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HomeMy WebLinkAboutNTB_05-34_Sons of the Beach LLC�NTB 1 J�� Local Government MpY 9 DIVISION OF MENT COASTAL MR D as authorized by the state of North Carolina, and Natural Resources and the Coastal Resources in an area of environment concern pursua General Statues CAMA EVELOPMENT PERMIT Department Environment, Commission for development nt to section 113A-116 of the "Coastal Area Management" 05/34 Permit Number Issued to Sons of the Beach LLC, authorizing development in Ocean Hazard AEC at, 649 Ocean Drive . North Topsail Beach, NC 28460, as requested in the permittee's application, dated April 8. 2005. This permit, issued on May 2. 2005 is subject to compliance with the application and site drawing (where consistent with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void. OCEAN HAZARD AEC 15 NCAC 719.0300 RESIDENTIAL DEVELOPMENT IN AN OCEAN I3AZARD AEC This permit authorizes the construction a single family dwelling with, driveway and landscaping and removing existing structure.. 1. The structure shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards, Chapter 34, Volume 1 or Section 39, Volume 1-B, 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. All proposed development ant associated construction must be done in accordance with the drawings as submitted on April 8.2005. 2. The structure must set back 60 feet from the first line of stable natural vegetation. 3. The structure must be located entirely off of the frontal dune, and if a primary dune is present, behind the crest of the primary dune. Conditions continued on second page This permit action may be appealed by the permittee or other qualified persons within twenty (20) days of the issuing date. From the date of an appeal, any work conducted under this permit must cease until the appeal is resolved. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. Any maintenance work or project modification not covered under this permit, require further written permit approval. All work must cease when this permit expires on December 31, 2008 In issuing this permit it is aj;W 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. �� ..A LOW-1 ?A- -Sue McLaughlin CAMA Local Permit Official Pernittee (signature required If conditions above apply to permit) Name: SONS OF THE BEACH Minor Permit *05/34 Date: 05 / 02 / 05 4. The structure must be elevated on pilings with a diameter of at least 8 inches and the first floor level of the sills and joists must meet the 100-year flood level elevation. 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 (5') below mean sea level. 6. No impermeable surfaces shall be allowed over any functional part of the septic tank system. 7. Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective value is not weakened or reduced. Disturbed areas will be immediately stabilized. 8. This permit may be renewed for one (1) year if requested before the expiration date. 9. The amount of built -upon area shall be limited to no more than 30% of the AEC area of the land to be developed, in this case 1,260 square feet. 10. Pursuant to 15 NCAC, Subchapter 710406 (b), this permit may not be assigned, transferred, sold or otherwise disposed of to a third party. 11. This permit other than those shown on original plot design permits no additional covered structures. 12. The permittee is required to contact the Local Permit Officer shortly before he plans to begin construction to arrange a setback measurement which 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. 13. Sand used to strengthen dunes must be brought in from an outside source and must be of the same nature as the sand in the area which it is to be placed. No sand is to be removed from the lot. 14. Sand held in storage in any dune, other than frontal or primary dunes, may be moved laterally in order to strengthen existing primary or frontal dunes if the work would enhance the protection to the proposed development activity and the sand is immediately stabilized. 15. All development must be consistent with all -applicable Federal, State and Local Standards. 16. Any structure authorized by this permit 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. 17. Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and modification of this permit. 18. A copy of this permit must be posted on the property during construction. Please call (910-328-1349) for final inspection. (W17l2005 21:31 9104522899 SEGI PAGE 03 BQ:C" coc1 -r; 90- y.nM�Ycns� 200YAPI/11/0 0611 N TIM N TtlMIL BW PlT 1e. 91U 32B 4508 AEC HAZARD NOTICE pn4mctl. in at: ✓ can rime �a ✓rlgs►era Ereoa Deft && IN Wdtbdt— .