HomeMy WebLinkAbout18-03_Blaire Pointe,LLC_20030630the`resources of beautiful coast -
our and productive
7, iCoastal
Resources Cornmissiort
a
Divisionof Coastal minagemen
4 m.�a t J # a� °�
b �'
s
r t 6
i
&
_
A �
'
{
a-
_
c c
a
GENERAL INFORMATION
LAND OWNER
NatWN 19 2003 Blair Pointe, LLC
Address P.O. Box 2249
City
Morehead City
AUTHORIZED AGENT
State NC
Name Baldwin & Associates
Address 1015 Conference Drive
City Greenville
State NC
Zip
28557 Phone 252-504-1966
Zip 27858 Phone 252-756-1390
LOCATION OF PROJECT. (Address, street name and/or directions to site. If not oceanfront, what is the name of
the adjacentwaterbody?) Marsh Pointe Drive off of Blair Farm Parkway, Dills Creek
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
Swale extensions with check dams
SIZE OF LOT/PARCEL: square feet 19.320 acres
PROPOSED USE: Residential x (Single-family x Multi -family ) Commerical/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): N/A 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): N/A 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 Management Permit issued by the N.C. Division of Water Quality?
YES X NO
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. 5,164 square feet.
DCM — MHD
Local Government
Issued to
#18-03
1 J J 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."
BLAIRE POINTE, LLC authorizing development in ESTUARINE SHORELINE AEC
at MARSH POINTE DRIVE, OYSTER COVE AT BLAIR FARM
as requested in the permittee's application, dated06-18-03, REC'D 06-19-0
This permit, issued on 06-30-03 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 extension of four drainage swales with check dams, contingent upon the
following conditions:
1. All proposed development and associated construction must be done in accordance with the
application dated 06/18/03, workplat drawing (s) dated 06/18/03, and originally submitted on
06/19/03.
2. Any change or changes in the plans for development, construction, or land use activities will
require a re-evaluation and modification of this permit.
3. Prior to initiating any land -disturbing activities, adequate sedimentation/erosion control measures
must be employed to prevent the movement of unconsolidated materials into the marsh or water.
These measures will remain in place until such time as the area has been properly stabilized with
a vegetated cover.
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.
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
MOREHEAD CITY, NC 28557
TELEPHONE: (252) 808-2808 address
Permittee
(signature required if special conditions above apply to permit)
Minor Permit # 18-03
Blair Pointe, LLC
Page 2 of 2
5. It is noted that coastal marsh exists on the property, and that the proposed development addressed
on the submitted plat dated 06/18/03 is not located within this marsh.
6. It is noted that there are federal wetlands on this property, as delineated by/shown on the plat
dated 06/18/03, and that the proposed development addressed on the submitted plat dated
06/18/03 is not located within these wetlands.
7. No excavation or filling of any wetlands or waters is authorized under this permit.
8. The area proposed for grading within the 30' buffer from the normal high water contour/normal
water contour must immediately be vegetatively stabilized, and must remain in a vegetated state.
