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Home My WebLink AboutGrooms, Ricky & TinaPA 0�d H)N P EJCAMA / DREDGE & FILL (� L�,f, 1-IIt N_ 70956 GENERAL PERMIT ;e Previous permit # New ��odific i D mplete Reissue [-]Partial Reissue Date previous permit issued As authorized by the itatl14 Ca Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (( NAuJes attached. ' Applicant Name <:�oject Location: County . Address City Phone # ( )_ Authorized Agent Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS: State ZIP_ E-Mail ❑ EW PTA 'ES ❑ PTS HHF IH UBA ❑ N/A ORW: yes / no PNA yes / no Street Address/ State Road/ Lot #(s):. f � i ��-' i • I Subdivision City t i . ZIP ' } Phone # :,�C` ver Basin 1 Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length _ Fixed Platform(s) Floating Platform(s)_ Finger pier(s) Groin length number Bulkhead/ Riprap length t1� avg distance offshore max distance offshore = Basin, channel -- cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing_ Other Shoreline Length L /" U b I ` SAV: not sure yes n " I I I Moratorium: n/a yes _ - Photos: yes I Waiver Attached: yes o A building permit may be required by: ❑ See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special Conditions 1 / Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit" Application Fee(s) Permit Officer's Printed Name Signature Check # 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 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 Mar. 1, 2018 4:27PM No 3112 , P 11 _33�3dDIVISION OF COASTAL MANAGEMENT Ae4,4� ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby Certify that I own property adjacent to . a G ( D 711 s (Name of Property Owner) property located at a3 I, �1��(Address, Lot, Block, Ro d, etc.} on Rj4i&-C�or. r in Iaak N.C. (WaterbodylI) (City/Town and/or County) Agent's Name #: N61115 I I �n 1 f IIAL P n Mailing Address: Agent's phone #: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. ---------------------------------------------------------- ---------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) ��1'P�k t aS fit' If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 90 days of receipt of this notice. Contact information for DCM offices is available athttiwww.nccoastalmona ementnetlweblcmista-listin orbycallingl-888.4RCOAST. No resoonse is considered the same as no objection if youhave been notified by Certified Mail. (Property Owner Information) Signafurb �rbo Print or Type Name Z-2,C1 %24, b Mailing Address City/st te/Zip 3,36447 - 03 Telephone Number/Email Address Date (Riparian Property Owner Information) Sipature 17016f For :Z 7 � / /)u Mailing Address 41Z f City/State2ip Telephone Number/Email Address Date (Revised: Aug. 2014) Mar, 1, 2018 4:21PM No 3172 F. 2 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY`OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to Q1,( s (Name of Property Owner) property located at 023 � 1(,Address, Lot, Block, RMdT.) on l.r+ inL(J� N.C. (Waterbody Agent's Name #; ► ICU r 1 6 Agent's phone #:ClI 1 (City/Town and/or County) Mailing Address: He/She has described to me as shown below the development he/she is proposing at that )ocation, and I have no objections to the proposal- -------------------------------------------------- ------------------------------------------------- -- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawn i%S?,k, �, LJ Fil i _, JR Erik r dS 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 athtt J/www.nccoastalmana gement.net/web/cm/staff-listin orbycallingl-8884RCOAS7. No response is considered the same as no ob-ection if yqu have been notified by Certified Mail. (Prop#ty Owner Infarr� ation) Signature (�rbo IYO Print or Type Name oz3y,ar Mailing Address Citylst telZip �;('. q4-7 - 03 Fl Telephone Numberl C Address a A -i= Date (Riparian Property Owner Information) Si cure Print or Type Nam Mailing Address Q co Ci y/Statelzip 25-2_ - UJu.�w Telephone Numberl Email Address' Dete (Revised; Aug. 2014) Mar. 1.2018 4:28PM No 3 17 2 P 3 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �- Mailing Address: Phone Number: Email Address: i certify that I have authorized 013 Z'r {-F-S �r Agent / V, to act on my behalf, for the purpose of applying for and obtaining ail CAMA permits necessary for the following proposed development: IC L at my property located at in County. r. 1 furthermore certify that 1 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: Signa ure Gil-rnl� 3. — Print or Type Neme Title UJ 08te > o W Cq Cr This certification is valid through �1�/� ILL) DIVISION OF COASTAL MANAGEMENT ADJACEi�I T RiPARIAf\I PROPEP.TY 014�lNER NOTIFICATION F CERTIFIED MAIL. - RE T l.9RN RECEIPT REQUESTED aj,,�, � Y-7 - I-t i r` ` i � e-� G D s I hereby certify that I own property adjacent to (Name of Property Owner) property located at a3 - � -, 9 �r• (Address, Lot, Elock, Road, -) f N.C. on ��iJ��-'7l , i n , (Catty/Town and/or County) (Waterbod-yl) ^ Aaent's Name #: r�C r�15 l�� Mailing Address: Agent's phone ;=: n below the development he/she is proposing at that location, He/She has described to me as show and I have no objections to the proposal- ------------------- iDESCRIPTION - - AND/OR DRAWING OF PROPOSED DEVELOPMENT --------- --------------- (Individual proposing development must fill en description below or attach a site drawing) l,J �cd 4 i ��r dFK f b5, l d� � _ r � �a =�C pd [� LiNc APB �Zo Fr , If you have objections to v�hat is being proposed, you must notify the Division of Coastal Management ice. Con (DCM) in writing within �0 days orareceipt eac eP �°�-n��e�/cm/sue ff I stintact lnoo y tilling 9 888 RCrmation for DCfV1 rOAST available at hi7p //wv✓v✓ nccoastals, hlo r es onse is considered the sage as no objection if ou have beennotir`ied b Certified lVaii. (Prop/ --C Owner information) (Riparian Property Owner information) Signature Print or Type Name Print or Type Name Mailing Address MY ailin° Address 1' C 4 City/StatelLip e ` C y/State2ip " 03 Telephone Number/Email Address Telephone Number/Email Address j a a� , / Date Date DIVISION OF COAS o AL MANAGEMENT OWNER NOTIFICATION F0RIV➢ D jAC=i� R➢PAR➢Af�I PROPER e CERTIFIED FAIL - RETURN RECEIPT REQUESTED I hereby ce> i y that I own property adjacent to G ( ' z) s (Name of Propei ty Owner) L L prope: ry Located at a3 (Address, Lot, Block, Rod, eEc-)� f N.C. on i n ---- (City/Town andlor County) (iivcterbody) &Mailing Address: Agent's Name#: Agent's phone #: 1 r e/She has described to me as shown below the development he/she is proposing at that location- ----------------------------------------------------------- RN'�I and I have no objections to the proposal_ DESC.PT➢OANDIOR DRA141•i`ING OF PROPOSED DEVELOPMEN 'Indly;HT u a6 propos,'179 development must xil6 in description below or attach a sire dravling fN r-p r0FF _ NJJflI) ' lra' t C� APPok g ro osed, youmustnotir'ythei�ivision ofCoastal Management/fvouhave objectionsto v✓hatisbein o P (DCM) in V✓ri- ng y✓ith.in I0 days o` rac�Pt of this notice. men� ne/�ved/cm/stafrtl"s2irac� or6yc lli�tact inf0-rrj72tiOrj a i 83� RC�Oe ST available athttp_//wv✓v✓•rccoaszalman iVo ,-espouse is considered the same as no ob "ection if ou have been uotif<ed b Cerrif<ed fail. (Prop�rry Gwner MforFn,ation) �icnctUre pr.%n or Type Name r,/ailinc Address tea' CN/Si a i 2�1r7 r '4 - 03 �1f Telephone Number/ � it Address Da... (Riparoan property Owner inTor mat9on) S/ atu ee Print or Type Name Mailing Address n / Ci y/State2ip Telephone Number/Email Address Date` V O l (FZevise . Aug. 9 EJCAMA / C,i)REDGE & FILL GENERAL PERMIT A B E]New ElModification ElComplete Reissue El Previous permit # Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 4nd the` Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC LjKules attached. Applicant Name "V<�oject Location: County Address Street Address/ State Road/ Lot #(s)., Phone # &4 Authorized Agent El CW 'El EW Affected AEC(s): E OEA 0 HHF 11 Pws:— ORW. yes/, no IPN) Other Shoreline Length SAV: not! Moratorium: Photos: Waiver Attached, A anon reels) 0 PTS tBA 0 N/A Phone # M) Adj. Wtr. Body — Closest Maj. Wtr. —00%■ 11 11 11 IN III III 11111111111111 11 0■ 0■ 0■ mmmmmmmmmmmmENEME NOON■■■ NONE■:■ ■��■ j; length NN■■■■■■�'r�/.a■■'■■■■■u■■N■■■■■■■■ NNW EMMEMMMOMM- =No *1 e offshore ME =SOMMEMMEMME ONE NUMEM ce offshore _-J I ri,-1111111111111 1111111111"WEEM NONE MOM 600 MONISM —INN MEMO= J1MMIIIIIIIIII1IIIIIIIII1 021MME Lim VIRMUM Now 52MONFIN NNOM ■■■■O■E■■■EEN■■■EEEO■■�1■■■■■■■'a mommommoommom lift NODE■NEEEMMMMEMMERNMEM ONO MESUMIUMEM WERMENWOME "MEMO ■ON ME mom NONE MEN EMOMMEMOMMENEM EMMEMMOMME ONEMMUMMME ENEMENUMME EMMON MOMOMM ONE limmumomm WOMEN N M ME .MEN mom mom MEMME wasommAmmo■■■mm 0 No No MEMEN mom • EOO■■■■■■■■■■■■■iii i■■O�ii■i■■■■NEE 'EN MEMMEMEMN No weaa compliance statement on back of permit" Issuing Uate