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Home My WebLink About71175A_Stephen D. Brawley_20180911'VCAMA / ❑ DREDGE & FILL N k 0 71175 C DJ � � GENERAL PERMIT Previous permit# B [,New Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Ei , I uU Rules attached. Applicant Name 54C, 6 . B r c , I q Project Location: County ,A'c I( Address 114 Sh o r c p r City r State N L ZIP d-4ct L1 j Phone#(So4 )(fluo_textis E-Mail dac►yhro•.i��p�l.t�.vr. Authorized Agent Affected ❑ CW [)(EW CA PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /doPNA yes / 6) Street Address/ State Road/ Lot #(s) I l ti S hu f f 0,1. VA. i- life SQ IIS6 Subdivision Z 1 City ZIP a154 + Phone # ( ) River Basin Adj. Wtr. Body Movlh el0iman /unkn Closest Maj. Wtr. Body A I$n Type of Project/ Activity 1 ■■■■■■■■■1�■■■■■■■■■■■■■■■■■■f!I�t■■■■■■ilia■■ _ N■NONE ■iH■■■■■■■■■■�!■1'ii■"as�'.i%■■■��■■■■ ■■■■■■Ii1■■1�■■■■■■■■■■■■■■■■!�'■■■■■■■■■■■ - NOON■■Ia�C■�!■■■■'_w�Ts■F"'*'■■�■■■■■■Oar' NOON■ - ■■■■ail•!�.i!■gi■■■■■■C��ICLa■�.:1�11�11�1■■■■■■■■■■■■■ ■■■■eu■��■■■■■■■■��!��I��nc■■■■■■■■ NOON■■ !!!.?'■■Y�%'/, �%//.rii�i�wnii��'wsri��iww��ini��n�i r%%' ■E� ME • ■itF■■GI/.%n/'%!%I(/J�Y■i■!1%■F�■1/Lf■�IY►■■Wtlt%Jli■f�►/II■■cl ■��■■11� �►. �i it ■■■■■■■■■■■■■■■■■■■■■■ r.�in ■� ME pro - - -�■■■■■■■ii�if��iL:ai■GI■■■■■■■■■■■■■■■■■■■ii1�111E'aY! M Mill A r_ Agent or Iicant Painted Name � Signature Please read compliance state ent on back of permit'"" �!a(x0. oy ) k4 Application Fee(s) Check # r, -,a, I �- -- Permit Officer' Sign re 9 / I I braS I� l l JlL)I Issuing Date Expiration Date NC Division of Coastal Mgt. Habitat impact Computer Sheet Applicant: B: G w � t j) 5 VL Date: Permit* 7 11 -T s A - Describe belo',� the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) we �( Dredge ❑ Fill ❑ Both ❑ Other l{ o O Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Co C� luo L-10 252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised:02/03/10 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: Address of Property: // f Jf'b Ie d i()Ve � VA - (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: ,;;� 7Yy7 I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264- 3901. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Print orlType Name py T Date (Ad'ac nt Property Owner Information) Signature Print or Type Name 1 Vt a \L4 0 � �< 'V1 L � A P � Address L1 —; N C -z 1 SN 2 Mailing Address F� C--D C- c `E R G r' � s ,y te/Zip City/State/Zip W- - � �S moo- � 3�4 me Number/Email Address Telephone Number/Email Address -; z-/S' -7._---> ,F �N, Date * "Valid for one calendar year after signature* Revised Jan. 2017 x 00 v 4 C � �7T. 4t 49 4.R ot, 8 prig C"<f 01, 4/4 4� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: Address of Property: / J (Lot or Street #, Street or Road, City & County) Agent's Name #: Mailing Address: Agent's phone #: I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they re proposing. A description -or drawing, with dimensions, must be provided with this letter. have no objections to this proposal. have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264- 3901. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Owner I Print orlType Name i / y clv City/State/Zip I)Ijq --- �kO _ e ephone Number/Email Address Date *Valid for one calendar year after signature* (Adja'cnt Prop Owner Information) V�l Print or Tyhe Name Mailing Address (�15 �3 �� l�c_ Z-?q 4 7 Ci y/State/Zip Telephone Number/ Email Address C( A> G-hto k 8 Date * Revised Jan. 2017 ITS AV\ BF it ou le 4- 4, CIN 0100 W1 APPLICATION for t ;a) Major Development Permit (last rsvlwd 12i27/06) North Carolina DIVISION OF COASTAL MANAGEMENT 1. Primary Applicant/ Landowner Information Business Name Project Name (if applicable) Applicant 1 Firs Name MI Last Nam r Applicant 2. FIrst Name MI Last Name If additional applicants, please attach an additional page(s) with names listed. Mailing Address /ire `r l J° PO Box C r f JC�I ,' r V State L, ZIP 2-75g7 Country Phone No. Sf� R2Y 6 yd (o8yt FAX N Street Address (if different from above) CIty State ZIP Email bra.