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Home My WebLink AboutSeagrave, Jim 78998C❑CAMA / ❑ DREDGE & FILL N9 78998 A GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued B C D 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 r f Rules att ched. Applicant Nffayym��e J 1 Al jProject Location: County ( nt '- 'fo Address t U `"� 1,,, V:-Street Address/ State Road/ Lot #(s) City i ; Ae Kn oi 7 _7 State I LCZIP Phone #�' `—� �"��i Subdivision ( ) 3A a E-Mail Authorized Agent M u �` �i C City ZIP ❑ Cw ❑ EW L7 kA ❑ ES ❑ PTS Phone # ( ) River Basin Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A (_ �f- nat an unkn ❑ Pws: AEC(s): Adj. Wtr. Body. — Lki� � ORW: yes / no PNA yes / . no ' Closest Maj. Wtr. Body V Type of Project/ Activity (-I� '! Pier (dock) length Fixed Platform(s) , /y I Floating Platforms) � Finger pier(s) Groin length --- number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes no laf Moratorium: n/a yes n - Photos: yes no Waiver Attached: yes no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions mill (Scale: O ``j '❑ See note on back regarding River Basin rules. or Applicant Printed Name Permit Officer's Printed Name Signature ** Please read compliance statement on back of permit' Application Fee(s) Check # Signs ure Issuing Date E piration/ate 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 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/ 1-888ARCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) (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 ❑CAMA / ❑ DREDGE & FILL N9 78998 ^-. GENERAL PERMIT A B C D Previous permit# ❑New ❑Modification ❑Complete Reissue ❑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 Rules attached. Applicant Name > i Project Location: County Address f! ')a 4e ��_ �•. { ' ,. Street Address/ State Road/ Lot #(s) City— — 1 t`JJQ— State ZIP ._ f Phone # ( ) �! % ..E-Mail Subdivision r) r, t, ` �j��. � ZIP Authorized Agent l t.a (,& t tc' 3ck r r1 ,.fit City ElCW ElEW ❑ PTA Li ES ❑ PTS Affected Phone # O - River Basin f OEA HHF ❑ IH UBA ❑ N/A ElEl❑ AEC s : I. Wtr. Bod y Y � . (nat ./man /unkn) Ad' ❑ PWS ORW: yes / no PNA yes /(a) Closest Maj. Wte BodyI it � Type of Project/ Activity .., \ 0 Pier (dock) length Fixed Platform(s) t% r f Floating Platform(s) f o Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes no Moratorium: n/a yes ',' no Photos: yes no Waiver Attached: yes no A building permit may be required by: ( Note Local Planning Jurisdiction) 1 Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # (Scale: ! ,. i _1 '` � `? ❑ See note on back regarding River Basin rules. PermitOfficer's Printed Name--( ,1 Signature Issuing Date E piration/ ate i 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, certifythatthis project is consistent with the North CarolinaCoastal 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.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:Q-- Mailing Address: Phone Number: 2-5Z-=�? 1-)-- Email Address: I certify that I have authorized L.D T� L�'e.iLJ �`' i ► w� ' 1 �- , Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: j P I--:;-'J r at my property located at in 6-a--- 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 V Print or Type Name Title Date This certification is valid through / / ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to (N a df FFro Owtter property located at _ /� " , , -P, � Fo.i J Z ,� C. (Address,lft, Block, Road, etc.) an e�L . in �n.-?- oil "�^�S . N.C_ (Waterbody) (City/Town andlor County) The applica has described to me, as shown below, the development proposed at the above locatio l have no objection to this proposal_ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) �7 � pro I� t-d IV G-i l , 4- j- 4-3- - rb -- - _.. -- WAIVER SECTION I understand that a pier, dock, mooring pilings, 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. (Property Owner information) Print or T Nadle ding Ad Tess Qty/Shate✓Zip Telephone Number 'C3-- 14 -2/ Information) ' '1 , 03 Print or Type Name MaHigg Address City/state/Z p Te ephone Number G - d 2 a9 rZ3,-- Date (Revised 6/1WO12) 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: Address of Property: Mailing Address of Owne Owner's email: Agent's Name: n ^'�5 Agent's Email Owner's Phone#: 25-Z `LIB 5,333 Agent Phone#: Z S Z 24 / — )1i 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 forthis 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. �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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. 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.) 0//� I DO wish to waive some/all of the 15' setback Signatu e o Adj c p ian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: �.1 --_-- Typed/Printed name of ARPO:� m�ccz u Mailing Address of ARPO: l 4) szr � �o i° e✓ Ks U .(—' , �� I ARPO's email: ARPO's Phone#: 1-� Date: *waiver is valid for up to one year from ARPO's Signature* Revised May 2021 ADJACENT RIPARIAM PROPERTY QWNg-=t STATEMENT f hereby certify that I own orooerty adiacent to 1 vY> S.�t �� ►'a V-' E Of property located.at _ ; �l (Address, ,t, Block, Road, etc.) on _- r� �� . in t ► n 1� ; i ( �.^ , N.C. (Water6ody) (City/Town and/or County) The appiica has described to me, as shown below, the development proposed at the above locatio I have no objection to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or aftach a site drawing) �► i 'S 4- 4— -•— t-d �F )0-e4 o '-4 L- �J WAIVER SECTION I understand that a pier, dock, mooring pilings, 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) (Adjacent Property Owner Information) e Signature Print or Ty e Nalne ., Print or Type Name .+ tang Ad Tess Mailing Address City/StatelZip City/State/Zip Telephone Number Telephone Number `6— 1(— -Zr -Date Date (Revised 611&2092)