NTB_05-44_Henkel

/44
_NTB R
ECEI� O Permit
Local Government j� Permit Number
MAY 1 6 2 f� CAMA
DIVISION I DEVELOPMENT
OF
COASTAL MANAGEMENT PERMIT
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General Statues, "Coastal Area Management"
Issued to Mr. John Henkel, authorizing development in Ocean Hazard AEC at, 550 New River Inlet Road .
North Topsail Beach. NC 28460, as requested in the permittee's application, dated April 21, 2005. This
permit, issued on May 11, 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 7H.0300
RESIDENTIAL. DEVELOPMENT IN AN OCEAN HAZARD AEC
This permit authorizes the construction a single family dwelling with crosswalk, landscaping and driveway.
I. The structure shall comply with the NC Building Code, including the Coastal and Flood Plain Construction
Standards, Chapter 34, Volume I 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 21, 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. The uncovered deck shown in the setback maybe cosmetically attached to the structure but not
structurally attached.
Conditions continued on second page
This permit action may be appealed by the pennittee 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 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 Permit Official
Sue McLaughlin
CAMA Local Permit Official
Permittee (signature required if conditions above apply to permit)

Name: HENKEL
Minor Permit #05/44
Date:05/11/05 *W
09ST���i ',elk,
4. The structure must be elevated on pilings with a diameter of at least 8 inches and the o® vel o e 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 elevate&yider the structure.
For those structures so located on the primary dune or nearer to the ocean, the pilings must extene 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 66.932 square feet.
10. Pursuant to 15 NCAC, Subchapter 7J.0406 (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 cosy of this permit must be posted on the property durine construction. Please call (910-328-1349) for final
inspection.

APR-22-05 09:36 AM CHARLES.F.RIGGS.RLS 910 455 9033
,10nn Henkel W)VW,s;tY r•M 630 305 0650 CHAPLEC.F•k1GGfl. ete v
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AEC HAZARD NOTICE
RKIOV to In An: opean erodible Area _ Hlph HaSpd Flood Aroa. Inlal Hazard A,..
ottw I.o• Was platted: V9CkL4
r ron:r is stte::ed le n.tie y,,, the LpPF�n': awe» �l tha rpcc:n: [Lila turd :Undulont at+uclared with
^r:opn,enr h, rivs area, whj�h h aubje:t to nesucef
n: Nde auh ON rtul Its, erouun and Cunepla. The rules 01
Jw cotstal Auourn Commbuan ftgture that r•ou
ncv:ve ac A" Hazard , CILX aM "I2wjtdGe fhat
arort," we.tlnd bef�r. a perintt for developmew con be
en;e.i
tre Cen�n,Jaler.r coley on bu(idtnqq -ar dardr, xrarttront
""hark"rddy'leAINraL'onnndzpyhwpdt;nu'timite,but
Alt f4f.-Ilm ptvpar�.} I:at from hsiaMs. Av granting
pstm:it, :he Coastal Fmowcw Cotr,trlstion tli^r< na
66 Lurar the tohl) of the devc,3p rrant And 60sumee no
fa!tWh• f:r futri a dAmstte tc LM t drvejoms-11.
"rr4r.av■UAN4Wd0hhAtlon,astha+:cep. by theCosre
Resowcas Cotr.refrsion. bsdlrat" t tht thrust ocean
cr. Ion.-44 for the &.92 where yaw propvty is located Ii
. ]rat par year.
Ts rve ,;A.% eetabl ahad by earefW analysis of AVW
howvrspJuofthe coaaNinarabtoova/ thapaet5oyevs.
Iczit.nare rant the ahoreurt Oou d me•e w
mvciiu 0feelandwardInarrajpr2turm.
ZPOV. W d" lr a Malcr atJP1n Ye;+redlCted toba about
t fo,r deep Ir. tho teas.
11:41trn: oeaanfront Protection meauraa ere !wash
''ou'it�nen( and relocation of Wintered structures.
Herd erosion control structures etch at bulkh/ado,
Ierw a',„i, eavetniahta, olty, jatdo aid breakwaters R'e
pp vhlbnn.7tmporarovicee,llstl ydudingea_idba`a,tray
le a:;owod under Rrlaln ccondj"^#.
Thar rau:nue wall be relocased or d,sn,anLed wittsln lw,D
ytret.+f iVenfn:lsa Lnm:netdy ehtsnr. red.
Ttw apphc'aett mw1 aekanwlaJgv thlr bsf01rm0Wt and
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168474 Affidavit of Publication
15067066 Jacksonville Daily News
1 of 2 Jacksonville, NC
Personall eared before me, ary Public of the County of Onslow, State of North Carolina, on this the 26th day
of April 00
of The Daily News, who being duly sworn, states that the advertisement entitled CAMA- HENKEL, JOHN 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 day e- eekfo1 -----wee, on the following dates:
April 26, 2005
NORTH CAROLINA
ONSLOW COUNTY
NOTICE OF FILING
OF APPLICATION
FOR CAMA MINOR
DEVELOPMENT PERMIT
s c "J v-1
MAY G92X5
COAS DID ISION OF
MANAGEMENT
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 21, 2005, Mr. John Henkel, applied for a CAMA
permit to construct a single family dwelling with a foot print of 3,300 at 550 New River Inlet Road, North Topsail Beach
Onslow County, North Carolina. The application may be inspected at the address below. Public comments received by
May 4, 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 #05144
Sue McLaughlin, CAMA
Local Permit Officer
Town of
North Topsail Beach
2008 Loggerhead Court
North Topsail Beach,
NC 28460
April26, 2005

