05-05_Port O Swansboro_20050509

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'In 1974, the North Carolina General Assembly passed the Coastal Area
E Management Act and set the stage for guiding development in fragile
' and productive areas that border the state's sounds and oceanfront. Along
with requiring special care by those who build and develop, the General
Assembly directed the Coastal Resources Commission (CRC) to imple-
ment clear regulations that minimize the burden on the applicant.
This application for a minor development permit under CAMA is part
of the Commission's effort to meetthe 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 the locality in which you
plan to build to be certain that you understand whatinformation he or
she needs.
Under CAMA regulations, the minor permit is to be issued within 25
r7
� G 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
` t can, speed the approval process by making certain that your application
is complete and signed, that your drawing meets the specifications given.
Sinside and that your application fee is attached.
9
Other permits are sometimes required for development in the coastal
-related, we urge you to check with the area. While these are not CAMA
Local Permit Officer to determine which of these you may need. A
listing is included on page 2 of this folder.
ui f
We appreciate your cooperation with the North Carolina Coastal Man-
' agement Program and your willingness to build in a way that protects
the resources of our beautiful and productive coast.
r
Coastal Resources Commission '
Division of Coastal Management
;

Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
_ __. �e� _
GENERAL INFORMATION PORT O' SWANSBOROUGH ��� J2
LAND OWNER 101 CHURCH ST.
P.O. BOX 188
Name SMIANI,Sl-ORG, NG 28584
Address
City
AUTHORIZED AGENT
State
Zip
Phone f ��'�
Ai 2-005
Name
ZNHY 0. SCHINDELAR MD
Address 130HAREOIIR�RFV� ►r�;:: -E ',5:,5� d�� a���
•--- -. -�..y .�..�o��
City HUBERT, NC 28539 State Zip Phone
LOCATION OF PROJECT. (Address, street. name and/or directions to site. If not oceanfront, what is the name of
the adjacent waterbody?) C t =vu ` $ 27 40,9"s 9oiPo VC 1Oau At m.67 CR F'f
t7- W to i ei 0A K R %�
DESCRIPTION OF PROJECT .(List all'proposed construction and land disturbance.) 7-o Cok 4f
11NG'd is,C/%GrD t�D/Z fio.v ogfe o,17 '/OL SAT/tiG f/P6r9
IV rill I'UP--TEx &.yk;rAS /9 s 4Fe f977--f CW,--o,-
SIZE OF LOT/PARCEL: _ % % �, f- square feet
PROPOSED USE: Residential (Single-family Multi -family
Other
acres /.
_) Commerical/Industrial ✓
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC):
square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): sq. ft.
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT. Is the project located in an area subject to a
State Stormwater Manage%nent Permit issued by the N.C. Division of Water Quality?
YES NO yj
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.

Local Government
(X'd S
Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment,
Health, 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."
This permit, issued on I"' is subject to compliance with the application and site drawing (where consistent
with the permit), all applicable egulations 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.
GLtAori ace z, 600 Z roost -oto✓
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C27y , UZOCfIc�/l/o�%fJ �Gnc/ v�
900Jb�+
— A hp', r('04 0(.-P4(>'1ZeJ
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 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 requires further written permit approval.
All work mugce se when this permit expires on December
31,
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.
b ff4, c) oddrewel. 1-1
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�X��l-in1. jr.�lPrviot.�� c�rt,4•
Local Permit Officer (signature)
name
address
Permittee
(signature required if special conditions above apply to permit)

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X V U ko/iN11 JLOF V X 1
IN 5 EASY STEPS.
DETERMINE DIMENSIONS.
CUT AND NAIL SUPPORT STRUCTURE.
PRE -DRILL TUFTEX PANELS.
FASTEN PANELS IN PLACE.
SIT BACKS RELAX9 AND ENJOY.
istallation Mps:
rage: Store out of the sun, preferably indoors. Do not store
tside in uncovered stacks, as damage from heat build-up may
fitting: Cut single panels of Tuftex with a utility knife, or a pair
snips. Multiple panels may be cut using a circular saw with a
twood blade reversed or a fine tooth handsaw.
le Laps and End Laps: Seal all side laps and end laps with a
icone sealer. Overlap sides of panel one corrugation and ends a
tximum of 4".
filing: Important- Predrill all fastening holes. All products nat
illy expand and contract with change in temperature. Because of
s, all panels must be fastened to allow for expansion and con-
ction. Always pre -drill holes prior to fastening panels. The
ureter of the hole must be 2/16 to 3/16 larger than the diameter
the nail or screw. Do not overtighten fasteners. Aluminum nails
screws with attached neoprene washers are recommended.
tch: Plan a minimum 1 pitch per foot of roof. (Pitch is the
Count of height in inches the rafter rises per foot.) In heavy
)w areas, plan up to 3" pitch per foot.
•ossbrace Support Structure: Install Tuftex Vinyl panels on-
iximum of 24"o.c. Tuftex PolyCarb can span 36"o.c.
insult your local building department for requirements.
osure strips: Use Tuftex closure strips which are available in
th wood and foam. They have been designed to fit the
aCoaster 2 2/3" X .9/W' round wave and the PolyCarb and
traVmyl square rib pattern.
CANOPY FRAMING
DETAIL

