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HomeMy WebLinkAboutBurton, Agnes 79695CCAMA / U REDGE & FILL NY 7969-1 A B M i D (;' ENER L PERMIT Previous permit# = New Modification DComplete iss eue Partial Reissue Date previous ii`ermit issued As autHorzed by the State of North Carolina, Department of Environmental Quality - f and the Coastal Res rces Commission i an area of environmental concern pursuant to I SA NCAC ed, ApplicantName,� -__ ...-. Project Location: County" ` Res attach` "............." DES ❑PTS ❑UBA ❑N/A PWS: ORW: es no PNA yes / Closest Maj. Wtr. Body Type of Project/ Activity `c✓ (Scale: Pier (dock) length .. i . ,_____ Fixed Platform(s) Floating Platform(s) Finger pier(s)_ Groin length number Bulkhead/ Riprap length avg distance ofBhore,__ - maxdistann/c}}eoffsVhoni --� cubic yard Boat ramp Boathouse/Boatlih__ Beach Bulldolrr Other_ - Shoreline Length _t - "' 1... AV SAY: not sure yes o^ Moratorium: n/a yes o P f Photos: yes no Waiver Attached: yes no - A building permit may be required by: wt !b f 4} `tt A a'Y ia Q 0 i I9_".It•Z,1 D Seenoteon backnregardi River Basin rules. ( Note Local Planning jurisdiction)-).ti^ n , �.^. �tl \ n ,s'// > ,/) . I/ ,i l / /% /yJ�/ l� Ail /1 ! J nt or Applicant Printed Name Permit t cer i ame (/ IDA Signature lease read compliance statement on backcfpq t Signaaturef ) 1 ""JJ 11JJ �i] Iss ate (��" txP atwnDate Application Fee(s) Check # OCAMA / _ikL REDGE ENE P ew ❑Modification As authorized by the State of North Car and the Coastal Resources Commission Applicant Authorized Agent & FILL N9 79695 A B D ERM IT Previous permit # ❑Complete'Reissue ❑Partial Reissue Date previous permit issued olina, Department of Environmental Quality i an area of environmental concern pursuant to 15A NCAC / Rules attached. Project Location: County ' Street A�at�� ad/ L t #(s)ad/ L t #(s) ,. -State JP ' L Closest Maj. Wtr. Body Application Feels) Check # 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 project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will 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 statement or certified mail return receipt has been obtained from the adjacent riparian Iandowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. hiver Basin Rules Applicable To Your Project: ❑Tar- Pamlico River Basin Buffer Rules ❑ ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project 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 Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-41RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow, - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, INC 27889 252-946-6481 Fax: 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:910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 Agnes Burton 543 Neptune Dr. t) "3 1 e AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:4h�s Surf Mailing Address: e,7, (17r e-14 Pj/C Phone Number: �)5 2 3 13.2 S 6 3 Email Address: I certify that 1 have authorized TD Eure Marine Construction, LLC 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) rej !� ; n� J at my property located at S 4 '3 Nh �tp f14r 7l d2re 6Y'I`yY'_ in Carteret County. / furthermore certify that / am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature �JS.�rs l jGrr• e%l Print or Type Name Title q l IS l JZ>2/ Date This certification is valid through 09 / 30 / 2021 i\A e i IrcL ADJACENTRIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to !d q r) e S '3 (A Y- �v k' s _,.([Jame of Property Owner) property located at S li 3 N�e P t-H P7,< sc a+h (Ad ress, Lot, Block, Road, etc.) On Deer Creek North{�Aeasion in Cape Carteret, NC N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. _ I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fi l in description below or attach a site drawing) Maintenace Dredging of < 1000 Cubic Yards 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. fyou wish to waive the setback, you must initial the appropriate blank below.) AdI do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback require (Property Owner Information) Telephone Number/email address 052 3q3 �SG3 Date 'q /b/ 1 q2 / -- --- n) lr Print or Tvbe Name Mailing Address �,. cr,.n Vi/�G y /YG ,27�.Sy8 Ctty/StatelZip 2S- - A/- Telephone Number/email address Date* ' rr, ��, /i A 0 ®/ (Reviug.2014) "Valid for one calendar year after signature' Q5nJ5 r6wrAn a U0'?a•'l cs.r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to t o ne e i i r c r) 's 1— (Name of Property Owner) property located at -543 de-.,>+0nt: ,r. Cn12e Car} erc� N C' _ 0(AI-)-, (Address, Lot, Block, Road, etc.) on Deer Creek Ne44-E� in Cape Carteret, NC N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) Maintenace Dredging of < 1000 Cubic Yards 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. (If you wish to waive the setback, you must initial the appropriate blank below.) <<SP. �~ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) ��,�� . Si, /tature �1 /7 S'/7{S Prin orTyp Name ri YY� Telephone Number/email address ,1 5 7 313 ,�56 Date ' // (Adjacent Property Owner Information) Signature* Retiinu)rb }RhUe AnnirP j kUe Prin or Type Name S`il Plc ounc Dr- Mailing Address City/state/Zip 25:L-,Z�{1-b'>'d2 rrnrY,ur7��i?«1-l��,k.cc„n Telephone Number/email address 04 /15ha2I - Date * (Revised Aug. 2014) *Valid for one calendar year after signature* f6 N i � C � m U 4 N O X� O X Y Q N Z -0 R e