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Home My WebLink About61576D - Francia;CAMA / ❑ DREDGE & FILL AA iENERAL PERMIT /"`C7 New ❑Modification ❑Complete Reissue El Partial Reissue ized by the State of North Carolina, Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concern pursu :Narris !tA,"'-' ZIP_ )/`+'T" - ✓ ` —State Fax # ( ) A Agent ❑ CW �] EW - PTA = ES -1 PTS ❑ OEA ❑ HHF IH _. UBA J N/A ❑ PWS: ❑ FC: yes / no PNA (es// no Crit.Hab. yes / no Project/ Activity :k) length (s) igth nber .J• pray len�h ��5 distance offshore x dis ffshore annel :—Ste—' 24) ,ic yards_ ip se/ Boatlift Adozing Length % ' r TV not sure yes not sure yes — ium: n/a yes yes attached: yes ig permit may be required by: rIJ l Previous permit # Date previous permit issued ant to 15A NCAC ❑ Rules attached. Project Location: County ➢ ::" rL Street Address/ State Road/ Lot #(s) Subdivision Z,4- City /"d✓. f ZIP Phone # ( Oc ) F River Basin Adj. Wtr. Body/�/ L(� v nat n Closest Maj. Wtr. Body / `I, ,.- �r (Scale: .7J 17A ❑ See note on back regarding River Basin rt Please Make sure your site (drawing includes the following information required for a C'AMA minor development permit The Local Permit Officer will help you. if requested PHYSICAL DIMENSIONS _ Label roads Label highways right.of-wa%s _ Label local setback lines Label any and all structures and driveways currently existing on property Label adjacent watcrfwdy PHYSICAL CHARA('TERISTIC% _ Draw:md label normal high cater Inc (contact I.P) for assistance) Draw location ofon-sde wastewater systrni If you will be working in the ocean hazard area Draw and label dune ridges ( include spin elevations, _ Draw and label toe of dunes Identify and locate first line of stable vegetauon (contact I.PO for assistance) _ Draw and label erosion setback line (contact LPO for assistancei _ Dnre and label topographical features(optional) If you will be working u) a coastal shoreline area Show the roof overhang as a dotted line around the structure _ Draw and label landward limn of.AF.0 Draw and label all wetland lines (contact I.PO for assistance) Draw and label the 30-toot butler line DEVELOPMENT PLANS _ Draw and label all proposed structures Draw and label areas that will be disturbed and or landscaped Note size of piling and depth to be placed in ground _ Draw and label all areas 1c) be paved or graveled Show all areas to be disturbed _ Show landscaping NOTE TO APPLICANT I lave you • completed all blanks andor indicated if not applicable'' • notified and listed adjacent property owners' • included your site drawing" • signedand dated the application'' • enclosed the S 100.00 fee') • completed an AEC Hazard Notice. if necessary' (Must he signed by the property owner) FOR STAFF USE Site Notice Posted _ Final Inspection _ Fee Received Site Inspections Date of Action Issued Exempted _ Denied _ Appeal Deadline (20 days from permit action) COASTq� A P P CAMA DEVELOT I In 1974, the North Carolina Gcneral Assembly passed the ( oastal A (CAMA) and set the stage for guiding development in fragile and pr border the state's sounds and oceanfront. Along with requiring speci build and develop, the General Assembly directed the Coastal Resou (C'RC) to implement clear regulations that minimize the burden on t This application for a minor development permit under CAMA is pa Commission's effort to meet the spirit and intent of the General Asse designed to be straightforward and require no more time or effort th the applicant. Please go over this folder with the Local Permit Offficei locality in which you plan to build to be certain that you understand or she needs before you apply. Under C'.AMA regulations, the minor permit is to be issued within 25 complete application is in hand. Often less time is needed if the projei process generally takes about 18 days. You can speed the approval pr certain that your application is complete and sighed. that your drawii specifications given inside and that your application fee is attached. Other permits are sometimes required for development in the coastal are not ('AMA -related, we urge you to check with the Local Permit Q which of these you may need. A list is included on page two of this fait We appreciate your cooperation with the North ('arolina Coastal M21 and your willingness to build in a way that protects the resources of of productive coast. UCM Fn F.61-)42-2i1I1y Ref tied Apn12010 Coastal Res Division of C REC , 4PIT 2 3 ?i Locality Permit Number Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other (1•irrn• ,Ial use nnli/ GENERAL INFORMAT1 LAND OWNER r^ - Name- Address Cih r late r /� � `'` ]K ---wtir -- zi 'hone /'F!l r[s��(d{t1 ^ iY,7 j .