Loading...
HomeMy WebLinkAboutNTB_05-60_Melhem2005/J1UL113A1EII 03:05 PM TOWN N TOPSAIL BEACH FAX No.910 328 4508 P,002 —Nn Local Government CAMA MINOR DEVELOPMENT PERMIT as authorized by the State of North Carolina, Deparbrnent of Environment, and Natural Resources and the Coastal Resources commission for development in an area of environment concern pursuant to Section 113A-11S of the General statues, "Coastal Area Management.' 05/60 Permit Number Issued to Mrs. Margaret Melhem .. authorizing development in Ocean Hazard AEC at, 153 Ocean View Lane, North Topsail Reach, NC 28460 as requested in the permittee's application, dated June 6. 2005. This permit, issued on lulu 1. 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 vold. OCEAN HAZARD AEC 15 NCA.0 7EL0300 RE5IDENTJALDEVELOPMLNTINAN OCEAN HAZARD AEC TUyspermit autJwtises the consbuciion a singlefamily dweAingwith landscaping and driveway. 1. The structure shall comply wi9:t the NC Building Code, including the Coastal and FloodPlain Contraction Standards, Chapter 34, Volume 1 or Section 39, Volume I-B, and the Local Flood Damage Prevention Ordinance as required by the National pleadrnUarance Program. If any provisions of the building coda or a flood damage prevention ordinance are fixor scent with any of the following AEC standards, the more restrictive provision shall. control. All Fwosed development out associated construction must be done in accordance with the drawings as submitted on June 6.2005. 2. The structure must setback 60 feetfrout the 5rst line of stable natural vegetation 3. The structure mustbe located entirely off of the frontal dune, and if a primary dune is present, behind the crest of the primary dime. Conditions continued on second page This permit aclion may be appealed by the permittee or other qualified persons vMn 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 penrdt oflfcerwhen the pmjed is krepecied foroompfance, Any malydenance work or projed modification not covered under this pann0, require further written pwnR approval. All work must cease when this permit expires on December 31, 2tf08 In hsu'mg this pewit it is,ageed that this purled Is consistent with the local Land Use Plan and all 2WIceble ordinances. This psnnq may not be transferred to another party Without the written approval of the DIv51on of Coastal MawD t AnL Sue Mclaughli CAMA Local Patmit Official Penni3ea (signature requited h wridfions alcove apply to permit) 2005/J.UI./13/P`0 03:05 PM TOWN N TOPSAIL BEACH FA'A No.910 328 4508 P.003 Name: MELHEM Minor Permit: #05160 Date: 07/01/05 4. The structure must be elevated on pilings with a diameter of at least 8 iuches.and the first floor level of the siAs and joists must meet the 100-year flood level elevation. 5. All pilings shall have a tip penetration greater Ifisra 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 ertem necessary for development and if the dune's protective value is not weakened or reduced Diedubed areas will be immediately stabilized. S. This permit maybe renewed for one (1) year if requested before the expiration date. 9. The amount of built -upon area shall be limited to no mare than 30% of the ABC area of the land to be develgped, in this case Ala square feet C Storm Permit #931220 Iimits the coverage to this amount. 10. Pursuant to 15 NCAC, Subchapter 7J.0406 (b), this permit may notbo assigned, trans£ercrxi, sold or otherwise disposed ofto a flrfid party. 11. This permit other than those shown on original plot designpermits no additional covered structures, 12. The permitted is required to contact the Local Permit Officer shortly before heplans to begin construction. to arrange a setback measurement which will be effective for sixty (60) days barring a major shoreline change. Construction new 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 andmust 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 dimes, maybe moved laterally in order to sir 4fban existing primacy or frontal dunes if the work would enhance the protection to the proposed development activity and the send is mancdiately stabilized. 15, All development mustbc consistent with all -applicable Federal, State and Local Standards. 16. Any structum authorized by this permit shall be relocated or dismantled when itbecomes imminently threatcnedby changes in shoreline configuration The st uctnre(s) shall be relocated or dismantled within two veers of the time when it becomes imminently Ireatened, and in any case upon its collapse or subsidence. However, if natural shoreline recovery or beach renoudshment takes place within two years of the time the stractruc becomes imminently threatened, so that the structure is no longer imminently (hreatened, than it need not be relocated or dismantled at that time_ This condition shall not affect the permit holder's right to seek antborizatiou of temporary protective measures allowed under CRC rules. 