Creech, Tommy 76634C

-CAMA/ lOREDGE & FILL
NERAL PERMIT
New :lModification nComplete Reissue nPanial Reissue
As authorized by the State of North Carolina, Department of Environmental euality
and the Coartal Resources Commission in ?rn area of environmental concern pursuimt to I SA NCAC
Nq 76634 A B r'.a D
Previous permit # '--
Date preyious permit issued_
attached
Pro,ect Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
State ztP
Phone # (_._)E-Mail
Authorized Agent
. ,cw EwAnected
AEC(s): ota HHF
PWS:
ElPTA
CIH
trES
tr UBA
tr PTS
tr rva
City
Closest M4. Wtr. Body
-
ORW: yes / no PNA yes / no
Type of Proiect/ Activity
(Scale:)Pier (dock) length
Fixed Platform(s)
FloatinS Platform(s)
Finger pier(s)
Groin length
Bulkheed/ Riprap length __
av8 distance offshore _
max distance offshore _ _
Basin, channel
1
ffi
Hl_t#
TTI
_l
T\Et-lfi
I r' _
I
cubic Frdr_
Boat ramp
BoathouseJ Boatlifr
B€ech Buluonng
drer
Shoreline LenSth
not sure yes no
i-i
FHI
t-t
H
L
t-ffi
Moratorium:
Photos:yes no
ffi
l- l"
tl
A building permit may be required by:
( Note Local PlanninS Jurisdiction)
I ] See ndte on back reSardinS River Basin rules
NoteY Special Conditions
AFnt or Applicant Printed Name
Signature s Please read compliance statement on back of permit s
Pe.mirOffi cer'! Printed Name
Signature
Appljcation Fee(s)Check#lssuingDate Expiration Date
Applicant Name
Address
ztP
Phone # (--) River Basin
Adi. Wtr. Body _@tlmanlqlkn)
i rF+l l-i];llr-r
-1--t-f-t-=Ft-ffi
i
Statcment 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 subiect the permittee to a fine or criminal or civil action; and may cause the Permit to become
nullandvoid.
This permit must be onthe proiect site and accessible to the permit oflicer when the Proiect 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 f"cat authorities to confirm that this proiect is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certifid mail return receipt has been obtained from the adiacent riParian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuint this Permit under the best available
information and beliet certifythatthis proiect is consistentwith the North CarolinaCoastal Management Program.
River Basin Rules Applicable To Your Proiect3
E Tar - Pamlico River Basin Bufier Rules E O,h..,_=-
I Neuse River Basin Bufier Rules
lf indicated on front of permit, your proiect is subiect to the Environmental Management Commission's Bufler 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. Con6ct the Division of Water Resources at the Washington Regional O{fice (252-946-5481) or the
Wilmington RegionalOffice (91 0-796-721 5) for more information on how to comPlywith these buffer rules.
Division of Coastal Management Ofrices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax:[phone]
(Sewes: Caneret, Craven. Onslow -
Nonh of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-764-3901
Fax [phone]
(Serves: Camden. Chowan. Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-A481
Fax:252-948-M78
(Serves: Beaufort, Benie, Herdord, Hyde,
Tyrrell and washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-7215
Fax: 9 I 0-395-3964
(Serves: Bruos,wick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
Revised 7/06/ l7
http://portal.ncdenr.orglweb/cm/dcm-home
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
that I own property ad,acent to y1^.
of
S
(
otl (Address, Lot, B Road
(Waterbody)
has described to m6, as shown bel
I have no obiection lo this proposal.
N.C.
{City/T own and/or County)
applicant ow, the development proposed at the above
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PRO POSED OEVELOPMENT(tndividual proposing devetopment must fi!! in descrlplion below or attach a site drawing)
a
I understand that a pier, dock,boathouse, lift, or groinmust be set back a minimum d istance of 15' from my area of riparian access unless waived byme. (lf you wish to waive the setback,you must initial the appropriate blank below.)
e I do wish to waive the 15' setback requirement.
I do not wish to waive the .15, setback requirement.
{Property Owner Information ce nt Owner I
(
WAIVER SECTION
mooring pilings, boat ramp, breakwater,
))
,
rl r5
n 3>o -7 tv
Teleplwe Numbera- >3 / email address- J(-,?DTeleDhone9. 11
Number-2ts
L
email
,)
1'
Data
'Valid for one calendar year affer signature,
Ddt!*
(Revised Aug. 2014)
located at
inon
I hgreby certify that I own property adjacent to 's
J Name of Property Owner)
property located at
B,(Add ress,Lot, Block, Road, etc.)
on ,in , N.C.
(Waterbody)(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
,-t&I have no objection to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(ndivldual praposing development mustfill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, litt, or groin
must be set back a minlmum distance of '15'from my area of riparian access unless waived by
me. (lf you wish to waiv€ the setback, you must initial the appropriate blank below.)
Nrj
re
tor
(Adjacent Property Owner lnformation)
Signature*
In;,,1^,".e I I\ tn', o -n t
Print or Nameta-€t
M Address
c
:etFJ
(f(/
(
s $vL oY
!..c"Ls fadtg' - t ou,,.
City/Sta
o
Telepho ne Number / amail addrass Telephono Nu t / email eddrcss?5
Date
'Valid for ons calondar year a{ter Signature'
I)ate*
Ch)&Ao
(Ravised Aug. 2014)
1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I have objections to this proposal.
I do wish to waive the 15'setback requirement.
_ | do not wish to waive the 15'setback requirement.
(Property Owner lnformation)
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