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West End Dock Owners 79567C
AMA / ❑ DREDGE & FILL N? 79567 A g �' D GENERAL PERMIT Previous permit# �ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued Asa thorized by the State of North Carolina, Department of Environmental Quality '714� C )ol l-- and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC J /� ) ed. Applicant Name �J C� ✓ 0 C4- 0,01 e-'5 Project Location: County - Address /O 6 &A' Street Address/ State Road/ Lot #(s) City State-✓Uc ZIP__ Lys% 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 how to 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 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: _ May �C Scea, eS Mailing Address: tossto dr I05 LIq Qtd c o at T rd -road Phone Number: Email Address: _0001 aatl (2eki ellsou�h. I certify that I have authorized A_40j1)j,ah GOChrnb j Lh a i n Gi e-VP , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ►ri S- t'Ci1 Gi' 1 C)n Qf R92 I- --- M I -E at my property located at We _end ChOC:h c Q! d .S+- A�,AC;t d. roco in 00jr- -. 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G .I ,� � I l Ie �r'��`��i� ��1�1 G�. ¥c i r{- � ;, • ? r, i �, ', '� I fin. r' =PI S •.} r AGENT AUTHORIZATION FOR CAMIA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: Email Address; I certify that I have authorized �4 J)ZnA n 00_Cbrab I J tASi� t� (ice , Agent t Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: kn sto- 1 i C-A+1 on Qf County.at my property located at We C -wd C,0aS+- g�,.Aarc�,roqd i furthermore certify that l 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 Tile Date This certification is vaild through I !, W AGENT AUTHORIZATTIQN F,gR LAMA PERMIT &PPLICATIQKV MW I iiij mess -t- Name of Property Owner Requesting Permit: _ ► S'l, Mailing Address: 2� old 10:5ZZ � Phone Number: 128 I 2.52 1a45-32&,3 6 Pd d -sk .- Email Address. 1 certify that i have authorized Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits i necessary for the following proposed development: An S+A I i G1�i° t pY1 0� i at my property located at we tj s t d G®Q S� ro ct in _ G04Y eVCounty. E i l furthermore ce rtify that l am authorized to grant, and do in fact. grant permission to i Division of Coastal Management staff, the Local Permit Officer and their agents to enter t. on the aforementioned lands in connection with evaluating information related to this permit application.. Property Owner 1 formation: Signature 7�:�Wl R. Print or Type Name ? Date 0 1 CO re Name of Property Owner Requesting Permit: r`_Q Mailing Address: Phone Number: Email Address: S11001�o►iA Go I certify that I have authorized �.., ..1 Agent I Con ractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at tin►, DGk, a_11y'�" eat.101ydi roACk in .5atiere'r County. I 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: Jerry Print or Type Name owner TWO b , -3 Date This certification is valid through I I AGENT AUTHORIZATION FOR CAMA PERMIT AI=PLIGATIGiN Name of Property Owner Requesting Permit: Y., Mailing Address: 3 a id f 4n�a emR.F.J z5}ei/G 2S5-9g Phone Number: 7- _ 7a 3 - --0/a Email Address: C' I certify that l have authorized A4oinzaln c,QC,hrnh l J LA si� n .G1 EVE' Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the fallowing proposed development: t r) 5± 2S� 1 C %+ 60n O± • r � �� • r • Y at my property located at VVe,SA- d CkQL:k s Q\ 0 aas - g ►S,A,qCY i, roQd in County. l furthermore certify that l am authorized to grant, and do in fact grant permission to Division of Crustal 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 Print br Type Name Title r% 1 7 1 zi Date TNIS CEartITICallUrt 1S VaIIU tnroUgn ( j 0 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 10� tv-I`C Mailing Address: '�— I Phone Number: -7- mail Address: C-, I certify that I have authorized nnQh _C Qghrgn ��k.AS+i n QJkey Agent ! cont actor to act on my behalf, for the purpose of applying for and obtaining all LAMA permits necessary for the following proposed development: _l ilS�ot1) A� i O jl Qf at my property located at (/ e' ste�41,0 lac-/c in (tat Y' -�-CY-e}f County. i 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 Kjame Title Date This certification is valid through i a ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to J r 's property Located at (Nalhe of'Property Owner) .7i (Waterbody) in