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Home My WebLink AboutMurdoch, Preston 77027C0autho CAMA /�REDGE & FILL lV 9 77027 A B ENE L PERMIT Previous permit#ew ❑Modification ❑Complete Reissue, ❑Partial Reissue Date revous permit issued 'zed by the State of North Carolina, Department of Environmental Quality and the Coastal Re urces Commission in an area of environmental concern pursuant to I SA NCAC ules atta ed. Applicant N e Project Location: County Addre?q _ Street Address( State,Road/,trot #(s) City Phone # Authorized Agent Affected O cW W XtTA AEC(s): OFA ❑ HHF ❑ IH ❑ PW . CRW: yes / &T PNA yes / Type of Project/ Activity Pier Fixe Floa Fing Groi ul Basi Boai Boai Bea( Oth She SAS Mor Pho Wai rFAla ES ❑ PTS Phone # UBA ❑ N/A Adj. Wtr. Body Closest Maj. Wtr. Body FAN (Scale: �� ) Platform(s) ME No 0 NONE I IN NINE offshoreing avg distance � . No ■■ ■■■ ■■ ..Ell max distance offshore■■■■■■■■■■ m■■m ■■■;■■■� ■,I,■■ ■■■■■■ -� 'm m■ E mmmmmmmm::mm.� :m :m■��s ► p Mm9�I :: cubicyards ►,�:mmm:m��m■:m:mm ramp■■■■��■■ , ■ ■:�V'Ai�■■■�r■■�i■■ house/ Boatlift ■7/e �� ■ ■ ■■■ ■.;■■■■■■mmm�■mm■ ■■■■■■■■■ �h Bulldozing— /�Wi■ ■■■■ ■■■■ ■■■ ■■■■■■■■■■■■ ■ IN ■mmm ■mmm;; N NONE .. ■ ��ii� ■��■■■;�� 19 i�� :;��ii �'�urr�' � eline Length _ �r�►,a�r,;1i iDi not sure ,er Attached: �no �o yes A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ *p cial Conditions U See note on back regarding River Basin rules. back q_ Date ' r Expiration Date 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, certifythat 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 comply with these buffer rules. 1 Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST 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: TC155'Tar4 '>'1noyppe R Mailing Address: Phone Number: Email Address: ya q -y.�'/ls �LVD 1216p'"C- `0�0 - -I G ^G)D PIL-/rl smrrr+ I certify that I have authorized��$� Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 5f4:A&XD U, at my property located at 4 aq in CT_ County. I furthermore certify that / 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 a D a't=jZ Tine �? tea l Date This certification is valid through I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I owrl properly adjacent to �-Fo /4 IY1 J 1Z>a e.{J_'s (Name of Properly Owner) property located at Dy ')•YIS ai-yl> (Address, Lot, Block, Road, etc.) on rY_ 1 1N rnwt'Se e-APA in ATL1 L lRcR , G% N.C. (Waterbody) (CltyITown ar dlor County) The applicant 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. DESCRIPTIQN AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) >r �)`tsTny6 s ty P �- e �� l I understand that a pier, dock, mooring pilings, breakwater, boathouse, litt, 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 wa=do back, you must initial the appropriate blank below.) h to waive the.J5' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) ___?_ r1P •�� Date Sign_aho� ' ` r u Priin�tor "me Ob' Pa.1 wis IM-LID Mailing 4s C1 S rfii/.Cintc�%iJn� 6 phon umber 4-3-� Date (Revised 6/102012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to P-2-t5l'bi l ' M OKObS- 1 s (Name of Property Owner) property located at limey 77AVIs.LVA' (Address, Lot Block, Road, etc.) ( on ' AP ' X1:ktfC `C�P�'l- ' , in adL4 C Y 1 . cA PT—V T- N.C. (Waterbody) (Cjt /Tow and/or County The applicantWs 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 DEVELOPMENT (individual proposing d`eyelopment must fill In description below or attach a site drawing) C�N•A L.L� fill�` Q l ��1'1-i6 S�itl►�f�L�- - 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 t e setback, you must initial the appropriate blank below.) I do wish to waive the J 5' setback requirement. I do not wish to waive the 15' setback requirement. Owner (Adjacent Property Owner Information) Mailing Address Zee r��icv�rah rn / Yelaphon Number . 2- 30- a�aa (Revised 6/162012) rfls ��e�-�, • 5/ 6A t�flC-4:..--Tb OB-.rA/ia Pr CAm4>,-,'1gjz� 1T, IF you r► �-rlat.X- JDO C-474 aA"- MV, i 6")A