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HomeMy WebLinkAboutAmmons, John 76664C/ clEEorrallpm#r Di.loda..dsr 00arfbffr 0H f5. e. f at.rrr ffi, LPrlil..ta C3rffi q'ry hlt .irqrrdaacll!.rtllt o l5A N9 76664 Pr.ldott '..trf , OT ,fi4 Af c D lloo 700Irrdti.&d tr{ /sr}i* ^&r Nl,n. c I ^fi..!.drfcs wt *td H P,rlE L*,h Catry h S oty fio.. t (-) AC, YlAr. ? Llt r{.) d AA C]I'T C fl tlr3- trrn. oraa trrtr tt n O* ltf ltt*a.tf, f,IIt(I tf I t IL"! \tt IIT I+ a IIJ I! I 1 {+t+I .l. It I T)., i IIt # It+t 1 :I I-i +- + -# I+,f'r Itr.do (gab ) 'b tLdo L{at +-H.df Frtr Arlat lr{h tS afr.i rB&ar*t! h.d*-- o*tra-ffff f*rd ildrLdt.-.-......--+ orfi H. $!*t{n- tr l- b +t .l?Llf{}d []sr 16 oat cf; u .!;itl tly' ( No lr.J llr|.lft tl L {|ardtf.dAedlbri/ a ,,txfr[* , L a lrta frl II ! JIL aaIII {tlr! rirIII lr ,Il-a ia-II I ,, I finn cl!.d, lr */ Plsllt ollv: I t g a^ 'S -l iur I t '-r -a I 6. ,t b{adttFmr &a14 Fbld trart!(r) t& rrra fi,r* rS 'h3fi-B r CAMA/ DREDGE&FILL NERAL PERMIT Modiflcation -Complete Reissue Partial Reissue bi the State of North Carolina, Department of Environmenal Quality and the Coastal Resources Commission in an environmenal concern p ursuant to I5A NCAC N9 76664 Previous permit # Date previous per 1il ttoo tup eut lvlluo*-r % Proied Location: county Cqled '"*/Q"21fr? l^a r"C-rnd Yol^\Street Address/Road/ AB o D mit issued t/^ Authorized Agent ail rt w".G :ftfifuCitya'zt r Bas- Frs Phone # ( ) )<> -fr.OEAAffected AEc(s) oRw yes HHF IH UBA N/A PNA Adi. Wtr. Body Closest Mal. Wtr. Body os,t*(kn PlvS oq;u, Agent or Applicant Printed Name N read comptiance state-"", "" ff ffi 1 ,"4 Signatu ( Type of L^a I,()YJ-IT !Pier (dock) lenSth Fixed Pladorm(s) I 9\l x L*r),t"tn\'Floatinr Platform(s) r'n3".i'"4e 9FlF E $'IGroin length , +-i=*t cubic yards Boat ramp Boadrouse/ t}I. T:naffi t SAV: not sure yes Moratorium: rla yes Photos: F, Waiver Atta.hed: (9 @a a1-l a/hez t+ ( n-|r*tr note on bac k regard n8 River Basi rul es ( Note Local Planning rurisd L I .J T}<,I o 1 ta"q A e'!hNotev Special Conditions e L e 5 c: €rili rr c ( oo Ou anJ ?100 C 'ff:r(ffi' Che(k # nn ,,2 ,UJ::T: Applicant Address City_C^o,1 Phone # Name Subdivision Lot #(s) lenSth max distance offshore Basin. channel I B.-ach BulHonnt _ Shoreline Length A building permit may be required See i x / i l )o{ Statement o, 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 subject the permittee to a fine or criminal or civil action; and may cause the perrnit to become null and void. This Permit must be on the proiectsite and accessible to the permit oflicerwhen the prolect is inspected forcompliance. The applicant certifies by signing this permit that I) prior to undertaking any activities