TB_04-17_Greene Property Development

WiRO for Topsail Beach
Local Government
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 Act, -
TB 17-04
Permit Number
Issued to Greene Property Development authorizing development in an Ocean Erodible Area of
Environmental Concern (AECI and a High Hazard Flood AEC at 823-A North Anderson Blvd., Topsail Beach,
NC as requested in the permittee's application dated June 2, 2004 and received June 24, 2004. This permit,
issued on July 29, 2004, is subject to compliance with the application and site drawings (where consistent with
the permit), all applicable regulations and special conditions and notes set forth below. Any violation of
these terms may subject the permittee to a fine, imprisonment or civil action, or may cause the permit to be
null and void.
This permit authorizes the construction of a single family dwelling, driveway, septic system,
uncovered deck, stair tower, beach accessway, and stormwater system at 823-A North Anderson Blvd.,
Topsail Beach, NC. Any other development will require additional permits or a modification to this permit.
(1) All proposed development and associated construction must be done in accordance with the
permitted work plat drawings dated received June 24, 2004.
(2) All construction must conform to the N.C. Building Code requirements and all local, State,
and Federal regulations. All development must be consistent with all applicable Federal,
State, and Local standards. Contact the Town of Topsail Beach for applicable local ordinances
and FENIA 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) The structure must be elevated on pilings not less than eight inches in diameter if round and not
less than eight inches to a side if square.
Conditions continued on second page
This permit action may be appealed by the permidee 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 unfit 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, requires further written permit approval.
All work must cease when this permit expires on December 31.2007.
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
CAMA Local Permit Official
Stonewall Mathis
Wilmington Regional OtOce
127 Cardinal Drive Extension
Wilmington, NC 28405
Permittee
(Signature required if special conditions above apply to permit)

Greene Property Development
Minor Permit 4 TB 17-04
July 29, 2004
Page Two
(5) All pilings shall have a tip penetration greater than eight feet below the lowest ground
elevation under the structure. For those structures so located on the primary dune or
nearer to the ocean, the pilings must extend to five feet below mean sea level.
(6) All development shall be designed and placed to be stable and minimize damage during
applicable fluctuations in ground elevation and wave forces during a 100 year storm.
(7) The permittee is required to contact the Local Permit Officer (call 910 395-3900)
shortly before beginning construction to arrange a setback measurement that
will be effective for sixty (60) days barring a major shoreline change.
Construction must begin within sixty (60) days of the determination or the measurement
is void and must be redone.
(8) The ocean front uncovered deck, stair tower, and beach accessway shall not be
structurally attached to the house.
(9) All unconsolidated material resulting from associated grading and landscaping shall be
retained on site by effective sedimentation and erosion control measures. Sedimentation and erosion
control measures shall be properly maintained throughout the construction period.
(10) All disturbed areas not otherwise stabilized shall be vegetatively planted_ and mulched
within 30 days of any phase of grading. All disturbed areas not otherwise stabilized
shall be vegetatively planted and mulched within 30 days of construction completion; this must be
done for satisfactory completion of a final inspection.
(11) Any structure shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within
two years of the time when it becomes imminently threatened, and in any case upon its
collapse or subsidence. However, if natural shoreline recovery or beach renourishment
takes place within two years of the time the structure becomes imminently threatened so
that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek
authorization of temporary protective measures allowed under CRC Rules.
(12) No driveways or other impermeable surfaces shall be allowed on the ground over any functional part
of the septic system. No driveways or other impermeable surfaces shall be allowed in the
ground over any functional part of the septic system. The septic system shall be easily accessible for
proper maintenance and repair.
(13) The structural accessway shall entail negligible alteration of the primary dune. The structural
accessway shall be raised on posts or pilings of five feet or less depth, so that wherever possible
only the posts or pilings touch the frontal dune. The accessway shall not diminish the dunes'
capacity as a protective barrier against flooding and erosion.
(14) A copy of this permit shall be posted or available on site. Contact this office at 910 395-3900
for a final inspection upon completion of work. The issuance of a Certificate of Occupancy
is dependent upon a satisfactory CAMA final inspection.
(15) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred,
sold or

823-A N. ANDERSON BLVD IMPERVIOUS AREA CALCULATIONS 6/1/04
HOUSE W/ ROOF LINE 1088
COVERED DECKS N/A
GRAVEL DRIVES 400
PATIOS
N/A
TOTAL 1488
DIVISION OF
nc?'AL MANAGEMENT

■ 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:
W A r r I n 4N0 be,,4-_ e
P6 BQ x 156�
A.
Agent
B. Received by ((Jfinted Name) I C�gate of Deliver
D. Is delivery address different from it ❑ Yes
If YES, enter delivery addres ow: 0
c,
3. S Miftype
ertified Mail ❑ Expretit,.Mall
❑ Registered ❑ Return Rec r Merchandisr
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(transfer fmm service fabeq 7002 2030 0005 8945 7204
oC-Fnen4101:1 - u U I UJ L 6_ _ _ 1. d�}sigidin-iw

UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees I
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box
_ rQenL Ptope14yDiv,
I9(A S,14e)
GUPndI/y NC

