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85120B - Mulkeen, William
0t ' uI LAMA ❑ DREDGE & FILL4-4-O3-7S ° 85120 A® C D (e) Previous permit GENERAL PERMIT Date previous permit Issued iJ./n i R`New ❑Modification ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: ISA NCAC 01-14 • t 200 �ry� 1' ❑Rules attached. General Permit Rules available at the following link www.d/ea nnc eov/CAMArultD Applicant Name KZ I I in WI •/11 CA I►9ee✓I Authorized Agent l% J I 's'fr !J CI- Addredsssl �1(45 2h r f€Ss PO14 Project Location(County): Sal Le e�9' cty T�LIYCa it O Scam N G t Sta • ZIP 4a49r&, Street Address/State Road/Lot#(s) ;/ 2 S Phone#(S� 3Y5- 4f541 /.LDS trtJerylrs/ 1'4 Email 1'9 4Keav'l S9 i trbvine.;'I.Co!An Subdivision (Am snncf ' City ikbeet•ea ZIP ..r c4 Affected ❑CW DEW IF<A DES Ens Adj.Wm..Body ('aMpbel( ere* ( a tardunk) AEC(s): ❑DEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal.Wtr.Body -OIA1iLa 2tU'C ` ORW:yesia riot yes r [-n Type of Project/Activity .tea'(St ( /3/ A ,% Oo�a9G$4" 4— rewm✓c '2 •�i 1+,5i (Scale:1'1- 3b-1 Shoreline Length Tr 8 Scar Access Length • Araks/ �A• 6> P1/41 CJa1°sp Bea. Pier(dock)length � - _ � Fixed Platform(s) Q �'®� ' v Floating Platforms) • 4a � Ct Finger pler(s) ` �d /t e: I/ Z A s b e/.. Total Platform area ply 0 �� ,�� 4 .. Groin length/if • TGts_s t Bulkhead/Riprap leo• h ,�` Avg distance offshore Breakwater/SIB tfri sty' .eN Max distance/length r 1 elo, Basin,channel Cubic yards Boat rampearin5c Boathouse/BoaBift ,11%'f M` Beach Bulldozing .-1 Other mow Yl1i�....•� C -L>ti.,:e';"' c„,'y.,<1u� .__ +, a.��+, i ^ a s_. a_ SAV observed: yes to j tN$� � D/'9 an/ay Moratorium:oss: n/a Yes Site Photos: yes o IP•W/' rn LAIVeCh "op Pip Riparian Waiver Attached: CaD no • t.i a- A building permit/zoning permiter may be required by; �jea pp£4 1 e 4 •c4mAd, Permit Conditions id /5 mail. I4... bc_t%� Ls" L es eif/G TAR/PAM/NEUSEJBUFFER(drde ano) �JYrd1 p• }- cain �� � .5.J%a�%�y (a.•/ �( e El See note on back regarding River Basin rules BT • "/c 4/ 0�°�/��r_�• !/s hy, i. ❑See additional notes/conditions on hack I AM AWARE OF STATUTES,CRC RULES AND CO11T10N5 THAT APPLY TO THIS PROJECT AND (VIEWED COMP ANCE.ATEMENT. (Please Initial) Cadk - 1 B U44• CON t�a�rer,lt� (a ) torApplicantPRl ame P. • it0'-'er'sPRI //i Nam=+ ` .1 ign u ••Please reagqcompliance tatMnent on hack of permit•• v SI nature ,� In6 y ?-� •�` /0� r anisslo1 — i - •5414,-toz$ Application Feels) Check fl/Money Order issuing Date Expiration Dace • ROY COOPER ' - Governor MICHAEL S. REGAN Seaetary Coastal Management ENVIRONMENTAL QUALITY BRAXTON DAV IS Director BUFFER AUTHORIZATION CERTIFICATE FOR PIER AND DOCKING FACIUTIES ACCESS WAY A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico& Neuse River Riparian buffer per Division of Water Resources(DWR) regulations 15A NCAC 028.0233& .0259.The Division of Coastal Management(DCM), through a Memorandum of Understanding with the Division of Water Resources(DWR) has reviewed your project proposal and has determined that the project as proposed complies with the aforementioned regulations. Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization provided the project is constructed in a manner that continues to meet all of the conditions lifted below. Failure to comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation. t. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCM. The alignment shall minimize the removal of woody vegetation to the greatest extent practicable. 2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the maximum extent practicable. 3. Access Width:The width of the pier or docking facility access way shall be limited to six(6)feet. 4. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your property indicating the relative location of the pier or docking facility and any requested access way.This drawing will be used to aid in compliance and monitoring/efforts. LA 0 Pre-project site conditions: + ,patit.a4 Iress, . cattle tree' o- Ceis laa- ' ps.) P. By your signature below you agree to be held responsible for meeting all of the conditions listed abov nd rify that all information provided is complete and accurate. ent or Appycant Printed Name Permit ft" er's Signe • Agent or Applicant Signet l�ca �--28.7- (, Issue Date CAMA GENERAL PERMIT N: cS/0 b State of North Carolha I Environmental Quality I Coastal Management Washington Office 1943 Washington Square Map Washington