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Home My WebLink AboutJoyce, Pat 77164C}CCAMA t DREDGE &FILL1{ r? A 8 C �ENERAL PERMIT Previous permit ew .Modification Complete Reissue ;Partial Ret sue Date previous pertrut ci? As audionred by the, State of North Carolina, Department of EnY{ronr ntai Quality �} and the Coastal Resources Commiss"wn in an area of envirpnmental concern purscant to i SA NCAC._. _ - 4t��-��-��?�L' .__...�........-___ ..-- �11hhh,,,,,,rrf Y / Applicant Nante G� } 7 Project LocAvon, County Address�.`1 ,.A'/}�: k �J� Sil'. Stye=_i Atttiaesv State Y4aad, j a: p`}r City 3 RC �j I Phone # {7f t iC d E-Mail subdivision _ Authorized Agent T x EJ; City f Inr Affected Cw ,.iw ,rTa ES Pi`S phone at € - Rxver Bagn }'�pi r. i, a do AEC(s): oea HHe fn uAa raa pol.Wtr.Body �(�w t`_ x Closest Mai, Win Body ORW yes no/ / {�=:�PNA ves K".J { Type of Project, Activity T # 3.^',E,'f;.. _ _ _ 7 . L' t i t {Seale; LN air FP "� u orretlrue 4mgtn fFj t'^f'1 f�fj +... AV Nit woe {ex f( `'rtY]RTPlUfk1: lk'i yes �} yYei1 Anached A burld#1 permit may be regwred bY_� 1[Y_i_....'S/, $ee torte ar back cegard;ng Rarer &as ei ; tGes- { b� (dote Local Ptannrngjurssciaaxun /y y��} 1 ��/ry (t,, �' Notes! Special Conditions ?� r, . ailnAu' elan On track of p+ ., 4�+ r_i-t[k# ve'r Pwn*()f ker's iiii it tsx4 rr�* Dxi� Leprr ion Oa[e r "GMP(CAA / ❑ DREDGE & FILL Vl( N9 77164 A B 0C D ENERAL PERMIT Previous permit# ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality n and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC tl za 3,0Y �t �� Rules attaahhed. Applicant Name T ( V 0y c(d Project Location: County Address W5 (-;Pfii& i✓ ,die- Street Address/ State Road/ Lot #(s) c-7,t1" Phone # (9W) ZA T1 d D /✓ot E-Mail Authorized Agent WT be4A f S Affected ❑ CW kfW kFTA ❑ ES ❑ PTS AEC(s): ❑ OFA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /n PNA yes 0) Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) � Groin length number Bulkhead/ Riprap length ' avg distance offshore_ max distance offshore Basin, channel cubic yards d Boat ramp Beach B dozin Other r Shoreline Length / U l./ SAV: not sure yes In. --�, Moratorium: n/a yes Photos: yes n Waiver Attached: es no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions L /h Name **Pease read compliance statement on back of permit ** r l r/1/_ Fee(s) Check # Subdivision City ZIP Phone # (_) River Basin W &k Adj. Wtr. Body i U$e PAY AnaV/man unkn Closest Mal. Wtr. Body P'W ❑ See note on back regarding River Basin rules. I —k _— 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/ I-888-4RCOAST 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://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: pA rr 16)�-, 4 H Ar r fJF Joys -p Mailing address: `7 1 h C o m T ✓ 13emo 1-6rT Telephone Number: 15 -1- - J q l - <� Z I certify that I have authorized In) t 0,Q N ML 5 (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of T N S TA61 tX s A t4 I L.c 1'1 i til Fyi,sFn at my property located at 21 5L. COMA 1- )✓ r l-l�h✓/ar ' A - ok This certification is valid through _ l - (date). (Property Owner Information) Signature PA I rl'r.k, dov r �P Print or Type Name P 1/ f G k Y- Title, co. owner or trustee for property Date RECEIVED Telephone Number SEP 10 2020 6 V CC Nc) AG 56 C O/ \ DCM-MHD CITY Emai dress 40 m IIJ,6 Y"rf,--" OHM-44JO ADJACENT RIPARIAN PROPERTY OWNER STATEMENT --77 //JJ L I hereby certify that I own property adjacent to F,4_ r 1`Gk T G/'id Loo-P tf bUC-C 's property located at (Address, Lot, Block, Road, etc.) on rit/`AtJ,S C✓'eel(, in e 4:1/ e✓ P.% Co N.C. (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) f V6 1✓100-111 � r).o ra- To b e New 6®tkT L.IFI IN �(lST6H� Slta 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 you you wish to waive the setback, you must initial the appropriate blank below.) )I I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) NIy i l��r�✓icll �o�r e IT(� 0 Print or Type Name Mailing 7 I 6 LOO tJ =\-1 �.? n r- Cixestaila� l %i. C ri TeLlephone Number/email address �Lq I $ 75h Date G "-O 1-0 (Adjacent Property Owner Information) Sig ature* PAN,- y Print or Type Name ?f C�Ma- brr Mail' g Address City/State2ip g 14 - 3b9- �6 a2 Telephone Number/email address q Ar/2 o Date *Valid for one calendar year after signature* (Revised Aug. 2014) . .. ,Y , , � r. ;�'. f➢•�p�.. `- � ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at / /h (,0/A e J U /' D't'4V r--oY t /lr,L— (Address, Lot, Block, Road, etc.) on L✓ArJs ClkeP,1, _, in PV\gp,r C c> , N (Waterbody) (CitylTown and/or County) C. 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) t3o,T LtFt New � /N FJJJIMJ '<—�Y,s ( F-("Tr�l [ze? I he e c e . ) o be Pepljfeel 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) rm J ,',`,N Zo M e.? O >^ TelCityeSt8� A6 /Y , C �17b 6 ephone Number/email address r�RJ-- )--q i -- if 25h Dale G/)-$P-O d�-p (Adjace Property Owner Information) Y.i Signa obew*E. [3WweIt, -JA Print or Type Name 212 Cllde+ DR - Mailing c dressfn+ H-�'FO!t k c a City/State/Zip Z!Z 8d85329 Telephone Number/email address SR-2L3 -ZO Date* (Revised Aug. 2014) *Valid for one calendar year after signature* 1 .. .i .. . U }];� y1 �. �' .1 - _ � -. �_ J ��a3 �:. ,. .y �� .:j1{3' ..� .lit. @? t' � t•