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Home My WebLink AboutWilliams, Jim''a s t A <, CAMA / ❑DREDGE & FIL NIV, 67823 A B D f N ERAL PERMIT �` Previous permit # New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources+ -71-1 0' and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC '� PiARGIe attached. Applicant Name a y� _ i" ( Project Location: County Address ,. G , ,�) '' -* �` Street Address/ State Road/ Lot #(s) City . �� ;r State AJ ( ZIP ' .. �% ",•` ,.. `" Y Phone # E-Mail Subdivision s Authorized Agent .'t ' 1 ;t City,^ °�f , ��'+ ` ZIP+", Eraw /[ EW d'PTA ES El Affected f Phone # ( ) River B in " (, i %,,' IH ❑ UBA ❑ N/A ❑ OEA ❑ HHF ElAdj. ' AEC(s): Wtr. Bo dy �F^ �` ' + Y' fiat man unkn I] Pws. ORW: yes noI PNA yes / 6 Closest Maj. Wtr. Body Type of Project/ Activity X Y 4,7A Pier (dock) length ;< A Fixed Platform(s) �� Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/` Boatlift° Beach Bulldozing Other Shoreline Length SAM not sure yes Moratorium: n/a yes 4X Photos: yes Ob Waiver Attached: yes ±o / 17 ®li•M ! A building permit may be required by: ( Note Local Planning Jurisdiction) r Notes/ Special Conditions '�k' ,r Agent or Ap cant, Printed Nam Pere Signa, P J ase read compliance statement on back of permit Sid ' Application Feels) ;„ Check # „ Issq (Scale: ,L/ r ) ❑ See note on back regarding River Basin rules. 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 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 howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-411COAST 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 CaWA DREDGE & FILL ��"' N ERAL PERMIT Previous permit # A BC D New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued orized by the State of North Carolina, Department of Environment and Natural Resources ~' CoastalResources Commission in an ar of environmental concern pursuant to I SA NCAC f �^ l attached. lit Name < '"''� $ S''� Project Location: County L e '1'�' Street Address/ State Road/ Lot #a(s) 0 VeState /!CZIP Subdivision O r"A ietl Agents 6l �w City �' Crt e.✓ ZIP d SEW EW TA ❑ ES ❑ PTS Phone # ( ) River$ in iJ f r. ❑ OEA f�LrJ ❑ HHF ❑ IH ❑ UBA ❑ N/A s ` / Adj. Wtr. Body I . t ..man. unkn O PWS' ':yes. no PNA yes / Closest Maj.- Mr. Body CJIII A Project/ Activity c., c 7 )(� 1,✓I a�j e v ie t f (Scale: ) nrO IRnokh I• S I ng permit may De requirea Dy: ...-a.' r t C VU--' I_I See note on back regarding River Basin rules. Local Planning Jurisdiction) e Special Conditions r ' �Y 1 �� .! 3 4p cant ted Na Permit0 leers ri ed Name M as read compliance statement on.back of permit* Si' t� f ,�ny Fee(s).:, :.Check# Iss a Expiration ate t�.akuvuuaiLa.v:_vJ.i _ -.� i� Y %. �. kv�.�....�w:..L....r�1u1�•Y...u..:s..�.-.y:is.�f._u....v...h.`..aII.G1L�.:: i:: �Ji� ^• - Jli....-..i-.`�-i..�cii.. __u_u_ f..��.�5.^v'.. ,r-�.:.v�_.__v.�.uv.�.ia..._ .—�v ,I It AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: q A I AAIvdI-e— k�nof Mailing ,Address: Phone Number: Email Address. l certify that I have authorized necessary for the following proposed development: 557 Agent J Contractor, all at my property located at in t,• GtrrCounty. 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!►w .�:�►..-/'� ► � ? 1 Ail 1\\ � f 'F ell Print 6( .e Name Titre a Q, Date This certification is valid through . i t J— AUG 2 9 2016 DCM- MHD CITY • Complete items 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to, N)?. W's. Cq-15s7'Ot4 q A/ c- -T- 1 U 1 ill 111111 9590 9401 0159 5234 1512 01 2. ArtiptqNum r Mansfer from, servicela --be ...... ............... ....... . ..... ..... 'O�lt . ... . ...... .... "015 0640 0007 5288 6986 PS Form 3811, July 2015 PSN 7530-02-000-9053 6OMPLETE THIS SECT16N ON DELIVERY A. Signature Agent M Addresses B. Received by f 'edftn�re! C. Date of Deliver. 77--ry ri Yesi If YES, enter delivery add NO Akr 3. Service Type Aduk S' nat re g U Aduf' Signature Restncted Dekivery R f0r: Pestricte, Car-ified Mail Restdeted Deliver,, RI; Colftot on Delivery Collect on Delivery Rest, acted DeTiv—;y SigmWseCo. irnlati n 4 insured Mall Signature -Confirmation Insured MW Restricted Delivery Restricted Oeiveq ?aver M'O� Domestic Return Receipt RECEIVED AUG 2 9 2016 ®CM- MHD CITY CERTIFIED. MAIL - -RETURN RECEIPTREQUESTED ILI 0 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM Name of Property Owner: J I M Address of Property: 095 C'ejar �q (Lot or Street #, Street or Road, City & County) Agent's Name #:A-.sh te v sto Mailing Address: 570 P-ear r Agent's phone #: 6 -7o 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 prTposing, A descdgLon or dravAn2. with dimensions, must be RMvided with this letter. 6'tf `°I have no objections to this proposal. I have objections to this proposal. f yo" ha e objections to what is being proposed, you must notify the Division of Coastal Management i in writing within 10 days of receipt of this notice. Contact information for DCM offices is available 4gg 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 b me. (if you wish to waive the setback, you must initial the appropriate blank below.) R�CEIVED I do wish to waive the 15' setback requirement. AUG 2 9 2016 I do not wish to waive the 15' setback requirement. DCM- M H D CITY (Pr6perty Owner Information) 7-1 tire kx, kX\ Print or TypeName Mailing Address CitylStat&/Zip Telephone Number/ Email Address Date (Riparian Property Owner Information) Print or TvDe Name IN Mailing Address citylstatelzip 72,-) �q,3 Telephdne Number /Email Address wb�.0, j� , Date (Revised Aug. 2014) LU j\