Morris, Larry 77317C

]CAMA / DREDGE&FILL
NERAL PERMIT
LrNew lModification EComplete Reissue n Partial Reissue
As atthorized by the Stare of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area ofenvironmental concem purcuant to l5A NCAC
Applicant Name
Previous permit #_
Date previous permit issued_
N9 77317 BCD
Proiect Location: County
Street Address/ State Road/ Lot #(s)Address
City_State ZIP
Phone#( ) _ E-t,tail Subdivision
Ciw
Phone # (_)_
zlP
River Basin- CW EW PTA ES PTSAltecred
AEC(st: oEA HHF tH USA N"A
' PWS:
ORW: yes / no PNA yes / no
Ad j. Wtr. Body
Closest Mal. Wtr. Body
-
-(nlllmanan
lq!k!)
><>
Type of Prolect/ Activity
(Scale:)
Pier (dock) length_
Fixed Platform(s) _
Floating Platform(s)
Finter pier(s)_
Groin lenSth t-tnumber
Eulkhead/ &prap lenSth
avg distance offshore
ma)( distance offshore
Basin. channel
I
i
cubic Frds
Boat ramp
BoathoGe/ Boadift
l +
l t+
B€ach Bulldozing
Other -1-i__H-FH
Shoreline Len$h ,
SAV: not sure
Moratorium: r.la
Photos:l--
. See note on back regarding River Basin rules
Notes/ Special Conditions
Asent or Applicant Printed Name
Signaore ** Please read compliance statement on back of permit #
Permk Ofi cer's Printed Name
Application Fee(s)lssuihg Date Expi.?tion Date
I
t'a'.,1
r
,t -.l---|
-1
A building permit may be required by:
( Note Local Planning Jurisdaction)
Signature
Check #
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 permittee to a fine or criminal or civil action; and may Gruse the permit to become
nullandvoid.
This permit must be onthe proiectsiteand accessibletothe permit oflicer when the project is inspected forcompliance. The
applicant certilies bysigningthis permit that l) prior to undertaking any activities authorized bythis Permit, the aPPlicantwill
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 retum receipt has been obained from the adiacent riParian
landowner(s) .
The State of Nonh Carolina and the Division of Coasal Management, in issuing this Permit under the best a\railable
information and beliei certifythatthis proiect is consistent with the North CarolinaCoastal Management Program.
River Basin RulesApplicable To Your Proiect:
lf indicated on front of permit, your prolect 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 (910-796-721 5) for more information on howto complywith these buffer rules.
Tar - Pamlico River Basin Buffer Rules
Neuse River Basin BufferRules
E oth.r:
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:252-948-M78
(Serves: Beaufon, Benie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmintton District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-7215
Fax: 9 l0-395-3964
(Sewes: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
Division of Coastal Management Oflices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax: [phone]
(Sewes: Carteret, Craven, Onslow -
Nonh of New River lnlet- and Pamlico
Counti6)
Eliz.beth City District
401 S. Griflin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck
Dare, Gates, Pasquoank and Perquimans
Couraies)
http://portal.ncdenr.orglweb/cm/dcm-home
Revised 7/06/ l7
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Lqr r Mo
Mailing Address:rOB e].c, e-r a\ r-,1 rl r t v e.
Phone Number:
Emall Address:
I certify that I have authorized C i-r C tev e e)r ?- C,n r-AY\Y?
/ Contractor
necessary for the following proposed development:dernolrtt of
ord oOY- and n gtru cln c)a\o? ntw e+e doLY
in Oar+er g+ County.
I_f!,lrermgre ceftify that t am auhorEed to gnnt, and do in fac:t gnnt permission to
Division of coastal Management sFlff, the Local permit officer and their agenb to enteron the aforementioned lands in qnnection wih evaluafing infamation btated to thispermfi application.
Prcperty Orner Infuirntion:
at my property located at loff eYalA Artve
Signature
L
Pint or Type Name
O\.n./ner ne
_o1_/_o\ / 20-zo.
Dab
Thls cenmcauon ls vallcl throuoh I I
Name of Property Owner Requesting Permit:
e.rnerortd ,Ste, NC Zt5Q*
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
ADJACENT RIPARIAN PROPERW OWNER STATEMENT
I hereby certifiT that I own property adiacent
property located at roS eraevatd dtY\V L
ame of Property Owner)
(Addra;s, Lot Block, Road, etc.)
on tn
I
(Waterbody)
r+N.C.
(cityn and/or County)own
The applicant has decribed to me, as shown below, lhe development proposed at the above
Iocatlon.X I have no objec{ion to this proposal.
I have objeclions to this proposal.
DESCRIPTI ON ANDIOR DRAWING OF PROPOSED DEVELOPMENT
proposing development must fill in description below ar al13,ch a site drawing)llo ameratddrtve p\" erneYal d
drivCP
q \a'
' 2(
I understand that a pier, dock, moori ng pi boat ramp,
must be set back a minimum d istance of 15' from my area
\1 '
- 1*) -'rOr\ey p1\orr! {i)v
.'at 1 f\ ,a
breakwater, io"thou.", lift, or groin
of riparian access unless waived by
ppropriate blank below.)me. (lf you
vdJ
wish to waive the setback, you must lnifrdl the a
I do wish to waive the '15' setback requirement.
I do not wish to waive the 15 setback requirement.
(Property Owner lnformatlon)(Adjacent ProEBrty Owler lnformatlon)W-,r\\ Ll,fr
t,*\frtt;on I-trt^ttrtu
Pdnt or
to$ e
Name
el.ald drr v e-
Mailing Addressral.l rste.c, L85q +
City/StateEip
Telephone Number / email address
Pint or Twe Nama
Mailing Address
e\a alel rSl C,NC 2.A5 q.+
AtyrStatelZ.ip
Telephone Number /email address
'Valid ror one calendar year aft6r signature'
Dater
(Ravised Aug. 2014)
to Lqrr.J M0rr rS
I
{
tL',
\I
lO\p et\eralrA drivC
Dare
ADJACENT RIPARIAN PROPERW OWNER STATEMENT
I hereby certi$ that I own property adjacent to o
\Ob (Name of Property Owner)
property located at eY{\eVo\ld drtv€
(Address, Lot Block,Road,etc,
in
S
N.C.
(Waterbody)(Ci0/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.X I have no objection to this proposal.
I hav6 objections to this proposal.
DESCRIPTION AND'OR DRAWING OF PROPOSED DEVELOPMENT(lndividual developmutt must lill desciptlon below or altach a site dra wing)rto gm4 tcl l9!, Crnt rdv\
tL
5
l1'
('r)tq\\t.r p1\onS lor
YYAIVER SECTION Sqzebo
I understand that a pier, dock, moo nng pilings, boat ramp, breakwater, boathouse, lift, or grorn
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,Voqg$$plal the appropriate btank betow.)
@p,_ tdo wish to waive the 15' setbac* requirement.
_ I do not wish to waive the 15 setback requirement.
(Property Owner lnformation)
or TyW Name
Owner I rmatlon)
"JPint or Name
\oA P ?aat A Ar, ve
Mailing Address
ei-..\ard i.<,ie NC 'Lgsq q
cityE:tate/Zip
Telephone Number / ema address Telephone Number / email address
Date Datet
(Revised Aug. 2014)
on boav{9 Souncl
--ot
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r r O e-rn€ratd rlrrv C
Itaiting eddnss
-
f.r.r'erartd rStC, NC 2859{
Citylstatetzip
ryald for one calendar year after signature*