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Home My WebLink AboutSmith, Isaiah 78366Cn CAMA / ❑ DREDGE & FILL O -. N . 78366 A B G�' D GENERAL PERMIT Previous permit# (Jev ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous ermit issued As a thorize'd by the State of North Carolina, Department of Environmental Quality L� and the Coastal Resources Commis ion in an area of environmental concern pursuant to 15A NCAC / ( / QRuIgT attached. Applicant Name �JG/f�' ("', !� Project Location: County ` rr Address h3 l / r r�� p M Street Address/ yState Road/'Lot /#(s) City r'G r, � 'f State/ ( ZIP S� 0� J e U C rP/�� Phone # () E-Mail Authorized Agent 6-r v -- y � C. e / Affected C CW PEW -M PTA .:Iff5 ❑ PTS AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yesyno PNA(� yes i no Subdivision City ZIP lT 1 �'.. Phone # ( Adj. Wtr. E Closest Maj. Wtr. Body River Basin ` W j� ■■■■■� ■■=�■®■mom ■■■m A■■■■■■■■ n■■■■■■■■■■■■■ ■■■■■■ :®■■■■.■■■■O■■MEMINX VEIN �■�■■■■■ 0■1�oW ■® Y/■8lII: :M :.•.■■lp4 MIME .■■■m■.■:■■1.m MEMERI�WEMEMPIP MEMO �NC��1iu�::�:�Q �®�w■I:�■■■.�.'Eil■■O'�:_�i..�.■■�C■=� :: i�NSo ®■.■■■J■ =,so ■■■1.� MEN .� ■■■ ON ®r■■■■■■r■ �■■■■ ® :: S::■' B °ME lJi�Ylll� EMIMMEM HEM � ,m■ ■■■■■ W NI■■■1� WVI ■■■■■■■ ■■■■■■■■H■N■r71�1�Ti■1f■■�� ■■■N�■■■�1■�IG�J■�® MENa■ :C:::C a :Ms� C: u.'::::�� ® ■■■■■..■..�■_■■..... ®�::::::g■®.:� ..�...._.®. C :moomm :z�:::.� Agent or Applicant Printed Name Signak •Pease ad compliance statement on backofpermit"'"' 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 is inspected 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 (252-946-6481) 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 Mali Washington, INC 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 AGENCY AUTHORIZATION I, Isaiah L. Smith, Owner, do hereby authorize Gary Mitchell and/or Don Quinn to act as my agent in any and all transactions, communications and interactions, as deemed necessary, with all federal and state regulatory agencies regarding the property located at 2926 Cedar Island Rd, Cedar Island in Carteret County, North Carolina and as describe in the Carteret County GIS PIN 840602554005000, Signed: Date:/�" �� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Isaiah L. Smith I (Name of Property Owner) property located at 2962 Cedar Island Rd on Cedar Island Bay in Cedar Island , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above I IV — 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 attached drawing for maintenance of existing boat basin and channel.) WAIVER SECTION I understand that a pier, dock, mooring pilings, 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) (Adjacent Property Owner Info ation) 11 L1A 1 Signature Signature Isaiah L, Smith Gary P. and Maxine Da Print or Type Name Print or Type Name —� 2963 Cedar Island Rd 2978 Cedar Island Rd Mailing Address Mailing Address Cedar Island, NC 28520 Cedar Island, NC 28520 City/State/Zip City/StatelZip Telephone �� NtlCpbga-' Dates Telephone. NumIer Date h (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Isaiah L. Smith ,s (Name of Property Owner) property located at 2962 Cedar Island Rd (Address, Lot, Block, Road, etc.) on Cedar Island Bay in , Cedar Island N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location, ti 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 attached drawing for maintenance of existing boat basin and channel.) WAIVER SECTION i understand that a pier, dock, mooring pilings, 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) a (Adjacent Property Owner Information) Signature Isaiah L. Smith Print or Type Name 2963 Cedafisland Rd Mailing Address Cedar island NC 28520 CiVs e 13iA— Telephone Number oaio�� Dar Print or Mailing Address New Bern NC 28562 Citylstatelzip Telephone Numb r Date ' I I � I — (Revised 611812012) a F