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Home My WebLink AboutFairfield Harbor Porperty Owners Assn. 77471CMcenne/trDREDGEeFILL ENER/AL PERMIT ENew IModification IComplete Reissue EPartial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to l5A NCAC N9 77471 AB CD Previous permit # _ Date previous permit issued ,r'tl fRulffi Project Location: County .r. ",,. . Street Address/ State Road/ Lot #(s) , ,, n ' Subdivision c ztP Phone# (_______-)River Basin Adj. Wtr. Body (nat lman./unkn) Closest Maj. Wtr. Body x Applicant Address Phone#(_). e-Vait Authorized Agent Affected AEC(s): ICW r-l oEA trEW tr HHF tr PTA trrH trES N UBA ! PTS trN/A D ORW: yes / no PNA yes / no Type of ProiecU Activity (Scale:) Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s)_ Groin length number Bulkhead/ Riprap len4h_ avg distance offshore_ max distance olfshore_ Basin, channel +-,1 IL -+ffiffif.]._Htll !-lir-----t: li ,L --i*-]-tcubic yards _.+llzIBoat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure Moratorium: nla Photos: Waiver Attached: A building permit may be required by: ( Note Local Planning Jurisdiction) ffi yes no yes no yes no yes no l---1 i!H J-i-t--f t*rt-t [tr..7fl-ffi Hn-l+ tit tri ffiTTl *H**r l- -t*t -i-: Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Permit Officer's Printed Name Signature Application Fee(s)Check#lssuing Date Expiration Date ',-, //il 1- City_ State_ ZIP tt Pt." -l a *)m< <t 1€ )'ara/ +,/ )) E S"" note on back regarding River Basin rules. ffi +-T --# -fi" -t-]-l ii -1 1 ; r*-rII l--{ f I ,#; i ---l H tt\ Hi (tutl nlt x 1a- Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become nulland void. This permit must be on the proiect site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signingthis permit that l) priorto undertaking any activities authorized bythis permit, the applicantwill confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best arrailable information and beliel certify that this proiect is consistent with the North Carolina Coastal Management Program. E othe., lf indicated on front of permit, your project is sublect to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-945-6481) or the Wilmington RegionalOffice (910-796-7215) for more information on howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarterc 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ | -888-4RCOAST Fax: 252-247 -3330 (Serves: Caneret, Craven, Onslow - Nonh of New River lnlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste.300 Elizabeth City, NC 27909 252-264-3901 Fax:.252-264-3723 (Serves: Camden, Chowan. Currituck. Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 2s2-946-6481 Fax:252-948-0478 (Serves: Beaufort, Benie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District I 27 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-72t 5 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New fuver lnlet- and Pender Counties) http://portal.ncdenr.orglweb/cm/dcm-home Revised 7/05/ I 7 River Basin Rules Applicable To Your Project: ! Tar- Pamlico River Basin Buffer Rules [l Neuse Rjver Basin Buffer Rules Applicant Name Address TCAMA / I DREDGE & FILL ENER/AL PERMIT As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pu rsuant to l5A NCAC N977471 A B c D Previous permit #_ Date previous permit issued '" Prolect Location: County Street Address/ State Road/ Lot #(s) Subdivision ztP Phone # (_)River Basin Adl. Wtr. Body- (nat /man iunkn) Closest Mal. Wtr. Body c State Phone # (_)E-Mail Authorized Agent Affected AEC(s):tr PWS'- ORW: yes / no PNA yes / no ztP !cw NOEA trEW tr HHF N PTA tr!H !ES tr UBA ! PTS trN/A Type of ProjecU Activity (Scale:) Pier (dock) length Fixed Platform(s)ffi ffi t l+r+ f-[-frfm iT I Finger pier(s)_-++---i Groin len4h number Bulkhead/ Riprap length_ avg distance offshore_ max distance offshore ' Basin, channel !tl-f*i-*l '-t'l i+ f-I -l-I cubic yards il tl ,.