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Home My WebLink AboutCousmeier, Brad/2- 7 CAMA / 11 DREDGE & FILL N270937 GENERAL PERMIT Previous permit # A B C) D [�New ElModification EComplete Reissue L1 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 15A NCAC r. ED Rules attached. �Y)cApplicant Name L,, Project Location: County ------------- Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # O E-Mail Subdivision Authorized Agent Affected 0 Cw EIEW ePTA AEC(s): 11 OEA D HHF 1H El PWS: ORW: yes / no PNA yes / no City ZIP L1 ES 0 PTS Phone# River Basin L1 UBA E-1 N/A Adj. Wtr. Body /man /unkn) Closest Maj. Wtr. Body -- Type of Project/ Activity (Scale: Pier (dock) length Fixed Platform(s) Floating Platform(s) X, Finger pier(s)L'2 i —4- _4 - ----- --- Groin length number Bulkhead/ Riprap length — — — — — — — avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/(Aoailift Beach Bulldozing Other �CYIAATCA1101�;A, Shoreline Length -'It ) SAV: not sure yes Moratorium: n/a yes Photos: YPIP, Waiver Attached: yes A building permit may be required by -'*- (Note Local Planning jurisdiction) Notes/ Special Conditions aenf or Aoolicar Signature Please read compliance statement on back of permit Application Fee(s) ❑ See note on back regarding River Basin rules. I'V _Pe__ rmitOfficer'sPri�ntede 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico 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) 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://portal.ncdenr.org/web/cm/dcm-home Revised 7l06/ 17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to at 60rswt ate( r4/— s p (Name of Property Owner) property located at �� 0 POVt,G� �y ',I/ G on it t {, v Po �r od (�, (Address, Lot, B ock Ro d etc. u s(�, in fan% 3 4nc4 N.C. (Waterbody) t- it-W�Y (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) cc. ` ISO J GC� FEg a 5 2018 ®CND 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. t�•wwner mrormatron) o� Si re C _� Print or TVDe Na Z.5UV sd��y by Malnind Tess l�c� tiak NC -L+6y a City/StatelZip g t Telephqna Number 2l'1 //A Date (Adjacent Property Owner Information) Signature Print or Type Name.' k Mailing Address P City/StateMp Telephone Number t Date (Revised 611812012) ti ADJACENT RiPARiAN PROPERTY OWNER � STATEMENT I hereby certify that 1 own property adjacent to 190a_d i/�pN$h�, a-% ¢.V"- 'S P� (Name of Property Owner) property located at 7,L 0 �/ (� on 0 K v p9^4� `r Od , , {Address, Lot, t k Rod etc. . in rxtrt��.. )g ';'.... c.b , N.C. (Waterbody) t.- 4�mv6-#Q T (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location/ V I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) �c aas� FEB 0 5 2018 DCM A4HD WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. As M !do not wish to waive the 15' setback requirement. (Pro erty Owner Information �(AdJ2-aceProperty Owner Information) si 'I7 r J CoV �� Signature. iJ C r / �wr 141e,4 Pnnt or T e N a aPrint or Type Name Ma�/tn d Mailing Address ak IUC Z -6 b A+l.,.�+� 03-e AA k Nc Cityl,statelZip JCity/State/Zip 4 t `i 2 c �' '-$Z� Z S'S 12- Teleph a Number Telephone Number t I % -I-I g' � Q/y �22 2 -7 S Date ` T Date (Revised 611812012) ti - U TER BANKS MARINE CONSTRiJciriON Tim Grimes . 252-240-2525 . Cell 252-241-6455 1501 First Avenue. Morehead City. NC 4 tTA AqIV 1 _ w VIE CEJ\jED FEB � 5 2018 C1 www.outerbanksmarineconstruction.com