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Home My WebLink AboutHorton, DavidQCAMA / ❑ DREDGE & FILL A B C t D GENERAL PERMIT Previous permit# :F C , ew ❑Modification ❑Coin Complete Reiss []Partial Reissue Date previous permit issued j nl. P P 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.i- EJ Rples attached. Applicant Name t! l Project Location: County Address ' ' t i ! Street Addr_esss/ State Road/ trot #(s) 1 �, j s s l Ci �� ' t �- ��`�{-'` i f ' � t � State 1 ZIP Phone # ( y �'?y) ''1j "�� E_Mail � Subdivision ".,/ -\' 1i / 11 t ` Authorized Agent ( ;. t �1 �_.�--_ City ' 4fy ( ZIP 1 � ,,ram' L � y f j.' )kcw AW A ❑ ES d PTS Phone # ("' + fi) �{ r ! t'r? .River Basin Affected El. OEA❑ HHF ❑ IH ElUBA ❑ N/Ait AEC(s): Adj. Wtr. Body ,� t � ,{. •. i � {� t '(nat /man /unkn) ❑ Pws: i r Closest Maj. Wtr. Body ORW: yes /;no PNA yes /ono f Type of Project/ Activity Pier (dock) length INN IN 10011111111MIN SOMME HIMEMEN Uh, ENO INS IBM ��' C:.� .: mommmmmmMEMEMEMSEEM IOC �� ICC 0 mom F MEN MEN MEN En ENN=ENNENNmni ONMENSWEXHIMIMEM9, NONE an men mom ffi mom M MW NEON No ON %Mmmlaw MEN M 0 MEN ON ONE MENON.F.IOUE ON SEEM so Agent or Applicant Printed Name Signature **-Please read compliance statement on backof permit Application Fee(s) Check # PermitOfficers Printed Name Signature Issuing Date Expiration Date 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 landowners). 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 ❑ 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 complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-8884RCOAST 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.nccoastaimanagement.net/ Revised 08/27/14 N.C. DIVISION OF COASTAL.MANAG.EMENT • ' , AGEN"I AUTHORIZA7`ION FORM Date 2 �f S RECEIVtD Name offroperty Qwner Applying for Permit: MAY 2 0 2015 A-r xin4 kalling Address: r certify that I have authorized (agent) L '"' �F S to act on my T2i� belialf, for the purpose of applying for and obtaining all CAMA permits necessary to , install or construct (activity)-- at (my prdperty located at) T3L• A", T� n✓Tg (") Wto R. &t+CA-T) C'Ty N1 C 2gTs-7 i r f .. t • This certMeallon is valid thru (date) Property Owner Signature Date • L2jr1��; .9i.. . C9 !" 133A _E;;ITRIPARIJ: N PROPERTY OWNER STA rEAAEI 1 hereby cerl fy ° is I o%kj i f: operty adja i ant t Han: 716.� /�(Name o trperty Own prb0ertTloG- per.: at L:L riVcwl-� • O� (A ;idress, Lot, BIc �c Road, ed: on " G " r� j' i ('-Mr (City/Town andfor Cot Thyi ap� car `. has j ,s r) , Me. ty) test: ib::d to me, al. shown below, ! ie development propose at the above I ia e no ot,, ection to th'; : proposal. a . I I ta. a oia ec I ons to this : roposal. I E::'.CI IPTI M AND/OR C CAWING OF Pf' (IncVividual-j ruy: o, Ing dbi,--'Iopment r ,usf fi(in desc! 1 1 AIVER SECT11 !I4. I ur*trstand hat s Fier dr ck, mooring Filings, breakwater, boathousD lift, or gn backia minir, jri dstan>3 V I51.from my area of riparl a n access -unless Waivec wish to waive : the s -:) bat _, I,w must in itial the appropr ate blank below.) 1 3' G. got k attach ,f,'8 :) m i, h t0 w aive the-151 setback requirer lent. ( d o r o t w s� hi waive the 1 S setback req.i i-ement. T :ite drawing) y me. (14ou 'yqy F��Fo 2 (Pr6oerty O ion Br l n onn a'j4m) (Ad je.cent pei j* Owner I i irmation) Sig�lutttttn�' �,, A !k �a Sig� NZ ,, 014 R0 brType IAr a'^ 'iTe AN,am MNA� Maabto I dda U CifydrSiate2iF _ Ctta 'S mate j10 �2 Telop NI ur f et TeH •p Nu Date Da e (Rr 1 -,d 6/1W012) rE :)JA-31," ITRIPARI I N PROPERTY I)WNE STATEMEIV 14 J 1 h*eby c:er : fy l is 1 ! ow I !') npetty adj� ii ent t p Is w; �• ^� r i (Name o operty Or) —� prdymuly-loc a e+i a•F'' - p r �. •,� +, C�' (i ddress, Lot, Bloc Road, etc _ on . a C l f{1in �'N;i:erti�d�ll ` , N.C. (City/Town andlor Col ty) I appli i : ti.;s iesr. ib, d to me, a:; shown below, I ie development propos( at the above i 'on 1 is , a no ola ection to th i : proposal. I I is . e of) ed ons to this 1 roposal. E:_;Q (Ind duals ngc,o: IPTION ANDIOR C,° iAWING OF PI: `g dell '1aopmentVUst Min desci 9E. U kvb L27 ,, `Tom,,,4T�,, l �''--'� .' YJMAR SEC71014. I understand -11-d a Fier :1c ck, mooring pilings, breakw filer, boathouse lift, or gr badda miniri jr) d elan5e )I' 15'.from my area of riparian access.unlass w.-iivea wisth to waive : th = s :bad,, jou must in iflal the appropr ate blank beloK-.) � ��GENEU I d 3 H c.h tow give the-15' ;otback requirer fie-nt. MAY $ 6 �015 I d 7 r at wsh AKz to waive the 15' setback req ii-ement n�' '' � ( C,t attrch (Property O ai n br I i °onna!:k)n) (Ad j*.ce t Propert t Owner I 'H14\. Pdn 6r Type J'i fir, 15 v /_ Rif. c: r TypTa Ma11ng Addr� .:: - il :'fix -C o" Mapi C z 7 CVfetelzip TekWlne 1 rr t-or yy / TeH l r.X lone Number - -- Dare: Dw T :ite drawing) Y. me. (Ifiy�u '�rr��01415 irma— b 2S�s� (Ri �d 64WO12)