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Home My WebLink About76030_Steven & Chrine White_20200622 08/25/20 20 14;36 CAR HART OF GP.EENV I L LE 2.) -7 (FAX)252 689 6216 P,001/004 0 ]CAMA J ( ]DREDGE FILL (01 (k '' ClGrp No. 76030 A C C GENERAL PERMIT Previous permit# ,,, •+New ❑Modification OCom lete Reissue C)Partial Reissue Date previous permit issued S„ 1N., 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 I5A NCAC Ca'1 u . 2r,fir' {Rules attached. Applicant Name Jt.o.•l, Golp,,rile 1,.....41 1... .. Project Location: County e,N-t1 .0r mac,, Address .3uo, 4. .a. ,3 _ Street Address/State Road/Lot#(s) _ City' "'4-.•s C a.egc. . Stateti-C _ Z1P2.-.CP 4- 3 -tg-4a:.,.�r5 4- -T Phone#(xS-2-n 47- Z0'7, _E_Mail S"Ct'ew11;4k zex'►55 a Subdivision .9 04.t�r4 co,..` Authorized Agent F4 !A^ City . k._ — ZIP '2-)' r y., DCw CEw A (ES C)PTS Phone# Affected C7 OEA 0 HHF L l C7 UBA ❑tJIA (— ,)_. River Basfn'i 71 R (ap ,...G AEC(s): 0 PWS: Adj.Wtr.Body uw`.a-7'rs C.az „ ,a„ „I ORW yes PNA yes Closest Maj.Wtr.Body + ,c-a__k v Type of Project/Activity a rr .h ' lt*4r,tt P, ' 4-a pAs v -'?„,/ A.,4,g- . (Scale: i r Pier(dock)length - - .._ - -- - Fixed Platform(s) i I. ( I ;_I r t _ '=.— Roaung Platform(s� _ I , and„ „I i I ! I _. _r ; . 1 ~i Finger piers) O 7r'7"-! i r ! I ' 1 I . 1 1 I 1 i r- . i -i ; - •Groin fen th _ t i , C. I i I-_ — I r number I ite i I ! 1 I ! I r? i .1i { _I ; I _ • ( I I I I. Bulkhead/Rfprap length r I I • ' • ` j i I ,.�I ` I ! , I • i _i _ avg distance offshore i j .(. I I r ! ' r , �Ars=.-I 1 i I_ max distance offshore~ __ �r'-- _ i ! `�; I bCX= j !�r-19 / -."7!rt'.4:54 • Basin,channel .. : i I ' ' ' ' : :r - 1 , ! - . : ' I _ . --�� -- j I I I . I I i . I` 1 1 I cubic yards I I I r : I , ' • I , -i . I . _ • t 1 l.. oatramp_� i - I. I ;- Boathouse)Boadift .. _ -- . r .. I � ,� �. ' - -- - �- -,_ i -..i. _ I _� i _ _ r�%.. _ i ,, Beach Bulldozing T ! 1 ;b47 _ _ i I • 1 ! i : ' . t j � f :_ Other _ .—.- -; -i ari 2:. t ' ' i _ i Frm.k? --.1- ,Soft , f i I •- • ! i_ � I i I ;_;,_ice;_ Shoreline Length_ _3 QP'_ ! Qi - _ 1 I I I I • 1. I _! !- 1 SAY yes no ; "I , i,-i '! -, -i + .1272. Moratorium: n/a yes . i i I i i r 7 'i'..ac _�. Photos: yes �� -"r'4{{•4. i , f I 1' ! 1� ��I. Waiver Attached. o i O00` 1 I i t i { _: I I_ _+ : i I i___.;._ Yes _ _ _L._ ... _ . A building permit may be required by: '4-y +yT-- n. See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) 2716n Notes/Special Conditions hilye". /7O7` '72i e-A,--,i4}A„7/ 151"' , K)4-r i - y,,,• el- !' ,0 j?/t.l,�l.r„S Agent or Applicant ame %� Permi O cee s Printed Name ,<--------_ _ . _ Signature *I Please read compliance statement on back of permit r"'I' Signatur - G_/A - ..Ce lam' . . .Z.- ,J•E.-moo �;72).Par�-, s -- - - _ .__ � : ��.--- Application Fee(s) Check# Issuing Date Expiration Date 1t 08/2.5/2020 14:36 CAR MART OF GREENV I LLE (FAX)252 689 6216 P,003/004 SECTION.2000-GENERAL PERMIT FOR AUTHORIZING MINOR MODIFICATIONS AND REPAIR TO EXISTING PIER/MOORING FACILITIES IN ESTUARINE AND PUBLIC TRUST WATERS AND OCEAN HAZARD AREAS ISA NCAC 07H.2001 PURPOSE A permit under.this Section shall allow for reconfiguration,minor modifications,repair and improvements to existing pier and mooring facilities in estuarine waters and public trust areas according to the authority provided in Subchapter 07J.1100 of this Chapter and according to the rules in this Section. This permit shall not apply to oceanfront shorelines or to waters and shorelines adjacent to the Ocean Hazard AEC with the exception of those shorelines that feature characteristics of the Estuarine Shoreline AEC. Such features include the presence of wetland vegetation,lower wave energy,and lower erosion rates than the adjacent Ocean Erodible Area. History Note: Authority GI. 113A-107; 113A-118.1; Eff October 1, 1993; Amended Eff.April I,2003. 