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Home My WebLink AboutRhue, AnniceXll t.►� DREDGE & FILL No 70406 A B C D AEfAL PERMIT Previous permit # New Modification ❑Complete Reissue ❑Partia'I"%sue Date previous permit issued s authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ` f `+ -[ � `` � [:]Rules attached. Applicant Name ,- : t Project Location: County Pro 1 Address r ' ° Street Address/ State Road/ Lot #(s) City i f • r : {'? State ZIP J Phone # ( ) f ` AE-Mail Subdivision Authorized Agent# City ZIP _ ❑ CW ❑ EW [ETA ❑ ES ❑ PTS Phone # ( ) River Basin Affected ❑ OEA AEC(s): ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body gnat /man /unkn) ❑ PWS: Closest Maj. Wtr. Body ORW: yes / no PNA yes / no i , .IV ■OEM t�►.�7®E"i■EN!"M ME■ MMMMr1M rowlsOMM MEMO■■E0EEIiN■.■■ M■■MM■■■■EMMMM■ M ■■ 111111 lall /Pi ■MMI I .� 11�,1 II f� ■■M�EE■EMMEMM�/IIt&QMMMMM MEN ■®MA111110 ■■■■ EE■m■E■E ■ice v,■ ■ V EEM■EAM MMMM■ 0 Vo SEMEN 0 Err, .■.........■.......... . ■.fi��......... SEMEN Iniaw ■MEN - ■�M■EMM■Ir�■EOM■■■■■�E■®■■ r ■ ■M■M■■■■e■M M�MM�M�EMMM�■■E11EEMM■■EW:.40 ■ ■I■MMM■M MMMM MnommommmomM EM.�■EEEmE■■�■■�■m■■ i iu imeEE■■E ■ . Ml. i■r I�'!�N■■■�M■■MME■■■ 'M■ 5 ■■■■ IMM■■■ M■M■�Mn M 0.0�■E■E M■MMM Mom■■EMMMMM . M ■■� 0ZIPI IN i° IRIANso ■ ■■■■E� ■ ' R Agent or Applicant Printed Nai Signature "Please read compliance statement on back of permit" Application Fee(s) Check # Signature f Issuirigbate ` Expiration Date r 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: II 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 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) http://portal.ncdenr.org/web/cm/dcm-home (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 7/06/ 17 �18 2:54PM No- 254 P, 1 a4� 3� 3 AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: ri tiae, 5 m, Mailing Address:�- - Phone Number: 12 Email Address: r- rn u -,p - 0 uj ltt)ok : Cg�' rv-� I certify that I have authorized i 11 'j Wo r r'l s Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 'Dz c k tt^ �e /a e-e M en at my property located at in r 4e.re,+ County, r- 1 furthermore certify that 1 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 Annie .Srn }h R u Print or Type Name Title LA-1-2 l /? Date This certification is valid through � JZ _/ / 9 — �rivNci�y vwuei 1108vin1046tvily III ✓ i/V� '74 Si�rcdlure i , r-I i Gam..�m "�`ln Print or T Qe Name S 4 1 f V � (j-� i-I - f MaflingAddrr��ss 1 C.� 1 C a o City1S a�te/Zip ..uf lcoh TB%phone Number/email address c' "► L,Z--�-/ - Dam ' "Varid for one calendar year after signature' Pnn>` Type Na e ailing AddreS cZ S c .;k-0-0 � Tele hone Number/ email address pars � (Revised Aug- 2014) V-N* . . 2018 4:53PM No 325i P. 2 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: A n n i Le S'TT,- Mailing Address: 3,41 Near t,� r,e Cc,r W0- Phone Number: 2 5 42- - 3 cf � - cA �17 4 Email Address: r rn e- h u e %P e, ) u4 look' co rtil I certify that I have authorized _ r I I v Wb rr1.5 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: Da G1` at my property located at 151 'u,rr' + P_t- VV 9 D r` 3 in f'a(`4e.re.+ County. 1 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 A in -1 lag Print or Type Name Tide i? _/ IF Date This certification is valid through1�,_l� Apr. 10, 2018 4: 53PM No. �32� P�1 ApJACENT RIPARIAN PROPERTY OWNER STATEMENT �.