HomeMy WebLinkAbout78057A_Thompson, Eugene_20210304i/
N iN L . (Scale: N "TI5
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ulk Riprap length ' 5 � ;�;nj�i►` � ' v ��/�
avg distance offshore t 2—'__ P
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max distance offshore ` ! `
Basin, channel 'Ole` {i"
cubic
Boat ramp .. — - — -- -
Boathouse/ Boatiift_
Beach Bulldozing_
Other_____
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bdL7CIVCIiHL 1''CI'i1V111 R EIVED Previouspermit .F
XNew Modification Complete Reissue Pa ial eissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Q fi
and the Coastal Resources Commission in an area of environmental conc n 15A NCAC H • 1 / 06)
Rules attached.
Applicant Name�,{C -- _- . _-'j�tQ'rw�i�a�i -, rP}e ocation: County �Q�,._------_ ----__
Address__- 5_Q_0. ct,U_�c__ DCtreet Address/ State Road/ Lot #(s)
n_i_ _ --- J
City_1' -T'�X � _ --- -State.--ZIP-2 �_�J __� - ---- — ------ — -- - - ----
Phone # ($ })-13Z--P(V4_ E-Mail Subdivision -------_.----
Authorized Agent _FYowic -Dew U r lY -ghl CityV " ZIP 2 9
Affected CW )kEW `PTA ES *TS Phone # River Basin
Affected _ : HHF IH UBA N/A Ad Wtr. Bod nat man unkn
AEC(s): j y �— )
PWS: /� L
ORW: yes / w PNA yes / no Closest Maj. Wtr. Body-�---
Type of Project/ Activity
F 2l
Pier (dock) length t _ ___. _1
Fixed Pladorm(s)
Floating Platform(s)
Finger pier(s) _ ,
Groin length
number
l�
Shoreme engt _---_ _----___ ......
SAV: not sure yes
Moratorium: n/a) yes no 9\� cw-u, w �a exitJ. fl VV
Photos: no C 1 i
Waiver Attached: no bldu_
LwR
A building permit may be required by: Q(U/Q (}i,; LVt±iA See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) J/�
Notes/ Special Conditions L, AAA4- Ais;if'uy bwymlCy 4o 20 } tcuAA k.Layd Ll� WAAI
�a.. 1 a � A a.nA -411J ItAfIIC= nl ei.JfA A.AL an.n1 .11, .31110/311A d14
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�iL-I �-V-i P- �T-S_ Lb �0
en r Applicant Print Name
c
Signatu "P ease read compliance gment back of permit "
' 41Ah. "N # 411-4a
Permit Officer's Printed Name
AA-
•'
Signature
._31412()2.i T 11419b2li
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 'E!% PhG
V.
.,
Mailing Address:
Phone Number:
Email Address
I certify that I have authorized
ii
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
in OARE County.
3 g6-3
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:
Signature
Print or Type Name
itle
Z / / ZJZt
Date
This certification is valid through � i l 3 � l0 /
ATEMENT
I hereby certify that I own property adjacent to if P 's
39[�� ( � e of rope Owner)
property located at c�
rlJl
(Address, Lot,Block, o , etc)on in N.C.
(Waterbody) City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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)
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. C6A,6 Ct��
(Property Owner Information)
Signature
Print or Type Name
`Z e DO
Mailing Address
a��sh.�rr �A 23YcrS
City/State2ip
��3 Z cam
Telephone Number/email address
Zi s( 24
Date
(Adjacent Property Owner Information)
IaCA C_4MOG IL
Signature
sI*
o ACL&fo-S Gnicr L{
P.VOR;vc'�'
Type Name
Q. r���"1 �y1�
Telephone Nyrmbgr/email address
Date*
*Valid for one calendar year after signature*
(Revised Aug. 2014)
Nw
I hereby certify that 1 own property adjacent to
-10 r- (Name of PropeftyOwner)
property located at
on (_M
-------- --------
(Waterbody)
's
(Address, Lot, BI k oad, elp
in , N.C.
( ty/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatiprk
_-� I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(/itt al proposing development must >Rll in diescrip>It" below or attach a site drawing)
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 y u ish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(Property Owner Information)
s
Print or Typ& Name
Marling, ress
E rs, VA Z3�j
City/State2ip
732- !U,4
Telephone Number/email address
us(Zi
(Adjacent Property Owner Information)
*Valid for one calendar year after signature*
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This map is prepared
from data used for the
3853 Kathryn LN
Owners: Thompson, Eugene G
Tax District: Kitty Hawk
inventory of the real
Kitty Hawk NC, 27949
Primary Owner
Subdivision: Nora Baum E W Baum Etal
i for tax
property
•� Primary
Parcel: 018176000
Rev
purposes,
information sources such
Pin: 987506471938
Building Value: $0
Lot BLK-Sec: Lot: E-22 Blk: Sec:
� as
as recorded deeds, plats,
Land Value: $65,600
Property Use: Residential W/mobile
wills, and other primary
Misc Value: $3,100
Home (Personal)
public records should be
. consulted for verification
Total Value: $68,700
T
Building Type:
_
of the information
Year Built:
contained in this map.
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