The URL can be used to link to this page

Home My WebLink AboutNguyen, PhucA/ n CAMA / ❑ DREDGE & FILL No. 73166 GENERAL PERMIT A B C D Previous permit# 'New' ❑Modification ❑Complete Reissue ❑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 (�� Applicant Name El Rules attached. ;j1" Project Location: County Address ' 5 ' �, :'� , Street Address/ State Road/ Lot #(s) City - State ZIP - _ _ ... Phone # O _ E-Mail -; Subdivision Authorized Agent ti City ZIP Affected ElCW ❑ EW —?TA ElES ElPTS Phone # ( ! River Basin ❑ OEA ❑ HHF ❑ IH ElUBA El N/A AEC(s): Adj. Wtr. Body (nat /man /unkn) ❑ PWS: ORW: yes / no PNA yes / no Closest Maj. Wtr. Body Type of Project/ Activity 11 R��■C7i OEM I War nrin��■w- a■�■■ri■�■■rrWISN■■NOON!r °��'r!I �tr ►' r" t� li J"!;S■MINAMAINNE CVIENE IR11' 11� 11 R1■° MURta n. Ri0��.��■_�i.,._�./1i•� !:ABERIME�rJlir ■■■ it [■i■ti'�1�.7■■� �I�/1■■iilF ■�.,,� n�.i■*i!■■■■■oi■%��►�■�■■�.�■■■■ice■■■■ta 1 c 'Ll NVOW"NA11116001112ME, 1 ■'liK.IRMI //r■ M ■■■ ■■■■ ■■ 11 117Ji�! i►.`M■Rai■�■■ i _. • ;� `, fill 10101.�.r 9■ rT.1 LOB.' r .I�i'ii::mri1■ ' • !me ■■I�� m I 6. Wwablias■■AIM ■■E Sid■ 0 IWO FAIN I 410 _fir r► l_lfffi! ! 1��■■■■■■■ia■611 n ■■ _MMUMN _ ilr"i � rs EN ■®■ • ■■■ ■� ■ i ■■ ■ ■*■■■ °' 1 '■ Agent or Applicant Printed Name Signature-. '* Please read compliance statement on back of permit Application Fee(s) Check # j Permit Officer's Printed Name j y� Signature � } Issuini Date 1 i 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 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, 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/ 1-888ARCOAST 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: ��v�i�Uv�G► Mailing Address: lJ4- Z Phone Number: 1 (C ' oi C Email Address: I certify that I have authorized r rn Y-r, c G ay=s M avrur_ AQenVJ Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 5 x ydo ' wc' I k WC y iU x I L-, at my property located at inN r - e County. t_eiz; iG' X Itr' L r, y -�s F ! f. r lr �c S R I furthermore certify that l 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 Print orTypk Narm Title Date This certification is valid through / I S4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to hLA oc— ,, 's (Nome of Owner) property located at J 1 . t; r�,, -,y � 5� ,.'7 (Address, ot, loc , R(4 ,etc ) on 1G w in 6j, ,�� v �'"" , N.C. (Waterbody) (City/Toivn findlor 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 Ondb tW proposing devokpment must ffi ►/ w desc*r below or attach a site drwWngj X N4C ` tC K Iv EaZ eloc, mc� IC)` X I(", " L, " L(- �) 5` -}-/-c f i l l /1'j C 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) Date *Valid for one calendar year after signature* (Adjacent Property Owner Information) Signat e * a12� Cal) Print or T pe N me i Mailin0- ass , %'S CitylState/Zi Telephone Number / email address Date * (Revised Aug. 2014) r i BRINE CONSTRUCTION sei� BOAT & REPANIS I I I D Turner's Dairy Rd Morehead City, NC 28557 Office: 252-247-4428 Fax: 252-247-4427 August 28, 2018 Hello Mr. Smith My name is Kim, our company has been hired by your neighbor, Phuoc Nguyen, to add to his dock. We will be installing a 5' x 420' walkway, a 10' x 16' platform w/ gazebo roof, a 10' x 16' "L" and 4-25' tie pilings. I am writing you because we need your signature and initials on the enclosed CAMA form, in order to obtain the CAMA and City required permits. I enclosed the form highlighting the areas I need signed or initialed. I also enclosed a stamped envelope for your convenience. Please call me (Kim) 252-725-3221, or Derek 252-725-0985 with any questions/concerns. Thank you in advance for your attention to this matter. Have a great day! Kim O'Hara ADJACENT RIPA I hereby certify that I own property adjacent to e-,�PJr w 's Nam of Pr ertOwner property located at `� �j1rQ �Y'Iv� ��s'T YNAk+C— I �7— nn (Address, Lot, Block, Ro , etc ) on �LQKIrC- `�� mod' , in r , N.C. (Waterbody) (Ci /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) 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signatur Oki ACC- TQCIVI W e..