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HomeMy WebLinkAbout71146_William & Maureen Blakemore_20180926ACAMA / SJ DREDGE & FILL No 71146 qA GENERAL PERMIT Previous permit# I]New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued B C D 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 0 Rules attached. Applicant Name IN Address 10 CUt4 City ,R State QC- ZIP g `7 5 3 Z Phone # (15") E-Mail Authorized Agent �_,r�r , ��t�A a , I, -c- (20wSiY V d'Wri Affected ❑ Cw NEW M PTA ld ES E$wn AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ElN/A ❑ PWS: ORW: yes / (io ) PNA yes / o Project Location: County Street Address/ State Road/ Lot #(s) ij ja Y. Subdivision f }, y a C4 CiQ., ZIP �`)`"tS y Phone # ( ) _ River Basin o4 o n k Adj. Wtr. Body �ti r ci /rf iih Junkn) Closest Maj. Wtr. Body Type of Project/ Activityr,. rt \ l bye. o C9 (Scale: I r ) Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length c avg distance offshore i? max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift r Beach Bulldozing Other r Shoreline Length 47 L � 21 SAV: not sure yes Moratorium:. n/a yes no Photos: yes`J no Waiver Attached: yes o A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or A�cant Printed Name I \ Y-\t f' O ❑ See note on back regarding River Basin rules. Signature ' Please read compliancd statement on back of permit" Application Fee(s) Check # c- _au r,� PermitOffic 's Printed Name Signatur Issuing Date Expiration Date NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: ( I t A (h �' 0.ur e n A� t^ c; a Permit #: 1 \ L) k7 I 1 Date: (� Describe below 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 Dredge[] Fillo Both ❑ Other ❑ �� Oqo Tt4 I) 0q0ssTf4- 5hgklo,.o +w "` Dredge ❑ Fill ❑ Both H Other ❑ /04SZA 109 SeP Sho�t� oe Dredge ❑ Fill ❑ Both ® Other ❑ 5 Z 5 L 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 ❑ AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: I U G rYjU ✓ �) Phone Number: Email Address: Yna-4 ,61 a, V-e I certify that I have authorized h ►'1 i I , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: _ 6j at my property located at in IA, r L County. / furthermore certify that / am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: v Ak Signs ure Print or Type Name &V/ Title /is / lb Date This certification is valid through / DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED I hereby certify that I own property adjaceni to w l 4 to i�5. 6 W6m aY-6 's (Name of Property Owner) property located at /^ (Project Site: Address, Lot, Block, Road, etc.) on + , in A4 A VliLD , N.C. (Waterbody) Agent's Name #: V)i Agent's phone #: L5 Z- (City/Town and/or County) Mailing Address: Pa bbx 1 bq`I w& He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) V 1 �iwl 1C ►1-c�t�l `� c. jp e C cS'Fv� �c t-as� 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. (Property Owner Information) Signature Ywr 4 Print or Type Name 1 cp \ M_a._✓ 1L b f Mailing Address �L� e,+5l, City/State/Zip Telephone Number/Email Address II\0Z Date `Valid for one calendar year after signature" (Adj cent Property Owner Information) vI�%IGLiJI�* Print or Type Name V,- Mailing Address City/State/Zip elephone Nu ber/ Email Address 6Z & Pe Date* Revised Jan. 2017 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece or on the front if space permits. Article Addressed to. 1i IIIIIIIII IIII IIII III III I II I IIII II III I III A. X RebeiNd by (P bted Name) C D. Is delivery address different from item 11 YES, enter delivery address below: ❑ Agent ❑ Addre ❑ No 3. Service Type ❑ Priority Mail Expresso ❑ Adult Signature ❑ Registered MallT ❑ �C1d. Signature Restricted Delivery ❑ Reeggistered Mall Restricted CC�rtified Maile Delivery 9590 9402 2644 6336 5592 43 l ❑ CertOled Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number_(Tlansfer from sar 1— inert I "'"--' --i Delivery Restricted Delivery ❑ Signature ConflrnWlonTm 7 017 2400 0000 1860 7 9 0 0 all Restricted Delivery Restricted Signature Co ion tricted Delivery livery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 5 to 0 1 L.r4 L.Q a A. Signature 11 Agent _ ❑Addressee Received by (Pr2ted Name) . C. Date of Delivery D. Isdr�s� rent from item 1? ❑Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Express® III II I II III I I I I I I I I I I I ❑Adult Adult Signature ❑ Registered MaIITM dutt Signature Restricted Delivery ❑ Registered Mail Restrictec 9590 9402 2644 6336 5592 36 Certified Mail(D ❑ Certified Mail Restricted Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2 Grtirla Nt mher (Transfer from service label) ❑ Collect on Delivery Restricted Delivery n 1—, hh�il ❑ Signature ConflrmatlonTM ❑ Signature Confirmation 7017 1450 0000 9 316 i� 6642 it Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 7 f v_'r+.•r .: 0"00 z A ra , lot �q GIS Print Page r Wks PA A N � ..�,. .Aw f y Page 1 of 1 t =M I m Lcau This map is prepamd from damns<ar dr< mnor �� 11 Sailfish Dr A Tax Ownership Current Tax Value Map Legend _t. . ur< real prov�v ror wr Manteo, NC 27954 William S Blakemore Land 177,500 Scale: 1:267 P`P-- �� � lion Parcel: 025694310 Maureen M Blakemore Building 184,100 Basemap: Aerials(2012) dceds, plats, wills and other primary public records should be consulted for �eric<atiou or pin: 979906474676 I , µsr �, -�-f Misc 800 Parcel Lines rho inron-honcontainedmthis map . Tax District: Manteo In —Property Line DARE COUNTY Subdivision: Pirate's Cove Sailfish Point �/ CC� Q Y�n� N �, Total 362,400 ❑Selected ASSUMES NO LEGAL RESPONSIBILITY FOR L S Blk Lot--ect: Lot: 11 Blk: Sec: a' , Vz— Parcel THE INFORMATION Property Use: Residential CONTAINED IN THIS MAP. Building Type: Beach Contemporary Year Built: 1993 Print Dale Sap 11, 2019 http://gis.darecountync.gov/report.htxnl?parid=025694310&lat=35.89560373 827348&ing=-75.6418791733 8132&z=21 &bas=2012&layers=Par... 9/11 /2018 Go:��le earth pp, Ki j 1 J A � qr•x tR, �� All- q, w .I 4 • jt • ` _t t. , t 300 s 90 � k