HomeMy WebLinkAbout1811 Invest 1, LLC 78372C1A1021
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CAMA 117 DREDGE a FILL 7 f ; I'7 -) B p
ENERAL PERMIT Previous permit #
ew Modification Complete Reissue 'lPartlal Reissue Date previous unit iswed
As a?f ti-ed by tM 5tata of North Carolina, Department of Emrlronmentil Quality
and the Coastal Raxxrces Corpiwon In an arr7 o tal concern purpM to I5A NCAC
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Project Location; Coin�ty►dress Stnet Add R#M .$ubdhdslAufti _ _ -- CKY ZIP
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AMA/ ❑ DREDGE & FILL N9 78372 A B D
ENERAL PERMIT Previous permit #
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 1A. 1 ago
and the Coastal Resources Com ission in an area o nvironme tal concern pursuant to 15A NCAC
n Rules atta ed.
Applicant PAme
Project Location: County
Address .l ). _ _ Street Addrg![ $tale Ro3d�Lot #(�)
Affected ElOEA ❑ HHF ❑ IH
AEC(s):
❑P
ORW: yes / o PNA yes /
❑ UBA ❑ N/A
0
Type of P
Pier (dock) Iene
Fixed Platform(s)
Floating Platforms)
Finger pier(s) C.�%7�j
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel—
ti
cubic yards
Boat ramp
BoathouseG
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yesUno
�.
Moratorium: n/a yes
Photos: yes UQ
III
Waiver Attached: es no
A buildin� be required
( Note Local Planning jurisdiction)
Notels/ Special CRnditions __4
r,
0
Name
Subdivisio
City
Phone #
Adj. Wtr. Body
Closest Maj. Wtr. Body
❑ See note on
ZIP
River Basin
(Scale:'
ng River Basin rules.
ivv n : n'A
Sknature PjE'a¢e read compliance statement on back of permit
Ap icationFee(s) Check#
Date
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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: 252-247-3330
(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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(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: ���� T'—'Wcl - <<C ex"k
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
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T
/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
4 l w Doe-l( -9L '�14 1- /,// -
at my property located at
in rCounty.
l furthermore certify that l 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:
Signature
Print or Type Name
��'�yCt tie r
Title
Date
This certification is valid through ! I
,.y
h
� u
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to fit�'y�S l 'C /fv' 's
JName of Property Owner)
property located at l
/ Y (Address, Lot; Block, Road, etc.)
on pia Cds� , in- rd-"iG N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
- 'location.
611---\r 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Ind/vldda/ propos1n4 deyelapment must fill in description below or attach a site drawing)
�ifu. dNa�wiY,c� o�+�aLhe,d .
WAIVER SECTtC;N
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 16' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner information)
,Signrtzer -T"" ..Signature � ,l
sfwit
Prinj,pr Type ame Print or Type (Name
MaiAd Tess Mailing Address 14G
Cif to !fir CitylState/Zi 1 kol `
47-0
Tele ho a Nu ber/email address Telephone Number/email address
r ..2 Date `Z � 120
Date
(Revised Aug. 2014)
"Valid for one calendar year after signature`
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to r/r rz4,--- t� /' G'� s
(Name of Property Owner)
property located at Zell Fi"d,✓�' S �.rc�t—
(Address, Lot, Block, Road, etc.)
on l.�XfOle; �/dl�Xin . N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
oc n.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing,)
WAIVER SECTION
1 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.)
' - 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Telephone Number/email address
Date
Valid for one calendar year after signature*
(Ad'acant�Propu�rtyOwner
Information)
tort
t or Type ame
�QQ
Mailing Addr ss
ctT��Gz�
Cit /state/Zip ''/
Telephon Num er/email address
I-L- t zv c�
Date
(Revised Aug. 2014)
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AMA /'IDREWE a FILL N(.) ix??? A B OD
ENERAL PERMIT Previmpermh#
ew-Mod10atw ComPlete Ralswe r,PvtIal w"u* Data prw om wmft hwed
As 01 a�by the Stitt d North C"Ina. Deputment of EmlronmenW Oudlry
and the Coastal C40nionl In an ee concern purguvA to I SA NCAC
st
Appkan
ti1 P - -- - Project Loatlon: County-
Addreu Street Ad lot # )
dry L State P U - — - 797-
Photo# t Mail Subd --- -
Audwrbted Agent _t�/ �'l - �
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( Note Loaf Plank l jurltdredon)
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Phone# f l RNer
Adj. Wtr. Body _ G4
Clomt M . War.
- /^
� � YI
y^ r
fOr reed urtce rotrr*nt on beck of pv A ee re -
�Fesp) and,, tsul D .
kKw Batln rules.
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