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Home My WebLink AboutBlanks, Earl❑ CAMA / ❑ DREDGE & FILL ) / / i No. 74430 A B D GENERAL PERMIT Previous permit# ZNew ❑Modification ❑Complete Reissue ❑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 f environmental concern pursuant to 15A NCAC y Ji ) I P j ❑ Rules attached. Applicant Name_ Z__ ' ✓ /I r / Project Location: County ✓ Address I l (�V <- r . / % ✓r ,. L. Street Address/ State Road/ Lot #(s) City — StateA1t! ZIP Phone # ( ) `-'rf E-Mail Authorized Agent Affected ElCW. ❑EW El PTA ❑ES ❑PTS AEC(s): OOEA ❑HHF LIIH El USA ❑N/A ❑ PWS: ORW: yes / no PNA yes / no Type of Project/ Activity Pier Fixe Float Fing ill Groi Bulk Bass Boat Boat Beac Oth Shor SAIV Subdivision City -��-;. �t., -�.,- jf%r ZIP .�•6 Phone # ( ) River Basin / / -1, I Adj. Wtr. Body f (nat'/man /unkn Closest Maj. Wtr. Body (Scale: ,.Il ) ■■EE■■■E■■■■■■■■■■■■■■ ■■■■E■■■■M■■■■■■M ■NM■■■■■■■■■■E■■■■■■■ ■FEMME ■Ew■■■■ ■NM■■■■E■■■■■■■■■■■■■ ME■■■■■■■■I■■■� r pier(s)■■■E■■EEE■■■■■■■■■■■■■■■M■■■■■ MEMO No length■N■■■■N■■■■■■■■■■■■■■■■■■■■■M■■■■■■■■M M■■M■■■■M■■MMM■■■■■■■■MEE■■■■E■■■■■■■■■■ number ■■■E■■■e■■MEMO■■■ME■■■EM■■■■■■■■■■■■■■■■ avg distance ■■■■■■■eE■Vi/A ME■E■FA■■E■■■�■■■■■■■MEMO■■■■■ max distance offshore■e■■■E■MMEeMee■■■f�OEi�■■e■E■F. UM■SIMM■■■■■ ■■■M■■■M■M■ME■ M■■M■MEM■■■■■■ME■■M■M■■■ ■■■M■M■■■■■M■M :■■■■■■■ME■■■■■■■■■E■E■■■ ■■■M■M■MEMEMa ■IM■■■■.e■.■■.■■Cn■■■■■■■ ■■■■■■■M■■EONI ■ ME■■■■ME■M■EE E■E■■■■E ■■■■■MMAM®[E0�/TJ ■MEMM■MMMEEMEe■:MEEM■■■■EMEMEMMEMEMEMEMEM. MEMEMEMEMMUMEME ME MEMMEME Elm M ME ME MMEMEMEME M :::E EME:E■M:MEM :E M Ili■e■er Iee■NC■■ mom ME ■■EN eNo ■ MEMEMEMEMEMEMI M:::::::: 11 No MMINE ..... ■E■MEE ■•■•::::::EM III: ■■■■:■::::IIN :......::::a■■ :MMEE:::N::� IN MMEMEM�:::.�EIMMEMEMEM E■■■EMEMMEMEME N MEN ■■■b■FEEMEMEMEME Mo Phot ME A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name .. n See note on back regarding River Basin rules. n ed Name I Signature ** Please read compliance statement on back of permit** Application Fee(s) Check# Signatur l ' Issuing Date 7 Ex iration Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: cW I c"e'tr 1 {c') 641 k s Mailing Address: 3X01 C'oc'ho'd 6(ddh -T%l 7 5 3 5 I certify that I have authorized (agent) //il n vy 6 L z w 'e" c P to act on my behalf, for the purpose of applying for "and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) Pa it I xl v/ IV C �!j 5 3 This certification is valid thru (date) / �— — / / Property Owner Signature Z1zo/Zol9 Date RECEIVED APR 2 4 Z019 DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to � � I v *,v/t C-r, ;C '/l4n r f 's n , �(Nime o Property Owner) prc on The applica t has described to me, as shown below, the development proposed at the above anon I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach siteLdrawhig) kl)0340 CO C^7e , )3Sr 13 m 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 b me. (If you wii to waive the setback, you must initial the appropriate blank below.) SEC IVED V I do wish to waive the 15' setback requirement. APR 2 4 2019 I do not wish to waive the 15' setback requirement. nr^.M-HAND CITY (Property n��L�✓�!/ ( nformat/ (Adjacent Propel caner nforma ' n) Signa/(ure Si Wit Print or Ty a Name/ / Print or Type Name, ^ 3 YU ( �rG(/�IcN f�r")h l / I 7cJy t'i(%;11,M&51h>t M iling Address Mailin A ddresss Cit /StaWZip City/Statel[ZZio� Telephone Number/email address J Telephone Number/email address Fe_b. 7O3 Wz ¢393 pa�� Date* 4fia'c� evised Aug. 2014) 'Valid for one calendar year after signature' Tax Parcel Information: Owner: BLANKS,EARL C ETUX MARY B ETAL Current PIN: 732511651217000 i Site Address: 144 RUSH POINT RD HARKERS ISLAND Mailing Address: - 3801 CROOKED BROOK TRAIL . r APEX NC 27539 i Legal Description: f 7 PARTTRACT i BARHAM &YOUNCE Prior PIN: 080031-1o104 City Limits: Rescue District: Fire District: HARKERS ISLAND FIRE p' Tax District: 8 Township: HARKERS ISLAND Use: MANUFACHOMEPERM Land Value: $113,732 NBHD: 80024 r Bldg Hid Sq Ft: i62o Bldg Value: $107,436 Bldg Tot Sq Ft: 2,401 Other Value: $7,173 year Built: 1991 Total Value: $228,341 Noise Level: Sale Price: $200,000 AICUZ Zone: Deeded Acres: o.689 GIS Acres: 0.670 Plat Ref: 28 / 280 RoB Type: R w�a Deed Ref: 1490 / 221 Deed Date: 20140926 �w Bedrooms: 3 Bathrooms: z 1�-114u 191 Carteret County, N.C. "Jk s 3 orRra� Printed APtll 2& 2019 emmmo�agoettro.1oun.a na aw aa«nmeanm p,dlopdm y m wa�mema m. am sa e.a�,m.:wn e. aii.ua,ou,a. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Lt / lI ti�l�i_I�1, i ,t 611 rf 's t .(Npme of Property Owner) property located at / Y V- 01 [c a IV Cr (Address, Lot, Blo , Road, e c on 4 o �I u s l ee K in a ,h� (Waterbody) (CltyrTown and/or T e qpplicant has described to me, as shown below, the development proposed at the above Io t' I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill In description below or attach a site drawidg) o e , �3k l3 e s 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.) Date I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Owner I l W. -r1i�% tct7on(ttLp�'�.��n Number/omailaddross 'Valid for one calendar year after skJnalure, Property w er Informatign) a M, (R vised Aug.2d14) 2p19 w %4 pCt pAHD CITY