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Home My WebLink AboutWainwright, Jennifer (2)CAMA / -:] DREDGE & FILL %, GENERAL PERMIT Previous permit# A B , yC ° NF�tew Modification DIComplete 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 I SA NCAC es attached. Applicant Project Location: County Address 1°t. �'',? lv"tc f Street Address/ State Road/ Lot #(s) City :ti. States ZIP w^� ', Jkx Phone # (`iE-Mail Subdivision Authorized Agent s. ' i ? City �.� �" R µ. � �" .,�°" ZIP �. ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # (- ) t Affected River Basin AEC s : ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A � 't -- O ❑ PWS: Adj. Wtr. Body n' 'man unkn ORW: yes / no PNA yes / no Type of Project/ Activity Pier (rinrk) 1—k Fixe, Floes Fingi Groi Bulk Basir Boat Boatl Beac Othe Short SAV: Mora Phot( Waiv, A bui ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name Closest Maj. Wtr. Body (Scaley y(✓� /// a aee note on OacK regaraing river tsasm roves. /".! , ... ( •; /"' ,spy Signature "Please read compliance statement on back of permit" Application Fee(s) Check # ffiyei +' Printed Name 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 [)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/ I-888-4RCOAST Fax: 252-247-3330 (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) 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: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http://www.nccoastaimanagement.net/ Revised 08/27/14 i � r ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 7. Article Addressed to: I lL l 0 S.-TROU E b. i ►USA Cyr. (RRLE" ) UC ?111Up 9590 9402 3402 7227 4016 37 2. Article Number (Transfer from service /abet) ra corm 101 ],July 2015 PSN 7530-02-000-9053 by (Printed Name) ❑ Agent 13 Addre C. Dpte of deli D. Is delivery address different from item 1? ❑ Ye: If YES, enter delivery address below: ❑ No 3. Service Type ----- ❑ Adult Signature ❑ Adult Signature Restricted Delivery� Priority Mail Express$ Registered MaiITM El Certified Mail® Re.9lstered Mail Restricted Delivery ❑ Certified Mail Restricted Delive ❑ Collect on Deliveryry 0 Return Receipt for Merchandise ❑ Collect on DeliveRestricted Delivery ❑ Signature ConfirmationTM El insured Mail ❑ Insured Mail Restricted Delivery (over $5001 ❑ Signature Confirmation Restricted Delivery Domestic Return Receipt AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: J� Phone Number: Email Address: 11 I certify that I have authorized c g�� Aggee nt !Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: -. ,, at my property located at`-L in _ iCounty. I furthermore certify that I am authorized to r Permit Officer and t, and do in fct heir agermissiontto Division of Coastal Management staff, the Local on the aforementioned lands in connection with evaluating information related to this permit application, Property Owner Information: signature Print or Type Name Title _�) I '�;_ l-_ D ate This c #iMWn is valid ttarough ! ` -t ---'= .:' g'` �f yqg IRECE EE MAR 2 2 2018 11��r"RAll _ R, IWrl� rr�f�V Dock Live Load of 62.5 lbs/sgft Low Profile Dock Live Load 30 lbs/sqft 19 ;!fig q J tV C=.) 66 E ®® NOTICE! Read EZ Dock Limited Warranty carefully. Among other things, EZ Dock does not warrant damages, failures or defects caused by unauthorized modification of EZ Dock Product, and/or unauthorized attachment to/of EZ Dock Product. MADE IN USA QUC;K'" Project Name: ,NC Distributor Name: David Anderson EZDock Solutions (252)773-0793 Drawn by: David Anderson Date: 3/6/2018 DWG Name: 000_43158499241 EZ Dock, Inc 878 East Highway 60 Monett, Missouri 65708 Phone: 1 (800) 654-8168 Fax: (417) 235-2232 General Notes: I. This drawing does not reflect anchoring. Once sufficient information & completed proposal Request Form concerning water and bottom conditions is rsceiwd, anchoring may be detailed. 2. Note: It is the dock owner/operator's responsibility to ascertain and comply with all applicable Federal, State, and local laws, ordinances and regulations, as well as all inspection, permitting and licensing requirements pertaining to the installation, application and use of EZ Dock products on the owner/operator's premises. EZ Dock, Inc. assumes no duty or responsibility with respect to the legality or compliancy of the owner/operator's chosen installation, application or use of EZ Dock products. 3. Reference EZ Dock Owner Manuel for additional details. CERTIFIED MAIL • RETURN RECEIPT RWUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORK! Name of Property Owner: Address of Property: o `t V1 - s" v �- (Lot or Street #, Street or Roa , City & County) Agents Name #: 1JW 1 i A f'tln _ d n Mailing Address: E2 Tor�LSa �1 ' Ad, Agent'sphone#: F5'D-""-Z23'0-7R3_gf c& I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are posing. &0egeriotio'n gr drawirm wftn dirnensions must be brovided-with this letter. ?have 1 have no objections to this proposal. i have of jcctj.ons to this proposal, if y objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing wlthin 10 days of receipt of this notice. Contact informaSon for DCfdl oft7ces is available at hits ZlvAirw.nocoastaimanerFL-ment.net/v�e`b/Cmlstaff-lis or by calling 1-888-4RCOAST. No ryes onse is considered the serve as no objection if you have been no£iffed by Certified Alail. WAIVER SECTION 1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if you W a the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. f�rz $ � %` L6 Ce - i do not wish to waive the 15' setback requirement. (Property Owner information) G .S' nature Print or Type Name Mailing Address clty/stateTip C 6?19-41Z--- `7 Telephone Number/Email Address Date (Riparia P e wrier Info 'ation) c Print or Type Name Malling Address City/Sfaf IZip Folephone Number/Email Address r�at� (Revised Aug. 2014)