I I I u Ill I I I'l do 'It, I, tili Nim Ill ri PI �Jid doodold"Forldr.r. �N 1 11 111 IN". yi K. full 1101 Jul, �Ij P" I Ir I For P 11 F NVII-I It' 11 pump fl, Ill 1 1117 1 ",1111 Flood IF. 1J I I N I F'ON I Full 1.11 '1 IF II All 11111 ill I ji 'T, Fooll'PlIM, "ITY1,111I v 1 �Irl IfFlill Of "Irl"I'll Jr,jr-1,1l I, ill I
ON Jill Ill 01 To I.1Jj 1, 1 111177)"Fil"111117 IF 1111 11
411 , IiIII I No, I I j If- 10 111, kl��:
41 ON 111110 P IN 1, 111111 11 ill iiiI i "I I'l 1jlI`!I` TI 77
I to 1 71 �,l I"o, J F I Toof I I , 1 1, 1
1 jif 1111 11 11 1" 1 Ill 11, ION I ""I I"IFIT or "All" t IT, INTO If 1�7 0 1 figiNflit'l �Iqr vidirrill I I It I
11 Ill it "JIT"tilTlill 11 P17 Il 'IT , 1 7, FIFFIFF'orldi r� "T77
IJ i '1 7
i� 7"T 1 ol7j"I
lj� 11 1 Jill IFNI [it V Oil. tj IV INI I lit N C�Jk,l 1"0 1-fill! I IIIIIII I li. Il 1"i "''I I II I I kill I III i Ji I RI 11 1 li� �� 111111 I;1,111�i'Ploj Clio
"L __LJ� I il' I _. 1. 1 1, 1 All, 1111
I( IV I �i,� Ill"'i '11, ( I Illt �ll I I, i I d 1 .0 111!,
It. I A NO_ L It 1, jL 1'. IT rp, r Ilk"
Ill, Nil p
till, C I v I
I it I' I'JJI i I'll I I" Nil lill Poll It 11, 1-1 IT
l7- I I IT I
--t I ,I it 1 11 01 . J! I 1 1 1 ", I 'I I Ill , III I il
I I i I
It IT, I I , , I: Ill � ''
14 1 1 1 11 11 1 11 1 11 J, VC.
IF F loll kolll� I I i � ; IN
I . I Ill it �Ifr, 'Ili I I �11
IT 4 �Iff 10,� I it
1 1, '1 FI, 0
IT 'I I Fill I l I I 1 .1 1
J, 'IllIt iiii I , II to iol IT 11 " 14 1 1 1! , 1, 1 1 , IT
Jul; IF I !ll It I ,o I ji IT IT ji I I , � I I I I I I Ill 0
If � III . I I , I . 6 "1" �, A, I'lil I A 1, 1 11 ,,, �l if I , l 1 11 Jill VT IT I No I, R
F11JIFIN14, Ifilli" Y:Yi, NNA III 'I IN I J, I IF i
III if I IN I I IiIJI'llilli It I
IT Oil 1;. 1 J, , . 1 1 1
Ds ,,1! 11, ill em I I IV It IN IP.` IT I I Jill' I "'Jill I ;-I T) III,, A I it IN
it to 1 41 IN 0, IIIC, If I I Jill I "I'lut oil- 11 IT
4 ''I'lli it V Jill it , 111:1 -1, "1 IF J
Nw 1 11 066"1 J it lo,", I", J."I'll IT I, I'lo, I I I I IT is I
I I I I I 1 1.1 1 1 "oll I 'll, I' J, I it, 11 Ilk I If 41 IIIJ, "Fl, 1 11, llk,� 11 1 1 Jill I Ill
IT I 1 4 1 N,: v to ;il
Jill All V, 1.1, . , 1 1 !iii, ,, 1, 11 1 1 1 1,, 1 1 1 1 1 1 1 - �, II, T , I `I I
1 1, 1 1 11 14" 1 1 IT I f ill i '' , 1 11, IT I VT
To, I IF Y� F I IF11TNiIItTotiltoIill I it IVliI r TIitJill Jillr TI it Jil11TT Ill ITItotit1m I)NINNVI4, aNy