• �D I hereby certify that I own property adjacent to _ A n in ►,p�e gna i %ia e- 's (Name of Prop" Owner) property located at i,5) (Address, Lot, Block, Road, etc.) on so u in CeA C'A_eref Co, , N-C. (Waterbody) (CityrTown and/or County) The applicant ha's'descdbed to me, as shown below, the development proposed at the above location. if 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 desuiptJon 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, l do not wish to waive the 15' setback requirement (Property Owner Information) (Adjacent Property Owner Informa�tio0n f dv sn 'atur� ilp�,s s,',�h 1�LAf IS Print or Tye Name 54 1 IN c-_ L-N n e 1� r Panto ype Na e Mailing Add ss c4 � Q��erc We 4S5 8 ailin A dre � � 'o �rJ-�- N C Cz g � �`� city/stat&zip Cit;Y t te2ip a_S a-393-2�`l6 r m h1�uc'�'�,L�ufi�cok,� r'c$�10 Telephone Number/email address Telephone Number/email address Date Dare" (Revised Aug. 2014) "Valid for one calendar year after signature` Apr, 10. 2018 4: 54PM No, 3251 P. 3 & A eoe— 7, / 8 Rp r• 10. 20 8 4: 54PM ADJACENT RIPARIAN PROPEFLTY OWNER STATEMENT ,%c,, 325 1 4 I hereby certify that I own property adjacent to P- ,s (Name of Pro erty Owner) 5 property located at 1 r' ar � r1� �� C (Ad ess, Lot, Block Road, etc.) on T30!2�u;-- Sn url-d in cetetr qQ I n4 re,4 C N.C- (Waterbody) (City/Town anchor County) The applicant has described to me, as shown below, the development proposed at the above location. y' I have no objection to this proposal. I have objections to this proposal_ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual pr?apasing delopmerr>Fmustfrll in descnpt�on belo++y of att�cf>r a site drawing) WAVER 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.) t/ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement: (Property Owner Information) (Adjacent Property Owner information) Signature inn Si atwea e>✓ �mr i tunic e� Sm t h eye Print or Type Name Print or Type'Name Mailing Address Mailing Add City/S ate2ip City teop rytrht�P u �a't A�i-�r Telephone Number/email address C Lk-r 1 e, .Q6M Telephone Number/email address — Dare Date iEeA r1 V•k 5+(RevsedAug. 2014) *Valid for one calendar year after signature's C=Aae PO 1 �-�- 0 C t,,_ , / O DREDGE & FILL lTo 70406 A e c o .9 4ERAL PERMIT ' - k, Previous permit # ,Aew C7. Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 7 (, / L� and the Coastal Reso ces Commission in an alof environmental concern pursuant to 15A NCAC l� ules attached. Applicant Name l Project Location: County Address - Street Address/ State Roa / Lot #(s) -/ Z-�Ir City Cl/ {' Phone # Authorized Agent f Affected ❑ CWW AEC s ❑ OEA ❑ HHF State < «c; lvol"tP _,wWVTA ❑ ES ❑ PTS ❑ IH ❑ UBA ❑ N/A Subdivision _ City �t'G �� ' ZIP Phone # ( ) River Basin V Adj. Wtr. Body �J ' j'L -L/ n ' man unkn Closest Maj. Wtc Body f cJ .. - ■■■■■■■■■ No MENMEMO ■L'J■■r■ ■■■■■■■■■■■fiGMEMO ME ON ME 0 IN .■■■■■■..■■■.■■.■■■■■..■...■.■....... MEMO ...■..■■■■ ■..■■■.■■■ ■.■■■.. ®......■■■■.■■■■■■■■■■"■■■■■■■..■ ■.■■■..■■■■■■■■■■■■■■■ ......INN .■......■■■.■ __■■■■■■■■■■■ .■....■... ■......■■.............Ii�..■. .......... �.....■■■..■■■■.....■■ ..... ■■■■ ...■...■■■ ��■� a■■■■■■■■ ......1, ■OEM ...■■... mom ............. ■■■w�■� .■ ................■■..■■■ .....■�:�■■.■� ■ ■......■■..■■...........■� ,•�..��.��■� ■■■■■■■■■■■■■IN■ ........ MM■■■■■■ ■ ■■SV41 � • mom mom \■■■■■� , ■■■■ fr\■\\iA ®■■■■■■�!��%/1E1■�■Nr\w\■■■ -ter. Ill■NEW f:\■C\EA ■■■■■■■�I/(LEI■%I\■■G'f■a ME �■■■■■iri■r■ti] ■NNE �■0 !1■r�■�i ��■■■■■■■■■ ■��J►1iI ■r■\■\■■ Nil ■CL7■■■Mai ■\►'�■■■■■■ ■■■■■ ■ �w ■■i■E ■■ ■ ■■■■■n�'MC■. ■ !■■■�■■■■■■ PleacP read compliance statement on back of permit RECEIVED MAY 11 2018 DCM-MHD CITY