-+ Boat ramp Boathouse/ Boatlift itl 1--r-1-ffi -f -1- IBeach Bulldozing Other l- H I 1*r I l--- + I Shoreline Length SAV: not sure yes no '.. i -i- t llf"it. Ita. I Moratorium: Photos: Waiver Attached nla yes no yes no : yes no t1 i-1f*f A building permit may be required by: ( Note Local Planning Jurisdiction) f] S"" note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Signature x* Please read compliance statement on back of permit ** Permit Offi cer's Printed Name Signature Application Fee(s)Check #lssuing Date Expiration Date ENew EModification IComplete Reissue IPartial Reissue Floating Platform(s) _ _l___}___+ t-+ + I +I t .t_+_Flit J I ++ I+ I I+ ,ti t--i---riii.;+ I-T-i- *l_" I I Statement of Compliance and Consistency This permit is subiect to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subiect the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This Permit must be on the prolect site and accessibletothe permit officerwhen the proiect is inspected forcompliance. The applicant cenifies bysigningthis permitthat l) priorto undertaking any activities authorized bythis permit, the applicant will confer with aPProPriate local authorities to confirm that this proiect is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adiacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis project is consistentwith the North Carolina CoastalManagement Program. River Basin RulesApplicable To Your Project: Tar - Pamlico River Basin BufferRules Neuse River Basin Buffer Rules lf indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Olfice (252-946-6481) or the Wilmin$on RegionalOffice (910-796-7215) for more information on howto complywith these buffer rules. Division of Coastal Management Ofiices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ t -888-4RCOAST Fax: 252-247 -3330 (Serves: Carteret, Craven, Onslow - Nonh of New River lnlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-390t Fax: 257-264 -3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) E oth"., Washintton District 943 Washington Square Mall Washington, NC 27889 252-946-648t Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and WashinSton Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-72t5 Fax: 9 l0-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River lnlet- and Pender Counties) hnp://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ I 7 Locality fcnnit Numbcr Occan Hazard - Btuarine shorcline- ORw Sborelin€ - Public Trult Sborctinc- Othqr -(For offcial usa otlYl GENE,RAL INFORMATION I,AND O1}'NER. MATLING ADDRESS (>rr,lt4:;, ftfrrl \urlr t{Z ; tGe 0 pfrot n i'n Addrcss d toftac €€6 hJ AE trr, lJC zip2t!60Ph,," rl(aA {c<D€NLI cc> rh Lnuil .\trTHoRlZED AGt:N',r t.l t1l i tu'?F<1, o ( r{ Nlmc u Addrcsr eo, 'Brc(a L Citv ttl<u E(rZ, Srute N C- zip2ifun,n" llmnil L t\,1<C i: ,r. l,ocATtoNorPRoJEcT:(Address.streclnan]eand/oldirectlonslosile:nameoftheadiscentu.cterhody.) ilo o ?Fc t1fri Do Cp tti E*t- DESCRIPTTON OF PROJECT: {List sll propo*d construction and land disturb'nce'} /?A7 SIZE OF I,OT/PARCE[.: ---.