15A NCAC 07H.2002 APPROVAL PROCEDURES (a) An applicant for a General Permit under this Subchapter shall contact the Division of Coastal Management and request approval for development. The applicant shall provide information on site location,dimensions of the project area,and his/her name and address. (b) The applicant shall provide: (1) a dated plat(s)showing existing development and the proposed development;and (2) confirmation that: (A) a written statement has been obtained and signed by the adjacent riparian property owners indicating that they have no objections to the proposed work;or (B) the adjacent property owners have been notified by certified mail of the proposed work. The notice shall instruct adjacent property owners to provide any comments on the proposed development in writing for consideration by permitting officials to the Division of Coastal Management within ten days of receipt of the notice, and, indicate that no response will be interpreted as no objection. (c) DCM staff shall review all comments. If DCM determines that the comments are relevant to the potential impacts of the proposed project and the permitting issues raised by the comments are worthy of more detailed review,DCM shall notify the applicant that he/she must submit an application for a major development permit. (d) Approval of individual projects shall be acknowledged in writing by the Division of Coastal Management and the applicant shall be provided a copy of this Section. Construction authorized by this permit shall be completed within 120 days of permit issuance or the general authorization expires and a new permit shall be required to begin or continue construction. History Note: Authority G.S. 113A-107; 113A-118.1; Eff.January 1, 1994; Amended Eff August 1,2007. 0711.2003 PERMIT FEE The applicant shall pay a permit fee of two hundred dollars($200.00)by check or money order payable to the Department. History Note.' Authority G.S. 113A-107; 113A-118.1;1.13.4-119.1; Eff October 1, 1993; Amended Eff September 1,2006;August 1, 2000. 15A NCAC 07H.2004 GENERAL CONDITIONS (a) Structures authorized by this permit shall conform to the standards herein. (b) Individuals shall allow authorized representatives of the Department of Environment and Natural Resources to make periodic inspections at any time deemed necessary in order to be sure that the activity being performed under the authority of • this general permit is in accordance with the terms and conditions prescribed herein. 08/25/2020 14;36CAR MART OF GREENVILLE (FAX)252 689 6216 P.004/004 • (c) There shall be no unreasonable interference with navigation or use of the waters by the public by the existence of piers or mooring pilings. (d) This permit will not be applicable to proposed construction where the Department has determined,based on an initial review of the application,that notice and review pursuant to G.S. 113A-119 is necessary because there are unresolved questions concerning the proposed activity's impact on adjoining properties or on water quality;air quality;coastal wetlands; cultural or historic sites;wildlife;fisheries resources;or public trust rights. (e) This permit does not eliminate the need to obtain any other required state,local,or federal authorization. (f) Development carried out under this permit must be consistent with all local requirements,AEC rules,and local land use plans current at the time of authorization. (g) This general permit will not be applicable where the Department determines that the proposed modification will result in closure of waters to shelifishing under rules adopted by the Commission for Health Services. History Note; Authority G.S. 113A-107; 113A-118.1; Eff January 1, 1994; Amended El August 1,1998. 