Calfee, Trina 78213C

N9 78213
Previous permit
AB DENIT
flModification -CompleteReissue LlPartialReissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission an ofenvironmental concern pursuant to l5A
Applicant Name Projea Location:
Street Address/
ZIP
Phone #
Authorized Agent
trEW tr cES f]Phone #
Adi.Wtrn
ORW: yes I PNA yes /Closest Mal. Wtr. Body
#
Date previous permit issrred
Lot
Affected
AEC(s):
trcw
IJOEA IHHF trIH IUBA trN/A
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J+X
)+
Type of ProiecU ActMty
(Scale:)
-
Pier (dock) lench
Fixed Platform(s)
Floating PlatformG)
-
Finger
Groln length __
avg distance offshore
max distance offshore .;-j L.ti
--+- I:i
:-t-i
i--+-. i.::
fi-
Basin,channel S
cubic fards
1
boat mmP _
Boathousd Bbatlift-t-r-f-t-
--'-Beach Bulldozing ,l
Other_., . 'J-
Shoreline Length
SAV: not sure yes
Montorium: da )€s
Phoms: yes
Waiver Attached: yes
#
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A building permit may be tr note on back River Basin rules.
( Note Local Planning Jurisdiction)
Conditions
I
++-
Fee(s)
read
#Date
J-'
A G ENT A UT HORIZA TION FO CAMA PE RMIT APPLICATION
Name of ftoperty Owner Requesting Permit:UtkL
Mailing Address:
0+\--t c \.-r.-N.) L
Phone Number:Z eL') t) -'93 (r ?-
Email Address:
I certify that I have authorized Lt*
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:fde"S Le".)^'\l
01 P"^r{)r
tn Qulz,cY County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Ofticer and their agents to enter
on the aforementioned lands in connection with evaluafing information rclated to this
permit application.
Signature
/rtna J Ua-/fee-
Pint or Type Name
z1*n Atnu)
Title
3 /4 r &oeOI
Date \\xp
This certification is valid through --X-l-LZL--Z!-
at my property located at
Property Owner lnf ormation :
tur P-^4 hr
ADJACENT RIPARIAN PROPERTY OWNER STATEIUIENT
I hereby certify that I own property adjacent to T r.',.o 0.\ 4.aA
property lbcated at tO -l Q *..c( Dr (Name of Property Owner)
,S
on\(Address,Road,
tn c^h-'a
elc.)
\\ zar (,^-N.C
(Waterbody)(City/Town and/or County)
The icant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing development must frll in description below or attach a sife drawing)
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WAIVER ECTION
I understand that a pier, dock, mooring pilings, 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 must initial the appropriate blank beiow )
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
(Froperty Owner i nformation)lnajacent ropenty Owner lnformationl
*)t/.
SiErytture/r/ nL 5 Ca/fee-#hn n P,ke - /01 fr,Y/
1d'V'P&,7 D/,Prinl or Tvoe Name* 6otr''16+&5ltare- P/,r l *
*D N.z*
1/ ?- '3b A
fr^
Teleohone NumberA-tssAoao k Telephone
Date
(Jt,/v
Date
7 ^lr
(Revlsed 6/18/201 2)
I hereby certify that I own property adj acentto tr.'"."r- ( -\ke
property located at
S
lo1 Pr^al Dr (NameofPropertyowner)
on t ls-r^d k, Road-etc.)l-ir', 13 e"-r t"-N-C
t*
,ln(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing development must fill in description below or attach a site drawing)
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?.V,(*"tl
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Lr\k-
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I understand that a pier, dock, mooring pilings, 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
wrsh to waive the setback, you must initial the appropriate blank below.)
t?'+'t I do wish to waive the 1 5' setback requirement
I do not wish to waive the '15' setback requirement
(Property Owner lnformation)
et-rrxa s
Sisnature/f /na-5 Ca Hee-
Pnnt or Tvoe Name/o7 Ponrj Dl'
(Adjacent P roperty Owner lnformation)
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Type Name
(,)tt?-rv /Ana I
Ma ddres 286 /AMat ng Add
s o ",o
ta tp
Telephone Number
,!,Pffry,q - 73/"a
Teleohone Number
B -/e aoao ./o /J,/
Ddte
r-
Date
(Revised 6/18/201 2)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Address,
- I have objectioLrsJoJhis-propo-sal
/
wAlvER sEqrou
)--
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