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Home My WebLink AboutWaller, Thomas 84213C°""�❑CAMA ❑ DREDGE & FILL N9 84213 A B C D Preous permit . GENERAL PERMIT D teprevious permit issued ❑New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by the State of North Carolina, Department of Environmental Qualityand the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC ❑ Rules attached. ,F�J General Permit Rules available at the following link: wwwdea.nc.gov/CAMArules Applicant Name 1-1j2 y Addrelss City '': State ZIP Phone # (_) �-4 `-1i Email Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) City Affected rm CW ❑ EW ❑ PTA l.-n-I ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ IDEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: ves/no) PNA:.Ves/no Type of Project/ Activity -` � r' I _ Access Length j _ Pier (dock) length Fixed Platforms) Floating Platform(s) 1Z- j - Finger piers) -_ - Total Platform area Groin length/H- - - - - — - —)---- - -- leng[ eoffsrap AvgBuldistance Avgdistance offshore Breakwater/Sill Max distance/length _ � � _ I_ Basin, channel'- Cubic Yards - 7 - Boat ramp Boathouse/Boatlift Beach Bulldozing I Z I Other SAV observed: yes no - -_-- - -- - Moratorium: n/a yes no (- j� * -'- - -- ;--"-" -- `' _ Site Photos: yes no I Riparian Waiver Attached: ves no I A building permit/zoning permit may be required by: �_II Permit Conditions -i I AM AWAR OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJ Dt �\'I ry, i I-AI`F V i Agent or Applicant PRINTED Name Signature Please read compliance statement on back of permit. Application Feels) Check ft/Money Order 1 ❑TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Permit Officer's PRINTED Name Signature Issuing Rate Exp ration 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: 1-1 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) http://Portal.ncdenr.org/web/cm/dcm-home Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, 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 and Pender Counties) Revised 6/01/2021 'JOUT" ❑CAMA El DREDGE Alt FILL N9 84213 A B C D fJ Preous permit GENERAL PERMIT D teprevious permit issued 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: 15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: w deq nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot#(s) Phone # ( )' � h Email Subdivision City Affected M CW ❑ EW ❑ PTA ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW❑SPIMA ❑PWS Closest Maj. Wtr. Body ORW: yes/no PNA:.yes/no Type of Project/ Activity (Scale: SEE .■ � �. ... �.�... ME ■■Bulkhead/ ■■ �■�i1�1 Groin length/# Riprap length . , . fther ■i■■■■ �■�■■iiii� ■ CCU ■■%� P1®■ �. ■�ril■■■■�i1!lli��■■ ®■...�.■ � ■.■ � 8AV :a�:� observed: yes no Moratorium: n/a yes no Cite Photos: yes no 'iParian Waiver _,.. t d t: rul __.. A buildingpermit/zoning zonin 2 j y p / g permit may be required y: b < <. - � TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions See note on back regarding River Basin rules 1-1 See additional notes/conditions on back AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" � Signature � Application Feels) Check ff/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 El 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 Manaeement Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven —south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bartle, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pas quotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, 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 and Fender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: /` vZwe7 WAIL/ II. - Mailing Address: Phone Number: Email Address: I certify that I have authorized Asp --7A3-8tr64 Agent / Uontractor to act on my behalf, for the purpose of applying for and obtaining /all CAMA permits necessary for the following proposed development: �c��( �i� /J7� 1B dAS�C t$rx ti I e.Q at my property located at n�County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature �s �% filer Print or Type Name Title f Date This certification is valid through �l I 1 itQ� �^ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to uw..s (jai � A%g fFP _ s (Name of Property Owner) property located at AA9-�o Wu"rjedm_a3.tLA4116" h C 2-9-Wr3 �(Address,Lt, lock Roadtc.) on _ N.C._�v Ai terbody) (CitylTo nd/or County) The applicant has described to me, as shown below, the development proposed at the above location, I have no objection to this proposal. _J hace_ob)e-ctions to_ttus_pr_opos-al._-_____.__ DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in descript o�q below or attach a site drawing) W4 r 1 eY SX �' cr°�k WAIVER SECTION] I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement - I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adj ent Property S� e � �� Si aforemated or 3—l4-�zZ Date Mailing Address IMors{+4 I (1oar4 K) C i1553 City/st telzip 3tT- 9,-4-4 - 3 io 8z % Telephone umbe 32 �P�2v2-2— Date (Revised 611812012) 0 I hereby certify that I own property adjacent to // i101-I& 5 %m: / Wa. i/ e H s p (Name of Property Owner) property located at � �ikrc(7 F� %�1arc(1a(fb2ra AlC1$+153 on .�) r�odd `'eve in (aterbody) The applic!,nt has described to me, as shown below, the development proposed at the above locatio I have no objection to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fin "r ascription belowor attach a site drawing) lerve 00-1 - VVI'ilO Yl\V 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.) I do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. Owner Information) or 1. 99 _QWW-P" Telephone Number -?- 1 9--- Date Telephone Number z-z— Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY QWNER SLATEMENT I hereby certify that I own property adjacent to [Nowus, Ga -/ IJAjf a& 's (Name of Progstty Owner) property located A4.00 tea /f !hs Aft (Address, Lot Block, Road, Ott.) on_gleAt U^ sir in.N;C. (tRraterbody) .. (CitylTownfor County) The applicant has described to me, as shown below,.the development proposed at the above location. - r _ I havt no objection to this proposal. t ___ _ Ihaveohiec3iot+tetothls.pfApo3a1�.--______ -..__. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individuai proposing development must fill in desk� I`" n below or attach a 09 drawing) . IY ►^ 4r poop" l d"I WaA( t?q- Ap r I understand that a pier, dock, mooring pilings, bn backs minimum distance of 15' from my area of with to waive the setback, you must Initial the ap boathouse, IA or groin must be set access unless waived by me. (If you blank below.) - I ,y9 wjyh to waive the 15' setback ryquirement _ I do not Man to waive the IV setback requirement. Owner lPdo on) (AdiscentProperty I.'f ,jy; - I-/9..2 -% (Revised 611&TO12) ---------- 4.4 I OWN"* 44 W,#a40m*A- wgoiw>,i