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Home My WebLink AboutWright, Michael G.-CAMA / ! DREDGE & FILL A B C D GENERAL PERMIT Y. Previous permit# 'New EModification ❑Complete Reissue '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 15A NCAC E] Rules attached. Applicant Name Address City Phone # ( )_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP E-Mail ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A PNA yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP ~ Phone # ( ) - T "'! 'River Basin Adj. Wtr. Body i. l _(nat /man /unkn) Closest Maj. Wtr. Body% EMS "'�1OEM ME Ion ■1MMM■■V"kSMil�■I��GIS1►�Nli�i��li■■■■■mSOME ■■�!■Ii�ltit ■ t�l■ ■1�!"MOMMENIINEW■■■■■F,i�i ■ l■11 ■■ffillotill/■ !II/■ ■ Miss,r.� I Fa = EMMON�LEMEN WIN W mommom MOM MEMNON WMWW ■�M01111 !'A1■■II ■.11■■ .M.■■■■�■■■■■■■■■H■■ ■■IMMONS ■■. ■■■imm■m ■■■■■■■■ ' d ■ ■■ ■�''ism ■■■ ■�■■■MEN ■.�■■� . ■ I MEN MUNII ■.11 ■■.'■■■�■_■ ■■■■■■■ NOWN.=• ■® ■ ■ �1.�iiiiiill■■■ ■I/■.N■■.tM■■ ml�■■M■■■INNOM ■ ■■■■ ■■■■111110i7■ ■■HEMINEEMEMENII 0 OEM M - - ■�■■■�■'��■.Ilia 1l1�■■■■�■■■�■■■■■■■■� Mail= ltiononam� MOM 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/ I-888-4RCOAST 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) (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) http://www.nccoastalmanagement.net/ Revised 08/27/ 14 f i A GH N " AUTFQRIZATIO N FOR CAMA hERMIT APPLICAT101 Name of Pro �iei ty awn er Requesting Permit: CL� c C-;— Mailing Addri ass: Phone Numbi !r: _3aZ �-- Email Addres:;: I certify that I ha,ie auth,xi,::ed A :den Contractor to act on my hehalf for the purpose of applying for ard obtaining all CANIA p !rmits necessary for •Iho fc Ilow ing proposed development: i �r at m pr pert , lc cai ed at _ 706 c r ti in VA- _C aunty. l furthermore ce, &3 ' that I am author zed to grant, Md do in fact grant pe mission to Division of Co :►si al) ganagi,!ment staff, the Local Pem fit Officer and their age is to enter on the aforenrertio�led lands in conn?ction with ev0uating infonnation reh ed to this permit applica `foi r. Property Owner Information: Prii it c, T. fpe Ilan ie Fitt a -L.--O?C) (�7- Date RECEIVED This certificatic n i 3 v slid Ihrough ! / APR 19 2018 _ DCM-MHD CITY 5Qc �,ke 4kt- CA P 5 CIOi v ,U C, .,2Fs-s-i 31 F-v-- ko C, �iugrT o Itc� O.l oo Ko e- t V" RECEIVED APR 19 zM DCM_MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to i LIZI 6: - 's (Name rope Ov6A, r) property, located at on (Waterbody) /I t ress, Lot, Block, Road, tc.) in [�� .Q N.C. (City/Town and/or County) he 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. DESCRIRITION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual p oposin development must fill in description below or att ch a site drawing) '�\ I I — t 41J rU J WAIVER SECTION I understand fhat a pier{ dock, mooring pilings, breakwater, boathouse, lift, "or groin must be set back a mini um 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.) ,hdo wish to waive the 15' setback requirement. Date I do not wish to waive the 15' setback requirement. (Adjace Information) P76,TNl� Mai jyl6Addpess City/Statezip CE�VED 7 Telephone Nu Date � CITY (Revised ��" VI -r Met— � I '12 rw uj > Lu Lu 00 —C=:) C__j m cl- U a I hereby cer propert loc on The applica locatio . (individual ADJACENT RIPARIAN PROPEROWNER S''ATEMf_I:V1 T`r fy -:hat I own property ad) scent to r —' -_-� �'-'� � kL—,s JI-(Name Prope y ��t r) ' rq ted at �� t ( ddress, Lot, E lock, Road, tc.). N.C. in f" rUltatPrhnAvl (City/Town andlor cot nty) t has described to me, as shown below the development p -op as(_ d at the _above I have no objection to t -iis proposal. I have objections to this; proposal. )ESGRIPTION ANDlOR DRAWING OF PROPOSED DEVELDR 111E NT a,Ir.�nnsina develonmern! must fill in description below or zq `'M =h a site dry wing) v I understar back a min wish to wai (Property, i tz�re� Pri r Typ• �(� r MAoi ,City/state Telephone � Date S CC 7A, Ll �'`� ►' ft ' t .�lC� I I WAIVER SECT ION I that a pier, dock, mooring pilings, break Nater, boathouse, IrT _, �� i oin must be set num distance of 15' from my area of riparian access unless ,rri v o by me. (if you thE: setback, you must initial the appro )riate blank ;)elow_) I (Jo wish to waive the 1 !i' setback requir ament. I do not wrish to waive the 15' setback requirement. wner Inf mation) (/►dj t Prt)perty C r er I o anon) — S' tur t _ Let '^ t drre P7nt %1,e Name (�C r "ailing Address C ify/state/Zip W umber, /IV --- — � T alephone Nuroer Date pelt (R ;vised 6/1 8/2012) z 0 N oa n I 1,77=77- -Ar X 41 - I-, M E E C-7