Fincher, Danny 80059C

&canae/ E'oneocE & FILL
ENER/AL PERMIT
New EModification EComplete Reissue IPartial Reissue
fu authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant
Applicant Name
Address
State_ _ ZIP _
Phone # (_)
N9 80059 A a .f o
Previous permit #_
Date previous permit issued
to l5A NCAC
Proiea Location: counq Gklp f e*
Street Address/ Sate Road/ Lot #$) ffi--, 4?
Subdivision
zlP
Phone # (_)River Basin
Adj. Wtr. Body lnat /man /unkn)
Closest Mal. Wtr. Body
E-Mail
Authorized Agent
Affected trcw trEw trPTA
AEC(s): o* HHF - lH. L]PWS:
oRW: yes / no
-rpo
*, / no
!ES
N UBA
f] PTS
trN/A
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Type of ProjecU Activity
(Scale:)
Pier (dock) length "
,_ -_Tl-l-r-r+ [l{],
-11-1-]_-i-- -rl+f-f -t -
i
Fixed Platform(s)*I-11 ffiFloating Platform(s)-J-
Finger pier(s)_)').'I
f -t-Groin length
number
Bulkhead/ Riprap length '
avg distance offshore _
max distance offshore_
Basin, channel
-+l1t:
cubic yards
H-l-+
LLT
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
+#
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
Y6 fno
yes I no
yes I no
vo\ no
-rrT*r L
l.:tl
A building permit may be required by:
( Note Local Planning Jurisdiction)
\t fI S"" note on back regarding River Basin rules.
Notes/ Special Conditions
,
,
Agem or Applicant Printed Name
Signature ** Please read compliance statement on back of permit x*
PermitOffi cer'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 permittee to a fine or criminal or civil action; and may cause the permit to become
nullandvoid.
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 I ) 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 certifythatthis project is consistentwith the North CarolinaCoastal Management Program.
River Basin Rules Applicable To Your Proiect:
E tar - Pamlico River Basin Buffer Rules
! Neuse River Basin Buffer Rules
E other:
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 (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Ofiices
Morehead City Headquarterc
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, Pasquotank and Perquimans
Counties)
Washington District
943 Washingon 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
9t0-796-7215
Fax: 9 I 0-395-3964
(Sewes: Brunswick, New Hanover,
Onslow - South of New fuver lnlet-
and Pender Counties)
http ://portal. ncden r.orglweb/cm/dcm-home
Revised 706117
f]CAMA/ trDREDGE & FILL N9 80059 ABCDENER/AL PERMIT Previous permit #
New EModification EComplete Reissue IPartial Reissue Date previous permit issued
fu authorized by the State of North Carolina, Department of Environmental Quality
andtheCoastalResourcesCommissioninanareaofenvironmentalconcernpursuanttol5ANCAC
Applicant Name
Address Street Address/ State Road/ Lot #(s)
Phone # (-)- E-Mait
--Authorized Agent
Phone # (_)River Basin
Adl. Wtr (nat /man /unkn)
Closest Mal. Wtr. Body
Project Location: County_
Subdivision
ztP
Affected trcw trEw IIPTA
AEC(s): oEA - HHF IH
;PWS:
ORW: yes / no PNA yes / no
trES
N UBA
tr PTS
trN/A
)(Scale:
Type of ProjecV Activity
Pier (dock) lengh
Fixed Platform(s)
Floating Plarform(s) _
Finger pier(s)
Groin lengh
number
Bulkhead/ Riprap length_
avg distance offshore.
_
max distance offshore
Basin, channel
-t H+I
I
+fr
t I
l
cubic yards l*-T-
!
I
Boat ramp
Boathouse/ Boatlift
Beach Bulldozinp
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
A building permit may be required by: tr See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
yes no
yes no
yes no
yes no
:J
rr I
I
l-"*
Agent or Applicant Printed Name Permit Ofl icer's Printed Name
Signature ** Please read compliance statement on back of permit **Signature
Application Fee(s)Check #lssuing Date Expiration Date
State _ ZIP _
li+-li,i irl
+,--1,--
l--
+
--J-j-
Ft-#
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
nullandvoid.
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 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, certifythatthis project is consistentwith the North CarolinaCoastal Management Program.
River Basin Rules Applicable To Your Project:
E tar- Pamlico River Basin Buffer Rules
E N"use 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. Contact the Division of Water Resources at the Washington Regional Office (752-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquafters
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
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
2s2-946-648t
Fax:252-948-M78
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and WashinSton Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-72t5
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http ://portal. ncdenr.orglweb/cm/dcm-home
Revised 206117
Name of Property Owner Applying for Permit:Oumn< A.
Mailing address:Qrr 'iYh.rra
rJG.\,rl r ,ASFIO
Telephone Number:
I certify that I have authorized (agenUcontractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of A \Yn'lVt \(Au.rA(A
at nry property located at 9 t2- SFaa+lf OOrrC rrla*,xet NC
This certification is valid through (date).
(Property Owner lnformation)
'I)S.s*r"r N *\cCe
Print or Type Name
O\.)r{ 6/2-
Title, co. owner or trustee for property
7- n \ - 2_t
Date
Telephone Number
\
EmailAddress
CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:ttssov ftlrrurc-(L
Address of Property:Qtz SGcfrf rl'-ssP AL
(Lot or Street #, Street or Road, City & County)
Agent's Name #: ftAsn c,Onof Mailing Address:
Agent's phone #: 1.Cr-o -aqft
I hereby certify 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 description or drawinq. with dimensions. must be provided with this letter.
have no objections to this proposal. I have objections to this
lf you have objections to what is being proposed, you must notity the Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be
contacted at [phone].IVo response is consr'dered the sarne as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 initialthe appropriate blank below.)
I do wish to waive the 15'setback requirement.
not wish to waive the 15'setback requirement.
(Propefi Owner Information)
t-
O*ur I FTlrcse*
Print or Type Name
9lL sco *d DM
Print or Type
Mailing Address
ry'4uotr t/C Lr.?o
Address
City/StatetZip
t
City/State/Zip
Telephone Number
6n8/2012
Date
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CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:Osslrrv F}rrllaa
Address of Property:rSC
Agent's Name #:Mailing Address:
r2:o IV1fr
Agent's phone #: 1.SI- 6no -t:st
I hereby certify 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 A description or drawinq, with dimensions, must be provided with this letter.
o objections to this proposal. I have objections to this
lf you have objections to what is being proposed, you must notify the Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be
contacted at [phone]. Alo response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 initialthe appropriate blank below.)
I do wish to waive the 15'setback requirement.
do not wish to waive the 15'setback requirement.
(Property Owner lnformation)
Signature
Print or Type Name Print or Name
QI I
Mailing Address
i&ar nlr -
fuue
Mailing Address
(Lot or Street #, Street or Road, City & County)
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City/StateEip City/StatetZip
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Telephone Number E\EFhoi;Nffib;r
4-?-'"p?JDate
Revrsed 6/18/2012
Date
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