CONDITIONS OF APPROVAL FOR AMENDMENT B TO BUILDING PERMIT BP 4408 1. At least one week prior to commencing the permitted activities. 1lle permittee(s), or the designated agent acting on behalf of the

pennittee(s), must coolacl the Commission staff and notify them of the estimated date construction WOttc ...,g start. Notice may be provided in writing, in pe!SOII, by email, or by calting. ~you leave or send a message, please include your full name. telephone number, permit number, and the date the WCfk wil slalt

2. Prior to commencing the pem1itted activities, the permittee(s), or the designated agent acting on beh~ of the poonittee(s), mu~ provide a ~y of this permit. including these at!ached conditions of approval, to contractors that wiD be performing WOtlc or wil be responsible for work at tile site.

3. Construction activities authorized in this permit must be substantially started within 2 years of the effective date of this permit and substantially completed within 5 years of the effective date of this permit. If such construction activities are not started and completed within this time limitation. this permit shall lapse and no activities shall then occur unless and until a new permit has been granted by the Commission.

4. Structures authorized under this permit, as well as filled and graded areas and cleared openings created as part of construction activities authorized under this permit, must be located to meet the road, property line, water and weHand setback distances, exterior dimensions and building heights listed in the tables in Sections 4 and 5 and approved by this permit.

5. Cleared openings created as part of construction activities authorized under this permit must be effectively stab~ized and revegetaled.

6. All imported fill material must be free of hazardous or toxic materials and must not contain debris, trash, or rubbish.

7. Upon completion ollhe authorized structures within the terms of th1s permit any existing slrudures to be removed from the lot and other construction debris must be disposed of in a proper manner, in compliance with applicable state and lederal solid waste laws and rules.

a Soil disturtlance must not occur wflen the ground is frozen or saiUrated. T opsol must not be removed from the site except for that neressary for construction activities authorized in this permit. Topsoil must be stockpiled at least 100 fieet from any water body.

9. T ernporary and permanent sedimentation control measures must be implemented to effectively stabilize all areas of disiUrtled soil and to catch sediment from runoff water before it leaves the conslruction site so that sediment does not enter water bodies, drainage systems, water crossings, wetlands or adjacent properties. Clearing and construction activities, except those necessary to establish sedimentation control devices. shall not begin until all erosion and sedimentation control devices (including ditches, culverts, sediment traps, settling basins, hay bales, silt fences, etc.) have been installed and stabilized. Once in place, such devices shall be maintained to ensure proper functioning.

10. Effective. temporary stabilization of all disturbed and stocKpiled soil must be completed at the end of each work day. All temporary sedimentation and erosion control devices shall be removed after construction activity has ceased and a cover of healthy vegetation has established itself or other appropriate permanent control measures have been effectively implemented. Pennanent soil stabilization shall be completed within one week of inactivity or completion of construction.

11. All exterior lighting must be located and installed so as to oduminate only the target area to the extent possible. Exterior lighting must not produoe a strong, dauling light or reftection beyond lot lines onto neighboring properties, water bodies, 01 roadway so as to impair driver vision 01 to create nuisance conditions.

12. The scenic character and healthful condition of the area covened under this permit must be mcmtained. The area must be kept free of Iiiier, trash. junk cars and other vehicles, and any other materials that may constiiUte a hazardous or nuisance condition.

13. n the permittee(s) holds (hold) interest in this parcel of land via a sales contract or other binding agreement the perrllJttee(s) shall submit a copy of the transferal deed to the Commission upon final execution of such deed.

14. Once construction is complete, the permittee(s) shall submit a self-certification form, notifying the Commission that all Conditions of Approval of this permit have been met. The permittee(s) shall submit all information requested by the Commission demonstrating compliance with the terms of Ill is penni!.

15 The permittee(s) shall secure and comply with all applicable licenses. permits, authorizations, and requirements of all federal, state, and local agencies including but not limaed to: Alr and Water Pollution Control Regulations; Subsurface Wastewater Disposal System approval from the Local Plumbing Inspector and/or Maine Department of Health and Human Services, Subsurface Wastewater Program.

