NTB_16-12_List

Issued by WiRO NTB16.12
North Topsail Permit Number
Beach
CAMA
MINOR DEVELOPMENT i
�
PERMIT
as authorized by the State of North Carolina, Department of Environmental Quality
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 Simon R. List authorizing development in the Estuarine Shoreline (OR" Areas of Environmental Conoem
(AECs) at 108 Scotch Bonnet Drive, in North Topsail Beach, Onslow County as requested in the permittee's
application package, dated April 1, 2016 and received by DCM on April 5, 2016. This permit, issued on April 14, 2016,
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: Installation of a 15 feet by 20 feet concrete patio.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received by the Division of Coastal Management on April 5, 2016.
(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 [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. 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, 2019
JasbA Dail
CAMA LOCAL PERMIT OFFICIAL
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
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
Manaqement.
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Simon R. List
Minor Permit # NTB 16.10
Date: April 11, 2016
Page 2
(5) All buildings/structures shall comply with the NC Building Code, including the Coastal and Flood Plain Construction
Standards of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the
National Flood Insurance Program. If any provisions of the building code or a flood damage prevention ordinance
are inconsistent with any of the following, AEC standards, the more restrictive provision shall control.
(6) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and
mulched) within 14 days of construction completion.
(7) The amount of impervious surfacelcoverage on this property shall not exceed 25% within 575 feet of the Normal
High Water line or in the case 2,600 square feet, as authorized by State Stormwater Permit #SW8130505.
(8) The permittee is required to contact the Local Permit Officer [phone], shortly before he plans to begin
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.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third -party.
SIGNATURE: DATE:
PERMITTEE

Coastal Management
ENVIRONMENTAL QUALITY
PAT MCCRORY
Gowmor
DONALD R. VAN DER VAART
BRAXTON DAVIS
J>A'Ior
April 12, 2016
Mr. Simon R. List
9000 Breeland Way
Raleigh, INC 27613
Dear Mr. List:
Attached is CAMA Minor Development Permit # NTB 16-12, for work to be done 108 Scotch
Bonnet Drive, in North Topsail Beach, in Onslow County. A copy has been sent to the Town
Inspections Department.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Retain the orange copy for your files and sign both pages of the white copy and
return to us within 20 days of receipt, in the enclosed, self-addressed envelope
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Enclosures
Cc: WiRO file
NTB Inspections Dept.
Sincerely,
Shaun K. Simpson
Permit Support Techniaan
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Driw Ext., Wilmington, NC 28405
919 796 7215

NOTI('17i
U
� AMA
PERMIT
APPLIE
PROJ
Dlicant
FOR
Td sail Beach, Onslow County.
COMMENTS ACCEPTED THROUGH April 11, 2016
APPLICANT:
Simon R. List
9000 Breeland Way
Raleigh, NC 27613
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
NC Div. of Coastal Management
127 Cardinal Dr. Ext.
Wilmington, NC 28405
Jason Dail, Field Representative
910-796-7221

Ocean Hazard _�__ Estuarine Shoreline ORW Shoreline
(For official use only)
LAND OWNER - MAILING ADDRESS
Public Trust Shoreline Other
Name "s�,WAP--L—)s�
Address `1 � &Vln� �t
City State Na ZipI?k&hone <M!J
Email `i'1\� t2_r. ,Ter In 0YN4 • G6fvl
AUTHORIZED AGENT
Address
City
State
Zip Phone
LOCATION OF PROJECT. (Address, street name and/or directions to site; name of the adjacent waterbody.)
i
� i Iii _ • i -
0
DESCRIPTION OF PROJECT. (List all proposed construction and land disturbance.)
cbr�sc.T q ��' x► g`l,�'! 'f�hcK- Con1c.Q+ PRib
SIZE OF LOTIPARCEL:
feet _ acres
PROPOSED USE: Residential (Single-family ❑ Multi -family ❑) CommerciaVtndustrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact yom• Local Peradt Officer ifyoa are nol sere whieis AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: -isquare feet (includes the area of the foundation of all buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORM WATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormw er Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES NO RECEIVED
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: b .,qQkUlLMINGTON, NC
APR 0 5 2016

