Oliver, David 80065C

{cat o / i--: DREDGE & F'LL1|gP[L PERMIT
f.lModification fJ Complete Reissue Ipartial Reissue
As authorized by the State of North Carolina,
and the Coastal Resources Commission in an
, Department of Environmental euality
area of environmental concern pursuant to I 5A NCAC
Applicant Name
Address-$3,VC;Street Address/ State Road/ Lot #(s)
st^t llC zt?Ilg1be
Phone # Vgg)
H? 8*{}65 AB {}DPrevious permit #
Date previous permit issued
Project Location: Councy
E
flEs UPTS
LJ UBA NN/A
Subdivision
Adj. Wtr. Body
Closest Mai Wtr. Body
Authorized Agent
Affected u cw "e€* &r
AEC(s): LIoEA n HHF I lH
L] PWS:
a_.=......._--ORW: yet l @ pNA yes I
City_
Phone# (__)__ ,,__._ River
ZIP
@
(Scale:
tt I,90 )lPier (dock) length_ _ -
Fixed Pratform(s ) h-/f L:
1
I
Floating Platform(s)
Finger
Groin length
x t_l'7 3
Bulkhead/ Riprap length
av8 distance offshore
max distance off.ho."7
Basin, channel
number
Boat ramp
Boathouse/ Boatlift {
cubic yards _=-_-:_
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#
Beach Bulldozing _1
Other
itl
(
Shoreliner"r,rtn- IO*
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
A building permit may be required by:
( Note Local Planning Jurisdiction)
yes
yes
yes
yes
\ {\v.Kflr I1rl S&res i -i See note on back regarding River Basin rules.
no
no
no
no
Type of Project/ Activity
Notes/ Special Conditions
or Permit O{ficer's
Signature # Please read compliance statement on back of permit x*-fr*m,e nfrASil;;F*(,Check #lssu Date
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("o-o/ trDREDGE & FrLL w"N9 80065 ABNER/AL PERMIT Previous permit #
EModification ICompleteReissue EPartial Reissue Date previous permit issued
fu authorized by the state of North carolina, Department of Environmental euality
and the Coastal Resources Commission in an area of environmental concern pursuant to l5A
Applicant
Address
Project Location: Counry
o Street Address/ State Road/ Lot #(s)
st^t NC ztP Xggsl
Phone #E-Mai Subdivision
@ D
'1
rk
Authorized Agent ztP
Affected D cw &6 -{ne
AEC(s): troEA f HHF tr tH
tr PWS:
ORW: ,., , @ ,* ,", t
nEs n PTs
NUBA trN/A
Phone # (_)
Adl. Wtr.
Closest Mai. Wtr. Body
U"r; lsOqkRiver
@
Type of ProjecU Activity
I
9o
I
Pier (dock) length -
Fixed Pratform(s ) -IOTE'
(Scale:)
Floating Platform(s)
Finger /
Groin length
number
Bulkhead/ Riprap length -
avg distance offshore -
max distance offshore "
Basin, channel
cubic
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
yes
yes
A building permit may be required by:
( Note Local Planning Jurisdiction)
S E S"" note on back regarding River Basin rules.
Notes/ Special Conditions
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no
no
no,
no
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# Please read compliance statement on back of permit **
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Fee(s)Check #
PermitOflicer's Printed
Date
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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 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 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 North Carolina and the Division of Coastal Management, in issuing this Permit under the best available
information and beliel certirythatthis proiect is consistent with the North CarolinaCoastal Management Program.
River Basin Rules ApplicableTo Your Proiect:
Tar- PamlicoRiver Basin Buffer Rules
Neuse RiverBasin Buffer Rules
[] oth".,
lf 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 Otfice (252-946-6481) or the
Wilmington Regional Office (910-796-721 5) 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 District
401 S. Griffin St.
Ste. 300
Elizabeth Ciq/, NC 27909
2s2-264-390t
Fax [phone]
(Sewes: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:752-948-M78
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washihgton Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-7215
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
Name of Property owner Requesting Permit: Daui,L C, + Palrrc-ra 5. O I t't<.r
Mailing Address:ittf Tre-n:l h)no ds Dr,
Phone Number:252 -(L
Email Address:aaR(.ca
e
C4I
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I certify that I have authorized 125-311
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:a@_
at
in
my property located at
Co unty.
I fufthermore cerlify that I 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.
Pro 0wner lnformation:
J d/ar*.
Signature\PC (Ju-Pl-lncia- 5' Olirter
Print or Type Name
Title
?r 2
Date
RECEIVED
MAY O 1 ZO21
DCM.MHD CITY
This certification is valid through I_l_
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
t
I hereby
properly
ADJACENT RIPARIAN PROPERTY OWNER STATETIENT
certify that t own pmperty adjacent to e+tcl 5.0t iy'ersu
(Name Owner)
t)
(Add Road, etc.)
tn
Lot Block,,l/,N.C.
on (citylTown County)
Watetbody)
The applicant has described to me, as shown below' the development proposed at th€ above
location.'---v-'.'
I have no objection to ihis proposal'
I have objections to this proposal'
DESCRIPTION AND/OR DRAWNG OF PROPOSED DEVELOPMENT
(tndtviduat Propoing ileuqtopmet t mustfrll in desctiPtion betow or afrch a site drawing)
located at leol
x I do wish to waive the J 5' setback requirement.
I do not wish to waive the 15' setback requirement.
fieo a]*a-cltal!- 4lrauinY \
( ar/ nd, co-C'-'"'ttu'r cngnu'A-o-'')
W'AIVER SECTION
I understand that a pier, doclq moorin!;iifigq brealoa6r, bbathouse, lift, or groin must be set
back a minimum di&ance of iS tomlny arla of riparian access unless waived by me' (ff you
wish to waive the setback, you must inilial the appropriate blank below')
Owner n)(Adtacent Proporty Ownet lnfotmadon)
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9.0u Itz ..
Pint or
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or
C?\rll-rare4i;z-
Number
RECEIVED
6evid6fi8r2012)
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DCM-MHD CITY
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ADJACENT RIPARIAN PROPERW OWNER STATEIiENT
I hereby certiff that I own property adjacent to
of PropertY Owner)
"ap
Iocatiofl.,< . I have no objection to ihis proposal'
I
I have objections to this proposal'
5
e-
(Ad Lot Block, Road,
N.C.on tn
(City/Tovrn County)
The applicant has described to me, as shown below, the development proposed at the above
)
DESCRIPTION AND/OR DRAI'VIN
(lnfrvidual Propuing deu.gopmefi must fiil
G OF PROFOSED DEI/ELOPT'ENT
in d*crfption betow or afrch a sife dnwing)
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Sec a-*+az). d- alraw inX
(rud nd'<'fi'"> lruar c/l/A*/;,?)
W'AIVERSECTION
I understand that a pier, dock, mooring pilings, breal$ater, bbathouse, lifr, 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 inifat the appropriate blank below.)
I do wish to waive the J 5 satback requirement
-
I do not wish to waive the 15' setback requirement.
O+$wc b po*",a g OUIJEA
Property Orner lnfi or.madon)
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RECElVED
(Revi$d 6/1U?012)
MAY 01 2021
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DCM-MHD CIry
propefi located at
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Received From:U.v;d OI tVef
Permit No.:
Applicant'sName; 54r1y'-
Project Address:
Please retain receipt for your records as proof of payment for permit issued
Signature of Agent or Applicant:
Signature ot Field Representative:
NC Division of Coastal Management
Cashier's Official Receipt 13071 a n@n
EI ,o QlDate:
$
Check No.:
County:ta.tote9
Date:
Date:aPe
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