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Home My WebLink AboutGregg, Guyai CAMA DREDGE & FILL No 71395 A B C D GENERAL PERMIT Previous permit # DNew —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 Rules attached. Applicant Name 7'." n Project Location: County Address Street Address/ State Road/ Lot #(s) City lZi A State ip0734kr - ` I Phonefl ' )'r6- Authorized Agent --- Affected D CW .E EW 0 PTA AEC(s): El 0EA HHF D lH D PWS: ORW: yes / no PNA yes / no DES El PTS 0 USA D N/A Subdivision City— - 'A Phone # ( Adj. Wtr. 9 Closest Ma Type of Project/ Activity Pier (dock) length (Scale: Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp - - - - - - - — — — — — - — - --- - — --- — — — Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes n0\ Moratorium: n/a yes no, Photos: no yes Waiver Attached: yes no A building permit may be required by: Note Local Planning jurisdiction) Notes/ Special Conditions .......... — See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature Please read compliance statement on back of permit 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 comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-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 i SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. —3 Z PLAN NO. L/ PARCEL ID: Z,663 " O3 Z STREET ADDRESS: l / D T k& C�GU A-1w �r v Nv e Please print: Property Owner: Property Owner: The undersigned, registered property owners of the above noted property, do hereby authorize Eric Pake, Jr. of Eric Pake Jr. Construction, Inc. (Contractor / Agent) (Name of consulting firm) to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this permit or certification and any and all standard and special conditions attached. Property Owner's Address (if different than property above): Telephone: 7 v �d0 lr29 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Date: 4�Kd j20'(8 Author ed Signature Date: Alaf,4 'C .of/ fi zQ /S RECEIVED JUL 13 2018 W`A.4-kiq lI (lTY O Guy and Linda Gregg 1104 Kea Court Craig, Linda and I will be in New Jersey on the 3d for the meeting with the contractor. I have enclosed the Agent authorization form and a check for $200 for you to give to Mr. Pake for the N.C. DEQ. If you can forward the POA PCC permit info when you can (e-mail) that would be great. We will be available when Mr. Pake will be doing individual dock inspections. Thanks for all your efforts, Guy /uo vwe RECEIVED JUL 13 2018 ()r,M-IMHD CITY r—� ---1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to el, _ ,s of perty Owner) property located at !I 1�. -0* j' (Address, Lot, Block, Road, et . on _ in _ 11eAZ .a-,-A.1 N.C. (Waterbody) (City/Town and/or County) r* ap icant 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 fi'il 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. ) doh wi*to waive the 15' setback requirement, (property . CrJV 'N'M' Q" TYIDe Name i& ?kale ao+rn.► ecl Mailingi A dress Hach ,v,y A!X- p-70 f-U Ci#yf5ta#s�� As - ' curt Telephone Number/email address x9 sow` _76 t a Date AIT?-CR 'Valid for one calendar year after signature* (Adjacent Property Owner Information) signatitl-e 'Ledktlecz ('fib !" Print or Type Name /rob PIA, A'Gk'!H Mal ing Adrl ass hew WfA l . ZPf6O CitylStatelZip Telephone Number✓email address Date* (Revised Aug. 2014) l-RtivCElVEq JUL 13 2018 DCM-null-an CITY t) ` AA b , -SG)CI ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at l/D `l- *62L on (Waterbody) I (Name of roperty Owner) (Address, Lot, Block, Road, etc.) in At-VV &/,�/ S"a. N.C. (City/Town and/or County) The a plicant 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.) I do wish to waive the 15' setback requirement. ive the 15' setback requirement. (P Print or Type Name W Mailinf� Address jOAVRJ Clty/State&ip 9o81 -X2g Telephone Number / email address Zq Bch-Z�l Date *Valid for one calendar year after signature` (AdjacentP operty Owner Information) Signs ure * cler x. sh,ry Print or Type Name S'12- 74- c t live Ave Mailing Address C'imm- %G Mar QZ6L �" city/State/Zip anaa�Ico M 12�3-5�r-9y-5-S Telephone Number/iai! address Date * (Revised Aug. 2014)