The URL can be used to link to this page

Home My WebLink AboutSmith, Roy{ f,a� .sr ,� ,sl N; N ej nd:'.. i' n r� �� f•:^ ..( wi4 t13 NELia.j.. A B p PERMIT_ Previous permit I Type of Project/ Activity Pier dock length Fixe Float Fing Groi Bulk asi Boat. Boat Beac Oth Shor SAV: (Scale: X/)K ) ■..■...■■■■■■■■■r�■■■■■■■.■■■..■■.■■.■■■■ :ng Platform(s) ...■■■...■ �wr��erl�.�■ ■■■■■■■■■■■■■...■�■■■ pier s :��I®�®:�1�®�►:�®�ICS�J�®��C:C NOR : nu mber ■.■■■l!�11tr•;■.■ r'FI■.■..�1■■■.■■Gig!■■■■.■■.■1>Ii.■■ length avg distance offshore_ ■.■.■ ■■■■■■ ■■■Mii►7..1■■.■■■■■■iL�� IF1,�7111�I■.■■ max distance offshore- channel ■■■■■■■■■■■�■r,>rr�■■■i�■.■■■■■■■■wA�■■tea■■■ ramp .■.■■■■.■■■ ■■�J.Ci■a■■■■■■■■IIIi�Llr7�i,1.'1:*�■.■■■ ■■■■■■■■■■■■■■■■■■r�■.■■■��■�■■■■■�:■��r��■■■ .C..=C......;�...■..■..........■.■■.■■■ i Bulldozing ■■■.■I■■■■■.ice■■■■..■.■■.■■■...■■■■.■.■■■ ■■■.r��■�►a�v■ ■.■■fir:�i■.. i■■■..■■n■■n�■■■■■■■■ LIM4 Length notsure yes . ■■■■■��llllilillr■■!►n7f■■■�■�■■■■.■■■Jr■■■1i■■.■■■ Moratorium: Phot Waiv j A building permit may be required by: ❑ See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) j Notes/ Special Conditions i ►F ° c' F/ CM' c r E> i : ' r It 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, certifythatthis 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 comply with 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 ZA MA /,Loe6REDGE4 OILL A B D ` GENERAL PERM IT Previous permit # 4 New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued s authorized by t-h4.Sta*e.of North Carolina, Department of Environment and Natural Resources,—,�•g� � id the Coastal Resources Co mission in a area of env ronmental concern pursuant to 15A NCAC r /01 4jWules attache :')plicant Name t 4r"� Project Location: County dress C rL Street Address/ State Road/ Lot #(s) @ d ( f ity State YCIZIP "d )one # a ) E-Mail pp Subdivision ithorized Agent fY ; `,... �' �' L.,� �''�� City t' � �- zip ° 3 � ❑ Cw A ❑ ES ❑ PTS Phone # () , a, River Basin °� ► fatted 11 OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A s tq =C(s): Adj. Wtr. Body .' �' " _ r'> man unkn ❑ PWS: t,, RW: ; yes /In l P.t4A yes /Co Closest Maj. Wtr. Body • r- .....■.mom .NNW ■Room ■■■■■■■■■■.■■.■ ■■■ ■■ Mop ■■■E■YEN■■■■■ ■■■■■■■■ .■..■: ■■■■■■■E■7MwMi-0E■■■■■■■■■■■■■■:■■IN M :::1 E�SIE11 0 i■■■■■■■■■■■■ma JIMINEMINNOMMEMINUIF ■■ �IMINE■ RNi► U■■��■■■■■■ �■■■■■■■■ w.■■ ■:■■:■i■■�i■■l .■■ ■■:■■■■..:■■::■■■.■■. ..:■■:■:■N ■■■■t/■■■■■ ■. p . ■ .■■■■■■■■R�'iIFA ■Wi■■■!.■■..■:■■■::■■:■::■::: ��::■::.m�.®:::■:::::::■::::::::■■::: M ■■■■■■■■■■itfiummi#■■■■■■■■■■mqw!! mm"m■■■ ■■■■■ ■■I#■■■■■■■■1:�i �aIMI Z11!I �l!■■■■ - .. .. ■®■rr■■■E■■■"EMM■■ ■��■■■■■��■■Y ■■■■■■■ ■■/E!�_ ■R nwiMU■■■■. .■:■::::�::MER■■■■■■■■■■■. m■■■■■■■■■■■■:■■■■■■■■■■■■■ .............■...■.....�•�-..� •■ ■■r�■■Y�Y�:■■■■■■■■■■■r■■■■III��1Ci111a1J�111aI�■■ ■■■■MO#i MMEM■■■■■!■■■■ ■■■■■■■■ ■■f�■■■■■■■ ■:::�E M :::OM a :■:::::::::■n:■■�.■■■■■.■ • = ■■■■■■■OM. A■M�►7■■■wlt!■■■■■■e:■�1■tli®�hJ■■■■■ ■■■■■t,■■■■Rill%FI��'/■■■■ ■■■■■■■■■■■■■■■■■■■■■ =::::::::::�:®::::::■:■::::■:::■:■::: .....■.� w;■■■■. ■■■■■■■■■..:■■■■■■■:■ Ta,ql4e-s /tlee�r4 0 n m � � n T o IV. O 0 M 7he �a �s e- �0 (u4 Ww-q- L % S5-5 IrA,745 MAR 0 8 2017 DCM- MHD CITY 1 l� -G Feb 22 17, 06:09p RTRental J 9196151686 p.1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to % �/� �rn, 's /�Y}- (Name of Property Owner) property located at/� C. e Wl�c Pollyl (Address, Lo Block, Road;tc.) on 1 Cif , in _ J1l C. /2re N.C. (Waterbody) (City/Town and/ r County) The applicant has described to me, as shown below, the development proposed at the above locati n. 