Beaman, William 80512C

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ER/AL PERMIT
IModification ICompleteReissue EPartialReissue
As authorized by the State of North Carolina, Department of Environmental Quality
in an area of concern pursuant to I 5A NCAC
N9 80512
Previous permit #,
AB C D
'ftC,'€c Prolect Location: County
Street Address/ State Road/(s)
Subdivision
Phone # (_)
Adl. Wtr
Closest Maj. Wtr. Body
Date previous permit issued
c/Ot.,?ztP
Basin
Address o
C C,,State _ztP ra
Authorized Agent _ Ciry
Phone #
Affected
AEC(s):
ORW:
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nES
tr UBA
!PTS
trN/A
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NHHF trIH
PNA yes no
?
lr-Olrltr
yes no
ta 'Outut-/
ou)
Type of ProjecU Activity 7
Pier (dock) length
(Scale:ry'-.rfl I
Fixed Platform(s)
Floating Platform(s)
Finger
Groin length
number
Bulkhead/ Riprap
avg distance
length
offshore
max distance offshore
Basin, channel
cubic
Boat ramp
Boathouse/
Beach
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
yes
yes
no
no
no
no
A building permit may be required by:
( Note Local Planning Jurisdiction)
C,Cr,^y'E S"" note on back regarding River Basin rules.
Notes/ Special Conditions (-(O\Ja A / r'n,
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Fee(s)Check #
Permit
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Rules attached.
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Please read compliance statement on back of permit x*Signature Signature IIta/,
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 subiect 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 proiect site and accessible to the permit officer when the proiect is insPected for comPliance. The
applicant certifies by signingthis permit that l) priorto undenaking 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 available
information and belief, certifythatthis proiect is consistentwith the North Carolina Coastal Management Program.
Division of Coastal Management Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax: [phone]
(Sewes: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth C itv District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-26r'.-3901
Fax:[phone]
(Servei: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
2s2-946-6481
Fax:[phone]
(Serves: Beaufon, Benie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9to-796-7215
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal.ncdenr.orglweb/cm/dcm-home
Revised 7/05/ I 7
River Basin RulesApplicable ToYour Proiect:
Tar- Pamlico River Basin Buffer Rules Other:
L l Neuse River Basin Buffer Rules
lf indicated on front of permit, your project 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 (252-946-6481) or the
Wilmington RegionalOffice (910-796-7215) for more information on howto comPlywith these buffer rules.
trCAMA/ TDREDGE & FILL
Name
N9 80512 A BCDNER/AL PERMIT Previous permit #
Date previous permit issued-ENew IModification EComplete Reissue EPartial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
andtheCoastalResourcesCommissioninanareaofenvironmentalconcernPursuanttol5ANCAC
Applicant
Address
Proiect Location: County
Street Address/ State Road/ Lot #(s)_
State ztP
Phone # (_)E-Mail Subdivision
ztPAuthorized Agent citv
-
Affected
AEC(s):
trCW trEW trPTA
trOEA trHHF trIH
n PWS:_
trES
tr UBA
tr PTS
trN/A
Phone # ( )- River Basin
Adl. Wtr
Closest Maj. Wtr. Body
(nat /man /unkn)
ORW: yes / no PNA yes / no
Type of ProjecU Activity
(Scale:)
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore_
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes .no
Moratorium: I
Photos:
Waiver Attached:
nla yes no
yes no
yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
E S"" note on back regarding River Basin rules
Notes/ Special Conditions
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
PermitOffi cer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
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Statement of Compliance and Consistency
This permit is subiect to compliance with this +plication, 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 accessibletothe permit officerwhen the project is inspected forcompliance. The
applicant certifies bysigningthis permitthat l) priorto undenaking any activities authorized bythis permit, the applicantwill
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 sitatement or certilied 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 project is consistentwith the North CarolinaCoastal Management Program.
River Basin RulesApplicable ToYour Project:
Tar- Pamlico River 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 O{fice (252-946-6481) or the
Wilmington Regional Office (910-795-7215)for more information on howto complywith these buffer rules.
