The URL can be used to link to this page

Home My WebLink AboutSchreiber, JayEl CAMA / Ll DREDGE & FILL lu N270474 A B C D GENERAL PERMIT Previous permit # E]New 'ElModification El Complete Reissue EJ 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 I SA NCAC E:1 Rules attached. Applicant Name t, A Address City- Stat ZIPPhone # E-Mai I Authorized Agent Affected D Cw El EW Ll PTA DES Ll PTS AEC(s): El OEA D HHF 0 11H Ll UBA El N/A L1 PWS: ORW: yes / no PNA yes / no Project Location: County_ StreetAddress/ State Road/ Lot #(s) Subdivision City Phone# ( ZIP River Basin Adj. Wtr. Body -- (nat /man /unkn) Closest Mal. Wtr. Body ■LINMNMMMMMMMMMM 'MORE No MEM mmom�mmvm OEM E on ME EdMM MIN MIN 1.11111INNIIIII IN IN MM M00.06M Wwwrdm M■ENRON 250MEME M■MMMMMNMMMwN�WAiMQw= � '"WEN no MEN NONE MEN NEON ■ EMEMMEN NOMMENIMMEMKINIME 0 No M MEN mommommmomommimmom MEN ENE ININE I■ ME INNER INIEN■ IMMi-aMMIN EMNEEMEMEN NMER11MMMRxM III IN OR MOMMOMME ME ME USAMMIMIMMEME ME MENEMEME NMMMMMMEMMMMMI IMMEN■ME MEN M ME NEEMENNIMENEVE E mom 0 NI MEN M NEON MIN ENE 00 mom NIME410 MOM OR EMEM mom OR MEME RON 0- NONE■lmmomommommmmimommimmom IMEM MORE■mmommommommmolomom 0 MEN■0 ■OMN■NIM■NNE MOLSIMIMMUIRM IEMMMKI ENE M mom 0IMEMNmosommmmmmmmoi MEN MEN■ MENEM M MOVIE MOEN■NNE 10mmall =110 N�■N111NNNMINI EIIIIIIIII■NNE MEMEN WMENE" I ONE NNEN ra Agent or Applicant Printed Name Signature Please read C I m 1*1 'ice SA�rnent on back of permit" 7 Z/ Application Fee(s) Check# Permit Officer's Printed Name Signature Issuing Date 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 how to complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 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: 252-264-3723 (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 r AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS JME OF PROPERTY OWNER APPLYING FOR PERMIT Jay Schreiber MAILING ADDRESS 209 Chateau Dr New Bern, NC 28560 TELEPHONE NUMBER I certify that I have authorized Dan Foley (agent/contractor) , to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of Dock at my property located at This certification is valid through (1) Year (date). (Prope ner Information) Signature Print or Type Name Title, co. owner or trustee for property fy Date ff: Telephone Number Email Address ADJACENT RIPARIAN PROPERTY OWNER STATEMENT �of I hereby certify that 1 awn property adjacent toL { mroperty Owner) property located at % t �r » �L- r (Address, Lo Block, ad, etc. , N.C. I , in "r on �� c (CityRown a dlor County) ! {Waterbody) The iapplicant has described to me, as shown below, the development proposed at the above I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELVI-Mr-N proposing development must fill in description below or attach a site drawing) WAIVER SECTION 1 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 {e blank below.} waived by me. (if you wish to waive the setback, you must initial the appropriate pprop I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (pTp y Owner Information) rfi%r Tjrbe NameLA , ^ Marling Ado ss� Z� iy CitylStatelZip Telephone Number/email address R Date ! *Valid for one calendar year after signature* Property Owner Suture* Print or Type Name a) I C'k 71,ZJ,) -),- Mailing Address City/State/Zip Telephone Number/email address Date* (Revised Aug. 2014) - 6a34 i T: . IL i i {4 r5 �r _ loW 'n f � � i Jr"r / %/✓L .i'Tt,CJ4:c- Litf6 .EIOi"�$'," f-�f:OI+SGCI� f,!' r,'.. y,,� '•� 2 .S� .SL'.1 � ti� � � - E �'-� � ; .., , .. ♦='tf f - �*� rye f .. � .1 ' .. may, '. _ - i i • ,�-/1 e �J ,..,,i �-......._"�. n'r•r; sew s-��;•: ;tz:--`. 430 7 iaYl+.tt�rd�+u'f'i;`,rsr �r�r„��tEv��teC.i� cty+- �1%ra'rspFge•,t ra � �� ' . Sty, lslt<-�, '""�'•i$r,+i� llr /Fss�:.Yu.• r.'r�rd' t,'t ,? fitytirfr ::x°�-J",?. �� .+,.t lr'.se� .+,rtz. r.,r.: �,_ ��•f - - - n ADJACENT RIPARIAN PROPERTY OWNER STATEMENT adjacent to ��(me I hereby certify that I awn property 1 of Property Owner) property located at �` ` " \\ (Address, Lot Block, ad, etc. , N.C. •n �C� 5 : , in �, (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 rill 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. e I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) . ' tore Signature* Print or T Name Pr t or pe Name ZT-` �— Mailing Address MailingAdd ss City/StatefZip �— City/state/Zip i L am' w �7" L h �A i\% C— Telephone Number / email address Telephone Number / email address - - (a/ — Dhte Date* I �1C vr_ (5/ (Revised Aug. 2014) *Valid for one calendar year after signature*