Crawford, Tom 77312C

L.TCAMA/ ]DREDGE & FILL
GENERAL PERMIT
lNew 'tlModification !Complete Reissue IPartial Reissue
Previous permit #_
Date previous permit issued-
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern Pursuant to , tO *aOa ,, [i;; ai*n,-.
Applicant Name Proiect Location: County
Aqldress
Phone # ( )E-Mail Subdivision
City_
Phone # (-)River Basin
City ,
Authorized Agent
rcwAffected
AEC(s): oEA
Pu,S
ORW: yes / no
ztP
aEw
L HHF
f PTA
trtH
!ES
] UBA
tr PTS
] N/A Ad j. Wtr.(nat /man /unkn)
PNA yes / no
}c
Type of Proiecv Activity
(Scale:)
Pier (dock) lensth .,1
Fixed Platform(s)
-
FloatinS Platform(s)
rt -- itt .rrr-+tGroin lenSth
number
--
I
gulkhead/ Riprap length
av8 distance offshore I
max distence ofrshore
Basin. channel
t_ F--1&i-_F_"1.....i-.-_t--+.__L _l
cubic Frds_
Boat ramD
Boathou/e/ Boattft
+{t-I 1r fi
Beach Bulldozint_
Other I l l---t--.]---.1-
I .t_l
+l
.---1----:-r ---r----l----l---#i-i j-----r-----+---
SAV| not sure
Moratorium: a
t
: |+,f+-HJl
, ', I I I
A building permit may be required by
( Note Local Planning.,urisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back ofpermit **
PermitOffi cer's Printed Name
Signature
Application Fee(s)Check#lssuing Date
N9 77312 A B/C D
Street Addresy State Road/ Lot #(s)-
Closest Maj. Wtr Body
State ZIP_
Finger pjer(s)
Shorelin€ Length
I] See note on back regarding River Basin rules.
1
Expiration Date
River Basin Rules Applicable To Your Proiect:
E oth.r,Tar- PamlicoRiver Basin Buffer Rules
Neuse River Basin Buffer Rules
lf indicated on front of permit, your proiect 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 Olfice (252-946-6481 ) or the
Wilmington RegionalOffice (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
2s2-808-2808/ | -888-4RCOAST
Fax: [phone]
(Serves: Caneret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste.300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-7215
Fax: 9 l0-395-3954
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal.ncdenr.orS/web/cm/dcm-home
Revised 706117
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 cause the permit to become
nulland void.
This permit must be on the proiect site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies bysigningthis permitthat l) prior to undertaking any activities authorized by this permit, the applicant will
confer with aPPropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a wriften statement or certi{ied 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 available
information and belief, certify that this proiect is consistent with the North Carolina Coastal Management Program.
Washingon District
943 Washin6on Square Mall
Washington, NC 27889
252-946-6481
Fall,:252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washingon Counties)
ADJACENT RIPARIAN PROPERTY OWNER STATEiIIENT
I hereby certiff that I own property adjacent to ro.- c..o,r.i{o. d '
(Name of Propeily Ovmer)
property located at \3\2 M*- e\e-asqnt Roqd
(Address, Lot, Bloclq Road, etc.)
on in s"\ar1stor o /ons\oW
s
.N.(waterbody) @
The applicant has described to me, as shown below, the developmerit proposed at the above
location.x I have no objection to this proposal.
I have objections to this prcposal.
DESCRIPTION AND/OR DRAWNG OF PROPOSED DEVELoPITIIENT
(lndividual prcposing danelopment must filt in description below or attach a slte dnwing)
r
llT oleorblutc Iane $_
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@
13 t ,o l,'l+ Pteasar, t e d
3'x 2l'
WA]VER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lifl, or groin
must be set back a minimum distance of 15'from my area of riparian access unless waived by
me. (lf you wish to waive the setback, you must initial the appropriate blank below.)
q x3
x brt tdo wish to waive the 15' setback requirement.
_ | do not wish to waive the 15' setback requirement
(Prope
Print or Type Name
n)(AdJacent Property Owner lnfolmatlon)
{4,rlr,*.N*"ffi,^-,
Signaturer
Bar F .rr a Howe.v+on
\a\?- Mt a\ea
Pint or Type Namesant Q.oad \1lu M+ Dlersa n+ Qoad
Mailing Addrcss Mailing AddrcssNc 2858{6\^ra r\<lloro.ro t,lo ?gq
City/StatetZip City/State/Zip-oq CL . rr. COrr\
Telephone Number /address Tdephone Numbr / email adclrcss
l/alid for one calendar year after signature'
Date'
(Revised Aug. 2014)
"rtr r{ ?6? O
Dae' | '
ADJACENT RIPAR]AII PRoPERTY owI{ER STATEMEIiIT
I hereby certify that I own property adjacent to To u*ordC r a,vt
{Name of Property Owner)?- M+. Pr\eaSaA+Road
(Addr€&3. Lot Block, Road, etc.)
tn N.C.(\,Yaterbody)(Clty/Town and/or County)
The applicant has described to me, as shoum below, lhe development proposed at the above
location.X I ha\re no objecdon to this proposal.
I h.ve obj€c ons to this Foposal.
DESCRIPTION AND/OR DRAWIT{G OF PROPOSED DEVELOPMENT
JnttMdual
1 ctear ot'.,,lg lar
mustfrll ln d€scfipdon bdou ot alhch a slte clnwing)
rJru r4r Preagant gd
(,rl
><
P
co
q v-3
wArvER sEcTtoit
I understand mat a pier. dock. mooring pilings, boat ramp, breakrlater, boahouse, lift, or groin
rnust be s€|t bacl( a minimum distance of 15 fiom my arga of riparian access unless waived by
me. (lf you wish to wai\re th€ s$ad( yomfffffire appropriete blank bdil.)
I do wish to waive the 15' sdack requiremert
I do not wish to waive the 15' s6ad( r€ouirement.
Owner I n)
Prlnt qType Nan?€l3l2 I{t ?\Uhr\t ?A
or Name
Matliw A&rass
<, rar\ C.6r a L zs58L+Ueilino 0"s llc-*frCilvlw,b ,i 6,1 - a i,+1 oq 8v/+c, a w(o r dt @ et.v t.cr,r'.
I)
ahoo . e orvl
:J-eleDhone Number / emdil address
o o O
Telepll€,na Number /O?t)././;,. 2.=t\
'/alid ior on6 cal€ndar year aftr signature'
M'7 /
(Revised Aug. 2014)
3' x z\'
.{:i
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Reguesting Permit: Tocn c.rqw €ord
Mailing Address:\3\2 Mt P\€ASa ni rr d
Phone Number:
Email Address:
I certify that I have authorized
-ro!+ - q*Ll - oq gb
+c,r^w€oYdr O eo.r r .c,o rr)
.l,iq+\n OI eV Pe+e Chrrotnlc
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:dAmo I r+r oY.,ot otd dooL
at my property located at \3tz M r pl e4sont aoad
in on S t oW County.
I fufthermore certify that I am authoized to gnnt, and do in farct gmnt pemlilsbn to
Division of Coastal Management staff, the Local Permit Oficer and their agents to enter
on the aforcmentioned lands in annection with evaluating information related to this
permit application.
Prcpeily Ormer
rorv,lfurdl
c,o
f orY\ C
Pint ot TyW Nafi,E.
vr, n e-r
Tttu
91*J_Lo t-zozo_
Dab
This certmcaton is valid through / /
c. r/.rn<t\6l..\ r..ta_ ? q<q