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HomeMy WebLinkAbout72534A_David & Diane Scheuer_20190110,, 4CAMA / :DREDGE & FILL GENERAL PERMIT ANew Modification []Complete Reissue ❑Partial Reissue No. 72534 B c D Previous permit # 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 I SA NCAC 7 Rules attached. Applicant Names 1­.�J 6-idF-• 504 GLI ETZ- Project Location: County_ r-4i -t ( A�J Address I I q _FAJJ PAJI-' (l >(1(V� Street Address/ State Road/ Lot #(s) City E; ("JE.lfl State I� ZIP h�(� I Piy i7►1i fE; Phone # ZSb E-Mail Subdivision1�1 lutO EI h tq �J-L JJA& M eti, Authorized Agent J r. G T7i� �c k City t i7 .1'("c ZIP 2 7,17/2— r Affected ❑Cw )etw [ PTA 4tS ❑PTS Phone # ( ) River Basin r/i`r ►c-Twti AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body ",e4%Z J—i.7 t /man /unkn) ❑ PWS: Closest Mai. Wtr. Bodv S-IA,. VKw: yes / ,no FNA yes /(fp OW cubic yards ramp house/ Boatlift er reline Length ►nn ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■®■■■■■■■ ■�I�I11'�■=■■i■■fir■■■■■■■■■■■■ ■■■■■■■■■i■■lLT� ■■fib!'�■!'!,1!r�rWIM■■■KINU■■■■■■■■ . ■■■■ ;�J■■■■■■■■■■■■■■■■■ill■■■■■■ U � AApt WJ Ag nt or plicant Printed Name Signature ** Please read compliance statement on back of permit*'" (27 50 Applicat n Fee(s) Check # Permit Officer's Printed Name Signature A AJ I 0 0 2��q I VWV12c-1`1 Issuing Date E piration Date 1 /4/2019 Print 120 m r 50 ftl Chowan County,, NC PIN: OWNER1: ............. _ _............ . OWNER2: This web site is being provided for the benefit of the general public. SITUS_ADDR: The entire risk associated with the use of this site is on the end ACRES: user. No representation is made that this web site will meet the LAND-VAL. specific requirements of any person or will operate error -free or without interruption. All other conditions or warranties, expressed BLDG_VAL: or implied are disclaimed. In no event will the County or Atlas TOT_VAL: Geographic Data, Inc. be liable for any loss of use, business SALE —PRICE: interruption, loss of profits, loss of data or incidental/consequential SALE_DT: damages arising from the use of this web site. The County and Atlas Geographic Data, Inc. make no warranties or representations DEED_BK_PG: as to the accuracy of information on this web site, nor do they PROP_DESC: assume any liability or responsibility for any errors or omissions in TWP NAME: its content. It is the sole responsibility of the end user to evaluate TAXCDE: the accuracy, completeness, or usefulness of any information, DEED_BK_PG: opinion, advice, or other content available through this web site. TOT VAL: ZONING CDE: Melissa Radke Tax Administrator 252-482-8486 (ext 837) 20 m 50 ft 782304717754 SCHEUER, DAVID LYNN SCHEUER, DIANE LOUISE 119 BENBURY DR 0.59 120960 215460 380710 407000 20170721 00497/0228 LOT 57, MULBERRY HILL PLANTATION YEOPIM G0111FOl 00497/0228 380710 R25 http://apps.agdmaps.com/printtnctchowan/index.html?PIN=782304717754 1/1 ■ 1�f2\ » m , /§ a AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit. la4lllldl_z Qyo Mailing Address: /i /3e ki 466V L Phone Number: Email Address: 'D-DSC- 1,�u4k Q &Vt4l4 • Ca^#L I certify that I have authorized 2)dolicA Agent Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits / necessary for the following proposed development: D!H /41,16& a*- So[!h,-J `�`���, !DO.13 "/ at my property located at /J �e/�6c1�'y �/''�✓� �c in C DOasoI 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: Signature L Sc�-revue Print or Type Name Title /O / p / Za/8 Date This certification is valid through 9 / 30 / Z0/7 .le 7193z ADJACENT RIPARIAN PROPERTY OWNER STATEMENT/ I hereby certify that I own property adjacent to ���i �% Di tic S��iPr/� Is (Name of Property Owner) property located at Ili ��`'y Sri✓G (Address, Lot, Block Rood, etc.) // on A �v1e &e.,0f SG46l'd in �O GLs , /C h0llia H N.C. (Waterbody) (Cityrrowreanclior County) The applicant has described to me, as shown below, the development proposed at the above locati n. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must lrll in description below or attach a site drawing) 0 1�'.,�► /.Sl��� [-+P�Y1�'� �iti fif� �' 4 LS�it c/iCs � �K CO%!J% l��c✓/�h ,4/y Ifs 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. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) Signapf re _ e42(S Print w Typ a Ma0bIg AcdVmss City/;�tate2_ip Telephone Nt�fberl email adftss Date (Adjacent Property Oymer Information) Si tore* ;'Id L Sc.�eve. Pr►nro/Tjjpel�(i Mailing Al Tess ����, A yens City/StatsOp Telephone Number/ email address CQOOW !)o1e' 'Valid for one calendar year after (Revised Aug. 2014) y signature' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �4vl� �!� 5���/�r s (fiame of Property Owner) property located at 1119 (Address, Lot, Block)> Ro d, etc.) / on 14&e oy1lCv1e SacIhd in .�c;G N.C. (Waterbody) (City/Town/and/or County) The applicant has described to me, as shown below, the development proposed at the above loca I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) � 14 Cc eAP1.J4, I p U.1 k4eQCt y. 0 "',1" I Sii e .. �� �4i'f`ii � 4 es�iE c�C1 � � Loyd 1y��ui �✓��� 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. ( y u wish to waive the setback, you must initial the appropriate blank below.) 4rI do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signatur y-- Print or ype Nam Mailing I ddrgss U 4 city/sta tip Tel phone Number/email address YY3 Date /v/� 1I *Valid for one calendar year after signature* (Adjacent Property O ner Information) Sig ture * ��elZ �s�ez/e. Print or Txpe Name //T xe4 !�y ..r�r. Mailing Address tea/ 10G 7 City/State/Zip�,Q�� ,�8-yZ3- 0--f �o Telephone Number/email address 910 a /8 Date* (Revised Aug. 2014) TIC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: .%�/iYli� 35 �� �¢,( a 2 S/i�7ilP • $clU/�� Permit #: ! 2- 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 ternimpacts) 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 ❑ Fill ❑ Both ❑ Other ❑ %l>�J lour 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 ❑ 252-808-2808 :: 9-888-4RCOAST :: www.nccerastalmanac�ementanet revised:02,,03%';G