Granger, Doug 80090C

trCAMA / T] DREDGE & FILL
GENER/AL PERMIT
INew rModification lComplete Reissue lPartial Reissue
N980090 A B c D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
andtheCoastalResourcesCommissioninanareaofenvironmentalconcernpursuanttol5ANCAC.
Appl icant Name Project Location: Count),
Street Address/ State Road/ Lot #(s)
State ztP
Phone # (_)E-Mail Subdivision
Address
Authorized Agent t City_ZIP
Affected
AEC(s):
trcw
trOEA
! PWS:
nEw
f HHF
tr PTA
trrH
!ES
tr UBA
tr PTS
trN/A
Phone # ( )_River Basin
Adj. Wtr. Body__ _ -_ (nat /man /unkn)
Closest Mal. Wtr. BodyORW: yes / no PNA yes / no
)C
(Scale:
Type of ProjecV Activity
Finger pier(s)
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Groin length
number
Bulkhead/ Riprap length__
avg distance offshore - -
max distance offshore
Basin, channel
Boat ramp
Boathouse/ Boatlift '
Beach Bulldozing
Other
Shoreline Lensth
It
SAV: not sure yes no
Moratorium: I
Photos:
Waiver Attached:
A building permit may be required by:
( Note Local Planning Jurisdiction)
nla yes no
yes no
yes no
)
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W
E S"" note on back regarding River Basin rules.
I
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit x*
Permit Offi cer's Printed Name
Signature
Application Fee(s)Check#lssuing Date Expiration Date
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Notes/ Special Conditions
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
nullandvoid.
This permit must beon the proiect site and accessibletothe permit oflicer when the project is inspected forcompliance. 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 certilied 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 certirythatthis proiect is consistent with the North Carolina Coastal Manatement Program.
River Basin RulesApplicable To Your Project:
E oth..,Tar- PamlicoRiver Basin Buffer Rules
Neuse River Basin Buffer Rules
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 l0-796-72 I 5) for more information on how to complywith these buffer rules.
Division of Coastal Management Of,ices
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. Grif,in St.
Ste. 300
Elizabeth City, NC 27909
252-26/.-3901
Fax:[phone]
(Sewes: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washin4on Square Mall
Washington, NC 27889
252-946-6481
Fax:252-948-M78
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmintton 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.orElweb/cm/dcm-home
Revised 7/06/ I 7
AGENT AUTHORIZATON FOR CAMA PERMTT APPLICATION
Name of Property Owner Requesting Permit Te,u >€ " n Ae-r
Mailing Address:[,tzq F /rr€l-l', l) -Tr p'r 1
\J "r. 7a+sL
Phone Number:
-lS-7 - CqL-ql
Email Address:
I certify that I have authorized fDuo B -a lcfl 'Trzui<iu .3 r- c.
Agent/ Contactor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at Lo ,ro)l
in QzLdT- cou nty
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coasfal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related fo fhis
permit application.
Property Orvner lnformation :
Signature
(.ea5z1
D Gn
Print orType Name
D,-, tg<-A
Title
.?7
Date
'#i;:,'
RECEIVED
JUL 2 9 ZO?1
This certification is valid through I I
DGM-MHD CITY
\/ t r.i'r ,.r'
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I herEby aerfify firat I own property djacent to [->w1 G 16^.5q3-,s
I S? Lob to tl (lteme of Ptopc*y Onner)
on Caru* L (AddEss,Block Rord, dE)
)L r^-o I'l i )-ro N.C.in 1
(WaOrtoOy)(Clyfown udlorGoutry)
Ths applicant tne dGcribed to me, as shom bebw, the ds,Blopm€Itt propo€€d at ttc above
locatbn.
I hare no otiertkrn b thb proposal-
----- - I hava obie.fioos to thrqJ1'nP.,sal
(tntfititfid pryizg @mant mlls,l llll fut descdfton Delow or a&rclr a sfie frilrgf
a
AJ, fLel, Fla..k"ht^<y' 9+'c'frt.-ol d.cV-(
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Qtua
Sigd,lce
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Pri,ltfiTtt,E.Nafi'E
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l&ilrg Ad.tess c\\/ rn<rnir Duae vt ,\1a. Z3*SZ
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I@r,orre ir.rmtor-1- )-?- |
fdeoltone l*n$er1-A^7
L-bla ll 7.L5 tJ <.
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RECEIVED
fi.cvised6/1812o12)
JUL 29 20?1
Ddc Dae
DCM.MHD CITY
property tbcateO at
t unoerstdiii-inat a dler, oocr<, .*n*ffii boathousi, rift,;ir"fi m,k Gset
back a minimum distance of 1$ from my area of iparian access unless wai\red by rne. (f you
wish to waive the setMq you must inital the appropriate blank belqw)
_ I do wish to rraive the 15' setback requirement.
_ I do not wlsh to waive tfe '15 setbad< rcquiremert
(Pmperty Onner lnformaton) (Adiacert Proporty O*rrer tnforrndon)
e Q-
,S
I hereby certify that I own property adjacent to
(Name of ProPertY
propertY lbcated at S? LO l" ll
,?t,Block,Road,etc.)
\\N.C.
,n4 lPo in is V nto
(WaterbodY)(CitY/Town and/or Gounty)
The aPPlicant has described to me, as shown below, the development proposed at the above
AND/OR DRAWN e or pnoPosED DEVELOPMENT
DESCRIPTION
(t n div i dual P ro P osi n g dev eloP m ent mustfill in descriPtionbelow or attach a site
o I
drawing)
,aDcd(henQ-fls:otrf loe4t--4 -1
MA
o
Ibc
,e.4 *e ll
I understand that a pier, dock,
back a mininrum distance of 1
wish to waive the setback, You
I do wish to waive the 15' setback requirement'
I do not wish to waMe the 15' setback requirement'
(P ropertY Owner lnformation (Adiacent ProPefry
Signature
WAIVER SECTION . *-.-.=
moorin@' boathouse' lift' or gro
; ffi".i; ,i." or np"'in ".'":',11]:ss
waived
must initial the appropriate blanK helow )
/2 c4
or Type
Address
in must be set
by me (lf you
lnformation)
<51 L
Owner
o
e
Print or
Address
fv ct
Cttv/StateZiP. 1{l G.1G Telephone
L
Teleohone Number'-t. 1.2-['7
(*",,F"E?fityFB
JUL 2 9 ?O?1
DCM.MHD CITY
Date
6r t{,"P
Z1q=Z
f\ato
I
Nunrber
5lz
ApJACENT RIPARIAN PROPSFTY OWNER STATEMENT
location.twwa?'
I have no objection to this proposal'
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