Wiernings, Suzanne 79599C

NCAMA/DDREDGE&FILL
NER/AL PERMIT
New !Modification EComplete Reissue Epartial Reissue
As authorized by the State of North carolina, Department of Environmental euality
and the Coasal Resources Commission in an area of environmental concern pursuant
Applicant
Address
ztP
Phone # (_)E-Mail
N9 79599 A B /C, D
Previous perm it#
Date previous permit issued
to l5A NCAC
E Rules attached.
Prolect Location: County_
Street Address/ State Road/ Lot #(s)
Subdivision
City ztP
Phone # (-)_ _-- River Basin
Adj. Wtr (nat /man /unkn)
Closest Mai. Wtr. Body
Authorized Agent
Affected tr cw nEw
I=I HHF
tr PTA
trrH
trES
tr UBA
N PTS
NN/AAEC(s): noEA
N PWS:
ORW: yes / no PNA yes / no
Type of ProjecV Activity
Pier (dock) length
Fixed Platform(s)-i--r-t-t*
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Floating Platform(s)
Finger pier(s)........=_---
Groin length
number
Bulkhead/ Riprap lengh--
avg distance offshore_
max distance offshore
Basin, channel
cubic yards..........----
Boat ramp
Boathouse/
Beach
Other
Shoreline Length =__'-
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
yes
yes
no
no
no
no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
E S"" note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature {'*Please read compliance statement on back of permit **
PermitOfficer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
State
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Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and aftached general and specific conditions. Any
violation of these terms may subject the permiftee to a fine or criminal or civil action; and may cause the Permit to become
nulland void.
This permit must be on the project site and accessible to the permit officer when 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 .onfirrn that this prollct is consistent with the local land use plan and all local
ordinances, and 2) a written statement or ceftified 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, certiry that this proiect is consistent with the North carolina coastal Management Program'
River Basin Rules Applicable To Your Proiect:
E tar - Pamlico River Basin Buffer Rules
E Neuse River Basin Buffer Rules
lf indicated on front of permit, your proiect 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 Washingon Regional Office (252-946-6481) or the
Wilmington Regional Offi ce (9 l0-796-721 5) for more information on how to comply with these buffer rules
Division of Coastal Management Oftices
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:252-948-M78
(Serves: Beaufort, Bertie, Hertford, Hyde'
Tyrrell and Washington Counties)
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax:[phone]
(Serves: Cafteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
ste. 300
Elizabeth City, NC 27909
2s2-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
E other:
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-7215
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal. ncdenr'org/web/cm/dcm-home Revised 7/06/ I 7
AG EilT A UTHORIZAT IO.J T qR C4 UA -E BIf IT ALP LIA AT l(}U
Name of Praperty Owner Requestrng permt
Marhng Address
n IAJ t€..r/
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Phono trlumber:
EmailAddress:
I certrfy that lhave authorrzed
(ffr c4tt0z7)
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to act on my behalf, for the purpose of applyrng for and obtainrng attCAMA ptffnrts
necesssry for the followrng proposed development.
at b/
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my property located
t*,,ila"t
at 0{
rn
I {urthermare certty that I am aulhonzed lo granl, and do rn facl grant permtssron lo
Oyr,sron of Coaslal Managernenf slaff, fhe Local Permil Gfficer an 0rctr agenls fo enl€r
afl the afarementioned lands rn connec{ion wt{ft evaluattng rntarmattan relafed fo this
permtt apPticatian.
Prope$ 0wner lnlormation:
Srgnafure
V,lr
ype Name
WA
Pnnt
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