---_- square teet ,4 acrcs PROPOSED USE: Rcsidcntial I lsinglc'tbmily fl Mulrrtirmirrff I C$mmcrcial Industrial E OlhY E oTH}]R PERSIITS MAY BE REQUIRED:Thc uctiviry you urt planning may rcquirc othcr thrn thc CAMA minor dcvclopmcnt pcmit. inclrrding. but not limitcd to: f)rinking Wutcr Wcll. ScPlic Tank (ot wstc reatment s!'slem).Building. Electrical. Plurtlhing. Ileating cnd Air Conditioning. Insulation and Eneryy FIA ('enification. Sond Dunc. Sediment Control. SuMi!ision Approvol'Mobile tlome Park Approval. Higltwol'Conncction. ond othere. Chech with your Locrl Pcmit Officer for morc information' STATEMENT OT OWNERSHIP: l. [rc undenigned. atr applicant fo, a CAMA minor developmem pcnnit. bcing citlEr lhe owns of Prcperty-ir an AEC or a pcrsonauthorizedroactasanatcntl.o'prrrpoxsoiopplyinglbraCAMAminordevelopmottpetmit.cenirythatlhep€Isn lislcd as lanrlowner trn this appli"arion fus o signin""ni intresr in lhe real pnrpcrty dxribed rhcrein' Thiu interst cun bc dcscribcd us: (chcck onc, F*,x;E:frBie)"a{' tu ,af,el/ +lPh*- P-P Otttt{yr l)rS.) in name of odsc in thc Coury Registru of Deeds('ilv _a! omcr bY vinue ofinheribnce. Applicanr is an heir to lhc eslate of Counry.probutc n'us in -if $thcr inlercst, sush as writt€tr $ntract or lss' cxPllin bdlow or tNe 0 6apanle lhcct & stteh to thiJ spplic0rion NOTIFICATION OFADJACENT RTPARIAN PROPERTY OWNERS: I furthcmorc ceni& thar the fouowin;;crsons are owncrs of prcpcrties adjoining this pronefly. t-"ttT l}t.l havc givcn ACTUAI, NOTICE to cocl ort.m lcinc"*iie rnv in"nt to ievilop this property ond to appty for a CAMA pcrmit' t-Appe N,'{es 't"?krlqo a>e{-( Name)?o P (l) (l) (-l I (4) ACKNOIVLEDGEIIIENTS: l. thc undcroigncd. acknowlcdgc rhar rhc land own$ is awarc thar thc prcposcd dcvclopmcnt is Plilncd for u srca which may bc auscepribl. to .-.ion *oo. iJing. t acknowlcdgc that the Local Pcmit omcer har explained to me lhc panicu- larhozardproblemsasroci!]edwiththislot.Thisexplanotion}.asaccompoBicdbyr*ommendotionsconceminSstabilia. lion {od tl(x)dproonng tshniques. I furthcmorc ccnil't' thal I am authori'cd lo SErt' ond do in fact Srst' Pcmi$ion to Divirion of Cmstal Managcmcnl staff' thc Local l,cnnit oln.", ona th"i. rg;,* a Jnt., on th" ofor.mentioncd lands in conncction with evaluating information CofTtPLETE ETTHER (t) OR (Z) BE[,ow {Cau'a( t;our Local Permit Ofiic{ if 1wu atc not sarc *hich '4EC s?4li( to four proltfrt!'li (l)ocEANIIAZARDAECT;ToTALFLooRARE^oFPRoPosEDSTRUCTURE:-lqualtt.st(includcs air condirioncd living space. parking elevated rbovc ground level' non-conditioncd space elevated above ground level btt cxcluding nonJoad-bcaring attic spucc) (2) COASTAL SHORELINE AECS: SI7-E oF Bt'lLDlN(i FOOTPRINT AND OTHER IMPERVIOUS OR Bt,,lt]I UpoN st.IRFACES: _ squaN r""ir"ira".,r,"."a of thc foundarion of all \uildin8s. drivways. covcrcd dccks. concrctcormasonryporio"."t.'tt'"u'"*ithinthcapplicahlcAEC'Atachl-ourcalcutationswiththcprcjcctdrawing') STATE STORM\IATER I||ANAGEIIENT PER[trT: ls thc proi('ct localcd in an arca sub.icct lo a slatc sloms'ater Monagcmcnr nemit issiJ iy the N(' Division of Encrgy' Minenl and Land Rcreurces (DEMLR)"' YES_ NO- If ]. cs. lisl thc lotdl brrilt ulnn are&'impcrvious surthcc ullowctl lbr your lot or parecl: _._- squarc fcct' rclated b this pcnlit application. ,h,",h" f 1t davoufub/'2030 or persor to act as ogent for purPosc 6ling r CAMA Pcrmil Thls appliution incladcs: genera I infornat io n fthi$ ftillil. u tile iwing os d<scihed ot rhe huck ofthis opplication' the rtateneil. the Ocean Hcarl AEC lilite thctY netcttotY, u dttk for $100.00 nadc payuhle to the bcality' anil Liltl iil|ornrnlit)tt os nlor"he prcvided orall"- bt'rh: tPPliont'Thc datoils ol thc sPPlitotiort as des<ihed hv lhesc soutt'?s qtr in <'or porq I &l \t i I hou t refcrcn ca in onv p€rmit which na' he itsucd. Dcviatioil lrum thase delails will conslilulc o t'lolotioil ol "',, o,'', 0", H€tElV V!6 Nov 06 2020 DCM.MHD CITY ot54 un)'pcrttit. lnt Pe,'w dauloPing in qt AEC ukl adil i ilhlrdlire d<liott. zt?