26-03_Talley, Hubert_20030908

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router with the Local emit Vnccer (LFV) for the locality in which you
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Under" re ations the into be issued 2�
minor ermit within
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'days once a complete applicatxoti is to hand: Often less time. is needed if
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' ; - ;s completeandsigned; that your hawing meets the specifications given
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inside and that your application fee is attached.
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Uther"permits are sometimes required for development in the coastal
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wf area. While, these are not C-related,�we urge you to check with the
'A j 'Local Permit .Officer to determine which of Iliese ou ma need A
yhY
lrstirig;t ncluded on page`2 of this folder
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Coastal Resources Commission' `
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Division -,,,,of Coastallmanagement
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GENERAL INFORMATION
Name 1 t1'���Y�' rr � E&
Address �ci 3 ___ 1�f ,
City Ir- m®,[u a
AUTHORIZED AGENT
State Zip
Phone ,'sq xn i a ��)
qq%AL.311x C,acrk�
Name
Address
City State Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions tozite. If not oceanfront, what is the name o
the adjacelit waterbody?)
11. 1. C_'
DESCRIPTION OF PROJECT. (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: CR# square feet acres
PROPOSED USE: Residential (Single-family &" Multi -family ) Commerical/Industrial
Other
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.)
Noose the AEC area that applies to your property:
1 within 75 feet of Normal High Water for the Estuarine Shoreline AEC
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 NO
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.

AMA E MIT
APPLIE F
PROJECT. TAe aaal%lani- "f aoil he j4zLb: I;ec N�, d�a•t%%wc A �
L-t* G4+
COMMENTS ACCEPTED THROUGH
APPLICANT:
I�r. Ei alit, +- I A (fey rt
Koo 3 Leibe Cant
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FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
brm- Mae 64 64
1wi sAasle'e- = Re li Qar.
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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
August 26, 2003
Mr. Hubert Talley
4003 Leslie Lane
Emerald Isle, NC 28594
Dear Mr. Talley:
The NC Division of. Coastal Management hereby acknowledges receipt of your application for
State approval for minor development on your property located at Lot #14 Block A Section 1
within the White Oak Bluffs Subdivision, in Stella adjacent to the White Oak River in Carteret
County. It was received complete on August 25, 2003 and appears to be adequate for processing
at this time. The projected deadline for making a permit decision is September 4, 2003.
NCGS 113A-119(b) requires that Notice of an application be posted at the location of the
proposed development. Enclosed you will find a "Notice of Permit Filing" postcard which must
be posted at the property of your proposed development. You should post this notice. at a
conspicuous point along your property where it can be observed from a public road. Some
examples would be: Nailing the notice card to a telephone pole or tree along the road right-of-
way fronting your property; or at a point along the road right-of-way where a private road would
lead one into your property. Failure to post this notice could result in an incomplete application.
An onsite inspection will be made, and if additional information is required, you will be notified.
Please contact me if you have any questions.
Sincerely,
"4�
Brad Shaver
Coastal Management Representative
bes
Enclosure
cc:Ted Tyndall, District Manager
151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: http://dcm2.enr.state.nc.us
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Minor Permit #26-03
Talley, Hubert
Page 2 of 2
4. 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.
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. No excavation or filling of any wetlands or waters is authorized under this permit.
7. 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.
S. A copy of this permit shall be available onsite for regulatory inspection.
9. All work should be accomplished above the normal water contour along the White Oak River.
This normal water level must be staked prior to construction and will remain valid for 90 days.
At the end of the 90 days, if work is not complete, the alignment will need to be restaked.