15A NCAC 071I.2005 SPECIFIC CONDITIONS (a) All proposed work must be carried out within the existing footprint of the development with no increase in the number of slips nor any change in the existing use. "Existing footprint"is defined as the area delineated by the outer most line of tie pilings,ends of piers,and upland basin or area within an enclosing breakwater,whichever is greater. (b) Modifications to piers and mooring facilities shall not interfere with the access to any riparian property,and shall have a minimum setback of 15 feet between any part of the pier(s)or piling(s)and the adjacent property lines extended into the water at the points that they intersect the shoreline. The minimum setbacks provided in the rule may be waived by the written agreement of the adjacent riparian owner(s),or when two adjoining riparian owners are co-applicants. Should the adjacent property be sold before construction of the pier(s)or piling(s)commences,the applicant shall obtain a written agreement with the new owner waiving the minimum setback and submit it to the Division of Coastal Management prior to initiating any development. The line of division of areas of riparian access shall be established by drawing a line along the channel or deep water in front of the property,then drawing a line perpendicular to a line of the channel so that it intersects with the shore at the point the upland property line meets the water's edge. When shoreline configuration is such that a perpendicular alignment cannot be achieved,the pier shall be aligned to meet the intent of this rule to the maximum extent practicable. History Note: Authority G.S. II3A-1071134-118.1; Elf October 1, 1993. 0 vo.,4 08.25/2020 14:36 CAR MART OF GREEN..I LLE (FAX)252 689 6216 P.002/004 • NC Division of Coastal Management 10691 O 6 9� r,r�„ D Cashier's Official Receipt �� lil. Date: - - -34 :20..21 Received From: /0i-Y��^r.�?3 G:,t=Zs-c%t �LC41301'4• ,r�: o. $ 7- 7c:1. Permit No.: '-2&e). 62 5 Check No.; el/1242 e" Applicant's Name: S' iV 47,4 G1S'�'i '7,-J-2:4.- L'-): 7 I County: .�4'"!' -e-- 7 .t—•- Project Address: 3 cir-,)- 4--`1°E- — 1 ' a— ' - _- Please retain receipt for your records as pro o ayment for permit issued. Signature of Agent or Applica • ~ Date: ✓/4,") 020 Signature of Field Representative: --- 2-------- ,/ '"`�- Date: ��3 1+1—:: L. V Sparks, Keri E From: Sparks, Keri E Sent: Monday, June 22, 2020 3:16 PM To: stevewhite20055@gmail.com Subject: CAMA General Permit Attachments: No. 76030 White.pdf; 07H.2000.pdf Good Afternoon, Attached is your CAMA General Permit No. 76030 with receipt and rules. Please sign and email back to me. If you have any questions please contact me. Thank you . ...,1, Keri E. Sparks Administratiie Associate II Division ofEnvironmentalAssistance and CustomerService NORD-CARcuNA it NC Department of Environmental Quality argrbeent et Eft*'awl►h lh' Office:252-948-3820 kerisparksc ncdenr.gov Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. 1 0 CAMA/ El DREDGE & FILL No. 76030 A cl , C D GENERAL PERMIT Previous permit# >,►)A �C' New -Modification jComplete Reissue CPartial Reissue Date previous permit issued tv IN, 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 b1 ra • ' -i-)`) ' . II Rules attached. Applicant Name'& t'c,.t . k rr ►-J-G 1.v+4-i Project Location: County ��c—A-4.1�.-1T- ("o. Address 3 St-o,, Street Address/State Road/Lot# s -••ITS G"�•c�c tR.•r�4. ( ) City'I .vim.;-rs f IL StateN-L-- ZIP2-14s+14- 'g,c_,•,,.a—r.. L ;:r.: Phone# (ZSZ)--)+ —(o? 4" E-Mail S4rtue W'1 A•C zoo 3c,e Subdivision .9.r+ai1 • co.y Authorized Agent µ /(4. City'f �, GpC-k, ZIP —2-`-)%6 tSI- Affected ❑CW III PTA ❑ES ❑PTS Phone# ( ) River Basini7R2-(7wA1t./CD AEC s : ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 'rr�,-) GQ ( ) ❑ PWS: etc �nrnan /unkn) ORW: yes 1.