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04-24 PERQ - Lee, Cynthia and Albert
Perguimans County 04.24 PERQ Local Government Permit Number CAMA MINOR DEVELOPMENT x PERMIT as authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission for development in an Area of Environmental Concern pursuant to the Coastal Area Management Act, Section 113A-118 of the General Statutes. Issued to Albert & Cynthia Lee, authorizing development in the Estuarine Shoreline (AEC) at 153 Tuscarora Trl., in Hertford, as requested in the permittee's application, dated April 4, 2024, received on May 6, 2024 and received complete on May 20, 2024. This permit, issued on June 10, 2024, is subject to compliance with the application and site drawing (where consistent with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void. This permit authorizes: Installation of a poll and grading of a portion of the lot. (1) All proposed development and associated construction must be done in accordance with the permitted work plat drawings(s) dated received on May 20, 2023. [GS 113A-120] (2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations, applicable local ordinances and FEMA Flood Regulations. [GS 113A-120] (3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and modification of this permit. [GS 113A-120] (4) A copy of this permit shall be posted or available on site. Contact this office at 252-264-3901 for a final inspection at completion of work. [GS 113A-1201 (Additional Permit Conditions on Page 2) This permit action may be appealed by the permittee or other qualified persons Within twenty (20) days of the issuing date. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. Any maintenance work or project modification not covered under this permit, require further written permit approval. All work must cease when this permit expires on: DECEMBER 31, 2027 In issuing this permit it is agreed that this project is consistent with the local Land Use Plan and all applicable ordinances. This permit may not be transferred to another party without the written approval of the Division of Coastal Management. Check q 1507, in the amount of $100, was received on 5/712024 for the permit tee. Cynthia Rountree Field Reoresentati% 401 So Griffin St Suite 300 Eli . eth CitvZC 27909 PERMITTEE required if conditions above apply to permit) Name: Albert & Cynthia Lee Minor Permit # 4-24 PERQ Date: June 10, 2024 Paget (5) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must be installed between the land disturbing activity and the adjacent wetland or open water areas, until such time as the area has been properly stabilized with a vegetative cover. [07H .0209(d)(3)] (6) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of Normal Water Level, in this case,1,538 square feet is authorized. [07H .0209(d)(2)] (7) All development shall comply with the following mandatory standards of the North Carolina Sedimentation Pollution Control Act of 1973: [07H .0209(d)(3)] (8) This permit does not authorize development within any wetland or open water areas. [GS 113A-1201 and [07H .0205(d)) SIGNATUR PERMITTEE DATE: a�L Locality E1'?