DeGrunchy, Kenneth 77315C

.-CAMA /
'DREDGE
& FILL
GENERAL PERMIT'lNew Modification Complete Reissue panial Reissue
N9 77315 AB o
Ar authorized by the State of Nofth Caroliha, Department of Environmental eualir/
and the coastal Resources commission in an area of environmental concern puEuant to l5A NcAc a//
D
Previous permit #
Date previous permit issued_
- tr nu$attached
//
Applicant Name
Address
Proiect Location: County
Street Address/ State Road/ Lot #(s)
City_
Phone # ( _)-Mail
Authorized &ent _ _
ORW: yes / no PNA yes / no
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SubdMsionr-i
PCiq/zt
, CW EW FTAAnectedOEA HHF IH/\EL(S):
PWS:
ES
UBA
PTS
N/A
Phone # ( _ )_Riyer Basin t-l L
Adi. Wtr. Body _ _ (rEll.lal /unkny
Closest Mai. Wtr. Body
Type of Proiect/ Activity tt
(Scale:)Pae' (dock) len$h
Fixed Plado.m(s)
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cubic yards
Boet ramp
Boathouse/ Boatlift
Beach Eulldozins
Other
Shoreline LenSth
SAV not sure yes no I
avg distance ofishor€
max distance offshore
Basin, channel
Bulkhead/length
Notes/ Special Conditions
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[J See note on back regarding River Basin rules.
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A building permit may be required by:
( Note Local Planning.lurisdiction)
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Agent or Applicant Printed Name Permit Omcer's Printed Name
Signature ** Please read compliance statement on backofpermit **Signature
- e,.pl-t-"Et"Application Fee(s)Check#lssuing Date
State
Floatint Platform(s)
FinSer pier(s) :
Groin length
number I -1
t."...l--.]..H-+-+--+--t--]--.]-
+l rtt r rrr I !
Moralorium: nla
Photos:
Statement of ComPliance and Consistency
This permit is subiect to compliance with this application, site drawing and attached general and specific conditions. Any
violaiion of these ierms may subiect the permittee to a fine or criminal or civil action; and may cause the Permit to become
nullandvoid.
This permit must be on the proiect site and accessible to the permit officer when the Proiect is insPected for comPliance' The
applicant certifies bysignintthis permitthat l) prior to undenaking any actlvities authorized by this Permit, the aPplicantwill
confer with appropri"t" fo."f authorities to confirm that this proiect is consistent with the local land use plan and all local
ordinances, "na 4 " written statement or certified mail retum receipt has been obtained from the adlacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuint this Permit under the best available
information and belief, certiry that this proiect is consistent with the North carolina coastal Management Program'
E Neuse River Basin Buffer Rules
lf indicated on front of permit, your Proiect is subiect to the EnYironmental 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 Oflice (252-946-6481) or the
wir,ni"gr* i"gionaloffice (910-796-7215) formore information on how to comPlywith these buffer rules'
River Basin RulesApplicable To Your Proiect:
f ] Tar- PamlicoRiver Basin Buffer Rules
DMsion of Coasal Management Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead Ciq/, NC 28557
2s2-808-2808/ I -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth Citv District
401 S. Griflin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(SerYes: Camden, Chowan, Currituck,
Dare, Gates, Pasquo6nk and Perquimans
Counties)
l-l oth.r:
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Faix:257-948-0478
(Serves: Beaufon, Benie, Hertford, Hyde,
Tyrrell and Washintton Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9to-796-7715
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
AGENT AUTHORIZATION FOR CAMA PERMTT APPLICATION
142-lo-,1 fd
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Phone Number:
Email Address:
I cedi! that I have authorlzed
s t L-5 o 1-t83b
Ag6nt i Conhactor
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at my property located at 7{L 5r'
tn ounty.
Plnt or TWe Name
o u,J?r
c
l:ullqny: cetfr'fy. that I am authotzed to gnnt, and do in facl gElnt pomission toDivislon o_f Coastal Managemant staff, A.te Local permil Officer and iheir agents to enteron lhe aforementioned lands in connection with evaluaw inlomation Aa&,d to thispormit application.
Proporty o\xngr lntomation:
Title
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This certifrcation is valid ttrrougn lL l 1l t lo .) O
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Name of Property Owner Requesting Permit:'e 4 l. Eru. /f
Mailing Address:
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for tlre following proposed development: ja-ea_( .,-J2_
ADJACENT RIPARIAN PROPERTY OWNER STATEIIENT
I hereby certify that I own property adjacant to CQ
il of r)
property located at StloT?2Ee!\B-1. S-,,rtD in 0 N.C.
