Skubinna, Donna 76632C

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ERAL PERMTT
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MA/i DREDGE&FILL
ENERAL PERMIT
ew arModification IComplete Reissue lPanid Reissue
Ar authorized by the State of North Carolina, Department of Environmental eualiq/
Date previous permit issued_AL
N9 76632
Previous permit #
AB €)"
Applicant Name
Address
City
concern pursuant to l5A NCAC
Prolect Location: County
Street Address/ State
Su
ci
23? Ut
Road/ Lot #(s)
U orl
ol/)
enone # flO.E-Mail
Authorized Agent
Affected lcw D*5t .*.rfr(ES PTS
OEA HHF IH UBA N/A
TZ MMsion,-si;;ca-ztP 28srt
OCLO'
AEc(s)
PV/S
ORW: yes
noa! /q!kn)
PNA ,*@
t
Typ€ of Proiect/ Actiyity
Pier (do<k) lenSth
Fixed Platform(s)
Floating Pldform(s) _
G"<iy G-a
-l
Finter pier(s)__
Groin len8th
number
t,fr
I
Bulkhead/ tuprap lenSth {
cs
Y oay8 distance offs
max distence
Basin, chennel T {--#
cubi( fards ".uBoat ramp
,""n,4{"G pyB +
Beach Bulldozing
Other
Shoreline Len8th
SAV: not sure
Moratoriumi nla
Photos:
w
i--__t----+-.l--+--+
F
yea
yes
yes
2lz r't (la o,sL
_l
A building permit may be required by:
( Note Local PlanningJurasdiction)
Notes/ Special Conditions
5 ,e dt .,See note on back regardin8 River Basin rules.
t414
(0fi4t,Agent or Applicant Printed Name Permit
sread compliance satement on back of permit H
,470
/-
Application Fee(s)Check#lssu
Name
Expi
and the Coastal Resources Commission in
l/a <
st^t7vg-zte@
tr
Phone # ( )_River Basin
Adi. Wtr. Body_
Closest Mal. Wtr. Body
E
(Scde|U4;V
v,
)
I
tl ti l
ffiH
\tc,t-
Statement of Compliance and Consistency
This permit is subiect to compliance with this application, site drawing and attached general and sPecific conditions. Any
violation of these terms may subject the permiftee to a fine or criminal or civil actionl and may cause the Permit to become
nullandvoid.
This permit must be on the proiectsite and accessible to the permit ofticerwhen the Proiect is inspected forcompliance. The
applitant cenifies by signing this permit that I ) prior to undertaking any activities authorized by this Permit, the aPPlicant will
confer with appropriate local authorities to confirm that this prolect is consistent with the local land use plan and all local
ordinances, ,na Z; " wriften statement or certified mail return receipt has been obtained from the adiacent riParian
landowner(s) .
The State of North Carolina and the Division of Coasal Management, in issuing this Permit under the best available
information and belief, certifythatthis proiect is consistentwith the North CarolinaCoastal Management Program'
lf indicated on front of permit, your proiect is sublect 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 RegionalOffice (910-796-72l5) for more information on howto comPlywith these buller rules.
River Basin Rules APPlicable To Your Proiect:
Tar- PamlicoRiver Basin Buffer Rules
I Neuse River Basin Buffer Rules
Division of Coastal Management Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
25 2-808-2808/ | -888-4RCOAST
Fax:[phone]
(Serves: Caneret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth Citv 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)
- ] other:
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:252-948-M78
(Servesl Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm- home
Revised 7/06/ I 7
AGEitT AUTHORIZATION FOR CAMA PERMTT APPL]CATION
tlame of Property Orner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
3
25)- 3q
7Zt \);ld o4k c;r'e_
b"
5
nls(ul,,,n^ e col-ca r'.
I certify that I have authorized C-L3 sc.f ,it;a
Ag€nt / Contractor
to acl on my behalf, lor lhe purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:Ne :l:+-o (
boq* l;({ "^d lUeu>5 R .r
at my property located at 2j7 u; t/- O^/.t Dcive
in On lont
I furthermore @ftify that I am authoized to grant, and do in facl gnnt Frmission to
Division of Co€s8,l Management s/Fff, the LoE€,l Permit Officer aN their agents b enter
on the aforementioned lads in conrpclion with e,aluating information rcbted to this
Wrmit appl'mtion.
Property owner lnformalion:
. Sig/,a,turc
AJ.rl SK,5,,,^^
Print or Type Name
Cct Ou)htf
Title
O lall
This certification is valid through I I
Dale
*rt
AhrAcEr,rr i.rpARlAn PRoqFrrY owillR STATEilE{T
I hercby cadty fhat I own propeny adieaent tro
Prwrty located at e31 t/ o*r(W o, I,ropcrty OurE)
on Ol*et+s Cc cck (ddrri
h ,l-d, Block RoA -e), t4rJrn< Io<*^ / O*slo u\N.c.
to this
0retboo)(Clvfown andhr Gour*l)
Th6 app[canr ha! d66cribod b me, ss shown bolou rhe developer, pmpos€d at t]s abo,B
_.-.-l do ndwlsh b wqhre th6 15'8dbsd( rlqulGment
(P.operry otrrn r Hornatlm)
s hatf
n Itl" Co rrr,fck-
F+i,?,or-llt,rlvhn7a
A3a ''ui ll Oil< O+ke-Ptiflt or
&S
tb,tl6flt / errDil e<rchassbt- t1- a oao
i*ailing Id&ese5*)sbrro ,tJc- A65X ,l
e
Ddtg fubr
@wxwary.2014)
Donnn { Ne:( Skob:nnn-',
lods>-v_
I havo obiedlgls b thb propGd.