16. All conditions of previously issued Commission permits shall remain in effect except as specifically modified by this permit. In addition, all conditions of any Subdivision Permit authorizing the creation of the permittee's parcel as they pertain to said parcel shaU remain in effect.

This permit is approved only upon the above stated conditions and remains valid only if the permittee complies with all of these conditions. Any person aggrieved by this decision of the staff may, within 30 days, request that the Commission review the decision.

LUPC AUTHORIZATION (for office use)

Based on 1lle mformallon you have submitted in the at!ached apjllication and supporting documents, the staff of the Land Use Planning Commission concludes that, ~carried out in compliance with the con<ftions of approval above, your proposal will meet 1lle criteria for approval, 12 M.R.S.A § 685-8(4) of !he Commission's statutes and the provisions of the Commission's Land USfl Districts and Standaros (Chapter 10; ver. May 29, 2017). Arly variation from the application or the conditions of approval is subject to prior Commission review and approval. Any variation undertaken without Commission approval constitutes a violation of Land Use Planning Commission law. In addition, any person aggrieved by this

decisionof~wiS30~ecornmissionreviewthedecision. __ _ {II~) QI.C)I/

.....,.,_ W~nature ~lfectove Date

Maine Land Use Planning Commission Forofficeuse: _.,_c.nw_...,_ IL..J'i'--'"i"-=;,-"2_'-::'~'---. --'' sPI"''i 'Lt-B I~ "'!;=., Building Permit Amendment 1. APPLICANTINFORMATION --'==-- --- - - --' SHORTFORNiorRcsitJenl>al~

lApplicant Name{s) -· - -- !f.- '!iJaytime Pho;;- fFAX (>Y BP~Jhcablo/ - - - l fi.d:Rk.~~/kt.J.d£_6. q.§PSIBOM · Mal1119 Address • A . , Emai (if BPP'cai>IO/ -~

_ _Eo Re:-~- .L:L./(.e .J- 1---State 1Zip ec:;;e-, =--!

..D..E?_QN o _ _ _ _ _L__M£ _ JQ4A..73J 2. PROJECT LOCATION AND PROPERTY DETAILS

'r-own- ship,-Town- or Plantation ~County_/_./" -N. -C.,...-C-,./--~ _-_- -----3 1;[-: 4-J_MD- BPY _ _ C+/7 "" rL __ Tax Jnff%c/if!faz&il 4 AI Zooing at Development Site fdlodl fhe LIJPCmap}

IMap: _ Pllan: 03 Lot 3 -f 45 I _Q_- RS __ _ Road Frontage. Ust the name(s) and lrontage(s) (in feet) for any public()( Water Frontage. List the name(s) and lrontage(s) fllleet) lor lrl'f

I private roads,()( other rights-of-way adjacent to your tot I lakes, ponds, rivers, streams, or other waters on or adjacent to I Road#t:_N A Frontage& «. yourtot: Roadli2. Frontage ft. Wa'£tbody#1 :NIC A TDUS L&fCE" Front.age~5:3.6 '-----·---- --------- __ __,l.:.:w..:;at~ertlody#2: Frontag~ 3. EXISTING STRUCTURES (Fill in a line for each existing structure) Previously issued Building Permit BP 4 4 D.J1

Type or s!Juctwe {dweling, gtnge, dccl<., porch.

shed, driveway, parking area, etc.)

T J Horizontal Distance {in feet) of 1 s!Jucture from neacest:

Exterior dimensions

1

Type of foundation !;or~ •

1

Year Mt I (Ill leet) (full basement. slab. post. ~ 1 ~ .g (lxWxH) etc.)

~

-§ li-T~ Tl~ll "'-"' .. .. 1"' 5 '" ~ ~ 3 ~ ~ ~

- i- - t- ~ I

i '--· I 4. PROPOSED ACTMTIES {Film a tine for each new or modrfied structure)

- - -·- - I - Proposal {chedl all that apply) -~ -~- HorizolltaJ Distance {in feet) of - I . I s!Juc1ure from nearest:

