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HomeMy WebLinkAbout89611A - Broaddus, Charles'JOUTAI,&MCAMA ,; DREDGE & FILL N9 89611 A B C D GENERAL PERMIT Previous permit Date previous permit issued H1 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 1i ' ❑ Rules attached. 9 General Permit Rules available at the following link: www.deg.nc.gov/CAMArules Applicant Name '.i Address t! 7 VA6': 33 City - State ttij r ZIP Phone # Email Authorized Agent 'vt.n t k Project Location (County): t;`t .I,,, dgUyi Street Address/State Road/Lot#(s)(=( Subdivision City C /,I•&.1n ZIP 'h:.�..•-. � j Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PITS Adj. Wtr. Body OtIM A .7 'f f; Y"tl r AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body (gat t') 'd Ad if t'J, 0 /1'( 6 VV-4, " CI yes/no 5 PNA: yes/no Type of Project/ Activity ij k"2.f.jI - r 11 ao1.'hAlayd ' n t ..,i1•V ILf.lI 1i: ' r;...)1,t �""� I•l1 x4't ' 1 1.. (Scale: tJ-17'j ) Shoreline LengtF 'S DY Yit L , v 1T nQ Access Length .... Pier (dock) length _ „ ...-i __ 1 . x, — _ — Fixed Platform(s) y l ` .4 ! �... — ._.... _ i u Floating Platform(s) 55 _ Finger pier(q' I. 1 X 'Tat; t A I _®. Total Platform area h+/9 � _ f-t -4— •^•l t,. i Bulhead/ Riprap J .^t") Avgkdistan a offsho e�h I �Ittrr(V, v- 1. I ; Breakwater/Sill J4 * _. -. _ K Fi Max distance/ length �) Basin, channel �< - — \ Cubic yards I•v '�.}-J Boat ramp Boathouse/ BgaRFJ 12. 1 X 12 q _ - - - Beach Bulldoim"[;"`� I va I X i� Q, (itj ea r (t vt£ -' i.. l . c T' Y _ w. t'7tc'1/d a 17 i z di : — Iz wt�t.r avt 2oy i; �� L—�: - wczf mw I !� SAVobserved: yes no r j _ L t iA- �n t Qktj Moratorium n/a yes no 1 r Site Photos <. yes no Riparian Waiver Atta,hed. _ a _ (-— A building permit/zoning permlt may be required by: Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agenf'or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Signature ` Application Fee(s) Check q/Money Order Issuing Date ' Expiration Date DIVISION OF COASTAL MANAGEMENT AGENCY FORM FOR PERMIT APPLICATIONS "Ix /J2 dar/ _r owner of the property located at: (property owner) (property locotionladdd Tess) aI do hereby authorize _P (property (name ofperson 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: 1c� (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) (printed name of owner) (title, if officer of Corp. owner or trustee for property) 311-e (da e) 1 d'� — .3 - .Y'/ 3 d (day -time phone number) MAR 3 0 Z023 DCM-EC DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: e '�64/£ �✓ za�p� AddressofProperty: �n!/''�a/ate D�ser'c `<x• tOs"' �"'rr�/i'ee`f fdl��' (Lot or Street #, Street or Road. City & County) d.J/ rF�N*!. v 11r osGei Agent's Name #: J pf-p S A,,U._ Mailing Address: A2 lci 6i- L`cs & Agent's phone #: (a 101 A4111,-ff 4L 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. ��. 61 I have no objections to this proposal [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 (262) 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 16 from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) RECEIVED �"o wish to waive the 15' setback requirement. MAR 3 0 2UB I do not wish to waive the 15' setback requirement. (Property Owner Information) ell Print or Type Name Mailing Address /z LI A wr z� r- City/StatelZip Telephone Number / Email Address -EC (Adjacent Property Owner InformAT1( 57,nmur Print or Type Narne y00 Mailing AddreSO) City/Stale/Zip L �S'a'-Ys3"=�7/3 -�✓�sfGcpsfb''r�%ar�/��i)lcca Telephone Number/ Email Address _ n/%/ 4Q z r - 10 I hue�"• / Urrrrs Valid for one calendar year after signature" Revised Jan. 2017 Mkd bra Z2w1, III IIIIIIIUIInIMVIBNIVi in Doe No: 214939 Recorded: 07125/2022 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 ,315-a3 # 390 i DOD, W (A ,3i 1 &V. G17 h -a5 -mil KAV%- Mail after recording to: Hornthal, Riley, Ellis & Maland, LLP, 301 E. Main Street, Elizabeth City, NC 27909 Filn N7c70_9 WRM — Nn .Ji/.•_____i i._, 4K_ v/1119/1A-s+ This instrument was prepared by: William Brumsey,1H/tjj File No: 22B59373 Brief Description for Index: Lots 146 & 147, Section D, Whitehall Shores NORTH CAROLINA GENERAL WARRANTY DEED This DEED, made this I lth 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, their 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. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: clzo� /I/ /v.2e�r/�<J S Address of Property: es*r..n04&-, .gars .�/facts f let /<ly (Lot or Street #. Street or Road, City & County) d, //?�i✓rf'.% T� nsG� Agent's Name #: 50-a SIUA Mailing A/d-(rl d-r-eJs�a s: Z hui � c s fit Agent's phone #: 3 ,- 26D - `101 id y Il oqk -007 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. 'fLn 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 resoonse 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 by me. (If you wish to waive the setback, you must initial the appropriate blank below.) RECEIVED I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. MAR 3 0 NZ3 {� Property Owner Inform�tiQ) "� ` �It (Property Owner Information) (Adjacent p Y Sigpnn ure Print or Type Name Mailing Address City/State/Zip ;asi - 6?3v Telephone Number / Email Address Q45 /hrrt- *Valid for one calendar year after signature* Mailing Address C+A N , c, 2�q Z L City/State/Zip zsZ 3 3r 716�7 Telephon Nu ber/Email Address a R 2 -- Dale* Revised Jan. 2017 u o� t� r r� Y r a UdatlS &<�'T PF-:f-`lz:ill�'r, rPv,oKV4� b✓t- — — — — I I I I r a 5 tv Q r' N N `S. 7r '•�'• ..�.,-rr,,r ti yt M h <Z v 0 0 r � f f.• ,ttilA i bf -.: s R f � 1 1 � � A lllL�� CIA Pill 9 2 aff 7-P iLY 'dc