-A77efcc zf z - brt-77q€ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adj acrlnllo ( H ?nol.tl., O'tu*, Asso 's property located at rroo ?,.li e-^ )... 0{ame of Proporty owner} on /rr,^(trll Jr.rr.r* l-l^.Lol, Block, Road, etc.) tR Ft €Ot l'l RPOoo!'C. (cltylTown and/or County) Ths applicant has describ€d to me, as shown below, th6 dev€lopment proposed at the above localion /t,/ I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWNG OF PROPOSED DEVELOPMENT (tndivlduat prcposing development must irtt in descrtption below or atlach a site drewing) /il r i F ic LD //J € z- tl/)." tr .t!.> ttP ft;tti'/"t /'' x' lvL <- NJ / cur l4o-Yok L-o''-;r'sl'r' - y''' 7" tz''/ N e"r me. (lf yoywish to waive the setback, you m v/ I do wish to waive the 15' setba 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 ust initial the appropriate blank below.) ck requiremenl. I do not wish to waive the 15' setback requirement (Property Owner lnformation)(Adiacsnt Propgrty Pw;ior lntormation) ,/)t.r- l' 1.',ur,t---- @A , "r- . ,'t ,. .. Pinl ot Two Name1o1 'Te(^tt>AP Sisnalure 11a^a I 14 4[t!al Pdnt or Twe Name f27 C.-n4 f?-z( Dn. ''fj![:#*f ] ,\r.- zo{to Mailino AddtEssi7i' G,'tZ":, t" r- Lo{Lo Citvlslate/ZiDzlt'ast:{fao / 4t?aP @ n.se t N L, u <, b3*!19tfr P-.1 <13 rUl ifat*, o2 addr6ss b Telephone Number email address ?/<:x Dale* 'varid for one carondar year afler sigrEF'tEl v ;i) Nov 06 2020 DCM-i'IHD CITY Dale 7 Zcrzo (Revised Aug. 2014) (Waterbody) ADJACENT RIPARIAN PROPERW OWNER STATEMENT I hereby certiry that I own property adj acentto 6rcfJ ola llu-bou-?n1 or..t Aqr,l property located at lt oo ?el;.on ).(Name of Property Owner) (Address, Lot, Block, Road, etc.) tn .D an-L tr,/tu .c. (Waterbody)(City/Town .nd/or County) The applicant has described to me, as shown below, the developmenl proposed at the above locatioD. /,Li,TL lhave no objection to this proposat. I have obiections to this proposal. DESCRIPTION AND/OR DRAWNG OF PROPOSED DEVELOPMENT (lndivldual propostng development must fitl In descrtpfron below or attach a stte dnwlng) <- N/eul l4cryok Lctr'ir"rgl'\ WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boattrouse, lifr, or grorn must be set back a mini mum distance of 15'from my area of riparian access unless waived by me (tf ish to waive the setback, you must initial the appiopriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15'setback requirement. (Property Owner lnformatlon) LJ (Adj acent rmation) 1 d -fffa.t?t d)7,,,,&,r Pdnt ot TvDa Neme ?az Copr. Peee D.,Pint orctoa Mailino Address tJer-- Tze - ,N <_ 2ed4) Telephono Number / omail address 28 dc.f zd za Telephone Numbat / omail address28 oc1- a. 7o Signature* Type Name FEt ucce c-q- s l)a 't-656o CiU/State/Zlp 2 {?-L?)- $oo / ft/Po,A U fqDte'..^2<.(.