Gaskins, Perry 78237C (2)

CAMA / REDGE & FILL N9 78237 A B C D
ENE L PERMIT t Previous permit#
New ❑Modification ❑Complete Reissue []Partial Reissue Neviousissued
As aut orizedby theState of North Carolina, Department of Environmental Qualityand the Coastal Res ces Commission' an area o environmental concern pursuant to I SA NCAC es ttac ed.
Applicant Name Project LocationlCoun
Address Street dres^s/ Sate Road/ Lot s)
City State IP �auv i
Phone #✓ -Mail ' I Subdivision
Authorize dAgent W City ZIP 0
Affected cryvA es wrs Phone #�) 'ver Basin
AEC s : oFA ❑ NNF ❑ iH BA ❑ WA Ad'. Wtr. Bo
�) PWS I dY na man unkn
ORW: yes / PNA yes / ^r.� 'Closest Maj. Wtr. Body
Type of Project/ Activity �f
(Scale: )
Pier (dock) length
Fixed O
Floating
Platform(s)
F
—
w�
Groin length
number
Bulkhead/ ra length -
avg distance offshore
max distance offsho 1 -
Basin, channer�-
cubicyards L
Boat ramp___�
Boathouse/ ift
Beach Bulldozing -
OtherTy
j
t•4,1,� XGiI I �� (/ ,
L...! Shoreline Length J 44�� ✓,
SAV: not sure yes o
__.
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes
A building permit may be required by: AJkk See note on back regarding River Basin rules.
( Note Local Planning Jurisdicti n)
^Notes/ Special Conditions
d /
f � n
or Applican P' NamV Pemitee
Si ature��ease read compliance statement on back fpermit** SiSi7,07
r�
plication Fee(s) Check# Issuing Date Exp1 Lion Date
73�ci;L(

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 ❑
❑ 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/ 1-888-4RCOAST
Fax: [phone]
(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:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/I7

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: & ny Gasuus
Mailing Address: 140 04"A L,v
Phone Number: 4 4 - q/6 - 081 `d
Email Address:
I certify that I have authorized TGrguR.P RAvL,S M Gm
Agent/Contractor �AiG LO/17
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Doc L-1pr
wA(.�
at my property located at /G0 naL,o4 L ri 11 �a�r�ar� ti� 2RSi�
4
in n,T 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 Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Si nature ~
Print or Type Name
Title
/ / Jzy
Date
This certification is valid through I/ .36 /2�—

.,
-`MCr„S•M+�tgK+l�_� 7 .Nd"u.� uhi sai,g,,,� `r, �.a..�p C. rs.H;h+.gv�u�aZ,r :GMt4tf -an y .; .,

1 ` r . ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own -property adjacent to JPJIMY 649K/4-5 s
(Name of Property Owner)
property located at _ !o k navr s J.,v
(Address, Lot, Block, Road, etc.)
on in BrtnuFoAf. ry_y, 1s4GG N.C.
(Waterbody) (—own andlor County)
• The applicant has described to me, as shown below, the development proposed at the above
IC I have no objection to this proposal. k4 �yjW4 Cj�
.c7rr'yerrr�liaPi �k�is/on- Y
I have objections to this proposal.
DESCRIPTION ANDlOR DRAWING OF PROPOSED DEVELOPMENT
-QndlW4441proposing ifedelopment must fill in description. below oraitach a site drawing)
ri✓o g4w.0AM t=vuy, CayL M;.
a FxwT r✓Ra PiRoPladYy t r. ,jam_ 1I
t"'.p A J! lb Pt,a1'row°► ...
JYY iµA wIYN p. (iu9X l.rrY
Ra�41,��w N
<_J 8d
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.
Owner
signature "
&APY'
Print or Type Name
Mailing Address _8,E9vfoC1Y -,M�
Ciryisra6a
2 rz �i/A-- 09701
Telephone Number/email address
Date
'Valid for one calendar year after signature'
(Adjacent Property Owner Information)
Print or Type Name
MailingAddiress
r a Fne�A ,G i2
Cily/Stafe/Zip
Telephone Number/email address
Date'
(Revised Aug. 2014)

Tax Parcel Information:
Carteret County, N.C. 1*1
Owner: GASKINS,PERRY W
Current PIN: 731618207926000
Site Address:
16o DAVIS BAY DR
BEAUFORT
Mailing Address:
16o DAVIS BAY DRIVE
BEAUFORT NC z8516
Legal Description:
L6 DAVIS BAY
Prior PIN:
City Limits:
Rescue District: BEAUFORT RESCUE
Fire District: BEAUFORT FIRE
Tax District: u
Township: BEAUFORT
Use: RESIDENTIAL
Land Value:
NBHD: uoo99
Bldg Htd Sq Ft: 3227
Bldg Value:
Bldg Tot Sq Ft: o
Other Value:
Year Built: zoos
Total Value:
Noise Level:
Sale Price:
Deeded Acres: io.09
Plat Ref: 28 / 889
Deed Ref: 1684 / 412
Bedrooms: 3
AICUZ Zone:
GIS Acres: 10.127 Roll Type: R
Deed Date: 20200825
Bathrooms: z.s
a m=aoo ft Printed Novembe[ 16, zozo
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