Frystock, Bob 78984C

trCAMA / tr DREDGE & FILL N9 78984 ABCDENER/AL PERMIT Previous perm it#
ENew EModification EComplete Reissue EPartial Reissue Date previous permit issued
fu authorized by the State of North Carolina, Department of Environme_ntal Quality
andtheCoastalResourcesCommissioninanareaofenvironmentaiconcernpursuanttol5ANCAC.
Applicant Name_ Prolect Location: County
Address Street Address/ State Road/ Lot #(t)_
State ztP
Phone#( )-r-rvait Subdivision
Authorized Agent c ztP
Affected
AEC(s):
Phone # (_)River Basin
Adl. Wtr. Body__ (nat /man /unkn)
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body
DCW
trOEA
! PWS:
tr E}Y
tr HHF
I] PTA
t]lH
fI ES
tr UBA
tr PTS
NN/A
Type of ProjecU Activity
(Scale:)
Pier (dock) length_
Fixed Platform(s)+
Floating Platform(s) _
Finger pier(s)_
i.
I
ts i
Groin length
number
Bulkhead/ Riprap length__
avg distance offshore
max distance offshore
Basin, channel
--T-"
cubic yards +
Boat ramp
Boathouse/ Boatlift_lli -l'
Beach Bulldozing
t-+sFl.i+t *-L_-l-i-lli--i--F-i
Other t
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rt-
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-l--Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes no
yes no
yes no
yes no
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A building permit may be required by:
( Note Local Planning Jurisdiction)
f] S"" note on back regarding River Basin rules'
Notes/ Special Conditions
tttIt
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Offi cer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
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Statement of Compliance and Consistency
This permit is subiect to compliance with this appliotion, site drawing and attached general and specific conditions. Any
Molation of these terms may subject the p€rmittee to a fine or criminal or civil action; and may cause the permit to become
nullandvoid.
This Permit must be on the proiect site and accessibletothe permit oflicer when the proiect is inspected forcompliance. The
aPplicant certilies bysigningthis permit that l) priorto undertaking any activities authorized bythis permit, the applicant will
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 Coastal Management, in issuing this permit under the best a\railable
information and beliel certirythatthis proiect is consistent with the North Carolina Coastal Management Program.
River Basin RulesApplicable To Your Project:
I Tar- Pamlico River Basin Buffer Rules E othe.:
l] Neuse River Basin Bulfer Rules
lf indicated on front of permit, your proiect 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. Con6ct the Division of Water Resources at the Washington Regional Office (252-946-5481) or the
Wilmington Regional Ofiice (9 l0-796-72 I 5) for more information on how to complywith these buffer rules.
Division ol Coastal Management Oflices
Morehead City Headquarter.s
400 Commerce Ave
Morehead Ciq/, NC 28557
252-808-2808/ r -888-4RCOAST
Fax:[phone]
(Serves: Carteret, Craven, Onslow -
Nonh of New River lnlet- and Pamlico
Counties)
Elizabeth ty District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
257-264-3901
Fa><: 752-264-3723
(Serves: Camden. Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-72t5
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://ponal.ncdenr.orglweb/cm/dcm-home
Revised 7/06/ l7
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
8op ftwrtcj<
property located at 131 Sa.rnl> DB
(Name of Property Owner)
on (\Ar.r fiYlIE c.qrolL ,in
(Waterbody)
(Address,Lot, Block, Road etc.
N.C
(ClrTown an r 9ounty)
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWNG OF PROPOSED DEVELOPilIENT
(lndividual proposing development mustfill in dscription below or a{hch a site dnwing)Ch FL
r%{"c e tZ ) <._- ZS __) ?(^P"s<D
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I understand that a pier, dock, mooring pilings, breakwate
back a minimum distance of 15'from my area of riparian
(t-o -{
4/ T)oclc
EC -1,/r, boathouse, lift, or groin must be set
access unless waived by me. (lf you
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wish ton /a
/(
ive 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.
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(Property Owner lnformaton)(Adjacent Property Orner lnformadon)
SipnatureEsE .Sfb cx F]Pint or ame Pint\!or e{G.-'
Address
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C4,^lere?i^en(pr
CEIVED
qeviseo€,tffiffty pXgg
DCltl-MHDCITY
Date
Number
AV
er
I hereby certify that I own property adjacent to ,S
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Date
ADJACENT RIPARIAN PRO PERry OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)l4q 5oo15r E
s
(Address , Lot Block, Road, etc.)
on rnpp lc\acE cAGAr , in N.C.
(Waterbody)and/or County),....---
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.
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WAIVER SECTION ?L
I understand that a pier, dock, mo oflng pilings, breakwater, boathouse, lift, or groin must be setback a minimum distance of .15, from my area of riparian access unless waived by me. (lf youwish 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.
(P Owner lnformation)Owner lnformatlon)
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IVED
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Dae
Number
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Date
DC[,]-MHDCtTy
property located at
localioh.,,ffi
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPTENT
(lndividual proposing development must fill in d*cription below or attach a site dnwing)
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