ti5R
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7CCE: 711 : 71 �J
pecoast1 APR 2 5 29 ,P TION FOR
DI
ASTAGI =ANMINOR
2 ti
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
s:
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
a;
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.
t Coastal Resources Commission
Division of Coastal Management
a
S LI
A.
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egcm4v olAoillk e96jeW"relil
April 21, 2005
Charles Riggs & Associates
PO box 1570
Jacksonville, NC 28540
RE: INCOMPLETE APPLICATION PERMITS # 05/43 & 05/44
(3984 ISLAND DRIVE & 550 NEW RIVER INLET ROAD)
Dear Mr. Riggs;
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.
RespectfulolyQ yours,
(S} M
Sue McLaughlin
Local Permit Officer
2008 LOGGERHEAD COURT NORTH TOPSAIL BEACH, NC 28460 PHONE [phone] FAX [phone]
www.north-topsail-beach.org

LLocality I� tC� l lti�tlait Nnmber o�
GENERAL INFORMATION
i
LAND OWNER
Name John S. Henkel
Address 869 Cardiff Road
City Naperville State Illinois Zip
AUTHORIZED AGENT
Name Charles F. Riggs. PLS, Charles F. Riggs & Associates. Inc.
Address 202 Warlick Street P. O. Box 1570
City Jacksonville State NC Zip 28541 Phone
LOCATION OF PROPERTY 550 New River hilet Road — N.C.S.R. 1568, North Topsail Beach, Stump
Sound Township, Onslow County. North Carolina
(If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECT Proposed Dwelling with Decks. Walkway and Drive
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
X Residential Commericaladustrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER EWPERVIOUS OR BUII,T-
UPON SURFACES (such as driveways, etc.) within 75 feet of the shoreline (575 feet of an ORW shoreline)
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING 6,600 S . Ft
SQUARE FOOTAGE OF SITE 18.309 Sq. Ft.
OTHER PERMITS MAY BE REQUIRED:
The activity you are planning may require
permits other then 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),
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 O
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of 131 er urs+o
an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor develop&& -2b }�
permit, certify that the person listed as landowner on this application has a significant interest in the r6T r-9
property described therein. This interest can be described as: (check one)
— an owner or record title, Title is vested in Fee Simple see Deed Book 1942 � Z
page 741 in the Onslow County Registry of Deeds. T
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County. 2�
if other interest, such as written contact or lease, explain below or use a separate sheet and attach to
this application.
NOTIFICATION OF ADACENT 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) Mr. and Mrs. Karl Chiang, 616 Kings Road Greenville. NC 27858
(2) Onslow County_ 118 Old Bridge Street Jacksonville. NC 28540
(3)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE IIA7.ARn 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
concering stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and
his agents to enter on the aforementioned lands in connection with evaluating information related to this permit
application.
This application includes: general information (this form), a site drawing as described on the back of this
application, the ownership statement, the AEC hazard notice where necessary, a check for $100.00 made
payable to the locality, and any 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 a permit is subject to civil, criminal, and administrative action.
This the AZ4 day of 20X.
Land owner or to act as his agent
For purposes of COMA permit application.

