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Home My WebLink AboutPoyner, Margeret' W r � ,. '.rzwb r. _ �:,�a �, �. , .. << �,.... ,. :sxf'+,x rJ _..- 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 I) 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules Other: x 4 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 (252-946-6481) 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 Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑iH ❑ UBA ❑ N/A ❑ PW' ❑FQ ORW: yes / PNA yes / no Crit.Hab. yes / no Type of Project/ Activity r _ E Pier (dock) length Platforms) Finger pier(s Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel x� t6534 Previous permit # ae Date previous permit issued i ti itural Resources ant to I SA NCAC �< u es atta ed: (h Project Location: County q Street r ss/ St to RoacV Lot #(s) Subdivision City ZIP Sri E Phone # ( River Basin Adj. Wtr. Body '\ nat man unkn Closest Maj. Win Body �. (Scale: �! ) cubic ya>_,"_ ■■■��■ii■■■��1■iii��ii■i■■iniiv■�■i�■■i■ ■llti�tllill!■■■■■■i1:1■!■■iL9i■■■■■■■■LI%■■■■■■■■■■ Boat ramp ■■►��Itl1J1■■ll�■■!■�■1■■■■■■■■■■■■■■■■■■■i■■■■■ Boathouse/ Boatlift Beach= ..alp IN ICI:C=MORCH■�■C:■:C■:■C:C:■®■■■■■■■■E Other ®j�■■■■■■■■■■'i'!!`!:�■I■■■■■■■■■■■■■■■�■1111�■■■■■■■ i r r ■■■■■�i■■■■��■■!■■■■■■■■■■■■■■■■■��■■■■■■ _ ■■ ■■ i■■ii 011111■m`�u■ii■■■■■■■■IC-mer. ..,■■■®■■ i■■■■■I■■■■i■■I■■r■■■■■■■■■■■■■■■■■■■■NNE . • • _ `" ■�■■�{1`u��li�.�■■■■I��ri:ri��■■r■uirl■..Ili��llr.11lr■■�� ■ billifill _ /15i1 112 '01 MY MAME '7 "� .,msaaavm. e N NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director Date 3— / 2 — /J— �.ay'S oP %` 1's Applicant Name 0 Mailing Address a 6k 0 2nJ/A- M �-k C— PC a, 3 � John E. Skvarla, III Secretary I certify that I have authorized (agent) 114(e w"^ /1 ,-#t e e�� • to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) I Z°'Oi�->F %)g at (location) This certification is valid thru (date) Z2 — 31— /S` Signature lt— OA*r- oef 43 400 Commerce Ave,, Morehead City, NC 28557 Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer RECEIVED APR 2 7 2015 r'. RECEIVED APR 10 201" NorthCarohna Nahmally s I hereby certify that. I own property adjacent to ice° f'r-��—'s (blame of Property Owner) (Address, o , 1 , Road -etc.) (Waterbody) (CI/Town and/or County) The applicant s described to me, as shown below, the development proposed at the above to tion. 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 "n d scription below or attach a site drawing) 0S 0'0�uc 5� N �I sf 4 •"__k S --- W R�,PIacG G K �Za /LPp�'Of N 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.) RECENED I do wish to waive the 15' setback requirement. w 10 911 I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) JLA'AL�& X 10 SR` � l (� C�ia.M? Signature P,lip� Ty, � Print or Type Name Mjilin Mailing Address Sta e ip -D City/State Zip Telephone Lumber Telephone Number Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that. I own property adjacent to 's Name of Property Owner) preprty l��.ateci.t_L _ '. . you (Address, Lot, Block, Ro on � , in �. , N.C. C► `I (Waterbody) (City/Town and or County) 0 - rL The applicant has described to me, as shown below, the development proposed at the above IOCat,.. I have no objection to this proposal. 6 law- k o,/' 91 I have objections to this proposal. DESCRIPTION ARID/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in de ripfion below or attach a site drawing) fL n /ZO /4?0Na-)f 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. (Property Owner Information) -- (Adjacent Property Owner Information) U y/ tN S' ture Print or Type Name o? o E'oo/ S �? ai ing address a� Cgr—1 IoLE�,--- Teeph e umber Date Signature Print or Type Name Mailing Address City/State2ip Telephone Number Date RECENED ApR 01015 ��,�va-1v1l�Fd �Mv (Revised 61-1812012)