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Home My WebLink AboutEckerd, Kym_ CAMA / DREDGE & FILL No 71394 A B O D GENERAL PERMIT Previous permit# —'New __..Modification -Complete Reissue -Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality -7/J and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �%77(V L✓ ' QRT- attachgd. Applicant Name Ct Project Location: County 1-�+' 71('' Address "' (' �' rat' Street Address/ State Road/ Lot #(s) City s (AA f (r P /'.�, ! State � ZIP t� �'7 Phone # (_ ) �'� `�E-Mail / Subdivision Authorized Agent Affected ❑ CW DtQ iT PTA ❑ ES ❑ PTS AEC(s): C' OEA L HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no City j6il pre, G ... j ZIP j 51-7 Phone # ( ) River Basin , n� t.' r fC Adj. Wtr. Bodyf n man unkn Closest Maj. Wtr. Body -- }_ I° r - `1 ✓° %' • - .. - = • . •. •. . ,.......�.......,,....--NOON,. 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Signature Issuing Dat lExpiralion 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 comply with 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) 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) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 ko VY-, AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Y Yyn C 4t4 c Mailing Address: I Z Z'I hr611 r5 C takL- Phone Number: Z57Z - Z-q 1 - Z&C, Email Address: I certify that I have authorized i MR-.79� Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: _ I i 06+ C14- at my property located at _ n /'CVc6y, p hve— in _ ('}urn County. 1 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 rint or Type Name Title � -I—_/_ 2 Date RECEIVED This certification is valid through / / JUL 10 2018 01 DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 5 1e14 'i11 6,� property located at j (Address, L , BI on GVI�JY �NT , in (Waterbody) e of Property Owner) five— etc. (City/Town and/or County) 's N.C. 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) F -(� Tyr Guy � COAL+ , I A. t^ too, M 3' X Ino 00uL- w� `d X 1(, T n 54Mcmot- 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 Owner Information) Print or Type Ndme _22-22 k-1ew'5 Lzak T, hie - Mailing Address �ex�d �S� N �- 0�2S��I City/State/Zip d 52.-,D 4 k - og2 Telephone Number 41--A1 t-9 Date (Adjace t P operty Owq nformation) ignatur` e „ e��je �- 1 A v'ce i _, n C Print or Type Name Mailing Address EM�td ,-Js� NC a$s`l� � � City/State/Zip o C, .� _ds � -, II I -os% Telephone Nu ber a' Date Lu' (Revised 6/18/2T12) n ' ANACENT R] A-WN O'W14ER STATEMENT I hereby Certify that t own prop*& .rty adjacent t4 ^�ll` ? t e 'S eter } Property IoCated at , + (Name of PropertV Owner) f ,"'ru$ir` on (Address, Lot, Block, Road, etc.1 (Wormy) (City/Town andfor County) The applicji4i has described to me, as shown below. the developm"t proposed at the above locati0 I have no objection to this proposal 1 have objections to this proposal. DESCRIPTION AND OR DRAWING OF PROPOSED DEVELOPMENT (Individual p cw devetapMent must fill in description below or attach a site drawing) Hr` 10;' WAIVER UCTION 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 Mess waived by me. (If you wish to waive the setback you must initial the appropriate blank below.) I do wwsh to waive the 15' setback requirement I do not wish to waive the 16 setback requirement, C7wner Information) A7 + 66 . at :� (Revd &1&2012) UCM MHO CITY