Haney, Curtis 78348C

`' FEAMA / J DREDGE & FILL 78148 q g CC D
CFewNERAL PERMIT Previous permit #
.;Modification i-Complete Reissue ! Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Qualityand the Coastal Resource Commission in an area of environmental concern pursuant to I SA NCAC
fRul sattached.
Applicant Naivej�t _ LI) "t' Project Location: County'�jl� _
Address _ ;t_Jr Street Address/ State Road/ Lot # s
City__ �7 . e. State ZIP
Phone # �}`��` _Mail Subdivision _
,� _
Authorized Agent C` e>r Ci Gf
tY�.� C lip 4, . — ZIP_— _
Affected CW
AEC(s): _JOEA
n PWs:
ORW: yes n PNA yes
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) ,
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathous Boatlif l (-
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes P.,/
ES F_. PT5 Phone # (� _.) River Basin
F USA r_7 N/A Adj. Wtr. Body __b o.4 )
/man../unkn
(Z
Closest Maj. Wtr. Body1.G. _._.. --
__. __13� ..r
Y x
i
sin -
Photos; yes no
Waiver Attached: e
A building permit me uired by: r ` 1 �' [ I See note on back g
re ardin River Basin rules.
g
( Note local Planning jurisdiction)
Notes/ Special ondiitions - `1 °' t�/t't: ► �j! Z��J
- D Y hY- ,VAC Ii.V t Yl_ zeVU lcps- -
Agenc or Applicant Prin ed Name Per
5i ease read co fian�ateentback of permit* Sigi
"-� -- - - asp
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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
nul I 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
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 ❑ 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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-888ARCOAST
Fax: [phone]
(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:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, INC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Ponder Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

III 1r2021
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ADJACENT RIPARIAN Pf*p�'Pt2` t�Vy(I�F2�5TAT_ LMENLl
LyrU-
I hereby certify drat I own property adl (Name of ProlrertyyOwner)
oert located at � _t� '5- l [i -- --
pro. Y (Address, Lot Bock, [Z � y etc.)
i-w—
in _!tom
en jUj' �? _� - (City/Town and/or County)
(1Naterbody)
thribed to trio, as shown below, the development proposed at the above
e applicant has desc
location.
I have no objection to this proposal.
have objections to this proposal
DESCRIPTION ANDIOft DRAWING PROPOSED DEVELOPMENT
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WAIVED SECTION
I understand that a pier, Jock, mooring pilings, beat ramp, breakwater, boathouse, lift, or groin
15' from illy area of riparian rt cess unless waived by
;a
must be setback a minimum distance of
me (if you wish to waive the setback, you hrust Initial the appropriate blank below.)
I do wish to waive the 1a solMaak requirement
[
I do not :wish to waive the 15, setback requirement,
(Property Owner information) (Adjacent Property /owner information)
S1 (Ftur
'Print orType kame
r�/e? Add e3s
Melling
Ma tin Ad ess Zb"Sd' C
e� n ����_ cityh teire ra
Crryrnate zrR ��))J,r// /f _-- �
jrJ' ltlrQYiLo JM4!"•�C d
�, J� et�n�rraf,rrtt»rf et�au addressk..
Felephor Q )Number t a taft pddre sa _ rl4 / rT�fa �v1 -
s l
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1 /11/2021 imagel.jpeg
/At7JtiCJvPtT RtPAt21AN Pi2C7p„ Ef{�� � i
i hereby cortUy that !awn property adjacent to ,_� v r� �t Afr.`�,
(Nme dY Prod rty Ow ti'
property
(Address Lot/ !3{ac6cr- o� 3
on tv� - n t
1, (Waterbody) (Cityliowrf' nt lde coun zr.
The applicant has described to me, as shown below, the'dovolopment proposed at the above
}r to,ai'at�y}
p T I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANWOR DRAWING OF PROPOSED DE IELOPMr:NT.
{lndivid<ral-pro)os3rrg,devefoprrrentnjustfill III descripli,oildeb
t,
WAIVER SECTION
I understand that a --pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
•=j
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.)
_ t do wish to waivn the 15' setback requirerttc:nt,
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adj t Pro a wrier
formation)xq
Pilnt or Type Name Printer
y e,�larne
°
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OitylSlaleiLJp r City/St<kto/Trp A� /l�i
�? ' .FS [Lr rid i/ tfi .leas? _ � ✓ r— {
Telephone Nun... e ait dddross t' Telephone Nrrrnberl ©/rra/1 address
41
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1/11/2021
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AGENT AUT}IQRIZATION FOR CAMA�PI IRMIT APPI.ICAIL N
Name of Property Owner Requesting Permit: � �, tf �"�_AI,£t-
I ,
Mailing Address:
Phone Number:
t- --
Email Address. v l S a
l=
I certify that {have authariod
2 gger it t Conteactut.
APv1A p
to act on my behalf, for the purpose of applying for and obtaining aN C ormits
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necessary for the following proposed development:
}
at my property located at i � S �?��/ lrA �_ r
1i1.�c'r (L , 'County.
,, 4;f- 4,ns 1 am ),jthor'-jod to grant, and do in fact grant permission to
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