^Citu/Slate/Zioqti-qqc'L(1a / Dqte (Revised Aug. 2014) on fene'cll L'"c- H a*h.,-- ArJor*. RECEIVED ,O, *ry'alid for one caleno", r"", "flefilfltlnTiOZO DCM.MHD CITY t rxrll.iv"lrsttfo2.5lh6/{R Lw Prolilc Dct I'jvt kEd 30ltE/rqli 4'-11'@ElllEl-l t2' I 'Prujct Nrm: ,Nr Dg[ihArr Nm: EZ nrd S.,k (rJI rr4rl Drrfi ]tr hrii Ar&Nr DdstYM DWG NtrE: @-a{o?d! 166{t EZ Dwl. lnc t7EE $HigLhwayfrl Murd. Misri 6570t Phm€: I ttlrll65+tld \fat: (dl 7r 215')2lz General Notes: srldt Sad'rd&sin h'*ie' tuL' a NattC itd r$r tlownrso trl E-r l&r {rs..ddtqhd rnh il rtr{.-{nr [.rlfl sr'x.{trilh,.d*!{aa ie.dFrirtu r(8rlD ctr&( srd {o suie hl,lEi.(latbil&r.i ,rtl$!tr. qlnrrd. "' NoflrE! |la{ EZ Drd( Lilih, Wildt y dldilly' Atrnrg odrr l}infr' EZ Dltt Jd N $@l &m86' ,'.it*.r r"*" .."- lry uuerrizl r:m'lili'aiil of EZ D!'t lt'a[l ild/nr nsulw;ed il&]oEr{ dnf EZ D.d( I'duri RECEIVED Nov 06 2020 DCM-MHD CITY t &l.arAhtMcMk.lJiN&L other than the CAMA wastc Locality InemritNumber-()THERPt]RNlITSMAYBEREQUlRED:TLcilcti\,ityyouareplanningnrayrcqtlite minor dcvclopmcnt pcmit. including, but not linritcd to: Drinking Watcr Wcll, Scptic Tank (or Oceon H^zard - Estuarine Shoreline- ORW Shoreline - Public Trust Shoreline- Other - @or oficial use only) treatment svstem), Building. Electrical. Plumbing, Heating and Air Conditioning, Insulation and Energy f.4l t>,,,.r,'.g-, frSfrrl Addrcss 162 (oQAt- (?eec p- NrC see, s,u,, Nc nr2846n n 2s2-crr-ifca X on o*n.r.,. racord trtle- Title rs vested *r,,uru"* 3c196 o t71City Email tlfoA rc<D D Gr-l L(,( c> fr^. At]THORIZED AGENT Name u l>h Pl d .u ?r.<r,o€,{ Addrcss baof Aru c Lf City p<cr '6(rU state /V c-z;pZtfup,non,zf z - 6rr-77q? Email , eon* LOCATION Of PROJECT: (Address. street name and./or directions to site: namc of the adjacent s'aterbody.) llo o DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.l TNITALL KATAX IAI.IA|<If Ar Ealr Rfr ltA square net Q.t1 ! ! o"r", FIA Certification. Sand Dune, Sediment Control. Subdivision Approval, Mobile Hon:e Park Approval. Highway Connection. and others. Check with your Local Pemit Officer for more infomation. STATEMENT OF OWNERSHIP: I. the undersigned. an applicant lbr a CAMA minor development permit, being either the owner ofproperty in an AEC or a person authorized to act as an agenl for purposes of applying for a CAMA minor development pennit. certify that thc person listed as landowner on this application has a significant interest in the real property described therein. This interest can b€ dcscribcd as: (chcck onc) in name of fu*raf"do tlP,'lao*'-P*f, or-tr*t-l)rs^) page - inthe *+IH countyRegistryofDeeds. _an orvner by virtue of inheritance. Applicant is an heir to the estate of probate was in Connty. _if other inrercst, such as written contract or lease, explain below or use a separate sheet & attach to this application. NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS: I furthennore certiFy that the following persons are orvners of properties adjoining this propeny. I afnm that I have given ACTUAL NOTICE to each of them conceming my intent to develop this property and to apply for a CAMA pemit. (Name) CENERAL INFORMATION LAND OWNER - MAILING ADDRESS Name Fi,caf t Gc a (li^P. frou^tz f., gAppe ll;ler qotfd'7krn,'/rg AD e:i-(l) (2) (3) (4) (a alt f< <4)5 e L4 ca.