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HomeMy WebLinkAbout74555D - CrisafulliCAMA / DREDGE & FILL NO. 74555 A B C h D GENERAL PERMIT Previous permit # XNew ❑Modification ElComplete 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 of environmental concern pursuant to I SA NCAC C)1 j .2- 0 -� NCO ❑ Rules attached. Applicant Name I JAV 110 CR I SA F V L , I Project Location: County /V E to A AN OV E R Addres11s''I10(o EVr-/VTIof- BLVD City W IUtA wW-row/ StategC-ZIP 2 941 I Phone # (" 1 ) $( T-3 FO0 E-Mail N/,A Street Address/ State Road/ Lot #(s) ;?- 0 Z 1 _ R-1,/ITy AVl`Nu,E Subdivision Authorized Agent CNASIE 15%-AtA City ZIP 2g411 Affected ❑ Cw XEW XPTA ❑ ES ❑ PTS A CwAIT Phone # (9 q-) 819 - 47 IS River Basin WA 1T£ Oft. AEC(s): ❑ OEA ❑ HHF IH ❑ UBA ❑ N/A Adj. Wtr. Body CRf-E K pFF M1011>1_1-1' cSou�an /unkn) ❑ PWS: ZIT ORW: ye / no PNA yes / no Closest Maj. Wtr. Body A I W W Type of Project/ Activity C O/JST R I^ C "i N£vi r L O A-T 1.V C-7 D O c I< w IT14 IZAmp L Aqp2i-A-rr-nPtA (Scale: oating • /L!��0■lil�i'iiiiiili�■■tom■■■■\1�■II■�1■■iIN■L% iea Riprap length_ avg tance offshore max disliance offshore Basin. channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing \ h r �! A�/DINCi 4� x to � Shoreline Length t 9 I SAV: not sure yes no Moratorium: yes no Photos: yes Waiver Attached: yes o 1011-1 A building permit maybe required by: ,AtEW AAAiOyE R CotA,/Ty ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions A Lt— C o yy m I oA/S cat 1211H . 1200 K A U. 07-9r R F F_ D lE R ^t , STA1t'_ L�OCAk-- 1ZrGiA�LATIoMS APrLy, VDCK-InJf, FAciL.1Ty SNAt-L NA%lr- A LA At I M u IkA n C .2- BoATS!_ I PS 96 S v A L1- A/ i'r E At r P. o A c A i ti To E l l a r' 2 1 5' fZ I PAR I A/ Sr- T0AcK NoK- Agent or Applicant ri^// Printed Name Signature ** Please read compliance statement on back of permit ** 200 # I4IO Application Fee(s) Check # I=Xc8CD TN IF— 1/4 WIDiN uF 1-0t_ wA-lc-1LP�V'Yl I yLF-- 9- M C Cilkl RE Ar-C Permit Officer's Printed ,Name 14f-AVi lA Signature 12 AS 2019 IS 2020 Issuing ate Exp tion l5ate •_. � �,r=.`k=3��T... . =tee„ AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: �� ��'•4` -)�Y rO , Phone Number: Email Address: i certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: LVIV\&) .al0G_ at my property located at -1-6--L \ �-r-c 1 -J in N t,,.a 1A0m—o4 c, l County. 1 furthermore certify that I 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. Pro Owner Informati n: Signature �J �. Cyr' � � � �—►1 ; Print or Type Name Title / 1� / ' Date This certification is valid through 1 I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to bO,,A— .k%M; I (Name of Property Owner) property located at �1-` ��'�'� Y Avg- - (Address, Lot, Block, Road, etc.) on �+��r.co•��+-� , in i\I t�l.✓ (,wae-V y , N.C. (Waterbody) (City/Town and/or County) T;4 applicant has described to me, as shown below, the development proposed at the above location, VAJ-�k 1 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 drawing) �V,ck-t,1 Ivi� tyc� i"' WAIVER SECTION I understand that a pier, dock, mooring pilings, 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. do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Print or Type Name 107,1 Y Owe, Mailing Address *—+\�wdf", N L- ) City/State/Zip vt%� _ A(- 3Vvb Telephone Number Date (A 1111cent Property Owner Information) (h 4jb�;V--c C9L &Z Sign ure (7G� 1 Print or Type Na Mailing Address City/StatelZip 5(o ^ 3-P6 -6 36 Telephone Number , Date (Revised 6/18/2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Vr'� Cr'� 4,-11 ' 's � � � (Name of Property Owner) property located at L�Z � � � �Y`• G`y (Address, Lot, Block, Road, etc.) on in 6--'—V Y , N.C. (Waterbody) (City/Town and/or County) `I The applicant has described to me, as shown below, the development proposed at the above location. I have no objection o this proposal. ,• �_t 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) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathousf., 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature �ic-•V C., (its+ j4 -�yi V Print or Type Name 102"l Y cy� Mailing Address City/State2ip n -- xcy- 3 �vy Telephone Number Dale (Adjacent Prop y Owner Information) Si nature Print or Type Narne Mailing Address City/State2ip Telephone Number Date 0 (Revised 6/18/2012) 0 IV cam"° 6uLl f c-* I �21 �-r :Y.4NY C,vr v-eV% }- r,-,r^p z P-4,-uc- e'l Iis 1 L-OCATICDN MAF' NOT TO SCALE NOTES: 1. THIS PROPERTY IS LOCATED IN ZONES "AE"(14), "X"(SHADED), & "X" ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY'S FLOOD INSURANCE RATE MAP, COMMUNITY -PANEL NUMBER 3720316800 K, DATED 8/28/2018. 2. SITE AREA = 0.61 AC.t v� PID: R04518-002-005-000 ALEX HARGROVE & wife NORA HARGROVE LOT 2017-A HARGROVE LANDINGS BK 6042, PG 2824 M.B. 60, PG. 71 N 0 EXISTING IRON O MAG NAIL • SANITARY SEWER CLEANOUT (9 WATER METER m WATER VALVE Is GAS VALVE EUC o ELECTRIC PEDESTAL C-) POWER POLE — — CENTER LINE ---- R/W LINE — — — ADJACENT PROPERTY LINE CANq 1 OA11NG F x suL H� p (APPROXIA4A 76.9,3 MEAN HIGH W� S54'47'25'W 3i 90.97' (Total) J A7LAV77C lN7R ) I 56 � REAR SETBACK ' -,� 1 � I RETAINING WALL 1 1 POOL STEPS 1 � CONCRETE ^ x I w p PATIO G 20.7' 1 ¢m 1 U, PORCH° wl o 0 I F.F.E.=22,78' 01 1 W1 N � O I fn � 1 'nI POOL PHA: 1 PUMP HAI PAD LOT 202 cn I #2021 00 1 EXISTING CONC. 2 STORY 1 PAD 1 DWELLING I o 20.6'1 1 {, HVAC COVERED a 1 PAD 1 STEPS i 7.6' FILTR. 1 BRICK TANK x 1 PAVER I U m I 1 GARAGE HI �,,1 PAVER$ of J / I � 1 BRICK I PAVERS UNDERGOUND I O PROPANE Q TANK 10/ °E` o I RE � fo / o ^° 1 / COLUMN