TtfIliITitX2,11iii I UNVI I 1,6NIS32 till1itTIilttVAll. 'I':d3NOIS40. PUYWOSSYll Pull Ii TII1tIIIFIJItlI 'oil Clio itIT il 14.11 "1 IN TIiIlIIIiTItilli do, Oil III t Jill III too 11 1 1 ITo, ITilIII II ,, 1 It IN 1, 1 Filit'oil IT I IF Il, iVtI if 11 1 , ilk I 1 p. I IoilIIV' It IIll T11IltIINittIlIIfITtitINOINOO118 TtoiitITtoittIlllIVTtoFIIifoititltoIlTtfNtIlNJI TOtNiIIIINI'd it ToIigs§t. bN (JHJ80VI Jil6111111 X08 *0 titNil
if I '-I,, Ill foll IT
tJill I t1d lfoil
FTIIFINIlTNiOd �M8 :831"Noolifill lol-I I ; 11 , I I I I it I ill I lot oi1IftTiIT40 TFTI0 NFIITi, doll "(IV3H3 JililIItITFIfIlItT'P JiiTTifIINIlNol11tTItINbtitJAIP34 klNh66 FII0 VfItIJil06 TT10. 1L 3111doll IfIlF'921 >1008I 033(1 ?N N6 J( Ili .1 30 "Jill 6. INTtttVNJuoil I IIitdi I11 I I , I I 1 IlIotTr3NO N01IMS', 1tTtL
TItI, rl tTIttitTitTTN3 d IHi S1 m 80 I I ' ` IoldV1 1 Foil
116 FNi JU81J68
-1 83JLVPA HOIH NY3 M IHI TA' TIT - 11 Ill' � 6 11' 11 , 14
ittoIF JO 3NI TOf1, lNTIlIT vi, 18 iJillitoiTitIJilitTIF11 1 it i 1, I I tolf 1 1'4 IlilTTiiTTATIlAtItTTTNO80NI Vill TtN101, it VNVO tT1r
FF16
IFJO it `133HS TItI1fitTTtdoI IA. A. III I ttI1 9 IlVtpitf1TI1TJIA G 3(liM .0
NI Ol II1-.001 211 il Dieldi Z0"jN"03Nin03d IDY 0 IFTTT1A ItT16 1IV It" I -Y3dY1G3 Illlto=:30mw dV8 IN IfIFtlTTIttITIitiL NoITit1os dtIoNiIlk I it16 oiltJilI r NotIFTIIIlIT
Vr ITTT61 f11SONY13M 6 Ell 11tow "OF III it r ItitoloIONO It i
iittIitIf11 1I IN I Ill -1 IFF111,001 T1 1, oill II A j ITT31YMS I IlI'll IF1if I I I I I I i F I I Jill ldilIFTNiTIVTTtNfttj tis ilTTitIitT fitto TtTtIfIitIloitoiTtoIFitlT IllIFTTATTtTON, o"Will tTITtoit itITTtlI r
Ir t1 IAI It It . i AF. F 11 IT I 1 11 illIT IT 0 I I 1 11 1 1 1 1 1 10 do Oil, A I
tlolifloltoIIoilttITillTtoITitTr 411 IIITtTITT1IIII lip 0
OIlFtitTIJ, TtTt I I 1 tFTTAll NoI I I lid I I I I I ii I I I I i ill ;� 1, ; ITit r tF I ITII ITTt16 III 111, N I r tIltTillII itif09 ttTfTTTIIT I IL I -NJ IfIIi1(L ToiIltT1TTTFIli IIli6 fIIN" 0 1,1 1
fTIITIFFOiltIffIT .11 toIIllkVT1 Tr
t1 dFiffilill LN3Al03 It6 tIlilOiNTfftTIIll OI1oit-C)NOI 'dJ3a 'it '301M Ot. -oil
IIItiIIfFD9
dI I I IT ToII I I 1 1111, (Z9 IFTI10
JlTFO'Z Hil TTVTNTItIttill' tTtTT01; kFTTTiTIINTTI-Nil TITIfJill 11iTINilI116,
TIlTIitNI7;> 16 oITNtr ItFf Jul IJJ86NOJ '03086.11111 1 1'�l 16 1 f 1IVINJ Ngivx i310d 1H011 'dl
