DA t-1 -1Z1v6n _ DESCRIPTION OF PROJECTS�i,A?_-s�/r,,, ('gf lea zn a42, IA,/i/ y4y AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION (To be filled in by the Local Permit Officer prior to completing application.) Ocean Hazard Estuarine Shoreline ORW Shoreline Other PROPOSED USE Residential � Commercial/Industrial Other SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the shoreline (575 feet of an ORW shoreline) SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING SQUARE FOOTAGE OF SITE. OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with your LPO to determine if 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, and others. any of these apply to your project. 0 DCM — MHD Local Government CAMA MINOR DEVELOPMENT PERMIT' as authorized by the State of North Carolina, Department of'Environment and Natural Resources and the Coastal Resources Commission for development in an area of environmental concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area Management." Issued to BRENT LANIER authorizing development in ESTUARINE SHORELINE AEC at 121 & 123 CEDAR POINT BLVD., CARTERET COUNTY # 46-00 Permit Number RENEWAL as requested in the permittee's application, dated 07/10/00, REC'D 07/18/0 This permit, issued on 01/02/04 RENEWED . 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. THIS IS A RENEWAL OF THE ORIGINAL MINOR PERMIT # 46-00. ALL ORIGINAL CONDITIONS SHALL APPLY. 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 per- mit m,.st 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 orproject modifications not covered under this permit requires further written permit approval. All work must cease when this permit expires on December 31. 2006 In issuing this permit it is agreed that this project is consistent 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 Division of Coastal Management. Local Permit Officer (signature) TERE BARRETT, COASTAL MANAGEMENT REP. _ _ __._.._... . _ ...,�.,.��... �.�...��.u..:..� name HESTRON PLAZA II, 151—B HWY 24 MOREHEAD CITY, NC 28557 TELEPHONE: 252 808-2808 address Permittee (signature required if speci nditions above apply to permit) DCM/MHD O f #46-00 Local Government S Permit Number CAMA Issued to Brent Lanier MINOR DEVELOPMENT PERMIT as authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission for development in an area of environmental concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area Management." authorizing development in Estuarine Shoreline AEC at 121 and 123 Cedar Point Blvd., Carteret County as requested in the permittee's application, dated 7/10/00, rec' d 7/18/00 This permit, issued on .Tn1 y 31 , 2000 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 permjttee to a fine, imprisonment or civil action, or may cause the permit to be null and void. This permit authorizes the construction of a Business/Residential building with driveway, septic system, and associated landscaping, contingent upon the following conditions: I. This development is authorized in accordance with T15A: 07J .0211, referred to as the "Non - Conforming Development" clause. Subject to this rule, the development must comply with current rules to the maximum extent possible. As such, the driveway on the south side of the plat submitted 7/ 18/00, and dated 7/8/00, is hereby deleted. 2. All proposed development and associated construction must be done in accordance with the permitted workplat drawing(s) as originally submitted, or as revised by above condition. 3. All construction must conform to the North Carolina Building Code requirements and all other Local, State and Federal regulations. 4. Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and modification of this permit. See Page #2 for additional conditions: 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 per- mit mist 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 requires further written permit approval. All work must cease when this permit expires on December 31. 