__ lie i+eed by aaefnl� P 9�e��mffiaeia�aaa"ta sauft AWtmfto ant so allow awed no as �a4 _ ia9dwafdinamyomdoaa. �s$ood�ivde � �atasmamp�eeaeambeabarQ dPse�asd ocrruC�amm pmk cu m mwsmm "boa aWf s of � Had Rosbn santxat muuaams wrh as b�r s4plsls, �e.dmesdnc �nhq jellies aad gee yo ofo tlye It* ftcL the byae e. ,rAlas�eae 77vg -,4 /Z.Bcw Y//F DAM Fca moaa 3eif galoo, mesads MAY 0 9 2005 �v DIVISION OF COASTAL MANAGEMENT C 0 Pl(,,, 168474 Affidavit of Publication R . v 15065521 Jacksonville Daily News 1 of 2 Jacksonville, NC APR 2 51005 Personally appeared before me, a Notary Public of the County of Onslow, State of North Caroba dl4 2ri �1y of April, 2005 "` t`IT of The Daly News, who being duly sworn, states that the advertisement entitled CAMA- SONS OF TFE BEACH, LLC a true copy of which is printed herewith, appeared in The Daly News, a newspaper published in the City of Jacksonville, NC, County of Onslow, State of North Carolina, 1-dwta wealaior wcelea9nthe following dates: April 14, 2005 NORTH CAROLINA ONSLOW COUNTY NOTICE OF FILING OF APPLICATION FOR CAMA MINOR DEVELOPMENT PERMIT Pursuant to NCGS 113A-119 (b), the Town of North Topsail Beach, a locality authorized to issue CAMA permits in Areas of Environmental Concern, hereby gives NOTICE that on April 11, 2005, Sons of the Beach, LLC, applied for a CAMA permit to construct a single family dwelling with a foot print of 1,088 at 649 Ocean Drive, North Topsail Beach, Onslow County, North Carolina. The application may be inspected at the address below. Public comments received by April24, 2005, 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 inthis matter will be provided upon written request. CAMA PERMIT #05/34 Sue McLaughlin, CAMA Local Permit Officer Town of North Topsail Beach 2008 Loggerhead Court North Topsail Beach, NC 28460 April 14, 2005 IVY 005 lsfoN of LIGATION FOR MANS 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. 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 CAMA-related, we urge you to check with the Local Permit Officer to determine which of these you may need. A listing is included on page 2 of this folder. We appreciate your cooperation with the North Carolina Coastal Man- agement Program and your willingness to build in a way that protects the resources of our beautiful and productive coast. Coastal Resources Commission Division of Coastal Management a rJ Joff4v tyo aw xeark mf April 11, 2005 Southern Environmental Group, Inc 5315 South College Road, Suite E Wilmington, NC 28412 RE: INCOMPLETE APPLICATION PERMIT # 05/34 (649 Ocean Drive) Dear Sirs; I originally accepted your application under the impression it was full and complete. On subsequent review, we have discovered that it lacks certain necessary information. Accordingly, we request you to complete the form and resubmit it to me. The reason for adjudging the application to be incomplete is as follows: 1. Copy of the AEC Hazard Notice signed by the owner. In accordance with the Department of Environment, and Natural Resources regulations, we acknowledge that a certain time has passed while the application has remained in our office. Accordingly, upon resubmission of a complete application, a local decision will be made in 25 days, provided this period is not extended as provided by law. Respectfully yours, Sue McLaughlin Local Permit Officer 2008 LOGGERHEAD COURT NORTH TOPSAIL BEACH, NC 28460 PHONE (910) 328-1349 FAX (910) 328-4508 Locality Permit Number Ocean Hazard XEstuarme Shoreline ORW Shoreline Public Trust Shoreline Other (For official use only) GENERAL INFORMATION LAND OWNER Name: Sons of the Beach LLC Address: 720 North Third Street City: Wilmington State: NC Zip: 28401 Phen�: _ 0 AUTHORIZED AGENT 70�O Ao Name: Southern Environmental Group, Inc. �N r Address: 5315 South College Road, Suite E �21 T'O T City: Wilmington State: NC Zip: 28412 Phone: 9 .452 27 LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfftr t is a name of the adjacent waterbody.) 