HomeMy WebLinkAbout73658A_Dougals, Ronald_20200115�XCAMA / '_' DREDGE & FILL
r. GENERAL PERMIT
NNew - Modification Complete Reissue ElPartial Reissue
No. 73658 K/C `___
B C D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality Z
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC •'
L< Rules attached.
Applicant Name 0 c @ U V 0 0 (A )iQ S
Address 'ZI "�)_4 '10AY Is RQ_ (,Vi►
City } �kl� Nato,�State_j�J _� ZIP 219 L1 g
Phone # ( ) E-Mail
Authorized Agent M I � 1 S'�toN e Ma
Affected ❑ Cw i kEW *TA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / _0
Project Location: County 'DGJ e.
Street Address/ State Road/ Lot #(s)J, to 1p+(n 'S�J r-e e�
v,(o6 N, y geGcL, , V A ZVA51
Subdivision K)}� s _ `C Lk rja ., � ��, C)
city K�-kAL4 )Auw K ZIP
Phone # ( ) River Basin
Adj. Wtr. Body CGNA 1 (nat / - /unkn)
Closest Maj. Wtr. Body -AN eMo, It Suo r,1 d
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Agent r icant�pr)t Name
Signai:ur ad compliance statement on back of permit
200.E qa0
Application Fee(s) Check #
Permit O /er's Printed Name
Sig t e
(2j,) /IS J 2-PzgS I Z
(isuinjDate / Expilation 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 1) 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
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 2—CZD
Name of Property Owner Applying for Permit:
& p buts
Mailing Address:
16", s-r,
- 32
I certify that I have authorized (agent) ST L /14A r.�t— to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) L c Sr (t J cT /2 j-f ,z,j ft7icq r- /?& > C,,;T�
at (my property located at) 3 9 ?7 i/� 1k� Aram
This certification is valid thru (date) 3--3 / _ ✓ Pn
Property Owner Signature
/--//-2a
Date
Scanned with CamScanner
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to 01� 1 anj ,s
( ame of Property Owner)
Property located at �937 lr�2kt� ����� D2r�r�
(Address, Lot, Block, Road, etc.)
N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: E'kicc,SnJ- rung,-�,,y� Mailing Address: 2r�c� `4n.,q,;cTC_.,,�- tJc�p,S,(�2
Agent's phone #: �tZ-�R _�G7X i,rKt: o 79.rz
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notifythe Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
res onse /s considered the same as no ob ection if ou have been notified by Certified Mail.
(Prope Owner I or a' n)
Signature
6LaC
Pnnt or T pe Name
Mailing Address —
J�la.
C�ty/Stafe/Z�p
Telephone Number
U /
Date
(Riparian Propepy Owner Information)
Signature
TiW r•.J AqQ (L)II-c
Pant or Type Name
239, Prr'&q
Marling Address
.11
1111 b Lc YJ -
City/State&ip
-63o
Telephone Number
&) /"?q / / q
Date
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DIVISION OF COASTAL MANAGEMENT
OJACENT RIP IAN PRp E 0
CERTIFIED MAIL - RETURN RECQIPT REgU AESTEp FO M
I hereby certify that I own property adjacent to A
GLnS ,S
propertylocatedst r7 ,? (C ( ame of Property Owner)
mG� (kzxJrL
on(Address, Lot, Block, Road, etc,)
A� �6Jct.n
-- ��sll�-1 �C
(WaterSody) _ N.C.
Agent's Name #;
(City/Town and/or County)
z«,��
MaaingAddress: o�tTFrr� Wck11SXJ2
Agents Phone#: S"i- e7.1L'f
rxh 2P9t
He/She has descnbed to me as shown below the development he/she is proposing at that Iocation,
and I have no objections to the
Proposal,
DESCRIP71ON
(lndlvldual AND/OR DRAWING OF PROPOSED DEVELOPMENT
proPosing development must rill ►n descr/pt/on below or attach a site drawing)
!f you have ab/esUons to ►vhat lsbeing prpposed, youlnust noU (DCM) In wrfUng W Mn 10 days of recalpt of this notke C°nha�eDlvislonaf CoasralManagement
ava!lablo at www.nccoostalmenyemenLneUcontacr_d cf Information for DCM oflicas Js
res onse !s considered the same as no o action N °f by calling 1 888-IRCOAS T, No
u have been nodfJed b Cep
J{da1J.
(PropertY Owner l tlon)
( Han Property owner formation)
Si7vR turo
sivatum
o.tir; or T 6La S� ctl
ape Name Print or Type Name
71i /
Mallnq addross R n 3 STaQ/2 S%tt ,s ,SQ
M136/ng Address
C( /SlalezPC/�- i�— y�� L.!►RSiSJ ZIX
Te1ePhOne Number 63 O + l
U G Taleph" umber
Date �`
Date
Scanned with CamScanner
Scanned with CamScanner
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3937 Tarkle Ridge DR Owners: Douglas, Ernest Rodney -
Kitty Hawk NC, 27949 Primary Owner
Parcel: 027516000
Pin: 986515549892 Building Value: $151,500
Land Value: $140,300
<<o /wL Misc Value: $6,300
el
Jib , y Total Value: $298,100
3is%
Tax District: Kitty Hawk
Subdivision: Kitty Hawk Landing Sec 5
Lot BLK-Sec: Lot: 40 Blk: Sec: 5
Property Use: Residential
Building Type: Traditional
Year Built: 1988
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