Atallah, Kristy 84803C

"igl51c" E}canaa E oneocE & FILL
=i!EcENER/AL PERMIT
1-g Efl{ew lModification lCompleteReissue lPartia! Reissue
N9 84803
As authorized by the Sate of North Carolina, Depanment of Environmental Quality and the Coasbl Resources Commission in an area of environmental concem pursuant to:
I5A NCAC Rules attached.[] Gene.d Permit Rules available at the following link: www.deq.nc.gov/CAMArules
A BCD
Previous permit
Date previous permit issued
7 H tAc
Applicant Name
Address
Authorized {gent i ,}
Proiect Location (County):
City State ZtP Street Address/Sate Road/Lot #(s)
Phone#(-)
Email SuMivision
City
Affected
AEC(s):
ORW: yes/no
lrir tr Adj. Wtr. Body
Closest Maj. Wtr. Body
cw
OEA
EW ES
SPIMA
PTS
PWSlrxa Er*
PNA; yes/no
Type of Projea/ Activity
(Scale:
Shoreline Length
AccessLengh 5I /i
Pier (dock) length _
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area _
Groin length/#
Bulkhead/ Riprap length
AvB distance offshore _
Breakwater/Sill
Max distance/ length _
Basin, channel ffi:
Cubic yards _
Boat ramp
-
ti
H
;J
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached
A building permit/zoning permit may be required by:
Permit Conditions
yes no
yes no
yes noyes no
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
! S". additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RUTES ANO CONDITIONS THAT APPTY TO THIS PROJECT AN D REVIEWED COMPTIANCE STATEMENT.(Please lnitial)
.
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
Permit Officer's PRINTED Name
SiBnature
lssuing Expiration Date
tr!
f-r{-\
l,ar-^
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and beliel 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 Neuse River Basin Buffer Rules
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. lf you have any questions, please contact the Division of Water Resources at the
Washington Regional Office le52-946-6481) or the Wilmington Regional Office lgLO-796-72151.
Notes/Additional Permit Conditions:
Please ensure atl debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Manasement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
2 5 2-808-2808/ 1-888-4RCOAST Fax : [phone]
(Serves: Carteret, Craven - south of the Neuse River, Onslow
Counties)
Elizabeth City District
401S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-945-6481
Fax:[phone]
(Serves: Beaufort, Craven - north of the Neuse RiveL Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
9t0-796-7275
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://p orta l. ncde n r.or e/ w eb /cm/dcm-home Revised 6/07/2021
AGE!{T AUTHORtZAnqil FOR CAInA pERrlT APPLTCATIOII|
Hane d Property Orner
Mailing Addrcs:
rt*ula-A
eDL
Phone Number
Email Address
I cert'fy that I have authorized C3 Scott, lnc
Agent/ Cor{ractor
to act on my behalf, for the purpose of apptyirg for and obtaining all CAMA permits
I furthenrpre certify that I am auhorized ta grunt, and do in fact gmnt prmission to
Division of CoersF,t Manqement sbff, tlrc Local Permit Otfk;elr and their arypnb to enterw the aforementioned lards in cannectian with evaluating informati*n related fo fiis
permit application.
Proper$ 0vrner lnformation :
Sigmature
'fh-, ( A t* ll/r-/-llirint or iW Narne
oa /1e a
Tide
4t-zJt2-4
Date
This certification is valid through bl o/ag
;5 fr tr
/h,-n r nl n/)B€?q
,fts? /x-tT frq
neessary for the foltowins propffied devetopment : t *X* (fl--$dg.tb$)
ar my properry rocared ^t )f;F E luyf.*clqtfrr l$*/U/ fl t / fruf
in {1-t r lot*-l county.
ADJACENT RIPARIAN PROPERTY Ot't'N ER STATEM ENT
I hereby certil, that I orn property adjrcent to
of
properly located at
on fiuun trrblL N.C.
and/or County)
The apSicant has described to me, as sfp\irn belotr, the development proposed at the above
,S
in
locatim-+-I have no obiecdion to this prryosal.
I have ot{eclions to this proposal.
DE1IELOPMENT
wArvER sEcnoN
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of lSlfrAmIy area of riparian access unless waived by
me. (lf you wish to waive the setback, yorffirre approfiate blank below.)
I do yvi$ to waive lhe 15 setEc{< recprirement.
I do notwish to waive the 15' setback requirsnent.
Ourner lnformation)
e
/ ernail
Ourner lnformation)
/ email ad*ess
I)ate
*Valid for one calendar year after signature"
Property
(Revised Aug.2A14)
ADJACENT RTPAR|AN PROPERTY OWI{ER STATEMENT
I hereby certify that I orn properry adjacent to
of Property
property located at
etc.
N.C.
CounW)
The applicant has described to me, as shonn belorv, the develognent proposed at the above
,S
tnon
location.
I have no objeciion tothis prryosal-
I have o$ections to this proposal.
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 lSlfgmmllarea of riparian access unless waived by
me. (lf you wish to waive sre setbadq yoffitne apprdpriate blank belorv.)
w,I do u/ish tonraive the 15, setback requiremmt-
I do not wish to waive the 15 setback requirement.
Orner lnformation)
&l'n
lenmil address
(Adjacent Property Chffner lnformation)
,4^Z-
u,?&flQr-(6"t1
Telephone Number / enwl address
4/w i LuLt
Date
Yalid for one calendar year afier signature"
Date*
(Revised Au7.2014)
(Waterbody)
,[awsrg rrepateu t,y: ryJ ocutt, iltL;
)blcl: afi3121
icale: i' 2a'
260 E lvybridge Dr
Roy and Kristy Atallah
258 E lvybridge Dr
LJrrhart Nn 9AF?O
256 E lvybridge D
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