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Home My WebLink AboutSpeak, Anna W.CAM A [I'DAEDGE & FILL Nw 07707 A B te C rD TG NERAL PERMIT Previous permit,# e,wv ElModification ElComplete Reissue El Partial Reissue Date previous per it issued As authorized by the State of North Carolina, Department of Environment and Natural Resources n,p& r. rms, CAC and the Coastal Resources Commission in an area of enviro np i J rRules attkhed. Applicant Name 1A V cation: County_i I Y" Address j,- l Street Address/ State Road/ Lot #(s) State ZIP City % 0..". i � I L1L '0 h Phone # (IF --J'-"'// I rMail Subdivision �) Authorized Agent ZIP It City Affected E3 CW N'JVW A [:1 ES' 0 PTS Phone # River Basin, 0 OEA HF ETIHE) UBA El N/A AEC(s): Adj. Wtr. Body i (nat /man /unkn 0 PWS: Closest Maj. Wtr. Body OIRW: yes -no 1PNA yes/ r ./J Type of Project/ Activity iA'! (Scale: Pier (dock) length as Fixed Platform(s) t Floating Platform(s) Finger pler(s)_ . ... .... ... ........... ....... ... .... ... . ......... .......... ...... ... ... .. ........ ... . ... ... .. ..... ............ ... . . . .. .... ...... .......... .. .. ............ ... . ... ... -- ---- ... ..... . .. ..... ... T . ..... .. ..... .. . ... ....... .... ..... .. ...... Groin length number Bulkhead/ Riprap length — — -- ------ avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift BEEN O rpwiriv.qioiroi lia, A Shoreline Lenath mmmmmsimmmmmmmmmmmms 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 I) 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 landowners). 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules ❑ 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 how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-411COAST 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.nccoastaimanagement.net/ Revised 08/27/ 14 CAMA / El DREDGE &FILL' �� 707 A B 'C i'D 67 NERAL PERMIT Previous permit# ,- eW ❑Modification ❑Complete Reissue El Partial Reissue Date previous p r it issued uthoriz d by the State of North Carolina, Department of.Environmentand Natural R ources the Coastal Resources Commission in an ea of enviro r 1 ' fir_ ce AC >, Rulel a eihe licant Na a r. ? .r � f, cation: County ffl res,s f ) Street dress State Road/ 4 - eLot #s () �)+ State ZIPS r r Pail Subdivision w ioriied Agenta �. ; �..�, ( i City ZIP f ... cted ❑ ES) ❑ PTS Phone #i W—MVRiver. Basin �.a e a, r ❑ OEA HF ❑ H ❑ UBA (s) ' ❑ PW ❑ N/A Adj. Wtr. Bod ia Q . hA (nat /ro'an /unkn) ) Closest Maj. Wtr. Body V: yes / r' PNA yes / \ n. } ie of Project/ Activity t ti' i (Scale: x;(dock) length ed Platform(s) — — — ating Platform(s) khead/ Ripraplength avg.distance offshore max`distance offshore 'in, channel cubic yards it ramp ithouse/ Boatlift Iweline Length V. not sure yes no ratorium: n/a yes #os: fiver Attached:' yes oq es o/ iujlding permit may be required by: 0fYf1i17g11�1�f110�11f .1 1 1 1 1 1 11 ■M ❑ See note on back regarding Riyer Bann rules. ■■ IMME ,e rears compliance statement on bacKof permit Signature Check# issuing date Expiration Date .l._.+a......m.�:i.:u.,.u..�.ea.�iu+h.1...S.rl �v. �..._. �......ra-:_:A,.xia�df .u....c, r.�+' ::(1 �'L.+(tv Y._rL..+G.:� �� w • , a s . � t � � • , -:�• -W .\��. .. `: aJ) _.•W�L1.<:uxuL.JrICi..::::: :]cw3un:.�.. .�...:. .. ... . .. . ..� .. .�. .. :: .. -..... AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:hr�x Mailing Address:�'� Phone Number: A5� 4, q 14 1 Email Address: (W'n sae I 0"T'nC", - c,om 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: at my property located at �40 `7 � rV\ . A*.,— 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: tune RECEIVED Print or Type Name Title Date This certification is valid through z JUL 27 2016 ®CM- NIH® CITY JUL 14 2016 ®CM- MH® CITY qh �,-RTIFJE PA.AIL RETURP4 RECEIp T R T RECEIVED JUL 07 2016 = OIVI I%-J OF COASTAL MANAGEMENT DCM- MHD CITY DJACEMT RIPARIAN PROPERTY OWNER NOTIFICATIONNIJAWER FOR ;Name of Property C-wpaf: Address of Property: Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & Coanthi) Mailing Address: I hereby certify that 1 own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A_description or drawing, with dimensions must be provided with this letter I have no objections to this proposal. I have objections to this proposal. if you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808- 2808. No response is considered the same as no objection if you have been notified by Certified Mail. C a8ss7 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.) RECENED I do wish to waive the 15' setback requirement. j JUL 2 7 2016 V I do not wish to waive the 15' setback requirement. (Property Owner Information) r0 Signature- A �d dA YY ,l.// p CO-> Print or Type Name Mailing Address rite"r-,,O G-t,- City/StatelZip Telephone Number (Adjacent Property Owner Information) G Signature Print or Type Name Mailing Address Qty/StatelZip 5 -,r&. 171 _ a/l--' I P Telephone Number Date G� �- /A /6 Date Revised 611812012 1 J CERT3;°IE MAID ' ET R RE EI T °ED "DIVISION OF COASTAL MANAGEIN ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT IONIWAIVER DORM game of Property 0a117,-,r: Address of Property: _ 40� 'Lan- s �1c�rs � C; 11(C, (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: I hereby certify that 1 own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing with dimensions must be provided with this letter i have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808- 2808. No response is considered the same as no objection if you have been notified by Certified Mail. 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.) r}'l I do wish to waive the 15' setback requirement. RECEIVED DECEIVED I do not wish to waive the 15' setback requirement. JUL 0 7 2016 JUL 2 7 2016 (Pro erty Ow er Inf r, ation) (Adjacent P 1Ap&4�M j M H D CITY � c ignat re Signature n r\ o, Y v Print or Type Name Print or Type Name O 1 12 i, n f.,S UGC'. Mailing Address City/State2ip --� as -'A_ a4a, al l Telephone Number ��9 J-�� 0 Mailing Address W-Guold City/State2ip Telephone Number Date Date �— l Revised 6/1 &2012 Oo&x 15 wf�v�2 3iG.��A 1 i i� RECEIVED