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Home My WebLink About79341A_Russell, Jason & Kerry_202107197CAMA / ❑ DREDGE & FILL GENERAL PERMIT CENew ❑Modification ❑Complete Reissue El Partial 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 15A NCAC Applicant Name_ Address City -; . �, State ZIP Phone # (�) E-Mail ' ux Authorized Agent c- j k "ac(I S ❑ Cw ❑EW B'PTA Ies ❑ PTS Affected AEC(s): [IOEA ElHHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no') Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length r avg distance offshore - max distance offshore Basin, channel \ cubic yards Boat ramp Boathouse/ Boatlift Beach Other c Agent or Applicant Printed Na e a x` 6&41 - Signature ee Please read compliance statement on back of permit Application Fee(s) Check # N9 79341 A Previous permit # Date previous permit issued ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision r1A- � B C D City _ ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body (Scale: P rmitOfficer's Phnted,Nwe . Signature _ ' ov 3 ►`I- Ij 1`�- �1 I suing Date Expiration Date 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 I) 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 landowner(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. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules ❑ Other: 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet- and Pamlico Tyrrell and Washington Counties) 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) 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 AGENT AUTHORgATION FAR LAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: m. Mailing Address: .41rad �d cl� 23gS� Phone Number: "7'S7 - Z$ g - b 99S Email Address: M& y AP441- �;dw,;.L om I certify that I have authorized aftch 81 f„�..�c tYt a •i1 , Agent 1 Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development:, / uy /-'3-1 t Stj at my property located at ZZ3f .�( J'Z� �r�tla AC ay-t2'A in Lc-. , c1c County. I furthermore certify that 1 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: 1--/ Print or Type Name 'Iky riffs Date This certification is valid through /Z l(_!2-v -1-4 PROPE OWNER STATEMENT I hereby certify that I own property adjacent to (Name of Property Owner) located at ) property (Address, Lot, Block, oad, etc. N.C. on ft& � In (CitylTown and/or County) (Waterbody) The applicant has described to me, as shown below, the development proposed at the above locati I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROP OlS! ED DEVELOPMENT ttach a site dra ng) (individual proposing development must fill in descrip go.� tr , Ir4�� Z23? 1(V1,�'� WAIVER SECTION i or groin lift, boa l understand that a pier, dock, mooring pilings, t ramp, breakwater, boathouse, area of ri rian access unless waived by must be set back a minimum distance of 15' from my pa me. (if you wish to waive the setback, you must initial the appropriate blank below.) _ ' VO 1 do wish to waive the 15' setback requirement. 1 do not wish to back requirement. (Adjacent Property Owner Information) (property Owner information) Si lure Si ature & i /` C ma - pns T ; Name/7 - _ Mailing Address " Ma' ing n110dress �l N C o�"7�G crty sta e/Zi� / 4 it tateop ' Zo 1 S Telephone Number/email address Telephone Number/email address �d Date' Date t'CW0 51 , tW�v�� COM (Revised Aug. 2014) /� "Valid for one calendar year after signature" ADJACENT RIPARIAN PRQPER�II OWNER STATEMENT I hereby certify that 1 own property adjacent to 1%/(N �Pre < < s (Name f Property Owner) I cat d at `7 property o e (Address, Lot, Block, oad, etc.) on _ �iho �5 _ in •� /! , N.C. (Waterbody) (City and/or County) T e applicant has described to me, as shown below, the development proposed at the above Aotion. 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 dravying) -%0/(� It1. WAIVERS 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adj t Prop rty rw�nformation) 3i ture Si ure a Prin or T Name Print or Typpe —'MA Ma' ing drBss C �G Mailing Address L.1/t -Q� 1� Z3 0 7 City tate/Zip City/State2ip J!rri� 3 jr,? ,__ c I Z5Z` Z4'7- eo-f o 1�' !y Telephone Number/email address Telephone Number/email address _ � 7 ZoZ! 6 --?- 2��1 Date Date* �� t� ✓�►�� 5 Wes.L (Revised Aug. 2014) &am, y, _ 1 "Valid for one calendar year after signature* ' ��i<r Currituck County GIS Data Viewer Currituck County GIS Phone: (252) 232-2034 E-mail: gis@currituckcountync.gov Addresses Communities Aydlett Barco Conjock Coro" Currituck Gibbs Woods Grandy HarbKMW Jarvisburg Knott* Island Maple Moyock Pant Harbor Poplar Branch Po1VQM POInt shawbor0 Sligo Wateray County Boundary - state -- county Streets Wright Memorial Bridge Major Streets — Artenal_Prncipal - - Arterial Ma)or —Colbctor Major Parcel Lend Hooks Parcels Currituck County Aerial Photography (201 f MRed: Band-1 Green: Band-2 NBkie: Band-3 This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information shown on this map.