86736A - Butcher, Gregory & Dawn

,I`°"'" XCAMA ❑ DREDGE & FILL N° 86736 @ B C D
a 4 GENERAL PERMIT Previous permit ✓
� Date previous permit issued
I
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:
15A NCAC J 0 - 12-(-;0 ❑ Rules attached. ;& General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name vejaA '
Address I 1 �{ 1 01J (I A x
City V-4 I fUN r1 Ht ti{7State _NC ZIP
Phone # (a2) 2 V:1 2
Email"'
Authorized Agent .,.. -- JJ
Project Location (County): 1 ,�`
Street Address/State Road/Lot #(s) I I I 1— C U Lt
LU f .41�- (o &H p W R
Subdivision �9 r4
City y V F ZIP L� '(
Affected ❑ CW DEW 1,PTA ❑ ES ❑ PTS Adj. Wtr. Body, 6LA ^. al. t4 G !�I! JAAn IA (na nar�✓ nk)
AEC(s): ❑ OEA 1-1IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: ye nD PNA: yes/no
Type of Project/ Activity `t� D� r v It f F q 1 3I (� i 17uj, ' Ltd a. A f y;
Access Length
Pier dock) length t0 1 LC�
Fixed Platforms){, w
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(r oatlift�
Beach Bulldozing JI ►,
Other
SAV observed: yes no.
Moratorium: n/a no q
Site Photos: no
Riparian Waiver Attached:ees no
A building permit/zoning permit may be required by•
H.. /I—
�. d�,�,XTti}ij•,,i
X
(Scale: -rI5 )
Permit Conditions kj _� / ❑ TAR/PAM/NEUSE/BUFFER (circle one)
rc "i C 4 ► 1f k*1 ;yam' See note on back regarding River Basin rules
See additional notes/conditions on back
i t ri. L:pJrr
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)1 r`
Agent orApplicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit`* Signature
Application Fee(s) Check #/Money Order Issuing Date Expira on Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
- -- .. I . — r rrt n
,To ortion to be completed by owner or their agent)
Name of Property Owner
Address of Property:
Mailing Address of Owner: j� �-P� LT �T)m I'� �X igt/g
M
Owner's email: Qb4,4�Ak
"Owner's Phone#: 6a\\
o-wr g'-7-9`r7
Agent's Name:
Agent's Emaiii:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
ECOVE
AUG 3 1 202Z
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 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 [phone]. 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 / _l
6 /} ►�1
Signat a of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: k>► �r' ,� M r r►n 0-.- 1SrV-%1+L
Mailing Address of ARPO: ke e- Cr f7a6 / A l/� tJc 2% q VS
ARPO's email: /12 ,/► >'LJ[.lS/��t,/C"oR• ARPO's Phone#:(y
Date: —/�- -� *waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMEN'
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FOR:
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DEL FI
(Top portion to be completed by owner or their agen%-
Name of Property Owner.
Address of Property:
Mailing Address of Owner: I "I i-ee l if � 1 1I-5 1� C' 2lq 4
AA Owner's email: d of ii f�('�SeAs',de & CO Owner's Prone#: (�`a ao7-�r1a ,
Agent's Name:
Agent's Email:
Agent Phone#:
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 tha
permit has described to me, as shown on the attached drawing, the development they are proposing. A
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 [phone]. 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
MR
I do not wish to waive the 15' setback requirement (initial the blank)
RECENE
A U 6 3 1 2022
Signature of Adjacent Riparian Property Owner: I I i jA4,.4 I
n q
Typed/Printed name of ARPO: 'he " wi �'1 V C V'-EC
Mailing Address of ARPO: ( C� Lee Cr 2�N(in
lto
ARPO's email:
ARPO's Phone#:
Date: 9- v'Ly- as "waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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NOTES
-PROPERTY IS LOCATED IN A F.I.R.M.
ZONE AE(r (SUBJECT TO CHANGE BY F.E.M.A.)
-AREA-7,993sq.ft.(000RD)
-MIN. 9UILDWG LINES PER CURRENT
ZONING AND REC. PLAT
O
-DARE CO. PIN# 9M3(08) 89 5487
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+
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LESS
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$ I
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• 0 H70N Roo/PIPE
in
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El CONC. MON.
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UTILS. PED-
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EXIST. ELEV.
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3511BL
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PK IN CL AT INT OF
OF HARE" V" OR
S31 01'S8'W
459.23'
_
S21-45'08"W
IRF 54.72'
IRF
50.00'
RF
'
ASPHALT ROADWAY LEE CT (60' R/W)
SURVEY FOR: GREG�ORt,Y BUTCHER
R }�E 0 Ez '
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L KWVZ BV THUE c T WAS THAT Un Nr
iUPERVISfflrl 7MS PLAT VAS D(LtVM FRB}f AN
CHER
DAWN M. BUTCHER
�J.�
4c TUAL FIELD TWT THE RATM OF
LOT 65. SECTION P
AU6 3 1 2922
TwsTx %t` W� VITH
N`'L`' T yGnM aATIFNV
COUNGTON HARBOUR
NIXs �.'1
As mac: MB 3, PG 158 /DB. 1572, PG. 294
COLINGTON ATLANTIC TWSP. DARE CO. n 4
scALE ±'=20Fu ro. 2912 ono Fix
2912A. DA-M 5/11/7
MARM u ;V : -3740
UILOPTON AS TO
ZIIfRK T RESTRICTIWS
THE 3MAY
B�J
TMAT MAY BUILBING LINES.
TNIS SLRVEI' jilk ANY FACTS THAT NAY
iiiNNN ���
BE DISCLOSED BY A rtXL AND ACCURATE TITLE
XARCH
BARNEM INMGRAM LAND DEV=PMENT
POB 7159 KDH. NC 27948 [phone]

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F�M
This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
A. information sources such
as recorded deeds, plats,
wills, and other primary
�. _ public records should be
,';,� ,.1i•��` consulted for verification
of the information
contained in this map.
117 Lee CT
Colington NC, 27948
Parcel: 020138000
Pin:986308896565
- :rr
Owners: Butcher, Gregory -Primary
Owner
Butcher, Dawn M -Primary Owner
Building Value: $0
Land Value: $122,100
Misc Value: $5,800
Total Value: $127,900
. am �. „,:Y
Tax District: Colington
Subdivision: Colington Harbour Sec P
Lot BLK-Sec: Lot: 65 Blk: Sec: P
Property Use: Secondary Improvement
Building Type:
Year Built:

W.-J-1
qjN� -�7
- 1-7;-
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