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Home My WebLink AboutWhitehurst, RobertQCA A El DREDGE &FILL A B C D GE RAL PERMIT Previous permit # nNe Modification El Complete Reissue El Partial Reissue Date previous permit issued As authorized a State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC „ Rules attached. i .i r Applicant Name � � ! ' 1 � # i YlalSi Project Location: County -, J V Address c L 1 Street Address/ State Road/ Lot #(s) 33 iii y 1 City ' ( �` State ZIPC Phone # _ � (6' 'f-M it Authorized Agent _ {{ + eA-t° tc2 I Affected O Cw Jltw "eTA ❑ ES 0 PTS AEC(s): [IOEA [IHHF ❑ IH ❑ UBA ❑ N/A 0 PWS: nRW vPc / no PNA ves / no Subdivision City ZIP Phone # ( ) ver Basin 1 -�U . Adj. Wtr. Body '( s � �1 �� naDman unknClosest Maj. Wtr. :7vd,k f `�-`'R ✓`9 OWNER ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�?■■■■■■ ■■■MIN ■■mom ■■■■■■■■■■■■■■■■■■■■N'■■N■■ ■■■■■■■■■■E■EEl■■�■ENS ■■��■�■■■■�� ■■■ :■NN■■N■■■■■■■ ■ wN ■■■■■■Nw■■ ■■■■■■■■■■■■■ mom ■■U■■■■■■ .... no ■■■■■■■■■■■■■■■■■■■■■■■ mom ■■■■■■■■■ N■NONNN■■■■■■■■■■■■N ONE ■■■■■■■■■■�■■■■ :.. _ NE■O■EEN■ NON :. ■EEOO■E■NENNN■N■■EN MEN ■■■■■■■■■■■■■■■N■■■■N■■■■■ONE■N■■■NE■ NNNE�■N■iN■N��N ME �NM Etallo w% a ME �NONE ■■ENN NNE NON■N■N■N■ ■EN■EEN■E ■■EN■ONENMEE■NNO■N■ENN■N■ENE■N■■■■ ■Emom ■N■■■■■■■■■■■■■N■■■N■N■■■■■■■■■■N momON NEE ENE■N MEMO ■NON NN■ E■EE ■■E■EENiNNN■■NN■Nmom NNE■N■N■N �■ :. ' N■NN■■NENN MEN EE■■■ mom N■NNN■NNN■E■ ME No INNNiiiW an ■IiGlNloa N® NN■N■■ • ONNN■ENE■■NN■wwN ! wwimom lNNOu1ONNNE■EN■ ME 0 ENNw 11 1,90WEwi Nn■NN■NNNN■ ■ ■1NN■NMN■NE�N■N■!!N■■E1■E■■■■■■NN■E■ N■■N■■■OE■ENE■NONEEwOM■E ■N■■N■■■■■ Nwism NOO■OENN■E■N■EEiiwE■ MEN ■■mom ENE ENNow N■■■ ■N■■■■N■■ E■E■E '■N■NE■NN■w■E■ ■■■■■■■■■■■ ENE N■NN■M■ ENE NE■NE�!NNN■ • MNN:■ ■ NMBEEN�■E �■■ � :� .■■■■E■■N■ A ENE ■NMEN ENEN■N■MISHE■EN■■■i■■■ ►_ r Application Fee(s) Check # Permit Officer s Signature Issulssu ni bate' Expiration Date EICA A 0 DREDGE & FILL A B C D GE RAL PERMIT Previous permit # CNe Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized a State of North Carolina, Department of Environmental Quality - and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC � ,�. C� Rules attached. Applicant Name ' ' R=. i i c r Project Location: County d i! Street Address/ State Road/ Lot #(s) Address' City State Phone # tZ,tV4- - f-M7it t n Authorized Agent P ! V I t~ `! r ❑CW QEW KPTA DES ❑PTS Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): ❑ PWS: ORW: yes L no PNA yes /,n'i Type of Project/ Activity Pier ( Fixed Float Finge Groir BuIkf Basin Boat Boat Beac Oth< Shor SAV Mo Phot Wai Subdivision City iZIP Phone # ( ) River Basin Adj. Wtr. Body 's s' e-� nat man ; unkn Closest Maj. Wtr. Body tf s R (Scale: - ) I. ■■■■■■■■■■■■■ ■■■■■■■■■■■ ENO ■■■■■■■■■ ■■■■■■■■■■■■■■ MEN ■■■■■ ENE ■■■■■■■■N'■■■■■■ ■■■■■■ ENE ■■■■■■■■■■■■ ENO ■■MEN ■■is■■■■■■ ■■■■■■■■NOON■■®■.■■■� MIN ■.MIN ■ l■■■■■■ ■■■■■■■■'" ■■ASEMEN ■■■N■■■■■■■■ k.F�■■■■■■ ■■�■■ ■■■■■■■■■■■■■■■■■■■ i■■■■■■ . ... i'iiltl■ NN■■■■■■■■■■■■■■■■■NN SON ■Nfi■E■■■■ distancevg •■■■ �offshore ■EN■■■■■■■■■■■■■■■■■■■■■■■■■■■E■■ , ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■1■■■■■■■■■■■■■■■■ ■■■�■■Np■■�■■o w aa1�■E■Ea�■Na■■■■ ��■E6�.. �■■■ NOON cubic yards Now ■■■®NOON■■ ramp■■■■■■■■E■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ NOON■■■ NOON■■ ■■®■NII■■■■■ ■■ NOON ■■■■MEN ■■■■■■■■■■■.E®■'N■■■■■■■f'i■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ • • NOON■■.■E rillll' ■rir.. BOB a l'■■■■■■ ■■MEN WE 1■■■■■P-4 ■t111M■ ■■■■ two HE - ■■■■ NURL NO ILI'NTV a1N■N ■ ■ME ■■■■■■■■■■ ■■>■ �■■■■■■ NONE ■■■■■OWN■■ M MEN ON ENE Lline Length.