649 Ocean Drive. North Topsail Onslow County. North Carolina DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Demolition of existing structure and construction of new residential structure (See attached plans). SIZE OF LOT/PARCEL: 4356f square feet 0.10f acres PROPOSED USE: Residential ❑x (Single-family ❑O Multi -family ❑) Commerical&dustrial ❑ Other ❑ TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRONMENTAL CONCERN (AEC): 1,87U 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): N/A square feet (Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios, etc. that are within the apphcable 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 NC Division of Water Quality? YES ❑ NO If yes, list the total built upon areatimpervious 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 listing 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 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) M an owner or record title, Title is vested in Sons of the Beach LLC see Deed Book 2399 O page 350 in the Onslow County Registry of Deeds. Filed on 02/25/2005. O Elan owner by virtue of inheritance. Applicant is an heir to the estate of yN7- 9 probate was in _ County. ❑ if other interest, such as written contract or lease, explain below or use a separate sheet and attac*Jis *them oly _ ��m� ��� NOTIFICATION OF ADJACENT PROPERTY OWNERS: 2� 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) Thomas R. Ambroei 500 Adkins Point Road, Surf City, North Carolina 28445 (2) Vernal Best 408 E. Bunch Drive, Goldsboro, North Carolina 27530 (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 associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing techniques. 3N7iaT6Y�Yi1 ►T`i1�1sPis�L t 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 information 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 fie Wfiq of April, 20 05 ndowner or person authorized to act as his agent for purpose of filing a CAMA permit application NOTICE OF FILING OF APPLICATION FOR CAMA MINOR DEVELOPMENT PERMIT Pursuant to NCGS 113A-119(b), the Town of North Topsail Beach, a locality authorized to issue CAMA permits in Areas of Environmental Concern, hereby gives NOTICE that on April 11, 2005, Sons of the Beach, LLC, applied for a CAMA permit to construct an single family dwelling with a foot print of 1,088 at 649 Ocean Drive, North Topsail Beach, Onslow County, North Carolina. The application may be inspected at the address below. Public comments received by April 24, 2005, 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. CAMA PERMIT # 05/34 Sue McLaughlin CAMA, Local Permit Officer Town of North Topsail Beach 2008 Loggerhead Court North Topsail Beach, NC 28460 Please print on April 14, 2005 CERTIFIED Ni MILT,., RECEIF (Domestic Mail Only, No Insurance Covenk C7 ru GOLO5C•ORD NC 27530 Postage $ $1.48 so Ceniged Fee $2.30 4401 O 10 Pasima, $1.75 p Return Reciept Fee (E.comement Required) Here r3Restricted Delivery Fee $0.00 r-9 (Endorsement Required) $ $5.11 Total Postage & Fees 04/08/2005 S O C3 Sent To e-Vy-\O-, pc 17! r,� ::---------------------`- -------------------------------------------- �6Q - hr� � LTC - -----'-------- - I: e ----------------------------------------------- ar m (Domestic C3 liMru i d' 4i A Postage $ IIA M Certified Fee 22.30 0401 pReturn Reaept Fee (Endorsement Required) 10 P�anaric Here $1.75 O -a Restricted Delivery Fee (Endorsement Required) $0.00 a rq Total Postage s Fees $ $5.11 04/09/2005 S p O Sent 1 nO rn ns /�� L /-Trl'tb t M1E.:_-_________________-._.__�pp._.._____._ _______---_____--__. or PO9ox No. �j06 %}iJ: 7.C�[J1Yt o E suere. a s ................ PS Fern tt 3 June 2002 See Reverse for Instructions O CG �N7 5 L �Zy2 O 2wA �� RATIO DEED LOT 5 BY CE IS LOCATED IN ZONE 'VE' (ELEV 14/15) ACCORDING TO RAL EMERGENCY MANAGEMENT AGENCY \ SURANCE RATE MAP COMMUNITY -PANEL 370466 0010 13, DATED: 1-21-98. = 1:10,000 +. rc a5a by ISLAND DRIVE DERIVED FROM SURVEY PREPARED F. RIGGS DATED 7-7-2004. �21 20' SETBACK co EAI ONE STORY III m1649 WEWG 1N4 a 1U3 ,x DECK 10' SETBACK LOCATION MAP L_E G E IV r_� O EXISTING IRON O EXISTING MAG NAIL SERVICE POLE x CAMA FLAG DATED: 03-01-05 b S60'05'40'W 50.01' ]T S60'16'00'W 50.00 Z ZI _ to m u _ 60' CAMA SETBAC I n oo i 13 W fi Ig = I I .n V ;I I� N �Z OCEAN DRIVE N60-PS S_l t 7D5.97 m+ - N5T49'S4 E 47•75 (BO' PUBLIC R/W) CA INTERSECTION OCEAN DR. do SURVEY CHESTNUT ST. EXCLUSIVELY FOR PLANTATION, INC. LOT 3, BLOCK 17, OCEAN CITY ASRECORDEDW48 C COUNTY THE SLOW COUNTY NORTH CAROL �SOUND TOWNSHIP IP 8, PAGE SCALE: 1' = 20' MARCH 28. 2C elrjaea aaf ,aeoeveO14,.%, _-\ X- GsMP �-11}E — -_x ARNOLD W. CARSON, PLS PC 406 NORTH THIRD STREET WILMINGTON. NC 28401 (910) 772-9113 c °Gaeeaoz�a��y6 50' 25' 0 25 SO. THIS LOT IS LOCATED IN ZONE "VE" (ELEV 14/1 FFLLOOD INSURANCE CERRAATE MAPNCOMMUNITY-PAN NUMBER 370456 0010 B. DATED: 1-21-98. AREA= 0.10 AC.t RATIO OF PRECISION = 1:10,000 +. DEED BOOK 2347 PAGE 856 LOT SURVEY DERIVED FROM SURVEY PREPARED BY CHARLES F. RIGGS DATED 7-7-2004. ALL IMPROVEMENTS SHOWN ARE PROPOSED. U m m a F- 4 (2 ACCORDING TO ISLAND DRIVE 20' SETBACK m� m [ I I - m 4649 PROPOSED DWELLING m DECK m m a N.