The URL can be used to link to this page

Home My WebLink AboutNC Aquarium at PKS, Co Stuart MayEJCAMA / M DREDGE & FILL No. 74453 ^ GENERAL PERMIT A B C D 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 Applicant Name j�� <<i+7t,hrtl(�'�'� -' (y��MIx Project Location: County Rules attached. �i Address i\ ri""t t'P 1 b Street Address/ State Road/ Lot #(s) City �) .�,r��F State �I�� ZIP-� , # // Subdivision % Phone ( ) E-Mail Authorized Agent + ( j y� j �;) t' (�l I j/UCi y /� ZIP %l Affected LJCW DEW El PTA DES ❑PTS - Phone# O River Basin AEC(s): ❑0EA ❑HHF ❑IH ❑UBA ❑N/A Adj. Wtr. Body I -i ri _ nat man /unkn) ❑ PWS: ORW: yes / no PNA yes no % Closest Maj. Wtr. Body -- -- -. . :;,::::::9�C.' :'.'.'.'.'.'■:I'. '■'■'■.':�'■C'.'.'.�191. ■■..■.■. ■li..■.■■. ■■.■■■■■■.. ■■■■■■■.....■■. ■■■■■■■■■C■■■■■■■■■...■a■■■■■■.■■■■■■■■ ■■■■■■■■■.■■E■■■■■■■■■��■■■■■■■u■■■■■■■ =SOMEiiE��■�� ®� ■ii�®ice®iii■ii1011111011i ■■■.■■■.■■■gin■■■■r■.■■■■�■■■..■■�■■■■■ .■■■■■■.■■il■■■■■■■■■iL■N■■■�■ ■■■.■■■■.�8■■■■■■■■.■■■■■■■■■®■■■ .■■■ ■■■� ■■ ■ ■ M........�.�C.�.►�.�... .■■■■■I�� ■■■1$Tt. w■A■ . ■COCA■� ■a■■■■■■■■■■■M■�■■■■va■ ■■■■■ ■■■■�,�:�� ■■■.■■■■■■NE_��j,■■ ■m®m■■!�■■■►Yi■I■■.1111160■. NMEMEMENEEMINEEMBEEiiii�� ME MEMIN■ii■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■:NC:::::::�000 :::::Cmom M M:::::::5 iii�NIEME ii'a IMMOMMEMMEN, Jiiiiiiii ■ I 1 Agent or Applicant Printed Name Signature -`-* Please read compliance statement on backof permit*"° Application Fee(s) Check# 9 Permit Officer 3 Printed Name Signat eJ Issuing Date Expiration Date (J AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: i-A C A cui Gb Lk niS Cj _�F tic') l skwG Mailing address: 7 i t1P it" k , -f r,I, .i Telephone Number: butict 0V%wr.1A J�j certify that I have authorized �G� e✓ �1'VI `� I )�rf ,i,< L& �) (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of r. f �/A bkn Y-J i t U t'� at my property located at I e ooS e vxJ0 DU R U S tt 22 c; t 2- 1 This certification is valid through (Property Owner Information) - �-�' UA%QA�� Signature Print or Type Name' 17551 . I/1,-t[` �I� fTlf6tciVI'(, % �.� � t Q,�-1 cU )I^u✓C S y � � Title, co. owner or trustee for property Date l'7L'--21 zt-0- � v Te ephone Number S�titaI�-1'06t.l(,)6iGUPi-S. C01,11 Email Address (date). ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to NC Aquarium at Pine Knoll Shores Is (Name of Property Owner) property located at 1 Roosevelt Blvd, Pine Knoll Shores NC 28512 (Address, Lot, Block, Road, etc.) on Bogue Sound in Carteret County N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above lac 'on. 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) 5 s;Lls will be bvi)i e'JJ*"rh4 -lU SVovcj NL. �(•cl. SiU �u iU 66 23 / fec+ )Or51�i h wotry ley / �l S�Us wil�L be oeprv><iMaic13 -* S rL � S;US G(&I,%{ Nciec� c� rIG7 �y�an. cn�,-► Ins. .-.-=.o----_ __� / roc Pad-•-,•.� 1. f` WAIVER SECTION 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) ZS2 342.094� Date d9'u� lid 19 Signal ire 1 ers (44% (twit-Agw, %G&.& J .r Pdnt or Type Name 9D 2 QSQ Mailing Address A44'A' A."e%.,x. '.ds-rz City/StatelZip 9115,2' 247-YDi't Telephone Number '51"C / 9 Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to NC Aquarium at Pine Knoll Shores 's (Name of Property Owner) property located at 1 Roosevelt Blvd, Pine Knoll Shores NC 26512 (Address, Lot, Block, Road, etc.) on Boaue Sound in Carteret County N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc i 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) rJ 5iUS w(U be bl`h`__0- solac n.A k0 UVd 'KA- EGG1r 5� u W i �A i�C. 2 OI 4r,,Jewuk 5,L`S will be MA at7�v-eV� ,.r �v c.v, 5k,�-c1 rd o6 c ocv a �.._.....� —.� 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 wajve 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. (Prope owner Information) Owner Information) Q V„r,V"z41-4353 XI(o Telephone Number 1� Dale IJ (Revised 611812012) 0—/ S C-i- I ",- P-A+- Q^-, �-; C-4- I --- �-�;+- 0-- �-;