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Home My WebLink About60241_TAYLOR, ROGER_20120521�CAMA / D DREDGE &FILL No. 60241 GENERAL PERMIT Previous permit# C7New ❑Modification C'Complete Reissue EPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources —� and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC f 'Rules attached Applicant NameTi,-16r- J Address i tGn At I City �.`�'`��r;,!j �1 Its State 'ZIP Z`b:�5lL Phone # ( 3&. 'Fax # ( ) Authorized Agent or P �11 tr-00 Affected ❑ CW ❑ EW L9 PTA p ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Pier (dock) length Platform s Fingi Groi Bulk Basir Boat Boat Beac Othc Shor SAV: Sand Mon Phot Waiv Project Location: County 41 ' Street Address/ State Road/ Lot #(ss)"� Subdivision City t C y'` , j.^ ZIPG + Phone # ( ) River Basin Adj. Wtr. Body__ 6 �Ve'. �Gc: J (nat /man /unkn) c ,C Closest Maj. Wtr. Body-,FJL'f �c "� (Scale: 1 t! l 0 ) - - - ) - !r pier(s) i length -TT — -- - - - — -- number lead/ iprap ength Xia ?� X avg distance offshore max distance offshore ,channel — T I - 74 - - -- -- i cubic yardsramp — louse/ Boatlift li l i Bulldozing-- r --, - - — -- ---- - (line Length, - — not sure yes no )ags: not sure yes no — torium: n/a yes no is: yes no I er Attached: ves no I i — ! I --- - -- A building permit may be required by: t �1` �' ❑ See note on back regarding River Basin rules. Notes/ Special Conditions ►t Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** PermitOfficer's Signature Issuing Date Expiration Date Application Fee(s) Check # Local Plan ningJurisdiction Rover File Name 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 1) 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules ❑ Other: J 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 Quality. Contact the Division of Water Quality 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 Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South 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 -below New River Inlet- and Pender Counties) N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORIM Date J�a 1 /a6/ 2, Name of Property Owner Applying for Permit: CU ;- Mailing Address: 9 a 1 � a �Aak7ne/ �Y rm -er aid kL I certify that I have authorized (agent) �� / P �l ��'Or� S to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) 3a/ This certification is valid thru (date) I f"ZI7 art �,/ _FS /f- , PC . l� ► I zo f v- Property Owner SigrPature Date CERTIFIED MAIL, RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIYiA.IVER P'OR.NI Name of Individual applying for Permit., F\- ,I / Ce Ar1rlra--cz of Prnn r" (Lot or Street #, Street or Road, City & County) 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 description or drawing, with dimensions, should be provided with this letter. I I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252) 808-2808 within 90 days of receipt of this notice. 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, breakwater, boathouse, boatlift or sandbags 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.) :V - b 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Applicant Information) t Mailing Address IFm�La(,f' City/State/Zip ,) - j 3-1-! - 3 6 2 7 Telephone Number /L--"6/ 2-- Date (Riparian Property Owner}nformation) ice- - v v vv Signature — Print or Type ame rg10) ?k 7 55 Alp Te ephone Number 5f9�l�z Date CERTFIED MAIL ° RETURN RECEIPT REQUESTED DivISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAWER PORNI Niame of Individual applying for Permit A,-lrlrp,c nrnr,grfy. 2a1 e f'� 99S-4 4 Pr^-1sle (Lot or Street #, Street or Road, City & County) 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 description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252) 808-2808 within 90 days of receipt of this notice. 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, breakwater, boathouse, boatlift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you vyish, 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. (Applicant Information) (Riparian Property Owner Jnformation) Mailing Address f/71 e r- I i J Al (. AS-941 City/State/Zip Telephone Number .S ,-2 « DatT Print or TypeName �? / U Tel hone Number Z5111 Date