�-� 2. Agent/Contractor Information Business Name iU o �,v ► Agent/ Contractor 1: first Name MI Last Name i ( n Agent' ontractor 2: First Name MI Last Name Mailin ddress PO Box City Stat#e . / /V C, ZIP Phone No.t hone No. 2 �7q4 7S- -Z' B-z3 et ext FAX No. Contractor # Street Address (if different from above) City State ZIP Email L 1r Glr ! r W� IR <Form continues on back> 252-805.2508 ., 1-888-3RCOAST .. www,nccoastaimanagement.net Form DCM MP-1 (Page 3 of 4) APPLICATION for Major Development Permit m. (i) Are there wetlands on the site? Oyes No (ii) Are there coastal wetlands on the site? ❑Yes (III) If yes to either (i) or (ii) above, has a delineation been conducted? []Yes No (Attach documentation, if available) n. Describe existing wastewater treatment facilities. �,aA, C— o. Describe existing drinking water supply source. p. Describe existing storm water maement na or treatment systems. S. Activities and Impacts a. Will the project be for commercial, public, or private use? ❑Co ercial ❑PublicVGovemment �' nvate/Community b. Give a brief description of purpose, use, and daily operations of the project when complete. Q � t k" c. Describe the proposed construction methodology, types of constructioent to b4 used durin str lion, the number of each type of equipment and where it is to be stored. / V CJ. i o S U l ! I d. List all development activities you propose. /� (� iml� ✓1 �(l�-Ir Q e. Are the proposed activities maintenance of an a fisting project, new wor or both? l�f-w vc� I. What is the approximate total disturbed land area resulting from the proposed project, q-Ft or ❑Acres g. Will the proposed project encroach on any public easement, public accessway or other area ❑Yes 93NO ❑NA that the public has established use of? h. Describe location and type of existing and proposed discharges to waters of the state. ay PC)% i. Will wastewater or stormwater be discharged into a wetland? ❑Yes 021r4o ❑NA If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No ❑NA I. Is there any mitigation proposed? []Yes E1W ❑NA If yes, attach a mitigation proposal. <Form continues on back> 252-808.2808 1.888.4RC OAST , www. nccoastalmanagement.net RIVER tA11E SR 1121 1.)AREA = 13,683 sq. fL / 0.31 acres (coord.meth.) 2.) AS RECORDED IN PLAT BK 2. PG. 36; C.C.R. 3.) THIS PROPERTY IS SUBJECT TO ANY EASEMENTS THAT A MORE THOROUGH TITLE SEARCH MAY UNCOVER. N 4.) THIS SURVEY IS BASED ON EXISTING FIELD MONUMENTATION AND RECORDED INFORMATION. Q 5.) PROPERTY IS LOCATED IN F.I.R.M. ZONE X. SHADED X AND AE (7) N� R1 6.) ADDRESS: 114 SHORE DRIVE NORTH RIVER LOCATION MAP (N.T,S,) WOODEN BULKHEAD WOODEN WOODEN Flo DECK DECK R` Lit LOT 8 p 0 � o lz FLO�,7.aSE AE (T) ` 1 CHA{NUNK FENCE FLOOD ZONE SHADED X LOT 9 + ZONE X LOTS N D 19.B' PORCH sz 6 AND 7 O PIPE (F) S za4' 6 x OO PIN (F) 4.J 20.6 POWER POLE HVAC N 1 STORY HOUSE p TELEPHONE O °N CONCRETE BLOCK w ON FOUNDATION o ELEC BOX o "' P10R 1 a 19.9' 2! WOODEN > CALC POINT ,op 63' ,zs C, 0 ih d 20.3' K F 00 = CHAINUNK >_ FENCE ' I = r x Zn R ^ 75.00' 75.00' GENT I 224.52' - >F 75.00' I --- S26'00'00"E IN PCON� AROUND FENCE POST I I EDGE PAVEMENT SHORE DRIVE 60' R/W ,,,��•' CARO��,4,, EDGE PAVEMENT ESSIO , 9, sr��SEALz�= — L-3531 ' G,s�q�r7� so es 0 30 „F?',, 1 inch = 30 ft. GRAPHIC SCALE 1, GLORIA J. ROGERS, P.L.FLUE Na' PHYSICAL SURVEY FORS., CERTIFY THAT THIS 2016-118 STEPHEN DOUGLAS MAP WAS DRAWN UNDER MY SUPERVISION FROM SURVEY DAT[ AN ACTUAL SURVEY MADE UNDER MY SUPERVISION, 10 28 16 114 SHORE DRIVE THAT THE BOUNDARIES NOT ACTUALLY SURVEYED cADO FILE ARE SHOWN AS BROKEN LINES PLOTTED FROM 2016-118 LOT 8 INFORMATION FOUND IN EXISTING RECORDS AND SCALE THAT THIS MAP MEETS THE REQUIREMNTS OF 1• = 30' NORTH RIVER SHORES NCAC TITLE 21. CHAPTER 56. SECTION .1600 AS WN AMENDED. WITNESS MY HAND AND SEAL THIS 6.pt I CURRITUCK CO. IPOPLAR BRANCH TWSP NORTH CAROLINA THE 27th DAY OF OCT. 2016 215 B STREET GLORIA J. ROGERS CAMDEN, N.C. 27921 (252) 338-1415 Phone LS. L-3531 PROFESSIONAL LAND SURVEYOR (252) 333-67e1 Cu