--kx` k c: IL' (1)(-f'L"> ee!Jul ^` s 00Permit Number Ocean Hazard Estuarine Shoreline ZORW Shoreline Public Trust Shoreline Other (For official use only) GENERAL INFORMATION LAND OWNER - MAILING ADDRESS Name At6e_rk (; C�.c4 CYt�i11i0. (. (e e- Address 20% .Sc-, City State N - C- Zip 2-1gtq Phone 9d6pug-rk) `i9-1- 9 I -O0141 Email Ed- c lberl clG3 F2Nal oo. C C �`�- Cindvlr�eusc6 Gmaii. Gowv AUTHORIZED AGENT Name Address City State Zip Phone LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.) i 5 3 -ru 5 Cc r-o e-c. 0 e-,- rd tN C 2.15 44 CLolt *1= 28 (^ifllr_ (Zcocr 5t,orc.) of Qe. z "O?e- P—d. DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Ltd 3 bcd.rns,v, s i [sn' ( 1/ irrnG I'r15k[ U hu L"a r1 c j-c.11owa64, ve.cc" oo,;,t bwirl all &UowGbk �b dockt.g. SIZE OF LOT/PARCEL: 16,000 square feet acres PROPOSED USE: Residential g (Single-family v� Multi -family Q ) Commercial/Industrial ❑ Other COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies to your property): (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 IMPERVIO U,V UPON SURFACES: 1664 square feet (includes the area of the foundation of all buildings, driveways, concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.) MAY 0 6 2024 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 (DE'ff8I Y I _ E C YES_ NO If yes, list the total built upon area/impervious surface allowed for your lot or parcel: 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, 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) °w° - / p"r` a6v 141 man owner or record title, Title is vested in name of At bcrk 8. ut C nd Cy n-R%4. C. L" SSA / v 5-9 see Deed Book =} page 20 5 in the I7a rf\u nv w s County Registry of Deeds. CPto.V _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 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) ,. (Address) yAw(I)G1T01GcF �i Vera �r.ta. Ciro wz�-ho�t $2toS 'TI.� t.l.d.wc. 11rncnd,�� VA 22003 �(2) i.2.(. Cc,ppt;c. _,t-sl "'14 —j Ape \, h.!d..,ecnr k.ns ...., �,��,'.i1.1 14h1 nk(3)* Saw it L su 1T� I©1 i ocl�is� (� ri i fKrh{�� i)Jt 2�`�44 �A, R (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 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. This the — q -r;., day of i 20 br person authorized to act as his/her agent for purpose of filing a CAMA permit application This application includes: general information (this form), a site drawing as described on the back of this'�!Vplication, the ownership statement, the Ocean Hazard AEC Notice where necessary, a check for $100. 00 made paya VIG&`'V any information as may 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 will constitukp4'0`B'agg, of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action. Dr I —EC 06 T EW P > Rr mc-lr, R or H-�- PCACK-E-5 i"Vpze-'Are P rM-r OVF-91406 r as, Fkam r Sam PiZc'N(,5 bx6AT A tDCP 1 J' OF (� Q �o 4#70UAjr OF 'wAPFPgxOOa HO 18 ,o()o s?-Pt APl61j► sA.) ?RoKg,ry oa)A)t:� cl 7aK q 4 vs(rsou CLOP* Sa(,S T►f- M=Why *vNANM« VA, -71003 Aaeg � c,YWVT-A LEE i 6-3 T u%RkD9--' ►f'L 'afR7Foa1) A/.c, al°lyy 1 -"1s o r 0000 PQ� �' St'tJI�L� �71r�1�LY 3 pE0 y-y-121 11 ScA( 6FILL - ('N4NA/ 3d RUF��2 ZZ ii w XIt TRAYL pD,qaU 170 ej �ERTy ou»4, RECEIVED MAY 2 0 2024 Pasquotank-Perquimans-Camden-Chowan District Health Department 11 — DATE: PARCEL IDENTIFIER: COUNTY: REFERENCE NUMEEfl: ..c.�+` Alternative PERMIT 09/06/95 D056,AO28 PERQUIMANS 12O4S IMPROVEMENT REOUESTEE: MILLWOOD, WILLIAM AND CATHERINE OWNER: MILLWOOD, WILLIAM AND CATHERINE RT 3 BOX 458A RT 3 BOX 458A HERTFORD, NG 27944 HERTFORD, NC 27944 426-3039 426-3039 TELEPHONE: LOCATIONMIRECTIONS: LITTLE RIVER SHORES, LOT 28, SECTION A; CLITTLE RIVER DRIVE IV GO DOWN NEW HOPE ROAD', LEFT ON LITTLE RIVER DRIVE FEE ATE.: 6 E,R'. flEMAR 150.00 PUBLIC PRI ATE Bill 14405 xxxx This im NOT to be used for installation unison accompanied by a valid permit Authorization for Wastewater System Construction- 8 Bedrms 3 Disposal 0 S People 2 Type Bid R Tank 1000 Line Len 90 # lines 6 Width Bot 3 MAY 0 6 2024 Size Backfill 4.50 ft Q C M- E C n,ur_ec PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CI' !