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HomeMy WebLinkAboutMitchell, Jamie & Nelson2 ❑CAMA / ❑ DREDGE & FILL A B C D GENERAL PERMIT Previous permit # []New , ❑Modification ❑Complete Reissue FL —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 I SA NCAC ❑{Rules attached. Applicant Name Address Cityi:. State _ ZIP ' Phone # E-Mail Authorized Agent T Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ElOEA D HHF ElIH ElUBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no project Location: County �----- Street Address/ State Road/ Lot #(s) Subdivision City _ ZIP_ Phone #(M > River Basin Adj. Wtr. Body ? fit( nat [man /unkn i Closest Maj. Wtr. Body t :fir i ■�1■■■. ■� ■ ■■ram■ �� �■■ ■■■■■■■■ink■ �■:: "Mill MEN ■■■■■■■I>tir�■ sh ■®■■■Ba'1■■■ ■�/■� !1■ASO■■■s1M■■■® ■■ ■21 M !>`■■11■■ ■■�■11■■lll■■■■�_■■ ■ ■�IWE �■ ■ ■ 111�111t�i'■!�I ME ME ■■MEN !■■■■ ■■■;■■ N ■.1■ 11■■■tip■..�■■�■� ��■■■■■ ■■ ■■■■ ■■■ !1■■■■11�...060 ■S1■ ■■■®■� ■■�■ ■■■■N■■ li®III MEMO ■■:�� ■MMWI ■§MWQ ONE MEN■■Qillr■■■ ■■■■ WAS NINE■■ME ■■■EN!�■��■���■ ■ ti■■■ .rl■N ■ ■■ � ■■■�""''�■ ■MO ■ ■A■ ■ ■■IRMS ME No . ■�■■■■■1■■��N�I"r■iilM■N!�■■ ■�■■■� ■■ ■MEN �■■ ■■■■ Agent or Applicant Printed Name Permit Officer's Printed Name Signature Please read compliance statement on back of permit Signature Application Fee(s) 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/ 1-888-411COAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) http://www.nccoastalmanagement.net/ (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) Revised 08/27/ 14 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Jamie Mitchell I��n�� Mailing Address: Phone Number: Email Address: 1 certify that 1 have authorized 1225 Old Sanders Road Smithfield NC 27577 919-8683385 imitche11490@aol.com Harber Contracting Agent 1 Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Repacing the dock and a boat lift at my property located at 400 Dolphin ST , IN Carteret County. t furthermore certify that I 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�tur Print or Type Name Title Date This certification is valid through 12 !�_! 18 RECEIVED APR 2 3 2018 DCM-MHD CITY ri , 14 ADJACENTAQJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Jamie Kitchell Is (Name of Property Owner) property located at 400 Dolphin Street (Address, Lot, Block, Road, etc.) on Bogue sound in Cape Carteret I N.C. (Waterbody) (City/Town and/or County The applicant has described to me, as shown below. the development proposed at the above I cation. I ,;� .9,-, �V 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. (Property Owner Information) '%ffifg"Mitchell Print or Type Nairne Mailing Address CitylStatelZip Telephone Number / email address 0,11e *Valid for one calendar year after signature* (Adjacent Property Owner Inforpation) -----"'- Print 0,J951Y%owpp "'IN'Wffne Drive CIV%W�oro NC 28254 Telephone ie Numbed email address )-,LV1 24 Date 0Re M 9) VA R APR ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Jamie Mitchell is 400 Dolphin (Name of Property Owner) property located at (Address, Lot, Block, Road, etc.) on Bogue Sound in Cape Carteret N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location 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. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent /jProperty Owner Information) S'AM'Mitchell S' na L r ,VE/G G% Print or Type Name Print or Type Name 2006 O Berry Center Road Mailing Address Vffiftdroeft 28584 City/State/Zip City/State/Zip Telephone Number / email address Telephone Number / email address Date Date* 51116 Z 0 / (Revised Aug. 2014) *Valid for one calendar year after signature" Jamie Mitchell Dock �12 6 13k o Boatlift N 4x10 girder ce 13' 148.5' Harter Contracting Inc Drawing: Note: '/. thru bolts P.O. Box 4562 400 Dolphin St. used at 4x10 girders. Emerald Isle NC For :Jamie Mitchell 28594 5/8 thru bolts used at 252-342-9987 hogslats and 6x6s