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Home My WebLink AboutDurham, DavidCAMA UDREDr3E'& FILL GENERAL PERMIT i Previous it # I ]New ElModification ElComplete Reissue El Partial Reissue Date pre Pi rusper�mit issued As authorized bythe State of North Carolina, Department of Environment and Natural Resources -.7 �v/ / and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1-11 Rules attached. A i,I 1, .- I " -t I 1� Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City i 'State J J, ZIP Phone # Y-4 Fax #( Subdivision I uthorized 66t -, , -J-1 AZIP CW EW PTA ❑ ES o P-rs Phone Affected El — ) �. - I,, River Basin El OEA 0 HHF 0 1H 0 UBA 0 N/A 4 AEC(s): Adj. Wtr. Bocly---(nat Iman,/unkn) 0 PWS: El FQ OIRW: yes PNA yes no Crit.Hab. yes /`no,) Closest Maj. Wtr. Body of I -- Type Project/ Activity c" I i RE (Scale: Pier (dock) length CEIVED 7 Jt Platform s) Finger pier(s) Groin lengtf `% number " i` ` � Bulkhead/ Riprap length avg distance offshore max distance offshore —-: Basin; channel 4nel 7 cubic yards ot 1Y r ,I Boat ramp K Boathouse/ Boatlih (r,} x c. Beach Bulldozing . � Other j�,'--F V - -7- - -- - -- , - , 'Shoreline Length R , I , ISAV. not sure yes no 'Sandbags: notsu� i re yes no I Moratorium: n/a yes no I Photos: yes no i Waiver Attached: yes t n MOMMEEMON woommmmmommomommmmmmmmmmommomm EmmmommommmmmmomommmoMMMMMEEMEMMUMEMMMEM MEMMEMOMMUMMMMMENNEEMEMMMMOMMEMENUMEMlumpA■■■i��■n■i■,■i■■■■s■i■�� I ■�■■■�■N1111ii11� M Now HOINIIIIIIIIIINEMUSE 0 an MENEMMMMEEMEMEEMMEMONmmwmmmmmmmm■11101011001111101 mmommommmonomunnommumwommmmmmmommommommm MMMMMENOMMEMMMMUMMMMMmmmommoommmmmmmmmom mommmmmommommmmmomommMMMENEENEENOMMMOMIE ON■MMEMENOMMMEMENEEMMMMEmmmummomommmmmam A building permit may be required by: 7 I'l ry r, El See note on b;y!k-regarding River Basin Notes/ Special Conditions Ain-11 lei a, �V-- Ohbl6t�lp,& kal. O.,V-A'Uf-A 4-� e4,1 (gent or APplicapt Printed Name s 4,PemiitOfficers Signature . i ILI Io SignaturePlease read compliance statement on back permit" Issuing Date, Expiration Date A Application Fee(s) Check # Local Planning Jurisdiction Rover File Name El 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, certifythat 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 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/ 1-888-4RCOAST 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 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date -5-- �— //-/ Name of Property Owner Applying for Permit: :D,a,u (-� !\��j r �(,-,,,q Mailing Address: Pks C � I certify that I have authorized (agent) -'Q U p'Json to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) _� o,,) Sri' �dGk �a n S `� 1: at (my property located at) cr»'A P k�. This certification is valid thru (date) I-/- /— /5 W421Tsl Property Owner Signature Date ,�,; : Ii.ECEIVEB MAY 6 2014 pCM-NO WY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _ , t property located at /08 t�-ec/ (Name of Property Owner) rs (Address, Lot, dock, Road, etc.) on l Cha , in fl, Ile k-lrtl 5AOne , 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 rill in description below or attach a site drawing) (-e,)ark ey,.sk4� doc-k ) a �d rlvCJ -4S doc� 414 4-e w b,)"J— li A -Flat�n9 �Ic.-F-Foam � 13 ns dce➢yin9 /f0 MEMO WAIVER SECTION MAY 6 2014 1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin m set back a minimum distance of 15' from my area of riparian access unless waived by me4A*ITX' 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) Si nature r ,h ture LL 21 �� u��n� �� C S"i Print or �TT e Name Print or Typ Name Mailing Address " ►ling Address � gv)t s rvL ��sl � F, Ae- City/State/Zip City/State&i Q.sa- �y � 37� 3 (01 `51-9 og (R Telephone Number Telepponp Number Date Date (Revised 611812012) 0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to pG.0 i � 'i r .-, , 's (Name of Property Owner) property located at 109 ee J 1 • r -5 (Address, Lot, Block, Road, etc.) on �'a►-�c� , in P"Ir kao t! S , , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 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) ahC >Ett~c�n MAY 6 2014 ACM--M M CrrY 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) Si ature �— t "),rl Print or Type Name Mailing Address _Prs limo �as�� City/State/Zip , -5 2 041 W7s Telephone Number _I-/-30-- 141 Date r Information) Signature ofidtd- Kuty&�Cll-' Pont or Type Name ' Q � Mailing Ad City/State/Zip Telephone Number 1 Date (Revised 611812012)