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Home My WebLink AboutPoole, Jr., James H.10" F MA 0 DREDGE & FILL Ml 66871 ENERAL PERMIT A B fC D Previous permit # ew EDModification ElComplete Reissue El Partial Reissue Date previous permit issued As auth A s autho ized 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 E❑I R�le , s attache Applican , t !`,�a m e Project Location: County Ai;ldress,, T i Street Address/ State Road/ Lot #(s) City A,, Stite ZIP Phone # Subdivision` , f-ail V rj D A k, Authorized Agent k", city ZIP 4.. "Y 0 Cw dEW N4 PTA DES 0 PTS Phone # P/i Basin; Affected *1H AEC(s): 0 OEA D HH1F 6 .1 0 USA El N/A Adj. Mr. Body 7�(:I C (nat /man lunkn) 0 PwS1 Closest Ma. Wtr. Body yes/ o yes / o PNA ORW: Type of Project/ Activity 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 Boathouse/ Boatlift— Beach Bulldozing Other -Qb Shoreline Length SAV: not sure yes (LoJ Moratorium: n/a yes 'h1Q Photos: yes tpo Waiver Attached: yes (no A building permit may be required by: ( Note Local Planning jurisdiction), Notes/ Special Conditions _44 (Scale: i ` } ) I El See note on back regarding River Basin rul�&;, A Agent or A pplicant Prigted Name I A Pe� itOffiper?s Printed Nam? <4 Apr SignatureC)** Please read compliance statement on back of Permit" Signature Application Che ck# Issuing iratio Expiration Date 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules El 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.nccoastaimanagement.net/ Revised 08/27/ 14 AMA / ❑ DREDGE & FILL, f , NERAL. PERMIT Previous permit# A B C D �5 w ❑Modification ❑Complete Reissue El Partial Reissue Date previous ermit issued autho 'zed by the State of North Carolina, Department of Environment and Natural Resources the oastal Resources Commission in an area of envir nmental concern pursuant to I SA NCAC ed phca t f*me ` + Project Location: County .( (rL u ; 1 ; d Street Address/ State eRoa /Lot #/ (s) Y to Z one # ^E-Mail SubdivisionVA oltied Agent' ted � P17A ❑ ES [IPTS ❑ OEA ❑ HHF p IH ❑ UBA O N/A la yes e of Project/ Activity (dock) length >d Platform(s) — king Platform(s)— ;er piers) m length— x- number 5head/ Ftiprap length avg distance offshore max distance offshore.::.:. 1 in, channel �'-...,..:.... cubic yards" , . t ramp £house/ Boatli$_..,---- City Phone # Adj. Wtr. Body_ Closest Maj. Win Body -eline Length F: not sure yes rio �• ~ atorium: n/a yes tos: yes o, -- ✓er Attached: yes no iilding permit may be required by: ate Local Planning jurisdiction) s/ S ecI Conditions 'i' <t✓' 1 l� y' I 'ji' a ,�-- a' .: orAppUcant Pri ed NameRe itOffi urp?N" Please read compliance statement on back of permit" Signature )goons� Feels) Check,* Issuing Date �."h:i..z,uG.9 ... ems,. <,_ ..0 _,_ ,w,W y...W ... ._..... ...., �. ..._ i.. .�._ ,... �..... .... ,i ,...,•... .....,..,a�..w,..s,.�y„ (Scale: nong�M��- )t�on'back regarding River Basin rul s 1 rv- Date May.17.2016 11:22 AM THE UPS STORE #2501 2527262636 PAGE. 1/ 2 AGENT AUTHORIZA ION FORM FOR PERMITAPPLICATIONIS Name of Property Owner Applying for Permit: o G --gtG C K Mailing address: Telephone Number: . Ivy �(p'91Pn , I certify that I have authorlied ��/ #100114 G Sf. (agent/contractor), dbcrf S. WC-6 to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of 410 p \ �p(it- Qt�� at my property located at This certification is valid through (Property Owner Information) � 0 Ij AIAR Title, co. owner o' r Crustee for property 1I. 14 - Date Telephone Number Email Address (date), RECEIVED MAY 2 7 2016 DCM- MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT .J74�1/E 1�'I • ��o� hereby certify that I own property adjacent to s (Name of ProlAerty dwner) property located at % i/IQST s % .� (Address, Lot, Block, Road}�etc.) on �J� owyn Q61X Sp�.