72504A_James & Tabitha Hale_20181212

"�--CAMA / ❑ DREDGE & FILL NO. 72504 A B C D
GENERAL PERMIT Previous permit#
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
®.Rules attached.
Applicant Name Project Location: Countyr 34-
Address Street Address/ State Road/ Lot #(s)
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City StateNZIP28�7
Phone # (3��) (�J� - C S 4'> E-Mail f--y �'Subdivision
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Authorized Agent o ^ 0 ° � } - ' 4 D ^ � ^— City Ir,/ / J")_ /-/ 5 ZIP Z - % yr3'
Affected ❑CW J4EW ORTA DES ❑PTS Phone # ( ) River Basin �f( S� LA l'II !;
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A + { N r<4 V %3
AEC(s): Adj. Wtr. Body 1 / ((nat yman /unkn)
❑ PWS:
ORW: yes / no PNA yes / no) Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
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Permit Officer's Printed Name
Signature Please read compliance statement on back of permit*
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Application Fee(s) Check #
Sig ture /2.//v/i�; / q
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Issuing Date Expiration Date

0RIZATI0N FOR CAIVIA PERMIT
Name of Property Owner Requesting Permit:
mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
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4 ,i hhale Co hell sow r2
Agent / Contractor
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to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
win proposed development. �-,� -k
necessary for the following p ro p
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at my property located at
in tk—H County.
I furthermore certify that l 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:
Signature
Print or Type Name
i'itle
Date
This certification is valid through I /
Revised Mar. 2016

This map is prepared
2054 Bay DR
Owners: Hale, James R
from data used for the
Kill Devil Hills NC, 27948
Hale, Tabitha G
inventory of the real
property for tax
Parcel: 001978000
Building Value: $81,100
purposes. Primary
Pin: 987408982898
Land Value: $180,300
information sources such
Misc Value: $8,400
as recorded deeds, plats.
wills, and other primary
public records should be
///
(x 5 r r / t (� % 5 \
Total Value: $269,800
consulted for verification
of the information
contained in this map.
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Tax District: Kill Devil Hills
Subdivision: Avalon Beach Annex 2 & 3
Lot BLK-Sec: Lot: 1002 Blk: Sec:
Property Use: Residential
Building Type: Beach Box
Year Built: 1974
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2018 �-12 11
2018-12-11
2018-12-11