06-03_Gardner, Robert and Mary_20051102

DCM-MHD MODIFICATION #06-03
Local Government Permit Number
CAMA
MINOR DEVELOPMENT i
�
FF4 E OR" M IT
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 environment concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management"
Issued to Robert and Mary Gardner, authorizing development in the Estuarine Shoreline (AEC) at 420 Chestnut St., in
Swansboro, as requested in the permittee's application, dated October 30, 2005. This permit, issued on November 2,
2005, 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 permit authorizes: the construction of a single-family residence, domolition of an existing residence and a concrete driveway.
1) All proposed development and associated construction must be done in accordance with the revised work plat drawings dated
received 10130/05.
2) All applicable original permit conditions remain in effect. Any additional proposed change(s) to the approved revised plans for
development, construction, or land use activities will require a re-evaluation and further modification of this permit.
3) A copy of this permit modification shall be attached to the original permit and shall be posted or available on site. Contact this
office for a final inspection at [phone] at the completion of work.
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 Ryan Davenport
modification not covered under this permit, require further written permit iMA LOCAL PERMIT OFFICIAL
approval. All work must cease when this permit expires on:
400 Comerce Avenue
DECEMBER 31, 2006 f More e City, V8557
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
(Signature re u e if conditions above apply to permi
Management. t)

DIVISION OF COASTAL MANAGEMENT
TO:
OFFICE:
TELEPHONE:
tm
FAX
Moreheadt Lity urnce
400 Commerce Avenue
Morehead City, NC 28557-3421
Voice: [phone]
FAX: [phone]
DATE SENT: '
TOTAL PAGES INCLUDING COVER SHEET:

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PROPOSED RESIDENCE FOR y y ZO j2 - -
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NOTE: SURVEY INFORMATION
PROVIDED BY CHARLES RAWLS
ASSOCIATES
DATE-.
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30 0 30 60 90 oRaw BY: c►ar
DESKdJED BY: PNU
GRAPHIC SCALE — FEET JOB NUMBER 02.41-3

411
October 30, 2005
R.F. Gardner
PO Box 458
Swansboro,NC28584
Ryan Davenport
Division of Coastal Management
400 Commerce Avenue
Morhead City, NC 28557
Dear Mr. Davenport,
Please refer to our CAMA Minor development Permit (#06-03) wherein our
proposed home was situated approximately 75 feet from the water edge property line.
In order to make room for a side entry garage our builder needs 2 feet for garage
depth and 10 feet for driving turning radius. Accordingly, we request approval to move
the permitted footprint 12 feet closer to the water edge.
The existing permitted land area between the proposed house and the water is 75
feet x 60 feet or 4,500 sq. feet. A change from 75 feet to 63 feet would equate to 15.6 %
impervious surface area or a total of 700 square feet.
Please re-evaluate and approve the modification of this permit. The statements of
the adjacent riparian property owners are attached and both wholeheartedly agree with
the modification of this permit. Also, attached is approved site survey with the change
outlined in red.
Sincerely,
R. F. G dner

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NOTE: SURVEY INFORMATION
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ASSOCIATES
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JOB NUMBER: 02-419

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to RrOO?T a 000i 4',O& /j E 's
(Name of Property Owner)
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property located at 4A :;I a
(Lot, Block, Road, etc.)
on a kv-"e ��2, in _ , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. .
DESCRIPTION AND/OR DRAWING OF PROPOSED. DEVELOPMENT
(To be filled in by individual proposing development)
N Liu¢
A oureq e l 7 30
SIgnature
G`Z.
Print or Type Name
Telephone Number
Date: /b "7Z z- -- 2ao S—

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to !1 0-6'0'e-f?T 4A.4ll Ag-RD&R-S
(Name of Property Owner)
property located at �4 a 0
(Lot, Block, Road; etc.)
on 1,4wellys 4t!fR8r , in w .f v DNS L o , N.C.
(Waterbody) (Town and/orCounty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
ignature
Print or Type Name
70�/- zn�5-- '�f'306
Telephone Number
Date: /D -- '�'s -O 5-

