HomeMy WebLinkAbout76895A_Perry, David & Nancy_20200916y
xCAMA / DREDGE & FILL
�AXCENE�RALPERMIT CA B c o
Previous permit #
NModification Complete Reissue Partial Reissue --
Date previous permit issued
s authorized by the State of North Carolina. Department of Environmental Quality _
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC, J }L l AW
Applicant flame � �' 1��i3��t 34 �C,4-V-1 Project Location: County
Address (� } Y k �1K !n Street Address! State Road/ Lot #(s) ( 02Leo-
City n4Yb ZIP �'�!�State.__. _. —_ _ 234gV 2- � � t �y P.�_ her, {" 'r?.� _
Phone # (�j}) s{ Z •>j _ E-Mail aiidpau IV�l_•ilt&iUo Subdivision
Authorized Agent ► Cityy11Q }(�� I ZIP 2
Affected CW X EW )(PTA XeS YPTS Phone # River Basin 1�=
AEC(s): OEA HHF *1 _URA WA
PWS: Adj. Wtr•. Body —C nat
ORW: yes /:"°+ PNA yes /Crl�; Closest Maj. Wtr. Body
Type of Project/ Activity 1 21 ' •f"• y e-oILl A,py dole bLj t.i1�tt r j 2
Pie, (dock) length : ' , t ' 4 (Scale:
Fixed Platform(s)
Floating Platforms i
Fingerpierisr
Groin length
- number
8ulkhea f Riprap length r ILI ( �_
avg distance offshore r % K ; I ,
max distance offshore Z,1 y fi N �% -S ./` �.X i+Tiy%q
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
ShorelineLength + a,
SAV: not sure yes 1!
Moratorium: rva i yes no
Photos: es} no
Waiver Attached: yes (fio)
A building permit may be required by
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
��W* � JFF rA IWA 1! =
�r
Printed Name
S'8► ture "Please read compliance statement on ba*of perttut
AVPkat+«r Fe(s) Cheat s
3�
a
See note on back regarding River Basin rules.
5cwst,kL U) e 1 �
Permit Officer's Pretted Nattte i
Signature
`1i1t��.t.i
Issuing Date
Lyn Small Inc, Marine Construction
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: David & Nancy Perry
Mailing Address: 671 Yorktown Rd
Phone Number: _757-472-8028_
Email Address: avdp06@gmaii.com
I certify that I have authorized Lyn Small Inc
Agent !Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Bulkhead
at my property located at 102 Lee Court, Kill Devil Hills
in Dare —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.
Property Owner Information:
Signature
✓AVr j �• �eR�e
Print or Type Nafne
OW Ndk
Title
'Er 1 / 2 1 Zdzo
This certification is valid through 9
Date
2020
This certification is valid through _12 / 31_/_2020
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: David Pe
Address of Property: 102 Lee Court, Kill Devil Hills, NC 27948
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Lyn Small, Inc
Agent's phone #:
252.491.8562
Mailing Address: 113 Ballast Rock Dr
Powells Point, NC 27966
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.
_`_ 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.net/web/cmistaff-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.)
I do wish to waive the 15' setback requirement.
,�Ir_ I I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
David Perry
Print or Type Name
671 Yorktown Rd
Mailing Address
Hampton, VA 23662
City/StatelZip
Telephone Number/Email Address
Date
(Riparian Property Owner Information)
Signature
Gary & Paula Herrmann
Print or Type Name
1408 Harbour View Drive
Mailing Address
Kill Devil Hills, NC 27948
City/State/Zip
Telephone Number/Email Address
Date -- -
(Revised Aug. 2014)
Lyn Small, Inc.
A 113 Ballast Rock Dr.
Powells Point, NC 27966
RETURN RECEIPT
\ _aE�QUESTED
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HARBINGER, NC 27941
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This map is prepared
from data used for the 102 Lee CT Tax District: Colington
inventory of the real Colington NC, 27948 Subdivision: Colington Harbour Sec P
property for tax Lot BLK-Sec: Lot: 22 Blk: Sec: P
purposes. Primary