78152A - Adams, Dana

G
AMA / DREDGE & FILL NW 7813? OA B C D
WGENERAL PERMIT Previous permit #_—
ew 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 concem pursuant to I SA NCAC . .....
)CXules
Applicant Name Project Location: County
Address 15,1 L4, Street Address/ State Road/ Lot #(s)
City.. StateVAr ZIP DOW
v'
Phone # 11-04
-.71-1 -IftE-Mail da*V,_A Subdivision -, CC -
13 IM)
0* e) P)LA,14N 4��C, *C08itty CDL v-, zip '-47_q_q8
Authorized Agent
,
... e4jkl-
-ES PTS Phone # .. ...... .... River Basin Patstp
Affected Cw XEW )K PTA
OEA HHF IH 'I U8A N/A
AEC(s). Adj. Wtr. Body. —Qtman Ign
PWS---- "Ai rl-.—v Mai vj+�r tR~6
ORW: yes /19 PNA yes no
Type of Project/ Activity ( I OA5fVIA(+ 0, 15'X6 [)i Wl�k rL 121X lip, 121 Vw
!IN +tw— - � A A I a lx�aj- Uft:5 60 iie-4,144 (Scale: � rG
Pier (dock)lengh I-VA"51 I
Fixed Platform(s) 'WXK� - 130
Floating Platform(s) .................... elf-)
Finger pier(s)
Grain length
number X'7
Bulkhead{Riprap length --- 10 0
avg distance offshom_
max distance offshore
Basin, channel
cubic yaras X/ V
Boat ramp 4-- tZ`ft1S h pt eY rip N*
Beach Bulldozing
Other
Shoreline Length
SAY: riot sure n-
Moratorium: 6) yes no
Photos: (a noU��^ 0 L,(,
Waiver Attached- yes no
A building pen -nit maybe required by: See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) 0
Notes/ Special Conditions
eat Appiic Name Perni Oflicer*s Printed
Signature leas IF, ce statement on back of permit # Si nature
.. ........ 05111 f-I 21 612Z/21
Expiration ate
Application Feels Check # IMIAng e P

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:_-----------
c
Mailing Address:
2-3Yia----------------------------- --- r
Phone Number:
Email Address: f-,� ��tt ---------------- -
I certify that I have authorized L � '�1 !�II�6 ly—S& - ft- &-l-'
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessaryfor the following proposed development: P__�Lcl
_^_______________
9 P P P _
at my propertylocated at Jlo� kl41-A4'a_6(_1111_
in ---- D��----- County.
1 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:
Signature
Dam-A-A=5---------------
Print or Type Name
optxe r- -----------------
Title
-- 21.2
Date—
This certification is valid through __2—__j_ is J_Z__9_ZZ_

CERTIFIED MAIL RETURN RECEIPT RE UESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: j ----------- ------------------ ---
t' 97?Y8
Address of Property: 0 f
f�v" County)
(Lot or treet #, Street or Roa °City
ot
Mailing Address: 6�--
Agent's Name #: i314tCLfi�J -----
-77
Agent's phone #: 20 `_M-_ J�7-----__
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 draWng, with dimensions must be orovided vAh thid letter.
I have no objections to this proposal. --- I lave objections to fliis Mposal•
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. Contact information for c offices is
availableathttp•//www nccoastaimanaaemeni.net/weblcm/staff-1 be or ti calling
trio response is considered the same as rto ob ectton rf ou have been notified by. Certified Mai!•
WAIVER SECTION
i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Property Owner Information)
`(iparian Pr a Owner Information)
(
Sigru�we �,, c ----------------
�_ �------------- Pcint or Type Name
tint or Type Namelit
'
(� _YL
Mailing Addr ss
MaWg Address r
-- f - CrtyfState/Z►p
ag,
Ott lStat�
LJ&Atd,4
�Telephone Number / Email Address
Telephoone Number!iress —
Date
Date (Revised Aug. 2014)

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VICINITY MAP
N.T.S. —.
Y `
l
�
I~
® — EXISTING IRON ROO
SECMV �+
a — SET KXI
® - SET STAKE
�& F'G 43
O - CALCULATED POINT
ap - EDGE OF PAVEMENT
R, jW - RIGHT OF WAY
X&L. - WNOWM BUILDING LINE
D.C.k- DARE COUNTY REGISTRY
Srr -- STORY
FLR..JL Zq
,Fa - SINGLE FAMILY OWELLING �
Af (may B
—
(7) — TOTAL
--- .i
F AME
— LOT NU1�ER
® — WATERMAIN VALVE MARKER i
CURVE TABLE
CURw
RADIUS
LENGTH
CH. BEARING
CH, LENGTH
C1
S0.22'
N72'39`49WC2
�27
50.18'
N63-53'73"W
50.73'
C3
327.7V
51.48'
Sal- j3'i5"E
51.43'
•
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or w o Aus
a� �
1.
AOQR5400. 403pft ITTY1HAWK tAY OR1VE
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' At.B
2
3.
PARCEL'
LOT ZONING: R-4 (LOW DENSITY RESIDENTIAL)
1:
W .:
4.
5
AREA s 33.381 sq. it. - 0.766 acres
AREA CALCULATED BY COORDINATE METTQ; - 'R!1►
t.�+�
r t
•;_ C►t
6,
THCS SURVEY WAS PERFORMED W7HOUT
BENEFIT OF A TITLE ComWTMF.NT.
7.
THIS PARCEL MAY BE SUBJECT TO EASEITEWS
ap
8,
NOT SHOWN HEREON.
SETBACKS AS PER COUNTY OF DARE CURRENT CODE
MAKES Nb KITTY M
AND MUST BE VERIFIED. A(�YOR
CERTIFICATION AS TO SETBACKS.
�
Q.
LOT MAY BE IN AN AREA OF ENVIRONMENTAL CONCERN --Erp
T0,
tNDIVOUAL PERMITS MAY BE REQUIRE
SUBOIVISION AS RECORDED tN H.B. 3, PC- 34, D.0 R.
40
1J=��4
It.
PROPERTY 15 LOCATED IN F.I,R.M. ZONES AS SHOWN
MAP N0, 37209874001, DATED SEPTENBER 20, 2006.
1 51A! - 40 IL
USE OF LAND WITHIN THE FLOOOWAY OR FLOW
GROW S=
AND FLOOD ZONES SUBJECT TO CHANCE 8Y FE11A.
in
PHYSICAL LOT SURVEY FUR_
$,T180.19
INISN A. REGAN
s>��a
RTIFY THAT THIS
T. ( Y SUPERNSKiN&W—
&318WILS Ljjs f 70 & 171, SEMN H
�+► 4ADE UNDER MY OOLINGTO.N HARBOR
0 - �, INSTRUMENTS 1 -_.. ..r

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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.
l `l
Y
403 Kitty Hawk Bay DR
Colington NC, 27948
Parcel: 019505000
Pin: 987413038041
LMr
7- + ,
{
Owners: Adams, Dana Patricia -
Primary Owner
Building Value: $239,600
Land Value: $227,500
Misc Value: $1,600
Total Value: $468,700
Tax District: Colington
Subdivision: Colington Harbour Sec H
Lot BLK-Sec: Lot: 170-171 Blk: Sec: H
Property Use: Residential
Building Type:
Year Built:
LI

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