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HomeMy WebLinkAbout78065A_Pruitt, Michael_20210304t.— .V c ■ v■ �. rv+■.. r ■� ■ u 4as ■ ■ ■ g E w E D rrevious permit it - New Modification Complete Reissue a ue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Qua'li a X and the Coastal Resources Commission in an area of environmental concern CR NCAC Rules attached. Applicant Name_W tIA 1 +'t r le tion: County DQYet dress/ State Road/ Lot #(s) City_ — State ,NC — ZIP 241p 1 •?J -�� 1.Y1 --- -- -- ------------------ --- ---- Phone # (") (Ah - 1!59 E-Mail c�UQcbo4l�''Stxi e�c���z►k Subdivision _ �fY �ct t,(,►M—�_ _ Authorized Agent �Y�_��M�� i't fJM i i( City _ ._ 1 — }�4 1. ----- zip- 2 � Affected CW PTA S *TS Phone # (_�"') `"""�"""_ River Basin QQrjQ�t,lp� OEA HHIF IH UBA - NIA Wtr. Body_irQ.Y1d �� nat m unkn) AEC(s): j---�- �' PWS: Ad' ORW: yes / no PNA yes 0 Closest Maj. Wtr. Body Al Joe AdA aAJ mil? --- Type of Project/ Activity Pier (dock) length— _--_— Fixed Platform(s) Floating Platform(s) Finger pier(s) ____-- Groin length number Bulkh Riprap length t avg distance offshore 2.1 max distance offshore Basin, channel i ' cubic yards ___ Boat ramp -- —_-- Boathouse) Boatlift Beach Bulldozing Other-------- __ --- -- * — — 0 t LLK aV eAlua e OF 2' wa it (Scale: 77171 0au Shoreline Length _O__Li .--_-- Q�- .00 SAV: not sure yes r Z Moratorium: n/ yes no � vl'�-' i Photos: <0 no ♦ ll 1 Y I t w f �4 ve fr� Waiver Attached: (S. no _ --. - --- A building permit maybe quired by: See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) 0t Notes/ Special Conditions Liyy r dA `) f' to oa*% o To 20 4 j aA,,%A4A.,," 0- YI �tA.i ".. Lt. c_ .1 ir_'n ti�—iJ A111- 1-1 aser-U A A n Lei ° • �{- I N t \ gnatur Please read c mpliance statement on ck of -permit 101tbb. 00 141 TO _ - mow_✓_ u��- �`� ��-�-� -_ Permit Officer's Printed Name Signature AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: S l y, Phone Number: Email Address: I certify that I have authorized `N\C\ to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: \���-�z-9'VV'; 9 l)F'�`) at my property located at J in County. / furthermore certify that / 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 Q�LG �G-2t`j 04--1 Title Date This certification is valid through /30 / r3 / t'- 44 '%yk .g-•�F',44' r Ml ns..t+•l -. +9cr #+ x s Z:.. < < :]a> , ,s„p , , �„c tom. wt �7�* ,}1',�". A *.�ti_:'ttit•s 8+ '� ` f {�, � ; ¢< a :w ,..s TM Sw- x.. +� d'i�' i' o �_ ' 3n a ta,*'�' � ykc b e�, `' _��'„t�` j°•... .: �r-__�. �.�+Gc., a, `�� .. .�" , s k i �, e> '�' �' r=�„�..try �3 its �'�,'4 . r .,�k, •p ,, ,r CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: ����tL Address of Property: b 6 �r AG�� ( t or Street #, Street or Road, City & County)( t ' P-OZOA? Agent's Name #: � � /H� �/ � Mailing Address: Agent's phone #: 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. 14 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 athttp://www.nccoastaimana_qement.netlweb/cm/staff-listing orby 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.) 4�L I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Print or Type Name Mailing Address City/State/Zip -LI>� - o1S 6 Telephone Number / Email Address Date n) Print or Type Name A&ff z Mailing Address f4lmch,�, &C ��� Telephone Number /ginail Address Date *4,aU (Revised Aug. 2014) A ki ,.... Old w+MnuvHn.�`M'Ke,'H4iiub:...a.lwfr.��Tnnr..N r�rl'.y.T�. ._ ::��y..r.rk:.,rwMwn i..�r:+C�:4.:e.•. .• —.. .,♦ •..�.wv.y:Wey.r.���'A4:il�� ...:wt;;v.e., n..L :..rf ...r'Cl'>It;YY�wsn.:i f .*' i . OAP�__'A P� w This map is prepared from data used for the inventory of the real property for tax purposes. Primary information sources such as recorded deeds, plats, wills, and other primary public records should be consulted for verification of the information contained in this map. 3861 Kathryn LN Kitty Hawk NC, 27949 Parcel: 018174000 Pin: 987506480157 ` 1E l i ' MAP r Owners: Pruitt, Michael Wayne - Primary Owner Marie Antoinette Pruitt -Primary Owner Building Value: $0 Land Value: $66,400 Misc Value: $12,200 Total Value: $78,600 Tax District: Kitty Hawk Subdivision: Nora Baum E W Baum Etal Rev Lot BLK-Sec: Lot: Pt E-20 Blk: Sec: Property Use: Residential W/mobile Home (Personal) Building Type: Year Built: 1 7 4'A .41 Ac, ik