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HomeMy WebLinkAboutSmith, Alton 75969CN T Reissue bt th. Stac! of Nordr C.rolim. Dcpanmim of and th€ Co.stel CommBsion in an area of Appl Add Phone Mail Authorized Agent Date permit issued puBuant to l5A NCAC Proiect Lo€ation: County Address/ State City ztP Phone # Adi. Wtr. Closest Mai. Wtr. No. 75969 A Prwiors permh #B XPanial Reissu€ E wilgr*i6l Quality Street Affected AEC(s): -i cw - OCA trEW C HHF ] PTA _tH fqst use o D D ORW: yes /PNA yes I Mi cky Penny AFnt or Agplkant Prirrted ^f{ncah+#- f r-7 Signaru l-], ls!l.i18 \ i-+++++-t_-+--r-H-F- i]- F-t--f-+--t- llr -r--L #-+-._ I Tuf tll tt; :_L++ 1 1-++ i_--|. F+-+ifi = i ) # -H ft.r (dock) ldrSth (Scale:) Fe.d PUorrn(.) _ffi-+ FlodrE Pl.rfom(r) _+-++ F'nt€r plc(s) G.dn bngth ]+ + avg dlsBnce ofihore +1--_--J--t mu dbtanca ofrshorc r B6in. chanml tt #--+ cubk F.ds J-rt---+--{---]--.t---J- Bet ..mp __ Eo.thou$i Bodift B€ach BulldoznS OdEr Shorclin. LsrSth It SAV: not trri! rlor&riun: rve Ptrdoa:y€5 A blildint p€mit may be by:on back River B&rin ( Note Local Phnniqg.lurisdktion) Note, \ Applkatlon F.!(s) compllance stat€ment on back '/1 I1 Che& # I FILL Lot #G) ._.....'.-.--- /bm \\ \--,,u/-*lf++-- -l_-t _+ II --z I 'd,,w t- I J---t. \ t- T 1 + r Type of Proiecv ActMty +-]_H- l- +tI L + -t t m DGE E FILL New Modification Complete Reissue panial Reissue by the Srate of Nonh Carolina, Department of EnvironmentJl Quality and the Coastal Reso Commission in an area ofenviron No. 75969 A Previous permit # Date p reYious permit issued B Appl icant pursuant to l5A NCAC Adi. Wtr. B Closest Maj. Wtr. B Project Location: Counot C 0 Add City State Phone #-Mail cw - OEA EW HHF )qst uaa Street Add ress/ State@ Subd City Phone # ( ztP ver Basi !qk!) )<) Type of ProiecV Activity Pier (dock) length Fixed Platform(s) Floatint Platform(s) (Scale:) Fin&r pie(s) Groin lentth praP aW distence ofrshore max distance ofrshore \-/,--a rcqcubic Frds Vfi J-/-Boat ramp Boathousey' Boatlift n Beach Bulldozint Other ---sl Shore line Length xMoratoriurn: nla y6 Photos: yes WaiverAttached: yes & A buildinS permit may be by'on back in8 River Basin les. ( Note Local PlanninS Jurisdiction) Notes/Con Agent or Applicant Printed Name P€rmitOfllcer's P Signatu tut() P Application Fee(s) compliance statement on back of o€rmit # I7o; Check# 11 ls*i(g Ex E PERMIT Lot #(s) Authorized Agent _I Affected AEC(s): PTA IH tr tr ORW: yes /PNA yes I I I t-] LIBasin, ahannel _ r-t I M Statement of Compliance and Consistency This permit is subiect to compliance with this application, site drawing and attached general and specific conditions' Any violaiion of these ierms may subiect 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 proiect site and accessible to the permit officer when the Proiect is inspected for compliance The applicant cenifies by signing this permit that I ) prior to undertaking any activities authorized by this Permit, the aPPlicant will confer with appropri; l;l authorities to .onfir- that this proiect is consistent with the local land use plan and all local ordinances, "na z) " written statement or certified mail return receipt has been obtained from the adiacent 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 Proiect is consistentwith the North CarolinaCoastal Management Program' lf indicated on front of permit, your Proiect is subiect to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its loiation within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the WashinSton Regional Office (252-946-6481) or the wil;i";;; R"gi.naloffice (910-796-7215) for more information on how to comPlywith these buffer rules' River Basin RulesApplicable To Your Proiect: Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I -888-4RCOAST Fax 752-247-3330 (Serves: Carteret. Craven. Onslow _ North of New River lnlet- and Pamlico Counties) Elizabeth District 401 S. Griflin St. Ste.300 Elizabeth City, NC 27909 257-2U-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Curritr.tck, Dare, Gates. Pasquotank and Perquimans ColJnties) =1 Other: washington District 943 Washin4on Square Mall Washington, NC 27889 252-946-6481 Fax:252-948-0478 (Serves: Beaufon. Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-72t5 Fax: 9l 0-395-3964 (Serves: Brunswick, New Hanover. Onslow - South of New River lnlet- and Pender Counties) http://poral.ncdenr.org/web/cm/dcm-home Revised7l l17 GE E T c N Name of Property Owner Requesting permit:\k 3 S,*:.IL \r Mailing Address:q\o Lz.e ftt o- {*C Be.aL. cvL zrStL Phone Number:g rq-tr\tr-5.tt3 Email Address: I certify that I have authorized N ent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development:{.,-.dcl \ UelJ a at my property located at (+\^-$c Be..L\O Le€ tn /Coun ty.t- I furthermore ceftifu that t am a.utho-rized to grant, and do in fact grant permission toDiision of coastar'Manaoement staff, tne toiat iiiit officer and their agents to enteron the aforementioned tinds in connectii- iii "iiirting information retated to thispemit application. Property Owner lnformation : Jr- \,4-S^\ 5r Print or Type Name Title tL o\ Date This certification is valid lhrough \L t O\ t ZO RECEIVED 0EC 0 I rri19 DCM.MHD CITY I hereby certify that I own property adjacent to ft\V-.S".,V sr S property localed at 4to Lec Sa on \]d ot Bloc fv{\c^(* L{, N,C. (Address, L K,R ) IN \a (Waterbody)(City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. -.p \ (, I have no objection to this proposat. I have objeclio-nsJoJhis_pr,oposal_ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (lndividual proposing development must fill in description below or atlach a site drawing) I {+\iJ ^Yrtv V t-r/ \ 1/)'<' t l<'iq r.gz4 ae?' ".ra.tt S '-----=> te"lart q ce(4 ^.\*- R.-.-\e\"$+,\ lunderstand that a pier, dock, mooring pilings, breakwater, boathouse, lifRg6p back a minimum distance of 15' from my area of riparian access unless waivib wish to waive the setback, you must initial the appropriate blank below.) I-fX 6 ldo wish to waive the 15'setback requirement Dci,r_rrrHD c,ry I do not wish to waive the 15' setback requirement in must be set by me. (lf you OEc 0y (Property Owner lnformation)Adjacent Prope rty Owner lnformation) s,e trt\iotF Print or me eU^\S*\tl,.. 5r Pint or TWeL1\P Lt Name(*\o(<+.fr+wi NL Z-QS:L Mailina Address*{tl*i R"."l^ \-[ z(ErZc{fftY{K- Ltt3 "'Yl4'Ytfi-t"oos Te Telephone Numberq2- Dt -t1 Number 7 -''t1 Date (Revised 6/1gny 2) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ?2at tan.l, walvER sEqTlou Date I hereby certify that I own property adjacent to (|\ t^ S,*'r\. \ - (Name of Property Owner) prop"-'tv locdted at 0 L"4*.' on t\l*,x-z . (Address. Lot BlockA-4 in tl+lc-, N.C,(Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locati I have no objection io this proposal -.---....-,,.._- I havLobjeclio-ns-toJhis-proposal--,- -- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (lndividual proposing development muslfill in description below or attach a site drawing) ,t\os6\- t ''l REccl V ry soBn$'{lc\- - lt -+-.r:G-?-4cr{\r L -.{--\l'_-.<v se-\44 ?,o( <trrA lo4' eep q gN,\'Qr*"2o'l Wtt gl \[, "$r WAIYEBSEgTSN ?'d 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. (lf you wish to waive the setback, you must initial the appropriate blank below ) I do not wish to waive the 15' setback requirement (Property Owner lnformation) s,'t"^T5 5-,1,. \r Print or TvDe Name\l-D'Lcz gt (Adjacent Property Owner lnformation) s,e Print or ype ame l:a s na e fi4{31(€*g"". t tv' z ss t z *"Hffilf+,. Bnon W4^Wr-ut t3 "'5Wpa'rqL2 Teleohone Numbertz tl 11 Tel;frone Number {rlc 4* tz-- Date Date -0 fReyised 6/11nU 2) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT D[i 1,u ] DCM-Ivlh- _,, , "r1 s&I do wish to waive the 15' setback requirement. I lIi\i f'r i/ L-. I F -.-t P,'d{, ,l I I 7 -:-{ a /IEtt ! il il iil t LI