2003 In issuing this permit it is agreed that this project is consistent 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 Division of Coastal Management. Local Permit Officer (signature) Tere Barrett, Coastal Management Rep. iv.c. vivision of uoastat Management name Hestron Plaza II, 151—B Hwy 24 Morehead City, N.C. 28557 Tele: 252 808-2808 address rermmee (signature required if special conditions above apply to permit) Minor Permit #46-00 Brent Lanier Page #2 of 2 5. The amount of impervious surface areas shall not exceed 30% of the lot area within the 75' Area of Environmental Concern (AEC); in this case, 2164 sq. ft. This includes roof overhang. 6. Prior to initiating any land -disturbing activities, a barrier line of filter cloth, staked hay bales, or burlap must be installed between the land -disturbing activity and the adjacent marsh or water areas, until such time as the area has been properly stabilized with a vegetated cover. 7. Pursuant to 15 NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise disposed or to a third -party. Dec 31 03 01:39p Lanier Surveying Company 252-393-4506 p.1 December 28, 2003 To: North Carolina Department of Environment Coastal Management 151-B Hwy 24 Morehead City NC 28557 From: Brent A. Lanier 123 Cedar Point Blvd Cedar Point NC SUBJECT: REQUEST FOR EXTENSION OF CAMA PERMIT FOR 123 CEDAR POINT BLVD. CEDAR POINT NC I would like to request the extension of my permit for 123 Cedar Point Blvd. I can be contacted by phone at 252-393-4505 and cell 910-340-6868. There is voice mail at both numbers. Thanks Brent A. Lanier Official Use Only: TOWN OF CEDAR POINT LAND USE APPLICATION PERMIT LUP # RESIDENTIAL REVIEW CHECKLIST: Case File # Single Family: C `- Gt� ;i J esS Duplex: ❑ Review fee: $25.00 Check number: P{ "_'we, L_'�o-a Owner: _UC1 i e' er Site PIN Number: Contact Phone: • -COMPLETE APPLICATION: Contractor: Site Address: Triplex/Multi-Family:❑ J U L 1 B 2000 Original Survey with: Hous'00 Driveway 0-Lot Elevation ❑- Setbacke- Flood Zone Health Department Permit: Ann-., ► ('A {� . ZONING: Site Plan Approved: j Conditional Approval: Zoning District: Requirements: F•• - %[ j CAMA AEC: YesQ_ No ❑ Permit Applied for` Setbacks- 1C l%w'� c-Cc'- ���'c�C.� t 20 Cco-t S? ( Grt Front: 21C}=2i % Rear: Side: Maximum Height: 1 Lot Width: VC) tL c Height Certificate Required: Lot Area: 1 j,C,bC.., z(.�,Co0 Erosion Control Plan Required: Yes Now Plan Approved: Yes No -'x- Street Egposit: Check Number: Requirements/Comments: G_Ierr�y__ iu:C.3 c2) e'e';sA C�-c� Ct:,t��'E"a �c�t �'t.,�i �aJ'�� n� 5�� ���.;�c� ��C.c: • \%r�0.cr �=�:c-��c�c, �fz,r_Ll�cc_I-)c r"'cR I`E"�c�'ge-06� —0-P_C, Q c" S C? c� C,. An approved Land Use Application is not a building permit and does not allow the applicant to commence construction. A building permit shall be obtained by the Carteret County Building Inspections Department prior to the start of construction. This Land Use Application is the mandatory first step in obtaining a building permit from Carteret County. The Carteret County Inspections office can be reached using the following numbers: (252) 393-3204 or (252) 728-8497. I certify that the Town of Cedar Point has made me aware of all the applicable rules and regulations concerning my proposed project and I affirm that I shall abide by all these rules and regulations and will obtain all other necessary permits prior to the start of construction. Signature of applican 7C•1'4 Date: . 7 (? G Gc� Z,) A .r • Approved by i� t �" ` Date: (D WNt1G oAz- MITE KyIt-- '- Z 8� th'il�1Gt Ce .5. $rJ51 �l E�j �F/ t t7Y►JC.'. ZO tl • � SE�'TtG �i't:.� l oo' ' st�au �'oJ�tr - 8r� 1 b Tom! :�,V �:vG•�t' — �162 rn5srj 1JE--vJ Qo tJ'5 e 13&,A_ I` k SKETCH /vi too' ?.1w'� g ro"rA1. - 2, },.lOiC • • � AI! ar✓ La7 �1t�c.�6 ��•tu1l., T�Ev1FF .8=12 9i L! Q 4 s t Z f. ISM '��!JF�d/� - I ► l coo -T'9 1-A L 'pe.of;t,S-rD Z, GSA UECm M - EJQf'nW ffM STAKE S.S - SET X= STAKE EM - ,�G MONWAW vlow FENCE aE=CAL UK OIL - t UW R t ME, . QRMAM & UTLM EASD W SIfE-: THIS IS TO CERTIFY THAT THIS MAP IS A TRUE REPRESENTATION OF THE PROPERTY HEREON AS COMPILED L. SURVEY OF THE PREMISES ARE NO ENCRQACNMENTS BEST OF MY KNO THE ERROR OF CLO _ BRENT A. LANIER 3 g�j PROPERTY OF; Brent A. Lanier r9 ��!fo5(T!orl of �*✓ Rarm0-1=!7 gt,;k pz r 0 LOT NO 199 BLOCK SUBDI%4SION: John S. Janes White Oak TOWNSHIP Carteret C4l1NTY STREET ADDRESS: 121 & 123 Cedar Point Blvd. DATE: A SCALE: — F.B. P 2S3Lg1@iVEY1N� C CXAP&AW .108 NO JACK �aGkS 0 DRAFTER: J.F.W. FILE NO. _.j- r "I N.0 HWY 24 LEGEND: EIS - EXISTING IRON STAKE SIS - SET UM STAKE ECM - 00SITNG CONCRETE