78066A_Bouker, Thomas & Nicole_20210312

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XCAMA / DREDGE & FILL
GENERAL PERMIT
Previous permit #
C) B C D
New 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 l 5A NCAC'� it 't.
)Qvles attached.
Applicant Name F1C.i.'r11'> #6„14V Project Location: County _—_—Pi,_ ' r
Address 1 �. Street Address! State Road/ Lot #(s)
_..C.� .. _�i�iL_
City j�ill .t.� _._. _�_�State„�'1 C zip_- —� 0 V._ _ '�
4r
,t
Phone # (, M--2" AL7 jK+.- E-Mail A tSubdivision_ _j,�,��zAuthorized
�_.
Agent ._ _. _ AWE. _ City__ — 1 '� l _ ZIP_ `t
Affected CW )(EW {PTA _ES PTS Phone # (_ } _ River Basin Az 5,"t
OEA HHF NAIH USA N
AEC(s): _ Adj. Wtr_ Body tj,ir!r riot^_ an Inkn)
PWS:�._ _
yes ORW: / PNA yes ifno Closest Maj. Wtr. Body
_.a
Type of Project/ Activity __A
t!xiI)t-1Y1�1
Pier (dock) length
Fixed Platform(s) _
Floating Platforms)
Finger pier(sj
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp _.....__._
Boathouse; Boattift
Beach Bulldozing
Other--Lu5pye,.. __ ll
Snoreline Len i 95 ;
SAV: CEP yes
a140-
Moratorium: nta yes no
Photos: es no
Waiver Attached: es ria
A budding permit may e required by:
( Note Local Planning jurisdiction)
Notes pecial Conditions F
Cik iykcl ' U irZ V :A vi___A-- W-CA,,. (scale: k i T Q,) )
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1* 4 r
eAi'A'ovt� **Aice C
+: L lA ' FC t"c r�11Yi YL
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W.—.1t 140' 1
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{tAW 0.5,r ee i Qv-A
It NOT To CA0545 P L-*
11 •
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(1e QL1 wf,V)
s
See note on back regarding River Basin rules.
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Agent _�C inted Name
Signature A68114 compliance statement on back of permit"
ApplicationFee(s) // Check
y#,�>cj� /
tL )t "��'C44 7 )
Permit Officer's Printed Name
.
Signature

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAiVER FORM
C:FRTiFIED MAIL RETURN RECEIPT REQUESTED or HAND DELAZa
Name of Property Owner:
Utu4AS ZW 4ef?,
Address of Property: -1-alp C tA4>1 ter N Kc � , (/I U_T)C:V t L +I + 11 S
(Lot or Street a, Street or Road. City & County),
Agent's Name #: �. ."� i�,js Mailing Address:
�1� Q 6 l ),1 t ` - '1 PL
Agents phone #: Z5 2 jb-2�j
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 ription o! ck volth (Lillonc-ion ; must be provided �v,th this ietter.
I have no objections to this proposal. 1 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 unlesREr ?c I V ED
me. (If you wish to waive the setback, YOU must initial the appropriate blank below.)
IGr 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)
7k-. ---
Signature
Print or Type Name
Mailing Address
City/State/Zip "(CoLF(B)
2521- 2_0 z -1114 dUt cu��2E4kt:TYc�3X . c6M
Telephone Number / Email Address
q- .)-cG (
(Adjacent Property Owner Information)
J1gttQllll'
Print or Type Name
{�tKS CI�C l (�
Mailing Address
t: l u_ ley tl, t 1'I u S, N)c
City/StatelZip
- vvf -4c)0?
Telephone Number / Email Address
Date
-Valid for one calendar year after signature
Date •
Revised Jan. 2017

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/W.
Name of Property Owner:
Address of Property: ( `1 o (o CAf�IrTPi KkS C (PC -LE- ; t,Ct LA -malt l.,+ 1. t-.t S,
(Lot or Street #, Street or Road, City & County) -DfA'2E
Agent's Name #: Q 65r-L -F T Mailing Address:3-� L1 R 0- E5L-
Agent's phone #: pe . I-� &/16 �N l • L � �
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 ifyou have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or roin
must be set back a minimum distance of 15' from my area of riparian access u �?�ed'l/Ep
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 Mi
I do not wish to waive the 15' setback requirement. DCM-EC
(Property Owner Information)
Si tune
ICI (Cp(_Ir TO t.lW:E- P -
Print or Type Name
1-iO c4 TA(NS C(Rc, .
Mailing Address
City/State/Zip N,L t7ura,
Z J 2 - 2o`Z-11 �} i .c t►��c2rZ Ci�rt;�t,.c'vU
Telephone Number / Email Address
Date I
(Adjacent PropOwner Information) e�
Signature
�S,u,A
Print or Type Name
Mailing Address
'L' (� ,A
City/State/Zip
kLl - q9 1 - �0� 5)
Telephone Number / Email Address
D-1�-a
Date*
'Valid for one calendar year after signature'
Revised Jan. 2017

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1406 Captains Circle, Kill Devil Hills - Pier installation
1404 Captains Circle, Kill Devil Hills - Osprey Nest

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.
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

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