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Home My WebLink AboutParks, JohnEl DREDGE & FILL QXCAMA GENERAL PERMIT Previous permit # NNew ElModification ElComplete Reissue F 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 15A NCAc Applicant Name WRules atta.ched. Project Location: County ;Address Street Address/ State Road/ Lot #(s) 'City State-A[C ZIP 0 - Phone #(77A-)!—5�'—"/) Fax# Subdivision f I 'Authorized Agent f C I ILI L CiuJ ty ZIP —LL —�Ie El CW EW PTA {U ES El PTS Phone # River Basi Affected -:I I 0 OEA 0 HHF ❑1111-11 D UBA 0 N/A AEC(s): r,% Adj. Wtr. Bodyr, 0 ,G-i`;/man 1 un n 0 PWS: 0 FC: -1 J) "' ORW: yes "- n Q101 PNA yes /, no. Crit.Hab. yes ffno 1 1 Closest Maj. Wtr. Body— I J Type of Project/ Activity Pier Plad Fing Groi Bulk Bash Bow Boat Bea( Oth Shof SAV Sanc Mor Phoi Wait rr (Scale: '.3() / ) J. to s pier(s)l��l��l��l��■�■�61!■■®!�■�■■!�l�l��l�lO length i number ,ead/ Riprap length M! avg distance offshore 'MEMO �1:l1::::1��RA HOME l=!!! max distance offshore— ,channel cubic yards_ liiliiiisiiliiiliiii�ii�ii■i!i■iilii■e ramp iouse/Boatlift 3 Bulldozing f r !ii!!!liiiliiiiiii�!!lii�■iiiiiia�■iiili' a�C®Cl�a:� �� MEMO l:E:aMMM111 not sure yes no wags: not sure yes no, torium— n/a yes no is: 1 11 yes n.MMM :nrA,r?6ed:; vas A building permit may be required by: i - Notey Special Conditions k�I" I See note on regarding River Basin rules, IF, 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-648 [)or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters. Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ I-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth Citv 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 -below New River Inlet- and Pender Counties) Revised 08/09/06 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date l / 22 13 Name of Property Owner Applying for Permit: Mailing Address: -,borA- N.C.. 2-)20S IIECENED DEC 18 209 DMI&M CITY I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) Do C at (my property located at) I Er 7 �S ' This certification is valid thru (date) Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to �0 _ �cn-�k--, I 11,F � � - (Name of Property Owner) property located at t z (Address, Lot, Block, Road, etc.) on -,in W-S , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I 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) 1 j v, t aoG te- A'9Ac 1,tL% ��... i,"SS REM[ t DEC 18 2013 F DCA1h Crry 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. 1 do not wish to waive the 15' setback requirement. (Property Owner 'fit,,,, -� L,SA `YA,c.KS� rt Print or T pe_kVam�c M ' ing Address City/Stategip Z� Zy P. [ S TelephJone Numbers 2 �q Ae� 17 Date (Adjacent Property Owner Information) �i . lqw SSignatu e A T7�.iAco,,.s '1��4c►7 Y�'►'1G��-.fc^ ICtSSd c . P 'nt or T e Name c7, I S Z�S 12 lin Address �°Z/�-) 'P s4 O i Telephony� Number Date 10501+�� (Revised 611812012) Cn 0 N w ,/Dock width depends on piling aiameter, between 5'6" and 6' John & Lisa Park 111 Egret Lake Road Beacon's Reach Pine Knoll Shores 336-312-5220 01 7 =I-3' Seats \Table with with backs Rim 16 teps 2 0' Platfor above water