■. ENE ...■■■■■■ ■.■■ 1P-112 ME..N■■N MEN ■■■■■■■■■E■■■■■■■■■■■■■■■ .®■■■■■■■■■■OMEN not sure yes■ N■E■■■N■N■■■EN■NNN■ MEN NE■■■■ MEN ■■■■' no EENo NINE ■N■■N 1N■■ iiN■ III MI ■■N MEN ■E■■ENEE■NEN■ME MENE■■ ONE ■■ON l A building permit may be required by: fJ'j [See note on back re arding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions (/ " " ° ? ' w 11 0 z Y.i fit f'F_ .1 7!S 1 F"'.�� 5 1 1 �'1'3L ,-..? r.... "` (5 l a.,.�'' t.� { ,r 3i: 7j. r . i�sj A^ ^.�� compliance statement on back of permit" Application Fee(s) Check # U1 Permit Officer's argnature � }� �� IssuinaDate" Expiration Date and ttie Coled by th OModiq t� P�41 �' A asta/ Res U tare °f IV, n ppliCantNd oes Con,�Ss narolina �e /ete ReisSUe �e in an area Partn1ent partial ei e �O Wn ddress � ea °f envir°nmepta/ n�enra/ R ssu ^/ S Ci� concern Quality Previous Phone % r O "Jt f . n Pursuant to I SA NCA Date prev'. U bite A C �t Street issued quthSProject fl �L2P StreetAddress/ :Coun Ruiesae*ached.Affected0 CW StateRoad/Lot #' D W AEC(S)' 0 � 1 064 0 *GP7q DES Subdivision J 0 PWg. NHF 01H 0 PTS City ORW'no 0 PNA Type of Pro' � 1eCt/ Activity Pier (dock) length -- r Fixed Platform(s) r =loating Platform(s) — roger pier(s) 0"groin length / ,_number �' ilkhe4Aiprap length /,�®X avg distance offshore max distance offshore sin, channel cubic yards r at ramp athouse/ Boatlift ach Bulldozing yes /, ❑ USA n N/A Phone # �- (�) zip Adi, Wtr. Body ,Basin Closest ►`1aj. 1 Wtr. Body r� nat man / J� unkn C d Per p �cer's i (Scale: % =? See note on back re arding River Basin rules. 1p`� E��t�' .condit%o ns- Any ' d speclf is it to become eneral an e perm and attached and may cause th Go tencY lica site d 1mi�agor civil acti°n.' Ijance' the d nsis ton, dfor come 'Ill liance an ith try e to a fine or cr a ro'ect is inspect er nit, the aPPljcant ent of G°mP comPliance w e en th P b this P local statem to the P rized y and all it is subject s may subie gel' off icer wh tho d use PlaaCe t ri arias ct This per of these term the p activities au the local Ian n P andaccessibletO dertak►ngany sistelit`Nith the adl violation project spun obtained from nullandvoid. l rior ect is con been obta ustbe onthe P ermitthat ) P that this PrOj recei t has This permit m signingthls P confirm P best available ifies by uthorities for ce of 1ed mail return the b applicant cert ropriate local a this permit under With apP a written statement ement, in issuing ram. confer w and 2) anag talManagementProg ordinances, of Coastal M CarolinaCoas lando`Nner(s) the Division 1th the North Carolina and ro ect is consistent W The State of North Certify that this p 1 information and belief, River Basin Rules APp licable To Your Project: Other '; I: Tar -Pamlico River Basin buffer Rules ❑ Neuse River Basin Buffer Rules ' is subject to the Environmental Manageme s are enforced b Buffer heNC Division o' If indicated on front of permit, your project 1 Y above due to its location within that River Ba ' he WashbngtonrRegional Office (252-946-648 I) or the River Basin checked Water Resources. Contact the Division )Water information Wilmington Regiona l Office (9 I 0-796-72 15) for more information on how to comply with these buffer rules. of Coastal Management Offices Division Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Tyrrell and Washington Counties) 400 Commerce Ave Morehead City, NC 28557 252-808-28081 1-888-4RCOAST 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: 252-264-3 723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank an Counties) d Perquimans httP.