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Home My WebLink AboutCook, David--. CAMA / ❑ DREDGE & FILL No 72092 A B C D GENERAL PERMIT Previous permit# ❑Mew uModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 14 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7 . l Y x Rules attached. Applicant Name `"^ _ Project Location: County Address_ t _. - ,�°j :�}� #ci Street Address/ State Road/ Lot #(s) City___State �' ' ` ZIP ._ Phone # ( )_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no E-Mail ❑ EW ❑-PTA LIES 5 PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A PNA yes / no Type of Project/ Activity Pier (dock) length 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 C_ Boathouse/ Boatlift ./ Beach Bulldozing Other Shoreline Length , (,✓( d SAV: not sure yes (no Moratorium: n/a yes Photos: yes Waiver Attached: yes A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Subdivision City _ ZIP_ Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body--' (Scale: pL= (�' (� ❑ See note on back regarding River Basin rules. k f u': Agent or Applicant Printed Name Signaure Please read compliance statement on back of permit > t !FY I,^•� Application Fee(s) Check # Permit Officers Printed Namen f r, ` r SignatuT ff 0 Issuing Date Expiration Date 1k 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: Ei 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/ I-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 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://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at on (Waterbody) (Name of Property Owner) (Address, Lot, Block, Road, etc.) , in (City/Town and/or County) I N.C. The applli ant has Described to me, as shown below, the development proposed at the above location I have no objection to this propose.;. 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) 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. do not wish to v,aive the 15' setback requirement. ner Information) Print or TypeAlarneL/�� All h re s City/state/Z' �7 —Felephone Nomber.' ,mail address "Valid for one calendar year after signature* (A ropert Owner Information) re Pn; ;t or Type Name Nla inn- Address �� Z �S4 U �f14`) City/St te - as 9 — S 1 �3 Telep one Number/email address (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at on (Waterbody) (Name of Property Owner) (Address, Lot, Block, Road, etc.) in (City/Town and/or County) I N.C. 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) 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. ill`rropert ner Information) ..gnat re Print or: TywAame City/Statelz &�5��z�� Telephone NumbrOAmail address Dale �� 'Valid for one calendar year after signature' (Adjacent Property Owner Information) Sr alure r �ddrL." t" Cit — 5 'ZZip(� TelephorgeiVur b G / email address Dale (Revised Aug. 2014) NCAMA DREDGE & FILL N272092 A B t) D GENERAL PERMIT if permit # -FNew ElModification DComplete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC /N 0Rules attached. Applicant NameL'JV I Project Location: County Address -11/1 �4') Street Address/ State Road/ Lot #(s) ty4le"fCi Phone # -Mail Subdivision Authorized Agent City ZIP [I Cw S Affected Phone # -River Basin L) OEA El HHF El lH D UBA ■N/A AEC(s): Adj. Wtr. Bod r—,_ VLi__('(natL_man Junkn) El PWS: ORW: yes,/ no PNA yes n Closest Maj. Wtr. Body- Type■■OH■■ of Project/ Activity �On■■■�■■■�■■OgMOOO■■■■� NNE= M■0■0■MEN 0 MEN■MEN! MEMO O I rM NEN No N■WENII ■■■■■NEE■M■■■■ ■ MMMIM1I■No w=Mw own -MUMMIM M■ROME ■nommoomm M 0MMMNMM M■0 am MINE 0■moommo■0■MEMNON M 0 No■NONE mommommommommommmm MEMO 0 EMN momommommommoommmms momE■Em M■MEMO ■■■■■■■■■■■■■■■■■OI■ ■■■■■■■■�■■■ :■■M M mime", M MEN slam an M ME MEN MM■0 M MMUM an a MEI MMMEM ME 0 1 NEEN■ ME MENENEOO■ MM 0 mommommoommmmoom No M M MONEEMEN ON Notes/ Special Conditions Agent or Applicdnt Prifted Nir,ne Signattjre Please readcorppliance statement on back of permit Application Fee(s) Check # Permit Officer's Signatur lisuir)i DateExpiration Date