HomeMy WebLinkAboutTribus, Brian 78374CAMA / ❑ DREDGE & FILL N9 78374 A B C
N E RAL PERMIT Previous permit #
New ❑Modification El Complete Reissue El Partial Reissue Date previous p rmit issued
As autho ized by the State of North Carolina, Department of Environmental Quality
and the oastal Resources Commissiop_in_an ar of environmental concern pursuant to 15A NCAC
es att hed.
•• ,i•:• •
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 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 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 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:_.i��
Mailing Address:'!S
q?-72_.
Phone Number: 7 ' 1
Email Address: I _ %�
I certify that I have authorized S C� � `'r if ' 41e � �7c�
J��A, y-, GIeV Agent / Contractor QY)Ygh CO Y• Gt Yl
to act on my behalf, for the purpose of applying for and obtaining all GA%MA permits j
necessary for the following proposed development:
at my property located at 2 f v� ` cif
in efi County.
I furthermore certify that I 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: do x
Signature
Print or Type Name
Title
Date
This certification is valid through ! 1
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ADJACENT RIPARIAN PROPERTY OWNER S_„TATEMENT
I hereby certify that I own properly adjacent to is
property located at
on
ss, Lot, Block, Road, etc.)
N.C.
(City own and County)
The applicant has described to met �s shown below, the development proposed at the above
iacatic.
!have no objection to this proposal.
i have objections to this proposal.
DESCRIPTION AND/Oil DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WW 1�/ER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 16 from my area of riparian access unless waived by
me. (if you wish to waive the setback, you must inlitial'the appropriate blank below.)
_ I do wish to waive the IS' setback requirement.
I do not wish to waive the 16 setback requirement.
(Property Owner Information) (Adjacent Property Qwner Infonnation)
or
Telephone Number/email address
_01 -1s zpzi
Date*
(Revised Aug. 2014)
"Valid for one calendar year after signature"
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ADACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to s
(Name of Property Owner ,
property located at
(Address, Lot, Block Road, etc.) — -
in
'Waterbody) ' (CityiTown andlor County)
- re applicant has described to me, as shown below, the development proposed at the above
iocat�
I have no objection to this proposal_
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing developmentmtt-Oil in descfipfion below or attach a site dray ng)
WAIVER SECTION(
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
rust be set back a minimum distance of 16 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 16 setback requirement.
_ 1 do not' wish to waive the 15' setback requirement
wroperty Owner Information)
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Telephone Number/email adess dr
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Data
(Ad'nt Property Owner
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Si attire* -
,1gC�oGe
Print or Type Name
Mailing Address
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Telephone Number/email address
Uate`�
Revised Aug. 2014)
'Valid for one calendar year after signature`
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1/5/2021 Carteret County GIS Website
County Home Page (hftps:llwww.carteretcountync.gov/) I GIS Home(https:llwww.carteretcountync.gov/469/G[S-Services) I Data Downlo
Carteret County GIS k4ker + + 133ft
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Results List
Details
ESN:
2825
BUILDING:
GC EXCEPTION:
SITE NGUID:
SSAP-46463@carteret.nc.us
DiscrpAglD:
cartncsol.carteret.nc.us
PREDIR LEG:
POSTDIR LEG:
FULL —ADDRESS —LEG:
229 CLUB POINT DR
STREET —NAME —LEG:
CLUB POINT
Zoom To Clear
Directions Google Streetview
Select Parcel
Buffer
Map Scale: 1 inch = 133 feet
Long:-77.055 Lat: 34.687
Long: 77'03'18" Lat: 34'41'14"
https://arcgisweb.carteretcountync.gov/maps/ 1 /1
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