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Home My WebLink About86270A_Mann, Betty S._20220322A*ComTA, N❑CAMA ❑ DREDGE & FILL �� N9 86270 A B C D 41 GENERAL PERMIT Previous permit f 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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.Qov/CAMArules 123 Applicant Name C- Address City ` State Phone #`'<'') 7.> 1 Email ZIP 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 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 s i SAV observed: yes no _ f Moratorium: n/a yes no _ Site Photos: yes no y Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions { n (Scale: ❑ 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) 7 Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Signature Application Feels) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: _ $ E T Y S M AOJAJ Mailing Address: y l 'S S D U-T_H H 'bJ y 6 W L210u/ Al AouT�a N G 2-'7G 5, L4 U 5 A Phone Number: q� Email Address: I certify that I have authorized W 1 lJ K I& slit► .T-A L, MA R I N e- Sc V 1 Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: PA e e- � a r• , "% 11 q C(V-.e d 5-4 1 `S So ,t'�', 1" � W � 6 4/Zj a �1/IL r °� cc� JlJ C Z'7 cj s"�+ at my property located at LI in DA 'k E County. / furthermore certify that 1 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 Print Type Name Ti le !, 2 Date This certification is valid through I I Revised Mar. 2016 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER 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: 13c-TT� 5 MAN>J lip; Sour- #QN&Ir Hwy 64//2GU Mailing Address of Owner: m AN T'6 0 A) G Z `7 R S y Owner's email: Owner's Phone#: 2-5 Z 4 7 3 21!D5 J Agent's Name: W1 >,J IS" t" S I L V C-� Agent Phone#: 217 Agent's Email: tbfxI wta k-i' n e 36 10 x12-kbp Crj W1 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 X V 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 (252) 264-3901. No response is considered the some 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.) Z I DO wish to waive some/all of the 15' setbacks/'/ N i do not wish to waive the 15' setback requirement (initial the blank) -t Signature of Adjacent Riparian Property Owner. Typed/Printed name of ARPO: Mailing Address of ARPO: i 1 S JRAI` L"b MAN*rfz iU L Z 7 G S ARPO's email: ARPO's Phone#: 262 W71 p 5� 41 Date: 3 - 1$' Zo 21 *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 (Top portion to be completed by owner or their agent) Name of Property Owner: BE-'T J Y �5 • j I A 0,-bN Address of Property: 41 S St, U iH W t,-,+ y 0/2d y MAOJT-1 0 IJ (- ZyaS�4 Mailing Address of Owner: SA M L Owner's email: Owner's Phone#:2'��- W73 26671 Agent's Name: k) I N):i 6- 5 1 L VC R Agent Phone#:? S Z 2 1�� q f -3 0 (G Agent's Email: -h t41 VvizY kbl, - 6o►'n 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. x7t/ __ 1 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) 264-3901. 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' setbac ,1 n ,. -OR- argrTarure or Adjacent Krparran Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner,— '` 0' �'� WZ_ Typed/Printed name of ARPO: manna (2.44L rd (e, Mailing Address of ARPO:_ ARPO's email: :' RPO's Phone#: 26 7--t,3 T%) G� Date: _*waiver is valid for up to one year from ARPO's Signature* Revised July 2021 This map is prepared 415 S H 64/264 from data used for the inventory of the real Manteo NC, 27954 property for tax Parcel: 025585000 purposes. Primary information sources such Pin: 978907690283 as recorded deeds, plats, wills, and other primary public records should be consulted for verification of the information Owners: Mann, Betty S -Primary Owner Building Value: $144,200 Land Value: $270,400 Misc Value: $44,500 Total Value: $459,100 Tax District: Manteo In Subdivision: Subdivision - None Lot BLK-Sec: Lot: Lot 1-r Blk: Sec: Property Use: Residential Building Type: Cape Cod Year Built: 1925 �. 2 /(/ J22 �� .. /�� D FILL AN CAMA AND L GENERAL �N? n - � � U7�� ) PERMIT1�_`Q�L-JU'UL5L) as authorized by the State of North Carolina �,+...,.........•--•-- Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC fr+�� f 14 rE x C s; st ri J Applicant Name Phone Numberte.-,n Address City Ad A State 1.11 11 — Zip�� T ""Z t..�—'�a ;, t Project Location (County, State Road, Water Body, etc.) t Type of Project Activity j PROJECT DESCRIPTION SKETCH - (SCALE: 1 f# � }0C Pier (dock) length Groin length t ➢ number Bulkhead length 4_ r max. distance offshore SFcr) 4 L Basin, channel dimensions cubic yards €ti,t ' Boat ramp dimensions a '--- 6 , ;.. c _— .� . � _._ _ .�.. �P�� d5•f�� cr ..1 >� frr}f C+�o�r+r'�r Other P a tj `�51& Aroe_. a it L 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, imprisonment or civil action; and may cause the permit to be- come 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) this pro- ject is consistent with the local land use plan and all local ordinances, and 2) a written statement has been obtained from adjacent riparian finclowners certifying that they have no o Iecttons to the proposed work. r applicant's signature permit officer's signature 9 -' — r -4,4 issuing date expiration date attachments In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal application fee Management Program. 4 4 u�a��Hmn1,,4�1q�1�PPU1N►PPPI�I�I�III�I�I�I�I� I V t