-' .. �.� ;
{ `
.`17�4 .� .p.. __ Ali _�.. ,� �

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: 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 Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
1, 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) n
N 6-an owner or record title, Title is vested in name of a Llsq- '} 1_0b% L
see Deed Book l �� page in the County Registry of Doeda.
an ow ne vi ue of inheritance. Applicant is an heir to t e estate of
probate wg unty.
01 if other interest, such wr' contract or lease, explain kelow se a separate sheet & attach k9l's application.
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. 1 affirnr that 1 have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) _ (Address) I Z& J*OCSIlrilCW T>9
`
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
Coo PI es AWi Wat>
1, the undersigned, 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 particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
One Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
M Q CJ; pQ
This the ' day of '• Q) L ; 20
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application Includes: general information (this form), a site drawing as described on fire back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for SI00.00 made payable to the locality, and
any Information as may be provided orally by the applicant. The details of the application as described by these soutrer are
incorporated without reference In any permit which may be issued. Deviation from these details will continue a violation of
any permit. Any person developing In an AEC without permit is subject to civil, criminal and administrative action.
RECEIVED
DCM WILMINGTON, NC
APR 0 5 2016

OCEAN HAZARD AEC NOTICE
Project is in an:
Property Owner:
Property Address
Date Lot Was Plat
Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
ted: 1�12, Zd%1-i
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 alterations 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. Permits issued in the Ocean Hazard Area of
Environmental Concern include the condition that structures be
relocated or dismantled if they become imminently threatened
by changes in shoreline configuration. The structure(s) must be
relocated or dismantled within two (2) years of becoming
imminently threatened, and in any case upon its collapse or
subsidence.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property- is
located is 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
feet landward in a major storm.
The flood waters in a major storm are predicted to be about
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 sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in die space below. Without
the proper signature. the application will not be complete.
Property Owner Signature Date
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 thud year following the year in which the
permit was issued. Shortly before work begins on the project
site. the Local Permit Officer must be contacted to determine the
vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance. and the
proposed development can still meet the setback requirement,
the LPO will inform you that you may begin work. Substantial
progress on the project must be made within 60 days of this
setback determination, or the setback must be re -measured. Also,
the occurrence of a major shoreline change as the result of a
storm within the 60-day period will necessitate re -measurement
of the setback. It is important 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 can be authorized. It is unlawful to continue
work after permit expiration.
For more Information, contact:
J6w
Local Permit Officer
NC DENR
Div. of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
l9io) �9& - ?a I- /
PhonNumber
Revised May 2010
RECEIVED
DCM WILIAINGTON, NC
APR 0 5 2016

0S6's

HOUSE & EAVES=915 SO FT
COVERED DECK=189.8 SO FT
DRIVE STRIPS 213 SQ FT
LOT AREA 6077 SQ FT
TOTAL IMPERVIOUS=1317
% COVERED=21.6%
EDGE OF PAVEMENT
----------------
N 53'35'10' E
BONNET
—SITE
ATLANTIC OCEAN
VICINITY MAP NO SCALE
52.00 25' R/W (PRIVATE)
FIS SCOTCH F�QNNET CIRCLE
- — TELEPHONE WM FIS — — — — -
LOT 4 1- N
MB 67 PG 126
1n
z
LOT 5
MB 67 PG 126
6077 0 SQ FT
r
I I
I STARS
AC PLATFORM
O STOR
ON PIUNC9 I
PFM 0.0U
NflCNlM9.34' I n
z.. 1
4' 14.8' LOT 17
COVERED
I DECK I MB 67 PC 126
I I
�I
`I
0.14 ACRES I
10' UTILITY EASEMENT OHEL
-E-E-E-E-E-E-
FI 52.00'
N 5335'10" E
0
P�o�as�
i0
F-E-_E_-IRIW_
FIS
1-1 100' R/W (PUBLIC)
EDGE OF PAVEMENT NC 210/ISLAND DRIVE
SETBACKS:
FRONT-20'
SIDE-8'
REAR 30'
ROOD DATA
ZONE:'VE' 108 SCOTCH BONNET CIRCLE 0' 30' 60'
FLOOD TA1YBRLOWESHORIZONLME' TO BE 13.00 FINAL SURVEY
THIS IS TD CERTIFY THAT TNIS PROPERTY IS
LOCATED IN ROOD HAZARD,jpmENEg1AFER
COMMUNITY 37066 AA,T w
THIS IS TO CERTIFY
MID SURVEY WAS Q�JNE RDA
WITH THE STANOA�S ACRCE FO
LAND SURVEYING ■ N RI C&J"A
THE ERROR OF d'�SU "s E TE
BY LATITUDES AN%DE RES 1 1:1
THIS SURVEY IS Amlul L 3
ROI
JRVEY FOR: WELLMANS CONSTRUCTION CO INC
UBDIMSION: SCOTCH BONNET SOUNDSIDE (REVISED)
OT A:--5- BLOCK: N/A SECTION: 2
GAIRY CANADY SURVEYIN(
P.O. BOX: 915
ONAOW STUMP SOUND
COUNTY TOWNSHIP
2750 KINSTON HIGHWAY
RICH DS NC 28574
OFFICE: 91b 32r4815
8430
FAX:(9ll�i
ATE: 12/1 J14 SCALE: 1_30'Fe 256 PCi
.(/yTIL%L�M.
u9 R4R0 /lJW1
LCEIVED
LIAINGTON, NC
L CANADY PLS L-290<
5 2016