APPROXIMATE MEAN HIGH WA
A
OLD SEWAGE FORCE
MAIN (M_B. 31. P. 4)
CAMA L
03/01/05
SAM
0
M
t0
N
LOT 7
0
hum p
PROPOSED DWELLING & EAVES 4118 Sq.Ft. 1N
PROPOSED DRIVE 0 Sg.r
PROPOSED TOTAL IMPERVIOUS SURFACE - 4118 Sq.Ft.
TOTAL LOT AREA - 18309 Sa.Ft.
PROPOSED IMPERVIOUS AREA - 22.5%
ring
PROPOSED DWELUNG & EAVES - 4118 Sq.FL
PROPOSED DRIVE - 1362 SQ.FL
PROPOSED TOTAL BUILT UPON SURFACE - 5480 Sq.Ft.
TOTAL LOT AREA - 18309 Su.Ft.
PROPOSED BUILT UPON AREA - 29.95
n IN
mil-11,
— — — — — — — — — �U jfAL jj4qOF
AGSM
LOT 8 ATLANnC OCEAN
18309 Sq. Ft. VICINITY SKETCH
0.420 Acres NOT TO SCALE
CAMA
03/SAM OS CAMS FIRST STABLE NE ^ ^
CAMA NANRAL VEGETATION otjE
8a i o3SOAM FyOVPTI 09��E
3 0 n N
o t�
�3
a ~ TOP DF DUNE �
0 LOT 9
W - 'AMA SMALL
N STRUCTURE SETBACK E.
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-EAVES 09 $0 '�6 Jj
PROPOSED ? FLVQ'�1&
DWELLING m c �F'LEpPQa
IN /
f
'30' DRAINAGE &
55.0' 0.0' UTLITY EASEMENT
COVERED DECK m m ^ V
� � op N 15 +Z )
�ba�`�;X � it .,TIoN
�— HYDRANT � EIR 451"51
�.W wo HA
551'OD S43TX6'53'E �a _ OF ASPLT ri
R/W EIR 1.74' { ��
551'S1'2YW 73.14' (CC)
EPK 383.31' EMN
(CC) S51'32'2" (CC) _ N C.S.R
CA INTERSECTION OFVER INLET RO D NEW RIVER ►N H FOPD T )
NEW RI. 1568- PUBLIC)
& MASON COURT — 60� R/W GASP
TITLE SOURCE ZONED R-20 RESTRICTIVE
D.B. 194Z P. 741 70NING SSET13ACKS COVENANTS
OWNERS FRONT - 30' FRONT - 30'
RFFFRENQFS REAR - 60' CAMA REAR - 10'
JOHN S. HENKEL D.B. 194Z P. 741 SIDE - IV SIDE - 10'
M.B. 31, P. 4
THIS IS TO CERTIFY THAT THE SUBJECT PROPERTY IS
LOCATED IN FLOOD ZONE 'VE' WHICH THIS AREA IS NOT ELIGIBLE FOR
IS A SPECIAL FLOOD HAZARD AREA AS FEDERAL FLOOD INSURANCE
DETERMINED BY THE FEDERAL EMERGENCY MANAGEMENT AS OF OCTOBER 1, 1983
AGENCY, AND THE NATIONAL FLOOD INSURANCE PROGRAM.
COMMUMBER
NITYEL
C. MARCH 6. 1999 550 NEW RIVER INLET ROAD
1568 -R/W
I FGEHQ
CC - CONTROL CORNER
ECM - EXISTING CONCRETE MONUMENT (FOUND) (CC)
EIP - EXISTING IRON PIPE (FOUND)
EIR - EXISTING IRON ROD (FOUND)
EMN - EXISTING MAGNETIC NAIL (FOUND) (CC)
EPK - EXISTING PARKER-KALON NAIL (FOUND) (CC)
ERRS - EXISTING RAILROAD SPIKE (FOUND) (CC)
MBL - MINIMUM BUILDING LINE
R/W - RIGHT OF WAY
SCM - SET CONCRETE MONUMENT (CC)
SIP - SET IRON PIPE
SIR - SET IRON ROD
SMN - SET MAGNETIC NAIL (CC)
SPK - SET PARKER-KALON NAIL (CC)
fR - crutcai iuc

