HomeMy WebLinkAboutAllen, James:bAIVIA El DREDGE & FILL
GENERAL PERMIT
Ne
w ElModification ElComplete Reissue El Partial Reissue
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 I SA NCAC
Previous permit #
Date previous permit issued
YRuses attached.
P
A plicant Name Y*� Project Location: County.
Address 0" Street Address/ State Road/ Lot #(s)
City
State A/ zip C,
'Phone # tFax # Subdivision
Authorized Agent
I City ZIP
Affected El CW pEW
E PTA F1 ES
0 PTS
AEC(s): DOEA DHHF
01H El UBA
El N/A
0 PWS:
El FC:
ORW: (y)/ no PNA
yes (no,, Crit.Hab. yes no
Type of Project/ Activity
Pier Vo&Umgth-t'-�
Plad
Fing
Groi
Bulk
Basii
Bow
Bow
Beac
Oth,
Shol
SAV-
Sand
Mor
Pho
Wai
, x
6"1 3 , "1
Phone# River/Basin �Yx
— Adj. Wtr. Body (nat /man /unkn
Closest Maj. Wtr. Body
(Scale:
)rm(s)
!r pier(s)
i length
iiiMEMENEWWWMEMMEEM
number
iiiiiiNEEMEMMUM
mom
MEMMENEEMORWOMM■
MEN
HEMMUMMONNNEMOMMEM■
iead/ Riprap length_
OMEN
HE
avg distance offshore
NININNOMMIN
No
NONE
C::IO:=:1C::�'1::::'I
max distance offshore_
MEEMMEMEMMOMMEMENNOM
NMMMEMEEEMMMMMMMEMM
,channel
cubic yards
:::::::�
:■::::�1■■■■■■■■■■■
KI
NWRIMIE
MOMMURNMEM
,ouv� Boatli;J '-1
EMMMMEMEEMEMMMM
MIN■■■w■■■■■■■■■■■■■■w■■
A Bulldozing
IN
iis�iiiiiiiiiiii
��■
�MEN�Ciii
�::::C���
C:���0�C�C�.�
line Length
not sure yes
Lgs:
not sure yes
torium: n/a yes 09
IS: yes
MEMENNOMMM
�.............�.�........._.
ar Attached: es
A building permit may be required by: C r-1 t.1 C- f t El See note on back regarding River Basin rules.
Notes/ Special Conditions J /.
I =ZVED
0o
Agent or Applicant nted Name
Permit Officer's Signature
Signature "Please read compliance statement on back of
Issuing Date
Exph:atlon Date
Application Fee(s)
Check #
Local Planning Jurisdiction
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 andvoid.
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 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 howto complywith 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/ 1-888-4RCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: 919-733-1495
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)
Revised 08/09/06
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 3 z/z
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) �U / �/1��/ram to act on my
behalf, for the purpose of applying for and obtaining all CAIMA Permits ncccssary to
' a
install or construct (activity) je: Cl /i
at (my property located at) /J—2 %(�/l��^ I<W 111,1 "l) 4111>ek
This certification is valid thru (date)
Property Owner
MAR I �aS
Date
MAR 2 8 2014
DCM-=CffY
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: r�
Address of Property: 15a To -Wu or Qoor1 Mnr5hct �hPv —n , NC ' COtljtj-C.�
(Lot or Street #, Street or Road, City & County)
Applicant phone #: I ra (rMailing Address: (;P-U) -T-abex Lone -
al e-;g h , c a �t (Oa�,
Ili
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, must be provided with this letter.
txlhaive no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement net/contact dcm.htm or by calling 1-888-4RCOAST. 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, or lift 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.) >z
do wish to waive the 16 setback requirement. Z014
G i do not wish to waive the 15' setback requirement.:,. `
(Property Owner Information)
Signature _�
,Ica 4 A\\eta I MAR 2 8 2014
Print or type Name
Print or Type Name
�C"oberrn o�-y 1-c-n e DCM-YM CITY 2 606V yydc�010 Ay -
Mailing Address Mailing Address
IRa1ei h Nc. lee/e' L ,
City/State ip City/S ate2ip
g19-3G5-4Id-(0
Telephone Number
rmation)
2f 9 - ,�/a3= 70?�
Telephone Number
Date
Date
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property: 15 a:Lam\Dr k0aa `N%rr�hQ�l lr
(Lot or Street #, Street or Road, City & County)
Applicant phone#: glG-395-LA1a(0 Mailing Address: -9�Tce.r^A1M I-1-Vkx.
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, must be provided with this letter.
t° I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is beingproposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangement net/contact dcm.htm or by calling 1-888-4RCOAST. 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, or lift 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.
QL I do not wish to waive the 15' setback requirement.
(Property Owner Information)
RECEIVED
Signature
�" MAR 2 8 2014
C
Print or 1ype Name "D���,
me
Mailing Address
Ro leiah, Nc a-7loe('0
CitylStataOp
°� Ig-3q5-ula�
Telephone Number
(Riparian Property Owner Informath
Signature
Print or Type Name
Mailing Address
►� zS 1tS-
City/State2ip
-1 V, '-1 - I I <1 - - I -1 S
Telephone Number
I - II - I`f
Date Date
)at Lift
a - q'' Wak-c(-
i
Fixed Dock T
8'x12'
Drop Down
8'X4'
Extended Dock
4'x92'
aCO" 2' vJOfe-C"
•
Icao' 1 ��kcf
PVI
471
_71
152 Taylor Rid, M shailerg, NC 28553, USA
N
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N 3 4' 4 31 5. 12"
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