-,.- Print or Tyke Name 1,e1_tV�� l Mailing 1Add ress )1'1►�c �L �� $ a�J � City/St e2ip I �a - Telephone Number/email address 9- i(, h1f Date "Valid for one calendar year after signature* (Adjacent Property Owner Information) Si ture* e_ 4'( 4 d Ad Print or Type Name Mailing Address City/State/Zip Telephone Number / email address Date* (Revised Aug. 2014) MRRINE CONSTRUCTION sF.aw sowr aa�a�as I I I D Turner's Dairy Rd Morehead City, NC 28557 Office: 252-247-4428 Fax: 252-247-4427 Hello Mr. and Mrs. Boddiford August 28, 2018 My name is Kim, our company has been hired by your neighbor, Phuoc Nguyen, to add to his dock. We will be installing a 5' x 420' walkway, a 10' x 16' platform w/ gazebo roof, a 10' x 16' "L" and 4-25' tie pilings. I am writing you because we need your signature and initials on the enclosed CAMA form, in order to obtain the CAMA and City required permits. I enclosed the form highlighting the areas I need signed or initialed. I also enclosed a stamped envelope for your convenience. Please call me (Kim) 252-725-3221, or Derek 252-725-0985 with any questions/concerns. Thank you in advance for your attention to this matter. Have a great day! Kim O'Hara PS I know we spoke about this earlier, and I thought I would be hearing from you once you spoke with CAMA. I am sending this because our customer is eager to proceed with the permit process. ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 1►��' fors • -r"LrCQI 00rr_ blV,e A. Signature X V gent ❑ Addressee B. Received by (P . ted Nam C. Date of Del' v ry D. Is delivery address di erent from item 1? ❑ Yes If YES, enter delivery address below: ❑ No ays I L IN � �� 11111111111111 �� 3. Service Type ❑ Adult Signature ElPriority Mail Express® .. ❑ Registered MaijTM 9590 9402 3777 8032 3349 99 ❑ Adult Signature Restricted Delivery 0 Certified Mail(D ❑ Registered Mail Restricted Delivery ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery ❑ Return Receipt for Merchandise r—ncmr trnm service label) 7018 ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationT. — -"' "ail ❑ Signature 0360 0001 5710 D 5 8 2 ail Restricted Delivery n Confirmation Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece or on the front if space permits. 1. Article Addressed to: C{f1SCi 3751,' II�'ll'I I�I IIIII II' I (II (( (I'lll) I I 9590 9402 2060 6132 6706 89 2. Article Number (transfer from service label) 7016 2710 0000 9062 2001 PS Form 3811, July 2015 PSN 7530-02-000-9053 A. Signature X ❑ Agent '❑ Addressee B. RB. ce�eived by (Printed Name) C. Date of Delivery D. If YE ive rabok� item 1? ElYeos AUG 31 2018 Oft If am 3. Service Type � —U` V' ❑ Priority Mail ress® ❑ Adult Signature ❑ Registered Mail7P9 ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified Mail® Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery 0 Signature ConfirmationT"^ 17 Insured Mail ❑ Signature Confirmation I Insured Mail Restricted Delivery Restricted Delivery (over $500) Domestic Return Receipt T � v Lle J L'jD W RECEIVED OCT 2 3 2018 DCM-MHD CITY