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Home My WebLink AboutLoh, AllanCAMA / DREDGE & FILL GENERAL PERMIT ❑New -Modification -Complete Reissue `-Partial Reissue 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_ N No 71397 A Previous permit # Date previous permit issued Applicant Name i :' I n Project Location: County Address t, �;. Street Address/ State Road/ Lot #(s) City !'t Rk-4 t 1 ir't J State . rr ZIP__' Phone # ( ) _ 'A&Mail Subdivision t ---r City ZIP attached. B C D Authorized Agent C -. f CW ❑ EW1 PTA ❑ ES ❑ PTS Phone # ( ) Affected AEC(s): - OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body i` PWS: Closest Maj. Wtr. Body. ORW: yes / no PNA yes / no Type of Project/ Activity Pier (dock) length Fixed Platform(s) f Floating Platform(s) Finger pier(s) __ Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel % Lz Y,` cubic yards f'.. Boat ramp Boathouse/ Boatlift Beach Bulldozi Other Shoreline Length SAV: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions ! Agent or Applicant Printed Name f � Signat re ** Please red compliance statement on back of permit Application Fee(s) Check# River Basin I —1 � r (nat /man /unkn) (Scale: ) `See note on back regarding River Basin rules. r, A f I A / / _ —V Permit Officer's Printed Name 14 Signature r 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 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 7/20/2018 FFH RPR 2018-2.jpeg ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to J'tt mot_ s • 1-0 All s Nam of Property Owner) property located at ��p /�rn�2►l1` 1 N� (Address, Lot 8tof�k, F;ga�j,,etc ) on S ID1'Y* GJlnee� in i; t2 t G• }tX>, ur N.C. aterbody) (CityfTown and/or County) The applicant has described to me, as shown below, the development proposed at the above I do I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must 11111n 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) or Tvoe Name _ t vnnr or Q401/Statemp try/'�i Telephone Number Iemat address Telep Date Date' "Valid for one calendar year after signature' Owner Information) o vie, ip3j0 Z o address (�G�l(� • eL�f� (Revised Aug. 2014) https://mail.google,com/mail/u/0/#inbox/l643e015f6c12e46?projector=1 &messagePartld=0.2 1/1 11111111rrIt � .1 .�Q, 3 !, t ! 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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Prooertv Owner Reauestina Permit: A ` l&n' s • Mailing Address: y&3s d RA • s flej,naAa(v WS Phone Number: cIDI — 3 3L� ^�J Email Address: R mtgj �• ewW I certify that I have authorized J�Erie, PAke- T/` CQ& �IW �(G • , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 44 at my property located at Sf 3(0 610& �)N o%[.y Rf�rn in ram. ✓e�/J 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: 2 R klvz"J� gnature �}�/apt s • G,a!� Print or Type Name Title Date This certification is valid through / / Adjacent Riparian Property Owner's Statement Adjacent Riparian Property Owner: Section Number: -- �--- Lot Number: J ' J 3Y. y,4 Name: l c lm t? o% l C` Address: J '7t1U apiyoo k / ESE' OR Telephone Number: p f ",2 — 7/� - V/ 7.3 E-mail Address: r 1CttF ef_n? rzcu 1, CQA I hereby certify that I own the property adjacent to: Section Number: Lot Number: 3q5, 0„ f;d 3q6,4 Owners Name: 14II0-✓t Oh / Ij Address: -7 l � 36 6,o n d b 1 I e r' Dr E°a.e.:% Oe r zz f d 6 Telephone Number: �1 U 1 33ly `ia ` 4,& E-mail Address:19 rn d t 1 COS The individual applying for this permit has described to me the scope of work as shown on the attached copy of the "Description and Drawing of Proposed Work" form and have no objections to the proposed work. I understand that docks, pilings, tie poles or any other marine structure must be set back a minimum of fifteen feet (I S-0") from my riparian line unless waived by me. I do not wish to waive the setback requirement. I do wish to waive the setback requirement. Adjacent Riparian Property Ov_;, cr: , Signature _ ✓ Print Name f oimR iD r f 7--r Date 6 -/3 /- 7/20/2018 FFH RPR 2018-1.jpeg Adjacent Riparian Property Owner's Statement Adjacent Riparian Property Owner: Section Number. Lot Number: =� I Name:�8(/V Address: 1_� /7 t{ � T G/ �r�y� We�Y�_7 Telephone Number: E-mail Address: !--A` @ I hereby certify that I own the property adjacent to: Section Number:__ L�ot�NLumber: 5 �.3Y5A Owners Name: A{r h_& Ste• /hl�l ,y� Address: 1035%% kneJ 5, GpQ /i s 396,32- Telephone Number: E-mail Address: The individual applying for this permit has described to me the scope of work as shown on the attached copy of the "Description and Drawing of Proposed Work" form and have no objections to the proposed work. I understand that docks, pilings, tie poles or any other marine structure must be set back a minimum of fifteen feet (15'-0") from my ripariaTr ived by me. do not wish to waive the setback requirement. I do wish to waive the setback requirement. Adjacent Riparian Prolyty Signature Print Name Date io I z 1/Zo � https://mail.google.com/mail/u/0/#inbox/I643e015f6cl 2e46?projector=1 &messagePartld=0.3 1/1