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HomeMy WebLinkAbout87038A - Watson Jr°`°"'"x�❑CAMA ❑ DREDGE & FILL N� 87038 (A) B C D a GENERAL PERMIT Previous permit 3 Date previous permit issued Y❑, 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 ❑ Rules attached. ❑° General Permit Rules available at the following link: v w vcleq.nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # ( ) Email Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no r Type of Project/ Activity �hS+,Zr�- (Scale:l ) kl_ lont Pier (dock) length Fixed Platform(s) INNmi oE:�: ;;ME Floating Platform(s) MCC■ Total Platform area•■■ Max distance/ length . channel Cubic yards o.����■ .. t. lin■ n ■ %MEE ■ n ■■■ 0 ■� ON ��� ■■; ■;;nn■; IMMM mom �� ;n� .Di■�� n■ ■�Ci�■.��� a �nn■■� ■ ®■■ �nN;IN NNEBasin, �■■� �� I ;;;;;NME ; ■■■■■■i■■CC ■ ,NEI s■�M ®�■■;■nn ®n ■■. . man■■■■■n■■ ■■ ■ ■■I i■n■n■C■■■un■■■■ ■■■■■ n ■■■■■■■■■■ A building permit/zoning permit maybe required by:r 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) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature `*Please read compliance statement on back of Application Feels) Check ft/Money Order Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Ga % rA ew k a4son Mailing Address: ( Coo S^A.CL l l Dr" g14% nc a"Na 1 Phone Number: i�Strr 53v� jot? y Email Address: ,�/Dr1 C I certify that 1 have authorized �pq (/etch {r(,G rmr-,Y1'1L v Agent Comrbicw to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: I o'01 F R;(,,- RAP 614 th H&,ed at my property _ located at taco 5~ l l Dr r/;z, o:-1,,, /yG C)ilj(j i in &iUOV1I� County. 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. Property Owner Information: —7ad4`S9 ire T 11) sti Print or Type Name �)Ver- Title l� I N I s0Z- Date This certification is valid through 1311)3 %E,Vr� N.C. DIVISION OF COASTAL MANAGEMENT ^ r T 19 2R3 ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY cc (Top portion to be completed by owner or their agent) Name of Property Owner: O0.re%E Wu`iS0 Address of Property: 1000 shalt Or 0'z Q A ti n C a rl �l o 9 Mailing Address of Owner: 1E Owner's email: lQ kege,5 0419 lzlrwl 1 Owner's Phone#: Agent's Name: 1CsUdG'% Y`'--urtne TnC Agent Phone#: a - 331- 10313 Agent's Email: rt/l P- t 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 this 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. Tf you have objections to what is being proposes, you must noury rr,e ,......- -• ------- 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 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 -OR- I do not wish to waive the 15' setback requirement (initial the blank) Li Cl9 te/fv Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: �1i, �z S 0101174,1 �i rk �' U ldkv m i / A Mailing Address of ARPO: /�'DD Co1l�, 4/ �Prar 2 �J ARPO's email: K�Oldh�w `l � � C <1m'`, 0 %RxPO's Phone#: 917 - y0 � ' y s `l l Date: 16 `j' )o •13 'waiver is valid for up to one year from ARPO's Signature* Revised July 2021 L. ayde,, r�Gr: tee, Tit c ply �suyr,:� o. 40X a as C= 2 c;4 n C a`1 ko(0 o f mPF Q � r � /1� 4�U, ✓'�G l 2y� X sT c � �P k � �.a RECEIVED g ° OCT 19 2023 r � .� DCM-EC £101 6 t 130 (13AGOMI N C �2 x Pz- T ^I J� W a Q 3 BOOK 1478 PAGE 45(4) 476829 11111111111111111111111 This document presented and filed. 02/16/2023 03:16:10 PM 0 (X_s�v� CLEMENTINE WHITE, Pasquotank County, NC Excise Tax: $1,250.00 PASQUOTAN K COUNTY Deednumber Transfertax elinque t taxP P squo nl ouuiy tssessorsomce NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: Parcel Identifier No. 894104623031 Verified by County on the day of 20_ By; P12713-18 Mail/Box to: Banzet, Thompson, Steers & Max PLLC. Post Office Box 535, Warrenton NC 27589 This instrument was prepared by: G. Elvin Small.IB.400 S. Water Street Suite 202 ElizabediCih: NC 27909 Brief description for the index: LOT 18, SEC C. Newbegtm Land THIS DEED made this 8th day of February 20 23, by and between GRANTOR BERRY A. LANGLEY and wife, STACY M. LANGLEY 21 S. Kemp Street Lyons, PA 19536 WILLIAM B. WATSON, JR.and wife, SHERRY G. WATSON P.O. Box 1029 Littleton, NC 27850 Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g 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 receiptof which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot, parcel of land or condominium unit situated in the City of I Nixonton Township, Pasquotank County, North Carolina and more particularly described as follows: See attached ExhibitA. The property hereinabove described was acquired by Grantor by instrument recorded in Book 1426 page 391 All or a portion of the property herein conveyed X includes or —does not include the primary residence of a Grantor. Map A map showing the above described property is recorded in lit Book 8 page 46 Page 1 of 2 NC BarAssociation Fomt No. 3 ® 1976, Revised ® 1977, 2002, 2013 This standard forts has been approved by: Printed by Agreement with the NC Bar Association — 1981 North Carolina Bar Association —NC Bar Form No. 3 BK 1478 PG 046 DOC#476829 TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor coverunts With the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the some in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever, other than the following exceptions: This property is subject to ad valorem nines for Ste current year and subsequent years and easements, restrictions and rights -of -way of record. IN WITNESS WHEREOF, the Grantor has duly executed die foregoing as of the day and year first above written. (SEAL) (Entity Name) Print/Type Name: BERRY A L.ANGLEY Print/Type Name &Title: Print/Type Name: (SEAL, Print/Type Name & Title: Print/Type Name: fiy_ (SEAL) Print/Type Name & Tide: Priniffype Name: State of 4"% I w t' - County or City of r V- S 1, the undersigned Notary Public of the County or City of ---Be -Iti and State aforesaid, certify that BERRY A. LANGLEY personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this / i day of �bvya✓y , 203. Commonwealth of PennsylvaniallNotary • Notary Seal " �--•-' Gorey Allen Wells, Notary Public Berks County _ My Commission Expires: 11 iu 208 mmission ex ires November 78, 2025 t d iR I I C (Affix Seal) Commission number 12529f5,8 e"�eY emu`' Notary Public l.Iemner. Pennsylvania ASSOC1a110a otaries Notary's Printed or Typed Name State of - County or City of 1, the undersigned Notary Public of the County or City of and State aforesaid, certify that personally appeared before me this day and acknowledged thedue execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this _ day of ,20—. My Commission Expires: (Affix Seat) Notary's Printed or Typed Name Public State of - County or City of f, the undersigned Notary Public of the County or City of and State aforesaid, certify that personally came before me this day and acknowledged that _he is the of —,a North Carolina or corporation/limited liability company/general partnership/limited partnership (strike through the inapplicable), and that by authority duly given and as the act of such entity, _he signed the foregoing instrument in its name on its behalf as its act and deed. Witness my hand and Notarial stamp or seal, this _ day of 20_ My Commission Expires: (Affix Seal) Notary's Printed or Typed Name Public Page 2 of 2 NC Bar Association Porsn No. 3 ® 1975, Revised 0 1977. 2002, 2013 This Standard form has been approved by: Printed by Agreement wiihthe NC Bar Association — 1981 North Cantina Bar Association —NC Bar Porte No, 3 BK 1478 PG 047 DOC#476829 TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever, other than the following exceptions: This property is subject to ad valorem taxes for the current year and subsequent years and easements, restrictions and rightsof-way of record IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. (Entity Name) Prinrlrype Name & By: PrinVrype Name & Prindrype Name & (SEAL) Print/Type Name: BERRY A. LANGLEY ,E1 , 1 •y � AQN (SEAL) Print/Type N e: STAr M t.AwcF FY (SEAL) Printrrype Name: (SEAL) Printrrype Name: State of - County or City of . 1, the undersigned Notary Public of the County or City of and State aforesaid, certify that BERRY A. LANGLEY personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this _ day of , 20_ My Commission Expires: (Affix Seal) Notary's Printed or Typed Name Public Stateof North Carolina -County or City of Pasauotank I, the undersigned Notary Public of the County or City of Pasauotank and State aforesaid, certify that STACY M. LANGLEY personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the p ses therein expressed. Witness my hand and Notarial stamp or seal this S th day of February 20?3. G. Elvin Small, III Notary Public 190 Pasquotaok Court , P. My Commission Expires: October 2, 2 vyCommrssionFxplr^; Elvin Small, I Notary Public (Affix Seal) Not uy's Printed or Typed Name State of - County or City of I, the undersigned Notary Public of the County or City of and State aforesaid, certify that personally came before me this day and acknowledged that _he is the of _, a North Carolina or corporation/limited liability company/general partnership/limited partnership (strike through the inapplicable), and that by authority duly given and as the act of such entity, he signed the foregoing instrument in its name on its behalf as its act and deed. Witness my hand and Notarial stamp or seal, this _ day of , 20_ My Commission Expires: (Affix Seal) Notary Public Notary's Printed or Typed Nature Page 2 of 2 NC Bar Association Form No. 3 ® 1976, Revised 0 1977, 2002, 2013 Ibis standard form has been approved by: Printed by Agreement with the NC Bar Association —1981 North Carolina Bar Association — NC Bar Form No. 3 BK 1478 PG 048 DOC#476829 SCHEDULE"A" Nixonton Township, Pasquotank County, North Carolina Being Lot No. 18, Section C, in the subdivision known as Newbegun Land, as shown and delineated on that certain plat entitled "Section 'C', Newbegun Land", dated April 2, 1980, by S. Elmo Williams, Registered Surveyor, and recorded in Map Book 8, at Page 46, in the Office of the Register of Deeds of Pasquotank County, North Carolina. PROPERTY DESCRIPTION File No.. 188-76 Page 1 of 1