Typeofstructure rFfli flH' ~if[~~~.~ Di~::~ I rrln If I ~Tlt l (dwelli~g. garage, deck, potdl, ~ ~ a. I ~ I ~ I! l£ l! ~ lk. i, 'iil fm feet) ~ ~ ~ I 5. I 01 ~

shed, ar.-ay, pal1(ilg area, et~) I ~ j ~ I '"· ~ ( ~ ~ ~ I {LxWxH) I I ~ Il l ~ ~ I I_Sm;:___n _-~ ~~ro Jo )o o f.!+Dl osu&!G'!!L: r.oY'"l =1 - 1 =-1 5!fP!!~t.f}g_Acc-~ss . -~ 1111 0 0 0 0 _Q__j C!l_ 0 __ 1 __ _T_- I"'T' · _

__ w_M.K~...t-V J_D tc:u_g ro o o o : o _ee: ~ "".:L.., frn~ 1~nl _j_g 1 o 1 o to o UIT oi_o_, _ 1 __ _I_ T~ 1 -:------1 • Reconstructions, Relocations, Permanent Foundations and New Accessory Structures:

a. If the structure or foundation will not meet the LUPC's minimum setback distances from property lines, roads, waler bodies or wetlands, explain what physical limitations {lot size. slope, loca!ion of septic system, etc.) prevent the structure()( foundation from meeting setbacks: _ N It . RECEIVED..,__

:::JUt~

I - .\>-'(?. '-1~ j>__ --- - ·-· ··-· -·· ·-· --· --· - - -

b. For re<:onstNctiOils, has t~e existing s~cture ~en damaged, destroyed or removed from your ~? ................................ DYES ONO I A 'A If YES. was the structure on regular active use withll a 2-year period preceding the damage, destruction or removal? ............. .DYES ONO I

1111 · If YES, provide the date the stNcture was damaged_ , dc_ stroy_ed_o_r removed: -=======-===========-5. VEGETATION CLEARING, FILLING AND GRADING, SOIL DISTURBANCE (H appic<llle, filt in this lable~) __

I -~Pro - dN -A c· _ ft_)_ fl DistancernJeet)betweenedgeofcl~filledareaandthenearest:~

pose ow rea tn sq. . o -,- . , ~ clearedlfiUed/disturbed soil: Road I Property kne ' ~.a~te or pOI1d I River or I Wetland Ocean/Coast

U- __ stream _ aiWeHands l

Clearedarea __ _~_f'4/1fpfl~ ft.s.Jo.i.J!eD.J:~ a;: 1~'7---~--~~~ ~~'t lled/disrurbed area _L __ __ __ _ _ _L ____ . _ __ __ ·-- ~ __ J

6. PROSPECTIVELY ZONED AREAS (RANGELEY AREA ONLY)

r !u~=~~~~~~~-·~~-=~~~ Ar~~~: .. l.s.r.~~~-~p~ ~t~.in .. ~-.... -... 0-.. f-.~--e.-.~~-~-~ .. ~~-~~~-~~~~ ....... OYES S NO I Adamstown T wp. Dallas Pit. lincoln PI~ M<>Jalloway Pit. I

_ _ • _ Rangeley PI!. ~ardsontown T~ Sandy River~ Townships C. D. and E_ _ _

If YES, please complete the lollowing lable regardtng the width ol the~ buffers at the narrowest point between the

I e_Jcisting and_~ed structures_and the nearest apelicable. road, eo:operty line, and subdistrict setbacks as ap_plicablc: __ _ ~ Wtdlh o!Vcgelaled Buffers ..,:::]

Slandard- _- RDad_ - .r:-::SideProperty line _Rear~l.ile SubdisiJiCI~(W [}ESor o.g)

I Mn' um I 251eel in D-GN. D-GN2, 0-GNJ 1 I

I Req:red: SO feet in 0-RS, O.RS2, O.RSJ l 15 feet IS reel 50 feet Buffer to othco SubdistriciS 75 feet •n D-CS and O.CI

I l~pq>elly.l - -- ;;.;- -- -- leel _L_ feet =r -- -- ~- J

Note: You may be required to submit Exhibit E: Documentation for Exceptions to Buffering Requirements. (See instructions~ page ii )

7. APPLICANT SIGNATURE (REQUIRED) AND AGENT AUTHORIZATION (OPTIONAL) r. ------ -~·-· -r---IAgent Name fii8Pfl3<8blo) Daytime Ph011e FAX (iDPPkable/