Lot, Block, Road, etc.) (City/Town and/or County) N.G. The appiicant 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 ANDIOR DRAWING OF PROPOSED DEVELOPMENT (dndividual proposing development must fi11 in.descriptFvnbelow or attach a ,site drawing) i WAVER SECTION understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, IA or groin must be set back a minimum distance of 16 from my area of riparian access unless waived by me. (if you wish to waive the setback; you must initiatthe appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the IS setback requirement. (Property Owner Information) (Adjacent Property Owner Information) e Print or Typ Name Malting I�vJfGfb�ff�'y1� � � cityl�nel-_ 7elephoe NNumW/�email Date 6 %512,1 Print or T jape Name 4,60 d Meiling AddrtW Cit+r/S�te/Z/n Telephone Numherlemsd aridness Date* (Revised Aug. 2014) *1A%HA fi-.r Ana ralandar veer after, signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT f I hereby certify that I own property adjacent to e tr is property located at W e s+ ply Ci (A O CA:� (Nallbe of'Property Owner) on b O q v1 e S p n (Address, Lot, Block, Road, etc.) IJ , in r , N.C. (ilyaterb©dy) (Cityi%wn a Ad— 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 Li€VELOPMENT (individual proposing deveiopmen� must H11 in description below or attach a site drawing) WAIVER. SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of15, 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) (Adjacent Pr011e Owner Information) Signature Print or TypJ Name Mailing Address Gity/stafe2ip Telephone Number/email address , Date --- -- — nvw Print or Type Name Mading Address Ai-V1-a—q!52 V.Telphone Number/email address Date's `Valid for one calendar year after. signature" (Revised Aug 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT l hereby certiN that I Own property adjacent to .1 YY CIN 0 t's property located at (Name f Property Owner) (Address, Lot, Block, Road, etc.) on_o�r;, G,s1,"' , ini2nL . (Vilaterbody) � � c�` , N.C. {City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above top t' n. _c I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWNC OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing) 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property ®"err Information) Sz�pnelCr '�__� Print or Type Name Print or Type mamaMailing Address Wd 8 d S 11 an e Marlrng Address City/State/Zip 'gyp �. 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Cook to West End Docks Association, Inc. as recorded in Book 1184, _page 41 to allow ingress and ogres across Lot l to access piers and docks as shown on Map Book 31, page 38, Carteret County Registry. 0 iect to restrictive Covenants recorded in Book 1040, Page 369, Book 1174, page 279. and Book 1205, page 183, Carteret County Registry, as amended thereto. Tlie grope y herein eonwYed noes not include the primary residence ofthe Grantor. 1{i IfVE AND 1'C} HOLD the aforesaid real property and all privileges and appurtenances tbe:,reunto belonging to Grantee in fee simple. And Grantor R overiaiits with Grantee thai Grantor is seized of the premtseg in fee anc3: has the fight to convey tliea same ill fie silrrple , that the title is i�.ee anct clear rsf -all l uls and encumbrances r°anuf;s ;accelat as,herein otl ei wise described, and that Grantor will warrant and defend tqo title against the lawful ueciiii5 i rf al? [)t e oYl_s whomsoever, excc;l3t for the lien of ad 'tic` turen-, ta:4.;',<, for the year of 021, not yet due or payable; eaSCIU :tits, restrictions and rights of way of record, if buy, affecting the Property herein described; and utility, lilies, easements acid rights of way located ,.,., over, under or Upon The subjo'et property, IN WIf `i rid EEOF, Grantor has signed and sealed this deed as of the day and year r. first abovo, w1ittell. YN, e L \ 2. %§ ee k7;§7.�} /,� aGm'o\. * �q:\)� ( . �$ !0. 2 a. a,& / w.g§)� @ 5. Im �—` ) \,\ } \CL ' \ aE�\f\�. _ _ °3 . . 8 D .. % . ) . ! a ! $ to a,§.f .&}.�f;.)){�$ ) ) ] )\ a ( k -j 02 y G 0.« §�e 0 0 0 it I. sw 4 Jwpl� N za Fr-�1 w . m V ro a �o n .o _ a--� j �m a o >' � ID m U �• m (n Y.: O J 0 U C N m J O W Y N 8 Ym w .- c pOW m m m� W N o� �w �;c Y LLJ w� m Z p'-�aI t Xa ro �..�1 J L fl% N Z N M I ; W l/J Z N `v { C C O 2 O LO CV p O �., JQ S W X ate_.. U N 1Mf1 V a o W O y o w VJ > LL!! 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