The URL can be used to link to this page

Home My WebLink AboutMasser, Andrew 80581C-1CAMA / ❑ DREDGE & FILL N9 80581 ®GENERAL PERMIT Previous permit# A B C D<'- ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorizedbythe State of North Carolina, Department of Environmental Quality % f J / and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / / j ❑ Ryles attached. Applicant Name j ' i (r" .1F �/ r. Project Location: County Address ` f / ' )/ ( / Street Address/ State Road/ Lot #(s)_ City State N ( ZIP Phone # (_ ) _ E-Mail Subdivision Authorized Agent Affected Cw AEC(s): ❑ OEA ❑ PWS ORW: yes / no ❑EW ❑PTA ❑ES ❑PTS ❑HHF LIH ❑UBA ❑WA PNA yes / no Ciro Phone# O Adj. Wtr. Body Closest Maj. Wtr. Body 'Agent or Applicant Printed Name PermitOfflcer's Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # ZIP River Basin (nat /man /unkn) Signature ' -- Issuing' ate Upiration'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 (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST 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. ncden r.org/web/cm/dcm-home Revised 7/06/ 17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: nAmcx Mailing Address: Phone Number: Email Address: I certify that I have authorized jawam .._ R, Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: UjajK-wAV ii '�jr% X at my property located at "/ Ne/Snr) kea PU 5 e (k-Ie-ueJ in 0'0'rte~—¢:i' 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: IdZZ162Z Signature 'I DECEIVED &dtrw Ma.sser- Print or Type Name 3 '� t "',")1 Title Date This certification is valid through —(,e _I c2 l .102a Q. 4 0 N .J JUw v - -- c)GM-MNb CITY T T 0 m D -0 DO 0 9 N tD �. 3 m 2 2 D ? o o. O N T N 3 3 3 I z C7 v n <, N N 0 O Q w O N w w 0 n fD. w a to .m 3 m 3 O s j m � F � O w z N Y N CA - i 2-' 'I b 09: 38 FRO.11- T-063 P0001 /0001 F-145 MvAkc g�c-� ?"g f 6� E '00PAL v a t 7---6 i-S . ADJADIVISION OF.COASTAL,MANAGEIAENT CENT RIPARIAN PROPERTY OWNER NOTIFICATION FARM CERTIFIED MAIL -RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to s (Name of Property Owner) Property located at. L>v-j*'O j4 f k C � L-2-= vTL— (Address, Lot, Block, Road, etc.) on in S_ l L-t=viE:c t-�� :a;�-. N.C. (Waterbody) (City/Town and/or Coun ) Agent's Nam e#: F IB Mailing Address: f Z3 J2�b* as-5 Agent's phone l-K,— 7 He/She has described tome as.shown.below the development he/she is proposing at that location, and I have no objections to the proposal. ------- ----------------------------- ----------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT s (/ndlvidual proposing development must fill to description below or attach a site drawing) j -tr— Tons to what la i w/thln 10.days (Propertyi Owner Information) Signature (Yjfi5i�5c- f'rint or Type Name qt APLS%r Eck �D. Mailing Address f7C -Xg�5-2 Clty/Stategip epnone Number/Email Address Date PTA CMT* 7D--?A ,W It9�•� Contact Information for ACM Aces is tafhllstina orby calling 1.888.4i7CQAST. Property 9ayv� Information) _yy1 Itle 1sn�, Marling Address City/state/zip`� Telephone Number/E'm6911Address RECEIVED' Oate (Revised: Aug. 2014) JUN 0 4 2021' DCM-MHD CITY ■ CompleteTtemS f; 2101hd 3., ■ Print your name and address on the reverse -' so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. i. Article Addressed to: Ov -'S�irwfesz' �i &t_6. 9590 9402 5576 9274 8665 42 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece or on the front if space permits. 1. Article Addressed to: (lid l lI m -�ar�S ❑ Agent � ❑ Addre D. Re gdfby (Pont ame _. C. Date of ,�.%M.,:..... � . - 1r _ Deli D. Is deliJdrll*dress different from Item 19 ❑ Ye; If YES �nfw delivery address below: ❑ No 3. service Type ❑ Adult Signature ❑priority Mail Express® ElAdult Signature Restricted Delivery ❑ Certified Me IO ❑ Registered Mail^+ ❑ Registered Mail Restricted De nary ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation ❑ Insured Mail ❑ Signature Confirmation 7 Insured Mall Restricted Delivery Sover $500) Restricted Delivery Domestic Return Receipt ❑ Agent X %b /) d 4. / .. . D. is deliv,0 address different from item 17 ❑ Ye; If YES, enter delivery address below: ❑ No 3. Sewice eRestricted 0 Priority Mail II IIIIIII IIII III I III II II III I I III I I II I II II I I III Adult ❑0 dull Signature Delivery ❑ Certified ❑ Reggl tared Mail Restricted, 9590 9402 5576 9274 8665 73 Mall® ❑ Certified Mall Restricted Delivery Delivery ❑ Return Receipt for El Collect on Delivery Merchandise 2. Article Number ?Iens/erfmm----,-�--" i Collect on Delivery Restricted Delivery ❑ Signature Confirmatlonra 70211 1290 0000 7946 1819 1 ured Mail Inovsured Mail Restricted Delivery ❑ Signature Confirmation Restricted Delivery (inser$500) PS Form 3811, July 2016 PSN 7530-02-000-9053 Domestic Return Receipt .