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Home My WebLink AboutGull Harbor Yacht Club 77045CCAMA / ❑ DREDGE & FILL NI? 77045 A B ((� 'EN ERAL PERMIT Previous permit # New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As autho ized by the State of North Carolina, Department of Environmental Quality 0 and the Coastal Resources Co mission in an area of envir nme71?� ncern pursuant to 15A AC ' j / Rules attach Jd Applicant Nam l� l ! 4L yv� , / PFoj�ct Loc tion: County Address St r t address/ State Road/ Lot #(s City State ZIP Ailim Phone #,'91 s - ail � it Subdivisiop Authorized Agent ❑ CW F ❑OEA ❑ F 11 ❑ PWS: Closest Maj. Wtr. Body '* A1e�se read compliance statement on Fee(s) 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, certify that 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 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/ 1-888-41RCOAST 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 CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 1 1- p►%, I N 1 r Mailing Address: 15-tq _Prk)j?'°-rsw1 L-N Phone Number: Email Address: I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: - t L at my property located at in Cis f County. 1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Pert -nit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Title L / , 2C>20 Date This certification is valid through ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 4`�ta''�l 1 (NA.me of Prope Owner) property located at �� I G f't (Address, Lot, Block, Road, etc.) on �in N.C. (Waterbody) (City/To n and/or C2qnVI The applicant has described to me, as shown below, the development proposed at the above locatio . 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) 1 r}6 -DcC-r-- 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. (If you wish to/waive the setback, you must initial the appropriate blank below.) V I do wish to waive the l5' setback requirement. I do not wish to waive the 15' setback requireme t. VPnnT Owner Info anon) (Ac�je en Property Owner I form tion) 1 igr- 0 k Lame Pri t or y e hMaiVl n Q rnv/ C E r, I1 y IV Z / CMail � �res o ty/ita �Tele hone Numbed et-e4hon Nu ber U ?,�2� Date Date (Revised 611 n012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to,�� l �, � (�� f Pr�ope Owner) property located at �� l �i pl'�')1J`t`�t 't't' Q�, (Address, Lot, Block, Road, etc.) on 1�uc� in N.C. (Waterbody) (City/To n andlor Coun The applicant has described to me, as shown below, the development proposed at the above locatio , 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) 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. (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. (Pro erty weer Information) (Adjacent P o erty Owner Information) g e VSi �099 N ri t or y Namen� h� Print or ype Name — Mailin Aldreg Address Css C 4 0 JJ 7 �C w ik�n7 C""irr��/State/Zip b�1-732—y22b 752�723'I`�30 Telephone Number Te.LephonelNumber v 2o2c) _ 7 t '3 v l ac )-0 Date Date (Revised 6/1KO12) , TV f1wo i_sili 4t 1'41% aft JAM b vo im -13 F1.191 i�4� 141 ez.�" m"14*4-1' Tj dt utf_ sip Alm* 1A q AC,