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Home My WebLink AboutGoodson, Lori 77149CCAMA / DREDGE & FILL 77149 ✓ A 8 C, GENERAL PERMIT Previous permit# x'fdew Modification Complete Reissue Partial Reissue Date previous permrc issued — As authorized by the State of North Carolina. Department of Enwronm vital Q„ d,ty, and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC (YZ AY 1 e" /eRules atucled Applicant Name (• ( GL 5[1 Project Location County On51C. 1,V Address r1s�1,1lt Q�r RQ(,�( �/� Street Address State Road, Lot #,s} Ciry Jti [ y state.l�L�_ ZIP aR Phone # (� ' 8311_4e W E-Mail _ � Subdivtsron Authorized Agent EM6f _Mott un f city ZIP Affected .. CW A'EW rf-*TA Es PTS Phone # ( I River Basel � �' :�{ AEC(s): OEA . HHF --IN USA NSA Ad. W ORW :ez �� PNA Type of Project/ Activity Pw dou.)length Feed Phdo ,)_._ JS'�L fC i Ftom�plaf"s), G ° " �gth rrattber BWkhcad' Romp �M a g dowiot pflrhpry rim dmrke olEhore Basin. chwnel �c �-- — Boa, ramp sosti,c soawst Beach Shorekne 4engM.. - _�� , $AV riot sure yc - ma yes Photos yes Warier Attached yes m A budding perit may be required by Note Local Planning Jurisdiction)„ r N�otesf Special Cortkiora-1►='-117. L"�y-t-' \ i va fAn !i {�FlDPf=FJ "P F 1. tr- —Y_ __ t mar+ u,-4� �/ 1 P Closest Mai. Wtr Body : VC'W/ , t dflck See note on back regarding Riser Barr, cures.. /r C_ _ i1 . Come it on back offppermit •• '•Kj Chrc4 ♦ 1 "'g use E - kCAMA,' DREDGE &FILL GENERAL PERMIT )(New Modification Comptete Reis" Paroal Reissue Date Pre'Aous permit msued_— Ai -Al*flzed by the Stare, of North Carotna, Department of Ermronmentat Qi,ai,y " the Coutal Resources Commission in an area of eninrOnMentill concern pufluiirt w I SA NCAC Applicant Name Lv', Proiect Loi:aoov Coi,irty Addr7& LS City z�' I T K�((' Q 4/ /1" Street Address State Roaa Lot q�rr State I VC Zip Phone # E-Mat Subdivision / Authonzed Agent (VI C# A-k- City Zip Affected CW -'t'XW t-fTA >IS PTS pho" # r Ft'e' Bain, AEC(s): OEA HHF - IH UBA NA Adj. Wtr. Body Ow�wi f- PINS ORW yes 1,4?? Pt4A ses *;51 Closest Maj. Wtr Body Type of Project? Actmty % '-�HOr � ,V� Ani,ct*d te, A tAsitding permit may be required by Note Loa Filisnamg].0witit" r, � - Notes, Sped A .— — I �L xr'7� ct>r,*ame statement on bUk of pWIM Olt, {Scale: Gr CCA51�0 () I At Set 110" 0-1 back repraiin RNw Saw ,", Jr— I r Ol p"r,ttoffit"'t NWW A ;IVY/ S t ®^ .3 CAMA / ❑ DREDGE & FILL p) NO 77149 A B (V? D GENERAL PERMIT Previous permit# �161ew ❑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 07 / 1 Rules attached. Applicant Name LOV411 p Project Location: County �%91Ow Address A�_S� tM Tp'f ISO Street Address/ State Road/ Lot #(s)� Phone # Authorized Agent Affected ❑ Cw `q EW -PTA kVS ElPTS A Affecte ❑ OEA ❑ HHF ❑ IH 1-1UBA El NIA ❑ PWS: ORW: yes /6o� PNA yes /49 Type of Project/ Activity er Fixed Platform(s) ) Fixed Plallorm(s) is Floating Platform(s) Finger piers) Groin length ' number Bulkhead/ Riprap length r avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift r Beach Bull of g ' Other Shoreline Length 10 SAV: not sure yes I Moratorium: n/a yes Photos: yes Waiver Attached: yes A building permit may be required by: ( Note Local Planning jurisdiction Notes/ Special Conditions fooc(- S on or Applicant Printed Name Signature ** Please read compliance statementon backof permit" Fee(s) Subdivision City ZIP Phone # (_) River Basin Adj. Wtr. Body (qhn man unkn Closest Maj. Wtr. Body Ak�e \ (Scale: i Cc ❑ See note on back regarding River Basin rules. t , I r- . O g,4 Gmge-V Permit Officer's L/t % 5�lt�l�o r Is uing Cate Ex iratio 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 officerwhen 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 El 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 howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/1-8884RCOAST 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 FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: f G1'IIJL�G7 Mailing Address: Phone Number: Email Address: I certify that 1 have authorized Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: �)'� ��' Pier' Dock and Ltic- e5 at my property located at 4A 6 (-an Phi of in (D 1,1616 LQ 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: Signature11 Print or Type Name �1 u i[ P r Title RECEIVED % r -2 uac AUG 2 0 2020 Date DCM-MHD CITE This certification is valid through 1 1 -4;o- L zci .44sn'Od vfl.l IT-! _('4"i1,,,.,,;+., 'CI6 (lz rl �t INA 71, ADJACENT RIPARIAN PROPERTY OWNER STATMENT I hereby certify that I own property adjacent to �2r/ (S,,)6J,S-o r) 's property located at ()VNme of Property Owner) �� (`� [� � }') �p /h on (Address, Lot, Block, Rpad,tettccc..) In .5 )- r1ecla. (Waterbody) (City/Town and/or(County) Is) r N.C. The applicant has described to me, as shown below, the development proposed at the above loca � 1n 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) WAIVE f{ 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 e. cu 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. i�(Pr erty owner Information) (Adjacent Property Own Infor�) �C�� . SiglJjatttire %� Qj Signature /✓�J i-I IJULYC 50Y„-) Z Pri t o T pe Name Print or Type Name h,f.Y.�'.,_, ,�...• i .nJ YP Vate •Valid for one calendar year after signature* q' 1 O l M(Revised Aug. 2014) Co)�t�jer e ADJACENT RIPARIAN PROPERTY OWNER STAJEMENT i hereby certify that 1 own property adjacent to L,i rl CMG &J,5- L� s /' /'ame of Property Owner) property located at s7 f� XI (Address, Lot, Block, R ad, et ) on e , in t5 n l (M f fxrw N.C. (Waterbody) (Clty[Town andlor(County) The applicant has described to me, as shown below, the development proposed at the above to i I have no objection to this proposal. It I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT Ondlvldual proposing, development must tilt 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,) do wish to waive the 15' setback requirement. 4t JQ� i do not wish to waive the 15' setback requirement. Information) try Dare' ant Property 'Valid fcr one calendar year after signature, (Revised Aug. 2014)