HomeMy WebLinkAbout78716A_Breen, Sea_20201027g�—
vCAMA / DREDGE i FILL
GXNERAL PERMIT Previous permit # �A, B c o
f %Aew 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 of environmental concern pursuant to 1 SA NCAC �%+ - 1 G
- attached.
ApplicantName
addressS. CfeL-k- A-
City k-'-ffy Hal'A.- - StateN6 ZJP a 9 q11 -
Phone # (3_10) 2KS_: %�_ E-Mail�1�
Authorized Agent _t)& B L�,J / L,2&dS_
CW EW VPTA ES L - PTS
Affected AEC(s): OEA - HHF IH USA J WA
PWS:
ORW: yes /(rod) PNA (yes)/ no
Project Location: County - -1�bd e,
Street Address/ State Road/ Lot #(s) 3i >S C le f
Subdivision _MC/ 'S-
aty_K.4 HGw r ------ -- ZIP— 27e j tr l - --
Phone # ( ) - - --_----_.-_-_ River Basin f rF a +-�!>✓_ _
Adi. Wtr. Body _:G -lee iG nat man unkn)
Closest Maj. Wtr. Body -ACJ,!�r -K a0�✓`�
Type of Project/ Activity Ar, , g "KG ' I'Aw ��.;rw'+ioti , a/r•. J /.� x �1 r Ic r onJ Ak, -) Ma 11, ,-
(Scale: 1�' _- )
Pier (dock) W gdh�'---_-__--
Foxed Piadorm(s)
plop
Floating�
Plat,(s) -- --; i
Fft- pier(s). - - --
Groin length r
number
Bulkhead/ Itipraple+eth _
avg distance offshore -
Ctee Pc
ALllwiftd
cubic yards
ox
l
Boat ramp
Boadausal dirt { x -Vp
/N H/
_I_��
Beach Bulldozing
Other --
--
PS
r-- -'
Ac#kfhted
Shoreline Length
SAV: not sure Yes :O
Moratorium: r \ no
Photos: no t,
Waiver Attached: yes G �Y
A building permit may be required by:
L e [ c_w ,` 41 _
See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction
Notes/ Special Conditions j Jl1c,
O24 } 3f ile_ a
.:
ft, ,. IS J Ue
+ 2x s
. �, f4 L�,+,,.
_ - �,,: ---- _fit+ Qxh-e - - - - -- -
S: a t Pri red Name Permrc Printed Flame j
x
Signature • Ple ad compliance statement on back of permit 'a Signature
Application Fee(s) Check # Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:--
c
Mailing Address:Q..
Phone Number
Email Address' l G
I certity that I have authorized /31
Agent J Contr
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following propc*,ed development:
at my property located at 3 S i L rPf
in --- - FIL-f-f -__County.
t 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
Print or Type Name
Title
¢
y I 2-e 2c
Date
This certification is valid through
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby cenity that I own property adjacent to SPQnF�t?r1's
(Na a of Property Owner)
property located at 3G�> I Crep _�-1__71�_�i►�
(AdAss, Lot, Block Roa , etc.)
on SoV ftL._. . in �ul . � , N.C.
(Waterbody) �CitylTown and/or County)
The appitcant has described to me, as shown below, the development proposed at the above
lix,zation
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)
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse. Wt. 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.
1 do not wish to waive the 15' setback requirement.
(Propert Owner Information) (Adja 'pertwoOwner Information)
ii _
Sil; rp St , Nt,r
,a C4 In f3ry e,,!, 13o n r'
rmI or Type Name Print or Type Name
05-7 CrPe k,, 3oS 3 Creek_
Jlu
ng Address M �'I' Add' ._,q
l 1KEN �2 �q �14 �4�' A45- 21
CttyrarerE✓Zip 4 ' / City/Stat IZip
3 �5�11.1 x.__ssz S73 g.3
e N r / tar address Tetephor►e Nu r / address
e zoz o x _ O
Dote Uute •
(Revised Aug 2014)
'Valid for one calendar year after signature'
y
i
1 AD,IACEt+fT RIPARIAN PROPERTY OWNER STATEM04T
I hereby certify that 1 07V0roperty adlacern to 'SsrLn Rflef Yel •$
property located at ,Ct'tu Q Y3�_ `Nli{ccE`�'iPro
riST27`�J�
an SO V (Addrim �. i ko Road .) (�� >�l�'
(Watarbody) (Cky ownandlor County)
TThee atwftard has desuibai to me, as shown below, the deyelopn)ent proposed at the above
1 have no objvctron to tMs proposal-
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a she drawing)
WAIVER 5ECMN
i ur4erstand that a pier, dock, mooring pilings, boat ramp, breakwater. boathouse. W% or gram
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 apipropriale blank below.)
1 do wish to waive the 16 setback requirement.
4 1 do net wish to waive the 15' setback requirement.
Print or Type !dame
3nS77
1 ZyS-74
Te%pi70rJ9 %[W1fb9/Vaud wide=
Ae
(Adjacent Property Owner information)
N AIM
• s,c 1 1
UOIt l
(Revised Atilt, 2014)
'Vatic foe one ca*4w year attar signature'
.....T � s5.,.�..j.'kM�'.ft.la'Ka.wa.,aM•-e_w- P�:�n Sys- �<•lIN �we.+...�,w+v. i[4.:'^-. .. .. �. w..R° .,.. ,.{..,,.�.
r'1M #Piping
�rr�gati+prt - 3 1•Ja- �� L �.
Vi
3057 Creek RD
Owners: Breen, Sean Michael -Primary
Tax District: Martin's Point
This map is prepared
from data used for the
inventory of the real
Martins Point NC, 27949
Owner
Subdivision: Martin's Point Section 3
property for tax
Parcel: 027757029
Breen, Kimberly Ann -Primary Owner
Lot BLK-Sec: Lot: 25 Blk: 1 Sec: 3
purposes. Primary
f
Pin: 986713138717
Land Value: $384,600
Property Use: Residential
in ormation sources such
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
Misc Value: $70,500 Building Type: Traditional
Building Value: $404,500 Year Built: 1993
Total Value: $859,600
Poe