May 28, 2004
Warren Hubert, Jr.
P.O. Box 1508
Dunn, NC 28335
Dear Warren:
As required by the Topsail Beach CAMA Minor Permit Program, this letter is to inform
you that I have applied for a CAMA permit on my property located at 823-A North
Anderson Boulevard in Topsail Beach, NC. I have enclosed a copy of my permit
application and a copy of the drawing of my proposed project. If you have any questions
about my permit application, please contact me at my current address (see below) and I
will be happy to discuss them with you.
If you wish you may provide written comments on my proposed project to the CAMA
Local Permit Officer listed below.
Stoney Mathis
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
Amos Greene
1449 S. Hollybrook Rd.
Wendell, NC 27591
[phone]
ECEEVE
JUN 2 4 2004
DIVISION OF
COASTAL MANAGEMENT

1111111111111111111
■ 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:
(!'�71 Sthers���
aBgq Us Hwy SaE�s�
&J4Q1-d,
2. Article Number
(Transfer from service label)
nn K_a�1I@141 aivir�'.. r
0000
A. Signature
X ) El Agent
❑ Addressee
B. Received by ( Printed Name) C. Date of Delivery
—7 �
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3.
H Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fa s) ❑ yes
7002 2030 0005 8945 7198 �yy�

111 LINT i t II6T TES 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
%r P PnC, Aid f /,, / D1 v'
v iyq s, 4�llybtr,,,ot 4
Gve�rld e�// NC a qs-' /

May 28, 2004
Kim Scherschel
2884 US Highway 50 East
Bedford, IN 47421
Dear Kim Scherschel:
As required by the Topsail Beach CAMA Minor Permit Program, this letter is to inform
you that I have applied for a CAMA permit on my property located at 823-A North
Anderson Boulevard in Topsail Beach, NC. I have enclosed a copy of my permit
application and a copy of the drawing of my proposed project. If you have any questions
about my permit application, please contact me at my current address (see below) and I
will be happy to discuss them with you.
If you wish you may provide written comments on my proposed project to the CAMA
Local Permit Officer listed below.
Stoney Mathis
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
Amos Greene
1449 S. Hollybrook Rd.
Wendell, NC 27591
[phone]
E(OEIv�
J U N 2 4 2004
DIVISION OF
COASTAL MANAGEMENT

BEFORE YOU BUILD
Setting Back for Safety: A Guide to Wise Development Along the Oceanfront
When you build along the oceanfront you take a calculated
risk. Natural forces of water and wind collide with tons of
force, even on calm days.
Man-made structures cannot be guaranteed to survive the
force of a hurricane. Long-term erosion (or barrier island
migration) may take from two to ten feet of the beach each
year and, sooner or later, will threaten oceanfront struc-
tures. These are the facts of life for oceanfront property
owners.
The Coastal Resources Commission (CRC) has adopted
rules for building along the oceanfront. The rules are in-
tended to avoid an unreasonable risk to life and property
and to limit public and private losses from storms and
long-term erosion. These rules lessen but do not eliminate
the element of risk in oceanfront development.
As you consider building along the oceanfront, the CRC
wants you to understand the rules and the risks. With this
knowledge you can make a more informed decision about
where and how to build in the coastal area.
The Rules
When you build along the oceanfront, coastal manage-
ment rules require that the structure be sited to fit safely
into the beach environment.
Structures along the oceanfront must be behind the frontal
dune, landward of the crest of the primary dune and set
back from the first line of natural stable vegetation a dis-
tance equal to 30 times the annual erosion rate (a minimum
of 60 feet). Large structures (multi -family residential struc-
tures greater than 5,000 square feet and non-residential
structures greater than 5,000 square feet) must be set back
from the first line of natural stable vegetation a distance
equal to 60 times the annual erosion rate or 120 feet,
i SETBACK e SETBACK !� FIRST LINE OF
10 f�— STABLE
�rII I NATURAL
AVERAGE ALI AVERAGE 30 x ALI VEGETATION
�LI IEROSION I EROSION
IRATE IRATE
00
I I I
I
�tll RGALL
STRUCTURES) IRUCTURES) I
PERMITTED
STRUCTURE;
ADEQUATE
SETBACK
whichever is greater. If the erosion rate is greater than 3.5
feet/year, the setback is 30 times the erosion rate plus 105
feet.
The Reasons
The beachfront is an ever -changing landform. The beach
and the dunes are natural "shock absorbers", taking the
beatings of the winds and waves and protecting the inland
areas. By setting back 30 or 60 times the annual long-term
erosion rate, you have a good chance of enjoying the full
life of the structure. At first, it seems very inviting to build
your dream house as close to the beach as possible, but in
five years you could find the dream has become a
nightmare as high tides and storm tides threaten your
investment.
The Exception
The Coastal Resources Commission recognized that these
rules, initially passed in June of 1979, might prove a
hardship for some property owners. Therefore, they estab-
lished an exception for lots which cannot meet the setback
requirement. The exception allows buildings in front of the
setback line if the following conditions apply:
(1) the lot must have been platted as of June 1, 1979, and
notcapable of being enlarged by combining with adjoining
land under the same ownership, (2) development must be
as far back on the property as possible and in no case less
than 60 feet landward of the vegetation line, (3) no
development can take place on the frontal dune (4) special
construction standards on piling depth and square footage
must be met and (5) all other CAMA, state and local
regulations must be met.
The exception is not available in the Inlet Hazard Area.
To determine eligibility for the exception, the Local Permit
Officer will make these measurements and observations:
required setback from vegetation line
exception setback (maximum feasible)
rear property line setback
max. allowable square footage on lowest floor
lot area as calculated from vegetation line
piling length needed to extend 4 feet below MSL
PRE -PERMIT STRUCTURE; INADEQUATE SETBACK
PRE -STORM BEACH PROFILE
_� POST -STORM BEACH PROFILE
ONE YEAR AFTER STORM/BEACH REBUILDING
After the storm, the house on the dune will be gone. The other house has a much better chance of survival.

