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Home My WebLink AboutRussell, Russ 78373C(JPEG Image, 2550x3534 pixels) - Scaled (17%) https-.//mail-attachment.googleusercontent.com/attachment/u/0/? CAMA / DREDGE & FILL 1V Previous 7O3�R#73A BC j D PERMIT j—�aud�87}rl�New f?Mod cation �C°mplete ReiuC✓:-�Parvaf Reissue D�e P� °� PeRn�t As by the Smte of North Card°+. oepartnrent of Environ—W Quality and the Coastal Comnbsion an area of emit corKem pcasuant to ISA NCAC Applicant Name Project Location: CountY Address t Street Add 48ody 44 City State . Phone ail Subd' " " ZIP Authorized Agent ZOY— CityPhone #r Basin Affected OC�Y ❑EW pPfA 1c3 6PT3 AEC(s): �OEA OHW ❑RI DUBA FIWA Adj. Wtr. BodyO P�VIS\ Closest Mal. W ORW: yes / r / PNA ' / t0O Type of Project) Activity P-_ (dodo) V. (Scala - Frogs qx(s)- •_ ` IW't tt �eprre ol�bhore � � `\ pl mud'otvrceethAore�_-.. _._J ar Boaz an,P`� On— — Muaa�ae: nfa � f Plrotas: Y. Waiver'Atradr : yes A build'mg permit may be recryired by: ( Note Lod Planniag)urtsdwwn) 1-2, 11 -IVA? -- - _- 1 of 1 2/4/2021 9:08 PM CAMA / ❑ DREDGE & FILL 1' 9 78373 A B C D GENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date prev'ous permit i ued As auth rized by the State of North Carolina, Department of Environmental Quality and the Coastal Res ces Commission an area �enviro:erconcern pursuant to 15A NCAC les att ch d. Applicant Name Project Location: County Address 0 I Street Addr s Sta}y�e\ RoaC Lori#(s)��/f� City G V u/ State i /-Tp� ' Phone � -Mail Authorized Agent ❑ CW ❑ EW ❑ PTA �ES ❑ PTS Affected AEC(s): ElOEA ❑ HHF ❑ IH ❑ UBA ElN/A ❑ PWS: ORW: yes / o PNA yes / o Type of Project/ Activity '--t'>LUYAka - Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length 0ber ``-- /Riprap length & avg distance offshore max distance offshore __ Basin, channel cubic yards--"''J Boat ramp'-'� Boathouse/ Boatlift`—'� Beach Bulldozing— Other Shoreline Length SAV: not sure yes o -- ........... Moratorium: n/a yes no Photos: yes no Waiver Attached: yes n A building permit may be required by: ( Note Local Planning jurisdiction) or Applicant Printed Name City-U Phone # Adj. Wtr. Body Closest Maj. Wtr. Body ZIP Basin l" (Scale: � See note/on back regarding River Basin rules. Signature I read compliance statement on back of permit S L40 ApplicationFee(s) heck# 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 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, 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 (252-946-648 I) 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/ I-888-4RCOAST 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 Mailing Address: t91 1 Phone Number: 107 2 `7 - 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 permit necessary for the following proposed development: at my property located at I ( 1 f� 1, V cw- I� f in C lP` 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 Information: Signature Print or Type Name 0W A/'�-- i- Title 1 D i RECEIVED Date 'JAN 2 8 2021 DCM-MHD CITY This certification is valid through -1-1 A It ;4ia I I-, I V C: j A I I A 1, N I v N-- I I I I I I 1 11111 I- A A L. 9� 110, 32%, I hereby certify that I own property adjacent to _ property located at t- ' `� S (Address, Waterbody) 's U S vi-a oroerty Owner)((fa � lock, . deto°)� N.C_ � (City/Town and/or County) The applicas described to me, as shown below, the development proposed at the above location I h ve no objection to his proposal. D' I have objections DESCRIPTION AND[OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill ire description below or attach a stye drawin-q) �� n6V -V N r P ` UJ �- WAIVER SEGTI.ON OF n erstand that a pier, dock, mooring pilings, breakwater, boathouse, lilt, 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 dp4iiish to waive the 15' setback requirement. d t wish to waive the 15, setback requirement_ I o no (I�djacet�t property Owner information) (pro�er$y O�Mr�e�r§orrna$ion)i Sio aaiur° Print or Type Name �' II I U eh �rVlailing Address � City/StarelZip �gS '->1`cj e(ephone Number lei - r1344 Iwo A (RVised 6/18/2012) [P'111,-.", Cc k � ,'' f'"• fit � � �,f, _ #�� #�:� �-�`�`€��)�� 'S:,�il'„� �� i" ' I rir'. j , e f 4. F ., r J J3'ti r.Y�`.r� 'nL �� Wf.•� '#�ai�'�`, R�y� ''�:q ��. i. `�. I., J•,j.� i ",'�f. If 0 F u s , ' ' i.• - tW�; =ti +.).e`i ,. . _+ '�. ...1 +'�Y.J 7i?. , �� 'Wky ` •' -�'i .3� s I. �� l.,f,' fir E 'i �„l law v`_`y .,a1tt; ¢ G�'••r,l }. .. F _. .... si a '�� E. •,� .y'- �. 'x'� -�i �';its ��4;'��'," 'i'r�,t£'Srsl �•!' < t . ;t a r � F vlf. xr r • •� -' ^_-F• .