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
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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
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+� d'i�' i' o �_ ' 3n a ta,*'�' � ykc b e�, `' _��'„t�` j°•... .: �r-__�. �.�+Gc., a, `�� .. .�"
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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)
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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,
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