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Home My WebLink About76996A_Young, Greyson_20200723U,CAMA / ❑ DREDGE & FILL N9 76996 B C D r. GENERAL PERMIT Previous permit# New ❑Modification El 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 / E Rules attached. Applicant Name Address l q:7— I- City 4 d. C k State ! ZIP Q 7/ Phone # (7S7) C3S SS E-Mail Authorized Agent 9 :( ❑CW DEW I PTA ❑ES ❑PTS Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ElN/A AEC(s): ❑ PWS: ORW: yes / no PNA yes / no'i Project Location: County l_ ( /, '4 U rk - Street Address/ State Road/ Lot #(s) iq � C L'�'- s �c �/,e Subdivision i City, C: i r 4-c C k ZIP Phone # ( ) River Basin 'c rr,l Adj. Wtr. Body C - yCc (t 5-,- + (natnat /m��n) Closest Maj. Wtr. Body Type of Project/ Activity ✓'Sa 1 zx+ FIG�r� Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length_ avg distance offshore_ max distance offshore Basin, channel cubic yards Boat ramp Boa�.o Boatlift Beach Bulldozing Other Shoreline Length '_ (1:4 SAV: not sure yes no Moratorium: n/a yes no i Photos: yesJ no Waiver Attached: yes tl no U k (Scale: I" • _ --') �' ) A building permit maybe required ed by: ([ (r tick lc,� -4 , ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions -f SE 1 1'(4 5) 11 Pyce--e A Y4 n: % Jr Ic�� OVtJ L J 01 r. h to r d AI AA Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ee �. G� �)Q33 APpI'Kation Fee(s) Check # Pe Icer' Tinted e - Signature /3 -�i3 P.) Ii/- 02- Vao Issuing Date Expiration 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 I) 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888-41RCOAST 252-946-6481 Fax: 25 2-247-3 3 30 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 CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �'fr n �c�i,.,. a - Mailing Address: Phone Number: G% --G3�"' asS Email Address: I certify that I have authorized �rn::� , Agent /Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: &cs� L -f- W i"*� at my property located at L 4q rz , in (' S,.l'r 4 ,,,4_, 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: ignature Print or Type Name Title 7l Z3 / Date This certification is valid through / d l?C/ lao ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PLUNGSBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to 6 -1A,4661A '(QUA!!__ 'S (Name of Mperty Owner property located atiq7 /° C:q , vA. S AA &K (Lot, BWJk, Road, etc.) on , in ► -1 v e g , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 7.5 7 05 S?mauing Address: t W 2 li e44,v miaacl, Ott He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless waived by me. (If you wish to waive the setback, you most initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) 60,A-T -1 1 ri-1-7 W /7 H (100 r (Information for Property Owner Applying for Permit) 1'-17 /_ CA/vVAIA/+C-4 0(. Mailing Address C u Rrz, ry (-x nk City/State/Zip 73f 7 Telephone Number ,-0 ---ham 2- /& 'dry Signature Date (Riparian Property Owner Information) Signature r-o a(? Print or Yyve Name Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIE"OOR) VG PHXVGSBOATLFFTBOAMOUSE) I hereby certify that I own property adjacent to /*7- e rAs4'iand Y[%UAf_, `s (Name of Property Owner property located at I L( 7 (' CA I V A 5 8A CK V-a (Lot, Block, Road, etc.) on , in (',.na)'-lvcX , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 'L�- 7 LIS g Address: l N l !a �},.iV4, '04CX bR CJ.2ni i vL✓ /a C A7�'l 9 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless waived by me. (If you wish to waive the setback, you mast initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by indivtdud proposing development) 60,AT -I-i 1---T w !7N ROOF (hdbrmation for Property Owner Applying (Riparian/%'c�periy Owner Information) for Permit) % _ I`17 /_ Da. 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Rmnl 3 This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information shown on this map. l t � •�„ y Yi 1 ,iY, f ,,g" 7�.f�yT � ' �"'' a •, �Ir% t