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Home My WebLink AboutDavis, Chris� 1 I I ._ � l•� s r y--� P* � L`x CAMA / ❑ DREDGE & FILL:9� GENERAL PERMIT Previous permit# [ New ❑Modification El Complete Reissue El 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 i Rules _._ les att�a hed. r" � Applicant Name t ' r. Project Location: County. Address I { ,'t. k Street Address/ State Road/ Lot City j: - u �° i a t 1 ; ' ;t` State ZIP ,?? Phone # !"' Fax # (_"r"""""" ' Subdivision Authorized Agent i ;l� City t='r 1 11 l i'. ZIP Affected ❑CW TA _%ES ❑PTS Phone:# r�) f" � River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A i r AEC(s): Adj. Wtr. Body + 1�/ �i t t t--� - t(nat. /man /unkn) ❑ PWS: ❑FQ �— ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity _ - - i f t'''�� r -'1 r' �' a _� J _ : 4. f ;. , . Pier (dock len h 5. Platt Fing Groi ulk Basii Boat Boat Beac Othi Shor SAV: 'Sand Mom Phot Waiv MEMNONCM OC►E�CiCUCCi UME SWUMEMiiiMMIMEN iMEN MEMO■■■ MENU man, i■■■■■.►�ERCe■■■■■■I■■■■■ ■CCCCCCCE ��ln®Q��.M'�.�■CEC�I+�i�Ji■�M1,+ �CCM�� avg distance offshore ■■■■M■ mom C■C■■CQCC■■CC■■ max distance offshore EEO■■■MME■■■■■EEEE■■■■■■■EE■■■■MEEE■■■■C ramp EEO■■■■E■■■■MM■■EE■■MEEEO■■■M■■EE■■■■■EE ■M■■■EE■M■■■EEO■■■OEM■eid■■■■EE■■■■■■■■■■ EM■■■EOEM■■MEE■■■■■■ilk■■OEM■EE■■■■E■EEEE M■MCMMEMM■■■MMEM■/■E I'�■■■■MME ■EEE■■ EMEMMM C■■■■EN■RRUM■■M■■■■�E■■■MMEMO I ii■1Z, ' ljl�!■■■EEE EE■MEET®�■■■■■■E■■■��fLtr',E■M■■MM=�M■■�■EEEE ■■ME�C�CCCCCCCCCCCi line LengthE■la1111 CCCCCCCCC■■■iiCCCCC notsure yes. ■�1�1193■■■E■M!■■■E!1■■Ml1Mf1EEOC■M■1.�.�.,1 !1■■■■ ■■■■M■l�S�J■■■LG1�'(J MMERNMENUMMMOM■r■Yi1i ii■OM■ �ags: not sure yes ' MEM■ENE■■NNOM lWMEMMEEMEMM■ME■■ ..C■■MEMMMM■E EC■■■■NOMMEN■■■CCan112111", MMM A building permit may be required by: ) i + � l( � ,'', ❑ See note on back regarding River Basin rules. Notes/ Special Condi ions Agent or Applicant Printed Name Permit Officer's Signature SignatuT,er * Please r6ad compliance statement on back `of permit Issuing Date Expiration Date Application Fee(s) / . ! t ChecfC # 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 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 [)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 ❑ 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) Revised 08/09/06 GP Habitat Sheet_... � . -., Name: Chris Davis Permit #: 65226C Date: 9/15/14 Address: 1510 Front St Habitat SF of Disturbance SF of Disturbance LF of Disturbance LF of Disturbance Shallow bottom 110 110 N/A N/A RECEIVED OCT 0 61014 DCM-MHD CITY ADJACENT RIPARIAN PROPER�TY.OWNER STATEMENT 1 hereby certify that I own property adjacent to C— t+� LIS 's property tooted at 150 ;;P�- SV (fie of Property Owner) on W tiS3Yt {in Infock, Y_�� N.C. (Waterbody) (CitytTown and/or County) The applicant has described to me, as shown below, the development proposed at the above I 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must HM In description below or attach a site drawing) LA Rl.:t61+136E RECEIVED OCT 0 61014 SEP 0 2 20% EA WAIVER SECTION DCM-MHD CITY —1 1 understand that a pier, dock, mo g pilings, g breakwater, boathouse, Ifft, or groin must be set cA back a minimum distance of 15' from area of riparian access unless w&ed by me. (if you wish to waive the setback. YOU must I ' ' appropriate blank below.) I do wish to waive the 1 s setback requi I. do not wish to waive the 15' setback re+quir+ement. (Property Own Information) {Adjacent on) • ' �/'it 1/A•�/'!.l ,�1 •'��j � �F•i' Cs . V 17.E1)Kf� >P,*4 orType Name Prot or 7)'Pe Name Malling Address M ,Adder 3G—�Gdi2��2vr, rcvKc= VA c11yistara0p G �°�/ 6 p a istare�zp�'�fy ss 6 Telephone Nurnberg 1 O 6 f o 37 X pTelephane0%71/4� Hare /2 -' Dafe (Revised 6✓1 2m) L� S � � j � A rti►' • �.� f �� ADJACENT RIPARIAN PROPERTY OWNER �STATEMENT hereby certify that / 1 own property adjacent to t,_ _ kZ—r=, -I�-�� l t 's property located at 1510 � � `jy (Name of Property Owner) on �y tc'��(Addr 5i-)jn . N.C. (Waterbody) (Cityfrown and/or County) The applicant has described to me, as shown below. the development proposed at the above have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT 7ndi'lridual proposing development must fill in description below oraffach a site drawing) WAIVER SECTION I understand that a pier, dock, mooing pilings, breakwater, boathouse, lift, or groin must beset back a minimum distance of IS from my area of riparian access unless %lived by me. If you wish to waive the setback. you must initial the appropriate blank below.) do wish to waive the IS setback requirement _ I. do not wish to waive the 15' setback requirement 'Cop t 7 7 Zenformation) (Adjacent Property Owner Information) Si.&ghjre.� • LlysJ �i4t/tf '`CJDk' •� A*d orT Nam Nam A D �72oclT" S�- 7S/ 9 ; ' Marling &-e- 1v G e--,'& M Ada ess City/5taielLip �Y R- p Telephone T Number 5 - 499d Date Af (Revised 6/1 til2012) RECEIVED RECEIVED OCT 0 6 2014' DCM-MHD CITY SEP 0 2 2014 a DCM MHD CTTY N.C. DIVISION OF COASTAL. MANAGEMENT AGENT AUTHORIZATION FORM Date I Az zn Name of Property Owner Applying for Permit: .1n LJ c H-v.- Mailing Address: �yIia>o', ,C• Z�St-� I certify that I have authorized (agent) -111 M 61 Iz t jk&'Es to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 4* EAWA A L.L_,. at (my property located at) l lGt d P ✓L-CMk-)T- C'7$' T-345A VGO 12-1" ,1c, 2ast�, This certification is valid thru (date) Owner Signature 811z1z,i4 Date RECEIVED OCT 0 61014 DCM-MHD CITY