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Home My WebLink AboutCobb, BrittType of Project/ Activity j ni n Pier (dock) length �' ;a y 7 Platforms) it13 Finger pier(s) YYy I I � Groin length — number Bulkhead/ Riprap length • t _ avg distance offshore max distance offshore I S Basin, channel u cubic yards Boat ramp Boathouse/ oatli 11 jt l 1 Beach Bulldozing Other e I Shoreline Length SAV: not sure yes no' Sandbags: not sure yes qni Moratorium: n/a yes Photos: yes fick i a �WatverAttached: A building permit may be required by: .r� e 11 (Scale: I Iz 301 ) ►� I � I I S r \ + C'il «^i r C_i See note on back regarding River Basin rules. Notes/Special Conditions All -i+ ?. L1t1� , 1E. A i ,,, '• s'. t`:' ! f� r:,.a xj in„ i_i�, t'f� �'>'..•t�. i�;A�; tX t�^( ,r �.AN ,, �1n en or Applicant Printed Name1. n Permit Officer's Signat re j t 4.4, r / �, , ,�, .r• ��'' fr'.r'r j i `'�%� :': `i }mot *.G L Signature, Please read compliance statement on back of permit * _ Issuing Date yExpiration Date ApplicationFee(s) �• ' ; -Check#= Local PlanningJurisdiction �_— ,� 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 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 consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules 0 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (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) NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date t)—A N !o r .2 o 13 Name of Property Owner Applying for Permit: W . '8R IT—r- 00199 Mailing Address: 1'7,2A 2/I/J,8yRY Rd J2AL671 GH , lU L ;2?6off? AID (111W)VOCI oanwau I certify that I have authorized (agent) IRCWTLCY T ROOkS to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) %?! cl2 A/VD L?o,+T LIFT , at (my property located at) f 5-o Yi9 UPON L �► , /�-TL A A /c . /Vf . This certification is valid thru (date) . J`%N Property Owner Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastaimanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper . � K ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to . !J R 1 T J 4'— 099 's (Name of Property Owner) propertylocatedat l �� VAV "0Oiu G N (Address, on (-45#CF SQUMD inLot?rZ4 ae Road, tcG'A,Qmc r �o. , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. Fv 1 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 below or attach a site drawing) �l Q) 91' "90HT L/ F`T RECEIVED AN $ 7 2013 ACM -MU CITy 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 w . Rie 1 rr Foes Print or Type Name 1'7 22 $ANBtjRy Rc( Maill*aq Address V14L&-7g14 , N C .276OF City/State/Zip `I19 Pal-2S'oo Telephone Number zm< Date (Adjacent Property Owner Information Signature (A..1 4-L 1aN 9. S?XlG1rLAryO Print or Type Name P. o. aox 3 3 r Mailing Address 5M tTHF1jaD, NC 27577 City/State/Zip °tt9 93y-aa7'7 Telephone Number Date . (Revised 611812012) ..f ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to %t). l3R177- C'OBB 's (Name of Property Owner) property located at ls-O WvPoN c.N (Address, Lot, Block, Road, etc. on 12ORF SOUIUD , in og 4,vre / ,4-erA7eEr0b. , 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 below or attach a site drawing) ?l e%e q- BO,4 r L i FT JAN 17 2013 DCM MHA CITY' 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) (Adjacent Property Owner Information) Sigu� �\S' at Print or Type N me Orinf nr T ina nr�.,,n l'i 22 'eANBOk y PS Mai ' Address IKA+[.41 Gff , AJ .276 a3' City/State/Zip cl1 9 b'o t -2S0 6 Telephone Number Nov 21,=12 Date Date 2�SS% (Revised 611812012) A3NldgD Jd 041 fil ET UCEWED JAN 17 2013 DC.M NIHD CITY XCAMA / ❑ DREDGE & FILL No. 61181 C GEHERAL PERMIT Previous permit# CNi�lew ❑Modification ElComplete 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 I SA NCAC �� ti U411ules attached. Applicant Name Address City. Stale ZIP • 1' Phone # `i li) S-., <` 25La Faz # Authorized Agent Affected ❑ CW O(EW Z PTA [SES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FQ ORW: / no PNA yes / o Crit.Hab. yes /.no Project Location: County ,cr--� .i'e .j Street Address/ State Road/ Lot #(s) Subdivision City c C. ZIP Phone # ('?Z)q j' 7t? River Basin WL'fit 0) Adj. Wtr. Body n r• . fit* . nat man unkn Closest Maj. WinBody c., �t Type of Project/ Activity Vl ; ' h/ i rh �' ^ •' — (Scale: 1 3 1 ) Pier (dock) length s� ' Platform(s) 3L Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ oatli1 Beach Bulldozing Other NLi+ r I � -- -- I—i _�- i— �r1 ty� � i T 1. I � i ' __•�-_ _ Ti r Shoreline Length 1,13 SAy: not sure yes . no Sandbags: not sure yes no Moratorium: n/a yes no j Photos: yes Waiver Attached: (yes A building permit may be required by: Notes/ Special Conditions c T-T— 00 en "or Applicant Printed Ne Signature Please read compliance statement on backof permit" Application Fee(s) Chec ❑ See note on back re rding River Basin rules. )I 04/1(/2013 14:14 9198341071 THE UPS #2325 PAGE 01/02 FAX TO A) 6 u EF-u Po R-- F& R��e� 91� 'DArr, = )� Pjei ( / '7. ;2-o /,? 2 Su Bc-err• . i A7— ISO 14 v PO 29�0 j 4i j ;? c1 r7 — 3 310 col .aSo� eel( 04/171i,'2013 14:14 9198341071 THE UPS STORE #2325 PAGE 02/02 r SEN■ .,SECTION ' Compietelteriss 7 i', Atso comp(ate • • : A. 's fem 41f RestliI ted ks desired. Print your dame ahti' address on the ieverae 80 that WO can raw die. cmd to you. d Addmswe ' ,� .Attach this.a M tq the bock of the inail ler�, � or on tt ie front A b (Pted ' • `�,d� if. apace Rer Re. S ' 1. Aral*Added to:: ::D.: to detip a tress dilfArarlt:irdrtfRem 17 • ' fir., . tf deiivery addrees Mail... ETEMelm Mail i0'I C] Rstittn'ReCelpt tot Mom. z. Arfi* , A. R . f4turdyer• �.. �. . _ .. Aefivetyl(Qrtr$ j d Yes . .. .. 7007 1 49n DE _ 5589 Ifs. Form 3811 R Fabrtrary 2004. ' Dome tic Rmm'Reca pt'' {t1: ,... ''m►Piete erns< iteirt 4 it Resti�cgtgo Eeq' �olivery is:iias}r�dte A :;� Pt1nkYQru rra►r addns on ffiAt!erse, ; • so that wd.cen to you. Ageo d Addmssw Attach !f>is:.c .to thck ofe the mail race• or On.tha fhorrt if,.Spam AWMIta, P it ,. • 1. Attidv AcidresRed tip; : •' js' • � , dliferertt.frvrt3`tlerit 7 ■ + ? delivery beioW: 0 No ! �. • �d�cF��1fJ cr��y�5'S7.:.4?13 � ' rr,P�;[ I i Mail L7.Iristagd is Refum Receipt for hr►eror■ise i sli ' 2. A Nterrbea• • . , ` .. 4. •• 7007 1490 000 1931 5872 Ps Form'3811'; February 2004 _• Do.. Rem c ■n R8c l jpt � '' s o2sss az�h}s64o