ther conditions and surface temperatures up to 150' F Vmyl
islucent and Clear panels are to be installed for use in milder
.ther conditions only, and are not recommended for locations
i high UV or surface temperatures that cari exceed 125' F .
•er install Tuftex panels directly over dark colored rafters or
ure strips, For best results, paint (white) the top edge of the
:r or closure strip that is exposed to sunlight. Do not overlap
pply over existing roofing or lattice.
.tilation: All Tuftex covered structures need adequate
tilation to control condensation and ensure coolness. If
1 heat may develop choose Tuftex PolyCarb panels for
r project.
SIDEWALL DETAIL
SIDEWALL
FLASHING
UNDER SID
SIDE DETAIL
TO 3/4" OVERHANG
i
CROSSBRACE
(PURLINS)
IZ a0ftl
END WAI
FLASHIN
VV V.V.1 VI 1 1 VLI Vf l 1".
FLASHING DETAIL
AT WALL
I' +24" CENTER+
AUNST
•�
. 26" Wide .
CONTINUOUS ALUMINUM RIDGE DETAIL
M[Ml r! CI ACLUKIrl /t1CA1r=n
NEOPRENE
WASHERE[
ALUMINUM
NAILS OR
SCREWS
CLOSURE
STRIP
CROSSBRACE
(PURLINS) RAFTER
Fredericksburg, VA 1-800-777-7663
(PURLINS) RAFTER
FENCh OR SIDE
WALL DETAIL
24" O.C.
SPACING
nuch as Tuftex Corporation has no control over the use to which others may put this material, it does not guarantee the results, the effectiveness, or the safety of any possible or suggested design as illustrated herein by any photographs, technical drawings and the like. Each
f the material or design or both should make his own tests to determine the suitability of the material or any material for the design, as well as the suitability of the material or design or both for his own particular use. Statements concerning possible or suggested uses of the
ials or designs described herein are not to be construed as recommendations for use of such materials or designs. User can expect normal pigmentation change over the life of the product.
There are no warranties, express or implied, including any warranty or merchant ability or fitness for any particular purpose. The liability of the Seller shall not exceed the purchase price of the products and the Buyer shall not be entitled to nor Seller be liable for conse-
ial, incidental, indirect or special damages resulting in any manner from the furnh,hing of the product or for any damages of any kind arising from the installation or use of the products.

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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 list of the kinds of permits that might be required. We suggest you check over the list
with your LPO to determine if any of these apply to your project: Zoning, Drinking Water Well, Septic Tank (or other samtV waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FI 'ertificatiot
Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway, Connection, and others. T
VSTATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property i
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify
listed as landowner on this application has a significant interest in the real property described therein. This ino
described as: (check one)
an owner or record title. Title is vested in , 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. f
if other interest, such as written contract or lease, explain below or use a separate sheet and (`attach to this
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
F.
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
(1)
(2)
(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 associ-
ated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
niques.
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 infor-
mation 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 , 20
r
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.

yi 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 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
Draw 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)
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 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 $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)
Revised 3/2003

DCMJMHD
Local Government
,!`
`w & #05-05
W" Permit Number
CAMA
'4i
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 environment concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management"
Issued to Port 0 Swansboro, authorizing development in the Estuarine Shoreline (AEC) adjacent to Bogue
Sound at 99 Church Street, in Swansboro, North Carolina, as requested in the permittee's application, dated
April 25, 2005. This permit, issued on May 9, 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 a 600 sq ft roof over an existing impervious surface per T15A NCAC
07H.0209(d)(10)(H). Any other development will require additional permits or a modification of this permit.
The following conditions shall apply:
(1) All proposed development and associated construction must be done in accordance with the permitted
work plat drawings(s) dated received on 4/25/05.
(2) All construction must conform to the N.C. Building Code requirements and all other. local, State and
Federal regulations, applicable local ordinances and FEMA Flood 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). 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.
(Additional Permit Conditions on Page 2)
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 modification not covered under
this permit, require further written permit approval.
All work must cease when this permit expires on
December 31, 2008
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.
Ryan Davenpo
CAMA Local Permit Official
N.C. Division of Coastal Management
400 Commerce Avenue
Morehead City, N.C. 28557
Tele: [phone]
Permittee (signature required if conditions above apply to permit)

