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Home My WebLink AboutGregson, EricLICAMA / U DREDGE & FILL No. 75903 A B C D gENERAL PERMIT Previous permit# New ❑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 lf J Rules attached. Applicant Name ( ( i ( / Project Location: County City� Phone # Authorized Agent State I ZIP E-Mail ❑CW E7 EW PWTA ❑ES ❑PTS Affected OEA r1 HHF ❑ IH ❑ UBA ❑ N/A AEC(s): ORW: yes / no PNA yes / no Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshc max distance offsh Basin) channel wl' � Boat ramp Boathouse/ Boatlift Beach j r Shoreline Length SAM notsure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions ), J lw Agent or Applicant Printed Name L Signature ** Please read compliance statement on back of permit** Application Fee(s) Check# Street Address/ State Road/ Lot #(s) Subdivision CityZIP_ /!< Phone # ( ) River Basin Adj. Wtr. Body Closest Mal. Wtr. Body (nat man unkn) (Scale: ) ❑ See note on back regarding River Basin rules. Permit Officer's Printed Name $ignartur@ Issuing Date 'Expiratio Date Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies bysigning this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Other: ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-41RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http://portal, ncden r.org/web/cm/dcm-home Revised 7/06/ 17 AGENT AUTHORIZATION FOR LAMA PERMIT:APPLICATION Name of Property Owner Requesting Permit:�SO tj Mailing Address: L rl irz� (r✓ R I N G a �S7y Phone Number: 6� Email Address: I certify that I have authorized e Agent 1 Contractor rkGil ois✓f, to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at MOC--Y LN N Gj PoaT w6- dL� 70 in L-612&p� 1County. 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 xelated to this permit application. Property Owner Information: 7 nature J Print or Type Name Title iy I 15 I 1 `I Date RECEIVED OCT 15 2019 This certification is valid through DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ealc- Z �ICCS� s (Name of Property Owner) property located at 3/7 I401-'-i L d n1F//1f0 T Ne- alss7° (Address, Lot, Block, Road, etc.) on Swayvt;<✓ PPw¢ory bwoVk AZ4c in nrgui Po$'T N.C. (Waterbody) CAvW, (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. fhaveobjecti-o s—to_this_proposaL—__._____---- -- ------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) SPICE 7G t/ G✓kid �'arJS C to pdd N S'T'Py a-' C'lt ee p F b SV G� 6vaurb i s� � FJcirt�Ki aL.K. lffa� 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.) RECEIVED I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Proerty Owner Information) Sign tune r— 216 -r 0 Print or Type Name Mailing Address ',Jt/r®op-T NC 10h</)1 OCY 15 2019 { 'acent Prop rty Owner InIfb1MY 1% Stgna e RicpPaD OeQr, oTT- Print or Type Name oc) il J 060 7152 Mailing Addre s NtwP 0(27- rG S7o City/State/Lip .VS)L- Telephone Number i 0 / 1 <,,/] .1 Date Date (Revised 611812012) n ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ERIc J r; Ct:CS s (Name of Property Owner) property located at 3/7 14OL-LY Lr/ VFP ro(1T r i L ;? 91g? ° (Address, Lot, Block, Road, etc.) on .50—vr+Dvt1FV POwIfFY Owrwc JTc , in Kra„✓ Pop-T , N.C. (Waterbody) GAvt, (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_Qbje�lons to�his�[apasaL__ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) �(10r" l ' Derry t/_ STP a C'xce(�i b°o+ _V if GP\ Add N � S �- Seowoll W —�- l �,Rt6r� Gdr (, (C - 1* 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.) i4F:,C EIVED I do wish to waive the 15' setback requirement. OC) 15 2019 1 do not wish to waive the 15' setback requirement. (Property Owner Information) Si ndfure Print or Type Name -3)7 A (YL4 y GO Mailing Address rJ"/'.p. l%v City tate/Zip 51.E V ! - Telephone Number Date (Adjacent Property Owner Giformation) / k L' Z� Signature -TAM• �y L ��-;1 Print or Type Name 3)5' ! t01-0 Lrl Mailing Address IZ17e City/State ip Telephone Number to/,mil i9 Date (Revised 611BI2012) fli in ll Dvi It'; f