DCM _— MHD
Local Government
.P�® # 26-03
Permit Number
- CAMA d
KNOR REVEI__OPMENT
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 HUBERT TALLEY authorizing development in THE COASTAL SHORELINE
AREA
OF ENVIRONMENTAL CONCERN at LOT # 14 WITHIN THE WHITE OAK BLUFF SUBDIVISION
as requested in the permittee's application, dated 08-25-03
This permit, issued on 09-08-03 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 shoreline stabilization at Lot # 14 within the White Oak Bluff Subdivision.
Any other development will require additional permits or a modification of this permit. The
following conditions shall apply:
All proposed development and associated construction must be done in accordance with the
application dated 08/25/03, workplat drawing (s) dated 08/25/03, and sedimentation and erosion
control narrative dated 08/19/03.
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.
* 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.
el —
Local Permit Officer (signature)
BRAD E. SHAVER, COASTAL MANAGEMENT REP.
NC DIVISION OF COASTAL MANAGEMENT name
HESTRON PLAZA II, 151—B HWY 24
MOREHEAD CITY, NC 29557
TELEPHONE: [phone] address
(signature required if
rermittee
above apply to permit)

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Ji1L-21-2003 MON 01, Ol Pie NC D IV OF COASTAL MGMNT FP.X NO. 4
DIVISION OF COASTAL MANAGEMENTu�3 � S 2303
AWACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FORM
Maine of Individual applying for Permit: e-
Address of
(Lot or Street #, Street or Road, City & Couaty)
P. 02
I hereby certify that I own property adjacent to the above referenced property. The individual
applying f6r this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
a
I have no objections to this proposal.
If You; have objections to wkrzt is being proposed, please write Me Division of Coasial
y hManagemerl, Ilestron PLaza fI, 151-B, Mvy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 widda 10 days of rcceipl of this notice_ No response is considered the same as no objection:
Y if you Itave been nNifed by Certified Nfail.
WAIVER SECTION
I understand that a -pier, clock, mooring pilings~ breakwater, boat house, lift or sandbars must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wis:; to w,-dgc the setback, you ntust initial the appropriate blank below.)
T do wish to waive the l 5' setback requirement.
Ida not: wish to waive the 15' setback requirement.
D Pl
�e Da
Print Name
vZ�2�
Telephone F4umber With Area Code

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• JUL-21-2003 MON 01:01 PM NC -DIV OF COASTAL MGMNT FAX NO. 4
P. 03
AIVACEZ1 J' TJ A_r,1 .N PROPERTY OWNER ►STATENMINTT
I hereby c:.•rdfy that 1 awn• proocrty adjacent to
I �of roperty Own s
Property located at
` -- (Lot, Block, Itoad e; c,) '
on fn�' Iil
(Waterbody) X. C.
(Town an or County)
He has described tO me as shown below, the development he is proposing at that lc -cation,
and, I have no objections to his proposal,
DESCRIP I0t'4 AND/OR DRAWriNG OF :PROPOSED DEVELOPMENT
('1"o be filled in by inr1iv&=1 propvsin; developrneltt)
n
Y
S� U-0
-------_.----_--_. -
-------------
T k\S� $ $ ?fir
au -- ;3 s sod
1 141' 'r, f YQAI aV% *10k,
Si;natur
Print or Type Flame
'Telephone number
Date: 3

■ Complete items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to;you.
■ Attach this card to the back. of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
64- V-
Sit((q 1 7,7 CZ2--
2. Article Number
(Transfer from service label)
D. Is delivery address different from Item 1?
If YES, enter delivery address below:
3. SeryA Type ^��1i
Certified Mail&CEDF
IW S
❑ Registered eceipt for. Merchandise
❑ Insured Mail I
4. Restricted Delivery? (Extra Fee) ❑ Yes
7003 1010 0003 9511 5525
Ps Form 3811, August 2001 Domestic Return Receipt
102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
c-6qv

•
8/19/03
To: Barrington Page
From: Hubert Talley
252-444-3272 (wk)
354-2718 (h)
FAXFORM
G s 5 vo3
Barrington,
T ke a look at this and let me know if I need to add or change anything. When I hear
b ck from you, I'll take it in to Brad Shavers for approval.
L t e know what this will cost separate from the site prep and septic cost.
hanks,
Hubert Talley
•
Proposed bulkhead work plan — Block A, Lot 14 White Oak Bluffs
1) Install 10' — 20' wide section of silt fence at north corner of lot at water.
2) Install 10' — 20' wide section of anti -erosion mat from normal high water line 6'
— 8' up bank.
3) Install 10'— 20' wide section of large rip rap on anti -erosion mat to height of 6'
— 8' up bank.
4) Slop from rip rap to top of bank at 45 to 60 degree angle by pulling soil to top
of bank.
5) Repeat procedure from north to south end of lot.
6) Keeping rip rap between disturbed soil and river at all times to prevent erosion
while under construction.
7) Install sod from top of rip rap to height of lot, length of lot.
0

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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
August 26, 2003
Carteret News -Times
Legal Advertisement Section
P.O. Box 1679
Morehead City, NC 28557
Re: Public Notice — Hubert Talley
Dear Sir:
Please publish the attached Notice in the August 27, 2003 issue of the Carteret New -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,
V 1, NA.-
FW4 �
Brad E. Shaver
Coastal Management Representative
bes
Enclosure
cc:Ted Tyndall, District Manager
151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: http://dcm2.enr.state.nc.us
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. Hubert Talley has applied to the Department of
Environment and Natural Resources for a Minor Development permit. The applicant is
requesting to stabilize the shoreline at his property located at Lot #14 within the White Oak
Bluffs subdivision adjacent to the White Oak River in Carteret County.
Persons desiring to inspect the application, or to comment thereon, are directed to contact
Brad Shaver, Coastal Management Representative, NC Division of Coastal Management, 151-B
Hwy. 24, Hestron Plaza II, Morehead City, NC, Telephone [phone], no later than
September 3, 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: August 27, 2003

DIVISION OF COASTAL MANAGEMENT
NCDENR
NCMIA c4pouN. cmummew of
E.YVIROMMEY7 ANO NaURAL RCSOUROE3
151-B HWY. 24, HESTRON BUILDING
MOREHEAD CITY, NC 28557
TELEPHONE: [phone]
FAX: [phone]
TO: ( TENET nlEiJs _ Ti�IE S
OFFICE: �1AL ��d�,eT/sin/l SFGno,J
TELEPHONE #: f 1 FAX #: I
FROM:
OFFICE: DIVISION OF C )AST A" tv ANA i-i\,iFNT
RE: C FR SL . cy % -"*�r ll"lcifC7i n �� i iIf IA(
DATE SENT:
TOTAL NUMBER OF PAGES ZK IrDIN r ('( IVER SH FT;

P. 01 %k
�c TRANSACTION REPORT �c
�c AUG-26-2003 TUE 07:13 AM �c
�c DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP %K
AUG-26 07:12 AM 97266016 46" 3 SEND OK 776

�.•�rvu. nurents erincr woY on aald survey,
�1t::trrt
`E�`fl�'s•••.• 'L r`.
PlS N0. 2640
± Ratio of Precision 1/ 10,000+
r r-.' L-2 ,iV
=rrrtleltia
HUBECL 3 HUNTER l A Ll/.+Ci 1
MI?tlre Oak Twsp,
Carteret Counf
REFERENCE: Lat f4 8fk. A
North Caroflno
M ITE OATS BLUFF SRO'
Soc t.
Scale 1" - 30.
One Map aQQA 21
Page 88 8 88A Cart6rst
Aug. 1. 2003
County Registry
PATE PHZLLIPS and ASSOCATES,
406 Cor De r t Ave.
Swansboro
P.A.
p. 6 +box 214
Norrh Garol/na
Project No. �3,164

Aug 04 03 01:28P lnsti':utional Interiors 2523545550 P.3
1 N.C. Hwy. t)A %
�1103
Iloo
(101
STELA
1442
Wftlte Oak Ivor µ71119 t3Qk
Bluff Rd
SITU--#o
VICIR11Y MAP (no stole)
! -r
-
f'9'.
WD
NO'C: Computed ! o)nts thong N 03038' 20ow
Rear Lino Per M.B. 2f Pg. 14. 84'
N 1. T ° 05' 11 "W
as -� - -- -
16. 83'
.-._.
N 100 54' 38" W
68. 68'
NOTE: Rsor So.back ��
(�Drox• peon HtgA 1No vnel -� - �-
Per CAMA
ry
V"
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W'
Ex. Cone. Mon.
1
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14 Ptp I Ex. Iron e
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31,842 S'q..,F't.'
(Coord. method)
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'TIE" — If 38-82' Along
t R."W To West RAN NCSR
1100
. '^ Per M.B. 21 py. gg
30' MJn81dg. Line J
Pwer
fR ;W7 _ _ L�fO too. 0 Pow Pole
Ex. CORC. loon. S 07000' OT
.`Ex. Iron Pipe
t;l •8'
Ex. btog. Nei! C 4P
WHYTE
OAK BLUFF .ROB
Public RiW)
(R;W)
NOT FOR WCORDINC oad Per a4te. 2i PC. 88)
'i 0 25
GRAPHIC SCAi,E -•-- FEET
I. Pate D. Philtips, hereby certify that this map Is correct
and prepared according to iho Standords of Practice for Land SURVEY FOR
Surveying In North Carolina and that (there era no