17. Any change or changes in the plans for development, construction, or land use activities wM require a re evaluation and modification of this permit 18. A cowof this permit mast be posted on the rrei)SM during c stmefton Please call r910-328-13491 for final inspection. 168474 Affidavit of Publication 15074696 Jacksonville Daily News 1 of 2 Jacksonville, NC PersonaliyAvReared before me, a ary Public of the County of Onslow, State of North Carolina, on this the 8th day of June, 2 5 of The Daily News, who being duly sworn, states that the advertisement entitled CAMA - MELHEM, MR & MRS. a true copy of which is printed herewith, appeared in The Daily News, a newspaper published in the City of Jacksonville, NC, County of Onslow, State of North Carolina, 1 day n the following dates. June 8, 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 June 6, 2005, Mr. & Mrs. Melhem, applied for a CAMA permit to construct a Single Family Dwelling with beach access at 153 Oceanview Lane, North Topsail Beach, Onslow County, North Carolina. The application may be inspected at the address below. Public comments received by June 20, 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 #05/60 Sue McLaughlin, CAMA Local Permit Officer Town of North Topsail Beach 2008 Loggerhead Court North Topsail Beach, NC 2a460 June 8, 2005 ACM ECEJVE WlLMINrTC o C J11 N 2 1 700S I � 'J Vo RECEIVED DCM WILMINGTON, NC y APPLICATION FOR 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. 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. 'S 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. r n O r >O JUN 2 1 2005 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 Locality Ir` QrVI0i,k) t A(V0 Permit Number S (06 Ple t Ocean Hazard ✓ Estuarine Shoreline _ORW Shoreline _Public Trust Shoreline —Other pe re (For official use only) RECEIVED pl. GENERAL INFORMATION DCM WILMINGTON, NC LAND OWNER JUN 2 1 2005 Name_%%//hem l 10aiy4.eef �G��Zcih Address le (o /6 Wer l6'-'t ob a CT PF City 127ele-OA, State ✓A Zip cR8lOI Phone ?o3 f393-9,23V If) AUTHORIZED AGENT Address City /Ads F2/L�State lVe, Zip 2S'Y1o0 Phone 3,27-03sa LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of If) the adjacentwaterbody?) %S3 DCCRNU/eW //,tee, �Lor 23 Oeew10 L7 ii u�) DI DESCRIPTION OF PROJECT. (List all proposed construction and land disturbance.) 6'z'51/luc/ J YAiliilu 1is��Nc� /iyQGcorc�Grcc aik�ed nlo� nlen�. SIZE OF LOT/PARCEL: 937 D7(i square feet • 79 acres PROPOSED USE: Residential ✓ (Single-family _ Multi -family _) Commerical/Industrial Other NC TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI- RONMENTAL CONCERN (AEC): 4!-`-80 square feet (includes all floors and roof -covered decks) Ha SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): "K 0-2 0 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.) 2 O go pv., c I c. d aeJ Choose the AEC area that applies to your property: y qyo Pa Feed Dr y (1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC -- o SON k, ;4� (2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters y o alvig4 (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 S�°rmwater Management Permit issued by the N.C. Division of Water Quality? q�/i2sZV YES ✓ NO L g „ i-are feet. If yes, list the total built -upon azea/impervious surface allowed for your lot or parcel. � al P.01/01 TRANSACTION REPORT 2005/JU14/06/M0N 14:38 FAX(TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 JUN/06 14:37 Ivally News -Classifieds 0: 0 0 : 33 1 1 1 OR ECM 2936 - NOTICE OF FILING OF APPLICATION FOR MINOR DMLOPMENT PEPIAM pursuant to NCGS 113A-119(b), the Town of North Topsail Beacocality authorized h, g[ves NOTICE that to issue CAMA permits in Areas of Environmental Concern' pit to a construct a Single on June 6, 2005,1& & Mn- Melhetn, applied Family Dwelling with beach access at 153 Ocean view Lane, N� Topsail ddeess below. Onslow County, North Carolina. The application may si inspected Public comments received by June 20, 2005 will be considered. Later comments will be accepted and considered up to the time of permit decision. Project modifications may wille provided upon written regncomm�' PEhEMIT # OS/60ce of the permit decision in this matter Sue McLaughlin CAMA, Local Permit Officer Town of North Topsail Beach 200g Loggerhead Court North Topsail Beach, NC28460 Please print on June 8, 2005. RECEIVED DCM WILMINGTON, NC JUN 2 1 2005 - 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 June 6, 2005, Mr. & Mrs. Melhem, applied for a CAMA permit to a construct a Single Family Dwelling with beach access at 153 Ocean view Lane, North Topsail Beach, Onslow County, North Carolina. The application may be inspected at the address below. Public