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HomeMy WebLinkAbout14-05_Gold, W.A. & Ann_20051215• ,x Y ti 6d' F . f r APPLICATION FOR CAMA l uvn In 1974, the North Carolina General Assembly passed the Coastal Area . 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. Thisapplication for minor development permit under CAMA is part of the Commission's effort to meet the spirit and intent of the General Assembly. It has been designed to be straightforward and require no more time or effort necessary from the applicant. Please go over this j 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. a Under CAMA regulations, the minor permit is to be issued within 25 days once a complete application is in hand. Often less time is needed if the project is simple. The process generally takes about 18 days. You can speed the approval process by making certain that your application is complete and signed, that your drawing meets the specifications given - inside and that your application fee is attached. Other permits are sometimes required for development in the coastal area. While these are not CAMA-related, we urge you to check with the Local Permit Officer to determine which of these you may need. A listing is included on page 2 of this folder. 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. Locality' , -Permit Number Ocean Hazard Estuarine Shoreline _^ORW Shoreline Public Trust Shoreline Other (For official use only) �-- -•- , r, ,� GENERAL INFORMATION LAND OWNER { "16 NOV 1 5 2005 W, A� 0ilir �rlrlrr�Ftra� F) Name /�/. lq-• nn J. o lCM d. Address 1 5 0 2 F_ r0^-t City Ep C,4o rl- State A� C • Zip ?iQSI % Phone Z,S Z- S 6 4- 546 $ Z AUTHORIZED AGENT Name A / &0 / of Address d 00 -1) ?) a 4rc. 9-1; i" . City '•S ems. State lJ 02. Zip 12-45 0 Phone Z S'Z- 5 60 - k 2- LOCATION OF PROJECT. (Address, streetname and/or directions to site. If not oceanfront, what is the name of the adjacent waterbody?) 1150 L DESCRIPTION OF PROJECT. (List all proposed construction and land /disturbance.) ArI� ,or) rC4- e..-4el—l./c �r/ P�GrS :-a Gt�✓t��:. 1,U Y12. a/1 bark 42 ZLC& s SIZE OF LOT/PARCEL: 6.900 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 esource 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 Managemcnt 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. Beaufort 14-05 Local Government JAN - 4 2006 permit Number 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 W.A. Gold, authorizing development in the Estuarine Shoreline (AEC) at 1502 Front St., in Beaufort, as requested in the permittee's application, dated November 15, 2005. This permit, issued on December 15, 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: Addition of deck with 200ft2 of uncovered deck within the buffer. (1) All proposed development and associated construction must be done in accordance with the permitted work plat drawings(s) dated received on November 30, 2005. (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) A copy of this permit shall be posted or available on site. Contact this office at (252) 808-2808 for a final inspection at completion of work. (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. 