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Home My WebLink AboutHerring, John & Katherine - 91421CoA�couru �-DAMA ❑DREDGE & FILL N° 91421 A B (� D 's Previous permit GENERAL PERMIT Date previous 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: i I SA NCAC b_:� F 1 1 OO ❑ Rules attached. Q General Permit Rules available at the following link: www.deg.nc.Pov/CAMArules Applicant Name Address jq 1 ',/,1 City r-A, State /% c ZIP Phone #(`)I`I) ll.;;j 'Z �) -�1/L Email 101'br C: ��-(�'rovl SWl k' , Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City City rUe 41)0 /r ZIP Affected ❑ CW NEW PTA ❑ ❑ ES PTS Adj. Wtr. Body 7 l i i rY. C, L_ ((nat man/unk) AEC(s): ❑� //OEA ❑ IHA ❑ ❑ uW SPIMA ElPWS Closest Maj. Wtr. Body 3 ' ," SO �'^-v ORW: yes/qg/ PNA: yes/0 Type of Project/ Activity " r po S v ( w G 21C vl-r e L --- (Scale: I Shnralinn I onorh 2 '% � , _ Access Length Pier(dock)length '' -- - NTIL — Fixed Platform(s) I C — I I - f` Y Floating Platform(s) LJ Finger piers) Total Platform area Groin length/# Bulkhead Ri ra length ii Avg distance offshore- Breakwater/Sill Max distance/ length Basin, channel - i �� ( - ,-- - — ---`-s1 - -— s� - - / - -- 1 ±6Y-- -�- - — ---if-- t - --- — - - -- '- Cubic yards Boat ramp Boathouse/ eoatlift Beach Bulldozing Other _i - _1 --_-. (- 6 m( i -I' - I— — Iz—C T — - —F— _---- _-"- - SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no - A building permit/zoning permit may be required by: Permit Conditions ll' tr )S(!O/i2 c.:i It zro do 1,4�t Cow prl L>i , �,- '"i'�c li no-1 ✓t( i0 _!''ICI ('/'r.a .r�� 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" Application Fee(s) Check #/Money Order Signa ore i 1 5 Issuing Date Expiration Date ,o�e'(0mrA, LICAMA El DREDGE & FILL N9 91421 A B (� D IM11 GENERAL PERMIT Previous permit Date previous 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 ( % Oo ❑ Rules attached. ' rGeneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Authorized Agent - I Address - Project Location (County): /C.4.E. City State ZIP -!<-> Street Address/State Road/Lot #(s) �..>•-�C_ Phone # Email Subdivision City ZIP �w�•'��-' Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body ,(nat man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/tic,-' PNA: yes/`oO_ ' Type of Project/ Activity „ r , i ,.ts c ( t C- I t I (Scale: .._....... .... Access Length .rT,- Pier(dock)length s Fixed Platform(s)— (i -- - - - �- ---- �,- - - I Floating Platform(s) /`J vs Finger pier(s)I— I. I Total Platform area _ Groin length/8 Bulkhead/ Riprap length -^'- Avg distance offshore --^'- Breakwater/Sill Maxdistance/length*- Basin, channel Cubic yards / Boat ramp Boathouse/Boatlift �'� Beach Bulldozing Other y '_ - —)- - �— j • / ' `-� \�'I - dt— - — t _ - !_ - -. �-/ �- _ ._ -' _ � � I �11 r, y ! �'- 1(,'ii�y •,/„ L _ _ _ j _ SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no t '—I' , l t-- —i - -4— ! - v /'. A building permit/zoning permit may be required by: Permit Conditions ,:)= "o t ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules i ) See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THATAPPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name j Signature **Please read compliance statement on back of permit** Signature Application Feels) Check k/Money Order Issuing Date Expiration Date N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REDUESTED or NAND DELIVERY (Top portion to be completed by owner or their agent) Nance of Property Owner: John & Ka herine_Herrin Address of Property: _ 194 Pelican pry Newport NC 28570 Mailing Address of Owner: Owner's email: ohn eljcan-sunset.com Owner's Phone#: _Cal 9427-9112 Agent's Name: EZ Dock Solutions __ Agent Phone#:__. 2( 52j 764-1234 Agent's Email: ezdocksdlutionsla7vahoo.com ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION Bottom Portion to be completed by the Adiacent Property Owner) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this Permit has described to me, as shown on the attached drawing, the development they are proposing. A r-_. I DO NOT have objections to this proposal. I DO have objections to this proposal 11 you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808.2808, No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed 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 (this does not apply to bulkheads or riprap rewatrnents). (if you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive somelall of the 15' setback .OR - Signature of Adjacent Riparian Property Owner —- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: TypedlPrinted name of ARPO:v Mailing Address of ARPO: sFa Qs-uu 7Ste 1() ARPO's email: ARPO's Phone#: L qua) ILNS - ytt WP t Date: �,1 No r •waiver is valid for up to one year from ARPO's Signature' Revised May 2021 ■ Complete Items 1, 2, and 3. A. ■ Print your name and address on the reverse X so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B7 Or on the front if soave ne n,im 9590 9402 6498 0346 6970 02 q _S.nai�_..—. 7021 0350 0001 4910 0641 u PS Form 3811, July 2020 PSN 7530-02-000.9 053 — m If YES, WaryRealdcted DelNery Restricted Derwo y C am 1? U Ye: 3W. ❑ No ❑ Pdwty?4m Express® d Regfatered Malpu ❑ Reglat¢red Mall Restrced DNNsry ❑ Slgnsture Confirmation^^ ❑ signature connrmation Restrcted Deba y . Domestic Return Receipt t AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: _ John & Katherine Herring Mailing Address: 194 Pelican Dr. Newport, NC 28570 Phone Number: (919) 427-9112 Email Address: John@pelican-sunset.com I certify that I have authorized EZ Dock Solutions Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Floating dock for jet ski. at my property located at 194 Pelican Dr. Newport , in Carteret County. 1 furthermore certify that 1 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. Propert wn r Information- Sign ure Print or Type Name Owner Title s I t a. / aod-3 Date This certification is valid through / / Fy', Ii . 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