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Home My WebLink AboutWeeks, Haywood t , 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, certifythat this 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-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 252-264-390I 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 ) AMA JDREDGE & FILL .0 A B ERAL PIERMIT. Previous permit # evv El Modification OComp letel Reissue ElPairtial Reissue Date previou , s per i issued` horized by the State of North C arolip, Department of Environment and Natural Resources -Gm mmiss4oin in an-aroa of -environni, ental concern pursuant to- i SA-NCAC— e�Coastal Resour Co 'E uldsrattached c� ant Name -4 Y G A UZI AU Project Location: Count L Street Address/ State oad/ Lot #(s). A zi State VJ ;T' I P�, 19 O E-Maid r". Subdivisipp— k rze Cityc ,Jj' d Agent;� V1 A -A "N PTA DES 0 PTS d El CW EW Phone-# Xz")q/River Basin El OEA li El USA 0 N/A 0 HHF 11 LAI 1:1 PWS: j. Wtr. Bo4 nat /man /u6kUn M 'yes 16 PNA yes Fosest Maj. Wtr. Body, Of Project/ Activity V C) (Scale: dock) len-eth I t Pglatfor I m(s) ■■■■■■■■� ■■■■'■■■■'.'M0■w■■■■■ ■■■■■■■w■■■■■■■■reREa■■■■■ NONE Om ni Im Wp ONION■MEMMME wom■ M■MMWIZUVI0 0 ■No �number ■■■■■....■....■IWL ■ME M M IMMMERAM11■0 mom ME Im V Edpapegth■ C■■:■■■■■■■� �ivg distance offshore N Emmons M MEEEMMEMEME■ N MEN M 101 6 EnDA1211 a] 9 019MBRUMEMEME OMEN■MEMMEMEM■0 mom WE I I MOON 0 Mo ON MWEEMENEWUMMEN191RE■MINME" 0 ME■M mom No MOEN MENNEEN■manwilailLimmlimmilm■MOMEMEM ■■■■■i■■E.ME No Mal LINE INN91nm 0:.. _ ■■MIEM■M wawww5EMlI 0 ENS MWwnstmm _r NN AN I■WEIMMENEEME IVENIME■EMERNM .ME WMEMEMEMMON m■■IMMIIEE ENEEMSEVION WINE NNIM21MMISAMMORMEN■ M MMINME■MEMENO MEN■IN■EMMONS w1MMMMM1MMMMMMM N WE MOEN No NONNI! ■MMMMMMMNMMMMMEMMMMMMMMMMMMMMM 1=6m L _al Planning Jurisdict pcial Conditions V S N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date ,Name of Property Owner Applying for Permit: Mailing Address: 0 0409=64�� I certify that I have authorized (agent) 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) This certification is valid thru (date) Property Owner Signature RECEIVED MAR 2 8 2017 DCM- MHD CITY !/� — Date RECEIVED APR 0 4 2.016 DCM- MHD CITY ojlrjYI)S� LU N LU L� c 4b/too-7 A r 0, 1, � z ./3J t, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby qeriify that town property adjacent to otji-) i2 's Name of Property Owner) property located at 6o 1) 640 "o 14-- (Address, Lot BI ckJffoad, a .) on .c , in , N.C. (Waterbody) (City n and/or County) The appl' ant has described to me, as shown below, the development proposed at the above locati have no, objection to this proposal. I have objections to this proposal DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must till in description below or attach a site drawing) ° 0 5 J r o C7 b b WAIVER SECTION / I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be sit 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. do not wish to waive the 15' setback requirement. RECEIVED (Pr perty Owner Inf mation) ( 'cent Propert Owner Information) MAR 2 8 2017 7"�' Si a' e Signature /� MHD CITY 1'�f�(L.. (J eeY P� or Typ Name Print or Type N ge >G' v 10? Yl Mailing Address Mail' Address City/State/Zi City/St i A/(+_ 7—PS/( "�' APR 0 4 2016 Tele u er Telephone Number � Date Date C; M- M H D CITY (Revised 611812012) 'ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that ! own property adjacent to s t (Name of Property Owner). property located at (Address, Lot Block oad, etc on .) f, e-r ,,/�� , in E ,,N.C. (Wate body) (City own and/or County) The app icant has described to me, as shown below, the development proposed at the above locati I have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP ENT (Individual p!T posing development must fill in description below or atta h ;;ina site ) t II \" 0 -- y� WAIVER SECTION AA4c OAKI underst nd that a pier, dock, mooring pilings, breakwater, boathouse lift or groin must be set nimum 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. I do not wish to waive the 15' setback requ Print or Type Name�� z v 6,6±2� T iii /4�ddress M s el' RECEIVE® MAR 2 8 2017 CITY �r�i,�x�rei�ipZ � J U5 Tee// non N r -RECEIVED Date � APR 0 4 2016 - - (Revised 6 � MHD CITY