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Home My WebLink About83936A_Butler, Kathy & Fabiani. Victor_20210922/ ;kUAMA / APHtUUb & Ii-ILL N9 83936 A B C O GENERAL PERMIT Previous permit # t �i{Wew Modification .. Complete Reissue Partial Reissue Date previous permit issued 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 � �-' - ides attached. applicant Name_ "' ,# �l i,� ?).L4- v,- `f 1 ! t�;,'V«_kQ.�; 4 Project Location: County ,ri(*� address '51`50 {�, y •� '7 t YlL`>,t-} 4i ...0 1 y �� Street Address/ State Road/ Lot #(s) 13 =' ,' rrti i :ity---./f+5rMJ- i-ir4 �'�. State 1+`ja ZIP Digit \1 it-t_�pZl G�'IUV1_M_ 'hone # ( =,�j `�$(9-4`11 J 3 . E-Mail _ �t�lG►r�Ct� _ 13 � ri.Ol •cotvi Subdivision P _Cc L4w It t]. J , . authorized Agent _ ' PJuA. hQads City U ►'a��fr`t_� Zip 4 - - affected C�vW PTAs k'PT5 Phone # (-�) �"'— River Basin _iqulzt'wtr� aEC(S): _ OEA HHF _ iH USA N/A a ` v PWS: Adj. Wtr. Body {_ _ A-vkAk 10 jt' ,, /(�(nat gt qj/unkn) r.. 3RW: yes no PNA yes Closest Maj. Wtr. Body b-t�1/�'j�`�i/�C'..._�_i� L.J VU4 Type of Project/ Activity JAI' �- — - �� fit' ��1 irtlCsr i. L� - k7ri, 0(- �W , t wV r �rb. Pier (dock) length _ Scale. N t Fixed Platform(s) FloatingPlarform(s) Finger pler(s) Groin length -� — - ' - number _ Bulkhead/ Riprap length r 3� avg distance offshore 'r2 t max distance offshore 2 1 Basin, channel cubic yards.__...__._ Boat ramp Boathouse) Boat)* � Beach Bulldozing ,r N` ' 21 2-1 2.t Shoreline Length SAVr not sure yes a -lei Qyes no "� l� Photos: yes no Waiver Attached: yes A building permit may be required by: f `) d,yy Lj yt� See no ( Note Local Planning Jurisdiction) te on back regarding River Basin rules. Notes/ Special Conditions Zg Appl cant Printed Nam _ ..... - s L signature " Please read compliance statement on back of perms •• 7UQ-DU____ 3 3 r__ kppfication Fee(s) Check # ----- Permit Officer's Printed Name Signature Issuing Date xpiration Date k�'•L2-;uw...__,y�„..'—. �:.+.�m,� f.. �z.a+saLR.s'�-i�vY.v:'MR.�.2a.{d`.�'vx�r„e �W�1R.�;.rw• VOm-'�'p.V�kac,x»ti& 2Ra�ira�>::'.u'ckv.'y`y"•.ii:•nr5ss�mxw`x�ia+w`uta �aw`�y�. ^+ e'q+vlY9'i' may' 'a3�.. h[�vw.x.,—Ys.�.u.s.._� AGENT AUTHORIZATION FOR CAMA oEc7iNtT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: � C) P(Cxl�� 1�d NQ�r_ +-�,no 23�1�1 Phone Number: (�5� "�'�' Uq Email Address: �9ltf "" ,�� C�1 1 certify that !have auihorizedQyN�1_"" Agent i Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at )-tDtD ?XOu d bH Dr �010q�VA%X'1199 a , in V " If 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: 6%'d V Signature ka4+(4 BLA) ant or Type Name Own-e-, Title 8/30/2021 Date This certification is valid through it L U I N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by ownerortheir agent) Name of Property Owner: AMN p� ARI I N I (AV t' •Q+i�1 Address of Property 0(.0 UrOQboq Or C01in_ 0 N On MailingAddress of Owner. D�_rjouffi 6W10 �uY�S, i Q G.J ! c 1 Owner's email :v e r t�a Owner's Phone* Agent's Name Ow P► td•(i ,t jf Agent Phoneas"L 4 to -., Agent's Email:�_�9 (tM� 1 •(.� 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 WA DO NOT have objections to this proposal. I DO have objections to this proposal. It 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 Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) I� Signature of Adjacent Riparian Property Owner: __A;N�� \J:5 Typed/Printed name of ARPO:�C TTCl �r�vif i Mailing Address of ARPO:SGZJ P D,% &J S iV U T d" X Wc, 2.7gy9 ARPO's email: ARPO's Phone#:2S2 y y) 5331 Date: f2 ' Z to . 2— 1 -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 NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT RE UESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property. U6 qTo" biw Of Coll Mailing Address of Owner: 516� POi -i-Sm��-h $ d t�no �a23'701 Owner's email: Q(11 d b� ,J- Owner's Phone#: 252 4,- W L L Agent's Name,,{l ,— _ Agent Phone#Z51 9�6p 22- Agent's Emati C.4"17q d W-4 b gr 1. co,rn 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 &pplying for this Permit has cribed to me, as shown on the attached drawing, the development they are proposing. A descript i Or drawing, with dimpnsinnc m, ict hn .,—., 4-. ....u.. — ,_.. _ *— I DO NOT have objections to this proposal. I DO have objections to this proposal. If YtVhave 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 the appropriate blank below.) _Sign I DO wish to waive some/all of the 15' setback rem Signature of Adjacent Riparian Property Owner * I do not wish to waive the 15' setback requirement (initial *Signature of Adjacent Riparian Property Typed/Printed name of ARPO: Mailing Address of ARPO: Or ARPO's email: ARPO's Phone#: FOL4 tyvQ Date: ' 2-�' 2' 'waiver is valid for up to one year from ARPO's Signature' Revised July 2021 1 i i I This map is prepared from data used for the inventory of the real property for tax purposes. Primary information sources such as recorded deeds, plats, wills, and other primary public records should be consulted for verification of the information contained in this map. 206 Broadbay DR Colington NC, 27948 Parcel: 019817000 Pin: 987417009254 Owners: Butler, Kathy L -Primary Owner Fabiani, Victor A -Primary Owner Building Value: $0 Land Value: $120,100 Misc Value: $4,500 Total Value: $124,600 Tax District: Colington Subdivision: Colington Harbour Sec M Lot BLK-Sec: Lot: 63 Blk: Sec: M Property Use: Secondary Improvement Building Type: Year Built: 4, ":t iJ