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Home My WebLink About71213A-Cartwright,_Bulkhead_20181023CFE / 1� DREDGE &FILL GPERMIT 1NModification []Complete Reissue El Partial Reissue No71213 Previous permit # Date previous permit issued B C D 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 L` 16 - 11 Rules attached. Applicant Name �LVIIq CekY T(4,►lI4{jl Address 157 t( A11 i(Adt t /1,vy� City State -AIL ZIP 2 Phone # () �j?f - 7 ��P, E-Mail Authorized Agent 1-1-A'j 1104 nl L A Ot AJ Affected ❑ Cw L� EW grm 'p�ES ❑ PTS AEC(s): ❑ OEA ❑ HHF El IH 0 USA ❑ WA ❑ PWS: ORW: yes / no PNA yes Project Location: County 1 llk'= ( pl c j ' I t I (�, Street Address/ State Road/ Lot #(s) X S ,N 11.( I -R r IC Subdivision NEW AL41_JAJ l A ✓L b City ail. Cif ZIP 2'N Phone # ( ) SAA4AL- River Basin 5 ► �1J� Adj. Wtr. Body l ,(r+ti/C na /man /unkn) Closest Maj. Wtr. Body li�'l Vz d ■■■■■■■■■■■■■■■■ ■■■■■■■■■ ■ ■■ M. ■■■■►aim■I■■■■■ ■■■■■■■■■ �■■N■■■■■■■■■■ M. ■�■r:�■//■■e�'��I!�!�■■■-� ■■■�J�III��IJ!�'.U9�.�'!lyllJi�1�,1 ■■■■■■■�\i■■rlif�7r''��;G► ��■Ci■■■■■�I�I�iiifll�iiY■�Ir■� - ../.1N■!■ii■■■■■�■■■/��I■■�Y��f'A■■ice: ��?��■■■■ r•1W►."I■■■■■■■■■■■1■■■�'.7■■■■■MOr-MMi■■■.820r 192V_M . I� _- Al■it►�■■■■■■■I�■iiiii■■■■■■■■■■ii�■■t4!/Gnii�C�ll■ . .. .. ■ Y��g�Ag17 L/9yls�� Agent or Applican�,P inted Name S s`* Please read compliance statement on back of permit ** Application Fee(s) Check # Llyki 44A-FtflS Permit Officer's Printed Name Signature Issuing Date txpiration Date NC Division of Coastal Mgt, Habitat impact Computer Sheet Applicant: Lam! f Aj Cif U((otf f Permit #: 7/213,9 Date: Z Zvtj Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount j yVA664JE Dredge ❑ Fill ❑ Both ❑ Other 2' /,f37 / / - � (o40.10 Dredge ❑ Fill.$] Both JX O roI� 3 -7 Yo Sf ;5' 7 `(U Ste - 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both [I Other ❑ re vise-e9: 0 2/Y03,''10 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: KEVIN CARTWRIGHT Mailing Address: 76 SMALL DRIVE ELIZ. CITY N.0 27909 Phone Number: 252 339 7368 Email Address: I certify that I have authorized LAYDEN MARINE,INC , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: PURPOSED 187/FT BULKHEAD at my property located at 76 SMALL DRIVE in PASQUOTANK 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: Signature KEVIN CARTWRIGHT Print or Type Name OWNER Title 10 /01 /2018 Date This certification is valid through 12 / 25 / 2018 V040A G1 �i r5 f v IAO l0 5,,, a c ( i) A A 5. a`act°y 7 Z W Ni r y � ke $* A /Y%q/-Co e� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at on PASQUOTANK RIVER 76 SMALL DRIVE KEVIN CARTWRIGHT (Name of Property Owner) (Address, Lot, Block, Road, etc.) . in ELIZABETH CITY (Waterbody) (City/Town and/or County) I , N.C. The pplicant has described to me, as shown below, the development proposed at the above to tion. 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) TO INSTALL 187/FT WOOD BULKHEAD 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) (Ad' cent Property Owner Information) A A A oom A [I'll Signature Si re -t KEVIN CARTWRIGHT ( Print or Type Name 76 SMALL DRIVE Mailing Address ELIZ, CITY, N.0 27909 City/State/Zip 252 339 7368 Telephone Number / email address 09/18/2018 ITTA- City/S /Zip Telephone u e /email address 11)fl, � Date PLEASE RESUBMIT To LAYDEN MARINE,INC to P.O.BOX 1125 ELIZ.CITY NC 279M (Revised Aug. 2014) 7 • � 7 Kevin Cartwright ��'� ' �'+ • - \ ��tc 76 Shall Drive'�+c e r _ ■ Complete items 1, 2, and 3. A. S' nature ■ Print your name and address on the reverse X so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. Received by or on the front if space permits. 1. Article Addressed to: D. Is delivery ; � I /I, C4', C v L If YES, en c h ^ st4:4e. �,06 !o01�3. erent from item address below: CCT - tl 2018 ❑ Agent y 11 Addressee ate of Delivery I I III III II I II I I I II I II I I II IIIII I I 3. Service Type usP Pri Mail Express® ❑ Adult Signature gistered MaiIT"' ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified Mail® Delivery 9590 9402 3920 8060 1252 93 ❑ Certified Mail Restricted Delivery 0 Return Receipt for 2. Article Number (Transfer from service label) 7017 2620 0000 4281 ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery El Signature Confirmation'" Mail El Signature Confirmation 3959 Mail Restricted Delivery Restricted Delivery �, PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt