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HomeMy WebLinkAbout77941A_Clinkscales, David & Deborah_20201210I Avg GE & FILL a C D PERMIT Previous permit 't4 7E comptew Remsue Pantal lketsuw Date previous permit tuutd__---- As authot ized by the State of NonhCarojma, Depanme"t of Envroof-wital Qualdy iZoo and the C"Ntaj Rrsotirces CGmmmston w in jreA of erivironnwrital comer n pw warit to I SA NCAC Applicant Narne D,)LVICJ + ��ooirq�l CUrA4tj(4UJ5 Protect LocationCounty Address of itA 9-0441 Street AddresVState RoA&Lot #(%) t444t City v State ve,, Lo+ Phone #i(p1j) E)rO5-tXoJOE.mai1 CUY04,56(e(i)��w Subdmovon CC) U V11 lviq H&V Authorized gent C�jrj4j Ct,,4,vv-AOev' Co" City COUl'\1— R&A HY1 ZIP 2-Ti? Affected CW XEW XPIA ES PTS Phone # k — ) --�ver in AEC(s) OEA HHF IH UOA . N A Adl, Wtr Body Y-i)rL- Haw K- 1�5aA4 rws ORW' yes aG PNA yes (S) Closest Mal Wtr Body Type of Project/ Activity O"vey'e T, — - - ------- (Scale: Pier J*Kkj ltAgth Fi**d Plmfcwr�* s i eytiib�ir' VIA P\ax Fkwwtg FUtib"si '100 t Fingtir pwj*) 0 d h..12 "pt Gfow VJ tphnq xwj dilfajrr('* stHtkwra mu *Srw%* sas#^pie*, pw44rm ea "0' boa) k 'A ft� cvb,c yArd,, Z�.jslljvk� at rages mmhojw tlstt yr 0 0*40 Ober aee-'Ct� ovtj( plaklovw-, Vip Y JWX 12: 2!' r 13, Ci "m sure Yes, SAY e-Y mhotosararot'jum IV's PNO CA'ap-ey'561n) Wmvtr AtTAcked 0 LA, r:) 9,0- H 0 LA Z:' e— A bu4tdipg permft may be requwed try See note on back tegarding Rr-er Basing rules, (Note Local PlanninSjonsdicuon) Notes) Special Conditions . ...... . .. . . ........ Please Op C 0 O6VV1a41\- L O'e P� OmAk- J;4� s4gfuture 101 Uzo Is U"f4 Date '1--4 1 1 o 12 62 1 E-Apration Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: Mailing Address: i ��� to act can m l certify that l have authorized (agent) � ��� � b'y'? Y behalf, for the purpose of applying g for and obtaining all CAMA Permits necessary to install or construct (activity) C G{rPfP(� clCrCle %Dfi at (my property located at) [-4 l 11s, mc-" 7?�(R This certification is valid thru (date) l 0 I �� Property Owner Signature DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN P"OprI"lly OWNUR NOTIF-ICATIONIWAIVU tE _R FORM }2 40,)L' 9 9 Agent's Name # I iz 11 DO(zC j Agent's Phone # tv 1avc no o�jej:tjolls t(I III,x propo,,al- I havtobjeclions to this 1f you have Objections to what is b � [DCA14) in writing within 10 days of el"q proposes'!, You must "Otify the Division Of Coastal Manageme-ni receipt of this rtot'ce. COITCVOndence should be mailed to 401 S. ariffin St., Ste 300, L-1;zabeth City, NC, 2zq09. DCM rep 1pol. No MWO, 17se is rnn,�Ziri^naei the - -—n i"esentativ0s can also be contacted at (252) 264- � as no Obiectinn if You have been notified by Certified Mail. WAIVER SECTION alcv+ boat rarnpr ;a� Xlcil' �ICCC of y �jrr,�,j Tr-'�,--'�'--,'back. you Must initial the, appropp<j,,e ,%,-ive the 1 !,do not thn 1,)',-,0back (7ppperty Owner Information) S�gnature Date #'�-j Lz�- IVA L-1 (Ad' cent Property Owner Information) Signature S"17, Hra,,, Ak 241-) � -1 11 1) I 'Valid for one calenda, yr,,ar,�.illter sqjrJi�re1' -'J"' -1, , , Received DIVISION OF COASTAL MANAGEMENT SEP 9 91C"D ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM ` CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED EC Name of Property Owner:G.vi Address of Property: Hq( Ki++\l I�WK jc►-w bf-, �, 1( pttli I R1,115 (Lo for Street #, Skeet or Road, City & County) Agent's Name #: /`/S (_ G �� Mailing Address: 6(/.3V IanzfCAkP l►'/���- Agent's phone #: ,� Sa y5 �6e26 �A�G✓ 61-/t cl Iye ) 7 cl45 r 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. /Yor 1r--W19u4g;# I have no objections to this proposal. I have objections to this proposal. IIWW4P41)0101v- 10D7`,�// /(f If you have objections to what is being proposed, you must notify the Division of Coastal Management #,Alt (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. ✓1� Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264: `� p 3901. No response is considered the same as no objection if you have been notified by Certified Mail. 1�16#4*41r� 5vv/714/Y +LC WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Dam of A 011 v\e. �--SGaA ea Print or Type Name 16 3T Ta w c I & I �4A- Mailing Address 0$0VA NX City/State/Zip Telephone Number/ Elhail Address Date (Adjacent Property Owner Information) rl Signature* Print or Type Name 1066o���r� i= Mailing Address City/Sta ip 9'i9-ks7-7T7%p�sti>/ Telephone Number/Email Address �S ' �� Date* *Valid for one calendar year after signature* Revised Jan. 2017 Na2'1'A1m Y7 .90A-OMAqA TW�`)AVJA Co DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: DaA/ j J C Li VA 15 C aim. S Address of Property: q f' G V ) NC, (Lot or Street i, Street or Road, City4 County) D,,V,, Q0L v14-N 2, T9 B Agent's Name #: CVi Yi S Cv-yyd0- r Mailing Address: (nU3 2 CO..yct 4-0)Ge 1-i,� ,�)N Agent's phone #: 262 - 4419$95' IB(e2G PoD1 a- - P2fa ic. -L, NC 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. 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 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264- 3901. 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, 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 sign 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) (Adjacent Property Owner Information) Signature Ch,y i d C U v-vk-SCaA-e 5 Print or Type Name I (a3-s2�''fomvv,-;P- Day-L�el 1 Mailing Address 6x Fo vd . Nc 2 4-5(o15 City/State/Zip No i ��andd Telephone Number/ Ema 1 Address co VVL Signature * Print or Type Name Mailing Address City/State/Zip Telephone Number/Email Address Date *Valid for one calendar year after signature* Date * Revised 2017 , k , j i 6 ttifJ5 /?i(; n s rrmised k,11 Dept gAl C ;�7%/fJ Receiljcd SEP .3) 1'.3 DCM-Fe S+rudu(f 010 �C,, flovtf fAlf aj I t e K a 14L 5 C,4 i or A . Iv y 4 re,; S p d Sea," klij cool NC A7911� m a PC ral i 194 This map is prepared from data used for the inventory of the real property for tax purposes. Primary 1A % Ow. 1 Kitty Hawk Bay DR Tax District: Colington ofington NC, 27948 Subdivision: Colington Harbour Sec H Lot BLK-Sec: Lot: 151 Blk: Sec: H IF* ON" li