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Home My WebLink AboutWatkins, Raymondr. C�CAMA ; ❑DREDGE &FILL No 70943 A B , D WGENERAL PERMIT Previous permit# MNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resour es Commission in an area of environm' ntal concern pursuant to 15A NCAC us attached. Applicant Name `' ' Project Location: County Address t ~' City r, Ir+ Mate ur Phone # ( # �3 E-Mail Authorized Agent T -'tet,,n / `> V'-IN" Affected ❑ CW ❑ EW EIM% ❑ ES ElPTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): ❑ PWS: ()RW ves / no PNA Yes / PI6 Street Address/ State Road/ Lot #(s) Subdivision City Y ZIP Phone # ( ) River Basin Adj. Wtr. Body nat an nkn Closest Maj. Wtr. Body .R. No N M. ■i■�ii■■■ ■■ ii ■■ / I■ ■■■■■■� iiil■! ►�!�■� i■ ■■■N�■■■ ■■■■■ ■■■[�ra�■■■ 'n■111 ■�I � .■w■■■■■■■ ■■■■■■■��■■■�ItE .■■l +/■/■■llii■■■■ ■■■■■■■�1■■��■■■■■�1■■1■■■■■■■■■ • ■�■■■■■�■fl■ ■■■■■■■■■■■■■BSI■■■■�■■■■ ■�■■■ ■f!■ ■■ ■■■ ■■ !1■■■ ■■■ Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) ` Check # 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/ 1-888ARCOAST 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) http://portal.ncdenr.org/web/cm/dcm-home 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) Revised 7/06/ 17 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: A�a h40 N -!y4-1 Af s Mailing address: J V/ Z A,�e- A'a!a ! e- .l4LC4 Al C 17S--V 9 Telephone Number: q 3.2v- S-.A 93 I certify that I have authorized o A, Los rr o c P (agent/contractor), to act on my behalf, for the purpose of applying and obtaining /all CAMA permits necessary for the proposed development of •-�r -be k1 a. v4 Ch S at my property located at �S� �,•-.•-: 4�Gr �/',(rtQ�.s/UC 2-i/.5�3 1 This certification is valid through �I (date). (Pr y ner Information) Signature Print or Type Name Ot.$JVG1^ Title, co. owner or trustee for property tLI p II J t 9- 3 2 0- $',� 9 3 Telephone Number / 4-,qv IJ 4 ki&k's 3 4 1n4, , Email Address CERTIFIED MAIL . RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER N/OTIFICATIONIWAIVER FORM Flame of Property Owner �_AN o/ Wa�/t'r-Ns Address of Property: A$� � .'Pe. b ll�t+'iy / 2853 f (Lot or Street #, Street or Road, tity & County) Agent's Name � e1e.1Jce- Maitngdz�b�~s�eX�e�-3 i Agent's phone #: A b k— 'f 1ST tr 1 3 't-- 414 to rau ce o �G o (S . �� 1,,' 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 arreproposing. A description or drawing with dimensions must be provided with this letter. Z' I have no objections to this proposal. 1 have objections to this proposal. if you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within YD days of receipt of this notice. Contact information for DCM offices is available athttp:!/www.necoastalmonagemen neNwWcm/staff-listingorbycalling1-8W4RCOAST. No response is considered the same as no objection if you have been notWed by Certified Mail. WAIVER SECTION I 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 wish to .this 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. Ploperty O er lnformatioj�) (Riparian Property Owner Information) 7ti1� toy / $[g tature UTe .S't ature r Print r Type Name Prin ar Type Name G,zkie Xarra Mailing Address r City/SYate2ip 9l4- Sao-s'Z5'3 Telephone Number / Emart Address I- A7- SO18' Date & f -";7I` /� / Marling Address City/5tatelzp Telephone Number/ Email Address Z- Date /Rsavicnd 4un 9n1d1 IYMQSharFi U 47.C� I 1 •Com CERTIFIED MAIL rn you gEgEIDT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. •-= --J Address of Property: l WSJ �G 4k !--� C- 7 r.5 3 (Lot or Street #, Street or Road, city & County) /� /?,9G �s /w,a„ft met Agent's Name # J ht �I 3 LR w I^4Nt r Mailing Address: Agent's phone #: 91- Z S' D 1 Z 7- ,f'/ar-JES-41-0�/it2Ay►a .k i M 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 proposing. A description or drawing Kroh dirrieftsim. must be provided with this letter. V I have no objections to this proposal. ____I have objections to this proposal. if you have objections to what Is being proposed You must notify the Division ofCoestai Management (DCM) in writing within 10 days of receipt of this notice. Contact Mfovnwdon for DCM offices If .� .,.e,,,or,r neth.nnhu •t:�3ta ! ^� available at hor by ceiling 14II84RCUAST. tto.//wwr► n�^^-��■��= - No response is consklerod the same as no objection ifyou have beery notified by Cortiffed Man. 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 wish to waive the setback, you must initial the appropriate blank below.) V I do wish to waive the I& setback requirement I do not wish to waive the 16 setback requirement. /A rope Owner In ation) Si ature Print Type Name Marling Add s city/State210 9/9, 3a.o- f y s Telephone Number / Emeif Address /-27 �d/3P Date (Riparian Property Owner Info ation $p to e j Print or Typi Hame )L Mailing Address Citylstateop / _c (v Telephone Number/Email Address Date /r?avimr! A.,n 9n1df to- O ht mgl1.0—OVA OCAMA El DREDGE & FILL N270943 GENER AL PERMIT Previous permit # A B D x "G CLC,' ew OModification ElComplete Reissue E]Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal ResoLV4@s Commission in aynreZ I environ ' ntal concern pursuant to I SA NCAC es attached. Applicant Name <tA" A Project Location: County ce, 11 - I J Address Street Address/ State Road/ Lot #(s)— City Z'i L,ire' < State /44-ZIP Phone # ()75 E-Mail Authorized Agent lwA -,/ 4-IFIC-1-V V Affected 0 Cw DEW -9rfA DES El PTS AEC(s): D OEA 0 HHF ON El UBA El N/A 0 PWS: ORW: yes / no PNA yes / A -" Subdivision IF City U Kill ZIP Phone # River Basin Adj. Wtr. Body_ 6-j 0"/ Jk 1 (nat an bnkn) Closest Maj. Wtr. Body � r- "%-Z/ RUM EMORNMOME ENO EME.2-LOWNEMOMEMENNEME NEI 4 Ir ONEEMENE■ EMOMMEMEMENEWANNEIIN M. Permit "Please read co(piiance statement on back of permit :)n Fee(s) Check # Date Expiration Date