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Home My WebLink About71154_Bennett Roberts_20180827r J CAMA / --',DREDGE & FILL No 71154 EN ERAL PERMIT Previous permit # 1l'i--'5 --Modification Complete Reissue El Partial Reissue Date previous permit issued1'4 ZaiB 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 I SA NCAC Li�Rules attached. Applicant Name u/76 t� &.AKTs Address r��r_E al 411Y E l��!v� Cityl�E/l[tl State Alc ZIP Z Phone # (!M)S93 - 21I E-Mail Authorized Agent--7)er} v! S L 14 Affected ❑ CW A EW *FrrA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A ❑ PWS: Project Location: County Street Address/ State Road/ Lot #(s) 7i,� y � �u HI�N� �� 17,i✓r✓� Subdivision City f:126g j G/t! ZIP ? �z Phone # ( ) / jS m E River Basin GNUNA AJ Adj. Wtr. Body (✓liter!//AiyAug_ �k (nat /man /unkn) i-Inccct Mai Wtrr Ptew v NG%��✓i1/4.T1�� SLLI�1/�� V ►� L— �- �- yN ti N/ryTTh S Agent or Al6plicant Printed Name PermitOfff icer's Printed Name -j— Signature ** ease read comp ' nce Cement on bacpermit ** Signature Zr, 772_ Av,,- 21 Zv i8 �c-z. 2y, 7c.18 ApplicationFee(s) Check# issuingDat xpirationDate 'NC Division of Coastal Mgt. Habitat impact Computer -Sheet Applicant: 3&,u u c / /?, ..e S Date: c /, /' g Permit #: ? / c�534 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount Of)Ckj (Z44T61f Si ht Dredge ❑ Fill ❑ Both ❑ Other'R' Lel 2 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ J Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 .. 9-388-4RIZO ST n V4+rv*z°,nc�q- AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: R Ei"V E71 PO 6 t 17% Mailing Address: Phone Number: Email Address: I certify that I have authorized 0 q QL/E�-'V ANNE Sra�&t LZ EIrfON, /VC °I 101 - �R 1- 111 1 6 R,o6EIL75 E MATR,Y A"(LL( nAeE .c0&1 -J�Ajj+1 trlLL,J' Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 90AIHMt 1-0"Lo at my property located at a n `I A AV N t S ttia& 1 4 Eo �,7- N c 0 5_7z in -r- kawA'-4 County. 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: 2A Signature r1 'oeft (Lo t"If Print or Type Name C)W,4tN Title 3 / 3 / f� Date This certification is valid through 7 / / f j ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to DES've9i Adev 11 s (Name of Property Owner) property located at a 001 Q J6F-" RNNI 021 ✓t (Address, Lot, Block, Road, etc.) on L"DEr7oN QAN in EPEN?ji-NC N.C. (Waterbody) (City/Town 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) C'2.2 < <TLl? f` ' 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 waive the 15' setback requirement. (Property Owner Information) --- k* Signature 8 &'V'4t-r1 Pa le-IJ Print or Type Name a0ci Awvl S7n6%(t Mailing Address EQE,v1#N NC lq9 3) City/State/Zip 911-- 543-a ilq QKostatlt�Ala�gtwlclr4. Telephone Number/ bmail address i/7ftr Date (Adjace t Prope Owner Information) i Signature Flip 1111:IHE&p Print or Type Name a 01 0 J 6k,'-J Mailing Address LoEv7uN, JAL alg7a City/State/Zip asa- U 1- 0� el) Telephone Number/email address Date (Revised Aug. 2014) //! "F c �? 'Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to J 61JNI1i bets-71 s '1 (Name of Property Owner) property located at rj 4-dL E,4 A,,Nt 0 a, (Address, Lot, Block, Road, etc.) on RAY in IvC , N.C. (Waterbody) (City/Town and/or County) The applic t has described to me, as shown below, the development proposed at the above locatio . 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) 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 yo ish 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 waive the 15' setback requirement. (Property Owner Information) Rt� Signature Q 6,114111 R49j,17I Print r Type Name 10CJ 6146- AAA 3"1A Wr Mailing Address L- 06'.7o'-" rJ`, City/State/Zip 8,,„�.:nf+ccc.��.•- Telephone Number/email address ?h/tr Date (Ad'acent Property Owner Information) Signature 6! o c t A &Awf Print or Type Name all 6vtt.-i AaN; AaEvf Mailing Address �t�tv��✓ Nc �, �g�t City/State/Zip y oy- Soy-yts6 Telephone Number/email address 3171 W Date * (Revised Aug. 2014) *Valid for one calendar year after signature* 6859 �s CIY. (27) w t1q $8.2 (12) 7861 5765 6765 ob J `0 130 112.7 NNE 94.1 11/ •2 N 6584 (9) L%`VA 4` 9602 •S.°% 8508 J J J (7) Chowan County, NC Bennett Roberts Disclamer: The materials available at this web site are for informational purposes only and do not constitute a legal document. 20 m Apr/10/2018 100 ft Scale 1:1200 9925 Os% ti9 PB 4.45 0825 (4+) .16 At. 137.9 9773 v — uvo.a« 2943 : Ems Ita 5998 a 74 ,Of Os) 44", - ri o� w e3 � "��i`'�^.• y� arty `�y'�+�ak� ,iy aa- r � e*, '� 'i` a 1c t �3i ^?��r � 1✓k� i � a , , {�, t+� ,i" w•u,�.r'Ca ��9M1 r t � ��S�kY G •r b + w � � r r t � •�} F t� v"f 1 w '��Sc � 'f y �� $ %CAMA / ❑ DREDGE & FILL N2 71433 J E N E RAL PERMIT Previous permit # �A B C D ew ❑Modification ❑Complete Reissue I] 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 WRules attached. Applicant Name UNE /% !//� Project Location: County Address '% aAl&z "ot / "('tax %/ Street Address/ State Road/ Lot #(s) _ City /� �t�tJ_ZR! State A/C. ZIP I-)fI 1V1t1i tyt� Phone # () 5j�- t ~( E-Mail Authorized Agent _ 1 i "L v, L+ Affected ❑ CW YEW Dq PTA ❑ ES ❑ PTS AEC(s): ElOEA ❑ HHF ❑ IH ElUBA O N/A ❑ PWS: ORW: yes / mid PNA yes /;t5oi Subdivision City E/-, 1.-i-i.1G ti ZIP 71/_2, Z Phone # ( ) S.,,�h t t' River Basin G�6 lti h/tl / Adj. Wtr. Body te-; .%f l t i TC !/ iJ /n/ /man /unkn) Closest Maj. Wtr. Body r'GNL 1-�k Ct- -�� Ling Platform(s) n length number head/ Riprap length avg distance offshore max distance MEN cubic yards ram -h Bulldozing eline Length not sure yes ro orium: WA yes no MOMMEME v - ill■■■■■■■■�1■/'�■1■�■A{%■■�/■1'1■■■■■■■■■■■■■ !■1■■■■■■■■It■1�,�■g■1!�!1■�tii■'■■'■■N■■■�\THY■■■■ IIt■■■ ■■■■■,■■:�! 1■I li �'��i■1■�!'�Mil>I■■'1■■■■■■siii■■■■■■ !!1■■■■■■■/I■■i�if lillllii■■3�6��1■/1■■■/I■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Agent or Applicant Printed Narpe f Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Printed Name Signature `t Issuing Date Expira ion Date