Reynolds, Ed 79561C

/LDREDGE&F|LL
ERAL PERMIT
Modification -- Complete Reissue - panial Rerssue
As authorizEd by rhe Sate of Nonh Carolrna, Depanment of Environmental
).{? 7956 t A BI:
#D
and ttre Coastal Resources ,ru
Applicant
Address I
Phone
Authorized Agent
Affeced :
AEC(s): _
Qudiqr
pursuantconcern to I5ANCAC
Project Location: County
Previous permia
Date prwtous PeITnrt issued
url
area of U-r-
SarrM
Street Address/ Statel-/lztP
SuMivision
Phone #
/f^<ztP
Basinor 7fdOEA '_Ht{F -ll{
PTIIS:
PTS
r{lAUBA 0u lunkni
yes no PNA yes
Adi. Wtr
Closest Mai- Wtr. Body
loltt,
]
Type of Projecu ActMtI CJ
)Per (ctrck) lengdr
Fxed Platform(s)
S,Flo:tng Pla{ornr(s;
1:tr**'t
e/\/Fin&r
fruGrorn lengh __
number
j-*t-..--^--l-
Eulkhcad/ &prap lcngdt
avg disrznce oflshore Imrr dirance
Basin, channel
I
0 ,
cubic Frds
Boa ramp
Boathousd Boadift
Beach Bulldolng
Orher -.1_*ii.
Storclint tcngdr
SAV notsure
Horetorium; nlz
Photoc:
WaiverAaached:
no
yes
ycs
R
B TN.ku*^
f\r,lrh,,-,
A building permit may be required by:C ,* See note on back regardrng furer Basin rules.
( Note Local Planning Jurisdiction)/u l-.Atlr t "LCL-/Notes/ Specid Gnditiom o ( l\c itr/
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et read compliance stufement
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CAMA/TDREDGE&FILL
ERAL PERMIT
IModification ECompleteReissue IPartialReissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources
12
area of concern pursuant to I 5A NCAC
N9 79561
Previous permit #
A'G D
Project Location: County
Street Address/ Statelqt
Date previous permit issued
UP1
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Applicant
Address
Affected
AEC(s):
Name
t
Phone
Authorized Agent
Subdivision
fyLe ztP
Basinncw
!OEA
yfr/a{^. trHHF trlH
trES
t] UBA
tr PTS
trN/A
Phone # (_)
Adl. Wtr.C/U
Ft-6vrPWS:_
ORW:yes no PNA yes Closest Maj. Wtr. Body
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Type of ProjecU Activity c/
(Scale:)
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance
Basin, channel
cubic yards
Boat ramp
Boathouse/
Beach
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
A building permit may be required by:C E s"" note on back regarding River Basin rules.
IL,urits( Note Local Planning Jurisdiction)/UNotes/ Special Conditions o
Agent or Applicant Printed Name
**
v
{(,.read compliance statement on
Check #
"^
Date
Lot
no
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Statement of Compliance and Consistency
This permit is sublect 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
null and void.
This permit must be on the prolect site and accessible to the permit officer when the proiect is inspected for compliance. The
applicant certifies by signing this permitthat 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 adlacent 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 CarolinaCoastal Management Program.
lf indicated on front of permit, your proiect 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 Office (252-946-6481) or the
Wilmington Regional Office (9 I 0-796-72 I 5) for more information on howto comply with these buffer rules.
Division of Coastal Management Oflices
E ott..
