HomeMy WebLinkAbout77967A_Vassallo, Jacqueline_20201229/CAMA / DREDGE & FILL NO -7967 B C 0
GENERAL PERMIT Previous permit #
New Modification 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 41lulft attached,
Applicant Name Project Location; County IDWe
Address-M k) 6":> lte5e' 4- ve, 71 a— Street Address/ State Road/ Lot #(s)
CityT y Lor State ZIP
Il
Phone #aU E-Mail subdivision 4!,N5 11011�+ 3e C q
Authorized Agent City Am+,s ZIP 27�949
Affected Cw EW AMA i 5 PT Phone# River Basin Pasp94V4, k'
AEC(s): Of -A HHF . IN USA N A Adj. Wt, Body6j K&. 4e, C, I dO K. 4at /man /unkn)
Pws: PHA no
OKW: yes Closest Maj. Wtr. Body C,,4r,4-,ck_, C_.Cc(
J/n—o ;) &Y
[;;;Of PrOjectl ActMty Zn
(Scalet
Flier (dock) length SK
Fixed Platformis) Y�
Floating Platform(s) bee /,j
Finger pfeos)
Groin length
0 —
number
Bulkhead,'Riprap length
avii; distinct Offsbory
max dlstanze off-Ficwe
Basin, diavr',el t-61
cubic Yarils_.
Mat ramp
Ift
Boathouse/ Boatlift
Beach Bulldozing 1
F Ca
art,-, Otv- LdA6,Ar L ted
New (4 ao'-W'
ine Lerah t
'hore' SAV not sum yes no
Moratorwmr rit
4§ no
Photos, no
Waiver Attached (Y,4
Abuilding permit may 'E required by: j16Wla V + See note rxi back regarding River Basin rules,
(Note Local Planning Jurisdiction
Notes/ Special Conditions
Agent or Applicam Printed Name
�,�
read compliance sta t on back of permit
000. w .... 10
ApoicationFiiiels) Check 0
Rober 7�- _6011*1 *_
PermitoffKers P691d N7_
Signature
I;), — YI -
Issuing Date Expiration Date
O
q
is"" that tba*eAur
606'" ,tsar tbe Poe"" of appl"ft for arw Obtakdag an CAMA Pefu to --t s*ar' to
inststl arm catrart (Act#xttpt
u:4y Property located at)
-7
7 #s cep 0 is valid th r u t date l
���Ei� fir"'" 4 "LL,�� • i:/� V• tVf
Art f VO -rVpa%nft, AAvNWhw #46sh tw< 11
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN L1PRO `P,C.ERTY `OWNER NOTIFICATION/WAIVER FORM
J�.( Name of Property Owner: i VQ `��L I u
Address of Property: � 0 r,� C U f kLQMe a 1 1 t is ;1
M(Lot or Street #, Street or Road. City & County)
Agent's Name #: 1is 1 1 I(l_n Mailing Address: PO but-
'- ? ` a
Agent's phone
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
th:91
opo§ing. A description or drawing,with dimensions must be provided with this letter.
��� 0 It r t.�:' �v 1L2u P1 m
have no objection-, to this proposal. I have objections to this proposat. f
If you have objections to what is being proposed. you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http -Y'/www nccoastaimanagement.net/web/cmfstaff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
r
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
V0
Print or Type Name q 1
UI a
MaAV Address n
Tl ly Y- , ] 15t1 n D
TeWww Iw nber, Ema# Address
(Riparian Property Owner Information)
Si Lure
i
Pnntlor Type Nam
DOW
(Revised Aug. 2014)
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to:
Ra V- - m C to wc.l 1
jCA!S Cz e-L Q,
a� Gionj
A. SOMWra
�X , o Agent
`� �! — 0 Addressee
B. Received by (Printed rJame) C. Dqte Delivery
D. Is delivery address different from item 1?
If YES, enter delivery address below; ❑ No
3. Service T r
❑ Mail
C l Expr1
III
III
Itll
IIIIIIII
Il
llll
�l I+i
Ill�ll
�'ll
7 Aduft signature
Registered
Registered ail'-
D Adult Signature Restricted Delivery
r Registered Mail Restricted
9590 9402 6011 0069 6670 80
Cert9590 Maified l Restricted Delivery
C,
C Recur Receipt for
CAfklCt on Delivery
I"{erdhand'se
2. Article Number (Transfer from Servir p ialwtl
`-' f ,ur rt �n Dely Restricted Delivery — Sig"' re Confirmation-
7020 0090 0001 7 619 1812
A; Restricted De.hvcy
y R stagy �d o rv�r �°n
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: �—
Lt5C�
a Rid 1,e V�4
Vi �n�cxl3ea 6h VA,
Illi�h�llll��llllllfll 11 Ili II III
9590 9402 6011 0069 6670 73
2. Article Number (Transfer from service labefl
7020 0090 0001 7619 1843
PS�ofrtt :3S7T;-;1Gty __
A. Signatttre "
X ❑ Agent
0 Addressee
B. ReceivedUt Printed NarrvAX I C. Date of Delivery
D. Is delivery address aifferent from item 17 ❑ Yes
if YES, enter lei:very address belovr: 0 No
3. Service Type
Li Rrority Matif Express*
G Adult Sg^af+e
G'RegisWredMad-
Adult Si+ Vure Restricted Delive y
12 Mail Restricted
Certified Mailo
OV=
tip �
Mai Restricted Delivery
G Retur++ Receipt for
0 Gotect on Delivery
Merchandise
G Gorect un Del:vwy Restricted Wivery G Signature Gonfdrmat onr
G Insured Mewl
G Signature i;or,t✓m4,ran
Mail Restricted Delivery
Restricted OhOvery
xl
Domestic Return Receipt
12/22/2020
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This map is prepared
from data used for the 1029 Creek RD Owners: Vassallo, Jacqueline Loretta Tax District: Martin's Point
ti, N' 01 inventory of the real Martins Point NC, 27949 Ttee -Primary Owner Subdivision: Martin's Point Section 4
property for tax Parcel: 027757067 C/o Cameron Jackson -Primary Owner Lot BLK-Sec: Lot: 8 Blk: 1 Sec: 4
Q /r purposes. Primary pin: 986718300176 Land Value: $252,400 Property Use: Residential
information sources such
as recorded deeds, plats, Misc Value: $28,100 Building Type: Traditional
Wills, and other primary Building Value: $332,400 Year Built: 2000
public records should be
consulted for verification Total Value: $612,900
of the information
40"-Ak�,,