- cT- SIZE OF LOT/PARCEL: COMPLETE EITHER (l) OR (2) BELOW lContoct your Local Permit Oficer if you are not sure which AEC applies to your propery)l (l) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: _ squarc feet (includes air conditioned living space, parking elevated above grorrnd level, non-conditioned space elevated abovc ground level but cxcluding norrJoad-bcaring attic spacc) (2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT TJPON SURFACES: _ squarc fcct (includcs thc arca ofthc foundation ofall buildings, drivcways, covcrcd dccks, concrctc or masonry patios, etc. that arc within thc applicablc AEC. Attach your calculations with thc prcicct drawing.) STATE STORMWATER MANAGEMENT PERMIT: Is thc projcct locatcd in an arca subjcct to a Statc Stomwater Management Pemit issued by the NC Division of Energy. Mineml and Land Resources (DEMLR)? YES NO Ifycs,listthctotalbuiltuponarea/impcroioussurfaccallowcdforyourlotorparccI:-squarcfcct. ACKNOWLEDGEMENTS: I, the undcrsigncd. ackrowlcdgc that thc lmd owncr is awarc that the proposed dcvelopment is plmned for m area which may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer h6 explained to me the particu- lar hazard problems associated with this lot. This explanation was accompanied by recommendations conceming stabiliza- tion and floodprmfing techniques. I furthcmorc ccrtiry that I am authorizcd to grst. md do in fact grmt, pcrmission to Division of Coastal Mmagemcnt staff, the Local Pemit Officer and their agents to enter on the aforementioned lmds in connection with evaluating infomation related to this permit application. w*^, V-vrs *"'n" /F* :' *fu!^ z o* PROPOSED USE: Rcsidcntial ! (Singlc-family ! Multi-famil# ) Commcrcial/lndustrial ! Othcr I @ ;gc,,r f"r prd;r rrti'g " cntvte perniit appdcntion I This applicalion inclades: general inlornation (this.[orn), o site c{rau'ing as descrihed on lhe back ofthis applicolion, ,he ownership sldtemen4 lhe Ocean Huard AEC Natice where necessot?, a clrc&.for $100.00 made payable to the locality, and anv infotmatioil os may be provided orally by the applicant. The details of the application as desctibed by ilcse soutes arc incorporated without refercnce in any petmit which na! be issued. Deviatiott frcm these details will constilule a violatiort of onv perrtrit. Any person developing in an AEC $ithout petilEdrEivEd'ininal qnd adninistralit'e action. Nov 0 6 2020 DCM.MHD CITY SITE DRAWTNG/APPLTCATION CHECKLI ST Please make sure yotr site drawing includcs the following information The Local Pemit Officer will help you, if requested. PHYSICA.L DIMENSIONS _ Label roads - Label highways right-of-ways Label local setback lines _ Label any and all structures and driveways cunrntly existing on lrropertv _ Label adiacent wate$ody PIIYSICAL CHARACTERISTICS assistan(e) lfyou will be working in the ocean hazard area: _ Draw and label dune ridges (include spot elevations) _ Draw and labcl toe ofdnnes - Identit/ and locatc first line ofstable v€getation (contact LPO for assistance) - Draw and label erosion setback linc (contact LPO ftrr assistance) _ Draw and label topographical feairres (optional) rrquired for a CAMA minor development pemit. _ Draw and label nornral high water line (contact LPO for _ Dtaw location ofon-site wastewater system Coastal Management ENVIRONMENTAL OUALITY APPLICATION FOR CAMAMINOR DEVELOPMENT In 1974, the North Carolina General Assembly passed (CAMA) and set the stag€ for guiding developm€nt in PERMIT the Coastal Area Managem€nt Act fragile and productive areas that Under CAMA r€gulations,minor permit is to bc issued within 25 days once a complete application is in Ollen less tim€ is needed if the project is simple. The process generally takes l8 days. You can speed the approval process by making is complete and signed, that your drawing meets th€certain that your specifi cations given inside that