comments received by June 20, 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 # 05/60 Please print on June 8, 2005. Sue McLaughlin CAMA, Local Permit Officer Town of North Topsail Beach 2008 Loggerhead Court North Topsail Beach, NC 28460 RECEIVED DCM WILMINGTON, NC JUN 2 1 2005 Melhem F. Melhem Margaret W. Melhem 6618 Weatheford Court McLean, VA 22101 June 4, 2005 To Whom It May Concern: Russell Prince is our authorized agent for the purpose of obtaining permits, to include the CAMA permit, as required to build our home in Ocean Sound Village, North Topsail Beach, NC. Melhem F. IMelhem garet W. Melhem RECEIVED DCM WILMINGTON, NC JUN 2 1 2005 22 Y FOUND WAY JUILDINC LINE i A �ap-kml �dl Pfu�o 5' X ll LaIVC aoe0. 76.85` 47`42'39"W 47`42'3 "W) (76.85' RECEIVED DCM WILMINGTON, NC JUN 2 1 2005 Site BM Elev. 3.34 AOUSG w/ Ov[•{�ao43 �° Cove�cd dc�ks _ Z oSD sF y + 4,00 `1�ropoud drrvcwoy T rar. `/i OFo s/ New Res ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to F. & Margaret Melhem's property located at 153 OceanView Lane (Lot 23 OceanSound Village) across from the Atlantic Ocean , in North Topsail Beach, North Carolina. They have described to me, as shown below, the development they are planning at that location and I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: Build single family residence in accordance with attached plot plan. RECEIVED DCM WILMINGTON, NC JUN 2 1 2005 Robert F. Gerkens 7574 Stein Road Zionsville, PA 18092 Owner of: 157 OceanView Lane Signature Print or Typed Name Telephone Number Date FS ATEME I hereby certify that I own property adjacent to F &Margaret Melhem's __ property located at 153 OceanView Lane (Lot 23 OceanSound Village) across from the Atlantic Ocean in North Topsail Beach, North Carolina. They have described to me, as shown below, the development they are planning at that location and I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: Build single family residence in accordance with attached RECEIVEDplot plan. DCM WILMINGTON. NC Jeffrey & Elizabeth Ubinger 321 Blue Run Road Cheswich, PA 15024 Owners of: 149 OceanView Lane JUN 2 1 2005 Signature Print or Typed Name Telephone Number Date •. CERTIFIED MAIL,, RECEIPT ,n,j ru (Dom..f1c Mail Only; No insurance Coverage Provided) D— Ln 4 r - L 04FRUTCY. Pft 227 Postage p O DmtlfreU Fee 52.30 0 460 p I14 Postmark p Return Rociept Fee (Endorsement Required) 31 75 Here pLrl Restricted Delivery Fee (Endorsement Requited)rq m T rd Postage & Fees $ $4.42 06/03/2005 rL p p sentTe . ub nr r` - -"n.d---------------'v------------- --------------------------1--=------------- Sneef. Apt. No.; or PO Box No. �u/ /(��. /[ [in 1' ..___.___ _yj.. City, Siale, ZlPaJ :,r _ • . stal Service-F1 ul CERTIFIED MAIL,, RECEIPT 0 N Qjimstfic Mail Only; No Insurance verage Prmivided) 0 Er r 710HSYII I.E. I17 S Postage � p p Cetlilied Fee $2.311 0460 p Postmark 04 p Rened Rectept Fee (Endorsement Required) $1.7 5 Het. p Restricted Delivery Fee (Endorsement Requned) $0.00 m Total Postage E Fees $ 54.42 �I 06/03/2005 ru 0 p enf To U----- %5----------------- ry ---- ---�y`I-----;c--:Kc Streel'API. No..__.75- PO Box No. / y 1. or CIN, SIata, ZIPW Z�onS i''i l�f.. r?�I L)q: RECEIVED [)CM VWILMINGTON, NC JUN 2 12005 I• AEC HAZARD NOTICE Project Is In An: __ Ocean Erodible Area _' - High Hazard Flood Area _ Inlet Hazard Area Date Lot Was Platted: 199,.p _._- 1 his ❑oua is Intended to make sou, tht ipic icant, etvarc Of the special rink, and coodi ions .; ociatQd with development in this area• which e, >u! it:t fo natural hazards such as storms, erosion and curicnts. 1 tie rules of the Coastal Resources Commi,Fion r•-ou,re t!tat you receive an .AEC Fla -'aid \on - n� rim tJ " iha! notice in writing before i perms; to, d,•. p rut a.; "e iuued. The Commi,sion's ni I is on bui { d mgs la u..:ude, acc•an front setbaeksanddune alteration areclesigned �;�minnnize.but not eliminate, propt•rty loss tram R.• grnGnr; permits, the Coastal Resoures Cothran,,i, m does not guarantee the safely of the dete!opmet" and issumes mo liability for future damage to the deN 001 rent. The best available information a, a -,cep, 0 h% the C (esnmi Resources Commission, eldicate, that th, anoun: licear erosion rate for the area where vnur protest y is is feet per year. The rate was established by careful aerial photographs of the coastline taken over tot pact SO Years. Studies also indicate that th( h lr-_l;n,. u 1 mo,_ as much as jS"Ueet landward in a m::jnr ;.