HomeMy WebLinkAboutSeewager, John & Kimberly 78242CFE
GE & FILL N9 78242 A B C } D
RAL PERMIT Previous permit#Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environtnental Quality _ I
and the Coastal Resources Commil in an area of enviromnental cgncern pursuant to I SA NCAC 1010
�\ Ru es a ed.
Applicant Namr� 4-6 f I { Project Location: County
A t / StreetAddress/ tate Road/ Lot; (s).
Ci State ZIPy A
Phone #' Subdi%sion -- n
Authorized Agent �[
AffectedEl Cw W 117A ES 71 Prs
AEC(s): OEA ❑ HHF ❑ IH UBA ❑ WA
❑ PWS:
ORW: yes / n PNA yes / o
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) '—t—
Floating Platform(s) _
Finger pier(s)
Groin length
number I
_.._.� _...._....._.. _.._ .
Bulkhead/ pray ngth
avg distance offshore
max distance offshore
Basin, channe —
cubic yardr
Boat ramp
Boathouse/ Boadih �� ...............................
Beach Bulldozing
Other
I I
Shoreline Length
—t—a—
SAV: not sure yes (no
Moratorium: n/a yes II
Photos: yes _.,..._
Waiver Attached: yes - _.._......
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
=V.I,IU//./R7AV7f''
MUM
❑ See note on back regarding Rive Basin rules.
,, -'�Lr
Si re * Rl as read compliance statement on backgip4r.Q�yJ"*r7
ApEpliicatiioo\nnFFeeee(ss)) �•I'1(✓ I}h_�t#Yjl J/
Signatur 1
«,Jl
Issuing Date Exp ration Daze
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 Rules ❑
❑ 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/I-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 Pander Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
�tMh,6 `���'�rl-t�i.2�.ic�c`S�{ui�tti �A� �'�ift T/vim •�`
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to %aa.i �• /C "+ 6r-�y S • SEEuKcP's
(Name of Propetty Owner)
property located at r-LO 10 ,ty,5�
(Address, Lot Block Road, etc.)
on 1�Cu ufEy &E£.1t in 4NP1 ARsE.c€i N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
Iccation.
l� I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
R5 development must rill in description below or attach;„
I&AT LlF•/" LAT'C'Z
C.c,crt�� PA,4s , hyN/,glr 0RQ5i6A1
o W .&44 i<
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.
(Prop rty 0 ner Igfor tion)
Print or Type Name
Mg Add ss
Mns 'a,e,- ekl
S-7
/email address
(Adjacent Property Owner Information)
UI�matw•e
mo' c pN
Print or Type Name
/09'
M�a•�Ting Adr//r//���re��s,s,,�� A � � b 1— t�
City/State ipflr� }
90?z �VAAF_P (, f�6
Telepry/� neNumber/email address
/ttov • T 147
Date*
(Revised Aug. 2014)
`Valid for one calendar year after signature'
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(` I hereby certify that I own property adjacent to ZVA( 61S&4we ,s
�j 'NaMe o Pr perty Owner)
prope loc ted at ! ! +moo iJ�f ✓9 l�s��f
/I r (Address, Lot B oc ad etc.)
or (((///" ei APR /�— in e N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
local71
�/ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
.+-, ��� �cr, yr a
Q%0-Q1 roposrng deveiopmenf must #1 descnptidn 6eiow ®%atfacd, �� srt�atlra n
�' tlJkT b e=r-
p!a« p,e, r vaoe-m.1v,
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.
roll
Telephoree u ber/email address
I/ a
Date
(Adj ent Mrty Owner Information)
,tS natur k
L 0A.LI «+N CU/N51U `—
Print or Type NameX /i 3 /TL Lo r4
Mailing Address
✓ZC f t 2g Y8 t
CitylStatelip
9/0 3 o
Telephone N tuber/email address
i/ :2 �g
Date"
(Revised Aug. 2014)
`Valid for one calendar year after signature'
` HEALTH DEPARTMENT RELEASE
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County File Number. 538 T 10?53-�4 g
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