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Home My WebLink AboutSeegars, Wesw �j Q p ❑ CAMA / ❑ DREDGE & FILL NQ 70418 6GENERAL PERMIT Previous permit # WN6v ' ❑Modification ❑Complete Reissue ❑Partiaj Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality j and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 Ili Rules attache Applicant Name Project Location: County Address ( Street Address/ State Road/ Lot #(s) State ZIP City Phone # ( ) E-Mail '" " r�~ Subdivision — y Authorized Agent City_ ZIP_ ❑ CW ❑ ❑ ❑ EW ❑ �TA El ES ❑ El Phone # ( f f )f ( r ! River Basin Affected OEA HHF IH ❑ UBA N/A AEC(s): Adj. Wtr. Body ❑ PWS: ORW: yes / no PNA yes / no Closest Maj. Wtr. Body Type of Project/ Ac4tiivity ty ,, L Pier (dock) length r Fixed Platform(s) Floating Platform(s; Finger pier(s)P-[} Groin length number Bulkhead/ Riprap length -•-- - avg distance offshore max distance offshore Basin, channel cubic yards _.... Boat ramp Boathouse/ Boatlift— Beach Bulldozing `•_ _. ..� Other A r- I I./ .rl A-- J 1 Shoreline Length N ) SAV: not sure yes o Moratorium: n/a yes o Photos: yes o . t Waiver Attached: yes no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or �pplicant Printed 9 Signature Please read,compliance statement on back of permit P I (Scale: See note on back regarding River Basin rules. Permit Officer's Printed N�"~ ✓ .l Signatures Application Fee(s) Check # Issuing 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888-4RCOAST 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) (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) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: - / t g — .7 �/ W Email Address: f certify that 1 have authorized t PI Ag t / co actor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: '\PI Y10 c-k— at my property located at 01 I IU'a nt in ✓ County. I 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: igna ems,,, Print or Type Ngme &t-Y� Title ! e Date This certification is valid through I I l1� l (f RECEIVED MAY 16 2018 DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to LA r S �E'�Q C'_d�� s / (Name of Prop y Owner) property located at � � � �jj Rl1S ST (Address, Lot, Block, Road etc ) on _ � SSlt v in f� l ?�& _, N.C. (Waterbody) (City/Town andADr County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. ;1 / j n if I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must tall in description below or attach a site drawing) rw"r J i /1C'1 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.) r �n C I do wish to waive the 15' setback requirement. J vJ ^ i �� 2''�-0 co' v * `4� ) � / � b, 1 �c� In' 1 r~ I do not wish to waive the 15' setback requirement. 1' L �t�� (Vy Property Own nformation) (Adjacent Property Owner Information) CSY�,��cCL�C�AMN- siygn�tare Signature* W2s S PStCL(�.5 ��ct C. G- Lennon f C(TLLC b� rn'�- Prj'Qt or Ty Name gnot or Type Name (� < < e G) e. `\ " e g� 1 CJ oX. M ' ing Ad re s Mailing Address I Vx-V f3C_ 0 Z5 20 art-/s e � :� vn, L" :de- I� -7 79 33 Telephone Nr/email afi ss Telepone Number/email address um Para park• (Revised Aug. 2014) 'Valid for one calendar year after signature' RECEIVED MAY 16 2018 DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ' We's _S'!fg4 ct � s ,44lame of P perty Owner) property located at '1� s! / �d4r`; on tocrt__ Saws-v L / (Address, Lot, lock, Road, etc. r, in + Jif h o 6,0( c&' N.C. (Waterbody) (City/Town and/dir County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. _ 1 have objections to this proposal. ��— DESCRIPTION AND/OR DRAWING OF PROPO D DE ELOPME T (Individual proposing development must fill in descripti n below or attach a site drawing) J'ee- C"tw r ry� S 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. V I do not wish to waive the 15' setback requirement. (Property Own Information) djacent Property caner InAion) Srt,�nutru•e Si mature* IN1�3 ��9 c ✓$ 1 Pr t or Type pe Na Print or T e a 1 a - � P.O.' � n ;D Mailing AdCfreqs Mailing Address -< ni City/ to ip Cit ti f% t-� �.� L V Telephone plu�¢er/ a aidaddress Tele n N bgr ma' addre v Dure Date (Revised Aug. 2014) 'Valid for one calendar year after signature' -40 �- �� O �� r �- r ; . _� �� t_ �� C ii n__ •�� `y � J c.�,�= u