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Home My WebLink AboutPoyner, Edythe 78201CLAMA / - DREDGE & FILL � I. - ti"I I I A B C D -. ENERAL PERMIT Previous permit# INew Modification -Complete Reissue Partial Reissue 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 15A NCAC / l� � R,ulec attached. Applicant Name�_,_._..___ Project Location: County.-_ 1 Address t g[*rp P�y I 1/ �' � (/' Street Address/ Sjtate o , Llot ) City (I JP Y ' t 1 State I',r ZIP 1-_I��' Phone # Authorized Agent -:CW VEW PTA ,ES OPTS AEC( Affected OEA L' HHF AH = USA - N/A PWs: ORW: yes / OT PNA yes / lion) G Scale: /I J ) l Pier(dock)length �L. m Fixed Platform(s)� orm(s) ' J� ,L ,`�( ,6 r Floating Fingerplar(s)_iL> - - �^r�'sr() _- - -(1\� Groin length number length p _ l Bulkhead/Popra avg distance ofrsh _ max distance off; ore_ Basin. channel cubic yards Boat ramp_ Boathousel oa✓ jC� �,__ _ \F� � n Beach Bulldozing___ Othe Shoreline Length R /� SAV: not sure o yes Moratorium: n/a yes o )SAL'I� Photos: yes no - Waver Attached: no I A buildin rmlt m required by: A" �, See note on back regarding River Basiin1 rules. �y/1.., ( Note Local Planning Jurisdiction In Notes/ Special CpPditt?'ms I-Y.I�S.-..%+v r� f1�5'/ai7/i ,. A 1,1r�� dux.^ I g em er Applic.ionF (s) Check# Sjgnat re CFE / ❑DREDGE & FILL N9 78201 A B E� D RAL PERMIT Previous permit# NModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality T79 �QO and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ��ff� II pp n C Rules att hem d. Applicant Name � L/�l `I�Y�� `P�y�l,�` Project Location: County l 1YI-- Address (A'') I i 1�iY I�J� �i Av- Street Address/ State_Road/ Lot,#(§) a n n A Phone # `V� Authorized Agent Affected Ll CW AEC(s): Ll OEA ❑ PWS ORW: yes / 6f Vfw PTA ❑HHF ❑IH PNA yes / Activity Pier (dock) length Fixed Platforms) .r Floating Platform(s Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offsh e_ max distance offs ore Basin, channel cubic yards Boat ramp Boathouse/ oa lift Beach i Shoreline Length SAV: not sure yes rn: Moratorium: n/a yes Photos: yes Waiver Attached: no -- ki A buildin ermit ft required by: ( Note Local Planning Jurisdiction Notes/ Special Ctdit' ns (7 e/17 n V. 'r79f .c,,, ❑ ES ❑ PTS ❑ UBA ❑ N/A 52 Phone # W) Adj. Wtr. Body_ Closest Maj. Wtr. �l�,f - I ! i i- ♦ i 1� � ❑ See note on back River Basin rules. Signature * lease read compliancestatementonbacko( 't C-2n WIN Application Fee(s) Check# i Statement of Compliance and Consistency This permit is subject 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 null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that ])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 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, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑Tar - Pamlico River Basin Buffer Rules ❑ Other: ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project 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 Office (252-946-6481) or the Wilmington Regional Office (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 252-808-2808/ 1-888-411COAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http:Hportal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address:, �-A-�E16N� NL ar�6o� Phone Number: (� �Q) 5a.a-- lei `f y Email Address: I certify that I have authorized ki;4(,r-� F, r2aA GS , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 13 t)A—T—i- F t-J &5p- PI S at my property located at 1 Z) ( St - in 6" f�Tl" Fit County. / furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: A, wo'-� - Signature �dt l`fh� (n . PD LI N E7Z_ Print or Type Name Title /�/ Date This certification is valid through IZ- / 3 ( / Z020 u , I hereby certify that I own property adjacent to k '�!YL's property located at ja� zShd&1.a47 1 "77'e�vT� %r v•• " t r (Address, Lot, lock, Road, etc.) + on ��jtie �)l�tf� , in -[/Y'0 U L;d N.C. `_) (Waterbody) (City/Town and/or Cou ty) The applicant has described to me, as shown below, the development proposed at the above pc ion. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (II1f y_�oolu wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. Date I do not wish to waive the 15' setback requirement. (Adjacent Property Owner Information) (Revised Aug. 2014) 'Valid for one calendar year after signature' t ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to r—>yT'Ffr=— y^y�z s m Pro rtI Owner) property located at 17,11 S ('�'"�C. '4 (- — (Address, Lot, Block, Road, etc_.) on_�Jt%�s7ilC .in AA0J?F( eft:-( N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above tooatio -- - I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION understand that a pier, dock, mooring pilings, boat ramp. breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must Initial the appropriate blank below.) - I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. ( operty Owner in ation) (Adjacent F roperty Owner Information) S'ignaluve * Print or TYPe Name, Mailing Address City/Statelzip Telephone Number / email address 'Valid for one calendar year after signature' (Revised Aug. 2014) I,jE•'R /.W4 "S DDC 121 1 5 4A-e K LC r-0 0t> S—r— r'AIj c -2-r5' 5 7 InX2a �2GG 5 r' 4o N E4 cc;. L-A—r DGG.l<� r=X 15rtT ri %aGi< w�_ _J li .-X AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: - r"�qlkc' A�4AZe-)e, i Mailing Address: 4f o+5 fywee054t4 dyl Phone Number: Email Address: �t(�/� �l,W ��- ®q►r� I certify that I have authorized�L �Roq <S Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: r! z'�T- +— F►-�G-r=� Pt&oz- at my property located at (2-) ( in C rJ County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: -qd�� /�' Q'� - Signature Q�C� M. PaE-kz Print or Type Nam (4)ty042-1 Title Date This certification is valid through 1 2,13 ( 1 Z020 I hereby certify that I own property adjacent I�to e6LI l Vu 1 lJ r d U � �- s property located at (c} ShQUL(Q'{�� (N ^f property Owner) r (Address, Lot, lock`, R,jq9]ad, etc.) + on G 1M td , in �f/, IA a LL fit N.C. K (Waterbody) (City/Town and/or Cou ty The applicant has described to me, as shown below, the development proposed at the above gc ion. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must Initial the appropriate blank below.) I do wish to waive the 15' setback requirement. Date I do not wish to waive the 15' setback requirement. (Adjacent Property Owner Information) Are * c7GVpA �fc�c�iC(c�� or Type Name. nber/e //address (Revised Aug. 2014) `Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to G (�� y>✓+2 s (plame of Pro Owner) property located at 1 2-1 S E { �C IC L orZL) (Address, Lot, Block, Road, tc. on �J0C Syrfi..� ,in !/�0eF! " Ci±:!. ,N.C. (Waterbody) (City/Town 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 have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development most fill in description below or attach a site drawing) WAIVER SECTION understand that a pier, dock, mooring pilings, boat ramp. breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must Initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 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