Moore, Richard 75987C

I
No. 75987 AB/ ! oREDGE I
ERAL PERMIT
IModification I lComplete Reissue llPanial Reissue
the State of North Carolina, DePartment of Environmeotal Qualiq/
in an area ofenvironmental concern pursuant to l5A NCAC
FILL
Previous permit #
Date previous permit issued
D
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Proiect Location :
Subdivision
City
Phone # (
Adi. Wtr.
State ZlP
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Street Address/ State Road/ Lot #(s)
Phone # (- )L E-Mail
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Authorized Agent
.CW ,EW .PTA .ES . PTSAIe-cted oEA HHF rH uBA N/a
AEc(s):. , PWS:
(l /Basin
Closest Mai. Wtr. Body
ORW: yes /PNA yes
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Rip.ap
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Type of Proiect/x r{
)*(Scale:)
Pier (dock)
Fixed Platform(s)t0
Iength
ave ofishore
max distance offshore
Basin. channel
cubic yards
Boat rrmp
Beach Bulldozing
Shoreline Length
SAV: not sure Yes
lYoratorium: n/a yes
Photosr yes
Waiv€rAttached: yes no
A building permit may be required by:ctl n See note on back regarding River Basin rules.
( Note Local Planning
1e,tNotes/ Special Vo ft l,'
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Atent or Applicant Panted Name
compliance statement on back of permit 3
Check#
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* Please read
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Applicant
Address
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FlortanS Platform(s)
Fintereier(s) . *.
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Other
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SiSnature
Appl,cdion Fee(s)lssuindDate
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specilic 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
nulland void.
This permit must be on the proiect site and accessibletothe permit ofiicer when the project is inspected forcompliance. The
applicant certifies bysigningthis permitthat l) priorto underaking any activities authorized bythis permit, the applicantwill
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 adiacent 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, certirythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin RulesApplicable ToYour Project:
Tar - Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
E orh..
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 Washinston Regional Office (257-946-6481) or the
Wilmington RegionalOffice (910-795-7215)for more information on howto complywith these buffer rules.
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fzx: 252-247 -3330
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth itv District
401 S. Griffin St.
Ste.300
Elizabeth City, NC 27909
252-264-3901
Fu<:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
2s2-946-6481
Fax:[phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 9 l0-395-3964
(Servesi Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal.ncdenr.orglweb/cm/dcm-home
Revised 7/06/ I 7
Division of Coastal Management Oflices
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CERTIFIED MAIL'RETU N RECEIPT REOUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
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Address of Property:Qrro lzllt .-t il\ no*o A
(Lot or Street #, Street or Road, City & County)
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Agent's Name #:
Agent's phone #:
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
they are proposing. A description or drawinq. with dimensions. must be orovided with this letter.
Q12 Anuu"no objections to this proposal.
-
I have objections to this proposal.
lf you have ohjections to what is being proposed, you must notify the Division of Coastal lianagement
(DCM) in writing wlthin 10 days of receipt of this notice. Contact information for DCM offices is
available at hltp:/lvrww.nccoastalmanaqement,netJweb/cm/staff-tistino ot by ca ing 1-8884RCOASL
lVo response is considered the same as no objection if you have been notified by Certlfied Mail.
WAIVER SEGTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15'from my area of riparian access unless waived by me. (lf
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
(P o r lnformation)(ner lnformation)
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Signature
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Pint or Type Name
Telephone Number / Email Address
Print or Type Name
f6ru ?er>:4rro1 ?aA
Mailing Address
,rt*4 ,t/c 2733 2-
City/State/Zip
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Telephone Number / Email
(RewsedArXpflpkl 2020
DCM.MHD CITY
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Name of Property Owner:
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RECENED
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to TZ,r Llor,l VllooeL
property located at q u 6 C,zo^ 11, I t W,J' ProPertYowner)
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on LD bME 'ELLZ"HPf'etc')Address
0 olI n , N.C.
(Wate l'Cityfown and/or County)
The applicant has described to me, as shown below, the dev€lopment proposed at the above
locatiou
,./ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED OEVELOPMENT
(lndivldual proposlng devefdpment musl fitl indescription below or aflach a site drawing)
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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. (lf you wish to waive the setback, you must initial the appropriate blank below.)
Js6 ldo wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement.
(P Owner lnformation (Adjac er lnformation))
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Print or TvDe Name t- t'4'u7"''Zir'; ,t, I Va^4 Pint or Type e/fu P.*au, eu t 7
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Telep hone Number / email address0(
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Mailino Addressf.i,ubv, nc ))2r2
City/Statqz.ip'33b-slo-Lglc S a,qnO S
Telephone Number / email addresst4t1tt
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CEIVED
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*Valid for one calendar year after signature'
DCM.MHD CITY