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HomeMy WebLinkAbout61030_DUTEK, GEORGE_20120913❑CAMA DREDGE & FILL a� NO. 61030 GENERAL PERMIT Previous permit# ❑New ❑Modification Complete Reissue 71Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Project Location: County Address_ Street Address/ State Road/ Lot #(s) City ---State ZIP Phone # ()_ Fax # Authorized Agent Affected J CW [IEW ❑ PTA [I ES ❑ PTS AEC(s): _.OEA HHF L IH ❑ UBA ElN/A ❑ PWS: i FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp w4. , Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length _ SAV: not sure yes no _ Sandbags: not sure yes no - Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no .— A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # Subdivision City—--- - - ZIP - Phone # () River Basin Adj. Wtr. Body _ nat /man /unkn Closest Mal. Wtr. Body (Scale: j --_ 14_ ) LI See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date Local Planningjurisdiction Rover File Name 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, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules U 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 Quality. Contact the Division of Water Quality 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 Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (Serves: Carteret, Craven, Onslow -above New River inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South 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 -below New River Inlet- and Pender Counties) iBx 1289 PO BOX 190 ORIENTAL, NC 28571 ra �' �� 66-30/531 an Date Pay to the NC DE lVZ 6��� 00 Order of j L ` 5ilx ITUw,},�`�, 2 s�w� i 6o Dollars ®First Citizens tc�iti rzens.com 1:05310030011:0047120212SLom 01289 North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor .lames H. Gregson, Director William G. Ross Jr., Secretary Date Applicant Name �C0"r� C IJy�e— Mailing Address � 31 M `` `S Qi � , t certify that I have authorized (agent) - to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) rhSAN\\ at (location) 5 , This certifcatign_is valid thru (date) Signature 11 /aB /IK 7046729171 09:26:01 09-11-2012 1/1 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Individual applying for Permit: 6 evv-1 c- b use, Address of Property. 63 O P r `eA A , W L", �R 57 l (Lot or Street #, Street or Road, City & County) 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 drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, NO, 28S57 or call (252) 808-2808 within 90 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatliR or sandbags 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. (Applicant Information) QO dok }°1D Mailing Address 0 r,ch��\ , N�• �� 57i City/StatelZip 01gg ly 0-1116\ Telephone Number U 4VI I Ids Date 4r7, Q1i hh vY,,�, ox �Vl5 "\Ade'55� Wi'Ar Coo\� or FAX �0 (Riparian Pro erty Owner nformation) 90v-t-ur' k J P. , d1f JW Print or Type Name X 843 !2 Z 02 76) Tel phone Number Dare yu le 65 ---f sa�� a+�O�- a�a�� sweii DIVISION OF CGIASTAL MIANAGER17�--P,! AI`.I.A `>EEN f ?°ePAls- N PROP F CT`m' OWNER FORM Name of !ndividuul applying. for hermit: 6t'fJm c- _D-J , ey, �lddres � € Property._ �v.�_01 1�'�AV _ y- ,e���\ . Nc' - R5`7 � Cu (Lot or Street #, Street or Road, City & county) I hereby certify that i own property adjacent to the above referenced property. The individual applying for this perrrlit has described tonne as slit.usn on the attached drawing the development they are proposing. A description or drawifig, -with dimensions, should be provided -wM ihis letter. I have go objections to this proposal. if Vora have o&--rInns to what is being proposed, please the Division of anaae, err , :Orjrnerce Avenue. Morehead City, VC, 28 �57 o �bl {25�# 8p8-2808 sidsth I 10 days of receipt of this n a -ce, No responseis considered the same as no obj�ecfion 3 _you have been notified b y Cert red Mail. I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatiift or sandbags must be set back a minimum distance of 15from my area of riparian access unless wa,vcd by me. (if you wish to waive the setback, you must initial the approprie*e blank below.", 1 do wish to waive the ? 5' setback requirement:. I do nt wish to waive the i 5` setback requirement. €Apwtcant information) PC d � C10 Mailinc AddresS _C) le -IC IrA NL- 57t �i�/Sate tic i etephcne i lumber T)f�F nforrr;a Toni, Print &Wjoe Name Telephone. ber 21/3 d C :1____ l7QlP A 9 L ISI-o4 has I -oo 4&o 3 r 'A K081-09-7 d the} S ehr IL a5B Fa<rtst ?s;., t.2�. Kit81-68 K081-07 14 r` Y ( �.00.► 1%'��� DUFEK GEORGE JO.HNN) K081-09-1 �...•�'` 1\081-09-8 if f` lk,J,h, SC, IdiiF\01 2_4 2A K081-69-2 Pamlico Count NC Parcel Number: K081-69-1 Deed Book: 506 Yr NC PIN: 7409955257 Deed Page: 590 Owner Name: DUFEK GEORGE JOHN ET UX Plat: ..1 PROPERTY MAP Owner Name2: Owner Address: DUFEK MARJORIE DUNBAR 735 ARNOLD LN Deed Acres: Land Value: 2 123456 " - - Owner City: SHEPHERDSVILLE Building Value: 20922 N ?.t oi&clalmer: Owner State: KY Value: 144378 4 The data provided on this map are prepared for the Inventory of real property found within NC from deeds, Owner Zip: p 40165 Sale Date: 20071120 Pamlico Count' and are compiled recorded plat&, and other public records and data. Thle data is for Informational purposes only and should not be substituted Situs Address: 639 MILLS RD Sale Price: 339000 One Inch = 100 Feet or a true ttlleaearch, property appraisal. survey, orfor mningverification. Legal DeSC: TAR CREEK & TAR CK DR Page 1 of 1 http://www.pamlicocountygis.com/mapguide/mapviewemet/toolbar.aspx?LOCALE=en 8/24/2012