Holz, Paxon 79671C

IT
New lModification ECompleteReisgre--BPartialReissue
by.the State of Nordr Carolina, Department of Environmental Quality
Previous permit #
AB D
permit issued_Date
As
and the Coastal area of concern pursuantto l5A
Applicant
Phone
Authorized Agent
Affected ncw
AEC(s):NOEA
ORW:no
Prolect Location: County
Street State Road/
Phone #
Adi. Wtr.
Closest Maj. Wtr. Body
#(s)
State P
NN/A
ztP
nr
PNA y6 I
>C
Type of Proiect/ Activity
(Scale:
FxedPhdorrn(s) -l-rFloatingPlatformift
Finger ---t---+--i-f*t-
Groin lengdr
-1-+-r+,+J,
avg distance
mu distance offshore i
I
-"t---1----.1--]--r---l-r
Basin, channel \-
cutricyards-.__
Boaramp!---
Boadpue/-..-r I i
Bech
Other C,+--'t
Shoreline Leryth
L++lilllr-t!!+ -t--l -
--rSAV: notsure
Moratorium: ry'a
Photos:
Waiwr Attached:no
A building permit may be required note on back reganding River Basin rules.
( Note Local Planning
Notes/ Specid Conditions
5
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#
*+statement on
lr1
I & FILL Ng 79671 @
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i--1-
1'
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Pier(dock) lergtE
:
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-- --1
yes
yes
6
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Ad
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EN MIT
New EModification ECom plete Reisque DPartial Reissue
tu by the State of North Carolina, Department of Environmental Quality
and the Coastal Commission i an area of envi concern Pu rsuant to l5A NCAC
Project Location: County
Street State Road/
bd
City
Phone #
Adl. Wtr.
Closest Maj. Wtr. Body
N9 79671
Previous permit #
Date
#G)
A B D
permit issued_
Applicant
City
Phone
Authorized Agent
State P
ztP
Affected
AEC(s):
ORW:
DCW
trOEA
PWS:
no
A
PNA yes /
tr
!trN/A
)C
(Scale:)
Pierldock; lengli-
Fixed Platform(s)
Floating
Finger
Groin length ---__--ffi
1
-f
I-t,
avg distance
t
max distance offshore
Basin, channel \-\I
cubic
BoatrampS-
Boathouse/-f*"1"--l --j-*{I
Beach Bu
Other
I-j---l-j it
_H
Shoreline Length tilltit
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
@
_-t-
.... l
Ino
A building permit may be required note on back regarding River Basin rules.
( Note Local PlanningJurisdi,
Notes/ Special Conditions
It
Perm
*i.
#
read compliance statement on S
I
1_l
J-1-
__1
-tt-tJ-
--1---.1*__.]--'1*
Al1
Type of ProiecU Activity
-
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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 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 prolect 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 beliel certifythatthis project is consistentwith the North CarolinaCoastal Management Program.
River Basin RulesApplicable To Your Proiect:
! Tar - Pamlicofuver Basin Buffer Rules
f] Neuse River Basin Buffer Rules
Il oth".,
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 Olfice (252-946-6481) or the
Wilmington Regional Office (9 I 0-796-7715)1or more information on how to comply with 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: Carteret, Craven, Onslow -
Nonh of New River lnlet- and Pamlico
Counties)
Elizabeth Citv 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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fay.:.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: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ I 7
R
Name of Property Owner Requesting permit
NFORC A AP TA CATION
flln Lr:,rtnl
NC
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ii),--.1-.
pi'i r,rrrl13ri_l!l)_I hlu@t&d ,IA
ut
ent /actor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development NL
at my property located at EH Dr
tw*tn County
I futihermore ceiifv that t am a.utl\1z9d to grant, and do in fact grant permission toDivision of coastat'Manaoement staff, tne toiat iirit officer and their agents to enteron the aforementioned linds in ,ori"riiiiiii f,irirrtirg information related to thispermit application.
Property Owner lnformation:
1/- / ,:,/1, ,:
,?u
XO ), l,l lU-t,1ryt [/gtt-..:
Print or Type Name
Pd 6 aoo
Ch+ EqLll
t ure
I t\ t
Title
lz't 16 tuo?-D
Date
RECENEN
uAR147 r
DCM-MHtr CITY
This certification is vatid through _)2l_161_4Oal
Phone Number:
Emall Address:
Mailing Address:
,
I certify that I have authorized
(r-
CER TIF DM ET R RECEI TREL ES D
DIVISION OF COASTAL MANAGEMENTADJACENT RIPARIAN PRoPERTY owr.rEii NdiriIiTIoN^,vAIVER FoRM
Nam€ of Property Owner
Address of property
?-
oad,City & County)
l.t0 )(L ot or
u1Agent's Name #:
Agent's phone #:
nrr,Siling Address
5 33 3 z Ed {o n WL1q3z
I hereby certify that I own property adjacerrl to the above referer rced property. The individualapplying for this pe
they are proposing.
rmit has d escribed to me as shown on the altached drawing-the devel opmentdron or awr h St id ith islen
X f have no objections to this proposal. ___ - I harc otr.jcctions k) this proposal
ff you have objections to what is being proposed, you must notifythe Division of Coastat Managetnent(DCM) in wrtttng within 10 days of receipt of this notice Contact information tor DCM offices isavailable at , ,
/Vo response is considered the same or by calfing 1-BAB-dRCOASf.as no objection if you ha ve been notitied bv Cen ifiecl Mail.
I understand that a or
be set back a mrnimu
you wish to waive the
i lProperty Owner lnformation)
,Signu
I do wish to waive the 15' setback requirement.
I do not wish to waive the 1S, setback requirement
WAIVER SECTION
I j_o.c^!-o9rl1g pitings, boat ramp, breakwater, boathouse, or tift mustm drstance of 15,from mv area of ripari"n u";.;. ,;G.;ilirveo Oy me. 1ltsetback. you must initial the appropnate blank below.)
il{
rt
vtif\r"A (Ripar ian Property Owner lnformation)
.\lNt tlu
Print
RECEIVED
M.MHDCIry
DI
Mailing A ddress
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