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Home My WebLink AboutBarfield, Gerald!1, t „ ':` � i q ',, { :^-'% ° .;.t�y ��"' .,;.:;•, f v r2 � , �• t r i�: � t p.i! � 1 T '; CAMA / ❑ DREDGE & FILL ��a ' . 5fa' r ��II 5 A B r C D GENERAL PERMI Previous permit# It New ❑Modification El Complete Reissue ❑Partial 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 a area of environmental concern pursuant to 15A NCAC.• " f t ules attached. Applicant Name ' l i `, f ` Project Location: County + j; Address City ZIP;; _? Phone # �.�'; ..._.,,.......:.. ( ") ! ( r 1 P-Mail t, y t Authorized Agent ��I i t %.. P' , '-k Affected q Cw w El PTA f ES PTS T AEC(s): ❑ OEA ❑ HHF ❑ lH ❑ UBA ❑ N/A ❑ Prs: r ., ORW: yes /o f , PNA yes / n[,�'� Type of Project/ Activity Fixed Platform(s)---- Floating Platform(s) Finger pier(s) Groin length number """" •."" "' Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift.. _.•--� ~" Beach Bulldozing Other M.r Shoreline Length SAY: not sure yes ' ' no Y Moratorium: n/a yes no, ........................................................................... Photos: yes no Waiver Attached: yes no . A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditionsr Street Address/ State Road/ 7Lot #)(s) Subdivision ! City _ '` , , ZIP`' .l Phone # ( •,i) , t < / lri River Basin ! Adj. Wtr. Body ! ! �� ' (nat /man /unkn) Closest Maj. Win Body ❑ See note on back I � �,- (Scale: rules. a �x ,agent or ApplicanVPrmted Name ' Permit Officer's Printed Nam � ✓ t Signature sE PI a'�e read compl lancestatementon back of permit," Signature 4 Application Fee(s) Check# Issuing Date Expiration Date 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, 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 0 Other: 0 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 howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-411COAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of 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 - South of New River Inlet - and Pender Counties) http://www.nccoastalmanagement.net/ Revised 08/27/14 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: �9 �\ �"'- Mailing address: Telephone Number: N 25 2 - 5�6 -- o I certify that I have authorized �( (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of &U"-t an, M W at my property located at i, t1C trt-IhG�` This certification is valid through &k 16� 2% (date). (Property Owner Information) IZ Signature Print or Type Name Title, co. owner or truste or property _ 'F —/-! — Date ZSz- 5wc>- 1-5-1.T Telephone Number Email Address G,� I-L-c RECEIVED OCT 0 8 2015 DCM- MHD CITY RECEIVED OCT 16 2015 DCM- MHD CITY - C od- t - IvinV VI 1 1 16 2015 �08/19/2015 04:18 FAX Q 0003/0004 DIVISION OF COASTAL MANAGEMENT ` AflJACENT RIPARIAN PROPERTY OWNER NOTIFICATION F R CERTIFIED MAIL_ - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to sty ,5 D (Name of Property Owner) Property located at 1p p �'( (Address, Lot, Block d tc.) on in s L t'aL� . N.C. (Waterbody) Agent's Name #: `- 0 Agent's phone.'-2 (City/Town and/or County) Mailing Address: -?b � 'S c. j7 y He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. ----------------------------------------------------------------------- DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) ''O,f sCjV�NCEr a'00 LX q -AAD 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 hgA.—I www nccoastaimanaaement net(web/cm/staff listing or by calling 1-888-4RCOAST. No response is considered the same as no objection /f you have been notified by Certified Mail perty Owner I or ation) (Riparian Property Owner Information)RECEIVED OCT 16 2015 SignatureP (s h 11 ( ��il M MHD. CITY or Type Name Print or Type Name F,n.�W 61 Mailing Address Mailing Address 1 W' " 1� 2 17,f RECEIVED City/State2ip •. City/State&ip A*t52015 Telephone Number/Email A res Telephone Number/Email Andress Date Date (Revised: Aug. 2014) 'ry 08/19/2015 04:19 FAX IM0004/0004 ADJACENT RIPARIAN PROPERTY(� OWNER STATEMENT I hereby certify that. I own property adjacent to a/�s IName of Property Owner) _Aslm6 10ikdC.(A,0.oion in avi -I N.C. (Witerbody) (e4frowq and/or County) The applicant has described to me, as shown below, the development proposed at the above locat' I have no objection to this proposal. I have objection's to this proposal. DESCRIPTION'AND/Ok DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must till in description below or adach asite drawing) Jr 1L ro 0GTION WAIVER 8 I. understand that a pier, dock, breakwater, boathouse, lift,- or groin must beset back a minimum distance of 15'frdm my,*ea of. riparian. access unless waived by me. (if you wish to waive -the setback, you rn0flnitial the appropriate blank below.) RECEIVED I do wish to.waive the 16'setback requirement. OCT 16 2015 I do not wish to waive the 16 setback requirement. MH CITY� Owner Information) (Adjacent Property Owner Information) rrnt T e Nam 10& gal M AddrOSS lv!nm CitylStateAzip, 2-0 Tel,ep ho a Number Date Telenhane N b um rr k - _ Date (Revised 611812012)