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Home My WebLink About89610A - Broaddus, Charles❑DREDGE & FILL NQ 89610' A B C C GENERAL Previous permit PERMIT � Date previous permit issued ❑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: I SA NCAC ❑Rules attached. " General Permit Rules available at the following link: www.deg.nc.gov/CAMArules Applicant Name ' r t „r i} . , i r ! Y] ; !_'� Address f �`. i 6:(. % i k :�� ti t City ; State\.1'i.' ZIP -C it Phone #( =) y I' Authorized Agent .J'T': i i '>✓'b'A.f-{-rt.. Project Location (County): / 4 Street Address/State Road/Lot #(s) L%' t j ,I) Email Subdivision 8UV9I City ''(2.4 ✓'v ti :i.4^ ( ZIP Z_ Affected ❑ CW PEW ❑ PTA ❑ES ^❑�, FITS Adj. Wtr. Body i tcUlt [I E. j f) E'cd ;am v l Ll B'* (nat(mad/rgnk) AEC(s): ❑ IDEA ❑ IHA ❑ UW ❑SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes(no., PNA: yes/no' Type of Project/ Activity (Scale: to �� 1 Chnrplinp l anoth Access Length Pier (dock) length ._ - L-- Fixed Platform(s) I �1 CJ Floating Platform(s) Finger pier(s)It Total. Platform area L� _-Vi Groin length/77 t _ - `^! -�- '/_ •%" y -i3 t FtX %7' .� Gv - Bulkhead/ Riprap length --- - -- - - - 1-- - -�- �_41 Avgdistanceoffshore + i IJfjfR,l Breakwater/Sill Max distance/ length [ .)�(j T 1 I"_ ! i� ia Basin, channel - e,,.l `-,� J —( Cubic yards Boat ramp Boathouse/ Boatlift i I Beach Bulldozing •y,l Other SAV observed yes no � I i >- r f � �, I = Moratorium: n/a yes no Site Photos: ! es no M.- i „' Riparian Waiver Attached: r -yes no ,f j_ j A building permit/zoning permit may be required Permit Conditions :x Agent or Applicant PRINTED Name ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Permit Officer's PRINTED Name AM_ Signature **Please read compliance statement on back of permit** Application Feels) Check Signature �y Order Issuing Date Expiration Date DIVISION OF COASTAL MANAGEMENT AGENCY FORM FOR PERMIT APPLICATIONS Opp I ZJ /-2 d-c/� f owner of the property located at: (property owner) � d % /�Z so�l/� .�xi vc G�GS'✓�e� J /v C�i (property location/address) do hereby authorize �P (name of person or company acting as agent) to act as my agent for the purpose of obtaining any required CAMA permits that may be needed for the proposed development at the above -indicated property. My project entails: a (describe proposed development for which permits are being sought) This agency authorization is limited to the specific activities described above, and will expire on: (date on which agency authorization expires) signature) (da e) (printed name of owner) (title, if ojTicer of core. owner or trustee for property) s'a - 3 G; t 3 d (da).-time phone number) RECEIVED MAR 3 0 2023 AVL ��1- EC DIVISION OF COASTAL MANAGEMENT (3� CO) [Ply ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: �� c/ /1�✓ LQ�� J Address of Property: (Lot or Street #. Street or Road, City & County) a,✓/ +'��+'4l:A P'i�isGai J Agent's Name #: 9&e S tAt r�_ MailingAddress: AL? t 6t N K Agent's phone #: �o - ao1" (1/01 dd% 11-. q 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. n s l have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notitythe 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 1 understand that a 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 b me. (If you wish to waive the setback, you must initial the appropriate blank below.) R� s wish to waive the 15' setback requirement. MAR 3 0 TO I do not wish to waive the 15' setback requirement. (Property Owner Information) �i 1 — Si��nn ra•r /// Print or Type Name 101 14,zo lee V,— Mailing Address City/statelzip Teiephone Nurnberl Email Address (Adjacent Property Owner Information) S'i;Knrnu Print or Type Name G i Mailing Addres CitylstatelLip Sa' Ys ,,27/5s�s few f8 �/.1 �N Telephone Number/ Email Address p.2SPale Valid for one calendar year after signature" Revised Jan. 2017 Me(.eea h, z5WL III IIIIIIIUIIIIMVIIINIWIIN Doc No: 214939 Recorded: 07/2512022 12:43.45 PM Fee Amt: $26.00 Page 1 of 3 Excise Tax'. $780.00 Camden County North Carolina Tammie Krauss, Register of Deeds BK 427 PC 840 - 842 (3) Excise Tax: $780.00 Recording Time, Book and Page: Parcel No: 02-8943-01-16-3692-0000.31 S-a.3 # 390tG?m 00(A 31 gfAD. UV r) -o�i-aa1 K�.6A. Mail after recording to: Hornthal, Riley, Ellis & Maland, LLP, 301 E. Main Street, Elizabeth City, NC 27909 File#7579-2.WBM No deh(,o"yN,t.h+y1a— This instrument was prepared by: Brief Description for Index: William Brumsey, IlUtjj Fite No: 22B59373 Lots 146 & 147, Section D, Whitehall Shores NORTH CAROLINA GENERAL WARRANTY DEED This DEED, made this 11th day of July GRANTOR MITCHELL SCOTT WHALEN, unmarried 2818 N 194" Ct — 2A Elkhorn, NE 68022 2022 by and between GRANTEE L. FOREST EAST, unmarried AND EMILY M. FARMER, unmarried As Joint Tenants with an express Right of Survivorship 400 Magnolia Drive Camden, NC 27921 Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.q. corporation or partnership. The designation Grantor and Grantee as used herein shall include said parties, then heirs, successors and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of all of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the said Grantees in fee simple, all that certain lot or parcel of land situated in Couthouse Township Camden County, North Carolina, more particularly described as follows: SEE ATTACHED EXHIBIT A All or a portion of the property herein conveyed X includes or _,does not include the primary residence of a Grantor. Z' O) Fly DIVISION OF COASTAL MANAGEMENT—' C ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: �� r �, �v'2e� �� f S Address of Property: Z-a / -4 42 to fo ! '04F.0 X'01 4e X1, ld /5s� (Lot or Street #. Street or Road, City & County) Agent's Name #: S P �;LrAI_t"M , MailingAddress Agent's phone #: aS�o - �O�' id� / T�lt At a193 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. n 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 groin 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.) 3i rg I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. h1AR i u ZUL3 (Property Owner Information) , (Adjacent Property Owner Informaa� �) Sinn Al Print or Type Name Print or Ty e Name A01 /a' 4", 1Jx- Mailing Address ':5" w, / a City/State/Zip Telephone Number/Entail Address I QUIP / _aG `Valid for one calendar year after signature' l o-� &7 , C Mailing Address City/State/Zip Telephon Nun ber/Email Address I)t1(P` Revised Jan. 2017 4z I V. C; Ana" B w� r 9 P f .P.�J L LU r � U) r. \ 4 s i