�•� Email _ 1" AUTHORIZEDAGFNT Name Address Cih State —_—._. _____ Zip Phone Email.-__— — — — LOCATION OF PRO.IF.CT: (Address. street name and or directions to sue If not oceanfront. what is the name ot'the adjaccnlwaterbody)I'��)P�rt�'Pos&cdc4on%tnicl,' A1_a�sAt` DES('RIPTIUK OF PROJF.('T (List onlanrVdhand duturbancrNt 5-�� _ SIZE OF LUT/PARCELr square feet 16/ acres PROPOSED USE: Residential ISurgle-family VMulti-famil} ❑ ) Commercial Industrial Other El PLETE fo)MrprgpeEITHER (1)OR(2)BF.LINV(('onlacvyour I -al permitQffcerijpiesarenot sure which.4FCappU. (1) OCEAN HAZARD AECs:TOT.ALFLOOR AREA OFPROPOSEDSTRU('TIRE: are air conditioned living space, parking elevated above ground level. nun-condm+Foci ekcalyd oned above gro fcdt [includes excluding non -load -bearing attic spacer above ground level but (2) COASTAI.SHORF.LI.VE AECs: SIZE OF BUILDING 1Y)OITRI\TAND O'fHER IMPERVIOUS OR BUILT UPON St JRFAC'ES-W-,j late feet t includes the area of the nx,l'drip line of all buddings. drib sways, covered decks. concrete or masonry rpattiios,, tic that are within the applicable AFC Attach your calculations with the project drawing I STATE STORiIWATER -MANAGEMENTPERMIT- Is the project located in an area subject to a State Stormw•aler Management Permit i ed by the NC Division of Water Quality" YES_ _ NO � If yes, list the total built upon area Impervious surface allowed for your Jul or parcel. — _ square Pert OTHER PERMITS MAV BE REQUIRED: The aclivrty you are planning may rec minor development permit, including, but not limited to Drinking Water Well. Sepo treatment system). Budding. Electrical. Plumbing. Ifcating and Air Conditioning. Im Certification. Sand Dune. Sediment Control. Subdivision Approval. Mobile I tome P: others Check with your Local Permit OflSccr for more information. STATEMENT OF OWNERSHIP: I, the undersigned. an applicant for a C:AMA minor development permit, being either person authorizxd to act as an agent for purposes of applying for a C'AMA minor devi listed as landowner on this application has a significant interest in the real property do described as: (check one) j1an owner or record title. Title is vested in~1� ^ N /� Page in the �A► so —S) A �__ County Registry of Deeds owner by virtue of inheritance. Applicant is an heir to the estate of probate was in _ County. _il'other interest, such as written contract or lease. explain below or use a separate NOTIFICATION OFADJACENT PROPERTY OWNERS: I furthermore certify that the following persons are owners of properties adjoining tills ACTI'Al. NOTICE to each of them concerning my intent to develop this property ant ( Name) ( Address ) tl,-W 1 --,p-� 3(�MiTc tzl_.�-PRE�S lean t�1� , Of - - --- - ACKNOWLEDGEMENTS: 1. the undersigned, acknowledge that the land owner is aware that the proposed developr may be susceptible to erosion and -'or flooding. I acknowledge that the Local Permit Oflit lot hazard problems associated with this lot. 'this explanation was accompanied by recon uon and floodproofing techniques I furthermore ccrtrfj that 1 ant authorized to grant. and do in fact gran. permission to Dn the Local Perim Officer and their agents to enter on the aforementioned lands in connect related to this permit application a this the �_ _ d Ldadowntr it person authorized to act as his her or agent 1'err B purpose of filing a LAMA pert This application includes: Xenerul mJurmunhma .rie dratrgus des, rihdounerrhrp snurmrvO.ecean err Htrurrl.4hC-V,,lne u hanr nca e"cin, a t heck /or S100 fit autp ui/orinutuwt tic mat he pmvalyd uru/lv hp Ihr uppbcrmL The ticcdrtutlr ol theupphr utuur nlrrta•d w•uhntu nlerrm•a• m um permit which nrup hr re.cued lhvrunnn Jnmt there d uiq /rrrmimt/ Air /x rsrm J •va•6rpntX to era : Ili.'(' u•tlhuttt permit to ruh/e, I nt ctvd, a rrmrtwl w 33��669 �3 cant�ONn - G �, �� Permit #: I 13 F— I vlvl tX Jibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement in your Habitat code sheet. DISTURB TYPE it Name Choose One TOTAL Sq. Ft. FINAL Sq. Ft. (Applied for. (Anticipated final Disturbance total disturbance. includes any Excludes any anticipated restoration restoration or and/or temp temp impacts) 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) Dredge ❑ FillX 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ FRANK A FRANCIN DIANNE C FRANCIN P.O. BOX 2222 5URF CITY, NC 28445 c CAROLINA BANK 6N(�W'N-C27265 I 66-7401/531 1352 DATEAWA(,P� -'bt� Ir DOLLARS Kc . 