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Home My WebLink About80375D - Fuller 0 ❑CAMA / ❑DREDGE & FILL No 80375 A B C ' GENERAL PERMIT Previous permit# )C ❑New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC . ` �.. - D Rules attached. Applicant Name mil 1t � \-U(k C Project Location: County .)e<....� ;v..a.rc-{- Address /06; nA,A,+t C.Ih 1`� p Street Address/State Road/Lot#(s) 1 t( 6 c:1ACk.L► . City >'..�.1ilw1J -\ State i`-'(- ZIP � , 14 t ! Phone# ( ) E-Mail Subdivision lt.\`` i v`;'\ * '' tt Authorized Agent 1 ;�/ t\ City (,-L..)\tvk-' '` T\ "A ZIP Z `'1 9 ❑Cw I EW I2fPTA 1 ES ❑PTS Phone# ( -) River Basin Ci4� Affected - OEA ❑HHF ❑IH ❑UBA ❑N/A AEC(s): Adj.Wtr. Body ' Atkv“. Xe'rfwt V'/t""",(nat /�tiar /unkn) ❑ PWS: ORW: yes / no PNA yes / no Closest Maj.Wtr. Body 77(-�-��-'� Type of Project/Activity { i._ :" (Scale: ¶N ) Pier(dock)-Jength __ 4\ h i Fixed Platforrit0) Floating Platform -— � I Finger pier(s) ; 1 ..__... .......— Groin length 6:_il number - , { ...... �_�.. . .......... Bulkhead/Riprap length 71 — _ .--.._.._..._. .—�_.__._ i__ avg distance offshore 2 / i Z' ,• max distance offshore 1 lilt V Basin,channel p I C t;poSei � Acubic yar ---- .: ` �-� oJM Boat ramp I 1i" Boathouse/Boatlift i • _ _.__. ._.. I i Beach Bulldozing IA I CU' - 0.4�`- I __ __ Other } � �( Ql(� ; act°. aukcv-eiN, i 1 — . ! , i -1 / i Shoreline Length ! V-C.41A / 'Y (7(�1�}'v'� JJ jar i SAY: not sure yes • 1 — i —c f : ! i --'-t % f.4 J-L i ---4 V4-1, 434-) :- Moratorium: n/a yes Photos: yes /fio S.._......... ;. tI5Waiver Attached: esj no " / 1 _f0\P t- -; , — A building permit may be required by: C 0 . . _J See note on back regarding River Basin rules. (Note Local Planning Jurisdiction)�--;-- _ L '"�/-.r Notes/Special Conditions [, 1 "tV-i . Gk,c c �J hot t Loc' u)�c o `, • • e-.7- '. - itl6ct c---\Pc i C.- Agent or Applicant Printed Name Permit Officer's Printed(y ,...R. Signature **Please read compliance statement on back of permit** Signature Application Fee(s) Check# Issuing Date' Expiration Date 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 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(9 I 0-796-72 15)for more information on how to comply with 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 252-946-648 I 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 Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 AGERT AUTHORIZATION FOR CAMA PERMIT APPIA,A,l Name of Property Owner Requesting Permit. Maw Address Phone Number. ... Email Address: f: ; ' 4.A+44bst j 4kit ve &ti�iet� i +� , . ... - l+ tt° r to act on my behalf, for the purpose of applying for and obtaining afl CAMA perrlits kw the + 4,4_ 1opment j - L' 'y'� mat ..............,_. at my p�'��A{ lo 111 i ( e*A Cur t'. nothennwe certify that l am withorized to grzint, earl do rfi factpe,rh DiViSiOrt of Coast !Manapernent staff the Local Permit Officer, and their n: - co the akeemmi*jw ed lands in connection with svalcraM information pew'appNcation. ems ... ru , � • - . eNaii .�a 41100. Prat or �"�', Title tbrouvh I • N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL ° RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner AO—, , �� `L�- Address of Property: 0 (p N'ANt Mailing Address of Owner: L j \ n Ort LI( Q Owner's email: bita( t`el-Lta VM4t( gwner's Phone#: -50 0 Agent's Name: i r.� , M /v o r Agent Phone#: g/D --��J /- 5'51 Agent's Email: h r-i , _ 4tc;, /. ,'•, ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that I own property adjacent to the above referenced property.The individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. t\ I DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive EXT, Wilmington,NC 28405.DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed 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 (this does not apply to bulkheads or riprap revetments). (If you wish t waiv he setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15'setback Signature.' ignatu of djacen Riparian roperty Owner -OR- I do not wish to waive the 15'setback requirement(initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: - �- '/{c:6, Mailing Address of ARPO: led Z A,01-ot - -- 10/ Ye? ARPO's email:c'e !I. seer, rp:(1le4RPO's Phone#: 7�'{'/ -7�l- ��t • tr Date:,gfec r ZO2.4 *waiver is valid for up to one year from ARPO's Signature* Revised May 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed \_,_by owner or their agent) Name of Property Owner: ►l�•C Arr\. ` ' 1\C c _ Address of Property: l Q( l`(ABC*i VI c\h c L fie_ Mailing Address of Owner: W ‘`IA1 Vl 'L, t.c...._ a O Octi{ Owner's email:b;EL�iLiLek`tatticit . e+, Owner's Phone#: .Q C) 3 'c:‘ —77 Agent's Name: (--.% r`ij'h 7 A_Do t,1 Agent Phone#: q/v-. 3 I- $/`/ Agent's Email:1101 i 0-twit./ /yt ,c, it- e. , ;;L-tG1 , f, 2 L,i ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that I own property adjacent to the above referenced property.The individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. r > I DO NOT have objections to this proposal. I DO have objections to this proposal. if you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive EXT, Wilmington,NC 28405.DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed 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 (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setbac S. re of Adjacent Riparian Pro rty Owner -OR- I do not wish to waive the 15'setback requirement(initial the blank) Signature of Adjacent Riparian Property Owner:Typed/Printed name of ARPO: A\`Cl P S 1 /�. N't. l`-‘ Mailing Address of ARPO: 1 / aVrtO`t ARPO's email:( _ _ ARPO's Phone#: �lQ SO 03�i Date: laL( r, ,, "waiver is valid for up to one year from ARPO's Signature* Revised May 2021 111 5 )A -tdc, i r71 IJ.�a G S ;,.� • ry o prOCOS bu.1/c./...e4 b' �X I L e_x 5 //L.) tie.4-tAes/ 1 I S C 0 J a c.is /r'l o It S a j /1 &,..9 1 H:N 5(13 ,�i e . S r ��!�N s� Cf0: ac.c Lc 2 b'`16 Check Date Received Date Deposited Check From(Namel Name of Permit Holder Vendor Check number amount Permit Number/Comment Receipt or Refund/Reallocated , Columet Column2 Column. Column) Column5 _ Column(' Column? Column(' Column9 9/23/2021 North Carolina Baptist Assembly same First Citizens Bank 5687'$ 400 00 GP#80389D _ Tmac rct.15564 9/23/2021 Coastal Marine Piers Bulkheads LLC Richard Paschal Wells Fargo 24012 $ 200.00•GP#80348D KE rct.15742 923/2021 Coastal Marine Piers Bulkheads LLC Monique Fischer Wells Fargo 24040''$ 200.00 GP#799450 BH rct.15635 _..__ __ __ _ 923/2021 Coastal Marine Piers Bulkheads LLC William Fuller Wells Fargo 24042 $ 400.00 GP#80375D BH rct.15633 9232021 Coastal Marine Piers Bulkheads LLC Mackains Revocable Living Trust Wells Fargo 24041 $ 400.00 GP#799440 BH rct.15634