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HomeMy WebLinkAboutMinor App. 7-23Locality 16w -- -L x /c Permit Number _ Ocean Hazard Estuarine ShorelineRW Shoreline Public Trust Shoreline Other GENERAL INFORMATION LAND OWNER-1MAILING ADDRESS Name 4,, (For official use only) FEB 1 0 1013 TOWN -ACH PLAN":: ��,� ,SLE Address rrJyll _ 0------ City Iro`, State Zip G Phone 0 _ Email AUTHORIZED AGENT Name �--= _. Address ,, 4/ �' arvr? 1 <, ,L City State ' -- N� --- Zips .f�Y Phone •-�f/o — 6<-;2- - '7•2 " Email_ LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.) a DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) r _ .f� �G � � %i �r",til Grov,lcl � • ✓' i ✓� G � SIZE OF LOT/PARCEL: _ square feet acres PROPOSED USE: Residential (Single-family[] Multi-Rllnily [] ) Commercial/Industrial [] Other [] COMPLETE EITHER (1) OR (2) BELOW (Contact your Locrrl Permit Officer if you are ml sure which AEC rq)plies to yom, property;): (1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 41A square Feet (includes air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but excluding non -load -bearing attic space) (2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPR[NTAND OTHER IMPERVIOUS OR BUILT UPON SURFACES: _ Asquare Feet (includes the area of the foundation of all buildings, driveways, covered decks, concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.) STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater Manageme Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)? YES NO If yes, list the total built upon area/impervious surface allowed for your lot or parcel: _ _ /I/ square feet. OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Building, Electrical, Plumbing, Beating and Air Conditioning, Insulation and Energy Conservation, F1A Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile [Ionic Park Approval, Highway Connection, and others. Check with your Local Permit Officer for more information. STATEMENT OF OWNERSHIP: I, the undersigned, an applicant for a LAMA minor development permit, being either the owner of property in an AEC or a person authorized to act as an agent For purposes of applying for a CAMA minor development permit, certify that the person listed as landowner on this application has a significant interest in the real property described therein. This interest can be described as: (check one) an owner or record title, Title is vested in name of ytjc:,/ see Deed Book f� y72 s ,Z page ds�: in the' '� County Registry of Deeds. an owner by virtue of inheritance. Applicant is an heir to the estate of probate was in County. if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application. NOTIFICATION OFADJACENT RIPARIAN PROPERTY OWNERS: I fiirthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given ACTUAL NOTICE to each of them concerning my nitent to develop this property and to apply for a CAMA permit. (Name) (Address) I o ( j" ��' ( ° , /-?5 " -j- k7 /�J E..-� U✓• t;.I Y�.S�L�i L% v�9 L��JQr�:�'t� ��- L/ h I (2) C��o r � q- !/�r� d,j jC (3) ACKNOWLEDGEMENTS: I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu- lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza- tion and floodproofing techniques. 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. Landowner or person authorized to act This the day of�1� - , 20 ,23 is/her agent for pin -pose of filing a CAMA permit application This application Mcludes: general information (this form), a site drawing as described on the back of this application, the ownership siaternent, the Ocean Hazard AEC Notice where necessar}; a check.for• 3.100.00 made pa>>able to the locality, and any i1?f0r-nurti0n as nray be provided orally by the applicant. The details of the application as described by these sources are incorporated without reference in any permit which may be issued. Deviation from these details vrill constitute a violation of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action, AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Jeffrey Neil Skidmore Mailing Address: 4460 Derwood Drive Sherrills Ford, NC 28673 Phone Number: 704400-l531 Email Address: jskidmore@skidmorebuilders.com I certify that I have authorized Charles Griffin Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: fixed dock at my property located at 32 Newport Street in Brunswick County. 1 furthermore certify that 1 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 QWner_ Information: Jeffrey N69kidmore Print or Type Name Owner Title 01 / 24 ! 2023 Date This certification is valid through 12 1 3� 2023 LFEB 1 0 2023 OCEAN ISLE 3_ACH 0 ADJACENT RIP -A CERTIFIED M -n D_ ru FL ro Name of Adj acent Riparian Prol o Address _ a City, State Zip ru ru ru To Whom It May Concern_ This correspondence is to notify U.S. Postal Service'm CERTIFIED MAIL° RECEIPT Domestic Mail Only 05 Return Receipt (nanlcopy) $ . � 1 - - ❑ Return Receipt (electronic) S - -1 Postmark []Certified Mall Restricted Delivery S I Here ❑ Adult Signature Required S $II U0 ❑ Adult Signature Restricted Delivery S �-/ ✓�wl�'✓{' >ostage $j � . 53 ! (� 6 02/108/2023 rota) Postage an JT:7S s 7��''tt ! Sent To Niii and Apt. No., or PO Box No. ----------------------------- INOR PERMIT) DELIVERED :y�? 3 � �— Date Minor permit to on my property at 3� c'V 4 S i' O e`! in C o County, which is adjacent to your property. A copy of the applieation and project drawing is attached/enclosed for your review. If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no comments or objections regarding this project_ If you have objections or comments, please mark the appropriate statement below and send your correspondence to: (LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE) If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL). Sincerely, Property Owner's Name Address City Telephone Number State I have no objection to the project described in this correspondence. I have objection(s) to the project described in this correspondence. Adjacent Riparian Signature Print or Type Name Date Telephone Number Zip Address City State Zip Revised Juiy 2021 m ADJACENT RI L" CERTIFIED I `° ru V r'-5, 0 En Name of Adjacent Rip ' an Pro o fir? nu t,-l L Q, ; f' .,S I - Address a O C:.f,A-J &7 !_ , r City, State Zip ni ru nJ To Whom It May Concern: r- This correspondence is to notif, ixtra Services & Fees (checkbox, �®ela� nateJ ❑ Return Receipt (hardcopy) 5 - ❑ Return Receipt (electronic) ❑ Certified Mail Restricted Delivery $ y 11 Ul,l ❑ Adult Signature Required $ lJ T(II_I ❑ Adult Signature Restricted Delivery 3 'ostage $0• 6)3 total Postage ancVF es,v D !! Sent To Street and Apt No., or PO Box IV7o r?- 1_ ' a '7' 6 >xl MINOR PERMIT) r DELIVERED 0459 Postmark OF Date Here 3U dllw ��� i ll/ i rui'20217 Minor permit to on my property at _3 a PJ e u) p_t'i t5i— /i C'. _ in County, which is adjacent to your property. A copy of the application and project drawing is attachedienclosed for your review. If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no comments or objections regarding this project. If you have objections or comments, please mark the appropriate statement below and send your correspondence to: (LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE) If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL). Sincerely, +� k- r�vr Property Owner's Name Address City `7�;'y'Z/yu-/5.3� Telephone Number State I have no objection to the project described in this correspondence. I have objection(s) to the project described in this correspondence. Adjacent Riparian Signature Date Print or Type Name Telephone Number Zip Address City State Zip Revised July 2021 J,= rdzwp f` 5-= 3 L/ 11/GdfUrL- to 1G' oC�C�MC FEB 1 0 �2023 cz ci . — '7 °�-