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Home My WebLink About88621C - Russell, Stan30�°"°""".N❑CAMA ❑ DREDGE & FILL s GENERAL PERMIT ,r] New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue Previous permit Date previous permit issued A B C D As authorized by the State of�IN9rth arrolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC �% j ! /� `-'`1 ❑Rules attached. K General Permit Rules available at the following link: wwwde�nc.gov/CAMArules Applicant Name /A I \ I ' Authorized Agent /Y i Address /,{ Z �� Project Location (County). l tr /x Vf� r I City / Wj "J P a / State /'t - ZIP c'' ! Street Address/State Road/Lot #(s)'�'� Phone#({_'��-�'�,i' L' Email Subdivision City ZIP Affected ❑ cW ❑ E W ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (f v s _I L f f l th (ndt(man/unk) i AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity . -Vi (. Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) 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 SAV observed: yes no Moratorium: n/a yes Site Photos: Yes no a—1 Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions (Scale% V ) I ❑ 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 Initial) �Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Signature 11 Application Fee(s) Check q/Money Order Issuing Date Expiration Date stem'"' ❑CAMA ❑ DREDGE & FILL N9 88621 A B C o 4,&1 GENERAL PERMIT Previous permit Date previous permit issued ,❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by the State of N9rth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC I ❑ Rules attached. x❑ General Permit Rules available at the following link: wwwdeg nc gov/CAMArules Applicant Name City State ZIP Phone # (_ ) Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Email Subdivision City ZIP PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) Affected ❑ CW ❑ EW AEC(s): ❑ OEA ❑ INA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body - ORW: yes/no ' PNA: yes/nod' Type of Project/ Activity (Scale: /_ ) Access Length Pier (dock) length..■■ Fixed Platform(s) .: .:::■�■::��®�N� ...■..■■.... MOM ::■i: :GC Floating Platform(s)S :■ .. .. Finger pler(s) ••••••• 'NNE ': `►/i = distance/ length 'each Bulldozing ::■ ::::::.■A■■ ■■.ON ■■■■■■■■ ■ ■■■■■E ■■■: N E::�:Max :::::E:� ■■i■ ■■■ ■■■ ■■H■■■■■■■ ■ mom :■:■ :::::■ ::r�■��: ®:■■■■■■ ■N■■�■■■■■ ■:(Hli'11■■■:■■■■■■ �AV observed: yes no Moratorium; n/a yes no .-ite Photos: yes no A building permit/zoning permit may be required by: Permit Conditions IAM ❑TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature**Please read compliance statement on back of permit** Signature Application Feels) Check q/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: 208 Outrigger Rd New Bem 252-342-9223 Stan Russell Email Address: stanrusse119223@gmaii.com I certify that I have authorized Coastal Boat Lift Repair, LLC Agent ! Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Installation of new vinyl bulkhead (128ft) across property. at my property located at 208 Outrigger Rd in Craven 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 Brim f'wS1'a(- Print or Type Name Title Date This certification is valid through ! i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Stan Russell ,s propart�idccated aOutrigger Name of Property Owner) , 208 (� U_.I �E!r Rd Trent River (Address, Lot, Block, Road, etc.) on , In New Bern , N.C. (Vlfaterbody) (Cltyrrown and/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. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must flit In description below or attach a site drawing) Installation of new vinyl bulkhead (128ft) across property. 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. (Property Owner Information) Signdture N S Sc7 L Print or Type Name ?-aJb evi"21e6e-Y 120 Mailing Address *Jl`o 6ct2,J JJ S E •t cnyistate21p Rs23(}tdl223 & A+c Telephone Number/small address c )Q zt Date (Ad ace r t Property caner Information) 2S U Signature* l` I' 1)P.IaAP VAG I�SA'A Kend NC NrS C1tyy3fate2ip u*- J 0 4? f- 30 7�0 Telephone Number/email address G,-16— 44, 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 Stan Russell 's 208 Outrigger Rd property located at �� Name of Property Owner) Trent River tMuurans, oiucn, rcvau, aw.r on , 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. xI 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) Installation of new vinyl bulkhead (128ft) across property. 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 Ms. (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) Signature S-Cv,-.1 R. SSct 4 Print or Type Name zcfF cat 'f1L1G6C12 rZ r;) Mailing Address City/SYa1 e2ip i2Atoiz23 STAnj ikn9r 0117 300 64^41' Telephone Number / email address S' t'L I-Z Date `Valid for one calendar year after signature' (Revised Aug. 2014)