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Bowen, Norman 76613C
/—N,kCaAMA / ❑ DREDGE& FILL N9 76613 A B OC D L JQENERAL PERMIT Previous permit # r ew ❑Modification OComplete Reissue ❑Partial Reissue Date previous permit Issued 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 02W� Rules attached. Applicant Name_/y6CM/l�n _�(i���(�b n _ Project Location: County Address �r dLfG�. c� nn $ d� 1 I V'r✓ Street Address/ State Road/ Lot #(s) SIIA4,10_ Clty� State ZIP as'o Phone # E-Mall O f' Co rs7 Subdivision 1i14 !XA e/! Authorized Agent - City— ZIP pCW DEW ❑PTA '�"S ❑PTS Phone# (—) River Basin—� Affected OEA D HHF ❑ IH ❑ UBA ❑ WA AEC(s): AdJ. Wtr. Body n man unkr O PWS: Closest Maj. Wtr. Body ORW' yes 0 PNA &( no Type of Project/ Activity Pier (t Fixed Fbatlr Finger Groin Bulkh Basin, Boats Boatt Bead Othe Shen SAV Mon. Phot Wah (Stater / Al ) ills ........ .... channel zubic yards ■■■ ■■■■ ■■■■ ■■■■■■j . ■■ ■■■■ ■. ��r��w■ r ; N,�(II /.' t1�%�►�►I�I'i%�:/'[�:� i�.1[!� ►�' T�IIIa1/■ ■■■■■I.��■�■■�■ti���■■ice■t■�■u�■ii..�►��rr./ ■■.....�...�... ■��:�"��::i- :::::::::�� mom line Lengdh�� m not sure yes ±orlum: no ■■■ or Attached: rlSi no :.��.::::::. �t.:..■::..■.:. �J i v � A building permit may be required by: � (� 1 p t. T,_— ' ( Note -Local Planning Jurisdiction Notes/ Special Conditions_ wea" A� �f5 IX (A 5 nature "Please read compliance statementon back of permit"i'e 91 L(, o W— l 11L I Check# ❑ See note on back regarding River Basin rules. Signat re � l8` �0 iss ng to Ex ration Date CAMA / El DREDGE DREDGE & FILL NO 76613 A B 0 D GENERAL PERMIT Previous permit# L�Iew [-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 1 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC © r OD Rules attached. Applicant Name Project Location: County_O� Address J IGkS`anS rly't Street Address/ State Road/ Lot #(s) �jQ�yyjQ, Phone # dou 1 Authorized Agent Affected ❑ cW ❑ EW ❑ PTA —+CS ❑ PTS AEC(s): ❑ 0EA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWs: ORW: yes <P PNA yes / no Type of Project/ Activity. 10%9N to Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length _ Bulkhea Piprap length avg distance offshc max distance offsh Basin, channel cubic yards Boat ramp Boathouse/ Beach Bulldozing Other / I Shoreline Length /l.l SAV: not sure yes Moratorium: n/a yes no Photos: yes n C Waiver Attached: ye no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions 112Vn Printed Name Subdivision Ckq a� S City ZIP ,,,j_ Phone # O River Basin I f� Adj. Wtr. Body C'AQ/ AG/man /unkn Closest Maj. Wtr. BodyNC�ilytl — t (Scale: / // 'r ) 1.20 Vn5taw 9t f1 ❑ See note on back regarding River Basin rules. eSiknature** Please read compliance statement onbackofpermit" OgZL-A a rL I Check# 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 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 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ 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. 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/1-8884RCOAST Fax: 252-247-3330 (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) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (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:Hportal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to lou /11 AA1 A) 's Name of Property Owner) property located at 6J'i-ck SA�6-s 4w, SOU vhF S li�tw LL (Address, Lot, Block, Road, etc.) on �1! _, in S-iv,5110 F=eRk c � N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 16 ';r— 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 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.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature PrM T (�1(ll% , a, 0V Mailing Afld� re ' n��� t � �_2u1_ti. ✓IC aPA00 City/State/Zip Q/10 i o/ I' I Telephone Nu her T✓ t ✓ �I t J-1 ao)�0 Date (Adjacent Property Owner Information) Sign ture lydnr- Print or Type Name Mailing Address stieA.0S rE�a2' City/State/Zip �.� zst�G'o Telephone Number 9io602 Date/3 / 3 ';�o.2d (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to "e P? 4/v /34'j A/ 's (Name of Property Owner) property located at S ( C k(AQI�%C l<L /C/l e S nP- (Address, Lot, Block, Road, etc.) on SOU ,Q SU+uvo IC W —,in SNP„CAS L L2E Lf 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 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, 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.) 1� I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature i wrl r' >J Al d 0 4j,Jt: /✓ Print or Type Name 1 5 CNt1Gt� C� S hC ES Mailing Address Stir=cr s City/State/Zip Telephone Number ,Z-/ i-.2o2� Date (Adjacent Property Owner Information) Signature 7e,^rL4 Print o�Name Q55 Ck'\6l(,V Mailing Address Sneac(� City/Statelip Telephone Number Date (Revised 611812012) m CA o 70 16 91 7T 51 r