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HomeMy WebLinkAbout78057A_Thompson, Eugene_20210304i/ N iN L . (Scale: N "TI5 +°c3 .r 1 ulk Riprap length ' 5 � ;�;nj�i►` � ' v ��/� avg distance offshore t 2—'__ P � max distance offshore ` ! ` Basin, channel 'Ole` {i" cubic Boat ramp .. — - — -- - Boathouse/ Boatiift_ Beach Bulldozing_ Other_____ _._L 1 _ _h 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 E r�VI �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* w ' jMUSL I(I j.i3 .1 I ac, U01 te"a ri G f I co Mliap rtt t.yIIAS �Us C tz u.;ol -i: S; '-st ;f, pig' LUO-, Cr '.--f3f a UT "41-l"Ittl �.,u '7-_w Ot -12 lil' UL F,LOV T, �;.tnw- 0%. ti W'swukM Pew; or.,;,7s-p7oL;? p Zp"p i uo opscpv�j jo r 'fa e!�#1 P . , I Wa, W" :.AU I I _7 .1 1 - .1 -1 ­1 W A Iji, �xPA C*;_ fl.if tlk,% C ti �7$�1 Truiif, r�i�h�el V✓avr. ........... a E ' s IX.M e tit 3r ° ' � s f ^ t Oe � 4 k � x ry v� 4t ill ^ - i .. a al n s � •: p, , k j °Y V:. =ar 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. r � ,�, ,, , � �c s � � ;:.�� �: �� ,A � �� �,. 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