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Home My WebLink AboutUzzell, Paul & MeredithStatement 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 andvoid. 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: Tar- Pamlico River Basin Buffer Rules 0 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/ 1-888-411COAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) (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 Em AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION PW1 4Q71-ulI Name of Property Owner Requesting Permit: Wi -6 A S - u Z7-4.I 1 Mailing Address: Phone Number: Email Address: 51 q y- u • , . 4\kl\l j b G04567-5 , b1. c . AI S3 4+ 4Iq-gau--o5-3D- I 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: *U64A at my property located at '71 6 inCounty. I furthermore certify that I 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: l � Signatur S-• U-zzell Print or Type Name O\N re,r' Title *1 /-1/ 1 �p Date This certification is valid through / / RECEIVED AUG 2 2 2016 DCM_ MHD CITY JUL 19 2016 ®CM- MHD CITY F— N puv .Q LLJ ce U _ �- N ® � o U K� LLJ N uj pro,p�oscp dQa.� it�stiNs��N 0 � U s wo )3K13 o_ v Fcs�. �i, Alt f _ F AIL Stack 1-lar+c CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: (A 7 z )e Address of Property: �)> 1 e �t � Lo ,u se v Y --1-0 (Lot or Street #, Street or Road, City & County) Agent's Name* A/uP Agent's phone #: ZSSL S"oy- 07.3'7 Mailing Address: A> /39,v 9 3 I hereby certify that I 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. V 7—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. Contact information for DCM offices is available at htto.11www.nccoastalmanapement.net/web/cm/staff-listincr orby calling 1-888-4RCOAST. 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, boat ramp, breakwater, boathouse, or lift 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. RECEIVE® I do not wish to waive the 15' setback requirement. AUG 2 2 2016 DCM- NIFI CITY (P operty Owner Information) (Riparian Property Owner Information) SiV nature ,�- er Nv�l 11�� Print or Type Na S N Mailing Address 4 y/State/Zip lr:t--7ry --AV � Telephone NumberV Email Address �„/ vo/16 Date Jlk#-k14\Ak !4 Signature nRez� �� ► S. \kz,-u-.0 —RECEIVED Print or Type Name qL+ SN.c .,. JUL 19 2016 ay 1� Ga Mailing Address DCM 4 H D CITY a�s�� City/StatelZip Telephone Number/Email Address Date (Revised Aug. 2014) . A. CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: u ti ZJ� Address of Property: 1 o I -k CQus-e c. � ca.*.9 (Lot or Street #, Street Road, City & County) Agent's Name #: /%)u{ Q-L 4-r Agent's phone #: ZS'z . S'oy - 0 7 3 % Mailing Address: do Ae.x -75 I hereby certify that I 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 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. Contact information for DCM offices is available at http://www.nccoastaimanaaament.netlweb/cm/staff-listing orby calling 1-888-4RCOAST.: 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, boat ramp, breakwater, boathouse, or lift 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 C ND �^ I do wish to waive the 15' setback requirement. AUG 2 2 2016 I do not wish to waive the 15' setback requirement. (Prop Owner Information) Signature Al I-Ly 41A/ P nt or Type Name -3K (�> k 0-d (-7� Mailing Address, ST44,flTie- drfa,� oZi?s/4 City/State/Zip Telephone NumberJEmail Address Date nrKA-MHD CITY (Riparian Property Owner Information) Signature RECEIVED Print or Type Name 51 q 6 S b JUL 19 2016 Lk C. �.� R as Mailing Address . n �CITY -r� 10 0�� 5 � ® �"'� ® C' 1 tA C. 3C City/State&ip yLB - om-ns31)- Telephone NumberJEmail Address r1- rl_ 10 Date (Revised Aug. 2014)