HomeMy WebLinkAbout78067A_Bouker, Thomas & Nicole_20210329PL V
s
CANIA / DREQGE & FILL B C D
-. ENERAt� PERMIT Previous permit # t, ;l
�ew Modification ._Complete Reissue — Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality }} � 2•�
and the Coastal Resources Commission in an area f environ ntal concern pursuant to I SA NCAC t'1 e L - --- —
.-0 1 ules attached.
e► ►titzi.'S
Applicant Name_ . Project Location: County_Na ve—
t Street Address] State Road/ Lot #(s)
Address 1_140 (P .0
City i.A W�1_ +Jr
1� State.N(;. ZIP !A _�.�.>,�.i;B. P17.....__'t�
Phone # (Z;2) 202" 11 y1!_ E-Mail 1' WC r hOJLJUK#J'1?dJ-14 Subdivision _._ _. ... AndA.V1
Authorized Agent "_ _ _..._ _ . C y1t 'ccity ZIP-IJ
)CCW )(Ew 'TA ES - PTs Phone # (- '.) ___ River Basin
Affected _
AEC(s): oEA HHF iH =: USA r iylA j. Wtr. Sod Ad na ,m
_, Isws: an unkn}
Y_l.�i_iC! . 1►t-
ORW: yes / no PNA yes 10 Closest Maj. Wtr, Body - #.}tt, O'j- e ... r�. , . -
Type of Project/ Activity
,a 1
fiixedPiatfot
Finger pier(s)._____.__--
Groin length _
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
ii
Shoreline Length.'
A building permit maybe required
( Note Local Planning Jurisdiction)
ote Special Conditions J
_( WGU V"
Pt —
See note on back regarding River Basin rules.
i
Agent or Applicant Printed ame PermitOfficer's Printed Name
Sig re ` Please read compliance statement on back of permit ee Signature
ApplicationFee(s) Check# Is uing Date Expiration Date
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date Vl012U21
Name of Property Owner Applying for Permit:
N I D(; E- rBoUv '-
Mailing Address:
K+0(p Gam" INS Cl2C(.E-
V-(Lt- -r)FV ((✓ -�t(uS" NC Q-R,: -6
RECEIVED
FED 2 3 NZI
DCM-EC
I certify that I have authorized (agent) �VJ�"� (d �� l to act on my
vvt,�l?��TC� (zpt�r C��'Ctzc-�C a1c�N
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
r�4-
(9-v(0 CHqTPrtMC C(2C1e
"C Z�Rg
This certification is valid thru (date)
Property Owner Signature Date
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
k-AI fC)(.E --.RiDMAS BOjk3E ,—
Address of Property: 1-+D� CA'TA-r11\19 C(IC�
(Lot ,orr Street #, Street or Road, City & County) -��
Agent's Name #: �0 C''L'r /w, )Q Mailing Address: 3�'� CAI R 5 t �! ��h- �'� T7
Agent's phone #:
-2.52- 70Z-- 1633 V6 �U5tM Esew tiC 219(1/
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 have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the 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 a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or roi
must be set back a minimum distance of 15' from my area of riparian access unlesREw tNED
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
1Vv L"" I do wish to waive the 15' setback requirement. FEB 2 3 2021
I do not wish to waive the 15' setback requirement. DCM-EC
(Property Owner Information)
N(Co (,, '3J (,UeE:-�
Print or Type Name
14U.0 CIO T/ctNS G(KcLa
Mailing Address
WU,tlt(lti'1 , NJC-- 2-4�
City/State/Zip
252- 2�2-(f`�- ��`��c�BX-cc'�v►
Telephone Number / Email Address
(Adjace t Property ner Information)
ignatur
w 1 u-Vorm ✓4!2�N1�
Print or Type Name
Mailing Address
t�(c.��y(l,�•t-�Ic,�.s, tic 2�(�3
City/State/Zip
qs-_�- (per-3-0
Telephone Number / Email Address
Date
'Valid for one calendar year after signature*
Date*
Revised Jan. 2017
MIDGETTS WATERFRONT CONSTRUCTION
334 HARBINGER RIDGE RD. HARBINGER N.C. 27941
252-202-7033
__ - q rIyi R Ilc:t 1v
BOATLIFT
PILINGS
5X16 LOWER r
DECK
RECEIVED
FEB 2 3 2021
DCM-EC
6X124 FT PIER
140 FT
1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
Address of Property: 16P CF7-P�tQ6
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:Y� L4 t AaEwk 6C- �11�
Agent's phone#: P10 f2l3okz oC 2,7-9y1
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 have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the 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 a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or roil
must be set back a minimum distance of 15' from my area of riparian access u �I"�7 ED
me. (If you wish to waive the setback, you must initial the appropriate blank b to
I do wish to waive the 15' setback requirement, FEB 2 3 2021
I do not wish to waive the 15' setback requirement. DCM—EC
(Property Owner Information)
K1(CoLJE Boc, VER,
Print or Type Name
19-0(.o G44IT- -IIUS C RCZ LE
Mailing Address
V((-U-DE�V(L,-4t( -Q,cvC 2--H-if3
City/State/Zip
2'52- 202-1
Telephone Number / Email Address
Dare
(Adjacent Propely Owner Information)
-L-d---ZA
Signature
�Rw' &A4A 0�
Print or Type Name
Mailing Address
V-, I L214,� � �s , N� ��a 4$
City/State/Zip
�dy - H1
Telephone Number / Email Address
Dale*
'Valid for one calendar year after signature*
Revised Jan. 2017
MIDGETTS WATERFRONT CONSTRUCTION
334 HARBINGER RIDGE RD. HARBINGER N.C. 27941
252-202-7033
BOATLIFT
PILINGS
E
5X16 LOWER
DECK
4 cv4 c r%rw
RECEIVED
FEB 2 3 2021
DCM-EC
6X124 FT PIER
140 FT
This map is prepared
from data used for the
{ )�
inventory of the real
�J
fr
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,
1406 Captains CIR
Kill Devil Hills NC, 27948
Parcel: 003656000
Pin:988413123713
Owners: Bouker, Nicole Irene -Primary
Owner
Bouker, Thomas Watson -Primary
Owner
Building Value: $309,900
Land Value: $168,500
Misc Value: $12,900
Total Value: $491,300
Tax District: Kill Devil Hills
Subdivision: Landing Section 3, The
Lot BLK-Sec: Lot: 151 Blk: Sec: 3
Property Use: Residential
Building Type: Contemporary/modern
Year Built: 1991
mm