Williams, Paul 80524C

/trDREDGE&FILL
ENER/AL PERMIT
IModification ECompleteReissue IPartialReissue
fu authorized by the State of North Carolina, Department of Environmental
N9 80524 GAB D
Previous perm it#
Date previous permit irsred_
dv
Quality
pursuant to l5A NCAC
q)
aneh of environmental concern
I( 1....r d8Prolect Location: County
Address 2rt a,,r;y/Street Address/
2,ll
Su
Authorized Agent
Affected
AEC(s):
ORW: yes no
Phone # (_)
! {int ztP
Basin
Adi. Wtr tt/-<f{7
Closest Mal. Wtr. Body t/f<?
PNA yes
>C
Oc C lLTtType of ProjecU Activity ou/
+/
(Scatet L) l))
Pier (dock) length oo
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
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
yes
yes
ev
w(y
A building permit may be required by:
( Note Local Planning Jurisdiction)
fu,art E S"" note on back regarding River Basin rules.
Notes/ Special Conditions r 117.€
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Permit
** Please statement on back of permit xx
Fee(s)Check #lssuing
and the Coastal
Applicant C'c
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Phone #
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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 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
applicantcertifiesbysigningthispermitthat l)priortoundertakinganyactivitiesauthorizedbythispermit,theapplicantwill
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 ceftified 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 belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
E Tar - Pamlico River Basin Buffer Rules
I Neuse River Basin Buffer Rules
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 (252-946-648 l) or the
Wilmington Regional Office (9,0-796-721 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
252-264-390t
Fu<:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
E oth"r'
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-648t
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. ncden r.org/web/cm/dcm -home
Revised 706l I 7
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL . RETURN RECEIPT REQUESTED oT HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:ve b,
Mailing Address of Owner:r,rcl R Sr"lq,nSbo
Owne/s email:
Agent's Name:
Agent's Email:
e(:,r^t/-.
(-{a tl
owner's Phone#: Q to " 38rt - 51GlO
Agent Phone#:
ADJACENT RIPARIAN PROPERW OWNER'S CERTTFICATION
(Bottom oortion to be completed bv the Adiacent Propertv Owner)
I hereby certifo that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
descriotion or drawino. with dimensions. must be provided with this letter.
,/V I DO NOT have objections to this proposal. I DO have objections to this proposal.
lf you have objections ta what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 4(X) Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone].IVo response is considered the same as no objection ff you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (lf you wish to waive the setback, you must siqn
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
x
-oR-
I do not wish to waive the 15' setback requirement (initial the
Signature of Adjacent Riparian Property Owner:
i?.<r,.,rrlCl 6t lot't A zc.,;1
Typed/Printed name of ARPO:li
Mailing Address of ARPO:zl
x
5 i.lq,r\Lte Cz f84v)
ARPO's email:ARPO's Phone#:z+0-7L 1-ft1q
up to one year from ARPO's Signature*Date:g 1 3:41< Z ( .waiver is vatid for
Revised July 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERW OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL . RETURN RECEIPT REQUESTED oT HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:P"o\ .^*J R$^. \t/; lllc*:
Address of Property:2 t I t/.J ,lri oo 5 ir,l ar.s borrt c
Mailing Address of Owner:'tt
"r1
r.1lr.i wl br,4 NCZ ftr 4
Owner's email owner'sPhone#: t tO-38cf -5 8A't rUl
Agent's Name:Agent Phone#:
Agent's Email: _
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom oortion to be completed bv the Adiacent Prooertv Owner)
tl;
th
I hereby certiff that I own property adjacent to the above referenced
permit has described to me, as shown on the attached drawing,
I property. The individual applying for this
the development they are proposing. A
I DO NOT have objections to this proposal. I DO have objections to this proposal.
lf you have to what is being proposed,you must notify the IV.C. Division of Coastal
Management PCf0 in writing within 10 days of receipt of this notice. Correspondence shoutd be
mailed to 4(N Commerce Aye., Horehead City, NC 28557. DCM reprc-sentatives can also be conhcted
at [phone]. Alo response is consldercd the same as no objection if you have been notified by
Certifled Matl.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (lf you wish to waive the setback, you musi siEn
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
x
Signature of Adjacent Riparian Propefi Owner
-oR-/4I do not wish to waive the 15' setback requirement (initialthe blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
{-fi
4'hn:l'<,4--1
r I ,"+t')
c Phone#:*/$^ ^77 /- 5-?./
up to one year from ARPO's Signaturc*Date j 'waiver is valid for
Revrsed July 2021
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