authorized by this 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 adjacent riparian landowner(s) . The State of Nonh Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certirythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin RulesApplicable To Your Proiect: Tar - Pamlico River Basin Buffer Rules Neuse fuver Basin Buffer Rules E othe.' lf indicated on front of permit, your project is subiect to the Environmental Management Commission's Buffer Rules for the fuver 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 (252-946-6481 ) or the Wilmington RegionalOffice (910-796-7215)for more information on howtocomplywith these buffer rules. Division of Coastal Manag€ment Oflices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ r -888-4RCOAST Fax: 252-247-3330 (Serves: Caneret, Craven, Onslow - Nonh oI New fuver lnlet- and Pamlico Counties) Elizabeth CitY Dist"ict 401 S. Griflin St. Ste. 300 Elizabeth City, NC 27909 252-264-390t Fax:252-2&4-3723 (Serves: Camden, Chowan, Currituch Dare, Gates, Pasquotank and Perquimans Coumies) Washintton District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax:252-948-M78 (Serves: Beaufort, Bertie, Hertford, Hyde, Tytell and Washin4on Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 9 t0-796-72t 5 Fax: 9 I 0-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River lnlet- and Pender Counties) http://portal.ncdenr.ordweb/cm/dcm-home Revised 7/06/ I 7 Cannon, Amanda J From: Sent: To: Subject: Attachments: Davenport, Ryan Tuesday, June 2,2020 11:32 AM Cannon, Amanda J FW: IExternal] Ammons permit request CCF05272020.pdI ---Original Message--- From: John Ammons Imailto:john@triangleconstructionservices.com] Sent: Wednesday , May 27 ,2020 9:14 AM To: Davenport, Ryan <ryan.davenport@ncdenr.gov> Subject: IExternal] Ammons permit request CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspiclous email as an attachment to report.spam@nc.gov<mailto:report.spam@nc.gov> Mr. Davenport, please see attached info for permit request for the construction of pier and bulkheads we wish to build at 221 Jones street. David Windberry has agreed to give me an easement to build pier back to original length along his property shoreline. Will that need to be a recorded easement in the county office or just an written agreement between David and myself? Please advise on that matter to what you will need. Should any questions arise, please call me at cell number listed below. lf there is any way to get this permit moving quickly, it would be greatly appreciated as I have been told I have only 6 months to live as I have asbestos cancer in my right lung and want to have allthis work done before I move on in my next venture of life. My many thanks if this can happen quickly. Respectfully, .lohn Ammons Triangle Construction Services, lnc. 2103 Peach Grove Lane Zebulon, NC 27597 O:919-365-4800 F:919-365-9155 M:919-422-2000 Email: john@triangleconstructionservices.com 1 SITE DRAWING/APPLICATION CHECKLIST Plc!