Tidemore, James 79555C

,Z-\*,daruTa/ DREDGE & FILL
S7ceruepqL PERMIT
Modiitcation L Complete Reissue --Partial Reissue
tu authrized by the State ol Nonh Carolim, Depanment of Envirmrental Quality
N9 7e555 o"AB
Previous permit #
Date prariots Permit
ud the Costal Rcurces Commission
Applicant NanP
l/ /zt"pursuanl to I 5A
Proiect Location: CountY
Street AddresC
Subdivision
Phone # ( )
Adi.Wtr.Bo{v-
Closest Mai. Wtr. Body
Address
ciry J r--State &zeJpZ"tJ wt-bta-.;zr-
Phone #
1u1h66,ed Agent
Affected
AEC(s):
ORW:
'l7Q#^'r4' lo4 4.rr^u-. city tb;f,-..2b<
fnHHF
'_,cw
OEA
)q^
IH
'ES
- UBA
- PTS
irvA
PNA yes
U /unkn)
(tJ/\er't QCASst
Fe(s)
complimce nrtcmant on bad< of permit o6ftch<k*
<--
il.#,kJ
l)'tw
a)(Trpe of
Orn,Lf".nt
-l
o*il
Activity
)lsaVrn.l
1-
L
)
L
f
(,
yet
b
7U plp*u, n,rfml-,required b[
.. Ds(3
r
L
ye!
ycs
yes
<rt*< yrdt
A building pemit may be
Bulkled/ Riprap lcn6h
( Note Laal Pbnning.luridiction)
Notes/ Speclal Condltins
Beadr
OdE
Shq€aE Lst4h
SAV: nd!re
M!ffidifr: rda
Phffi:
W.isAEh.d:
xxoo ?r
I Se mte on back r€grrding Riwr 8sh rul€s.
Ih- t i 'r..,/
a4 di:rre of,{rre
tudlilrEofhh@
8atb,dilGl
ndr$6
kE6 rts(')
Groh lsBth
Pid (dock) blEdl
Fired Pldorn(r)
FldorS PLt dn$)
FltlS:--
s
/trDREDGE&FILL
ENER/AL PERMIT
by
EModification ECompleteReissue EPartial Reissue
the State of North Carolina, Department of Environmental Quality
Date previous permit issued_7a /u*t
c:.v"w
N9 79555
Previous permit #,
AB G/,
and the Coastal Resources Commission in an area of environmental concern PUrSUant to l5A NCAC
As
Applicant
Address
ORW:
fi/.nName Project Location: County
Street Address/Cttz ir
L
Lot #(s)
?/llt (State /L
Phone #
Authorized Agent -Tb^ L.
ztP 1-r)
\-/-c4 c,
Subdivision
City
Phone # (_)
Adj. Wtr
Closest Mal. Wtr. Body
zt
Affected 'tr cw ry
AEC(s): loEA ! HHF
I-] PWS:
trIH
nES
tr UBA
tr PTS
trN/A
Basin
PNA yes
>C
I I I
I
1
i
i
Type of Activity r ('f Q,C
L _ Ds(3 s (Scale:)
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
-+
cubic yards
Boat ramp
Boathouse/
Beach
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
yes
A building permit may be by:+E S"" note on back regarding River Basin rules.L-rit.J( Note Local Planning Jurisdiction)
Notes/ Special Conditions (
\(
Agent or Applicant Printed Name
,*Please read compliance statement on back of permit **tt".ry
Fee(s)Check #lssuing
d'
Date
)
yes
,
Statement of Compliance and Consistency
This permit is sub,ect 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 officerwhen the proiect is inspected for compliance. 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 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, certirythatthis proiect is consistentwith the North CarolinaCoastal Management Program.
River Basin RulesApplicable ToYour Proiect:
Tar - Pamlico River Basin Buffer Rules E othe.'
i . Neuse RiverBasin Buffer Rules
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 Office (252-946-6481) or the
Wilmington RegionalOffice (910-795-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Oflices
Morehead City Headquarters
400 Commerce Ave
Morehead Ciq/, NC 28557
2s2-808-2808/ | -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
Nonh 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 Washington Square Mall
Washington, NC 27889
2s2-946-6481
Fax:[phone]
(Serves: Beaufon, Benie, Herrford, Hyde,
Tyrrell and Warhington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-72t5
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
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Ptoperty Owner Requesting Permit:, 7 k,,,.s -f ;J"r,ne
Mailing Address:35 Loha VJc,^t Cir
Phone Number:1ob Soc tt oo
I certifo that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:-t f B--*l)?r)"
atmypropertytocateoat t1o I.lo,.4(d Fm&r-r. 6l^-.{ ruc zr.sst
tn Cou nty.
l_fufthermore ceftify that I am authorized to grant, and do in fact grunt permission to
Division of coastal Management staff, the Local Permit efficer and {heir agents to enter
on the aforementioned,lands in connection with evaluating information related to thispermit application.
