HomeMy WebLinkAboutCedar Point Beach HOAA/
A
C—� -CAMA / 'DREDGE & FILL
GENERAL PERMIT
Previous permit #
[]New -'Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources Z&
61
and the Coastal Resources Commission in,an area of environmental concern pursuant to I SA NCAC
es attached.
Applicant Name
! "� n' e *' A y r ' %' C ``' j r `i Project Location: County Ce r
Address s t`.3u .� Street Address/ State Road/ Lot #(s)
City i�a .� '.vf,,• Statue" ZIP -t!1 .s,,t s t c'"�►'
Phone # ( ) E-Ma
Subdivision
Authorized Agent ,�„, w '; City_, f7� r'"; e ZIP
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Affected
■ OEA ■ HHF ■
El PWS:
Type of Project/ Activity
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ratorium: n/a yes ,{
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ver Attached: es no ■®■� •�■■■■� ����"'�� ■■■� ■■■�■■■■■
uilding permit may be required by:
ote Local Planning Jurisdictiop)�
Special Conditions
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❑ ES ❑ PTS Phone # O _River Basin
[IUBA ❑ N/A f J��: � r"- s nat m unkn
Adj. Wtr. Body
Closest Maj. Wtr. Body
Agent or Applicant Printed Name
Sign ,t re "Please read compliance statement on back of permit"
Application Fee(s) Check #
(" +f .#! �. � ,,
(Scale:,,..
Permit Officer's Printed Name
Signature
Issuing Date Expiration Date
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❑ ES ❑ PTS Phone # O _River Basin
[IUBA ❑ N/A f J��: � r"- s nat m unkn
Adj. Wtr. Body
Closest Maj. Wtr. Body
Agent or Applicant Printed Name
Sign ,t re "Please read compliance statement on back of permit"
Application Fee(s) Check #
(" +f .#! �. � ,,
(Scale:,,..
Permit Officer's Printed Name
Signature
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, 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 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
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)
http://www.nccoastalmanagement.net/
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)
Revised 08/27/ 14
AGENT AUTNORIZATIQN FOR LAMA PERMIT A_P_ PLICATION
Name of Property Owner Requesting Permit: CC_dV Pdi A_?� 6A
Mailing Address: 21
Fe oc�j ��•� iUr✓
Phone Number: 25 2 3/'-/ yY 7 °L
Email Address: I
I certify that I have authorized
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: I - d a my C('bl to
4�44 4, A-W ,A.d Ck4IUV_0 1
at my property located at l0
in C 6County.
1 furthermore certify that l 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:
n
Signature
=VAN P-MI60 A -
Print or Type Name
C2__
TWO
17
Date
This certification is valid through I
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I hereby certify that I own property adjacent to CcdA- (-o'1,A;f 4rAd t #OA 's
located at 10 �/ (Flame of Property Owner)
property 2 TA Ewa~ �Z CT
(Adder, Lot, Block Road )
on -TC li✓ , in C.�C . ! D,( N/ , N.C.
(Waterbody) (Clty/Town and/or County)
The applicant has described to me, as shown below, the development proposed_ at the above
location.
Y,I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
Dry' CcAr pd(4 &—A(a NoA 6 oq i 6As7w �a'vd C vwn/c l
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 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 requirement.
(Property Owner Information)
-Gecoil- -fir C(-q
Signature
Print or- -2133 Type N me
s ifc)ck 2
0I A ass
a A/c, 27yw
City/Sta ip
q/ 79'
Telephone Number/email address
Date
'V;M fnr nm rak►ndwr vwwr after ninnati ire`
(Adjacent Property Owner
Owner Information)
Tbfe� Number / email adidress
Date'
(Revised Aug. 2014)
ADJACENT RIPARIAN PRQPLM QWNER STATEMENT
/
I hereby certify that I own property adjacent to t C d"r I "d 1n7 6Ciqc4 YoA e
n (Name Property Owner)
property located at %A rl�tNt k f"
(Addrahm, Lot, 81 k, Ro etc on fi C in�7�N.C.
(Waterbody) (Cityltown andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
Gam_ 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAVANG OF PROPOSED DEVELOPMENT
Dr(-d
gs: Ql'oej' &c� 1-!0A b 6)q54V ANP( c�Aivt'
WAVER 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 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 requirement.
(Property Owner Information) (Adjacent Property Owner Infonnation)
Signature /� Signatur,�*
�s/A A1! �C�1 CCx& Ai 1 �'M s g e U
Print or Tvne Names _ Print or Tvoe Name -
Telephone Number/small address
Date
Date'
?—'}1)&4'
(Revised Aug. 2014)
I hereby c erttfy that I own property adjacent to CcY/Ir (624 /-!LnC4 #04 's
n (Name of Property Owner)
property located at /0 l - 'CE
(Address, LoW Block, Road, ec )
on UCLA/ - in Cc-7,t ;t" N.C.
(Watery) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loca '
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
I'c � Cc P01n4 a�� C4 lfVA ba�i b/� s iN �N� c iu
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set bad* 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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (A Props r Inr—"
on)
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CrrY/sra c a J-w • ri
Telephone Number/ email address T u emaA address
/ , 1._..
Date Dates
(Revised Aug. 2014)
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RECEIVED
MAR 21 2018
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