Cruze, Lupe 78320C

/TDREDGE&FILL
GeruER/AL PERMTT
lNew --Modification -Complete Reissue --lPartial Reissue
As authorized by the State of North Carolina, Department of Environmental Qualiry
and the Coastal Resources Commission in an area of environmental concern pu rsuant to l5A NCAC
Previous permit # _
Date previous permit issued_
E Rules attached.
Project Location: County_
Street Address/ State Road/ Lot #(s)
Subdivision
City
N9 78320 ABCD
Applicant Name
Address
Phone # ( )E-Mail
Authorized Agent
Affected !cw
AEC(s): tr oEA
LJ PWS
ORW: yes / no
ztP
DEW
N HHF
DPTA
tlrH
trES
tr UBA
trPTS
trN/A
Phone # (_)River Basin
Adj. Wtr (nat /man /unkn)
PNA yes / no Closest Maj. Wtr. Body
)C
(Scale:)
Type of ProjecV Activity
Pier (dock) len4h *Tl--l--l--TTT_T_T-TT T'
t-tfiFixed Platform(s)
Floating Platform(s)
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t--*
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Finger pier(s)_
I +-----li!Groin length
number
Bulkhead/ Riprap len4h
avg distance offshore
max distance offshore_
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
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Other
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FiE IIlI l\ts trShoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
yes
yes
no
no
no
no
+-+
ililt
A building permit may be required by,
( Note Local Planning Jurisdiction)
I S"" note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature x* Please read compliance statement on back of permit **
Permit Offi cer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
city- State ZIP
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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
nullandvoid.
This permit must beon the proiect site and accessibletothe permit officerwhen the project is inspected forcompliance. The
applicant certifies by signing this permit that l) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this proiect 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 adiacent riparian
landowner(s) .
The State of Nonh Carolina and the Dlvision of Coastal Management, in issuing this permit under the best available
information and belief, certirythatthis proiect is consistent with the North Carolina Coastal Management ProSram.
River Basin Rules Applicable To Your Proiect:_
l Tar - Pamlico River Basin Buffer Rules E othe.:
[ ] Neuse River Basin Buffer Rules
lf indicated on front of permit, your project is subiect 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 (252-945-6481) or the
Wilmington Regional Office (9 I 0-796-72 I 5) for more information on howto complywith these buffer rules.
Division of Coastal Management Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
2s2-808-2808/ | -888-4RCOAST
Fax: [phone]
(Sewes: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth Citv District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-764-390t
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washingon Square Mall
Washington, NC 27889
252-946-U8t
Fax:[phone]'78
(Serves: Beaufon, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-72t5
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://poftal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ I 7
:
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Name of Property Owner
Mailing Address:
Phone Number:
EmailAddress:
I certify that I trave authorized
to act on my behafl for the
necessary for the following
at my property located at
Permit lr+r[:,p fi.tr.rr? t.
of applying forand obkining allCAMA permits
i,
I furthermore lamof
permit application.
Oumer
development 0 +r*Ct1 a
witft
in
to
enter
related fo fhis
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Requesting
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aN do in permission
lands in evaluating information
/a-r4_,_.l2ee.r
I hereby certify that I own prope adjacent to
property located at Owner)
N,C.
County)
proposed at tHe above
or groin
unless waived by
blank below.)
Owner lnform ation)
's
(Namti
L
)
tnon
The applicant has described to m
location.
-. \/ _ I have no objection
I have objections to
, as shown below, the
to this proposal.
i
this proposal.
{tndtviduai
DESCRIPTION A
'to ':
OF PRO D DEVELOPMENT
tn descfiptioin belo.w oir attach a site dr4wing)
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Number
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me. (lf you wish to waive the
I do wish to waive the l5,setback requirement.
I do not wish to waive the 15'setback requlfement.
lnformatlon)
,,4
1
Date
*Valid for one calendar year aftel signature*
Date*
t
entail
(Ravised Aug.2Ot4)
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DRAWNG
I understand that a pier, dock,
must be set back a minim0m of
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Tax Parcel Inform ation:
Printed December 3, 2o2or in=r14 ft
OwneT: BYRDANDREW TYLER TRUST
Current PIN: 5383o5184o54ooo
Site Address:
41o CHRISTINACT
EMERALD ISLE
Mailing Address:
EMERALD ISLE NC 28594
Legal Description:
L6 OSPREY BLUFF
Prior PIN:
City Limits: EIVIERALD ISLE
Rescue District:
Fire District:
Tax District: $56
Township: WHITE OAK
Use: VACANT
LandValue:
BldgValue:
Other Value:
Total Value:
Sale Price:
DeededAcres: 0.573
Plat Ref: so / 8g
Deed Refi 169o / 3r9
Bedrooms:
NBHD: 56oo14
Bldg Htd Sq Ft:
Bldg Tot Sq Ft: o
Year Built:
Noise Level:
AICUZZone;
GIS Acres: o.568
Roll Tlpe: R
Deed Date: zozoroo6
Bathrooms:
Carteret County, N.C W
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NC Division of Coastal Management
Cashier's Official ReceiPt
A
7257 $ n' n@n
Date:/a /,,O?D
$00
Check No.:D70
County:+
Fleceived From;
7 AZ aoLPermit No.:
Applicant's Name:
Lt3 o -Llza L+,Dl-
Project Address;
PleaseretainreceipttoryourrecordsaSproofofpayment'orpermitissued.
Signature of Agent or APPlicant:I
Signature of Field Representative:
Date
Date Srto
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