86334A - Kueck, John & Louise

F Qjouk i''"�`N° 86334 ❑CAMA ❑DREDGE FILL ' 'A B C D
GENERAL PERMIT i' Previous permit
Date previous permit issued
�] New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State /of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC / 17 r ` 2- y — ❑ Rules attached. F General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name 4,
Address
City All, '14 � State 4/ " zip
Phone # ( )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity `
(Scale: )
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/,,Boatlift
Beach Bulldozing
Other i
SAV observed: yes no J `{
Moratorium: n/a yes no -
Site Photos: yes no
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by:
Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date

r

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM RECl vU
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) MAY 5 - 2022
Name of Property Owner: 3�H►-1 y r cl< DC _EC
Address of Property: S - CO &A � �Y Re.S NEAR' �3e
Mailing Address of Owner: -,v, ? l + 0 to G's �• �C Z
Owner's email: KU t—V, Owner's Phone#: S Z� $ 3 9 r
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit hP6 described to me, as shown on the attached drawing, the development they are proposing. A
riaccri4on nr drnwinn with dimensions. must be provided with this letter.
I 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 [phone]. 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
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
6-►n\VIM
Mailing Address of ARPO: �� Zb J • �d `-�la �/
ARPO's email: ARPO's Phone#:
Date: 2- Zo Z `waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY RECEIVED
(Top portion to be completed by owner or their agent)
MAY 5 - 2022
Name of Property Owner:
Address of Property: � L `� S ' `� s3tr� . r�Y N 45 i->eAD, ►�C DC�I -EC
P ,-
Mailing Address of Owner: P• cD ' S `o X G Z ( , r,) A e''S i4c`��. N o Z 7q ��
r ,C�iyso�T4-1.,��T
Owner's email: CCU % �-u �- Owner's Phone#:
Agent's Name:
Agent's Email:
Agent Phone#:
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
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions, must be provided with this letter.
I 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 [phone]. 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
-OR-
Signature of Adjace t it parian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO: L/7 Z S
ARPO's`�email: � re A'LARP
��1 V � �_5 � �.3 0, O's Phone#:
Date: -I /!t ZZ-T *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

RECEIVED 4
MAY 5 - 2022
DCM-EC °
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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 Icontact 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 dimes
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 andior 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 he signed by the property owner)
Site Notice Posted
Site inspections
y'
FOR STAFF USE
Final inspection Fee Received
Date of Action: Issued Exempted Denied Appeal Deadline (20 days from permit action) _
4
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APPLICATION FOR
a
CAMA MINOR
DEVELOPMENT
Coastal Management
ENVIRONMENTAL QUALITY 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 developmeni 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
p
or she needs before you apply.
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r
Under CAMA regulations, the minor permit is to be issued within 25 days once a
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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
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RECEIV ,N
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APR Z 5 2022
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DCM Form EB1952.20I5,Rc, s d
®CM EC

Locality
Ocean Hazard Estuarine Shoreline ORW Shoreline _
(For q}fulal use only)
GENERAL INFORMATION
LAND OWNER - MAILING
Nance �� �� 114
Address
City A y S EA F,
Email L
AUTHORIZED AGENT
Name
Address
City
Permit Number 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
Public "Crust Shoreline Other 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, Ifighway Connection, and
others. Check with your Local Permit Officer for more information.
State �� �P jj' � ' — Phone
State 'Lip Phone
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 LAMA minor development permit, certify that the person
��— listed as landowner on is application has a significant interest in the real property described therein. This interest can be
! described as: (cheek one)1
2'1 1 39 :f,an owner or record title, Title is vested in name of
L see Deed Book 2'L ��- page 7-56* in the _ QiG County Registry of Deeds.
L _an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
11-""I 7 2-4 S • CO Z(A W ei
►J GS ( �A9, PC 7774)-s—1
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) _
2OA%LAGi 4orIS, WC) (6-3 `-POST
SIZE OF LOT/PARCEL: square feet acres
PROPOSED USE: Residential ❑ (Single-family Multi -family ❑ ) Commercial1ndustrial ❑ 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, nun -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AEC&: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 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
Stornwater Management Permit issued by the NC Division of Energy. Mineral and Land Resources (DEMLR)?
YES NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet
i f 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 1 have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a LAMA pernlit.
(Name) (Address)
(1) 3 OS11A'K W �I.Se� � i Z0 S . �o�3tA u�
(2) S`T4i-4 rC W o t &AA Ak q Zf�' C-'0 iata , J r
(3)
()
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 Pemtit 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 l 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 fix-- day of D? R"720 ?Z
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes. general inJimnation (this form), a site drawing as described on the buck of this application. the
ow•r >rshi statement the Ocean Hazard AEC Novice where necessary a check firr $100.00 nmde pavable to the locality: and
ur vided orally by the applicant. licwu. The details q%the application as desc rihed by these sources are
R E ) 1p o
t o e in mry permit which may be issued. Deviation front these details will constitute a violation of
any permit. Any person developing in an AEC without permit is subject to civil. criminal and administrative action.
APR '1 5 2022
Lm+ I— E C

Owners: Kueck, John D Ttee -Primary
Owner
Kueck, Louise A Ttee -Primary Owner
Building Value: $244,000
Land Value: $162,000
Misc Value: $9,800
Total Value:$415,800
V lX S — 2-7 (
Tax District Nags Head
Subdivision: Old Nags Head Cove Sec A
Lot BLK-Sec: Lot: 39 Blk: Sec: A
Property Use: Residential
Building Type: Traditional
Year Built 2000
L009205 000 la 080113 066��01/1:

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