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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 tL . 1 [;?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 Win■■■■■■ ■■■■■■■■,_e■■■■■■■■■■ �:■■■■■: �IIWNIIIIMMNi ■i ■■::■■:■ NN IMMOMMIMEMMM : I NONE .......�...■■■E■■�■�■■■■■EE.:■■ W■M. ��ii�jj�fi�i�i�•iiMENOMONIE— IN MINIII • ■■■■■■ ■■■�■■■■■■■■■■■■■■■■N■■E�i� . i'N■�1■■� ■ ■■■■■ :q ::■■■■E■N� CI� 1 + C, ; r hr T! Agent pli E Printed Names P vj4p ;it;Officer's Printed me X C/ Sign re Please read mpliance statement on back of permit Signature yr ti Ccy 2tc"C3 - II/ 19 Application Fee(s) Check # Issuing Date Expiration Date Z'r 4 UP 79%1 h 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 i Name of Property Owner Requesting Permit: 111 ( le zdo t Mailing Address: a`F ?-e-Y ��'t- Phone Number: ��04 > % q-Z4 Email Address: !M 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) 7 U,� IJ V� i1 16 a�J IiN a. Soar 5-,-Y4✓� 51b 5wecrt �"►Z SWa.n r � 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* 44C,4- �f £Lru�/ �� Kit X KIr''Z Print or pe Name Print or Type Name. /0 f. 1COCZ0140 C tic 34yt /F S kn�•i't't C' "ling A c1dress Mailing Address C(y/State/Zip City/Stat&Zip z5Z-z,)-) C04 L k-����lsai�, �C (0'al,co,4 Tel�one Number/email address Telephone Number/email address ,4:m . 3o Zo Zo/� )e— 4 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 . 3a , Zo 20 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 )�, roc L:rA,,4 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 )ROLLA kROVA BEACH AROVA BEACH LOT 58, SECTION 10 ZUITVILLE BEACH )LLER, WAYNE E YGIELSKI, LINDA A IPERRY ST HESTER J 7930 34 7900 7900 D16-10-05 9500 381 23 8 020-03-18 https://currituckncgov.com/Freeance/Client/PublicAccessl/printFrame.html 1/1 �Currituck� County GIS Online Mapping 3 F'r F 0� r� Currituck County GIS (252)232-2034 www.co.currituck.nc.us/Geographic-information-Services.cfm nCI ` %4 = Addresses Communities Aydlett 506 Berco ColnJock Corolla Currituck Gibbs Woods Grandy ��r } r Harbinger Jarvlsburg Kndts Isla nd Maple Moyock kt. Point Harbor -., Poplar Branch RY.vells Point e S ha,v born S I igo -Naterlily County Boundary _.. State --' CCU Iltj Streets Major Streets —Arterial -Principal --- Alterial_Nlajor — Collectlor_Major Parcel Land Hooks Parcels El Currituck County Aerial Photography (2016 ERed: Band_1 Green: Band _2 Blue: Band-3 This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information shown on this map. It m