AEC HAZARD NOTICE
Project Is In An: 'Ocean Erodible Areagh Hazard Flood Area _ Inlet Hazard Area
Date Lot Was Platted:
This notice is intended to make you, the applicant, aware
of the special risks and conditions associated with
development in this area, which is subject to natural
hazards such as storms, erosion and currents. The rules of
the Coastal Resources Commission require that you
receive an AEC Hazard Notice and acknowledge that
notice in writing before a permit for development can be
issued.
The Commission's rules on building standards, oceanfront
setbacks and dune alteration are designed to minimize, but
not eliminate, property loss from hazards. By granting
permits, the Coastal Resources Commission does not
guarantee the safety of the development and assumes no
liability for future damage to the development.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual ocean
erosion rate for the area where your property is located is
Z feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as
much as 15 o feet landward in a major storm.
The flood waters in amajor storm are predicted to beabout
'Z v feet deep in this area.
Preferred oceanfront protection measures are beach
nourishment and relocation of threatened structures.
Hard erosion control structures such as bulkheads,
seawalls, revetments, groins, jetties and breakwaters are
prohibited. Temporary devices, including sand bags, may
be allowed under certain conditions.
This structure shall be relocated or dismantled within two
years of becoming imminently threatened.
The applicant must acknowledge this information and
requirements by signing this notice in the below space.
Without the proper signature, the application will not be
complete.
AppllcAnt's Sigllat&e
Date try, E V TGQ
�v JUN 14 2004 J�
DIVISION OF
COASTAL MANAGEMENT
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive
storms and erosion. Permits issued for development in this
area expire on December 31 of the third year following the
year in which the permit was issued. Shortly before work
begins on the project site, the Local Permit Officer will
determine the vegetation line and setback distance at your
site. If the property has seen little change and the proposed
development can still meet the setback requirement, the
LPO will inform you that you may begin work. It is impor-
tant that you check with the LPO before the permit expires
for official approval to continue the work after the permit
has expired. Generally, if foundation pilings have been
placed and substantial progress is continuing, permit
renewal may not be necessary. If substantial progress has
not been made, the permit must be renewed and a new
setback line established. It is unlawful to continue work
after permit expiration without this approval.
For more information, contact:
Ponewoa 1 j Modh%'s
Local Permit Officer
IZri Ex}
Address
W; l � rulio>7iN � Z8405'
Locality
q10 - 3qS-3Ro0
Phone
-(- 6L. ne-,3 -5 y•'q tu-c
Revised 11193

SYSTEM TYPE _Yd PENDER COUNTY HEALTH DEPARTMENT MAP # _
P.O. BOX 1209, BURGAW, NC 28425
PAGE / OF �2- PHONE: [phone] RECORD #
IMPROVEMENT PERMIT / CONSTRUCTION AUTHORIZATION
OPERATION PERMIT
OWNER/AGENT /o ru&y I X7aea tireoW DATE 4-,Z.?—QV PERMIT# S $OO'
/
ADDRESS _8� 2 3 A N.4nJdt-sc, mod.( Bade Ur, PHONE9/d-(o14-726
SITE LOCATION _ (T6O�OW f y Am
t• f ah Hw�I le , Ocv n i0nt t- of 8z3 A
SUBDIVISION 6i l/ j f K re llt/- LOT# / SECTION / BLOCK
HOUSE [VjMOBI,E HOME [ ( # Bdnn. )j BUSINESS [ ] (# EMPLOYEES/MEMBERS/SEATS)
WATER SUPPLY: PUBLIC k,- f WELL [ ] OTHER DESIGNATED WETLANDS: YES [ ] NO [✓f
BASEMENT/LOWER LEVEL PLUMBING YES [ ] NO k t SYSTEM MINIMUM REVIEW FREQUENCY /Z Monty
DAILY DESIGN FLOW 3 Q gpd DOMESTIC WASTEWATER [vr INDUSTRIAL WASTEWATER I 1
LIAR / .2— W&ft' TANK SIZE 16M Gallons NITRIFICATION FIELD a 25 Square Feet
NUMBER OF LINES Al fA LENGTH N14 Feet DEPTH See .criches
BED SYSTEM SIZE /3, 5 X /b • 7i fit 4y telvi 4
6ioayp�j�,�.
********IF GARBAGE DISPOSAL UNIT IS TO BE USED AN EFFLUENT FILTER SHALL BE INSTALLED********
SEE LAYOUT OR ATTACHED PLOT PLAN
NO CHANGE IN SEPTIC SYSTEM OR ITS LOCATION WITHOUT PRIOR APPROVAL
FROM THE PENDER COUNTY HEALTH DEPARTMENT.
THIS PERMIT IS SUBJECT TO REVOCATION IF THE SITE PLAN, PLAT OR INTENDED USE OF THIS SITE CHANGES.
G.S. 13OA-335 (Q
MINIMUM HORIZONTAL SEPARATION OF SEPTIC SYSTEM (See Section .1950 a-c]
5 YEAR IMPROVEMENT PERMIT: iyHQs %(d' 'o' f ISSUE DATE
IMPROVEMENT PERMIT, NO EXPIRATION DATE:y'VIA 1 ISSUE DATE
CONDITIONS / ADDITIONAL INFORMATION: Zf SAS l /� m Eco �'/b Aea7 � o t!�(fe/ 4zx e/1 QS
s(�wd44 Ilut Plat Pr<
oad by land Am2 **, pmoh f GijE%g ZA
Ir�J'vz
JN 2 4 2004
�I)4L1M�N OFMENT

