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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 Adj. Wtr. Bod%'P '­Z VC \ (—(n t)lman /unkn) Closest Maj. Wtr. Body '• c"VI I i r 0 f f, Pier (dock) lengthATF l��■H■■■■■■■■ Fixed Platform(s) ..Ey..■.�...aa::::::;��;a�HERB ■■■■■r11i�I.111■B■■■■■■■■■■■■ Floating Platform(s) SEE 0 :::::::::: MEN ■C�■E■B■■■■E■■■■■■■I!i 1■E■■ ■■■...■■■. MEN Groin length MEN ■■�7■■■■■■■■ ■■■■■:gym :� OS■ME number MEMBER ■MEN MEN ■■■ ■■■■■■■MEMBER No OEM NONE E M Bulkhead/ Piprap length _■■■■■Oi■�■■■■■■� :� ::ME avg distance offshore MENNEN :::::::� ►�i:NONE max distance offshore MEN M■M■MEN ■MEMO.■..■I.. SE....�•W Basin, channel ONE MEMO ..NEE WEBB SEEM NEEME ME MEN WERE M OMEN ME M ramp L-NOM MEMO MEMO M MENIME 0 Boathouse/ Boadi :■i■■■■ :■■■IBA?L�SB■BE■■■■S■:■SM ■ E:::E■■■�aI■■■■■EaN■■I■■�■■S■■■■� ....�■. BeachBoat ■ .■■■ NONE.. N■■I■■ ...■.■■ a■■SS ■■ ■■■■■■■ ■■■■SEEN■■ONE■■■■■■..I■■■■■■■■NOr7 • M■N■I■■■■EN ■E■■■■1O■I■■■■■■■■■■■■■■■E■.■ SEEN MESON S■ MEMBER ■M■■■■ E■I■■■■■■M■SO■■■■S■■■■ ■■■■■■■.FE■®10E■ NBURI ■NEB ■■ 710 ■■E■ ■■BB®R ■BNa li■■ ■■M■ ..■■ E:: as:■:EE:a ■■l�■■ •••••:::: :::::�: ■::■■an�1ON I::: a:::::0 :a'.::::::�� �:::::IN::::::::a r � 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)