Washington District
943 Washington Square Mall
Washington, NC 27889
257-946-64.8t
Fax: 752-948-M78
(Serves: Beaufon, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmin6on District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax; 9 l0-395-3954
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
Morehead City Headquarters
400 Commerce Ave
Morehead Ciq/, NC 28557
252-808-2808/ r -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven. Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste.300
Elizabeth City, NC 27909
252-264-3901
Fu:,252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquoank and Perquimans
Counties)
Revised 7/06/ I 7
River Basin RulesApplicable ToYour Proiect:
L ] Tar- Pamlico River Basin Buffer Rules
Neuse River Basin BufferRules
http://portal.ncdenr.org/web/cm/dcm-home
CERTIFIE D MAI L.RETU RN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION'WAIVER FORM
Name of Property Owner:
t11 qg4$beQLf4re S rnnyrna-1f.,I a-s5?7(Lot or Street #, Street or Road, City & County)
Mailing Address: a3tl Shove- Dr.
More-a /VCSS+
they are p , A descriotion or drawino. with dimensions. must be orovided with this letter.
I have no objections to this proposal. _ I have objections to this proposal.
ff you have obj*tions to what is being prcposed, you must now tha DMsion of Coastal Management
(ACq in .rrltlng within 10 days ol receipt of this notice. Conbct information for DCll ofrices is
available at hftDl/utww.n evweblc m/staff-l i sti no ot by cal I ing 1 -8884RCOAST.
,Vo ,€sponse is considered the same as no obiection ff you have been notilled by certilied Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a mini distance of 15'from my area of riparian access unless waived by me. (lf
you wish to wa setback, you @!!!a! the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner lnfo
Signature
(Riparian Property Owner lnformation
ture
)
Tan A nnoTTs
Pint or Type Neme Print or Typo Name
*l I Shora Dr r4?
Mailing Address Mailing Addrcss
N\ov u 28 s5+-
Wstate/Zip
Lsz -3+Z-lasl ca6 - 3/2- 902 3
Telephone Number / Email Address ec.{.cNr Tebphone Number / Email Addleh ECEIVED
MAY 2 6 2021
(Reised Aug. 2014)
DCM.MHD CITY
Date
+D-T ?l:a-'l
NJ
Date
Address of Property:
Agent's Name #:
Agent's phone #:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this pernit has described to me as shown on th6 attached drawing_the development
1-ocality
Orean Hmd
-
Estuuine Shoreline- ORW Shoreline
-
Public Trust Shoreline- Other-
(fbr offcial use onl-r)
(;EN ERAL INFOR]VIATION
LAND . IIAILING ADDRESS
OTHER PERMITS MAY BE REQUIRED: The aclivill'you are planning may require pemits other than the CAMA
minor development pemit. including. but not limited to: Drin.lting Water Well, Septic Tank (or other sanitary u,6te
treatment system), Building, Electrical. Plumbing, I Ieating and Air Conditioning, lnsulation and Energy Conseruation, FIA
Certificatiotr, Sand Dune, Sediment Control, Subdivision ,A,pproval. Mobile I'lome Park Approval. I{ighway Comection. and
othem- Check with your Local Pemit Offlcer for more inforuution.
STATEMf, NT OF OWNERSHIP:
I, thc. undersigned, an applicant for a CAMA minor development pemit, being eithcr the orvner of propt'rtv in an AEC or a
penon authorjzed to act as an agent for purposes olapplying for a CAMA minor development pL:mit, certi0 thal the person
listed as landowner on this application has a significant interest in the real property described therein. 'l'his interest can be
described as: (check one)
JenNamc
Address
City ec
AUTHORIZED AGEI\iT
Df,SCRIPTION OF PROJECT: it.ist all proPoscd consLruction and land
r.
ciB=,,u* NL ,,ii61A","
Email
LOCATION OF PROJECT: (Address. street narne and,/or directions ro site; name ol'the adiacent Naterbody.)
S S
is vested in narne of +
page in the (-'ountv ofI)eeds.
an owner bv virtue of inheritance. Applicant is m heir to the estate of
_if other interesl, such 6 written conract or le6e, explain belou' or use a sepilate sheet & attach to this appiication.