■■■■■■■■■iiiiie■■■■■■■■■ ■■■ ■■■■!■■■■■■■�■■■■ ■!■■r■_!!_����!l���i�if��������w��� ■■■■II.■�r�'i'J■■� r (� �e ��. ��������diJ1 Garr ITull,lY3fll:01ILJ��rAC' nr�/,�wr,ea�..,�r+a�ws,a,r f�■■■1�■■■■■■��!■11l�Y�iffl��®�®�1®��!®i0� ^■■!e ■\■!!P�■■!■ ■11■■�11■I■■■■!■■ly■■■■■■Q� ■■!(fw!■■■�■1�!��■11■f!l�ii!!w!!! !�■■C!Ela■■■■■■Mr �■1,cr.�■■■w■■r!!!!■I�riiOi'ieiri6aiiGOt�i-iii■� ■■��■■■■■■1�17■■Il�lllfA!■!!■llGw 19ll�ee !!!■frill Date Issued: 06/11/96 1 Sanit ri -I FL r' Date Approved �17 nature �i 0 rle�mratio Permit I-3 ' �i tq� \EN ��^Y.E � _ ♦,, eo .' im4 � •0 1� iei ] 1 i.: i �• � '� V 1 P .% �3aoeiva .Ir `4 ��` d; ILI`tl 'Y 3 pi�W -nr rV � O • 1. in P 1 V •� M �_ Z 'EA P a O I• n ♦ '_ 4 z w 1 4 m •Ir _ 1. fY r' .1q�a ' .. .. •, Fmi fr c P` P1. FP ij`� �i / I CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED Date C I T()Kq A VA Cn_p_ Name of Adjacent Property Owner S21eS 11Ic M14412141 Address IAnnc,,da.le. VA 2-2003 City, State Zip To Whom It May Concern: RECEIVED MAY 0 6 2024 DCM-EC This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to bL4.tLct 0�- 3 X.. J t d L^&V t OLLL""Lc; on my property at t 5 3 M atl �42 r L kurd ? N G Zn G 4 S( jJe,r� l U✓v�Gn S County, which is adjacent to your property. 44060 ppl 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 any questions about the project, please do not hesitate to contact me at my address/number listed below. If you have objections or concerns about the project, please mark the appropriate statement below and send your correspondence to the NC Division of Coastal Management (DCM) at 401 S. Griffm St., Ste 300, Elizabeth City, NC 27909. The staff at DCM can be reached at 252-264-3901. Rt)o'e-+ 11 Cyr4�i Uet Property Owner's Name Sincerely, Ikon-q4�-ooy\ /4v�-4'J1-G�foS Telephone Kimber Ld.er<, IJ G _19I I have no objection to the project described in this correspondence. I have objection(s) to the project described in this correspondence. 2� 70)6?7/97_7 Adjacent Riparian Signature Telephone Number M(cr/ae-,_ J, tl�-I r)t / y 'Zy Print or Type Name / Date M 1e•T I21. :M4•/ ty Email Address -Address rlty State ip N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY RECEIVED (Top portion to be completed by owner or their agent) Name of Property Owner: A l bcr-k e. � Cv r%4L a L. LA-e Address of Property: Mailing Address of Owner: L Z.' MAY �20 2024gC c 21 a LCI Owner's email: CaUberkel & 3 @ cth:j eo-c&�Owner's Phone#: 401 ^ q 14'1 -Ody ( Agent's Name: Agent Phone#: Q/A Agent's Email: N ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent 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. If you have objections to what is being proposea, you must nonry the n.�. uiviawn u, vvaa,a, 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 notifed by Certified Mail. WAIVER SECTION (Choose only onel 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) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's Phone#: 'I j)��y .�7) )- * waiver is valid for up to one year from ARPO's Signature* Revised August 2022 � � \� �� / � % »Zy?«� \t\ ? � �� % /\\/\ �< 2\\`»» �\,%f \\� \\\� \\/\ � ©:' ^ d`� \ . \� � ,� y / » «� a C ?� :