HomeMy WebLinkAboutCarrington, Scott & TracyCAMA a & Ni'9r' G V S! 5" B D
�% A
fm L PERMIT Previous permit #
flew c D Complete Reissue F Partial Reissue Date previous permit issued
As authorized by tInAtat W=`Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC I I
C� Rules atthchr.
—)Project Location: County
ai -7,
Applicant Na \0
.1 Street Address/ State Road/ Lot #
.77
Address- �s)
State'�W ZIP X '--,ij City �' "-r '( ( -- -I/ — - Phone # E-Mail Subdivision
J
Authorized Agent City_ZIP
Affected \A�w DES 0 PTS Phone # River Basin.'k
PTA D OEA 0 HHF �ffl 0 UIBA 0 N/A
AEC(s): Adj. Wtr. Body (nat man /unkn)
0 PWS:
Closest Maj. Wtr. Body— ri.
ORW: yes/ PNA yes/ 0 ) lwl
Type of Project/ Activity
Pier 'L\J In
Fixes
Floal
Fing
Groi
Bulk
Boat
Boat
Beac
Oth4
Shor
SAV
Mor
Phoi
Wah
(Scalle:t
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number
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N
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offshore—
24"Ril
0
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1n=E=1
NOM
ON
MMW'
0
0
N
'�Oistance
nl%. distance offshore—
hannal
YLP
N
KOJAMMOINEWEEKEEMMEMMME
lous<E�o2ali'it
Kim&
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ORIMEEMEMONEEM
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110010
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MONNONEEMMMEENNI
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A building permit may be required by:
Note Local Planning Jurisdiction)
Notes/ Special Conditions i ) �! C r 1 1
(k k"A I
(II
Al 411^f in
I ent or ApplicagitYrintedName—
Signr permit*"
e P�ase read compliance statement on back of
Applicati
. 0M*1-
El See note on back regarding River Basin rules.
I 1/ 6
Permit0fricer's Printed Naime.i',
Signature
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, certifythatthis 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 howto comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
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 Citv 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.nccoastaimanagement.net/
Revised 08/27/14
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■See note on back regarding River.B.asin rules.
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Ent or App r;wd_NameJl ,.�.,....- .
- - .
,- Permit ffirrpr's Printed
d
Signature
-
Signore *71PI`easereadcompliance statement onbackofpermit*-*
ADlicatiombeekt
�
Issuing Date
Expiration Date
ti�J` L T 3>79 Ga "Mil r,=Jn-- nutSkstS e!11ad }���3 +':"NTd'J'§Nj'vvT
' Applicant:
Date:��"
Describe below the HABITAT disturbances for the application. All values
found in your Habitat code sheet.
r
anWoeasuremen
Habitat Name
•
DISTURB TYPE
Choose One
TOTAL.Sq. Ft.
(Applied for.
Disturbance -total
• includes any
anticipated
restoration or
temp Impacts)
FINAL Sq. Ft.
(Anticipated.final
disturbance.
Excludes any
restoration
and/or temp
impgict amount)
TOTAL Feet I
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
a unt
Dredge ❑ Fill ❑- Both ❑ Other
Dredge ❑ Fill.[] Both ❑ Othe/-/W
J
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both' ❑ Other ❑
Dredge ❑ fill ❑ _ Both ❑ Other ❑'
Dredge ❑ .Fill ❑• Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑ .
Dredge ❑ Fill ❑ ,Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ _ Fill ❑ Both ❑ Other ❑
Dredge ❑. Fill ❑ Both ❑ Other ❑.
RECEIVED
MAR 19 2015
Y9tn-?MHD CITY
- � - �i a: �• 3 8 � � � e. v+ � s�cc » �ratl��a���q nve�5a ,nets ravaaw : 02J.03110
Styrort, Heather M.
From: Jasa Ellis <jasa5@ec.rr.com>
Sent: Thursday, March 12, 2015 6:05 PM
To: Styron, Heather M.
Subject: Fwd: 5234 Webb Ct / CAMA permit
Begin forwarded message:
From: Tracy Carrying ton <tracyycarrington @ aol.com>
Date: February 2, 2015 1:38:57 PM EST
To: Eric Ellis <iasa5 @ ec. rr.com>
Subject: 5234 Webb Ct / CAMA permit
I, Tracy Carrington, give Eric Ellis permission to obtain a CAMA Permit for my property located at 5234 Webb
Ct, Morehead City, NC. 28557.
