HomeMy WebLinkAbout78518A_Cox, Beale Oechsle_20200225CAMA / F�— DREDGE & FILL
GENERAL PERMIT
®New ❑Modification _]Complete Reissue ❑Partial Reissue
Itt `- V/
N9 78518 A B C D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �7
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1 0 o OU
Z Rules attached.
Applicant Name Ron L O ee h 5 I e Cox
Address rI I Cl Q(Z PU�+�i ,�r .
Cityc(t,4-,, State kK ZIP � 6 3 2
Phone # (S l 0 y 92 - /(. 6 E-Mail
Authorized Agent 2 K t(M, i OL 1�C, ilk
Affected ❑ CW ❑ EW ® PTA L I ES [2 PTS
AEC(s): ElOEA [JHHF ❑ IH [IURA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / to
Project Location: County C hU,--�
Street Address/ State Road/ Lot #(s) a N !Z .2 S
J t IcLr .
Subdivision �rl ' r\ �]cuca I��+n { Q \oY,
City t n}G+n ZIP % 5 3 Z.
Phone '# ( ZSZ) �Aob E River Basin C howc+_
Adj. Wtr. Body rA6 r �� JCSu. J (o man /unkn)
Closest Maj. Wtr. Body ( be h< , (, -ohs J
Type of Project/ Activity N t, , � � Ve a A
Pier (dock) ler^''
Fixed Platforn
Floating Platfc
Finger pier(s)_
Groin length
number
�BuIkhea� Rip
avg dista
max dirt
Basin, channe
cubic yai
Boat ramp
Boathouse/ Bi
Beach Bulldog
Other
Shoreline Len
SAV: n
Moratorium:
Photos:
Waiver Attacl
wounim—mwi
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
(Scale:
Chtk,JQ A CO(A A ❑ See note on back regarding River Basin rules.
—Ta E 4j ( L
Agent or Applicant Print d Name
Signat r Please read compliance statement on back of permit**
�era),OU 6)�s3
Application Fee(s) Check #
-v
c, k�r\
Permit Off er's P nted Name
r
Signatur
Z /ZS/?L, Z�%ZG
Issuing Date Expiration Date
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 I) 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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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 i I Other:
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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
(Serves: Beaufort, Bertie, Hertford, Hyde,
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,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Qe 0 uh;i(L°
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development Pe 0 % CQ �v
at my property located at
in (,h0 W OL` County.
r--
1 furthermore certify that / 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:
.&�& Z&� &�2
Signature
rtea Oedis,(e, �!yk.
Print or Type Name
f LF IL' ('0 �� '\
Title
b 1 / 2q l2,od-J
Date
This certification is valid through �/ 30
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to & s
Name of Pr perty Owner)
property located at ✓` �0 i _'� U✓
(Ad ess, Lot, Block, Road .e c.)
on !-� 1 ��Cl~'l�ta rl/C J`d (%vLG� in N.C.
(Waterbody) (City/Town 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�162Ad441
P �
(� 0 0 d-ow-) v 04L - A -e Gam ' 6
So'f Rt'd&jj K16VI ✓tom �'�nSSfti^tic jC��J X"Q VV-NZ),
a]
CIO
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)
Signature
Print or Type Name
Mailing Address 3�
1� JC_
City/State/Zi
Ka s ff 116 f3edf DQoe ( 61ML4 ( ,
Telephone Numbe / email address
Date
(Adjacent Property Owner Information)
I `-L-
Sigiiuture*
Pri t or 0 Type Name4 g c)
M /.ng Address
iir /1VL. a 8 S
City/State/Zip
Telephone Number / email address
Date*
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to e D 6 daslp'�'O/ s
(Name pf Pr perty Owner
property located at Vl k r ` C LO
on ����" (Address, Lot Block, Ro , etc.))
�2��21e SO in i; 'IQt,(�Gl-, Cep �, N.C.
(Waterbody) (City/Town and/or County
The applicant has described to me, as shown below, the development proposed at the above
locat
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)
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)
5��.rk
P int or Type Nape /��
0 3 -lam►-i1�,,
T,
Date
Number /
Nv✓
C-6 It �
Cjaclt Pr[perly Ov4ner Information)
S " n ure
L'L tu
Print or Type Name
'aili� dd�ress pp � pf
City/State/Zip 10k" rl 0_'9Dgcj-
rL Mitt 14-1-: P (V 4f y 9 P—A — 11 �A'
address -i, `l , Telephone IN; /e ail address
Date*
`Valid for one calendar year after signature*
dv1A
(Revised Aug. 2014)
4
41
VIA
i
o� 0 4e n -i-� e, Pa aW�-
e- .27q 3 Z
Ld+ ;�t , 'Az Z 3
13ecO,e, oecksle Cax
� o 3Cyr
Untitled Map
Write a description for your map
Legend ,
4 f r
I �