Bayer, Charles 77187C

FcAMA t$o*=",cE & F.LL W
ENER/AL PERMIT
ew EModification EComplete Reissue EPartial Reissue
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 l5A NCAC
Applicant
Address
Prolect Location: County
Street Address/ State Road/ Lot #(s)
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N9 77187
Previous permit
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Date previous permit issued-
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Name
Phone Subdivision
Authorized Agent
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Phone # (_)
Adj. Wtr
Closest Mal. Wtr. Body
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River Basin Ne-r-t I e
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Type of ProjecU Activity
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il 30(Scale:)
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)___________ -1
Groin length
number ./
length
m:x
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
yes
yes
A building permit may be required by:f Su" note on back regarding River Basin rules.
( Note Local PlanningJ oConditions
** Please read compliance statement on back of permit **I
Fee(s)Check #
PermitOfficer's
ERules attached.
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Statement of Compliance and Consistency
This permit is sublect to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subiect the permittee to a fine or criminal or civil action; and may cause the permit to become
nullandvoid.
This permitmust beonthe pro,ect site and accessible to the permit officerwhen the proiect is inspected forcompliance. The
aPPlicant certifies by signing this permit that I ) prior to undenaking 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 written statement or certified 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 permit under the best available
information and belief, certifythatthis proiect is consistentwith the North CarolinaCoastal Management Program.
River Basin RulesApplicable ToYour Project:
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 Washington Regional Olfice (252-946-6481) or the
Wilmin4on RegionalOffice (910-795-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Oftices
Tar- PamlicoRiver Basin Buffer Rules
Neuse River Basin Buffer Rules
E oth".,
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9to-796-7215
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - Sor]th of New River lnlet-
and Pender Counties)
Morehead City Headquarters
400 Commerce Ave -
Morehead City, NC 28557
252-808-2808/ r -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
http://ponal.ncdenr.orglweb/cm/dcm-home
Revised 7/06/ I 7
Elizabeth Citlr 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)
Washintton District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufon, Beftie, Hertford, Hyde,
Tyrrell and Washington Counties)
ADJAC ENT RI PA RIAN PROPE RTY OUVN ER STATEITII ENT
,'t /t-'l'lA fI hereby certify that I own property adjacent to (5
dc,*u /*of Owner)
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property located at
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(Waterbody)(GitylTown and/or Gounty)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
Block,
DESCRIPTION AND/OR DRAWNG OF PROPOSED DEVELOPMENT
(lndividual proposing development mustfrfi in description below or at:tach a sife dnwing)I I r6L,*, (L.\ f fwc til
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I understand that a pier, dock,
back a minimum distance of 1
wish to waive the setback, you
must be set
I do wish to waive the ls,setback requirement.
me. (lf you
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I do not wish to waive the '15' setback requiremeht.
(ProperU Owner I nformatlon )Owner )
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Date
(Rel/1.s€,d 6/1M012)
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ADJACENT RIPAR'AN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t/S
on
property located at
(Name Property Orrner)
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{Waterbody}(City/Town and/or County)
The applicant has described to me, as shourn below, the development proposed at the above
location-
I have no objection to this proposal
DESCRIPTION AND/OR DRAW NG OF PROPOSED DEVELOPMENT(lndfuidual prcposing development must fltt ln description below or a!,tach a site drawing)
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I understand that a pie( oo"*,,,1*nffif,ffiHr, boathouse, rift, or groin must be setback a minimum distance of 15'from-niy aEd ot ripariin access unress wairEa ov ,L. trr vouwish to waive the setback, you must initiat tne apprbpriiie ur;kGffi; "qrveu wr rIrE'
I do wish to waive the ls,setback requirement.
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I have objections to this proposal.
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I do not wish to waive the 15' setback requiremeht.
(Property Owner lnformatlon)(Adjacent Property Owner lnfomration)
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(Ravised 6/18t2012)
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