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Home My WebLink AboutFletcher, DougAuthorized Agent.`. i�. "�:.111, I `. ( 1 � u� � # I f `Ylf1CjL� ��ity� HN f fs ZIP � �5J. CW *W �TA ❑ ES ❑ PT� / Phone # iver Basin (. Affected ❑ OEA AEC(s): ❑ HHF El IH ElUBA El N/A A r� f Adj. Wtr. Body r�4 So at i t \ nat an nki PWS- ORW yes / PNA yes / n' j Closest Maj. Win Body — Type of Project/ Activity <fC., t, LT ` / --r--- . I; �-. rc.-ie. ! 1j..M.�� 1 Finger pier(s) Groin length number Bulkhead/ Riprap lengthN� avg distance offshore--- max distance offshore Basin, channel - :0�11�11111111111:IIIIICI��111■�=■.111 SEEN ■■■�■■■■■■■■■■■■■■■■■ILIA!■■11;57■►�■�■I■■I■■■■■■' ■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■t�,tua■■■■■ ®1�11111111111111®■'��-'��I�IIIIIP�IIcubic IIi1 yards,v--, Boat ramp ■■■■■■■I■■�■■■■■�■■�■■rilMit'illll!'1!1■�Ti`�i�J■■I■®■■■■' ■■■■■■■!a■■■■■■■■■■■■■■■li■�r�r�■■■cam■■1■■■■■■ :.. BoatlikBeach ■■■■■■■!f■■■■■■■■■■■■�■■I�I�i1■■■■Ib71■■■■■■. ��■■�tii�h !■iY■■■I■1■ Ili■■rr/■1■■■1��ii►.�..wr ■■lFI�I:HL�■■■■ ■ Bul Other ;�. ■■■■1�%iht�iil■■■■!■■I■1//�1■■■■1�r11■IiiY�l■'■{lid■■1■■■®■■ ■�■■■■■I■■►�rli�L!,'■■Ir'■■■lilt■�iii■■■1lLU■■[1■■■■■i■■■�■■ Shoreline Length SAV: not sure yes .Moratorium: n/la yes o Photos: yes vo Attached: : yes �1■■■■■■1■■■■■■■i■l■■■1 ■■■1■;`.��i oil■I■■■■�■■�■�■■■■■■ 19■■■■■■1■�■■�■■I■1■■■1 ■■■ 1■i■iiii■1■1■■■■�■■■I■�■■■■ .■■■wiwwr �iwwi�i �IwI �R �ww� Awl lwi■►1i■I if l■■■�■■� �■�wl►\• ►�w�lelwl■I■ INIMIN1�:1:■■ MEW ME 1:1■■:111'Iw::::®1Waiver 1� 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, certifythat this 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 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 how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888ARCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet- and Pamlico Tyrrell and Washington Counties) 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) 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 CAMA / ❑ DREDGE & FILL S ENERAL PERMIT Previous permit# A B ew ❑Modification ❑Complete Reissue ❑Partial Reissue bate previous permit issued iorized by the State of North Cardlfna; Deparfine-ril of Environment an"`d Nafural Resources Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC r ❑j ules attaed. Project Location: County Name IC- _aled Stree�.Address/ State Road( Lot #(s) Al '' 13'(, StateZlP -� 1 ,,i/t ;_ # ( ! E-Mail Subdivision`_ ❑ ES ❑ PTS Phone #) ❑ UBA ❑ N/A Adj. Wtr. Body,# s Closest Maj. Wtr. Body �..4 ZIP River Basin (,Uqu is (Scale:. ! > I ) d+ ❑ See note on back regardin� River Basin ryles. peciar g.ona ons, r l y -*- A 4 ; k Y U41k 1 A V J / % : 't t ---- I. s plicant Printed Name PermitOfft is ' Int "d N lease read compliance statement on back of permit Signature =ee(s) Check# Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: AJC- Phone Number: -'1Z0 / Email Address: 2A-Jbu 14L I certify that I have authorized` Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: �o i� ��,o� ✓ 5 at my property located at A3 in 0co4-f,, - County. l furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature Print or Type Name D94"9rL 1 Title Date This certification is valid through & / I /' 7 RECEIVE® MAR 15 2017 c> 5 DCIVI® MHD CITY RECEIVED MAR 0 9 2017 DCM- MHD CITY 03/09/2017 09:50 9198516495 FAIRVIEW GARDEN CTR PAGE 02 i`IR�I-y-'�.'10�.r 1k7:�1H!-KU(�:f�l,l.b-IHtLYd.lta�b�.t�He•H �x32'��Cror iu:i�t�ioo-rr� r..� AIMACIM RIEA_RIAN PftgWERTY OWNFR SMMMNT I hereby certifj► that 1 own property adjacent to oet A r-L,rae,mA L 's (Name of Propedy OW 80 property located at- gia (Address, lot, Flock, Road. etc,) on _ . in anX .a�,Z. t rrJA e— . N.G. (warterbody) (City/Town and/or Coimty) The applicant has desccbed to me, as shown bellow, the developrnerd proposed ed fire above locati l have no objt'dlan to this proposai. I hove objections to this proposal. �11: WRIPTION ANDIOR DRAWING OF PROPOSED DEVO OPMENT (ingWduai Pf*p `ng d' opment *WW Atli In d pftn below or~ a aite drta*ingj U YIIAIVE,R 9��TICJ�AI I understand that a pier, dodo, mooring pi!'gp. bast romp, breakwater, bomhome, Im, or groin must be set back a minknum distance of IF from my area of ripartrt ®cues unless wowed by me. (if YOU wish to waive thO setback, you most Initial the appropriate blankRECEIVED I do wish to waive the 161 sedmck rewirement MAR 15 2017 . I do not dish to waive the I& soft& regtgfement (Property owner info maven) (Adjacent Proper"mer ip HD CTY Prft►t or Type Name Malting AWmm uylsfaf+e p 3A „ZAP — Telephone Number!emary addta8s --- -?-• 7 / 7 `Vaud for one oWandar year aftr sfgnaEure' (RS&Od Auk 2014) RECEIVED MAR 0 9 2017 DCM. AIH® CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ,00r,6 i=LSTG»AL. 's (Name of Property Owner) property located at 'L37 bA:j vf*w &a. (Address, Lot, Block, Road, etc.) on , in .47u,AAA edr, ,,, i. z. , N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above locatio . I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fll in description fielow or atfach a'site drawing) A! r� a WAIVER SECTION dl I understand that a pier, dock, mooring pilings, boat ramp, 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 E'VE REC I do wish to waive the 15' setback requirement. �V- I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature D oy& L A-Tc,,gr iZ Print or Type Name Mailing Address T City/State/Zip 331 _ 3,V.- u9e� Telephone Number/email address 3-- 7 l7 Date (Adjacent Property MAR 15 2017 CITY Sis azure *` p �J , iVi Co j l'1A I z— Priltt4r � Name Main Address 10s-�oaJ �%� ��dSO Telephone Number/email address Date* R E C I Aug. 2014) *Valid for one calendar year after signature* N1AR 0 9 2017 ®CM- MHD CITY