HomeMy WebLinkAboutAllen, ChrisW-VIA / P,DREDGE & FALL
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ENERAL PERMIT
Previous permit #
lew ❑Modification []Complete Reissue El Partial 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
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Applicant Name f a� `
/ �uies attached..
Project Location: County f "r t.r
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Address ;'7 `���....r �. �,�f � r� r � ': / .,� t r7 � �:�`
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Street Address/ State. Road/ Lot #(s)
City
Phone # E-Mail
Subdivision
Authorised Agent <
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City ZIP,
Affected ❑ CVV EW y,PTA ❑ ES El
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Phone # ( ) (jiver Basin"
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Adj. Wtr. Body � :.;:>('°$ i V Cf na /man /unkn )
❑ PWS•.
ORW yes /;h`o /" PNA yes
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Closest Maj. Wtr. Body r �;'f� /t i � V�` I
Type of Project/ Activity
(Scale:
Pier dock length.
Fixe
Float
Fing
Groff
Bulk
I Basir
Boat
Boat
Beac
Othr
Shor
SAV
Mon
Phot
Wain
ngth
number
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A building permit may be required by: (- {
( Note Local Planning Jurisdiction)—
Notes/ Special Conditions
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❑See note on back regarding River Basin rules.
La'i V- v /In lt�
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( Agen or Applicant Printed am
Permit0fficer's Printed
�d1ame e�
Sig ture' Please ead compliance statement on back of permit
Sig ' at re `
plicationFee(s)
Issurng Dte
f xpiration D ate
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
❑ 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
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://www.nccoastalmanagement.net/
Revised 08/27/14
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MENEFEE
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t' mom MEMO
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1011-1waSS''llr
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Name of Property Owner Applying for Permit:L-41--n/
Mailing address: 8V,)7ZW
Telephone Number: 3 4 60 - 2%1f 4 3
I certify that I have authorized - 101/),.g,/�Iagenticontractor),
to act on my behalf, for the purpose of appi ng and obtaining all CAMA permits
necessary for the proposed development of /' % A ,�1r P .,.-ST, , w-
This certification is valid through 3 (date).
(Property Owner Info r ation)
Signature
�wz/-r A C'.4 Ajint or Type Name
Title, co. owner or trustee for property
Y- //- i -7
Date
S3 f -- 407- INN43
Telephone Number
EmAil Address
APR 0 3 2017
®CM- MHD CITY
MAR/22/2017/WED 06:46 AM
,war GV •i.i muop Larry la. ArnolaLa
FAX No,
2b2/263018
P, 001/001
p.1
c �b Afy P aPE
h*m"y certify that town ± ��'- ENT
Property adjacent to .
Properly located at
(N soft
Ls
/a�Cr fry. ropsry Cvn:ePj
on (Address, ock r`
in �, �Oa J
Tile a ticani has described `CT W a��' andlor �' l N.C.
PA ..o.tti�
location. >~o me, as shown pelqw, the develo
pmeni ----�.i/ Proposed at tha above!i have no objection to this Proposal,
have obiectiors io this proposal
�ESCRifsitf�� AfVQIOR (iDRgiAliO1(t'., OF A
ndviddralprorposirtgdavrzloproWgtrt@OPOS"
PUENT
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st fit SQPip O17 WOW or I li a S&O drawn,
��r O
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w
understand that a Pier, do c }'�'`�"in@
3, pmust ba set back a minimum dis-tanca of o7 dint
me. tf tat rer( yoU uvish by waive tl ecic yos�E3��/vai the approp;
do wish to waive the 15, se ack
requirem
,--�._ I do not vWsh to waive the setback nmui mpr,r
'/arld For one Galen ad r a
f�
r, .boathouse, fi4i, or groin
access unless waived by
black below.)
(Adjacent prope rr Ovl;,es;; ormai'lon)
Print Of Type Nam.
S%
(itevised Aug. 2014)
FtECEfVED
APR 0 3 2017
DCM- MID CITY
IN
ADJACENT R RiAN PROPER iY OUVN -R S 3'A7'EM N T
I hereby certify that; own property adjacent to /�
l,
property located at S arrie o Iro s
f✓�' �r�.. 1�pe owner)
on � .� (Address, dot, Blo k, Roa ,etc.)
(ifilaterbody) , in
(Cityl�'bwn ndlor County) N.C.
The a 1, '
pp cant s described to me,
l tion.
as shown below, the development proposed at fhe above
l have no objection to this proposal.
1 have objections to this proposal.
" N"'Vim AND/OR DPIA VINO OF PROPOSED DEVELOPMENT
(lnfa°iiricfital Pr€iposirtg development must fi11 in descript on del rv� or attach a site dg
®�4, 0 e
I m ti.
4 1d
ION
I understand that a pier, dock, mooring pi; ngss,, boa Tram must be setback a minimum distance of 15' from my are;
me- (If You wish to waive the setback, you must initial the
I do wish to waive the 15' setback reaulrem -n
------- I do not wish to waive the 15' setback
Troperiy Owner Inf?r;-na ion)
Si atzw-e „
>rlemai7 address
Date 3- 4__ n
'Valid for one calendar year after signature
ureaicw er, boathouse, lift, or groin
of ripari n access unless waived by
ppropria a blank below.)
€Ao3acent Property Owner In —form
aion)
Signatzw--e x /
Print or Type Name
Malting ddress
NC
City! felZi
Telephone Numberl email address
Date*
(RevisedAug. 2014)
APR 0 3 2017
�ITY