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Home My WebLink AboutWest, Millard C. Jr.( i 3 CI,CAMA /• ❑DREDGE & FILL ,14 ' GE.NitkAL PERMIT \� Previous permit # \. New ❑V16dification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources { and the Coastal Resources CommissJon in an area of environmental concern pursuant to I SA NCAC - ( Rules attached. Project Name' i i `' r Pject Location: County Applicant i `(, ( � � Address J U 0 \ j,! t t. Street Address/ State Road/ Lot #(s) j City (; , �, , :�i State ZIP!, Phone #'( ") `T_ t � E-Mail Subdivision Authorized Agent'--- City 1 , "" ZIP %I �,/ Affected ❑ CVi/ p EW [9 pTA ❑ ES ❑ PTS Phone # ( ) > /River Basins t ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body \ i ' d . ~tat a unkn ❑ PWS: ORW: yes /,"no PNA yes / Type of Project/ Activity } Pier (dock) length 7J "( Fixed Platform(s)"""""""' Floating Platform(s) / 4 Finger pler(s�— Groin length"" number Bulkhead/ Riprap length`— avg distance offshore-_ max distance offshore-o' Basin, channel cubic yards""""'""'"" Boat ramp — Boathouse/ Boatlift Beach Bulldozingf""° Other Shoreline Length SAV: not sure yes Moratorium: n/a yes Photos: yes Waiver Attached: yes A building permit may be required by: _ ( Note Local Planning Jurisdiction Notes/ Special Conditions` __ •,, _- w Closest Maj. Wtr. Body (Scale: ❑ See note on back regarding River Basin rules. }� jf�'y� g.'.�4 �'~ �+`�j7t w 1 �'r •�' (p p/�,�yf,/� j�'/�>r��:, se, /�' Agent or Applicant Printed lyame ,✓ 1h..+T,N�Y'r7.Y i ` Permit0 iEe1 r s Printg'd Name j rr. j \�'a ,�� ... t u'f�' +"'.-.a4.Nr:4 • I .!r C . �,✓\ Signature lease read compliance statement on back of permit* Signature j Apphcation Feels) Check issuing Date Expiration 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 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 0 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 how to complywith 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.nccoastaimanagement.net/ Revised 08/27/14 CAMS► / C DREDGE & FILL ` ss65438 EIV ERAL. PERMIT - A B C 1D Previous permit vv " bVi8dification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As autho ed by the State of North Carolina, Department of Environment and Natural Resources_g and Coastal Rpsourqes Commission the in an area of environmental concern pursuant to 15A NCAC Applicant Name ✓: [ARU atta e . 4 Project Location; County: ;; Address �v,, ' #r st Street Address/ State Road/ Lot #` s City ` State ` i ZIP"- ,� tik (I r- Phone # A 74E-Mail Subdivision n Authorized Agents City r 1 C f. ZIP: ` ❑ Cw EW IPTA ❑ ES p PTS Affected Phone # (:/ River Basi, t ❑ OEA ❑ HHF ❑ IH ❑ UBA El WA AEC(s): Adj. Wtr..Body r } ; ! ' �t t . a unkn ❑ PW - ORW: es / � y o j PNA yes / Closest Maj. Wtr. Body [Type of Project/ Activity cV-,,vry (Stole: I ) Pier Fixe Floa Fing Gro' Bulk Bash Boat Boat Beac Oth, Shott SAM Mo Phot Waive -41WA I Fi�' if ww ►.iA,#A'il'IWIV.illy# 1wwKRy M■:� :: ■mom ■w ' 'n 'iC::�'''w'Cw=�®® y FEE length number- AIs�11i��lr�l�rl IN ININIONNIN �■skis�„��w i a`rr.ry ��Y�lwwww■w■�`iirrii�r 1s ir�ir�r�irwo,�■■■■ :■■�� l:w:■:■�■■®�'■■�:S■=:■■:■■■■■■:■:N:■ max distance offshore--- :■■o I'�C C■::::w:=:w::■■�::_:::: f...■■■■ ■trN ,R, 001■_■■■_■■_■■■■■■ Icubic MIN C yardg--- ■■■■1111e. ■■■■■!I■■■■■■■■■■■■�■■■■■■■■■■■■■ ■■■!lilt. ■■■■■�1■■.■■■■■■■■■■■■■■■■■■■■■■■■ ■■■��■°��■■■"■"■■iiii■iiii■i■■�■■■i®i■®■ramp EN ■■.�� ■■' '�■.� �.......■....■■■.■.ww■..w ABulldozing ■■■■:■rJ■ri,■■1�1■�■Ali'■■■■■■■_■■■■■■■■ITdT�t11117■®■■ ■■■■■■!1■��M!1�■�:i■■■ .■ ■■ ■■ ■■■■■■ ■■■■■ ■M■■■i R}!