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Home My WebLink AboutBenischek, Nathaniel 77190CClount Mal VAr Lindy Neil"ro (Scale Y� ffCAMA /DREDGE & FILL I P ��. GENERAL PERMIT Pre.n ,,.... .... t- !)k;New Mg(fihrat",, LOf%%) p RP,s5t1C P,al (-.p, p,. ._. n,itl If s r'l1K l)Prn nr ,Ssl u:d Al authonzco by the St.❑1 r ti .,, 1 , c...r t -1. l e 1 t s.+n and die Cwsod Resuulfes n.., •,,, „ �., .,I ,- ,c,lei " ( JJrf� {1'' Applicant NNarne p t / anrs attad�ed �� /,Qf)' (' l I .' / 1 1 rolect Location Comity p yL(1 (�l Address Jl:f SN uct Add, o:✓ Slate Road/ lot +Y(5) i) City.. Ne<w c�„ 5tat,. ,.. �l "-'' G " , •� , y Phone # (.�q�� ) 1a 7v•-i�l��-i'Yf htad Authorized Agent ,.{i.\' 4 l !. ': ! ;.i. tarty 'lip Affected Cw AEw \ PTA %KS PIS Fnl„h # h :, k: l•, �'C' 'OEA HHF IH VItA NA AEC(s), /ul, Ntr hotly:C ,(�:. :�/ f-� n n+an on.n PwS ORW yes n PNA (. Type of Project, Activity F,acd puc6,nre t ioaong PUth ....... Fu,go mc.fs. Gam lensn Buikha R,prap length 1��^ f avg d.3san<e uflsho•e � I !r1AY 11 t:P"CC 4n3hO�C �. T. r &ut ramp' y I Br.aCi, Bl tlrrng lrhfr i }s+>i� i' r SAY not su. c• oI+ (-1 ' MormnYur,. Ma n+f -n� 1{.,� jt Plfntas. � nQ Jf)A)l (9� fY9N:1 AIIM LtYI. YPf ',. A huildrng permit hiay be rnqu,r rd by .. Ca1r(.f a `.mod I Q / -��. _ 1^ Se" note on back regarding River Basin rule: t Not, : 1 d Plannuig pu'Isdlcoo r!•( I -� �, r� _• , uft �'ttt��.fw, N��.t>� 1�te. )�>raa_ <;� Notem' Spa aal ContjiGons .(. , t.l I i 1 Vau;P Aprr�. _ 1 P,nnII OILro f Print d NA,,Vf J i �J i`, r• 1 l t f "' �n �T l.).1�r• 11 XCAMA /REDGE & FILL GENERAL PERMIT 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 Applicant City /VeAAJ VWS�A�� State /vC�ZIP_Q46 � Phone # )_ C 7 E-Mail Authorized Agent / V l J(� Affected 71tlW VW -�'� `*" ❑ PTS Affecte ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes 0 PNA yes no Type of Project/ Activity Pier (dock) length .i Fixed Platform(s) r Floating Platform(s) Finger pier(s) Groin length number i Bulkhe / ftiprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp . r Beach ByBdozing _ w Shoreline Length to"(/ SAV: not sure yes Moratorium: n/a yes Photos: es Waiver Attached: yes no A building permit may be required by: ( Note Local Planning juriscictio Not / Special Con tions f tl� la � UlacN n ' Applicant FSig Sture ** Please read compliance statement on backof permit`• 60 v 47� Fee(s) Check # N° 77190 A B (�:V D Previous permit # Date previous permit issued 15ANCACO%,�1.0-1w, ules attached. Project Location: County aye,wr!� Street Address/ State Road/ Lot #(s)_ Subdivision LI L City ZI / Phone # (_) /River Basin (VP.(.tCJ' e Adj. Wtr. Body �(� id s (SNP p na /man /unkn) Closest Maj. Wtr. Body (Scale: ' iA) ) See note on back regarding River Basin rules. W C01107n PermitOfficer's PYrinted Name q _V Signatur C� Issui Dat E4 irattoVDate 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 ❑ Other: 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 252-808-2808/1-888-411COAST 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: Email Address: I certify that I have authorized N Vo, n i c- �cni SGhc ►C_ V11 eve bef � �I C 3 --scl Z- tea Agent to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: SC-c,.u,! ��a� t'CT L at my property located at � I Z 5%�GrMGtI� (�+^`�' t� , in CA-&V64\ County. I 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: Title 7 Date This certification is valid through V � / 30 I Z'ou `�;v�549� D� �a� + y"QD C_pMMP�GC, �V� o\a(W,M c..kA-�j RC, ZZ55) NC-, J, ADJACENT RIPARIAN PROPERTY OWNE5 S ATEMENT k 1 I hereby certify that I o�w[n property adjacent to nnG tiU� �� \1 -) - " '�l�c property located at U I `� y 1�� I' oa�rg�6 ropert n r) (Address, Lot, Blo Road etc k.) on ��GG �� in ',fi✓r (lri N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above IM. , 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) t 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) I le?� i'..CC, t.eI- Print or T e Name Mailing 6 `t3 5`ta--ot 1 q/Nc fly brwn Telephone Number/ email address 1013 /Lo x 1) Date (Adjacent Property Owner Information) M IRA FA Telephone u er/email address lO��LG'Z✓ Date* (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at (Address, Lot lock . oad etc.) on ��<< in � rCr1 N.C. (Waterbody) (City/Town and or County) The applicant has described to me, as shown below, the development proposed at the above 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) 'frog o� C) � % amp 1 L �,WeNJ Ck 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. (I 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) City/State/Zip Glry/, Telephone Number/email address— Telel /0 /3/;2 c) C) _ Date Date nt Plop y Owner Information) F Wr> Na3 1-44A-4— 4�f� d .1 (yip ie Nu er/erpail address (Revised Aug. 2014) *Valid for one calendar year after signature*