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Home My WebLink AboutHerring, MikeG-- CAMA El DREDGE & FILL I—, k . I A Be" C D L GENERAL PERMIT Previous permit # Ot4ew ElModification OComplete Reissue E] Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources _7 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / -, 0 Rules atta 'hed. Applicant Name iV I Project Location: County Address 1! Street Address/ State Road/ Lot #(s) City. State ZIP Phone 4C,11617 E-Mail Subdivision Authorized Agent City, ZIP El PTA i5s Phone OCw ❑ EW OPTS River Basin Affected -A El OEA 0 HHF 0 IH 0 UBA ON/A I P4—:�'(n �at AEC(s): Adj. Wtr. Bodyt /man tunkn) 0 PWS: Closest Maj. Wtr. Body ;,i c3l i ORW: yes J'Po PNA (ye)s no Type of Project/ Activity p Pier Fixe Float Fing Groi[a BuW Basir Boat Boat Beac Oth4 Shor SAV Mor Phoi Wah (Scale: =ENN=NNEM lix K112ROUN EMININIMEMMEMOMMEM MENNEN length a MEN Emma pumber No ravg distance offshore max distance offshore MEOW MMEMEMEM MEEMENNE ,channel cubic yards ramn _MMMMM ME MEMEMIUMMEFAMM�UM ENNEWEREMMENEEN iouse/ Boatlift No MEN a MMMMM COME I-ol JBuildozing MEN �NMHUWWWM PWMNMMEMEMMM MENNEN NNMEWMMMM NOM=WOMMEMMEEMENMEM EMEMMIUMMMOOMMEEN imm�mmm=Nm�� ME so a= NNE .I o � notsure yes o ii �_� n/a ye INE■ 1011110=0110MININ rAvorc�ed! VA A building permit may be required by: flfl r,.k- Note Local Planning jurisdictiog), Notes/ Special Conditions 0 See notP9N FeffiNveQUYIes. 01* —4— )J �J or Applicant Printed NamA Slature "Please rea d on back of permit 'Application Fee(s) Check# PermitOfficer's Printed Name ij Signatu Issuing Date /Expiraejon 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, certify that 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 (252-946-648 1 ) 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/ 1-888-411COAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) (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.nccoastaimanagement.net/ Revised 08/27/14 Y^� i AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS NAME OF PROPERTY OWNER APPLYING FOR PERMIT {ail MAILING ADDRESS aC%liy A0,L,/ •t Q Rk-1 90 TELEPHONE NUMBER /4,/5J lod 2/) �G lrU I certify that I have authorized J-61 & Ce�TRWt��, (agent/contractor) , to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of (,jG (G 11540 ())c& at my property located at ; Z CI G.D g4 i Ghr cat (c , RO . This certification is valid through l/--Ag' - I I- (date). (Property Owner Information) kk 2Ek;"- Print or Type Name ,!!1 4.0 Nr-"k-- Title, co. owner or trustee for property A/ s, y--d 20 i.r Date Telephone Number RECEIVED NOV 2 4 2015 DCM- MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to %1Z' 7Za 's (Name of PropertJ Owner) property located at U r s /l 4 on f �, (Address, Lot, Block, Road, etc.) dew cv , in L -r-i72�' , N.C. (Waterbody) (City/Town and/or County) T' e�' app icant has described to me, as shown below, the development proposed at the above 1: ation. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing developmen s i / m d sic ,rip,tion below or attach a site drawing) 1 t WAIVER SECTION 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 EC IV ED I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Print or Type Name Mailing Address City/StatelZip Telephone Number/ email address Date NOV 2 4 2015 rty Owner I fo C a5inure �: 1' Print or Type Name al Al, It CO2aRlC Mailing Address A9r-,i p6xr l' City/State/Z,i� �ZZ a �S�D Telephone Number/email address 11.E /— i Date* *Valid for one calendar year after signature* (Revised Aug. 2014) k ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to /1r1 //A A�s2r1%-1 's (Name of Property Owner) property located at (Address, Lot, Blo oad,etc.)on 1-4 i9 L "'4 , in �� 3;Al09/) /M , N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above loca' I have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing developmen .ig i*scription below or attach a site drawing) LC4'r rz RECEIVED NOV 24 2015 DCM- MHD CITY WAIVER SECTION 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.) 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 Signature Print or Type Name Mailing Address City/State/Zip Telephone Number/email address Date :r el Print or Type Name / 24 N 4 M' / I r{ IPAIi?IZ 1210 Mailing Addnes City/St�IL.C& O Telephone Number/email address %/— ! ->e Date's *Valid for one calendar year after signature" (Revised Aug. 2014) A n -osx,-m -,Sti° ram! ® F— W U, U > 0 0 W c"CD _