HomeMy WebLinkAbout78570A_Zoller, Wayrne & Rysielski, Linda_20200319C CAMA / ❑ DREDGE & FILL ND 78570 A' B C D
GENERAL PERMIT Previous permit #
LINew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
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 > —7
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[;?Rules attached.
Applicant Name Zc Ij e r -+' L dc- _ vg r 1 'L Project Location: County_,'-',- i c C k
Address r ;4 Street Address/ State Road/ Lot #(s) SIG S� ✓c I�rs c�
City kc:S4cr StateAZ:5_ZIP [',--79,3G L c 4 54�
Phone #(c�a)CSS Sc4a E-Mail tjry,zollat 0T7ccM SubdivisionC �rciVc: �I GCi�-
Authorized Agent 6�ach City Cc f v 11 c, ZIP 0' 99 4' 1
Affected ElCW 94W EOTA KES &*TS Phone # ( ) River Basin I c 5, 4 c, r�
AEC(s): ElOEA ElHHF ❑ IH ❑ URA El WA Adj. Wtr. Body . , c.l +c, k, JJ s lc- f,,,A Pr- �, (nat /Khan /unkn)
❑ PWS:
ORW: yes /, no PNA yes / no Closest Maj. Wtr. Body
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Agent pli E Printed Names P vj4p ;it;Officer's Printed me
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Sign re Please read mpliance statement on back of permit Signature
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Application Fee(s) Check # Issuing Date Expiration Date
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Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules ❑ Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
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Name of Property Owner Requesting Permit: 111 ( le zdo t
Mailing Address: a`F ?-e-Y ��'t-
Phone Number: ��04 > % q-Z4
Email Address:
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I certify that I have authorized AISX&2 .
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: fAew (Al3adcr
at my property located at "I5jn 51-C .0
in _ / 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:
-Z 7gnature
—� Print or Type Name
d „r ne-,
Title
/ / ?-'r / Z—z'�'
Date
This certification is valid through r / -.rr / zvzo
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to nL Z ( 1 ,0q, s
Name of Property Owner)
property located at � � � 5 �`��
(Address, Lot, Block Road, etc.)
on C�U��i �� Lt� J��ntt , in ?bd`c) ! I C. , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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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.)
I do wish to waive the 15' setback requirement.
ti I do not wish to waive the 15' setback requirement.
(Pr petty Owner Information) (Adjacent Property Owner Information)
Suture t Signature*
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Print or pe Name Print or Type Name.
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C(y/State/Zip City/Stat&Zip
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Tel�one Number/email address Telephone Number/email address
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Date �� I kh�t � �S �7 J' 1 � �$.� Date's
+�l a � W C?iyl
(Revised Aug- 2014)
'Valid for one calendar year after signature*
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L, -C Z ( 110, 's
Name of Property Owner)
property located at 51 C) c V ��' •
��^^ (Address, Lot, Block Road, etc.)
on CUN--t�V & Jbvw!J , in ?bJ (r f I c'- N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
go T 5 5"t b 5 w Ccvt - -- -. B I Z S c cs 4 n
j 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pr perty Owner Information)
In, (7 k
Signature
C-�-
Pnnt or )e Name
/0 (��r�ta C
ling Address
City/S� p
zs ?-- Z,:,-7 _ C04 2L
Tel Number/email address
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Date
,9rk cis W) L)i,,,ds uc 1, Cdv-t
(Adjacent Property Owner Information)
YsJa6e�-•
Signature
X�
Print or Type Name
v 6 77 DOLL611
Mailing Address
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City/State/Zip
k VIR-C'IN►'0 zzlo !
Telephone Number/email address
x— (7 03> `ly(c -14 z 7
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*
3/18/2020
https://currituckncgov.com/Freeance/Client/PublicAccessl /printFrame.htm I
Parcel ID Number
Global PIN
Number
Apt/Unit/Suite
Street Direction
Street Name S,
Street e
Street Suffix Direction
city
Subdivision
Legal Description
Township
Owner Name 1
Owner Name 2
Owner Name 3
BillingAddress
BillingAddress Continued
BillingCi
BillingState
Biltin ZIP Code
Acreage Le al
Acreage GIS
Tax Value: Land
Tax Value: Buildin
Tax Value: Total 7
Tax Value: Deferred
Last Sale Date
Last Sale Price
ualified Sale?
Deed Book 1
Deed Page
Plat Cabinet
Plat Slide
Data Date
Owner Name 4
Owner Name 5
Owner Name 6
Owner Name 7
Owner Name 8
Owner Name 9
Owner Name 10
87A00000580010
O11-98-8945
10
WAN
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kROVA BEACH
AROVA BEACH LOT 58, SECTION 10
ZUITVILLE BEACH
)LLER, WAYNE E
YGIELSKI, LINDA A
IPERRY ST
HESTER
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7930
34
7900
7900
D16-10-05
9500
381
23
8
020-03-18
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