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Home My WebLink AboutCalfee, Trina 78213C (2)AF % DREDGE & FILL N9 78213 A B 6) D EL PERMIT Previous permit# ewModification El 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 i an are of environmental concern pursuant to 15A NCAC ules at, d. J/ Applicant Name Project Project Location: County Address . / fl Q n r I I _ _ . Street Address/ State Road/ Lot #(s) Phone # t,(il')rf /j Authorized Agent DIM Cl EW ❑ PTIA ❑ ES Cl FL5 Affected AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ ORW: yes/P(D PNA yes /(/npr�\) Type of Project/ Activity Pier Fixe Float Fing Groff Boat Boat Beac Oth shor SAV: Mo Phot Waiv A bu City Phone # Adj. Wtr. Body Closest Maj. Wtr. Body ZIP (Scale: '� ) ■■ ■■■ ■■■■■■■■■■■ .■■■ ■■■■■■■■■■■■ ._ .... ...C■■.......■■�■■ng ..0 . ...... Platform(s) r pier(s) length MINE I I ber Rlprap length .0 ;III i■■■i� .II�I;� miff max distance offshore r ■ ■■■■■■■W. ■■ ' ■ E■o �M■E■■ � channel ii■i ENO■i ii iiii■iiiM■MiiMENi■■■E■ ME cubic yards ME �� ■■�■■iM��r S�=r ramp ■■■� �� ■I�Tu �!!■MI� Ouse/ Boatlift NBulldozing ■■■■■ G.�C..G ■■ .! all ■ .. ..... .. I .W .■■■■■■.■■ ■■■ ■■ . ([rim..rl.■■■■■■■�■■■.■■■■� �'�P�. �utl. ■, Ili■■.�■■m line Length0 ■.■■■ No ME oill�■ not sure yes .0 5: yes no zr Attached: no ■ ■■■ ■■■■■ ■ L� I I! t I II IIIIIIII ! yes �� E See note on back reg®r Pg River Basin rules. or read compliance statement on f;acf p(Rerrpit•+ Check# Issuing Date Expiration Date C 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, 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 Rule! ❑ Neuse River Basin Buffer Rules ❑ Other: 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/I-888-4RCOAST 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 7/06117 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: d l f < < Mailing Address: jO Phone Number: Email Address: I certify that I have authorized nn -l' —T Agent lContractor 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 l o '7 7m ^ in 0c� kre �— County. 1 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 S' Ca/oe� Print orType � Name �OIKr1. 6zcu/t1r/v Title l �d laoao Date This certification is valid through r/_I Z_/ 2-1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 0a k �-eig- s (Name of Property Owner) property located at 10 -%M �( (D r (Address, Lot, Block, Road, etc.) one in 3tacN.C. (Waterbody) (City/Town and/or County) The licant has described to me, as shown below, the development proposed at the above ~` I I have no objection to this proposal. l --- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) los pc ► I ¢1c gal w� 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 \ at P . 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) 5 L/its. SIT1t/ h u. S G'a l �'eC� Signature 4 it �t -A, �e/� /� 9 i4t d �' p ,O/rJ Pnb pYP? N�meS%2r7F, il(nyAddr s6 Ma"ng ddress Cif lStatelzip Citylst te/Zip 5A - '219- �� a , 0/I"- Telephone Number Telephone Number ism Date Date - (Revised 611812012) �A"VV ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to (Name of Property Owner) property located at l� � 7,� ^� l�r on in Y$F(e,6& N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above y locatioar C9 �' I have no objection to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must till in description below or attach a site drawing) CeQ\ eA% weld (,G��Gt� r�� _ WAIVERSECTION. 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.) 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) 7?96- /--a t� Date /0 / /c2p Date (Revised 61212012)