your application fee is attach€d. Other permits are required for developm€nt in the coastal area. While these Ifyou will be working in a coastal shoreline area: _ Show the roofoverhang as a doned line around ths structure _ Draw and labcl landward limit of AEC - Draw and labcl all wctland lincs (contact LPO for assistancc) border th€ strt€'s sounds and oceanfront, Along uith requiring special care by those rvho build and develop. the General Assembl)' directed the Coastal Resources Commission (CRC) to implement clear regulations that minimize the burden on the applicant. This application for a minor development permit under CAMA is part of th€ Commission's effort to m€€t lhe spirit and intent of the General Assembly. It has been designed to bc straightforuard and requirc no morc time or rffort than nccessary from th€ flpplicant. Please go over this folder rvith th€ l,ocal Permit OIficer (LPO) for the localitv in which you plan to build to b€ certain that you understand what information he or she needs before you applv. - o Ei* - Draw and labcl thc 30-foot buffcr linc DEVELOPMENT PLANS - Draw and label all proposed stnrcnres _ Draw and label areas that will be disnrbed and./or landscaped _ Note size ofpiling and depth to be placed in ground - Draw and label all areas to be paved or graveled - Show all arcas to be disturbcd - Show landscaping NOTE TO APPLICANT Have you: . completcd all blanks and./or indicatcd ifnot applicablc? . included your site drawing? . signed and datcd the application? . enclosed the $100.00 feel . completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner) are not CAMA-related, which of these you may We appreciatc productive coast. we you to check with the Local Permit Officer to determine with the North Carolina Coastrl Management Program a way lhat protects the resources of our beautiful and Coastal Resources Commission Division of Coastal Manag€ment @ 5tr<.<ilF- -=ALl "'?xrll_ouz.d- " jazdzzt) DCM Fom EBl952-20l5,Rcviscd FOR STAFF USE Site Notice Posted - Final Inspection - Fee Receir.ed Site lnspections Date of Action: [ssued - Exempted - Denied - Appeal Deadline (20 days from pemit action) - ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adj acenl to F H ?orP.rt', O.tun^t A st P property located at llo,) ?e(i."_^ ).,- (Name of Property owner) on /ot*(t44 f,Lrrro l{eab (Address, Lot, Block, Road, etc.) /?t,/ i? S tn tr. Ft €Ol l-11\lzo a.,,- (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above localion)/ I have no objection to this proposal. I have objections to this proposal. crt Ftd'?"c Dcesq lrl € 6/ct"t r{o,Yak LGt'rrgi1 7.s-z-/ N '"itbeef ^ WAIVER SECTION I understand that a pier, dock, moori ngp ilings, 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 (lf yo h 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 lU4,/\, (Property Owner lnformation)(Adjacent P ot'fip*.- L il, er lnformation) Sisnalure f4 i ^rz y 'l&o ^ FJa.)LE5 Pint or TWe Name ,oz L-b ^-\Rz1( D".Type Name Te(^/tbAP Pint or 1o 11 Mailino Addrcssizi 13 srzn ,u<_ z0{/0 Mailino Addressiltqi G ee,:P <- L9{L0 Citv/State/ZiDzlt-art:'{{ao €H ? a p @ rnoo t u,, u <, o|{/f9|?ie r r":A)/ Teleoh 3o one Number /addresso>ozo Telephone Number email address 7n^'7/ Date+ 'valid for one calendar year afler sigFF 'Eiv :;; Nov 0 6 2020 DCM.MHD CITY c-I Date Zoz-a (Revised Aug. 2014) l-u^ (lndividual proposing development must fill in description betow or attach a site drawing) f.I ta(/af /€Lr\ r/ €z /+/),,) E.L,b ADJACENT RIPARIAN PROPERW OWNER STATEMENT I hereby certify that I own property adj acent to (o,o{,ie-129 tl,aub ott-r- ?nr oatcrs A,g/ property located at I t oo 7e(| .