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Home My WebLink AboutLowry, BrianMCAMA / b DREDGE & FILL O N. 78925 GENERAL PERMIT A B! Previous permit# C�D C/]' New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 0'r� ` and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC I.. + l El Rules attached. Applicant Name ' t . ;r 1 •' W % Project Location: County o, ;' i ( +; Address , f , ? * C 4 f' ( V ' \ l L i` F .;T Street Address/ State Road/ Lot #(s) P Kr, ! � /VA) City ,.S State ZIP Phone # ( ) (P E-M it Subdivision r Authorized Agent { q V I � �yt I City ZIP ❑CW -VEW bPTA ❑ES ❑PTS Phone# (_) River Basin{f.ff�r7f: /�/ ✓1 Affected El OEA ❑ HHF ❑ IH ❑ UBA El N/A AEC(s): Adj. Wtr. Body ''ff r ('D �l l s dt _ nat Er�ani/unkn) ❑ PWS: , i r Closest Maj. Wtr. Body no• ORW: yes / PNA yes /_no' !! Type of Project/ Activity (Ar'; n`if'/�I ^( Q rr (Scale: ) Pier Fixec Float Finge Groh Bulkl Basin Boat Boat] Beac Othe Shon SAM Mora Phot Waiv A building permit maybe required by: , I tjt'' "Il f'I --r�, i i ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction)er I Notes/ Special Conditions I I r (� R F' I �('� I rn� I--(- I'I r A F' � e /�.A'/A I 71i Agent or Applicant Printed Name PermitOfticer s Printed Name Signature "Please read compliance statement on back of permit" Sign at re �y Application Fee(s) Check# IssGing Date E piration 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 by signing 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 consistent with 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 (252-946-648I) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) (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.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: E r i a r\ (^avff. Mailing Address: ZqZ-. Po,� P i n¢� I� l� o i l S h a rQ s l\J L 2- pqq S- % 2-. _ Phone Number: $ M Email Address: vv r'y I ate% j C I o', r� �' c.o M Icertify that Ihave authorizedD"g1A Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all all CAMA permits necessary for the following proposed development: See, r-t ckcd s c-,A at my property located at _�f{ 2 i �Q ��`% � AQ � o l hr P � h Shore.�1Vc� in C, r-+0— � ` County. I furthermore certify that l 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: Sig - ure Print or Type Name �r a P��Y C7WnQ-� Title Date This certification is valid through 2- / -7 1 2-0 9- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ak i d1n /V L o wr" v 's (Name of Property ner)' property located at 'Z4 2.. sa� �s /�a , /2,�,,,/ ) p�..vvryr VYn,�VPV� OLY. on 1<5 ca;,7a/ ,in ;ne z7o �inres N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locati 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 fill in description below or attach a site drawing) •=v' ..!/i-til:eri[E.2 ��s'-�,.�� E�v� aKl'. ? 2- 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.) _ 1 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) 'A, Si ature 1� j _ 1" I C_.. Print or Type Name /email address 9 / 6s� i 2__ �ec,(-r,C, r) (Revised Aug. 2014) `Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _ w i w za %" Lowry 's (Name of Property ner) property located at �, 4 2. 5ahir At- A 0�/ (Address, Lot, dock, Road, etc on pl< canal in /�,ir" /Z"o / Mores 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 to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) '?Z �r✓�: �o ,e,na e>t-,,�J.sc. U O/ 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. 1 do not wish to waive the 15' setback requirement. (Property Owner information) (Adjacent Property Owner Information) S�zrpnature P Print or Type Name �i Uzi ding dies 9.�rz Y\o� fp c aS5 �a— Cit /state/Zip 5a- &7 -3cicL,-' Teleph pe Nufnber/email address �II� Date* *Valid for one calendar year after signature` (Revised Aug. 2014) \ 08 ... \ « «:• � �.. m . m 2 �"V R / e � \ � / w . � \ < . . ® J � [ � ® / V � ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to At- i a n p I. o wr ti s (Name of Property ner) property located at 2-42. Sa az,, a� , /Z o (Address, Lot,,�lock, Road, etc. on tics c ana� in /�,r � /<tan// �Ao) 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 DOWbOMENT (individual proposing development must fill in description below or8aff ch2t f#e drawing) CAI-1 <� a aG� v VE �1TY ®CM_MHD 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.) L-AX I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner gnature f /-/AN P L.TiWi"// Print nr TvnP. A/Amp &lz Date* _� /email addn C )S50- (Revised Aug. 2014) *Valid for one calendar year after signature