* ru\( sur. your iil. d,. wiry 'h.^lud€i thc folli,wrns nforulDn rcqurr.d fq'. ('AMA ntr trd.v 'nn|. llx'nnrr. 'rh. t.G!l Pcmir (rlfis will llclp ya, if EeEllctl. ?rY$c LD iELSI()l{8 Z* l.5cl trd - lrbd ttidry}.iStd.otrryt - trb.l 16l Et d( lir.. --ltbbcl ,y .od .ll drtitt .d aiv.wryr cu.r.r{y GtratB lxt p.oplrly --rZ frU ral..nt r*'toay PrYSrAL CTATACTaIISTTCS ,lk Drlw lld Lbcl n'ffLl hifh w.l.r lil|. l.ool..r LPO for rt.idr'*cl Dr.* leiioll ofoi{ilc waeic?rca irn m lf Fn will bc *dtin3 i. lll€ €c.n h.2r.d .M: - Dr.r'lnd l$.1 dur. rit6 (irt.lut! $o..lcvrrionr) _ tlr? rd Ltd le of .te. - ldd{i$ rd lirrl. [r.i lim or rrbL v6i.I i'n {codxr LPo for s$i.bc!) --_ t r.w [ld lrbd.rolidr t.lhrd li!l. (!uBr Lfo fd uirl.lEr, - t}.$'l[d hbcl lopolr?hi:tl B.lu.! (oplim.ll Itr l{71. lhe \ortlr ( .n'lin. (;rncrrl \r*nhlt pri*d lh! ( o.rl{l,\r.. Um.8(m..r .l l( l U l l .nd $r rtr rlr$ fir rulding dr\ dopnrnt h fr.rll' ..d p ro.h.th ( ..r.! ltel hordr.lh( rllr. r roondr.nd '*..ofn'.r. ,\li'n! shh .rqul.llll.Ir(hl (3rc bl rlm$ sl'o huild .nd d.rcnlt'! ltr Ccnrr.l.trqmblt dl]drd li( I o.rlrl R$ourc$ ( olnmir\ion l( R('l n' implrnrt.l rlcr. rlgolrllonr lirr n ninrlr.lh( turd.D on (h. rppli.rnl. lee 7l"t fl+o lll .I?lk.tlar ,or i tnlror iL!.reF.rl Fr.ll rr&r CAMA ti p.ri .f ll Ccoah.a.'r.flod to o..l lL.Dl}ll..d hlr.r .fll. G.!.r.I Ar*-bly, ,a ll. b!.. iLrlt'al l. b. n..&ld..r!nt ...1 ?rq.l't r r....h. o..lftfi tL. ...!dry Im.u lL .r0aLr.l. n .r ro .v.r tlh '.l&r rlll lL lrc.l P.rnI Otc.r (LX)) ,or llc b.!trly h rta.h yor pL. i. bdld rc t (..n.l. tbr I- Itihdilrd rld l.brnurlen t d . .cdt bcfor. yo. .Idr. tred.r CAMA ftadn{a.. lt rlt.r p.rdl lr loD. |lrd rhutll5ilryre.ct. ...lphl. .ptlk.d.r li l. hrd. on.. b.lh. L re.d.d It lL prerd h .&rpk. Tr. prn6 t r.rily t 16 rDorr ll d.yr l'or c.. .F.it lL .pprovrl ,r!.... b' rEU.t c.nrl. ltrt toor .pplLrahr b.omph..rd tltl.d. llrl y..r drlrrlnt m..$ lt. lP.cl0(.ll,or. gb.r hrl& rd thr your.t lcrllo. t . lr llrt.l.d. APPI,ICATION FOR CAMA MINOR DEVELOPMENT PERMIT Coostal MonagefiehtExvrioirair^! ou^IlrY ? =at)tvft,(rPttl \ r Pt. \s - Dr.w rrd LtEl rlt pspo6cd rrnr1urE - I)riu rd lbcl rE rtbt *ill b. dirturt d rndt, hd!(rpqi ,- Norc rir. ofpiliaf.rd dqrh lo b. pL.d in sruld - Dirw! ht l dl .a. !o b. p!rcd or 8r.v.lcd - Slof, .ll .1!J to bc di*urbcd _ Stow l.n&c.piDt 5tL do,1"r .k.{.ta M'TE To A''-lCAnfT . .n plcrd !I Urtt.rda hdicd.d if no. Trlirblc?. iorif.d ..d lid di.d FoFriy olmr? . il|clrd.d yry rh. &rwing? . rit!.d.r'd ilrod nE mlkridt?. alclorcd ti. ilm.m ft.? . cofiCLr.d & AEC H.zrd Nork , if nc..r.ryl (Mud b..it cd by thr pr$p.ny orrlc.) 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STATEMXNT OT Ol+AiETSIII': l, dE utd.N8Ed. |! amlicrat fr a ( AMA min n d.vclopnrent ,xr!ri!, bcing.ihd th. ouB orrroFdy in .n AEC d. n rsn.nhori?.d lo t l.s.n.rFrt fE lx,rlloei of.pplyrtrg tbr a ( AVA mllllr d.r.eloprr.nt Fnn( clrify lh.t r|!. Ft!.ln lisLd $ l.n&'wnc, oll lhr llrl4ztrirt hs ! srgnrfic.Dl intrrcrt rn rhc r..t pnneny d.*rihJ thcrcin. lli, inrctot (rr bc d.\'ritul rr: ((lxrr oi.) 1,,".** -,..'* u,",,, d, F r.\r.d,n nrtr o, ALilli, d. A *nr,n[:o*au^* /o(5 FB _@ I Lt'' . _if d[c. r.tcr6! rulh wifiar $nrru:r r,r ler.. dgbin hclo* .,. ur. r !€plrre rh€.r & .rus$ ro thir sppticrlfl N()TlrlcaTtott ()f aDJAcEdT RttattaN ptotElTy otf,Nfts: Inlrrh.n orcccni& Etrt folloritrg FdB. rr! owrsr of Fq,.ni6 dirinlna lhn r'rlFny.I rfim ttd I n.r rircnAt"IljAl. NOTIC'f, to o..h ot rlEm cuEe't|il\i my mrr to &v.h9 dfi Flpcny .trd b q?ly tG . CAMA pqmir. l,OCATlOll OI PIOJI:Cn ( Addls. srBr tre. .uyor d!.ccrronr rc \ikr nrmd of th. .dre$r $ ediiy. I2Zl f,.o..r S#(l) t:) (:l, (4, .5 F l)l:v LlPI()\()l PL()Jl-( l: Il hr rll a u,n\rruerurJfdir nr\rurr,,,,r,", ?rrl,*ril N* .0 c,t_ ACXNOIILEDGIIUf,NT& l. ttt .r'dcEi&x( .&iowhr&! d',t llc L,!d o"rcr l, .rs rl|.l dE pftF.dl dsvEh?'icnt i ptsrcd fo. f| .rt *rirt tE) L glicqrtibla ro cro.in &dor noodins. | *ho'datG lnlr $. l6t rtsmil Omclr h6 .rpt in d b rE dl. prtrio+ le hrzlrd FoblGrrs ..rocidd with thir h. nir crpLlrlioo Brr.ccotrp.d€d by r.coirn€nddioo. oor*llniig tbiliz- rior.trd lkE&r@ltll3 &{hilu6. I tunhlniorc.srfy tba I rrn arltdired io Fd, {td do ir f.d tnn. pdmirioo to Diriiirn ofca'l.t tttln.gcrict r i[tt. ttE lrcll Psmil Omcq rnd |.I. .tat! ro .ntr o.l th. .fdlrEtrri.xrd hnlr ir c()|lBlir! $ilt e.luring infonrnion rcllted to thir p.rmir rFliomll. PllOX)Sf,D USf,: Rc\t.ldnrrsl E isir8l..t&ril! 0 Mulrrlsm'l] E ) ( omnuc'al lhdu{rial n (xhd / ST,TTE ST(rRMU.{Tf,n UANACaIIENT PIXUIT: l\ th. pNjc(r locad In nn.na ruhlc.t t.. Silr Sr"msarr MaDSc'lHr l,.rmit N{.d ny rh. \{ Di\ isr ol liEgy. Mrn.ral nd L.lrd RsuL-A (DI:MLRt', YES N(I stlt (,f IoI PtRr t:t .+r!E l _ rcrc. ',n-,r" d7 ^",r rlt/r*V toP(l) OCf,AN IIAZARI) AEC!: TOTAL FI,(X)L AXtsA OLRoIOsf,D S'I RUCTUID: _ squ$r fer r iklud.s ,ir cddnioned li\1n8 spa., pr inS clcukd.bov. S.ourd l.!cl. non+ondinmcd ioacc ck\. .{.tx,!. snEftj l.!clb$r ri.lulms mnn(d+..n'r8 dni( sp&(.1 (2) COASIAI- StlOtDl,INtl Af,Cr: SIZI ()F Bl]ll-DlliO l:q[PRIN IANI)(tlllt l{ lMPl.Rvl(n]s oR Utrll I tr PON SURfA( tS: _ s{qrE fc.t { ieludc! rll. rrc. of th( ftud.lion ot rlt buildrrys. dnr.*.ys_ .or d{d d.rls. cor:rcr. or nusonr) pltior. .rc. rh.r rru withrtr d|. 6fDliclbL A[( Atl!.h ]q,r .iLulntnnr qnh rlk'rf,q.tl dl'wins.I l'r turtb\c ol lrlnB,' I \\t.1|rrnn rm]l(.xo. ltlci. lbl rhc rJrllburh i{ur ird rnrp.wnN sudn c nllo$cd lbr lour l{n or prr.cl IL4' 1,Aa597.',,,,,,9ti lzz'ze- _,no |.r by viril. ofinh.rii.nc.. A0plir r. ln lEir b ttt! 6air!.rf _ . |rlohJr( s$ trr I o!,t\ ADJACENT RIPARIAN PROPERW OYi'NER STATEMENT I hereby c€rtify that I own property adjacent to tlill,ut t .r{cr.5 property located at z?.1 3 sNGl sf (Name ot ProPorty Owner) (Addrc!.,,Ilqgrd, etc.)lbtlt-, N.C., in oL A rrrF,S S )(CltyrTown 8nd/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 obJsctions to this proPosal. DESCRIPNON AND/OR DRAWNG OF PROPOSED DEVELOPMENT VW|trNyo acent Property Owner lnformatlon) Signature yg1litt4. S.A.-t ,+ Pint or Twe $rrc re5 i(e a,'e-l-L t Print or Type *T3*Qaow LP2I O.? Maitins Addrcs?i ebu.lod, L)L CM$ate/Zlp e.'ryr?? / email addrcss Telephone Number / email add,gss L z*/-3 o? * Tdeohone Numbet4ll'422 -zac fi 30o7u2tDate 6\il'o 'Valid for one calendar year afler signature' Date* o (Revised Aug. 2014) on 5er. ntl"&l"f DRA..r'r'1 WAIYERSECT1ON I understand that a pier, ooct, mooringr pitings, bost 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 you wish to waive the setback, you mud inftial the appropriate blank below') t/ I do wish to waive the 15' setback requiremenl. I do not wish to waive the 15' s€tback requirement' zr-stt- ctdt,*'oi $*i*s 'atet ADJAGENT RIPAR]AN PROPERTY OWNER STATETENT FOR CATA ilTNOR PERTITS u),tlit d. fi,**o*f,t' I h.rsby cottily thtt I own Eop*ty adFcant to on I tc Bo (Wrt rbody) ,60E o{- Fown a lror Courn Print or Name Tol€phon€ Numbar .s,,s N.c. (APPLICATION AND DRAWNG OF PloPosED DEVELOPMENT ATTACHED) Sc.. dlL.Iro& DAn-'5 €- Z -24 - bo? t/., (L.m otPIoPrVOIIl.fl prop"rtv ro""ro "r 2 Z | 3oscs sf Arl(t'[., t ( Bloch Ro.d,.b.) ln Hc ha! dccdb.d to m. !. ahorvn in tha attrch.d spplbdion and plojact druin0(r), th3 daralopmortr ft" ir-p-t"p-ftg A Ol bcatbn, and, I tElr8 no Ol.cdons to hh propad' 4i=ZJ.29 2-D C!.t ,,po) property on (Clty/Town andror County) DESCRIPTION AND/OR DRAU'ING OF PROPOSED OEVELOPMENT 9a.e n*|r..\r..t &ro-';"1 '|lwuffi (Adjrcent P Ovvner lntormatlon) A.)€rr^i i=a 5- F.^roPt a Pdnt Dr2b W!!ff(.,.o.. ro Ptit t or Type tlan7€ cwrwtpqlQ (.Citylstatdzip Meiling AdrassPc 27517 lL- z&c9 - JooJ Telephone addrcssJ2 Telephone Numbet / email address 5caoies'et3&. 'Valid for one celendar year afier signature' Date s.zs-20 (Reviwd AtA. 2014) I hereby certify that I own property adjacent to 22\ S"o's 5l o,tJ5 1..r,i :P*S otc.) N.C. Tho appllcant has d€scrlbod to m€, as shown bolow, tho dcvolopmont propoeed 8t th€ abovo loca0on.1/ I have no objcclion b this propoeal. I havo objodions b this ProPosal. I WATYERSECTION I understand that a pier, dock, mooring pilings, boat ramp, br€akwater, boathous€, lift, or groin must b€ set back a minimum distance of 15'from my araa of riparian aCOOas unless waiv€d by me. (lf you wish to waive the setback, you mu.t inltl.l the appropriate blank below.) V I do wish to waiv€ tho 15' setback requiroment. ADJACENT RIPARIAN PROPERW OU,NER STATEMENT FOR CAUA TINOR PERI$ITS dilh3ra y. T. Mersoe iILq I heraby cartity that I oxn Pmp.Ity adjacs !o Ifca S. Nrreoos .S (N.m. ot Ptop.rty Oun 0 property localed at 2 zl -3 .,*5 St Addr.3., Lol, Eloclq Ro.d, .tc.) {tt.Rr SLttn N.c.on Forn rnd/oi County) H. h't dscribod b m. I .h.rivn in lh. attrd|€d sppllo.tlon ald pai.d dnwing(s)' oto d.flaloprt€nl ha is propdhg lt th.r bcltbn, sd, I llrw tro ool.do(r. b hl3 Eop6d. (APPLICATION AND DRAWNG OF PROPOSED DEVELOPMENT ATTACHED) 5c. d"o'&O lu'Pfi Print or Typo Nams ^ <'.- yt (-71- T.Lphm. Numbt r/zr/*>--' Iwl/ 4l oPho ) (?(.f.Fe"[).)o( q , e .rk o 2g tut uft"___€ Yiciaity Map-Not to Scale LECEND o -Nf}v trcN+ -NONIIONUUEN|M PONTA6-A@VI CrcUND BG-AELOW GROUND W lJnao. ps tN Nfriti fuU'p/.,o My Linat Fr Dccd l,., lroa M C tho,tW W.4 03' rc Yd tutdnhgWl bt lde Gt Flogpd. ry dr' * apoa & t ttut N 2t'30 50.oo lhaL!,aRldCrLc.,W rot ., O.t' Ae f@d fulai'r9 \s 21'JO'00T t97.15', to Adrung Conc';tc Uoaumcnt (Conael) & s :1 Hr t ci E6(o Vl Rcfenncas: Bk. 55E, Pg. 171 8k. 91!,, Ps. 15E8k. 1015, Ps. JaE Codcrct County Rc9btry a * lhr Janice Guthrie Bk. 1045, Pg. 309 {('loi!6 Intracoastal Yatental Site L J ta7' Pllingi On -Sl!p,y N 21'OO'181y 5.t5.89', to*,1'ting ag Noil c/ int. Jonca St. lL Sunsot Dr. a-^t ^ | r. ^ rtl Atto Abotfi con High Votar- 5,26r.0 *. ft. Atao Balov Hcon High tlotor- 5,192.1 *. Ft.fobl Arto - E,75J.1 Sq. R. rL @ W lincorrM @ David VinberryBk. 776, Ps. 924 np. O.r' ge t fav .p?tle W Un.o. pa, Oad Jones Street LECEND O _NEW IRON+ _NONMONUNENIED POIN|AC-ANW GROUNDgA_BELOW aROUND l'rotrse a.*.o- .k Wl*to9 per Docd b1 YoLr t s Nj&wi |}'dtotl'aMMt lY W li,ta nr Ocd 1LrbpeMarka Wh Wr4 O.5' rc tW tuiling FlogfbL Janice GuthrieBk. 1045, Pg. 309 N.t hd, Hpc 0.1' & N2t B@t uft Wt Uobt rY- & ||otcr Unc .k4 Ls[d.L:,* ae k siill ; rlr = ci(5 It il _$. cio{ (, B. l.t5so fi = ,& & P.op.irt Unaot Fr Daod Ptontt Une llcr lnn Rod O U.oo High Wotot, 0.5' AC G L:o (4 * ttut L Refercncca: @ Dauid VinberryBk. 776, Pg. 924 Frpo O.l' rc 0 trones Street (50' Public R/V) \s 2|'W'OO'E 197.45' to Exisung Concntc Uonumcnt (Control) Intracoastal Yateruat '?.1K Site A 0 J t2.r'/ On -Sloryoh mirys ho,fng LI t2 Ef}Eei.fI =I\FWZI--t4--l*c- CRAPI{IC SCAI.P - T'EET 30 60 90 Mean Yater ?,.tLh".!" e ch"&tL- @ o*4sL.$ ,tlr 'D?tre 6 29 Vicinity Map-Not to Scale Areo Abovc Mcon High Woter - J,261.O SC. ft. Arao Eclow Moon High Woter - 5,492.4 5q. Ft. fotal Arco : 8,753-1 Sq. Ft, Bk. 55A, Pg. 171 Bk. 911, Ps. 45E8k. 1015, Pg. ,OE Codcr"t County Ragistty _-l lod f,Hlli'it'4 W on lit @ N 24'00'1814/ 5t(5.E9' to Existing Mog Noil c/l int. Jones 5t. 4c Sunset Dr. 30 ,ffiw urA. t^t TI9le e [.o{.rt Toc *L ?I.'s "P'*jiY rl ,t'<c uc*2JI It cLok l ri€*.SA't,?o) I horEby proporly on Roadr+, otcJ -) The aDDlicant , (4ddru.., ,ln (c andlot has desctlbed to m6, es shown below, th€ dovelopmant proposed al ths abo'a PNON 5q9 4*lo.\r."* &eo.lq OF PROPOSED -+ WATI'ER AECNON I underBtsnd th€l a pler, oock. mooArglmngs, boatEmp, breal1r1lelor, boathouse, lifi, or groln muA Ls eet bact a inlnlmum dtstancs of 15'from rry at€a of dparlan accoss unle33 watvod by ;;- (tf)gu w{sh !o watuo th€ 8€tb9ck, },ounu3t lnttlrl the spproprlats blank below'} AW ldo wbh ro weivo lhe ts'".G-G-rtr"r"nt. I do not wlsh t! waivo th€ 15'selback r8qulrement. (AdJacont P Slgrtdture l€ rr e;!ia 5. A etroPj Y"ifit'Y,ao. 6" oo!Lp.%iffllsr,^2<- a7sq7 *uT W, h,;t ile d odsl cwad@p7tQ 41..- Z6dLae . toot citylstrbaip Telf.phone Nunbr /,ema adduss5/25/h TobDhone Numbsr / anafi addoss,c2- 2h- fr/7wsziio Pinl d2b (Revised AW. 2011) 5 'VaEd tor ona calordar yeet allsr signalrrg' Scanned with CamScanner drn\[ -Anc N.C. @t@-- I ha\ra no obrec{on to this propoEal' I ha\ro oq6cdoB to thls proPosal. Owner lnformatlon) ADJACET.IT RIPAR'AT.I PROPERIY OTIYI{ER 8TAIEME''TT I hareby cerffy that I own pmparty adjacent lo J property located at q N&,sf s rfooS 's ?to9'itY (xrvnar) etc.) a (Namr o, raaa,N.C.tn oon andlor County)(c The appllcant lxgs d6sctlbod lo m8, as thown b€ls'tr, tha devolopment proposed 6t lh€ sbovs I have no objedon to this propo.eol. I havs obJoc{lons to thls Proposal. OF I understard thst a Pis( dock' WAtvER SECTION moorlng pilings, boat ramP,breah^,ater. boalhouss, lifi, or groin must be set back a minlnum disE nc6 of 15'from mY area ot ripadan accsss unless waiyed bY ms,wlsh'to walve tho sotback, You mu;t inltial '€!9- tho a ppDprtate blank bslow. ) I do wi*l lo waivs th€ 15'salback taquirsmsnt' I do not wish to wafua lhe 15' 6etback r€quiBmBnt' d * ,Proporty O*n6r Intotin8tlon) 5.{r)ltL la?&u- Li e- b. Uw 2- d&/- fulnl or or fpa MtfrnS Add,".?l<bulo"t, ^lLCwbto/Z.tp el€?7 2 z'l/-3o?* feholE,t oqll '422 Number /-2€,6 ,o ctdr'Jrr, fuuirs.c/,F. o2D (Revls6d Aug. 2014) ? T,laphona Nwno€'rr-2r-,/ emall addtcss DEtt L$l',te .aaia ar-H rratrraqar.Fnttt'rir"lrutral,'rt' Dala' Scanned with CamScanner W scr- e,tln&*uf Df{e':rq + Sig4ale