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Home My WebLink AboutPerkinson, Phillip 80655C®^ 4AMA / ❑ DREDGE & FILL +, TJo 8OE)SS A B C D ENERAL PERMIT a� �,1 Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date pre 'ous permit issued � As autho ized by the State of North Carolina, Department of Environmental Quality _ I�✓� / and the Coastal Resources C m ission in an area of environmental concern pursuant to 15A NCAC �,/ I _ \\ ,des atta ed. Applicant Na a -- J )Project Location: County Address /- Street Ad r �s//State.R�ad/ Lot #(s) City ��1 Sate —JJrZIP �� Il ( .� (�.(I .� 'II11/�r� — cam— Phone # ( rl ,j �Y 1 U F_Mail - Subdivision I Authorized Agent v ' / ❑CW W b+ A ❑ES ❑PTS AEC(s)a 00EA ❑HHF O/IH ❑UBA El N/A ❑ PWS: ORW: yes / no PNA �1 yes / nb Type of Project/ Activity-- Fixe Float Fing Groff Bulk Basi Boat Boat Beac Oth Shor SAV Mor Phoi Wain i _ ) �t ZIP — Phone # ( ). /Aiver Basin Adj. Wtr. Body �'� � _ (nat /man /unknl Closest Maj. Wtr. Body (Scale: / !v- ) ■■■ ■ MEN ■■ ■■■■�■■ NOON■ ■■■■.9.■A ■..9■■..®q9.■.■■ ng Platform(s)NOON■ ....��..® ■MOM 9.E■... NOON■■■ E■ ..9�..■. Mlength OON rrrrr ��r�rr� ■■��■. number 9■99999�■■�■■�i�EC ME mom ■ Erna ■■■■Irl�J:��/l max distance offshore■■■■■■ENE■pH■i�/�IOG\■■F.i11�11■■■■■ ■ ■■�■■■NO■'O■OJ'7■l�N■■■■■■r ■■� O■■■■OO■■E/I■� �91"WO■■p■■N■■■N ■■L�l�nfll■■■O■■■■■E■■%� DEErai NOON■■■ �■■■■■■■■■E /■9Ni7■CA!!Gi° qE■■■■ +�'►L!7■■■■IM 8%/��l�lli�!#� ME NONE 1!%ri ��jln■ I ■■9i ■E��■�z�■ w�1.P.T� _ (� �urinl. yE�■i r� ■■NN ■ ■ ■N ■■ � �..=KNOW �■�.I�■ �.9.99 . .��rr�r�rrr - ✓ i ■■■■■E■OE■�i'N■I�114'a■■9No O■■EE IN : 9■�mE�E■■■■■ ■■■■■■E■ llne LengthME MOM NOON■ ■O■■ ■■■■■■■■■�■■■■■ not sure yes 0-:96g-� -:99CMOM .'�999 yes 9■E7N■r ME9■■■E■9■N■■■ Attached: E■.yes ■■Is: rmit may be required by: ��■1 t�!�f e A building ( Note Local Signature "Please read compliancestatementon back of permit" Application Fee(s) Check# Issuing Date Expiration 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 null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will 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 available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar -Pamlico River Basin Buffer Rules ❑ Neuse River Basin Buffer Rules ❑ Other: If 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 Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-8884RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- 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 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http://portal. ncden r.org/web/cm/dcm-home ' Revised 7/06/17 ❑ CAMA / ❑ DREDGE & FILL NO 80655 --� A B C D GENERAL PERMIT Previous permit# gNew, ❑Modification ❑Complete Reissue s ❑Partial Reissue Date prev'ous permit issued As authoiiized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules attached. Applicant Name )Project Location: County i Address Street Address/ State Road/ Lot #(s) State l ZIP_ Phone # ( i) � �t, E-Mail Authorized Agent D❑❑ M f�EW O�PTA ES PTS Affected / Affecte 0 OEA ❑ HHF El IH ❑ UBA El NIA ❑ PWS: ORW: yes / no PNA yes / no Subdivision City_ Phone# O Adj. Wtr. Body Closest Maj. Wtr. Body ZIP River Basin (nat /man /unkn) ■■■■■ ■■■■■■■■■■ ■OO■■O■■■■ME� MOM■■■■■ ■■MEMO■ ■■■O■■■■■■■■_■■■ ::■■■::■®®®■C C� ■■C■■::� ■■■ OOMER= ■EE®®�.'■ ■■ M�J■l1lE ME ism BB::E ..�:::■::::■ ::::::::. ■■�.�..■■ ■■■E MEN Mi11E�!■■ mom ■■■. EROSION lii::CC:i■■■�■ l 6Cso MENNEN .■■ENS= :o 0 ME i■■■■■■■■■■■■lll�l■I9 so :M1H�IIMl::■EMMONS FAMME MI#9EO■■■MM■■■■..■■ WAR ME W100 is MEE ME M. CME IN N mill `, Ilion�N■■ 11 ■■ ■■■ ■ ME MMMOr��®th■■■ MEN �■■■■■ mom •■M■■■■M■ ■MEMO OMEN MM■■■M■■■■■MM■■■M mom MEE MEER NONE loom = ■■■■■■■■ M EM �■■ ■■ ■ MEE mom NEE■�■®■■■■■■■■BM■■■■■■■mom ■■M■MM■■■■ME■■E■EOO■MOE■■EOO ■■■■JMMMI■■■ ■■■■E■OO■� .■.�. ••:: CIOICE■C6CC:�:MORE M■::■MEMOS ■■: Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit's 3M Application Fee(s) Check # Permit Officer's Printed re Sign ture Issuing Date Expiration Date 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 null and void. This permit must be on the project site and accessible to the permit officerwhen the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will 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 available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑Tar- PamlicoRiver Basin Buffer Rules ❑ Other:. ❑ Neuse River Basin Buffer Rules If 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 Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/1-8884RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- 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 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) httP:HPortal. ncdenr.orgtweb/cm/dcm-home Revised 7106/17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: A -1I: P 70� n '?f'*; n J<0 n Mailing Address: 93 Sr,n4 ?i J ��ash,A;ti-Icy, Nc ��sa� Phone Number: a$2 qH� Hr�07 Email Address: �XASon (� �eirnA lr rom I certify that I have authorized __&(n &J: Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ?o A4 LA Clow kltlt - o - 4W/a 2jr Id L4Yo ,tofif 41k/,G,16Q 0e at my property located at _ 118 &Q u:<w Efvd. Fr4t�.4;r, K,.,l) in ro,Y, (e4 County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Derision 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 Infomation: Signature 7�1,., ?r,4 o: nf'n t or Type Name Title 1� 1 27 I ,201-1 Date This certification is valid through -11 30 IJ_ vton v irr KVucorcu DMSION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWANER FORM Name of Property Owner. J, i r t�11 i JA Address of Property: l� a uitV/ �If� utlIL �to-a N{. wf°ac Co. pp (Lot or Street 0. Street or Road, COY & Cody Agent' sName r u)a! (,kxfrr,&rjAtC=.uf• MajkVAddre%: Agent'sphonei 2ST^foy-m737 /i lrtr I hereby certify that I own property adjacent to the above referenced property. The individual appMng for this pemrt has described to me as Shown on the attached PP�t9 are draw ng the developwith INs ment they ro A descnotion or drawing with dimensions m-St be r off �- I have no objections to this Proposal. _ I have objections to this Propomt. ff you hare objections fo wbet is behVproposed, yDumust notirylhe Dlvistmofcoasfit Abnagm erd (DCK in writing wiMin 10 days of receipt of this notice Contact h*nnsuon for DCM of m is avagab)eat htoYAvww nccoasfaimanaaementneowWcm/stafidisti� orby calling 1.g"COAST. No msoorm 13 considered Me same as objectioon d you have been notihad by Cortrfied Mail, WAIVER SECTION I understand that a pier, dock moring pilings, boat ramp, breakwater, boathouse, or lift must be set track a minimum distance of 15' from my area of riparian access unless waived by me. (H 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 fequirement (Property Owner Information) alto d sign"ef A; jjf10 S. 64;t4-1oH Print or Type Name (1 j Ae Awn Mafing Afte IJ05Git01, N( 2760 CdyOaf (Ripa n //Property Owner int"matlon) 7V 4h Stgnoiwf Pint or Ty/fe Ndrfie mailing Add ss ,46frc> &A/u•c. Z8J/t ily/sfale/Lgi U?-19S--,4o7 crk ,h0/`f^1coa 2S2 Z/�-8176 Telephone NwMer/ Address Telep"Nkenber/FmOAddress Ihk LNa (Revised Aug. 2014) I f CERTIFIED MAIL RETURN RECEIPREQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM NameoFProperty0wner. �:1); T. eCk (�. � rk .,jb1 Address of Property; f► a a`t U c w (Lot or Street 8, Ueel or Road, CO 8 MMO nn .X Q3l Agent's Name/ + ef, �7�K 6,t&eA MMingAddress:.�p A . Agenfs phone —073 oK� .G 2 gss7 adjacent to the above referenced aopedy. The individual I hereby certify that I own property 1 the development appMng for this pear it has described to nI as shown n the attached drawing. y4h INS letter. they are proposing. A descnoU> on_r dmw'!ml w dimensions, must be provided 1 have no objections to this Proposal. _ I have objections to this proposal. 1l you have objections to whatls b6ngProPosed.You mustnofdy@e DNlsron of CoasterManagemenr ormation for DCM offices is p�CM1 in writing within 10 days of receipt M � napWcMsContact t(4, tin�orbyoiling1-888JRCOAST. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lit must beset 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. (property Owner Information) P�--- Signarure �h ►I;p� Ferki^so� PoinrOrType Name 43 8eff 8r4e�� Rd Mading Addmss Uas►:,n 4on, Nc A7091 n (Ri scion Properly Owner Information) �J gna u e City/Stafe2ip � 2 5Z • 9 9S• 6'1 e 7/PPerki n.1.nrQ%c+,n<;),o� Teleph" Numberl EmailAddress ntor �ejiadm {� I/lCi C1— l�nf�ype Name :f" ill Mai 1 �— Crty'/ rat L1) i0,71 lephono Numborl Email Address 3IV21 . 'T -Y Dare Date (Revised Aug. 2014) 7/7/2021 _ags_e6be87b257594b1096a5876022bicd54.png(1056x816) Tine Parcel Information: Chvner: PERMSON,PHILLIPJ ETUSBECKY Current P IN: 638513140251000 Site Address: aB BAflTEW BLYD ATL4 MC BEACii Mailing Address: 43 BET'f YBRANCH ROAD W,ASHDNGTON NC 2-,689 Legal Description: L28B i2 SOUND 17EW ISLES Prior PIN: i3o4oDou6 City Emits: AT LA\TIC BEACH Rescue District: Fire District Tax District: L352 Tmnship: MOREHFAD Use: RESIDENTIAL Land Value: S447795 NBHD: 520008 Bldg Htd Sq Ft: v92 Bldg Value: Suo.6o1 Bldg ThtSq Ft L55 Other Value: S18,231 Year Built: iq�, Total Value: 55'*627 Noise Lecei: Sale Price: S18o,000 AICUZ Zone: Deeded Aires: o.i8q GIS Acres: 0.2u Plat Ref: 4 / 40 Roll Type: R Deed Ref: 1624 / 233 Deed Date: 20i8tuq Bedroom:3 Bathroom: i 11--4-R Carteret County, N . C . Sim gD ,P51 � iii 2129 Ai dJUhv,aoa,