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Home My WebLink AboutNobles, JP[aCAMA / I DREDGE & FILL No 71917 A B (C D GENERAL PERMIT Previous permit # ❑New uModification ❑Complete Reissue ❑Partial Reissue Date pre ious permit issued Environmental Quality As authorized by the State of North Carolina, Department of t and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC JX1r Rules attached. Applicant Nam;' t. Project Location: County T Address 4 Street Add r s/ State Road/ Lot #(s) h r City r State ZIP ;, .. ., ty Phone # ( Mail Subdivision. Authorized Agent i I City ZIP ❑ CW QfW PTA ❑ ES ❑ PTS Phone # ( )_� ��' River Basin Affected ❑ OEA ElHHF IH ❑ UBA ❑ N/A AEC(s): Ad Wtr. Bod nat /man /unkn) 1 Y - ❑ 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) L �( Groin length number Bulkhead/ Riprap length —� avg distance offshore ------ max distance offshore ._._ Basin, channel cubic yards Boat ramp j Boathouse/ Bbatlift 1 Beach Other Shoreline Length L SAV: not sure yes no Moratorium: n/a yes Photos: yes no , no Waiver Attached: yes A building permit may required by: _ ( Note Local Planning Jurisdiction) Notes/ Special Conditions t Agent Applicant Printed Name Signature Please read compliance statement on back of pegnit Application Fee(s) Check # (Scale: ji 1.t !, ; ' _ ❑ See note on back regarding River Basin rules. i Permit Officer's Printed Nayie f Signature f] Issuing Date Expiratr'dn 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 howto complywith 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 Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves: Camden, Chowan, Currituck, Onslow - South of New River Inlet - Dare, Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 CAMA / ❑ DREDGE & FILL 2 71917 A B C�` D EN ERAL PERMIT Previous permit # New ❑Modification El Complete Reissue ❑Partial Reissue Date pre ious permit issued As autho ized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources miss'on in n are of environmental concern pursuant to I SA NCAC rw t ZaRuIW Applican jNa e oD Project Location: Coun Address Street Addre s/ State Road/ Lot #(s), Le City State ZIP t Phone #:, it Subdivision ----7111 Authorized Agent City l ZIP Affected ❑ CW )k W *TA ElES ElPTS Phone #� r T ver Basin ❑ OEA ❑ HHF ❑ IN ❑ UBA ❑ N/A f f AEC s() : Adj. Wtr. Body na an nkn Closest Maj. Wtr. Body � ORW: yes / i1l4 PNA yes /rho Type of Project/ Activity 33 (Scale:` ) Pier ( Fixec ZFloat Finge Groh Bulkl Basir Boat Boat Beac Othi Shot SAS Mor Pho Wai Ab ( Note Local lanning jurisdiction) Agent Applicant Printed Name Signature ead compliance statement on back of permit plication Fee(s) Check # ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■�■ ONE _ ■■■■■■■■ ■■■■ ■■■■■■�■■■■■■_■■■■■■■■■■ ■lumber ■■ ■■ ■■■ ■■■■■■■■■■ . • ... leng6 ■■MEN ■■■■■■■■■■■■■■■■■■■■■■■■Gi!" IME %t■■ wg distance• •• ■■OEM ■■■■■■■■■■■■■■■■■■■■■■■■■■IRL'■■■■I■■■ ■■MEN ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ij■■■ ■■NNE ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�1■■■ ■■■ ■■■■■■■■■ ■■■■MFIF11 MEN ■ ■■�1■■■ ■■■■■■■■■■■■■■■■■■■■1111121 fill ■■■■■■ ■ ■r"■■■ cubic yards■ ■■■■■■■■■■■■■■iw■is��.NN■ril�l�'!■ ■ ■ ■% ■[I■ Ii�'r ■■■■■■■■■■■■■ ►■UNN ME M ■■■■■■■■I■■■■■R�01iI�■■�I/1■■■■■■■■■■■■■■■■■■■ ■■■■■■M ■■■■■Illll NMI nI NIAMI M■■■■■■■■■■■ ■■■■ ■■■■■'■IRA, ■■■■n■■■KIr+��QrNONE ■■■■■■■■■ ■■■■ ■■■■1��!