- PNA yes �o Closest Maj.Wtr. Body— L-1c-Z �t&Ql Type of Project/Activity c7‘r'T✓ fls 1y do 9,-bt ' 4-1/r,f� x Z/ 1-40•o0 ,1 (Scale: / =Q. f ) Pier(dock)length • Fixed Platform(s) (/ —) Floating Platform(s / -�`' �3 Finger pier(s) 46 7t '2.i 1 1 � Groin length e - L I, 't, Y Z- 4r number -- -. Bulkhead/Riprap length • ` .e l it Ts avg distance offshore I I DC�x.J �tr-I y tf /Tie.ptV„44.0 max distance offshore " '1 Basin,channel - - - • 1 cubic yards �. 1 a Boat ramp I \r Boathouse/Boatlift f 1 Beach Bulldozing . rS+ W t r 0 �`+y'�' 7 Other I I / S �/�-� �� Shoreline Length — 3 U D' G WiV I i SAV: t`of sur yes no + Moratorium: n/a yes cno — �� •17,,{.� 6' Photos: yes rlj0 1 Waiver Attached: yes no — -- A building permit may be required by: 1tiT 7 i ?�� . jSZ See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) P/E" Notes/Special Conditions ►/Gi /UoT •TD 6),7-4-) .P15 f- /57"">+-1/j /• i" yv t-'j ft, ' 9 y/L/. < , /2-‘1-7 Agent or Applicant Printed Name Permit0 cers Printed Name Signature **Please read compliance statement on back of permit** Signaturd-� .- 041 ,/C 2•1/6 - 2 c /e.)qY 22_,J- c c> `22_ . e-- "5t.-z 7cY1-4D Application Fee(s) Check# 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/ I-888-4RCOAST 252-946-648 I Fax: 252-247-3330 Fax: 252-948-0478 (Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 9 1 0-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/I7 er;.-CAMA/ P DREDGE & FILL No. 76030 GENERAL PERMIT Previous permit# A B C ° �� a )C New Modification _7Complete 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 I 5A NCAC '�� 2`�`�`' ['Rules attached. Applicant Name -?T-Evc-�� ; :�>i 7.-1 '...r t-- Project Location: County t -- 11'�,i- ,�. Address 3 u .-vim- ,-, x , ',_i Street Address/State Road/Lot#(s) City ',�,i-' C - State ZIP—_----,c. '4- �w -i;., -_:=-c.t z • Phone# = -7 % -f !' s fC V e wls j av S Subdivision — — ( = ) E-Mail c Authorized Agent ''-- City"��.;�v.r i- i-t-Z i ZIP i`S - Affected ❑CW DEW 4EPTA ❑ES ❑PTS Phone# ( ) River Basin" 7Kt )nt-i < J ❑OEA ❑HHF ❑IH ❑UBA ❑N/A AEC(s): Adj.Wtr. Body '`��0..-,-,'s i'-rcx Oa-Oman /unkn) ❑ PWS: ORW: yes / no PNA yes / no > Closest Maj.Wtr. Body ) PivI4--' -7 Jt ' .dl I Type of Project/Activity rL,,L, ---i* ,-c,,t p't,-c K 'j , a,-hS v Z' t<.+' ,� (Scale: 1 = ) Pier(dock)length ) ,/ 1' Fixed Platform(s) / _ , , ' Floating Platform(s� 1 Finger pier(s) `� -xr Z I_ Groin length 6'" -1-1'? t)'i4tit Pet.. ' �`th y Z /m.. p- I ' 1 number I . . • , Bulkhead/Riprap length • 6-"A s-r,.a, avg distance offshore • 1 max distance offshore { I J Basin,channel I T • • •{l I I I • 'I cubic yards j ' • I Boat ramp . . I )!� I Boathouse/Boatlift , ' slci Beach Bulldozing ` 1 / I I e&'ST2,r9t-j Other �I\ } i vim a. , ` 1 .., Shoreline Length 3 v i)' Ecanry.) SAV: not sure- yes no _ Moratorium: n/a yes r5 ��1 �-J_[ Photos: yes %C i P,t-1,, I �� Waiver Attached: yes no_ i J I A building permit may be required by: j -;1.-r ,{- . j>,1 See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions 1 ?./17L; , L i 133- f'c' -r".