Sasser, William / PC Barwick 76655C

/ TOREDGEIFILL
NERAL PERMIT
Modification n Complete Reissue r Partial Reissue
by the State of North Carolina, Department of Environmental Quality
in an area concern pursuant to l5A NCAC
Prolect Location County
Street Address/Road/
a
N9 76655 AB
)/t,b.,*,rl
D
Previous permit #
Date previous permir issued_
0cu
'rJ-
C
c,\
Address )Ia
State _ztP Ln
Phone # (_ )
Adi. Wtr.
Closest M4. Wtr. Body
I "''lztP
Basin
{^.
Ou-
) \1 { r t \la-
Atent orAppli(ant Printed Name
-/'.-aj>lcompliance statement on back of permit *
1
l
Type of Proiect/ Activity :lL
Paer (do<k) lentth (Scale:)
Fixed Pladorm(s)
Floating Pladorm(s)
FinSer
Groin length
Bulkhead/ Rjprap len$h
a\E distan.e offshore
ma! distance
Basin, channel
cubic fards
Boat ramp
B..ch Eulldozing
Other
Shoreline Length
SAV: not sure
Moritorium: nla
Photoc:
W.h,Er AtradEd:
yes no
yes no
A building permit may be required
( Note Local Planning Jurisdiction)
e .1.I] See note on back River Basin rules
Notes/6t)lotit-.'
c-- ;
l
II
I I
c-L
1
I ?,
+
I ,l
r'
I I -\
I I
rl a.I
I
I I
lltI
I
I l
I
_l
T I
!
:
I
I )I
, it I I ')-t-I
I
I
Fee(s)#
1,.w
L-
/r.
Date
)a
Applicant Name
Phone#( ) E_yait
Authorized Agent
Affected cw , ,EW -.rTi Es pTs
AEC(s): - oEA rl HHF I lH Lr UBA LvA
I pWS:-----
ORW: yes / no PNA yes / no
Subdivision _
t
f,
LI .F llrLl
Name
A,
laa",;
Statement of ComPliance and Consistency
This permit is sublect to compliance with this aPPlica on, 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 Perrnit to become
null and void.
This permitmust be onthe Proiectsite and accesibletothe permit oflicerwhen the Proiect is insPected forcomPliance' The
applicant certifies by signingthis permit that l) priorto undenaking any activities authorized bythis Permit, the applicantwill
clnfer with app.oiri"L tocat authorities to confirm that this proiect is consistent with the local land use plan and all local
ordinances, and 2) a written satement or certifid mail return receiPt has been obtained from the adjacent riparian
landowner(s) .
The state of North carolina and the Division of coastal Management, in issuing this P€rmit under the best arailable
information and belief, ceftirythatthis Proiect is consistent with the North carolina coastal Management Program'
River Basin RulesApplicable ToYour Proiect:
- Tar - PamlicoRiver Basin Buffer Rules
Division of Coastal Management Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
Nonh of New River lnlet- and Pamlico
Counties)
Elizabeth Cit, Dlstrict
4Ol S. Griflin St.
Ste. 30O
Elizabeth City, NC 27909
252-26/.-190t
Fax:252-2&4-3723
(Servesl Camaen, Ctowan, Currituck'
Dare, Gates, Pasquotank and PerquifiEns
Coumies)
Other:
l] Neuse Rlver Basin Buffer Rules
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 (252-946-5481) or the
Wil";;; i"g.nalOffice (9 t0-i96-7215) for more information on howtocomPlywith these buffer rules'
Washington District
943 Washington Square Mall
Washin4on, NC 27889
252-946-6481
Fax:.[phone]
(Serves: Beau{ort, Benie, Hertford, Hyde'
Tyrrell and Washington Counties)
WilminSton District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 9 l0-395-3964
(Serv6: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
hnp://portal.ncdenr.orglweb/cm/dcm-home
Revised 7/06/ I 7
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
For? fr6y4 A, fftttEp
Name of Property Owner Requesting Permtt:Y D\tOn C, Sfr Sl EA >
Mailing Address:,?ilLu y. (&l s,
6ot SIToQ ty'(,2) flo
Phone Number:2 2- 1\1-2)2t
Email Address:b;ll qn<< en a lc tou D ,Co m
I certifr that I have authorized 6^,h"(-t-p.
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:l".L tLl- o!D\
at my property located at
in CoA..r{ county.
I fudhermore certify that I am authoized to gnnt, and do in fact gnnt permission to
Division o-f coastal Management staff, the Local permit offier and {hei agents to enteron the aforcmentioned lands in connection with evaluating information retated to thispermit application.
Prcpefi Ovner lnfu rmation:
n
ull L)a Pt t. gAlfFP t p.
Pint or Type Nafi}e
DwvtR
Title
-0f ,-='--N ,-)0
Date
This certification is valid through
r agnee to maintain the dock and boat lifts at 141 and L4z capn Deck Ln. cedanPoint, NC 28584 fon the longevity of ownenship of said pnope"iy.
William C Sasser Ownen 141 Capn Deck LN.
P.C Banwick O",nen 142 Capn Deck LN.
(
/
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to U;l ia^ €asfu ,1
s
prop€rty located at '1t
(Name of Property Owner)
Cw dress, Lot,K,R "#lontn , N.C(Waterbody)(City/Town and/or County)
The applicant has described to me, as shdlrn below, the development proposed at the abovelocatiog/"
I have no objec{ion to this proposal.
I have objections to this propcal.
DESCRIPTION AND/OR
(lndividuat praposing devctopmdrt
DRAWING OF PROPOSED DEVELOPMENT
must ftlt ln descrption berow or attach a slte drawing)
fri',|,a5 D ock
0.r,e"v,|,tnq 4
r;{+'Ne,
LiPf aa
oa
t1.L [.4afisx
WAIVER SECTION
I understand that a pier, dock. mooring pilir€s, boat ramp, breakwater, boathouse, lifi, or groin
must be set a minimum distance of 15'from my area of riparian access unless wa rved by
me (tf sh waive the setback, you must initiat the appropriate blank below.)
o wash to waive the 15'setback requirement.
I do not wish to waive the 15, setback requirement
(Property Owner I nformation)(Adj Property Own€r lnformafl on)
lure *
Lr*i-.a.
Sigz,ature
1.4/ I Lk/? n (' 5//5t€/P -t fi'
Pint or Typel") I' nt NdmeD*.t, {-kt Pdn
J
tor Name
rL,
z\1a
f ,. uri
Mailing Address Ma
L.
,,1)r7a
C -D-2 t - /6 I o^6
TeleDhone Numbar / amail address202u Telephonp Number /addl.es-s
l
rt '.1
Date
'Valid for one calendar year after signature'
Dqte'
\
(Revised Aug. 2014)
S f, tr r,l,a."
I
J)
o!r>
ADJAGENT RIPARIAil PROPERW OWNER STATEMENT
I hereby certify that I own property adjacent to U,:lli,k\ lcqfu (S
(Name of Property Owner)
property located at 1r
Address, Lot,k,R )
on TLW tn N.C
(Waterbody)(Ctty/Town and/or County)
has described to me, as shown bolow, the development proposed at the above
I have no objection to this proposal.
I haw objections to this proPosal.
The applignttocar{
DESCRIPTIOI{ AND'OR DRAWING OF PROPOSED DEVELOPTIENT
(tndtvtdu.t proposlng df,rdopmeot must frlt tn d*crtpaion bdow of al,,,ch a slte dnwing)
{rirl,n5 D ock
Prc +v t',f,t'
L,?r Ne,
UP,I_
t1.l tanQsalyn
I do not wish to waive the 15' setback requirement
aa
aa
wAlvER SECTIOI{
I undeGtand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15'ftom my area of riparian access unless waived by
me. (lf yor/*igh to waive the sertback, you muct lnltl.l the appropriate blank belm'')
,,/ dfr. *"nto waive the 15' setback requirement.
(Prop€rty Owner I )Ad nt Property Owner lnformation)(
Signature
tt/ ) LL,//4 n r. flSfei )8,
) 9ourd
,sr
or'\
addrc&s
Print or
Q9fr
Type Name P
,9 tt/,fk A
Mailing Address
, ).1f70tl/\
a a2 I
Toleohone Number / email addrcss
- 2020
Dale
ryalid for one calendar yesr afier signature'
Dale'
-r-/ email
(Revisod Aug. 2014)
I