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Home My WebLink AboutKeeler, Brenden 84212C�° °"" ❑CAMA ❑DREDGE & FILL N9 84212 A B C `:D 3 GENERAL PERMIT Previous permit Date previous permit issued New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by the State o North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC / � " � (00 ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Affected ❑ CW ❑ EW ❑ PTA ❑ ES �.�.PTS Adj. Wtr. Body 'ii C 7 i'.P l-A LI O f(QM.n/unk) AEC(s): ❑ OEA ❑ INA ❑ UW ❑ SPIMA ❑ PWS,. Closest Mal. Wtr. Body 'A ' % - ORW: yes/no ,.% PNA: yes/no.: Type of Project/ Activity (A,� Shoreline Length _I Access Length Z 4_4 __Pier(dock)len/ Fixed Platforms) � I , Floating Platform(s) Finger Total Platform area Groin Iptngth/q % Bulkhe7}1/ Riprap length `Avg distance offshore _ Breakwater/Sill Max distance/ length _ Basin, channel Boat Beach Bulldozing / _ ' iy Other 14+ SAV observed: yes no Moratorium: n/a yes no i '�" - `-- L Site Photos: yes no - -- Riparian Waiver Attached: yes no P 1 _ A building permit/z mng permit may be requued[by l (� I /�,:; .. ❑ TAR/PAM/NEUSE/BUFFER (circle one) , P rmit Conditions d.X.. , t • I ("I.�1 (! - ^, A if !- Q I ii^ / !i i _ eiwtpl ><._. ❑', See note on back regarding River Basin rules }� t k " 1 q/ I f•�fi�a ff t tl y I r—C"�7 ` ari (! <� ❑ See additional notes/conditions on back Agent or Applicant PRINTED Name Signature "•Please read compliance statement on back of permit** Application Feels) Check M/Money Order VD REVIEWED COMPLIANCE STATEMENT. (Please Initial) Permit Officer's PRINTED Name ' S5,nature 11 21 Issuing Expiration Date �° °"" ❑CAMA ❑DREDGE & FILL N9 84212 A B C `,.D ° Previous permit 3 G E N E RAL PERMIT Date previous permit issued ❑Modification []Complete Reissue ❑ Partial Reissue As authorized by the State io( North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC - I i. I' ❑ Rules attached. R General Permit Rules available at the following link: w ,deq.na¢ov/CAMArules Applicant Name Address City State ZIP - Phone # (_ ) Email Affected ❑CW ❑EW ❑PTA ❑ES ., PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA D,17 ORW: yes/no% PNA: ye;/ho� /�(\ Type of Project/ Activity Project Location (County): Street Address/State Road/Lot #(s) f Subdivision City ZIP Adj. Wtr. Body Closest Maj. Wtr. Body Access Length Pier (dock) length Fixed Platform(s) Z �■■■ H■■■■�■■ ■ ■■■ ■■■■ 0 Nis Max distance/ length Basin, channel Cubic yards Boat ramp Z No I iI �■�m�na�■ �r . .1 SAV observed; yes no Moratorium: n/a yes no Site Photos: y Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions '`• I'1 �'.G�t'? ,' '�fi'a((/1'%Ll�; ❑TAR/PAM/NEUSE/BUFFER(circle one) See note on back regarding River Basin rules f ❑ See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) �r Agent of -Applicant PRINTED Name _ Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date Firefox about:blank N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date S _ I Name of Property Owner Applying for Permit: Mailing Address: ,j'ta Dori iF 404A5 LL L I certify that I have authorized (agent) _ / r m B1 9 1 to act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary tos �p � install or construct (activity) _ /'1 /��o✓I U� L� ✓ olyU TpM-(� j�41 ✓y ,�'p�_p7�I%(,/�� at (m) property located at) L4f1f)e V 61 This certification is valid thru (date) Property Owner Signature Date 1 of 1 2/11/22, 11:15 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Rrendon Keeler 's (Name of Property Owner) property located at 388 Selhorn Blvd (Address, Lot, Block, Road, etc.) on Brices Creek in New Bern N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. C,i1ty l I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 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.) umCK-�— I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) 9.0f, X'"&4 Signature Brandon Keeler Print or Type Name 111 Conner Grant Rd Mailing Address New Bern NC 28562 City/StatelZip 7043977590 Telephone Number/email address 3/10/2022 Date `n (Adjacent Property Owner Information) Signature* or K -aa-ss i alyli(.(r�e-tte.f4il,u enfail address aoaa (Revised Aug. 2014) `valid for one calendar year after signature" ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Rrandnn Keeler — s (Name o}Property Owner) property located at 388 Selhnrn Blvd (Address, Lot, Block, Road, etc.) on Brices Creek , in nlo1�� Bern N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location.�— 1� I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill In description below or attach a site drawing) 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. ( ation) Brendon Keeler Print or Type Name 111 Conner Grant Rd Mailing Address New Bern NC 26562 City/State/Zip 7043977590 Telephone Number/email address 311012022 *Valid for one calendar year after signature* (Adjacent Property Owner Information) Signature li�111 [Ten Prin�9t or U TypeSNam Mailing ddress ecy .Bees, /VCt arGS62 Ciryi as2 ip 631-fS�3S b9e i - / �O e,, M ;t Telephone Number/email address e� 3-/s-A> / Date* (Revised Aug. 2014)