HomeMy WebLinkAbout86290A_Cheek, David & Lemans, Kathleen_20220425ad"' CAMA ^/ DREDGE & FILL '� N�) 8,6290
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Prevrt}us permit ......
GENERAL. PERMIT Date previous permit issued
'New Nloaificatiok� ;Complete Reissue ,.. Partial Reissue
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 3 A C-r_I t-r-S )+ Ls k`S i- 4'
PC /& T if 4 I Z ? , A A/i_ �L7 y Y. 4
Phone Number: �7 S 2 k-"/ ! 3 �.Z >
Email Address: DAV o , C htc �C-A'A,/±�2:
I certify that I have authorized ,C 1 tit A 4,'L',tZ SOIk' a— LA— t--) ,
Anent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development /�d/ s i /�/-L i!/E U/
1/1 41 Y L 1`3 U/ j(/t fAy
at my property located at �Z 3 L G Ia (._L-s /�� S t 7� f'o •,{/ t; �t ff2�e�n
in C Wai i c'U( County � yE
1 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 Ownerintormabon:
�« (Z� -
Signs ure
U L
Rw?t or Type Name
Title
Date
This certification is valid through ' 1341 4Z
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner
Address of Property: P0i0f4ftrLVf�-1/�
Mailing Address of Own�Jer _XLr-o VAT
Owners email: � V idr • e �l 01rs Phone#: _ � - 8ty� -3aa �- 23430
Agent's Name: �1' uA.i IM��n Lt`1 Agent Phone#:i-
Agents Email Uea /1'1_IML, com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
tBottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me. as shown on the attached drawing. the development they are proposing. A
where description or drawing, with dimensions must be provided with this letter.
400.icable ���
X v-u l DO NOT have objections to this proposal.( I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC. 27909. DCM representatives can also be
contacted at (252) 264-3907. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive someiall of the 15' setback
:nitia or X
sign Signature of Adjacent Riparian Property Owner
where -OR-
applicable I do not wish to waive the 15' setback requirement (initial the blank) X ��
4Ji
Signature of Adjacent Riparian Prop e Oi U
wner, t1
Typed/Printed name of ARPO:�I hh IA /,4yt
��lN t
Mailing Address of ARPO: 0 V kC �' ✓ t 1
ARPO's email: ano 5h>!.CL0_0J(nCti �� ARPO's Phone# ISrI��Z� "1 Z�
Date: jG I ZZ `waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
Sign, fill out above, and retur-
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Address of Property:
Mailing Address of Owner: ko Ni(A VA
Agent's Name Owwdy)n am Agent Phonew
• e,u1 i 16L-da eI ////
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
Initial permit has described to me. as shown on the attached drawing. the development they are proposing. A
where description or drawing, with dimensions must be provided with this letter.
applicable gY'.1
X I DO NOT have objections to this proposal.X I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at (252) 264-3901. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback. you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
initial or X
sign Srgrattire of Adjacent Riparian Property Owner
where -OR-
applicable I do not wish to waive the 15' setback requirement (initial the blank) X
Signature of Adjacent Riparian Property Ownerl:YCtq JQ1'�
Typed/Printed name of ARPO: � ¢<Lmzm2c y Le' /SE
a
Mailing Address of ARPO: a32 GRIGGS tAES UW >~' AN(T- #V&R /� 7940
ARPO's email: ARPO's Phone#: v'ot�7aa'oZv�
Date: �I���'� 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
Sign, fill out above, and ret---
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Communities
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County Houndary
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Wright Memorial Bridge
Major Sheets
a�w_ Map
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Parcels
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Curntuck County
Aerial Photography (2021
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Currituck County GIS
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Map*
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svo
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County Boundary
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