4 / t/U /Ryan Davenport CAMA LOCAL PERMIT OFFICIAL 400 Commerce Ave. Morehe d Cl , C 2 557 / / 2 - 3o-6,J' PERMITTEE (Signature required if conditions above apply to permit) Name: W.A. Gold Minor Permit # 14-05 Date: December 15, 2005 Page 2 (5) The amount of impervious surface shall not exceed 37% of the lot area within 75 feet of Normal High Water (Estuarine Shoreline Area of Environmental Concern), in this case, 1,388 square feet is authorized. (6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all develop men Yconstruction shall be located a distance of 30 feet landward of Normal High Water. In this case, 200ft2 of uncovered deck is allowed in the buffer. No portion of the roof overhang shall encroach into the 30 ft. buffer. (7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area has been properly stabilized with a vegetative cover. (8) Any proposed for grading within the 30' buffer from the Normal High Water must be contoured to prevent additional stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized, and must remain in a vegetated state. (9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction completion. (10) All work must be constructed in accordance with Certificate of Appropriateness from the Town of Beaufort Historic Preservation Commission dated March 10, 2005. SIGNATURE: DATE: OMITTEE N , DENR 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 December 27, 2005 W. A. Gold 1502 Front St. �.. Beaufort, NC 28516 Dear. W. A. Gold: Attached is CAMA Minor Development Permit # 14-05 the addition of a deck with 200ft of uncovered deck within the buffer, NC. In order to validate this permit, please sign both copies as indicated. Retain the original (yellow copy) for your files and return the signed copy to us in the enclosed, self-addressed envelope. Your early attention to this matter would be appreciated. ncerely, Ry Davenport Coastal Management Representative lsb Enclosures cc: Tere Barrett, District Manager 400 Commerce Avenue, 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 Beaufort Local Government 14-05 Permit Number CAMA I11111NOR DEVELOPMENT "P " E P K" M 1 0 01" 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-318 of the General Statutes, "Coastal Area Management" Issued to W.A. Gold, authorizing development in the Estuarine Shoreline (AEC) at 1502 Front St., in Beaufort, as requested in the permittee's application, dated November 15, 2005. This permit, issued on December 15, 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: Addition of deck with 200ft2 of uncovered deck within the buffer. (1) All proposed development and associated construction must be done in accordance with the permitted work plat drawings(s) dated received on November 30, 2005. (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) A copy of this permit shall be posted or available on site. Contact this office at (252) 808-2808 for a final inspection at completion of work. (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. L/U /Ryan Davenport CAMA LOCAL PERMIT OFFICIAL 400 Commerce Ave. Morehead City, NC 28557 PERMITTEE (Signature required if conditions above apply to permit) Name: W.A. Gold Minor Permit # 14-05 Date: December 15, 2005 Page 2 (5) The amount of impervious surface shall not exceed 37% of the lot area within 75 feet of Normal High Water (Estuarine Shoreline Area of Environmental Concern), in this case,1,388 square feet is authorized. (6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all development/construction shall be located a distance of 30 feet landward of Normal High Water. In this case, 200ft2 of uncovered deck is allowed in the buffer. No portion of the roof overhang shall encroach into the 30 ft. buffer. (7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area has been properly stabilized with a vegetative cover. (8) Any