{Waterbody)(cityIl andror Gounty)
The apdicant ha8 doscrib6d to me, as shown bolow, the dswlopment pmposed at the abova
locatioo.
I have no otjedion to this proposel.
I havs obiections to thh propos.l
DESCRIPTION AND/OR DRAWI NG OF PROPOSED DEVELOPMENT
( I ndivi du al prc p-a si n g dsvel op m e nt musl fill in descdpoon bolow or attach a slte dnwlng)
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a Dier. dock,
back a minimum distanca of .l
wish to waive th€ setback, you
I do wish to waive the 15' setback requirernent.
.- I do not wish to waivs lh6 1t setbek requiremed
VI,AIVER SECTION
mooring pilings, broakwatgr, boathouse, lift, or groin must be set
5' from my area of riparian access unloss waivod by me. (lf you
mtl3l lnidal the appropriate blank beto! ,.)
Owner I (Adiacsnt Proporty Own6r lntomadon)
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Mailing Addess
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Date
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ADJACENT RIPARIAN PROPERry OWNER STATEMENT
I hereby certily that I own propgrty adjacenl to $.-l/L ,s
prop€rty located at 2_
of Owner)
on B,.nL ^(--p (AddrBs8,
in
k, Rocd
N.c
(Watertody)(Cityfioln County)
DESCRIPTION AND'OR DRAWING PROFOSED DEVELOPMENT
(tncrlvldual prcposlng development must fi d"scrlpdon below or atlach a sftc dnwing)
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WANER SECTION
mooring pilings, breloMaler, boathouse. lifl, or groln must be set
5' trom my area of iparian access l'trtless vraiv€d by ms. (ll you
murl Inldal the appropriate blank below.)
tlE 15' setback requirenent.
t unOerstanO titii i 'piir, aoc(
back a minimum distance of 1
wish to waive the setback, you/1 ^^Wl I aousa uwa:rva---=-
_ I do not wi6h to waive the 1 5 setback requirement
(Properly O.rnor lnlonBation))}-.aJt (5tE!r Plop3ny owner lotormrtion)
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Mailina A&ress
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Cit/lSlalElZD.tll, (rr 4 *g 3L
Tdepho{re Nuorlp"r
n- lr- 7..o'2- O
(Reeised er/18/2012)
44
The applicant has d€scribod to rTts, as shonn belo$/, ttle &vdopm€nt Eopo6od at ths abovo
location.( A I have no diodion to thb Foposal.
-___ | hevejqedlons trt this prppos.t
Data Dote
RECEIPT
U,S. Postal Servi;e',
CERTIFIED MAIT
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CERTIFICAIE OF
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CERTIFIED MAIL . RETURI{ RECEIPT REOUESTED
DIVISION OF COASTAL MANAGEII/IENT
Name of Property Otvnar:
Address ot Property:
Agents Name #:hu.,
AOJAEENT RIPARIAN R
e
Sfesl #, Steet or Road,Citl8
TIONIWAIVER FORM
MailingAddlsss:tz(L r Da
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Agents phone #: ZS2 -7 @ l32 lJq.l ("-2K <trP C
that I own property adjacsot to the abov€ reforenced property. The individual
has descfibed to mB as shown on the atiached the menl
ng.
--
I bave rc objecioos to this proposat. _ I lave objectiois to this propos8l
ll you havo oblectlons towhatlsbolng prcposed, you muslnowho Dlvlslon of Coasbl Management(DC. )ln ffildng withln 10 days ol tocelpt of thts notlce.Cotrespondenee should ba malled to 100Conmerce Avo,,Itorahoad Clty, NC,2E557. DCM reprcseol€tives can also be contacted at [phone].fesponse ls consldercd tho sa,/Ie as no oblectlon lf ygu ha{o beon nolllled by Cadi edua
I hereby c€rtry
applying for this
they are proposi
WAIVER SECTION
I understand het a pier, dock, rnooring pilings, broakwatsr, boahouse, Iifl, or groin must be setoacxa mhhum dislance of '15' from my area of riparian accBss urless waivei by me. (lf you
wrsh to waive hc setback, you must lnltial lh6 appropriate bhrk betow.)
-_- I do wjsh to walv6 the 15' sotbaali requiremenl.
--
I do nol wish to waive the 15' setback rcquilvr€nt,
(P Owner I
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