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HomeMy WebLinkAboutEly, Joseph (1)g1CAMA / ❑ DREDGE & FILL No. 74954 -+ A B 6E—D D GENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue El 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 , �(_ SaRules attached. (- Applicant Name Project Location: County ° Address City StateZIP� Phone # O �' E-Mail Authorized Agent i , I u ,or, Affected D CW JJ EW ! PTA L{] ES ❑ PTS AEC(s): 00EA ❑HHF ❑IH ❑UBA El NIA ❑ PWS: ORW: yes ,dno PNA yes / no Type of Project/ Activity Pier Fixe Float Fing Groi Bulk Basin Boat Boat Beac Oth Shor SAM Street Address/ State Road/ Lot #(s) .,._ Subdivision CityZIP_ Phone # ( ) River Basin "' V C Adj. Wtr. Body % % - _ (nat Iman u kn Closest Maj. Wtr. Body (Scale: ` L{ n/ ) G.:: C:::E::C::�::CGENo :� :G 0 :::::G:C:G 0MENNEGMEMO :G::a�G::::C length ■■■■■■■■■■■■■■■■G.■■.�.■.....■....■...■.. number ......■■■■■■■■■. ■■■�.■■■■■ .... ■■■■■ avg distance offshore Em=ENi G:::CCEM som:ii::G:::GGGC � iCGG: max distance offshore .■■■■■G■■■■■■■■■■■■■rm■■■■■.G®.Ill0i'0000=■ .■.■.■.■.■.■.■.■.■.■.■.■.■.■.■.■.■.■.■.■■�l.■.■:.■:■■CMEN .■■.■■■■■■ ■■■■=■■■■■■ MEN cubic yards :::::::::::C:GomCMm'■■■■■G:C:G: mmoomm ramp■■■■■■■■■■■■■■■■■■■■�1■■■■■■■■■■OMEN■■■■ ■■■■■MEN ■■■■■■■■■■■■fll■■■■■■■■■■■■ ■■■■■■ ■■■u■ ■■■ ■■■■■■ ■■N®■■■■■■■■■■■C■■■■■■ MONSOON M :MEMOGC:::G�o::C■i:: ■■■■■■■■■ ■■■■■■■■■■■■■■■■■®�■■ ■■■■■MEN ■ Ell No ■■■■■ ■■■ ■■■■ ■GGC::::GC■■■■■■■■C■■■ GC■..�..■.MEN line Length.. ■■■■■■■■::::::GG®■::: ■■:■■■C■■:::: ::: :::::::::::::: G::ME ■■■■ ■■■H■■■���LQ...wu _.,.._ .u�■■�■■r1l►J�■■■■■■■MIN Mor Phot Waiv e NOMEEME MENEM IN In A building permit may be required by: See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special Conditions )f_fr Agent or Applicant Printed Name i- Signitpre,. *Please read compliance statement on back of permit" i Application Fee(s) Check # PermltOffcers Phinte� Name Signature 71�� Issuing Date 'Expiration Da et AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: -JoPdl C . ACl°Y Mailing Address: Z.32 Z2rt1(E Z.AWVlA.) G &)go SEaa) fJC 2 1?-560 Phone Number: (2SZ) I 89 Email Address: a ue. el�` 1) Gd gwtai 1. coat I certify that I have authorized 130el9l QgI40 A) CorJSg4itr-yiaN, -TaC, , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: i1.0A at my property located at 2S2 NUkC Lpli3DWC , in C,eAYCiJ County. l furthermore certify that 1 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: O,<- ' 6 Signature TOS600 C, 'Ck� Print or Type Na4he owliep" Title 10 l oil Date This certification is valid through 7l 10 / O O ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to Joseph Ely g (Name of Property Owner) property located at 232 Drake Landino. Neuse Harbour on _ , in (Waterbody) N.C. 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 to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT Ombilduaf p cposhtg develofMr►entmust HI 1a dsacrilipffon below or attach a sfte draw/nW Please see 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 IN setback requirement. 4 1 do not wish to waive the 15' setback requirement. Pr int or Type Nadia 6 -'Vy�Pdntor 232 Drake Landina ,1- *2 1 Mailing Address Mailing New Bem, NC 28560 A119 Cdyl3tate/Zlp aty&u 252631-4189 sr, Telephone Numberlemadaddress Telepht 7-8-19 Date (Revised Aug. 2014) 'Valid for one calendar year after signature` ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Joseph Ely 's (Name of Property Owner) property located at 232 Drake Landing Neuse Harbour on in (Waterbody) N.C. The applicant has described to me, as shown below, the development proposed at the above IOCT.,, I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT #ndhd&W proposing development must flit in description below or attach a a(fe drawing) Please see 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. Information) (Adjacent Property Owner InformaM%") / Mailing Address Malvingg Address New Bem, NC 28560 ,JfA BERG, /JG 285i+0 City/Sta1a/Z1p C 'Stata(z a 252-631-4189 0 M (a310 VmeuYatt m�� 9 Telephone Number/email address Telephone Number/small address 7-8-19 'I (i O I -La I `i Date Date* (Revised Aug. 2014) 'Valid for one calendar year after signature* N x E ZO 3 Z awl JeaeM xo m Ia 3 a z oE xg M y I a