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Home My WebLink AboutMunder, PhilEI CAA J, Q DREDGE &I I LL Pot rAT�C/JA B C D GENERAL PERMIT Previous permit # QbNew 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 E Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City mState ZIP Phone # kQ E-Mail Subdivision AuthorizedCity ZIP Agent 0cw [�FW "CLPTA El ES El PTS Phone # River Basin, Affected E10EA 0 HHF 01H 0 UBA El N/A Adj. Wtr. Body AEC(s): i (nat /man /unkn) 0 PWS: Closest Maj. Wtr. Body ORW: yes o_ PNA yes Type of Project/ Activity (Scale: Pier Fixe Float Firig Groi `Bull Bash Boat Boat Bea( Othi Shot SXV Mor Phoi Wan IM�ImMIMEN 0 MIN I SKE Emil MIN INNOMMOM MIN ME MENEM= MEMO I MMElowwo"FIE man i�s�distance offshore max distance offshore hannel MEN FA ME SEE— ,c cubic yards ramp jouset Boatlift WAMM10 MISIMMINMENINMEN 1111M I NMI FM AMIN NONE ON N NOMMI Z MINNE A MOKENIN I Bulldozing ai� ■e ov■ ME it M ___NEMMMMMNM NNOU 'ME ENNOMMUNN MEMMONMEMEM ONE dine Length 0=10ME "IME REMOMEMMENE not sure yes 10 torium: rVa yes ts: yes b w "Uh :nr&v?c'fed- VP A building permit may be required by: Note Local Planning Jurisdiction) Notes/ Special Conditions AgenOr Applicant Printed Name " *It Please read compliance statement on back of permit" Application Fee(s) Check# E❑I See note on back regarding River Basin rules. f 7, ---- Signature Issuing Date Name Expiration Date z. 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 (252-946-6481) 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.nccoastalmanagement.net/ Revised 08/27/14 )-1 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: Tk t L M u t dew Mailing address: Telephone Number: 2S Z ' ZS —S$L� I certify that I have authorized _MQQ?-)cr�kizi" �IC�c{�gI; (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of VIM1i1 rac-er►�ZT at my property located at This certification is valid through (Property Owner Information) r4l f)A- 1 , Signature ' �--'1 ' Print or Type Name b----4 -- Title, co, owner or trustee for property z y 15 Date 2S2 "�ZS S:'N7 Telephone Number Email Address (date). RECEIVED OCT 19 2015 DCM- MHD CITY RECEIVED SEP 2 4 2015 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that. l own property adjacent to T � o M C+N of e tq is 11 & / I-) _(Name of Property Owner) prppprtyaocateo at°-t-J- :r.:1. ( address, Lot, Block, Road, etc.) on �'1�-1�..4,� �- �� , in iY� dr�e,L.ea,� tJ_ i N.C. (Waterbody) (City/Town and/orCounty) The app ' ant has described to me, as shown below, the development proposed at the above locati 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) 0 ►5� ivys L L(- r . � a TD'GiL a„RECEIVED OCT 19 2015 —� DCM- MHD CITY 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the,15' setback requirement. (Property Owner Information) S�- tore Tr ' , I YY7 Print or Type Name , Mailing Address 17n 6V E ti �� o L ti 1�,� 1� • C 2`a5S'� City/State2ip ZSZ ^125 5,74-6 Telephone Number Date (A ' cent Property Owner Information) S. Ema �/- . 'J�� gr Myp AAA ll el l ai�ng,4�d�ss City/Statte)Zip c� �� RECEIVED Tel hon Number SEP 2 4 201§ Date C/� J (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that. l own property adjacent to r h l) rn—,4'Vv-= IJ s (Name of Property Owner) (Address, Lot, Block, Road, etc.) on 17e ► in L4 L4 , N.C. (INaterbody) ' (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locati9fi. ✓ 1 have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 1->o G.k a RECEIVED OCT 19 2015 CCM- MHD CITY VVAIVER 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the,15' setback ..requirement. (Pro rty Owner Information) . .l.a Si tune h , (lam V M 0-0 Print }"olrType Nam e �t, iL Vd r� Mailing Address City/State2i I � Z5'Z -125 s� �� Telephone Number �w-�� \5 Date RECEIVED (Adjacent Property Owner Information) SEP 2 4 1015 ;-��P (Revised 61IM012)