Fitzpatrick, Hugh 80522C

As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant a"
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trCAMA / tr DREDGE & FILL
ENER/AL PERMIT
trNew EModification EComplete Reissue EPartial Reissue
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N980522 A B c D
Previous permit #
Date previous permit issued_
Prolect Location: Count),_
Street Address/ State Road/ Lot #(s)
Subdivision
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Phone # (_)River Basin
Adj. Wtr (nat /man /unkn)
Closest Mal. Wtr. Body
Applicant
Address
City
Phone#( )-E-rvait
State ztP
Authorized Agent
Affected u cw
AEC(s): troEA
tr PWS:
trEW
fI HHF
tr PTA
trtH
t] ES
tr UBA
tr PTS
NN/A
ORW: yes / no PNA yes / no
Type of ProiecU Activity
(Scale:)
Pier (dock) length
Fixed Platform(s)+
Floating Platform(s)
Finger pier(s)
Groin length
_.t-* -t-.1**
number
Bulkhead/ Riprap length _
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/
Beach Bulldozing_ i
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes no
yes no
yes no
yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
E S"" note on back regarding River Basin rules.
Notes/ Special Conditions
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x
Agent or Applicant Printed Name
,i("
Signature x* Please read compliance statement on back of permit **
PermitOfficer's Printed Name
Signature
Application Fee(s)Check#lssuing Date Expiration Date
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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 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 project is inspected for compliance. 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 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 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 project is consistentwiththe North CarolinaCoastal Management Program.
River Basin Rules Applicable To Your Project:
f] t"r - Pamlico River Basin Buffer Rules
E Nerse River Basin Buffer Rules
E othe.:
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 Office (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 Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, 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. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquoank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:[phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
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
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to I 's
property located at tbg (Name of Propefi Owner)
on (crr S in
Lot, Block, Road, etc.)
ltltlsr r\.r/l b<.^.r _-, N.C.(Waterbody) (CitylTown @r County)
The applicant has described to me, as shown below, the development proposed at the above
ry I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWNG OF PROPOSED DEVELOPMENT
(lndividual praposlng development must ftll in des<:ription below or atlach a sile drawing)
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Po*n
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WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat rzrmp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15'from rny;rrea of riparian access unless waived by
me. (lf you wish to waive the setback, you must initial lhe appropriate blank below.)
?L I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Acljacent lnformation)
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Print or Ngme
E+hSofS n- L''a,r '-
trh *
or Name
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ILL
Mailino AddressYi"re..qh Nc 2>t t\L.557
/ emailaddress
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Numbr/ email
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Telephone
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/21 LOr'^
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Owner
Darc
'Valid for one calendar year after signature'
Da;e
(Revised Auq.2014)
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I hereby
propertY
, N.C
(Cityffown CountY)
The a hasdescribedtome,asshownbelow,thedevelopmentproposedattheabove
I have no objection to this proposal
DESCRIPTION AND/OR DRAWING OF F,ROPOSED DEVELOPMENT
(l nd ividu a t proposi ng develo pment must fill in descriPfron below or attach a site drawing)
inon
Ln'l.,)tb I
Qut nr (f.Pl^l'l'
I do wish to waive the 15' setback requirement'
I do not wish to waive the 15'setback requirement'
Owner lnformation)Q\djacent
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wAlvER SECr!9I
I understand that a pier, dock, mooring ffig",-b;i-6il-p, breakwater, boathouse' lift' or groin
must be set back " ;i;il;; distance-oi ;;if; rny "r"u of riparian access unless waived bv
me. (lf you wish to waive the setback, you must initiil the appropriate blank below')
lnformation)
ture
r-,
or Type
ot- S
Pnnt
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NapqE)ha* l-,arrc
s
Frint or
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Mailing Address \ Nc ))c,r 3e
ru[{o
Number / email
*rAoL t-L L1s-LL
gna'.1
to8
. C)ity/State/Z.iP 1 ti _ 6-Z; - t'l /O
Number / email address
4/ 5'e )r ,c t. \,,r^1 l'"*t'l'elephone
h 'at ,t
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.Valid for one calendar year after signature"
Dote* r-/{-Li
(Revised Aug- 2014)
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Lot,Road, etc.)
I have objections to this proposal'
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