HomeMy WebLinkAboutWadsworth, Albert 78235CLAar,TA /r.-.Nufrcrrr1;rE t FILL
ER/AL PERMIT
,i..lModification IComplete Rei:*le-*.IPartial Reissue
by the Sate of Nonh Carolina, Department of Environmental Quality
5iv 7N2J5
Previous permit
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and the Coastal
Applicant
Phone #
in area of environmental concern pursuant to I5A
Proiect Locatian:
Street Lot
Affected
AEC(s):
OR!V: yes
Agent
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FTA
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City
Phone #
Adi. Wtr.
Closest Mai. Wtr. Body
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Type of ProjecU Activity
Pier (dock) length
Fixed Platform{st .r, ..*ryr
Floadrg
Finger
Groin lengdr
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av8 olkhore
max disaace olfshore
B.asin, chanrdl'*
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Beach SulHozing
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Shorclinr Lrngth
SAV: not sure
i"loretorium: ny'a
Photos:
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A building permit may be requirrd
{ Note Local P}anning Jurirdiction)
Special
,.. ; See on regarding River Basin rules.
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read back
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37
Date
State
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Phone Number:
EmailAddress:
I certifr that I have authorized
Agent / Contractor
to act on my behatf, for the purpose of applying for and obtaining all 6AMA permits
necessary for the following proposed development:
at my property located at 0 3 M
IName of Property Owner Requesting permit:
Mailing Address: 7O.
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e Nas t^loffrrl DAtezW€CtI
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I furthermore ceftify that t am authoriz.?d lo grant, and do in fact grant permission toDivision of coastat Management stafr, the Loial permii omcer and theiragenfs to enteron the aforementioned lands in connection with evaluating information retated to thispermit application.
Property Owner
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{
Print or Type Name
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Tiile
&Jfu_?fr
Date
This certification is valid through
NC Division of Coastal Management
Cashier's Official Receipt
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Received From C*ta..o( lAzo],w fu-r..tias
Date:
$aoD
Check No.:5t1z
County:C.*1"&
Date:o'
Date:,LfutLQ,t
Permit No.:Gr
Applicant's Name
Project Address:
Signature of Agent or Applicant:
Signature of Field Representative:
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Please retain receipt lor your records as proof of payment for permit issued.
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 CityHeadquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/I-888-4RCOAST
Fax: 252-247-3330
(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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(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:Hportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: U)U& . 4N
Mailing Address: �17. &
Phone Number: JA�O�'�auc
Email Address: WQ.1�S1rJUiU'}i !�C1/t-t�QEQ� �r�
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
�cessary for the following proposed development:
at my property located at k 3 i4o L 1 b )
in efq(_) 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
Signatur
Print or Type Name
Title
Date
This certification is valid through
I hereby certify that I own property adjacent to
property located at 5013 1�'1 Lot
on
(Waterbody)
in
(Name of Property Owner)
(C
3
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.]
k 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)
D r
V
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.)
'T, I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ant LT
ultyr"�tareiup Al- 2?1- 6a0
Telephone um er/email address
A 2v
Date
/4 U/a a�, vEc�pt cs. GE
"Valid for one calendar year after signature'
(Adjacent Property Owner Information)
l�n„I l✓/�4.C�
.Cionniurn•
iv zXSS 1
Telephone Number/email address
7 3
Date • l a!
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to Albert Wadsworth ,s
property located at 5013_Holly Lane (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on Bo4ue Sound , in Morehead City
(Waterbody) (City/Town and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
�1loy pg ,
�/ 1� I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
RIP -RAP INSTALLATION AND BOAT LIFT INSTALL ON EAST SIDE AT END OF
EDISTING PIER
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.)
�� do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro perty/Owne nfonnation)
(Adjacent Property Owner Information)
Si ature
Signature
Julian David Waller Jr.
Print or T opg Name
y N o. �oY 351 a'
�a
5011 46PIly L na e
Mailing Address
LA9 , r
Mailing Address
Morehead City NC 28557
City/State/Zip
`S �' 2%" ��
City/Sta342 te/Zip
252 3013 dwaller5011 @gmail.com
Telephone Num er/ ail address
Telephone Number/email address
1t)/ZO�
10-20-2020
Date
Date*
P'— - (� 44)5W6fkW6Lc�t 2s. cony
`Valid for one calendar year after signature'
(Revised Aug. 2014)
Tan Parcel Information: I Carteret County, N.C.
Owner: WADSWORTH,ALBERT E IV ETUX MEM
Current PIN: 636614320681000
Site Address:
5013 HOLLY LN
MOREHEAD CITY
Mailing Address:
LANTANA FL 33465 3918
Legal Description:
L9 io PT L11 MITCHELL VILLAGE
Prior PIN.-1,3oy5Eo403
City Limits: MOREHEAD CITY
Rescue District:
Fire District:
Tax District: 1351
Township: MOREHEAD
Use: RESIDENTIAL
Land Value: $660,00o NBHD: 510002
Bldg Htd Sq Ft: 1950
Bldg value: $128,743 Bldg Tot SgFt: 3537
Other Value: $45,344
Total Value: $834,087
Sale Price: $522,500
Deeded Acres: 0.872
Plat Ref: 29 / 366
Deed Ref: 932 / 152
Bedrooms: 3
Year Built: 1950
Noise Level:
AICUZ Zone:
GIS Acres: 0.860
Roll Type: R
>,
WE
Deed Date: 20020215
'
Printed November i3, zozo
11n=60ft
Bathrooms: 2.5
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