�V�n �T-LI�.I�[ZLC_�� N.C. (Waterbody) (City/Town and/or County) The jappli ant has described to me, as shown below, the development proposed at the above 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) WAIVER SECTION . MNn CJTY understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, oPb 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.) 3 do wish to waive. the 15' setback requirement. do not wish to waive the 15' setback requirement. (Property Oyvngr Information) .(Adjacent Property Owner Information) Date S' ture rnt or Type Name Mai bg Address e� 2 s' ��41/ Telephone Number Date (Revised 611812012) s ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of Prope y caner) property located at 117 CIRST ST — ,� (Address, Lot Block Road, etc .L on %�� p�J�/ S„ ew in / / /� f /QCI� , N.C. (Waterbody) (City/Town and/or County) The applic 'nt has described to me, as shown below, the development proposed at the above locat' 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) 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) tre Signature Print or Type Name Print or Type Name FRO -Pa bo)e"S� s Mailing Address Ify/State/Zip Cify/ te2ip Telephone Number Teleph ne Number Date Date (Revised 611812012) Mar.11.2016 08:32 AM THE UPS STORE #2501 252726263E PAGE. 1/ 2 AMA / L�l DREDGE tt FILL • N. 66467 A B ELD ENE."- L PERMIT Previous permit# ew ❑MgdlQcatlon OComplete Reissue OPar Ial Reissue Date previous permit Issued As autho Wed by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commisslo 1 an a of en ronmental concern pursuant to I SA NCAC Applicant N Project Location; County Addre Street Address/ State R a4/ Lot Ets) City..._.. _ m State - ZI ._ - I Phone # Authorized Agent_-`— O Cw W �TA *S O FTS Affected Ai f ecte: OOEA 4 HHF iJ IN A O Ulm O N/A O ORW: yes / PNA yes / o Ilype of project/ Activity D-MCID I— UC) .► o AjL-1� , QQ n Pier (dock) length — Fixed Platforms) { t Floating Pladormtjs)i _� Finger pler(s) Groin length number �--'' _...Aa Bulkhead/ Rlpraplength %' I avg dlsonce offshore max distanto offshore Basin, channel -'• _— _ - •- _� --- —; cubic yards--~ Boat ramp Boathousef Beach Other Shoreline Length._,.... .P.......,,_, SAM not sure yes no Moratorlum: n/a yes no Photos: es no Waiver Attached: es no - A building permit may be required by: ( Note local Planning )urisdictlo� �)� Notes/ Special Condkion .1 1 sa ..�� Agent ✓n Application Fee(s) statement on back of permit'"* Goa! ..... Chock # City, ZIP_ Phone # (�r�1 ) ive'r _Basin I Ad). Wtr. Body l Closest Maj. Wtr. Body c 'Y.t�� ,- - I ❑ See note on back reftardlnit River Basin rules. ............ Signature Issuing Date Expiration pate Mar.11.2016 08:37 AM THE UPS STORE #2501 2527262636 PAGE. 1/ 2 r MA / dDREDGE w FILL N° 66467 A B C o EN ER�4L PERMIT Previous permit # ew LIMcial ication 0Complete Reissue ❑Partial Reissue Date previous permit Issued As autho zed by the State of North Carolina, Department of Environment and Natural Resources1A - 'Q ff) and the Coastal Resources Commission I an TafenIronmental concern pursuant to I SA NCAC Vule a Chia. Applicant N a Project Location: County�Q Address- A_ Street Address/ State a4/ Lot s) City _ State ZI� r; Phone # ) E_Mali'^•--- Subdivi to _� Authorized Agent CI _M , City Affected Cl Cw l 41 (' rTA L S 0 PTS Phone # ) I�OEA U•HHF 0IH ❑ USX ❑N/A � AEC(s)c U P I Adi. Wtr. Body OfIW: yes / : PNA yes / Closest Maj. Wtr. Body lj pe of Project/ Activity . Pier (dock) length _ Fixed Platform(s) Floating Platform(ts) r _ Finger pler(s) t Groin length _ number• Bulkhead/ Rlprap length avg distance offshore — max distance offshore Basin. channel cubic yards-- ____ Boat ramp Boathouse/ BoatUft �,_ II� Beach Sul dozing- ••• l Other Shoreline Length SAM not sure yes no Moratorium; n/a yes no Photos: no WalverAttached: as no A building permit may be required by: ( Note local Planning jurlsdictlop) Notes/ Special ConditionIx 11Q Agent t'/d Application Fee(s) rt.- nce statement on back of permit"* Check # asp ❑ See note on back 1 ZIP_ Basin River Basin rules. Signature ' - "`�`-' (� wD k-.,- Issuing Date Expiration Date