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Home My WebLink AboutMcLure, RobbieCAMA -U O-e, DREDGE & FILL J- -1 GENERAL PERMIT Previous permit # A B D QIffNew ElModification ElComplete Reissue ElPartial 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 15A NCAC IS Rules attached. Applicant Name Project Location: County_ AddressStreet Address/ State Road/ Lot #(S)_�--'7�1'�'-r 4 City State i",i zip Phone # E-Mail Subdivision Authorized Agent Y, i 1- City ZIP Affected 0 CW 0 EW p PTA DES 0 PTS ~ Phone # River Basin 0 OEA 0 HHF DIH 0 UBA 0 N/A !< AEC(s): 0 IPWS: ORW: y s PNA yes no: Type of Project/ Activity Pier (dock) length FixedPlatform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other — Shoreline Length SAV: not sure yes no ono Moratorium: n/a yes Photos: yes no Waiver Attached: yes P9 A building permit may be required by: Note Local Planning jurisdiction) - Notes/ Special Conditions, k k ,Kul. VVIEr. Body (nat a /unkn) Closest Maj. Wtr. Body — I (Scale: See note on back regarding River Basin rules. It iiR Agent orApplicant Printed Name Permit Officers Printed Name Sigalure . "Please read compliance statement on back of permittt-% Signature7- t 77 Application Fee(s) 6eck# Issuing Date Expiration Date Wb 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 ❑ 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/ 1-888-411COAST 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 _.. _, ,• .:fix. CAMA/0DREDGE &:FILL?, 674A B C } D GENERAL PERMIT Previous permit # New:' -OModification ElComplete Reissue ElPartial 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 15A NCAC t-j � j les attache . Applicant Name 1 (;tl/ 1 �. %�'�l MCP Project Location: County Address Street Address/State Road/ Lot #(s)C'fl)l) City ►/ �il2if <�jD� StateZlPgt3 l PhoneE-Mail Subdivision Authorized Agent P City ZIP ; ❑ CV1i' AEW _ i PTA S PTS Phone # ( ) River Basin Affected ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ WA AEC(s): ❑ PWs' Adj. Wtr. Bo(nat Junkn OR_ W . / no PNA yes tyn Closest Maj. Wtr. Body Type of Project/ Activity (92 f� Seal '• Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number . l ulkhea Jf ILps rap length . -ayg distance offshore max distance offshore Basin, channel . cubic yards .- Bcat ramp'. Boathouse/ Boatlift Beach Bulldozing �. Other r r ==IM_Y I IiNlm i lmmmmom ■■■■■■■ Mm�MMIFAMMMMMM MMMMMMMMMMMMMMMMFIM NOW, - - _ a�■■■�■■■■■■■■■■■■■■■■■■■■■■■ate■■r�■ . ■■■■■■■■■■■■■■ EON" ■O■E■■■■■■■■■■■ .■■■■O■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ i ■See note on back regarding River Basin ri • /1 MEMO NONE EN ■f■M 1 , N.C..DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 4— (S^ Name of Property Owner Applying for Permit: 11.1,5 C1YY1\rJJ• r,-5 WI�. I certify that I have authorized (agent) m up Qj vc.k-ETV2is t6 uS to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)P�9rT at (my property located at) A e—bnAD 44jz . This certification is valid thru (date) Property Owner Signature Date . r r,. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Te,bb ir. MJ rt is (Name of Property Owner) property located at 4-4C- (Address, Lot Block, Road, etc.) on C ,4►^- L , in N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) iao1� 10f- f_3 ih,•S w�A �I WAIVER SECTION I understand that a pier, dock, mooring pilings, 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.) do wish to waive the 15' setback requirement. ✓ I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) V112 Sq*gnature Signature ' obh,w_ l_i-,rz� Print orr-Type Name Print or Type Name Mailing Address Mailing Address T e l Lt (_ Rva•[.: i j d 'Ov e ;L i G City/State/Zip <Izq-1 _-U-1 Z City/State/Zip 9 i 9' Telephone Number Telephone Number L4- IS'— 7- 15- 1�- Date Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to o h„ V) c L,,,az s (Name of Property Owner) property located at) 4`6 x-: (Address, LoW-5 lock, Road, etc.) on ��►� � L , in , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above l7Zn I have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) .�N S'}'6 � I l�.f�w Se.�wn 1, .�1'"-%�i✓^T o � N t��iw5 /2 5 WAIVER SECTION I understand that a pier, dock, mooring pilings, 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.) Q� I do wish to waive the 15' setback requirement. do not wish to waive the 15' setback requirement. (Property Owner Informatlon) (Ad' nt-Pr6per yt—OiwneN ormation) Si nature Signgtllre � S r� o LU _ �Li Pilial� Print or Type Name Print -or Ty e Name Mailing Address Malg Address City/State/Zip City/Sta e2i� Telephone Number Telephone Number Date Date (Revised 611812012)