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Home My WebLink About75650A_Martin, Elayne_20191023N CAMNo. 75650 GENARM L PEIT Previous permit # a B e ° IgNew -]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 I SA NCAC r� t.+ OU ® Rules attached. Applicant Namei5he CYMn r �tr1 Address y CityKAk� �� State ZIP;1999 Phone # ('151)1-10(o- 1'10v E-Mail Authorized Agent Affected 0 CW `9 ® PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH Q UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / nJ Project Location: County, , Q Street Address/ State Road/ Lot #(s) ;I 1 1 1yb �e Y Subdivision City IOY- ZIP d l e) y 9 Phone # ( ) River Basin c, G Adj. Wtr. Bodr Creek iaty /man /unkn) Closest Maj. Wtr. Body eirC, r le 301�„_ri Type of Project/ Activity i� � 1 a 11 Cp � { a r� 1, ie (?E .., c A mF Pier Fixed Floati Finge Groir BulkF Basin Boat Boad Bead Othe Shorr SAV: Mora Phot( (Scale: i ! Sbl i length ■■. r�:��■■■■■■■■■■■■■■■■�■■■®■■■■■■■ ■il®gal■��ri■■■■■■■■■■■■■■■■■■■■®■■■■■■■ number ■■■■■■■■ ■■■■ ■■■�'I■ ■■■■■■■■■■!!!�%■■■■ avg distance offshore_ ■■■■■■■■■!!li■■■■■■■■ max distance offshore— ®■■�■��■ ■�■■N�� ■■■■w�■■■■■■■■®■■■■■■■■■■■!�■■■■■■■ cubic yards �11!■■■■■!■■■■■1�■H■■��■■■■■■�1■■�■■■■■■■ ramp ''�1■�1�■■■■■■■■■■■N■■■■■■■Hii:■■■■■■1!�!■ Bulldozing mop-i ■■■■■■�li�■■■i'iir■■■■■■�Irii� i �fGili:■r1■■■�1.�■ ' IEEE MVT. %9iaMMM■■■■�=■■MRME■E�■■m _....`CIA■■■■!R!�1■■��A1!!rJiY■■■■■■■�ii■■■■►111' no ■■■■■■■■■■■■r■■■i■■il�1■■■■■■■■■�■■■�■■ Waivrp-r—A,racbed, c A building permit may be required by: )I�'�` j') �� ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions i1 j_ („ n=l r (o' a lvo, e Agent or Ap li d Name Signature Please read compliance statement on back of permit Application Fee(s) Check # �,n�� I�a�n��ee Permit Offic ' Printed Name r Signatur 2�� Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that I) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules Other: Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 NC Division of / Coastal Mgt. Habitat Impact Computer Sheet Applicant: r' a r� .I @. I r `a'- 4 1 rN Permit #: '7 50014 Date: 1(,12 3/ l�1 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. DISTURB TYPE Habitat Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or tempimpacts) 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 tempim acts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount il Fill ZI Both ❑ Other ❑ Fill ❑ Both ❑ Other ❑ Fill ❑ Both ❑ Other 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 :: 1-888-4RCOAST :: www.necoastaimanagement.net revised: 02/03/10 T&A GO&e. cref,K e 'Lem 1XI Jew sk ItA At , AWAMW COOLLACL I Ar jftts -�-oeobeo V\?(-�T P--� VJ�cL,D Ve )� me V+ c x O r, , ,A I�t ci r r7m it-77 _ J __ i 1 r This map is prepared from data used for the )� inventory of the real /f �r property for tax purposes. Primary information sources such as recorded deeds, plats, wills, and other primary >f public records should be y;k��~ consulted for verification of the information Pik { A; A AS "` g 27.fl6 26.07 , '�` ,s • fi� .AMA ..„�, ' •. ` ' w r' i�� ;s :i 23,46+, J y� ` wy " ' r y fy e 4110 Bob Perry RD Kitty Hawk NC, 27949 Parcel: 011312000 Pin: 986508876501 S'C Ives. 0717ANP ow Owners: Martin, Elayne K Ttee - Primary Owner Building Value: $427,600 Land Value: $92,400 Misc Value: $13,200 Total Value: $533,200 Tax District: Kitty Hawk Subdivision: Subdivision - None Lot BLK-Sec: Lot: Blk: Sec: Property Use: Disabled Veteran - Part Exempt Building Type: Contemporary/modern Year Built: 2011 T'M �a •A �' 1_ s 1�'' ;yam, 1 � .s �•.'