proposed for grading within the 30' buffer from the Normal High Water must be contoured to prevent additional stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized, and must remain in a vegetated state. (9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction completion. (10) All work must be constructed in accordance with Certificate of Appropriateness from the Town of Beaufort Historic Preservation Commission dated March 10, 2005. SIGNATURE: PERMITTEE DATE: vl Z H I- 0 H FRONT S FSTREET REET 60 9 0 FR 0 H U 60 R W R/w VI A S 83° 15'00;YE �I S 83° 15 Epp „E 50• 00' 50• 00' UNDERGROUND ELECTRIC —/ Q OVERHEAD ELECTRICrclo W X � w N N ' `V 12.5' 1 . 2 ' Q CN 1-2 Minimum Setbacks 25' M. B.S.L. PORCH N Front 2 5' N 25' M.B.S.L. M -► `_ -- .d N 12.4' (,, " Side 8' �A , o N 75-=MA 1 — 6.2 Rear CAM A 3 0' 16.2' 3.6' n . 3.6' 8.0' 8'-0` Lr) o p _.07 lidI y " 8.0' � � .16T 5'_0+ ao 3 833' L a ll, EXISTING 3 � �. PROPOSED o9 � 9 0 o o Ui (0 `m • M ►'i � Z CO 00 � o0 o Z (/ cD z V) 8.0' Ln 00 N � N q 3330'C MA y — v - 3�C,gMq 3.1 (n p 16.4' o^o L' v 13'-04 ' D 3�gMA 0O U OF � N O NOTE: BACK PROPERTY LINE IS THE LCD z MEAN HIGH WATER LINE OF TAYLOR'S APPROXIMATE d _ MAGNETIC NORTH 0 APPROXIMATE CREEK AT THE BASE OF THE CONCRETE WOOD FENCE i :3 WOOD FENCE a MAGNETIC NORTH BULKHEAD. O N m TIE LINE TO "PK NAIL AT THE CONC. BULKHEAD CONC. BULKHEAD CENTERLINE INTERSEC ION OF N 83015'00,,E Q N 83015'00"E FRONT STREET & BELLE AIR STREET. 50.00' 0- 50.00 CONC. BULKHEAD w M O ED ad a Z N o REFERENCES: LOT 8, BLOCK 6 "BEAUFORT LO � 00 OK 1 BOOK W z N N HOUSING CORP. SHOWN IN MAP ELEVATIONS: Z � zQ 0 N F- y N PAGE 226/DEED BOOK 734, PAGE 773. F.F. 8.11' EXISTING Y " LO GARAGE FLOOR 6.0 z N W GROUND 3.3' Impervious pe rvi o u s ImperviousW LO z HIGH GROUND 6.0 � � Z xm O Pre —Construction Post —Construction o DOCK DOCK NEW BUILDING W a BLDG. BLDG. o 44.66 x 29 = 1295 40.8 x 33.14 = 1353 8 x 11.6 = 93 3 x 11.6 = 35 1388 1388 TOTAL TOTAL y 50 x 75 = 3750 50 x 75 = 3750 TAYLO TAYLOR S CIMP = 1388 3750 = 37.0% NEW DECK % IMP. 1388 = 3750 37.0%S CREEK EEK � N(Dl/ 3 0 7.005 DECK AREA IN 30CAMA SETBACK orehead City POST— CONSTRUCTION DRAWN BY RFS SCALE 5.875' x 33.14' = 194.69 SQUARE FEET OR 4,200 SQ. FT. FILE NO. ALaLDSITE 1/4' _ 11 -0• JOB NO. 000000 EXISTING_ SITE PLAN PROPOSED SITE PLAN DATE IO-Is-os SCALE: 1.0 = 10.0 ' SCALE: 1.0' = 10.0' SP IInn VI M FRONT S T H U . FRONT STREET BEET 60/ off 6 0 R/ 1�/ R/ W n S 83•15'00•E 3 83.15'00'E N 50.00' m OVERHEAD ELECTRIC - I j UNDERGROUND ELECTRIC I 50.00' a, lea, i Minimum Setbacks Front 25' a PORCH 12, Side 8' z 1 Rear-CAMA 30' 4 I r EXISTING P P Eti ~ J I J O , O � 011� o DECK C4 X ., 0 Z, 16.4 I Zj EXISTING a N e �ayz WOOD FENCE i 34p NEW d _ CONC. BULKHEAD � , —' �""--�_1 � � � CONC. BULKHEAD N N 83'15'00'E 83�15'00•E - a 50.00, 50.00_- a REFERENCESi LOT 8, BLOCK 6 'BEAUFORT HOUSING CORP.' SHOWN IN MAP BOOK 1, ELEVATIONSgg PAGE 226/DEED BOOK 734, PAGE 773. F.F. 8.11' NOTE, BACK P RTY LINE IS uWi Yi GARAGE FLOOR 6.0' MEAN HIGH WATER LINE OF TAYLOR'S z LOW GROUND 3.3' CREEK A BASE OF THE CONCRETEW HIGH GROUND 6.0' BUL HEEAA Z A TIE LINE T 3 'PK NAIL AT THE 25 DOCK CENTERLIN INTERSECTION OF DOCK La FRONT STREET & BELLE AIR STREET. g CONC. BULK EAD TA YL OR / TA YL pR /S S CREEK CREEK "SRO- , t,; ,'APPROXIMTE AE a, �f;-jtMAGNETIC NORTH��� i P� -1 V i ,,► 2005 NAWNNB xon SVYE FILZSCALEo 1.0' = 10.0' EXISTING SITE PLAN SCALE 1.0' = 10.0' PROPOSED SITE PLAN DATE ia�aas Morehead Cri'y DUB SP-7 U OVERHEAD ELECTRIC J FRONT STREET 6 S �83'15 00.E o! REFERENCES, LOT 8, BLOCK 6 'BEAUFORT HOUSING CORP: SHOWN IN MAP BOOK 1, PAGE 226/DEED BOOK 734, PAGE 773. 