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I❑ CAMA / [-]DREDGE & FILL No 70414 A B C D
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 Environmental Quality "'7
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Name ` '. Project Location: County t ° fi'IFFi
Address 7r' l'1 Street Address/ State Road/ Lot #(s)
City State ZIP .
Phone # ( ) I E-MaQ
Authorized Agent ,1 l r� V.1 rY1!1
Affected ❑ CW [d'EW €p PTA ❑ ES ❑ PTS
ElOEA ElHHF ❑ IH El USA ElN/A
AEC(s):
❑ PWS:
ORW: yes / no PNA yes / no
Subdivision
City
ZIP
Phone # ( ) River Basin
Adj. Wtr. Body - ~nat ma/u
�7 M� n nkn
Closest Maj. Wtr. Body <.
Type of Project/ Activity
t
�( (Scale: )
Pier (dock) length 4-1
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
I
cubic yards
Boat ramp P
Boathouse/ Boatlift
i
i
Beach Bulldozing
i.,
Other i
I
i
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
li
A building permit may be required by:(-' f
( Note Local Planning jurisdiction)
Notes/ Special Conditions
t
Agent or Applicant Printed Name
Signature Alease read compliance statement on back of permit" '
WOK
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signat r
Issuing Date xpirat: n 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 (252-946-648 I) or the
Wilmington Regional Office (9 I 0-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
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
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: i ,gym
Mailing address: -710 --A
Telephone Number: ,V S-')L - & )r — / �--
I certify that I have authorized ,6'�S�SN ��►r� (�,,,,usrh2 . (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of -e C' Y(, J„�
at my property located at %/ e, --A A700c2,,, /j'1d�2N .ram
This certification is valid through c� - r6 ► a (date),
(Property Owner Information)
'1/�' Z la t-, �-- - , I
�--� Signat re
Print or ype Name
&e&All�
Title, co. owner or trustee for property
r. g
T Date
Telephone Number
mail Addres
TOM IPOCK
710-A MADAM MOORES LANE
NEW BERN, NC
DESCRIPTION
We propose to install a new wooden 4' wide x 32' long walkway extension on the
left side of the boat house cover.
We propose to install one (1) 10" mooring piling at the end of the right -side finger
pier.
We propose to install one (1) 7,000# boat lift on existing boat house pilings.
We propose to install one (1) 7,000# boat lift on four (4) new 10" x 30' long
pilings.
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property: 1 0 A , LZI 111 /�Gc)� IAI /��4jLJeI&IE 1/ef
(Lot or Street #, Street or Road, City & County)
aob6 Q-Q- .o-o--
Agent's Name #: CA yx -ruc .' e, Z, c Mailing Address: tp Q 0 ?, N F us..-e, 4
Agent's phone #: -a G a - (p I AJ C
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 areA�psing. A description or drawing, with dimensions, must be provided with this fetter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at or by 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 by me. (if
you wish to �e 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; Qwn¢r Information),.,
9
Signature
I'AP.,24S
Print or Type Natrie
10611
Mailing Address
City/StatelZip
45610
Telephone Number/Email Address
1�94
Date
Date
My
(Revised Aug. 2014)
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: &
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Cz vas +c' 8h� :Lr c-- MailingAddress: W o, /)-e ,tSQ-- � -
Agent's phone #: %� - 4 - / (v t 1 vt s �0 6 r �, fy c--
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 4e proposing. A description or drawing, with dimensions, must be provided with this letter.
i have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at orbycalling 1-888-4RCOAST.
No response is considered the same as no objection if you have been noted 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 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.
1 do not wish to waive the 15' setback requirement.
(Property Qwnof Inforpation
< r
ignature
1)nr
Print or Type Nanie
Mailing Address
Wc
City/state/Zip '
Telephone Number / Email Address
4a c1 I . 4 o)(
Dare
Ri arian Property Owner Information)
Si tirr^
Print or Type Name
-� I& '(`(la-��c.rt�
Mailing Address
City/StatelZip
a 5L--t'7o - 3
Telephone Numberl Email Address
tt IAU r1 .Q1" ')/) i f(I
Date
(Revised Aug. 2014)
6 Cam' e a./
New 7,000# Boat Lift
on 4 new 10" x 30' Pilings
10b 25'
New Mooring Piling
New 10,000# Boat Lift
mounted to existing roof pilings
10b 30' 10b 25'
6' above 3water 6' above water 10b 25' 6' above water
6' above water _
New 4 x 32' Walkwav Extension
10b 35' 10b 30' 10b 30'
8' above water 8' Above3water 8' above water 8' above water
13' depth 7' depth 5' depth
Drawing by Bobby Cahoon Construction for:
Tom Ipock
710-A Madam Moores Ln.
Proposed Dock Modification
kw
14x24
4x35
x 35
�12 x 20--=1