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Home My WebLink AboutPope, Allen & Lori 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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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 _ ,,. iv...� .uiJ yljk�.....:f; i::4_ •.:u, ,�� :;,;s�. nr $ate N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FOR 4 *C E /I-,- E 4 % ;117 Date N�� CIVl�k�,"Y✓ CITY Name of Property Owner Applying for Permit: �1e_�J 2vo\j Pe, Mailing Address: I certify that I have authorized (agent)M4e(ZtC� ( tqg- C; to act on my lly�/' behalf, for the purpose of applying for and obtaining a Arermits necessary t a install or construct (activity) =16C sj en L)Q 1 , at (my property located at) 1.55 �►sh COXx0 LI�Q �oG' NCU+U-4 , N . C - - ;;� O This certification is valid thru (date) 0 I -Ilk //PC1:V Prop e caner Signature Date FEB 2 7 2017 DCM- MHD -CITY I hereby certify that I own property adjacent to ,yllm d- �/l1G�i1e Ili Pis° 's property located at "7 14!!�e on 9M d 4�� (Address, Lot, lock, Road, tc.) , in c,1 -, N.C. (Waterbody) (City own and/or County) TheaPPIJSV& has described to me, as shown below, the development proposed at the above locatio 1 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) 5 4 „011 0CM- MH 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. o� Print or Tjrpe Name L4Gf> �Dlt.�sJ� �'hGLj; Mailing Address .` C /Sfa /Zip Teiep one rer Date 121� If Date Property Owner L Ad ress ted- � l I (Revised 611812012) RECEIVED FEB 2 7 2017 ®CM— NVIHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to l t e- POP& 's property located at 3 A� (Nam of Property Owner) (Address, Lot, ock, Ro , etc.) on IF410a0( l n 11.t? 5 %L , in , 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) bee 6,v,-bvkW, �ee lol�,- kd, b( 11 look /Wcx 4kl Aod-,57 Af-2 'TY `y ,i l DCkl- NN' 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.) t t I{ 41Z 14- a I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pro irty2vn7 njo mation) (Adjacent PFgpgrty Owner Inform tio� , nn) Sigilature 4/!t., Signa e �d 'T7� /•oti Mic-he��O dr - L- �- V H H EmG%<<uRrn 14 Print or Type a � Print or,T,. Ype N me z�f7 /has Mail' g Address Mailing Address 3 �'Al H VOK-e r To.� Cif /State p City/State/Zip & 5 Telephone umbel /� '/ Telephone Number IO �/ D i ri `7 7J' ��Y' Date ? ! 6 9" nx (Revised 6/1012) NIECE i! E® FEgi 7-N-17 _