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Home My WebLink AboutThuringer, Jason & Nancy�4 2 A TV ;*,PRE6,GE MA &F ILL 67012 A B D -PENERAL PERMIT Previous kautho permit # New ElModification ElComplete Reissue ElPartial Reissue Date previous ermsued,,,, As i e As auth ized by the State of North Carolina, Department of Environment and Natural Resources l and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Applicant Name Project Location: County f iules attach�d�, Address Street Address/ State Road/ 1A ad/ Lot # City A State 1 ZIP Phone # Subdivision -Mail Authorized Agent "..—I �J A. city ZIP f I ��, " i,�' ED Cw )kjew PTA ES El PTS Phone # Affected \�IIH Basin AXiver n. El OEA F UBA E) N/A AEC (s): Adj. Wtr. Body I I( All n at 4man /unkn ❑ Pws: Closest Maj. Wtr. Body ORW: (_�es I no PNA yes Type of Project/ Activity (Scale: Pier (dock) length V Fixed Platform(s) Floating Platform(s)-- 4 Fingerpier s . .......... .... ....... ... .. .. .. ....... ... . ...... ... ..... .... . .... ... ... ........ ... ........... ......... ........... ... . ..... ....... . ........... .. ...... ... .. ......... ... ......... ... ..... . ..... ... ... . ..... ..... ..... .. ..... ... .......... ..... .... ........... ....... . .. .......... ... ....... ........ ... .. ...... ......... ........ . . .. ... ....... Groin length number, Bul rhea' i*prap length avg distance offshore atil max distance offshore Basin, channdl"- cubic yard-l_, Boat ramp Boathouse/ Boatlift---, Beach Bulldozing Other f r I Shoreline Length X1 SAV: not sure yes no Moratorium: n/a yes Photos: yes no Waiver Attached: yes no,' A building permit may be required by: Note Local Planning Jurisdiction di Notes/ Spef, Conditions -1 AAA Y �-Ytf I iiA Agent or7pPrinted Ante PermitC Signature ease read -compliance statement on back of permit** Signat 1 _IA s s E]Sep note on back regarding River Basin rules. F r 1cer's Printed INarno 4 tte 7_4 ration date 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 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 El 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1 888-4RCOAST 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.nccoastalmanagement.net/ Revised 08/27/14 $.C. DIVIS►1014 OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM DaLt Name of Property Owner Applying for Permit: S a6a v� Jq r`' � e'✓� Mailing Address: c C�o I certify that I have authorized (agent) 'f�YJ � �'� act on my hehalf. for the purpose of applying for and obtaining all LAMA Permits necessary- ali or construct (activity) Ltheo(- Q , e, .nsL it t my property located at) � 2 3 �e_ar 'A, Veal ftp)&,cc IMIN RECEIVED SEP 21 2015 This certification is valid thru (Gat,-.. Date tverty. Owner Signature RECEIVED SEP 18 1015 PA71R t A �H P R 0 -7 E FZ1 T Y -o if vi a- M4 T kq —sw i 1h gra-by certify that I own property adjacent to (\J G, s (Nliamne Of 1�oDer4-'F own --proper"i !Ucabc-�d 81 A)(,. vX 15�67.7 o Y 'Addrass, Lat, Block, Atoad, etr-) on J CA. 1% in A) NCH-WITorun and -for C'�ounit') The applicant has described to me, as showrt below, the development proposed at the above ;0 ti i have no objection to this proposal. have o is proposai. bjections to this DESCRIPTION ANDIOR DRAWING OF PROP08ED DEVELOPMENT tindividuaipropc�5irty devalopmient iwast fliff in descripffari behow or attacih a slta dn- Tvhn�g) -o A- k r 7 - , i I N-A1,. P c, & v\e a t (A C erne t i understand that a pier, dock, mooring pilings, boat ramp, brealkwater, boathouse, or groin, must be set back a minimum distance of 16'1 'rorn my area of riparian access unlesswaived by rne(Ifyou wish to waive the setback. you must ird-iial the appropriate blank, below.� d ? -- !do wish to waive the 15'setback requirement. I Rio nnA- wish to waive the 15' setback requirement. owner information? (Adjacent Prod 0 �r Infor(4tion) Ur U 11-�txf,:"Ytef , V\ FrInt or Type Name Wo., Pdnt or Type Name alff 5�Z4-&ACf-e-P, wl.afling Address ujtmr�"� C- ts C ZL MailingAdd- C- _&) Cjty1Stat&17ip 015a-471-G!514tj cit'v1stato.op 41119q- corne:'Ro Talep ' one Number / ah7ail address '6yv-,G:.I-t"—Telephone tVwbqrlemfiitaddress 01 a 0 1 S . . C:;�' Z 3 Zz Y - Date I Data* RECEIVED SEP 211015 'R14) *',/P-Iid for one calendar year after signature* evisedAug. 20RECEIVED SEP 8 2015 1.3a9& •Y..,+E 4 vni -:�a!^•r :der. 7e.�"'�'"S!'. �.�ra"r$�"r .'S ...+.7 n'r ;tn`f17 ;''G; Ad �`f^��53;. 9C:M.N '.1."N RT ¢.. (e,: .. � .r� �. fea :, � C .�"+_�. t, � ;w'Jx tg:'?7+ F...a _.i .?"•p ."k �'m,!ir,.�=:: i • '7a ?rs;7q� atC .R,. .»,..,. .... ,A,.'ib ttadt. N'a?7�� BMW, .•1kC 1-Y�,t., $�aw1^.4n.. ®' :..y t f•'x't`f ....x t-=- N 1 �",X� � � ` '�y"Y„+9�.�+, [�+�n T"AxY'. .;tyN•r715d�• C1i7Rr ":'akf $w cx+,s uada+s<a, Baer zA§ar 3;,geaaiu^7r•. RECEIVED SEP 21 2015 RECEIVED SEP 182015