ATLANTIC OCEAN
CAMA FIRST LINE OF STABLE
NATURAL VEGETATION
m
0
TOP OF DUNE
60' CAMA SMALL
STRUCTURE SETBACK
1
V w'
N
R/W OF NEW
RIVER INLET RD.
w
N
EDGE OF ASPHALT
OF NEW RIVER INLET RD.
w
LS'.
.18
SITE
ATLANTIC OCEAN
VICINITY SKETCH
NOT TO SCALE
m
AE3 cO �ST�2 is
m o
O A.
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CC - CONTROL
ZONED R-20 RESTRICTIVE
ECM - EXISTING
D.B. 1942, P. 741
ZONING SETBACKS COVENANTS
EIP - EXISTING
OWNERS
FRONT - 30, FRONT - 30'
FRONT
EW - EXISTING
JOHN S. HENKEL REFERENCES
- 60' CAMA REAR - 10'
EMN - EXISTING
-'
D.B. 194Z P. 741
SIDE - 10' SIDE - 10'
EPK - EXISTING
M.B. 31, P. 4
ERRS - EXISTINC
_r
MBL - MINIMUM
THIS IS TO CERTIFY THAT THE SUBJECT PROPERTY IS
R- RIGHT OF
LOCATED IN FLOOD ZONE 'VE' WHICH
THIS AREA IS NOT EUCIBLE FOR
SCM CM -SET CONI
il.
IS A SPECIAL ROOD HAZARD AREA AS
FEDERAL FLOOD INSURANCE
SIP - SET IRON
`7
DETERMINED BY THE FEDERAL EMERGENCY MANAGEMENT
AS OF OCTOBER 1, 1983
SIR - SET IRON
AGENCY, AND THE NATIONAL ROOD INSURANCE PROGRAM.
SMN - SET MAO
COMMUNITYEL M
550 NEW RIVER INLET ROAD ¢BERK oeNa�"u``
0008 C. MARCH 6. 1998
!DAD SPIKE (FOU
JG LINE
MONUMENT (CC)
NAIL (CC)
ALON NAIL (CC)
(FOUND) (CC)

CERTIFIED MAILT,., RECEIF
(Domestic Mail Only; No Insurance Covers,
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Postage
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ADJACENT PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to John S. Henkel s
(Name of Property Owner)
property located at Lot 8 Ocean Club Village
(Lot, Block, Road, etc.)
on 550 New River Inlet Road , in North Topsail Beach. Onslow County,--N.C.
They have described to me as shown below, the development they are proposing at that
location, and I have no objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual; proposing development) �^ ]
Proposed Dwelling with Decks, Walkway and Drive
APR 2 5 2005
COASTAL
OF
AL MANAGEMENT
0
Signature of Adjacent Owner
Print or Type Name
Telephone Number
Date

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 21, 2005, Mr. John Henkel, applied for a CAMA permit to construct a single
family dwelling with a foot print of 3,300 at 550 New River Inlet Road, North Topsail
Beach, Onslow County, North Carolina. The application may be inspected at the address
below. Public comments received by May 4, 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 # 05/44
Please print on April 26, 2005
Sue McLaughlin
CAMA, Local Permit Officer
Town of North Topsail Beach
2008 Loggerhead Court
North Topsail Beach, NC 28460
VE
1 APR 2
��5511111120
05
COgs AL M NAoEMENT

AEC HAZARD NOTICE
Project Is In An: S Ocean Erodible Area V High Hazard Flood Area Inlet Hazard Area
Date Lot Was Platted
lqg L4
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 buildings tandards, oceanfront
setbacks and dune alteration are designed to minirnize,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
,2 feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies glso_mdicate that the shoreline could move as
much as 11,oQ feet landward in a major storm.
The floodwaters in a major storm are predicted to be about
�1 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.
Applicant's 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 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 theproperty has seenlittle 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:
in
Loc�PermitOfficer
C QD_ l w
Address
Locality
Phone
6 CEIVE
APR 2 5 2005
DIVISION OF
COASTAL MANAGEMENT
Revised 11193

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
11DAPR 15 2005
COgS-DIVISION OF
AL MANAGEMENT
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 labbel 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
IU611Y*CO7:\9r�PTaffill-MY
Have you:
• completed all blanks and / or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing/
• signed both appplication and statement of ownership?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted a S Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted
Denied Appeal Deadline (20 days)
Revised 3/2003