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Home My WebLink AboutWaters, Rowland 78355CRICAMA / ❑ DREDGE & FILL N9 78355 A B D "GENERAL PERMIT Previous permit# ew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 7 // (/1) . 6 / and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / ! `•' / l ❑ Rye attached. Applicant Name t I o 11 /—( 1 %c i'-. a Project Location: County r y �+ Address i.�,.� Street Address/ State Road/ Lot #(s) City / StateT Zip % r6 Phone # (13) ` ^ j , 7r-I -Mail Subdivisio Authorized Agent �(� v��«,�/I y�,, + City / % 1— ZIP Affected G3�W -pAW _ ��A Lies ❑P-rs Phone# ( ) River Basin O❑HHF ❑IH ❑UBA ❑N/A AEC(s): Li EA Adj. Wtr. Body ,�`//t'GAS'J !. "� (nat /man /unkn) ❑ PWs: h 1 ORW: yes / no,l PNA yes / nj Closest Maj. Wtr. Boy MEN ■■■■■■ ■■■:■■ ■.. MEN No :Iaa_ IS ■MEMO: wMME.Nu .■:.. D ■■■ �■■..... .......■■O ....■■■■.■® '::::a:: MEN 11W MEN ME ■■■ ... ■■■ ■IY■■�.� .■■.■■■. ' :::a:No iAaa::a::: ■■ D::aai:m'e GC r"ail IN a�a: llli■■� 't� ■■ ■■■ MEN ..��®;� III ■ ■r .NUJ■ ■■iiiiIN ■■■ • ■■.�:■...No . MORE ■■.■■ ■ ■:■�■mr.10 ■ ■■ ttttn■■.■■■■ ■■■■■■■ ■■■■■■■ ■■■■N■I ■■ MINE ■■ ON ■■:■■IW■ ■:■■ler ■■■■■li■ ■■■■■li � ■■a � �l■ ■ C7 Agent or Applicant Printed Name I' /f Signature Please reeentonback ofpermit d 4 Application Fee(s) �'-Check 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 isinspected 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, 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 (252-946-648I) or the Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/1-888ARCOAST 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 Properly Owner Requesting Permit: Rowland Waters Mailing Address: 271 Popular Ridge Road Pinev Flats TN 37686 Phone Number: 423-956-7291 Email Address: rowlandh2os@aol.com I certify that I have authorized Harber Marine Construction Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Install a Boat Lift at my property located at 119 Lowery Lane In Carteret 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, P�pa Owner Information - Signature Rowland Waters Print or Type Name Owner Title I/ r i `Z OW Date This certification is valid through 5 It 17 t_ 29 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Rowland waters s (Name of Property Owner) property located at 119 Lowery Lane (Address, Lot, Block, Road, etc.) on Raymond9GulofrlheWh1te0ak In Carteret N.C. (Waterbody) (City/Town and/or County) The ap c nt has described to me, as shown below, the development proposed at the above IC c to . 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 orattach a site drawing) Install a Boat Lift 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. roil 271 Popular Rldge Road Plney flak TN 37986 Citylstatealp 423-965-7291 Telephone Numberlemall address 11f1712020 Date 'Valid for one calendar year after signature* (Adjacent Property Owner Information) 81g,n � �✓ A�F�1� Print or Typo Name Mallin.9 Address CitylstatelLlp Telephone N,umgerl email address �-�/ Z6 Date* (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Rowland Waters s (Name of Property Owner) property located at 119 Lowery Lane (Address, Lot, Block, Road, etc.) on Raymonds Out off iha White Oak In Cartorst I N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc o . 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 16' from my area of riparian access unless waived by Ma, e, (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) Waters $i.j IrfiCrRovvland Print or Type Name Print or Type Name ) 271 Popular Ridge Road /,;—' ( MOIng Address MallingAddress Piney Flats TN 37686 'n%r90 613 117�00�v L63 re n CityyStatelzip 'CltyyStafeyZlp 423-965-7201 `% D" 3 3O Telephone Number/email address Te ephon No�/heryemall address 11/1712020 L c7 �Z D (Revised Aug. 2014) *Valid for one calendar year after signature* m m a _I a N N O 0- 2 Y O O cl O) C N X IIIIII IIIIII co co m N co IIIIII N U1 IIIII J Z � o IIIIII cu °En 3m ca 0 , 3: IIIIII U) II _� IIIL m o IIIIII U IIIII �� 0 W N CN� C Z � rn � (1) o) � N -�LO L x0 �@� N co m N 0 wO L3