•rn?. the floodwaiersinamajorstvrmareprc i_ieciwbeaNml _j"eet deep in this area. Preferred oceanfront protecli m m niva.,u r a1,- I)Vach nourishment and relocation ot threat"Tw3structures. Hard erosion control structure., such a, hulkheapa. seawalls, revetment, groins, jetties and oreakwatcrs are prohibited.Temporar) devices, include , s::ndhags.matt be allowed under certain conditions. This structure shall be relocated or d isma! , J k-d %o i thi n twU -years of becoming imminently threatenv 1. The applicant must acknowledge this umtorinatian and requirements by signing this notice in the below space. Without the proper signature, the applicatirin wil! not he complete. Applicai� w 7, Zoo 5 ---- Date SPECIAL NOTE: i'9.� hazard notice i, &velopmenl it areas >ut'lect to sudden. arnl + ._ storms anderosio n.!'r•rnutsissuedlurdeX io}'tnr'. .. areae*preon December 11 of the third yearlollom utr the vear it, which the permit uva> issued. Shortic beloi, .: rrk lxgins or, ibi, prole:'. site, the Loca! Permit 0!ft _-' :•;ill detennnu•tht c �.tuuonhoeandsetback distancca• sit( 11 thi l=till ert', t':ai smell little chin r anti ti , j -. .. development <an gull meet ttic uthad• redutu n i LPOwill inform youthatyoumayIMgumwork 1;i,:r scent that von check with the LI'o'zniorc thepertim v.-n^- forofficial apprt,�a! to rnnU sue the work after hi n.:re,u ha, ecptred. Cwneralh•, it foundation pilings hair',men placed and substantial progress is continuing perm;t renewa: may not Ix necessary. If stiI stannal h o not rx'e.n m:adc, the permit must be ri cowed an,. ,etback ire citahii,hcd It is emlawfui to c :nt:n,. after M'rinft e?F'irat on without t,ni for more information, contact: k ILA '— - --- Address Lo�ati:y Phone RECEIVED DCM WILMINGTON, NC JUN 2 1 2005 Revisec ' '93 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-famllyresidential struc- tures greater than 5,000 square feet and non-residential structures greater than 5,000 square feet) must be setback from the first line of natural stable vegetation a distance equal to 60 times the annual erosion rate or 120 feet, SETBACK I SETBACK II�FIRST LINE OF ----�-- STABLE ALI 30 x ANN ALI BOB(AVERAGE Q AVERAGE VEGETATRIOAL (EROSION I EROSION I RATE I 000 IRATE I I I I (LARGE (WALL ALL I STRUCTURES) BEFORE YOU BUILD Setting Back for Safety: A Guide to Wise Development Along the Oceanfront 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 not capable 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 REGF— EDareaascalculatedfromvegetationline VA WILMINGTO�1tlNPlength needed to extend 4 feet below MSL JUN 2 1 2005 PRE -PERMIT STRUCTURE; INADEQUATE SETBACK PERMITTED PRE -STORM BEACH PROFILE STRUCTURE; ADEQUATE POST -STORM BEACH PROFILE SETBACK 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 survtvat. ) THERR PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor a .veloprnerit 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 ^� ith your LPQ to determine if any of these apply to your project: Zoning, Drinking Water Well, Septic Tank (or other sanitary waste eatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, and Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway, Connection, and others. y 0 z TATEMENT OF OWNERSHIP: I_ the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a arson authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person ;ted as landowner on this application has a significant interest in the real property described therein. This interest can be !scribed as: (check one) cr/ an owner or record title. Title is vested in /&Ihim /"7 Y h ,x,4 re: M , see Deed Book r age 'Y01 in the OyJ/OW County Registry of Deeds. _an owner by virtue of inheritance. Applicant is an heir to the estate of robate was in County. _if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application. 10TIFICATION OF ADJACENT PROPERTY OWNERS: furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given CTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Name) 3) (Address) OR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS: acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to osion and/or flooding. I acknowledge that the local permit officer has explairkee lar hazard problems associ- ed with this lot. This explanation was accompanied by recommendationtMI nNe floodproofing tech- ques. ERMISSION TO ENTER ON LAND: JUN 2 12095 furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to ater on the aforementioned lands in connection with evaluating information related to this permit application. N 141I 5 his application includes: general information (this form), a site drawing as described on the back of this application, the vnership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor- ation as may be provided orally by the applicant. The details of the application as described by these sources are incorporated ithout reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any !rson developing in an AEC without permit is subject to civil, criminal and administrative action. This the /sr day of 2065- Q Landowner or person authorized t act as his agent for purpose of filing a CAMA permit application. C