NC27889 1 252-94tr6481 Wilmington Office 1 127 Cerdtml Drive Ext.Wilmington,NC 28405-38451 910-796-771s Morehead City Office 1400 Commerce Avenue Morehead City,NC 28557 1752-008-2800 i "N AMA I I DREDGE & FILL NO 85120 A © C D = GENERAL PERMIT Previous permit j� Date previous permit issued NIA Rf ew I I Modification ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I 5A NCAC (� '1 , It tC>() ❑Rules attached. IT General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name U-.5f t I(. ni rYl u I keev) Authorized Agent W-"Srhi I /1 4- Address I Q)5 2-nvh r ne ss Po i✓i-C Project Location(County): 5PR Lt-C-p/(t City YO vs A State N C-- ZIP Ai vG p Street Address/State Road/Lot#(s) L0�4 7-5- Phone#(&C ,�LIS" 9954I /05 �__ hV1S1)er yncSs 1--T I('�'Email b eeNet rj� 'L6Y�d.l 1• CC) Subdivision IA..) �U I . )7 , GG City 1/1.4YLT/Tot )) Z�' � /� ZIP � Affected ElCW n EW ❑✓PTA ❑ES ❑PTS Adj.Wtr.Body (a' 1'�?�G 1 I Cretk (enan/unk) AEC(s): ❑OEA I I IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body PA Al►co 2 I lre_r- ORW:yeseD PNA:yes,n L Type of Project/Activity 2 S'1 r!! 13/ X is" a 4 tr-e r''D Jc Z '1 1;-,5/ (Scale:1 30' Shoreline Length T Q r 1>I ShI • • p Access Length gls �e ) S P�}>nt-y� G��P Lt Pier(dock)length i Fixed Platform(s) 4/////////////ay • lik U � Floating Platform(s) / ,&, ^ -% h C Finger pier(s) 5 • /�� I/ 2 A �e,,� �b kiZ, /S Total Platform area )c' it., `� Groin length/# ry, Bulkhead/Riprap len h Avg distance offshore 4- I L Breakwater/Sill sl'l Max `75 distance/length �i tl'!-* Basin,channel Cubic yards Boat ramp . e 1'5 r Boathouse/Boatlift ' t$ ' Ytr7(131Q Beach Bulldozing ,� Other din'!�I��� LJ t�.Li�: ..'A. _, `-41'. +1, ' 4 SAV observed: yes 41E2INS V FOR:771/449 7 Moratorium: n/a yes ,. n t�r�� Site Photos: yes i� r M u I k�h I"tw p Riparian Waiver Attached: ® no L.v R- L A building permit/zoning permit may be required by: 4vt4i T iC�s-t�4 , Permit Conditions L 6 1 I S ai L-6, i s71/�' la La A v/ C a. C ev /� —' ��PAM/NEUSE/BUFFER(circle one) etfe6J - ,/irt •.�N y1U S.. ,$ t• Lm"1 �L— e note on back regarding River Basin rules 2- of' ii- ef/ 0 h,'/c 2 s//72 s, ❑ See additional notes/conditions on back I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND EVIEWED COMP ANCE STATEMENT. (Please Initial) 5 h Le y r,ntl Agent or Applicant PRINTED Name Pe it ' •I er's PRIN 0 Nam. • ,,,, - Al / ' / 0 Signature*�*Please rea 1P compliance statement on back of permit** 4 Signature U'I I\ Jrg, 2-' O . 199-/l9arcl, 20 2 - I g - scotzi Zoz-- Application Fee(s) Check St/Money Order Issuing Date Expiration Ddte Statement of Compliance and Consistency This permit is subject to compliance with this application and permit 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: 1) 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 from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889 252-808-2808/1-888-4RCOAST Fax:252-247-3330 252-946-6481 (Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:252-948-0478 Counties) (Serves: Beaufort,Craven—north of the Neuse River,Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax:910-395-3964 (Serves:Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 ,�°```OA 7CAMA DREDGE & FILL N° 85120 A /'B�' C D . GENERAL PERMIT Previous permit "�•r '} Date previous permit issued N)//4 RNew Modification n Complete Reissue n Partial Reissue As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: ISA NCAC L) 11 , i 2(--)0 n Rules attached. n'General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name 1,e()I f I'a W) a'La 11,e(.11 Authorized Agent �,--�/.-. S.T . C -7 Addr 1ess 5 .-n1. --r' S S o 1,qy Project Location(County): ' c City AL&{O,/ 0, State N. C- ZIP 7 :.' Street Address/State Road/Lot#(s) • Phone#(cC ''`-1�j ' - -.1 I x.,- inf..51 Email r:�, rt er_ti 1 L- f3-- ‘,1-.4..1 •1. r Subdivision City ZIP ' Affected D CW ❑EW TA El ES n PTS Adj.Wtr.Body - ( (c t"/I l::: (nat/man/unk) AEC(s): 0 OEA ❑IHA ❑UW ❑SPIMA n PWS Closest Maj.Wtr.Body ' ' 2 I U.P r` ORW:yes/no PNA:yes/f / Type of Project/Activity - r1 Sf„ / / h ja,'" i 4 f; (Scale:(• -• 30' Shoreline Length C.) t�'',s�,_ • , Access Length 1 i i I r �°t�. C ^ 1' C.- -LC, • Pier(dock)length ( 111 I Fixed Platform(s) 1_.. i - ,. _ _ir , * i , • ilt Floating Platform(s) / t I rt Finger pier(s) ... _ '_ .PA _ .._ j ���Tt / • Total Platform area ¢' I - J I �.n Q�. , Groin length/ff — i K. r 'F'i I Bulkhead/Riprap length -}---{ T--- ---- I i TT Avg distance offshore A k_r, Breakwater/Sill ' -S Max distance/length f i '1� �- Basin,channel r i«,. --.___ -` 2 - — C -- Cubic yards Boat ramp / 4. �11�5�rt i i f Boathouse/Boatlift I (-) A )7j . Y'1?•a{{ Beach Bulldozing ; } ! Other �)W -tt� �r.� . IIP SAV observed: yes f `^ —` Moratorium: n/a yes no' ' `I` ��f,{b f� J'v Po f2TAbr Site Photos: yes 'no ? �- E11 U k�fvL. _..— -- PRO p Riparian Waiver Attached: yew) no I 1 1 - I I_ kZ , ; / A building permit/zoning permit may be required by: ^/"ti l -(- -, 4 Permit Conditions C o 1 ' 'C ; i Vi) i,' ' ,-- ` 4'1 c� "" L'.. ' ')`� ,-,�,,i le n TAR/PAM/NEUSE/BUFFER(circle one) ,J�}if C �t 'J S . �7�1 1J1+' "--�c-.1 i - '/ / / ,j - n See note on back regarding River Basin rules ? D r L /f, ,.l/p.aN h./l L- .S�i,:r S- 1 ❑ 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) t"i'J1 iey Agent or Applicant PRINTED Name Permit Officer's PRINTED Name f r ✓7 Signature**Please read compliance statement on back of permit** Signature Application Fee(s) Check#/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit 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: 1) 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 from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889 252-808-2808/1-888-4RCOAST Fax: 252-247-3330 252-946-6481 (Serves: Carteret, Craven—south of the Neuse River,Onslow Fax: 252-948-0478 Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S.Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 (Serves: Bertie, Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 0`° 'r* I. ICAMA __ DREDGE & FILL Na 85120 ABCD t Previous permit t : GENERAL PERMIT Date previous permit issued New Li Modification I I Complete Reissue [i Partial Reissue As authorized by the State of North Carolina.Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I 5A NCAC Rules attached. I General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name Authorized Agent - Address Project Location(County): City - State ZIP Street Address/State Road/Lot#(s) Phone#( ) Email Subdivision City ZIP Affected CW EW I I PTA 1 ]ES n PTS Adj.Wtr.Body (nat/man/unk) AEC(s): OEA I I IHA UW I I SPIMA PWS Closest Maj.Wtr.Body ORW:yes/no PNA:yes/no Type of Project/Activity (Scale: ) Shoreline Length L l T Access Length I r f ;-;:,;Zt fp '. 3,--.A.e,.. Pier(dock)length Fixed Platform(s) j � ` It Floating Platform(s) I -' dor mi /t O., rri,.t. Finger pier(s) I 1 3r�`'J/ 2 I\ / I p ��� r.]Total Platform area 1v IM r , �C, f. Groin length/# I I ~ f�_ Bulkhead/Riprap length - Avg distance offshore I f Breakwater/Sill 1 I`. ^ S Max distance/length L I 1 I Basin,channel I , i i ---t- Cubic yards I__.__-_—.__..._..._.-.._. Boat ramp / j ,rp; t .,, - Boathouse/Boatlift 7 x 1 `Y i I I • Beach Bulldozing Other ( i I - q--r: L y. �.. / 4.-i 'i?'`i'" -G'It "'`' j•-•``'`St,-.--,- .dam - I Ii I . . 1 IP SAV observed: yes no ._k,,I: ,,f.,it - i '7 I .', r1r l Moratorium: n/a yes no ) ` .-� ' t Site Photos: yes no — ` r -_ Irr i`�t-��:"� �'�I {�01 Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions I I TAR/PAM/NEUSE/BUFFER(circle one) See note on back regarding River Basin rules II 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) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature**Please read compliance statement on back of permit** Signature Application Fee(s) Check tt/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit 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: 1) 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 from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 Basi 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. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 252-946-6481 (Serves: Carteret,Craven—south of the Neuse River, Onslow Fax: 252-948-0478 Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 INICROY COOPER Governor MICHAEL S. REGAN Secretary Coastal Management ENVIRONMENTAL QUALITY BRAXTON DAVIS Director BUFFER AUTHORIZATION CERTIFICATE FOR PIER AND DOCKING FACILITIES ACCESS WAY A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico & Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 026.0233 & .0259. The Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies with the aforementioned regulations. Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation. I. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The alignment shall minimize the removal of woody vegetation to the greatest extent practicable. 