6�
h
JUL-21-200 MON 01:01 PM NC DIV OF COASTAL MGMNT FAX NO. 4
t 0zl S S.
DIVISION OF COASTAL rVIANAGEMENT
ADJACENT R7PARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual applying for Permit: A � e
Address of Prope
(f.ot or Strect #, $trect or Road, City & County)
F. 02
41.
0 ) L
I hereby certify that I own property adjacent to the above, referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are: pruposing. A description or drawing, with dimensions, should be provided with this
letter.
have no objections to this proposal.
If yors have objections to w1tat is being proposed, please write the Division of Coastal
y Alanagamort, I,lestrun Plaza ll, 15I-B, Hwy, 24, Morehead City, NC, 28557 or call (252) 808-
., 2808 Wilda 10 days of receipt of this notice_ No response is considered the same as no ohjectior:
if you stave been notified by Certified Mail.
WAIVER SECTION
I understand that a,pier, (lock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
�— I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
03
Signat Dale
Print Na Tfi e
--- W 9-36/--r-No
Telophone Number With Area Code

r"
' JUL-21-2003 MON O1:01 PM NC DIV OF COASTAL MGMNT FAX NO. 4
P. 03
ADJACENT R-Me '.7AN PROPERTY OWNS, STATE -DAM,. IN'T
I hereby ce--rtil'y that T own property adjacent to /41 e&
(Name of Property Ow er)
property located at tt " /e/ Aj
t-4 Aa %
(Lot, Block, Rozd, etc.) '
on—j&k at81jet , in
(Waterbody) (Town"ndr County) , 14.C.
He has described to me as shown below, the: development tic is proposing at that Iocation,
and, I have no objections to his proposal,
DESCRIPT ION AND/OR DItAWENG OF PROPOSED DEVELOPIMENT
('To be fillet! in by individual proposing derzlopmeret)
sign
r—tnt
5 tiq1�3
1 ) IQT ,rl? YV ? O%A vl;;-1
LLI41--
Telephone Number-
Date: o

f UNITED STATES POSTAL SEi R iA y�� First-Cl�Ss`'
• Sender: Please pri��ame, address, and ZIP+4 in this box •
ti
6o3
a

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name- and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: N'
A Signatyre
X !W ❑ Agent
❑ Addressee
B. Receiv (dy (Printed Name) C. Date of Delivery
D. Is deliyery address different from Item 1?
If YES, enter delivery address below:
3. SeryJde Type
Certified Man ❑
❑ Registered ❑
❑ Insured Mail , P
4. Restricted Dellverv? (E
❑ Yes
❑ No
me",
lecelpt for Merchandise
Fee) ❑ Yes
2. Article Number -
(Transfer trorn service iabeQ 70113 1010 0003 9 511 5532
PS Form 3811, August 2001 Domestic Return Recelpt 102595-02-M-1540

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
,V
with your LPO to determine if any of these apply to your project: Zoning, Drinking Water Well, Septic Tank (or other sanitary waste
t_1
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.
z
STATEMENT OF OWNERSHIP:
i
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)
l
an owner or record title. Title is vested in -, �ja u 7�'' js f f , see Deed Book Zl
page in the &rfi,4 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.
OTIFICATION 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.
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 civilAcriminal and administrative action.
the -& day of , 20
Landowner or person authorized to act as tis agen'tFor purpfise 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 label all areas to be paved or graveled
Describe composition of surface
Note and fist 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)