Doyle, John 80078C

Applicant Name
:CAMA / I DREDGE & FILL
GENER/AL PERMIT
New EModification EComplete Reissue IPartial 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
N9 80078 A BCD
Previous permit #_
Date previous permit's*a-
to l5A NCAC
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
ztP
Phone # (_)River Basin
Address
Phone # (_)E-Mail
Authorized Agent -"
Affected
AEC(s):
n clv
trOEA
tr PWS:
D E}Y
N HHF
! PTA
tr!H
IES
UBA
N PTS
NN/A Adl. Wtr. Body__ _ (nat /man /unkn)
Closest Mal. Wtr. BodyORW: yes / no PNA yes / no
(Scale:)
Type of ProiecU Activity
Pier (dock) length
Fixed Platform(s)rut-r-+Ht-i+ltH-#
f-H-1-
--t-*t--+-'-1".
fi
Floating Platform(s)
Finger pier(s)
Groin len4h
number
Bulkhead/ Riprap length
avg distance offshore _
max distance offshore_
Basin, channel
cubic yards
Boat ramp
Boathouse/
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
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yes no
yes no
yes no
yes no
,i...., ....i....
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A building permit may be required by'
( Note Local Planning Jurisdiction)
Ll S"" note on back regarding River Basin rules.
I
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Offi cer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
city- State _ zlP__
1- ] Rules attached.
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Notes/ Special Conditions
1--t ri-
Statement of Compliance and Consistency
This permit is subiect to compliance with this application, site drawing and attached general and specillc 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 oflicer when the proiect is inspected for compliance. The
applicant certilies by signingthis permit that l) priorto undertaking any activities authorized bythis permit, the applicantwill
confer with appropriate local authorities to conlirm 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 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 belief, certify that this pro,ect is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
E oth..,
lf indicated on front of permit, your project 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 Office (252-946-5481) or the
Wilmington RegionalOffice (910-795-7215)for more information on howto complywith these buffer rules.
Division of Coastal Management Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax: [phone]
(Serves: Caneret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste.300
Elizabeth City, NC 27909
252-764-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
752-946-6481
Fax:252-948-M78
(Serves: Beaufon, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 9 l0-395-3954
(Serves: Brunswick, New HanoYer,
Onslow - South of New River lnlet-
and Pender Counties)
http://ponal.ncdenr.org/web/cm/dcm-home
Revised 706l I 7
trCAMA/ f]DREDGE & FILL
ENER/AL PERMIT
New EModification EComplete Reissue EPartial 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
N980078 A B c D
Previous permit #-
Date previous Permit
to l5A NCAC
Project Location:
Street Address/ State Roadi Lot #(s)
Subdivision
ZIP
Applicant Name
.< t ..1")"i.r l-.n /tt.
Address r r-'l n, t
.t State_ ZIP_
Phone # (_)
Authorized Agent
E-Mail
Affected
AEC(s):
ncw
NOEA
N PWS:
trEW
tr HHF
X PTA
llH
trES
tr UBA
N PTS
trN/A
Phone # (_ )River Basin
Adl. Wtr
Closest Maj. Wtr. Body
.\
ORW: yes no PNA yes / no
Type of ProiecV Activity \(t
(Scale: )
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore_
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift_
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
A building permit may be required by:
( Note Local Planning Jurisdiction)
yes no
yes no
yes no
yes no
tl "
lt { {ar | ,n,
E Suu note on back regarding River Basin rules.
Notes/ Special Conditions
I
r \
f
,/:
.l ltf 't
\
i
r'l '.t
t ! tit'
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Offi cer's Printed Name
Signature I
lssuing DateApplication Fee(s)Check #Expiration Date
)C :-^..^-l
(nat /man /unkn)
r T**r-*r-T--1
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l" I "l
r
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ffi *rn*i
-t
--'1-- -r '- r -- -i-- -f -
I
Sbtement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and atrached teneral and specific conditions. Any
violation of these terms may subject the permittee to a fine or crimina.l or civil action: and may cause the permit to become
nullandvoid.
This permit must be on the proiect site and accessibletothe permit officerwhen 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 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 belief, ceftirythatthis proiect is consistent with the North CarolinaCoastal Management Program.
River Basin RulesApplicable To Your Proiect:
! Tar- Pamlico River Basin Buffer Rules
! Neuse River Basin BufferRules
lf indicated on front of permit, your proiect is subject to the Environmental Management Commission's Buf{er 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 RegionalOffice (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead Ciq/, NC 28557
252-808-2808/ | -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griflin St.
Ste. 300
Elizabeth City, NC 27909
252-2U-390t
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gater, Pasquoank and Perquimans
Coumies)
E othe.'
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-U8t
Fax:252-948-M78
(Serves: Beaufort. Bertie, Hertford, Hyde,
Tyrrell and Washingtoh Counties)
Wilmington District
127 Cardinal Drive Ext.
WilminSton, NC 28405-3845
910-796-7215
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://poral.ncdenr.orS/web/cm/dcm-home
Revised 7/06/ I 7
U.S. Postal Service'"
CEBTIFIED MAIL@ RECEIPT
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For delivery inlormalion it our website at mt/w.usps.com
se Revorsg lor lnstruciionsPs Fonn 3aoo, April 2015 Psl'
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adja cent to Jo\".. ? \^u\,-
(Name of Property Owner)
S
(Address, Lot, Bl , Road, etc.)
on^J in UaoL\d.-L-C..o'.r.^C-:-\., , N.C.
lwaterUoOyl (Cityfrown and/or Count))
The applicant has described to me, as shown below, the development proposed at the above
locatign.)( I have no ob.iection to this proposal.
I have objections to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing development must ftll in description below or atlach a site drawing)
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. (lf 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 lnformation)
Zr.-vt-
(Adj acent Pro perty Owner lnformation
Aignatu/eSo\^ F
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Print or Type Nameslt $e.*.* R)
Print or Tvoe Name t91) '' R. o(o-,/\
Mailing Address
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City/StatetZip
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Telephone Numb
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/ email address Telephone Number / email address
Date
"Valid for one calendar year after signature*
(Revised Aug. 2014)
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