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
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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:
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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
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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