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Home My WebLink AboutPrigden, Jim P. & Smith, EvelynAMA El DREDGE FILL A 'B CCD .ENERAL PERMIT Previous permit# New ElModification []Complete Reissue OPartial Reissue Date previous pprmit issued New As a6thori ed by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of envirournentall cncer I n pursuant I 5A NCAC �—Aules attached./ I Applitant-Narne Yr Location: County Lef" �itc ate Road/ Lot\ #(s) Address 14 V �4((. Add Street Add ess/.S -Ik City State Phone # 5E-Mail Subdivision 11 ' Authorized Agent city `ZIP = Affected 0 CW \kEW *TA ❑[:1 ES 0 PTS Phone# iyer Basint. AEC(s): El OEA El HHF 01H El USA El N/A 6- Adj. Wtr. Body drat /man /unkn- 11 PWS: Closest Maj. Wtr. Body ORW: yes / (0,,/ PNA yes / no Type of Project/ Activity Pier (dock) length 49- Fixed Platform(s) Floating Platform(s) Finger pier Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore -- Basin, channel cubic yards --o Boat ramp Boathouse CB6atri'�) Beach Bulldozing Other CQem —At f, I I )p 7- ;3 L Shorefine Length, SAV: not sure yes, Moratorium: n/a yes QTo,' Photos: yes Waiver Attached: yes :no A building permit may be required by: Note Local Planning jurisdiction) NotS/,Special Co i)ditio—ns , %�' r —.:-,, nnmieati&i;Fe (Scale: F.JEVI I 0111F ML W91 E = _R V-/ ❑ See note on back regarding River Basin rules. -4� 'A'111 C.1,1 er s,Jrirqtem Name Na A J ure t I ,gate w,.; xpiration2b i 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 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) h�p://..nccoastaimanagement.net/ Revised 08/27/ 14 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: 440t 'gCair poiK44. Morehec�l C�=�-y,1�C 28SS�- Phone Number: q10 -$2tf --AsAg Email Address: _ i1 irvt.pl'tdge.�CGtna(wov�,�.cf- I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ti(OI'I'p li✓ O� at my property located at Z�0 ( -gk i r in OW-kC44- County. :� ! furthermore certify that / 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 Print or Type Name Title 1 / Date This certification is valid through 1 1 RECEIVE® OCT 2 6 2016 A�AC � T tat A AN PRO R Y C�1�1�tt TATEMENT I hereby Certify that 1 own property adjacent to � • ` � �• �i t � t +" �-� s ry (Namo rrf ProoWy 0 or) proPO4 located it � —a t' 4 t ti.. cn %�y p �p t d:,7i ss, Lrat a ck, rand, to) F/ taiLvOk5 t tl;G. rbody) (cltyliown. andibr County) w.. Tyapp'6-nthas described to me, as shown below, then development proposed at the above W ! have no abjection to this proposal. I have objections to. this proposal, DESCRIPTION ANQIOR DRAWING OF PROP0SED MELOPN ENT (Individual proposing development must fill in description below of attach a site drawlnp) WAIVER SEQTttaN I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back, a minimum distance of t 6° 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 16' setback requirement t do not wish to waive the 15' setback requirement C, �'13 (RevtsGd SIl8t�U12) RECEIVE® OCT 26 2016 ®CM— MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Mc, !TAwa.5 p, Prt'41(tv,,� s t -8 a if P � (Name of Property O eer) property located at .. _____.... �iG� �� (Address, Lot, B ck, cad, tc.), on_ ! 1� �f�, in�� t N.C. ( r ody) (CitylTown and/ r County) ThJappiea-nt has described to me, as shown below, the development proposed at the above loc 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) RECEIVED OCT 26 2016 WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, o ��11cccc'' back a minimum distance of 15' from my area of riparian access unless wa,09us . 0 CITY 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 16' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) iure awes P- P rt Print or T a Nan) Maifg A Tess C.iAm. 9C'- U" cry/ J�82-f Talop)jo a Pinber %)CliE .Si 7 iatJire Print or Type Name J� L °. y ietit Me Add, s ?uipel�. loll, /UG 2-75 /7 Crry to . ;� .r 1 o - or 3 5-7-6'102 - Teleph e Number (Revised 611812012) vim (t,Jqe-L- ;ose- as RECEIVED OCT 2 6 2016 ate,®CM- MHD CITY N* I. 1A tioc C I KUA[Sk mc & Wit# .y.. .