Name: Port O Swansboro
Minor Permit # 05-05
Date: May 9, 2005
(5) A copy of this permit shall be available onsite for regulatory inspection.
(6) This proposal meets the exception to the buffer as addressed in 15A NCAC
07H.0209(d)(10)(H), and as such the footprint of the authorized structure is 600 sq ft.
(7) No new roof authorized by this permit shall extend beyond existing impervious area. .
Signature Date %

Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name '- Y + 0 S
Addresse `� 9
City
AUTHORIZED AGENT
HENRY 0. SCHINDELAR, MD
Name 130 HARRnIle DpIll;
Address UBERT, NC 28539
1A0re
DCM
State _ � Zip Z 8S 9L Phone V3 9- - 36 3-4
City State
Zip
Phone qld 3.2Z 3634
LOCATION OF PROJECT: (Ad ress, street name and/or directions to site. If not oceanfront, what is the name of
the adjacentwaterbody?) I S� o,a a'`,
WQ •
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
over- rL N a�rz.o,! �U. r . 7� ' t►nt C ykc i VJ o` K94—
SIZE OF LOT/PARCEL: S= I.z square feet acres
_) Commerical/Industrial
PROPOSED USE: Residential (Single-family Multi -family
Other
T OFAB -
square feet (includes all floors=ndof-covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): J I 3 sq. ft.
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
State Stormwater. M_an ement Permit issued by the N.C. Division of Water Quality?
YES 14b
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.

TRANSACTION REPORT P,01
APR-27-2005 WED 03:00 PM
DATE START RECEIVER TX TIME PA NOTE M# DP
APR-27 02:59 PM 919103530935 51"
3 SEND OK 226

DIVISION OF COASTAL MANAGEMENT
AILT1.19
via
NCDENR
NORTH CAROUNA DEPARTMENT OF
ENviRONMENT AND NATURAL, R=uR=
D��� TO:
5
OFFICE:
WE: b
FROM:
Re:
5-c�q:E�6
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557-3421
Voice: 252-808-2808
FAX: [phone]
DATE SENT: 1 r Q:-i �
TOTAL NUMBER OF PAGES, INCLUDING COVER SHEET:

A15 WA
74,�Ila
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
April 27, 2005
ri •0111 ZIAVA .1
Legal Advertisement Section
P.O. Drawer 196
Jacksonville, NC 28541
Re: Public Notice - FILING OF A CAMA MINOR DEVELOPMENT PERMIT
To Whom It May Concern:
Please publish the attached Notice in the Frid4y, April 29, 2005, 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, 1638 Mail Service Center, Raleigh, North
Carolina 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].
Sincerely,
RRyan Davenport
oastal management Representative
Enclosure
cc: Tere Barrett — District Manager
151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

2 `
NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Notice is hereby given that Dr. Henry Schindelar, has applied to the Department of
Environment and Natural Resources for a CAMA Minor Development permit. The applicant is
requesting to build a 600 sq.ft. shelter over an existing deck connected to The Gourmet Cafe.
The cafe is located at 99 Church St. in Swansboro, NC, in Onslow Co.
Persons desiring to inspect the application, or to comment thereon, are directed to contact
Ryan Davenport, NC Division of Coastal Management, 400 Commerce Avenue, Morehead City,
NC, Telephone [phone], no later than May 9, 2005. 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: April 29, 2005
151-13 Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

r
t

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 list of the kinds of permits that might be required. We suggest you check over the list
with your LPO to determine if any of these apply to your project: Zoning, Drinking Water Well, SepticTank (or other sanitary waste
treatment system); Building, 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 -
�i
STATEMENT OF OWNERSHIP: L/ 2 2005 I
y I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property vn�an�AEC ,o� a
person authorized to act as an agent for purposes of applying for a CAMA minor development pahat ermit; certify -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)
Van er or record title. Ide is vested in ?0,7, O _ V3-t456 T0, see Deed Book CJ
e in the �1SS�W County Registry of Deeds.
g � tY g r3'
i' 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 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) _ A (Address)
(1)
(2) ' ' °
(3) iroN y K a w A Isk.1 20 9 W'o Te R sr' 9110 3-Z6 3 G3 rA
(4) S w N s a lee ,�
) s4
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 associ-
ated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
niques.
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 infor-
mation 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 A a v-t a 5' , 20 A.�_
cl
Landowner or person authorized to act as his agent for purpose 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 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 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
Draw 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)
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 piling and depth to be placed in ground
Draw and labbel 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 appplication 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)
Revised 3/2003