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Home My WebLink AboutHarbor Master Inc. 78383C�CAMA , ! DREDGE & FILL Nn 79 3 j A B (C ) D ENE AL PERMIT p �J Previous ermit # ew ClModification PComplete Reissue .i�ial Reissue Date revious ermit issued As authorized by the State of North Carolina, Department of Environmental Quality d and the Coastal Res L ces Commission in an area of environmental concern pursuant to I SA NCAC f ' Rules a;chi Applicant N e__ _ _ __ _ Project Location: County._ Address_ Street Ad r s tat Ro Lot #(s)_ - -IO --- - Ci StateZIP Phone #919"-Mail __ City- Subdivision--- - Authorized Agent �%'J� �%� - ZIP_- Cw w �IPTA O ES I l PTS Phone # iv r Basin Affected UEA 1 Ij HFIH URA U NIA AEC(s): U`"1 O Adj. Wtr. Body__ ____ — nat_/man_Junkn) U PW Closest Mal, Wtr. ody .-- ORW: yes 1 PNA yes / o I A J _ Type of Project/ Activity (Scale: Pier (dock) length Fixed Platform(s) - I - FloatingPlatform(s)"=� Finger pier(s) „_,--.. -- — _ _ I • L _- - 1. _ ...._.. I__ ' Groin length number i Bulkhead/ Riprap length avg distance offshore--, I� I r/►. ax distance offshore-�'• _ s asin, annel "t��Q cubic yards ��- Boat ramp - I Boathouse/ Boatlift- l I I I i I Beach BulldozngOther -'V _, I i Shoreline Length - - . _._ i . SAV: not sure yea I I I( Vs Moratorium: n/a yes no I - I1/�r1 I Photos: yes n Waiver Attached: yes n See no o back r ar ing River Basin rules. A building permit may be required by: ✓� ( Note Local Planning Jurisdiction) Notes/ Special Conditions -- - tent on bac FoLD/e rn S�at Check# RECEIVE�rationDate FEB 2 5 2021 DCM-MHD CITY 4CAMA / DREDGE & FILL N9 79393 A B C D ENE L PERMIT Previous permit # ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous ermit issued As authorized by the State of North Carolina, Department of Environmental Quality 0 ► I and the Coastal Res ces Commission in an area of environmental concern pursuant to 15A NCAC wX Rules aTcled. Applicant N e Project Location: County Address Street 7dirsStat Roa Lot #(s)City State ZIPA Phone # — -h... _ c„� Authorized Agent Affected ❑ CW WiPTA AEC(s): ❑ OEA IF C5 IH ❑ PW ORW: yes / PNA yes / Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(sJ Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore ax distance offshore--'asin, annel IXw cubic yards 1 Boat ramp Boathouse/ Boatlift-- Beach Bulldozing Other �^ Shoreline Length % I SAV: not sure yes Moratorium: n/a yes no Photos: yes n Waiver Attached: yes I — A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions (�( 6 -111 ES El PTS Phone # c�kirj '. hu Closest Maj. Wtr. Application ree(s) l IIC KTf (Scale: ❑ See no on back r ar ing River Basin rules. o117AVY17ZIII f (/--61 iAg Date Expiration 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, 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/ 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 I ADJACENT RIPARIAN PROPERTY OWNER 51 A I tnntN I I hereby certify that I own property adjacent to _ property located at '�\ U U / (Name of P (Address Lot Block Road etc ) r) , on /� � G l ,` ✓ , in 14,10� N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I.,--- I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing devel9p nt must fill in description below or attach a site drawing) po (z e-�o LA6 r- K-" I iA9 .rz) 6 --► � it � � i � � ---_.. � ` � VJ ./ A L-WAIVER SECTION C 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. U61 C. 7 AXJ�7 (Property Owner Information) (AdIacent Property,Owner Information) Signature Signature's 2 int Rr�X Narx►e U Print or Type Name Ming A dress Mailing Address a rc�� c City/ tate/Zip City/State2ip M a4 5 7 Telephone Number/ email address Telephone Number/ email address Date �i — �� Date* RECEIVED (Revised Aug. 2014) *Valid for one calendar year after signature* (No GW) DEC 2 9 2020 DCM-MHD CITY 40 • f� - .':5' .'s '3,. :si, �f .6Z'ws�r.b).��'#j. ��er i�. i{L }�:•4 �' ".t:� ;Ct - _i- ! t. .1 1IN 'o . ADJACENT RIPARIAN PROPERTY OWNER STATtMtN i i / hereby certify that I own property adjacent to - f ��«' �� .7 C (- '� — s // (Name o7(- Propert Owner) property located at �G(� � re��(� `21 /1— ��; z � / Ncr (Address, Lot, Block, Road etc.) on i/r`z: r C'�c�� in C� N.C. (Waterbody) (City/Town and(or County) The applicant has described to me, as shown below, the development proposed at the above location, _ 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) A- f) 0 � PO CC--5- PV t 2cP /-*'4- - I , 5.11 C41 C. S 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.) V I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Sig6tu e mo Signature* rent or Tye Name Print or Type Ngme r ® 9oiL l U C/ �i ti'//c/�71 Mailing Addr ss kl C Mailing Address At P, Ae m o ✓e 'e a c� ., ity/State/ZiIV City/st te/Zip Telephone Number / email address Telephone umber / email add ess J 7 �/ 349 A) Date ' � - .2.,(�:z-('.� Daley *Valid for one calendar year after signature* (Revised Aug. 2014) ��try ia�r�+S�e�s�rr (�rj,ncuV, �,v, 00o c ro d d r w �, Tv � n He ` N C� � �` r•�',h O Jcr`i N Fes" f„r SRN � d d o o a w a to ow cn � A O m N $ r+ O '•*• W o 00 V O NNa ads m m 0 m y dNa p 8 Q R 3• ACC w m 3a 0 03 aGi 8 �Qi ma ry�wr S m � �a 0 C 0 � oG o � o H Ul v �7 00 n O O • .P w � f Z ' s`�4'