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Home My WebLink AboutLowry, MichaelL CAMA / 9 DREDGE & FILL GENERAL PERMIT ONew ❑Modification ❑Complete Reissue ❑Partial Reissue N9 78929 A B C'j D Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality r,.,. / and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �' •��'% /�y -"'t t �? �P 1 �)Q�y Rules attach d. Applicant Name i 1 , 1 � �. - / l )` pp Project Location: County i. Address rA7 ? ^ (�E �'1 Street Address/ State Road/ Lot #(s)-r-''-- City ! r IC' Lor, ��+! ' _ State j`l ZIP Phone # f--=-rE-Mail Subd Authorized Agent 'j City_ Affected El CW "* EW M PTA ❑ ES ❑ PTS AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /0 PNA yes lr Q) ZIPt Phone # O River Basin " / / Adj. Wtr. Body ,i "� r"I ire (nat /man %unkn) Closest Maj. Wtr. Body C. f tN � f .o1CC:�:�::::�C� :0100■'■'■ '■"■'. EH�El�a EM mom ■■■■■■■■■■� ■'"�■■111■� ■■■■■■■■H■■■■■■ ICI■fi(■■EM ■MINT ■I■rf� �■■■■■■■�■ ■■■■■■■®■■..■■■.. ■��MON MOM5:::6E° a IN�� I w■r��► ■■■■■■■■■■ ■■■■■r1■■i■■ ■m ■iRl�1_ ■EM■■■Y•■■....1 ■■■■■rri■■i■ 151001 ammiEWRIMME am MOM, XWUMMMM Ca��i�i. ■■..■ ■■■, :...■■■■ MEN ..f! Agent of Applicant Printed Name v Signature * Please read compliance statertfent on backofpermit" Application Feels) Check # Permit Officers Pnntbill t Si ure Is, uing Date Expiratibn 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, certify that this 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 (252-946-6481) 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST 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:HPortal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: i1/1 i r ha e. I G_o/r Mailing Address: '130-4ae- po..Hk Rd Phone Number: (25213�} 2 ' 3 363 Email Address: r✓i. ( o w r,- 'Z� e, r J I certify that I have authorized—Detiy i d A r.d �2 � co n /�Z�� oC3 0IV, to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: S Ce, is c��ed S C-o.-( C d r-a'+'+ �1 n at my property located at i in County. 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: 'Qwr1Q(� Title z / - � / z o Date This certification is valid through / / i 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1� i �'lv L_._-a v✓ I Is ( ame PropeOner property located at 7 ��t �� r` P. a e ) �� (Address, Lot, Block,Jtoad, etc. on ,in r'A V%0 I S�ore4 ,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) Sco. c 4V'-('kQ'd 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.) X 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 Information) Signature Print or Type Name _ 5 (' . (-t-e. r ng A ress . C' holj,i� olCr,C (✓C,�4�1� 83$ %Iz--22-1( Telepho e N mber/email address ,�I 127 Pql q Type N me M(��' ng Addr�+L/p$s��-1 y 1 ',r\e. 1 o)I Sh�rUr 1\� ttc ty rate&' 3 fin_ Te opho Nu ber/email address t -� Date" (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ixcko-1 1---" 0i E� 's tt�� p (Nam of Property Owner) property located at -1 c�_�� _r f � � I�oa41 S ��tir\a (Address, LotRoa , Block, d, etc. S on i� I in P'i nk K r� n I l p••N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above Io tion. _ I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by �////meyou wish to waive the setback, you must initial the appropriate blank below.) � -"< I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Owner Information) rr rc.,: ailing Ad ress . �. P • .. ,nE,�v+ul►1... ty/st te/Zi. (�MLIS�2•-33�3 /n�owry�Ec>rf,cn�i Telep one Number/email address I/qI)—'o Dale *Valid for one calendar year after signature* (Adjacent Property Oywner Information) U C2n+ cre) k Ir FA C- z$S' ► Z (Revised Aug. 2014) l �-4 yK.. ti t ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1` t I ( A e�' I Lo '�/ r � 's �1 �i r t Tame Property 0 ner) property located at 2-44 Sa. I`� �,r' I 'M, /� a t�c� (Address, Lot, Block, oad, etc. on 'PKS r—c", I ,inP',nq hoi( S' or'LS N.C. (Waterbody) (Cityrrown 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) RECEiveD 2e, '-4*'_CAQ. d FEB S 17 zozo DC'W-A'MD CI7'y 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.) U x I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) 2— (Adjacent Property Owner Information) (I I$ c'(Z---. (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to : rt" t i c. A r" �l Fs Tame cif Property O ner) property located at 2�� A, J' l e.r �� (Tame (Address, Lot, Block, oad, etc.j on .PKS r— r," A in P' �E ti1�1 l t0r'� 5 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) RECEIVED 9 2ozo 0C'lil•-lWHD CITY 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.) M— ^ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) 2-- I 2-8 - 6 l "L -. 2-7-1 k, Telephoge Nymber/email address -y.. 1 / 1 t2 Date (Adjacent Property Owner Information) y�2 ;spy- 3363 Te §phor NuInber/email address 1 /'1_0 Date* (Revised Aug. 2014) *Valid for one calendar year after signature*