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Home My WebLink AboutRudolph, Burton 80437CN19 80437 A R el(C IT previous permit # e Roispsua '.:!Partin' Reissue t rev' us writ issued nment of Fe.i,onnwntal Qqtrq and the Coastal RMrpcus CO.Mission in we ern inan/ljentalcon npwsuanttolSANCAC, Proiect Location: Coun Applicant Narne,_ Add,.?� � "-V�AdeW State Lot , P Z City Ph.tv, -w, S bd' Author .. #g.-JQ4 A - -Mail Agant�-:B ixed City I —& XEW Affected �,w ES r"PT9 Phone Nsr Basin /R USA �,IWA AEC(s): OEA HNIF Adj Mr, ao�',JA,,p il, Closest Mal- ORW. you PNA ye, 1 C-() Type of Projectl Activity M k. F-d RA1fo--( gi%w C-0 iongd, J/Axy� ,O 0", 13A Z 9(1 V 41 .... . .......... . . . -T75 �b., ph SAY: not sure "I Memw'I'm: 'la yo. N IN, ph6ttn, See note on back raWdlnii f4var Bast!, lulel, A bu,ld[ug pwrn;' mmy be required by, (Note Local Planning jurisdiction Not,w Sper, /_74T AMA / REDGE & FILL {? 11%.T . 80437 A B C ENE L PERMIT Previous permit# Oauth ew ❑Modification ❑Complete Reissue ❑Partial Reissue Dat revi us permit issued d bythe State of North Carolina, Department of Environmental Quality and the Coastal R ources Commission in n are f environ ental conc n pursuant to I SA NCAC 'Ar ules attache . Applicant Nam Project Location: County ('/'L4 Address S e. kdd=sl State oad/ Lot #(s) City ��.`` YY State ZIP Phone # CI;7J� Subdivisirap. 1n Or?" Authorized Agent Closest Maj. Wtr. reao 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 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 Iandowner(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 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/ 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: 6u✓ l on S. pi+ Cho )/I 6 Mailing Address: 3 21� 5 L tlo-S 5 the i 1?gi-eAd I✓( 2e§ 7 Phone Number: 2 5 2- S Z l- S 2 3 `f Email Address: �ur ton, ru Clo �pA 0 i mcil I con, 1 certify that I have authorized 8021,e ga"ks /1'1ar%� Cpr s��U c %oti Agent i Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 1 I? 51g116?'1011 o/ T W D /V w o, /brn WC? s at my property located at Von $- in ems' fel�e? f County. 1 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 Info ation: ature Print or Type Name (JwneI' �^ Title 2 Date This certification is valid through 7 1/ U 1 21 � � F ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to & (r tv / I t&I do 10 ll s (Name of Property Owner) property located at 5 J 11-ee � (� (Address, Lot, Block, Road etc,) on hoq ( CC .5 &'',' c J in /"�P/�J�u�.rc� C /; N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatio Y 14 1 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) i�t `� ��i l��f i r �JP( /) � / v✓ r� '�)r.'n,11.) llS ,, m 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.) BUJ fl do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property OJeper Information) Sr Print or Type Name , �20 Mailin7 Addresy� CityzSZ- -21 Telephone Nu%nber/email address 5/L)/G I Daft, (Adjacent Property Owner Information) SiglicJ e ` l L�r� (320 3 Lvm11 Print or Tye Narme z-t 2 `/ I -r 5 y/ 11 S t i Mailing Address City/StatelAp , C-liCI-S'10-3Z1� Telephong Number/email address SJ i 11 Z,J Darr* (Revised Aug. 2014) `Valid for one calendar year after signature` ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Uot. to71 Pt'l coo IP 1, 's (Name of Property Owner) property located at 10 5 Sfi e` on �> (Address, Lot, Block, Road/ etc,) 0�t'i e Si�rt�t in /`''��icl C/!y N.C. —� (Waterbody) (City/Town an/d/or County) The applicant has described to me, as shown below, the development proposed at the above location f� 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) �� t GV t /` c) � r l 1��" U 7• �� ; � lr(��.; I � i /`� �L �1 /��G7 `I .S i LN% J 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 Oyvner Informaton) S` I ITe ��;, J�t c�j�jl i Print or Type Name Maili g Addres r City/State2ip T Telephone Nu ber/email address 1/G> %' / Data "Valid for one calendar year after signature' (Adjacent Property Owner InformationL... Sign%jure 4 Print or Ty e Na e C 1- y Mailin,g A dress z 7 City/StatelAp �� cli `l - 5/u - D 2 l Telephon Number / email address s'/ I ► I-L) Dare* (Revised Aug. 2014) PIN W/q L SFr�C t� pL�I�( - i" UP P,J)N ppRUDOt-h N uu . ! 05 G V1ir`' 5 L A14 _OrT W.� p7 I -I 75 r r 76 1301 H GI�DlN �✓ALGS sell — �Oc�Tc Ci1RrL`( �N Ru�oc Pry PRonrR� r' 51AGG/tTDA/ • �� N�Y FAR p� Two la�DZ/u SAILS. �J9 FILL, 1,40 Sx,4wA l-,. No Rap RnP. NO oixk 5,5`' 14 tF! 611 EMT 69OLM 44� L414L I^ 1 5 W140, ON Pr Ii all GX!ST!N A/oktIPL NaL�I� ' jf I 18 —29 puNEs WATER LINE __ ____ - ►SFr --- --- �_ - FT cA N ! 1 (" DiA/�E7fR Ll I r WEST �I AM LL ON 4ML P 11/6 L' ; C PZ L t EAS CAI L ON R7- TEO PROP� I RI.400L r-qA 11,15rAWDAI or Tw' FILL, lqo Ala p,:Ip PAP, A/0 Dock. iAVAU S, EA5f 690iM 15 t4 L VVE5T gi oc'A TIC LINE FAll =r-T L — --- - ---------- I-F X 15- T 7 N 6 [11C,04[j L �4 16 11" j� two, V 4, lall, 17 1 al j U k A T uy�y ls �Jl ADJACENT RIPARIAN PROPERTY//OWNER STATEMENT I hereby certify that I own property adjacent to 90", t')" t\r't do iP J� ----'s (Name of Property Owner) property located at 3265 L Vail j 5 T1-ut — -� (Address, Lot, Block, Road, etc.) on 1{_�D�� r c' �G�r,, c µ _, in ._.w _ /lq �I,,- c'-� Gi t� m N.C. ' (Waterbody) (CitylTo in and/or ounty) The applicant has described to me, as shown below, the development proposed at the above 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) FQ i Ice ` r 11 Gr 7 f riff (j G) / �r ✓t fu, ll S /Q Hite% J jv'oty;�) f ; f/N.J Glum w., /i 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.) .JL� I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property wn a at! (A jacent Property Owner information .�-'7 �i�rrr trrc�j// / Signcrp;rc*// Print or Type Name Print or Type Name 6'.1V N� ' s 7 ,w,a�,''1 %` '<'i ^ cf r"�Y� iV C 7 ' 5 W, �x�•�r--r-if', ,: � .¢;!� ,� r,7F'1 �,,:Lr� ��..til ��_»` '' ,r - i it .I- I - •� rj Y II s •':: " ''�';�,, ;�,'�I-F ''�`2•>rR``�. 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