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Home My WebLink About87103A - Hanellin, Andrew and LesliedtWw E CAMA ElDREDGE & FILL a GENERAL PERMIT N9 87103 a C D Previous permit Date previous permit Issued Dfiew El 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: 1 SA NCAC —0,714, 12065 ❑ Rules attached. dGeneral Permit Rules available at the following link: mmsissa-sc-govICAMArule Applicant Name -I d, I r>_ l�a lh r-2111y; s Address L& L�1 J L a i� L t^ L^ �. City S Q.(t �; l'f State 1••1 ZIP '� � � Phone # (7ki ) Email ics ti I t ar In eV% 2 G 11 u)y)IVSIX� \� Authorized Agent V% I a_ Prolect Location (County): eU t•r 1, Street ApdressfState Road/Lot #(s) y)I CP `a) sJ fl_ I City 7 `f "jZ.3 Affected ❑CW '1�EW QPTA ❑ES ❑PTS Ad). Wv. Body i�Yh171)G� GooA A rTn'Uj an(unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Won Body CU j 17 f U CIC- h cl ORW: yes so PNA: yesiD Type of Project/ Activity Shoreline Length "I 9. I'l s Pier (dock) length Fixed Platform(s), Floating Platform(s) 1 •'� Total Platform area Groin length/#_ Bulkhead/ Rlprap h Avg distance ogshc Max distance/ length Basin,channel Cubic yards Boat ramp eoal thms� Hill 1(— r Beach Bulldozing Other I Yai �' IV e1 ieTl.S� . ..... �trV C4JTt� sL,y'{. i6'X'Lbt rIMr orm I,/ 1?12ot0aGi% ItIXW goATLtFY .�v colvay.ITUC V- SUU MID E,A fA . IP1 C r cam. SAV observed: yes no kle'&Z 1'i tg. I1C 1�1 v1 Moratorium: n/ yes now I ate. Site Photos: �,aE5� no Riparian Waiver Attached: V no A building permithoning permit may be required by: CUY s•t t0Gk C•,DU n_ � Permit Conditions l *PrVOsaT Il ay e— ff Wl i.INA C3. .0 Ili „L \ ••ice I[ylnss/CL1i ❑ TAWRAMINEUSEfBUFFER (circle one) ❑ See note an 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) i-eSi2, a,nel �V) Mtsri�n M�trlit�l� Agen or plican[ P(IINTEO a Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** Signature I `' jt�zrv.sx' •?nz-z r 12;I,,(Z.3 41r lz Application Feels) Check g/Money Order Issuing Date Expiration 4 Locality Permit Number Ocean Hazard _ Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other_ (For official use only GENERAL INFORMATION LAND OWNSMAILING ADDRESS Name: t TrUU [�q C) R-br= Address• i I !.'\h'46j �(} /�`, t7+' ark City:ED[ k, State: �_ Zip: ; i -I Phone: tJY f T � J r LCs1 Oil � oy') Email: LL�.V10.Ln (-0'QNyI, AUTHORIZED AGENT Name: Address: City: State: Zip: _ Phone: Email: LOCATION PROJECT: (Qddr�ss sire n'1me odor directions to site; name of the adjacent waterbody.) �O(F � ( t J t V-1 DESCRIPTION OF PROJECT: (List all proposed construction and land tdisturbance.) - oi �1�1}PSG1`✓✓��V1� L>rL SIZE OF LOT/PARCEL:_ square feet V v a acres PROPOSED USE: ResX))nfi'cSl'�%gle-family] Multi -family ❑) Commercial/Industrial D Other COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies to your property): WA (1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 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 FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON SURFACES: square 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 Management 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: square feet. CAMA Minor Appk.!:on Poge b of 9 Revised iuly 27, 2021 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, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home 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 CAMA 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) �ndre+L� a lesl� N well I ✓t5 Ion owner or record title, Title is vested in name of e+ see Deed Book page _ in the �""(AV_ri iIAL� County Registry of Deeds. _on 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 OF ADJACENT RIPARIAN PROPERTY OWNERS: I furthermore 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 intent to develop this property and to apply for a CAMA permit. (Name) j� (At6ess) (2) ��'harlo a� Vol (4) 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 particular hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization 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. This the�_j1� 4 day of ! p��f�oy , 20Q z�1r- tl_A . 