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Home My WebLink AboutStrickland, Bryan 78856C�9.bCAMA/.DREDGE & FILL GENERAL PERMIT New ❑Modification ❑Complete Reissue [-]Partial Reissue NQ 78856 A Previous permit # 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 " "i \ I LJ Rules attached. Applicant Name i (' ^ t ,,, , � Project Location: County ;, -; ; ;, t'� Address '/ City-- }' f'_ i \ U State �j% ZIP, / COY 0 Phone # E-Mail Authorized Agent i1ni Affected ❑ CW 8 EW ;A PTA )�f ES ❑ PTS AEC(s): ElOEA ❑HHF ❑IH ❑UBA ❑N/A ❑ PWS: ORW: yes / no ' PNA yes /!'no / Street Address/ State Road/ Lot Subdivision City Phone # ( r' C :> D ZIP River Basin Adj. Wtr. Body �x � ' I (nat /man%/unkn) Closest Maj. Wtr. Body um■■MEN NOH■E■E■■■ ■■■■■moo■■■■■■■�■■■■■■■■■ ■■■■■■■■■■■■■■�■■■■■■■:E■ �:■:::::9��:::�:::�99:999EE ■■■.. ■■■ ... ME■■■M ■� NEE ®�IN ■ IN .■■ ■■I■ ■ ■■■■ ■■■ IN ■■.(® ® Nor. ■■ ■■■■■■■■■ ■■■®■■A'JMI■■■■n■M ■0 ■■ ME ONES 1101 ■.■E.■■E■E■�N:■E1illtS �■NEE ■■�■■■E 11 111 IN ■■■■ IN ■■ PIKE ®■q No ■■ ■ ■OE ■■ �■■ ■■■1 ■■ ■ ■ ■ :.9:.■■..■ IN ,1111 ..� IN oil I ..:...E.. •So ..■....■.■ ■MEM111:■or .■...■■■. .■■.■■. NEE .__ MEN ■ . .......■ .■..■■...■■■■,::■■■.� ■■■■■■■H■■■■Biw ME ■ ■■..■.■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■SEEN ■■■■SOME ■ ■■■■SOONON ME E■® ■ Ell■No ■■■■■■ 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 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 Iandowner(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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑Tar - Pamlico River Basin Buffer Rules ❑ ❑ 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/ 1-888-411COAST 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: Mailing Address: Phone Number: Email Address: I certify that I have authorized to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at. in — CM 16 60 County. 15'S`11�91X,'o' 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 pennit application. Property Owner Information: Signature i'unl) ckiond Print or Type Name J Title Date This certification is valid through f�+•:di-vj ice '�' I!\4'! ,a i1., a 4h -.r 4 ey,*& P. 312x A :n'� � .f,: , PA 17 , 4 AA eVr.'-as J Yr] ir, '� lJ��1QSF":�3'i�1S'gil:1 •t4i�'t. �tl{t�:1,t"�_.5 ii=.�,�eY�..�L`!'i Sil``.1�\.�^�i "i,;[i :U MJ F .�R, �e:- •-�.L .�..'.r.Y�l�� y'LL1.i�aLpa�s ilf.'il:r.t'ivT'.I:l��i i1(xIY�.L±I ��i�5{.� i�JO 4YYff�`�,i :�'['i _ ilvn_;. • II j;•' m ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to A-41an ))ri(khnd 's _ t t I I I(Nqme of Property Owner) property located at on T �i.Q� , in 1 �111 el l U, /VL N.C. (Waterbody) (City/Town and/ r County) The applicant has described to me, as shown below, the development proposed at the above to atio 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) see Oadwl Dr4uii g 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 ish 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 (Adjacent a- lit- aj Date `Valid for one calendar year after signature' Information) 0 n rJ (Revised Aug. 2014) :;m 'V:,r) (,»if 'ittf rf'��•, It (#?n•wC)i'�;h>tgf�,r� do .,m: VII ( ale ,buc,fl rinolp (yirn)pt`Icrttitt� i`r'r:�o .'ly�3it) �yh�4dYeic,Vry/� i`lUfiB `J .i ii i) }23: I1'; If; 1r19(tYCXCifiE Gfi) ;i!fi ' 0Jt'.. "8 ,am JJ ')dn`1eoL asri irur )rill i:', oef7 ti - .ih2cnS=)Yy (:rri.' of 2"fl(Akwido 9Vul_.....- __ -to 'caWN,496 AOXQNA WOITglW)aa(T %isltv;fse!•,'ei�2 is ti^fiila'.r� ix1>Si 9tn3f i;#gad(�i3 r.4 ti'}} ��}t,t't�^Ke�rs'Ri�vsir-pa3�cstycytc? 1a>i*Islviiynlj I il(3i� Yii ,111i ,Pr%'IS(N1)EiGyri ,9 imiW)1'09Yr1 ,gent#9 ffiCr! ,Fyr#fig l:ir1Y{.Hif : ,7i7(tfT.-}`JfCJ •', lad) Urmr -vol' m I. ;tpo"vh naiti3P}JY 1e STla dtfl fniYti 'r i is �nftPit, rnurrtrf�l sl s Aloud tpz cr iaurn O$Sitgtyf y r4 pii' ]POP i Isurrr UO\1' �yrtt 3VIEW cal ri^.il�- 0v It! „ Y• 1t In %,i;.Itrow If orliolifiPo'l )logs;!$ia `+?1 �r:t BVILAY: U) x,I'::'t?-- Ioli�an•wrryl r l� if . `^'-�..-...vt # rf PY 3 P A- r4 j H.'.Illtlr i�M it W:0 i cti79' M,7, i*i. 'rf lrrftnN: •--r!jIf i'... ',. rd GGb;;i'+,,. v„1 Bi1r. -p A b)Ic ADJACENT RIPARIAN PROPERTY OWNER STATEMENT J I hereby certify that I own property adjacent to P)nle 2 -1) L(k1e1n<l 's property located at �,�_ Jj)jq �p f�j/� 5 �j to of Property Owner) on,(I)��n�a, we awcK, oaa, ezc.l in () elir 5 Eet --/ U, C N.C. (Waterbody) (City/Town and/ r County) The applicant has described to me, as shown below, the development proposed at the above location. t I 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 /n description below or attach a site drawing) See 01(61)ed Dra uj(n9 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.) _ 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Adjacent Property Owner Informatlon) 1-2 Siznature * Z Date' 'Valid for one calendar year after signature` (Revised Aug. 2014) !fit ly. �. L? ,::}iF �ti.. -•!�: o4 tt*�3:i:Yt`a�. is � ,. .. '. ' - - •VS '7, . . . if, - pt,S 7 i sip )e-t!oo Sf. Q�if /5�. 5 I I 3� tc 3` t c4c t5, NC Division of Coastal Management 9 Cashier's Official Receipt Received From: CC \A EADJ'>+ ✓ ,t Permit No.:�z5rj�%y ;1ser%� Applicant's Name: tAyi Y) 5-trirKL4J Project Address: S,-IeQC45 12678 A BOD Date: -2 _1 20 RL $ 00 -� y Check No.: ��5 7 County: Qa s/cw Please retain receipt for your records as proof of payment for permit issued. Signature of Agent or Applicant: Signature of Field Representative: Date: Date: --�—