Onslow County, NC Tax Parcel Report Saturday, April 2, 2016
1
WARNING: THIS IS NOT A SURVEY
Parcel Information
Map #:
604A-46
Assessed Value:
$348,440.00
PARID:
065474
Total Taxable Value:
$348,440.00
NC PIN:
424512970159
Building Value:
$263.440.00
Owner Name:
LIST SIMON R & JODI L
Land Value:
$85,0D0.00
Property Address:
108 SCOTCH BONNET CIR
Heated Living Sol Ft:
2130.00
Property Description:
L5 SCOTCH BONNET SIS
Year Built:
2014.00
Subdivision:
SCOTCH BONNET
Adjusted Acres:
0.14000000
SOUNDSIDE REVISED
Neighborhood Code:
3D05
Legal Acres:
City Limit:
NORTH TOPSAIL BEACH
Improvement Code:
D
Township:
STUMP SOUND
Book:
4353
Mailing Address:
9000 BREELAND WAY
Page:
971
Mailing City, State, Zip:
RALEIGH NC 27613
Deed Date:
04-SEP-15
Sale Code:
00
Deed Stamp Amount:
398000.00
Number of Bedrooms
4.00
Plat Book & Plat Page:
67-126
WARNING: THIS IS NOT A SURVEY,
D
Geographicc Information County Systems
This map is prepared for the inventory of real property found within this jurisdiction, and is
(GIS)
compiled from recorded deeds, plats, and other public records and data. Users of this map
39 Tallman Street
are hereby notified that the aforementioned public primary information sources should be
Jacksonville, INC 28540
consulted for verification of the information contained on this map. The County and mapping
company assume no legal responsibility for the information contained on thlkMEIVED
rat'-UAA4l-A404QT"
APR 0 5 2016

Parcel ID: 066474
Map M 804A-46 Tax Year: 2016
Luc: Waterview
Class: Dwelling NBHD: SCOTCH BONNET
- LIST SIMON R & JODI L
108 SCOTCH BONNET CIR
Parcel'
Parcel :
065474
Tax Year
2016
Property Addess
108 SCOTCH BONNET CIR
Unit,Desc
Unit*
NBHD
3005 -SCOTCH BONNET
Class-
Dwelling
Land Use Code.
.16 - Waterview.
Living Units
Mapping Acres
.14
CAMA Acres
.14
Location
Fronting
Zoning
MHR-MHR
Map #
804A-46
PIN Number
-424512970159
Total Cards
1
Record Type
R'
Legal
Legal Description
15 SCOTCH BONNETS/S
Township
114 - STUMP SOUND
City Code
26 - NORTH TOPSAIL BEACH
Jurisdiction
1426 - STUMP SOUND NORTH TOPSAIL BEACH
Plat Book-Page/Subd #
67-126
Owner Details
Owner 1
LIST SIMON R & JODI L
Owner 2
CustomerID
421831000
%Ownership.
-100
Nature of Ownership
Andress
9000.BREELAND WAY.
RALEIGH, NC
27613
Owner Mailing
Owner 1
LIST SIMON R & JODI L _
Owner 2
Mailing Address
9000 BREELAND WAY
RALEIGH'NC 27613
RECEIVED
DCM ILMINGTON, NC
APR 0 5 2016