TT6 F 6 (n 1 lll1tIIIN1tId T1NTVGNV 91 TtTIitTI1INIOd TOW3M tfI I 11SON
TtIUT I'M IFInivAl8no'.jo tiNlOd J,Z)J TillA0 Join
TISNYIJ2 V Ill Il itIFTipfVif N ilyLSNI lf'Y toITTr TTr
6 Did '99L IN N6'.
ITt11 00 tOf 'LON 1IodMd ITII3N11 Ai83JOdd' 11 '31NIOd titlolTt031111 TOZ-8
US IINIONJ , ON S�Ilkkol A 3 3 �J 0 S 1 OiToilIfI oll Nilkil IT W 11 Ill 1, 1, 11Ill ifNItNOIiYAJ iTNFif II1133HISINIA 3A .161 OfitINiliTOtNd tOiToINittAT14 1 1tIlTtooJ,
tNlNIllIIIJiINY80,1111,4 38 13, II I IT I I I 'I I' �, 111 1 11 1 , , I , I I I I I 1 11' 1 1 1 11 1 '1 1 1 I, tm 6 r lip IFoi. J1
if 1 T1 00,
NkilTIlTIdIIJ '�'ONO:) I 03��OAN138, titTtifIFON01' "Al t"Ja TI 31OHNYVI HIV
Ir TT;01 13IJ olienc) Clio it im,83ltflinWill 1 0 IF
tooIll Tit'OV 99' -Y3dV 1ItItift1, w TWINNINNIFF13M JO om iv Ayd G 13
IN 'FI I I 1 11 It1IT/.9 TIIlIITtT11tIJuN011103t (INI 0JUNVU SJJ 1I111FIIN 3 1114 JAJ NI 3 00 3 TTIl... .. .. Nadill JO dOl,'- I'ANI 3WM, TTol1Hi43(i NYljrfl 0 1Q TilIIIiTttTi0 T1 11it"D Mid3a TtTTON01 CC 411111' t 161M Ot itt111FilT6, T3NII ONialine rin M/8 FlTO1itkr IIt999 z "Will T I J. . 1si� III �11 I bu
o"'13AIl'�YIS NV3A
IFTDONIFINNI 210d "witill 30 4.0�
FTT4IFF111,3nnNOINNI "ON00 011"111i
dydi LN3rlIQ3
TAINIVI TTTTTTTtTItTkill31 NOWlii3S'
TIVt1TFffliNiI1ItTIdId, NOJI TIVMS TT......
T1J,NJ f aN3031 TIt 1 11 1 6 , loll I I 1 1. 1 1
Of'ANI 31 1T-Till IVTItITNOtilfTTIOL III6
t16 [11 1
tIFillIitTofITItT.. , I i I 1 11 I'll .,I.
1All
00, 1llINTFTI-0 66 od `291,80 11 6 TIlifitIIT1T103NOZ 0 11 1 1 1 0 All. TTiititIillIitittfITlet INItf0-1-1 liN16d 8MG
fitTtFill 1too- itIN I'lli t11 ITT TFINAd It1TTttTitNloiI Jul I flIJ 1ItTIfNINTT74 ITIIftIitVtI r
It0 1TtitfttItTTldIt TTTIJ7, .0 NitIII
itoil81YI I llFI0 TIVtoilIfNl"tU -70 olltur
III w ttilITNAA IVNi30 N1
TINol14, IfitFitNO1Ttitrill Tt66 111 a Ill ItIt>18VHHON39 tfFTtTt7. Fitl-1 'i"31NIOd NMA 11iNFitIllTTto oIr itt(33NOZ
iOZ itItVip13Z U01 VIIIIIIINIVI
All 94 Ttt) TITlllTTIN Tifit0. N 1,N Vt- ItTlip tTJ IS ,1 '6 s;0 I V4 0 0 111 IN I Jill V3 8
loTFTTtU No
lill I I ';,A IF IITTtTFIdoIITV1IN 34,
tS3 8 OV, 15;1 IF �l TN11 TTsl Ttttooil IITITTW �3
tIfIIIIITdo
tTTilolNTolTw IT d it, C
llITItYNNILV
TVToiNTFtItiTillt3
ITOlfTITIV
IIIITolloilfNVNo1IItittoiFIolillII Jill. TlIIll1If1tIll ilTOOiT-- ---- -- - -- TitI1IItlltTFltoflT tFill1, FOOil 1,00 Tl1 it1IF tINO I' I III I 1 1. To1, 111 1 ofill hill Ili oll Ill iilJill Nil Ili 1, N'li I . 11 j Ilt1, If I ,
DIVISION OF COASTAL MANAGEMENT
NCDENR
NORTH CAROIUNA DEPARTHEW OF
FN%i RONME!i ANO NATURAL RESOURCES
151-B HWY. 24, HESTRON BUILDING
MOREHEAD CITY, NC 28557
TELEPHONE: (252) 808-2808
FAX: (252) 247-3330
TO: OARm pi ex NEtil,S -"TIMES
OFFICE: Le6AL sEcnoij
TELEPHONE #: I 1 FAX #: [ ] 721k - &01(0
OFFICE: DIVISION OF COASTAL Nf ANA(7TE�(ENT
RE:-PL.EASE f�c �� , cN ?N6 A77'AGflEI) Alim/tE tnl —174t' Su.►MAyf