■■■■■ MME%HOMM■NNIr■EN IM■M■■M Ii line Length ■■■raw■■■■■��■■■r�■■■■■■■i■■ ■■■■■■r�iiie not su re yes . ■■►�r:■■■■■u■■r■w■■■■r�■■■■■■■■■■■■■■■■■■ yes ■C0 ■■■� KJ,,h■WN ■■■■■C■■■■■■N r Attached: yes }■■��■■■■■■■■■■■■ew■■■■■■■■■■■■■■■■■■■■■■ A building permit may be required by: A A ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdictio ` �JNotes/ Special Conditions Agent or Applicant Printed Permit e f j 01, Si nature ease read compliance statement on backof permitSignature 6 1 Appl,cation.Fee(s) Check Issuing Date Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to M iUA RJ) c. wa s T -rK 's (Name of Property Owner) _ property locatet _!�'-L 1NAC«-C� /� D G�„�,loc�,k' a:_ _,.,w...._. _ (Address, Lot, Block, Road, efic.) onin G41CrZ!rXC7- , N.C. (Waterbody) (City/Town 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 fill in description below or attach a site drawing) ,3' F'� /1-TTil-Gff�'!7 liaC•4ccJi �/�-- �'X I STIiv b- Bo fTL/ "T .+Np ?7 RECEIVED MAY 2 0 2015 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 waived by 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. MAY 2 8 2015 I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature MA4l,•t!t.P C. !!!�E5T, .TIC Print or Type Name 15-.2.. W,11-4A Ce- R9. Mailing Address 13 C' p one um er Date (Adjacent M - 49ti /G DCrin_);nh!H �44Y ation) Print or Type Name 9.33 .ri9� VA"r y- Mailing Address Zo#'At rA C. I T-V Tip 3 ire, 83 CiQStatelZip - b 490 r8 Telephone Number ®s'/2 %Z des Date / (Revised 611812012) f r 209.1 it I I w 'K 0 CO I NE d 9.911 Clffl7t/d C 0 I , Z. 3 � m �rrs;-i,✓ri �� aatL.K/FEAD 1 11 39 —7 �"X131�%INIr aWL��F�D < K. '{ m c � m r p x Noll( I' Read I ,.,t;k Limited %%tint) caretully Antunt. other thu:., EZ Duck dues not warrant dams gee, Name r IIF,�� T�riek ' �f�hii i��n tailure• or detect caused b% unauthorized modification 1110roject Pro�eC1E Name r� duc± and or rmert twit oihL[ Eck to ,a d attac CZ. Uoc.F Product ADJACENT RIPARIAN PROPERTY" OWNER STATEMENT I hereby certify that I own property adjacent to LV Z;.s'Tf .TJ. 's (Name of Property Owner) property located. l�','� k/il,,�.GE R,P G.oT j6flGk A .:_ _....a....d. _ ._ . __. ...: f (Address, Lot, Block, Road, etc.') on &L.L $RfA&-E 3AAN'cIf , in e•AKT4r<& -r , N.C. (Waterbody) (CitylTowrn 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 fill in description below or attach a site drawing) S,0Lx' A J-,r c0eZ> R0R*t1411A1C-- �"IP/1��TjnJo- ,BoArcrrr-�' .4AJD aocK tv� G D d CK S v c, a 'rio,% 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 waived by me. (if you wish to waive the setback, you must initial the appropriate blank below.) V I do wish to waive the 15' setback requirement. RECEIVED I do not wish to waive the 15' setback requirement. MAY 2 0 1015 nan_A"Tld �^ � (Property Owner information) (Adjacent rop rty Owner In rmation) Signature Signature 144+k c- - W&S T, -J-K Print or Ty N m�G.� MangAddressT, City/Statelzip a , 7.2S, -PLO Telephone Nupber 9120i5' Pr/Ti. i9�1�4 ez R� Mailing Address $A4ftf JC7- City/State/Zip ' Telephone Nu er o�/�P 20/sue Date I Date RECEIVE MAY 2 8 7015 (Revised 611812012) 91. ^ A I -4 IN I NOTICE! Read EZ Dock Limited Warranty carefully. T Among other things, EZ Dock does not warrant damages, a failures or defects caused by unauthorized modification 1; n of EZ Dock Product, and/or unauthorized attachment to/of 5 ® < EZ Dock Product. r v C, S1STiXF P ect Name IIEZ Dock Solutions MU FOR 5568 Hwy. 7O W, Customer Newport, NC NUMI� MO Number-1 TotL mm No. 252-764 Drawing PHONE No. By Drawn By 1 1 Date 252-648-$026