NOTIFICATION OF ADJACENT RIPARIAIT{ PROPERTY OWNERS:
I furthemrore certif! ttrat the follorving pesons are oryners ofprcperties adjoining this prope4y. I atimr that I have given
ACTUAL NOTICE to each of them conceming my intent to deve)op this property and to appiy for a CAMA pemit.
(Name)
2 -2e
ZA
tno' Itorrs\q}J
square fee!.
,/u, oo'n", or r"cord tirle. Title
-ree Dee<l llook I + l1'
probate wm in _ County.
(l )
(3)
(4)
pRoPoSED USf,: Residential [ (Single-fmi]y ( Multi-fmily [ ) Commercial/tndustrial I other I
COMPLETf, EITHf,R (l) OR (2) BELOW lContaet ),our Locd Pqmil Olfi.cer if you are not sutc which AEC rpplies
to lour ptopill.y)r
(1) OCEAN IIAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURf,:
-
square feet (includes
air conditioned living space. parking elevated above ground level. non-conditioned space elevated above ground level
excruding non-load-bearing arlic space) fV)+ bV{L rd\^pd-€_ \O F"} 6; ZQ,.
SIZE OF LQT/PARCEL:
(2) COASTAL SHOR-ELINtr AECs: SIZE OF BUILDING FOOTPRINTAIiD OTIIER IN{PERVIOLTS OR BUILT
UPON SLIRI:ACES: _ square lbet (includes the area ofthe foundaiion ofall buildings. driveways. covered decks.
concreteormasonD patios.etc.thalarewithintheapplicableAEC-Attach1.'ourca]culationsrviththeprciectdrau'ing.)
STATE STORMII'ATER MANAGEMENT PERNIIT; ls the project located in an area subject to a State
Stomu'ater Nlanagement Pemit issued bl tlie NC Division of Energ'. Ivlineral and Land Resources (DEN'lLR)?
squarereel t.3?,"*, A"1d W c-c'-P-
Ili,.o.*r.L,o--*,*uponarea,,impenio,,S'F9,F!.V,EP,,,n.ro,".r,
MAY 2 6 2021
DCM.[,HD C|TY
l, the undersigned, acknowledge that the land owner is aware that rhe proposed development is planned for an area which
may be susceptible 1o erosion and/or nooding. I acknowl!'dge that the Local Pemit o{ficer has txplained to me the partictF
lar hazard problems associated with this lot.'l'his explanation was accompanied by recommendations conceming stabiliza-
don and floodprrofing techniques.
I fi.rrthennore certiry that I am authorized to gmnt, and do in fact grant. permission to Division ofCoasral Management staff,
the Local Pemit Oticer and their agents to enter on the aforementioned lmds in comection with evaluating infomation
related to this pemit application.
20al
,
This the of
aulhorized 1o act as CAMA
'I7r is in clu des : gen erql infomq I iqt a sile 4J lhe hack ctfthis appliioti()n. lhc
nade poyable to the lt.tcaliq,. crnciortnerchip fiatentent. the Ocean Hqzard AE('necessary'. a check.for b I 00.00
anf infomution as ma.t' be prorided orallv fi'the applicant. The details ofthe appli.:atio1 qs tlescribed h there soilrces are
incorForqted v'ithout re.fbrence in arn permit whiclt mq be issued. Deviation.liom these cietqils will constitute a yiolation ol
an.v permit. ,1n1 person det'eloping. in an AEC tLithotd lrcrmit is subiect to ciil. crimiilal and administrqti'e ei:tion.
DYOh?dG
Gqo
5D @k)
Pemit Numher
-
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Address
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1:^t^L sr6.arrf
SITE DRA}VING/APPLICATION CHECKLIST
Please make sure -r..our site dralvins includes the following infomation required f'or a CAMA rninor development pemit.
The Local Pemit Oflicer r ill heip vou. if requested.
