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Home My WebLink AboutHorne, Mary71 CAMA / DREDGE & FILL N2 72089 A B C D GENERAL PERMIT Previous permit# D-New ' Modification ❑Complete Reissue ❑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 Rules attach1d. Applicant Name !3' �) ' Project Location: County I" ".' .+, x ! {, Address i ? Street Address/ State Road/ Lot #(s) r City-- 1 State ZIP Phone # ( ) ` l . r�E-Mail Subdivision Authorized Agent City _ _ ZIP Affected ❑ CW __TV EW r,Jr-"A ❑ ES ❑ PTS Phone # ( ) Riven Basin r t' OEA HHF ❑ IH ❑ USA El N/A t ✓` AEC(s): ElElAdj. Wtr. Body___(nat _1man /unkn) ❑ PWS: _ Closest Maj. Wtr. Body- -- ORW: yes / no 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 Boathouse/ Boat Beach Other r - Shoreline Length SAV: not sure yesnc} i Moratorium: n/a yes' no ) Photos: yes no Waiver Attached: yes no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions 1 iF c t Agent or Applicant PrinteiName Signature Please read compliance statement on back of permit Application Fee(s) Check # (Scale: fjrj ) ❑ See note on back regarding River Basin rules. Permit Officer's Printed ;nat�yre wing 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: El 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 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/ 1-888-411COAST 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: /' 4 0-g-t-[ Tkoa !SF — Mailing address: �B ()44-K(.-f►4�F �e,ly°f-7- Telephone Number: 9/9— I certify that I have authorized 1 t�% rY(agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of cwr u f--1 Ot,4 sm A-Lf-- at my property located at 1 C - ��- This certification is valid through 17%(5 i ( 1 e (date). (Property Owner Information) Signature �(Z-q 1�-> t-[f Print or Type Name Title, co. owner or trustee for property f I Date �( (q—C4P��—�°�� Telephone Number Email Address ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to /A kk(ZkI .k zii E 's (Nam�of Oroperty Owner) property located at ( �t� I-�VIA _ UVC �A�d�d��ress,I'�j Block, Road, etc.) on �Y�ll.�- ""VU t Ci1j4` � in 't'1 i= 1'kos-- S-,-kc'ZeS , N.C. (Waterbody) (City/Town and/or County) 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 rill in description below or attach a site drawing) . ...,.._r.•++...s,.-..-m+rv+.x..,.-.-v-,....:..,....-aarla.:r-a...rr.'pY..�•.9.xz:r►e-+em.Min:-.^_•'V7`r. .....:..,,..'A+rf![-'.irrr LA V-i WAIVER SECTION I understand that a pier, dock, mooring pilings, 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 OwnerInformation) (Adjacent Property Own nformation) Sign t re k4 k 1f,-t4C Signatu e / /L d2/a L 4 Print or Typ Name -bit Vf- Print or Type Name E M ling Address .- rrT--v�FtrtC � 4 --4 / JC'M IZ Mailing Address Ciry/St 0 t� ! City/State/ip�{�\ Telephone �jtuber Telephone( u ber y / Dale TTTtt Date (Revised 611812012) Scanned by CamScanner ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to f "l'-iz-LI -k- 0zIq F_ I _ (Nam o Property Owner) property located at (z:) o �r'�Ka-I:a�i= UVE " Address,L'�g Block, Road, etc.} on �t Li �� Ciu in -Pi �� t4i SJ4o jE5 N.C. (Waterbody) (City/Town and/or County) 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) C" AL- ,,L. gam' WAIVER SECTION I understand that a pier, dock, mooring pilings, 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) i--i E Print or Type Name i 0 A- K_(_6 4 i= .-I--ALI YE M 7ing Address Ali %Ac City/s to ip Telephone Numper IJ3c� Date 71 (Adja �ntProperty Owner Information) J Signature PG r k 7- Print or Type Name Mailing Address City/StatelZi Cz5-7)6zz-4ss4 Telephone Number yaP)Lk-,q( 30.2a�b' Date (Revised 611812012) �] CAMA / El DREDGE & FILL N272089 A B � D GENERAL PERMIT Previous permit # ''New ElModification OComplete Reissue El Partial Reissue Date previous permit issued 41 i 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 [31.Rules; attach . Applicant Name Mv Project Location: County Address .- Street Address/ State Road/ Lot #(s) it L City 1 t "I State ZIP,{ Phone # 2 Subdivision E -Mail Authorized Agent /,y City- ZIP 0 CW )�EW ATPTA El ES EIPTS Phone# Rive Basin -1r r Affected 0 OEA 0 HHF AEC(s): D 1H 0 UBA N/A El Adj. Wtr. Body (nat.,ma...kj- 0 PWS: ) Closest Maj. Win B6dy— !'Z 01RW: yes / (n��_5' PMA yes �0 Type of Project/ Activity -� t17 Y (Scale: MEMOMMEMM MENEM MENEM ME MEMEMEMOMMEMMERM 0 mo■■■■■M■■■■[11■■ Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel ■■■■EWNWIMMM® iM H 1 MMEMEM■M1 MENEM MEMOMMEMEME MEMENEMEME M01111111M MI■ cubic yards Boat ramp Boathousel Boa#i�-6k' MEMEMI IMMEMEMEMMEMNEEME■MEMMEMMEM HEMMEMEMINIME Beach Bu ng, Other jn*" MINE MENEM Shoreline Length SAV: not sure yes f�" Moratorium: n/a yes/ nolum Photos: no yel TT JAM Vpq MiNEMNIMMEMIMMEMEMEMEI I"IMMMEMOM IMEMEME111 EMME MOMEMMEMEMMEN OMEN MEMO MEMO IMMMMMMMMMIMMMMMM ME building permit may be requi red by: i6e AA ❑ See note on back regarding River Basin rules. Note Local Planning jurisdiction) f", Notes/ Special Conditions 2. -ASE, _14/t*p1r, ADDlicantRi4nted Name 7K' I I Permit Officer's Printed Narnp-,-_,— 101f Sig we-McIto' 1 0 perrr Sign ** P1 #iance statement on back of SignaMrey Application Fee(s) Check # lssuinjDate Expiration Date