J
Waterline
823A N. Anderson Blvd., Topsail Beach
Site Plan
Scale 1" = 30'
Revision of PCHD Permit# 518084
Atlantic Ocean
60'
130'
3 bedroom
23.3' x 36'
ENVMON"MTAL HEALTH SECr10N
P. O. BOX 1209
MGAW, NC 28425
PERWT # 5/8&3 d
Wastewater System Design Details
130' 3 Bedroom 360 G, R D.
-1000 gal septic tank
-soil wetness condition >60"
LTAR 1.2
Initial & Repair
Ecoflo-Peat Type A
� g 360 g/p/d @ 1.2 LTAR =
300 sq,ft, With 25% reduction =
225 sq.ff. = 13.5' x 16.7' bed
Repair be IBID&Itvll 36"
16.7' l0
'Initial JUN 2 4 M
Sfr DIVISION OF
"m COAgTnl_ MANAGEMENT
60'
N.C. Highway 50 ( North Anderson Blvd.)

sea WItttlt3 Keal tSialZ
PO Box 3186
Topsail Beach, NC 28446
Phone:[phone], Fax:[phone]
VACANT LOT OFFER TO PURCHASE AND CONTRACT
NOTE: This contract is intended for use only for lots which have been developed pursuant to a Subdivision Ordinance adopted by a
City or County and for which a plat has been recorded in the rJUN
tt� a county in which the property is
located. If Seller is Buyer's bm7der and the sale involves the a (ling prior to closing, use the
standard Offer to Purchase and Contract (Form 2) with the New ).
G� Pr�"ty Dov lop. t 2 4 2004
as Buyer, hereby offers to purchase and
wain cerpnraciou DIVISION OF
COASTAL MANAGEMENT
as Seller,
upon acceptance of said offer, agrees to sell and convey, all of that plot, piece or parcel of land described below (hereafter referred W
as the "Property"� upon the following tams and conditions:
1. REAL PROPERTY: Located in the City of xemga=h Beach , County of
21rodwr , State of North Carolina, being known as and more particularly described as:
Street Address 823A_Iftwth Au"meon Siva Zip n/a
Subdivision Name Rilliw s_ xeiiar
Plat Reference: lot a Block or Section nia as shown On
Plat Book or Slide 30 at Page(s) 144
) (Property acquired by Seller m DeadBook 2293 at Page 244
NOTE: Prior to signing this Vacant Lot Offer to Purchase and Contract, Buyer is advised to review Restrictive Covenants, if any,
which may limit the use of the Property, and to read the Declaration of Restrctive Covenants By -Laws, Articles of Incorporation,
Rules and Regulations, and offer governing documents of the owners' association and/or the subdivision, if applicabk.
2- PURCHASE PRICE: the purchase price is $ 499, 000. 00 and shall be paid
as follows:
(a) $ s coo. o EARNEST MONEY DEPOSIT with this offer by ❑ cash ® personal check ❑ bank check
❑ ratified dhxk other: as to be deposited
and held in escrow by asvaon and A829SAAtas ("Escrow Agent") until the sale is
closed, at which time it will be credited to Buyer, or until this contract is otherwise terminated. in the evert: (1) this offer is not
acoepaid; or (7) any of the conditions hereto arc not satisfied, then all earnest monies shall be returned to Buyer. In the event of
breach of this contract by Seller, upon Buyer's request, all camest monies shall be returned to Buyer, but such return shall not
affect any other remedies available to Buyer for such breach. In tithe event this offer is accepted and Buyer breaches this contract,
then all earnest monies shall be forfeited upon Sepses request, but receipt of such forfeited earnest monies shall not affect any
other remedies available to Seller for such breach.
NOTE: In the event of a dispute between Seller and Buyer over the return or forfeiture of earnest money held in escrow by a
broker. the broker is required by state law to retain said earnest money in the broker's Ina or escrow account until a written
release from the parties consenting to its disposition has been obtained or until disbursement is ordered by a court of competent
jurisdiction-
(b) S man ADDITIONAL EARNEST MONEY DEPOSIT to be paid to Escrow Agent no later than
tie. , TIME BEMG OF THE ESSENCE WITH REGARD TO SAID DATE.
(e) $ya _BY ASSUMPTION of the unpaid principal balance and all obligatims of Seller on the existing loan(s)
secured by a deed of trust on the Property in accordance with the attached Loan Assumption Addendum.
(d) $tern , BY SELLER FINANCING in accordance with the attached SellerFinancmg Addadtm
(e) S 4%. o00.00 , BALANCE of the purchase price in cash at Closing.
3. CONDITIONS: (State N/A in each blank that is not a condition to this contract)
(a) Buyer must be able to obtain a ❑ Conventional Ca Other. Comatractian toss L4m of craidit
loch at a ® Fixed Rae ❑ Adjustable Rate in the principal amount of 75% of rat a Roma Anoraised iralun for a term of
0EW4 lit yea (s), at an initial interest rate not to exceed 5. 5 Yea per annum, with mortgage loan discount
points not to exceed t % of the loan amount. Buyer shall apply for said khan within Ifi 05) days of the
This fe.a IWh' appwmd W Nero Carolina nx Agsoaafi n, North Carolina Aa6o Wbm of REALTORM tna
PRSPAR® 6Y AGENT' John K Clapp Resident
9tendara Faro 12•T, Va * Lot Olferm Perdease aid C=*b fKWM CWW9A ASSOCwT10N of REALTOR96 Inc.
O MOM
R C2004, Vervorn 6.15. $course Re94tered to: Office Maroger. See Vearls Real EWete
+har(a) osr26*& 14:s6:ea
10
Page t d�+ta % ry.V
b,i:d T896S9£6T6T:01
'WOad dbT:£0 t,002-82-AdW

