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77939A_Rhodes, Jason_20201201
f .AMA / ©KEDGE &FILL :+ R� �/ GENERAL PERMIT RECEIVED Previous permit# A` B C lew Modification Complete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina. Department of Environme "lul"P021 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC -4-N . I Zoo Applicant Q Name Rules attached. _�JO.YI _R1 nQ�,2�_. - Location: County Address 2,, � / DCM �� -_ ___ __ ANC-_ _ _ ___--- ✓V- -%'' -4 i� X IYLC_ "A Q Street Address/ State Road/ Lot # s City _- U State=NC.-_ ZIP _.ZJA 4_1 CWA __ 2-0-1 L-0-f WI 1 _.12G-� Phone # 251) 2Cj(pE-Mail '}'C2 (1 e _ �"00 j eorA Subdivision Authorized Agent (Zp��}- - i G - City - M_-- a�,0 Affected CW X EW }( PTA -'ES PTS Phone # (—) ___ - _ - - River Basin - AEC(s): O� HHF - IH UBA N/A - ""y""" - PWs: Adj. Wtr. Body.Cqd/IQp_�}G.��j�0!4_ (nat- t ra /unkn) ORW: yes / no PNA yes / no Closest Maj. Wtr. Body.Aq*10Vll - ___ __- I --- _- -.. ctaD1A.1"1. -- Type of Project/ Activity 1 " . t Pier ock length IQQ'_i{ _(p_ I (Scale: N ` 15 ) � Fixed Platform(s)WL Floating Platform(s) Finger piers) z Groin length number Bulkhead/ Riprap length avg distance offshore �' • - -- max distance offshore Basin. channel 6' • cubic yards - .i�� �+i • • • ` / Q Boat ramp QeBoathouse/ Boatlift � • Beach Bulldozing- / .F Q, �6Y • ` �._ Other n `; • _ l Shoreline Length - �-not sure yes no iK Moratorium: Na yes no �� /��✓ dim `. " T Photos: � no � 1 Waiver Attached: es no A building permit mayberrequired by: z See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions 1 •JG (tA,� O t d I 4 O , Agen rj�lirant Printed am -- - -- - --- - ermit OffLice�r s�P�ri�nted Name -- Signature t Please read compliance statement on back of permit*; Signature 8 °c�. oo '02 .1 112d2o i12OLI on Fee(s) _ _ _ - -- - - Check # ` Issuing ate Ex iracron Dace ta,l60 PST' (3Zq ) XAr-LA &Yteol CL'rw5ptrd4nl 6 Yk 1 � / 1 12 "!5-vv L- AGENT AUTHORIZATION FOR QM PgRMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: M" 7q S-y Phone Number: Email Address: 7 R- 2 I certify that I have authorized obc r A A�ent-/ Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: AAO-10 V- at my property located at in County. I 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. Prop" Owner Information: 14-1111- Signature Print or Tyne Name Title / / 2 / ') 6-Jo Date This certification is valid through _/ 1 11 '-, / U 8 — 011v 9k I r�'-( AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �c soQ T !�Aj--,dej' Mailing Address: �Cl- /�I�, 7i� e ✓ (/� ��a '-� n L e� 7 9 S'q Phone Number: S� S C 33 fr Email Address: �� // (�? "lah ov . 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: &D5 AA010Y- -- U N- lbw V0 /"► A 10-frD () 0c'>' P p C V- I at my property located at in Dd& County. I 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: �e�E`,��� Nov Signature WA E.0 Print or Type Name Title Date This certification is valid through / ( 11 44 Iy' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to �� Sc�-J HOjw-S 's � (N me o Rongwqo�property located at -{� ��� (Address, Lot, Biock, Road etc.) on C` r'1 �A l� , in_ AA� A , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. rf 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) I�G � � I 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. heceilid ' I do wish to waive the 15' setback requirement. "!t?V 21 2..( I do not wish to waive the 15' setback requirement. (Properly Owner Information) (Adjacent Property Owner Inf S' nature * S ►►atu►�e Print or Type Name Print or Type Name _30S 1�'!n �'l.e r (J, n ei�c', �c� rc.�i _3011 Y" Aot"k'-r \� Mailing Address Mailing Address /''%an+co n� �79 S CityI5�- ate0p City/state00 -��G-3.3i zs2-3ys sc,*-I`� Telephone Number / email address Telephone Number / email address 11114JLZ i 1 / 13 ) Za Dale Dare* (Revised Aug. 2014) "Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to SC?�J KHOBCS 's (N me o rope Mb G property located at VA aD aA � (Address, Lot, ock, Road etc.) on , in ATH , N.C. (Waterbody) (tity/Town and/or County) The plicant has described to me, as shown below, the development proposed at the above to ti I 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) i L5 1 i 10b 1 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 dbD me you wish to waive the setback, you must initial the appropriate blank belcftcei c wish to waive the 15' setback requirement. N. 9 4 w.( 1 do not wish to waive the 15' setback requirement. _ (PX4 roperty Owner Information) (Adjac t opertypwner Information) Jr- J�L,,.-J-eS �60i�/'J � Print or Type Name Print or-�Pllve� Mailing t-4 ,Kass /) C_ '2 7ef-S� Mailing,QgdNXrtf6� Cit)6/State/Zip City/Sttaate2' S�l ` �2_5-G 3.)/g' 3T�C�11�`ra ,cc .1 Telephone JNumber / email address Telephone-Numbe / ,mail ddress Date�l��'� �2�y Date *Valid for one calendar year after signature' (Revised Aug. 2014) 44 ,s `_.e R J, v' Ai �;7 Islip f s T .. 5. 4 s A ,.Y This man is orenared from data used for the jUS Motner vineyaro KU UwnerS: Knooes, Jason l -rnmary ldX Uistncr. rwantnu vut inventory of the real Manteo NC, 27954 Owner Subdivision: Mother Vineyard Section 1 / property for tax Parcel: 024445000 Rhodes, Alison L -Primary Owner Lot BLK-Sec: Lot: 16 Blk: Sec: 1 A • purposes. Primary information sources such Pin: 988011771458 Land Value: $315,600 Property Use: Residential • ,.. as recorded deeds, plats, Misc Value: $10,500 Building Type: Traditional �-- wills, and other primary Building Value: $438,200 Year Built: 1997 lli public records should be i Total Value: $764,300 4 consulted for verification of the information contained in this map.