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A building permit may be required by:
Notes/ Special Conditions
fit +ilk 42
❑ See note on back regarding River Basin/rules.
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Local Planning Jurisdiction 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 andvoid.
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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules 0 Other:
F1 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 complywith these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400'Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 2769971638 252-808-2808/ 1-888ARCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
(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)
Revised 08/09/06
�l
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATIONFORM
Date to—`L -=-f,
Name of Property Owner Applying for Permit:
Aken
Mailing Address:
Po &, / 2 Z
I certify that I have authorized (agent) �� a� to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity)
at (my property located at) 2 �QflOf-�'In�t_ Pr
4 RECEry p�
4
JUL 0 9 2014
This certification is valid thru (date)
DCM hlliU CTi'I'
Property Owner Signature Date
i
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property
Ole 11T Allen
�?L . 5hoP l,'de. 6P, _
(Lot or Street #, Street or Road,`City & County)
Applicant phone#: c J� 23 - 5 a5 Mailing Address: Po Gov
lVei.joRi IJC_
I hereby certify that l 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 must be provided with this letter.
have no objections to this proposal. I have objections to this proposal.
J P P
If you have objections to what is beingproposed, 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 www.nccoastalmangemenfneflcontact_dcm.htm or by calling 1-8884RCOAST. No
response is considered the same as no objection if jou have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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
th t k must initial the a ro r7ate blank below )
waive 7Qc ,.You pp p
. I3EIVEA ; .
do wish to waive the 15' setback requirement.
JUL 09 2014
I do not wish to waive the 15' setback requirement.
(Property Owner Information) -' (Riparian Property Owner Information)
1, _ Signature
-
T
02) e l`]. eveu A
Cr
Print or Type Name Print or Type Ndfne
2a 8.Y, I2 a H737 I'Imr-RA
�+
Mailing Address Mailing Address
City/Sta� City/State/Zip
Telephone Number Telephone Number
Date Dale
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: V-olef 7V.
Address of Property: og e%n1 e 1�g 6 I D t.Ie-e—s /0 L Np'teRe4
(Lot or Street#, Street or Road, City & County)
Applicant phone #: 5,9,- .�,2.3 - 5".? Mailing Address: /02 .60X / $
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 must be'provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you mustnotify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement nettcontact_dcm.htm- or by calling 1-8884RCOAST. 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, 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.) RECEIVED
do wish to waive the 15`setback requirement. JUL 0 9 2014
I o not wish to waive the 15' setback requirement,
DCb MMD CITY
(Prope Owner information) (Rip Sian Properyowner Information)
r
Signature Signa ire
Vol t 7I//enI'.rsJt>�1t11
Print or Type Name Print or Type Name
PO s-0x
Mailing Address Mailing Address
CltylStatelZio Clty/State&ip
A.5.2 - �. 23. 51j,a5 91 q _ II4 -.5' LL
Telephone Number Telephone Number ._.-
Date Date
ConnectGIS Feature Report
Page 1 of 1
CON N EUGIS Carte014
Printed June 25, 214
WEB HOSTING See Below for Disclaimer
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2 3� �5 h' �o�" ,I Parcels - Updated 02-20-2014
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Acreage
7, 849
Parcel Cimersiors
Total Length: 218.54 Feet
Sq Feet
or Acres
or Sq. Miles
SFeet
information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and other
lic records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification of
information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does not guarantee that
data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services and access methods al
http://carteret2.connectgis.comIDownloadFile.ashx?i=_ags_mapdabdc l d9dO9845059c3d9... 6/25/2014