Martin, Gregg 84517C

N9 84s17 AB D
Previous permit
Date previous permit issued
As authorized by th-e State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
,ro**a ,7H ' ltOO [l n t".attached. ffiG"nud PermitRulesavailableatthefollowinglink:www.deq.nc.gov/CAMArutes
Applicant Name
Address
Email
Authorized Agent
Project Location (County)
state l{- ztp 2Aq bo Street Address/State Road/Lot #(s)City
Phone# 6h a+7 6L4b
Subdivision
City 7tP
Affected []cw
AEC(s): f,ora
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! ers Adi. Wtr. BodY
I ews Closest Maj. Wtr. Body
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!serrrra ,14
Type of Project/ Activity flva
shoretine i"ngtr' Ql '
(scare: p{5 I
Access Lengh /
Pier (dock) length /
Fixed Platform(sl /
Floating Platform(s)
Finger pier(s)
Total Platform area
length
Avg distance offshore ,1r
Breakwater/Sill /
Max distance/ length
Basin, channel /
arbi.r.rd, F
Boat ramp
Boathouse/ Boatlift 1
Beach Bulldozing /
Other l/
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SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached
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TAR/PAM/NEUSE/BUFFER (circte one)
See note on back regarding River Basin rules
See additional notes/conditions on back
yes
yes
yes
yes B
A building permit/zoning permit may be required by:
Conditions
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Fee(s)Order lssuing Date
STATEMENT.
Expirati Date
I AM AWARE OF
or Applicant Name
AND APPLY TO THIS
ature
(Please lnitial)L
tPlea.<e read compliance statement on back of permit**
.d9 '215].
Sign LL
pcanna EoneocE&FILL ani&for
317n"4*rgGENER/AL PERMIT
f,,New f Modification I Complete Reissue E Partial Reissue
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil acton; 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian propefi owner(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 Neuse River Basin Buffer Rules
lf 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. lf you have any questions, please contact the Division of Water Resources at the
washington Regional office (252-946-6481) or the Wilmington Regional office (910-795-7215).
Notes/Additional Permit Conditions:
please ensure all debrir associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location'
Division of Coastal Manasement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, Nc 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven - south of the Neuse River, Onslow
Counties)
Ellzabeth Oty Dlst.ict
401 S- Griffin St. Ste. 3o0
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans counties)
Washington Disttict
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fa* 252-948-047 8
(serves: Beaufort, Craven - north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington counties)
WilminSton Oisttlct
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
9ro-796-72t5
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://p ortal.ncden r.orq/web/cm/dcm-home Revised 6/01/2021
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Name of property Owner Requesting permit:
Mailing Addressi
0
Phone Number:
Email Address:
I certi! that I have authorized
'/n 4e-t rItl
Agent I Conhactoi
to act on my behatf, for the purpose of applying for and obtaining all CAMA permits
necessary for the foltowing proposed development: Q A, 5 e W \ t t
at my property located at
Signalurc
Name
er
TitleJAtfi1a;_
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I furthemorc ccrtifv that I t'i:t/ii*ffi ffi'l,Yi#:;#.#:#rffiffi .',ffi;H*p*rnit application.
P?oparrty Owner lnhrmation :
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This certificetion is valid through / I
in 0Ds/ozD countv.
N.C. DIVISION OF COASTAL i,ANAGEi,IENT
ADJAGENT RIPARIAN PROPERW OWNER N OTI FICATION'WAIVER FORI'I
CERTIFIED MAIL. RETURN RECEIPT REQUESTED OT HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:c e8460
Mailing Address of Owner:rnc,5a
phone#: 4€r/- Cz/A -OAff
enon*,?lo'Afr\-A[%
Owne/s email:
Agents Name:
Agent's Email:
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ADJACETTIT RIPARIAil PROPERW OWNER,S CERTIFICATION
{Bottom oortion to be completed bv tte Adiacent ProosrW Orner)
I hereby certiff that I own property adjacent to the above referenced property. The individual applying forthis
permlt has descdbed to me, as shown on the attached drawing, the development they are proposing. A
descriotion or drawing. with-djgrensione. must be orovided with fiis lefter
{=l1A- I DO NOT have obJections to this proposal. I DO have objections to this proposal.
Nanag*rcnt-(PCUI ln wrlfrng within 1A days of rccolpt ol thls notiie. Conaspondence shoutd b
at (252) 8(E,2808.. Alo resporse rb considered the same as no ob1*tton tl you halva b*n nottfred byCertfled tilail.
WAIVER SECTION
I understrand that any proposed pier, dock, mooring pilings, boat ramp, brealarater, boathouse, lifi, orgroin 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). (li you wish io waive the setback, you musi siEn
the appropriate blank betow.)
e,rytj'
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I DO wish to waive some/allof the 15 setback
-oR-of Adlacent Property Owner
I do not wish tro waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian property Owner:
Typed/Printed name of ARpO;
Malllng Addrcss of ARpO:4L
ARPO's emall:[nr.,l I u^r,*.n&in lr,^'l1 ARPO's Phone#:x1\ q7L qT60
la valid for up to one yearfrom ARpO's SignaturerDate: ]
Reyised July2021
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ADUAGEI{T RI'AIIAI{ PROPERTY OMIER ilOIIRCANOil'WAfVER FORI
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