HomeMy WebLinkAboutLoken, EricAMA / ❑ DREDGE & FILL No. 75063 ®GENERAL PERMIT Previous permit# A B C D
ONeW ❑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 15A NCAC
DRules attached.
Applicant Name `; ! / (' / i Project Location: County W i _
Address - _ ( Street Address/ State Road/ Lot #(s)
City _ ! ,` State %) ZIP -�c r
Phone # ( . _) E-Mail
Authorized Agent r r1C
Affected El CW ❑ EW F I PTA ❑ ES ❑ PTS
AEC(s): ElOEA ❑HHF LIH ❑UBA El N/A
❑ PWS:
ORW: yes / no PNA yes / no '
Type of Project/ Activity
Pier
Fixe
Float
Fing
Groff
Bulk
Basin
Boat
Boat
Beac
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Photo
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A building permit may be required by: ;) (2 t ' r 1 I
( Note Local Planning jurisdiction)
n/
Notes/ Special Conditions / I✓'
�' I
Agent or Applicant Printed Name
Signat re ** Pleasetread compliance statement on back
rl �()(y).
Application Fee(s)
❑ See note on back regarding River Basin rules.
A permit** Signat re )
Check# Issuing Date 'Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: E-lit C k. 10
Mailing Address: a 2>c) - rakc,
r
Phone Number: el t'1 Tao a10VR
Email Address: 0LQQ
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: l 31AU X ® M
•J
property located at
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:
Signature
E�C> LOKFKI
Print or Type Name
%�
J Wngr
Title
4/ ? / _0
Date
This certification is valid through % I ' I 'R o
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Eric Loken s
(Name of Property Owner)
property located at 230 Drake Landing, Neuse Harbour
(Address, Lot, Block, Road, etc.)
on , in New Bern 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.
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)
Please see enclosed 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.
Signature
Eric Loken
Print or Type Name
230 Drake Landing
Mailing Address
New Bern NC 98560
City/State/Zip
571-926-2688
Telephone Number/email address
7-8-19
Date
*Valid for one calendar year after signature*
(Adjacent Property pOwner Information)
Sign6ture*
?,ram
Print or Ty e Name
Mailing Address
'4 IAI At--,Pir/
City/State2ip
Te/ephoone N mber/email address
Dole
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Eric Loken s
(Name of Property Owner)
property located at 230 Drake Landing Neuse Harbour
(Address, Lot, Block, Road, etc.)
on , in New Bern 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.
;— 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)
Please see enclosed 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.
Signature v
Eric Loken
Print or Type Name
230 Drake Landing
Mailing Address
New Bern, NIC 28560
City/State/Zip
Telephone Number/email address
Date
*Valid for one calendar year after signature*
(Adja nit Pperppty Owner nformation)
r
kig ttinff
L
Print or Type Name
232 &)IKe LAAjoux
Mailing Address
1 E� �aa a� a z>7Sdo
City/State2ip
,�1-G31-<ilfz5
Telephone Number/email address
�r'in. to
Dale *
(Revised Aug. 2014)
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