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Home My WebLink AboutWalker, Kenneth 80424CCAMA /DREDGE &FILL 9 80424 A B C� D ENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality .�{ , EIZO and the Coastal Re ources Commission in an area of environmental con pursuant to 15A NCAC �' ll R es attachgfl. Applicant Name L Project Location: County Address —,Street Address/ State Road/ Lot #(s) City State IP�� Phone # -Mail Subdivision Authorized Agent City ZIP ❑ CW W TA ❑ ES ❑ PTS Phone # ) W River Basin Affected ElOEA ElHHF I AEC(s): ❑ UBA El N/A Adj. Wtr. Bo at ma unkr ElPWS: ORW: oe�no PNA yes / Closest Maj. Wtr. Body Type of Project/ Activity , 1A g i A (Scale: �—/ 0 0 ) Pier (dock) length Fixed Platform(s) Floating Platform(s� ( �� Finger pier(s) Groin length _ v _ number — i ......._ - - - - [ - _... Bulkhead/ Riprap length i avg distance offshore 3 max distance offshore (f �_- cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing ��— Other + _ C Shoreline Length - SAV: not sure yes o r Moratorium: n/a yes o Photos: yes (I Waiver Attached: yes o -- A building permit may be required by: ( Note Local Planning Jurisdiction Notes/ Special Conditions i n I- r I I n or re _ ^Please read compliance statement on bac Fee(s) MWEV, "AMMAW.51 V 11, WE _'mil i Permit 1� 1Checkermit Signature u. 6ate 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 1) 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 howto comply with 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/ 1-888ARCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet- and Pamlico Tyrrell and Washington Counties) 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) 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 CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: ,��N�vFiN +� &4Z-1C r1t P J Mailing Address: `?�% 00 FkU, r_ ZN J(-£ 2Z '7 Phone Number: � 1 S� /� 0 �ZLl Email Address: Ael, /ct2 I certify that I have authorized 'P k I (f- Agent / Contractor ' to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ' I C' wl at my property located at / / Si d % c Aoit f S % G''A L)2 I v£ in County. I furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: igna ure Print or Type Name Title 1 .P l 2oz: Date This certification is valid through I _l. Crvo Ck) 0-9 a�M�MN ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to of Property Ow I property located at IZL S aLRAA S1nav e3 Q o yx� brtV- (Address, Lot, Block, Road, etc.) on a �a vke. �)au x 1 cU�7 in �tw ort Co► Ae.lre 4 -, N.C. (Waterbody) I (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loca 'on. 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) f-e_a � 30a.A Cam' e-a-n'k n Art J 64 s t-n `�fb ..1. C, 1�rc.�G�in� a 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 you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement, (Property Owner Information) (Adjacent Property Owner Information) S nature Signt !re Arinl or Type Nam Print or Type Name .116o Fr c�� 1i11 _1-1 ,t -7 Mailing Address Mailing Ad ress o ( C , :22 0y b uo& Ike- e- CitylStatelZlp — r---� City/State2ip Telephone Number/email address —e* R��E�v _1D!ephone Numberme ail address - /6--2! Date ��rf�lte* w 26 (Revised Aug. 2014) 'Valid for one calendar year after sibn&.V81) CITY u ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to C IN A4.. �.�� , —}- ILI ,s (Name of Property Owner) property located at ► 1 S a.,ffiJInaY a-s is • + blr%v (Address, Lot, Block, Road, etc.) on �)dur. l in Mta 900 Cm r�e,re� N.C. (Waterbody) I (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loca 'on. 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) r ,--I e.Q - f f � � �1 � 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 you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement, (Property Owner Information) (Adj cent Property Owner Information) Y �4 U'� S� rzattrre�p p .Sian-atui Prin or Typ, .-Nam ►�f� $'gst� sly _� Print or T e Name 7 t i / Mailing Address Mailing Addr ss ' CitylStatel& _ 7 zg City/StatelZ d Z5� y55 - Telephone Number / email address rvSp Telephone Number / email address Dare IDate* OR % 6 V (Revised Aug. 2014) *Valid for one calendar year after signattuur * DAM" 1"1 Ira loi /j //� 7YO 1 00 N rl M - r- ul CL 0 � � O Q) � Ul U O J w L Q� lfl 0- 0 CL oil Al s 3 � co co '—' � o � w o w �• � �• ti eD n o 0 0 7y is 'd ti p G C7 C r A [� 71 p d r b by n fin' nF' t9" y It, 9 fA9 a s a V N rfr �y/- * * o C b• cn p rn 7 r V ao N ffl O A y r fD x H pd 3 w o 0 0 o r t� Ccn " p to o p ^' b u, x o B cVn O O d 98 b y g a" nx °o rn �s a$� co n u, a o 7y o ,� o NITI a o q N O O moo O O Is- 3 af 1.4 j � ' 1 ,LSE '•! rn R � y F n w n ? m ,Y