� ., a +K S. . �. a. ...._.... o., .. .� t;�.d r t >, ... __ r i I hereby certify that I own property adjacent to property located at � (Address, jVC_IJ r t VQ 1,' �n on r OWNER 57ATEmtN ► 1 Of p rty Owner) INV u Block, Road, etc.) N.G. _ 1,- G (CitylTown and/or County) sed at the above The appl[ca t has described to me, as shown below, the development propo location. Proposal. I have no objection to this prop have�bject ons t0 tt1is_proposal----------- DES CRiPT1ON AND/OR DRAWING OF PROPOSED DE4lELOPiVIENT osin development must fill in description below or attach a site drawing (Individual pt�op 9. 0 �� 1 �� V, R { _ WAlVi=f� SECTION boathouse, lift, or groin must be set ilin s, breakwater, me. If you I understand that a pier, dock, mooring p g area of riparian access unless waived by back a minimum distance of 15` from my ro ran access bla*Ne ) wish to waive the setback, you must initial the apP p _ I do wish to waive the 15` setback requirement. I de not wish to waive the 15' setback requirement. (Property owner lnf 14 00-M&��' ation) Tele none NumUer �- .2_ Jr -- Date (Adjacent Ptopedy Date A ,lam Number D_0— rmation) 1,rR_vised 6/18/2012) AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: Email Address: I certify that I have authorized 1� � W k W L<n' K Agent 1 Contractor Mo �_C� e_c� -&�S`7 j 17 � � ► C�� to act on my behalf, for the purpose of applying for and obtaining all CAMA permit necessary for the following proposed development: k ' ° at my property located at I C i R ( V- Cv in L-jv-�4C.Ir County. 1 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: Signature Print or Type Name Titl e �U 1 �� RECEIVED Date JAN 2 8 2021 DCM-MHD CITY This certification is valid through / / - � h ^ 's .1 hereby certify that I own property adjacent to I \ V (a a of ro arty Owner ) property, located at _ 4r_— d, etc.) J (Address, Lot lock, RN.C_ o �_—__- E'_ vi V` 1 11 l� _, in on j Waterbody) (Cityliown and/or County) The applic�lxt'�ias described to me, as shown below, the development proposed at the above location l I h• ve no objection to his proposal. D' I have o_bjection__s t-o_ttlis_aropasaL------------ -------- - --- -- -- - DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEL to MEa site drawing) NT (Individual proposing development must fill in description below �W QCV-V \ N i I�— WAIVER,CYI.o Rurerstand that a pier, dock, mooring pilings, Ube set breakfnra�°ems unlesous 's waived ft, Or Ibymme. (�f you back a minimum distance of '15 from my area of riparian wish to waive the setback, YOU must initial the appropriate blank below.) I d�>Gish to waive the 15' setback requirement. / uirement. G✓ i do not wish to waive 'the 15 setback req Owner 19j#ormation) (property Ownernforrnation) (Adjacent Property SLa Q lure Print or Type Name ,Mailing Address *-cityVANate/Zip Telephone Number - t oil Revised 6/18/?01 ?) 4 r jj R q.two 1 �j Jilt i sad' 7X -1 low �•' -.G '3 i:_ s�-'✓l�%"i- ��`�A`--.. by �''yH�4 � ?.F�3 9''•` �} s' ro adjacent I hereby certify that I own property Y 1 to (N of rty owner) property located at etc.) �%J _ (Address, Lot,,Block, oaI N.C. on /vC.(,J Y' U�-r in �' (Cityltown and/or County) (Waterbody) at the above The app lica t has described to me, as shown below, the development Proposed location_ proposal. I have no objection to this prop _ __.I have�bjectio_nsi-o_tt s-aroposaL---------- DESCRIPTION AND/OR DRAWING OF PROPOSbDIow a OPMEa site drawing) (Individual proposing development must fill in description I 0 VIT N r (''� f ,J WAIVER SE or groin must be set - -- pilings, breakwater, boathouse, lift, me. If you I understand that a pier, dock, mooring p g area of riparian access unless waived by back a minimum distance of 15' from my appropriate blank below.) wish to waive the setback, you must initial the appro P _ I do wish to waive the 15' setback requirement. V I do not wish to waive the 15, setback requirement. --- (Adjacent PrOPerty (Property Owner Infor ation) , akng,A Tele none NUrn et �` �/ D ate —� "efepnon Number Date r Information) Revised 6J18/2012) _�y 1 - �IIG� w ��a 0 k N y ry N �o �a q v U � W 5� � o r-: 0 E t' — aL � o 0 e� M Ec s o f 3 ° n o=E w �U c _ m N M $ N � 05 N WH O w W O O g 2b,i6 .� A x FF y N A d E yy ..w r E H V W A o c C O a &tU LO x a > oo U W A ._ t"y Lf 1 A N H_ ram. 0\ N � m E -] Ln 0 p� z � w x a p oLO .0 O o u O Cl) LO U) Z paq U LS U 'a rxn \ co A o.4 L o? �Y,a E co fr � N-i O C� ti O M '� 'N d N ed O v, CC O .—bE E oo FE6