Effective Date of this contract Buyer sham use Buyer's best efforts to secure the lender's customary loan commitment letter on or
before' Miens It- 2024 , and to satisfy, all terms and conditions of tlic loan commitment letter by Closing. ARer the
above letter date, Sellermay request in writing from Buyer a copy ofthe loan commitment letter. If Buyer foils to provide SLUer a copy
Of the loan commitment letter of a written waiver of this loan condition within five days of receipt of Sellers request, Seller rnnay
terminate this contract by written notice to Buyeratmtytime thereafter, provided Seller has not then received a copy ofthe letter or the
waiver;
(b) There narst be no restriction, easencerr; ,Anna or odder governmental regulation that would prevent the reasonable use of the
Property for nerri dtmtia]. or Ren}a1 purposes ("Intended Use")
(c) The Property must be in substantially the same or better condition at Closing as on the dam of this offer, reasonable wear and tear
excepted.
(d) All deeds of trust, liens and other charges against the Property, not assumed by Buyer, must be paid and sazisfied by Seller prior
to or at Closing such drat Cancellafiom may be promptly obtained following Closing. Seller shall remain obligated to obtain any
such cancellations following Closing,
(e) Title must be delivered at Closing by GENERAL WARRANTY DEED unless otherwise stated herein, and must be fee simple•
madcetable and insurable title, free of all eacltubranoxs except; ad valorem taxes for the current year (prorated duough the date of
Closing); utility easements and onviolated restrictive covenants that do not materially affect the value of the Property; and'such
other rnermbranees as may be assuned or specifically approved by Bayer- 'the property must have legal access to a public right
ofway.
4. SPECIAL ASSESSMENTS: Seller warrants that there are no pending or confirmed govemmerrml special assessments for
sidewalk, having, water, sewer, or other improvements on or adjoining the Property, and no pending or confirmed owners' association
special assessments, exceptasfollows:
(Insert "None" or the identification of such assessments. if any.) Seller shall pay all owners' association assessments and all
governmental assessments conEmtcd through the line of Closing, if any, and Buyer shall take title subject to all pending assessments,
if any, unless otherwise agreed as follows:
S. PRORATIONSANDAbJUSTMENTS: Unless otherwise provided, floe following items shall be prorated and Bather adjusted
between the parties or paid at Closing: (a) Ad valorem taxes on real property shall be promted on a calendar year basis through the
date of Closing (b) All late listing penalties, if soy, shall be paid by Seller; (c) Rents, if arry, for the Property shall be prorated through
the date of Closing; (d) Owners' association dues and now like charges shall be prorated through the date of Closing. Seller
represents that the regular owners' association dues, if any, are S 0 Per
6. CLOSING EXPENSES Buyer sball be responsible for all costs with respect to awry loan obtained by Buyer Buyer shall pay for
recording the deed and for preparation and recording of all instruments required to secure die balance of the purchase price unpaid at
Closing. Seller shall pay for preparation of a deed and all other documents nervy to perform Seller's obligations under this
agreement, and for excise tax (revenue stamps) required by law. If Seller is to pay any of Buyeees expenses associated with the
purchase of the Property, &a amount thereof shall be S o , excludingdi
lender. any portion sapproved by Buyer's
7. EVIDENCE OFTiTLE: Seller ages to we his best efforts to deliver tD Buyer as soon as reasonably possible after the Effective
Date of this contract, copies of all title information in possession of or available to Seller, including but not limited to: title insurarmce
policies, attomey's options on tilkq surveys, covenants, deeds, notes and reeds of trust and casements relating to the Property. Seller
authoress (1) any attorney Presently or Previously teprw-nientigg Seller to release sad disclose any We itLmnmtcz policy in such
attorney's fie to Buyer and both Buyerys and Selleees agents and attorneys; and (2) the Pmpertyes title insurer or its agent to release and
disclose all materials in the Property's title i nsuz&a (or title insures agents) file to Buyer and both Bu ye es and SedleA agents and
attorneys
& LABORANDMATERIAL: Seller shall fimash at Closing an affidavit and indemtrificutiar agreement in form satisfactory to
Buyer showing that all labor and materials, if any, famished to the Property within 120 days prior to the date of Closing have been
paid for and agreeing to indemnify Buyer against all less from any cause or claim arising therefrom.
9. CLOSING: Closing shall be defined as fine date and time of recording of the deed. All parties agree to execute any and all
documents and papers ne oessary in connection with Closing and transfer of title on or before tuna 2n. 200A
at aplace designated by Bayer. The deed is to be made to fimm a_Prppmwke De3naiarimeat
10. POSSESSION; Unless otherwise provided herein, possession shall be delivered at Closing. No alterations, excavations, tree
removal or other such activities nay be done before possession is delivered
1 L SEWER SYSTEM (check only ONE):
El Buyer has investigated the costa and expenses to -estaU the sewer system approved by the Improve eat Permit dwelied hereto as
Exhibit A and bait appioves and accelft said Improvement Permit.
hla fart Jelnfly AWnWd by.- Bath Carorles err Assoeiton, Barth Caroline AssocM ion of REALTORm mat
REPARED By AGOM John 1c crop, PmWnit
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THE NORTH CAROLINA ASSOCIATION OF REALTORSfaI, INC. AND THE NORTH CAROLINA BAR ASSOCIATION
MAKE NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN
ANY SPECIFIC TRANSACTION- IF YOU DO NOT UNDERSTAND THIS FORM OR FEET. THAT IT DOES NOT PROVIDE
FOR YOUR LEGAL NEEDS, YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU
SIGN IT_
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Escrow Agent SClwowiedps receipt of the earnest money and agrees to hold and disbarse the same it accordance with the
terms hereof.
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Acting as Buyers Agrnt Seller's (sub)Ageltt Dual Agent
Listing AgenvFirm/Phow Pred Alamo. we,/Bzvaon s Associar�e/gle-328-2aee
Acting es Sellers (sub)Agent ❑ Dual Agem
+b torrnlWa6Y'PPvov*d bir Hoch Cwouoa BarAssockbon, Norm CarolinaAssoegaon of REILLTORS0,1nc
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❑ Seller represents that the system has been installed, which representation survives Closing, but makes no fiuther representations as to
