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Home My WebLink AboutFulford, Ted 88376C`°Adr' ❑CAMA ❑ DREDGE & FILL N9 88376 A B C D a GENERAL PERMIT Previous permit a Date previous permit issued \lL�/I\New ❑ Modification [I Complete Reissue ❑ Partial Reissue As authorized by the State of Ngrth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 1 I . I SA NCAC - - Rules attached. General Permit Rules available at the following link: wwwdeq nc.gov/CAMArules Applicant Name City Phone # (=) Email Affected ❑ cW EW Q PTA AEC(s): ❑ OEA ❑ IHA ❑ UW G. ORW: yes/(5o;� PNA: yes/fi) Type of Project/ Activity Shoreline Length Access Length Pier (dock) IengtH�-' Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area —0—f I Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards -- Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: Moratorium: n/a Site Photos: Riparian Waiver Attached: Authorized Agent Project Location (County): ZIP Street Address/State Road/Lot #(s)_ ❑ ES ❑ PTS ❑SPIMA ❑PWS Subdivision City l Adj. Wtr. Body Closest Mal. Wtr. Body (Scaler`_ ,/ ) A building permit/zoning permit may be required by: ❑TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions ,, .;A ❑ See note on back regarding River Basin rules ❑ 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 star ent on back of permit" Signature r y l z.<I I L ��f 'i, � Application Feels) Check #/Money Order Issuing Da a Expirationate �`°"" CAMA ❑ DREDGE & FILL N� 88376 A B C C e Previous permit i G E N E RAL PERMIT Date previous permit issued ]New ❑Modification ❑CompleteReissue ❑PartialReissue 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. N General Permit Rules available at the following link: wwwdeq nc gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot#(s) Phone # (_ ) Email Subdivision City i ZIP Affected ❑CW NEW ❑PTA ❑ES ❑PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/jlo PNA: yes/no Type of Project/ Activity (Scale: ) -..-. --- -- --. o... — -.ace Access Length Pier (dock) lengti I r Fixed Platforms) _ . _...... FT _� . - r f � . Z _ Floating Platform(5) Finger pierls)_.".._. Total Platform area Groin length/N `^ Bulkhead/Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel ---" Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other — 1- �— I — — —� -� I - !-- - -- !— - _ — ! V' _ - ��6 SAV observed yes {no Moratorium: Moratorium: n/a yes no Site Photos yes no Riparian Waiver Attached: lyik no — — / - - A building permit/zoning permit may be required by: -V ❑ TAR(PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ 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 Agent or Applicant PRINTED Name Signature **Please read compliance statElhent on back of permit** Permit Officer's PRINTED Name Signature ) Issuing Date Expiration Date Application Feels) Check q/Money Order ASEN7 Re.M40 MAT10N FUR CAVA PERM APPUCATM lace d ��fl� ^e�,r�; Per, i� / e•� �9 �"1ll �D,�� Vaiur,�,»Tess: Z30 01 D G�Bvst 1�s ��/� NG Z86/2 RVERT7be S7. zos /zwz c-a i�PP�-u/tea/c�c��m9/e ci 1 ctSi`j t'~�' 1 ire a J��vG I.t/Ot� /hGlr:'Lc �I�A S>r�G��n Agerd Cora-arsu �=�r /a fle bbowV a' devwWoat k)ev 'Floe tl) VO k tFs J A,\CilN OOC l-' �S at -Ty A-00kratedat 2-30 O\0 cousCw5.�/ rt Care f �Y, I fi,&errrxP 0�f that l am anti omed to grant, and do in fact grant pemtrssron to CGrvr-n d CO-11131 Mar rent staff, the Local FI?rrrrt Officer and their agents to enter on die atrwetioned lands in connection mM evaluating inbmabon related to this PWW appV--6w. This certification is valid through ! ! RECEIVE® MAR 0 S 1022 DCM-MHD CITY ii�LM.+��.,r.u.,,�,}��113�9Mvc�•.. �.��, r' - fV Ifl RGWVLJICV Y DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Nan* of Property Owner. Tv-D A Fu -rozb Address or Propedy��' Did �C)SCvgt�� RT1.A /��'EI��}�G 1Lot at,heet:, Streeter Road, CRY 6cmnly) Z$?I Z Agent's Name* Nve— WP, -e PICNIC MexngAddW. PO 1604 13 Agerifsph"t. 2.52 -72'5 3523 ✓n rt lecd ? I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pemrit has described to me as storm on the attached drawilgthe d'I'Pment they are proposing. A description or drawine w �h dimens ons must be prov ded with this letter. V I have no objections to this propoml. _ I have objections to this proposal. #yourmveobjectionstowhatisbemgpmposed youmusino*tWDtvWonofcoasfal Management (DCM) in writing wirbin 10 days of receipt of this notice. Contact lrrfonnation for DCM offices Is ava0ableatt9RYA ww.nccoastafmanaoementner/weWcm/starFdfsfirta orbyea1mg f-PS4RCOAST No response is considered the some as no objection #you have been notified by Cued Mall. WAIVER SECTION . I understand that a pier, dock mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minunum distance of 15' from my area of riparian access unless waived by me. Of you wish to waive the setback, you must initial the appropriate blank below.) C11 17 1 do wish to waive the I5'setback requirement I do not wish to waive the 15' setback requirement (Property Owner Information) Sigrm pm or Type Name zS0 01DGA�Se'ulR MadmgAddrM 1,7rl'4 iiG d�A J✓�ZB3/z Gfy08104 ZSZ Zo!r /Oz Telephone NmnbarlEmadAddress 3-I--z2 Date (Riparian Property Owner Information) Signature C Print or7 erne ,ddlOX3z� MadingAddress citylState zip 2-Z? =is Telephone Numbers EnW Address �30 22, (ReylmdAug. 2014) RECEIVED MAR 0 DCM-MHD CITY ern • nca.cir r ncw9c0 r �� DPASION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWANER FORM Name of Property Owner v GZIA L Address of Property: Zia OIA GAU _��S� 2 (lot or Street k. Street or Road, City & County) AgenfsNamet �1�c Wo�V J�cri+ l Meiling Address: e.0 6df �z tiL.285S? Agent'sphone# 252 123-352j Erne. C. I hereby certify that I own property adjacent to the above referenced property. The development applying for this pemet has described to me as shown on the allached p(ovidd witjher they are proposing. A description or drawing, with dimensions must be�rovided --- G — I have no objections to this proposal _ I have objections to this proposal. Ityou have objections to what isb6"proposed you mustno*&oDNsion of coastal Abnagement (DCAQ in rv7ftin9 wilhln 10 days of receipt of this notice. Contact infomration for 0CM offices is AST ava0ableattMYAvwwnccoastsimanaaemen[ne!lweWcm/staffdis ao^ �byCertifiedMcalfing il. WAIVER SECTION . I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must beset bade 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 blankhelow.) �-- I do wish to waive the 16 setback requirement. I do not wish to waive the 15'setback requirement. (Property Owner Information) Signwe Print or Type Name Z-Tws ao Maiiing Address OV7-W NL Zee/Z Zsz za$- >QyZ Telephone Number/Fined Address (Riparian Property Ovaer Info lion) Signature print orType Name W R U �a9 J U Telephone r/EmadA leas Date �j 640 AQI 61 • CZ Search Maps