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Home My WebLink AboutHolloman, Michael❑CAMA / '—DREDGE & FILL A B C D GENERAL PERMIT Previous permit # -']New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ` Rules attached. Applicant Name "+ L ' �'' ` ` '� Project Location: County Address t Street Address/ State Road/ Lot #(s) City s State / ZIP, Phone # ��{; PE -Mail Subdivision Authorized Agent ' s' r ' ' City ZIP ❑ CW Ejxw 2TA ❑ ES ❑ PTS Phone # ( ) River Basin Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A rt?, AEC(s): Adj. Wtr. Body % (nat /man /unkn) ❑ PWS: ORW: yes / no PNA yes [ no) Closest Maj. Wtr. Body ' �'" ' Y ~} t r Type of Project/ Activity Pier (dock) length (Scale: ■■■■■■■■■■■■ `�li�ir7 �ii�lMEMO=■■■ ■■ ■■ E ■■■�■■■ ■■ ■ ®■■ IN ®■■®NOON INGENNill OE ■■■ OEE■■■■■■ ■ ■■Em■E®■■■mE■■■M■■■ ■ ■■■■■■■■■■� EE■■Ea■ ■■■■■■■■■ 0� ■O�OOSM16 MEMM�■1E■■■®NOON■ ■■■■■■■■■ ■�■■■�� l�ii till., t+■ ■ m■■■M■■■ ■■■ ENE ■■■■■�E�f w■■�II� ■■■■■■�■■■� ■■■�■■■ ■®EEN ■ No ■■■■■■MONO ■■■■■ ■a NE NOON SOMEONE ME ■ NONE■■■■N ■EION NONE ■OMEEONO ■�■NN■�O■■��NE r■■�■OHO■O® � ■ _ ■■��■■O■M■■■ ■ O ■■■� ■■ I■' ER No ■®■■■EN■■■n �iON�■E■NI►�■■■EOE ENE ■■ • EEOO■�O■■► ON �iE■■m ■DOFF■ Ems■■E�w�■�■E ■■ ■■■■E�ir�. ��Nwrr��r��■■■■■■■NEE■■�►�E■..._ ._,,,,�.- __.�•, ■®E■■N!�I. 11& " NEI ENE=AO■NIlr�!�!� ■■ ■IN'�1�' '1,,'1 1111111 NENE[ �a/ii1.N li � 1IlEO■■■® 'LiEEEEEEEOO Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit " Application Fee(s) Check # r v'• PermitOfficer'$ Printed Name- .L Signature lssuiA Date f Ex ration 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/ 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 252-264-3901 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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http://www.nccoastalmanagement.net/ Revised 08/27/ 14 Mar 12 2018 11: 38AM A4� o j� �.r. I/4�NG �� AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION 333� Name of Property Owner Requesting Permit: 'J1Nl c i-yi� C"r a1114- Mailing Address: -� 2_6 Phone Number: q I q' 3 Email Address: I certify that I have authorized to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: oCCC �O at my property located at f o-� b M J Q ina0_-5t0),.-QCounty. l furthermore certify that / 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: Signature Print or Type Name Title ,3 1 / 0� l Date This certification is valid through _„ I I Ma 2. 20 8 :38AM N PROPt`RTY OWNER STATEMENY No jldI) r L/4 's I riereby certify that I own property adjacent to a� P (Name of Property Owner ) p located at 70 °� "t prop rtY (Address, Lo Block, Road, etc.) N.C_ ram, t✓ .i in on � (CiiylTown and/or County) (Wraterbody) 2t the above The applicant has described to me, as shown below, the development proposed location. nave no objection to this proposal - '++~ I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OFPROPO hDowEoEattach a site drawing) (ipdividuai pooPosin-g develvprr�e�►t Pnrusf fi6i in des �x1.56 WAIVER SECT ON groin must be set ilin s breakwater, boathouse, ii , °r 9 me (If you 1 Understand that a pier, dock, mooring p a ea of riparian access unless waived by back a minimum distance oou5from none al the appropriate blank below.) wISh,to waive the setback, y mus I do wish to waive the 15' setback requirement_ i 1 do not wish to waive the 15' (f'lrope Owner Infornnation) $ice naf�.�re p(fnL or l ype Name D Mailing Address 1 Cif/Sty Fa2�P T lephcns Numbar Dare ? /q— /S setback requirement fm rty Owner Informatoon� Sig-nat'u7e oti)C 1) ► I A_ P�f oriyp�33 e Mailing AddreSS' JC SLJA)jGOII C`fyl t eA '"P Telephone NUmber Date (Revised 611812012) Mar• 12. 2018 11:38AM No j 1 j� r• j/4 1, V'fM,ER S/'t A T F_MENi .3QqcwrS'Ta �r„G�,;,, - (fil:zme of }! }A.ddcess, :mat Sfook, :goad: atc.'� r Qi� At K-e r _ �.; l.f:. Y sue...f— N. L_ (VfaferbQ�X): {C: r'nmm an,d/o:r Oc.untY,: o' __Sc mad. ':c ,�'a 2s shown b -- Tr_ ��, �i�ar,� h�= have- ;7'.0' •QQyc.C�G!] �.0 itzis fQO'J�d` UKl'@C>•Gr,'s to 'tr zs 'prr7posai. ,o c D'E:S RIF-rI'O!�. ,Ft'NDIOR CRA'iiliIi�G 'i}r F 'Op�OSED D:;'YE:LjOpN�tt`' fr "f '�rlii3i .!�rOpaShn� �2:�2i Or�Fl.Br,.x'silSt F.7 de_SC_'7ptO,7'.bi3>'OW Or a3ttaC?' &'T9, ,�rort� Q .tho'� a O �-r_ '�C 4 r�eo� -�,� pi` ngs, .rya ;eater, na~��,'CLsc:: i;, or a; oir mus= ae sa 'J:,.� . 0« 5_,ot c7 �'•_' .r'prn .m; are? r)f ripari,y. a:ccers uni,sS vt.aivad 01 c� "5' L' C ''�►'` nB Sa-rr3.vXf OL^ CP:';-^t; ^giva.( tree appi o'p rir3CE bka 1.IC .b�i:C',:. i ::rys� t4 s�M.i'r� tG.1.�`'s�baGl; r�quir :;re.nt. J do rot -aIS, SGTG't�l%C: �'?Cj�1f%=ff 8it'. 0pe.•t, t Jet/r'_ •2 7i� �y M .i i 4-' C 1 Mar 12 2018 11:38AM �✓ li1 � �'� (,No. 31 S� fir: 4/4�;r 2- % 0 Ina A P t )p/�arrp f R� SNa�sbo�a NC. 2 BS�� i 'Dip o,S e 0 r7 pf 0