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HomeMy WebLinkAboutGranger, DougType of Project/ Activity 'loll (Scale: —Pier dock I Fixed Platform(s) Floating Platform(s) Finger pier(s), e0f, Groin,length number MENC�■■■■�■■■■■■.■■■■■■■■■■■■■■■■�■■■■■■ N mom NONE 1110 S 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 howto complywith 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 C/S1MA / w DREDGE & FILL d GENERAL PERMIT h A B C - D 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 I SA NCAC A ' Iicant Name s `' pp - 3a El Rules attached 3 Project Location: County - + Address;° a� r. Street Address/ State Road/ Lot #(s).�,�/f,�5';T City'j l A i , � A� � �� State] ZIP 3 �� :� O E Mail Subdivision _. t K Authorized Agent e 1 R { ; !4Ys g � � .�`" � ��, �; � ) }gam p �h: im , $ City ZIP Affected CW ''tfEW ' p PTA n,p ES PTS Phone # ( ) River asin ' ' '',) ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s):' . Adj. Wtr. Body (natF/ma /u kn) ❑ PWS: r 1 y e =` ORW yes no' PNA yes !go t Closest Maj. Wtr. Body � e of Project/ Activity XV Pier (dock) length. -Fixed Platform s mom ON MOEN No 0 No M M NONE M 01 max distance offsho re Basin, channel cubic yards 11MMIM1100111 NEE No M Beach Bulldozing ON EMMMENUMENEEMEME 1 NNEENNEMEMMEM EMMEMENEMEM ME MENEM mom r� PermitOfficer's Printed Name r Signature Issuing Date `Y Expiration Date Name of Property Owner Requesting Permit: 111\0156 Mailin:g Address: VAZA Phone Number: CAL Q-7" Email Address, I certify that I have authorized C, Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all LAMA permits necessary for the following proposed development: at my property located at NC �ZT'5!Z_ inCAe-4e-e'__1 —County. I furthermore certify that / 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: __��Ggnature LMOS�A R. Gee4aa& Print or Type Name L\N��'j-= Title Date This certification is valid through Co IL-a—L-201_7 01/02/2017 14:21 2527261562 BERT'S SURF SHOP PAGE 01 ►l ARAMUMBE&OW EBQEZW QWM STAVEMff I hereby c omy ! own pMperty+ adjmwt to O u 5 I xi 14, G auv2ge- ` 's pr($peft located at `-? .�6 fo 1 # (Mom* of Prop" owner) : 44 -T �2r4c-5 . N.C. . - (fir) (Cayrrown anditr Camty) The appont bw desamed io me, as shown betocnt, the oevWopmeRt p oposed at #w abase lo�tt/ ✓✓ I have, no obn to this provosai. I nam opjeoons to v* pmpcs^ OAR ANmit mAYvlme OF PROPCOM DEVELOPMMT (kpWml*mFpjWpomft dbvWWprrMW mttztt ON Art dBMW*Ow WSW drat a MO drOwkW �id'T'it�`6�r�i �S • v UiAM i cam that a pier. dock cnoo*V per. bW FM94 &Oakwatw, boa . Ok or gmu► must be at heir a mirienue3 didarsce of tv tram my area of dparim accom unless warred by ere. (it yov wish to waive ft seftm*c you must inMA the approp&ft t bebw.) t tto wish to waive the 15, 300"* titl i alo not wish to waWo the IV sstb'aek rayukenw t. @Rra m*,,owner Wo=w dwo (Add Prey Ownw fin) arrypenrame �q i(ct,.a�� 3�aci► releph W& NcunWhomai odwltesa 17- )2 - !fa VaQd for am cowriftr vow after abrmk " .10=0 ss , Sur' iAe.5 ��'�[�.vfivha, �• cc) v� Dm* is u )3x' uss5 K 1 Z,� Z4# 15N (Rovbed AUA 204) I hereby car* that l own property adjacent to 0 U 1165 , property located at 1 S`-7 L-« 6 jo 11,, {Name of Property Owner) (,Address, `Lo . ock, Road, etc.) (Waterbo�dy) N.C. (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. t nave objections to the proposal. DESCRIPTION AND/OR DRAVWNG OF PROPOSED DEVELOPMENT (1h& dual proposing developrtient tftt Win des�p#iort>befow or attach. a sine draw ty#r s�zI*'� P i14c'.- WAIVERSECTION i understand that.a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift or roin must be set bads a min. 1murn distance of 16 from my area of riparian9 me_ (it you wish to waive the setback, access unless waived by you must iniitiaf the appropriate blank: below. I do wish to waive the 15' setback requirement: I do not wish to waive the 15' setback requirement Owner tnformaiianj (Adjacent Property Owner information) 0e 1 r/ Print o r TType Name zp �n L t 4 'Z'- 'F) - � � tl Print r Type,name Add Afar%' Add 7.1 12 �k�er `dig",' �„1G�fc)lflG, CitylSCata2ip Gr7ylState ziip Telephone fUMberl e ati add mm l2� 1& iJats I elepWne Numberl ernad address *Valid 1br one calendar vow after stanaWW (Revbed Auy. 2014)