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Home My WebLink AboutSchmucher, Jeff & Ann-CAMA / i DREDGE & FILL No 1 1 61 O A B (' C D GENERAL PERMIT Previous permit # New -Modification Complete Reissue --Partial Reissue a 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 C:'l C Rules attached. Applicant Name_ Address y �( City ) Phone # A i Authorized Agent Affected CW AEC(s): OEA PWS: ORW: yes / no 0 E-Mail EW .PTApgES ❑PTS HHF ❑ IH ❑ UBA ❑ WA PNA yes / no G Project Location: County _ Street Address/ State Road/ Lot #(s) j Subdivision CityV, ( s F ZIP ..� Phone # O j • River Basin (^ (( Adj. Wtr. Body f J f� fib ( _(nat /riian /unkn) Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length arm ■■■■■■■■ ■■■■■■■i■mom ■■■■ ■■■■ ■■ ■■■■■■■■■�■■ ■■ ■■■■■■■■■■■■Emomommoommo■■■ .. ■ljlii■■■■■■■■■■■■!i■■■■®■■ ■■■®��■ ■�■■■■■■■■■■■■1'/!1■■■■■■��■■ ■■E!■■■ ■■ . 111W��wom�ommmmm■■ MINEMEN !II an Ali MEN 0 ME ■■■ ■■■ MEN ■11m■■■■■■■�!■■■■■■■■��■■�/■H ■■■■■�Si�■!■■■■!f! �■■ ■■!I..b�Riii i►.� .. ■ , .1 IN 15 iaF%1� s■ m■m I■i■■®■■■�: .IIIIlII�I:1•i�r �.. r.�_. ��III♦IIII,�ir �'�'�� ■ • •iOMEN ■■■■■■U■Ni■■■ii■�� '. " a aSO ■■■■■■■■r�■■■■■■■■■M 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/ 1-888ARCOAST 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: 9 10-395-3964 (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 N PROPERTY I hereby certify that I own property adjacent to -//= property located at k66 (Name of Property /O%wner) (/ %� V , !V fi�/TAe� i X16 � (S �! 0 I /� (Address, Lot, BI k, Road, etc.) on mo/l/ 611imae , in ,�(�%t°��/' �� , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above I(wof n. ", 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) 1-9TT��,b y 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. I�ou wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. ► do not wish to waive the 15' setback requirement. Signature Print or Type Nam Aoaz Zip a-T- Mailing Ad ress �L' �T, A IC, Z d-s-70 City/State/Zip Teleph a Nu ber/email address Z CZ Date 'Valid for one calendar year after signature" (Ad -scent Property Ovxner Information) Signature Pri t or Ty Nam O y SdkUi✓rev MCresd 2 City/State/Zip OP Tele%hone umber/email address �z I Tat 5' �CEIVED Date* (Revised AIM_ 201,0 jz�% DCM_MHp CITY 4 ARIAN I hereby certify that I own property adjacent to c� 4 C-17J" V"Y "(*1 's ll(Name of Property Owner) property located at ��t'�U �CGi'iiC /1/@Gz-) �jj// (Address, Lot, lock, oad,.etc.) on >1V��7 �� , in 2>-' ��'e(Qv TN.C. (Waterbody) (City/Town and/or County) Th a licant has described to me, as shown below, the development proposed at the above ti 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) )XpWlN 14)7�bD 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 (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 oignarure ,p / Print or T Nam Z02- _1�7 etT, Ma ing A dress it 4v City/State/Ziqq �)" 963 cl&) Telephone Number/email address Date ``Valid for one calendar year after signature" (Affiacent Pro rty Owner Information) Si ature* /1caStd�hT ,V Pt� ��. � tivP�ti�d� Print or 9 Xo( `& Mailing` A C i !` k� /lam_ City/State/Z' ,,' _ - ZeaZ Telephone Numberlema# address Date* RECvVED (Revised Aug. 2014) JUL 3 0 Z018 DCM-MHD CITY Locality Permit Number Ocean Harard _ Estuarine Shoreline_ ORW Shoreline _ Public Trust Shoreline_ Other (For official use ono) LANDOWNER-MAH.J ADpRESS Name J SFr— SLh M acK-FRL Address /00Z. 11 "A CT city NX�WA r slate POOL ZiP um 33(c. 963 &070 Email SG w"yck 36S- AUTHORIZED AGENT NamcG� City Zip Phone LOCATION OF PROJFCT,. (Address, street name and/or directionsstto site; time of the tdjacan widerbody.) 446 DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) NJEVIi Jt-rC rPy/PD &01'T) 1f-r 9- SIZE OF LOT/PARCEL: ? (/9Lsquare feu e G awes PROPOSED USE: Residential N. (Single-family® Multi -family O) Comomercial/Indusonslo Other COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Offieu if you are not sure which AEC applies m your proper),): (1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: _ square feet (includes air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but excluding non -load -bearing attic space) (2) COASTAL SHORELINE AEC,: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON SURFACES: _ square feu (includes the area of the foundation of all buildings, driveways, covered decks, emcrele or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.) STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)^ YES_ NO_ If yes, bathe total built upon arealimper icus surface allowed for your lot or parcel: square feet. OTHER PERMITS MAYBE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Consenation, FIA Certification, Sand Done, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highwav Connection, and others. Check with your Local Permit Officer for more information. STATEMENT OF OWNERSIHP: I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person listed u landowner on this application has a significant interest in the real property described therein. This interest can be descri . (check one) / A ', / m owner or record Ue, TiUe is vpled in name of J e Ao G Y /a • `v, ' ��« sec Deed Book page Z %—/ in the C M 2 % fit Pr— County Registry of Deeds _an owner by value of inheritance. Applicant is an heir to the estate of : probate was to County. _if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application. NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS: I furthermore ecrtify that the following persons are owncis of properties adjoining this property. I affirm that I have given ACTUAL NOTICE to each of them concerning me intent to develop this property and to apply for a CAMA permit. (Name) (Address) (1) R-o e/? ,F it 7rf lel (2) S %1P 8{4 ; CIRRI Ins[ r W-OPAwk% (3) ACKNOWLEDGEMENTS: 1, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the partim- Im hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza- tion and floodproofing techniques. I furthermore certify thin I am authonzed to grant, and do in fact 1 permission to Division of Coastal Management staff, the Local Permit Officer and their agents to en oned lands in connectio nh evaluating information related m this permit application. 5 This the � day of v ✓ 0 on a zed m act L his&. agent for purpose of filing a CAMA permit application is app!ication includes: general mformanon (this f rm), a site drawing as desenbed on the back of this application, the ownership simemem, the Ocean HazardAEC Hance where necessary, a checkfor $100.00 made payable to the locality, and any tnfornianon as may be provided orally by the applicant The details ofthe application as descrehed by these sources are incorporated without reference in any permit which maybe issued Deviation f yin these derails will constitute a violation of my permit. Any person developing in an AEC without permit is !abject, to crvil, criminal and aabnnostralrve action. s �cENEo OEM MN k I 1 ,. 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