01 A A* A� Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application This the day of 20 This application inelvdas: general information (this form), a site drawing as described on the back of this application, the ownership statement, the Ocean Hazard AEC Notice where necessary, a check for $100.00 made payable to the locality, and any information as may be provided orally by the applicant. The details of the opplication as described by these sources are incorporated without reference In any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative colon CAMA Minor Application Page 7 of 9 Revised July 27, 2021 .V il� ��2.0t( l' SeC. G� � Gt,�i ►`DCGI I I()YI qM f L N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED of HAN� �ELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Properly: `I IU ►�.._ . <:�U__�- p _ __ � VL ;shu�y, NG Mailing Address of Owner. r�4rt yr "� �, f,•7 Owner's email;le5hehp-Vl bii aOwseaPhone#: o r l0 3� q �7 Agent's Name: ITAgent Phan Agent's Emall� ADJACENT RIPARIANPROPERTy OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Ownerl I herebycertUy that I own property adjacent to the above referenced property. The lndlvtduar applymgior khm permit has described to me, as shown on the attached drawing, the development they are propos\ng, B n een or drawing With. dimensions mu st be provided with this Intler. f DO NOT have objections to this proposal. I DO have objections to this proposal. -- Man+agement (DCIN) In writing within 10 day( mailed to 401 S. Griffin St, Ste, 300, Ellzabr contacted at (252) 264.3901. No response is notified by Certified Mail. of this notice. Correspondence should ba , 27909. DCM representatives can also be I the same as no obJection ifyou have been WAIVER SECTION (Choose only one) I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or grain must be set back a minimum distance of 16 from my area of riparian access unless waived by me /this does not apFIV to bulkheads or ripreo revetments). (if you wish to waive the setback, you must sl n thethe appr�ank below.) I DO wish to waive somelaU of the 15' setback Signature of Adjacent Riperlen Pro Owner -OR- e 15' setback requirement (initial the blank) 100 NOT wish to waive th Signature of Adjacent Riparian Property Owner/ Typed/Printed name of ARPO: Mailing Address of ARPO: I I ARPO's email: 1 •waiver is valid for up to one year from ARPO's Signature. N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM �jERTIFtEn MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: _ Address of Property: Mailing Address of Owner. Owner's email: 1601Ie't Agent's Name: Agent's Email: 2siL+7 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Owner) 1 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 descdotion or drawing. with dimensions must be provided with this letter. __CX_ I -DO NOT have objections to this proposal. __ I DO have objections to this proposal. it you have objections to wrier is Demg proposes, you must noury me mu. urws/on or L oasrar Management (OCM) 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 (Choose only one/ 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 riprao revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) Digitally signed by MICHAEL HOFF I DO wish to waive some/all of the 15' setback M I C H A E L H O F F Date: 2023.12.11 13:02:41-05'00' Signature of Adjacent Riparian Property Owner •OR - I DO NOT wish to waive the 15' setback requirement (initial the MICHAEL HOFF Horr Signature of Adjacent Riparian Property Owner: Date: 2023.12.1113:03:17-05W Typed/Printed name of ARPO: Mike Hoff, Refuge Manager, Currituck National Wildlife Refuge Mailing Address of ARPO: _PO Box 39, Knotts Island NC 27950 ARPO's email: mike_hoff@fws.gov_ ARPO's Phone#: 252'429'31DD Ext. I Date: _12AII23 'waiver is valid for up to one year from ARPO's Signature' Revised August 2022 cal m M esexum�•-•.•.•,•.^•_ Lts>-819 (root) �ry n�i stJoot� c901-sIL (Lsx)) a y�[y�� • �p .ISLZ3Nn ON'WSYH AWN 3NY1 3 WYOAS Sits OLOY-'J I9SN3>fl MtlL1 ,LV7d ASAHnS A[WaNna& 3' ,L7rna—Sy _ R �' c � ^ a La .� p ryp ry o o N O a 0 dY a 0 SNI 9OYd 'BE41 NOON O990 NIT78NVH 9ITS31 R .N3NNNB ^ 8 e ib F o �S _fo Z 9 (� ❑ z O �9 Y 5 d U w Z a.a PN �.1 gg99 � L.a�lry,P 43 `� �RPip Z` a I= �� a d u 2°• way _. N Lg WATERLILY ROAD (S R. 1142) n g§o � e ¢ Wl �@889�SR J log:.p®�&�3��tlascfr'd� 5 I II II I I �� II F-ad�V N 0RR$ 60' R/W Nf01N (PER O.B. 391, PG. 792) E g $' v ^ �' -v�-ado Ail 6 ' § on di � a�ae .:N 44 0 m ntl e�� N _3fi�mG 3 y..ab [20L/9/L dY'fiYCZOL-OLO\dP\i.4VoJ Po 4W19M OIB SiOCOL°�LLOL\rv?vd\6y1WwJ 0.nv1 w5�[I'a'Y^'+.U�Il92sw.11�0 - - � s ,. _ ._ � ��`� �N� � 1 1 � r