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Home My WebLink About72573A_Richard Levine_20190214""' CAMA / DREDGE & FILL 9ENERAL PERMIT New -Modification ❑Complete Reissue ❑Partial Reissue No. 72573 dD 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 H • 1 Rules attached. Applicant Name {` N ('kr i C Le y, r,.k Address +001 Mo v4, ,,, Po,r,i Rc4 City Po•r.t State uc- ZIP \-+f 5 Phone # (-3 03) 3y to .- 7.113- E-Mail Authorized Agent MaAt Te, c) (c-, ❑ CN ❑ EW j�PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UB&A ❑ N/A ❑ PWS: ORW: yes / 6) PNA j� no Project Location: County boll Street Address/ State Road/ Lot #(s) -+ay j Ma r�, r�, &c A j !?J Subdivision !'1c �, ✓�� >Dv . n -Otf O& r, ZIP ;c-tiS`19 Phone # ( ) River Basing Adj. Wtr. Body l e , a, An- O- e A K e A,4man /unkn) Closest Maj. Wtr. Body r -Vv k to�f Type of Project/ Activity A � cl Roo ft -FO e x, (Scale: = 4 U ' ) Pier Fixec Float Finge Groii Bulkl Basir Boat Boat Beac Othe Shon SAV: Mora Phot, Waiv t■n�m�■■►�■■■■■■■■■■■■■■■■■■■■■■■■■■■■ i length ■■■■■ ■■■\�■■■■■■■■■■■■■■■■■■■■■■■■1 ■■■■■ number ■■■■ ■■■■1,■■■■■■■■■■■■■�.■■■■■■■■■■■■■ ■■■■■�i■■■■■■■�eo■■■■■■■■■■■■■■■■■■■■■■■ avg distance offshore_ max distance offshore ■■■■■■■■■■■■�■■■■■■■■■■iY►�■■■■■■■■■■■■■■ cubic yards ramp ■■■■■■■■■■■■■�ta�� a�ao�m� ■ ■� r:�r■■■■■■■■■■■■ ■■■■■■■■■■■ra®■■■■■■■\ �� iili■■■■■■■■■■■■ Bulldozing MEIN 0 ROCA ■■■■■■■■■■■■■■■►�■■■■■■■:roc■r�■�■■��I!��:■■ .line Length not sure yes MIME 1111111111 111MI IIIIIIIIII (�! yes no ■■FR- ERMU■■■■■■1011FOO.�a■■■■■■■■■■■■■■■■■■ ■■■■r�■■■■■■■�i■a/■■■■■■■■■■■■■■■■■■■■■■ A building permit may be required by: Dp e C 0,3v Y,i ( Note Local Planning Jurisdiction) Notes/ Special Conditions Agent or plicant Printed Name Signature Please rfaO crbmpliance statement on back of permit g00I plication Fee(s) Check # ❑ See note on back regarding River Basin rules. PermitOffic Name &AInature .1 1 L+ 019 (0 /► ig L) Pq Issuing a eD Expiration Date NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: L e v, I a, Date: a /I Ll (JV L;tr1 Permit #: j '� S I 2�,A Describe belo'v� 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) 0 C V v Dredge ❑ Fill ❑ Both ❑ Other 5 S 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 ❑ 3Lt 14(, 252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date o7v i 9 Name of Property Owner Applying for Permit: Mailing Address�:,�/J / /% / I certify that I have authorized (agent) * dI ! /%%%mil D to act on my behalf, for the purpose of applying for and obtaining all C4-WAL Permits necessary to install or construct (activity) z 4j 7y •1 y �%'&14 l!)