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Home My WebLink About46282D - Potter❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# El New ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Project Location: County ; , , ; , Address i C ° .., Street Address/ State Road/ Lot #(s) CityState ZIP Phone # O , Fax # O Authorized Agent ❑ CW ❑ EW ❑ PTA Affected ❑ OEA ❑ HHF ❑ IH AEC(s): ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no DES ❑ PTS ❑ UBA ❑ N/A Crit. Hab. yes / no Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: ) Pier (dock) length Platform(s) Finger pier(s) Groin length j number Bulkhead/ Riprap length }Cj' ,. avg distance offshore max distance offshore_ -f-� Basin, channel cubic yardsrt Boat ramp Boathouse/ Boatlift Beach Bulldozing ! Other Shoreline Length " ` i SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes 'no� Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions j j I - = t: �• — �-- ----='— - 1 1 ri i P- ") +7\ L r I itl 7 1 14 f 77 � F• x l ❑ See on back regarding note River Basin rules. Agent or Applicant Printed Name Permit Officer's Signature Signature Please read compliance statement on back of permit Application Fee(s) Check # Issuing Date Expirati n Date Local Planning jurisdiction Rover File Name 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 [)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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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 Quality. Contact the Division of Water Quality 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 Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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, Orslow -below New River Inlet- and Pender Counties) Revised 06/29/05 CAMA/ DREDGE & FILL / , iEN ERAL PERMIT Previous permit# rNew -Modification EComplete Reissue _Partial Reissue Date previous permit issued ized by the State of North Carolina,Department of Environment and Natural Resources ``,, :oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC -/_j /1,Jv, 7/4 .12 . , -'on 1 ERtiles attached. t Name 7',v iv i t- /477 72_ Project Location: County lSrL L.t N ca)/( [( (O0/ L c t.)F L L 7"- /9 Street Address/State Road/Lot#(s) O ✓r 11'u'd% State /L c ZIP z S.L C^% &U ynr tt 7 M S/AI 0i2 , (1/0) 1(1(3- 3,-:24, Fax#( ) Subdivision ed Agent /11 57E f c T City 5C t T74-2t..4Z-T ZIP r CW 'EW [ $TA LDS ❑PTS Phone# ( ) River Basin CAI?6 ❑OEA ❑HHF C IH ❑UBA ❑N/A Adj.Wtr. Body /v r/7 If/V ZIP ❑PWS: 1 FC: J yes no1 PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body I IN W / Project/Activity i VN C?x 0--K-1h:A-0 (Scale: I " 1 ck)length '53• c 4 i(s) T _ ier(s) - i _ ngth — T— — �r ( tuber t N d/Ri ra length WJ$ WIZ)4Wq.L. / distance offshore 2 ._ uc distance offshore - 1 1 rye' ....... cannel •i. ! i 1 bic yards '� I t np I + 111111 Xv - .-..- �I1 1Nil' 4tyt- t+t� is atli 1 12 x•i II / 1 1 I A. I FN,11 -M 5 L j i .1 ulldozing _—j �_ : . 1 C ... � i • , I I ,_! BY i r e Length T o.a _ t not sure yes f�iq Ihillill I I pii s: not sure yes ,no: x v Z - i.._. N� I ium: n/a yes 'no I 1 yes fio ! ' I l i. kttached: yes no 1 _ 467:741 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management ichael F. Easley,Governor Charles S.Jones, Director William G. Ross Jr., Authorized Agent Consent Agreement S/lepfls,./E <'a,0s',eue-T„,3authorized to act on my bE (Printed Name of Agent) )rder to obtain any CAMA permit(s) required for the property listed below. The authorization is limited cific activities described in the attached sketch. CATION OF PROJECT: rD )' B.9 5rn/ d Q . iour://Po,e7 ,✓ . a 8A/4 '2uasl�rc,t� DPERTY OWNER MAILING ADDRESS: )on/N=E Peel e o/ L0 /t LeAF D,e. a7 /PO,e-rr A/G a944/ PHONE NO. 9/0- 443-3o24. THORIZED AGENT MAILING ADDRESS: �oQ ELsn/E 4,9.ez^/E 4 /S ireii i oA/ D. ,Box /04 7/ �uTf/PoeT, A/c. 02 8.1G/ PHONE NO. 9/1)-.279- 3oz 9 nature of Property Owne . nature of Authorized Agent: a,"t° DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: Qm,JnisE Pe-7 1-2-4 Address of Property: $D YAC/1T £AsrA/ (Lot or Street#, Street or Road) vicrNPD1 7 A/C 02gA4/ 8.emA cuYG3e (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing,with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set bck 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. LQ)eJ ees2-k ,,} \\ Sign Name Date 3-I R-O 9 CL trw ,`S U d"A-R bnpA C(tc,.I;s Print Name A71191rA Ck. - 4 5 P) 5(0 u can DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: AcAtAirg P0-Tri-r Address of Property: gD Y#9C4/7- BAssi✓ LA. (Lot or Street#, Street or Road) �DU1 /Po,e•T n/6 di•/4/ Ex)iwswrc to (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this permit has described to me as shown on the attached drawing.the development they are proposing. A description or drawing,with dimensions, should be provided with this letter. W. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set bck 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.) 7 #- I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. ..' r-V)ANiki.-- X- /jail' 3-P ,C)7 -Si Name Date O kmA0 R . i4a /d e ,J Print Name AIM4/ o - '15 -7- ss V `" „.= - Telenhnne Nnmher with Ares Cn,lp NCDENR AP \e' s3'd � to' 0 �� o�� YActiT N f ��...0 i)Q r 9-1, S 10 G� P 61 i _o f r -,> • ., \ may, Q 4 17.o -� -:-;d . • 0 �% `� 99er'I. y /3 1%2 1 J4 �S f34,tKty A / ,�, 0 a.2' a• y• P L. — — _ — i' .2.5• ' toe m Ail NoLb t,�/ Bu1.KRgAD Nf,� gu Nsre _ a.