.y APPLICATION FOR
2003 r bJ;aR 1 4 CAM -A
s_s MINOR
,
T11 P�_t.t4EVELOPMENT
Al I
"r'�ER�
-,�MIT
A
" ? Jli
_ In 1974, the North Carolna General Assembly 'passed �,
the Coastal Area Management Act -and set the stage for
f J guiding development in the fragile and'productive areas rt
F which border the states sounds•and oceanfront...Along
with requiring special care by those-yvho build and
M1
I develop, the GeneralAssemblydirected the Coastal
Resources Commission (CRC);to implemes}t,clear regula `�' k
tions which rnm- imize the burden on the applicant. • .
This applicarion'for a minor development permit under _$F u
� ,; CAMA is par6f the Commission's effort to meet the
E .• a. - x�71 spirit and intent:of the Gerieral� ssembly. It has beer, designed to,bestraightforward:and require no ore
- , time or effortenecessary fromtl e applicant. Please go
y #� over this folder with the Local Permit Officer (LP0� for
+ the locality in which you plan to build to be certain that
d t a ou understand what information he or she needs.
Y
,: "� UnCAMA regulations, the minor permit is to be -
der
I ✓.. 1� 4
issued�withi 25 days once a complete application is m r
needed r
hand. ;Often less time is ifthe project is simple
+ Lit» ' • t t i
_� _F The't process'generally takes{ about 18 days. You cani
speed the approval process by making certain that your
i a lication is com lete andesigned, that your drawing
meets the specificationsgiven inside and that your
application fee is attached
77 3
z -� Other permits are sometimes required for development ,
k�� z . .
"' k .�. in the -coastal area. ,EWhile these are not CAMA-related; --�
we_urge you to'check:withthe'Local,Permit_Officertoa ,
..
dch,of these ou:ma need. A listiri is
etermXi -wh
r included on page`2 of this folder,
,r We appreciate your cooperation with the North
Carolina Coastal Management Program and your
k
willingness to build in a way which protects the
resources of our beautiful and productive coast._.
• . Coastal Resources Commission
Division of Coastal Management

Locality
Permit Number
GENERAL INFORMATION
LAND OWNER
MAR 14 2003
Name i� �/J�l� T / NAAY 4 ARONER
Address Soo -5'e Z A ✓9-
City %) iA�74F/FL D RE41CH State FL- Zip 3 3 �'L/ l Phone
AUTHORIZED AGENT
Name -J-011l1 /-;eF,5h WArc A (Z�W Z%5r 4N1,rNEE,-6 i11s�,ed/C'E5
Address (o ZLf - 4 W . e0P-,8 =r r � VZ r
City sj/y ky-SStv�a State ✓ Zip ZSSS �' Phone M- 3 Z6 - ZS-0
LOCATION OF PROJECT P'f/E5rNL17 —ST,eEEr
S JMA 5A9bRD , AIc zg,: -84
(If not oceanfront, is waterbody natural or manmade?) Mf
DESCRIPTION OF PROJECT �5/.A16 L E I C5'4/19/1 y
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 Public Trust Shoreline Other
PROPOSED USE
Residential Commerical/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the estuarine shoreline, or 575 feet of an
ORW shoreline, or 30 feet of the public trust shoreline. l 7,Z /-/ Z
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING 32 9Z
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.

DCM — MRD
Local Government
7gl! �. # 06-03
�1 Permit Number
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 ROBERT & MARY GARDNER authorizing development in ESTUARINE SHORELINE AEC
at420 CHESTNUT ST., SWANSBORO, ADJACENT TO HAWKINS
CREEK as requested in the permittee's application, dated 03-11 / REC' D 03-14-03
This permit, issued on 03-28-03 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 permit authorizes the construction of a single-family residence, demolition of an existing
residence, and a concrete driveway. The following conditions apply:
1. All proposed development and associated construction must be done in accordance with the
application dated 03/11/03, workplat drawing (s) dated 03/12103, and originally submitted on
03/14/03.
2. All construction must conform to the North Carolina Building Code requirements and all other
Local, State and Federal regulations.
3. Any change or changes in the plans for development, construction, or land use activities will
require a re-evaluation and modification of this permit.
4. The amount of impervious surface areas shall not exceed 30% of the lot area within 75' of the
normal high water contour/normal water contour, which defines the Coastal Shoreline AEC at
this location. In this case, 3.5% of impervious surface is authorized.
* 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 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 or project 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
NC DIVISION OF COASTAL MANAGEMENT name
HESTRON PLAZA II, 151—B HWY 24
TELEPHONE: (252)v808-2808 address
Permittee
(signature required if special conditions above apply to permit)

Minor Permit #
Gardner, Robert & Mary
Page 2 of 2
5. Pursuant to 15 NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or
otherwise disposed of to a third -party by the applicant, agent, or any entity other than the NC
Division of Coastal Management.
6. The development authorized under this permit must be accomplished a minimum of 30'
landward of the normal high water contour/normal water contour, maintaining this as a
vegetated buffer area.