DESCRPTrcil ATO'OR DRAffiilG OF PROPOSED DEVELOPIE'IT
@l plwtrO *rutqprmru lrtq fl h &€Ooprn b{ir x dt i rlr lrrr!ry)
5ee ^1L&/ sk"tA
wArvER qE9TlON
I urdonsffid llut e pbr, doalq moofiIE p,lhuE, bo6t ramp, breakxrabr, bodhoulG, lift, or grdn
must be set beck a mhimum drsilance of 15 tDm ,fly aroa of ripartm acnaas unbss rvaiwd by
me, (lf you widr b uraive &e setbd(, pu must H{al the appropriate H&* belo$.)
--
I do wbh b waiw t|e 15' s€lbEok rBqulrsm€nl.
! ro i 'Jt'
"
i- .--
nldd ior ona aalerdat yBsr rtE Cgnaura'
:
no
*,,
AD.'ACENT RIPARIAil PROPE.RTY OU'NEEI qTATEIEMT
I tEreby certify tha I olvD pmperty adaent to Don*n d A)e:( Sknbtnnn-,
property located at e37 kl On tctra;5 ol erorrtr orlerl
AgeeOS ce k (Addftss,
n
t ot, Blah
4r)an Onron N.C
(Wsterbody){Cky/fown andoi County)
The appli€nt has desdibcd to fn€, a6 shorvn Dehf,', the d€\rebpherf propoced at the above
I h€ve obiediorls to tlis proposal.
DESCRIPT|ON AIID'OR DRAwl[{G OF PROPOEED D€VELOPUEIITT
0ffifd4, pqt*rrry (hrit oprieil flr.r8t rul la .h$(,iarioD tdbs 6r rflrcrt. srlb drf,rrtr
wArvER sEgnoll
I undo.shnd H e tr€r, docft, mood(E pilt'EF, boat ramp, brcalr*at r. boatfio.re, lin, or groh
must be set back a mlntmum dieMnce ol 15'frorn my atea d dparlan amss unless waiwd by
me. (lf you wlsh & !,vaie te setback, fou rxlrt lnlual fie apptrpdae blank below.)
_*-- I do vulsh to waive the 15' setback raqulrem€nt.
-
I do not wlsh to raive lhe 15' setbeck
(Property Ouns Infomatlon)
c Co rrn ie
Pdt ot lvp€ I'wriDp3?'ltrtd 041(.,01r'e
tuinl or lvfr tta/tte
e?C 'Lrr llOdk Oeku
WP"IW *c orsw-Mailtna Ad.tess'aJr'nY,'e-,.a!'3qrsL
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Dant Ddtc'
(R6vfE,d At{,, 2011)
{Jql I7 /'1b2A IU29 9103433E36 !,JPTi PAGE 8I,/81
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NC Division of Coastal Management
Cashier's Official ReceiPt 11868 A B@D
?/t ,o2D
eDo
Date:
Received From:C3 5b+* 7..u $
Permit No.:71.0 i2c Check No.:
tr nOa County:Applicant's Name:
aX" vJi ld, Oak r.*"caPro,ect Address:
Please retain receipt tor your records as prool of payment tor permit issued
Signature of Agent or Applicant:
-
Signature of Field Representative:T-
Date:
wua,Date:hnlr,
J
toTa
ACAMA/ DREDOEA FILL
GENERAL PERMIT
New Modification Complete Relssue IPartial Ralssue
A authorized by the State of North Carolina,Department of Emvironmental Quality
and the Coastal Resources Commlssion In an,apea of environmental concern pursuant to 15A NCAC
NO 76632 ACD Prevlous permit #
Date previous permit issued
SfSinne Aplicant Name onn
37 Vjld. Onk
Project Location: County
Address Street Address/State Road/ Lot #(s)
Statg UC zIP E7 37 Vib Cpk City
Phone # 3NH) EMal
Authorized Agent
Subdivision Cocly Sed Swenve City ZIP
PTA
OHHF OIH Phone#( Affected gOEA OPTS OES River Basin
Adj Wtr. Body_ genorree /man /unkn)
SoguJaps
Affected Ocw
AEC( OUBA ONA
O PWS:
ORW: yes (no PNA yesne Closest Maj. Wtr. Body
Type of Project/ Activity
(cale Pier (dock) lengch
Foxed Platformm).
Floating Platform()
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
ag distance offshorf
max distance ofshbre_
Basin, channel
cubic yards
Boat ramp
Boathou Boysk XD
Beach Bulldozing_
Other
Shoreline Length
SAV: not sure yes noj
37 AuCp Moratorium: n/a yes
Photos: yes
Waiver Attached:es
Svces7n A building permit may be required by:
(Note Local Planning Jurisdiction)
Notes/ Special Conditions
See note on back regarding River Basin rules.
C3SctaCod, c.t Agentey Applicant PrintedName Permit OfficeyPriged Name
Sieppe Please read compliance statement on back of permit* Signaturs
Application Fee(s) Check # Issuing Date Expifation Dte