1 ELEVATIONSi F.F. 8.11, GARAGE FLOOR 6.0' LOW GROUND 3.3' I HIGH GROUND 6.0' TA YL OR,S CREEK SCALES 1.0' = 10,0, EXISTING SITE PLAN Ee NOTEI BA zZ N IL FRpN ° . T STREET60 R U / %/ W S 83'15'00•E A F,1 30.00, UNDERGROUND ELECTRIC j 5000•' y AWFF , � Q MI .� Minimum Setbacks (� � a ' 7.2• Front 25' i PORCH Side 8' ' f! Renr-CAMA 30' X � � a 1 O�. P E TIE LINE 'PK NAIL AT THE CENTERLIN INTERSECTION OF FRONT STR ET 6 BELLE AIR STREET. CONC. BUL EAD SCALEi 1.0' = 10.0' 2 L—T C..BULKHEAD 83'15'OO•E ' oo' DOCK Tq YL QR,S CREEK PROPOSED SITE PLAN t t• � Y C4 EXISTING a M ` NEW � a _ UA A o APPROXIMATE ,MAGNETIC -NORTH:- i� R ,� 2U05 cm- PILE to wslsla yr . - .l� SP-7 1l - -2-9- O S 9, y.. 1 vz ? E � l S b 2 05 NOV 3 1 21 head City DCM n o 4-6 5 Z) A- t a' "C7f DIVISION OF COASTAL MANAGEMENT TO: CARTERET NEWS TIMES OFFICE TELEPHONE 252-726-7081 FAX Te MOREHEAD CITY OFFICE 400 COMMERCE AVENUE MOREHEAD CITY, NC 28557 . VOICE:252-808-2808 FAX: 252-247-3330 RE: DATE SENT: ICV"M4 <� . TOTAL PAGES, &CIUMING COVER SHEET:y�_ NCDEN 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 December 2, 2005 CARTERET NEWS TIMES Legal Advertisement Section P.O. Box 1679 Morehead City, N.C. 28557 Re: Public Notice - FILING OF A CAMA MINOR DEVELOPMENT PERMIT To Whom It May Concern: Please publish the attached Notice in the Wednesday, December 7, 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 (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. Sincerel Ryan Davenport Coastal management Representative Enclosure cc: Tere Barrett — District Manager 151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper 2 ` NOTICE OF FILING OF APPLICATION FOR CAMA A/HNOR DEVELOPMENT PERMIT Notice is hereby given that Al Gold, has applied to the Department of Environment and Natural Resources for a CAMA Minor Development permit. The applicant is requesting to renovate an existing home and add a 200ft2 uncovered deck. The project is located at 1502 Front Street in Beaufort, NC, in Carteret 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 (252) 808-2808, no later than December 21, 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: December 6, 2005 151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.necoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper P. 01 �c TRANSACTION REPORT DEC-02-2005 FRI 04:14 PM �c DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP DEC-02 04:13 PM 97266016 54" 3 SEND OK 385 OTHER PFRMITo MAYBE REQUIRED: The activityyou 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, D, Jdng Water Well, Septic Tank (or other sanitary waste treatment system), Building, Electrical, Plumbing, Heating and Air Co{iditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home ParkApproval, Highway, Connection, and others. z 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) 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. 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) (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 eyelopmg in an AEGwitl out permit is subject to civil, criminal and administrative action. This the day o /Vo ✓aAwka,_ , 20 O S P!Ov 1 5 2005 Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application. City DGM 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-.xThe 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 l�loh;L 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"