the system. Buyer acknowledges receipt ofthe improvement Permit attached berate, as Exhibit A. Buyer shall have the option of inspecting
or ebt>tiaing at Buyer's ercpamse, inspectiou(s) to determine the condition of the system. If the systems not perfomnng the fimaion for
which intended and is in need of immediate repair, Buyer maytermmate this Contradand the Earnest Money Deposit shall be refunded to
Buyer. Buyer waives this condition unless Buyer provides written notice to Seller by am that this condition
cannot be satisfied, time being oftbe esseme.
®'This contract is contingent upon obtaining an ImErovement Permit or written evaluation from Department the County Health Deparent
("County) for a (check only ONE )Uaonventional or IN other Aeh + sretom
gmrmd absorption sewage system fora nwpe t3) bedroom home. Ali costs and expenses of obtaining such Permit or written
evaluation shall be bore by Buyer, except Sell:, by no later than acne 02. 2004 , shall be responsible for clearing that
Portion of the Property required by in County to perform its tests and/or inspections. Buyer shall use Buyers best efforts to obtain such
Permit or written evaluation. If the ground absorption sewage systart is not allowed, Buyer may terminate this contract and the Earnest
Money Deposit shall be refunded to Buyer. Buyer waives this condition unless Buyer provides written notice to Seller by
June 15. 2004 that tins condition cannot be satisfied, time being of the essence.
❑ Buyer has investigated and approved the availability, costs and etperhses to counted to a ❑ public or ❑ community sower system
AL S01L, WATER, UTILiTIESAND ENWRONMENTALCONTINGENCY; This contract is contingent upon Buyer obtaining
repod(s) that (i) the soil is suitable for Bnya's intended Use, (ii) utilities and water are available to the Property, (i7 there is no
envinarmental contamination, low, wile or regulation that pmhibits restricts or limits Bu-wes Intended Use, and (1v) there is no flood
hazard that prohibits, restricts or limits Buyers Itdended Use (collectively the "Reports"). All costs and expenses of obtaining the
Reports shall be home by Buyer. Buyer shall use Buyer's lest efforts to obtain such Reports. If the Report cannot be obha®ed, Buyer
may terminate this contras and the Barnest Money Deposit gall be refunded to Buyer. Buyer waives this condition unless Buyer
Provides written notice to Seller by June 23, 2004 thatthis condition cannot be satisfied, time [being of the essence
13. RIGHT OF ENTRY, RESTORATItNI AND INDEMNITY: Buyer and Buyers agents and contactors shall have the right to
onter UPOa the Property fortie Purpose ofappmising dteProperty, and perfoorring the tests and inspections permitted in Sections 11, 12 and
13 of this eoatacL if Buyer terminates Ibis contract as provided herein, Spryer shall, at Buyers expense, restore the Property to
stubstantially RS pre<rutry Onldifion within thirty days of contras termination. Buyer will indemnify and hold Seller harmless from all
loss, damage, claims, suits or costs, which shall arise out of any contract, agreement, or injury to any i>arsou or property as a result of any
activities of Buyer and Buyer's agents and contractors relating to the Property. This indemnity "I survive this contract and any
termination hereof. Notwithstanding the foregoing, Seller shall be responsible for any loss, damage, claim, suit or cost arising out of
preemdsting conditions of the Propertyand/or out of Selle's negligerice or willful act or omissions.
14. OTHER PROVISIONS AND CONDITIONS= (ITEM 2E ALL ADDENDA TOTHIS CONTRACTAND ATTACH HERETO.)
nddLUODal 3e%oo aiont 1 ddendan; C 2M Mae mavt be maevaloatad and be no maze ZDat .chore than the 10/28/03
lion an shrnrn on plan;
15. RISK OF LOSS: The risk of loss or damage by fire or other casualty prior to Closing shall be upon Seller.
16. ASSIGNMENTS: This contract may not be assigned without the written consort of all parties, but if assigned by agreement then
this contract shall be binding on the assignee and his heirs and sueoessors.
17. PARTIES: This contract shall be binding upon and stall inure to the benefit of the parties, ie., Buyer and Seller and their heirs.
successors and assigns. As used herein, words in the singular include the plural and the masculine includes the feminine and miter
genders, as appmprioe
IS SURVIVAL: If any provision herein contained which by its nature and effect is required to be observed, kept or performed after
the Closing, it shall survive the Closing and remain binding upon and for the benefit of the parties hereto unfit filly observed, kept or
performed
19. E NTIREAGREEMENTe This contract contains the entire agreement of the parties and them are no tepresedntabons, inducements
or other provisions other than those emcpressed herein. All chmmges, additions or deletions betao mast be in writing and signed by all
parties. Nothing contained heei0 shall alter any agreement between a REAI,TOR® or broker and Seller or Buyer as conbdited in any
listing agreement, buyer agency agreerm,t, or any other agency agreement between then:
2(L NOTICE AND EXECUTION: Any notice or communication to be given to a party herein may be given to the patty or to such
partys agent. This offer shall become a binding contract Cthe "Effective Date") when signed by both Buyer and Seller and such
signing is communicated to the offering party. This contract is executed under seat in signed multiple originals, all of which together
constitute we and the same instru mem, with a signed original being retained by each party and each RFALTOR40 or broker herein,
and the parties adoptthe wand "SEAL' beside rhea signatures below.
Bayer acknowledges having made as of -site personal examination of the Property prior to the making of this offer.
hkformjol"app~by: NormcaMMUaerAss ciatiork Nnrah OaruffmAs union cfREALTOIMtuts.
REPARED BY AGENT: JeM14 Copµ Pnelatrt
t Xtwd Poor12-T.Vaalt LotOaerbRud�w4Oantdd. NOR11 CAROLINA ASSOCIATION or REALTORSB. Inc.
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NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Notice is hereby given that Altman Corp. has applied to the Department of Environment and
Natural Resources for a Minor Development permit. The applicant is requesting to construct a 4
bedroom, 3 bath house with an uncovered porch, and beach access walkway at 823-A North
Anderson Blvd., Topsail Beach, Pender County, North Carolina.
Persons desiring to inspect the application, or to comment thereon, are directed to contact
Stoney Mathis, NC Division of Coastal Management, 127 Cardinal Dr. Ext., Telephone (910) 395-
3900, no later than July 23, 2004. 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: July 14, 2004 -

