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Home My WebLink AboutFrystock, Bob 78920C{I111`�1.0�(J 7 C��, AMA / ❑ DREDGE & FILL N9 78920 A B ®TO,NERAL PERMIT = Previous permit#❑Modification ❑Complete Reissue ❑PartialReissue Date previops permit issued It As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources ommission in an area of environmental concern pursuant to I SA NCAC / l l I, �.! yles a the . Applicant Name / �' _ t /� Project Location: County ❑/ L( Address !y( 1' � I�� 1� , .� In �(i ll: �' `iC Street Address/ State, Road/ Lot #(4, Phone # t OO( i . �-Mail `` ' Authorized Agent ❑ 4' CW ❑ EW ❑ PTA El ES ❑ PTS Affected A Affecte ElOEA ❑ HHF ❑ IH ElUBA El WA ORW: yes /S PNA yes / Type of Project/ Activity Pier (dock) length_ Fixed Platform(s) _ Floating Platform(s) Finger pler(s) Groin length number Bulkhead/ Poprap lei avg distance o max distance i Basin, channel Boat ramp. Boathouse/ Beach Other Shoreline Length 7en SAM notsuIMoratorium: n/Photos: Waiver Attached: A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions I \ A \ 1 i — i Agent or Applicant Printed Name,\ Signal e-�"s' Please read compliance statement on back of permit" i_ Appieatlon Fee(s) Check# -- Phone # Adj. Wtr. _ ZIPS. r Basin (Scale ❑ See note on back regarding)t(ver Basin rules. 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 his Projectisronsistentwithtite North Ca . 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 (910-796-72I 5) for more information on howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) (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 L ,CAMA / ❑ DREDGE & FILL > N9 78920 A B C D TNERAL PERMIT Previous permit# NT t ❑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 cohcern pursuant to I SA NCAC 17 ❑Rules attached. Applicant Name y� .l1' : J' �,l - Project Location: County Address U M, !(,� ff r � I%1 ��_6% 1 _� Street Address/ State Road/ Lot #(s) Phone # lO "%j 11:_Mail q 1 / Authorized Agent I) l f Il ❑cW ❑EW ❑PTA ❑ES ❑PTS Affected O OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): ORW: yes /'no) PNA yes / Type of Project/ Activity Pier Fixed Floati Finge Groir Basin Boat Boad Bead Othe Shon SAV: Mora Phot. Waiv A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name,,,, % Signature * Please read compliance statement on back of permit" Application Fee(s) Check# - I "I _ -- Subdivision City_ ZIP Phone # O._ _ River Basin Adj. Wtr. Body _ _ nat _/man unkn) (Scale: ❑ See note on back regarding River Basin rules. PermitOfficer's Printed Name Signature i . Issuing Date Expiration 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 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 Management Pro River Basin Rules Applicable To Your Project: ❑ Tar -Pamlico River Basin Buffer Rules ❑ Neuse River Basin Buffer Rules ❑ Other: 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 252-808-2808/1-888-4RCOAST 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 'DoS �) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to nc'$ � �� 's (Name of Property Owner) property located at 779 D1= (Address, Lot, Block, Road, etc.) on M)AI4 rlU-AV9! C-"tNPv L- , in fcrt +� C(� IVr , N.C. (Waterbody) (S!!ygown and/or 9-ounW The applicant has described to me, as shown below, the development proposed at the above loc on 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) c i5 V / e L40 ♦ 4- 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.) _ 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) or Date 6y r�t-- Number a s5ea (Adjacent Property Owner Information) Sigttatu� Pri tt ype� Name�e Mailing Address <r�oa\' 1 m� r;J,iiCFnfo ntn .d h_olJ %� :. e�lepho�Number -) 2 Date 19CL CE)VED (Revised 6/WR 7 2020 DCM-MHD CITY •.,r.rtf'� " I'/ r; 1 1 •It !f i l ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to t (Name s (NName of Property Owner) property located at ) 30l _M0*4P ]AL - (Address, Lot, Block, Road, etc.) onrfM>Q K'Qi E' 9Pt0R( in Jgim G7r Sf GAS' , N.C. (Waterbody) (Ci�wn 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) r E�.tsfi�t� SrA�.JaR�� "� Pf t' 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 Owoer Information) (Ad' ope Owner Information) 1 _ ignature_,� (N..,S, q� Y. �S%aejn el Vt'� 1�S 1) T'n' rin 0 G ®lGr� lg is Iv� Mai agAd s NG MailingN&Ts C , � a� 57 U VSta �I qb� ��122 lTe/ephone Number KQhon Number r �� Date DareRECEIVED (RevisePEI $ (Jf D DCM-MHD CITY