-u, ).. (Name of Property Owner) (Address, Lot, Block, Road, rt/2,.con fa,n e;c[rl L'rc- H onloo^--in (R CD eL4.r- (Waterbody)(City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 0 ' I L I have no objection to this proposat. I have objections to this proposal DESCRIPTION AND/OR DRAWING (tndividuat proposing development must fiil in OF PROPOSED DEVELOPMENT descriptlan below or attach a sife drawing) €- 5/at"'r{c^,Y+k Launq.t'\ 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. (lf wish to waive the setback, you must initiar the appiopriate blank below.) I do wish to waive the 15'setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner lnformation)rmation) a^I u) ,t-r^- ohPJ a)7u '&"r Signature* L4l(Lth/>r At darru, Pint or Tvoe Name?oz Corco. ?eec Do. Mailino Address Neni 7z-,2 - ,N <_ ze{6 o City/StatetZip 2 f?- L ?j- riao Fr/ Ptstl @ Jrooeottt2E . cod Print or6tot Type Name FEt t <c<-a et- Pz L6560 7c/ email address d Telephone Number / email address28 oc-f Lozo REcErvE, Date* *Valid for one catendar vear a\flgpffH"iOZO DCt\,t-MHD CtTy Date (Revised Au7.2014) {2at D*k Liw Lud of 62.5 lbJsqfl Lw Prolile Doc* Live tmd 30lbt/sgli 4'-11" Dxk Uvu Lurl of 02.5 lbs/6rln Low Protile Dook l-ivr Load 30 llu/rqli 4',-11" t2' IPrujcctNmc: .NC Distftuto-Nmc: DNid 4ndmrn U nct Sehti6 (lllr r';3JfDJ DrM lDi Drvid ^rdAnDak:9 Y:020 DWG Nuq ilr-440765166s EZ Dxk, lnc E7E Fi$ Highway 60 Monct. Missoui 6571J8 Phmc: I (R0l)) (r54-Blrr8 Fax:t4t7) 235-D32 NOTICEIRodEZDtrkLirnitEdWamily€ktu[y. Amongothd.thinsi,EZDoctdein.]rlraruntdxmxS6, f,tiltrH or dcfccti rau*d hy uQuthoriftd Dhdilildiotr i)ff,z Dxk prfidEo! dnJorufinrhoriad n&nhoriilt b/of EZ Dtuk lrmdud. General Notes: ll'iJd,diis&r.d,rfl(d.Nhd'i'c, O&.{nlbrlnLnlrilr& lspl.tql h@d n.qDd f@rlonr$lrrrnro nrdbnotr@qlido![ i. ro(.i!e( rilltdiU@y b!dritd 1 N'tur It I dr &rk '*d!rlf idr/r R+rEihil;ry r, @rd!i r.il! u!\ny lnh rn,fi{nril, rilnril rn riln [r,t [B,..ri6Dr{i{n Eill{ilri a wclld dt ,nqudnn, F!,(,{ d ti&naot quiil.nE tsftiriryt, d! 'nolld"n. qnlidlid !.d e.f EZUdt nnd@ on 6.NerotsEknlOtn*6. U Dnct. Ioi 6tlfua' Odr.r idf6iliry rad rsF( k d. t.8Jiry t! uqtiryde o*Er'ry&tr cbwn orolhili,rolt&d dc. dEZM R.lda.. EM Usc @lddUU@l fut RECEIVED NO\/ 06 2020 DCM.MHD CITY IMADE rNllusrJ l. Do* Liw Lud of 62.5 lbs/sqft Lw Prorile Dock Uvc t-ad lO lbJsqli 4'-11"liiudoE nrl lusel General Notes: l. ll,ii d,iwl,stui iut rilrsl.r,!h,,lB, ll,t'sIff;ei!.n itr!'rrnioi& con)plctodlrDpD*i FrqsrLnnco,f,!trhgssro ntlMnun@'dido'r ie racc lld,illhodils nay h &uilul. sih ill,Nhhn[.F.il$n, stsi ,nil ril,l [M,.hril.ilr*,ri r&|il{nr. aiqdl uJl n$*drnt. E irfi'nf dlirBingNuirmuiB Fhndg r, d! idslldr{ lTliern, $I e.lEZ Utl lddd i{ e ,uudroFEroft !coh.s- U Dn4, 1d!. s@d nn elv 'trdFiribiliry si6 raF & u.lc8tliry or orqlhq r[th o*ftr'olErsls .kd rntUUU!& ryltr&d !i ac ol EZ N l. I 12', .Na Dirtritruto Nmc: fr0vid AnJson €z r\r* Srhtrio6 (ljll r','34:r3 'Project Nmc: Dffi hla Drt;d an&Nn Date. 9 :l/202rr DWG Nue: m-4407ti5 l66ee 235-27i2 EZ Ilmk,lnc 878 Ea$ Highway 60 Molcu. Missoui 6570E Phonc: I (800) (154-8168 NoTIf.E!RddEZDsckLiDihdWarnntyurttuuy. Amoogothcrlhin&i.EZDockdo€rildNalr&lrlilmag4, fnilttH rrr d€firtr .arRJ b), trmurhorizld rlotlifrratinil ,)fEZ Dllik }rri.luf,i, ildnr thaulhoriziil nuohnttrt b/of EZ Dek }rndud. RECEIVED Nov 06 2020 DCM-MHD CITV