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
July 7, 2004
Topsail Voice
Legal Advertisement Section
P.O. Box 880
Hampstead, N.C. 28443
Re: Public Notice - Altman Corp. (Randy Greene)
Dear Sir:
Please publish the attached Notice in the Wednesday, July 14, 2004, issue of the
Topsail Voice.
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. Ifyou should have any questions, please
contact me at our Wilmington Regional office [phone].
Sincerely,
Stoney Mathis
Coastal management Representative
Enclosure
cc: Jim Gregson - District Manager
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer-5o% Recycled 110% Post Consumer Paper

ATLANTIC OCEAN
Sc
Stair
JUN 2 4 2004
Tower
Storm Wate
DIVISION OF
System
MANAGEMEN
Size: 20' 0
x
STAL
3'-0" x 2'
I
0"
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Uncovered Deck
60' CAMA
SETBACK
-
1,920 sf (4)
I
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I v SEPTIC
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32'-0"
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NORTH
ANDERSON
— — —
— —
BOULEVARD
— — — — — — — — — — — — — —
— —
SCALE: 1"
10,
ADDRESS:
823-A N. ANDERSON BLVD, TOPSAIL
BEACH, NC
LOT SIZE:
60' X
2111; 12,547 SF +/-
PILING SIZE: 8"
X 8" X 16' EMBEDMENT
GREENE PROPERTY DEVELOPMENT, LLC.
SHEET 1
of 3

133.80'
3 Y 6
JUN 2 4 2004
DIVISION OF
COASTAL MANAGEMENT
Ocean Cross
Walk
I
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I CAMA Line 11/10/03
--------------
I
_ _ _ I
Vegatation Line
I
I
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Mean High Water Line
_ 50'-0" _I
ATLANTIC OCEAN
SCALE: 1" : 10'
ADDRESS: 1323 OCEAN BLVD, TOPSAIL BEACH, NC
LOT SIZE: 50' X 133'; 6,650 SF +/-
132.20'
GREENE PROPERTY DEVELOPMENT, LLC. ISHEET 2 of 21

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10/28/03
SCALE: 1" : 20'
ADDRESS: 823-A N. ANDERSON BLVD, TOPSAIL BEACH, NC
SOUTH SIDE ELEVATION
GREENE PROPERTY DEVELOPMENT, LLC. I SHEET 3 of 3 1