Division of Coastal Manatement Oflices
othe.,-
Morehead City Headquarters
400 Commerce Ave
Morehead Ciq/, NC 28557
252-808-2808/ I -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth Citv District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasqt otank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:[phone]
(Serves: Beaufon, Bertie, Hertford, Hyde,
Tyrrell and Washington Courties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9to-796-7215
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New fuver lnlet-
and Pender Counties)
http://portal.ncdenr.orglweb/cm/dcm-home
Revised 7/05/ I 7
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I hereby cerllfy that I own property adjacent to s
property located at
(Name of Owner)
(Address,
N.C.
(Waterbody)Clty/T and/or County)
The applicant has descrlb€d to me, aB shown below, lhe development proposed at the abovelocation.
X I have no obJectlon to this proposal.
I have objections to thls proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP MENT(lndluldual proposlng dcwlopm.nt must f, ln dea tpflon bolow or attaeh a sfte .trawtng)
Owner lnformatlon)(Adj
dlure
lunder5tandthatapler,dock,.moonnffio,breakwater,boa1house,lift,orgroln
must be set back a minimum dlstance of 1s' from my arda of rlparlan access unleis waive-d byme' (lf you wish to waive the setback, you must lnl$al the appropriate blank betorv.)
[r['D--, do wish to waive the 15' setback roqulrement.
I do not wlsh to walv6 the .1S, setback rcqulrement.
Pdnt or Name
/ email
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or
<^a-
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Numbet / omall address
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.va*d ror ono carend€r year afror sisnatur€r 4^y€baccol>ct;tJiB67gt;61
AOJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to lAlwu*t^S
(Name of Property Owner)
Address,Lot, B , Road,etc.
on ln lL N.C.
(Waterbody)(City/Town andl ounty)
The applicant has desffibed to me, as shown below, lhe development proposed at the above
location
I have no objection to this proposal
I have objections to this proposal
DESCRIPTION AND/OR DRAWNG OF PROPOSED DEVELOPMENT
(lndivldual proposing devetopment must frll in dascrlptton betow ot aftach a site drawlng)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boalhouse, lifi, or groin
must be set back a minimum distance of 15'from my area of riparian access unless waived by
me. (lf ygu wish
,/1il-,o
to waive the s€tback, you must initial the appropriate blank below.)
o wish to waive the 15' setback requirement
I do not wish to waive the '15' setback requirement
tion)(Adlacent Prop6rty Owner lnformation)(
or
€Je Print or Typo Na
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,dL Mailino Address -A*l:o^ 'Po;rt uA - zirTe{
"u')'*fl| azo.qznCity/State/Zip
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address
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*Valid br one calendar year after signature'
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property located at
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adi ac"nt to l/i/r L ufi^- hr-&tu ")(Name of Property Owner)
property located at
Address,Lot, B Road,etc.
s
)
on tn tL N.C.
(Watsrbody)(City/Town and/or ntv )
The applicant has described to me, as shown below, lh6 development proposed at the above
location
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWNG OF PROPOSED DEVELOPIIENT
(lndivldual prcposing davelopment must filt in descrtptton betow or al./E,ch a sita drawlng)
WAIVER SECTION
I understand that a pier, dock, moori ng pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum d istance of 15'from my area of riparian access unless waived by
)(
re
me
or
M
telZip
z&L
Telephone N
. (lf ygu wish to wa
,,fPat r do wish
ive the setback, you must initial the appropriate blank below.)
to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
(Adjacent Property Owner lnformation)
tte*IF
Print or
),/ /
Type Nametbt*d
i/L N
Crx^'*2:*Yi bro -qzlo
febphone Number / email address
,(
address
Date
.Valid for one calendar year after signature*
Dale*
(Revised Aug. 2014)
Aftpe,s,J
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NC Division of Coastal Management
Cashier's Official ReceiPt
eln
Received From:C^.L QLo" rtn
Date:,@L
S 4N-
Check No.:Le0
County:
Permit No.:(n EtAL !r,..llLal
Applicant's Name:t^.tlll)a^^(\zrs
^,r-o,a
Project Address:t73 Jr<A S+{bt^?
Please retain receipt for your records as proof of payment for permit issued'
Signature ot Agent or Applicant:
Signature ol Field Representative:
Date:
Oate ..atl^tL
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