Hardin, David 77324C

CAMA/-DREDGETFILL
G ENERAL PERMIT
LlModification I .-Complete Reissue []Panial Reissue
No-_ 77324 A 8 ,.'c/ D
Prwious permit # *"
Date previous permit issued_
As authorized by the State of Nofth Carolina, Department of Environmental euality
and the Coastal Resources Commission in an area of environmental concern pursuant to l5A NCAC ___fftffittachA:_
Applicant Name
Address Street AddresV State Road/ Lot #(s)_
City
Proiect Lo<ation: County _
Phone # (. ) _E_Mait
. CW .EW PTAAnectedOEA HHF IHl\EL(S):
PWS:
ORW: yes / no PNA yes / no Closest Mai. Wtr. Body
Subdivision
Authorized Agent City ztP
- lEs
UBA
LJ PTS
J N/A
Phone # ( )_River Basin
(nat /man /unkd
Type of ProiecV Activitf
)Pier (dock) length
Fjxed Platform(s) _
Floatint Platfo.m(s)
-
i
Finger pier(s) __,
Groin lentdt _ !
I h
+
E
F -t
number
Bulkhead/ Riprap len$h :
av8 distance offshore
max distance offshore
Basin. channel
+---l----t---t-+--.f-.]--.r-t---l--l--L-t--.1-r+-.1----J
cubic vrrds I ;-*." r' - -1--t
--+
Bodrcsse/ Boadlft \
B€ach BulldozinS I +++_l+r!ur.rOtherI l-,l.-#-
I
Shorehne LenSth
SAV: not sure
l'1oratorium: nle ft fl- t
A building permit may be required by:
( Note Local PlanninS Jurisdiction)
fJ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Sigmore * Please read compliance statement on back of permit *
PermitOfficer's Printed Name
SiSnature
Application Fee(s)Check#lssuing Date Expiration Date
State ZIP
Adi. Wtr. Body_
(Scale:
l---f-.-lll-.....1-
I
1-
I
+---l---..1--i- -F-+i-t---.]r
I
Statement of Compliance and Consistency
This p€rmit is subiect to compliance with this application, site drawinS and attached general and sPecific conditions. Any
violation of these terms may sublect the permittee to a fine or craminal or civil action; and may cause the Permit to become
null and void.
This permit must beon the proiect site and accessible to the permit officerwhen the proiect is inspected forcompliance. The
applicant certifies bysigningthis permit that l) priorto 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 return receipt has been obtained from the adiacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this Permit under the best arrailable
information and belief, certirythatthis proiect is consistent with the North Carolina CoastalManagement Program.
River Basin Rules APPlicable To Your Proiect:
lf indicated on front of permit, your proiect is subject 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 WashinSton Regional Olfice (252-946-6481) or the
Wilmington Regional Office (9 I 0-796-721 5) for more information on how to comPlywith these buffer rules.
Tar- Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
E other:
Washington District
943 Washin4on Square Mall
Washington, NC 27889
252-946-648t
Fax:752-948-M78
(Serves: Beaufort, Benie, Hertford, 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: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
Division of Coastal Management Oflices
Morehe:d City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ r -888-4RCOAST
Fax: [phone]
(Sewes: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counti6)
Elizabcth CitY District
401 S. Griffin St.
Ste.300
Elizabeth City, NC 27909
252-2U-390t
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
hnp://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ I 7
AGENT AUTHORIZATIO}I FOR CAMA PERTIIT APPLICATION
Name of Property Owner Requesling PermiL davrd ror
Mailing Addra€s:116 \^, r.,+- oak r\vcr r(\ad
F*e-\ \a . N o zBSg!+
Phone Number:
Emall Addr€ss:
I cenify fiat I ha\r€ aulhorized
qqO - +1 \, .qS \ol
.i.rA5r.\o\eve / Oe+a arL-r-\ra r\
Aoeil, Confacbr
to act on my b6haf, br tfie p(lrpe ot applylng fur and ohining all CAMA permib
neessary ,or the iollorving plDposGd dovclopm€nt .-x+gnSlOr\ornd
at my proporty located at
in cn 6\ o\^,
ta A ,^,hi te .!a\a e.\.r €C road
I tufirermorc @tfy that I am auhuizd to $anl aN do k fact gtant pefiisfJiil to
Dtui:ion of @sfal Mangana* siafi the lml tunit 6tar ana net dgr/s to emer
on the afotefiwfid.ted larlds in @ildbn wit etnludhtg inft,I/,tdion relaled lo fiispmftappli@lion
ProF.t, Orr.r ffirmlto.i:
dav \d tardrn
Ptfr or Tt@ Na,tB
owrl er
Tib
Dals
Thb cs.dficatbn b vali, through / t
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent tO davr ri hardin e
(Name of Property Owner)
property located at rtR f\\+ e- oaK k\\.r F P rootd
(Address, Lot Block,etc.)
on in o
(tlYaterbody)ffown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location-,- I have no obJection to this proposal.
I halre ob.iedions to thls proposal.
DESCRIPTION DRAWNG OF PROPOSED DEVELOPMENT
02' ex'rst\n
I do wlsh to waive the 15, s€tback requirement.
I do not wish to waive the 15' se{back rcquirement.
lze ,lhrtg OorF' bl\.{fF l3o r.ih\+e oa
b\,.\f?
K
ou4+ \At\+\"
rorntte
x x x > x\ x{7 } x-<-x -. , ,l"i rl-f
)( Yx).),(x)
),\
Ig
x
x o
)Property Owner )(
Signature
Print or TWe Name
Mailing
qqo-+1\a - qSb
Telephone Number / email address Telephone Numbaj / email address
Pint or
(Revised Aug. 201 4)
Ddte
1/alid fior one calendar year after signature*
Dalea
N.C.
ffieffi
ADJACEHT RIPARI,AI{ PROPERTY OWI{ER STATEHEI{T
I hereby certifr trat I own property adjacent to ' d f\a!-d'^,s
proP€rty located at t2-K brlrlFF
(Name of Proporty Owner)rood
(Addess, Lot Block,, etc)
on tn N.C
Waterbody)(c own and/or County)
The applicant has desoribed to me, as shorn bdow, the devdopment proposed at the above
location.,- I have no objeclion to this proposal.
I have objectlons to thls proposal,
(lndMduallle wh\te OAK-' br,.rf F
DESCRIPT|ON AND/OR DRAWTNG OF PROPOS
prloposlng (Fiydopmgl,t must fill ln df5'crlpdot
ED DEVELOPHEI{T
be,ov or a/6ch ao2' e*'rSt\rr
iPr
c oaK
b\ 'lf t
o r-1+ \ ,l\t\-\
granj ff-
X ).x > >\ x'*7 -x x.x-<**, 39 )()
x
Ie'
x
WAIVER SECTIOT{
I understand that a pier, dock , mooring pilings, boat ramp, breakwater,boathouse, lift, or groinmust be back a minimum distance of 15' from my aroa of riparian a ccess unless walved bym(tf wish to waive the setback,your:FltEhe appropriate blank b€tow.)
I do wlsh to walve the 15' s€tback requirement.
I do not wish to waive the 15, sotback rcquirBment.
Oyner lnto P Owner lnformatlon)
Slgndture
davi rl hrardin
Pdnt or TWe Namo
Signotute
Pint orTwo Namo A'd ttt
E.
L
Date
ryalid tor one calendar year aft6r signabre'
Ddte+
Numb€r /
(R6vis€d Auq. 2011)
affisie4t q, uc 2SSB{
WE'blo/Zipqqo- + -?b - qql. I
Telephone Numbr / ema addross