►.'IE■■a■■■f/■■'�tti'Ii1�11:N■■■■■■■■■■■■/i■■■■ MEN ►.1�'0 ■■No ■■IliWIV►!:!l■■/n 01MV0102UNI[IhRIs■■■■■■■■ ■■■■ .. _ rMNEW�-`�� Uffilmn s 1■fi .A !!wUhlVAwM■■■■■■■■■ ■■■■ t- ::■<i1►'�►■■► ENRAW■1�u /,tales■IRSIA ■■■■■■■■■It■■■■ dine Lengthia�1■■■■■■Jil/, not sure yes no ZIP/!1WASIIM�i901010■■■■■■■■■!�■!■■%■Y ■■ no ■IN■■■�6M■■'�ri.NUM■I,MIRW FF 1116■■■■■■■■■■■■■ Signature " v �` Z 4l Issuing Date I Exifiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: ' i 14e _ 2bv hC Phone Number: Email Address: I certify that I have authorized ' `'E DG / w T—iy' Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development:r— v.l at my property located at i,� n in 4fQ-�.�'�' County. I 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: Signature Print or Type Name rifle a, ;? `-i', 01�,2; -/ RECEIVED Date OCT 216 2017 DCM- MHD CITY This certification is valid through I I APB REARM PROPERTY OWtKB STAT�iIT 1 hereby caertify t'iat 1 own prop" adjacent to prey located at _% I�� .S % e of� Property Owner) 'S on (Address, lock: Road, etc In-��,O.v,E c r�+0 G at , N.C. (Wate body) (Cityfrown and/or County) The ap�p;ij=d has described to me, as shown below, ttre development proposed at the above krt�/ I have no objec(ion to this proposal. I nave objections to this proposal. DES MFTION ANMOR DRAWING OF PROPOS® DEVELOPMENT (Incgvkk;d P►olr ilk 11 went mast fillIn descrip6m below or atewh a site drawkwe c�- • )� t - .-•�'� y WAIVER SECTION I understand that a pier, dock moaning pangs, boat ramp, breakwater, boathouse, lit, or M* must be set. bade a muiimum distance of 15` from my area c f riparian access unless waived by me. Of you wish tQ warn the setback, you must initial the appropriate blank below.) /I do vfth to waive the 16 setback requirement I do. -wt Irish to waive the IV setback requirement. .(y Owner Information) o _ S1i Print or Type Name .613 Lac•"1LEJ?i2 %�kbA �Al c-- • lh jz o' R'0 .RU C_ '2 L Te%phone Nwnberlemail address ' q-�- Z �/-- 2 0 t-;;� 'Veld for one cafe ndar year after signature Property 9*ner information) 6 t NUMberl email address = -7r%3�rcl�cl (Revised Aug 2014) - - /119 ge-Y 6 C- � /7 e V'A�- /I R2D 5 , RE CEN 0 C T -6 2017 DCM- MHD CITY I hereby certify that I own properly adjacent to (r , property located &t ��i� ./rQ r1, .1 /vim (Name of Property Owner) _ (Address, Lot, Block, Roadin A, etc.) (W iterbOd'C' Y) (CrtylTown andlor County) Thee applicant has de,-rAbed to me, as shown below, the development proposed at the abom —A have no objection to this proposal. 1 h� ve a bjections to this proposal. DESCRIPTION ANDtOR DRAWING OF PROPOSED DEVELOPMENT (Individual propcsinri development must OR In desctlp#ion below or attach a site draw ft) Ilk WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, sk or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by rne. (if you wish to wahre the setback, you must initial the appropriate blank below. _ �j 7-D 1 do vEsish t:o waive the 15'setback requirement. RECEIVED I do not wnsh to waive the 15' setback requirement. (Property Owner Formation) Z24?to S-1 A f t Date qlf,- ,b OCT 26 2017 (Adjacent Property Owner M' CITY �, �,- Ig PWnt or Type Nam-7 : t cc1 Ma ' g Ad*ess city TPephone Number/email address R -7 6 / 3 Dale* l� /� �j 7 *Valid for one calendar year after signature; (Revised Aug_ 2014)