DIVISION OF COASTAL MANAGEMENT
NCDENR
Moans C—oup" D&PARTH[xt of
EwRommc,rt ANo McuRAL. RF3ociRCry
151-B HWY. 24, HESTRON BUILDING
MOREHEAD CITY, NC 28557
TELEPHONE: [phone]
FAX: [phone]
TO: ( T ET etlEi✓s --ii/�1FS
OFFICE: naf
TELEPHONE #: f 1 FAX #: r 1 7�G
FROM: 1 iEkc-
OFFICE: DIVISION OF COASTAL N1ANA r-NiFtiT
RE:
DATE SENT:
TOTAL NUMBER OF PAGES IlYCUMEN-G ('- SH T; ?

� a
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Donna D. Moffitt, Director William G. Ross Jr., Secretary
Daily News March 14, 2003
Legal Advertisement Section
PO Drawer 196
Jacksonville, NC 28541-0196
Re: Public Notice - Mr. and Mrs. Robert Gardner
Dear Sir:
Please publish the attached Notice in the March 19, 2003, issue of the Daily News.
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, 1638 Mail
Service Center, Raleigh, NC 27699-1638, Telephone [phone].
Thank you for your assistance in this matter. If you should have any questions, please contact me at our
Morehead City office [phone].
Sincere
6--�
T. Barrett
Coastal Management Representative
tjb
Enclosure
cc: Ted Tyndall, District Manager
151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

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NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Notice is hereby given that Mr. and Mrs. Robert Gardner has applied to the Department of
Environment and Natural Resources for a Minor Development permit. The applicant is requesting
to raze and reconstruct a residence on their property located at 420 Chestnut Street in Swansboro.
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 [phone], no later than March
27, 2003. 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: March 19, 2003

` P. 01
TRANSACTION REPORT
MAR-14-2003 FRI 04:51 PM �c
DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP
MAR-14 04:50 PM 97266016 48" 3 SEND OK 154

03-97 BANK OF AMERICA 3053
DOWNEAST ENGINEERING SERVICES INC. SWANSBORO, NC 28584
624.4 W. CORBETT AVENUE 66-19/530
SWANSBORO, NC 28584
(910) - 326.2870 Phone [phone]
(910) - 326 -1435 Fax
41.
PAY TO THE Coastal Resources Commission V*100.00
ORDER OF
One Hundred and 00/IOOxx=xx=u� x,��xx� ��x� �x=xa�x,4a� pis==x
DOLLARS
Coastal Resources Commission
151-B Hwy 24, Hestron Plaza 11
Morehead City, NC 28557
CAMA Minor Dcvclopmcnt Permit
MEMO C�EEa VI.JI.�
11,00 30 5 311■ 1:0 5 3000 1961: 0006 50 76 7 16 3113

DOWNEAST ENGINEERING SERVICES
624-4 W. CORBETT AVE.
SWANSBORO,. NC .28584
tel: [phone]
fax [phone] MAR Y 4 :2003
March 13, 2003
Tere Barrette
Coastal Management Representative
Division of Coastal Management
151=B HWY 24, Hestron Plaza I1
Morehead City, NC 28557
Re: 420 Chestnut Street
Swansboro, NC 28584
Dear Ms. Barrett:
Thank you for the help with the enclosed application.
I have attempted unsuccessfully to contact Mr. and Mrs. Helms (adjacent property owners) via
telephone numerous times. I mailed the original of the enclosed letter to them today as indicated
by a U.S. Postal Service Delivery Confirmation Receipt ( a copy of which is also enclosed). The
Town of Swansboro has been notified both verbally and by hand delivery of a letter, of which a
copy has been provided for you.
It is my hope that the enclosed photographs will provide a sufficient description of the
vegetation and lot parameters to be disturbed.
If additional information is needed or you have any questions, please let me know.
Sincerely,
Downeast Engineering Services, Inc.
P, 4�; �, Z c'� 6
John Freshwater, Eng. Intern

LIAR 1 4 2003
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GARDNER PROPERTY
420 CHESTNUT STREET
SWANSBORO, NC 28584
VIEW FROM CHESTNUT STREET TOWARDS HAWKINS CREEK

�rl" `7 1 4 2003
GARDNER PROPERTY
420 CHESTNUT STREET
SWANSBORO, NC 28584
VIEW FROM HAWKINS CREEK

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NOTE: SURVEY INFORMATION
PROVIDED BY CHARLES RAWLS 4
ASSOCIATES DATE:
03.12.03
DRAUN BY: CNN
30 0 30 60 90
DESIGNED BY: PNll
JOB NUMBER: 02-419
GRAPHIC SCALE — FEET
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DB 534. Pg 351
DB 1570. Pg 251
MB 2. Pg 182 EPKI
MB 35. Pg. 4G
Onslow County Registry
• plpRj N 38.58'43'W
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Note: This Map Is Not Intended For Recording!
I. CHARLES A PAWLS, PROFESSIONS
LAND SURVEYOR do hereby certify
that I have surveyed the pro
as shown hereon in accordance
with THE STANDARDS OF PRACTICE
FOR LAND SURVEYING IN NORTH
CAROLIldA.`
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Robert F. Gardner
Mary Gardner
L) Portion of Lot 1. Blk H
Edgewater Heights Subdivision
420 Chestnut Street
Swansboro
1 Onslow County, North Carolina
Charles A. Rawls
and Associates
1117 HAUMOCK BEACH RD.. P.O. BOX 1126
S11fANSBORO, N.C. 28584
'TELEPHONE: [phone] FAX: [phone]
and
CAFc
PLANNING
MAPPING
SURi�E3''"r�

