13-07_Rumfelt, James_20070928

TMP
Morehead City 13.07
Local Government OCT 4 2007 Permit Number
CA6VfA forehead City De
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 James Rumfelt, authorizing development in the Estuarine Shoreline (AEC) at 1001 Front Street, in Beaufort, as
requested in the permittee's application, dated September 6, 2007. This permit, issued on September 28, 2007, 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: Privacy and decorative fencing.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on September 7, 2007.
(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. All fencing is not to exceed 4' high within 25' of normal high
water. This project is located within the Beaufort Historic District, therefore a Certificate of Appropriateness must be
issued by the Beaufort Historic Preservation Commission indicating compliance with the Historic Preservation Guidelines
before work may begin.
(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 [phone] 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, 2010
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.
&J "
Brad Connell
NCDCM Coastal Field Representative
400 Commerce Avenue
Mo ead City 8
PERM EE
(Signat required if conditions above apply to permit)

Name: James Rumfelt
Minor Permit # 13-07
Date: September 28, 2007
Page 2
(5) 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.
(6) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
(7) All fencing is to be landward of coastal wetlands. This permit does not authorize development within any wetlands
or open water areas.
SIGNATURE:
n" -, DATES �C; o
ERMITT

, 7 WA
` q
1
NCDEN
North Carolina Department of Environment and Natural Resources
_ DiuiC,iao .Qf C-=tal.K9q,P0e rant
Hchaai F. Easier, Governor James H. Grogson, Direct -or Wiiiiam G. Ross Jr., Secrr.
October 1, 2007
John Lampros
PO Box 469
Beaufort, NC 28516
Dear Mr. Lampros:
Attached is CAMA Minor Development Permit # 13-07 for Privacy and Decorative fencing at
1001 Front Street, Beaufort, 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.
Sincerely,
�ad Ccvu�I,Pab
Brad Connell
Coastal Management Representative
lsb
Enclosures
cc: Tere Barrett, District Manager
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity % Affirmative Action Employer— 50% Recvded % f 0% Post Consumer Paper

Morehead City
Local Government
13.07
Permit Number
GAMA
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 James Rumfelt, authorizing development in the Estuarine Shoreline (AEC) at 1001 Front Street, in Beaufort, as
requested in the permittee's application, dated September 6, 2007. This permit, issued on September 28, 2007, 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: Privacy and decorative fencing.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on September 7, 2007.
(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. All fencing is not to exceed 4' high within 25' of normal high
water. This project is located within the Beaufort Historic District, therefore a Certificate of Appropriateness must be
issued by the Beaufort Historic Preservation Commission indicating compliance with the Historic Preservation Guidelines
before work may begin.
(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 [phone] 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, 2010
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.
&� "d.
Brad Connell
NCDCM Coastal Field Representative
400 Commerce Avenue
Morehead City, NC 28557
PERMITTEE
(Signature required if conditions above apply to permit)

Name: James Rumfelt
Minor Permit # 13-07
Date: September 20, 2007
Page 2
(5) 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.
(6) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
(7) All fencing is to be landward of coastal wetlands. This permit does not authorize development within any wetlands
or open water areas.
SIGNATURE: DATE:
PERMITTEE

y, "
NORTH CAROLINA DEPA9tTMENT OF
ENVIRONMENT AND NATURAL RESOURGJES
AMA
;_
COMPLIANCE FIELD REPRESENTATIVE
DIVISION OF COASTAL MANAGEMENT NCDENR
r
400 Commerce Avenue
_
Morehead City, NC 28557
s 4
Phone [phone] FAX [phone]
e d
[e-mail]
RECYCLED PAPER

3:
� c
APPLICATION FOR
R- CAMAMINOR
"
DEVEL 0PMEliT'�'
s
,. TERMIT
' 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
'1 Assembly directedthe Coastal Resources Commission (CRC) to imple-
ment clear regulations that minimize the burdenon the applicant.
1 This application for a 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
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
,y
'
I application is- in hand.' Often less time is needed if
. days once a complete
!.,the project is simple. The process enerall takes about days. ,You
P P, generally Y .
can speed the approval process,by' making certain that your application
tis complete and signed, that your drawing meets the specifications given,
inside and that your application fee is attached.
I m�
' Other permits are sometimes required for development in the coastal
area. While these are not CAMA-related, we urge you to check withthes ° ` Local Permit Officer to determine which -of these you may need. A
.,e
listing is included on page 2 of this folder.
r We, appreciate your cooperation with the North Carolina Coastal
Man -
a ement Program and your willingness to build.in a way that protects
the resources of our beautiful and productive coast.' ' d Coastal Resources Commission
. ` Division of Coastal Management