Item
Area
Main Building
816
PORCH/PORCH - 80/80:PORCH/PORCH
192
WOOD DECKMIOOD DECK - 88/88:WOOD DECK/WOOD DECK
144
PORCH - 80:PORCH
112
WOOD DECK - 88:WOOD DECK
72
PORCH - 80:PORCH
20
RECEIVED
DCM WILMINGTON, NO
APR 0 5 2016

Receipts for
Certified Mail
(Staple Here)
7015 0640 0007 2506 8166
03/31 /2016
atl e
James and Deborah Carmichael
Adjacent Property Owner
123 Prestwick Drive
Mailing Address High Point, NC 27265
City, Stale, Zip Code
Dear Adjacent Property
This letter is to inform you that I, Simon R List have applied for a CAMA Minor
Property Owner
Permit on my property at 108 Scotch Bonnett Circle in ONSLOW
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you oryou may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at 919 215 5894 or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the NC DENR CAMA Minor Permit Program, you may submit
them to:
Jason Dail
Local Permit Officer for North Topsail Beach
NCDENR/DCM
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely, FORTH E CONSTRUCTION OF A
�i 15 FT BY 20 FT CONCRETE PATIO
Simon R List Property Owner INSIDE THE REAR (SOUTH) FENCE
9000 Breeland Way
Mailing Address
Raleigh Nc 27613
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
APR 0 5 2016

03/31/2016
Mate
GTD Associates, LLC
Adjacent Property Owner
PO BOX 850
Mailing Address BURLINGTON NC 27215
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Simon R List
Property Owner
Receipts for
Certified Mail
(Staple Here)
7015 0640 0007 2506 8159
have applied for a CAMA Minor
Permit on my property at 108 Scotch Bonnett Circle in ONSLOW
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at
919 215 5894
ApplicanPs Telephone
,or by mail at the address listed below. If you wish to
file written comments or objections with the NC DENR CAMA Minor Permit Program, you may submit
them to
Jason Dail
Local Permit Officer for North Topsail Beach
NCDENR/DCM
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely, —
Simon R List c FOR THE CONSTRUCTION OF A
Property Owner 15 FT BY 20 FT CONCRETE PATIO
9000 Breeland Way
Mailing Address
Raleigh, Nc 27613
City, State, Zip Code
INSIDE THE REAR (SOUTH) FENCE
RECEIVED
DCM WILMINGTON, NC
APR 0 5 2016

5 ',ua nL�srr
US POSTAGE Fth
FIRST-CLASS
0945215
27613
008m1131
7015 0640 0007 2506 8159
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S�,lv,a� QLW'fCERTIFIED MAILO
gi1t7O n rf'Jll $3.94°
NL �� US POSTAGE
FIRST-CLASS
071SO0945215
27613 f
7015 0640 0007 2506 8166 000011132
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APPLICATION FOR
Coastal Management
ENVIRONMENTAL QUALITY
In 1974, the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA) 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 implement clear regulations that minimize the burden on the applicant.
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 than 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 what information he
or she needs before you apply.
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 list is included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission
Division of Coastal Management
CA
�itiached - s,�r�-wJ
�.,�,'d ,,�> cups �.s �rna�-s 9
tri
— 06�
o�
�
r-� RECEIVED
DCM WILIVIINGTCN, iviz
d
C)
DCM Form EB1952-2015/kevised APR 0 5 2016

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
Labelroads
Label highways right-of-ways
Label local setback lines
Vor Label any and all structures and driveways currently existing on property
Label adjacent waterbody
PHYSICAL CHARACTERISTICS
Draw and label normal high water line (contact LPO for assistance)
Draw location of on -site wastewater system
If you� will be working in the ocean hazard area:
Draw and label dune ridges (include spot elevations)
Draw and label toe of dunes
Identify and locate first line of stable vegetation (contact LPO for assistance)
Draw and label erosion setback line (contact LPO for assistance)
Draw and label topographical features (optional)
If you will be working in a coastal shoreline area:
(SLIA Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
Draw and label all wetland lines (contact LPO for assistance)
Draw and label the 30-foot buffer line
PLANS
,Draw and label all proposed structures
Draw and label areas that will be disturbed and/or landscaped
,Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
all areas to be disturbed
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 and dated the application?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
FOR STAFF USE
Site Notice Posted _ Final Inspection Fee Received
Site Inspections RECEIVED
Date of Action: Issued Exempted Denied — Appeal Deadline (20 days from permit action)