-//portal.ncdenr or9I1web/cm /dcm_ home Wilmington District 127 Cardinal Drive Ext, Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395.3964 (Serves: onslo Br�nswlck N. w - SO w and Peof Hanover, nder Cou New River Inlet. V CAMA / DREDGE & FILL No 70975 A B C D r. GENERAL PERMIT Previous permit# �INew EModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 21 Rules attached. Applicant Name ," , 1"lit Project Location: County Address ! u' Street Address/ State Road/ Lot #(s) City 1 i l State ti� ZIR7-- '? Phone # O t _E-Mail Subdivision Authorized Agent Affected ❑ CW ❑ EW A PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ElIH ElUBA ElN/A ❑ PWS: ORW: Yes / no PNA yes / no City ZIP Phone # ( ) River Basin man at //unkn Adj. Wtr. Body � ��,> ,r F _p f! I`"�.�' �n Closest Maj. Wtr. Body ■ iii�■ ■ M NEE No NEE WE 0 M ME No No ON 0 ME ME IN M ME EM so No ME M ME 01 N Ysee note on back regarding River Basin rules. ex c Agent cor Applicant Printed Name --- Sign re '**Please read compliance statement on back of permit �o�r Application Fee(s) Check # Permit Officer's Printed Name Signatur Issuing'JDf ate 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 howto complywith 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:Hportal.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: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) Revised 7/06/17 Pat McCrory Governor Date Applicant Flame Mailing Address AjA NC®ENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Braxton C. Davis Donald R. van der Vaart Director 4- V 'Y' A' A41 � VC Secretary I certify that I have authorized (agent) C- ",1" l Kf'cct 6t to act on my behalf, for the purpose of applying ffor and obtaining all CAMA Permits necessary to install or construct (activity) J J 54-f ` , at (location) This certification is valid thru (date) Signature 400 Commerce Ave., Morehead City, NC 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer N&Marolina NdIfilrally ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to � 9 _, (Name of Property Owner) property located at 1 `rt N�,s� (Address, Lct, Bloc , Road -etc on _ ( ' i G in �' Z� I/4L , N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 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 description 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. I do not wish to v,,aive the 15' setback requi (Property Ovyner Informat/icon) IJ— Signature ��G1.2T�� l�P U11 S PPor Type Vailing ddress f i CitylStatelZip Telephone Number/email address Date *Valid for one calendar year after signature' Property Pv ner Information) Signature Print or Type Name Q.o.�� Mailing Address City/State/Zip Z�� BC)4 W i'� Telep�h� � Nur(erlemail address Date * (Revised Aug. 2014) ADJlACENT RIPARIAN PROPERTY (�OWNER �STATEMENT I hereby certify that I own property adjacent to --' �'�t�'1 T"� W3 � � S i (Name of Property Owner) propert located at r (Address, L Bloc , R ad, tc.) in 6 1 k, \. �- N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 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 description below or attach a site drawing) WAIVER SECTION I understand t~;at 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. (�ou wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to v.,aive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) ]SIg rtt •eSi nature08F�� y �i fLT I'linq 'tor T e N me P/i�r��ypam�e /` Addre�ss� Matlil �d s6i/`Yv wt Ty7li/� City/State ip CityU/Mall lip 17 Telephone Number/email address --;_�- Owe *Valid for one calendar year after signature' Date* (Revised Aug. 2014)