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Home My WebLink AboutMcAdams, James 77035C 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 [)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, certifythat this project is consistentwith 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/ 1-8884RCOAST 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.orgfweb/cm/dcm-home Revised 7/06117 1 ADJACENT RIPARIAN PROP(E�RTY OWNER STATEMENT (�M49�o� t7� 11. w n S+� s ` I hereby certify that I own property adjacent to (Name FrePedY Owner) property located at on The applicant has described location Ri N.C. to me, as shown below, the development proposed at the above _X I have no objection to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in descrlption below orattach a site drawing) �I �`r�'-v'1 See 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 vrish to waive the 15 setback requirement. I'Wlacent Property Owner Information) �4L'i2N „5- '-` nej- ig�tu a i• M {3n�voh rint or Type Name Address Al C 2 N 207-0 Dare RECEIVED (Revised JUL UL27 20N DCM-MHD CITY I I hereby certify that I own property adjacent to property located at on The applicant has described location N.C. to me, as shown below, the development proposed at the above I have no objection to this proposal. ve obiectl0nc tot ie DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must flll in description below or attach a site drawing) MLV�% '61-0511-b`I s ' WAIVER SECTION . - - -- I understand that a pier, dock, mooring pilings, breakwater, boathouse, lit, 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 blade below) 19 / I do wish to waive the 15' setback requirement. I do not wish to waive the 16 setback requirement. Owner Information) (Adjacent Property Owner Information) (p(roBerty (S TelephCJlna umb er („— Date Dare V RECEIVED (Revised 6/1.8/2012ZOZD) JUL 2 DCM-MHD CITY L t:ANS4 / ❑DREDGE &FILL a No. 75241 A B C D NERAL PERMIT Previous permit# ew ❑Modification ❑Complete Reissue ❑Partial; Date revf us mit issued As auth rized by the State of North Carolina, Department of Environmental Quality and the Jme ces mmisslon In an ea f environmental concern pursuant to I SA NCAC lesattac ed. Applicant Project Location: County Address INC,� Street�4` ddre;s/ State Road/ Lo #(s City Stale ZIP Phone # _ _ —E-Mail _ Subdivisi L �A 0 Dr-1 Authorized Agent City_ ZIP Affected Dcw ❑Ew ❑PTA ❑ES ❑PTS Phone - _ Ri erBasin AEC(s): 00EA ❑ HHF ❑ IH ❑ UBA ❑ WA Adj. Wtr. Body _ nat man nkn) ❑ PWS: ORW: yes J PNA yes J o Closest Maj. Wtr. Bod Type of Project/ Activity / (Scale: 0't) Pier (dock) longth Fixed Platform(s) Floating Platform(s) Groin length number _ Bulkhead/ Pipmp k avg distance t max distance Basin, channel cubic Boat ramp Beach Shoreline Length,�V SAV: not sure yes(Inoll � -� ir L t _ _7 4it',111 - �! , f -, _�� i Moratorium: n!a yes no Photos: yes no Waiver Attached: 6 L A building permit may be required by: ( Note Local Planning jurisdiction) ;1 Notes/ Special Cogditions ❑ See note on back regarding lk et asin rules. ."mad compliance statement on back of permit" Sign at re 1a.-oy Jl a5 Fee(s) ICheck# Issuing Date Expiration Date rpb-.r- p r-\--P-PA s S ��HN ST M F 0 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 consistentwith 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 Citv Headouarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-8884RCOAST 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 Ponder Counties) http://portal. ncden r.orglweb/cm/dcm-home Revised 7/06/17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjaceht tos `� (Name df Property Owner) property located at on The applicant location. in County) N.C. has described to me, as shown below, the development proposed at the above I have no objection to. this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must FIIJI in description below or attach a site drawing) "TS See cM[rPC+'E'D 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. ( erty Owner Information) (Adjacent Property Owner information) - i -mature Signature - )M��C�tPlkAn9, N�be�F M ✓i�� oh Prrnt or Type Name b Print or Type Name Mailing Address -114(s wt POW Green ailing Address �1 r� C 2 8513 9� IeTY�� r� .d'(off(S �ty atelaip 'p 257 - 3Y1-IaLl n� 1 Telephone Number Tel�ph�one yumber 6-/1-2020 Date Date RECEIVED (Revised 6U�2701 22010 DCM-MHD CITY J Rrvt�� of rop I hereby certify that I own properly adjacent to rName of Property Owner) S property located at v Address, Lo lock, Road, e c.) n n C N.C. on `�;�rrS n !' �tig rti� � � ��k�°. in /k�ti (INaterbody) Q (City/1'own and/or Conty) The applicant has described to me, as shown below, the development proposed at the above location I have no objection to. this proposal. obiectioAsfA�liiS�Copossat-------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) s WAIVERS CE TION . - lings, breakwater, boathouse, I"rft, or groin must be set I understand that a pier, dock, mooring pi 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.) A-/ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pr ;nerInformation)AdjacentProperrty gwner information) �_ si rl 14 d r49. d7 /_ e orTvoe Name Telephone Number Telephone Ni (,7-1(0- ao Date Dare �[ary-k' f/r RECEIVED (Revised �01 2020 DCM-MHD CITY