PHYSICAL DIMENSIONS
-
Label roads
_ Label highways right+f-ways
_ Label local setback lines
_ Label any and all structures and driveways curently existing on property
_ Label adiacent waterbody
PHYSICAL CHARACTERISTICS
_ Draw ad label nomal high rvater line (contact LPO lbr assistance)
_ Draw location ofon-site rvastewater system
lf you u'ill be working in the ocean hmrd area:
-
Draw md label dune ridges tinclude spot elevatiors)
_ Draw and label toe of dmes
_ ldentiry and locate fimt line ofstable vegetation (contact LP(f for assistance)
-
Draw md labr.l erosion setback line (contact LPO for assistance)
_ Draw md label topographical l'earures (optional)
Ifyou will be working in a coastal shorcline area:
-
Show the roofoverhang as a dotted line around the structure
_ Dralv md label landrvud limit of AEC
_ Draw and label all rvetland lines (contact LPO for ssistance)
_ Draw md label the 30-lbot butler line
DEvELOPMENT PL.{\S
_ f)mw and label all proposed structures
-
Draw and label area-s thal rvill be disturbed and/or landscaped
_ Note size ofpiling and depth to be placed in ground
-
Dmw and label all arem to be paved or limveled
_ Shorv all reas to be disturbed
Show landscaoins
NOTI TOAPPLICANT
Have you:
. completed all blanks and/or indicated ifnor applicable'?
. notifid md listed adjacent propery* ownen?. included you site drarving?
. signed md dated the application?
. enclosed the Sl 00.00 fbe?
. completed an AF:C Huard Notice, if ncessary? (Must be signed by rhe prcperty owner)
In 1974, the North Carolina General Assembly passed the Coastal Area }llanagement Act
(CAMA) and set the stage for guiding development in fragile and productive areas that
border the state's sounds and oceanfront. Along with requiring special care by those who
build and develop, the (ieneral Assembly direted the Corstal Resources Commission
(CRC) to implement clear regulatioos that minimize thc burden on the rpplicant
This application for a minor developmetrt permit under CAMA is part of the
Commission's cllort to mcel thc spirit and intcnt of thc General Assembly. It has bccn
desigtred to be straightforr-ard and require no more time or ellort than necessar,v from
the applicaDt. Please go over this foldcr with the Local Permit Olfcer (LPO) for rhe
localitv in which you plan to build to bc certain that you utrdcrstlnd what informetion hc
or she needs before )ou rppl):
Under CAMA regulations, the minor permit is to he issued within 25 days once a
complete application is in hantl. Often less time is needed if the pro.iect is simple. The
process generalll'lakes about l8 tlay"s. You can speed the approval pmcess by making
certaio that.v-our application is complete and signed, that your drawitrg meets the
specifications given inside and that your application fee is attached.
Other permits arc sometimes required for developmenl in the coastal area. Whilc thee
are not CAMA-related, we urge you to chtrk with the Local Permit Olficer to determine
which of these you may oeed. A lisl is included on page two of this folder.
lVe appreciatc -v(,ur cooperation with tbe North Canrlioa Coastal Management Program
and your willingtress to build ir a way that protects the resources ofour beautiful and
productiYe coast.
Coastal Resources Commission
DiYision of Coastal Management
Coastal Management
ENVIRONMENTAL OUALITY
APPLICATION FOR
CAMAMINOR
DEVELOPMENT
PERMIT
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FOR STAFF T]SE
Site Notice Posted _ f:inal lnspection _ l.ee Receiyed
Sile Inspections
Date of Action: lssued _ Exernpted _ Denied _ Appeal Deadline r20 days frcm pemir aetion) _
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IDr.DATE
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66-30/531
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NC Division of Coastal Management
Cashier's Official Receipt 14039 A n Oo
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Received From:
Permit No.:
Applicant's Narne:
Project Address:
Date:
$
)(
Check No.:
County:
Please retain receipt for your records as proof of payment for permit issued.
Signature of Field Representative:
(n n €{-
Date:
Date:
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