Sent from my iPad
RECEIVED
MAR 19 1015
DCM-MHD CITY
1
-:I.
■ Complete items 1, 2, and 3. Also complete
' item 4 If Restricted Delivery Is desired.
■ Print your namd and address on the reverse
sp that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
L1
e Received by (Printed Name) C. Date of Delivery
�� C6Q.Cv01A I ot-ll 15
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery acWVj O No
MAR 12 2015
3. Service Type -
(J/ ` 0 Certified Mail® E3 Priority Mail Express'"
❑ Registered ❑ Return Receipt for Merchandise
O Insured Mail 13 Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(rransferfrom service ia 7014 ` 2120 0004 6902 0488
Domestic Return Receipt
UNITI=D•STA ES-P.DSTALrSEF VIC,1:; •.>.; ti �, 1- a- 'Frs��tasSficla;*�~::iL
' ,:.:.......,w.,�.,'.Sl•r> �.} •;Y •, s f' .9^Pil
...:Y ".•� ' �� 31N A:l::i::i.�* �..�: : -�a' .aw:. '�''�a;a.;s.::v..
• Sender: Please print your name, address, and ZI 4 n this box•
r�- 00
4. •
" r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT /
. I hereby certify that -I own property adjacent to ?�� f�Gc�Y rr;��t�ro.�Cr _'s
(Name of Property Owner)
... property located at.�023 y JAJ. E�.: C....._ .....:.
(Address, Lot, Block, Road etc.)
on Snboo��'r1 Cr , in 'lcr��r•C;fr N.C.
(Waterbody) (CitylTown and/or County)
The applica5_has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal. C.. l
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development roust fill in description below or attach a site drawing)
RECEIVED
MART 2 1015
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
COvE�4 �oGl� 'tb
c-7 3 I do not wish to waive the 15' setback requirement. �N CDs T ��. !s �- G(0S
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/StatelZip
Telephone Number
Date
(Adjacent Property Owner Information)
' � o
ignature
#J0t-S6#1 RECEIVED
Print or Type Name
StGB C+ti Z MAR 191015
MMlUng Address q
c� DCM-MHD CITY
--City/State/Zip
,,k 'mil 5- s92- q( P-7
Telephone Number
,y 2—
Date
(Revised 611812012)
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_... ._ ._ -_-__.-_..___-_-_-__.. -___ ____.-._.__ _..__ _- ��«�_�_. ._._ .. I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
-I hereby certify that.I own property adjacent to ��C roc 4., 's
(Nam6 of Prop rty Owner)
property located at:.._
(Address, Lot, Block, Road l etc.). .
on ��NF�sC� , in ArWe7;� 'qe , �. N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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 bellow or attach a/ssiite drawing)
-a- r' �`o,�J -f o-� c/p o�(
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
(Property Owner Information)
Signature
.?tW4'Vr- rr i N�
PorTy e N me
riI123 "kk&
Mailing Address
Cit State/Zip %-
6' ry 2&Z
Telephone Number
Date
(Adjacent Property Owner ormation)
`f
Sigh pre J a c- Ci • 19 e-ax
Print or Ype Na e�
Mailing Address �5y/
City/State/Zip
Telephone_ Number
Z — X�
Date
(Revised 611612012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that.I own property adjacent to SCo d" l ac ir1 N's
• (Name of Propbtty Owner)
property located at
(Address, Lot, Bloc , Road, etc.
on S �,�ers C , in orE��r��i7 , N.C.
(Waterbody) (City/Town andlor County)
The applicant h s described to me, as shown below, the development proposed at the above
location.
i I have no objection to this proposal.
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)
WAIVER SECTION
understand that a pier, dock, mooring pilings, 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.
(Property Owner Information)
J'ill' 1= z
46 rris�c���
Signature
Print or Ty e Name
a2 X3p wcw(-�
Mai* g Addres 1 ' /
c rE�F��I
City/st elpd.�ez/
Telephone Number
Date
(Adjacent Property Ow er Information)
Telephone Number
Date
(Revised 611812012)
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