3 � s- ,. ✓ � it f� � � �� ,i' a � � I 6�, `h �' �� f � I S f, r I � i !� S r' f r � r' i. � 1 n i -� t i - r � �. � I i., . i ii i� i i � -�, I � �� f_ � lid} �y- it r + i I l r �1�.!if.: U -• q ,I. � I •�i '-I i M�'; l Il'' �� .�u�L�u:.�:j.9uit: t � �I �. f i�� I 1 II 11 1 �; -.✓ / p-6v 77�19 1 c�8 Y-J , 7 ,2— 76 �%7 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to �69k, T�KA IXJI ,s property located at J S' (Name of Property Owner) 4W I'MAk 7-16 R-1D on AII f ��,,,,nn Address, Lot, Block, Road, etc.)), ,�'' r V UU GA`%2, AN in dASA ( C tkf`�C�' N.C. (Waterbody) (Town and/o County) He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, I have no objections to his proposal. (APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) Signature Print or Type Name Telephone Number Date d m Postage and Signature Confirmation fees must be paid bewre mail) rn mca ..EMFJ ................................................... ....... Qo o ��Qf C I r y Keep this receipt USTi C E P stna5rk �' Access Internet W rti www.usps.com o H r i 12013 orcalli-soo-222 z� "1 m S _ 2 $ A b Flra4Clasa Mal UNfTEDSTi]TES POST.aL SERVK'E. Date: 04/15/2013 FRANK FRANCIN: The following is in response to your 04/12/2013 request for delivery information on your Signature Confirmation(TM) item number 2311 0770 0000 5559 8339. The delivery record shows that this item was delivered on 04/15/2013 at 12:22 PM in TALLAHASSEE, FL 32308 to T HIGHTOWER. The scanned image of the recipient information is provided below. UM I �� Signature of Recipient: b l Cosa ��r1��Oww RE EIVEE APR 2 3 2013 M WILMINGTON. Receipts for Certified Mail (Staple Here) Date Al Adjacent N �~ 9��NS Mailin�gi ddre$$�SSH�0 C) City, State, Zip Code Dear Adjacent Property: This letter is to inform you that I, F�Ak W I N ----�1� have applied for a CAMA Minor Property Owner Permit on my property at ( �� r ; B tt� Dk� 5 �� r �At�An � Propek Address County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my proposed project, please contact me at ��f<, ��n��1-- Q1 ,or by mail at the address listed below. If you wish to Applicant's Telephone file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit them to: LPO NAME p ` ~ Local Permit Officer for LOCAL GOVERNMENT LOCAL GOVERNMENT ADDRESS I �7 �A�i (►a+l,� ; CITY, STATE, ZIP CODE Sincerely, 0K Auk Property Owner Mailing Address A)d, lob W PrUn Postage and Signature Confirmation fees must be paid before n�a oa Co Z t tj Ln Ln ,.�,. F' o L Q C3 POSTAL CUS' OC3 Keep this receipi 0 Access internet 1 LU � G PoH a 13 1 www.Usps.com' o sA ` or call 1-800-2Z e s a a% U a 2E Mall' v, m rF1,t M, AGUNITEDST/1TES -POSTA L SERVICE. Date: 04/19/2013 FRANK FRANCIN: The following is in response to your 04/12/2013 request for delivery information on your Signature Confirmation(TM) item number 2311 0770 0000 5559 8322. The delivery record shows that this item was delivered on 04/19/2013 at 01:06 PM in RALEIGH, NC 27615 to T TBF. The scanned image of the recipient information is provided below. Signature of Recipient: APR23A Receipts for Certified Mail Arm in Aq\i-2 J (Staple Here) WitAN Date TNK- Adjacent Property Owner Mailing Address City, State, Zip Code Dear Adjacent Property: This letter is to inform you that I, &.0,0 1t have applied for a CAMA Minor Property Owner [' Permit on my property at 15 CAS k6Wn A� Property dress County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my proposed project, please contact me at 33 —u, 9 " q 0 3- 3or by mail at the address listed below. If you wish to Applicant's Telephone file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit them to Sincerely, Property Owner 1.5- 6S"AO/ C1� Mailin ddress N r X cu& City, State, Zip C e LPO NAME Local Permit Officer for LOCAL GOVERNMENT LOCAL GOVERNMENT ADDRESS CITY, STATE, ZIP CODE % �/ / I,` �77'j\, / 10 �1/�v[ 01 AXX r. d-2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to / ' \ A VK_ F' V l (A / -s y� v/� �r (Name of Property Owner) property located at �� (/e` / Q" u� ZA ZNAA 7 7, "' / Q 1 \ Address, Lot, Block, Road, etc.) 19&U ` on in Tov� �� N.C. (Waterbody) (Town an or County) He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, I have no objections to his proposal. (APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) Signature Print or Type Name Telephone Number Date