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Home My WebLink AboutHamilton, James 80455C-� CAMA / ❑DREDGE &FILL Nil? 804 J A B D ENERAL PERMIT Previous permit# (DC New ❑Modification DComplete Reissue ❑Partial Reissue Date previous permit issued As autho ized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commissjon in an area of environ ental concern pursu nt to 15A NCAC (900 EU Rules a ched. Applicant Name JJU 1 1 Address city St; Phone # 11 E-Mail Authorized Agent Affected *W EW DTA ElOEA ElHHF ElIH AK(s): El PWS: ORW: yes / PNA oes/ Type of Project/ Activity o I �, _ Pier (dock) length XI - Fixed Platform(s) Floating Platform(s) Finger pier(s) - Groin length number ` Bulkhead/ Riprap length- avg distance offshore' max distance offshore — Basin, — Basin, channel cubic yards Boat ramp -- Boathouse/ oatlif Beach B Ildoozin Other f Q Shoreline Length SAV: not sure yes o Moratorium: n/a yes o Photos: y no Waiver Attached: A building per i may ui ( Note Local Planning Juris ction) NoP&/ special Conditions or Applicant Printed Name ZIP ❑ ES ❑ PTS ❑ UBA ❑ N/A M (Scal ❑ See note on back regarding River 2 Application Fee(s) compliance statement onkack of 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 applicant certifies by signing this permit that [)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 belief, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Other: ❑ Neuse River Basin Buffer Rules If 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 how to complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION L�Namo of Property Owner Requesting permit: Mailing Addrt:ss: nz ..fir Phone Number: Email Address: 109rtify that I have authorized %r C 7 2.Z".,d & Adent / Contracbr to aet on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 5'�.ZZf� � I-jq % at my property located at 13- i> (— :t om. u. e �t +�. '` , Ak -. y S in fir.44 --- County. i furthermore caarW that l am authorized to grant, and do in fact grant pormi scion to DiviSion of Coastal Management staff, the Local Permit Officer and their agents to ontor on the afnrerrtentioned lands in connection with evaluating information related to this permit application. Prop nn 'on° r`f If �fgnatu, q, 4. 0�.j � Date This certification is valid through t f ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -J 4,&r s s 4 • /4 � s property located at (Name of Property Owner) t�3� �t� t ry�v�.-.- (Address, Lot, Block, Road, etc.) on � rb in Mors. CL.^ N.C. (waterbody) (City/Town nd/or County) The applicant has described to me, as shown below, the development proposed at the above locatipn. ,� -- I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) tz �x-z � 51� AJtA rYt trn urY\ b'r"k b� 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 15' from my area of riparian access unless waived by me. (If' pu wish to waive the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. trTU� � i tionj 'w Print or T pe Name Mailing Add r s _ City/State/Zip Telephone Number/email address )�te,, /god Date (Adj ent Property O er lnformation) 4!ignaZture Print or Tyne lvarraa / email address *Valid for one calendar year after signature* (Revised Aug. 2014) ■ Complete items 1, 2, and 3.. ■ Print your,name and addresi'onifie reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 6 C- d cb r2�� kl p')c IIIIIIIII Ilii IIIIIIIIIII IIIIIII IIII IIIIII I� III 9590 9402 5357 9189 7558 53 A. Sigfnature X L��11� ❑'Agent 1 ❑ Addre B. Received by (Printed,Name) I C.,pate gftDel D. Is delivery address different from item 1? ❑ Ye: If YES, enter delivery address below: ❑ No 3. Service Type ❑ Pdorb'-Mail Express® ❑ Adult Signature ElRegistered Mall- 0 Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified Mail® Delivery ❑ Certified Mall Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery Mail ❑ Signature ConfirmationTr^ ❑ Signature Confirmation 7 019 0140 0001 0229 3274 Mail Restricted Delivery Restricted Delivery _ ^ol PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ■ Complete items 1, 2, and 3. s Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: I'7 311 c- J A. Signature X ❑Agent ❑ Addre B. Received by (Printed Name) C. Pate otpell D. is delivery address different from item 1? ❑ yell If YES, enter delivery address below: [] No 3. Service Type ❑ Priority Mail Express® ❑ Adult Signature ❑ Registered MaiITM II I IIIIII IIlI III I IIIIIII IIIIIII i III II II I I I I III ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified Mail® Delivery 9590 9402 5357 9189 7558 22 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number(7Panct�frnms—^^ d'xa-�^""-`onDeliveryRestricted Delivery ❑ Signature Confirmation ^ Mail ❑ Signature Confirmation 7 019 014 0 0001 0229 3281 Mail Restricted Delivery Restricted Delivery over O) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 9 � R k, 9 n r� tau �9r r`-�I" 1 � 14 I:f N0}4a n anaq a nYq'-ASn71 S h �' t t , i � '^ 'e, r' •y � ' rE r r r c`��`— ,- d'r x ;+ ,,JJ t l:t�> ' 11 c# r aiK � 4• , J �• A � 4 ��•f;SR t '�^�� r�•r'_ ' a°jir r b 7'c � i 7" 1 - ��_ _ il. 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