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Home My WebLink AboutChappell, David & Davis, WalterF-- A- Pb ❑CAMA / DREDGE & FILL GENERAL PERMIT Previous permit# ❑New ❑Modification ❑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 an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Project Location: County _ Address Street Address/ State Road/ Lot #(s) City_ _ State ZIP Phone # (_ ) Fax # () Subdivision Authorized Agent City_ ZIP Affected ❑ CW ❑ EW ❑ PTA CIES ❑ PTS Phone # ( _) _ _ ___ River Basin AEC(s): ❑ 0EA ❑ HHF ❑ IH ElUBA El N/A Adj. Wtr. Body mat /man /unkn) ❑ PWS: ❑FC: __ ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length 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 Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit (Scale: ) ❑ See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date ------------- Expiration Date Application Fee(s) Check # 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 0 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 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 Morehead City Headquarters. Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-8884RCOAST 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 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director Date f � " %0 " /.3 nn-- bell 9 f V-114' A 0, s Applicant Name �Q C�1a�, _ DEC 10 2013 DCM= CTl"Y Mailing Address �1�J G�t�s.e,,C c� Gr.ur�J/k N•r• John E. Skvarla, III Secretary I certify that I have authorized (agent) /g�� t Lyortc•• 64o act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) ,►jOq/z F /11V7y .fkc�.a•�0 ff /ffa eAe•, e; , at (location) Co,<+sfNvcf S•16 This certification is valid thru (date) Signature I r 400 Commerce Ave., Morehead City, NC 28557 Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer NorthCarolina Naturally -- --- - -.--I hereby -certify that I own property adjacent to-- A)-V 0;1' _ �Ha��s//___. _---- - _ ------ -- _s__ (Name of Property Owner) property located at �/�Y � Jr�tspA4 Sfi^�f t 4rue- Address, Lot, Block, Road, etc.) on 61n►d0 , in ;2rrr7 N.C. (Waterbody) (City/To n and/or County) The applicant has described to me, as shown below, the development propoq&0gVft above location. I have no objection to this proposal. DEC 10 2013 I 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) o�..e ,p S�l�+c� t�c/z defirseeiy 0 <or''S' o i "OK .70o' 7o /oi c✓' tia,aP Ca,,vta, WAIVER SECTION C�k� 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) SiALa.-.e tune Print or Type Name 1701 t5hc•�.,DO-,I-' �D/ate Mailing Address 4 Ile N• c ,2 781"8 City/State/Zip ZS2 .rTf -27o2 Telephone Number /A - °l- a Date (Adjacent Property Owner Information) MX g Ad res ity/State/Zip )- I -72-C, - (2�y�R Telephone Number Date (Revised 611812012) r ENT hereby certify that I own property adjacent to property located at �� ` 2 (Ad ress on 50 , in (Waterbody) ER STATEMENT tom. 5 �P F i awtos 's Namepf Prpperty Owner) Block, (load, etc.) , (City/Town and/or Courity) N.C. The applicant has described to me, as shown below, the development propose - above location. I have no objection to this proposal. `pEC IQ 2013 have objections to this proposal. `` t3lJLa3� DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOI� (Individual roposing development must fill in description below or attach a site drawing) 10 ti. G ./ I t^� GarC'\ 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. (Propewner Information) (Adjacent Property Owner Information) Date Uate ,?gS6 7 (Revised 6'1312012) �l 71r, xL Vk � a � a 54 ML 24.