HomeMy WebLinkAboutBlack, Doris 77337C. CAMA / DREDGE & FILL
GENERAL PERMIT
New Modification Complete Reissue Panial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
ind the Coastal Resources Commission in an area of enMronmental concem pursuant to I 5A NCAC
Previous permit #_
Date previous permit issued_
N9 77337
Applicant Name
Address
ciq,
I Rules attached.
Proiect Location: County
Street Address/ State Road/ Lot #(s)
Statq ztP
Phone#( ) e-mait
Authorized Agent
Subdivision
Ciq/_ztP
. CW EW -PTA ESAllectedOEA HHF IH UBAAEL(s):
PWS:
r- PTS
L] N/A
Phone # (_)_River Basin
Adi. Wtr. Body _ _fu414ran /un!e
ORW: yes / no PNA yes / no Closest Mai. Wtr. Body
)c
Type of ProjecV Activity
(Scale:
Fixed Platform(s) __ _
Floatiot Platform(s)
FinSer pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg dastance offshore
max distance ofishore
Basin. channel
+
cubic ).ards
Boat ramp
Boathouse/ Boatlift
r ili,flt\j
Beach gulldozlng
Other I
Shor€line L€n$h
-SAV: riot sure
Moiatorium: nle
Phot6:
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A building permit may be required by
( Note Local PlanningJunsdiction)
L ,See note on back regarding River Basin rules,
Notes/ Special conditions
Agent or Applicant Printed Name
Signature # Please read <ompliance statement on backofpermits
PermitOfiicer's Printed Name
Signature
Application Fee(s)Check#lssuing Date Expiration Date
A B (C,D
)Pier (dock) len8th
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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 subiect the permittee to a fine or criminal or civil action: and may cause the Permit to become
null and void.
This permit must beon the prolectsite and accessibletothe permit oflicer when the prolect is inspected forcomPliance. The
applicant certilies bysigningrhis permit that l) priorto underaking any activities authorized bythis permit, the aPPlicantwill
confer with appropriate local authorities to confirm that this proiect 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 adiacent riParian
landowner(s) .
The State of North Carolina and the Division of Coasal ManaSement, in issuing this Permit under the best available
information and beliel certirythatthis prolect is consistent with the North CarolinaCoastal Management Program.
Division of Coastal Management Oflices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax: 252-747 -3330
(Serves: Caneret, Craven, Onslow -
Nonh of New River lnlet- and Pamlico
Counties)
Elizabeth CitI District
401 S. Griftin St.
Ste.300
Elizabeth City, NC 27909
252-2U-3901
Fax: 252-264-3723
(Serves: Carnden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
2s2-946-U8t
Fax:252-948-M78
(Serves: Beaufon, Benie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-72t5
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counti6)
http://ponal.ncdenr.orglweb/cm/dcm-home
Revised 7/06/ I 7
River Basin Rules Applicable To Your Proiect:
! Tar - Pamlico fuver Basin Buffer Rules E O,h".,-
I Neuse River Basin Bufier Rules
lf indicated on front of permit, your proiect is subiect to the Environmental Management Commission's Bufrer 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 Ofice (252-946-6481) or the
Wilmington Regional Office (9 l0-796-721 5) for more information on how to comPlywith these buffer rules.
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
ok
Name of Property Owner Requesting Permit:Ct I ^ 4t1.
DLA L ":L lt,^.sI Cr"u[<s iJe- l)oo Js D.:re- e858
5 q^5 Loc c)ML
Phone Number:9lo- s 5 3-5 3o5
Email Address:D{ BOns @ LrvE,co,r'r
I certify that I have authorized (3 Sco ,L Co s
Agont /
to act on my behalf, for rhe purpose of applying tor and obtaining a[ OAMA permits
neessary for the following proposed development:Coaslc--c
dock e ec l'(ne ,.4.,[,0.d s lr*L,4
at my property located at Creeks ;je I ,,JS Dcivc
in Onsba Co unty.
Prope 0n
l_fltrt?prnory @ra'fy that I am authoized to grant, and do in fac-t gtantpermission foDivision of O,nsE,l Management sts,ff, the L@al permit Otricer and iteiragerrs tu;rtu;on tlp afoamentioned lands in @nnecrion with ewatuatng information;rrf"d to ;;;
@tmitaryliation.
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This certification isvaliatuougn I t l1 t ?,O )l
(Mailing Addrcss:
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boR6 .r RLA C/4Pti@
I hereby cenify that I own properqr adjacent to D- ar.,sD c" ll,property tocated a - | c cuek \,d.e-l^l
P
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ooJ Nams
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of Property Owrer
Address,Lor, B Road
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on
t"fifl'--,r-
(
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The applicant has described lo me, as shown b€bw
11 ,15 ., N.C(City/Town and/or County)
the development proposed at the above
(hdiyiduat
I have no ob,ection to this proposat.
I have objedions to this proposal.
DESCRIPTION
prom,slng AND/OR OR AW]NG OF PR OPOSED DEVELOPMdevelopmentmust fill in description below or atach a stfc drawing)
ENT
S"e a4^.L/. s k.{.^
WAIVER SECTIONI understand that a pier, dock, moori ng pi lings, boat ramp, breakwater, boathouse, lift, or grotnmust be set back a minimum distan ce ot 15' from my area of riparian access unless waived byme. (lf you wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the , S' setback requiroment.
I do not wish to waive the 15' setback requirement.
lnformation)
Signature
Pr rt or Nanrg
lvtr,ilitgAfiress
CiUBbeip
Tei€plro/re Nufil0E,r / ennil a&rcss
[)ate
(Adtscent Property Ownor lnformatlon)
C
or
z
-t1
Number / efi,ail addtoss
DBL4zKZ @re,,<4 eomDrBDAS @ z/t/5. Carzlrr'dilfor one calendai year after signature'
/f 2020
(Ravisect AUg.2014)
Name
Darer
Addless
I hoEby cordty lhat I own proporty adlacenl to
property locstd 8t I C rcel<l) oo
Docis Dn oll.n
(Xiln ol Prop.ity Oun r)
(Addr.tt, Lot,B lock,Ro.d, dc
on Q.n ens Cacr k ln 3w o,ot boco , N.C.
5ez nJ.ln"heJ S k"{r/r
'l/ on' t(Wffiodr) (Cltylfo*nurdla Comty)
The applicant has descrlbed to me, as shown b€low, the d€r/elopmont y@ at tlg fuft
bcalbn.
-Wfu I have no otlieclbn tothis proposal.
/ I have obiections to this proposal.
WAIVER SECTION
I und€rstand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance oI 15'lrom my area ot riparian access unless waived by
me. (lf you wish to waive the setback, you must lnitial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
lnformalon)(Adpcent Property Oryner ln orm8ti.xt)
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Mailing Address
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TelqtwpNumbr/addross
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(Revised Aug.2014)
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OESCRIPnON AND/OR DRAWING OF PROPOSED DEYELOPTEITT(ffiv**d rylrrg &wlgpn erlrt must n, k &srlttpilon try'ov q r/,tarh a * *aulng)
I do not wish to waive the l5' setback requirement.
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