---J Iz 10' SETBACK 0 LOCATION MAP I—E G I= fV = O EXISTING IRON O EXISTING MAG NAIL SERVICE POLE x CAMA FLAG DATED: 03-01-05 d r� (a1 S60'05'40"W 50.D1' u i Co-CAMA SETBACK � i N N �I 13 _ I lin U I� mkj 1 IZ OCEAN DRIVE S1 N60'38''E 705.97 — —� N57'49'S4—E 4�•25' (60' PUBLIC RIW) C/L INTERSECTION OCEAN DR. & PLOT PLAN CHESTNUT ST. EXCLUSIVELY FOR PLANTATION, INC. CARO •a•P(N ZZ'Ca, Vv LOT 3, BLOCK 17, OCEAN CITY AS RECORDED IN MAP BOOK 8, PAGE 48 OF THE ONSLOW COUNTY REGISTRY STUMP SOUND TOWNSHIP ONSLOW COUNTY NORTH CAROLINA PR)=LIMINAKY SCALE: 1" = 20' APRIL 5, 2005 NOT FOR RECORDATION, G� nips 0 11)�l CONVEYANCES OR SALES X- — — — — — PURPOSES. ARNOLD W. CARSON. PLS PC 406 NORTH THIRD STREET WILMINGTON. NC 28401 (910) 772-9113 5outkern Environmental Group, Inc. 5315 5. College }toad, Suite E, . Wilmington, North Carolina 28+1 2 910.452.271 1 . Fax: 910.452.2899 www.segi.us March 6, 2005 Certified Mail / Return Receipt Requested Thomas R. Ambrogi 500 Adkins Point Road Surf City, North Caorlina 28445 oiice@segi.us 0 O70 �j,O/ Re: Demolition of structure and Construction of new residence at 649 Ocean Drive Dear Mr. Ambrogi: This letter is in reference to the structure located at 649 Ocean Drive in North Topsail. My client is applying for a Coastal Area Management Act (CAMA) permit to demolish the existing structure located on that parcel and to construct a new residence on the subject parcel. You are receiving a copy of the CAMA Permit Application, a survey of the existing structure, a survey of the proposed structure, a letter from the Town of North Topsail Beach regarding the Septic System, a set of house plans, a Flood Certificate, and a form letter to return to North Topsail. The property owner requests that you sign and return the enclosed form letter in the SASE to expedite the CAMA, demolition, and building permit processes. For questions regarding the permitting of the proposed activity, please call North Topsail (Sue McLaughlin, CAMA Officer) at 910.328.1349. For questions regarding the methods and/or timing of demolition and/or construction, please contact the contractor, Plantation, Inc., at 910.763.9760. Please feel free to call our office at 910.452.2711 for information regarding Areas of Environmental Concern (AECs) or other environmental issues. Thank you for your time and assistance with this project.. Sincerely, James Taylor Senior Consultant joutkern Environmental Group, Inc. 5315 S• College }load, Suite E. • Wilmington, North Carolina 28+1 2 910.452.271 1 • rax: 910.452.2899 officeOsegi.us www.segi.us April 6, 2005 O � 9A Certified Mail / Return Receipt Requested Vernal Best 408 East Bunch Drive717 ��kl�� Goldsboro, North Carolina 27530 Re: Demolition of structure and Construction of new residence at 649 Ocean Drive Dear Mr. Best: This letter is in reference to the structure located at 649 Ocean Drive in North Topsail. My client is applying for a Coastal Area Management Act (CAMA) permit to demolish the existing structure located on that parcel and to construct a new residence on the subject parcel. You are receiving a copy of the CAMA Permit Application, a survey of the existing structure, a survey of the proposed structure, a letter from the Town of North Topsail Beach regarding the Septic System, a set of house plans, a Flood Certificate, and a form letter to return to North Topsail. The property owner requests that you sign and return the enclosed form letter in the SASE to expedite the CAMA, demolition, and building permit processes. For questions regarding the permitting of the proposed activity, please call North Topsail (Sue McLaughlin, CAMA Officer) at 910.328.1349. For questions regarding the methods and/or timing of demolition and/or construction, please contact the contractor, Plantation, Inc., at 910.763.8760. Please feel free to call our office at 910.452.2711 for information regarding Areas of Environmental Concern (AECs) or other environmental issues. Thank you for your time and assistance with this project.. Sincerely, James Taylor Senior Consultant 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 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? Site Notice Posted Site Inspections .,/ _/ FOR STAFF USE �// Oj�inal Inspection Date of Action: Issued Exempted Fee Received Denied Appeal Deadline (20 days) Revised 3/2003