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Home My WebLink AboutBarker, Lee & Sandra 78216C�tY1LAMA / LJ L7t1EUUP- alt I -ILL ENEF ►L. PERMIT T%d�w,'ew ❑Modification ❑Complete Reissue As authorized by the State of North Carolina, Departmne . and the Coastal Resources Commission in an aFea of environn Applicant Phone # (g-,!J_Mail Authorized Agent ❑ Cw *" PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ORW: yes / (0 PNA �O no Type of Project/ Activity Pier (dock) length Fixed Platforms) Floating Platform(s)ti- Finger pier(s) � Groin length number Bulkhead/ Ripap length avg distance offshore-"''-' max distance offshorel Basin, channel cubic yard Boat amp Boathouse/ Boazlift'�� Beach Bulldozing Other Shoreline Length SAM not sum yes Moratorium: n/a yes En Photos: yes Waiver Attached: yes NY 78216 A B C D Previous permit # ❑Partial Reissue Date previous permit issued ironmental Quality O al concern pursuant to l SA NCAC ' ._lS uhed.eProject Location: County FLStreetAd ress/SRoadot#(s) —IC/f Q --- — ---- Subdivision City ❑ ES ❑ PTS Phone # ❑UDA ❑N/A Adj. Wtr. Body_ Closest Mal, Wtr. ZIP (Scale. t _ -- - f—r—�QIf i— 4v IN I � _ L_ 194E- I A building permit may be required by: ( Note Local Planning jurisdiction Notes/ Soectal Conditions Please Jl,t ❑ See note on back regard'utg River Basin rules. Name C/ ❑DREDGE & FILL N9 78216 ' EFRAL PERMIT ® A B Previous permit# C D eModification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Ehvironmental Quality 04. and the Coastal Resources Com ' sion in an 'ea of environmental concern pursuant to 15A NCAC O ules a hed. Applicant Name Project Location: County Ad treet Ad ress/ St Road/ Lot #(s) Ci State ZIP Phone # -Mai1 Subdivision Authorized Agent City ZIP 0 �(� m CVV ` w PTA ❑ES ❑ PTS Phone # River Basin Affected AEC(s). ❑ DEA ❑ HHF IH ❑ UBA ❑ N/A Adj. Wtr. Body nat an unkn ❑ PWS: ORW: yes / 4) PNA `LJ no Closest Maj. Wtr. dy .. �Jl•' .� Ell MNEMEElC.MEE 0 1 MEN ONE ME EE 'MEN 1011 MEN �ME ::C E■■■■ ■■■ ■E ..■■. j■■w■■■. ■■■■■C■■■ a■■■iM■■ ..iwn�w■. Loss ■■■w..■�_ ■ s ■�iit� MINE 0 ■■w ■■■..�. .2 P�■ RCN■ ■■■■■■.....■..■■■ ■■■■■•�■■ �OEN■Eii■■N;%, ■■■ ■■■ ■■■■m■■M■■■■■■■ ■■■■■� ElmNM .■..■■■■■■■ � No SIMON WOMEN ■■ ■■E ■■ 1■ M■ONE ■■■■ ■■ ■ ■■■� MM ME IME ME IME ME ■E■ •'1 ■■■ ■MEMOM■OM■■■■■q■ ■■■ ■� MEN■■■■■E■E■■EON■ IN■■■ ME IN i■■■ ■ •� ■■ ENE®. ■■■N■will :�= 11111CCNSee note on back regardi�g River Basin rules. • ' • � a •.. � •..�.� / i,• i Y� ,� F�r� !PAI ' r'i 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, certifythatthis project is consistentwith 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 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/ 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.orgtweb/cm/dcm-home Revised 7/06/17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to L-C-4 i (rvarne r rr�peny w� rl property located at ,�� cxriC er A.4r_ of /' (Address, Lot Block, R ad, etc.) on C_rooie C��-�1c in C arK.er, N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above I tion. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must till in description below or attach a site drawing) I understand that a pier, dock, mooring pilings, boat 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. (If you wish to waive the setback, you must initial the appropriate blank below.) Date I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Owner Information) runt or type Name /9DA Sorg&-oz Mail' g Ad ress Grl kw-r t.l� 2 fS�70 City/State2ip Q/9-36>L-`/Iy3 GSS39iess;1 i e ep one Number/email address X- ZD -Z9 Date* e-. 'l *Valid for one calendar year after signature* (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT NT�/ 1 hereby certify that I own property adjacent to LQ,P, 6 S(AU 8T6L- l ar'rler 's n Name of rQperty Owner) property located at 8 �e C I eca- ors '9 /� (Address, Lot, Block, R a , etc.) on rmnr fti \ .VCA-- k in 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. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) I �h. 33II J blo O � �t �o 3, WAIVER SECTION I understand that a pier, dock, mooring pilings, boat 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. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. not wish to waive the 15' setback requirement. Telephone Number/email address Date (Revised Aug. 2014) *Valid for one calendar year after signature* qg9 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at (Address, Lot, Block, Road, etc.) on , in 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. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) v WAIVER SECTION I understand that a pier, dock, mooring pilings, boat 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. (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) Signature Print or Type Name Mailing Address City/State2ip Telephone Number/email address Date (Adjacent Property Owner Information) Signature * Print or Type Name Mailing Address City/StateMp Telephone Number/email address Date* *Valid for one calendar year after signature* (Revised Aug. 2014) Locality Ocean Hazard Permit Number Estuarine Shoreline ORW Shoreline . Public Trust Shoreline Other (For official use only) GENERAL INFORMATION LAND OWNER - MAILING ADDRESS Name Lee tL '50" am �_6acyw r Address _�0-1 Spn a, skore L. City �lpy,5jyrp State AUTHORIZED AGENT Name Address City Email State N C. Zip_10SVkPhone q3H -(4Z9-LfI` a Zip Phone LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.) i..r- �• 1 � t l.� DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) &q1 t" -.F C eGJ SIZE OF LOTIPARCEL: a&' square feet , 509 acres PROPOSED USE: Residential R (Single-family ❑ Multi -family ❑ ) Commercial/Industrial ❑ Other ❑ COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou are not sure which AEC applies to your property): (1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but excluding non -load -bearing attic space) (2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON SURFACES: 'ASO square feet (includes the area of the foundation of all buildings, driveways, covered decks, concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.) STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)? YES NO ✓ OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others. Check with your Local Permit Officer for more information. STATEMENT OF OWNERSHIP: I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person listed as landowner on this application has a significant interest in the real property described therein. This interest can be described as: (check one) ✓an owner or record title, Title is vested in name of at%uQ L&e * '3&^ J Ti W - tA4kLje__ see Deed Book "A page 10 r in the C oAco Jr County Registry of Deeds. an owner by virtue of inheritance. Applicant is an heir to the estate of probate was in County. if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application. NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS: I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Name) (Address) (1) ku'414 i 4ka 1 72, r IPA• �' "Pj 015,26 (2) (3) (4) ACKNOWLEDGEMENTS: I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu- lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza- tion and floodproofing techniques. I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division 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. This the 2134K day of /auv�,20ZD person authorized to act as his/her agent for purpose of filing a CAMA permit application This application includes: general information (this form), a site drawing as described on the back of this application, the ownership statement, the Ocean Hazard AEC Notice where necessary, a check for $100.00 made payable to the locality, and any information as may be provided orally by the applicant. The details of the application as described by these sources are incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Anyperson developing in an AEC withoutpermit is subject to civil, criminal and administrative action. If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet. SITE DRAWING/APPLICATION CHECKLIST Please make sure your site drawing includes the following information required for a CAMA minor development permit. The Local Permit Officer will help you, if requested. PHYSICAL DIMENSIONS Labelroads Label highways right-of-ways Label local setback lines Label any and all structures and driveways currently existing on property Label adjacent waterbody PHYSICAL CHARACTERISTICS Draw and label normal high water line (contact LPO for assistance) Draw location of on -site wastewater system If you will be working in the ocean hazard area: Draw and label dune ridges (include spot elevations) Draw and label toe of dunes Identify and locate first line of stable vegetation (contact LPO for assistance) Draw and label erosion setback line (contact LPO for assistance) Draw and label topographical features (optional) If you will be working in a coastal shoreline area: Show the roof overhang as a dotted line around the structure Draw and label landward limit of AEC Draw and label all wetland lines (contact LPO for assistance) Draw and label the 30-foot buffer line DEVELOPMENT PLANS Draw and label all proposed structures Draw and label areas that will be disturbed and/or landscaped Note size of piling and depth to be placed in ground Draw and label all areas to be paved or graveled Show all areas to be disturbed Show landscaping NOTE TO APPLICANT Have you: • completed all blanks and/or indicated if not applicable? • notified and listed adjacent property owners? • included your site drawing? • signed and dated the application? • enclosed the $100.00 fee? • completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner) FOR STAFF USE Site Notice Posted Final Inspection Fee Received Site Inspections Date of Action: Issued Exempted Denied Appeal Deadline (20 days from permit action) Coastal Management ENVIRONMENTAL QUALITY APPLICATION FOR CAMA MINOR DEVELOPMENT PERMIT In 1974, the North Carolina General Assembly passed the Coastal Area Management 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 General Assembly directed the Coastal Resources Commission (CRC) to implement clear regulations that minimize the burden on the applicant. This application for a minor development permit under CAMA is part of the Commission's effort to meet the spirit and intent of the General Assembly. It has been designed to be straightforward and require no more time or effort than necessary from the applicant. Please go over this folder with the Local Permit Officer (LPO) for the locality in which you plan to build to be certain that you understand what information he or she needs before you apply. Under CAMA regulations, the minor permit is to be issued within 25 days once a complete application is in hand. Often less time is needed if the project is simple. The process generally takes about 18 days. You can speed the approval process by making certain that your application is complete and signed, that your drawing meets the specifications given inside and that your application fee is attached. Other permits are sometimes required for development in the coastal area. While these are not CAMA-related, we urge you to check with the Local Permit Officer to determine which of these you may need. A list is included on page two of this folder. We appreciate your cooperation with the North Carolina Coastal Management Program and your willingness to build in a way that protects the resources of our beautiful and productive coast. Coastal Resources Commission Division of Coastal Management a DCM Fonn EB 1952-2015/Revised