_fl£1 - -- ---- b-::- -Maaing Address JEman Iff DPPK<81>i0/

Tovm = !State = = ~~p Code -= fl have peosonally examined and am familiar with the information subm<tted in lhts application, inciiJdtng the accompanying exlllbits and supplements. and to the best of my knowledge and belief, this 3plllicabon is complete With all necessary exllibi:s. I understand !hat d !he application is incomplete I lor without any required exllibas that it wift resun in delays in processing my pennit decision. The information in this application is a true and adequate narrative and depiction of what currently exists on and what is proposed at the property. I certify that I will give a copy of this permit and associated conditioos to any contractors wor10ng on my ptojecl I undersland that l am ultimately responsible lor~ Wdh all applicable regulations and

1 with all condttions and ~irritations of atry pennils issued to me by the LUPC H there is an Agent listed above, I hereby authorize that individual or business to act as my legal agent in all matters relating to this permit application. I understand that while there is a required Statewide Maine Unfform Building and Energy Code (MUSE C) administered by the Maine Department of Public Safety, Bureau of Building Codes & Standards, The Commission's review is limited 011ly to land use issues and the Commission does not make atry findings related to the MUBEC nor do the LUPC staff inspect buildings or enforce any provisions of that Code.

Please cloeck one ol lhe boxes below: (see "Accessing the Project Site for Sffe Ev~luation and Inspection") S l authorize staff oltne Land Use Planning Commission to access lhe ptojed si1e as necessary at any reasonable hour for the purpose of

evaluating !he site to verify the appfocation materials r have submitted, and for the purpose of inspecting lor compliance with stawtory and regulatOty requirements, and the terms and conditions of my permit.

0 I request that staff of the Land Use Planning Commission make reasonable efforts to cootact me in advance to obtain my permissioo to fully access the project site for purposes of any necessary site evaluatioo and compliance inspeaion.

All appropriate perso

ISignature(s) -~~1.:::?:1:~~-.J::;~J~~~~~~'L----l--

Date _ 7,_- a - 20/ '1 Date ~h//ie

·- CEIVED

JUL 0 7 20171 Building Permit Ame-ndment ~P,2!ication • Short Form Page 2

LUI"C- DOVVNE.A<:T

14 7 o~ I BPI 44c.S - B lra,.No ~Hit. EXHIBIT C: SITE PLAN u. 1

Prepare a t*ti'Hye view s~e plan that shows your entire jXcperty ald includes all the elements desaibed lor Exhibit C in the instructions on page ii. Do not use colo<$. Reier to the instructions on page i for a sample slte plan.

Notes/Legend: 5ECT:J..oNB ki(IL I BE .$£C I> REL \""

l£A$TI!=NE[) Ta-.E~Cff artteR A N.D. Ta~S ~ 501[ ) $Q.M ~ Fl E)(/ B /L f TV /4(1Lt...J3.E..-P./t-7J.¥.L.O'E:Do

_____ .$1.J ep¢ R T<S _o../5.._.}Y.A T€& - l't ,t:_~E- PTirA.~~......:r:.__JAtC).().D_.

Wt L t pt.e s r OE Sou 7 P~b:!'?'), OR ·~~~l!'t-1-

Milne lard Use Pmning CommissM:>n Buildif111 Pcmm~MOf~-f ite Plan Pa.,ge i

LUPC-~EAST

9, . UDE \TER ~RETO.

:reo •NG #6

;RLY rulER )I NATE

ROINATE

•RJVEWAY

:s CTURE

IE

80' STRIP ACQUIRED DECEMBER 6, 2012

WARREN E. HEDSTROM TRUST NELLIE G. HEDSTROM TRUST

VOlUME 5956, PAGE 210

SCALE:

100' 0

U AS

<> .1-f

5 t-t6 PL A:N 2- MAGNETIC NORTH _.::::::~__::_ _ ____ _ -MARCH 2005

BASIS OF BEARING

REMAINING LANO OF URSA MAJOR, LLC

~ G·b 45.1:3~ 43~

RECEIVED

JUL D 7 20171 LUPC - OO'MIIEAST

1"= 100'

100' 200' 300'