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Rodenbarger, Syd 77144C
yJ CAMA / • DREDGE &FILL A B /7't, D GENERAL PERMIT Previous permit # XNew Modification Complete 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 I SA NCAC Q • d-'! �� ---- 11 ((�� _ Rules attached Applicant Name S a 00�'Jf, bA���C Project Location: County C-rxyen Address t 5NO yAE' C �i t, t Y�- Street Address/ State Road/ Lot #(s)✓Itj� _. City_ ow l�K State At ZIPQ fi3,,2 Phone # (`O) -/v`I / E-Mail Subdivision w(ilexw'1y u F��F Authorized Agent Torre (,t,(`yjit City _ _ ZIP Affected fCt(N �EW X?TA s PTS Phone # ( ) River Basin &4 5(- AEC(s): "OEA HHF -IH UBA NIA Adj. Wtr. Body Actarn�,_6c2e,%.. nat /man /unkn) C) PWs: ORW: yes / no PNA yes /Q Closest Mai. Wtc Body � Type of Project/ Activity _ PCO11)O (' i Q V 4 Vja&rPMg� (Scale: l/SO/ ) her (dock) length Fixed Platform(s) - - FloatingPlatform(s) .. Finger pler(s) (/t Groin length number �_J Pjffl BWWongth avg distance offshore max distance offshore Basin, channel - AUG 2 5 2020 C p� pe cubic yards 1)CM-MH0 cjV '7- Boat ramp 1 ty /ilk4��l -1I Boathouse! Boatbh (/,tT��ylJ�\(J,lJ \�i�fJ (}JU!Jk r Beach Bulldoz�ig _ r I j f Other Shoreline Length SAV: net sure yes gn Moratorium: Na yes Photos: yes Waiver Attached: es no t\lJ� VVVttt""` Jll� \ A building permit may be required by: C, J:aY(-) J3 —Car jf'� V /- See note on back regarding River Basin rules. (Note Local Planning Jurisdiction �� � r�/e n� S Notes/ Special Conditions j 0V V t 0a ('� �L(,9 A YV `7 IoM 6 �u C. )or Applicant Printed Name Si aturc "Please rread compliance atementon back of pet Application Si k1 Permit OlGcer' Pnnt Na� s �"D V�' S�yrigy�yn turd 1/% V�T�o" © l ` J tom' �- 0 Iss ing ate E pIrau nDatc M � I k i i s ,8 a CAMA / eDREDGE &FILL " & N9 77144 A B d D �. GENERAL PERMIT Previous permit# XNeW ❑Modification ❑Complete 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 I SA NCAC Rules attached. Applicant Name S Project Location: County CIew) Addrelss, �✓ o i 1 Vie- Street Address/ State Road/ Lot #(s) �/iltt_I City f tavelqnK State IIIk, zlPd-o53.g I Phone # a& s E-/Mail Subdivision INA S N- Authorized Agent LACI! s City ZlP Affected .twFTA S ❑ PTS Phone # O River Basin NP AEC(,): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA MCA k ❑ PWS ORW: yes /I PNA yes /(9 Ad). Mr. Body na man un n Closest Maj. Wt.. B_d, f � X Type of Project/ Activity 1 a eo ' I 1 IF (Scale: I l�j� / ) Pier (dock) length I I Fixed Platform(s)- i _ I Floating Platform(s) Finger pier(,) Groin length ! number Bulkhead/1 ' ength41 avg distance offshore max distance offshore F ! Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes g Moratorium: n/a yes Photos. yes R JI i Waiver Attached: es no A building permit may be required by: �f'Ol YP (l�C�` I ffSee note on back regarding River Basin rules. ( Note Local Planning Jurisdiction)/ I 1 Notes/ Special Conditions All") n l I 0V C+G. n I e or Applicant Printed Name Permit Officer's Print Nam Sf'ature s* Please read compliance statement on back of permit** Signatture Application Fee(s) Check# lss6nglYate E pirati nDate 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 officerwhen 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, 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 ❑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 howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-888-4RCOAST 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://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: a5,), Email Address: I certify that I have authorized Agent i Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: r r(��u r1U'e4n_( 0.nd Coas{xl.Afrosro�r at my property located at 5 in NOW County. n_YlurrILaA6 A0(Ma C'ahJ Dorian) I 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. Property Owner Information: ter, pd 1 aov Signature e K47 o 04 IRoda4 bar e r Print or ype Name Title -7 1 21 1 °Z o RECEIVED Date AUG 2 0 2020 This certification is valid through 1�_l_ DCM-MHD CITY • _ --.I! . r c. .'lf'. � il_ r - ;,�1 ifl •. 1..:•)tk 1: L?I 4i - ''/lil r�t' _ - l' I la "A AIA ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to San e� aOdClrl ba!� 's '' 11 (Name of Property Owner) property locate t J 3 VO 4 n CA,- i VL 5 a (A ress, Lot, Block Road, etc.) on 4,p-TY►iYli(�ri5 �A�riYlrulau , in (&)2(o c-� O—Y- J¢jtn owner, N.C. (CityiTown and/or County) The applicant has described to me, as shown below, the development proposed at the above locati 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) R2�lil' cth'tlar rglae f a� 1��53q Jo�ner Drive. �Qusr�d 'bc Hvr; e"es r;prQP along shore11144- a-F V1or J1&Z and Drta.w. 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) (Adjacent Property Owner Information) r�llli/II�r�''i.�r'!'M'a'1Signature Signature* Print dr TYpe N me Print or Type Name ' SOU �nr.n�t� Drive. S3`g Jo4rac �nYC. at Addr ss a ling A dres / 10 Q853 City/State/Zip Citx /State2ip 5z.4U�f . I ll t rodehharr (2VQYi 2,on, a.-4ta5 -195S Telephone Num9er / enfafl address netTel�phone Number/email address i /X/ / 2o,2n Its O 0`dZ� Dote — I Dare's (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 9�4 ( `• 'IOLA a+ Lo M baw a ,s property located at .7 K vv e.r upyeo Tj � o�Ai 1 ' (Address Lot Block, Road, etc.) on a_ C_ t�)Q,t. ..In oCaG� , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above to ti T I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT pndhddual proposing development must flit In description below orattach a she drawing) ran d.lor re.0lae-e- riprap oJoncJ, 5hore(ine. o-F v+ n /5,3q Joey Inez -D ve QncL exo5ion Czu-sA -b,,j av\ Ck Do r ( 0-0 , d L& e --(a &a.-m ar6 er in , r eaves Floreelc4,— 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) (Adjacent Property Owner Information) ,Vimr Q7, Print or O F,�e�u pe Name MaI g Address �Z— Clty/StatelLip Telephone Number/email address � Date* (Revised Aug. 2014) 'Valid for one calendar year after signature' 1- I �' isr�4•�? 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