HomeMy WebLinkAboutDavis, Charles 77007C
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 I) 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 ❑ 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
AGENT AUTHORIZATION FOR CAMA PERMIT•APPLICATION
Name of Property Owner Requesting Permit: . C j'l A r (,e,$
Mailing Address: Z 2�l ro wt'T I n en-t-a I (In I L;c
.L. 7"l
Phone Number:
Email Address:.
I certify that I have authorized r%1 �. p UcICQ IDen C ,
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: -LSD IAC. 0-
at my property located, at N 254
in 4fAC-�e��T County.
I furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Managerrrentstaff, the Local Permit Officer and their agents to enter
on ,the aforementioned lands in connection with evaluating information-iWated to this
permit application.
Property Owner Information:
Signature
Print or Type Name
Title
Date
This certification is valid through
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own p;pperty adjacent to 4--" yl t4 rL 1'0�5 V) 5 S
(Name of Property Owner)
property located at
(Address, LQ lock, Road, et
on L4VL "9- in ti �w E i t et
on k N.C.
- (Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
Cod I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
�ZCpJ,9 � Jeakrgtj n -Oran t a ''/Jtf,KS wQ�
_ WAIVER SECTION
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. (If you
wish
.. towaivethe 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)
Signature
G+i�t-2 (ems (/�C/l•rj
Print or Type Name
22--) Corr-b i nc�}R I tc
.linq Address
JJUr- V)4 M -C, 72'771Z
A/S9tatelZccq-s S% 2p
Telephone Number
t-zo-zo
(Adjacent Property Owner Information)
Date Date
0
Do if
A/C a x53 o
v
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _(f- h iogAa e, 1 S 's
(Name of Property Owner)
property located at 5 T5ot �YV- M-�---
(Address, L,,��t,`B'' lock, Road, etc.)
on 4" /� �.. in )"Block,
Q-N-f L'c 1;1--4cI-� N.C.
(Waterbody) (City/Town and/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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
��p)��...Y,.e..,.✓rt S�gwa (� Zw-(-'ro�.,l '� �0ijitiS 1�.J011
WAIVER SECTION
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. (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) (Adjacent Property Owner Information)
�/1 ,2 i)
Signature
C yi�)rz.l•$5 '�9�iS
Print or Type Name
2 Z i Ca"
N . c . Z-)-) IZ
Date
Si ature
Me� , ,�— ,
Print or Type Name
I
Mailing Address
t13
6q
Telephone Number
Date --7 "01-0— 0?0,-Z.0
(Revised 611812012)
Tau Parcel Information: C a r t e r e t C o u n t y, N C.
Owner: DAVIS,CHARLES R ETUX NELL TR :
Current PIN: 637516844789000
Site Address: "' ------ -.
US BOWEN SP �, •.. - g . _ _. f _ _........ -
ATLANTIC BEACH '--- 6OYYEM srReer-
Mailing Address:
227 CONTINENTAL DR
DURHAM NC 27712
Legal Description:
L34 B16 ATLANTIC BEACH ISLES
Prior PIN: 1304oGO507
City Limits: ATLANTIC BEACH
Rescue District:
Fire District:
Tax District: 1352
Township: MOREHEAD
Use: RESIDENTIAL
Land Value: $296,437
NBHD: 520007
Bldg Htd Sq Pt: 1850
Bldg Value: $159,642
Bldg Tot Sq Ft: 2,552
Other Value: $17,847
Year Built: 1974
Total Value: $473,926
Noise Leveh
`r
Sale Price: -So
AICUZ Zone:
Deeded Acres:0.175
GISAcres: 0.174
Plat Ref: /
Roll Type: R
Deed Ref. 851 / 320
Deed Date: o
Bedrooms: 3
Bathrooms: 2.5
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