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Home My WebLink AboutStone, Ronald H.Y�`� ;x� .4 :��dk {Y �$A� S v IC r,'1�{ rol i�h :li1 C f 4�,X41 . fin' n x� � a� 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 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 94 Neuse River Basin Buffer Rules Other: 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 252-808-2808/ 1-8884RCOAST 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 PIa Fingi Gro Bull MP Boa Boat Bear Oth, ■■■■■■■■.■■nww■■■r�■.■■■.■.�,■■ n length ■!CC!■■■■r��s■eA■■■■r.>t.nnr��,rr■�ro■■■C■c� pie■e numbe ■ ■ i.rlil ■■A■■■ C000.11CCC■®C C .CC..CCC!lC.C■C ffs ore ..� .1■■■■cal..�N■�w��*�-a■wef�■■e■■■■■■■■e■w�■e�;r►■ l■CCCCCCCCCR�!l ®®®!C® ramp ■■■■■��ar��r■�C.■wee..■;■■■■.■■■®►�►� riouse/BoatliT---,■.'1111l1�1►►►\■CBuIldozin 1wi.:�■■■■!'.'r�ii nirwiiw�Cs".:�llarr7!]`iimil/ ■�1�'r�l�tn►�'tie:•�r�►�.�,■� ��■■■■■■fir �7■■■■■■■■■�■■■ �'M-RIOR OF. F�a"h' i!16PO !:111""!.':.NNOM■"1t?f11■>■■■■�■■■■■■■ A. s•sl+�r�.!1rild rs!/!�r3►v slwl�lr�ilSar�r�■■■■■r.7a� �■■ MINN ■■■■■.■■■�■■■�i■.Wi�Lir/■■]■■■■■■11r�®■®rim ■■ .■■■C■!!!®!CC■■CCClC!■lCCC■CCClC!!!CClCCCC■ A building permit may requi c Notes/ Special Conditions ! }}` r V J See note.en back Zver Basin tiles. f � ' N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date y • �— 7z Name of Property Owner Applying for Permit: \�� 0-� dad Mailing Address: 1 �, I certify that I have authorized (agent) G�r�l (" to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) Ct6 t %G This certification is valid thru (date) Property Owner Signature Date RECEIVED MAY 13 1015 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby cerQfy that. I own property adjacent to �T G�� --r -s y (N a of Property Owner) prr�perty_I�U¢esl at / t e /G (Add ess, Lot, Bionk.,,Road, c. on i,'� / <2� in �`��;s,�� `�,�it� �C N.C. (Waterbody) (Cityl;own and/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 west fill in description below or attach a site drawing) eV,& Al k,x, rx 42,10C 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 waivedby me. (If you wish to waive the setback, you must initial the appropriate blank below.) RECEIVED I do -wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. MAY 13 7015 F 47'K0,.-M1'1," ETv. (Property Owner Infor ation) (Adjacent,y Owner In rmation) Signaturq Si Print or Type m Print or Typ Nye Ak Pe /V e- : e_l� �- r City/St e CitylSt telZ1p Telephone Number Telephone Number Date Date (Revised 611812012) ,A 'UG-22-2019 23: 14 From: To:9108924245 P.2,2 i hereby certify that I own property adjacent to aVex (Address, Lot, 13ID4 on /a S P ° , in_ f (Waterbody) - Sz) e // 's Property Owner N.C. own and/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 rill in description below or attach a site drawing) 1:70 / $4 ylve . WAIVER SECTION l 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 Tdu-EIVED wish t (Waive the setback, you must initial the appropriate blank below.) MAY 13 1015 I do wish to waive the 15' setback requirement. f„•; �4�� +� I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adj' nt Prop rty Ow r info 7tion) 4� Si n Si cure o rJ.,4 L :5'ia Ale- Print or Type Name _ 1, Print or Ty9P Name �^ Date - lLZZ�- Z-30n RECEIVED Dare s A31� 920 — /r �2o 6' (Revised 611812012) MAY 0 4 1015 Ik'{`�'MIMHD CITY