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 M. o MAR 10 2017 oio _ < DCM- MHD CITY 0 M WAIVER SECTION Onderstand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16 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) s�/0W J) cs h'V4 Pri / y= Ma" Address t Telephone Number/email address -4--P-41-7 Date (Adjacent Prope Own Information) Signatur Print or Type Name ! Mai(/PU Ce-<& . })�.�;�nrff ✓. d City/lZip 9-se y - W Telephone Number/email address Date* (Revised Aug. 2014) *Valid for one calendar year after signature* Mar 08 17, 09:39a RTRental 9196151686 p.1 Feb?,? 9,C*:09p Mental 9196151686 . p.2 QM.CENTRJFPARIAN PROPERTY,OWNER STATEMENT i hereby Certify that I own property adjacent to D .Ss �y property Jocated at (Name of Properly Owner)L �%i2 ��% on .,( CA) f;Addrass. BI k, d, etc.�.)/ �n � lxCr. r�fV.C. (Waterbody) (CityJT n aifWar County) The appilicant has described to me, as shown below, the development proposed at the above locar. I have no objection to this proposal. I Have objections to th is proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (III&Wdual P gxw)n9 4100eloP RaW must fdl in dascripiion allow or attach a site drawfn,) RECEIVED MAR 10 2017 W&WER SECTION DCIM- MHD CITY I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, litt, or groin must be set ba(* a minimum distance of 15' from my area of riparian access urgess waived by me. Of you wish to waive the setback, you must IrtRW the appropriaft blank below.) I do wish to waive the 16 setback requirement. I do not wish to waive the 16 setback requirement (Property Owner Information) Telephone plumber/email ach*eas Dane "Valid for one calendar year after signature' ,aJh l�/1�/dv�l DudJ� Print r Type Name aMaM,GI'Qafi n/Hap-' �_ $4 /tic - 1. V (ram b►I Te re phone Number/ email address -' naW (Revised Aug. 20 t4) Mar 0817, 09:40a RTRental 9196151686 p.2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to,� .s {Name of Property Owner) property located at �� t�ec�i�2iyiNy� /vim on 1 C%1 (Address, Lo Block, oad, tc.) in 'Pr.AY NC � /2�erz>L N.C. (Waterbody) (CitylTown ands r County) The applicant has described to me, as shown below, the development proposed at the above locati I have no objection to this proposal. I have objections to this proposal. utSCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) RECEIVED MAR 10 2017 DCM- MHD CITY WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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) ��iXiG C/ S'iii,f '2� e f y N MajJi;r Address � /� a 7�.�5 C"I. to Telephone Number/email address �i7 Date (Adjacent Prope Own Information) Signatur *. Print or Type Namew City/S ate/Zip Telephone Number/ -email address a Via— 3-0 / ? Dale* (Revised Aug. 2014) 'Valid for one calendar year after signature* Mar 0817, 09:40a RTRental 9196151686 p.3 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: X-X'111 Mailing address: a-&t2 &_ Telephone Number: I certify that I have authorizedAZ145- (agenticontractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of ° ' Q"u /..� at my property located at This certification is valid through (date). (Property Owner Information) _ Signature Print or Type Name - Matta Title, co. owner or trustee for property -,� .9 —7 Date Telephone Number Email Address DECEIVE® MAR 10 2017 .. DCM- p L I MAR 10 2017 LLCM- MHO CITY