HomeMy WebLinkAboutWhitley, RaymondXCAMA / ❑ DREDGE & FILL Y �C, ` F No. 75053
A B CD
GENERAL PERMIT Previous permit#
kNew ❑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 I SA NCAC
i El Rules attached.
Applicant Name i /t I �'E' Project Location: County -
Address ' / 1 Street Address/ State Road/ Lot #(s) 0l 1)_
CityCZIP y_ - - ! State ( ;
Phone # O _ E-Mail
Authorized Agent 1 r, (.,("I�-
Affected EICW AEW JRPTA El ES ❑PTS
AEC(s): O OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PW7
ORW: yes / n PNA yes 6P
Subdivision
City ZIP Phone # ( ) River Basin PAVu fi
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max distance offshore MEN M■M■MEN
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Agent or Applicant Printed Name
Signatpr� a "Please read compliance statement on back of permit"
1 (`X I I VF
Application Feels) Check #
-
PermitOfficer's Printed Name
Signat re I
//
f f� /
Iss, ing Date Expiration Date
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: Raymond Whitley
Mailing address:
Telephone Number:
I certify that I have authorized Doug Banks/ Coastal Boat Lift Repair
(agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of adding a new dock section to access other
side of boat lift.
at my property located at 4606 Helen Lane New Bern NC
This certification is valid through 7/30119 (date).
(Property Owner Information)
Signature `1
Raymond Whitley
Print or Type Name
_
G
Title, co. owner or trustee for property
Date
Telephone Number
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Raymond Whitley's
(Name of Property Owner)
property located at _ 4606 Helen Lane
(Address, Lot, Block, Road, etc.)
on _Neuse River_, in Craven County , N.C.
(Waterbody) (City/Town and/or County)
Thcant has described to me, as shown below, the development proposed at the above
loc 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 ill in d._ eAcrlption below or attach a site drawing)
r—
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.
Owner
_Raymond Whitley
Dare
(Ad' cent Prope wrier Information)
Sr nntme NEL4
.✓ 6R �i�R
Pdntor Type a e
t<bo? e�•y La+?
"'��d�roNe a8sd o
p�ci israr Ip
22—
rerep7/ 7�� o/� --
Dore
(Revised 6/l a,2012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Raymond Whitley's
(Name of Property Owner)
property located at _ 4606 Helen Lane
(Address, Lot, Block, Road, etc.)
on _Neuse River_, in Craven County , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
x— I have no objection to this proposal.
I have objections t0 this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill In de_qcr/ption below or attach a site drawing)
i
(tv-l`
r
F i
i
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.
_Raymond Whitley
Print or Type Npme ,
t,jr7.z
Dore
(Adjacent Property Owner Information)
,Si ar! e
(Revised 611812012)