UONUMENT ----x---x--x- - CHM UNK FENCE -D--c-G--O-D— WOOD FENCE ELECTRICAL UNE MOL - 1494MM BUILDING UNE vsvpk 1DRAINAGE � U'JU14 'O E E OP UNE I ON I DISTANCE L1 S303 WE L2 ' 159 L3 3 9. L4 1 E 7. LW_ 6. L6 56Q'4 21 1 i L7 10. L8 S13 03 .9 PHYSICAL SURVEY THIS IS TO CERTIFY THAT THIS MAP IS A TRUE REPRESENTATION OF THE PROPERTY HEREON AS COMPILED BY RVEY OF THE PREMISES AND NO ENCROACHMENTS ACC¢R OF MY KNOWLEDGE,C ERROR OF CLOSUREv`1S QO y ll s I -x ORs; �, �,►ti"� BARDEN LANIER, R.L.S.,=Y2`S TAPE #3 FILE: SwAN.0WO PROPERTY OF: 8 ENT A. LANIER LOT NO.. 199 BLOCK SUBDIMSION: HN J IES MUTE OAK TOWNSHIP _CARMBE_T COUNTY STREET ADDRESS: 121 $S 123 CEDAR POINT BLVD DATE: 4at-1 5, ZoOo lwj"'-fl--�Mun SCALE: 1" - 30' loommmig F.B.433 P.22 SURVEVING C®MPAW JOB N0. 97052 2*ntwBerow�B,Ttt�E�j�r DRAFTER: - - - �jiR/{g7w7 ry. � ••� r�t ..:�:NCDENR �d tV I'.7'JAMES B. HUNT JR w -' GOVERNOR ur ; ?,,BILL HOLMAN- =+SECRETARY wb� a c f-DONNA D. MOFFITT�:A DIRECTOR t S �{ e. ;N F s NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF COASTAL MANAGEMENT August 8, 2000 Brent Lani�x 123 Cedar Point Blvd. Cedar Point, N.C. 28584 Dear Brent: Attached is CAMA Minor Development Permit #46-00 for authorized work only at Lot #199, John S. Jones subdivision, Cedar Point. In order to validate this permit, please sign both copies as indicated. Retain the original (yellow copy) for your files and return the signed copy to us in the enclosed, self-addressed envelope. Your early attention to this matter would be appreciated. Sincerely, T. Barrett Coastal Management Representative TB/rcb Enclosures cc: Ted Tyndall, District Manager MOREHEAD CITY OFFICE HESTRON PLAZA 11, 151—B HIGHWAY 24, MOREHEAD CITY NC 28557 PHONE:252-808-2808 FAX:252-247-3330 AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10% POST -CONSUMER PAPER DENR TOLL FREE HOTLINE: 1-877-623-6748 COUNTY OF CARTERET Central Permit Office{', Western Office J/� Z y� v J Beaufort, N. C. ' 18 �►i RECEIVED FROM ' rI. '4i Q ,1 . 1 Y r ' .. 7 ( II it nn^ IN PAYMENY-OF PERMIT # �; 7 f % BUILDING PERMIT I$ � � - MOBILE HOME PERMIT ' $M '- /�' / 87Zjn I ; ELECTRICAL PERMIT � •$ w B PLUMBING $ i/ MECHANICAL $ r ` i 'tip C 4 C-1 $ RECEIVED BY r t OFFICIAL RECEIPT TOTAL AMOUNT PAID ${� i .. r t WESTERNI (MONEY INTEGRATED PAYMENT SYSTEMS INC. - ISSUER UNION ORDER'" Englewood, Colorado --g4 6E14 9 7 g 1k s 824011021 if? � � �- Y• a� �r �G t4l''Li�l� �t% 'LV piggy"'.14il�1 i 000022�µ4" ' i 0 b 1 wiggly (ISSUinc AGENryI NO. C 11TS � 11<�K�'k�K���%k �K k PAY t�XA&tIlY ` NOT GOOD oVtF/�g 500 i ORDEi; OF ! %1RC14ASER BY SIGNING YWR AGREE TO THE O 4URCHASER S ADDRESS ° } T S THE REVE1 • -: �. S ED_EP@�... Western Union Money Order Is a service mark of Western Union Financial Services, Inc. / Payable at Norwest Bank Grand Junction - Downtown, NA, Grand Junction, Colorado is LO 2 L001,001: 400 2946 144'e4 b4l" CA A i k I- I jC —EN —G I �JE E �r Applicant Property Address JUL 18 2000 ICS Orsite visits Da 'a-d Permit Nmilber Applicatioll to he for the 1*011mvill." Application considered . . Date Retill-fled curate and Collipletp for- processing -Date P, _ _. ons 11:1141 SiteSlIt'Vif-Ic 'Iti obS'I V, (- ireen made: Dates of Follow-up visits: Final Inspection Date: 'Project (leter"litle(-I to 1)(,. in COMplial1cf, With permit Project fleterm 'lle(l '" Ile (Mf Of Com pliance witil per,,,if Action taken to bring project jilto cOIIlI)1i.IF1ce with CAINIA: ------ - ---- — -- --------- --- — ------ f YO b()q=z•s1 Q-c I C6 q 4c h J C�h 0 cc al OQ� n2 %� CZ (BOA = Q� 0 ) El NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF COASTAL MANAGEMENT July 19, 2000 Carteret News Times Legal Advertisement Section P.O. Box 1679 Morehead City, NC 28557 Re: Public Notice — Brent Lanier Dear Sir: Please publish the attached Notice in the Friday, July 21, 2000, issue of the Carteret News Times. The State Office of Budget and Management requires an original Affidavit of Publication prior to payment for newspaper advertising. Please send the affidavit, an original copy of the published notice, and an original invoice to Jaye Poole, NC Division of Coastal Management, P.O. Box 27687, Raleigh, North Carolina 27611, Telephone (919) 733- 2293. Thank you for your assistance in this matter. If you should have any questions, please