2. This form is an application to participate in the dune management cost share program. This program is available to ocean front property owners within the Town that would like to receive reimbursement for the purchase and installation of native dune vegetation and/or sandfence and/or ocean sand relocation activities.  Homeowners are responsible for securing the materials and labor, as well as making sure installation follows all guidelines. The maximum reimbursement per parcel for planting and/or sandfence, is $1000. If your project includes sand relocation, the maximum reimbursement is $3500 which includes $500 for required dune revegetation. Once your application is received we will review and send you an approval letter if eligible.

4. Project Address*
5. Property Type*
   -- Select One --Primary ResidenceSecond HomeRentalResidential CondominiumHotel/Motel/Cottage CourtOther
7. Property Owner Information
9. First Name*
10. Last Name*
12. Address*
14. City*
15. State*
16. Zip Code*
18. Phone Number*
19. Email Address
23. Scope of Work*

    If your project includes sand relocation, a town sand relocation permit is required and cannot begin until after November 15.

    1. Planting
    2. Sand Fence
    3. Sand Relocation
24. Sand Relocation Information
    https://www.nagsheadnc.gov/171/Ocean-Sand-Relocation
26. Projected Start Date*
    Projected Start Date
30. Project Description

    Planting and/or Sand Fence Only. Sand Relocation details can be submitted with your sand relocation permit.

32. Number of sandfence panels to be installed
33. Area of Planting in Square Feet
34. Estimated Number of Plants
35. Species of Dune Vegetation to be Planted

    Check Appropriate Season for Planting

37. Method of Planting
    -- Select One --By HandMechanical PlanterOther
38. Placement Location *
    -- Select One --East of Frontal DuneTop of DuneWest of Frontal DuneNo Frontal Dune Exists; Planting West of MHW
40. Existing Dune Vegetation

    1. Yes
    2. No
41. Existing Dune Vegetation Square Feet
42. Existing sandfence ?

    1. Yes
    2. No
43. How many sandfence panels are present?
47. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit Submit and Print

* indicates a required field