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Home My WebLink AboutSchultz, Greg41" -Z CAM J DREDGE & — FILL NO 6 7 r85 7 FA B 14C -,D L PERMIT Previous permit # N *'.QMbdifi mplete Reissue EJ Partial Reissue Date prev it issued 6W cation EiCo p As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of grivironmental concern pursuant to I SA NCAC '1,71 Rules attached Applicant Na !i Project Location: County Q(' -111- Street State Road/ Address -A #(s), N ZIP C city State v- Phone # -Mail Subdivision Authorized Agent v 1. 'A-:J i I city JPTA Riv Affected F-1 Cw 0 FTS Phone # J, S F fd AEC(s): El OEA ffkH 1� ❑ UBA 0 N/A Adj. Wtr. Bod El P)ws: Closest Maj. Wtr. Body— ORW: yes / r�o_ PNA yes/ "o t Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(s) Fingerpier s .. . ........... ... ... ... . ... ... .. ... .. ......... ..... ...... . ... ... ... . .... ...... ........ . . ..... ...... . ..... . ... .. .... ....... ..... ....... ... . ... . .. ... ... ........ ... ..... ... .. .. ...... ......... .. ..... ..... ......... .. ......... . ........... ........... ........... .......... ...... ... .. ..... .. Groin length Bulkhe4 U lkiprap lengt avg distance offshore max distance offshore Basin, channel cubic yarcls». - Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline 1L.6ngth SAV- not sure yes no Moratorium: n/a yes no' / . . ... .... .. Photos: yes p Waiver Attached: Yes �no A building permit may be required by: Note Local Planning jurisdiction) Not;es/ S eciaI onditions L Agent ora9p lica v Prilined Name j c_ V 10rkan .1w SIN INNNN 10001 IMENE INEEN IMENE INEEN 111000 IMENE imomm EJSee note on back regarding River Basin,rules. Permit0fi Qck�.Pr. cl,N, igr/ature —le e read compliance statement on back of permit a Sig at iratio��D e Applicationfqk(s) Chec5 Issulhe Date Y. 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, certify that 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 how to complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-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.nccoastalmanagement.net/ Revised 08/27/ 14 R REC wE OCT 11 Z016 DCM' MHD CITY RECEIVED SEP 21 2016 DCM MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own. property adjacent to 's (Name of Property. Owner) . property located at (Address; Lot, Block, Road, on N.C.. (Waterbody) m .. (CityfTown and/or County) s The applicant has describ6 to me,. as shown below, `the. development proposed at the above. location. [have no objection to .this proposal. have objections to this proposal..:.. DESCRIPTION.ANDIOR DRAWINQ OF PROPOSED 'DEVELOPMENT: (Individual proposing developr»ent Mq# fill'hn des ption bel w r attach a site drawing) C/: WAIVER SE:GTI;O.N -, understand'tfiat:a pier, -dock, moo mg pilmgs,.freakwater, boathouse, or groin must be set : x< 'lift, back a minimum distance of t5' from n%y:area of riparian:access unless waived by me. (If you - =. wish to waive .the setback, -you jrnusit initial the. appropriate blank below.) RECE T' ' I do 1sh. to waive the 15' setback requirement. S -P 21 2016 I do 'not wish to waive the 15' setback requirement. mini A (Propert wher Iniformatio (Adja rit Pr : y OwnHDCIT er in r a ton)f agn re - P S00(. .. Print or l E D. ype Name Print:or Typ�Vame a� a. . . �.- (��.6 .� .. Mailing Addr. e� s ,Main Address 0 C T 1 1 2 016 .rJPo27 City/State/Zlp C� IStat /Zip Telephone Numbere/ephone Nu ' ber 7 Date Date evised 6/18/2M) :' 0, U. ho . (f4— K.'LTION WAVER S I understand, that, a'pier,mdo 'kpilings, reakwa*, boathouse; lift, or groin must be set .0 , mQpr!ng � baqk:a M:iry_um distance . f ol - 15,',- from .:My. area o. -.n p.ananaccess unless waived by me. (if you ' wish to wa 0-1he.setback, t Initl 01U,Sh0.appropriate' blank below.). RECEIVED I d6.Ws'h to. waive. tli-6:16 setback requirement. - - j j SEP 21 2016 I do 'not WM to waive the 15setback requirement. Mu- BdIdD, CITY Y. Pro ert Am caner IM&I (A 'C60t Property Owner Information). ?tUre Sig re Pri Pr yoo'lVame [)ate 4tPrint -or TIy p- -N- e 111njAddre7C.t Ist*q% - le/g2h �e Nu,�I_erl,, DaM OCT (Revised 611812M) a AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION 1 f Name of Property Owner Requesting Permit:�"--- Mailing Address: Phone Number: Email Address: I certify that I have authorized clsc.�u/fztO—ef �yr✓1c,cv / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at �0.4 , in County. 1 furthermore certify that 1 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: r►►►n, v► ► ypu ►van►C Title Date This certification is valid through I I REC, " ED SEP 2 12016 DCM- IVYHD CIT R �� I 6- OCT 11 2016 ®CM— cs f.r CITY