2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of pervious materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the maximum extent practicable. 3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet. 4 Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your property indicating the relative location of the pier or docking facility and any requested access way. This drawing will be used to aid in compliance and monitoring efforts. • Pre-project site conditions: Lerf /S 4-2:412,,MO-(--e 0 lac6.y, 4.-, 4-4 Co ip(c free,- cr 6eln"-L w4401-)f, By your signature below you agree to be held responsible for meeting all of the conditions listed abov nd rify that all information provided is complete and accurate. Agent or Applicant Printed Name Permit ffi er's Signa Agent or Applicant Signature 1 ' Yrict-J—!Z4C3 ZZ Issue Date CAMA GENERAL PERMIT#: DS/c.- D State of North Carolina ! Environmental Quality 1 Coastal Management Washington Office!943 Washington Square Mall Washington.NC 27889 1252-946-6481 Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215 Morehead City Office:400 Commerce Avenue Morehead City.NC 28557 i 252-808-2808 • AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �/t,_ Mailing Address: �� bt Jn Phone Number: _ ` G y s ys--�-/ Email Address: r� — S-7 � c Iv - I I certify that I have authorized to act on m Agent/Contractor y behalf, for the purpose of applying for and obtaining all CAMA ermi necessary for the followingp is proposed development: at my property located at in County, ' I furthermore certify that I am authorized to Division of Coastal Management staff, the Local Permit Officer and rant, and do in fact their gent agentse toron to on the aforementioned lands in connection with evaluating information rely enter permit application. related to this Property Owner nformation: • ignature Vvr lllek041 Print or Type Name Title _e Dat This certification is valid through / i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to William Mulkeen .s Name of Property Owner) property located at 105 Inverness Point on Pamlico River (Address, Lot, Block, Road, etc.) in Aurora NC , N.C. (Waterbody) (City/Town and/or County) The ap nt has described to me, as shown below, the development proposed at the above to 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) Drawing attached 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 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. , ,i ' (Pro r Information) (Adjacen roperty Owner Information) 41%.,.. y 1 7 Si ature Sigatur ). William Mulkeen ' V\ \ . ,. ec\rw Print or Type Name Print or Type Name 105 Inverness Point �v� '�r1Yti�� � � Mailing Address Meiling Address Aurora, NC 27806 1r\V,Cc�� ��$p Telephone City/State/Zip City/State/Zip \ 508-245-4541 k-'11.,Z t�11 `t acC nr trh � nw .Lvtin Telephone Number/email address Telephon Number/ema I ad�Yress bkeen57@gmail.com �� Date Date* ilk (Revised Aug. 2014) 'Valid for one calendar year after signature' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to William Mulkeen 's Name of Property Owner) property located at 105 Inverness Point Pamlico River (Address, Lot, Block, Road, etc.) on in Aurora NC , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above /Dian . I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (lnd%/dual prOPosing development must fill In description below or attach a site drawing) Drawing attached WAIVER SECTION '41nder d that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin mat be set back a'.minimum distance of 15' from my area of riparian access unless waived by btit_te. (tfyouwish to waive the setback, you must initial the appropriate blank below.) ttk'E I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property 0 er Information) (Adjacent Property Owner Information) ,11(:--,-0 7,,,/,/ /1-i-4-- ......- r) ,..'• o-4-1110.-/c - i nature Signature 1 William Mulkeen v ur‘� \rlk--�. �ppV Print or Type Name Print or Type, a 105 Inverness Point ,� o..ic'CJA J¢ Mailing Address Mailing Address Aurora, NC 27806 } .A.4--b de-A' � felt) City/State/Zip City/State/Zip 508-245-4541 VSL-9'c4-5-1 i Cr Telephone Number/email address Telephone N mber/ ail address bkeen57@gmail.com '''72-,S 2_7— _ Date Date* *Valid for one calendar year after signature* (Revised Aug. 2014) William Mulkeen 105 Inverness Point,Aurora Installation of 4 new boat lift pilings duo, jer /A Et r r.'