.
Locality. Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
)
official use,only
GENERAL INFORMATION
LAND OWNER
Name Me -
Address rnn
City State
AUTHORIZED AGENT
I
Name V'�" y\ L..cl r"\r05
Address n
City State
LOCATION. OF PROJECT: (Address, street
the adjacent waterbod)?) A5F o�
Zip Phone 9r, :724 0 -�i 123
Zip eZ�/ 6 Phone 9_2V—�26 P/
and/or directions to site. If not oceanfront, what is the name of
ON OF PROJECT ist all proposed construction and land disturbance.)
c rSec.ttit�u�i 1/�
SIZE OF LOT/PARCEL: &)00 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 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.

� 0
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Ms. Kathleen Hamilton October 3 2007
[e-mail]
Dear Ms. Hamilton:
This correspondence is in reference to your September 26, 2007 email of objection to the fence
proposal of Mr. James Rumfelt, adjacent to Taylor's Creek, located at 1001 Front Street in
Beaufort, Carteret County, NC.
The DCM reviewed the application along with the pertinent rules of the Coastal Resources
Commission in conjunction with your objections and determined that the project is consistent
with the Commission's rules. Therefore, the DCM issued CAMA Minor Permit #13-07 to Mr.
Rumfelt on September 28, 2007, authorizing the fencing as proposed.
If you wish to appeal this permit decision, you must file a Third Party Hearing Request with the
Director of the Division of Coastal Management, Mr. James Gregson, Department of
Environment and Natural Resources, within 20 days of the permit decision. A copy must also be
sent to the Attorney General's Office, Environmental Division. If you wish to appeal, please
contact me and I can forward you the pertinent forms. And if you have any questions about this
matter, please don't hesitate to contact me at (252-808-2808).
Sincerely,
Tere Barrett
District Manager, MHC
Enclosure
cc: Ted Tyndall, Assistant Director, DCM
Brad Connell, Field Representative, DCM
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

CAMA Minor Permit application of James Rumfelt
Subject: CAMA Minor Permit application of James Rumfelt
From: Tere Barrett <[e-mail]>
Date: Wed, 03 Oct 2007 16:03:30 -0400
To: [e-mail]
Please see attached addressing your concerns of 9/26/07. Thank you. Tere Barrett
hamilton.doc
Content -Type: application/msword
Content -Encoding: base64
1 of 1 10/3/2007 4:03 PM

-------- Original Message --------
Subject: Attention Permit Office
Date: Wed, 26 Sep 2007 15:06:27 -0700 (PDT)
From: Kathy Hamilton <[e-mail]
To: [e-mail]
To Whom it May Concern:
I would like to comment on the application to have a permit issued for a fence to be built
on the south side of the sea wall on Front Street in Beaufort, NC, near the end of Gordon
St. I do not think this should be allowed to be constructed. It would block the view of
others from Taylor's Creek and Carrot Island. It would possibly create a precedent that
would allow every other person on Front Street who claims that property across the street
from their house to also start building fences and the whole waterfront would be a series
of unsightly fences or similar structures. It would take away the public right to have
access to the shore that has always been a part of living in Beaufort. I also question the
effect that a structure like this would have on the delicate nature and balance of the
nearby marshes that have been fiercely protected in so many other coastal areas. The
fence that is already in place is in the water since high tide comes to the sea wall in that
area. How can the marsh be protected there with a fence and fence posts in the sand?
Please do not allow this permit.
Kathleen Hamilton
Beaufort Resident
SEP 2'7 2007
Morehead City DCM

9/26/2007
To Whom It My Concern:
I would like to make a complaint against the obstructive fence on the shore down from Gordon
Street, Beaufort. The fence that was built is making our beautiful waterfront look chopped up by
dividing property lines. The Beaufort waterfront has very few fence -like structures up in the
position that this one has been placed. It looks unnatural for our shoreline to Taylor's Creek and
takes away from the quaint Beaufort charm that has set our waterfront apart from so many other
seaside towns. That is what makes Beaufort so different from the rest because very little
construction has taken place on the area past the seawall to the waterline. Once you allow this to
be permitted along our shoreline then everyone else on Front Street will start constructing fences.
These structures will make the fairly undeveloped waterfront turn into a highly developed place
that will take away from the naturally beautiful view we share overlooking Taylor's Creek and
Carrot Island. I object to this construction. This allowance will open the door for every other
citizen with water front property to build structures to obstruct views and possibly harm the
delicate marshes that they are running into. I hope you do not allow the existing fence and the
fence this person has applied for to be constructed.
I would appreciate to remain anonymous in this complaint.
r '1119
SEP 2 7 2007
Morehead GAY DCM

Morehead City 13-07
Local Government Permit Number
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-318 of the
General Statutes, "Coastal Area Management"
Issued to James Rumfelt, authorizing development in the Estuarine Shoreline (AEC) at 1001 Front Street, in Beaufort, as
requested in the permittee's application, dated September 6, 2007. This permit, issued on September 28, 2007, 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: Privacy and decorative fencing.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on September 7, 2007.
(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. All fencing is not to exceed 4' high within 25' of normal high
water. This project is located within the Beaufort Historic District, therefore a Certificate of Appropriateness must be
issued by the Beaufort Historic Preservation Commission indicating compliance with the Historic Preservation Guidelines
before work may begin.
(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 [phone] 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, 2010
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.
Ali "
Brad Connell
NCDCM Coastal Field Representative
400 Commerce Avenue
Morehead City, NC 28557
PERMITTEE
(Signature required if conditions above apply to permit)

Name: James Rumfelt
Minor Permit # 13-07
Date: Septamber 28, 2007
Page 2
(5) 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.
(6) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
(7) All fencing is to be landward of coastal wetlands. This permit does not authorize development within any wetlands
or open water areas.
SIGNATURE:
PERMITTEE
DATE:

%Sl q5-0 I

DIVISION OF COASTAL MANAGEMENT
TO: CARTERET NEWS TIMES
OFFICE.
TELEPHONE [phone]
FAX - 252-726
FROM �
MOREHEAD CITY OFFICE
400 COMMERCE AVENUE
MOREHEAD CITY, NC 28557
VOICE:252-808-2808
FAX: [phone]
RE:
DATE SENT: 9-1-6 -
TOTAL PAGES, INCLUDING COVER SHEET:_

NOTICE OF PILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS 113A-119(b), the NC Division of Coastal Management, authorized
to issue CAMA permits in Areas of Environmental Concern, hereby gives NOTICE that on
September 7, 2007, James Rumfelt applied for a CAMA permit to construct a privacy fence
and decorative fencing at 1001 Front Street in Beaufort, Carteret County adjacent to
Taylors Creek.
The application may be inspected at the address below. Public comments received by
September 27, 2007 will be considered. 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.
Brad Connell
NC Division of Coastal Management
Field Representative
Address: 400 Commerce Ave.
Morehead City, NC 28557
Phone:[phone]
PLEASE PUBLISH ON: September 12, 2007

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER11111OORLYGPILING&BOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to r� rP ;'s
('--Na of Property Owner)
property located at
(Lot, Block, Road, etc.)
on b (\
C¢.k, in ��wDP , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To. be filled in by individual proposing development)
I4PrbVaC O��' Co�t�=�'1C�i`o d
SEP 7
. 2UU7
A/10re lead C11,
-------------------------------------------------------------------------------------------------------------------
Signature
ZV d A d. A Ae7T KR,
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER131100RINGPILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to h J7to� ti�br� 's
( Property
game of Pro P Y Owner)
property located atI&A
(Lot, Block, Road, etc.)
tom, �- 7n
on r� 1`tsC �'l , in C'ut� �b -" 5 Ee i , N
(Waterbody) (Town and/or 9M`�t�6head City
DCM
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
----------------------------------------------------------------------------------------------------=-----
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To. be filled in by individual proposing development)
PrS
,tgc C-0"✓'L TCnP���n
•
---------------------------- - ---------------------------------------
Signature
A �UYfJ14 0"%
Pri4tbr Type Name
Telepho e Number
Date: " (o `o z

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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 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 ParkApproval, 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)
man owner or record tile. itle is vested in o /he:Rd 64
, see Deed Boo
page 0 317 in the County Registry of Deeds. X M
an owner by virtue of inheritance. Applicant is an heir to the estate of ,
probate was in County.�r" r�f j' ''
( i �� e_
if other interest, such as written contract or lease, explain below or use a separate sheet and attach t . is ap lication.
SEP i 2007
MOrehear Cay DCA6
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.
(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 t day of , 20 00
Landowner or person authorized to a 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
� PDraw location of on -site wastewater system
If you will be working in the ocean hazard area:
N/A Draw and label dune ridges (note height)
Afl A Draw and label toe of dune
4Identify and locate first line of stable vegetation
Draw and label setback line under CAMA
A
44 Draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
N A Draw and label landward limit of AEC
A Describe terrain (slope)
DEVELOPMENT PLANS
Draw and label areas that will be disturbed
tN 4 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 p100.00 fee?
• completed an AEC Hazard Notice, if necessary? t J/
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