�► aer �r/v• �.. n.;7 1 j •' �'• l�iR� _fc •i fr• �+ e_3 �� ',i ,'°`! � �'. it � - t] f � � '44 iM� rVr F . 1 � i c ` I a .fit t ps \ T O7 • O ■ 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. t. Article Addressed to: A. signature �� lr went /Cf ❑ Addressee R eived by ( - ted e) Date of Delivery D. Is delivery address different from item 1 T ❑ Yes If YES, enter delivery address below: p No 9 I I I �' III II I II II I III I I I I I I I I I 3. Service Type ❑ Priority Mail Express O Adult Signature ❑Registered MaIITM ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricte 9590 9402 4940 9063 8462 09 LJ ❑ Certified WHO Delivery Certified Mall Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery El Signature ConfirmationT" ued Mail ❑ Signature Confirmation 7 01, 9 0160 0000 7952 1862 fired Mail Restricted Delivery Restricted Delivery �r $500) oC Gn..., QS21 1 6 d., oni r oeni 7Gan_no_nnn_onaq n--ti, Rot.— Raraint USPS TRACKING # First -Class Mail Postage & Fees Paid USPS Permit No. G 10 9590 9402 4940 9063 8462 09 United States Postal Service • Sender: Please print your name, address, and ZIP+4" in this box* z�9yg ■ Complete items 1, 2, and 3. Mna, L �1 ■ 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, B. R ceive by (Printed Name) or on the front if space permits. Article Addressed to: Kv.:% Pbr��( �d L-1 . t. i z� H 149 ❑ Agent ❑ Addressee D. Is delivery address different from item 17 LJ Ye: If YES, enter delivery address below: ❑ No �c II I Service Type ❑ Priority Mail Express® III I III II I III II I III I " II I I I I Ll O Adult Signature O Registered MaiITM ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricts 9590 9402 4940 9063 8462 16 11 Certified Mail® Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationT" fired Mail ❑ Signature Confirmation 7019 016 0 0000 7952 1855 fired Mail Restricted Delivery Restricted Delivery r $500) )C c— QS211 InI„ onir ocni 7Gin_nn-nnn onGQ r --+in Qc+.— Rcrcin+ LISPS TRACKING # First -Class Mail Postage & Fees Paid USPS Permit No. G-10 9590 9402 �4 �40 4063 8462 16 United States Postal Service • Sender: Please print your name, address, and ZIP+4'" in this box* E\01he Li 11 o &I-0 "111Iliiipill"iJ111 iil�ll�"il'I�l'11'i'II'I' CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: C(aj r�o-� J%X(4, n Address of Property: y \ \ o bob pp (-rl P d K+ 41A �v"14 I Nc a 1` 'Dad"e) (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. lb�u I have no objections to this proposal. I have objections to this proposal. 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. Contact information for DCM offices is available at http://www.nccoastaimanagement.netlweb/cm/staff-listing or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.) ML I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Prin�r^Type Name 4 ko (506 ei(r� K� Mailing Address K4- 1 K Nc J19�9 City/State/Zip Telephone Number/ mail Address GT_;nzWf l(mn Jo S 20 \ Date T ( iparian Property a Informati n) 1 Signature Print or Type Name M iling Address City/StateelZipp rP Telephone Number/Email Address u� Date Ri (Revised Aug. 2014)