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Home My WebLink AboutWaller, Thomas 3/28/2017 + IMG 5739.JPG https://mail.google.com/mail/u/0/#inbox/l5bl5e4ladb2dc45?projector=1 1/1 RZ Pier (dock) le,gth ■■RSA n■n■■w�#■■■■w`��■■■■■■■■ur■■■■■r,■■■■■ ::::IIIIIIINNEEMEMEMEMMMw", ::: ■�1i111■►1#lli��1■■■■■■■■■■■■■■■�■�/�'�l�■a.'�l(t■7PlP.i■■■■ ■■r-I! iii■■ �!■ ■■■■■■■■■■■■ii■■■■■Yl�i: !■■■ M ■■I■■■■inr■■■■■■■■■■■■■■■■■■■■■■■:■■■■■■■ ■ ■■■■■■■■■■ ■■■■■■■ It■ii�i�i�■■'��'err■■■■■■�■L111'11i1'L1LalL'.L�JL®�■■ - - - �1�liYiL�9'u�''i■.■.■■■lQiir�l[19�I�L■i'■Elll7■■L�■■I�II�fi �ii 97■■■■■■■ Moratorium: n/a yes (%o n l ! Photos: yes to Waiver Attached: yes , A building permit may be required by: ❑ See note on back regarding River Basin rules. Note Cocal Planning Jurisdiction) Notes/ Special Conditions f r !gent or Applicant Rrinte'il �a a PermitOffice4's P 'rie N es �. F - S'�ignature�P„�sereadcompraancestatementonbackofpermin.t Signature a4pphc�t�o�Fee(�) Check# Issuing Date ExpirationDat@ " o q��., 1.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 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 howto complywith 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/ 1-8884RCOAST 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 ' AIMA / Q REDGE & FILL A B EN ER AL I. PERMIT Previous permit # w ❑Modification ❑Complete Reissue ❑Partial Reissue= Date previous permit issued' LthoTized by -the State of fdorth-Carolina, Department -of Environment and -Natural Restwees- the astal Resources Com Comission in an area of environmental concern pursuant to 15A NCAC licant Name-Th,�`' r l �" 1 (Rul�satt the fa ' Project Location: Coun° j; i� r :6I 1 ty ress.` �k �..r =4'- �i _Street Address/ State ad/ Lot #(s) , • _ r- '� i ;`- State ZIP - . t t! _ _. it f 1, ie # l j %(t -Mail Subdivisi `Y iorized Agent "" City ZIP r r` _ ✓1 �L I W -P,TA tj S El FITS Phone # GI 1- d� River Basin Cted OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ;(s): Adj. Wtr. Body ^% ',f- at man unkn i�PWs: V: s / no PNA yes / no . Closest Maj. Wtr. Body fi ` ' �',t f . ` k' ,J e, of Project/ Activity SAN Mo'r Pho War (Scale: $ ) ■■■■_ ■■ ■■■■■■■■■■■■n®■ ■■.■n■ni no .. ■■■!■�l■Llfd �I�1L'■■■■■■ NA �;r�ax Praplength avg distance offshore ■ ■fIC•li'i ■■■ ■■ ■■■ ■■■■■ ■■■■■■■■■ ■■ distance offshore ■MKO ■NHWUC■■■■1M M■■■■■■■ ■■■■■■■■■■■■ oil cubic yards ramn •111■.1■II.E1��1.�.■■■■■■■■■■■■■■■■■■■■.�■■ }■■■■■■��■■■■■d■■i■■■■■■�ar�■■■■em, . ■■■■■■■■ ■■■■■■ii■■i�wi Maims ��ii■■■■■eiiiii■■ ■■■■■■��■■■��■■■■�� w■■■■■■■■■■Tsn■�■■�■ ■■■■■■��.way■r■■�rr��■■r�■z9■■■■■■■A■■■■■■■■■ ■■■�■■■ M M■■ i■■■Mi■■■RE■� ■�■� � �i ��■ not sure yes. ■■■■■■■■■■■■■■■w■■■�n■■*�■■■■■®ri■r!a■■■■■■■ ■■■■■■■■■■■■■■w■I■■■�■■■■W■ WIN ■■■■:.Is, yes .. �iil.■�1■■■■�!■■�■■■■■■■■■■■■■■■■■■■ ng permit may be required by: `� al ❑ See note on back regarding River Basin rules. cite�Locacl lanning Jurisdictiontes ,� on itionsrq r e 6 f { ; r / r �✓ . i� rlr? rot-nr Thomas Waller t masdwalleY4@yah o.co Date, Feb 28, 2017, 5:58:19 PM To: thomasdwaller@yahoo.com 1111111111111F 0-1 f$ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ! hereby certify that I own property adjacent to i2Mas *-+ (Name of Property Owner) property located at /Q 7 SOIL SAnrpc Pn;hf nriJp on n�,� S'I p /(Address, , in . (Waterbody) Block, Road, etc.) and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above loc 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 rill in description below or attach a site drawing) b k( K A ea� Co ri S I r-k-4 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 yoV wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. RECEIVED I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature 7 A D hnA� ,►'t%R leer Print or Type Nam Mailing Address I City/State ip Telephone Number/email address 9 /I y // `1 Date MAR 01 2017 nformatinw M _ M H D CITY P nor` � 01") me M UU A dress two , rl �� Cty/S,f�fe/Zip Drw ��7r �.0 Telephone Number/email address o*, a 4,110 ate* MAR 15 2017 DCMI1l - MHD CITY (Revised Aug. 2094) *Valid for one calendar year after signature* • • ' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to / q�mQ� A NLt�pX s (Name of Property Owner) property located at /0 % sa /� Sharps �o i rl✓ (Address, Lot, Block, Road, etc.) on t)n reP SO U in /V , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatio , 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) GO n'5 fir-LAct WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be se back a minimum distance of 15' from my area of riparian access unless waived by me. (lf y 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) (Adjacent Property Owner Information) RECEIVED Signature sly ep- r ILO61 X-- MAR 01 ""r Prin y3pe Name P� �tqr T e N " 1V e f K�Z r l et ��e D C IVI � �E ' `,, Mailing Addre / Ma " "ng dV ress . / 7 Le,, A. NC zfs tr �DL N � Crty/State ip T"' Z4 Telephone Number/ email address -ZZ/7/7 Date 7~f Date* eECEIVED MAR 15 2017 (Revised AuDG- HD ITT *Valid for one calendar year after signature'" sa f4 �i n_s eh. t4ow4l 8 Vr CX i Y- IRECW MAR t)Cm- RECEIVED MAR 15 2017 DC ii� � j�0 ` ",-:,,:Ty