HomeMy WebLinkAboutCannon, Kelli 76625C�, 'MA /-116REDGE & FILL N9 76625 A B D
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NERAL PERMIT Previous permit#
flew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Reso r es Tmissiorn' anarea of environmental concern pursuant to 15A NCAC�n❑Rule attached.
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Applicant Na(r ' f ( o i 1 J Project Location: County C' "7/Y�
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Phone #
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AEC(s): ❑ OEA -E1 HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
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Agent or Applicant Printed Name
sl Please read compliance statement on back of permit"
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_placation Fee(s) 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
nul I 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 ❑ 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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-888ARCOAST
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
CERTIFIED MAIL • RETURN RECEIPT REQUE§TED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
Name of Property Owner:
Address of Property: 1 i 1 VJU l I V t'RI ILA I
(Lot or Street #, street or Road, City
Agent's Name #: 13000 bywy-5 Mailing Address: Vt-
Agent'sphone#: (2hZ)2-+—g4O5 HAyZKM/,
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 drawin the development
they are proposing. Es t tori'o''�xd0a'7i t` i1 OE if�n7gffi` rntFs'�tab�Jt5�iWuffiMtta`4Fv�`s<`CeTgr',.
/dam- (1 Wirt
I have no objections to this proposal, have objections to this proposal.
If you have objections to what is being proposed, you must notify the 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 becontacted at(252)808-
2808. No response is considered the same as no oblection if you have been notified by Certified Mail.
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.)
do wish to waive the 15' setback requirement.
�/ i do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property OwnerInformation)
Signature Signature f
Vlw¢� i'y57"i V l,t CAVW01V
Print or Type Narhe
t✓n `ktnnt-lQw p�f tNl�sl��a G4{ Pao
Mailing Address'
6(Mtt\ tJ(, 2-'l 1y3
City/State2ip
10 - 131-"113
Telephone Number
11 >tit" 11010
Date
�l��,n /r�✓X �'r/xn. � i�"t'Y11 r'i t��l. ���Yav��2l
Print or Type Name
2917 4-xi�o-J /� r
Mailing Address
/11� �C ly,/VC .2g�f7
City/State2ip
),�.) - ) y7-X )
Telephone Number
5-3o_ao
Date
Revised 6/18/2012
v M
W A-; Ji %,Z;Ai
jIj T4
I 'WOOL
JUMPING RUN CREEK
� m
--------� o
HIGH WATER
APPROXIMATE LOCATION OF
NEW FIBERGLASS SEA WALL
REMOVE EXI
WOOD DOCK
EXISTING WOOD
TO REMAIN
REMOVE EXISTING
BUILDING
NEW CONCRETE HOG SLAT
75' DECO SETBACK ' EXISTING CONCRETE BOAT
-------------____ ' RAMP TO REMAIN
EXISTING CONCRE
SLAB TO REMAIN
TING HOUSE
REMAIN
20' MBL
-----
------------------------------
-
GRAVEL OF
TO REMAIN
151 WHITEHURST ROAD
SMYRNA NC 28579
LINE
40 0 20 40 80
-1
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ;\' 16NA-20 keb r`'r (0�10 /l f- N D`�'
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
25�5 s�7t\�Hr1�w )31 1+LFI�kt�n 0-A �1
6 1-7 Li�
9 I %- 73 / -113e-)
Agent/
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: k wA-ti
at my property located at [S ( LA N T h H 0 k S r 0-VV0
in Ml r-Yt E'T County.
l 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:
Signa e
1 / N" Iteo a4L
Print or Type Name
O wv�4:Y�
Title
z-Y I Zu
Date
This certification is valid through &� /mil 2�
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MEBANE
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MEBANE, NC 27302-9760
364960-0302
(800)275-8777
05/12/2020 09:44 AM
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•iday 05/15/2020)
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1192970000126640723)
Receipt
$2.
PS Return Receipt #)
90940257750003626696)
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• orlach on their � + i to the back of the mailplece
IIIIIIIII IIII IIIIIIII I IIIIIIII I IIII III IIIII III
9590 9409 R77r nnno __
7019 2970 11001 2664
Form``38� 1� July 2015 PSN 7530-02-000,9053
DOMesttc Return Recelpt
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(I -OR A PIER/t1100RING PILINGSIBOIITLIL 7%It 0A7'FIOUSE)
I hereby certify that I own properly adjacent to i't,:ULk GA_,aN0r1 d WGIjMtb R��jasjs
(Name of Properly Owner)
property located at _ �5 �W NtTtiHU,(LsT "A-b
(Street Address, Lot, Block, Road, etc.)
Oil 4VMV'uJ(A VWI�J Mr1-e r----, in- SvHyr la; 6AYL L"Zr 7__ COO PT)6 N.C.
(Waterbody) (Town and/or County)
He/she has described to me, as -shown below, the development he/she is proposing at that
location and 'I have no of jections to this proposal. _ I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of
riparian access unless waived by roe. I have indicated my intentions by initialing below:
.I do not'agree to waive the 15' setback requirement.
(initials)
-JA-3 I do agree to waive the 15' setback requirement.
(initials)
-----------------------------
DESCRIPTION AND/OR DRAWING OT PROPOSED DEVELOPMENT: `
(To be filled in by individual proposing development)
St.nature
Print or Type Name
Telephone Number
Date: