HomeMy WebLinkAboutSmith, JohnAMA / ,SEDGE &FILL
A B D
NERAL PERMIT
iZ%
Previous permit#
ew ❑Modification El Complete Reissue El Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
NCAC
j /
/ J / ,
and the Coastal Resources Commission in an area f environmental concern pursuant
to I SA
_
.�
ECAules attached.
67
Applicant Name t°�'�
Project Location:
County
—
# d. ;
Address A 4 i_ ( 1 °✓`7
Street Address/ State Ro / L t #(s�
City. C. r g" r State ; ZIP?
Phone #) E-Mail
Subdivision
Authorized Agent
,r «
+" t
City ZIP
r A ?
❑ CW 09W f ?PTA -EIES ❑ PTS
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Phone #
River Basin - f j
r 1
AEC(s):
Adj. Wtr. Body
t .
! nat man unkn
❑ PWs:
ORW: yes � no `^� PNA yeti no
Closest Maj. Wtr. Body""
I
Type of Project/ Activity
Pier (dock) le--k
Fixed Platforr
Floating Platfc
Finger pier(s).
Groin length
number
max disc
Basin, channe
cubic ya
Boat ramp _
Boathouse/ B
Beach Bulldo:
Other
Shoreline Len
SAV: ni
(Scale: -' )
Moratorium: n/a yes V `,
Photos: yes �1
r'
Waiver Attached: yes n '
A building permit may be required by: -e' f �~ "`- ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions e r 4"V°'''� . / r"r 4"-.. '
AgLht or Applicant Printed Name
10
read compliance statement on back of permit
IV
Signatur/
L
Name
asww
Check# Issuing Date 4 i ExpiFation
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:
0 Tar - Pamlico River Basin Buffer Rules 0 Other:
El 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/ 1-888-4RCOAST
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.nccoastaimanagement.net/
Revised 08/27/14
.:.i r 1 N% i
is
TMA /9ZftDGE & FILL NIDO 7
�aN E RAL PERMIT Previous permit # A B D
?lew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,`. Department of Environment and Natural Resources
and the Coastal Resources Commission in an area f environmental concern pursuant to 15A NCAC J %
[mules attached.
Applicant Name `I� Project Location: County t..- di/'
Address . h Street Address/ State Roa / L t #(s�
City State ZIP ��(}+�/ I
Phone # G o E-Mail Subdivision
Authorized Agent r ,+�'�°�°` City, "" ' ZIP f y
❑ CW *-PTA .BLS ❑ PTS Phone # (_) River Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
ACtmanunk . Body. n
❑ PWS:
ORW: -yes no PNA ye
Closest Maj. Win Body
r
Type of Project/ Activity
Pier
Fixe
Floa
Fing
Groff
Basi
Boat
Boat
Bea(
Othi
Shor
SAV
Mor,
Phot
Wah
MININIMEM
0
JPlatfo
rLE1
ing Platform(S)
VA
mom
No
:.
i length
number
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■■.■■■■■.■
&'kiprap, length
cc.c:ccc.:cc
:
offshore
.....■....■....
max distance offshore.y
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A building permit may required by: V"T"' ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions Ior � C P f '/off ��^' rq ,E�kZ
!2
`.k�i+'joeli
111 rrr lll !!�
�r Applicant Printed Name Permit i er' 'nted Name
1 * I ase read compliance statement on back of permit Signatur
lion„ee(s) . Check# •Issuin Date Expii
i
r
Feb, 5, 2015; 3:13PM No, 4556 P. 1
/ RC-b
North Carolina-- '�
Department of Environment and Natural Resources
Division of Coastal Management
Nat M��Crory Braxton C. Davis
Governor Director
Date14gK
Applicant Name
Ile
Mailing Address
John, E, SI(varla, III
Secretary
I certify that I have authorized (agent :r ' to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
This
at (location)
Signg
400 Commerce Ave., Morehead City, NC 28557
Phone:'252-808-28M k FAX: 252-247-3330 Internet: www,nocoastalmanagemenLnet
An Equal OppoRuauy % Arfim1*4 ACOOO Employer
RECEIVED
FEB 10 2015
+cnn �mWr�j CITY
ne
Noc thCar21na
!
Feb. 5. 2 015 , 3,;13 P►M
No.4556 P. 2
A. j CENT I RIAN p
I hereby certify that I own proERTY 0 N R TATEMENT
p periy adJa � ,
property located at /,0_p ys -•„ ^ cent
(74or l. l,varne of proper O s
On (Address y wner)
lot, Block, Road, etc,)
(Watorbody) , in ,.fy4/
The applicant has described to (Clty/Town and/or County) ' N•C.
location. me, as showy below, the develo me
I have p nt Proposed at the above
no objection to this proposal.
�—�-� I have objections. to this proposal.
DESCRIPTION AND/ DRAWING OF PROPOSED
(Individual proposing development` must fill In
DEVEL,OPMENT
description below or attach a site drawing)
-J g
J Le
y '
�y
I understand that a pier, dock, mooring W V SECS i
back a minimum distance of.15' from my area of riparian access unless
pilings' breakwater, boathouse, lift, or groin must be set
Wish. to waive the setback, you must initial the appropriate blank below
waived by me (If you
-- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
(Property Owner In
4Suee
Inf or Type ,Name
Melllno Address
(Adjacent Propony Owner Information)
Si ure RECEIVED
�Ya���
Pdlnt or FEB 10 '1;
Mal toco�,.>���„�%� l'�^I � Q��,::�,N
Address o CITY
City/$tatelz
Z
(e.D-iIZ
Telephone Numbs
bate
r,
(Revised 611812012)
Feb, 5. 2015'.3:.13PM
No, 4556 P. 3
DJAC T
I hereb pARIgN pR
y certify T R T TEI NT
tY that I own ro
properly located at p party adjacent t
'T (Name of propery,
On (Address Owner) ,s
Lot, Block, Road, etc,)
Materbody) in f—;,Z
The applicant has described to me (Cilyfrown and/or County) N.C'
�Iocatlon. , as shown below, the develo m
���----_ I have no objection to this p ent proposed
proposal. at the above
`�-- I have objections. to this proposal.
DESCRIPTION AND/OR p (Ind/vidua/ proposing dove/p 101hia OP PRO P SEp
Pmentmuat fill d 4 DEVELOP
Mf=NT
escrlption below orahach a site drawing)
PRoP,
R;Ify p4A
I Understand that' a pier, dock, moorin W I S 'CTI
back a minimum distance of.15' ,
8 pilings;. breakwater, boathouse, Ilft, or groin must be set
wish. to waive the setback from my area of riparian access unless waived in m s If
you must Initial the approprlate blank below.)
( you
----_ �� I do wish to waive the 15' setback requirement,
— — _ I do not wish to waive the 15' setback requirement.
(property 'Owner-lnfo►matlon)
S re ,
nt or rYAe Name
Mailing Address
(Adjacent Pro art her Information
RECEIVED
l ' rarure FEB 10 2015
Y e Nam
Me llnn Ad roe.
(Newsed 611812012)