Nash, Brent 76637C

/-\ canaa / DREDGE I FILL
EtnE|=a#k""=*X"t[.,,. paniarReissue
N9 76637 ABCD
As authorized by the State of North Carolina, Depa.tment of Environmental Qualiry
and the Coastal Resources Commission ih an area of environmental concern puEuant to l5A NCAC
Applicant Name
Previous permit #
Date previous permit issued_
Rules attached
Address
City State ztP
Phone # (_ )
Authorized Agent
, CW EW PTA ESAllected
AEC(s): oEA HHF lH UBA
pWS:_
ORW: yes / no PNA yes / no
i r PTS
N/A
Phone # (_ )_River Basin
Adj. Wtr. Body bar /,ner &nknl
Closest Mai. Wtr. Body
Jr
Type of ProiecV Actiyity
(Scale:)Pier (do<k) lentth_ _
Fixed Platform(s)
FloatinS Pladorm(s)
Finger pier(s)
F
T
L
L
1
Hk-i
--r--T__-r__-r---f---t--t
r
lffi'llf,
E
1
max distance ofbhore
8asin. chennel
tcubk rards I
SAV:not sure yes no
Bo3t mmp
Eerch Bulldozing___
Other
Shoreline Len$h
tl
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I
I
I
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+
Moratorium:
Pholos:
Sigmture q Please read compliance statement on back of perm it *t
PermrtOflicer's Printed Name
Signature
Application Fee(s)Check#Expiration Date
Project Location: County
Street AddresV State Road/ Lot #(s)
City zlP_
E-Mail _ .-- Subdivision
Groin lenSth
A"rlr'*afn:prapi"glh
-
av8 distance offshore _
W
r( LI I I I l
#14*+'-1$1-;--ff
Boathous€/ Boatlift
t rt t: tl ttt t ttt
A buildinS permit may be .eqri.ed by:
-.
See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions _
Aeent or Applicant Printed Name
lssuing Date
Statement of Compliance and Consbtency
This permit is subiect to compliance with this application, site drawing and atached 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 beonthe proiect site and accessibletothe permit ofticerwhen the proiect is insPected forcoglPliance. The
applicant cirtifies bysigningthis permit that l) priorto undertaking anyactivities authorized by this Permit, thEhPPlicant will
confer with appropriate local authorities to confirm that this prolect is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail retum receipt has been obained from the adlacent 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 proiect is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Proiect:
! Tar- Pamlico River Basin Buffer RulesI I Neuse River Basin Buffer Rules
E othe.
lf indicated on front of permit, your pro,ect 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 (252-946-6481) or the
Wilmington RegionalOffice (910-796-7215) 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/ r -888-4RCOAST
Fax: [phone]
(Serves: Caneret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabcth Citv District
401 S. Griftin St.
Ste. 300
Elizabeth Ciq/, NC 27909
252-264-3901
Faxl.252-264.-3723
(Serves: Camden, Chowan, Curituck,
Dare, Gates, Pasquoonk and Perquimans
Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover.
Onslow - South of New River lnlet-
and Pender Counties)
hnp://poral.ncdenr.org/web/cm/dcm-home
Revised 7/06/ I 7
Washington District
943 Washington Square Mall
Washington, NC 27889
2s2-946-6481
Fax:252-948-M78
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
I hereby certify that I own property adjacent to B,.AI N"tLt
(Name of Property Owner)
S
property located at
on Cou.
e llc*.r t t^2
g""J (Address, Lot B
tn 'Y!,.-,t
(Waterbody)(CityIlown and/or Gounty)
The applicant has described to me, as shown below, the development proposed at the abovelocation.
>< I have no objec*ion to this proposal.
lroP
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DESCRIPTION AND/OR DRAWING
(lndividual proposing devetopmeil must frll in
OF PROPOSED DEVELOPMENT
description below or altach a site dra wing)
,i*#,1
?(*lo'I
5
t,4 "&
la- 4!|y,*Do,l
b'{n
I understand that
back a minimum
wish to waive the
ECTION
a pier, dock, mooring pilings, breakwater, boathouse, Iift, or groin must be set
distance of '15' from my area of riparian access unless waived by me. (lf you
setback, you must initia I the appropriate blank below.)
R ?I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
si
(Property Owner I nformation)
l)c,r4 5.
(Adjacent Property Owner lnformation)
c ef
Pint orno.x
Name
giit
Citu/State/Zbldt-72t- ft ?t
Telaohone Numbara*r<ri r{ 2O ZO
Pnil orype Name
i&:x /32o
Mailing Address-T:r'e,.tuco ^le zntu6
City/StaterZip Z-cz- Ets- 807/
Talephone Numbsr?-
5
Dale
/s- zo
oa//
(Revised 6/1U2012)
ADJACENT RIPARIAN PROPERW OWNER STATEIIIENT
77
N.C.
, -
-
I have objections tojhis proposat-_._
a
.- ss
A\t.9
.\G
\?'q'
t
ENT RIPARIAN PR
I hereby certify that I own property adjacent to
OWNER TAT
(N ame of pe
S
property lbcated at €-L
0.,,A (Address,
on a -s
(Waterbody)(City/Town and/or o unty)
The applicant has described to me, as shown below, the development proposed at the ibove
location.
-X I have no objection to this proposal.
I have obiections to this n roposal- -
oi/8
k, RoadBI
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing
-o
$YoYseA
elow or altach a site drawing)
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taP
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I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15'from my area of riparian access unless waived by me. (li you
wish to waive the setback, you must initial the appropriate blank below.)
6t I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
(Propefi Owner lnformation)
St
".**a.6 s.
Pint or TWe Name
P a Bq.l Tzo
CitvlSlaterZio' )-5)- ?tB-
Telephone Number8-/S-zo
Property lnformation)
Chemttl+
Address
o.t/l L 3 t3*nt"ffi -3\1-Qlt-o
Talephone
I
goll
Dqte
24
(Revised 6/182012)
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Mailing Addressiti*raoy.o ll0 Zrttt(
Pint or TvDe Name -.1' "i' 4i{ Iiffitn A..,it,'u
Dde
Y
'a^].
AGENT A UTHORIZATION FO CAMA PE RMIT APP LICATION
Name of Property Owner Requesting Permit:re.-,.* N"t ,\ 5u
Mailing Address:P o E,x lSzo
T.a*@eo ic Z IIF6
252- 8/s -go7/
Email Address:"*@ NoohOr;U S. Cot+1
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all OAMA permits
necessary for the following proposed development:4JJ * clo-l
at my property located at Z e-rCc-*/,'
tn ."-*County.
AJosA lr.
Pint or Type
@tPp{f
Title RECEVED
AUG 202020
DCM.MHD C|IY
/9rZo
l_fynherngrg certify that ! am authoized to grant, and do in fact grant permission to
Division o-f coastal Management staff, the Loial permit officer and iheir a'genti to enter
on the aforementioned lands in connectiotl wrth evaluating information ietated to this
permit application.
Propefty Owner lnformation :
lJc
me
Date
This certification is valid through
Phone Number:
/
c
NC Division of Coastal Management
Cashier's Official Receipt 11828A e@ o
Date:6lao zo Ao
Beceived From:S.en't D. dash -r".$dOo
Permit No.:GQ Check No.:ilo
County:Lo-te"o*
Project Address:r3?. ?clican L^. IlJ-
Please retain receipt for your records as proof of payment ror permit issued.
Signature ot Agent or Applicant:
Signature of Field Flepresentative:tlvnl-
Date
Oate:b/q.(,a
)a
Applicant's Name: