Arnett, James 79560C

/IDREDGE&FILL
ENER/AL PERMIT
EModification EComplete Reissue f Partial Reissue
the State of North Carolina, Department of Environmental Quality
N9 79560 A B
Previous permit #
Date previous permit issued
c D
As by
and the Coastal Resources Commission in an area of concern Pursuant to l5A NCAC
,-' / I lTPu
n Rules attached.
Road/ Lot #(t)__
Applicant
Address
Phone #
Authorized Agent
{A
State ZIP tftt
Project Location: County
Street Address/ State
Name
ara
thc
-70 Subdivision
^4
cilk,(/?
! PTS
trN/A
City9 A-/frt -,ztP
BasinAffected
AEC(s):PWS'-
ORW:no PNA yes
N CW NEW DPTA trES
trOEA NHHF NIH NUBA Adj. Wtr.
Closest Mal. Wtr. Body
</IU,/ *
>C
lztType of ProiecU Activity $.4
Pier (dock) length
Fixed Platform(s)
(Scale: )
Floating Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
av8 distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/
I
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
yes
yes
no
no
no
A building permit may be required by:
( Note Local Planning Jurisdiction)
C , (k^r'E S* note on pack regarding River Basin rules.
I
d t t hutt .t e2'Notes/ Special Conditions (J fir*. I tl ,
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PermitOfficer's Printed Name
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compliance statement on back ot
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Application Fee(s)Check #lssuing Date
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Phone # (_)
lno
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Signature
II
Date
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 subject the permittee to a fine or criminal or civil action; and may cause the permit to become
nulland void.
This permit must be on the projectsite and accessibletothe permit officer when the proiect is inspected forcompliance. The
applicant cenifies by signing this permit that I ) prior to undertaking any activities authorized by this permit, the applicant will
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 adjacent riparian
landowner(s) .
The State of Nonh Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis project is consistentwith the North CarolinaCoastal Management Program.
River Basin RulesApplicable ToYour Proiect:
i. -] Tar- Pamlico River Basin Buffer Rules
l l Neuse River Basin Buffer Rules
] othe.,
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 Otfice (252-946-6481) or the
Wilmington RegionalOffice (910-795-7215) for more information on howtocomplywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
2s2-808-2808/ r -888-4RCOAST
Fax: [phone]
(Serves: Caneret, Craven, Onslow -
Nonh of New River lnlet- and Pamlico
Counties)
Elizabeth Citv District
401 S. Griffin St.
Ste.300
Elizabeth City, NC 27909
252-26r'.3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-648t
Fax:252-948-M78
(Serves: Beaufon, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
I 27 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-72t5
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portai.ncdenr.org/web/cm/dcm-home
Revised 7/06/ I 7
Applicant Name
f]CAMA /TDREDGE&FILL
ENER/AL PERMIT
ENew flModification 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
N9 79560 A BCD
Previous permit #_
Date previous permit issued_
to l5A NCAC
E Rules attached.
Project Location: County '
Street Address/ State Road/ Lot #(t)_
Subdivision
ztP
Phone # (_)River Basin
Adj. Wtr (nat /man /unkn)
Closest Mal. Wtr. Body
Address
State ZIP_
Phone # (_)
Authorized Agent
Affected
AEC(s):
n clv
trOEA
tr PWS:
t] E}Y
t] HHF
N PTA
trrH
trES
tr UBA
trPTS
trN/A
ORW: yes / no PNA yes / no
Type of Projecfl Activity
(Scale:)
Pier (dock) len4h_
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)_
Groin len4h
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore_
Basin, channel .H
cubic yards_I
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium:
Photos:
Waiver Attached
nla yes no
yes no
I 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
Agent or Applicant Printed Name
Signature
Permit Officer's Printed Name
.%
** Please read compliance statement on back of permit **Signature
Y\
Application Fee(s)Check #lssuing Date Expiration Date
-
E-Mail
+
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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
nulland void.
This permit must be on the projectsiteand accessibletothe permit oflicerwhen the proiect is inspected forcompliance. The
applicant certifies by signing this permit that l) prior to undertaking any activities authorized by this permit, the applicant will
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, certirythatthis proiect is consistent with the North Carolina Coastal Management Program.
River Basin RulesApplicable ToYour Proiect:
I oth".'Tar- Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
lf indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
Rjver 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 Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
2s2-808-2808/ | -888-4RCOAST
Fax: [phone]
(Serves: Caneret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth Ciq, Dbtrict
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 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:[phone]
(Serves: Beaufon, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 9 l0-395-3954
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://ponal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
f f 4*tq-ra-,is %rJl-h;^J t*:rcn1 p/eoca e ce^l I - e {e- 3rl2- r/e{L
fl/nueeLl )CYo'h*";
Locality Pcrmit Number
Ocean Hzud
-
Estuarine Shoreline- ORW Shoreline
-
Public Trust Shoreline- Other
-
(For fficial use onl;)
GENERAL INFORMATION
LAND OWNER. MAILING ADDRESS
Namc
OTHER PERMITS MAY B[ REQUIRED: The activity you are planning may require permits other than the CA]\,IA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing. Heating md Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dme, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
othes. Check with your Local Pemit Oflicer for more infomation.
STATEMENT OF OWIIERSIHIPT
I, the undersigned. an applicant for a CAMA minor development permit, being either the owner ofproperty in an AEC or a
perion authoriz€d to act as an agent for purposes ofapplying for a CAMA minor development pemit, certif, that the person
listed as landowner on this application has a significant ift€rest in the rcal property described thercin. This interest can be
described as: (check one)
t,p6) s1? - 7O/ s _an owner or record title, Title is vested in name of
ln ofDeeds.
cilv State
Enrail
AI.ITHORIZf,,D AGENT
Name
#/?
--,"r- t"t"r l"" *-"t" r-, - *r rottr*r*r"" "
NOTIFICATION OFADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that thc following persons are owners ofproperties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them conceming my intent to develop this property and to apply for a CAMA permit.
3 8{?7
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SIZE OF LOT/PARCEL: square feet _ acres
PROPOSED USE: Residential d $inet"-to itydUun;-tomily ! )
LOCATTON OF PROJf,,CT: (Addrcss, street name and./or directious to site; name of the adjaccnt waterbody.)(l)
(2)
(3)
(4)
DESCRIPTION OF PROJECT: (List all proposcd construction and land disnrrbance.)|'Xtrc' 5.+l '
COMPLETE EITHER (l) OR (Z1BELOW (Contact your Local Perni Olfrcet if lou dre no, surc which AEC appties
to your prupefiy)i
(l) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURT: f?O squ*" feet (includes
air conditioned living space. puking elevated abovc ground levcl, non-conditioned space elcvated abovc ground lcvel but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPFJNT AND OTHER IMPERVIOUS OR BUILT
UPON SURIACES:
-
square feet (includes the area ofthe foundation ofall buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the applicable AEC. Aftach your calculations with the project dmwing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stomwater M8nagem€nt Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES_ NO_
lfyes, list the total built upon area,/imperuious surface allowed for your lot or parcel: _ square feet.
ACKIIOWLEI}GEMENTS:
I, the undcrsigned, acknowledgc that the land owner is aware that the proposed development is plamed for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations conceming stabiliza-
tion and floodproofing techniques.
I fi.tthemore certifi, that I am authorized to grant, and do in fect gEnt, pemission to Division of Coastal Management staff,
the Local Pcmit Officer and their agents to ents on the aforementioned lands in connetion with evaluating infomation
related to this pemit application.
yfiu*n", u, p"tson authorizcd-to-act as his/-her agcnt for purpose of filing a CAMApemit application
This application includes: general infornation (this Jb,m), a site drawing as d.escribed on the back of this application, the
o*'nership statement, the Ocean Hazard AEC Notice where necessary, a checkfor 8100.00 made payable to the locali4,, and
a4) inlomtalion as mav be provided oralll, by the applicant. The details oflhe application as descibed by lhese sources ar€
incorporated without reference in any pemit which mdy be issued. Deyiation frum these details will constitute a violation of
any pemil. Any person developing in an AEC without permit is subject to civil, criminal and adminis 'HEe'Hveo
t4AY I 2 2021
DCM-MHD CITY
Commercial/lndustrial I Other I
rvu'12)
Cpunty Registrysee Deed
_an owner by virtue of Applicant is an
n4AF.'K-
I hereby certify that I own property adjacent to
property located at
on hr,.Lo,--/,(Address, Lot,
s
ame of P Owne r)
,tn
7
, N.C.
@aterb6try)own and/or County)
The applicant has described to me, as shown below, the development proposed at the a
I have no objection to this proposal.
I have objections to this proposal.
E
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEL
(Individual ptopsing development must fill in description
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$;;'0,'n\q"c
below or a
, ofid.
OP]UIENT
fiach a site dnwing)
<\
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lDa'SeoL@r*( (
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. (lf you wish to waive the setback, you must initial the appropriate blank betow.)
I do wish to waive the 15'setback requirement
I do not wish to waive the l5'setback requirement.
(Propefi Owner lnformation)
Name
A I
(Adjacent P Owner lnformation)
s,
T - 5La o.-€.\
Print or Type Name
l3 o ijA<,cS.l<ri<
Mailing Addrcss
'/\v,A.rA,N, C z 3s ?1
CitylState/Zipzrz - 8o -,7 yvl
Telephone Nqmber / email address4/)a /.al Telephone Number / email address
1/zt"/s /Di{{ -/Datel t
(Revised Auq. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
lomtion.,w__
.d"\
L e,6v t6''\\
'Valid for one calendar year after signature*
rd
ADJACENT RIPARIAN OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
S
(Name er)
on h,(Address, Lot,
.in ,,tl) ,Ut ), N.C.(waterbodg @
has described to me, as shown betow, the development proposed at the abovqt
I have no objection to this proposal. I
I have objections to this proposal. tru
FH6
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=EoDESCRIPTION AND/OR DRAWNG OF PROPOSED DEVELOPMENT
(Individual proposing development musto
.u!tnA*'f-i)\{-5
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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. (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.
WAIVER
(Property Owner lnformation )(Adlacent er n)
/.2
Signaure*
Ffr4.r'{\L-E ol-tr3F
Name
Address
-)
/ email address
Address
)
*Vafid for one calendar year after signature*
Dq
/ email
(Revised Aug. 2014)
The applicant
locatiyz/
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NC Division of Coastal Management
Cashier's Official Receipt 74040 A s@o
a/t zoQLDate:
-Rvor,
Received From:
Permit No.:.{
Applicant's Name:Gzru,as ,lnrw,+*
$ab
Check No.:IN
County:covW
Project Address:H I b).sha(g r)n Srotuetr.-v
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant:
Signature of Field Representative:VTJ*-----T
Date:
Date:b4rlh.0
I
)
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