( (� at (my property located at) �� 41S w T ;�j 9 1� %�11 �%�� This certification is valid thru (date) ; Property Owner Signature Date ■ Complete items 1, 2, and 3. A. Si lure ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑ Addressee ■ Attach this card to the back of the mailpiece, B. eived bKerinted WY, C. Date of Delivery or on the front if space permits. AV ccdA - Article Addressed to: Is delivery address different frpm.i gm_11 ❑ Yes If YES, enter delivery addlow: ❑ No 3. Service Type ❑ Priority Mail Express® II I IIIII I II III I II III I I I II II I I I I II I I III O Adult Signature 0T Signature Restricted Delivery ❑ Registered ered Mail Restricted 9590 9402 4497 8278 8334 65 ertified Mail® ertified Mail Restricted Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (transfer from service label) ❑ Cntt r�r... -• ^--• ted Delivery 5489 ❑ Signature Confirmation*" ❑ Signature Confirmation 7 015 1660 0000 6035 _livery Restricted Delivery �— PS Form 38 July 2015 PSN 7530-02-000-9053 Domestic Return Receipt DIVISION OF COASTAL MANAGEMENT ADJ CENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: Address of Property: Agent's Name #: Agent's ph&-ie #: 2 ✓, 4-el OD (Loi or Street #, Street c- Road, City & County; Mailing Address: 20/�W�'1 a••• I hereby certify that I own property adjacent to the above referenced property. The individual applying fo - this permit has described to me as shown on the attached drawing the development they are pr�)posing. A description or drawing, with dimensions, must be provided with this letter. 1. have no objections to this proposal. I have objections to this proposal. If you have Lbjections to Farhat is being proposed, you must notify the Division of Coastal Management (DCM) in w6fing 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 re$ponse is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION 1 understand that a pier, dock, mooring pilings, boat r amp, breakwater, boathouse, lift, or groin must be se 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. (Property Qwner Information) Signature Print or Type Name Mailing Addt'es s CitylStatelZlp Telephone Number / Email Address Date oj'? '`b'alld Or one calendar year after siagnaurc* (Adjacent Property Owner Information) S grUIW G�y�.e 1�en ZeCja. - TyNe Name Jody Mailing Address K % City/StatelZip Telephone Number/Email Address Date Revised „an. 2017 S�9 BLIFT OAT SITE $ asKut[ MY JEAN GUITE CUMMtKK SMW CREEK LOCATION MAP (N_T_S I 1.) TOTAL AREA - 30.573 sq. I - / 0.70 oQ (C dmoth.) 2-) AS RECORDED N PLAT CAE. B, SL 327-331; D.C_R. 3.) PROPERTY IS LOCATED N F. R.M. ZONE AE (7) AND SHADE X 4.) THIS PROPERTY IS SUB.EC- TO ANY EASEMENTS THAT A MORE THOROUGH TTLE SGJ :1 MAY UNCOVER 5_) THIS SURVEY IS BASED ON XISTING FIELD MONUMENTATON 1 �j 40 20 0 40 1 i I inch a 40 fL GRAPHIC SCAT,S AND RECORDED INFORMATIO 5.) THERE IS A 15 UTILITY EAS MENT ALONG THE STREET / „ems- M AND 5' UTILITY EASEMENT / .ONG THE SIDE LOT LNES. 7.) ADDRESS_ 70D1 MARTINS 114 NT ROAD 8.) PIN 111 986705084840 FLOOD ZONE DECK 1 1' �- SHADED X k FLOOD ZO DECK PORCH �� RETAIN AE (7) P e 0 LOT AREA = 30.573 sq. ft. I �' I ' 2 STORY HOUSE g