contact me at our Morehead City office (252) 808-2808. Sincerely, T. Barrett Coastal Management Representative tjb Enclosure cc: Ted Tyndall, District Manager MOREHEAD CITY OFFICE HESTRON PLAZA 11, 151-B HIGHWAY 24, MOREHEAD CITY NC 28557 PHONE: 252-808-2808 FAX: 252-247-3330 AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10% POST -CONSUMER PAPER DENR TOLL FREE HOTLINE: 1-877-623-6748 NOTICE OF FILING OF APPLICATION FOR CAMA MINOR DEVELOPMENT PERMIT Notice is hereby given that Brent Lanier has applied to the Department of Environment and Natural Resources for a Minor Development permit. The applicant is requesting to construct a single family residence with associated development and landscaping at Lot 199 John S. Jones Subdivision. Persons desiring to inspect the application, or to comment thereon, are directed to contact T. Barrett, Coastal Management Representative, NC Division of Coastal Management, 151-B Hwy. 24, Hestron Plaza II, Morehead City, NC, Telephone (252) 808-2808, no later than July 31, 2000. Comments received prior to that date will be considered in making the permit decision. Later comments will be accepted and considered up to the time of permit decision. Project modifications may occur based on further review and comments. Notice of the permit decision in this matter will be provided upon written request. PLEASE PUBLISH ON: July 21, 2000 DIVISION OF COASTAL MANAGEMENT F5WA NC.DENR ENVIRONMENT AND N.auRAL RESOURCES 151-B HWY. 24, HESTRON BUILDING MOREHEAD CITY, NC 28557 TELEPHONE: (252) 808-2808 FAX: (252) 247-3330 TO: 1 9. p-� rv-j� OFFICE: TELEPHONE #: j 1 FAX #: j 1 FROM: OFFICE: )F COASTAL MANAGEfyiENT DATE SENT: I CI TOTAL NUMBER OF PAGES INCLUMG COVER SHET: P. 01 �c TRANSACTION REPORT �c JUL-1-9-2000 WED 11:44 AM DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP �c �c �c JUL-19 11: 40 AM 7266016 11001, 3 SEND OK 593 �c �c �c . a STATEMENT OF OWNERSHIP J U L 1 8 2000 r I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in a an AEC or a person authorized to act as an agent for purposes of applying for 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: (check one) -Zan owner or record titl , Title is v sted in5nM2 4- 4A;er , 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 contact or lease, explain below or use a separate sheet and attach 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) Ileler � !% Eavir_ ` 309 i5_LENWoDD Alip NG ZB i (2) //9 (3) (4) FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD 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 floodproofing 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 application includes: general information (this form), a site drawing as described on the back of this ap- plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 made payable to the locality, and any information as may be provided orally by the applicant. The details of the application 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 per- mit is subject to civil, criminal and administrative action. This the _V day of J%1A ,1.9 Z400 L owner dr-pe-rson'Withorized to act as his agent for purposes of filing a CAMA permit application. SITE DRAWING/APPLICATION CHECKLIST Please make sure your site drawing includes the following information required for a CAMA minor develop- ment 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 highways 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 �Zdraw location of on -site wastewater system If you will be working in the 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) EL£uN i 100 S DEVELOPMENT PLANS 5EE A1771�e N_<: ,0 PHV5 ie-,O L 514 e-VfY draw and label areas that will be disturbed if a house is to be placed on lot, describe location of house note size of piling and depth to be placed in ground t draw and label all areas to be paved or graveled describe composition of surface ,v,Te note and list fully all trees and vegetation to be removed or relocated i•JcT f t/ show landscaping �c/oTC o NOTE TO APPLICANT Have you: *completed all blanks and/or indicated if not applicable?v"/ *notified and listed adjacent property owners?/_ *included your site drawing?/ *signed both application and statement of ownership? *enclosed the $50.00 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)