Moore, John 79547C

/trDREDGE&FILL
GENER/AL PERMIT
EModification ICompleteReissue IPartialReissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant
Applicant Name
Address
N979547 A B,"t,D
Previous permit # \- ---"''
Date previous permit issued_
to l5A NCAC t(/
attached.
city- State zlP-
Prolect Location: County
Street Address/ State Road/ Lot #(s)
SubdivisionE-MailPhone # (_)
Authorized Agent
,t
Affected
AEC(s):
trcw
trOEA
tr E}Y
tr HHF
tr PTA
trrH
trES
tr UBA
tr PTS
trN/A
zlP
Phone # (-)- River Basin
Adj. Wtr nat
Closest Maj. Wtr. BodyORW: yes / no PNA yes / no
}C
Type of ProjecU Activity
.r (Scale:)
Pier (dock) len4h
Fixed Platform(s)
Floating Platform(s)
Finger
Groin len4h
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore_
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
a\
t)
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
yes no
yes no
yes no
yes no
t)E S"" note on back regarding River Basin rules.
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Agent or Applicant Printed Name Permit Offi cer's Printed Name
Signature ** Please read compliance statement on back ofoermit# .lcal Signature
Application Fee(s)Check #lssuing Date Expiration Date
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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 proiect site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signingthis permit that l) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to conflrm 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, certifrthat this proiect is consistentwith the North CarolinaCoastal Management Program.
River Basin Rules Applicable To Your Project:
E oth.r,Tar - PamlicoRiver Basin Buffer Rules
Neuse River Basin BufferRules
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 Office (252-946-6481) or the
Wilmin6on RegionalOffice (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Oflices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax:. [phone]
(Serves: Carteret, 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)
Washington District
943 Washin4on Square Mall
Washington, NC 27889
2s2-946-6481
Fax:[phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
l,27 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
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 7/06/ I 7
ICAMA/trDREDGE&FILL
ENER/AL PERMIT
INew 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 N
Applicant Name
Address
State ztP
Phone # (-)- e-yait Subdivision
Authorized Agent
Affected
AEC(s):
Phone # (_)
N9 79547 A BCD
Previous permit #_
Date previous permit ,ttrJ-
Prolect Location: County
street Address/ State Road/ Lot #(s)-
ztP
River Basin
Adl. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
trCW DEW trPTA
trOEA DHHF trIH
tr PWS'-
ORW: yes / no PNA yes /
trES
t] UBA
no
tr PTS
!N/A
Type of ProjecV Activity
(Scale:)
Pier (dock) length_
Fixed Platform(s)I
Floating Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Rlprap 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:
Photos:
Waiver Attached:
nla yes no
yes no
yes no
A building permit may be required by'
( Note Local Planning Jurisdiction)
I 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 **
PermitOfficer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
E Rules attached.
!
I
I
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 beon the project site and accessibleto the permit officer when the prolect is inspected forcompliance. The
applicant cenifies by signingthis permitthat l) prior to undertaking any activities authorized bythis permit, the applicantwill
confer with appropriate local authorities to conlirm that this project is consistent with rhe local land use plan and all local
ordinances, and 2) a written statement or certified mail retum 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 beliel certirythatthis project is consistentwith the North Carolina Coastal Management Program,
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 Office (252-945-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax:[phone]
(Serves: Caneret, Craven, Onslow -
Nonh of New River lnlet- and Pamlico
Counties)
Elizabeth District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-390t
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
E oth"r,
Wilmin6on District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal.ncdenr.orglweb/cm/dcm-home
Revised 7/06/ I 7
River Basin RulesApplicable To Your Project:
! Tar - PamlicoRiver Basin Buffer Rules
f] Neuse River Basin Buffer Rules
Division of Coastal Management Offices
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:[phone]
(Serv6: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting permit:John Moore
Mailing Address:1L5 Lydia Dr
Swansboro NC 28584
Phone Number:910-290-0919
Email Address:I i [e-mail]
t ertify that I have authorized
/ Contractor
to act on my behalt for the purpose of applying for and obtaining all GAMA permits
necessary for the following proposed development:
Cr f\oovac rete docK
l1
at my property located at 115 Lydia Dr Swansboro NC 28584
in Onslow
I furthermore certify that I am authotized to grcnl and do in fuct grant permission to
Division of Coastal Management staff, the Locat Pennrt Afficer and lheir agents to enteron the aforementioned lands in connection with evaluating infarmatian ietated to this
permit application.
Property Ormer lnformation:
Signaturc
John Moore
Print orTyp Name
Text
Tiile
202t
Date
o4 20
This certification ls valid through I t_
I hereby certifuthat I own propety adjacentto V\ooreJoh
property located at
On Fosters Bay
{Hame of Property Owner)
{Address, Lot Bloch
ln N.C(LtYaterbody)andlor County)
The applicant has described to me, as shown beloyy, the development proposed at the abovelqcation.
fl% I have no objection to this proposal.
y-
I have ohjections to this proposal.
DESCRIPTION AND'OR DRAYI'IT.IG OF PROPOSED DEVELOPMEHT(lndividual proposing developm*rt m ust fiII in dxcription below or attach a site drawlng)
s
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, brealorvater, boathouse, lift, or groin
must be set back a minimum distance of 15'fom my area of riparian access unless waiv& Uy
me. (lf 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.
Moore
orType Name
115 Dr
Mailing Addrcss
Swansboro NC 28584
Telephone Number / email
(.Adjacent Property Owner lnformation)
Pint or Name
Mailing
o ?gq -cqg
Telephone Number/email address
Owner lnformation)
0_4t
Date
a/alid for one calendar year after signature"
Ddte*
(Revised Aug. 2014)
-lotrrr-t V\O re
property loceted At
(Hame of Property Owner)
Cn Fosters Bay
(Address, Lot,Bloch etc.i
in N.C.
and/or County)
I?ly;,,ont has described to me, as shown berow, the deveropmefi proposed at the above>< I have no objectfon to thts proposat.
% I have objections to this ptoposat.
$ndM,tdu*t
drawing)
I hereby ceilfy that I own property adjamnt io
Owner
orType Name
lnfonnation)Property Owner lnfomation)
115 Lydia Dr
$wansboro NC 28584
Ci*tStata/Z.ip
9J 0- 290-0919 [e-mail]
ietepnone Number / email addnsss
PrintorTypi
'q trl
o4-1
Telephone /emailaddrcss
Dste
Valid for one calendar year afbr signature*
Date*
Number
(Ravi*d A,ug. 2Ata)
I understand that a pier, dock,.moori"ffffiffit brearoffater, boathouse, rift, or groin' mu$ be et back a minimum distance-oi f,rolr.Tiiiil ir rp.ri*i.d*'i,Ii*" warved byme' (lf you wish to waive the sesack, yar muet lnlttil frelpprpprrate btank helow.)
X I do wish to waive tne 15, setback requirement.
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Received From:
0+veCat
Permit No.:7q 5q7O dotA t A;,*, PlaJ*^. bL
NC Division of Coastal Management
Cashier's Official Receipt 13984 r n@p
'/ la*z&L
Check No.:t07b
Ondaut
Date:
Applicant's Name:
tF L);^ D"
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant Date:
t"{,1^Signature of Field Representative:/Date:
County:
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Project Address:
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