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Home My WebLink AboutPhillips, Clay C.'1gCAMA / El DREDGE & FILL GENERAL PERMIT Previous permit# T' New ❑Modification ❑Complete Reissue El Partial 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 I SA NCAC r, r Ppplicant Name �.i + ? i �?? _�> � Rulesrttached. Project Location: Countyy —" Street Address/ State Road/ Lot #(s) City'�) i{ �i�{{ State ZIP/y- ...j...� f7 7 t,. Phone # ( i_-'`fax #,(__) Subdivision IAuthorizel Agent i ' l }' City ' i . ' l.:' ; I T ZIP > t�� I ❑ evv xw )PTA El ES ❑ PTS Phone # ( ;,7 ! r, �_ ." ''i, di �-- ,) ,,iver Basin t Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): _ _.i } \p % nat A/man /unkn Adj. Wtr. Body �.�`� s ti { �_ ( ) ❑ PWS: ❑ FC: � ORno W: /(o!) Crit.Hab,,...yes4-no--^` / PNA _ Closest Maj. Wtr. Body ' , t ' ; • ! /` '1 yes yes Type of Project/ Activity `I'" i Y I (Scale: Pier ■■■■■■f ■■■®■■17■�i ■■■■■■■■■■■■■■ lengthr.■■■ ■■■■■►��■■■■■■�■■■■■.�:■■■■sue=■■=■i number avg distance offshore ■'::■■■■■■■■®:�■■■f■■�:■■■■�::: distance offshore ■�■■■■■■■■■®■■ ■■■■■■■/i■■■■■■■■■■■■■■ ■■■■■■■■■■■■ ■ ■■■■■■■■■■■■■■■■■■■■■max ■■■ ■■■■■■■■■/�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■��■■■■■■ NOON■■� ■■■■E■■■■■■■■■■■■■1■■■:■■■■■■■■ not sure (3yes' no i ■■■■■■■■■■■■■■■■■■■■■■■■■■■Q! yJ.l1l�■■■■■■rags:, not sure yes A building permit may be required by: \. f '( } r, ( Q See note on back regarding River B i' rules. Notes/ Special Condition R if It it l i i 7 t� i �.= t� ��t f �j" Y. r t :11': Agent orApolicantPrinted-Name Permit Officer's Signature Signature Please read compliance statement on back of permit ** Issuing Date 7 = f. Expiration Date J t Al. -� T� ApplicationFee(s) Check# . Local Planning junsdicdon Rover File Name 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, certifythatthis project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 0 Tar- Pamlico River Basin Buffer Rules 0 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400'Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above 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 -below New River Inlet- and Pender Counties) Revised 08/09/06 GP Habitat Sheet Name: Clay Phillips Permit #: 64124C Date: 8/1/14 Address: 213 Bay Dr. Habitat SF of Disturbance SF of Disturbance LF of Disturbance LF of Disturbance Open water 169 169 N/A N/A RECEWM AUG. 4 4 2014 DCM MHD CITY t�. r , • IL N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date %' 0-Ly —/�/ Name of Property Owner Applying for Permit: Ply /h�p S Mailing Address: 65-4 CAZ54r►'e Grote 611. CA Q,Ylpt�-e , /Uc I certify that I have authorized (agent) dbuck n, itto act on my behalf, for the purpose of applying for and lobtaiffningrrall CAMA Permits necessary to install or construct (activity) l hTl ' 0 f 1[ri'&' Dock at (my property located at) 911 &Zj) QXA-J MeW oOd iV . This certification is valid thru (date) S' .7l' O /y Property Owner Signature Date KCEIV,CD JUL 8 0 2014 AUG 0 4 2014 DCM-M mUrY DCM mim CITY' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _(U &,./ C . � 5 's Name of Property Owner) property located at l3 Qd, oc 'ng-'Cif,% (A dress, Lot, Bloc , R ad, etc.) on esWIC Sow,., , in _ lei" -�- t /V.�. .} -, 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) e ill 9; k;., a ', cxt Ski Do(. 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, ne.Allg 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. Telephone Number Date (Adent Property Si ature S h�v 7 Pti t or Type -Name M cc ailing Addres City a e/Zip Telephone Number Date nk (Revised 611812012) AUG 0 4 2014 JUL 3 0 2014 DCMMHDCITY Information) RECEIVED DCM-MHD CTfY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to A\/ r . � 1 „� (Q S 's (Name of Property Owner) property located at on (Wa own 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) } �� I1 PA% -I 9s aid 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 Wj &iyou wish to waive the setback, you must initial the appropriate blank below.) 7` I do wish to waive the 15' setback requirement. JUL 3 0 2014 I do not wish to waive the 15' setback requirement. Telephone Number Date Owner Information) Prin or TypeName Mai ing Address �� ju .L c'Z City/st /Zi dil ,7W ^ 9 y3o Telephone Number ? -dq- !t M��Date AUG 0 4 2014 (Revised 611812012) DUNIN.'10MY