The URL can be used to link to this page

Home My WebLink AboutHarrell, A. JackAffected EW (,PTA ES El PTS AEC(sp. OEA HHF [IIH ❑ UBA ❑ N/A } ❑ P S: ORW: yes no PNA yes Type of Project/ Activity Pier (d < Basil Boat Boat Beac a Othi r` Shor SAV Mor Phot Wain Phone # Adj. Wtr. Body! Closest Maj. Wtr. erBasint (Scale: an unkn ■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■■■■■I ■■■■■■■■■��■■■■■■■■�■■■a■��■►■■■�■■�■■■■■e. cubic s ramp ■■}*■rw■■■■■■■■�■■■■■■■■■�■■■■■■■■�■�■■■■■■ E�■�■ PW0111 ��4 ■ ■■ �„""'" ■■■■■■■■■■■■■■■■■�I■�kll■!��■■Y■■■■■■■ill■■■■■ not sure yes ■:C::■:C::C= lLAWINME,1rlEl;R1■■ ■00 ■� IS: yes : OEM C■:::1 �wW■■■■■s; W Attached: Yes A building permit may be required by: ❑See nota1. G re n 'RSve�''BI in rrul s. , +' ( Note Local Planning jurisdiction) Notes/ oral Conditions Agent or Applicant Printed flame Permit {fice(r's Printed a C7 Sat u ead comp6ancestate. m'e�n"oiT6aekof permit.-' Signature ' Appl�cat�on...'�ee(s) C etk# Issuing Date ' Expiration Date r� 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Neuse River Basin Buffer Rules ❑ Other: 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 complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of 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 - South of New River Inlet - and Pender Counties) http://www.nccoastalmanagement.net/ Revised 08/27/ 14 FEB.21. 2017 10:05AM WELLSFARGOADV KN N0.9307 P. 2 MENT AUTHORiZA_, SON Fog. CAMA PERMITlePL1CAT_IO.� Name of Properly owner Requesting permit: A Qac L6xya 1 Mailing Address: . (0• � 1957 ....�--r.. Phone Number: .. '6060 —ea q T Email Address' ., n`Y`(AvX) 1 I certify that i have authorized Devi 491 60yys marl'?)e a' bs+n k Ur - Agent 1 Contmetor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits neCessary for the following. proposed development: 1441 a�r bu f k_he at my properly looted at �'4 13266 S 6�4. A+lan+1G b 1� inr_County. ] furthermore certify that l am authorized to grant, and do in fact grant permission to Division of Coate] Management staff, the Local Permit ofi`loer and their agents to enter on the albromentioned ]ands in connection with eva]uaVng information related to this permit application, Properly Owner Irormatiion: V Signature -Toak 1AA-'rre't kk Print or Type Name 1 0 �,�( 7i3do 01..111 _f 2-WT Data This Certification Is valid through , 03 ! 31 1, VU ®CM' M` FEB 2 8 2017 ®CM- MHD CITY I CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: I-Acl k . 1- mr,-&LL Address of Property: fly BIZUOKS a—ikGET-- ATLANTle ZEN-1 i4 - CAe.TE2�'i (Lot or Street #, Street or Road, City & County) Applicant phone #: a601 -3+45 Mailing Address: .3 i5 A i kFb2.T -IZUF! D Klrrs'"N' iJe, ai 5cnr I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with -this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at ww►w.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.) RECEIVED r; I do wish to waive the 15' setback requirement. FEB 21 2017 I do not wish to waive the 15' setback requirement. MHD CITY ®VM" Property Owner Information) wes~ tnformatian) Signature JA c to f- A UL& LL. Print or Type Name 3 t5 I}i P- PO P-T 1Z6 A D Mailing Address klos-rdN, N c. aSso l City/State2ip Telephone Number Signature Pant or Type Name Mailing Address City/state)Zlp Telephone Number HLLTIVED Date Date r e CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCAI) in writing within 10 days of receipt of this notice. Contact information for DCM offices is availableathttp://www.nccoastalmana_pement.net/web/cm/staff-listin_g orbycalling 1-888-4RCOAST. No response is considered the same as no objection if you have been noted by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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,V t® �fC 1)M1 Fv %1 I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requi (Property Owner Information) Signature Print or Type Name Mailing Address City/State/Zip Telephone Number/Email Address Date �gnature Print or Type Name 4 7 Mailing Address - wn) OX-1,111 RECEIVED Telephone Number/Email Address FEB 2 8 2017 Date DCM- MHD CITY (Revised Aug. 2014)