-4-,4, /. — wt 5-- j. Alt, '�-,7,v --� i Agent or Applicant Printed Name Permit cer's Printed Name i— _ - 12) I, Signature **Please read compliance statement on back of permit** Signature`-fir .... ./( OA I/ L /� 'y _ _ i. --e..;z,., -2..2 -ram , -74„).2z.... Application Fee(s) Check# 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 (252-946-648 I) 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/ I-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 0 ❑CAMA / I DREDGE & FILL No. 76030 GENERAL PERMIT Previous permit# A BCD >G 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 . O Rules attached. Applicant Name Project Location: County . Address Street Address/State Road/Lot#(s) City State ZIP : Phone# ( ) E-Mail Subdivision - ' Authorized Agent _ _ City ZIP Affected ❑CW ❑EW El PTA ❑ES ❑PTS Phone# ( ) River Basin ❑OEA ❑HHF E IH ❑UBA ❑N/A AEC(s): Adj.Wtr. Body (nat /man /unkn) u PWS: ORW: yes / no PNA yes / no Closest Maj.Wtr. Body l Type of Project/Activity - (Scale: ) Pier(dock)length Fixed Platform(s)_ Floating Platform(s) -- — I , l Finger pier(s) fi T :a.. ' e Groin length `YrZ . .> �1' -,r ;, 41,. 'r. Y 1ft�l ��.i number j Bulkhead/Riprap length - c r _'A i , • avg distance offshore , y za.f,. z, i !'i, • ,..ar-, 1 - ,c- } " 'J.) max distance offshore 1 Basin,channel - _. , • • I • • cubic yards " i - J- • Boat ramp ) , • Boathouse/Boatlift [. Beach Bulldozing_ 1 , I i-"�I '' ' > - Other ` /1'7ti. t t;� I I Shoreline Length v ''`yr , � SAY: not sure yes no -- _ —._.-...-.._.... — — ; t' Moratorium: n/a yes no ti l Photos: yes -hat ��I/ .,. ; Waiver Attached: yes no 1 - A building permit may be required by: -k- i - . 1,. See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions �m Agent or Applicant Printed Name PermitOfficer's Printed Name Signature **Please read compliance statement on back of permit** Signature --. - f Application Fee(s) Check# 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: `i)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(9 I 0-796-7215)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/ I-888-4RCOAST 252-946-648 I Fax: 252-247-3330 Fax: 252-948-0478 (Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie,Hertford,Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 9I0-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves:Brunswick,New Hanover, (Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 aAI LrGj ,,,,, '\ - 1 i' L '‘- , `\ . ,,___ 4___ _ \._ _ ' , -'s - 7__________ _______. \ Z ___ '\\J ) _ ' - _ / ,-------_ Z \,L ' O o A )` . -. 8 -- , c ,) , 4------ . , fi . / i I 1 + , I l ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to S�vie� ( ame of P operty Owner) 7 property located at �7 �L�� C/� L - /� dress, Lot, Block, Ro�}d, etc.) on gLo�v ✓� L.ip&ck , in ,t/ 'C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatiory. �/ 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 me. (If you 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. (Prope O ner Informal n (Ad'acent Prope Owner I r tion) 5 pirt) /u Gv lr Si ;ure co_r d lC . (c lSo yr� ^reek Pn or y Nametad-,--/- 5 Q n ,47 t A dr es eithrK /yMaiiimoAddre Afe /) F/ City/State/Zip City/ tate ip o733i 7/7-G)9V s —��-D 3 Teleghop,p N mber/email address Telephone Number/email address 6r/b o O ' b7,�eckwaS e im bo :rno1 i, c Date D to fiepe Alk 0 cv 5-3'# Amigos!) (c)-11- aR0 (Revised Aug. 2014) *Valid for one calendar year afttRig ature.;20 DCM-WARO ADJACENT RIPARIAN PROPERTY OWNER STATEMENT • I hereby certify that I own property adjacent to 101- (Namp of Property Owner) property located at 3 QL61wc) C 'fE/? L • on ilt(c, 1 eik ice- ddres:, Lot, Block, ii Road.� etc Q G (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 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 me. (If you 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. (Property ne Inf r (Adjace t Property Ow Information) Al ar Sign �vGilJ it(. ivy/ igni u o�G(�'� C.je�>�rl L✓() Prigt o ro Na .� Cr/�� (,�1/ IV1 gg y4LN n cee /' ✓(/C� OC�a //� Mailing /yid�ess f 7J City/(StfaCte/Zi /C J' City/S/tateL/ZG{i� � ` . ' y ` l9, 360 7777 Telephone Number/email address Telephone N ber/e ail address 6- /G 426 'l6-�U Date Date RECEIVED * (Revised Aug. 2014) *Valid for one calendar year risignM* DCM-WARO