o ON CONCRETE BLOCK EXIST. IMPERIVOUS ARE: = 8,885 sq. ft. 00 FOUNDATION AREA PROPOSED POOL AND DECK = 368 sq. ft. c.I 17,0j 2a 0 I AREA BRICK WALK TO FJF REMOVED = 113 sq_ ft. � @ TOTAL IMPERIVOUS AREA = 9.140 sq. ft. i 2 LOT COVERAGE = 29.9: I _ �:' ` n on' (DOES NOT INCLUDE WATER SURFACE IN POOL) �coNcr:ETE• : I ,AY,'.,: "I _ 24.3' I 1 1a7• LOT AREA WITH THE A_I'-C. = 8,143 sq_ ft_ EXIST- IMPERIVOUS AREA - 914 sq. ft. I 1 AREA PROPOSED POOL AND DECK = 368 sq. ft. ID '- J I� TOTAL IMPERIVOUS AREA = 1,282 sq. ft. -.I LOT 17 Ir LOT COVERAGE - 15.7<.,% (DOES NOT INCLUDE WATER SURFACE IN POOL) I I LEGEND o rn �I I o PK NAIL o N ® PIN (F) i I e TELEPHONE z I I ® WATER METFP LOT 18 a CONC. MONUMENT p TRANSFORMED L 40' AtBL AttAtttttt/,,,' CARO, °�• 4r. .•''�N. 'SS .S r Icy 100.02' = DOE v 100.02' a SEAL 9f` s� N14*13'09'W _ :.� L-3531 rb3D ss- I,C�Soz •.,'PIA J. R .� ''��.. t. to t•A. :7F I, GLORIA J. ROGERS, P.L.S., CERTIFY THAT THIS 20' MAP WAS DRAWN UNDER Mr SUPERVISION FROM r AN ACTUAL SURVEY MADE UNDER MY SUPERVISION. 10 THAT THE BOUNDARIES N01 ACTUALLY SURVEYED Eim- ARE SHOWN AS BROKEN LIOES PLOTTED FROM 21Y INFORMATION FOUND IN EXI-a11NG RECORDS AND THAT THIS MAP MEETS THE, REOUfREMNTS OF 1' NCAC TITLE 21. CHAPTER 56, SECTION _1600 AS _Sri AMENDED. WITNESS MY HAhb AND SEAL THIS THE 19th DAY OF OCT. 2017. P.L.S. L-3531 FLOW ZONE AE (7) -FLOOD ZONE SHADED X Oi O M O n r LII k i TO 1TE ttEItOV ml wALK ED 1 113 SOFT. LOT 16 MARTIN'S' POINT ROAD Ex. 60' R/W PHYSICAL SURVEY FOR ]RICHARD H. LEVINE AND —1a4 LOT 17 = 40' LOCK I, SECTION II, MARTIN'S POIN' BIR DARE: COUNTY I ATLANTIC TOWNSHIP I NORTH CAROLINA GLORIA J. ROGERS CAZt5YWEM, STREET . N.C. 27021 PROFESSIONAL LAND SURVEYOR (t 52) -w-o7m *l 7)sat 16ws!�� t` i i ME 4-1 1 � � .� i�8 f ti 0 f d � ✓ '�' i�`S zva �wriO�j _-Qi s '+;,.,� s - sn �pt-t o t -+I rA 4 rl &rz . is zt� .a.rd ■ Complete items .1, 2, and 3. A. Signature ■ Print your riarr and address on the reverse X �. so that we caft *urn the card to you. ■ Attach this card to the back of the mailpiece, B. Rec or on the front if space permits. j J(t,K Article Addressed to: dy1 ICc Z,Q;�-s��' D. Is delivery address di If YES, enter delivery ❑ Agent Name) Date of Delivery -77 c L i� fferen from item 1? ❑ Yes add ss below: ❑ No II I 1111111111111111 II III I I II I II I I II I I II ( II III 3. Service Type ❑ Priority Mail Express® ❑ Adult Signature ❑Registered MailTM ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted Certified Mail® Delivery 9590 9402 4497 8278 8334 72 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation- 7 015 1660 0000 6035 5472 Signature Confirmation �tricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic -Return Receipt Name ol A J. e Ag e nt's- Na Ag en. Vs phi Ilk f i i hterebx, nPiv �e 7t. Tiev Sc5i?i" I -rust at !--e 4e A Print orTiip i himiling Addt-as-- , K , -v%- - � �� -� 2 -74 it Daie m