HomeMy WebLinkAboutPer Flem(Scale:
Pier (dock) length
Fixed Platform(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
Boathou s Boatli
Beach Bulldozing
Other
SAV: not sure yes (no
Moratorium: n/a yes
Photos- yes
Waiver Attached: yes (no
1AA -
A building permit may be required by: �O/
El See note on b2ick regarding
River Basin rules.
c I
( Note Local Planning Jurisdiction)
Notes/ Special C onditions
—7—
'Low' I
Nent or 1c4.Printed Name
PermitOff,cer s FkAtel Name
Sipat compliance statement.on back cif, ermitP*
lease read
naty Sig
'441icatib'n Fee(s)
lisuinjbat6'
E)I0i i6A Dat
rati 44
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, certifythat 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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
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MENNEEN
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e
Mar 9 2017 1; 31 PM3 3U No, 2392 P. 1,
C PER
APPLICATION
AGENT AUTHORIZATION FOR
r
AMA
Name of Property Owner Requesting Permit:
14�r
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
drri.j
8 .4594
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Q� '
In �Y i L
at my property located at
inoarl6j County.
1 furthermore certify that i am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
YPe M
Print or Type Name
Title
1_,�
Date
This certification is valid through — / I
RECEr NEE
MAR22all
®CM- MHD CITY
MAR 0 9 ZW7
1)cw wD CITE
Mar 9 2017 1:31PM No 2392 P. 2
v
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own adjacent to &A -r a IrzC 's
(Name of Prope6 Owner)
Property located at
(Address, Lot, Block, Road, etc.)
On %y� C,tI _r�,��..✓oc , in !�' .4t���a�P , NC
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the
development he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPESED DEVELOPMENT ATTACHED)
�'NSTlf�! Slv,•;r� � � j�7'S�i �f'T 6N ��//��iC�! 5����
Signature
e 1
Print or Type Name
Telephone Number
Date
RECEIVED
'V® MAR 0 9 Z017
MAR 2 2 2017 �M- "® CITY
®C�MHD CITY®
Mar 9 2017 1:31PM
No, 2392 P. 3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
4 S.
property located at .// G� (Name of Property Owner)
GG,� (Addross, Lot, Block, Road, etc.)
in-..l,r�,�
(Waterbody) - , N.C'
. (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to ti
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT
(IndlVicluaf;proPQsing developinert'.nust,tl/ii: descri `torr.:blow or:aita`cli `a `slte drawin
. P.. 9)
d�v ef
RECEIVE®
MAR 2 2 2017
®CM— MH® 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 unles v d b
me. (If you wish to waive the setback, you must initial the appropriate blank below. ' 'TY"
I do wish to waive the 15' setback requirement. U
do not wish to waive the 15' setback requirement,
.(Property Owner Information)
f�OZ /�/Ehi
or T e Name
�R
►g Address
City/state2ip
YSZyL
Telephone Number/email address
Date -
CA4_ C1
;Information) T�
Signature'"
I '
i�nnt or Type N me
3
Madiag Address
crfy/stetwzip 5 g
TelephoneJvum er/email address
Date
'Valid for one calendar year after signature' (Revised Aug. 2014)
ConnectGIS Feature Report
Page 1 of 1
CC}N N EC TV'r7 Carteret
t Printed March 10, 2017
WES HOSTING See Below for Disclaimer
Address Points
Parcels - Updated 03-02-2017
Cercerlires
aRailroad Right o` Vila;•
C-o�urz,+ Boundary
U
Other Courttr
<all other.,alues>
III 9667 Cart
f PIN
Acreage
Parcel Dimensions
Lot Number
RECEIVED
MAR 2 2 2017
- 1 DCM- M HD CITY
MIA
J1W
29 Feet
S:
The information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and other
public records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification of
he information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does not guarantee that
he data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services and access methods at
ill.
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