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Home My WebLink AboutBradley, Robert'acAMA / ❑ DREDGE & FILL �.p04N P� v '' � g' " A B �C , D GENERAL PERMIT \ Previous permit# LgNew El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources `;j'' .r and the Coastal Resources CoMmission in an area of environmental concern pursuant to I SA NCAC + ( 21 Rules attached. Applicant Name ``.'"' 'y - �' < Project Location: County (- ff Address ; t '� I. it + ° .t s i ,{' Street Address/ State Road/ Lot #(s) City. i !: i. ,,�, ; State >'j f ZIP , c:?" A ✓' r . t . �`. Phone # (_) E-Mail Subdivision / 1 (,'`� r Authorized Agent ; ., ty E' f /I � City r = ° rj , �� . ZIP Affected ❑ CW ZEW PPTA ❑ ES ❑ PTS Phone # ( ) River Basin AEC(s): ❑ IDEA ElHHF ❑ IH ❑ UBA ❑ WA Adj. Wtr. Body f �" `a"r �=f"� ''` ` (nat- /man /unkn) ❑ PWS: Closest Maj. Wtr. Body ORW: aye`s'/ no PNA yes / n F r, Type of Project/Activity �� r,�'1 4 t �,�r.•r• �:. �f',r� � �..��.j ��.,�.-.,�, (Scale- 'ram ) a, Pier Fixe Float Fing _ Groi Bulk Basir Boat Boat Beac Othr Shor SAV Mor Phoi Wain ing Platform(s) r pier(s) EIMMMMMMMM length NONE MEN IMEN number ayg distance offshore max distance offshore MEN 0 M cubic yards MOMMEMOMMOMMEEN ramp MM1MMMMMMMMMMENEM •EMOMEN No Bulldozing EMEMEM�.M MENEM MM.0 U MEMNEEM MEMMEEM ME not sure yes no torium: rVa yes no ts: yes no ME 01 MENEM ENNE MEME MEMMEMMEM A building permit may be required by: t��+ 1 • ��` ( Note Local Planning jurisdiction) r i Notes/ Special Conditions Agen or Applicant Printed Name ..1_F`3�.�._ G'� - Signatu�e "Please read compliance statement on back of permit �<a Application Fee(s) Check# ❑ See note on back regarding River Basin rules. Permit Officers Printed Name Signature. rt Issuing Date 1 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 landowners). 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 consistentwith 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 complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-8884RCOAST 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 ANENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: 0 � � �� • �� Mailing address: Telephone Number: - I certify that I have authorized(agent/contractor), to act on.my behalf, for the purpose of applying and obtaininglall CAMA permits necessary for the proposed development of 1 51//Molva LIC i-v'--N4-rZ,4r at my property located at This certification is valid through roperty Owner Information) Signature Print or Type Name Title, co. owner or trustee for property Date TAlr=nhnnca Kh imhcr RECEIVED AUG A 4 1015 RECEIVED JUL 31 2015 ADJACSNT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property property located at on N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Ind(vidual proposing development must fill In descdptlon below or attach a site drawing) b l )( 0 V l Ko_"11,14-11114 w( "r , y 201 O,f a RECEIVED JUL 31 2o15 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.) I duo wish to waive the 15' setback requirement. '! do not wish to waive the 15' setback requirement. RECEIVED AU6 0 4 2015 t;► 91-4 ess Mating Address O CftpWateMp -4s, ' `g b 2- / r oQ raur3r'Y S/Z 404 Aoi numb /emar7 a dress Telepphon_d NNumber/ mat address Ora Date* (RevisedAug. 20M) 'Valid for one calendar year attar signature' ADJACENT RIPARIAN PROEEBU O WNER STATEMENT I hereby certify that I town property adjacent to J� ��-� 's L (Name of Property Owner) property located at (Address, Lot, BI ck, Road etc.) on in��'1a--- , N.C. '—e (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above I have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development mustfill-indescription below or attach a site drawing) elk RECEIVED JUL 31 1015 WAIVER SECTION 1 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.) I do wish to waive the 15` setback requirement. I do not wish to waive the 15' setback requirement n (Adjace t Property Owner Information) RECtivtu AUG 0 41015 Signature eah&ig ulik`t s Print or Type Name SYjo C4AJbrn.6 �7 M�l�gs-��c %statemp �19-G��t1- !(ofo� ✓+'}77�i C�J9%75� I N� • Vi Telephone Number/email address K Date* (Revised Aug. 2014) `Valid for one calendar year after signature; CgnnectGIS Feature Report Page 1 of 1 �CONNECTGIS 2015 Cart Printed August 03, 015 W E$ HOSnNG See Below for Disclaimer Parcels - Updated 07-16-2015 0 Centerlines NC Railroad Right of Way 0 CCoounty Boundary Other County <all othervalues> Cart 1 . r� 1iu1- i *F Total Length: 202.41 Feet t' Sq. Feet or Acres or Sq. Miles RECEIVED AUG 0 4 1015 �4 ae aar CAW S "z a:•� "" 1 : 319E Feet r lt�lttttt�l he 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 ublic records and dam. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification o he information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does not guarantee that he 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 a http://Carteret.connectgis.comIDownloadFile.ashx?i=_ags_map2c392l e683 de4l l 6906cf 728... 8/3/2015