Mar 10 03 05:12p Griff Thomasson
9103263207 p.2
Page 1 of 1
From: <[e-mail]>
To: <[e-mail]>
Sent: Monday. March 10. 2003 3:52 PM
Subject Re: Swansboro House
UAR Y 4 2003
I have discussed the new home footprint with Mary K and we both fee[ that this new construction is something we
want to do if we can situate the house 75 feet from the waterline ...... otherwise we lose the view. We are
hopeful that since the house is so n2rrow(355, CAMA may allow the minor enchroachment on the comers of the
house ..... and since we will be in conformance with the setback requirement at the center of the Iot....(over the past
20 years that we owned this property, we had always inviisioned our new home 75' from the water and we thought
the CAMA fine would be a straight line on this 60• lot). You and John Freshwater have my authorization to act as
my agent in this matter. Thanks for your help.

DOWNEAST ENGINEERING SERVICES
624-4 W. CORBETT AVE.
SWANSBORO, NC 28M
tel: (910) 326 MO
fax [phone]
March 11, 2003
Town of Swansboro
502 Church Street
Swansboro, NC 28584
Re: 420 Chestnut Street
Swansboro, NC 28584
To whom it may concern:
11,AR Y 4 2003
Mr. and Mrs. Robert Gardner, have requested that I, as their authorized agent, apply for a CAMA
Minor Development Permit for the construction of their new home on the property referenced
above. The permitting process requires that adjacent property owners are notified of the "intent
to develop" and "to apply for a CAMA permit". As the Chestnut Street right of way abuts the
Gardners' property on the southerly side, please consider this letter notification of such intent.
Should you have any questions, please let me know.
Sincerely,
Downeast Engineering Services, Inc.
John Freshwater, Eng. Intern

March 11, 2003
Mr. and Mrs. James Helms
416 S Chestnut Street
Swansboro, NC 28584
Re: 420 Chestnut Street
Swansboro, NC 28584
Dear Mr. and Mrs. Helms:
DOWNEAST ENGINEERING SERVICES
624.4 W. CORBETT AVE.
SWANSBORO, NC 28584
tel: [phone]
fax [phone]
t1,AEA 14 2113
Mr. and Mrs. Robert Gardner, have requested that I, as their authorized agent, apply for a CAMA
Minor Development Permit for the construction of their new home on the property referenced
above. The permitting process requires that adjacent property owners are notified of the "intent
to develop" and "to apply for a CAMA permit". As your property abuts the Gardners' parcel on
the northern and eastern sides, please consider this letter notification of such intent.
Should you have any questions, please let me know.
Sincerely,
Downeast Engineering Services, Inc.
John Freshwater, Eng. Intem

U.S. Postal Service Delivery Confirmation Receipt
ul Postage and Delivery Cones Confirmation few must be paid before mailing.
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Ps Form 152. May 2002 (Sea Reverse)

a
STATEMENT OF OWNERSHIP
MAR Y 4 2003
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 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: (check one)
✓ an owner or record title, Title is vested in �TVVk,513 Wo , A/ see Deed Book 53 1- ,
page 3 51 in the OK5L() N! 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) VW I Df SWAff-16PRO 5"OZ CH.Pal ST-SWA&SROROO "YS'
(2) J-ANIE5 LINA4 fI N-44 s y/6 s ell WIyuT sr tWA*513,1 0 591'
(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 application,
the ownership statement, the AEC hazard notice where necessary, a check for $100.00 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 permit is subject to civil, criminal
and administrative action.
This the day of /VIAR-eAW , 20 03 .
d owner or person authorized to act as his agent
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 2003
label roads VAR 1 4
V 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
At draw location of on -site wastewater system
If you will be working in the ocean hazard area:
ti A draw and label dune ridges (note height)
— t A draw and label toe of dune
m A identify and locate first line of stable vegetation
ti A draw and label setback line under CAMA
_NIL 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 a house is to be placed on lot, describe location of house
note size of pilin and depth to be placed in ground
draw and label a l areas to be paved or graveled
describe composition of surface
S p/�oTn 5 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 $100.00 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)