,3uPtF ,Z2j 2603 15944E Pr 7ME CAaeT rT nlF�ls - 7iM�s
DATE SENT: 6)(efl9 /43
TOTAL NUMBER OF PAGES INC'i IMING COVER SHEET: 3
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
Carteret News Times June 19, 2003
Legal Advertisement Section
P.O. Box 1679
Morehead City, NC 28557
Re: Public Notice - Blair Pointe, LLC, c/o Mr. David Horton
Dear Sir:
Please publish the attached Notice in the Sunday, June 22, 2003, 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, NC 27699-1638, 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,
9,0/
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: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Notice is hereby given that Mr. David Horton has applied on behalf of Blair Farms LLC to
the Department of Environment and Natural Resources for a CAMA Minor Development permit.
The applicant is requesting to extend four vegetated swales to within the CAMA Estuarine
Shoreline, and stabilize same with check dams.
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 June
30, 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: June 22, 2003
P. 01
TRANSACTION REPORT
K JUN-19-2003 THU 10:41 AM
DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP
JUN-19 10:40 AM 97266016 1'03" 3 SEND OK 666
MICHAEL W. BALDWIN & ASSOCIATES, PA FIRST SOUTH BANK
ENGINEERING. SURVEYING & PLANNING
1015 CONFERENCE DRIVE 66-7162/2531
GREENVILLE. NC 27858
(252) 756-1390
21614
6/12/2003
PAY TO THE NCDENR **100.00
ORDER OF
One Hundred and 00/100*****************•**•***************.***********.****.*****..*************.****.******.**.************..*..***..
NCDENR
DCM, MOREHEAD CITY DISTRICT OFFICE
151-B HWY 24, HESTRON PLAZA II
MOREHEAD CITY, NC 28557
MovoQ APP- Figzr---
MEMO - AUTHORIZED SIGNATURE
OYSTER COVE @ BLAIR FARM, SECTION 1, CAMA PE
1180 2 16 1 411' 1: 2 5 3 17 16 2 11:00000 90 1 5 911'
DOLLARS
d
8
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 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. JUN
19 2003
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in 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)
x an owner or record title. Title is vested in Blair Pointe, LLC , see Deed Book 788
page 991 in the Carteret County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest, such as written contract or lease, explain below or use a separate sheet 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) National Audubon Society 3806—B Park Avenue, Wilmington, NC 28403
(2) Earl and Elaine Ross 1508 Dill Creek Lane, Morehead City, NC 28557
(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 e 18 day of June 2003
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
JUN 19 2003
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
Revised 3/2003
Exempted Denied Appeal Deadline (20 days)