JUIF11-04 14:S9 GRIRY CANFDY LAID SURVEY
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HIS AREA LOCATED IN FIS D U N F - JUN 2 4 2004
A OOD HAZARD zmr
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THIS AH[ IOCATCD IN
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PRELIMINARY SURVEY
FLCCC CERTIFICATION
LEGEf9D FTAND IRd�PNE (RP) PP --POKER POU UK-MMMUM BUILDING LINE
THIS IS TO CERTIFY THAT THIS PROPERTY
FAKE
OB--D® BOOK PC --PAGE FPIL--fiILAN! PK NAIL RS--FOUND hl S KE
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RICMLANDS, NC 28574
ATE 6r0/«SCALE 1'-O'EB 153 PO 22 910-324-4616
SUN-11-2004 FRI 04:30PM ID: — PAGE: r

Qx,A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
July 7, 2004
Topsail Voice
Legal Advertisement Section
P.O. Box 880
Hampstead, N.C. 28443
Re: Public Notice - Altman Corp. (Randy Greene)
Dear Sir:
Please publish the attached Notice in the Wednesday, July 14, 2004, issue of the
Topsail Voice.
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 Wilmington Regional office [phone].
Sincerely,
Stoney athis
Coastal management Representative
Enclosure
cc: Jim Gregson - District Manager
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.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 Altman Corp. has applied to the Department of Environment and
Natural Resources for a Minor Development permit. The applicant is requesting to construct a 4
bedroom, 3 bath house with an uncovered porch, and beach access walkway at 823-A North
Anderson Blvd., Topsail Beach, Pender County, North Carolina.
Persons desiring to inspect the application, or to comment thereon, are directed to contact
Stoney Mathis, NC Division of Coastal Management, 127 Cardinal Dr. Ext., Telephone (910) 395-
3900, no later than July 23, 2004. 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: July 14, 2004

DIVISION OF COASTAL MANAGEMENT
NCDENR
Noam Gnouw D�.ni�+urt or
Ei.viwovr+crrr wo Nsrtin�� R[wuwces
-15I-B HWY. 24, HESTRON BUILDING
MOREHEAD CITY, NC 28557
TELEPHONE: [phone]
FAX: [phone]
TO:
OFFICE:
TELEPHONE #: I 1 FAX #:
FROM:
OFFICE: DIVISION OF COASTAL Ni ANA ENIENT
RE:
DATE SENT: 6
TOTAL NUMBER OF PAGES INCLUING C0AfASH=:

�c P. 01
�C TRANSACTION REPORT
JUL-07-2004 WED 11:11 AM
DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP
JUL-07 11:09 AM 89102709315 48" 3 SEND OK 740
�c �

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development
permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, if
requested.
PHYSICAL DIMENSIONS
Label roads
Label highways right-of-ways
Label local setback lines
Label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
Draw and label mean high water mark
Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (note height)
Draw and label toe of dune
Identify and locate first line of stable vegetation
Draw and label setback line under CAMA
Draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
Draw and label landward limit of AEC
Describe terrain (slope)
DEVELOPMENT PLANS
Draw and label areas that will be disturbed
If a house is to be placed on lot, describe location of house
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
Describe composition of surface
Note and list fully all trees and vegetation to be removed or relocated
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and / or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing/
• signed both application and statement of ownership?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
1 0 U
JUUVN 2 4 2004
` CL)74 �'tRC�� 1tA €'fstT
CAMA MINOR
DEVELOPMENT
PERMIT
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.
'Y(J 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
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 LAMA -related, we urge you to check with the
Local Permit Officer to determine which of these you may need. A
t 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.
GS c i ba ck is cr 6 c'` Coastal Resources Commission
/ r,—c��^ cJGe d {1(1(n�� Division of Coastal Management
Date of Action: Issued
Revised 3/2003
Exempted Denied Appeal Deadline (20 days)

Locality
Ocean Hazard Estuarine Shoreline
GENERAL INFORMATION
LAND OWNER
Name AL47.i�-r[lef'
Address i t
City -1
AUTHORIZED AGENT'
Name
Address
TI--,, 1 rj'O 4
Permit Number
ORW Shoreline Public Trust Shoreline _Other
(For official use only)
j� IECEWE
Jut,, 'i � 2004
City _ MP6N I ` loan' State Ae zip .2&WC Phone
LOCATION OF PROJECT. (Ad . Q o
dress, street name and/or directions to site. If not oceanfront, what isjthe name of
��
the adjacent waterbody?) 7SZ- A Nopn4 _0n A Bty0 141p6.Ai `,o" Ile
DESCRIPTION OF PROJECT. (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: I,1 qy!l square feet A 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): IIq Dom_ 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): Imo— 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:
Gh 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.
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.
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.
-Kif other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
Wyi*4oj C4NJ4 c A, +CND
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 propose eI1P�� which may be susceptible to
erosion and/or flooding. I acknowledge that the local permit e t e a ular hazard problems associ-
ated with this lot. This explanation was accompanied by reco endations concerniinng stabil n and floodproofing tech-
niques. JUN 2 120
PERMISSION TO ENTER ON LAND: DIVISION OF
Q
I furthermore certify that I am authorized to grant and do in ac ASTAL MANAGEMENT
grant permission to the local permit officer and his agents to
enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor-
mation as may be provided orally by the applicant. The details of the application as described by these sources are incorporated
without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any
person developing in an AEC without permit is subject to civil, criminal and administrative action.
This the do day of VA E 200!f-
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.
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