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Home My WebLink AboutSmith, J. Thomasr,� M 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: 0 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 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 y2808/';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 .a;'' >.iai��'�'i ^i ��siud�C�:1:s:S1 tL,>it "1 il,: l:^• '-`} [>,'�� Applicant: Date: A Describe below the HABITAT disturbances for the application. All values should match 2thearne, and vunitsof measuremen found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance•total includes any anticipated . restoration or temp impacts) ) FINAL Sq. Ft. (Anticipated.final disturbance. Excludes any restoration and/or temp im t amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or terhp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount redge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑. Fill ❑ Both' ❑ Other ❑ Dredge ❑ 'Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill El Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ��i�=��!zs a �_�<��•�6?2>�D�1`3� .. �s��v.i�cce��!9Sa!li�a�a7��aa,4.,�e r4;'z'ii��';7� ��;�,��I��S1 RECEIVED MAY 31 2013 DCM Mo CTfy ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to � �� _ `s property located at /� yz� �(Name of Property Owner) Pv on (Address, Lot, Bloc l , Road, etc.) ' 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. _ y 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) WAIVER SECTION mooring I understand that a pier, dock, g 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) gnat re Si nature �-C Print or Type Name L ��' r I ,puoeH.�..p Vic- ?J ZZ-Pent or Type Name1(� . P Mailinq Address . , _ , . S ` IV • 7,S T, RECEMD MAY 31 2013 rim m cny ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to J.— sjVor 's property located at fog S (Name of Property Owner) on �� (Address, Lot, BI ck, Road, etc.) (Waterbody) in .1, N.C. (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc 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 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (A 'acent Property Owner Information) 9Signa re Si ature W Print or Type Name ' tint or Typ�,Name �,�,Br�� psi ,t� �� i ,� OVA®.l.,� 0 Mailing Address . , _ Lll Il I T-- 7- I w PR r.E e-,,/a9 M• OF PAGES , PAGE: North Carolina Department of Environment and Natural Resources Division of Coastal Management 400 Commerce Ave. Morehead City, NC 28557 252-808-2808 / 1-888-4RCOAST (1-888-472-6278) Fax: 252-247-3330 a Heather rri (Morehead City; Hwy 24 to Cape Carteret; Beaufort and BecIpfort ETJ; Atlantic Beach & Fort Macon; Newport (Hwy 70)) E-mail: Heather.M.Styron@ncdenr.gov RECEIVED `p 18 2013 DCU MRD My ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to UAME -S 144 P A& 4 S � 11-44 's '-p (Name of Property Owner) property located at a a 14 i 44�J K-H (Address, L t, Block, Road, etc.) on CAgAe-- , in-r6kW-n c CyA-erCkE j N.C. (Waterbody) (City/Town arid/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) '�`PL-X� T�a � i RECEIVED S E P 18 2013 DCM--MHD CITY I r5 i✓ nfs -n `Y'fG A+J D 7 I LI Cif C.s zz>"nc/;:�-, (-S&E -ATT*C— Eon to i l4G' 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.) oI do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) %gwture d es THofA AI -(H P 'nt or Type Name ailing Address ai4 a� 7� City/State&ip r�/ �- I/3 Telephone Number 9 -7-/.3 Date Property Owner y suocsic. Print or Type Name J 2-3 Pend Dr Malz g Address A �� 14:T I-14AVt cz-- Ctty/State/Zip Telephone Number q-7-2a13 Date (Revised 6/182012) A ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own propert adjacent to NY�4-Ak- E'S /f+ONk,A, �M s (Nqme of PropertyOwner) property located at i s o err) ZE �� (Address, Lot, Block, Road, etc.) , on in 3REACJ-4 `�—T N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. �t 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) + ri (L l NG s W -rN S17k L.L N t: vJ rf PL# , �2 0 z IV`.... RECEIV D ' SEP 2013 �5�� T-r�cF-�-�-� �2 VJ 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.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) ignature ZA4k-E-S 1igDnn,4s rent or T pe Name Mailing Address City/State/Zip 7a6L_ PI --S t '7� Telephone Number a-7-t3 Date (Adjacent Property Owner Information) Syagp�ature G Print or Type Na o st'e� Mng A dress r)AsroaV,a L Cit /State/Zip KIo- .2-7s Telephone Number—' Date f' D /-� (Revised 611812012) 09/16/2013 07:10 7044809326 PAGE 01l05 2119 E. D1x017 Byrd., RC), BOX 2367, S 7elepharle 704/484-7887 • Fax 7041480�elby, N,oNoYth Carolina 2875i�2367 wecar-shelb Y@bellsouth.net Fax No. (704)480-9326 CIN�,Eirl.NS11'I'Z'T�. .PLEAS_t DEL_TVER TO; NAME:. Fmm: FAX TELEPHONE. rz S, RE: SENT FPOM: ��0/1 TEL PJ,IQNB: COMMENTS: � I LI M R OF PAGF-S INCLUDING THIS PAGE; I:f you did not receive all gages, call (704) L� �� lti,��.ny� hn �'k., �''� ,c+, !'�ttir �*�l'k{.. Ir „T„��;I T,a�_{I��'1 ��'i i •' 1 � 7 � ��;' a �3 �,� i � r �^ _• � •k� �W .�r .� r, .� I � h � J` �igi �f � �'tJ¢ 4K 4 y�x Y'i<� T 1v I � i 4� !d .�: .f � t 1.: tea, �li��;i:aMS��p ir.A 9�lr,�� s W � .. .,. ,. ��r IJI fA 09/16/2013 07:10 7044809326 PAGE 03/05 ADJA_GIrNT RIPARIAN PROPERTY OWN95-STATEMENT I hereby certify that I own property adjacent to f HP S 4 's (Name of Properly dvrrner property located at l r1 i [.►h-7d f {Address, L Block, Road, etc. t� on , in f 4NTi B l A!A-2. EFT- (Waterbody) (City/Town a dior 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 all in description below or attach a site drawing) t•l 14 C-5 -;,'GPL•,kCY. 1�0�, mac' e 7Cl s -rl 7•f'G WAIVER SECTION 1 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.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 16 setback requirement. (Property Owner. Information) djacent Property Owner Info atl.11 on) lie et- FWnt or Tvne Name_ iL ice. ,4-�F�r+ � fir. . �CRylState%Zlp ; _,. 91- Telephone Number 9-17- f Dare ' R-57"t -L' -`72-6 r12 32, Telephone NUM6ber °— Date . (Revised 61161201-7) 09/16/2013 07:10 7044809326 PAGE 04/05 ADJACENT RIPARIAN PROPERTY QWNER STATEMENT I hereby certify that I awn propert adjacent to�+`�- 11�-talh lt1 's (N a of PropertyAmer) property located at I o tJ t_�, 9 � �tV`�iC 1�1Z 4- (Address, ot, Block, Road, etc.) on , in 74sW- '] ir; ,/0 G T N.C. (Waterbody) (City/Town anlorCounty) 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 ANDIOR DRAWING OF PROPOSED DEVELOPMENT {Individual praposing development must rill in description below or affach a site drawing) 'LA-C-C r''7�. t) )s, i ).., 4 J�7 f' + ` I L i nl` E s t, `N r a .L N eW � o Novi n( PLAi P 5E PP, . WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or grain 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.) If- 2V I do wish to waive the 15' setback requirement, I do not wish to waive the 15' setback requirement. (Property Owner Information) _�yyd (Adjacent Property Owmer Information) E�Q%TQtL!%L rffP" afore d� tyrrt or Type blamePrint or Type N8 e ailing Addross mo, ing A press Cifrly/Stete2l � ^ >� l Cif /StatelZ r Telephone Numbs r -- Telephone Number Date Date (Revisstl8/18/201Z) 09/16/2013 0,7 10 7044809326 PAGE 05/05 ....... I L - i .__.... _......... IL , I I I 1 1 I - I � , lJ, I 7. ...�- I I i I.. I I I - .t -...4- r