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Home My WebLink AboutWest, JohnApplication Fee(s) LAMA / ❑DREDGE & FILL No. 76308 A B O D GENERAL PERMIT Previous permit # lew i.7Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 0 / and the Coastal Resources Commission In an area of environmental concern pursuant to 15A NCAC les attached. �^ �-� -b Applicant Name_—�fl '' ✓' ,—___-_-_____ _.. Project location: County__, Address t/ I Street Address/ State Road/ Lot #(s) __ _�_r City_. _j—__. __ _State-NL zIP19W Phone # (Lt"I')'3 -- E-Mail—_..___.._._ Subdivision _.--------- _--_.___--- _ Authorized Agent t ZIP [-1CW _-&keW „LkTA nES OPTS Affected O OEA O HHF D IH M USA D N/A AEC(s): ❑ PWS: Phone # (_—) Adj. Wtr. Body_-_ '. ------._..._—__ Ri er Basin- . }%_ nat- _ unknJ ' ORyeW: / no PNA es no Closest MaI y---.--.__ . Wtr. Bod---- Type of Project/ Activity ,1 a (S G (Scale: Pier (dock) length-- - - - _ _ - - -- - Fixed Platform(s) Floating Platform(s) .. Finger pier(s) Groin length .� t - y --�- number 1 f Bulkhead/ Piprap length I avgdistance offshore _ max distance offshore -. t .. r --."- - - Basin, channel cubic yards Boat ramp — -- - Boathouse/ Boatlift_—�,____ i : � t Beach Bulldozing_._-___ . ( I - - - •... �- 1 j Other. Shoreline Length SAV: not sure yes Moratorium: n/a yes Photos: yes Waiver Attached: 43is no A building permit may be required by: - ! _(; L�� See note on back regarding River Basin rules. ( Note,Local Planning )urisdiction) Notes/ Special Conditions *" Please read compliance statement on back of permit ** Check # Permit Officer's Date C..CAMA / ❑DREDGE & FILL No. 76308 A B O D GENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue El 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 Q t / ules attached. Applicant Name JO J Project Location: County Addresses rr Street Address/ State Road/ Lot #(s)_� City StateAJC ZIP Phone # (�) 5 — E-Mail Subdivision Authorized Agent G City ZIP - • -. ■• ■ El■ El• Adj. Wtr. Body!— it � i� .iu G/ ■ • :•. ■ I •. Type of > . ' uI OF ■■■■■■■■■■■�■■■■■0■1■■0■ ■NEON ■■N ■■ ■■■!ME ■■(I■■� EWE ..... :. ..■■■■■■■....■.. MEN ■■... .■ ■ ..■■■■■■■■.■■■■..�.. ■.1�■...�. ..■■■■■ .No■■■■■■�■■ ■■®. ..MEN. ■■■EM■■■■■■■®■■■■■■■ ■ ■■�■ ■■■■■■■�■■ ■■■EM■■■■■■■®■■■ �■■■■■■■■�■■■ M■■■■� ■ ■■■ ■■■■■_■ ■No MEN EM 0 0 11 M M ME MEN —NOON MEMIN ■ ■ ■■ ■■■ ■ .. EME ■ ■■ ■ ■■■ d 11K om Rd ON 1wom 11 ■r,*�,,.TiG Elton ' '■�■ �r �`i iENMEN MEN �Tn& We-si- Agent 5; ant Printe ame Permit Officer's Si ature Please read compliance statement on back of permit Signat re V ,KIP 3 Application Fee(s) Check # Issu' g D e Ex ration 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 (252-946-6481) 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/ 1-888-4RCOAST 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to J QtX) d�I - / +h U-U � ` 1 s (Name of Prope y Owner) property located at 'f �)-� V J �-1�1 , i4 i' _ (Address, Lot,7'4-� lock, Road, etc.) on 61 �h� �� j�,j;l .D , in p : 1 N.C. (Waterbody) (City/Town and/or Cou ty) The applicant has described to me, as shown below, the development proposed at the abo e 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) L l Z- 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 Owner Information) 2�1�>- Date D) (Adjacent Property Owner Information) IN City/State/Zip M-Y91-Lod Telephone Pumber, email address to 101 Z011 W-OVER Date * (RevisAWF.4?" *Valid for one calendar year after signature* DOM.IAHD CITY VI I lei 7 e7 'A �'A -V404 ry; - 3 AVA A ..... ....... AL', '10 V-41 L 43�,cldr� wi: is, e!T! UAIVVA.'lV4' �fNWA 41, A Ji I( c ob �11 91VY A-f A 1;V- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to I ) 19 tj Ll 4 �f () 1-1y 12.E $:Z- :6:T 's (Name of roperty wner) property located at i D� L L (Address, Lot lock, R ad etc. on in' in V N.C. (Waterbody) (City/Town and/or Count ) The applicant has described to me, as shown below, the development proposed at the above locetion. S. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 5 .FQ 1,1� h�5 WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to waive the setback, you must initial the appropriat ank below.) 1 do wish to waive the 15' setback requirement. i/ I do not wish to waive the 15' setback requirement. (Property Owner Information) Sign tune to If d Print or Type Name J� 1 If D )1 hzor JU Maili�d7,l$l- rig fl f City/St te/Zip , Telephone Number/email address Date *Valid for one calendar year after signature* (Adjacent,Prnperty Owner Information) -- ;711f-;f L, - - Sign tune /✓J, i,k-L Print or Tme Name (_ 2-I S 2ECF-IVED ie/ephonet-bll mber/email address Date* APR 4 2020 (Revised A; 1 #AHD CITY 0j. I no 'IM "Ojqd {,"it! Cy 0 0, 10 A NSAi Tj0;TO3;,:' A3WAW C'p "vAlsa-ikj qm if-i-I tfx"rl oef.- tif.' p-ji"(w: i. 'vi6 1' idw" :;e m e u rn J, 11, i ot ttJ IMF "ITfio-c!7_ATl�hti Name of Property Owner Requesting Permit: Mailing Address:3- lIJ �►Q _ . L1 E � J Phone Number: Email Address: .� p') '��► C� a� J - Yl(� I certify that I have authorized ��l v Kowi Agent /Contractor to act on my behalf, for the purpose of applying for and obtaining all.CAMA permits necessary for the following proposed development:. L- n . at my property located aty in , l- County. I furthermore certify that / am authorized to grant, and do in fact grant permission to Division of Coastal Mahag®ment staff, the Local Permit Officer and their agents toenter on the aforementioned lairds in connection with evaluating information related to this permit application. Property Owner Information: Signature �-o �r\� Z� , .1) Print or Type Name Title L D l A:�. 1 j Date This certification is valid through Z ,CALL APR 14 2020 UCM-MHD CITY s � .. � � 1. V' �'.�. ty .F