HomeMy WebLinkAboutRucker, AlanCAMA / ❑ DREDGE & FILL N2 70477 A B t fCD
GENERAL PERMIT Previous permit#
Er ew [-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued.
As authorized by the State of North Carolina, Department of Environmental Quality 7L J cx�
and the Coastal Resources Commiss in an area of environmental concern pursuant to 15A NCAC rr (( �/ +++
�- ules attached.
A licant NameA { '` Project Location: County
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Address y► / w �"
City' r i j`' State_ ZIP +f`,
Phone # (� ��� �� ail
Authorized Agent'
Affected ❑ CW ET1*A ❑ ES ❑ PTS
AEC(s): ElOEA ❑ HHF ❑ IH ElUBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes "/ ri�
Street Address/ State Road/ Lot #(s)
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Subdivision
City 'tM �'f c (' 1 ZIP
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Closest Maj. Wtr. Body a
Type of Project/ Activity
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Pier i
Fixec
Float
Finge
Groii
Bulkl
Basir
Boat
Boat
Beac
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Y'f /_ U Se note on back regarding River Basin rules.
A building permit may be required by: ./ g g
( Note Local Planning jurisdiction)
✓ f r
Notes/ Special Conditions
Agent or,Applicant
'Printed Name
Si u;n Please read compliance s tement on back of permit"
f 1 4' Ve-t'-P'e `A
.01
ifi�i �r s Printed Name
ApplicationFee(sss) Check# IssuingfDate Ij&pirat%nDate
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 I) 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, certifythat 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
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:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
Revised 7/06/ 17
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Owner A for Permit: `q, -u, ke-`/
Name of Property Owner
Mailing address:
fjy-E(GtA-
Telephone Number:
I certify that 1 have authorized Car°1•,�aS�••�rc,�'-c A�"`"`agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of 1 aS4att',.A P" <<agS oaf a
at my property located at ---Qs la-
This certification is valid through
(Property Owner Information)
*g`nattfre
Print or Type Name
Title, co. ot4ner or trustee for property
Z
Dat
Telephone Number
JN��)CIKC---Q, ® YAK - Col\
Email Address
0
ti 0
o
o0
(date).
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�O'fp
kc,C 's
1 hereby certify that I own property adjacent to la �- (� a perty Owner)
property located at ► 2 l
(Addresf
on 600c 5L , in
(Waterbody)
Lot, Block, Road, etc.)
N.C.
(Citviiown and County)
The applicant has described to me, as shown below, the development proposed at the above
location.-
1 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 � l4pQrcnC
38
WAIVER SECTIQN
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set���v�G�
back a minimum distance of 15' from my area of riparian access unless waived by me. (If 10\1
wish to waive the setback, you must initial the appropriate blank below.)
;0
I do wish to waive the 15' setback requirement. MF,
I do not wish to waive the 15' setback requirement.
(Property Owner Information (Adjacent Property Owner Information)
5igm r Signaritre '
waeq
Name Print or Type Name
Print ' y C z `D i rhn i3 L-=V fZt-
M tngAddress Mailing Address
in E ye t� Ado- 2761rl CAl oh&
city, tatte,Zi �J� t City/Stare/Zlp
TelephonerNum er Telephone Number
- U > �v
Date
Date
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Ala a- KoG<c-c 's
(Narrie of Property Owner)
property located at 121 Z_
♦ w JJ
on 6cioe 5'-kJA , in
(Weterbody)
Lot,
Road, etc.)
own and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
;d 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)
►
s l r -i
I 'I -- ►pax
.,¢ \A-
N�ASID
SO
04\ \14
G�.' 11
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 1 ormat n) (Adjacent Property Owner Inn adon)
Sign lure Signa
T Trtc.i Print or Type Name N t�,� �� Print or Name
/-2 t Y fit' �n b "—
M
,
'tng Address .— �l(,� l ./L � 2
OS'
- _
ci /S t0IZi CitylStafelZtp S Co 9
Tel p e N ber Telephone Number
�� 7 /I
Date , Date
(Revised 6/18/2012)
CONNECTGIS I
WES
Carteret2
Printed May 09, 2018
See Below for Disclaimer
Address Poirts
•
20' 8 Tax Parcels icor-airs 20' -
Certerlires I
NC Railroad Rial^t o 'JJa.
County Boundary
11
Other Cour-�v
<all other`.a�Les>
.art
PIN
Acreaae
Parcel Cimersiors
Lot Number
r^
Total Length: 61.87 Feet
N Sq. Feet
or ;acres
R' E 5429 or Sq. Miles
S 1 : 47 Feet
S
he information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and other
ublic records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification o
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ill_