78656A_Walker, William_20200511

i)�CAMA /'-- DREDGE d. FILL N9 71 5656 V B C D
GENERAL PERMIT Previous permit #
)New CModification _ Complete Reissue Pa-tial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Ervironmertai Quality
and the Coasts' Resources Convrwss'on in an area of ervironmerta corcerr pursuant to 15A NCAC 7t1 �Ruuies attached.
1�rP
Applicant Name, d►1t&,& Wc►IKpr --- -
Address
City Aa�Pn�. _ State ZIP _ 7 4S�i
Phone # (Z5_2) q24- (a (/ E-Mail _—
Authorized bent _EA4anj-U&1 =- � _p _
Affected
� ❑CW XEW `(PTA [ES _7PTS
❑ORA C HHF — IH UBA N/A
AEC(s). r PWI
Project Location: County ---- --
Street Address/ State Road/ Lot #(s)- _
C.roa�-- -%
loll Cy a' � Aug -
Subdivision -- --
city�}�.: -- zIP Z?95_�.____-__
Phone # (_.) f_ __- _
River Basin Ri sq
Adj. Wtr. Body __Sjn , I1 1,y !!�� -- unkn
Closest Mal, Wtr. Body
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Agenl�wApp/Ilan Printed Name
Signature * ' Please read cornplianee statement on bads of Pwrnit'
-
Application Fee(s) Cnecx #
Pe•rnit• Icer's Printed Name
S;g t,.re
lssw g Da:d ion Daps

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit. I
Mailing Address: f 0 a-3eD
L4
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:
at my property located at 6 H Crncrr'F\ A'j e_ (A a r'- C,
in -1b ct_ t �9_ 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:
Title
3 12 C, 1120
Date
This certification is valid through l I
Revised Mar. 2016

CERTIFIED MAIL ' RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
Name of Property Owner: ` l i i �� ' ' Wzk
e —
Address of Property: 6 (�-
(Lot or Street #, Street or Road. City & County)
,
Agent's Name #: .i. i.' 2 I `t Mailing Address:
Q
i- cad l\i L z Agent's phone M.
r
1 hereby certify that I own property adjacent to the above referenced property. The individual
apKirthis permithas described to me as shown on the attached drawing_the development
tposing. 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. Correspondence should be mailed to 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at [phone]. No
response is considered the same as no objection if you have been notified by Certified Mai;.
WAIVER SECTION
understand that a pier, dock. mooring pilings, 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 w^sh 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)
Signarare
Print or Type ,:Fame
1 6 S
Mailing Address
CdylState.2ip
Telephone Number
'�)-11-
Date
(Riparjan Property 0 n. Intormation)
I/ /V,7
Print or Type Name
a xc&e77?
flailing Address
W. -
Cdy,'S±aie2ip
Telephone Number
-7 a
D �e/
CoMF��
a tad r�
e ley

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
I I---
Narre of Property Owner.
'S�
6
o
Address of Property: _ �1dti-e. r` 2�5
(Lot or S,reet , Street or Road, City & County)
Agent's Narne #: G i1i,.• 2 { ! `thlaiGng Address:
Agent's Fhone #: L� Z LL (' ZZ I Z t'� `11's f' C'd
C�
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 descripticr cr dra-wing �'.ith dimens_.o, s must be prv.ided �17th 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. Correspondence should be mailed to 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at [phone]. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, 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 tl,e appropriate blank below.)
I do wise to waive the 15' setback requirement.
,\
I do not wish to waive the , 5' setback requirement.
(Property Owner Information)
Signature
Print cr Type Name
Mai ing Address
mao-tlec IA
C!!}iS'.Hie.�ZtA
2�Z t-23 - o,5o
Te;ephore Number
11 7,1 -
Date
(Ri arian Property Owner Information)
Sio ,ire
pr'nr or Type Narne
Yc V,11-
1,,fa:zing Address
iN
C sy'S'are �r
a(:�Q�
e ephore Number
Da.e
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n„a trial, n prep.0
ftorfr data used for ft• 611 Croatan AVE Owners: Walker, Christine E -Primary Tax District: Manteo In
i1'" rnwnforyofdrete,1 Manteo NC, 27954 Owner Subdivision Subdivision None
/ pOf'eryfor r'" Parcel 024730000 Walker, William Tucker -Primary Lot BLK Sec Lot: Blk: Sec:
iturpov Pnnkvy
ndt„mafuxr scrum••, such Pin: 988015538458 Owner Property Use Residential
as terofded deeds plat,, Building Value: $169,100 Building Type: Beach Contemporary
wills and other pn,naly
• IfL=! rfullly letordsshotr(dhe Land Value• 5175,300 Year Built: 1998
coesufted rnr venfiration Misc Value: $4,000
of the information Total Value: $348,400
contained in this man

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This map is pepared
fmm data used for the 611 Croatan AVE Owners: Walker, Christine E -Primary Tax District: ManteO In
ti� 1 c )i im-entory of the real Manteo NC, 27954 Owner Subdivision: Subdivision - None "
!�! property for tax Parcel: 024730000 Walker, William Tucker -Primary Lot BLK-Sec Lot: Blk: Sec
.- � .^: purposes. Primary
informativ, iWrces such Pin: 98801 SS38458 Owner Property Use: Residential
as recorded deeds plats. Building Value: $169,100 Building Type: Beach Contemporary
wilh, and other primary Land Value: S175,300 Year Built 1998
public rec urds should ttc
corasuued fqr vMfif:atrun Misc Value: 54,000
0 the rNot nation Total Value: $348,400

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