Proper$ Owner lnformation :
s,Un ure
ames E ' T;drnore
Title
-g-t-r--^r!-r-:s:-t_Date
RECEIVED
ITAY L2 2IZ1
DCM.MHD CITY
This certification is valid through _12_tlJ_J1:Z-
Summerviltr, eA. 3olLl'7
Email Address:ll au+ex.e. a*t o @ A>-,61 , e-,,n,
Pint orType Name
grrrler
,S
, I hereby certify that I own property adjaceht to
of Owner)
propertY lbcated at C)
N.C-
in
(CitY/Town r Gounty)on
The applicant has described to me, as shown below' the deveiopment proposed at the above
location.'";J'A I have no objection to this proposal'
171
(tndividual ProPosing
6,O n
(;I
- )'2-r '
firn/7,'41.G
a
YA"il:l+
LOPMENT
attach a site drawing)
(
lnformation
D i ro^t "r*
DESCRIPTION AND/O R DRAWING OF PROPOSED DEVE
must fill in descriPti'onbelow or
,
r
h
7t
t
t
I
lunderstan-dth_atapier,dock,moor,"ffi,boathouse,r.ttorgioinmu'toei"t
back a minimum distance of 15' tro. ni, "La of riparian "*t 'nruss
waived by nre' (lf you
wish to waive the setback, you rnust initiaitne appropriate blankbelo'w')
I do wish to waive the 15' setback requirement'
t3
setback requirement-' ', ', I do notwish to waive the 15'
(Prope rty Cwner lnformation)
t
o 0 *
2s or Type Name
tulailing ACdress
TelePhone Nunrber
o 1
;r/{rEwq0fr8/2012)
DCM.MHD CITY
Print or Narne -
A oru i ll.q lb Y>+le+
teEip 2-
Telephone Num 2-
Date
bero
o
GA 30 74 1
Date
o
L ^J
c-1 E
\7 4?1 G (^?4
GERTIFIED MAIL , RETURN RECEIPT RFQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJAcE NT. Rt pARIAN P Ro PEnrv ovrruei:xeiinenn oNnnlAIVER FoRM''
Name of ProPertY Owner:rtCS
Address of ProPertY:
(Lot or Street
Agenfls Name t
Agent's phone #:A - 7r5-- olSZ
Z
#, Street or Road,Ctty & CountY)
C,L trlailing Address: / z'rd c-' '. i
Net ,)l
<.
i hereby certifY
applyrng for this
they are ng
that I own ProPertY adjacent to the above referenced ProPertY The individuat
it has described to me as shown on the attach ed drawi the ent (-'-
\
I have no objections to thi.q proposal. I lave objections to this proposal
lf you have obiections to what is being ProPosed, You m ust n otifY th e D iv isi o n of Coastal Management
(DCM) in v,n{ting within 10 days of receiPt of this notice.Corrxpondence shoutd be mailed to 4OO
Cammerce Ave,, Moreh ead City, NC,28557.DCM representativx can a/so be conta cted at (252) 808-
is considered the same as no if have been CefiifiedMail.
2808, No
WAIVER SECTION
I understand that a pier, dock, mooring pifings, tt""fo'"t*f, boathouse' lift' or groin must be set
back a rninimum distance of 15' from my arJa'ot riparian access uniess 'r'raived by me' (lf you
wish to waive the setback, you must ihitialthe appropriate biank below')
t do wish to waive the 15-' setbacX-requirement'
I do not wish to waive the 15' setback requirement'
(Prope Owner lnformation)
Jo^
(Adiacent Pro perty Owner lnformation)
Signatwe
oiIytcr€
Print arType Name
37 L*lr*,2- C-:r
Piint orTYPe A/ame
t
a
Nlailing Address
ltlrr\ #Gt toz 1lle
Mailing Address
Te[ephone t{umber RECETVED
>s53|,
vised 6/18/2012
City/State/Zip
1o b 5oA 1oo
Telephone I'lumber
MAYDaf)n+c
o o o-,
DCM-MHD CITY
I
fs .72 e-re r
-?uoq
NC Division of Coastal Management
Cashier's Official ReceiPt 14001 a s On
,lta.tu!-Date:
s ,lYA tl a{*> -
P S'"L'O Check No.:
J County:
Please retain receipt for your records as prool of payment for permit issued
Date:
Oate:
Signature ot Field Representative:
sReceived From:
G-v*
aD-
Applicant's Name:
Project Address:
)a
Permit No.:I:H
Signature of Agent or APP|icant: